Medical Library - Medical Teaching Hospital, Maribor (SBMB)
13.
Hormonsko nadomestno zdravljenje = Hormone replacement therapy
Takač, Iztok
V obdobju peri- in pomenopavze se pri večini žensk zaradi pomanjkanja estrogenov pojavijo menopavzni simptomi, ki so tudi najpogostejša indikacija za hormonsko nadomestno zdravljenje (HNZ). HNZ ...uvedemo tudi pri urogenitalni atrofiji, za preprečevanje in zdravljenje osteoporoze ter ob nastopu menopavze pred 40. letom. Pri HNZ uporabljamo najnižje možne odmerke estrogenov in gestagenov, trajanje zdravljenja pa zavisi od indikacije. Pred uporabo HNZ je potrebno opraviti določene preiskave, bolnice med zdravljenjem pa redno, enkrat letno, spremljamo. Podaljšano HNZ povečuje tveganje za nastanek raka dojk, venske tromboze in pljučne embolije, žolčnih kamnov ter raka endometrija. Pred uvedbo HNZ moramo upoštevati kontraindikacije za to vrsto zdravljenja.
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