Hom ntawm kev kho tshuaj hormone

Kev kho tus kheej (HT) siv ib lossis ntau dua los kho tib neeg lub cev lawm. HT siv estrogen, progestin (ib hom progesterone), lossis ob qho tib si. Qee zaum testosterone tseem ntxiv rau.

Cov tsos mob lawm no muaj xws li:

• Kub muag kub
• Hmo ntuj tawm hws
• Teeb meem pw tsaug zog
• Vaginal dryness
• Ntxhov siab vim
• Kev txom nyem
• Tsawg nyiam ua pojniam

Tom qab lawm, koj lub cev tsis ua estrogen thiab progesterone. HT yuav kho tau cov tsos mob lawm uas yuav xeeb txob koj.

HT muaj qee qhov kev pheej hmoo. Nws yuav ua rau koj qhov kev pheej hmoo rau:

• Cov ntshav txhaws
• Tus mob cancer mis
• Kab mob plawv
• Mob stroke
• Gallstones

Txawm hais tias muaj kev txhawj xeeb no, rau ntau tus pojniam, HT yog qhov muaj kev nyab xeeb los kho tus mob lawm.

Tam sim no, cov kws tshaj lij tsis meej txog koj yuav siv sijhawm ntev npaum li cas HT. Qee pawg kws tshaj lij qhia tias koj tuaj yeem siv HT rau cov tsos mob rau lub cev ntev dua yog tias tsis muaj laj thawj kev kho mob los txiav tawm cov tshuaj. Rau ntau tus poj niam, qhov tshuaj txhaj qis ntawm HT yuav txaus kom tswj tau cov teeb meem tshwm sim. Kev qis qis ntawm HT yuav muaj qee qhov kev mob tshwm sim. Cov no yog txhua yam teeb meem los tham nrog koj tus kws kho mob.

HT los ntawm ntau hom ntawv. Koj yuav tsum tau sim ua ntau hom ua ntej nrhiav qhov uas zoo tshaj plaws rau koj.

Estrogen los nyob rau hauv:

• Nasal tsuag
• Tshuaj lossis ntsiav tshuaj, noj ntawm qhov ncauj
• Daim tawv nqaij gel
• Daim tawv nqaij, pleev rau tus ncej puab lossis plab
• Lub paum los sis cov ntsiav tshuaj ntawm lub paum kom pab nrog dryness thiab mob nrog kev sib deev
• Vaginal ntiv nplhaib

Cov poj niam feem ntau uas siv cov tshuaj estrogen thiab uas tseem muaj lawv lub tsev menyuam kuj tseem yuav tau noj cov progestin. Noj cov tshuaj hormones ob leeg ua ke txo txoj kev pheej hmoo mob qog nqaij hlav endometrial (uterine). Cov poj niam uas tau raug tshem tawm lawv lub tsev menyuam tuaj yeem tsis muaj mob qog nqaij hlav endometrial. Yog li, tshuaj estrogen ib leeg pom zoo rau lawv.

Progesterone lossis progestin los hauv:

• Ntsiav tshuaj
• Daim tawv muag tawv nqaij
• Lub paum cream
• Hais ntawm lub paum paum
• Intrauterine ntaus ntawv lossis kab ke hauv tsev

Yam HT uas koj tus kws kho mob sau ntawv yuav yog nyob ntawm koj lub cev ntas lawm koj muaj. Piv txwv li, tshuaj ntsiav lossis thaj ua rau thaj tuaj yeem kho hws hmo ntuj. Lub paum ntawm lub paum, cov tshuaj pleev, lossis cov ntsiav tshuaj pab ua kom lub paum ntawm qhov chaw mos.

Sib tham cov txiaj ntsig thiab qhov pheej hmoo ntawm HT nrog koj tus kws kho mob.

Thaum noj cov tshuaj estrogen thiab progesterone ua ke, koj tus kws kho mob yuav qhia ib qho ntawm cov sijhawm no:

Cyclic kev kho tshuaj hormones feem ntau pom zoo thaum koj pib lawm.

