Menopause yɛ bere a nsakrae kɛse ba ɔbea asetra mu. Ebia wubenya ɔhyew, ɔhyew, ne adwene a ɛsakra. Ɛtɔ da bi a, wo nnompe nso betumi afi ase ayɛ mmerɛw wɔ saa bere yi mu. Sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi a, ebia wo duruyɛfo aka akyerɛ wo sɛ fi ase yɛ hormone ayaresa. Estradiol ne Norethindrone yɛ saa nkwaadɔm yi mu abien a wɔaka abom wɔ aduru bi mu. Enti momma yɛnka eyi ho asɛm wɔ ɔkwan a ɛnyɛ den so nnɛ.
Dɛn na wɔde saa aduru yi di dwuma?
Sɛ yɛbɛka no tiawa a, eyi ne Hormone Replacement Therapy (HRT). Wɔde saa aduru yi ma sɛnea ɛbɛyɛ a estrogen ne progesterone hormone dodow a ɛwɔ wo nipadua mu a ɛso tew bere a woagyae brayɛ no asan aba, akodu baabi.
Eyi botae titiriw ne sɛ:
- Ɔhaw a ɛba bere a obi agyae brayɛ no so tew: Eyi boa ma wodi nneɛma te sɛ ɔhyew a ɛba ne fifiri a ɛba anadwo so no so.
- Nnompe a wɔbɛma ayɛ den: Sɛ obi gyae brayɛ a, nnompe yɛ teateaa na ɛnyɛ den sɛ ebebubu (osteoporosis). Saa aduru yi brɛ saa asiane no ase.
Nea ɛho hia sen biara no, wɔde saa aduru yi ma mmea a wɔda so ara wɔ wɔn awotwaa efisɛ hormone Norethindrone a ɛwɔ mu no boa ma wɔbɔ awotwaa no afasu ho ban.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi
Ansa na wo duruyɛfo bɛkyerɛw saa aduru yi no, ebehia sɛ ohu w’akwahosan ho abakɔsɛm nyinaa. Nea enti a ɛte saa ne sɛ aduruyɛ mu tebea horow bi betumi ama ayɛ nea asiane wom sɛ wɔde aduru yi bedi dwuma. Enti, sɛ wowɔ tebea horow a edidi so yi mu biara a, hwɛ hu sɛ wobɛka ho asɛm akyerɛ wo duruyɛfo.
| W’akwahosan tebea | Dɛn nti na ɛsɛ sɛ mebɔ wo amanneɛ? (Nea ɛte saa ara) . |
|---|---|
| Nufu, awotwaa, awotwaa mu kokoram, anaa kokoram tebea foforo | Esiane sɛ kokoram ahorow bi gyina hormone so nti, saa aduru yi betumi ama anyin. |
| Komayare, komayare anaa akisikuru a ɛbae nnansa yi | Sɛ wowɔ komayare bi a, eyi betumi ayɛ asiane, efisɛ saa nkwaadɔm yi betumi ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no ayɛ kɛse. |
| Mogya ntini mu yare anaa mogya a ɛtwetwe ho haw | Ntease koro no ara a ɛwɔ atifi hɔ no. Ɛma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no yɛ kɛse. |
| mmerɛbo mu yare anaa akisikuru mu yare | Nipadua no nam mmerɛbo no so di saa nkwaadɔm yi ho dwuma. Sɛ mmerɛbo no yɛ mmerɛw a, aduru no betumi aboaboa ano wɔ nipadua no mu na ayɛ awuduru. |
| Mogya a ɛtɔ wɔ ɔbea no awotwaa mu a wontumi nkyerɛkyerɛ mu | Esiane sɛ eyi betumi ayɛ tebea bi a emu yɛ den a ɛde ba ho sɛnkyerɛnne nti, hormone ayaresa mfata kosi sɛ wobehu nea ɛde ba. |
| Asikreyare, srade a ɛdɔɔso, mogya mmoroso | Ebia saa aduru yi benya nkɛntɛnso wɔ tebea horow yi a wobedi so no mu. |
| Atiridiinini, Adwenemhaw, Endometriosis, Fibroids | Saa tebea horow yi betumi asɛe anaasɛ ɛbɛsakra esiane nsakrae a ɛba nipadua mu nkwaadɔm mu nti. |
| Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a | Saa aduru yi mfata koraa wɔ nsɛm yi mu. |
| Sɛ wonom sigaret (titiriw sɛ woadi boro mfe 35 a) . | Sigaretnom ne saa nkwaadɔm yi a wɔaka abom no ma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ ne akisikuru no yɛ kɛse . |
Wode saa aduru yi di dwuma dɛn?
