So wunya ɔhyew a ɛyɛ hyew, a ɛyɛ fifiri a emu yɛ den mpofirim ne nipadua mu hyew, bere a wo nna agyae bere a woanyin no, bere a woagyae brayɛ no? Eyi yɛ osuahu a mmea pii taa nya. Aduru titiriw biako a nnuruyɛfo kamfo kyerɛ sɛ wɔmfa ntew ɔhaw a ɛte saa so ne aduru a wɔde hyɛ nipadua mu a wɔfrɛ no Estradiol ne Progesterone. Momma yɛnka eyi ho asɛm nnɛ ara kwa.
Aduru bɛn na eyi yɛ?
Sɛ yɛbɛka no tiawa a, bere a yɛagyae brayɛ no, mmea nkwaadɔm abien a efi awosu mu wɔ yɛn nipadua mu, estrogen ne progestin, dodow so tew. Eyi ne ade titiriw a ɛde sɛnkyerɛnne te sɛ ɔhyew ne fifiri ba.
Enti nea aduru yi yɛ ne sɛ ɛsan de hormone dodow a ɛso atew kodu baabi no ba. Ɔkwan foforo so no, eyi yɛ aduru a wɔde si hormone ananmu . Eyi betumi aboa ma wɔadi ɔhaw ahorow a ɛba bere a obi agyae brayɛ mu no so kɛse.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom nnuru
Esiane sɛ eyi yɛ aduru a ɛma nipadua no nya ahoɔden nti, ɛho hia yiye sɛ wobɛbɔ wo duruyɛfo amanneɛ wɔ aduruyɛ mu tebea foforo biara a wowɔ ho. Sɛ wowɔ tebea horow a wɔabobɔ din wɔ pon a ɛwɔ ase ha no mu bi a, hwɛ hu sɛ wobɛka ho asɛm akyerɛ wɔn.
| Aduruyɛ tebea anaa nneɛma afoforo | Dɛn nti na ɛsɛ sɛ wodwene ho? |
|---|---|
| Mogya ntini mu yare anaa mogya a ɛtwetwe | Nnuru a ɛma mogya tu no betumi ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no ayɛ kɛse. |
| Nufu, awotwaa mu, awotwaa mu kokoram | Esiane sɛ kokoram ahorow bi gyina hormone so nti, saa aduru yi mfata. |
| Koma mu yare anaa komayare a ɛbaa nnansa yi | Ɛsɛ sɛ wohwɛ yiye wɔ asiane a ɛwɔ hɔ sɛ wubenya komayare no ho. |
| Mogya mmoroso, asikreyare, srade a ɛkɔ soro | Ɛho hia sɛ wodi saa nyarewa yi so. |
| mmerɛbo mu yare anaa asaabo mu yare | Ebia ɔkwan a wɔfa so yi aduru no fi nipadua no mu no bɛka. |
| Tiyɛ a ɛyɛ yaw, Stroke | Ɛsɛ sɛ wuhu asiane a ɛwɔ tebea horow a ɛtete saa mu. |
| Tawa a wɔde di dwuma (sigaretnom) . | Obi a ɔnom sigaret wɔ asiane kɛse mu sɛ obenya mogya a ɛbɛtɔ. |
| Mmɔden a wɔbɔ sɛ wobenyinsɛn, nyinsɛn, anaa nufu a wɔde ma | Saa aduru yi mfata koraa wɔ nsɛm a ɛtete saa mu. |
| Nnuru, nnuan anaa nneɛma afoforo ho akisikuru | Ɛho hia sɛ wuhu sɛ ebia wo ho nyɛ wo hyew wɔ aduru no anaa nneɛma a ɛwom no bi ho anaa. |
Mma wo werɛ mmfi sɛ wobɛka ayaresa tebea biara a wowɔ ho asɛm akyerɛ wo duruyɛfo, sɛ ɛnyɛ saa din yi mu mpo a.
Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi di dwuma?
- Fa saa capsule yi ne nsu kuruwa biako .
- Bɔ mmɔden sɛ wobɛnom bere koro mu da biara , sɛnea wo duruyɛfo akyerɛ wo no.
- Ɛyɛ papa sɛ wobɛnom saa aduru yi ne adidi .
- Kɔ so de di dwuma kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ gyae.
- Sɛ wɔma wo aduru bi a, kenkan ade a wɔde ahyɛ mu no yiye. Ebia nsɛm a ɛho hia wom.
Nea ɛho hia paa ne sɛ saa aduru yi yɛ wo nkutoo dea. Mma nnkyɛ obi foforo biara esiane biribiara nti.
Na sɛ mepa dose bi anaasɛ menom pii nso ɛ?
Sɛ wo werɛ fi sɛ wobɛnom dose bi a, fa 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 wo dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru mmɔho abien da.
Sɛ wususuw sɛ woanom nnuru pii wɔ akwanhyia mu 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.
