Njira ya moyo

Un moyo wathanzi zimathandizira kuchepetsa kuchulukira kwa zizindikiro zakusiya kusamba, kumalimbitsa mtima komanso thanzi la mafupa, komanso kupereka zina kutetezedwa motsutsana ndi zovuta zingapo zaumoyo.

Food

Kuchepetsa kutentha

• M'malo mokhala ndi zakudya zazikulu zitatu, chepetsani magawo ndikukonzekera zokhwasula-khwasula zathanzi pakati pa chakudya;
• Kumwa madzi ambiri;
• Pewani kapena kuchepetsa kwambiri kumwa kwanu zolimbikitsa: zakumwa zotentha, khofi, mowa, mbale zokometsera;
• Chepetsani kumwa shuga wambiri;
• Idyani zakudya zokhala ndi phytoestrogens nthawi zonse.

Zochita zolimbitsa thupi

Kuchita masewera olimbitsa thupi kulikonse ndikwabwino kuposa kusachita masewera olimbitsa thupi. Kwa amayi onse, makamaka omwe akulowa mu nthawi ya kusinthaku, ndikuchita masewera olimbitsa thupi tsiku lililonse imapereka zabwino zingapo zofunika:

- kukhala ndi thupi labwino kapena kukhala ndi thanzi labwino;

- kusunga dongosolo la mtima wabwino;

- kuchepetsa kuchepa kwa mafupa ndi chiopsezo cha kugwa;

- kuchepetsa chiopsezo cha khansa ya m'mawere;

- kulimbikitsa chilakolako chogonana.

Kuonjezera apo, kafukufuku amasonyeza kuti amayi omwe amangokhala ndi omwe amakhala nawo kutentha kotentha odziletsa kapena olemetsa poyerekeza ndi amayi omwe amachita masewera olimbitsa thupi nthawi zonse^{3, 4,47}.

Ndi bwino kukhala amtengo achangu osachepera 30 mphindi tsiku ndi kuphatikiza zolimbitsa thupi zosinthika muzochita zanu: kutambasula, tai chi kapena yoga, mwachitsanzo. Kuti mupeze uphungu woyenerera, funsani katswiri wolimbitsa thupi (katswiri wochita masewera olimbitsa thupi).

Njira zotsegula

Kupuma mozama, kutikita minofu, yoga, kuwonetseratu, kusinkhasinkha, ndi zina zotero kungathandize kuthana ndi vuto la kugona, ngati liripo. Kupumula kungathandize kuchepetsa zizindikiro zina za kusintha kwa thupi (onani Njira Zowonjezerapo za njira).

Mankhwala

Pofuna kuthana ndi mavuto osiyanasiyana okhudzana ndi kusintha kwa thupi, madokotala amagwiritsa ntchito mitundu itatu ya njira zamankhwala:

• mankhwala ambiri m`thupi;
• m`deralo mankhwala m`thupi;
• mankhwala osagwiritsa ntchito mahomoni.

General hormonal mankhwala

THEmankhwala a hormone amapereka mahomoni omwe thumba losunga mazira limasiya kutulutsa. Zimalola amayi ambiri kuti awone awo zizindikiro (kutentha kwamoto, kusokonezeka kwa tulo, kusinthasintha kwa maganizo) kwa nthawi yonse ya mankhwala a mahomoni.

Ndikofunikira kudziwa kuti amayi ambiri omwe amayamba kumwa mankhwala ambiri a mahomoni amayambiranso zizindikiro zawo akasiya chithandizo chifukwa thupi lidzadutsanso kusintha kwa mahomoni. Amayi ena amatha, mwachitsanzo, kutenga chisankho Tengani mankhwala a mahomoni kwa zaka zingapo ndikusankha kusiya kumwa mankhwalawa mukapuma pantchito, podziwa kuti kudzakhala kosavuta kuthana ndi zizindikiro zawo panthawiyi.

