Yini i-Estrogen kanye ne-Progestin Combination Hormone Therapy? Izinzuzo, Izingozi, & Okulindelekile

I-Estrogen kanye ne-progestin combination hormone therapy iyindlela yokwelapha ethatha indawo yamahomoni umzimba wakho owenza ngaphansi kwawo ngesikhathi sokuya esikhathini. Lokhu kwelashwa kuhlanganisa amahomoni amabili abesifazane - i-estrogen kanye ne-progestin - ngesimo samaphilisi ukusiza ukuphatha izimpawu zokuya esikhathini ezingakhululekile njengokushisa okukhulu kanye nokujuluka ebusuku.

Abesifazane abaningi bathola ukuthi lokhu kwelashwa kuyasiza uma izimpawu zokuya esikhathini zithinta kakhulu impilo yabo yansuku zonke. Indlela yokuhlanganisa yenzelwe ngqo abesifazane abasenenkaba yabo, njengoba i-progestin isiza ukuvikela ezingozini ezithile zempilo ezingadalwa yi-estrogen yodwa.

Yini i-estrogen kanye ne-progestin combination therapy?

Lokhu kwelashwa ngamahomoni kuhlanganisa izinhlobo ezimbili zamahomoni abesifazane ama-ovari akho akhiqiza ngaphansi kwawo ngokwemvelo ngesikhathi sokuya esikhathini. I-Estrogen isiza ukuphatha izimpawu eziningi zokuya esikhathini, kuyilapho i-progestin (uhlobo olwenziwe nge-progesterone) ivikela umugqa wakho wesisu ekukhuleni ngokweqile.

Ukuhlanganiswa kubalulekile uma usenenkaba yakho. Ukuthatha i-estrogen yodwa kungabangela ukuthi umugqa wesisu sakho ujiyeke kakhulu, okwandisa ingozi yakho yokuthuthukisa umdlavuza wesisu. Ukwengeza i-progestin kuvimbela lokhu kujiya futhi kugcina umugqa wakho wesisu unempilo.

Ngokuvamile uzothatha le mithi ngamaphilisi, nakuba isimiso esiqondile sincike ohlotsheni oluthile udokotela wakho alubhala. Ezinye izindlela zokwakheka zithathwa nsuku zonke, kanti ezinye zilandela iphethini ye-cyclical elingisa umjikelezo wakho wamahomoni wemvelo.

Ithatha kanjani i-estrogen kanye ne-progestin combination therapy?

Abesifazane abaningi abazizwa amahomoni ngokwawo esebenza usuku nosuku. Esikhundleni salokho, cishe uzoqaphela ukuthuthuka kancane kancane ezimpawini zakho zokuya esikhathini emasontweni amaningana kuya ezinyangeni zokwelashwa.

Ngezinyanga zakho zokuqala, ungase uhlangabezane nemiphumela emincane njengoba umzimba wakho uzijwayeza. Lokhu kungabandakanya ukuba buhlungu kwamabele, isicanucanu esincane, noma izinguquko emoyeni wakho. Lezi zimpawu zokuzijwayeza zivame ukushabalala njengoba umzimba wakho ujwayela amazinga e-hormone.

Ungase futhi uqaphele izinguquko endleleni yakho yokuya esikhathini. Abanye besifazane bahlangabezana nezikhathi ezilula, ezivamile, kanti abanye bangase babe nokubona okungajwayelekile. Lokhu kuvamile futhi kuvame ukuzinza ngendlela ebonakalayo ngemva kwezinyanga ezimbalwa zokwelashwa.

Yini ebangela isidingo sokwelashwa okuhlanganisa i-estrogen ne-progestin?

Isizathu esiyinhloko sokuthi kungani abesifazane bedinga lokhu kwelashwa yi-menopause, eyenzeka ngokwemvelo njengoba ama-ovari akho ayeka kancane kancane ukukhiqiza i-estrogen ne-progesterone. Lokhu kwehliswa kwe-hormonal kuvame ukuqala ngasekupheleni kweminyaka yakho yama-40 noma ekuqaleni kweminyaka yama-50 futhi kubangela izimpawu ezihlukahlukene ezingakhululeki.

