Yini i-Estradiol Transdermal: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

I-Estradiol transdermal iyindlela yokwelapha amahomoni esikhundleni esithumela i-estrogen ngqo ngesikhumba sakho usebenzisa iziqeshana, ama-gel, noma okokugcoba. Lo muthi usiza ukufaka esikhundleni se-estrogen umzimba wakho oqobo oqamba kancane ngesikhathi sokuya esikhathini, ukudambisa izimpawu ezingakhululekile njengokushisa okukhulu nokujuluka ebusuku.

Indlela ye-transdermal isho ukuthi umuthi umuncwa ngesikhumba sakho esikhundleni sokudlula ohlelweni lwakho lokugaya kuqala. Le ndlela ingaba mnene esibindini sakho futhi inganciphisa eminye imiphumela emibi uma iqhathaniswa namaphilisi e-estrogen omlomo.

Yini i-Estradiol Transdermal?

I-Estradiol transdermal iyindlela ye-bioidentical estrogen efana ngamakhemikhali nalokho ama-ovari akho akukhiqiza ngokwemvelo. Iza ngezindlela eziningana ezihlanganisa iziqeshana ezinamathela esikhumbeni sakho, ama-gel owagcobayo nsuku zonke, nokokugcoba okugcobayo ezindaweni ezithile.

Igama elithi "transdermal" limane nje lisho "ngesikhumba." Uma usebenzisa lo muthi, umuncwa kancane kancane ungene egazini lakho ngezendlalelo zesikhumba sakho. Lokhu kudala amazinga e-hormone aqhubekayo usuku lonke, okutholwa abesifazane abaningi bekhululekile kunokunyuka nokwehla okungenzeka ngamaphilisi.

Udokotela wakho angase akubhalele lo muthi uwedwa noma uhlanganiswe ne-progesterone, kuye ngokuthi usenawo yini isibeletho sakho. Inhlanganisela isiza ukuvikela umugqa wesibeletho sakho uma ungakabi na-hysterectomy.

Yini i-Estradiol Transdermal Esetshenziselwa Yona?

I-Estradiol transdermal ikakhulukazi iphatha izimpawu zokuya esikhathini lapho ukukhiqizwa kwe-estrogen yemvelo yomzimba wakho kwehla. Lokhu kwenzeka ngesikhathi se-perimenopause, menopause, nangemva kokususwa kwama-ovari ngokuhlinzwa.

Umuthi usebenza kahle ezimpawini eziningana eziyinselele ezingathinta kakhulu impilo yakho yansuku zonke. Ukushisa okukhulu kuvame ukuthuthuka emasontweni ambalwa okuqala okwelashwa, kuyilapho ezinye izimpawu zingase zithathe isikhathi eside ukusabela.

Nawa amakhondishini amakhulu lo muthi osiza ukuwalawula:

• Ukushisa okukhulu nokujuluka ebusuku - Ngokuvamile izimpawu ezicasulayo ezingaphazamisa ukulala nemisebenzi yansuku zonke
• Ukomisa nokungakhululeki kwesitho sangasese sowesifazane - Kusiza ukubuyisela umswakama nokunwebeka ezicutshini zesitho sangasese sowesifazane
• Ushintsho lwemizwa nokucasuka - Kungasiza ukuzinzisa ukuguquguquka kwemizwa okuhlobene nezinguquko zamahomoni
• Ukuphazamiseka kokulala - Kungathuthukisa ikhwalithi yokulala uma kuhlobene nezimpawu zokuya esikhathini
• Ukuvimbela ukulahleka kwamathambo - Kusiza ukugcina ubukhulu bamathambo kwabesifazane abase sebeqedile ukuya esikhathini
• Ushintsho esikhumbeni - Kungathuthukisa ukushuba kwesikhumba nokunwebeka okwehla ngeminyaka

Abanye odokotela bayawubhala futhi ngezimo ezingavamile ezifana nokungasebenzi kahle kwama-ovari noma ukuntuleka okukhulu kwe-estrogen kwabesifazane abasebancane. Lezi zimo zidinga ukuqapha ngokucophelela nezinhlelo zokwelapha ezenziwe ngabanye.

Isebenza Kanjani I-Estradiol Transdermal?

I-Estradiol transdermal isebenza ngokwengeza amazinga e-estrogen omzimba wakho anciphayo ngokufaka esikhundleni samahomoni e-bioidentical. Uma isetshenziswa esikhumbeni sakho, umuthi umuncwa kancane emsingeni wakho wegazi futhi uhambe uye kuma-receptors e-estrogen emzimbeni wakho wonke.

