{"id":54425,"date":"2016-08-15T06:00:42","date_gmt":"2016-08-15T04:00:42","guid":{"rendered":"http:\/\/novanews.co.za\/rooirose\/?p=54425"},"modified":"2016-11-21T13:39:58","modified_gmt":"2016-11-21T11:39:58","slug":"verpersoonlikte-hormoonpille-wat-jy-moet-weet","status":"publish","type":"post","link":"https:\/\/novanews.co.za\/rooirose\/verpersoonlikte-hormoonpille-wat-jy-moet-weet\/","title":{"rendered":"Verpersoonlikte hormoonpille: wat jy moet weet"},"content":{"rendered":"<p>Persoonlike hormoonpille vir die menopouse is h\u00ed\u00e9r. In plaas daarvan dat jy dieselfde \u2018<em>one size fits all<\/em>\u2019 pakkie pille as jou vriendin by die apteek koop, maak \u2019n saamsteller-apteek, nou \u2019n hormoonkombinasie spesifiek vir jou op, gebaseer op jou eie hormoonprofiel en jou eie reaksie op hormone.\u00a0Hierdie nommerpas medisyne word n\u00e9t vir jou opgemaak, en pas perfek by jou. Of so s\u00ea hulle.<\/p>\n<p>&nbsp;<\/p>\n<h4>Hoe werk verpersoonlikte hormoonpille?<\/h4>\n<p>Hierdie vorm van medikasie word gestratifiseerde medikasie genoem. Waar daar\u00a0normaalweg\u00a0groot farmaseutiese maatskappye is\u00a0wat pille by die ton vir die &#8216;gemiddelde&#8217; mens maak en w\u00eareldwyd verkoop, kom daar nou \u2019n nuwe aspek by: medisyne spesifiek vir \u2019n individu, volgens jou eie profiel. Die medikasie van die toekoms pas dus by jou, eerder as wat jy daarby aanpas.<\/p>\n<p>Hormoonvervanging vir die menopouse is perfek hiervoor. Niemand is presies soos jy aanmekaar gesit nie, en niemand se menopouse voel presies soos joune nie. Ons kan almal baat by hormoonterapie, maar wat jy benodig\u00a0kan effens verskil van wat ek benodig. Jy het dalk \u2019n titseltjie meer estrogeen nodig om hittegloede onder beheer te hou. Of jy kan wegkom met heelwat minder progesteroon as in die standaard formules. Of jy sal baat by \u2019n knypie testosteroon vir jou libido, wat glad nie in die standaardformules voorkom nie. Of jy loop \u2019n risiko op estrogeen-verwante borskanker, en moet die minimum estrogeen gebruik.<\/p>\n<p>Die Britse <em>Royal Pharmaceutical Society<\/em> glo dit gaan die rol van dokters en die apteker drasties verander. Die dokter van die toekoms gaan jou genetiese profiel beskikbaar h\u00ea en net daar op sy rekenaar kan lees watter risiko\u2019s jy loop. Hy gaan jou huidige hormoonprofiel in sy spreekkamer toets en vasstel \u00a0waarvan jy te min en waarvan jy genoeg het. N\u00e1 sy diagnose gaan hy \u2019n baie gespesifiseerde medikasie vir jou as pasi\u00ebnt wil voorskryf.<\/p>\n<p>En hy sal ook kan, want die apteker van die toekoms weet hoe om hierdie nommerpas medikasie te maak &#8211; al is dit letterlik net \u2019n maand se voorraad. Jy gebruik dit en s\u00ea hoe dit vir jou voel. Jou dokter en apteker kan ook toets hoe goed jy vaar en verander jou doepa bietjie vir bietjie tot julle almal tevrede is.<\/p>\n<p>Maar is ons regtig al gereed? Kan jy vandag jou verpersoonlikte medikasie gaan bestel? En moet jy? En waarom dink die toonaangewende <em>USA Endocrine Society<\/em>, na wie die meeste ginekolo\u00eb opkyk vir leiding, dat dit nie \u00f3ns, die pasi\u00ebnte, noodwendig gaan baat nie?<\/p>\n<p>&nbsp;<\/p>\n<h4>Wat s\u00ea \u2019n\u00a0apteker oor persoonlike hormoonpille?