Izici eziningana zingenza ukwelashwa ngama-hormone kudingeke, futhi ukuqonda lezi kungakusiza ukuthi wenze izinqumo ezinolwazi mayelana nokwelashwa kwakho:

• Ukushisa okukhulu okukhulu okuphazamisa ukulala noma imisebenzi yansuku zonke
• Ukujuluka ebusuku okuphazamisa ukuphumula nekhwalithi yempilo
• Ukomiswa kwesitho sangasese sowesifazane nokungakhululeki ngesikhathi sobudlelwano obusondelene
• Ushintsho lwemizwa nokucasuka okuthinta ubuhlobo
• Ubunzima bokugxilisa ingqondo noma izinkinga zenkumbulo
• Ubuhlungu obuhlanganyelwe nokuqina okukhawulela ukunyakaza
• I-menopause yokuhlinzwa evela ekususweni kwama-ovari
• I-menopause ngaphambi kweminyaka engama-40

Udokotela wakho uzocabangela ukuthi lezi zimpawu zikuthinta kanjani impilo yakho lapho enquma ukuthi ukwelashwa ngama-hormone kulungile yini kuwe. Umgomo uwukukusiza ukuthi uzizwe ukhululekile futhi ugcine izinga lakho lempilo ngalesi sikhathi sokuguquka kwemvelo.

Yiziphi izimo ukwelashwa okuhlanganisa i-estrogen ne-progestin okusetshenziselwa zona?

Le nkqubo yokwelapha ngamachiza e-hormone ikakhulu iphatha iimpawu ze-menopause, kodwa oogqirha bayayichaza nangezinye iimeko ezithile zonyango. Unyango lujongana neengxaki zempilo eziqhelekileyo nezingaqhelekanga ezinxulumene nokwehla kwamanqanaba e-hormone.

Nanga amanye amatyala aphambili unyango olunganceda ukuwalawula:

• I-hot flashes eziphakathi ukuya kwezinzulu kunye nokubila ebusuku
• I-Vaginal atrophy (ukubhitya nokoma kwezicubu zevaginal)
• Ukuphazamiseka kokulala okubangelwa ziimpawu ze-menopause
• Utshintsho lwemood kunye nokudakumba okunxulumene notshintsho lwe-hormonal
• Uthintelo lwe-Osteoporosis kubafazi abase-postmenopausal
• Ukungasebenzi kakuhle kwe-ovari yokuqala (i-menopause yangaphambi kwexesha)
• I-menopause yokuhlinzwa emva kwe-hysterectomy kunye nokususwa kwe-ovari

Ngokuqhelekileyo, oogqirha banokuchaza olu nyango kubafazi abaneemeko ezithile zemfuza ezichaphazela imveliso ye-hormone okanye abo baye bangena kunyango lomhlaza olonakalise ii-ovari zabo. Umboneleli wakho wezempilo uza kuvavanya ngononophelo imeko yakho ethile ukumisela ukuba olu nyango lufanelekile na kwiimfuno zakho.

Ngaba iimpawu ze-menopause zinganyamalala zodwa ngaphandle konyango lwe-hormone?

Ewe, iimpawu ze-menopause zihlala zincipha zodwa ngokuhamba kwexesha njengoko umzimba wakho ulungelelanisa amanqanaba e-hormone aphantsi. Kubafazi abaninzi, iimpawu ezinzulu kakhulu njenge-hot flashes kunye nokubila ebusuku kancinci kancinci kancinci emva kweminyaka emi-2-5 emva kokuba i-menopause iqala.

Nangona kunjalo, umgca wexesha uyahluka kakhulu kumntu nomntu. Abanye abafazi bafumana iimpawu ezilula ezisombululwa ngaphakathi konyaka, ngelixa abanye banokuba neempawu eziphakathi ukuya kwezinzulu eziqhubeka iminyaka emininzi. Ubunzima kunye nobude buxhomekeke kwiifactor ezifana ne-genetics yakho, impilo iyonke, kunye nokuba amanqanaba akho e-hormone atshintshe ngokukhawuleza kangakanani.

