Hormone hloov kho (HRT) yog lub neej rau ntau tus neeg, txawm tias lawv yuav dhau los lawm lossis hloov poj niam txiv neej. Vim tias muaj kev pheej hmoo pheej hmoo ntawm mob qog noj ntshav lossis lwm yam kev mob tshwm sim, txawm li cas los xij, koj yuav txiav txim siab tso tseg HRT. Yog tias koj npaj tau tso tseg HRT, nrog koj tus kws kho mob tham txhawm rau txiav txim siab txoj hauv kev zoo tshaj rau koj. Feem ntau, tus kws kho mob yuav maj mam txo koj cov tshuaj ntau dua 4-6 lub hlis. Qhov no yog vim tias tsis siv HRT tam sim tuaj yeem ua rau lub cev ntas tag hmo lossis cov tsos mob ntawm cev ntas tsis zoo. Tias yog vim li cas, thaum ua tau, koj lub cev yuav tsum tau txais sijhawm los kho nws cov qib hormone tshiab. Nco ntsoov tias tej zaum yuav muaj qee qhov tshwm sim. Koj tuaj yeem lis cov tsos mob no siv lwm txoj kev kho mob thiab hloov pauv kev ua neej.
Cov kauj ruam
Ntu 1 ntawm 3: Mus ntsib Koj Tus Kws Kho Mob
Kauj Ruam 1. Tham nrog koj tus kws kho mob txog vim li cas koj thiaj xav tso tseg HRT
Txawm hais tias koj txhawj xeeb txog cov kev mob tshwm sim lossis yooj yim ntseeg tias koj tsis xav tau cov tshuaj hormones ntxiv, qhia rau koj tus kws kho mob ua ntej koj tso tseg. Tsis txhob tsum noj koj cov tshuaj yam tsis tau koj tus kws kho mob tso cai.
- Ntev npaum li cas koj yuav tsum tau nyob ntawm HRT yuav nyob ntawm koj tus mob thiab koj tus kws kho mob. Thaum koj tuaj yeem siv thev naus laus zis tau siv tas li, ntau tus kws kho mob yuav tsum tsis kho tom qab 2-5 xyoos.
- Thaum txhua qhov xwm txheej tuaj yeem sib txawv, nws feem ntau pom zoo tias cov neeg hloov pauv tseem nyob hauv HRT kom txog thaum lawv muaj 50 xyoos los txo qhov kev pheej hmoo ntawm txha pob txha.
Kauj Ruam 2. Nug koj tus kws kho mob seb qhov kev pheej hmoo ntawm kev siv HRT yuav yog dab tsi
Raws li koj lub hnub nyoog thiab keeb kwm kev kho mob, koj yuav muaj kev pheej hmoo siab ntawm qee yam kev phiv. Xyuas kom koj paub txog cov kev pheej hmoo no ua ntej tso tseg HRT.
- Yog tias koj siv HRT txhawm rau txo qis kev xeeb tub, cov tsos mob tuaj yeem rov qab los, suav nrog kub kub, qhov chaw qhuav ntawm qhov chaw, ntxhov siab, hloov pauv mus los, mob nqaij, lossis txo qis kev sib deev.
- Yog tias koj muaj keeb kwm ntawm cov teeb meem vasomotor (xws li kub nyhiab lossis lub plawv palpitations) ua ntej noj HRT, nug koj tus kws kho mob seb koj tuaj yeem tswj hwm koj cov tsos mob li cas thaum koj tau tso tseg lawm.
- Thaum HRT tuaj yeem tiv thaiv pob txha los ntawm kev txhim kho, koj txoj kev pheej hmoo yuav rov qab yog tias koj tsis noj HRT.
Kauj Ruam 3. Ua haujlwm ua ke txhawm rau txiav txim siab txoj hauv kev zoo tshaj plaws ntawm kev txwv cov tshuaj hormones
Feem ntau, tus kws kho mob yuav pom zoo maj mam txiav koj cov tshuaj hormones. Uas tau hais tias, yog tias koj muaj cov kev mob tshwm sim hnyav heev, koj tus kws kho mob yuav txiav txim siab xaus koj txoj kev kho tam sim.
Maj mam nres HRT tuaj yeem txo qhov kev pheej hmoo thiab qhov hnyav ntawm cov kev mob tshwm sim
TSWV YIM TSHUAJ
Inge Hansen, PsyD
Clinical Psychologist Dr. Inge Hansen, PsyD, is the Director of Well-Being at Stanford University and the Weiland Health Initiative. Dr. Hansen has professional interests in social justice and gender and sexual diversity. She earned her PsyD from the California School of Professional Psychology with specialized training in the area of gender and sexual identity. She is the co-author of The Ethical Sellout: Maintaining Your Integrity in the Age of Compromise.
Inge Hansen, PsyD
Clinical Psychologist
Our Expert Agrees:
If you're on hormone replacement therapy, you can stop it for any time, and for any reason. For instance, you may only desire a partial effect from your hormones, or you may need to pause them because you're hoping to bring back fertility or because they're having an unintended side affect. However, it's always a good idea to seek guidance from your doctor before you stop. Also, be aware that some effects of hormones will reverse or partially reverse if you stop taking them, while other effects are more permanent.
Part 2 of 3: Stopping Hormones
Kauj Ruam 1. Txuas ntxiv noj cov tshuaj hormones ntev li ntev tau yog koj tus kws kho mob qhia koj kom ua
Feem ntau, koj yuav txiav tawm cov tshuaj hormones hauv 4-6 lub hlis. Yog tias koj txiav txim siab txiav luam yeeb qaib ntxhw txias, txawm li cas los xij, tsum tsis txhob siv cov tshuaj hormones tam sim ntawd.
