HRT kwi exesheni - isizukulwana esitsha lwamachiza: reviews, uluhlu

Nge ubudala, umgangatho estrogen emzimbeni umfazi iqalisa ukunciphisa. Oku kukhokelela kwiqela iimpawu ezibangela ukuqaleka. Oku ukubila ebusuku, ukwanda umaleko ongama ezityebileyo, lwegazi, zangasese ezomileyo uxakaxa, ngumchamo womchamo. Phepha le meko krakra kunceda hormone therapy replacement (HRT). Amayeza ikuvumela ukuba ukususa iimpawu ze exesheni nokucutha umngcipheko iingxaki ezinxulumene ukuya exesheni. La machiza aquka "klimonorma", "Klimadinon", "Femoston", "Angelique". Ngononophelo kakhulu kufuneka luqhutywe HRT ngexesha ukuya exesheni. Zezomntu besizukulwana esitsha anganyula ugqirha ofanelekayo kuphela.

ifomu Release "klimonorma" iziyobisi

Medicine libhekisela protivoklimaktericheskim iindlela. Oveliswa ngohlobo kweentlobo ezimbini iipilisi. Uhlobo lokuqala ngeengqalutye uye umbala omthubi. Okubhalwe iphambili ekwakhiweni ngu 2 mg estradiol valerate. Uhlobo lwesibini ngeengqalutye - brown. A ingxenye enkulu uthathwa estradiol valerate 2 mg 150 levonorgestrel mg. Zipakishwe namadyungudyungu unyango ngamaqhosha-9 okanye 12 nganye.

Nale medicament rhoqo bamthwala HRT in ukuya exesheni. isizukulwana esitsha lwamachiza nemibono ezihle kwiimeko ezininzi. iziphumo ebezingalindelekanga musa ukuphuhlisa, ukuba ulandele iingcebiso kagqirha.

Action "klimonorma" iziyobisi

"Klimonorma" - isilungiselela zidityanisiwe, nto leyo lwanziwa kuphelisa iimpawu exesheni kwaye iquka estrogen kunye Progestogen. Xa emzimbeni, estradiol valerate, kweziyobisi estradiol iguqulelwa imvelaphi yendalo. Ifakwe kwi main levonorgestrel iziyobisi isiyobisi ukuthintelwa hyperplasia endometrial kunye nomhlaza. Ngenxa yakheke ezizodwa irejimeni ezizodwa kunokwenzeka emva kokuba unyango ukubuyisela sexesheni kwabasetyhini kunye wesibeleko non-onomzi.

Estradiol kuzihlawula ngokupheleleyo emzimbeni estrogen yendalo ngexesha xa exesheni. Kuyanceda ukuba lukwazi ukumelana neengxaki kwezityalo nangokwasengqondweni ukuba zenzeke ngexesha ukuya exesheni. Unako kwakhona nokufumana ziyibuyisela ukuyilwa imibimbi nokwandisa isiqulatho collagen lolusu nokusetyenziswa HRT in ukuya exesheni. Amachiza ukunciphisa cholesterol iyonke kwaye unciphise umngcipheko wezigulo emathunjini.

Pharmacokinetics

Xa nokudla ichiza ixesha elifutshane wendele esiswini. Emzimbeni, ichiza umzimba ukwenza estradiol kunye estrola. Kuba iiyure ezingaphezu ezimbini kuthetha ukuba kukho umsebenzi ngokusemthethweni plasma. Le levonorgestrel iziyobisi phantse 100% inxulunyaniswa igazi albumin. Kwazona kwi umchamo kunye inyongo kancinane. Nge ingqalelo ekhethekileyo kufuneka sithathe iyeza unyango hormone ngexesha ukuya exesheni. Amalungiselelo level 1 zithathwa esinamandla yaye kakhulu ngcono imeko besini wamhle emva kweminyaka engama-40. Esebenzisa amayeza kunye "klimonorma" libhekisela kweli qela.

