Mmea pii a wɔadi mfe 45-50 no te ɔhyew ne fifiri nka mpofirim. Ebinom fam no, eyi si mpɛn pii da biara, na ebinom fam no, ɛkanyan wɔn anadwo mpo. Yɛfrɛ saa tebea yi ‘Menopause’. Ɛwom sɛ eyi yɛ adebɔ mu ade de, nanso ɔhaw a ɛka ho no betumi ayɛ ahometew kakra. Enti ɛnnɛ yɛreka aduru titiriw bi a nnuruyɛfo kyerɛw ma de yi ɔhaw ahorow yi fi hɔ ho asɛm.
Dɛn ne saa estrogen ahorow a wɔde afrafra yi?
Sɛ yɛbɛka no tiawa a, eyi yɛ ɔbea hormone. Hormone bi a wɔfrɛ no estrogen a efi awosu mu na ɛba yɛn nipadua mu no wɔ saa nnuru yi mu. Bere a ɔbea bi agyae brayɛ no, sɛ brayɛ gyae koraa a, estrogen dodow a ɛwɔ ɔbea mu no so tew kɛse. Ɛno nti na sɛnkyerɛnne te sɛ ɔhyew a ɛyɛ hyew, fifiri, ne ɔbea awotwaa a ɛyɛ kusuu ba no.
Enti nea aduru yi yɛ ne sɛ ɛsan de estrogen hormone a asɛe no ba nipadua no mu. Yɛfrɛ saa Hormone Replacement Therapy (HRT) .
Wɔde saa aduru yi di dwuma titiriw ma:
- Di sɛnkyerɛnne ahorow a ɛbata brayɛ ho, te sɛ ɔhyew a ɛba obi ho so .
- Siw nnompe mu yare, yare a ɛma nnompe yɛ mmerɛw a estrogen dodow a ɛba fam na ɛde ba no ano.
- Sɛ́ aduru a wɔde sa mmea a wɔayɛ wɔn oprehyɛn ayi wɔn mmadwoa anaasɛ wɔn hormone dodow sua esiane nneɛma afoforo nti.
Wɔ Sri Lanka no, wɔtaa tɔn saa aduru yi wɔ din Premarin ase.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi
Esiane sɛ eyi yɛ aduru a ɛma nipadua no nya ahoɔden nti, ebetumi ne aduruyɛ mu tebea horow bi a ebia wowɔ no adi nkitaho. Enti, ɛho hia yiye sɛ wobɛka w’ayaresa ho abakɔsɛm nyinaa akyerɛ wo duruyɛfo ansa na woafi saa aduru yi ase. Titiriw sɛ wowɔ tebea horow a edidi so yi mu biara a, hwɛ hu sɛ wobɛka akyerɛ.
| Yare anaa tebea | Dɛn nti na ɛho hia sɛ yɛma yɛn ani da hɔ? |
|---|---|
| Sɛ wowɔ nufu, awotwaa, awotwaa, anaa awotwaa mu kokoram anaasɛ woanya bi a | Saa kokoram ahorow yi wɔ asiane mu sɛ ebenyin bio esiane estrogen hormone nti. |
| Mogya a ɛba ɔbea no awotwaa mu a wonnim nea ɛde ba | Esiane sɛ eyi betumi ayɛ tebea a emu yɛ den ho sɛnkyerɛnne nti, hormone ayaresa mfata ansa na wɔahu nea ɛde ba. |
| Sɛ nnansa yi ara woanya mogya a ɛtɔ, akisikuru, anaa komayare a | Estrogen betumi ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no ayɛ kɛse bio. |
| Mogya mmoroso, asikreyare, srade a ɛkɔ soro | Saa aduru yi betumi ama ayɛ den sɛ wobedi tebea horow yi so, enti ɛho hia sɛ wɔtaa hwɛ so. |
| mmerɛbo mu yare anaa asaabo mu yare | Saa akwaa ahorow yi ho hia wɔ ɔkwan a wɔfa so yi nnuru fi nipadua no mu no mu. Sɛ nyarewa bi wɔ wɔn mu a, ebia ɛho behia sɛ wɔsesa aduru no dodow. |
| Sɛ woyɛ obi a ɔnom sigaret a | Asiane a ɛwɔ hɔ sɛ mogya bɛtɔ ne akisikuru no dɔɔso yiye titiriw wɔ mmea a wɔadi boro mfe 35 a wɔnom sigaret no fam . |
| Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a | Saa aduru yi mfata wɔ nyinsɛn mu. |
Ɔkwan bɛn so na ɛsɛ sɛ mede aduru no di dwuma na ahwɛyiye bɛn na ɛsɛ sɛ meyɛ?
Ɔkwan pa a wɔfa so nom nnuru
Eyi yɛ mmerɛw yiye.
- Fa dodow a wɔakyerɛw ama wo no ne nsu kuruwa biako , sɛnea wo duruyɛfo akyerɛ wo no.
- Ade a ɛho hia sen biara ne sɛ wobɛnom aduru no bere koro mu da biara . Eyi boa ma nipadua no mu ahoɔdennuru dodow kɔ so yɛ nea ɛkɔ so daa.
