Yini i-Prasterone (Indlela Yokusebenzisa Esithweni Sowesifazane): Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

I-Prasterone iyimithi yamahomoni oyifaka ngqo esithweni sakho sowesifazane ukusiza ukubuyisela induduzo nokusebenza. Lolu uhlobo olwenziwe ngamanye lwe-DHEA (dehydroepiandrosterone), i-hormone umzimba wakho oyikhiqiza ngokwemvelo encipha njengoba ukhula, ikakhulukazi ngemva kokuyeka ukuya esikhathini.

Le mithi iqondise ngqo izicubu zesitho sowesifazane ezome, ezincane, noma ezingakhululekile ngenxa yezinguquko zamahomoni. Abesifazane abaningi bakuthola kuwusizo ekubhekaneni nezinkinga eziseduze ezingathinta kakhulu izinga lempilo yabo nobudlelwano babo.

Isetshenziselwani i-Prasterone?

Ama-prasterone vaginal inserts anqunyelwe ikakhulukazi ukwelapha ukuhlangana okubuhlungu okuphakathi nendawo kuya kokukhulu okubangelwa izinguquko zesitho sowesifazane ngemva kokuyeka ukuya esikhathini. Lesi simo, esibizwa ngokuthi i-dyspareunia, sithinta abesifazane abaningi futhi singenza ubudlelwano obuseduze bube yinselele.

Umuthi usebenza ngokubuyisela ukushuba kwemvelo nomswakama wezicubu zesitho sowesifazane. Lapho amazinga e-estrogen ehla ngesikhathi sokuyeka ukuya esikhathini, izindonga zesitho sowesifazane ziba zincane, zome, futhi azinayo i-elastic. Lokhu kungaholela ekungakhululeki, imizwa yokusha, nobuhlungu ngesikhathi somsebenzi wobulili.

Ngaphandle kokuhlangana okubuhlungu, i-prasterone ingase futhi isize nezinye izimpawu ze-vaginal atrophy. Lokhu kufaka phakathi ukoma kwesitho sowesifazane, ukucasuka, nomuzwa wokuqina noma ukusha endaweni yesitho sowesifazane.

Isebenza Kanjani i-Prasterone?

I-Prasterone ithathwa njengokwelashwa kwamahomoni okuqina okuphakathi nendawo okusebenza endaweni ezicutshini zesitho sowesifazane. Ngokungafani nokwelashwa kwamahomoni ngomlomo okuthinta umzimba wakho wonke, le mithi isebenza ikakhulukazi lapho uyisebenzisa khona.

Uma ifakiwe, i-prasterone iguqulela ku-estrogen kanye ne-testosterone ngaphakathi kwezicubu zakho zesitho sowesifazane. Lesi senzo esiphindwe kabili sisiza ukubuyisela ibhalansi yemvelo yamahomoni asekelayo ukusebenza kwesitho sowesifazane esinempilo.

Umuthi wakha kabusha kancane kancane umugqa wangaphakathi wesitho sangasese sowesifazane, okwandisa ukushuba kwawo futhi kuthuthukise ukugeleza kwegazi endaweni. Le nqubo ngokuvamile ithatha amasonto amaningana ukukhombisa imiphumela ephelele, ngakho ukubekezela kubalulekile njengoba umzimba wakho usabela emutheni.

Kufanele Ngiyithathe Kanjani I-Prasterone?

Uzofaka i-prasterone eyodwa esithweni sakho sangasese sowesifazane kanye ngosuku, okungcono ngesikhathi sokulala. Umuthi uza njengento encane, enesimo senhlamvu efaka encibilika ngokwemvelo ngaphakathi emzimbeni wakho.

Ngaphambi kokufaka, geza izandla zakho kahle futhi ususe i-suppository esongweni layo. Ungayifaka ngenkathi ulele phansi noma umile ngonyawo olulodwa luphakeme. Cindezela ngobumnene i-suppository njengoba ungafaka kakhulu esithweni sakho sangasese sowesifazane njengoba uzizwa ukhululekile, okufana nokufaka i-tampon.

Akudingeki ukuthi uthathe lo muthi nokudla noma amanzi ngoba usetshenziswa endaweni ethile. Kodwa-ke, kungcono ukuwusebenzisa ngesikhathi esifanayo nsuku zonke ukuze kugcinwe amazinga e-hormone aqhubekayo ezicutshini zakho zesitho sangasese sowesifazane.

