So wo nso wo ho yɛ wo yaw bi wɔ ɔbea awotwaa mu bere a woagyae brayɛ akyi? Ɛtɔ da bi a, ɔbea awotwaa no betumi ate nka sɛ ɛyɛ nwunu, ɛyɛ no yaw, anaasɛ ɛyɛ yaw bere a ɔne obi reda. Eyinom yɛ tebea horow a ɛtaa ba wɔ mmea pii mu ankasa. Enti, ɛnnɛ yɛrebɛka cream bi a ebetumi aboa wɔ ɔhaw a ɛte saa ho asɛm.
Aduru bɛn na eyi yɛ? (Dɛn ne aduru yi?)
Sɛ yɛbɛka no tiawa a, saa aduru yi din ne ' Conjugated Estrogens'. Ɛba sɛ cream a wɔde bɛpete ɔbea awotwaa no so. So wunim sɛ hormone ' Estrogen' a efi awosu mu yɛ wɔ yɛn nipadua mu no so tew bere a yɛagyae brayɛ no. Ɛyɛ bere a Estrogen dodow so tew na ɔhaw ahorow a yɛadi kan aka ho asɛm no ba, kyerɛ sɛ, ɔbea no awotwaa no yɛ kusuu, ɛyɛ kɔkɔɔ, ɛyɛ mmerɛw, anaasɛ ɛyɛ yaw bere a ɔne obi reda. Enti nea saa aduru yi yɛ ne sɛ ɛma Estrogen hormone no kɔ baabi a atwa wo awotwaa ho ahyia no na ɛtew saa ɔhaw ahorow no so. Eyi yɛ aduru a ɛka estrogen hormone kuw no ho. Ebia wunim no denam brand din `Premarin` so.
Wobetumi de saa aduru yi ayɛ nneɛma afoforo nso, enti sɛ wowɔ nsɛmmisa bi a, ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo anaa nnuruyɛfo.
Dɛn na ɛsɛ sɛ meka kyerɛ oduruyɛfo no ansa na mede saa aduru yi adi dwuma?
Eyi yɛ asɛm a ɛho hia paa. Ansa na wubefi ase de saa cream yi adi dwuma no, nneɛma bi wɔ hɔ a ɛsɛ sɛ woka kyerɛ wo duruyɛfo (care team). Efisɛ ebia saa aduru yi mfata obiara. Hwɛ sɛ saa nneɛma yi fa wo ho anaa:
- Sɛ wowɔ mogya a ɛba wo awotwaa mu a ɛnyɛ ne kwan so (a ɛkyerɛ mogya a ɛretu a ɛnte sɛ bere, nanso ɛyɛ soronko, a ntease biara nnim).
- Sɛ woanya mogya atɔ wo mogya ntini mu bere bi a atwam, anaasɛ wowɔ mogya ntini mu yare a.
- Sɛ woanya nufu mu kokoram, awotwaa mu kokoram, awotwaa mu kokoram, anaa awotwaa mu kokoram, anaasɛ woanya pɛn a .
- Sɛ wowɔ yare bi a ɛfa nkae ho te sɛ adwenemhaw a .
- Sɛ wowɔ asikreyare a .
- Sɛ wowɔ akisikuru yare a .
- Sɛ wowɔ komayare anaasɛ woanya komayare nnansa yi a .
- Sɛ wowɔ mogya mmoroso a .
- Sɛ wo mogya mu srade dɔɔso a .
- Sɛ calcium dɔɔso wɔ wo mogya mu a.
- Sɛ wɔatwa wo hysterectomy a .
- Sɛ wowɔ asaabo mu yare a .
- Sɛ wowɔ mmerɛbo mu yare a .
- Sɛ wotaa yɛ wo tiyɛ a ɛyɛ wo yaw a.
- Sɛ wowɔ tebea horow a ɛka mogya a ɛtwetwe, te sɛ Protein C a enni nipadua no mu anaa Protein S a enni nipadua no mu a .
- Sɛ woadi kan anya akisikuru a .
- Sɛ wowɔ yare bi a ɛma nipadua no tumi ko tia nyarewa te sɛ Systemic Lupus Erythematosus (SLE) a .
- Sɛ woyɛ obi a ɔnom sigaret (eyi ho hia yiye).
- Sɛ wo ho yɛ wo hyew wɔ estrogen hormone, nnuru afoforo, nnuan, nnuru a wɔde yɛ nneɛma, anaa nneɛma a wɔde sie ho a.
- Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a .
- Sɛ worema nufu a .
Sɛ eyinom mu biara fa wo ho a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ wo duruyɛfo . Afei obetumi asi gyinae sɛ ebia aduru yi fata wo, anaasɛ ebia ayaresa foforo bɛyɛ papa.
Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi di dwuma?
Eyi nso ho hia paa. Sɛ woamfa anni dwuma yiye a, worennya nea wɔhwɛ kwan no, na ebia wubenya nsunsuanso bɔne mpo.
- Saa cream yi yɛ nea ɛsɛ sɛ wɔde gu ɔbea no awotwaa mu nkutoo. Mfa w’ano nnom esiane biribiara nti.
- Fa di dwuma sɛnea oduruyɛfo no kyerɛ no pɛpɛɛpɛ. Mpɛn pii no, ɛsɛ sɛ wode di dwuma ansa na woada anadwo , efisɛ cream no bɛtra wo honam ani akyɛ. Nanso sɛ wo duruyɛfo ka kyerɛ wo sɛ fa di dwuma bere foforo a, yɛ saa.
- Saa cream yi de ade titiriw bi a wɔde hyɛ mu ba . Ɛno ne nea ɛsɛ sɛ wode di dwuma de gu cream no so.
- Fa samina hohoro wo nsa yiye ansa na wode cream no adi dwuma ne bere a wode bedi dwuma awie no.
- Fa cream dodow a ɛfata hyɛ afiri a wɔde gu so no ma na yi fi afiri no mu.
- Afei, da mpa no so, kotow wo nkotodwe, na trɛw wo nan mu kakra. Fa ahwɛyiye fa aduru a wɔde gu wo ho no hyɛ wo awotwaa mu na pia plunger no kɔ mu na fa aduru no gu so.
- Fa samina nsu a ɛyɛ hyew hohoro afiri a wɔde gu so a wode adi dwuma no yiye, fa nsu hohoro mu, na ma ɛnwo .
- Oduruyɛfo no ka kyerɛɛ wo sɛ nom saa aduru yi bere tenten a wɔka kyerɛɛ wo sɛ fa no nyinaa . Nnyae nom. Sɛ ɛho hia sɛ wugyae a, yɛ saa wɔ oduruyɛfo no afotu nkutoo so.
Nea ɛho hia: Sɛ wɔkyerɛw wo aduru yi a, wo nsa bɛka ɔyarefo ho nsɛm kratasin (patient package insert) nso. Wo nsa bɛka eyi wɔ aduru biara a wɔakyerɛw ama wo ne bere biara a wobɛsan ahyɛ no ma no mu. Kenkan kratawa yi yiye bere biara a wobɛsan ahyɛ no ma, efisɛ nsɛm a ɛwɔ kratawa yi mu no betumi asesa.
Wo ne wo duruyɛfo nkasa mfa saa aduru yi a wode bɛma mmofra ho . Ebia ɛho behia sɛ wɔhwɛ yiye titiriw.
Sɛ wonom nnuru pii a, dɛn na ɛsɛ sɛ woyɛ? (Nneɛma a wɔde ma boro so) .
Sɛ wususuw sɛ woanom aduru yi dodo a, frɛ beae a wɔhwɛ awuduru so anaa baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ ntɛm ara .
Yɛsrɛ sɛ hyɛ no nsow: Saa aduru yi yɛ ma wo nkutoo. Mfa aduru yi nkyɛ obi foforo .
Na sɛ mepa dose bi nso ɛ?
Sɛ wopa dose bi a, fa no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ a, twa dodow a woayera no so na fa wo dodow a edi hɔ no. Mfa nnuru mmɔho abien anaa nea ɛboro so da.
Nneɛma foforo bɛn na ebetumi ne aduru yi adi nkitaho?
Eyi nso ho hia paa. Nnuru afoforo a wonom betumi ne saa aduru yi adi nkitaho na atew aduru no nkɛntɛnso so anaasɛ ama ayɛ kɛse, anaasɛ ɛde nsunsuanso foforo aba.
Mfa saa cream yi nni dwuma ne nnuru a edidi so yi:
- Aromatase inhibitors - sɛ nhwɛsoɔ no, nnuru te sɛ aminoglutethimide, anastrozole, exemestane, letrozole, ne testolactone.
Saa aduru yi nso betumi ne nea edidi so yi adi nkitaho:
- Barbiturates anaa nnuru a ekum akisikuru
- Carbamazepine a wɔde di dwuma
- Nnuru bi a ekum ɔyare mmoawa a wɔde sa nyarewa bi
- Grapefruit nsu a wɔde yɛ
- Nnuru a wɔde sa fungal yareɛ - te sɛ itraconazole ne ketoconazole
- Raloxifene anaa tamoxifen a wɔde ma
- Rifabutin a wɔde yɛ nnuru
- Rifampin na ɔkyerɛwee
- Rifapentine a wɔde yɛ nnuru
- Ritonavir a wɔde di dwuma
- St. John’s Wort (eyi yɛ nhabannuru) .