Cabanga ngama-receptors e-estrogen njengamalokhi adinga ukhiye ofanele ukuze asebenze kahle. Uma amazinga e-estrogen ehla ngesikhathi sokuya esikhathini, lawa malokhi awavulwa njalo, okuholela ezimpawini ezingakhululeki. Lo muthi unikeza okhiye umzimba wakho owudingayo ukuze ugcine ukusebenza okuvamile.

Uhlelo lokulethwa kwe-transdermal lunikeza izinzuzo eziningi ngaphezu kwemithi yomlomo. Njengoba idlula ohlelweni lwakho lokugaya ukudla, okuningi komuthi kufinyelela emsingeni wakho wegazi kungashintshile. Lokhu kungasho ukuthi udinga imithamo ephansi ukuze uzuze imiphumela efanayo, okungenzeka ukuthi kunciphisa imiphumela emibi.

Ukumuncwa okuqhubekayo ngesikhumba sakho futhi kwenza amazinga e-hormone aqhubekayo usuku lonke. Abesifazane abaningi bathola ukuthi le ndlela izizwa yemvelo futhi ibangela ukuguquguquka okuncane kwemizwa uma kuqhathaniswa nemithi edala ama-peak nama-valleys emazingeni e-hormone.

Ngingayithatha kanjani i-Estradiol Transdermal?

Indlela oyisebenzisa ngayo i-estradiol transdermal incike ohlotsheni udokotela wakho alubhala. Ama-patch ngokuvamile asetshenziswa kabili ngesonto, kuyilapho ama-gel nama-creams ngokuvamile asetshenziswa nsuku zonke ngesikhathi esifanayo nsuku zonke.

Ngama-patch, khetha indawo yesikhumba ehlanzekile, eyomile esiswini sakho esingezansi, okhalweni, noma izinqeni. Gwema izindawo lapho izingubo zingase zikhuhle khona i-patch, futhi ujikeleze izindawo zokusebenzisa ukuvimbela ukucasuka kwesikhumba. Cindezela i-patch ngokuqinile cishe imizuzwana eyi-10 ukuqinisekisa ukuxhumana okuhle.

Uma usebenzisa ama-gel noma ama-creams, wawasebenzise esikhumbeni esihlanzekile, esomile ezingalweni zakho, emahlombe, noma emathangeni. Vumela umuthi ukuthi wome ngokuphelele ngaphambi kokugqoka noma ukuthinta leyo ndawo. Geza izandla zakho kahle ngemva kwalokho ukuze ugweme ukudlulisela umuthi kwabanye ngengozi.

Awudingi ukuthatha lo muthi nokudla ngoba awudluli ohlelweni lwakho lokugaya ukudla. Kodwa-ke, gwema ukubhukuda, ukugeza, noma ukujuluka kakhulu okungenani ihora elilodwa ngemva kokusebenzisa ama-gel noma ama-creams ukuze uqinisekise ukumuncwa okufanele.

Ungalokothi usebenzise umuthi emabeleni akho, ebusweni, noma esikhumbeni esicasukile. Uma usebenzisa eminye imikhiqizo ye-topical, linda okungenani imizuzu engama-30 phakathi kokusebenzisa ukuze ugweme ukuphazamisa ukumuncwa.

Kufanele ngiyithathe isikhathi esingakanani i-Estradiol Transdermal?

Ubude bokwelashwa kwe-estradiol transdermal buhlukahluka kakhulu kumuntu nomuntu futhi kuncike ezimpawini zakho ezithile kanye nemigomo yezempilo. Abesifazane abaningi bayisebenzisa isikhathi esifushane ngangokunokwenzeka ukuze baphathe izimpawu zabo zokuya esikhathini ngempumelelo.

Abesifazane abaningi bathola ukukhululeka ekuvutheni komzimba nezinye izimpawu ezinzima phakathi kwamasonto angu-2-4 ngemuva kokuqala ukwelashwa. Ezimpawini zesitho sangasese sowesifazane, ukuthuthuka kungathatha amasonto angu-8-12 ngoba izinguquko zezicubu zenzeka kancane kancane. Udokotela wakho cishe uzosikisela ukuzama umuthi okungenani izinyanga ezingu-3-6 ukuze uhlole ngokugcwele ukusebenza kwawo.

