Menopause yɛ biribi a mmea pii hyia bere a wɔadi fi mfe 45-55. Saa bere yi mu no, ebia wubenya ɔhaw pii, te sɛ fifiri a ɛba mpofirim, ɔhyew a ɛba wo so, nna a wuntumi nna anadwo, abufuw, ne ɔbea awotwaa a ɛyɛ kusuu. Ɛwom sɛ eyinom yɛ ade a ɛfata de, nanso ebetumi ayɛ akwanside kɛse ama wo da biara da asetra. Enti, so wo nso wowɔ saa ɔhaw ahorow yi? Afei ɛho hia yiye sɛ wubehu saa hormone patch a yɛreka ho asɛm nnɛ yi ho asɛm.
Dɛn ne saa hormone aduru yi?
Sɛ yɛbɛka no tiawa a, eyi yɛ ade ketewaa bi a wode bata wo honam ani. Ɛte sɛ plaster. Saa aduru yi kura mmea mu nkwaadɔm ahorow abien a wɔadi afra. Wɔn ne estrogen (Estradiol) ne progestin (Norethindrone).
Susuw ho hwɛ, sɛ obi gyae brayɛ a, sɛnea yɛn nipadua no yɛ saa nkwaadɔm yi so tew fi awosu mu. Ɛno nti na ɔhaw ahorow a yɛadi kan aka ho asɛm no pii ba no. Enti nea saa aduru yi yɛ ne sɛ ɛde nkwaadɔm a nipadua no hia no fa honam ani, na ɛhwɛ sɛnkyerɛnne ahorow a saa nkwaadɔm a ɛso tew no de ba no so. Ɛtɔ mmere bi a wɔkamfo eyi kyerɛ mmea a wɔayɛ wɔn oprehyɛn ayi wɔn mmadwoa no.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na wode aduru yi adi dwuma
Esiane sɛ eyi yɛ hormone ayaresa nti, ɛho hia yiye sɛ wo duruyɛfo no hu w’akwahosan ho abakɔsɛm nyinaa. Sɛ wowɔ tebea horow a edidi so yi mu biara a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo ansa na wode saa aduru yi adi dwuma.
- Sɛ woadi kan anya mogya a ɛtɔ anaa mogya ntini mu yare a.
- Sɛ wowɔ nufu, awotwaa, anaa awotwaa mu kokoram anaasɛ wosusuw sɛ wowɔ kokoram a ɛte saa a.
- Sɛ wowɔ asikreyare a.
- Sɛ wowɔ endometriosis anaa awotwaa mu fibroids a.
- Sɛ wowɔ gallbladder yare a.
- Sɛ wowɔ komayare, komayare a ɛbaa wo nnansa yi ara, anaa akisikuru.
- Sɛ srade anaa calcium dɔɔso wɔ wo mogya mu a.
- Sɛ wowɔ mogya mmoroso a.
- Sɛ wɔayɛ wo hysterectomy pɛn a.
- Sɛ wowɔ asaabo anaa mmerɛbo mu yare a.
- Sɛ wowɔ adwenemhaw anaa atiridiinini a.
- Ayaresa mu tebea pɔtee afoforo te sɛ lupus (Systemic Lupus Erythematosus - SLE).
- Sɛ woyɛ obi a ɔnom sigaret (eyi ho hia yiye).
- Sɛ mogya tu wɔ ɔbea awotwaa mu a wonnim nea enti a ɛte saa a.
- Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a.
- Sɛ wo ho yɛ wo hyew wɔ hormone afoforo, nnuru, nnuan, anaa nneɛma a wɔde sie ho a.
Ɔkwan bɛn so ankasa na mede saa patch yi di dwuma?
Eyi yɛ biribi a wɔde di dwuma wɔ honam ani. Ɛsɛ sɛ wode di dwuma sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ.
1. Tetew packet no mu: Mfa ntwamu nni dwuma, fa nsa tetew mu.
2. Siesie aduru no: Fa ahwɛyiye yi ahobammɔ ntama a ɛyɛ den no fi aduru no fã a ɛyɛ nnam wɔ mu no. Bɔ mmɔden sɛ woremfa wo nsa nka ɔfã a ɛyɛ nnam no.