Ezinye izimpawu zingase zithuthuke ngokwemvelo, kanti ezinye zingase ziqhubeke isikhathi eside. Ukushisa okukhulu ebusuku nokujuluka ebusuku kuvame ukuncipha ngokuhamba kwesikhathi, kodwa ukomisa kwesitho sangasese sowesifazane nokulahlekelwa kwamathambo kuvame ukuba kubi ngaphandle kokwelashwa. Udokotela wakho angakusiza ukuthi ulinganise izinzuzo zokulinda ngokumelene nokuqala ukwelashwa ngokuya ngezimpawu zakho ezithile kanye nemigomo yezempilo.

Zingalawulwa kanjani izimpawu zokuya esikhathini ekhaya?

Abesifazane abaningi bathola ukukhululeka ezimpawini zokuya esikhathini ngezindlela zemvelo kanye nezinguquko zokuphila. Lawa maqhinga angasiza ikakhulukazi ezimpawini ezilula kuya kweziphakathi noma angagcwalisa ukwelashwa ngamahomoni ezimweni ezinzima kakhulu.

Nansi izindlela ezithambile, eziphumelelayo ongazama ekhaya ukuze ukhulule izimpawu zakho:

• Gcina igumbi lakho lokulala lipholile futhi usebenzise amashidi kakotini aphefumulayo ukuze ulale kangcono
• Gqoka izingqimba ukuze ukwazi ukulungisa izingubo zakho ngesikhathi sokushisa okukhulu
• Zijwayeze ukuzivocavoca kokuphefumula okujulile noma ukuzindla ukuze ulawule ukucindezeleka kanye nezinguquko zemizwa
• Hlala usebenza ngokomzimba ngokuhamba, ukubhukuda, noma i-yoga ukuze uthuthukise inhlalakahle yonke
• Yidla ukudla okulinganiselayo okucebile nge-calcium kanye novithamini D ukuze uthole impilo yamathambo
• Nciphisa i-caffeine, utshwala, nokudla okubabayo okungase kubangele ukushisa okukhulu
• Sebenzisa ifeni noma idivayisi epholile ngesikhathi sokushisa okukhulu
• Zama izinto zokuthambisa zesitho sangasese sowesifazane ezithengiswa ngaphandle kwekhawunta ukuze ukomise
• Gcina isimiso sokulala esivamile ukuze uthuthukise ikhwalithi yokuphumula

Lezi zindlela zisebenza kahle uma zihlanganiswe ngokuqhubekayo ngokuhamba kwesikhathi. Abesifazane abaningi bathola ukuthi inhlanganisela yamasu amaningana inikeza ukukhululeka okungcono kunokuncika endleleni eyodwa nje. Uma imithi yasekhaya inganikezi ukukhululeka okwanele ngemva kwezinyanga ezimbalwa, kungase kube isikhathi sokuxoxa ngezinye izinketho zokwelashwa nomhlinzeki wakho wezempilo.

Yini ukwelashwa kwezokwelapha kwezimpawu ezinzima zokuya esikhathini?

Uma izimpawu zokuya esikhathini zithinta kakhulu impilo yakho yansuku zonke, udokotela wakho unezinketho eziningana zokwelashwa ngemithi ezitholakalayo. Ukwelashwa ngamahomoni kuvame ukuba ukwelashwa okuphumelela kakhulu, kodwa eminye imithi nayo inganikeza impumuzo ngokuya ngezidingo zakho ezithile nomlando wezempilo.