Abanye besifazane bakuthola kuwusizo ukusebenzisa i-panty liner ngemva kokufaka, njengoba inani elincane le-suppository base lingase livuze. Lokhu kuvamile ngokuphelele futhi akuthinti ukusebenza komuthi.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Prasterone?

Abesifazane abaningi badinga ukusebenzisa i-prasterone okungenani amasonto angu-12 ukuze babone ukuthuthuka okukhulu ezimpawini zabo. Udokotela wakho cishe uzoncoma ukuqala ngalesi sikhathi bese ehlola ukuthi umuthi usebenza kahle kangakanani.

Abesifazane abaningi baqhubeka nokusebenzisa i-prasterone isikhathi eside ukuze bagcine izinzuzo. Njengoba i-vaginal atrophy iyisimo esiqhubekayo esihlobene nokuya esikhathini, ukuyeka ukwelashwa kungase kubangele ukuthi izimpawu zibuye kancane kancane.

Umhlinzeki wakho wezempilo uzoqapha inqubekela phambili yakho futhi angase alungise uhlelo lokwelapha ngokusekelwe ekuphenduleni kwakho. Abanye besifazane bathola ukuthi bangagcina besebenzisa umuthi kaningi ngenkathi besagcina induduzo.

Yiziphi Imiphumela Eceleni Ye-Prasterone?

Abesifazane abaningi bayakwazi ukumelana kahle ne-prasterone, kodwa njenganoma imuphi umuthi, ingabangela imiphumela emibi. Izindaba ezinhle ukuthi imiphumela emibi engathí sina ayivamile ngoba umuthi usebenza endaweni ethile kunokuthi usebenze emzimbeni wakho wonke.

Imiphumela emibi evamile ongase uyithole ihlanganisa:

• Ukuphuma emithanjeni okungase kubukeke kuhluke kokujwayelekile
• Ukusha okuncane emithanjeni noma ukucasuka uma uqala ukwelashwa
• Ukwanda okwesikhashana komswakama emithanjeni
• Ukuchitheka okuncane noma ukuphuma kwegazi okuncane

Le miphumela emincane ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi emasontweni ambalwa okuqala okwelashwa.

Imiphumela emibi engavamile kodwa ekhathazayo ihlanganisa:

• Ukuphuma kwegazi okuqhubekayo emithanjeni noma ukuphuma okungajwayelekile
• Ukusha okukhulu emithanjeni noma ukuluma
• Ubuhlungu besinqe noma ukucindezela
• Izimpawu zokutheleleka njengomkhuhlane noma ukuphuma okuhogayo

Xhumana nomhlinzeki wakho wezempilo uma uhlangabezana nanoma yiziphi lezi zimpawu ezingathi sina, njengoba zingase zibonise isidingo sokulungisa ukwelashwa kwakho.

Imiphumela emibi engavamile kakhulu kodwa engathi sina ingahlanganisa ukusabela komzimba ngaphandle. Funani ukwelashwa ngokushesha uma uhlangabezana nobunzima bokuphefumula, ukuvuvukala okukhulu, noma ukuqubuka okubanzi ngemva kokusebenzisa i-prasterone.

Ubani Ongafanele Athathwe I-Prasterone?

I-Prasterone ayifanele wonke umuntu, futhi izimo ezithile zezempilo zenza kungaphephile ukuyisebenzisa. Udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyalela lo muthi.

Akufanele usebenzise i-prasterone uma une:

• Umkhuhlane wamabele owaziwayo noma osolwayo
• Umkhuhlane othenjwe yi-estrogen owaziwayo noma osolwayo
• Ukuphuma kwegazi okungachazeki emithanjeni
• Amagazi agcwele asebenzayo noma umlando wokuphazamiseka kokujiya kwegazi
• Isifo sesibindi esisebenzayo noma izinkinga zesibindi
• Ukukhulelwa noma ukuncelisa ibele

Lezi zimo zingase zibe zimbi ngokwelashwa ngamahomoni, ngisho nalapho zisetshenziswa endaweni ethile, ngakho ukwelashwa okuhlukile kungaba ngcono kuwe.

