Ngeshwa, izinto zihlukile nabesifazane abahlushwa izifo ezingelapheki. Uhlu lwezifo ezidinga ukuhlola ngokucophelela ekukhethweni kokukhulelwa kweso isikhathi eside. Izifo ezingavamile kakhulu ezibhekene nabesifazane zibandakanya ukucindezeleka, isifo sikashukela kanye nokukhathazeka komzimba. Ziziphi izindlela eziphakanyisiwe zokuvimbela ukukhulelwa? Mayelana nendlela yokuzivikela ngesikhathi socansi nezifo ezihlukahlukene, futhi kuzoxoxwa ngezansi.
I-hypertension
Kwabesifazane abane-hypertension, amaphilisi aphephe kakhulu kunazo zonke ezine-estrogen kuphela. Okunye okunye kuyi-intrauterine spirals. Kungani? Ngokulandelayo kusukela ekubonweni, i-estrogen emalungiselelo kancane kancane yandisa ukucindezela komzimba. Nakuba lezi zindinganiso zincane (ama-mm Hg) ambalwa, okubalulekile kubantu abanempilo, uma kunesifo somfutho wegazi ophakeme, ngisho "ukugxuma" kancane kungabangela ingozi yempilo.
Okokuqala kunesisongo sokushaywa nesifo senhliziyo. Uma uthatha isisu sokukhulelwa, kwandisa izikhathi eziningana! Namuhla, odokotela abaningi bayagcizelela ukuthi uma kwenzeka ukwanda kwengcindezi yegazi, ukukhulelwa kwe-hormonal akufanele kusetshenziswe nhlobo. Manje izindlela ezintsha zokuvimbela ukubeletha kanambambili zakhiwa. Ukusetshenziswa kwezidakamizwa ezinjalo akuphuli izinga elizinzile lomfutho wegazi.
Ukuze uhlole ukuthi usezindaweni engozini, udinga ukukala ukucindezeleka kwegazi kathathu ngosuku. Ngaphezu kwalokho, vakashela udokotela wakho okungenani kanye ngenyanga. Uma emva kwengxenye yonyaka ngeke unikezwe ukuxilongwa okucindezelekayo, khona-ke ungazivikela ngesikhathi socansi ngamaphilisi avamile e-hormonal.
Isifo sikashukela
Amalungiselelo aqukethe i-estrogen ne-progestin nawo abonisa ingozi kubantu abanesifo sikashukela, njengoba kubangela ukwanda kweglucose namazinga e-insulini egazini. Sebenzisa kuphela amathebulethi amancane aphansi nge-20 mcg. kuvunyelwe, kodwa ngaphansi kokuqondiswa njalo kwesidokotela (kanye ngenyanga). Futhi kuphela kulabo besifazane abanesifo sikashukela, kodwa abaneminyaka engaphezu kwengu-20 ubudala futhi abanakho ezinye izifo nemisipha yegazi ababushelelezi, kungenzeka ukuthi bathathe izisu zokubeletha ezivamile. .
I-cholesterol ephakeme
Imithi emisha equkethe i-gestagen kanye ne-estrogen yemvelo (i-estradiol valerate), yavula ithuba lokusebenzisa izithiyo zomlomo ngezifo ezihlukahlukene, kuhlanganise namazinga akhulayo we-cholesterol egazini. Lawa amaphilisi asebenza njengemithi - ukuthuthukisa imingcele yamafutha egazini. Zonke ezinye amaphilisi aqukethe i-ethinyl estradiol, okwandisa izinga le "cholesterol" elibi futhi kunciphisa izinga "okuhle".
Ukuqapha kakhulu
Ithemoni ye-hormone ejwayelekile yenzelwe owesifazane onesisindo esingama-50-70 kg. Kulabo besifazane abanesisindo esiningi, imikhiqizo evamile yokulawula ukuzalwa ingase ingabi yi-100% ephumelelayo ngenxa yesilinganiso esincane kakhulu se-estrogen kanye ne-progestin ngekhilogremu yesisindo. Kulaba besifazane, idivayisi ye-intrauterine izosebenza kangcono. Izindlela zasendaweni azixhomeki esisiswini somzimba kanye nesimetabolism.
Ubani ongafanele athathe izidakamizwa ze-hormone
Izifo ezinzima zokugaya, ezifana nezindwangu, izilonda zesisu kanye ne-duodenal, zingaba zibi kakhulu ngaphansi kwamathisela amaphilisi. Kulokhu, kunconywa ezinye izindlela zokuzivikela ngesikhathi socansi. Isibonelo, umjovo we-hormonal, i-spirals, amakhondomu.
Njengoba izifo ezinjenge-epilepsy kanye nokungasebenzi komzimba wegciwane ayikho imingcele ekuthatheni ama-hormone, ngoba awaphazamisi ukukhushulwa kwesifo.
Kulaba besifazane abanesifo senhliziyo ischemic, thromboembolism (ngemuva kokuhlinzwa kwamathambo), isifo sokushaya isifo sofuba, ukuhluleka kwenhliziyo, noma izifo zesifo sofuba, ukuthatha amaphilisi nge-estrogen kuyingozi. Lokhu kungasheshisa izinguquko ze-pathological ezindongeni zemithambo yegazi. Ukusetshenziswa kwe-estrogen kungenza ngcono imishanguzo, njengoba ilulaza imithwalo yegazi yobuchopho: ngisho nokushaya isifo kungaholela. Ngakho abesifazane endaweni engcupheni yimithi ekhuthazwayo equkethe igestagen kuphela.
Ukunciphisa ukuvimbela ukubeletha kwe-hormonal kutholakala ngokuphelele yibo bonke abesifazane abaphethwe yi-hepatitis C, njenge-hormone-kungakhathaliseki ukuthi bayaphila - ngaso sonke isikhathi banikeza umthwalo engxenyeni ewonakele. Ukuze kuvikelwe uma kwenzeka izifo zesibindi kunconywa ukusebenzisa izindlela zokuvimbela, njengendandatho yesisu kanye nekhondomu.