Tom qab tshem tawm ntawm qe menyuam los yog muaj mob hnyav heev, tus poj niam yuav tau tso tshuaj hormone hloov tshuaj. Lawv txhim kho lub neej zoo, tiam sis hormone replacement therapy (HRT) rau cov poj niam tuaj yeem hais qhia tau rau qee yam kev qhia:
- nrog menopause ntxov (txog 40 xyoo);
- tom qab tshem tawm ntawm ovaries;
- nrog infertility;
- hormone replacement therapy nyob rau hauv premenopausal thiab irregular menstrual cycle ntawm lub hnub nyoog 40 mus rau 50 xyoo, nrog ib tug loj heev ntawm menopause;
- thaum tshem lub tsev menyuam nrog kev khaws cia;
- nrog rau kev mob ntawm menopause (osteoporosis, atherosclerosis, atrophic vaginitis).
Tab sis cov tshuaj hloov hormone replacement therapy (HRT) muaj ntau lub contraindications:
- qog ntawm tsev menyuam, qe menyuam lossis qog nqaij hlav;
- cirrhosis ntawm daim siab, daim siab tsis ua hauj lwm;
- autoimmune kab mob;
- mob hnyav kawg ntawm ntshav qab zib mellitus;
- dysfunctional uterine los ntshav ntawm tsis meej etiology;
- Tsis txhob hais kom siv cov tshuaj hauv endometriosis, cov leeg ntawm lub tsev menyuam.
Pros thiab cons ntawm hormone replacement therapy
Cov poj niam feem ntau ntshai lub sij hawm ntawm cov tshuaj hormones, yog tias muaj ib qho lawm, kev hloov tshuaj hormone hloov kho nrog phytopreparations, zoo ib yam li poj niam pw ua ke cov tshuaj hormones. Tab sis qee zaum tshuaj hormone kho tau qhia rau ib tug poj niam thiab muaj ntau yam khoom zoo. Cov no suav nrog kev txhim kho kev noj qab haus huv, kev pw tsaug zog thiab lub hlwb. Nyob rau ntawm kev hloov cov tshuaj hormone hloov kho, ntshav siab txo, kev ua haujlwm ntawm lub plawv zoo, lub plawv dhia li qub, vas qiv txhim kho (qhov kev pheej hmoo ntawm lub plawv thiab mob stroke txo qis). Hormonotherapy rau cov poj niam thaum lub sij hawm cev xeeb tub pab kho cov qog ntawm cov thyroid caj pas, txo qhov kev pheej hmoo ntawm txha, kho cov mob ntawm daim tawv nqaij thiab cov xoos mucous (nrog rau qhov chaw hauv nruab nrog cev).
Qhov zoo tsis zoo ntawm hormone replacement therapy yog cov tsos mob uas zoo li tus mob premenstrual syndrome: mob taub hau, txob txob siab, txoj kev qog ntawm cov qog cov qog. Tej zaum yuav muaj kev dysfunctional los ntshav , uas yog qhov kev kuaj xyuas tshwj xeeb kom tsis txhob muaj cov hlab ntsha ntawm lub tsev menyuam. Tej zaum yuav muaj kev hloov ntawm daim tawv nqaij (rog rog, liab liab thiab txob), plaub hau (hirsutism thaum noj cov tshuaj testosterone).
Tshuaj hloov kho hormone: tshuaj
Rau cov tshuaj hormone hloov kho siv yeeb tshuaj uas muaj cov tshuaj estrogens los yog progesterone xwb, nrog rau cov tshuaj hormones ob leeg. Yog hais tias tsis yog lub zes qe menyuam xwb, tabsis kuj yog lub tsev menyuam, kev siv tshuaj yog siv los hloov txoj kev kho. Los ntawm kev npaj muaj tsuas yog estrogens, feem ntau pom zoo npaj Estrofem, Esterozhel, Proginova. Cov kev npaj uas muaj cov progesterone analogues tsuas yog Utrozhestan, Dufaston, Progesterone. Tag nrho
Analogs ntawm hormone replacement therapy yuav phytoestrogens, uas nyob hauv lawv cov kev ua tau zoo li poj niam estrogens, tab sis ntau weaker ntawd lub zog ntawm cov nyhuv. Rau lub hom phiaj no, tsis yog cov khoom siv nyob rau hauv phytoestroics, tab sis phytopreparations los ntawm cov nroj tsuag nplua nuj nyob rau hauv lawv (xws li liab clover belongs rau xws li nroj tsuag).