Kauj Ruam 2. Noj qis dua cov tshuaj hormones
Koj tus kws kho mob tuaj yeem sau tshuaj qis dua cov tshuaj hormones. Yog tias koj noj tshuaj, koj tus kws kho mob yuav pom zoo kom koj txiav cov tshuaj ib nrab ua ntej koj noj.
Kauj Ruam 3. Siv cov tshuaj hormones tsawg dua yog tias koj tus kws kho mob hais kom ua
Qee qhov xwm txheej, tshwj xeeb tshaj yog tias koj tab tom siv thaj lossis gel, koj tus kws kho mob yuav qhia kom koj siv cov tshuaj hormones tsawg dua. Ua raws koj tus kws kho mob cov lus qhia rau noj tsawg zaus.
Kauj Ruam 4. Mus txuas ntxiv los ntawm koj tus kws kho mob
Vim tias HRT tuaj yeem cuam tshuam rau qib qib hormone, koj yuav muaj kev pheej hmoo siab ntawm qee yam kab mob, xws li pob txha, yog tias koj nres nws. Mus ntsib koj tus kws kho mob tas li ob qho tib si thaum thiab tom qab koj tsis siv HRT.
Ntu 3 ntawm 3: Dealing with Side Effects
Kauj Ruam 1. Ua haujlwm tas li
Kev tawm dag zog tuaj yeem pab txhim kho kev pw tsaug zog thiab ua rau koj muaj zog ntxiv. Ua kom nruab nrab kom muaj zog cardio 2-3 zaug hauv ib lub lis piam. Koj tseem tuaj yeem ua qhov hnyav hnyav thiab lwm yam kev qhia ua lub zog ib zaug lossis ob zaug hauv ib lub lis piam los tiv thaiv koj cov pob txha.
- Yog tias koj tab tom dhau lawm, kev tawm dag zog tuaj yeem txo qhov kub hnyiab.
- Yog tias koj tsis ntev los no tsis noj tshuaj testosterone lossis tshuaj estrogen, koj yuav muaj kev pheej hmoo hnyav ntxiv. Koj tuaj yeem siv kev tawm dag zog los tswj lossis poob phaus.
Kauj Ruam 2. Txheeb xyuas qhov ntsuas pob txha pob txha pob txha
Thaum HRT tuaj yeem tiv thaiv kev mob pob txha hauv poj niam cev xeeb tub thiab hloov pauv txiv neej, poj niam hloov pauv yuav muaj kev pheej hmoo siab ntawm pob txha poob thaum nyob ntawm nws. Tsis tas li ntawd, thaum koj tawm ntawm HRT, koj txoj kev pheej hmoo ntawm txha pob txha tuaj yeem rov qab los. Ib zaug lossis ob zaug hauv ib xyoos, mus ntsib koj tus kws kho mob kom kuaj xyuas kom paub tseeb tias koj cov pob txha noj qab nyob zoo.
- Feem ntau, koj tus kws kho mob yuav tshuaj xyuas koj cov pob txha siv lub tshuab DEXA los txiav txim siab koj txoj kev pheej hmoo ntawm pob txha puas.
- Nyob twj ywm thiab noj tshuaj ntxiv nrog calcium thiab vitamin D tuaj yeem tuaj yeem pab tiv thaiv koj cov pob txha.
Kauj Ruam 3. Xyaum cov txheej txheem so kom txaus
Kev ntxhov siab tuaj yeem ua rau hnyav dua lossis ua rau pom cov tsos mob. Txo kev ntxhov siab thiab xyaum ua cov txheej txheem so kom txaus tuaj yeem pab txo cov tsos mob. Koj tuaj yeem sim yoga, xav txog lub siab, lossis ua pa tob tob.
Kauj Ruam 4. Nug koj tus kws kho mob yog tias cov tshuaj tsis muaj tshuaj hormonal yuav pab txo cov tsos mob menopausal
Tibolone, clonidine, antidepressants, thiab gabapentin qee zaum tau hais rau cov poj niam es tsis yog HRT los daws cov tsos mob ntawm cev xeeb tub. Uas tau hais tias, cov tshuaj no tseem muaj qee qhov kev pheej hmoo. Koj tus kws kho mob yuav qhia rau koj paub yog tias cov tshuaj no haum rau koj.
- Tibolone tuaj yeem pab txo qhov kub thiab txhim kho koj txoj kev sib deev. Nws muaj cov kev mob tshwm sim zoo ib yam li HRT, suav nrog mob plab thiab mob plab, mob lub mis, thiab muaj kev pheej hmoo mob qog noj ntshav ntau dua.
- Clonidine muaj qhov cuam tshuam me me rau cov tsos mob ntawm cev ntas, tab sis nws yuav tsis cuam tshuam rau koj cov tshuaj hormones. Cov kev mob tshwm sim suav nrog qhov ncauj qhuav, tsaug zog, nyuaj siab, thiab cem quav.
- Antidepressants tuaj yeem pab kub kub, tab sis lawv muaj kev phiv xws li kiv taub hau, ntxhov siab, ntxhov siab, thiab txo qis kev sib deev.
- Gabapentin tuaj yeem pab kho kub kub thiab pw tsis tsaug zog thaum lub cev ntas. Cov kev mob tshwm sim muaj xws li mob taub hau, kiv taub hau, thiab tsaug zog.
Kauj Ruam 5. Tham nrog koj tus kws kho mob txog kev rov pib dua HRT yog tias koj cov tsos mob hnyav
Yog tias koj cov tsos mob nyob ntev dua 6 lub hlis lossis yog tias lawv cuam tshuam nrog koj lub neej zoo, txiav txim siab rov pib dua HRT. Tham nrog koj tus kws kho mob kom paub seb koj cov kev xaiv yog dab tsi.