Eyi yɛ mmerɛw yiye. Fa aduru biako ne nsu kuruwa biako bɛyɛ bere koro mu da biara, sɛnea wo duruyɛfo ka no. Nnipa binom betumi anya yafunu mu yaw sɛ wɔfa no yafunu a hwee nni mu a. Sɛ saa a, fa ka aduan ho.Mma nnom nsen dodow a wo duruyɛfo akyerɛ wo no esiane biribiara nti.
Na sɛ me werɛ fi sɛ mɛnom m’aduru nso ɛ?
Fa no sɛ wonom wo aduru no anɔpa nnɔnwɔtwe da biara. Ɛnnɛ wokaee awia 12. Afei fa aduru a woayera no ntɛm ara. Nanso sɛ ɛyɛ bɛyɛ anadwo nnɔnsia-7 bere a wokae no, a ɛkyerɛ sɛ ɛbɛn bere a ɛsɛ sɛ wonom no adekyee anɔpa nnɔnwɔtwe no yiye a, ɛnde wo werɛ mfi aduru a woayera no. Nom aduru biako pɛ adekyee anɔpa nnɔnwɔtwe sɛnea wotaa yɛ no. Mma nnom nnuru abien prɛko pɛ da mfa nsiesie nea woayera no.
Nneɛma afoforo a ebia ɛne aduru yi bedi nkitaho
Ɛho hia yiye sɛ wobɛka nnuru, vitamin, ne nhabannuru biara a worenom ho asɛm kyerɛ wo duruyɛfo, efisɛ nnuru bi betumi ne saa hormone nnuru yi adi nkitaho na ama aduru no atew anaasɛ ɛbɛma ayɛ adwuma yiye, anaasɛ ɛde nsunsuanso bɔne a ɛyɛ hu aba.
Titiriw no, kokoram nnuru bi (Aromatase inhibitors), akisikuru nnuru (e.g. Carbamazepine, Phenytoin), nnuru bi a ekum ɔyare mmoawa (e.g. Rifampin), ne grapefruit nsu mpo betumi ne saa aduru yi adi nkitaho. Enti hwɛ hu sɛ wobɛka biribiara a wobɛnom ho asɛm akyerɛ wo duruyɛfo .
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom nnuru no
Ɛho hia paa sɛ wode w’adwene si wo nipadua so kakra bere a wode saa aduru yi redi dwuma no.
- Aduruyɛ mu nhwehwɛmu a wɔyɛ no daa: Anyɛ yiye koraa no, kɔ wo duruyɛfo nkyɛn pɛnkoro asram 6 biara na woakɔhwɛ wo koraa. Ɛho hia sɛ wɔyɛ nufu mu nhwehwɛmu, wɔyɛ wɔn akyi berɛmo mu nhwehwɛmu, na sɛ ɛho hia a, wɔyɛ wɔn nufu mu nhwehwɛmu.
- Kwati sigaretnom: Sɛnea yɛadi kan aka no, sigaretnom bere a ɔnom aduru yi ma ɔbea a wadi boro mfe 35 no te sɛ nea wobue ɔpon ma komayare ne akisikuru. Enti, kwati sigaretnom koraa.
- Ɔhonhon: Ɛtɔ da bi a, saa aduru yi tumi ma nsuo kɔ nipadua no mu, na ɛma nsateaa, nsa, anaa asen mu hohoro. Ebetumi ama mogya mmoroso nso akɔ soro. Sɛ eyi ba a, ka kyerɛ wo duruyɛfo .
