Pambuyo pochotsapo mazira ambiri kapena kuchepa kwabwino, mayi akhoza kuitanitsidwa mankhwala osokoneza bongo. Amakulitsa ubwino wa moyo, koma mankhwala opatsirana am'madzi (HRT) a amayi angathe kuuzidwa zokhazokha:
- ndi kusamba kwa nthawi yoyambirira (mpaka zaka 40);
- pambuyo kuchotsedwa kwa mazira ambiri;
- ndi infertility;
- Mankhwala omwe amachititsa kuti magazi asamangokhala kumsana kwa zaka 40 mpaka 50, ndipo ali ndi vuto losiya kusamba;
- pamene kuchotsa chiberekero ndi mapulogalamu osungidwa;
- ndi mavuto a kuchepa kwa thupi (osteoporosis, atherosclerosis, atrophic vaginitis).
Koma mankhwala osokoneza bongo amodzi (HRT) ali ndi zotsutsana zambiri:
- matumbo a chiberekero, mazira ndi mazira a mammary;
- chiwindi cha chiwindi, kulephera kwa chiwindi;
- matenda;
- mtundu waukulu wa shuga;
- Kutaya magazi kwachiberekero kosavomerezeka;
- Osati kulimbikitsa kugwiritsa ntchito mankhwala mu endometriosis, fibroids ya chiberekero.
Zochita ndi kupwetekedwa kwa mankhwala opangira mankhwala
Azimayi nthawi zambiri amawopseza kuikidwa kwa mahomoni, ngati atatha kusamba, mankhwala amatha kusintha m'malo mwa phytopreparations, zomwe zimafanana ndi mahomoni achikazi. Koma nthawi zina mankhwala a mahomoni amawonetsedwa kwa mkazi ndipo ali ndi katundu wabwino. Izi zikuphatikizapo kukonza thanzi labwino, kugona ndi ubongo. Mothandizidwa ndi ma ARV, kusintha kwa magazi kumachepa, ntchito ya mtima imakhala bwino, kuthamanga kwa mtima kumakhala kozoloƔera, kupweteka kwa mtima kumakhala bwino (kuopsa kwa matenda a mtima ndi kupwetekedwa mtima kumachepa kwambiri). Hormonotherapy kwa amayi panthawi ya kusintha kwabwino kumathandiza kuti chithokomiro chizigwira bwino, kuchepetsa chiopsezo cha matenda a osteoporosis, kumathandiza kuti khungu ndi majekeseni (kuphatikizapo ziwalo zogonana) zikhale bwino.
Zotsatira zoipa za ma ARV ndizozizindikiro zomwe zimafanana ndi premenstrual syndrome: kupweteka kwa mutu, kukwiya, engorgement ya gland. Pakhoza kukhala kupha magazi osakwanira , kumene kuyesedwa kovomerezeka n'kofunikira kuchotsa zotupa zakupha za chiberekero. Pakhoza kukhala kusintha kuchokera khungu (mafuta okwera, redness ndi kukwiya), tsitsi (hirsutism poyesa testosterone).
Mankhwala othandizira ena: mankhwala osokoneza bongo
Ma ARV amatha kugwiritsa ntchito mankhwala omwe ali ndi estrogens kapena progesterone okha, kuphatikizapo mahomoni onse awiri. Ngati sikuti ma ovari amachotsedwa, komanso chiberekero, mankhwala otchedwa estrogen amagwiritsidwa ntchito m'malo opatsirana. Kuchokera kukonzekera komwe kuli ndi maestrojeni okhaokha, nthawi zambiri amalimbikitsa kukonzekera Estrofem, Esterozhel, Proginova. Kukonzekera komwe kuli ndi mafananidwe a progesterone okha ndi Utrozhestan, Dufaston, Progesterone. Kuphatikizidwa
Mankhwala a ma ARV amatha kukhala phytoestrogens, omwe amachita mofanana ndi maestrojeni a amayi, koma amalephera kwambiri chifukwa cha mphamvu ya zotsatira. Pachifukwa ichi, sizinthu zokhazokha zomwe zimapangidwa mu phytoestroics zimagwiritsidwa ntchito, koma phytopreparations kuchokera ku zomera zolemera mwa iwo (wofiira clover ndi zomera zotere).