Yini i-Estrogen (Indlela ye-Vaginal): Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

I-Estrogen vaginal route ibhekisela ekwelashweni ngamahomoni okuthunyelwa ngqo esithweni sangasese ngama-creams, amaphilisi, noma izindandatho. Lokhu kwelashwa kusiza ukubuyisela amazinga e-estrogen ezicutshini zesitho sangasese, ikakhulukazi kwabesifazane abahlangabezana nezinguquko ngenxa yokuya esikhathini noma ezinye izimo zamahomoni.

Ngokungafani ne-estrogen yomlomo ethinta umzimba wakho wonke, i-estrogen yesitho sangasese somzimba isebenza endaweni yesitho sangasese. Le ndlela eqondiwe isho ukuthi uthola izinzuzo lapho uzidinga kakhulu, ngokumuncwa okuncane egazini lakho.

Yini i-Estrogen (Indlela ye-Vaginal)?

I-Estrogen vaginal route iyindlela yokwelapha amahomoni ethumela i-estrogen ngqo ezicutshini zesitho sangasese. Iza ngezinhlobo ezintathu eziyinhloko: ama-creams owasebenzisa nge-applicator, amaphilisi amancane owafaka, noma izindandatho eziguquguqukayo ezihlala endaweni izinyanga.

Lo muthi uqukethe uhlobo olufanayo lwe-estrogen umzimba wakho owukhiqiza ngokwemvelo. Lapho amazinga e-estrogen ehla ngesikhathi sokuya esikhathini noma ngenxa yezinye izimo, izicubu zesitho sangasese zingaba mncane, zome, futhi zingabi nokuqina. I-Estrogen yesitho sangasese isiza ukubuyisela lezi zicubu esimweni esinempilo.

Ubuhle balokhu kwelashwa ukunemba kwalo. Esikhundleni sokukhukhula uhlelo lwakho lonke ngamahomoni, lusebenza ngqo lapho uludinga khona kakhulu. Iningi le-estrogen lihlala endaweni yesitho sangasese, kanti okuncane kakhulu okungena egazini lakho.

Isetshenziselwani i-Estrogen (Indlela ye-Vaginal)?

I-Estrogen vaginal route ikakhulukazi iphatha i-vaginal atrophy, isimo lapho izicubu zesitho sangasese ziba mncane futhi zome ngenxa yamazinga aphansi e-estrogen. Lokhu kuvamile ukwenzeka ngesikhathi sokuya esikhathini, kodwa kungase futhi kwenzeke ngemva kokuzalwa, ngesikhathi sokuncelisa, noma ngemva kokwelashwa okuthile kwezokwelapha.

Ungazuza kulokhu kwelashwa uma uhlangabezana nezimpawu ezingakhululeki ezithinta impilo yakho yansuku zonke. Lezi zimpawu zingenza ubudlelwano obusondelene bube yinselele futhi zibangele ukungakhululeki okuqhubekayo okuthinta izinga lempilo yakho.

Nawa amakhambi amakhulu lo muthi osiza ngawo:

• Ukomela nokucasuka kwesitho sangasese sowesifazane
• Ukuhlangana ocansini okubuhlungu (i-dyspareunia)
• Ukuvuvukala noma ukuluma kwesitho sangasese sowesifazane
• Ukuphuthuma noma ukuvama kokuchama
• Izifo eziphindaphindayo zomgudu womchamo
• Ukuncipha kwesitho sangasese sowesifazane nokulahlekelwa ukunwebeka

Abanye odokotela baphinda banikeze i-estrogen yesitho sangasese sowesifazane ngezimo ezingavamile njenge-lichen sclerosus noma ukusiza ngokuphulukiswa kwezicubu ngemva kwenqubo ethile. Umhlinzeki wakho wokunakekelwa kwezempilo uzonquma ukuthi le mithi ilungile yini esimweni sakho esithile.

Isebenza Kanjani I-Estrogen (Indlela Yesitho Sangasese Sowesifazane)?

I-estrogen yendlela yesitho sangasese sowesifazane isebenza ngokuletha amahomoni ngqo ezicutshini ezidinga kakhulu. Uma usebenzisa noma ufaka umuthi, i-estrogen ingena ezindongeni zesitho sangasese sowesifazane nezicubu ezizungezile, ibasize ukuthi babuyisele ukushuba, umswakama, nokunwebeka.