Udktela wakho uzosebenzisa ukuqapha okwengeziwe uma unomlando wesifo senhliziyo, unhlangothi, noma umfutho wegazi ophezulu. Ngenkathi i-prasterone inokumuncwa okuncane kwesistimu kunamahomoni omlomo, ukuqapha kusabalulekile ngalezi zimo.

Amagama Omkhiqizo we-Prasterone

Ama-prasterone vaginal inserts atholakala ngaphansi kwegama lomkhiqizo elithi Intrarosa e-United States. Okwamanje yiwona kuphela umkhiqizo we-DHEA we-vaginal ovunyelwe yi-FDA otholakalayo ngemiyalelo.

Amanye amakhemisi okuhlanganisa angase alungiselele amalungiselelo e-DHEA vaginal angokwezifiso, kodwa lokhu akukaze kube ngaphansi kokuhlolwa okufanayo okuqinile njengenguqulo evunyelwe yi-FDA. Ngokuvamile kuphephe ukusebenzisa umkhiqizo oqediwe wezentengiso.

Ezinye Izindlela Zokwelapha ze-Prasterone

Uma i-prasterone ingakulungele, ezinye izindlela zokwelapha zingasiza nge-vaginal atrophy kanye nobulili obubuhlungu. Udokotela wakho angakusiza ukuthi uhlole lezi zinketho ngokusekelwe esimweni sakho esithile.

Ezinye izindlela zokwelapha ezisekelwe kumahomoni zihlanganisa:

• Ama-creams e-estrogen vaginal, izindandatho, noma amaphilisi
• Ukwelashwa ngamahomoni esistimu ngemithamo ephansi
• I-Ospemifene (Osphena), umuthi omlomo osebenza njenge-estrogen ezicutshini ze-vaginal

Izinketho ezingezona zamahomoni zihlanganisa:

• Ama-moisturizers e-vaginal okusetshenziswa nsuku zonke
• Ama-lubricants omuntu siqu ngezikhathi ezisondelene
• Ukwelashwa nge-laser noma ezinye izindlela zokwelapha ezisekelwe emandleni
• Ukwelashwa ngokomzimba kwaphansi kwe-pelvic

Indlela ngayinye inezinzuzo zayo kanye nokucatshangelwa kwayo, ngakho-ke ukuxoxa ngezintandokazi zakho kanye nomlando wakho wezokwelapha nomhlinzeki wakho wezempilo kubalulekile.

Ingabe i-Prasterone Ingcono Kune-Estrogen ye-Vaginal?

I-Prasterone kanye ne-estrogen ye-vaginal yizindlela zokwelapha ezisebenzayo ze-vaginal atrophy, kodwa zisebenza ngendlela ehlukile kancane. Ukukhetha phakathi kwazo kuncike ezidingweni zakho ngazinye kanye nomlando wezokwelapha.

I-Prasterone ingase ithandwe uma ufuna ukugwema ukwelashwa nge-estrogen kuphela noma unokukhathazeka ngokuchayeka ku-estrogen. Njengoba iguqukela kokubili i-estrogen ne-testosterone endaweni, abanye besifazane bakuthola kuphumelela kakhulu ezimpawini ezithile.

I-estrogen ye-Vaginal isetshenziswe isikhathi eside futhi inocwaningo oluningi olusekela ukuphepha kwayo nokusebenza kwayo. Ivame ukubhekwa njengokwelashwa kokuqala kwe-vaginal atrophy futhi ingase itholakale kalula.

Zombili lezi zithako zokwelapha zinezimo zokuphepha ezifanayo uma zisetshenziswa nge-vaginally, ngokuqondiswa okuncane emgombeni wakho wegazi. Udokotela wakho angakusiza ukuthi ulinganise izinzuzo nobubi ngokuya ngesimo sakho esithile nezintandokazi zakho.

Imibuzo Evame Ukubuzwa Mayelana ne-Prasterone

Ingabe i-Prasterone iphephile kwabesifazane abanomlando womdlavuza wamabele?

I-Prasterone ngokuvamile ayinconyelwe abesifazane abanomlando womdlavuza wamabele. Noma ngabe isetshenziswa endaweni, ezinye izithako zokwelapha zingangena emgombeni wakho wegazi futhi zingase zikhuthaze amaseli omdlavuza azwelayo kumahomoni.

