Pambuyo pa zaka makumi anayi, mayi akhoza kutenga njira ziwiri zothandizira ana komanso ma ARV. Koma kukonzekera mahomoni, makamaka pambuyo pa zaka 40, amatha kuyambitsa mavuto ambiri omwe alipo ali aang'ono, choncho, ngati akuuzidwa, ayenera kukumbukira zotsutsana:
- zilonda zopweteka za chiberekero, mapuloteni, mapira a mammary;
- thrombosis ndi thromboembolism;
- endometriosis;
- matenda aakulu a chiwindi;
- Kutaya magazi kwachiberekero kosavomerezeka;
- Kuphwanya mafuta.
Kuchepetsa mphamvu za kulera pambuyo pa 40: dzina la mankhwala
Ngakhale mutakula nthawi zambiri pamakhala matenda a mahomoni, kapena matenda omwe amalepheretsa kuti mimbayo ikhale yoyenera, ndikuyembekeza kuti zaka zatha kale, sizothandiza. Mankhwala opatsirana pogonana pambuyo pa zaka 40 amatha kugwiritsa ntchito mankhwala osokoneza bongo. Pambuyo pazaka 35 akazi sakuvomerezedwa kuti agwiritse ntchito mapangidwe ophatikizana omwe ali ndi estrogens ndi kulimbikitsa kuwonjezereka kwa magazi, komanso kusokoneza chiwindi ndi mtima, makamaka ngati mkazi amasuta.
Amayi opatsirana pogonana omwe ali ndi zaka 40 amatha kupatsirana jekeseni wa mankhwala osokoneza bongo (Depo-Provera), implants (horpal) (Orplant), kapena ma piritsi omwe ali ndi ma gestagens okha - Ovret, Continuin, Micronor, Eksluton). Ndi kotheka kugwiritsa ntchito mankhwala otchedwa hormonal intrauterine ku Mirena , omwe tsiku lililonse amatulutsa kuchuluka kwa ma progesin. Koma ngati pali zotsutsana, mkaziyo ayenera kugwiritsa ntchito njira zina zothandizira njira za kulera.