Abanye besifazane basebenzisa ukwelashwa ngamahomoni iminyaka embalwa nje ngesikhathi sesigaba esinzima kakhulu sokuya esikhathini, kanti abanye bangase baqhubeke isikhathi eside uma izinzuzo zidlula izingozi. Abesifazane abaqale ukuya esikhathini ngaphambi kwesikhathi noma abasuswa ama-ovari abo bangase badinge izikhathi zokwelashwa ezinde.

Udokotela wakho uzofuna ukubuyekeza ukwelashwa kwakho njalo, ngokuvamile njalo ezinyangeni eziyi-6-12. Ngezikhathi zokuvakasha, uzoxoxa ngokuthi uzizwa kanjani, noma yiziphi izimpawu ezingezinhle oye wazizwa, nokuthi ngabe izinzuzo zisazifanele yini ukuqhubeka nokwelashwa.

Isinqumo sokuyeka noma sokuqhubeka kufanele senziwe ngaso sonke isikhathi nomhlinzeki wakho wezempilo. Bazocabangela izinto ezinjengobudala bakho, impilo yonke, umlando womndeni, nokuthi ukumelana kanjani nomuthi.

Ziyini Imiphumela Eceleni ye-Estradiol Transdermal?

Njengayo yonke imithi, i-estradiol transdermal ingabangela imiphumela emibi, nakuba abesifazane abaningi beyibekezelela kahle. Izindaba ezinhle ukuthi amafomu e-transdermal avame ukubangela imiphumela emibi embalwa kune-estrogen yomlomo ngoba adlula uhlelo lokugaya ukudla.

Imiphumela eminingi emibi imnene futhi ivame ukuthuthuka njengoba umzimba wakho uzivumela emuthini ezinyangeni ezimbalwa zokuqala. Nokho, kubalulekile ukwazi ukuthi yini okufanele uyibheke nokuthi ungathintana nini nodokotela wakho.

Imiphumela emibi evamile ongase uyithole ihlanganisa:

• Ukuqubuka kwesikhumba endaweni yokufaka umuthi - Ububomvu, ukuluma, noma ukuqubuka okuncane lapho ufaka umuthi khona
• Ukuzwela kwamabele noma ukuvuvukala - Ngokuvamile kuncane futhi okwesikhashana njengoba umzimba wakho uzivumelanisa
• Ukukhathazeka kwekhanda - Ngokuvamile kuthuthuka ngemva kwamasonto ambalwa okuqala okwelashwa
• Ukucanuzela kwenhliziyo - Akuvamile ngamafomu e-transdermal uma kuqhathaniswa nemithi yomlomo
• Ukuqunjelwa noma izinguquko zesibalo somzimba - Ungase uqaphele ukugcinwa kwamanzi okuncane ekuqaleni
• Ushintsho lwemizwa - Abanye besifazane bahlangabezana nokuguquguquka kwemizwa ngesikhathi sokuzivumelanisa

Le miphumela evamile ngokuvamile iyanyamalala phakathi nezinyanga ezi-2-3 njengoba umzimba wakho uzivumelanisa nokushintshwa kwamahomoni. Uma ziqhubeka noma ziba zimbi, udokotela wakho angase alungise umthamo wakho noma aphakamise olunye uhlobo lomuthi.

Imiphumela emibi kakhulu ayivamile kodwa idinga ukunakekelwa kwezokwelapha ngokushesha. Lokhu kufaka phakathi ukusabela okukhulu komzimba, izimpawu zamahlule egazi njengokuvuvukala komlenze noma ubuhlungu besifuba, ukukhathazeka kwekhanda okukhulu, noma izinguquko zombono.

Abanye besifazane bangase bahlangabezane nokuphuma kwegazi, ikakhulukazi uma bengathathi i-progesterone kanye ne-estradiol. Lokhu akuyona ingozi kodwa kufanele kuxoxwe nodokotela wakho ukuze kuqinisekiswe ukulinganisela okufanele kwamahomoni.

Ubani Ongafanele Athathe I-Estradiol Transdermal?

I-Estradiol transdermal ayiphephile kuwo wonke umuntu, futhi izimo ezithile zezokwelapha zenza kungafaneleki noma kube yingozi ukuyisebenzisa. Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokubhala lo muthi.

Isinqumo sihlanganisa ukulinganisa izinzuzo ezingaba khona nezingozi ngokusekelwe kuphrofayili yakho yezempilo. Ezinye izimo zokuphikisana eziphelele, kanti ezinye zidinga ukuqapha ngokucophelela uma ukwelashwa kuqhubeka.