Umhlinzeki wakho wokunakekelwa kwezempilo angase ancome lezi zindlela zokwelapha:

• Ukuhlanganiswa kwe-estrogen ne-progestin therapy (amaphilisi, iziqeshana, noma ama-gel)
• Ama-antidepressants anomthamo ophansi wama-hot flashes nezinguquko zemizwa
• I-Gabapentin yama-hot flashes nokujuluka ebusuku
• I-estrogen yesitho sangasese sowesifazane esinconywayo sokoma kwesitho sangasese sowesifazane
• Ama-modulators akhethiwe e-estrogen receptor (SERMs) ukuvikela amathambo
• Imithi yokucindezela igazi ehlisa nama-hot flashes
• I-Bioidentical hormone therapy njengenketho enye

Udokotela wakho uzocabangela izimpawu zakho, umlando wezokwelapha, nezintandokazi zakho siqu lapho ekhetha indlela yokwelapha engcono kakhulu. Bazophinde baxoxe ngezinzuzo nezingozi zenketho ngayinye ukukusiza ukuthi wenze isinqumo esinolwazi. Ukuqokwa okulandelayo njalo kuvumela ithimba lakho lokunakekelwa kwezempilo ukuthi lilungise ukwelashwa kwakho njengoba kudingeka ukuze kuqinisekiswe ukuthi uthola impumuzo engcono kakhulu.

Kufanele ngibone nini udokotela mayelana nezimpawu zokuya esikhathini?

Kufanele uhlele ukuqokwa nomhlinzeki wakho wokunakekelwa kwezempilo lapho izimpawu zokuya esikhathini ziqala ukuphazamisa impilo yakho yansuku zonke, umsebenzi, noma ubudlelwano. Lokhu kubaluleke kakhulu uma uhlangabezana nama-hot flashes aqinile, ukuphazamiseka kokulala, noma izinguquko zemizwa ezithinta inhlalakahle yakho.

Cabangela ukufinyelela kudokotela wakho uma uhlangabezana nanoma yiziphi zalezi zimo:

• Ukushisa okukhulu noma ukujuluka ebusuku okukuvusa izikhathi eziningi ebusuku
• Ushintsho lwemizwa noma ukucindezeleka okuzizwa kukhulu kakhulu noma okuqhubekayo
• Ukomiswa kwesitho sangasese sowesifazane okwenza ukusondelana kungakhululeki noma kube buhlungu
• Ubunzima bokugxilisa ingqondo noma izinkinga zenkumbulo ezithinta umsebenzi wakho
• Amaphethini okuphuma kwegazi angajwayelekile akukhathazayo
• Ubuhlungu emathanjeni noma emalungeni obuthinta imisebenzi yakho yansuku zonke
• Izimpawu ezingathuthuki ngemithi yasekhaya ngemva kwezinyanga ezi-2-3

Ngaphezu kwalokho, funa ukwelashwa ngokushesha uma uhlangabezana nokuphuma kwegazi okukhulu, ubuhlungu obukhulu besisu, noma yiziphi izimpawu ezizizwa zikhathaza noma zingajwayelekile. Udokotela wakho angahlola izimpawu zakho, axoxe ngezinketho zokwelapha, futhi akusize ukuthi udale uhlelo oluthuthukisa izinga lempilo yakho ngalesi sikhathi sokuguquka.

Ziyini izici eziyingozi zokudinga ukwelashwa ngamahomoni?

Izici eziningana zingakhuphula amathuba akho okuba nezimpawu ezinzima zokuya esikhathini ezingase zidinge ukwelashwa ngamahomoni. Ukuqonda lezi zici eziyingozi kungakusiza wena nodokotela wakho ukuthi nenze izinqumo ezinolwazi mayelana nezinketho zakho zokwelapha.