Cabanga ngayo njengokunisela isitshalo esomile isikhathi eside kakhulu. I-estrogen isiza ukubuyisela umswakama wemvelo nomsebenzi onempilo wezicubu zesitho sangasese sowesifazane. Le nqubo ivame ukuthatha amasonto amaningana ukuze ibonise imiphumela ephelele, nakuba abanye besifazane beqaphela ukuthuthuka ngokushesha.

Lokhu kuthathwa njengokwelashwa okunamandla aphakathi nendawo okusebenza kahle kakhulu ezimpawini zendawo. Ngokungafani nokwelashwa okunamandla kwama-hormone e-systemic, i-estrogen yesitho sangasese sowesifazane igxila esenzweni sayo lapho uyidinga khona kakhulu. Umuthi usiza ukubuyisela ibhalansi ye-pH yemvelo yesitho sakho sangasese sowesifazane futhi wandise ukugeleza kwegazi endaweni.

Kufanele Ngiyithathe Kanjani I-Estrogen (Indlela Yesitho Sangasese Sowesifazane)?

Indlela othatha ngayo i-estrogen yendlela yesitho sangasese sowesifazane incike ohlotsheni olubekwe ngudokotela wakho. Uhlobo ngalunye lunemiyalelo ethile, futhi ukuyilandela ngokucophelela kusiza ekuqinisekiseni imiphumela emihle kakhulu enemiphumela emincane.

Ngama-creams esitho sangasese sowesifazane, ngokuvamile uzosebenzisa i-applicator ukufaka umuthi esithweni sakho sangasese sowesifazane, ngokuvamile ngesikhathi sokulala. Hlanza izandla zakho kahle ngaphambi nangemva kokusebenzisa. Abesifazane abaningi bakuthola kuwusizo ukugqoka i-panty liner ukuvikela izingubo zabo.

Nansi indlela yokusebenzisa ifomu ngalinye ngendlela efanele:

• Okokhilimu: Faka usebenzisa i-applicator, ngokuvamile izikhathi eziyi-1-3 ngesonto
• Amaphilisi: Faka ngomunwe wakho, ngokuvamile kabili ngesonto
• Amaringi: Shintsha njalo emavikini ama-3, angasuswa ngesikhathi socansi uma uthanda

Akudingeki ukuthi usebenzise lo muthi nokudla ngoba awudluli ohlelweni lwakho lokugaya ukudla. Kodwa-ke, zama ukuwusebenzisa ngesikhathi esifanayo nsuku zonke ukuze ugcine amazinga aqhubekayo. Uma usebenza ngokocansi, xoxa ngesikhathi nomlingani wakho, njengoba ezinye izinhlobo zingathinta ukusondelana.

Kufanele ngiwuthatha isikhathi esingakanani i-Estrogen (Indlela ye-Vaginal)?

Abesifazane abaningi basebenzisa i-estrogen vaginal route uma nje benemiphumela, engaba yiminyaka eminingi noma isikhathi eside. Ngokungafani nokwelashwa ngomlomo ngamahomoni, i-estrogen ye-vaginal ngokuvamile ithathwa njengephephile ukusetshenziswa isikhathi eside ngoba kancane okungena egazini lakho.

Ngokuvamile uzoqala ukubona ngcono phakathi kwamasonto ama-2-4, ngemiphumela egcwele ethuthukayo ezingxenyeni eziyi-2-3. Udokotela wakho cishe uzoncoma ukuqala ngezicelo ezivame kakhulu, bese unciphisa eshedyulini yokugcinwa uma izimpawu zakho zithuthuka.

Umhlinzeki wakho wezempilo uzofuna ukuxhumana nawe njalo, ngokuvamile njalo emavikini ayi-6-12, ukuze ahlulele ukuthi ukwelashwa kusebenza kahle kangakanani. Abanye besifazane badinga ukuqhubeka nokwelashwa unomphela ukuze bagcine induduzo, kanti abanye bangakwazi ukunciphisa imvamisa noma baphumule.

Yiziphi Imiphumela Eceleni ye-Estrogen (Indlela ye-Vaginal)?