- Warfarin (aduru a ɛma mogya yɛ mmerɛw) .
Ebia saa nsɛm a wɔahyehyɛ yi renwie pɛyɛ. Enti, ɛsɛ sɛ woka nnuru a worenom nyinaa (wɔakyerɛw ama wo, a wɔmfa nnuru nhyɛ mu, nhabannuru, vitamin, aduan a wɔde ka aduan ho) kyerɛ wo duruyɛfo. Afei nso, sɛ wonom sigaret, wonom nsa, anaa wode nnubɔne foforo di dwuma a, ka kyerɛ wo duruyɛfo . Nneɛma bi betumi ne aduru yi adi nkitaho.
Nneɛma bɛn na ɛsɛ sɛ yɛhwɛ yiye wɔ ho bere a yɛde aduru yi redi dwuma no?
Ɛsɛ sɛ wohwɛ yiye kakra wɔ w’akwahosan ho bere a wode saa aduru yi redi dwuma no.
- Kɔ wo duruyɛfo nkyɛn kɔhwɛ wo daa . Ɛho behia sɛ woyɛ wo nufu mu nhwehwɛmu ne wo akyi berɛmo mu nhwehwɛmu bere ne bere mu. Afei nso, wo ne wo duruyɛfo nkasa mfa nkyerɛ sɛ ebia ɛsɛ sɛ woyɛ mammogram ne bere a ɛsɛ sɛ woyɛ no , na di n’akwankyerɛ akyi.
- Saa aduru yi betumi ama wo nipadua no akura nsu pii, na ama wo nsateaa, wo nsa, ne wo nansoaa ho ahonhon . Ebia wo mogya mmoroso nso bɛkɔ soro . Sɛ wunya eyi a, ka kyerɛ wo duruyɛfo.
- Sɛ biribi nti wususuw sɛ woanyinsɛn a, gyae saa aduru yi a wode di dwuma ntɛm ara na ka kyerɛ wo duruyɛfo .
- Sigaretnom ma asiane a ɛwɔ hɔ sɛ wubenya mogya a ɛbɛtɔ anaasɛ wobɛbɔ akisikuru no yɛ kɛse , titiriw sɛ woadi boro mfe 35. Enti, eye sɛ worennom sigaret .
- Sɛ wohyɛ ahwehwɛ a wɔde hwɛ ade a, sɛ wuhu nsakrae bi wɔ w’ani so anaasɛ sɛ wote nka sɛ wo ho nyɛ wo dɛ bere a wohyɛ w’aniwa ahwehwɛ no a, ka kyerɛ wo duruyɛfo .
- Sɛ woreyɛ oprehyɛn a wopaw a , ebia ebehia sɛ wugyae aduru yi nom ansa na aba. Wo ne wo duruyɛfo nka eyi ho asɛm ansa na woayɛ wo oprehyɛn ho nhyehyɛe.
Dɛn ne aduru yi mu nsunsuanso bɔne a ebetumi afi mu aba? (Nsunsuanso bɔne) .
Te sɛ aduru biara no, saa aduru yi betumi de ɔhaw ahorow aba nnipa binom so, nanso ɛnyɛ obiara na onya bi. Nneɛma bɔne bi a efi mu ba no yɛ aniberesɛm, na sɛ wuhu a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara.
Nneɛma bɔne a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara:
- Allergic reactions anaa angioedema : Wora mu akisikuru, ɛyaw anaa akisikuru, anim, aniwa, anofafa, tɛkrɛma, nsa anaa anan a ɛho ahonhon, ɛyɛ den sɛ wobɛmene anaa wobɛhome. Sɛ eyi ba a, ntwentwɛn wo nan ase.
- Mogya a ɛtɔ : Nan mu yaw, ɛho ahonhon anaasɛ ɛyɛ hyew, ɛyɛ den sɛ wobɛhome, ɛyɛ wo koko mu yaw. Eyi yɛ nea asiane wom kɛse, efisɛ sɛ mogya a ɛtɔ yi kyere a, ebetumi ayɛ ɔhaw kɛse.
- Nsakrae a ɛba nufu mu ntini mu : akuru foforo, kɔkɔɔ, ɛyaw, anaasɛ nsu a efi nufu no mu ba.
- Gallbladder haw : Yafunu mu yaw kɛse, akisikuru, ɔfe, atiridiinini.