Lezi zici zingakwenza ukuthi udinge ukwelashwa ngamahomoni:

• Ukuya esikhathini ngaphambi kwesikhathi (ngaphambi kweminyaka engama-45) noma ukuya esikhathini ngaphambi kwesikhathi (ngaphambi kweminyaka engama-40)
• Ukususwa ngokuhlinzwa kwama-ovari womabili ngaphambi kokuya esikhathini kwemvelo
• Umlando womndeni wezimpawu ezinzima zokuya esikhathini
• Umlando wokuya esikhathini okungajwayelekile noma ukungalingani kwamahomoni
• Amazinga okucindezeleka aphezulu noma izinguquko ezinkulu zempilo ngesikhathi sokuya esikhathini
• Ukubhema, okungase kuqhubekisele phambili izimpawu zokuya esikhathini
• Ukuba nesisindo esincane noma ukuba nomlando wezifo zokudla
• Ukwelashwa okuthile kwezokwelapha njenge-chemotherapy noma imisebe
• Izimo ze-Autoimmune ezithinta ukukhiqizwa kwamahomoni

Ukuba nalezi zici eziyingozi akusho ukuthi ngokuqinisekile uzodinga ukwelashwa ngamahomoni, kodwa kusikisela ukuthi kufanele unake izimpawu zakho futhi uhlale uxhumana njalo nomhlinzeki wakho wezempilo. Ukuphazamisa ngokushesha kuvame ukuvimbela izimpawu ukuthi zingabi zimbi futhi zithinte kakhulu izinga lakho lempilo.

Ziyini izinkinga ezingaba khona zokwelashwa okuhlanganisa i-estrogen ne-progestin?

Njengayo yonke imithi, ukwelashwa ngamahomoni kungaba nemiphumela emibi kanye nezinkinga ezingaba khona. Ngenkathi abesifazane abaningi bekubekezelela kahle, kubalulekile ukuqonda kokubili izingozi ezivamile nezingavamile ukuze ukwazi ukwenza izinqumo ezinolwazi mayelana nokwelashwa kwakho.

Nansi imiphumela emibi evame kakhulu ongase uyithole:

• Ukuzwela kwamabele noma ukuvuvukala
• Ukucasuka okuncane noma isisu esicasukile
• Ukuqunjelwa noma ukugcinwa kwamanzi
• Ukucindezeleka kwekhanda, ikakhulukazi ezinyangeni ezimbalwa zokuqala
• Ushintsho lwemizwa noma ukucasuka
• Ukuphuma kwegazi okungajwayelekile noma ukubona
• Ama-cramps emilenzeni noma izinhlungu zemisipha

Izinkinga ezingathi sína kodwa ezingavamile zingabandakanya:

• Ingozi eyengeziwe yama-clots egazi, ikakhulukazi emilenzeni noma emaphashini
• Ingozi ephakeme kancane yokushaywa unhlangothi
• Ingozi encane eyengeziwe yomdlavuza wamabele ngokusebenzisa isikhathi eside
• Okungenzeka kube nezinkinga ze-gallbladder
• Izimo ezingavamile zokungezwani komzimba okukhulu

Udokotela wakho uzohlola ngokucophelela izici zakho eziyingozi ngaphambi kokunquma ukwelashwa ngamahomoni futhi uzokuqapha njalo ngesikhathi sokwelashwa. Bazophinde baxoxe ngezindlela zokunciphisa lezi zingozi, njengokusebenzisa umthamo ophumelelayo ophansi isikhathi esifushane esidingekayo ukuze kulawulwe izimpawu zakho.

Ingabe ukwelashwa ngamahomoni kulungile noma kubi ezimweni ezahlukene zempilo?

Ukwelashwa ngamahomoni kungaba usizo ezimweni ezithile zempilo ngenkathi kungase kube yinkinga kwezinye. Udokotela wakho uzocabangela ngokucophelela umlando wakho wezokwelapha ophelele ngaphambi kokuncoma lokhu kwelashwa ukuze aqinisekise ukuthi kuphephile futhi kufanele isimo sakho esithile.