Imiphumela emibi evela ku-estrogen vaginal route ngokuvamile imnene ngoba iningi lomuthi lihlala endaweni ye-vaginal. Kodwa-ke, njenganoma imuphi umuthi, kungabangela ezinye izindlela okubalulekile ukuthi uziqaphele.

Imiphumela emibi evame kakhulu ngokuvamile yesikhashana futhi ithuthuka njengoba umzimba wakho uzivumela ekwelashweni. Lokhu ngokuvamile kwenzeka emasontweni ambalwa okuqala okusetshenziswa futhi ngokuvamile kulungiswa ngokwawo.

Imiphumela emibi ejwayelekile ongase uyithole ihlanganisa:

• Ukuqubuka okuncane noma ukusha kwesitho sangasese sowesifazane
• Ukuvuvukala okwandayo kwesitho sangasese sowesifazane
• Ukuzwela kwamabele
• Ukukhathazeka
• Isicanucanu
• Ukuqubuka

Imiphumela emibi engathi sína ayivamile kodwa ingenzeka. Xhumana nodokotela wakho uma uhlangabezana nokuphuma kwegazi okungavamile kwesitho sangasese sowesifazane, ubuhlungu obukhulu besisu, ubuhlungu besifuba, noma izimpawu zamahlule egazi njengokuvuvukala komlenze noma ukuphefumula kanzima. Lezi zimpawu zidinga ukunakekelwa kwezokwelapha ngokushesha.

Abanye besifazane bangase babe nokusabela komzimba, nakuba lokhu kungavamile. Qaphela izimpawu ezinjengokuluma okukhulu, ukuqubuka, noma ubunzima bokuphefumula, futhi funa usizo lwezokwelapha ngokushesha uma lokhu kwenzeka.

Ubani Ongafanele Athole I-Estrogen (Indlela Yesitho Sangasese Sowesifazane)?

Ngenkathi i-estrogen yendlela yesitho sangasese sowesifazane iphephe kune-estrogen yomlomo kwabesifazane abaningi, izimo ezithile zezempilo zenza ingafaneleki noma zidinga izinyathelo zokuphepha ezikhethekile. Udokotela wakho uzobuyekeza umlando wakho wezokwelapha ngokucophelela ngaphambi kokunquma lokhu kwelashwa.

Akufanele usebenzise i-estrogen yesitho sangasese sowesifazane uma unomlando womdlavuza othile, amahlule egazi, noma ukuphuma kwegazi okungachazeki kwesitho sangasese sowesifazane. Udokotela wakho udinga ukukhipha izimo ezingathi sína ngaphambi kokuqala ukwelashwa ngamahomoni.

Izimo ezingase zikuvimbele ukuthi usebenzise lo muthi zihlanganisa:

• Umdlavuza wamanje noma owake waba khona wamabele
• Umdlavuza wamanje noma owake waba khona we-endometrial
• Amahule egazi asebenzayo noma izifo zokujiya kwegazi
• Ukuphuma kwegazi okungachazeki kwesitho sangasese sowesifazane
• Isifo sesibindi esisebenzayo
• Ukukhulelwa noma ukusolwa kokukhulelwa

Izimo ezithile zidinga ukuqapha okwengeziwe kodwa akudingeki zivimbele ukusetshenziswa. Lokhu kuhlanganisa isifo sikashukela, umfutho wegazi ophezulu, isifo se-gallbladder, noma umlando womndeni wamahlule egazi. Udokotela wakho uzokala izinzuzo ngokumelene nezingozi ezingaba khona zesimo sakho esithile.

Amagama Omkhiqizo we-Estrogen (Indlela Yesitho Sangasese Sowesifazane)

Amagama amaningi emikhiqizo ayatholakala nge-estrogen vaginal route, ngalinye linikeza izindlela zokwakheka noma zokulethwa ezihlukile kancane. Udokotela wakho uzokhetha ngokusekelwe ezidingweni zakho ezithile, umshwalense wakho, nezintandokazi zakho.

Imikhiqizo evame ukunqunywa odokotela ihlanganisa i-Premarin (conjugated estrogen cream), i-Estrace (estradiol cream), kanye ne-Vagifem (estradiol tablets). Izinketho zeringi zihlanganisa i-Estring ne-Femring, enikeza ukulethwa kwamahomoni okuqhubekayo.