Systemic hormone therapy nthawi zambiri amagwiritsa ntchito ma estrogens ndi progestins. The estrogen yokha amasungidwa kwa amayi omwe achotsa chiberekero (hysterectomy) popeza, atatenga nthawi yayitali, amawonjezera chiopsezo cha khansa ya chiberekero. Kuonjezera progestin kumachepetsa chiopsezo ichi.

Masiku ano, fayilo yamankhwala a hormone amangoperekedwa kwa akazi amene zizindikiro zawo zakusiya kusamba zimaonekera ndipo amene moyo wawo uli wosweka mokwanira kuti ulungamitse. The Society of Obstetricians ndi Gynecologists ku Canada amalimbikitsa kuti madokotala apereke mlingo wotsika kwambiri kwa nthawi yochepa kwambiri. Kutalika kokwanira kovomerezeka ndi zaka 5.

Chithandizo cha mahomoni chingathandize kuchepetsa kutayika kwa fupa la mafupa ndipo motero kuchepetsa chiopsezo cha fracture. Komabe, siziyenera kuperekedwa kwa cholinga ichi chokha.

Chithandizo cha mahomoni nthawi zina chimakhala zotsatira zoyipazi osati zowopsa, koma zosasangalatsa. Funsani dokotala wanu.

Amayi ena amamwa mahomoni motero pitilizani, ndiko kuti, amamwa ma estrogens ndi progestins tsiku lililonse. Msambo umasiya. Nthawi zambiri, samayambiranso chithandizo cha mahomoni chikasiya, ngati chatenga nthawi yayitali. Amayi ena amapatsidwa chithandizo mpikisano, ndi kutenga ma progestin okha masiku 14 pamwezi ndi estrogen tsiku lililonse. Chithandizo cha mahomoni chomwe chimatengedwa mozungulira chimapangitsa "nthawi zabodza" kapena magazi kuchotsa (zosagwirizana ndi ovulation, monga momwe zilili ndi mapiritsi oletsa kubereka).

Classic hormone therapy

Ku Canada, conjugated equine estrogens (Premarin®) akhala kale zolembedwa kwambiri. Ma estrogens amenewa amatengedwa mumkodzo wa mapere apakati ndipo amaperekedwa pakamwa. Komabe, izi sizili choncho. 1^er February 2010, Premarin® adachotsedwa pamndandanda wamankhwala omwe amaperekedwa ndi dongosolo la inshuwaransi yamankhwala ku Quebec, chifukwa chakukwera kwakukulu kwamitengo yake yogulitsa.². (Premplus®, kuphatikiza kwa conjugated equine estrogen ndi synthetic progesterone, yachotsedwanso.)

Kuyambira nthawi imeneyo, madokotala akhoza kupereka mankhwala aliwonse a estrogens. Awa ndi mapiritsi oti amwe pakamwa.

- Estrace®: oestradiol-17ß;

- maso®: estropipate (mawonekedwe a estrone);

- CES®: synthetic conjugated estrogens.

Ma estrogens nthawi zambiri amaperekedwa limodzi ndi ma progestins opangira : medroxy-progesterone acetate (MPA) monga cheke® kapena progesterone ya micronized kuchokera ku zomera monga Prometrium®. Progesterone ya micronized ndi mtundu wa "bioidentical" hormone (onani pansipa).

Bioidentical hormone therapy

The mahomoni ophatikizika kukhala ndi maselo ofanana ndi mahomoni opangidwa ndi mazira: estradiol-17ß (estrogen yaikulu yopangidwa ndi thupi lachikazi) ndi progesterone. Amapangidwa mu labotale kuchokera ku zomera monga soya kapena zilazi zakutchire.

Bioidentical estradiol-17ß imayendetsedwa ndi khungu, zomwe zimasiyanitsa ndi mankhwala ochiritsira a mahomoni. Iwo analandira mu mawonekedwe a mabelu apakhomo (Estraderm®, Oesclim®, Estradot®, Sandoz-Estradiol Derm® kapena Climara®) kapena kuchokera ku anthu (Estrogel®).