3. Fa gu so: Fa aduru no fã a ɛyɛ nnam no gu wo yafunu ase baabi a ɛho tew na ɛyɛ kusuu na nhwi nni hɔ . Mfa nhyɛ akuru, akuru, anaa mmeae a wo honam ani yɛ mmerɛw. Mfa saa aduru yi nhyɛ nufu anaa asen no ho da.
4. Sesa beae no: Sɛnea ɛbɛyɛ a worennya honam ani akisikuru no, sesa baabi a wode aduru no bɛpetepete so bere biara. Sɛ nhwɛso no, sɛ wode guu wo yafunu nifa so saa bere yi a, fa petepete benkum so bere foforo.
5. Sesa sɛnea nhyehyɛe no te: Wo duruyɛfo bɛkyerɛ wo nna a ɛsɛ sɛ wosesa aduru no wɔ dapɛn no mu (sɛ nhwɛso no, Memeneda ne Dwoda biara). Di saa nhyehyɛe no akyi pɛpɛɛpɛ.
6. Ntwitwa: Ntwitwa anaa nyɛ nsakrae biara wɔ patch no mu.
Wo nsa bɛka ɔyarefo package insert a ɛka nnuru biara a wɔakyerɛw ama wo ho. Kenkan no yiye bere nyinaa. Ebia wɔbɛma nsɛm no ayɛ foforo.
Na sɛ me werɛ fi sɛ mɛsesa patch no nso ɛ?
Sɛ wo werɛ fi sɛ wobɛsesa wo patch no da a ɛsɛ sɛ wosesa no a, yi dedaw no na fa foforo gu so bere a wokae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wo patch a edi hɔ no a, tow patch a woayera no gu na fa patch a edi hɔ no gu wo nhyehyɛe a woyɛ daa no mu. Mfa ntama abien nhyɛ prɛko pɛ esiane biribiara nti.
Dodo a wɔde di dwuma boro so
Sɛ wususuw sɛ woanom aduru yi dodo wɔ akwanhyia mu a, frɛ National Poisons Information Center a ɛwɔ Colombo National Hospital , ntɛm ara , anaa kɔ ayaresabea a ɛbɛn wo no Ayaresa a Ɛho Hia Ntɛmntɛm (ETU).
Nnuru afoforo a ebetumi ne saa aduru yi adi nkitaho (Drug Interactions) .
Ɛho hia paa sɛ wobɛka nnuru a worenom nyinaa (a vitamin ne nhabannuru ka ho) kyerɛ wo duruyɛfo. Ebia nnuru bi ne saa hormone aduru yi bedi nkitaho.
| Nnuru a wɔde di dwuma no fã | Nhwɛso ne nsɛm a wɔakyerɛw |
|---|---|
| Mfa eyinom nni dwuma da | Nnuru a esiw aromatase ano (sɛ nhwɛso no, anastrozole, letrozole). |
| Sɛ wode eyinom redi dwuma a, ka kyerɛ wo duruyɛfo. |
|
Saa nsɛm a wɔahyehyɛ yi nwie pɛyɛ, enti wo ne wo duruyɛfo nka biribiara a wobɛnom ho asɛm.
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a wode saa patch yi redi dwuma no
- Aduruyɛ mu nhwehwɛmu a wɔyɛ no daa: Anyɛ yiye koraa no, kɔ wo duruyɛfo nkyɛn pɛnkoro wɔ asram 6 biara mu kɔhwɛ sɛnea wo tebea te. Ɛho hia nso sɛ wɔyɛ nufu mu nhwehwɛmu, akyi berɛmo mu nhwehwɛmu, ne nufu mu nhwehwɛmu bere ne bere mu.
- Kwati sigaretnom: Sigaretnom ma asiane a ɛwɔ hɔ sɛ mogya tu ne akisikuru no yɛ kɛse kɛse, titiriw sɛ woadi boro mfe 35. Enti, yɛhyɛ nyansa denneennen sɛ kwati sigaretnom koraa.
- Nsuo a ɛkɔ mu: Saa aduru yi betumi ama wo nsateaa, wo nsa, anaa wo nansoaa ho ahonhon. Ebetumi ama wo mogya mmoroso nso akɔ soro. Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, ka kyerɛ wo duruyɛfo.
- Nyinsɛn: Sɛ wunya adwenem naayɛ bi sɛ woanyinsɛn a, gyae aduru a wɔde kyekyere wo ho no ntɛm ara na kɔ wo duruyɛfo nkyɛn.