- Kenkan ɔyarefo a wɔde hyɛ mu a ɛka w’aduru ho no bere nyinaa. Nsɛm a ɛho hia pii wom.
- Sɛ wopa dose bi a: Fa dose a woayera no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ no a, twa dodow a woayera no so na fa dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru abien prɛko pɛ da.
- Sɛ wonom nsa pii a:Sɛ wususuw sɛ woanom nnuru pii a, kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo ntɛm ara. Anaasɛ frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no .
Nea ɛho hia: Wɔakyerɛw saa aduru yi ama wo nkutoo. Mfa saa aduru yi mma w’adamfo bi, sɛ mpo wɔn nso wɔ yare no ho sɛnkyerɛnne te sɛ wo a.
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom nnuru no
- Aduruyɛ mu nhwehwɛmu a wɔyɛ no daa: Bere a worenom aduru yi no, ɛho hia sɛ wokɔ wo duruyɛfo nkyɛn bere ne bere mu. Wo ne wo duruyɛfo nka nhyehyɛe a wɔayɛ ama nufu mu nhwehwɛmu, Pap smears, ne sɛ ɛho hia a, mammograms ho asɛm.
- Ansa na wɔbɛyɛ wo oprehyɛn: Sɛ wɔayɛ nhyehyɛe sɛ wɔbɛyɛ wo oprehyɛn biara a, ka kyerɛ wo duruyɛfo na bisa afotu wɔ sɛ ebia ɛsɛ sɛ wugyae saa aduru yi nom ansa na wɔayɛ wo oprehyɛn no anaa.
- Asiane a ɛwɔ awotwaa no mu: Sɛ ɔbea a ontwaa awotwaa no nom nnuru a estrogen nkutoo wom bere tenten a, asiane ketewaa bi wɔ hɔ sɛ awotwaa no mu nneɛma (endometrial hyperplasia) no bɛyɛ den na adan kokoram. Nea ɛbɛyɛ na wɔasiw eyi ano no, nnuruyɛfo taa kyerɛw hormone foforo a wɔfrɛ no progestin ka estrogen ho. Wo ne wo duruyɛfo nka eyi ho asɛm na paw ayaresa a eye ma wo.
Nsunsuanso bɔne a ebetumi aba esiane nnuru nti
Te sɛ aduru biara no, eyi betumi de ɔhaw ahorow bi aba. Ebinom yɛ aniberesɛm, ebinom nso abu so.
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
|---|---|
| • Koko mu yaw | • Ɔhome a ɛyɛ den |
| • Ɛyaw, ɔfe, ne kɔkɔɔ wɔ nan no mu, titiriw nantwi ba no | • Tiyɛ a emu yɛ den mpofirim |
| • Anisoadehu sesa, ɛyɛ den sɛ ɔbɛkasa | • Anim, nsa, anaa nan a ɛyɛ mmerɛw mpofirim anaasɛ ɛyɛ mmerɛw |
| • Aniwa anaa honam ani yɛ kɔkɔɔ, nsu a ɛyɛ tuntum, nsu a ɛyɛ bruu | • Mogya a ɛba ɔbea awotwaa mu a ɛnyɛ ne kwan so |
| • Nufu mu akisikuru, nsakrae, anaa nsu a ɛtɔ | • Nsɛnkyerɛnne a ɛkyerɛ sɛ obi ho yɛ no yaw te sɛ honam ani akisikuru ne honam ani akisikuru |
| Nneɛma bɔne a ɛtaa ba a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo sɛ ɛkɔ so anaasɛ ɛhaw adwene a | |
| • Nwi a ɛtɔ | • Nyarewa a ɛba ɔbea awotwaa mu (ɛyɛ akisikuru, nsu a ɛtɔ) . |
| • Akisikuru, ɔfe | • Nsakrae nketenkete a ɛba nipadua mu duru mu |
Nkrasɛm a Wɔde Kɔ Fie
- Conjugated estrogen yɛ hormone aduru a wɔde di brayɛ ho sɛnkyerɛnne ahorow ho dwuma. Ɛsɛ sɛ wɔnom no wɔ aduruyɛfo afotu ase nkutoo.
- Ansa na wubefi saa aduru yi ase no, ka ayaresa tebea horow a wowɔ nyinaa (titiriw kokoram, mogya a ɛtɔ ho abakɔsɛm) ne nnuru a worenom nyinaa kyerɛ wo duruyɛfo.
- Mmea a wɔnom sigaret, titiriw mmea a wɔadi boro mfe 35, wɔ asiane kɛse mu sɛ wobenya akisikuru ne mogya a ɛbɛtɔ bere a wɔnom aduru yi no.
- Sɛ wuhu sɛnkyerɛnne ahorow te sɛ wo koko mu yaw, ɛyɛ den sɛ wobɛhome, wo nan ho ahonhon, anaa wo ti a ɛyɛ wo yaw kɛse a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Mma ntwa aduruyɛ mu nhwehwɛmu a wɔayɛ ho nhyehyɛe (nufu mu nhwehwɛmu, Pap nhwehwɛmu) so bere a worenom aduru no.
- Mfa aduru yi nkyerɛ w’adamfo anaa w’abusua muni, sɛ mpo wɔn yare no ho sɛnkyerɛnne yɛ pɛ a.
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