Izinhlobo ezivamile ziyatholakala kwezinye izindlela zokwakheka, ezingabiza kakhulu. Isithako esisebenzayo siyafana noma ngabe usebenzisa amagama emikhiqizo noma izinhlobo ezivamile. Umuthi wakho ungakusiza ukuthi uqonde umehluko phakathi kwezinketho ezitholakalayo.

Ezinye izindlela ze-Estrogen (Vaginal Route)

Uma i-estrogen vaginal route ingakulungele, ezinye izindlela ezingasiza ukuphatha ukoma kwesitho sangasese sowesifazane nokungakhululeki. Lezi zinketho zisebenza ngendlela ehlukile kodwa zingahlinzeka ngokuqeda okukhulu kwabesifazane abaningi.

Ukwelashwa okungahambisani namahomoni kuvame ukuba yinto yokuqala yokukhetha kwabesifazane abangakwazi ukusebenzisa i-estrogen. Lokhu kufaka phakathi izinto ezimanisa isitho sangasese sowesifazane, ama-lubricant, kanye nemithi emisha engenawo amahomoni kodwa esiza ngempilo yesitho sangasese sowesifazane.

Ukwelashwa okunye ongakucabangela kufaka phakathi:

• Izinto ezimanisa isitho sangasese sowesifazane (njenge-Replens noma i-K-Y Silk)
• Ama-lubricant omuntu siqu ocansini
• I-Ospemifene (Osphena) - umuthi ongaqukethe i-estrogen
• Ukwelashwa nge-laser noma okunye ukwelashwa okusekelwe emandleni
• Umsebenzi ocansini ovamile wokugcina impilo yezicubu
• Ukwelashwa ngokomzimba kwaphansi kwesisu

Abanye besifazane bathola ukuthi ukuhlanganisa izindlela kusebenza kahle kakhulu. Isibonelo, ukusebenzisa into emanisa isitho sangasese sowesifazane njalo nokwengeza i-lubricant ngesikhathi socansi kungahlinzeka ngokuqeda okuphelele ngaphandle kwamahomoni.

Ingabe i-Estrogen (Vaginal Route) ingcono kune-Oral Estrogen?

Ngezimpawu zesitho sangasese sowesifazane ngqo, indlela yokusebenzisa i-estrogen ngesitho sangasese sowesifazane ivame ukukhethwa ngaphezu kwe-estrogen yomlomo ngoba iletha amahomoni ngqo lapho uwadinga kakhulu. Le ndlela eqondiswe ngqo isho ukuthi uthola ukukhululeka okusebenzayo ngokuchayeka okuncane kakhulu kwamahomoni emzimbeni wakho wonke.

I-estrogen yomlomo ithinta wonke umzimba wakho, okungaba usizo uma unezinye izimpawu zokuya esikhathini njengokushisa noma ukulahlekelwa amathambo. Kodwa-ke, uma okukhathazayo okuyinhloko ukoma kwesitho sangasese sowesifazane nokungakhululeki, i-estrogen yesitho sangasese sowesifazane ngokuvamile iyindlela engcono.

Izinzuzo ze-estrogen yesitho sangasese sowesifazane zihlanganisa ingozi ephansi yamaqhubu egazi, umthelela omncane esibindini sakho, nemiphumela emincane emzimbeni wonke. Ngokuvamile ungayisebenzisa ngokuphepha ngisho noma i-estrogen yomlomo inganconyelwe wena ngenxa yezinye izimo zempilo.

Udokotela wakho uzokusiza ukuthi unqume ukuthi iyiphi indlela engcono kakhulu ngokusekelwe kuzo zonke izimpawu zakho, umlando wakho wezempilo, nezintandokazi zakho. Abanye besifazane bayazuza ekuhlanganiseni zombili izindlela zokwelapha ngaphansi kokuqondiswa kwezokwelapha okucophelelayo.

Imibuzo Evame Ukubuzwa Mayelana ne-Estrogen (Indlela Yesitho Sangasese Sowesifazane)

Ingabe i-Estrogen (Indlela Yesitho Sangasese Sowesifazane) iphephile Kwabesifazane Abanesifo Sikashukela?

