menopauza (nawili II )

menopauza warmoadgens qalis cxovrebis erT-erT etaps da ar aris daavadeba, am dros xdeba sakvercxeebis funqciis daqveiTeba da sabolood gaqroba, imatebs hipofizis hormonebi: folikulo mastimulirebeli hormoni da luTealuri hormoni, vinaidan maT mimarT sakvercxeebis reaqcia daqveiTebulia. qaluri hormonebis estrogenebis da progesteronis raodenoba mcirdeba. swored es mdgomareoba iwvevs im simptomebs (alebi, xasiaTis cvlileba, insomnia da a.S). romelic Tan axlavs menoauzas.

arsebobs sxvadasxva hipoTezebi, romlebic met-naklebad xsnian kacobriobaSi menopauzis rols da mizezs, maT Soris erT-erT gavrcelebulia „bebiobis“ hipoTeza romlis mixedviTac qals menopauza uviTardeba, raTa gaezardoT SviliSvilebs „kargad yofnis“ da gadarCenis Sansi.

menopauzis marTva:

vinaidan menopauza cxovrebis normaluri etapia is TavisTavad ar saWiroebs specifiur mkurnalobas, Tumca arsebobs simptomebi, romelTa mkurnalobac xdeba saWiro garkveul SemTxvevebSi.

hormono CanacvlebiT Terapia:

qalebs, romlebsac aqvT saSvilosno mkurnaloben estrogenebs + progesteroni hormono TerapiiT, xolo im qalebs, romlebsac Catarebuli aqvT histereqtomia – mxolod estrogenebiT. hormonebis miRebis ZiriTadi forma kvlavac oraluria(abebis saxiT), Tumca medikamentebi arsebobs gelebis, spreis, kanqveSa inplantantis da sxva formiT.

hormono CanacvlebiT Terapia efeqturia: alebis, saSos simSralis, saxsrebis tkivilis, Zilis xarisxis da osteoporozis prevenciisTvis.

antidepresantebi:

paroqsetini, fluoqsetinis hidroqloridi (prozaki) da venlaflaqsin hidroqloridi warmatebiT gamoiyeneba alebis samkurnalobd, Zilis da zogadad cxovrebis xarisxis gasaumjobeseblad. serotoninis ukumitacebis seleqtiuri inhibitorebi Teoriulad unda aumjobesebdnen mexsierebasTan dakavSirebul problemebsac.

gabapentini (neurontini) da sxva gaba analogebi arian anti – gulyris sawinaaRmdego saSualebebi. menopauzis dros gamoiyenebian alebis samkurnalod.

sisxlis wnevis medikacia – klonitini (katapresi) , aseve gamoiyeneba