Akufanele usebenzise i-estradiol transdermal uma une:

• Umlando wamanje noma umlando womdlavuza wamabele - I-Estrogen ingakhuthaza izinhlobo ezithile zokukhula komdlavuza wamabele
• Umlando wamanje noma umlando wamagazi agqamukayo - Kuhlanganisa i-deep vein thrombosis noma i-pulmonary embolism
• Isifo sesibindi esisebenzayo - Isibindi sakho sicubungula amahomoni, ngakho sidinga ukusebenza kahle
• Ukuphuma kwegazi okungachazeki kwesitho sangasese sowesifazane - Kudinga uphenyo ngaphambi kokuqala ukwelashwa ngamaphomoni
• Umlando wamanje noma umlando wokushaywa unhlangothi - I-Estrogen ingase ikhulise ingozi yokushaywa unhlangothi kwabanye abantu
• Ukukhulelwa okwaziwayo - Ukwelashwa ngamaphomoni akufaneleki ngesikhathi sokukhulelwa

Izimo ezithile zidinga ukuqapha okwengeziwe nokuqapha okuseduze uma usebenzisa lo muthi. Udokotela wakho uzohlola ukuthi izinzuzo zidlula yini izingozi kulezi zimo.

Izimo ezidinga ukucatshangelwa ngokucophelela zihlanganisa isifo sikashukela, umfutho wegazi ophezulu, isifo se-gallbladder, ama-migraines aqinile, noma umlando womndeni wamagazi agqamukayo. Udokotela wakho angase ancome ukuhlolwa okuvame kakhulu noma ezinye izivivinyo uma unezimo ezinjalo.

Ubudala nabo buyisici, njengoba izingozi zingase zibe phezulu kwabesifazane abaqala ukwelashwa ngamaphomoni eminyakeni eminingi ngemva kokuqala kokuya esikhathini. Isikhathi nobude bokwelashwa kubaluleke kakhulu njengomuthi uqobo.

Amagama Omkhiqizo we-Estradiol Transdermal

I-Estradiol transdermal itholakala ngaphansi kwamagama amaningi omkhiqizo, ngalinye linikeza izindlela zokwakheka ezihlukile kancane nezindlela zokulethwa. Isithako esisebenzayo sihlala sifana, kodwa indlela elethwa ngayo esikhumbeni sakho ingahluka.

Amagama omkhiqizo ajwayelekile afaka i-Climara, i-Vivelle-Dot, ne-Estraderm yama-patches. Lokhu kuyahluka ngokuthi udinga ukuzishintsha kaningi kangakanani nokuthi zinamathela kanjani esikhumbeni sakho. Ezinye zenzelwe ukusetshenziswa kabili ngesonto, kanti ezinye zingashintshwa masonto onke.

Ngezindlela zokulungiswa ze-gel, ungase ubone amagama afana ne-Estrogel noma i-Divigel. Lezi zivame ukuza ngemithamo elinganisiwe oyisebenzisa nsuku zonke esikhumbeni sakho. I-gel yoma ngokusobala futhi ayishiyi imvuthu ezingutsheni zakho.

Izinhlobo ezivamile nazo ziyatholakala futhi zisebenza ngempumelelo njengamagama omkhiqizo. Umshuwalense wakho ungase ukhethe izinketho ezivamile, ezinganciphisa kakhulu izindleko zakho eziphuma ephaketheni ngenkathi zinikeza izinzuzo ezifanayo zokwelapha.

Ukukhetha phakathi kwemikhiqizo kuvame ukuncika ezintweni ozithandayo zokuphila, ukuzwela kwesikhumba, kanye nomshwalense. Udokotela wakho angakusiza ukuthi uthole inketho ekufanele kakhulu ngokusekelwe ezidingweni zakho kanye nezimo zakho.

Ezinye izindlela ze-Estradiol Transdermal

Uma i-estradiol transdermal ingakulungele, ukwelashwa okuhlukahlukene okuhlukile kungasiza ekuphatheni izimpawu zokuya esikhathini. Ukukhetha okungcono kuncike ezimpawini zakho ezithile, umlando wezempilo, kanye nezintandokazi zakho.

Ezinye izinketho zokwelapha ngamahomoni zihlanganisa amaphilisi e-estrogen omlomo, izindandatho ze-estrogen zesitho sangasese sowesifazane noma okokugcoba, kanye nezichibi ezihlanganisiwe ezihlanganisa kokubili i-estrogen ne-progesterone. Indlela ngayinye yokulethwa inezinzuzo zayo kanye nezinto okufanele zicatshangelwe.