- Oprehyɛn ne MRI: Sɛ woreyɛ nhyehyɛe sɛ wobɛyɛ oprehyɛn a wopaw a, di kan ne wo duruyɛfo nka ho asɛm. Afei nso, sɛ worekɔyɛ MRI scan a, ka kyerɛ MRI ho nimdefo no sɛ wode saa aduru yi redi dwuma. Aluminium a wɔde akata mmeae bi so no betumi ayɛ hyew bere a wɔreyɛ MRI no na ahyew honam ani.
- Sɛ patch no fi hɔ a: Wubetumi aguare na woateɛteɛ w’apɔw mu. Nanso sɛ patch no fi hɔ a, bɔ mmɔden sɛ wobɛsan de ahyɛ mu bio. Sɛ ɛnyɛ adwuma a, fa aduru foforo gu baabi foforo na toa wo nhyehyɛe a woyɛ daa no so.
Dɛn ne aduru yi mu nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, eyi betumi anya ɔhaw ahorow. Ebi yɛ aniberesɛm, ebi nso abu so.
| Nneɛma bɔne a ɛsɛ sɛ wobɔ wo duruyɛfo anaa ETU amanneɛ ntɛm ara | |
|---|---|
| Allergies (honam ani akisikuru, ɛyaw, anim/anofafa a ɛho ahonhon) . | Koko mu yaw a ɛba mpofirim |
| Nufu mu nsakrae, akisikuru, anaa nsu a ɛtɔ | Tiyɛ a emu yɛ den, aniwa a ɛsakra |
| Ɔkasa anaa ntease a ɛyɛ den, nkae a ɛyɛ den | Ɔhome a ɛyɛ den mpofirim |
| Nan mu yaw, ɛho ahonhon, ɔhyew (nsɛnkyerɛnne a ɛkyerɛ sɛ mogya atɔ mu) . | Anim, abasa, anaa nan a ɛyɛ mmerɛw anaa ɛyɛ mmerɛw mpofirim |
| Mogya a ɛba ɔbea no awotwaa mu a ɛnyɛ ne kwan so | Aniwa anaa honam ani yɛ kɔkɔɔ, nsu a ɛyɛ tuntum, ɛyaw a ɛba yafunu no atifi nifa so (mmerebe mu haw ho sɛnkyerɛnne) . |
| Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo sɛ ɛkɔ so anaasɛ ɛhaw adwene a | |
| Acne, nsensanee a ɛyɛ bruu wɔ anim | Yafunu mu yaw anaasɛ ne ho popo |
| Nsakrae a ɛba aduan ho akɔnnɔ anaa nna ho akɔnnɔ mu | Ɔbrɛ anaa mmerɛwyɛ a wɔte nka soronko |
| Adwene mu nsakrae | Mu duru a ɛkɔ soro |
Ɔkwan bɛn so na ɛsɛ sɛ mede aduru no sie?
Fa saa aduru yi sie baabi a mmofra ntumi nkɔ hɔ. Fa sie wɔ dan mu hyew mu, wɔ foil packet a wɔatoto mu no mu. Tow nsensanee biara a aka wɔ da a ɛbɛba awiei wɔ ade a wɔde ahyɛ mu no akyi anaasɛ asram 6 akyi.
Nkrasɛm a Wɔde Kɔ Fie
- Saa hormone patch yi yɛ aduru a wɔde ma de siw bratwa ho sɛnkyerɛnne ahorow ano. Ɛmfata obiara.
- Hwɛ hu sɛ wobɛka w’ayaresa tebea horow nyinaa ne nnuru afoforo a wonom nyinaa akyerɛ wo duruyɛfo.
- Sigaretnom bere a wode aduru yi redi dwuma no ma asiane no yɛ kɛse, enti kwati sigaretnom koraa.
- Kɔ aduruyɛ mu nhwehwɛmu daa (titiriw nufu ne akyi berɛmo mu nhwehwɛmu).
- Sɛ wunya ɔhaw bi a emu yɛ den te sɛ wo koko mu yaw, wo ti a ɛyɛ wo yaw kɛse, anaa wo nan a ɛho ahonhon a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Saa aduru yi yɛ wo nkutoo dea. Mfa nkyerɛ afoforo da.
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