Yebo, indlela yokusebenzisa i-estrogen ngesitho sangasese sowesifazane ngokuvamile iphephile kwabesifazane abanesifo sikashukela ngoba amahomoni amancane kakhulu angene egazini lakho. Lokhu kwelashwa kwendawo akunakwenzeka ukuthi kuthinte amazinga kashukela egazini uma kuqhathaniswa ne-estrogen yomlomo.

Kodwa-ke, udokotela wakho uzofuna ukukuqapha eduze uma unesifo sikashukela. Abanye besifazane bangase babe nezinguquko ezincane kushukela wegazi, nakuba lokhu kungavamile nge-estrogen yesitho sangasese sowesifazane. Qhubeka nokulandela amazinga akho e-glucose njengenjwayelo bese ubika noma yiziphi izindlela ezingavamile kumhlinzeki wakho wezempilo.

Ngingenzani Uma Ngisebenzisa Ngengozi I-Estrogen (Indlela Yesitho Sangasese Sowesifazane) Eningi Kakhulu?

Uma ngengozi usebenzisa okuningi kunokunqunyiwe, ungangeni ekuqhumeni. Ukweqisa kwe-estrogen yesitho sangasese sowesifazane akuvamile futhi ngokuvamile akuyona ingozi ngoba ukumuncwa kukhawulelwe. Ungase ube nemiphumela emibi yesikhashana njengokucasuka, ubuhlungu bebele, noma ukwanda kokukhipha.

Xhumana nodokotela wakho noma usokhemisi ukuze uthole isiqondiso, ikakhulukazi uma uhlangabezana nezimpawu ezingakhululeki. Bangakunika iseluleko sokuthi ngabe udinga ukweqa umthamo wakho olandelayo noma ulungise isimiso sakho. Ezimweni eziningi, ukubuyela nje esimisweni sakho esijwayelekile sokulinganisa kwanele.

Ngingenzani Uma Ngeqa Umthamo We-Estrogen (Indlela Yobulili)?

Uma weqa umthamo, uwusebenzise ngokushesha nje lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Ungaphindi kabili ukuze ulungise umthamo oweqiwe, ngoba lokhu kungadala ukucasuka noma eminye imiphumela emibi.

Ukugeqa imithamo ngezikhathi ezithile ngokuvamile akuyona inkinga, kodwa zama ukugcina isimiso sakho esijwayelekile ukuze uthole imiphumela engcono kakhulu. Uma uvame ukukhohlwa imithamo, cabangela ukusetha isikhumbuzi sefoni noma ukusebenzisa umhleli wamaphilisi ukukusiza ukhumbule.

Ngingayeka Nini Ukuthatha I-Estrogen (Indlela Yobulili)?

Ngokuvamile ungaqeda ukuthatha i-estrogen indlela yobulili noma nini lapho wena nodokotela wakho ninquma ukuthi kufanelekile. Ngokungafani neminye imithi, awudingi ukuyeka kancane kancane. Kodwa-ke, izimpawu zakho cishe zizobuya uma imbangela eyisisekelo (njengokuya esikhathini) isakhona.

Abesifazane abaningi bakhetha ukuqhubeka nokwelashwa isikhathi eside ngoba ngokuvamile kuphephile futhi izimpawu zibuyela uma kuyekwa. Abanye bazama ukuphumula ngezikhathi ezithile ukuze babone ukuthi basayidinga yini imithi. Sebenza nomhlinzeki wakho wokunakekelwa kwezempilo ukuze uthole indlela esebenza kahle kakhulu esimweni sakho.

Ngingayisebenzisa I-Estrogen (Indlela Yobulili) Ngesikhathi Sokuya Esikhathini?

Yebo, ungaqhubeka nokusebenzisa i-estrogen indlela yobulili ngesikhathi sokuya esikhathini uma useneminyaka. Umuthi ngeke uphazamise umjikelezo wakho wokuya esikhathini, futhi ukugcina ukusetshenziswa okuqhubekayo kuvame ukunikeza ukukhululeka okungcono kwezimpawu.

Ungase ukuthole kungcolile kancane ngesikhathi sakho, ikakhulukazi ngama-creams. Abanye besifazane bakhetha ukusebenzisa ama-tampon kunamaphedi ngezinsuku zokwelashwa, kodwa lokhu kuyisinqumo somuntu siqu. Umuthi uzosebenza ngempumelelo kungakhathaliseki isimo sakho sokuya esikhathini.