Kuwonjezera paoestradiol - 17 s, madokotala amene amagwiritsa ntchito bioidentical therapy nthawi zambiri amapereka progesterone ya micronized. Njira ya micronization imasintha progesterone kukhala tinthu tating'onoting'ono tomwe timayamwa bwino ndi thupi. Izi zimaperekedwa ndi m'kamwa (Prometrium®).

Mahomoni ofananirako amapangidwa zaka zingapo ku Canada ndi France (dzina lofanana ndi biolo koma laposachedwa). Panthawi yolemba, mankhwalawa amangoperekedwa ndi dongosolo la inshuwaransi yamankhwala ku Quebec nthawi zina. Komabe, mapulani ambiri a inshuwaransi amawabwezera.

ndemanga. N'zothekanso kugula pa-kauntala kukonzekera mwaluso kwa bioidentical estrogens, mu mawonekedwe a zonona zomwe zimakhala ndi 3 mamolekyu achilengedwe a estrogenic akazi, estradiol, estriol ndi estrone. Komabe, palibe deta yasayansi yomwe yakhazikitsa mphamvu zawo ndipo madokotala ambiri amalangiza motsutsana nawo. Mukhozanso kupeza mu pharmacies magistral kukonzekera progesterone mu mawonekedwe a zonona. Izi ndizoletsedwa mwalamulo. Malinga ndi D^re Sylvie Dodin, kuyamwa kwa progesterone kudzera pakhungu sikuthandiza, kumasiyana kwambiri kuchokera kwa amayi kupita kwa wina ndipo sikumapereka kukhazikika kokwanira kuteteza chiberekero. Kumbukirani kuti kutenga estrogen kokha kumawonjezera chiopsezo cha khansa ya m'chiberekero, komanso kuti kuwonjezera kwa progesterone kumathandiza kuchepetsa ngoziyi.

Local m`thupi mankhwala

Kugwiritsa ntchito estrogen pang'ono, kumaliseche, cholinga chake ndi kuthetsa zizindikiro zokhudzana ndi chiwerewere ndi kupatulira kwa mucous nembanemba. Komabe, ilibe chithandizo chamankhwala pa kutentha thupi, matenda ogona, ndi kusokonezeka maganizo. Chithandizo chamankhwala am'deralo sichimayambitsa zovuta komanso zoopsa zomwe zimagwirizanitsidwa ndi mankhwala ambiri a mahomoni.

Ma Estrogens amatha kuperekedwa kumaliseche pogwiritsa ntchito a kirimu, Pa mphete or mapiritsi. Kuchita kwawo ndi chimodzimodzi. Mafuta a nyini ndi mapiritsi amalowetsedwa kumaliseche pogwiritsa ntchito chopaka. Mphete yakumaliseche ya estrogen yopangidwa ndi pulasitiki yosinthika. Imalowa mkati mwa nyini ndipo iyenera kusinthidwa miyezi itatu iliyonse. Amayi ambiri amalekerera bwino, koma ena amawona kuti sizimamveka bwino kapena nthawi zina amakhala ndi chizolowezi chosuntha ndikutuluka kumaliseche.

Kumayambiriro kwa mankhwala, pamene mucosa nyini ndi woonda kwambiri, estrogen m'dera ntchito mu nyini akhoza difflour mu thupi. Komabe, palibe zotsatira zoyipa zomwe zakhala zikudziwika kwanthawi yayitali pamilingo yovomerezeka.

Non-hormonal mankhwala

Mankhwala osagwirizana ndi mahomoni angathandize kuchepetsa zizindikiro zina za kusintha kwa thupi.

Kulimbana ndi kutentha

Antidepressants. Kafukufuku akuwonetsa kuti mankhwala ena ochepetsa kupsinjika maganizo amatha kuchepetsa kutentha kwa thupi (koma zotsatira zake zimakhala zochepa poyerekeza ndi mankhwala a mahomoni) kaya pali kupsinjika maganizo kapena ayi. Njirayi ingakhale chisankho chokongola kwa amayi omwe ali ndi zizindikiro zowawa komanso kutentha, koma amene sakufuna kumwa mahomoni.