• Koj noj cov tshuaj estrogen ua ntsiav tshuaj lossis siv nws hauv daim ntawv thaj rau 25 hnub.
• Progestin ntxiv rau hnub 10 thiab 14.
• Koj siv cov estrogen thiab progestin ua ke rau qhov seem nyob hauv 25 hnub.
• Koj tsis txhob noj cov tshuaj hormones 3 mus rau 5 hnub.
• Koj yuav muaj qee zaum txhua hli los nrog kev kho cyclic.

Kev sib txuas ua ke yog thaum koj noj estrogen thiab progestin ua ke txhua hnub.

• Tej zaum koj yuav muaj qee qhov ntshav txawv txav thaum pib lossis hloov mus rau lub sijhawm HT.
• Cov poj niam feem ntau tsis los ntshav hauv 1 xyoos.

Koj tus kws kho mob yuav sau ntawv rau lwm cov tshuaj yog tias koj muaj cov tsos mob hnyav lossis muaj kev pheej hmoo siab ceev. Piv txwv li, koj kuj tseem tuaj yeem siv testosterone, tus txiv neej hormone, los txhim kho koj lub zog kev sib deev.

HT tuaj yeem muaj cov kev mob tshwm sim, suav nrog:

• Los ntshav
• Mis mob
• Mob taub Hau
• Mus ob peb vas hloov
• Xeev siab
• Dej cia
• Los ntshav tsis xwm yeem

Qhia rau koj tus kws kho mob yog tias koj pom cov kev mob tshwm sim. Hloov cov koob tshuaj lossis hom ntawm HT koj noj yuav pab txo cov kev mob tshwm sim no. TSIS TXHOB hloov koj li tshuaj lossis tsum tsis txhob noj HT ua ntej tham nrog koj tus kws kho mob.

Yog tias koj muaj qhov los ntshav ntawm chaw mos los yog lwm cov tsos mob txawv txawv thaum HT, hu rau koj tus kws kho mob.

Nco ntsoov mus ntsib koj tus kws kho mob mus soj ntsuam tas li thaum noj HT.

HRT- hom; Kev hloov pauv tshuaj estrogen - hom; ERT- hom kev kho cov tshuaj hormones; Kev hloov kho Hormone - hom; Kev coj khaub ncaws - hom kev kho qog noj; HT - hom; Menopausal lawm hom

ACOG pawg neeg tawm tswv yim tsis tau. 565: Kev kho tshuaj hormones thiab mob plawv. Obstet GynecolCov. 2013; 121 (6): 1407-1410. PMID: 23812486 pubmed.ncbi.nlm.nih.gov/23812486/.

Cosman F, de Beur SJ, LeBoff MS, li al. Tus kws kho mob cov lus qhia rau kev tiv thaiv thiab kho kab mob hauv. Osteoporos IntCov. Xyoo 2014; 25 (10): 2359-2381. PMID: 25182228 pubmed.ncbi.nlm.nih.gov/25182228/.

de Villiers TJ, Hall JE, Pinkerton JV, li al. Kho dua tshiab thoob ntiaj teb kev pom zoo cov lus hais txog kev kho tus mob lawm. ClimactericCov. 2016; 19 (4): 313-315. PMID: 27322027 pubmed.ncbi.nlm.nih.gov/27322027/.

Lobo RA. Kev coj khaub ncaws thiab kev saib xyuas ntawm tus poj niam laus: endocrinology, qhov tshwm sim ntawm cov tshuaj estrogen tsis txaus, kev cuam tshuam ntawm kev kho tshuaj hormone, thiab lwm txoj kev kho mob. Hauv: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Saib Hluag Tshaj Lij HlawvCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: chap 14.

Magowan BA, Owen P, Thomson A. Lub cev ntas thiab kev hloov kho cov tshuaj hormones. Hauv: Magowan BA, Owen P, Thomson A, eds. Clinical Obstetrics thiab GynecologyCov. 4 tug ed. Elsevier; 2019: chap 9.

Stuenkel CA, Davis SR, Gompel A, li al. Kev kho mob ntawm cov tsos mob ntawm lub cev lawm: kev Endocrine Society soj ntsuam cov txheej txheem. J Clin Endocrinol MetabCov. Xyoo 2015; 100 (11): 3975-4011. PMID: 26444994 pubmed.ncbi.nlm.nih.gov/26444994/.

• Kev Hloov Kho Hormone
• Kev coj khaub ncaws