<\/h4>\n<p>Samestellende apteker <a href=\"http:\/\/www.fagron.co.za\" target=\"_blank\">dr. Reinhard Uebel<\/a> s\u00ea mediese dokters fokus steeds meestal op standaard behandeling vir die \u2018tipiese\u2019 pasi\u00ebnt \u2013 ongeag of jy tipies is. \u201cHulle baseer hul voorskrif op die \u2018beste uit die beskikbare keuses\u2019 al is dit nie die \u2018beste keuse vir jou\u2019 nie.<\/p>\n<p>\u201cVir baie mense werk dit &#8211; maar nie vir daardie vroue wat hoofpyn ontwikkel of naar voel of opswel van haar hormoonvervangingsterapie nie. Jou dokter kan jou hormoonpille een of twee keer verander, maar hy het net twee\/drie opsies. As jy bly sukkel, kan hy niks anders doen as om vir jou te s\u00ea \u2018Mevrou, dit is nou maar hoe die lewe is. Jy moet hiermee saamleef of die medikasie los.\u2019<\/p>\n<p>\u201cEn dit is so \u2013 tensy jou dokter en \u2019n samestellende apteker saamwerk en vir jou \u2019n kombinasie van hormone uitwerk.<\/p>\n<p>&#8220;Nog iets waarmee ons kan help is die formaat van jou medikasie. Gestel \u2019n vrou het reeds lewerprobleme. Ons kan dan haar\u00a0hormoonformule in \u2019n plakker plaas, sodat haar\u00a0lewer gesystap word. Of ons kan haar\u00a0hormoonformule opmaak as \u2019n plakker, vaginale setpil, inspuiting of ondervel kapsule.<\/p>\n<p>\u201cMaar gaan dit altyd werk? Vir seker &#8211; maar nie noodwendig dadelik nie. Dit kan ons \u00f3\u00f3k twee, drie maande neem om by die volmaakte formule vir jou uit te kom. Jy gebruik dit, s\u00ea\u00a0hoe dit vir jou voel en ons pas aan tot ons j\u00f3\u00fa resep het.\u201d<\/p>\n<p>&nbsp;<\/p>\n<h4 style=\"text-align: center;\"><span style=\"text-decoration: underline;\"><em>Die meeste apteke kan nie medikasie saamstel nie. Dit word net deur \u2019n\u00a0paar spesialisapteke gedoen wat farmaseutiese standaarde handhaaf.<\/em><\/span><\/h4>\n<p>&nbsp;<\/p>\n<h4>Wat s\u00ea \u2019n ginekoloog oor verpersoonlikte hormoonterapie?<\/h4>\n<p><a href=\"http:\/\/www.wijnlandfertility.co.za\" target=\"_blank\">Dr Johannes van Waart<\/a>, wat as fertiliteitspesialis in vrouehormone superspesialiseer, is ewe positief as versigtig.<\/p>\n<p>\u201cVroue voel goed as hul hormoonvlakke reg is. Enige modifikasie van jou hormone be\u00efnvloed jou lewe dramaties. Daarby is vroue hoogs individueel. Anders sou almal lig gemenstrueer het, maklik swanger geraak en wonderlik deur die menopouse gegaan het. Daar \u00eds plek vir ge\u00efndividualiseerde hormoonvervanging.<\/p>\n<p>\u201cMy enigste voorbehoud is h\u00f3\u00e9 besluit word watter hormoonkombinasie reg is. Hormone is nie so eenvoudig as a+b=ab nie. Jy kan \u2019n hele kaskade van gebeure sneller deur \u2019n swak interpretasie. Hormone is \u2019n superspesialisasie waarin selfs ginekolo\u00eb net basies opgelei is.<\/p>\n<p>\u201cJou dokter moet in die eerste plek verstaan watter toetse om aan te vra. Jou hormoonprofiel word baie betroubaar met speekseltoetsing bepaal. Maar verpersoonlikte hormoonbehandeling word baie dikwels opgemaak as \u2019n vaginale pil of as \u2019n plakker, wat hormone anders vrystel en meebring dat speekseltoetsing nie meer betroubaar is om op te volg hoe jy op jou formule reageer nie.<\/p>\n<p>\u201cParty praktyke doen nie eers toetsing nie: hulle vra na jou simptome en geskiedenis, en evalueer jou liggaamsbou. Jy kan hiervan niks anders s\u00ea as dat dit uiters onwetenskaplik en primitief is nie \u2026 en dan maak hulle die aanspraak dat hulle \u2019n \u2018optimale, verpersoonlikte hormoonkombinasie\u2019 vir jou opgestel het.