- Koma mu yare : Ɛyaw anaasɛ ɛyɛ den wɔ koko, mmati, nsa, anaa anom, akisikuru, ahome a ɛyɛ den, honam ani a ɛyɛ nwini anaa ɛyɛ mmerɛw, akisikuru, anaa adwenemhaw.
- Mogya a ɛtɔ kɛse wɔ ɔbea awotwaa mu .
- Mogya mmoroso a ɛkɔ soro .
- Stroke : Anim, abasa, anaa nan a ɛyɛ mmerɛw mpofirim, ɛyɛ den sɛ ɔbɛkasa, adwene atu afra, ɛyɛ den sɛ ɔbɛnantew, ɛkari pɛ, adwenemhaw, tiyɛ a emu yɛ den, anaa nsakrae a ɛba w’ani so. Fa no sɛ mpofirim ara na ɛyɛ den ma wo sɛ wobɛkasa, na ɛno betumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ woabɔ akisikuru.
- Aniwa mu yaw mpofirim anaasɛ aniwa a ɛsakra : aniwa a ɛyɛ kusuu, hu a wuhu halo ahorow a atwa akanea ho ahyia, aniwa a ɛyera.
- Nsu a ɛba ɔbea awotwaa mu a ɛyɛ soronko , ɛyaw, anaa hua.
Sɛ wuhyia biribi a ɛte sɛɛ a, mma wo ho nnpopo, ntwentwɛn wo nan ase, na kɔ oduruyɛfo nkyɛn ntɛm ara..
Nsunsuanso bɔne a mpɛn pii no enhia sɛ wokɔ ayaresabea, nanso sɛ ɛkɔ so anaasɛ ɛhaw adwene a, ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ:
- Nneɛma a ɛho ayɛ fĩ
- Nufu mu yaw anaasɛ ɛyɛ mmerɛw
- Wora a ɛyɛ tuntum wɔ anim anaa mmeae afoforo a owia bɔ
- Nwi a ɛtɔ
- Brayɛ a ɛnkɔ so daa anaasɛ nsensanee
- Abofono
- Yafunu mu yaw
- Asen, nsa, anaa anan a ɛho ahonhon
Ɛnyɛ nsunsuanso bɔne a ɛwɔ saa din yi mu nyinaa na ebetumi aba. Sɛ wuhu biribi foforo a ɛyɛ soronko a, bisa wo duruyɛfo no ho asɛm.
Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi sie?
- Fa sie baabi a mmofra ne afieboa ntumi nkɔ hɔ.
- Fa sie wɔ dan mu hyew (a ɛyɛ digrii Celsius 15 kosi 30, digrii Fahrenheit 59 kosi 86).
- Tow nnuru a ne bere atwam a womfa nni dwuma.
Kae sɛ kratawa yi yɛ nsɛm a wɔaboaboa ano kɛkɛ. Ebia nsɛm no nyinaa nni mu. Sɛ wowɔ nsɛmmisa foforo biara fa saa aduru yi ho a, wo ne wo duruyɛfo, nnuruyɛfo, anaa akwahosan ho ɔyaresafo foforo nkasa.
Nkrasɛm a Etwa To a Wɔde Kɔ Fie
Okay, enti seesei woanya nteaseɛ pa wɔ nea yɛaka ho asɛm (Conjugated Estrogens Vaginal Cream) no ho. Momma yɛnsan nsusuw nneɛma a ɛho hia sen biara no ho:
- Saa cream yi yɛ nea wɔde gu ɔbea no awotwaa mu nkutoo . Fa di dwuma sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ, bere tenten a wɔde sa yare no.
- Sɛ wowɔ aduruyɛ mu tebea foforo biara anaasɛ worenom nnuru foforo biara a, ka eyinom nyinaa ho asɛm kyerɛ wo duruyɛfo ansa na wode aduru no adi dwuma .
- Sɛ wunya ɔhaw biara a emu yɛ den a , ka kyerɛ wo duruyɛfo ntɛm ara .
- Mma wo werɛ mmfi sɛ wobɛkɔ akɔhwɛ wo daa wɔ bere ne bere mu.
- Saa aduru yi yɛ wo nkutoo dea, nkyɛ obi foforo .
- Sɛ wonom sigaret a, gyae a wubegyae no ye ma w’akwahosan yiye , titiriw bere a worenom hormone therapy te sɛ eyi no.
Sɛ wowɔ adwenem naayɛ anaa nsɛmmisa bi a, nsuro sɛ wubebisa wo duruyɛfo. Afei wubetumi adi saa ayaresa yi akyi yiye na woanya apɔwmuden.
` Estrogen, ɔbea awotwaa, brayɛ, hormone ayaresa, cream, nsunsuanso bɔne, mmea akwahosan
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