Imithi kadokotela engeyona eyama-hormone nayo ingelapha ngempumelelo izimpawu zokuya esikhathini. Lokhu kufaka phakathi ama-antidepressants athile, imithi yokwehlisa umfutho wegazi, kanye nemithi emisha evunywe ngokuqondile ama-hot flashes afana ne-paroxetine ne-fezolinetant.

Izindlela zemvelo nezokuphila zinikeza ukwesekwa okwengeziwe ekuphatheni izimpawu. Ukuzivocavoca njalo, izindlela zokunciphisa ukucindezeleka, izinguquko zokudla, kanye nezithasiselo ezithile zingasiza ekunciphiseni ubunzima bezimpawu kwabanye besifazane.

Ukwelashwa okuhambisanayo okufana ne-acupuncture, i-cognitive behavioral therapy, kanye nezithasiselo zamakhambi kukhombise isithembiso ezifundweni zomtholampilo. Kodwa-ke, kubalulekile ukuxoxa ngezinketho zakho nomhlinzeki wakho wezempilo ukuze uqinisekise ukuthi ziphephile futhi zifanele isimo sakho.

Ingabe i-Estradiol Transdermal ingcono kune-Oral Estrogen?

Ukuthi i-estradiol transdermal ingcono yini kune-estrogen yomlomo kuncike kuphrofayela yakho yezempilo kanye nemigomo yokwelashwa. Zombili lezi zinhlobo ziphatha ngempumelelo izimpawu zokuya esikhathini, kodwa zisebenza ngendlela ehlukile emzimbeni wakho.

I-estrogen ye-Transdermal ivame ukubangela imiphumela emibi embalwa ngoba idlula uhlelo lwakho lokugaya ukudla nesibindi ekuhambeni kwayo kokuqala emzimbeni wakho. Lokhu kungasho ukungabi nalokhu okuningi, izinguquko ezimbalwa zomfutho wegazi, futhi okungenzeka ukuthi kunciphisa ingozi yamaqhubu egazi uma kuqhathaniswa nezinhlobo zomlomo.

Ukumuncwa okuqhubekayo ngesikhumba sakho futhi kunikeza amazinga e-hormone aqhubekayo usuku lonke. Abesifazane abaningi bathola ukuthi le ndlela izizwa yemvelo futhi ibangela ukuguquguquka kwemizwa embalwa uma kuqhathaniswa nokuphakama kanye nemigodi engenzeka ngamaphilisi ansuku zonke.

Nokho, i-estrogen yomlomo ingase ilungele abanye besifazane abakhetha ukuthatha iphilisi lansuku zonke kunokusebenzisa iziqeshana noma ama-gel. Izinhlobo zomlomo nazo zivame ukuba namanani okumuncwa aqagelekayo, kuyilapho ukumuncwa kwesikhumba kungahluka ngokusekelwe ezintweni ezinjengokushisa kanye nomswakama wesikhumba.

Udokotela wakho uzocabangela izinto ezinjengomsebenzi wesibindi sakho, ingozi yegazi, izintandokazi zokulula, kanye nokuzwela kwesikhumba lapho encoma indlela yokulethwa engcono kakhulu yesimo sakho. Zombili izinhlobo zingasebenza ngokulinganayo uma zisetshenziswa ngendlela efanele.

Imibuzo Evame Ukubuzwa Mayelana ne-Estradiol Transdermal

Ingabe i-Estradiol Transdermal iphephile ezigulini zenhliziyo?

Ukuvikeleka kwe-estradiol transdermal kwabesifazane abanezifo zenhliziyo kuncike ezintweni eziningana okuhlanganisa uhlobo lwesimo senhliziyo, lapho uqala ukwelashwa, kanye nesimo sakho sempilo esiphelele. Ucwaningo lwakamuva luphakamisa ukuthi i-estrogen ye-transdermal ingase ibe nephrofayela enhle ye-cardiovascular kunezinhlobo zomlomo.

Kwabesifazane abaqala ukwelashwa ngamahomoni kungakapheli iminyaka eyi-10 ngemva kokuyeka ukuya esikhathini futhi abangenayo isifo senhliziyo esikhona, i-estradiol transdermal ingase inikeze ukuvikelwa okuthile kwenhliziyo nemithambo yegazi. Kodwa-ke, uma usuvele unesifo senhliziyo noma uqala ukwelashwa ngemva kweminyaka eminingi ngemva kokuyeka ukuya esikhathini, izingozi zingase zidlule izinzuzo.