<\/p>\n<p>\u201cDaarby moet jou dokter al die potensi\u00eble interpretasies van jou hormoonprofiel verstaan. Dit gaan oor baie meer as net die hoeveelheid estrogeen e progesteroon.<\/p>\n<p>\u201cJou dokter moet ook seker wees van die gehalte van hormone wat die apteker wil gebruik. Planthormone is nie \u2018natuurlik\u2019 vir mense nie \u2013 ons is nie plante nie.<\/p>\n<p>\u201cMaar verpersoonlikte hormoonpille \u00eds vir vroue met probleme \u2019n wonderlik uitkoms. As jy hierdie roete volg, wees eerder versigtig. Vra watter hormone hulle gaan gebruik en vra ook wie jou hormoonprofiel gaan lees. Doen moeite om \u2019n dokter te kry wat spesifiek in vrouehormone superspesialiseer.\u201d<\/p>\n<p>&nbsp;<\/p>\n<h4>Wat s\u00ea die <em>USA Endocrine Society<\/em> oor apteker-gemaakte hormoonpille vir die menopouse?<\/h4>\n<p>In hul <a href=\"http:\/\/www.medscape.com\/viewarticle\/861365\" target=\"_blank\">verklaring oor verpersoonlikte hormoonterapie<\/a> in April 2016 s\u00ea hulle:<\/p>\n<p>\u2022 Plantaardige hormoonformules is nie konsekwent ewe sterk nie en word nie goed beheer nie. Jy kan dus maklik oor- of onderbehandel word.<\/p>\n<p>\u2022 Apteke handhaaf nie almal goeie standaarde nie. In een insident in die VSA is 60\u00a0mense dood weens \u2019n swambesmetting in verpersoonlikte medikasie.<\/p>\n<p>\u2022 Dit is onwaar dat \u2018natuurlike\u2019 hormone wat van plante af kom, veiliger is. Dit\u00a0hou net soveel risiko in as sintetiese hormone.<\/p>\n<p><strong>Nog \u2019n gedagte<\/strong><\/p>\n<p>Prys is \u2019n faktor. Jy kan verwag om meer te betaal vir jou medikasie omdat dit hoogs gespesialiseerde kennis, toerusting en vaardigheid verg. Jou mediese fonds sal in die re\u00ebl hiervoor betaal nie.<\/p>\n<p>&nbsp;<\/p>\n<h4>Lees ook<\/h4>\n<p>\u2022 Moenie na\u00efef wees en die slagoffer van swak produkte en oneerlike bemarking raak nie. Lees beslis hoekom menopousale vroue moet koel bly oor hormoonpille.<\/p>\n<p>\u2022 Wees en voel mooi tydens die <a href=\"https:\/\/novanews.co.za\/rooirose\/menopouse-n-sensueler-jy\/\" target=\"_blank\">menopouse<\/a><\/p>\n<p>\u2022\u00a0<a href=\"https:\/\/novanews.co.za\/rooirose\/jackie-burger-se-styl-geheime\/\" target=\"_blank\">Jackie Burger<\/a>, styl-ikoon vir 50-plussers, se onverganklike stylwenke.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>rooi rose-leser Janneke se vraag van die maand: Ek hoor jy kan nou persoonlike hormoonpille laat opmaak wat by jou eie hormoonvlakke pas. Ek is op 49 naby die menopouse. Omdat die Pil goed vir my werk wil ek na hormoonvervanging oorgaan. Maar wat is die beste?  Is hormoonpille wat vir jou opgemaak word beter en veiliger? Of is daar gevare waarvan ek moet weet? Deur Salome Delport. Foto Pexels<\/p>\n","protected":false},"author":19,"featured_media":54633,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[667],"tags":[1528,5312],"class_list":["post-54425","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gesondheid","tag-menopouse","tag-hormoonterapie"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Verpersoonlikte hormoonpille: wat jy moet weet | rooi rose<\/title>\n<meta name=\"description\" content=\"hormoonpille vir menopouse\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/novanews.co.za\/rooirose\/verpersoonlikte-hormoonpille-wat-jy-moet-weet\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" 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