Iimpawu kunye Izimo

Ichiza ingasetyenziswa kwezi meko zilandelayo:

• hormone therapy replacement ngexesha exesheni;
• utshintsho involutional kulusu kunye isifo yenkqubo enzala;
• Umxholo elingonelanga estrogen ngexesha exesheni;
• amanyathelo othintelo for kwamathambo;
• kuqheleke ukuba sexesheni;
• alulame kwi uhlobo amenorrhea zaseprayimari nasesekondari.

Izimo:

• ukopha ezingaphathelananga ne sexesheni;
• lwebele;
• hormone precancerous kunye neemeko ngumhlaza;
• umhlaza webele;
• isifo sesibindi;
• thrombosis oyingozi futhi thrombophlebitis;
• Hypersensitivity ukuba amacandelo;
• hypotension;
• izifo isibeleko.

Akusoloko eboniswe HRT ngexesha ukuya exesheni. isizukulwana esitsha lwamachiza (uluhlu uchazwe apha ngasentla) unikwe kuphela kwimeko, ukuba exesheni sikhatshwa ukonakala kakhulu kwabasetyhini zempilo.

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Ukuba usenalo ixesha, unyango kufuneka ziqalwe ngomhla wesihlanu komjikelo. Xa amenorrhea kunye ngxaki inkqubo impiliso ungakwazi ukuqala ngalo naliphi na ixesha komjikelo, nokungasetyenziswa yokukhulelwa. Enye iphakheji amayeza "klimonorma" ilungiselelwe ukwamkela imini-21. Ndiyisele yale algorithm:

• iintsuku zokuqala 9 umfazi lifumana iipilisi ezityheli;
• iintsuku ezilandelayo 12 - iimbotyi ijeli emdaka;

Emva unyango, kukho ixesha, ngokuqhelekileyo ngosuku lwesibini okanye lwesithathu emva kwedosi yokugqibela iziyobisi. iintsuku ezisixhenxe na ikhefu, yaye ngoko ke kufuneka ukuba usele pack elandelayo. Dragees mazithathwe ulwelo, usele amanzi. Kufuneka uthathe indlela ngamaxesha athile ngaphandle kokuphazamiseka.

Kuyinto kunyanzelekile ukuba zilandele ngqo le nkqubo ka HRT in ukuya exesheni. isizukulwana esitsha kweziyobisi kunye nengxelo ingaba mibi. Ayiphumeleli kufikelelwe isiphumo efunekayo, ukuba ukhumbule ukuthatha iipilisi zakho ngexesha.

Kwimeko libanda kunokubangela izenzakalo ezingemnandi ezifana ezifana isisu, ukugabha, kwaye ukopha na enxulumene nako. Akukho mali iyeza ethile. Kwimeko unyango kwangumqondiso libanda emiselweyo.

Drug "Femoston"

Amayeza fanele ku mali iqela protivoklimaktericheskih. Ifumaneka ngendlela amacwecwe yeentlobo ezimbini. Le phakeji inokufumaneka iipilisi ze umbala omhlophe cover ifilimu. Eyona nto iphambili estradiol kwi ne nedosi ye-mg-2. Kwakhona, uhlobo lokuqala luquka iipilisi hina. Le yokuqamba estradiol 1 mg ne-10 mg dydrogesterone. Wapakisha indlela e namadyungudyungu lamaqhosha 14 nganye. Uhlobo lwesibini iquka amacwecwe umbala pink, oluqulathe 2 mg estradiol.

Ngesi sixhobo udla kwenziwe unyango endaweni. Nge ingqalelo ekhethekileyo ukukhetha, ukuba kuza hormone therapy replacement ngexesha ukuya exesheni, amayeza. Ukuphonononga "Femoston" uye kuzo ebezintle nezo zingentle. amazwi Good kufeza kufezeke. Amayeza akubikho iimpawu ezininzi ngxaki.

ukusebenza

"Femoston" - kwisigaba-ezimbini udityaniso ukulungiselela unyango ukuya exesheni. Zombini amacandelo echiza analogue female hormone sex dlala kunye estradiol. Ingahlala zonikezelo estrogen ngexesha ukuya exesheni, kususa iimpawu kwezityalo kunye nendalo yengqondo-iimvakalelo, ithintela uphuhliso kwamathambo.