- Ansa na wobɛyɛ oprehyɛn: Sɛ wɔayɛ nhyehyɛe sɛ wɔbɛyɛ wo oprehyɛn a, wo ne wo duruyɛfo nka ho asɛm na bisa sɛ ɛsɛ sɛ wugyae aduru yi nom ansa na wɔayɛ wo oprehyɛn no anaa.
Nsunsuanso bɔne a ebetumi afi aduru no mu aba
Te sɛ aduru biara no, eyi betumi de ɔhaw ahorow aba nnipa binom so. Eyinom bi yɛ aniberesɛm, ebi nso abu so.
| Nsunsuanso bɔne a anibere wom a ɛhwehwɛ sɛ wɔkɔ ayaresabea ntɛm ara | |
|---|---|
| Koko mu yaw a emu yɛ den mpofirim, ɛyɛ den sɛ ɔbɛhome | Ebetumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ mogya atɔ ahurututu mu. |
| Nan mu yaw, ɛho ahonhon, ɛyɛ kɔkɔɔ, ne ɔhyew nka | Mogya a ɛtɔ ntini bi a ɛwɔ nan no mu no betumi ayɛ ntini a emu dɔ a ɛma mogya tu (DVT) ho sɛnkyerɛnne. |
| Ɔkasa a ɛyɛ den, anim, nsa, anaa nan a ɛyɛ mmerɛw/yɛ mmerɛw mpofirim, nantew a ɛyɛ den | Ebia eyinom yɛ sɛnkyerɛnne a ɛkyerɛ sɛ obi anya akisikuru. |
| Tiyɛ a emu yɛ den, aniwa a ɛsakra | Eyinom betumi ayɛ mogya mmoroso anaa tebea foforo a emu yɛ den ho sɛnkyerɛnne. |
| Aniwa anaa honam ani yɛ kɔkɔɔ (jaundice), nsu a ɛyɛ tumm, ɛyaw wɔ yafunu no atifi nifa so | Ebia eyinom yɛ sɛnkyerɛnne a ɛkyerɛ sɛ mmerɛbo asɛe. |
| Nufu mu akisikuru anaa nsakrae, nufu mu nsu a ɛtɔ, mogya a ɛba awotwaa mu a ɛyɛ soronko | Eyinom betumi ayɛ tebea horow a emu yɛ den a ɛsɛ sɛ wɔhwehwɛ mu ntɛm ara. |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ nea ɛhaw adwene, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
|---|---|
| Acne a ɛba | Nsonsonoe a ɛyɛ bruu wɔ anim |
| Nsakrae a ɛba aduan ho akɔnnɔ mu | Nsakrae a ɛba nna ho akɔnnɔ mu |
| Adwene sakra, na ɔte nka sɛ wayɛ basaa kakra | Yafunu mu yaw anaasɛ ne ho popo |
| Mu duru a ɛkɔ soro | Ɔbrɛ a wɔte nka wɔ ɔkwan soronko so |
Na sɛ menom nnuru pii nso ɛ?
Sɛ wususuw sɛ woanom nnuru pii sen sɛnea wususuw a, kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo ntɛm ara. Anaasɛ frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ no na woanya afotu.
Nkrasɛm a Wɔde Kɔ Fie
- Estradiol ne Norethindrone yɛ hormone ayaresa a wɔde sa brayɛ ho sɛnkyerɛnne ne nnompe a ɛyera.
- Ansa na wobɛnom saa aduru yi no, ɛsɛ sɛ woka w’akwahosan ho abakɔsɛm a edi mũ (titiriw kokoram, komayare, mogya a ɛtwetwe ho haw ahorow) kyerɛ wo duruyɛfo.
- Nom aduru no bere koro mu da biara. Nnom nea ɛboro nea oduruyɛfo no akyerɛ no so da .
- Sigaretnom bere a worenom aduru yi yɛ asiane kɛse , titiriw sɛ woadi boro mfe 35 a.
- Sɛ wuhu sɛnkyerɛnne ahorow a emu yɛ den te sɛ wo koko mu yaw, ɛyɛ den sɛ wobɛhome, wo nan ho ahonhon, anaa ɛyɛ den sɛ wobɛkasa a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Sɛ wowɔ nsɛmmisa bi fa aduru yi ho a, nsuro da sɛ wo ne wo duruyɛfo besusuw ho.
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