Mankhwala a antihypertensive. Clonidine, mankhwala ochepetsa kuthamanga kwa magazi, adawonetsedwa kuti ndi othandiza pang'ono kuposa placebo pochotsa kutentha. Komabe, mankhwalawa sagwiritsidwa ntchito kwambiri chifukwa amayambitsa zovuta zingapo, monga pakamwa pouma, kugona komanso kudzimbidwa.

Motsutsa kuuma kwa nyini

Gel ya Replens® Moisturizing Gel yawonetsedwa kuti ndi yothandiza kwambiri kumaliseche pochotsa kuyabwa ndi kuyabwa komanso kuwawa panthawi yogonana. Amagwiritsidwa ntchito 2 mpaka 3 tsiku lililonse.

Mosiyana ndi kusinthasintha kwamalingaliro

Kugwiritsiridwa ntchito kwa antidepressants, anxiolytics ndi mapiritsi ogona sayenera kukhala mbali ya nkhokwe ya chisamaliro choyambirira cha kusamba. Zolemba zawo ziyenera kukwaniritsa zomwezo komanso kukhwima kofanana ndi nthawi ina iliyonse ya moyo.

Kulimbana ndi matenda osteoporosis

Mankhwala angapo osagwiritsa ntchito mahomoni amagwiritsidwa ntchito kuti achulukitse mafupa ndikuchepetsa chiopsezo cha fractures. Onani gawo la Medical treatments pa pepala lowona za Osteoporosis.

Kulimbana ndi vuto la kugona

Mfundo zina zothandizira kugona: kuchita masewera olimbitsa thupi nthawi zonse, kugwiritsa ntchito njira zosiyanasiyana kuti mupumule (kupuma kwambiri, kutikita minofu, ndi zina zotero), pewani caffeine ndi mowa ndi kumwa tiyi ya German chamomile kapena valerian herbal tiyi musanagone.⁶. Onaninso Kugona Bwino - Buku Lothandiza.

Moyo wogonana

Kafukufuku amakonda kusonyeza kuti akazi ndi moyo wogonana wotanganidwa amakhala ndi zizindikiro zochepa pa nthawi yosiya kusamba kusiyana ndi omwe amagonana pang'ono kapena osagonana nawo⁷. Koma sizikudziwika ngati pali chifukwa ndi zotsatira zake kapena ngati ndizochitika mwangozi pakati pa ziwirizi.

Komabe, n'zachidziŵikire kuti kusintha kwa msambo komwe kumakhala ndi zizindikiro zambiri kumasokoneza moyo wogonana. Komabe, munthu akhoza kukhalabe ndi moyo wogonana wokhutiritsa pogwiritsa ntchito mankhwala opangira mahomoni a ukazi, moisturizer ya nyini kapena mafuta.

Kumbukirani kuti masewera olimbitsa thupi amathanso kudzutsa chilakolako mwa amayi. Kusamalira libido yogwira, m'pofunikanso kusunga kulankhulana bwino ndi mwamuna kapena mkazi ndi kuthetsa kupsyinjika zonse (ntchito, etc.).

Testosterone. Kufotokozera testosterone kwa amayi omwe ali ndi postmenopausal akadali chodabwitsa ku North America. Komabe, madokotala ochulukirachulukira akuchita izi kuti abwezeretse ndi kulimbikitsa libido, makamaka mwa amayi omwe adachitidwa opaleshoni yochotsa mazira. Zotsatira zoyipa za testosterone zomwe zimagwiritsidwa ntchito mwa amayi sizimamvekabe. Choncho tiyenera kuganizira mankhwalawa ngati kuyesera.

Onani tsamba lathu lofotokoza za vuto la kugonana kwa Akazi.

zowonjezera

Lingaliro lokhalo lovomerezeka limakhudza kugwiritsa ntchito calcium ndi vitamini D zowonjezera kuti zithetsekufooka kwa mafupa, nthawi zina. Kuti mudziwe zambiri, onani tsamba la osteoporosis komanso zomwe zimaperekedwa kuzinthu ziwirizi.