Milandu pamene kusamba kwa thupi kumachitika ali ndi zaka zoposa 40, kumatchedwa kusamba kwa nthawi yoyamba. Choncho ukalamba usanafike msinkhu ukhoza kukwiyitsidwa ndi zifukwa zosiyanasiyana, monga kupsinjika maganizo, moyo wosayenerera, kusuta, kumwa mowa, kuchiza matenda opatsirana ndi chemotherapy, uhule, ndi zina zotero.
Poyamba, kuyambira kwa kusamba sikumasula mkazi ku mavuto okhudzana ndi kusintha kwa msinkhu, koma, mosiyana, nthawi zina zimangowonjezera mawonetseredwe a minofu.
Kodi mungatani kuti musamayambe kusamba?
Chithandizo cha kusamba kwa amayi kumayambiriro kumaphatikizapo kuthetseratu zizindikiro zosasangalatsa komanso kupewa matenda okhudzana ndi kusowa kwa mahomoni. M'mayiko otukuka, HRT (mankhwala opatsirana m'malo mwa mahomoni) amagwiritsidwa ntchito kwambiri pamtunduwu kumayambiriro kwa nthawi yopita kusamba. Njira imeneyi imathetsa chifukwa chake - kusowa kwa estrogen ndi mahomoni ena mu thupi lachikazi, motero amachotsa osati zizindikiro zokha, koma amalepheretsa maonekedwe a matenda a nthawi ino. Chifukwa cha ntchito ya HRT pakutha msinkhu:
- mafunde amatha;
- ZGT kukonzekera pachimake kuimiritsa robot wa dongosolo lalikulu la mitsempha;
- kumachepetsa chiopsezo cha matenda a m'mimba, matenda a mtima;
- ndi zotsatira zabwino pa chikhalidwe cha mucous membranes ndi khungu.
Komabe, pofuna kuthandizira kusamba kwa amayi kumayambiriro, HRT ayenera kukayezetsa mankhwala onse. Popeza kugwiritsidwa ntchito kwa ZGT pokonzekera kusamba kumakhala ndi mndandanda wa zotsutsana. Zotere:
- khansa;
- chithandizo;
- matenda;
- Matenda a mtima, chiwindi, ntchentche za bile;
- magazi chifukwa chazifukwa zomveka.
Choncho, HRT pa nthawi yoyamba kusamba kwayomwe imayikidwa mosamalitsa kuyang'aniridwa ndi dokotala. Amasankhiranso mankhwala abwino kwambiri kwa wodwala aliyense payekha.
Mankhwala onsewa amagawidwa kukhala osakaniza (ali ndi ma estrogens okha) ndipo kuphatikiza (kwa estrogens akuwonjezeredwa progesins osiyanasiyana). Zomwe zimagwiritsidwa ntchito pang'onopang'ono zimatha kutengedwa pamphuno ngati mapepala ndi mapiritsi kapena kupyolera pakhungu pothandizidwa ndi ma gels ndi mapepala.
Zowonjezera zowonjezera zingatengedwe mosalekeza komanso mwachangu. Pamene kulandira njinga kumagwiritsa ntchito mankhwala a biphasic. Kuti mupitirize kugwira ntchito ya HRT yopambana, mono-, awiri-, magawo atatu okonzekera, mwachitsanzo, Femoston, amagwiritsidwa ntchito. Mulimonsemo, chisankho cha momwe mungachitire msanga msambo ndikutengedwa ndi wodwalayo ndi mgwirizano wa dokotala.