Uma ungumuntu osindile emdlavuzeni wamabele onokuhlangenwe nakho kwezimpawu ze-vaginal, khuluma nodokotela wakho we-oncologist kanye nodokotela wakho we-gynecologist mayelana nezinye izindlela eziphephile. Izinketho ezingezona zamahomoni njengezinto ezithambisa i-vaginal, ama-lubricant, noma ukwelashwa okuthile kwe-laser kungase kufaneleke kakhulu esimweni sakho.

Ngingenzani uma ngingena ngengozi ngisebenzisa i-Prasterone eningi kakhulu?

Uma ngengozi ufaka ama-suppository angaphezu kwelilodwa, ungesabi. Ngenkathi lokhu kungakuhle, ukulimala okukhulu emthini owodwa owengeziwe akunakwenzeka ngoba umuthi usebenza endaweni.

Ungase uhlangabezane nokwanda kokukhipha i-vaginal noma ukucasuka okuncane. Xhumana nomhlinzeki wakho wezempilo ukuze abazise ukuthi kwenzekeni futhi ubuze ukuthi kufanele yini ukweqa umthamo wakho olandelayo noma uqhubeke neshejuli yakho ejwayelekile.

Ukuze uthole ireferensi yesikhathi esizayo, setha isikhumbuzi sansuku zonke ocingweni lwakho noma usebenzise umhleli wamaphilisi ukusiza ekuvimbeleni ukuthatha imithamo emibili ngengozi.

Ngingenzani uma ngiphuthelwa umthamo we-Prasterone?

Uma ukhohlwa ukusebenzisa i-prasterone suppository yakho, yifake ngokushesha nje lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo. Uma kunjalo, weqa umthamo owuphuthelwe bese uqhubeka nohlelo lwakho olujwayelekile.

Ungaphindi ngokuphinda kabili ngokusebenzisa ama-suppositories amabili ukwenza umthamo owuphuthelwe. Lokhu ngeke kwenze umuthi usebenze kangcono futhi kungadala imiphumela engadingekile.

Ukuphuthelwa umthamo ngezikhathi ezithile ngeke kube nomthelela omkhulu ekwelashweni kwakho, kodwa zama ukugcina ukuqina ukuze uthole imiphumela engcono kakhulu.

Ngingayeka nini ukuthatha i-Prasterone?

Ungayeka ukusebenzisa i-prasterone nganoma yisiphi isikhathi, kodwa kungcono ukuxoxa ngalesi sinqumo nomhlinzeki wakho wezempilo kuqala. Ngokungafani neminye imithi, akudingeki ukuthi unciphise kancane umthamo ngaphambi kokuyeka.

Khumbula ukuthi i-vaginal atrophy yisimo esiqhubekayo esihlobene nokuyeka ukuya esikhathini. Uma uyeka ukwelashwa, izimpawu zakho cishe zizobuya kancane kancane emasontweni amaningana noma izinyanga.

Abanye besifazane bakhetha ukuthatha amakhefu ekwelashweni ukuze babone ukuthi bazizwa kanjani, kanti abanye bakhetha ukuqhubeka isikhathi eside. Udokotela wakho angakusiza ukuthi unqume ukuthi iyiphi indlela enengqondo esimweni sakho.

Ngingayisebenzisa i-Prasterone neminye imithi yesitho sangasese sowesifazane?

Ngokuvamile kuphephile ukusebenzisa i-prasterone neminye imithi yesitho sangasese sowesifazane, kodwa isikhathi sibalulekile. Uma usebenzisa ezinye izindlela zokwelapha zesitho sangasese sowesifazane, zihlukanise okungenani ngamahora ambalwa uma kungenzeka.

Njalo tshela umhlinzeki wakho wezempilo ngayo yonke imithi oyisebenzisayo, okuhlanganisa nemikhiqizo yesitho sangasese sowesifazane etholakala ngaphandle kwemvume kadokotela. Ezinye izindlela zokwelapha zingase zihlangane noma zinciphise ukusebenza kwe-prasterone.

Uma welapha ukutheleleka kwesitho sangasese sowesifazane, udokotela wakho angase ancome ukuyeka okwesikhashana i-prasterone kuze kube yilapho ukutheleleka kuphela ukuze kugwenywe noma yiziphi izinkinga ezingaba khona.