Dydrogesterone i Progestogen, leyo lunciphisa ubungozi hyperplasia kunye nomhlaza endometrial. Le into ine oestrogenic, androgenic, glucocorticoid kunye nomsebenzi steroid. Xa ukuginyile, oko ako ngokukhawuleza emva koko umzimba ngokupheleleyo. Xa kuboniswe HRT ngexesha ukuya exesheni, iziyobisi "Femoston" yaye "klimonorma" kufuneka zisetyenziswe kuqala.

Iimpawu kunye Izimo

Le medicament esetyenzisiweyo kwezi meko zilandelayo:

• HRT ngexesha exesheni kwaye emva kotyando;
• uthintelo kwamathambo, nto leyo ehambisana ne exesheni

Izimo:

• nokukhulelwa;
• zisanyisa;
• umhlaza webele;
• ithumba yobubi ukuba abe uphawu enama-kwayo;
• porphyria;
• thrombosis kunye thrombophlebitis;
• Hypersensitivity ukuba amacandelo;
• diabetes;
• wegazi;
• hyperplasia endometrial;
• migraine.

Kuyanceda ukuba ukuphucula kakuhle ukuba unyango hormone ngexesha ukuya exesheni. Amalungiselelo nokubuyekezwa emihle. Noko ke, ukusebenzisa ngaphandle ngokudlana iindlebe ugqirha akunakwenzeka.

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Tablets "Femoston" kwisiqulatho estradiol xa umthamo we-1 mg ethathwa kanye ngemini ngexesha elifanayo. Unyango ikhutshwa phandle a icebo okhethekileyo. Ngemihla zokuqala-14, kufuneka uthathe iipilisi ezimhlophe. Iintsuku ezili-14 ezishiyekileyo - ichiza nombala ongwevu.

macwecwe Pink equlathe 2 mg estradiol udakiwe kwisithuba seentsuku ezili-14. Abafazi nabangekafumani bayaphule sexesheni, unyango kuyimfuneko ukuba ukuqala ngosuku lokuqala ukopha. Izigulane imijikelo ezitenxileyo iziyobisi elawulwa emva kweeveki ezimbini zonyango lithetha "Progestogen". Wonke umntu xa kungekho amayeza yenyanga unokuqalisa ukusela naluphi na usuku. Kufuneka ulandele irejimeni yonyango ukwenzela ukufumana iziphumo ezincumisayo HRT ngexesha ukuya exesheni. isizukulwana esitsha iziyobisi ziya kukunceda ugcine umfazi uzive okulungileyo kwaye uhlale ulusana.

Drug "Klimadinon"

Medicine inxulumene ngeendlela zokuphucula impilo-ntle ngexesha ukuya exesheni. It has kuqamba phytotherapeutic. Oveliswa ngokohlobo amacwecwe kunye amachaphaza. Amacwecwe ngombala opinki kunye namona emdaka. Njengenxalenye sicatshulwa ongumqwebedu ube ziindawo eziphuma cohosh abamnyama iqulethe 20 mg. Amathontsi amanzi eziqulethwe 12 mg kunencindi cohosh emnyama. Amathontsi abe umbala omdaka ukukhanya kunye nevumba zomthi entsha.

Iimpawu:

• izifo kwezityalo nemithambo ezinxulumene iimpawu exesheni.

Izimo:

• yamathumba enama-kwayo;
• nobandlululo lactose zamafa;
• utshwala;
• Hypersensitivity ukuya amacandelo.

funda ngenyameko imiyalelo eyimfuneko phambi kokuqala HRT ngexesha ukuya exesheni. Amalungiselelo (ukutyabeka tsakisi, iipilisi) kufuneka isetyenziswe kuphela ngengcebiso ugqirha.

"Klimadinon" amayeza emiselweyo tablet enye okanye amachaphaza-30 kabini ngemini. Kunqweneleka ukuba enze unyango ngexesha elifanayo. Ikhosi konyango ixhomekeke ngamnye.