Udokotela wakho wenhliziyo kanye nodokotela wakho wabesifazane kufanele basebenzisane ukuze bahlole izici zakho eziyingozi. Bazocabangela uhlobo lwesifo senhliziyo onaso, imithi oyithathayo njengamanje, kanye nempilo yakho yonke lapho benza izincomo mayelana nokwelashwa ngamahomoni.

Kufanele ngenzeni uma ngisebenzisa i-Estradiol Transdermal eningi ngengozi?

Uma ngengozi usebenzisa i-estradiol transdermal eningi, ungangeni ekuvaleni. Ukweqisa okuthile akungenzeki ukuthi kubangele ukulimala okukhulu, kodwa kufanele ususe noma yimuphi umuthi oweqile bese uthintana nomhlinzeki wakho wezempilo ukuze uthole isiqondiso.

Ngama-gels noma ama-creams, geza ngobumnene indawo ngensipho namanzi ukuze ususe umuthi oweqile. Uma usebenzise ama-patches amaningi ngephutha, susa lawa angeziwe ngokushesha. Ungase uzwe izimpawu zesikhashana njengokucasuka, ukuba buhlungu kwamabele, noma ukuphuma kwegazi okungajwayelekile.

Shayela udokotela wakho noma usokhemisi ukuze ubike ukweqisa futhi uthole imiyalelo ethile yesimo sakho. Bangase bancomise ukuqapha izimpawu noma ukulungisa umthamo wakho olandelayo ohleliwe. Gcina umkhondo wazo zonke izimpawu ezingajwayelekile bese uzibika ngokushesha.

Kufanele ngenzeni uma ngiphuthelwa umthamo we-Estradiol Transdermal?

Uma uphuthelwa umthamo we-estradiol transdermal, uyisebenzise ngokushesha lapho ukhumbula, kodwa ungaqedi imithamo. Ngama-patches, uma uqaphela ukuthi iwele, yithathe ngentsha bese uqhubeka nohlelo lwakho olujwayelekile.

Ngama-gels noma ama-creams ansuku zonke, uma ukhohlwa ukusebenzisa ekuseni, ungafaka kamuva ngosuku. Kodwa-ke, uma sekuseduze isikhathi somthamo wakho olandelayo, weqa umthamo ophuthelwe bese uqala kabusha uhlelo lwakho olujwayelekile ngosuku olulandelayo.

Ukushoda kwemithamo ngezikhathi ezithile ngeke kukulimaze, kodwa zama ukusebenzisa njalo ukuze ulawule izimpawu kangcono. Cabangela ukusetha izikhumbuzi zocingo noma ukugcina imithi yakho endaweni ebonakalayo ukukusiza ukuthi ukhumbule. Uma uvame ukukhohlwa imithamo, xoxa ngamasu nomhlinzeki wakho wezempilo.

Ngingayeka nini ukuthatha i-Estradiol Transdermal?

Isinqumo sokuyeka i-estradiol transdermal kufanele senziwe ngaso sonke isikhathi ngesiqondiso somhlinzeki wakho wezempilo. Akukho uhlaka lwesikhathi oluqondile, njengoba ubude buxhomeke ezimpawini zakho, isimo sempilo, kanye nemigomo yokwelashwa.

Odokotela abaningi batusa ukuzama ukunciphisa noma ukuyeka ukwelashwa ngamahomoni ngezikhathi ezithile ukuze babone ukuthi izimpawu zakho zithuthuke ngokwemvelo yini. Lokhu kungenzeka ngemva kweminyaka engu-2-5 yokwelashwa, kodwa abanye besifazane bangase badinge ukwelashwa isikhathi eside kuye ngesimo sabo.

Uma uyeka, udokotela wakho cishe uzoncoma ukunciphisa kancane kancane kunokuyeka kungazelelwe. Lokhu kusiza ukunciphisa ukubuya kwezimpawu zokuya esikhathini futhi kuvumela umzimba wakho ukuthi uzivumelanise kalula nezinguquko zamahomoni.

Umhlinzeki wakho wezempilo uzocabangela izinto ezinjengobudala bakho, isikhathi esedlule ngokuya esikhathini, umlando womndeni, kanye nesimo sempilo yamanje lapho kuxoxwa ngesikhathi sokuyeka. Ukubuyekezwa njalo kuqinisekisa ukuthi uthola inzuzo enkulu ngenkathi unciphisa izingozi zesikhathi eside.