Izimo lapho ukwelashwa ngamahomoni kungaba usizo zihlanganisa:

• Ukuvimbela nokwelashwa kwe-osteoporosis
• Izimpawu ezinzima zokuya esikhathini eziphazamisa izinga lempilo
• Ukuya esikhathini ngaphambi kwesikhathi noma ukungasebenzi kahle kwama-ovari okuyinhloko
• I-Vaginal atrophy nezinkinga zezempilo yezocansi ezihlobene
• Izifo zemizwa ezihlobene nezinguquko zamahomoni

Kodwa-ke, ukwelashwa ngamahomoni kungase kungafaneleki uma unezimo ezithile zempilo:

• Umlando wamagazi noma izifo zokujiya kwegazi
• Umlando womdlavuza webele noma eminye imidlavuza ezwelayo kumahomoni
• Isifo sesibindi esisebenzayo noma izinkinga ezinkulu zesibindi
• Ukuphuma kwegazi okungachazeki esithweni sangasese
• Umlando wokushaywa unhlangothi noma isifo senhliziyo
• Ezinye izimo ze-autoimmune

Umhlinzeki wakho wokunakekelwa kwezempilo uzoqondanisa izinzuzo ezingaba khona nezingozi ngokuya ngephrofayili yakho yezempilo. Bangase futhi baphakamise ezinye izindlela zokwelapha noma izinguquko zokwenza ukwelashwa ngamahomoni kuphephe ngaphezulu esimweni sakho esithile.

Yini imiphumela emibi yokwelashwa ngamahomoni engase ididaniswe nayo?

Eminye imiphumela emibi yokwelashwa ngamahomoni ingalingisa izimpawu zezinye izimo zempilo, yingakho kubalulekile ukuxhumana ngokukhululeka nomhlinzeki wakho wokunakekelwa kwezempilo mayelana nanoma yiziphi izinguquko ozenzayo. Ukuqonda lokhu kungqubuzana okungenzeka kungakusiza ukuthi uthole ukunakekelwa okufanele.

Imiphumela emibi ejwayelekile engase ididaniswe nezinye izimo zihlanganisa:

• Ukuqaqamba kwamabele okungase kubonakale sengathi ukutheleleka ebeleni noma i-cyst
• Ushintsho lwemizwa olungase lubonakale sengathi ukucindezeleka noma izifo zokukhathazeka
• Ikhanda elibuhlungu elingase lididaniswe nama-migraines noma ikhanda elibuhlungu lokungezwani
• Ukuqunjelwa okungase kubonakale sengathi izinkinga zokugaya ukudla noma ukukhuluphala
• Imiqhokwane emilenzeni engase ididaniswe nezinkinga zokujikeleza kwegazi
• Ukuphuma kwegazi okungajwayelekile okungase kubonakale sengathi ezinye izinkinga ze-gynecological
• Isicanucanu esingase sibonakale sengathi umkhuhlane wesisu noma ukudliswa ngobuthi bokudla

Isikhathi sokwenzeka kwalezi zimpawu sivame ukuba yisihluthulelo - ngokuvamile ziqala noma ziba zimbi ngemva nje kokuqala ukwelashwa ngamahomoni. Ukugcina idayari yezimpawu kungakusiza wena nodokotela wakho ukuthi nibone amaphethini futhi nithole ukuthi ngabe izimpawu zakho zihlobene yini nemithi noma zingase zikhombe enye inkinga yezempilo edinga ukunakekelwa.

Imibuzo evame ukubuzwa mayelana nokwelashwa okuhlanganisa i-estrogen ne-progestin

Kuthatha isikhathi esingakanani ukuthi ukwelashwa ngamahomoni kusebenze?

Abesifazane abaningi baqala ukuqaphela ukuthuthuka okuthile ezimpawini zabo phakathi kwamasonto angu-2-4 ngemva kokuqala ukwelashwa ngamahomoni. Nokho, kungathatha izinyanga ezi-3 ukuzwa izinzuzo ezigcwele zokwelashwa. Ukushisa okukhulu ebusuku nemini kuvame ukuthuthuka kuqala, kuyilapho ezinye izimpawu ezinjengoshintsho lwemizwa nokoma kwesitho sangasese sowesifazane kungase kuthathe isikhathi eside ukuthi zixazululwe.