Drug "Angelique"

Ibhekisela indlela ezisetyenziselwa ukunyanga exesheni. Ifumaneka imibala engwevu pink ngohlobo amacwecwe. Amalungiselelo ibandakanya 1 mg estradiol no-2 mg drospirenone. Zipakishwe arhente blister, ziingceba 28 nganye. Yingcali uza kukuxelela indlela yokuqhuba HRT ngexesha ukuya exesheni. isizukulwana esitsha iziyobisi ayikwazi ingasetyenziswa ngaphandle kwesilumkiso. therapy ihomoni unokuba zombini inzuzo kunye nomonakalo.

Le medicament unalo okukhomba zilandelayo:

• hormone therapy replacement ngexesha exesheni;
• ukuthintelwa kwamathambo ngexesha ukuya exesheni.

Izimo:

• uyopha apha ngaphantsi kwe imvelaphi akucaci;
• umhlaza webele;
• diabetes;
• wegazi;
• thrombosis.

Xa ukuya exesheni , gynecologists ezininzi bacebisa inkcitho HRT ngexesha ukuya exesheni. isizukulwana esitsha lwamachiza - isicombululo ogqibeleleyo abafazi emva kweminyaka engama-45.

Le umthamo ichiza, "Angelique"

Enye yezixhobo ziyilelwe iintsuku 28 zokwamkelwa. Yonke imihla kufuneka athathe ipilisi enye. Usele amayeza ingcono kwenye kunye ngaxeshanye, ngaphandle ukuhlafuna kunye nokusela amanzi. unyango kufuneka kungabikho izikhewu. Indiva iingcebiso akayi kodwa uze ungambuyiseli iziphumo ezihle, kodwa kunokubangela ukopha lobufazi. Kuphela kumbhiyozo esichanekileyo nkqubo iza kunceda ukubuyisela sexesheni ngexesha HRT in ukuya exesheni.

Isizukulwana esitsha iziyobisi ( "Angelica", "klimonorma", "Klimadinon", "Femoston") abe isakhiwo ekhethekileyo, ngenxa apho kunokwenzeka ukubuyisela ababhinqileyo ukungalingani hormone.

Ukutyabeka "CLIMAR"

Le medicament yenziwa ngokohlobo isiziba equlathe 3.8 mg estradiol. Kuthetha okweqanda ngqo ukuya kwindawo yesikhumba, sifihlwe phantsi kwengubo. Xa ukusetyenziswa, eso sifakiweyo ukhupha isithako esebenzayo, ekuphuculeni imo yamabhinqa. Emva kweentsuku 7, indlela kufuneka zisuswe kwaye cola entsha kwenye indawo.

imiphumela emibi isiziba siqalisa kakhulu ezinqabileyo. Ngaphandle koku, i-arhente hormone kufuneka isetyenziswe kuphela emva kothetha-thethwano kunye nogqirha wakho.

Izimvo kwiindlela HRT

Isizukulwana esitsha amachiza asetyenziswe kunyango hormone unako ukubuyisela impilo yamabhinqa ukuya exesheni. Zinelungelo ingxelo elungileyo evela abafazi abadala ngaphezu kweminyaka engama-45. Amayeza ixesha elifutshane akumkhululi izigulane ze-kwezityalo nokuphazamiseka yezengqondo-iimvakalelo, kuba njalo nokuthintela obalaseleyo kwamathambo. Yonke imali ukunyamezeleka kakuhle kwaye musa ukuba likhoboka lazo.

Iingcali qaphela ukuba emva kokuba unyango kwabafazi ezigqunyiweyo normalizes umjikelo sexesheni, isikhumba ufumana umbala esempilweni kwaye lube anencasa maxabiso. Egazini, zehlisa cholesterol. Phezu ubuso imigca agudileyo ocoliweyo, izigulane wabona imo emangalisayo kunye akukhuthalele. Iipilisi kunye ipilisi kulula ukuba, ngokutsho kohlelo. Bonke babe inshorensi yokhuselo oko ukubacaphukisa isisu. Popular patch nayo hormone.