Udokotela wakho angase alungise umthamo wakho ezinyangeni ezimbalwa zokuqala ukuze athole ibhalansi efanele yomzimba wakho. Kubalulekile ukuba nesineke ngalesi sikhathi sokulungisa futhi uxhumane nomhlinzeki wakho wezempilo ngendlela ozizwa ngayo.

Ngingayeka ngokushesha ukwelashwa ngamahomoni?

Ngokuvamile akunconywa ukuyeka ukwelashwa ngamahomoni ngokushesha, njengoba lokhu kungabangela ukuthi izimpawu zakho zokuya esikhathini zibuye ngokushesha futhi mhlawumbe zibe nzima kakhulu. Odokotela abaningi batusa ukunciphisa kancane umthamo ezinyangeni eziningana ukuze umzimba wakho ukwazi ukuzivumelanisa.

Uma ucabanga ukuyeka ukwelashwa ngamahomoni, xoxa ngalokhu nodokotela wakho kuqala. Bangakusiza ukuthi wakhe isimiso esiphephile sokunciphisa umthamo futhi baphakamise ezinye izindlela zokulawula noma yiziphi izimpawu ezibuyayo.

Ingabe ukwelashwa ngamahomoni kubangela ukukhuluphala?

Ukwelashwa ngamahomoni ngokwako ngokuvamile akubangeli ukukhuluphala okukhulu. Kodwa-ke, abanye besifazane bangase babe nokuvuvukala okuncane noma ukugcinwa kwamanzi, ikakhulukazi ezinyangeni zokuqala zokwelashwa. Noma yiziphi izinguquko zesibalo somzimba ngokuvamile zincane futhi zesikhashana.

Ukukhuluphala ngesikhathi sokuya esikhathini kuvame kakhulu ukuhlobana nezinguquko ezihlobene nobudala ekusebenzeni komzimba, ukwehla komsebenzi womzimba, kanye nokushintshashintsha kwama-hormone emvelo kunokwelashwa ngamahomoni ngokwako. Ukugcina ukudla okunempilo nokuzivocavoca njalo kungasiza ekuphatheni isisindo ngalesi sikhathi.

Ngingakuthatha isikhathi esingakanani ngokuphepha ukwelashwa ngamahomoni?

Ubude bokwelashwa ngamahomoni buxhomeke esimweni sakho somuntu ngamunye kanye nemigomo yezempilo. Imihlahlandlela yezokwelapha yamanje iphakamisa ukusebenzisa umthamo ophansi osebenzayo isikhathi esifushane esidingekayo ukuze kulawulwe izimpawu zakho. Abesifazane abaningi basebenzisa ukwelashwa ngamahomoni iminyaka engu-3-5, nakuba abanye bengase bakudinga isikhathi eside.

Udokotela wakho uzobuyekeza ukwelashwa kwakho njalo, ngokuvamile njalo emavikini angu-6-12, ukuze ahlulele ukuthi usakudinga yini ukwelashwa ngamahomoni nokuthi aqaphele noma yimaphi imiphumela emibi. Isinqumo sokuqhubeka noma ukuyeka ukwelashwa kufanele senziwe ngaso sonke isikhathi kanye nodokotela wakho.

Ingabe zikhona ezinye izindlela zemvelo zokwelashwa ngamahomoni?

Yebo, ziningi izindlela zemvelo ezingasiza ekuphatheni izimpawu zokuya esikhathini. Lokhu kuhlanganisa izinguquko zokuphila njengokuzivocavoca njalo, izindlela zokunciphisa ukucindezeleka, izinguquko ekudleni, kanye nezithasiselo zemithi yezitshalo njenge-black cohosh noma i-red clover. Kodwa-ke, ukusebenza kwalezi zindlela kuyahluka kumuntu nomuntu.

Noma izindlela zemvelo zingasiza, zingase zingahlinzeki ngokuqeda izimpawu ezinzima. Kubalulekile ukuxoxa nganoma yimaphi amakhambi emvelo nomhlinzeki wakho wezempilo, njengoba amanye engase asebenzisane neminye imithi noma angase angafaneleki esimweni sakho sempilo esithile.