Nneɛma afoforo a ebia ɛne aduru yi bedi nkitaho
Ebia saa aduru yi ne nnuru afoforo, nhabannuru, ne vitamin ahorow a worenom no adi nkitaho. Enti ka biribiara a worenom ho asɛm kyerɛ wo duruyɛfo. Hwɛ yiye titiriw wɔ nea edidi so yi ho.
| Mfa eyinom nkabom da. | |
|---|---|
| Kokoram nnuru a ɛwɔ nnuru kuw a wɔfrɛ no aromatase inhibitors (e.g. anastrozole, letrozole) mu . | |
| Eyinom nso betumi de ɔhaw aba - ka kyerɛ wo duruyɛfo. | |
| - nnuru bi a wode sa akisikuru (e.g. Carbamazepine, Phenytoin) . - nnuru bi a ekum fungal (e.g. ketoconazole) . - nnuru a ekum ɔyare mmoawa bi (e.g. erythromycin) . - Nnuru a wode sa nsamanwaw (e.g. Rifampin) . - Nnuru a wode sa HIV/AIDS | - nhabannuru te se St. John's Wort - a ewo grapefruit nsuo - Nnuru te sɛ Warfarin a esiw mogya a ɛbɛtɔ ano - a ewo thyroid hormone - Steroids (s.e. prednisone) . |
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom nnuru no
- Hwɛ oduruyɛfo no bere ano: Kɔ ayaresabea hɔ wɔ nna a wɔahyɛ ato hɔ no mu na woahu wo tebea no.
- Nufu ne akyi berɛmo mu nhwehwɛmu: Yɛ nufu mu nhwehwɛmu ne akyi berɛmo mu nhwehwɛmu daa sɛnea wo duruyɛfo kamfo kyerɛ no. Afei nso kasa kyerɛ wo duruyɛfo mfa hia a ehia sɛ wɔyɛ mammogram ho.
- Kwati sigaretnom: Sigaretnom bere a wonom aduru yi ma mogya a ɛbɛtɔ, komayare, ne akisikuru no yɛ kɛse kɛse . Enti, sɛ wonom sigaret a, ɛho hia paa sɛ wugyae ntɛm ara.
- Ansa na wɔbɛyɛ oprehyɛn no:Sɛ wɔayɛ nhyehyɛe sɛ wɔbɛyɛ wo oprehyɛn anaa ayaresa foforo bi a, di kan ka kyerɛ nnuruyɛfo kuw no sɛ worenom saa aduru yi.
Dɛn ne nneɛma bɔne a efi mu ba?
Te sɛ nnuru nyinaa no, eyi betumi anya ɔhaw ahorow. Ebi yɛ aniberesɛm, ebi nso abu so.
| Sɛ wuhu saa sɛnkyerɛnne ahorow yi a, ka kyerɛ wo duruyɛfo ntɛm ara. | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no hyew | Wora mu akisikuru, ɛyaw, anim, anofafa, tɛkrɛma a ɛho ahonhon. |
| Mogya a ɛretu ho sɛnkyerɛnne | Nan mu yaw, ɛho ahonhon, ɔhyew, ɔhome a ɛyɛ den, koko mu yaw. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare a ɛma obi hwe ase | Anim, nsa, anaa nan fã biako a ɛyɛ mmerɛw/mmerɛwyɛ mpofirim, ɛyɛ den sɛ wobɛkasa, ɛyɛ den sɛ wobɛnantew. |
| Komayare ho sɛnkyerɛnne ahorow | Koko, mmati, abasa mu a ɛyɛ den, akisikuru, ahome a ɛyɛ den. |
| Nufu mu nsakrae | Nkuru foforo, kɔkɔɔ, ɛyaw, ne nsu a efi nufu no mu ba. |
| Mmɛn a wɔapirapira | Ɛyaw a ɛba yafunu no nifa so atifi, aniwa anaa honam ani yɛ kɔkɔɔ, nsu a ɛyɛ tumm. |
| Nsɛnkyerɛnne afoforo a anibere wom | Mogya a ɛtɔ kɛse wɔ ɔbea awotwaa mu, aniwa a ɛsakra, mogya mmoroso a ɛkɔ soro. |
| Sɛ saa nsunsuanso bɔne yi kɔ so anaasɛ ɛhaw adwene a, ka kyerɛ wo duruyɛfo. | |
| - nufu mu yaw - Tipaeɛ - yafunu mu yaw | - Abofono - Kesereneeyɛ |
Ɔkwan bɛn so na ɛsɛ sɛ mede aduru no sie? Ɔkwan bɛn so na ɛsɛ sɛ metow gu?
Fa saa aduru yi sie baabi a mmofra ne afieboa ntumi nkɔ hɔ . Ɛyɛ papa sɛ wode besie wɔ dan mu hyew (a ɛwɔ digrii Celsius 20-25 ntam). Mfa nnuru a ne bere atwam nni dwuma.
Sɛ woreyi nnuru a ne bere atwam anaasɛ wompɛ afi hɔ a, ntow ngu nwura mu kɛkɛ. Nnurutɔnbea ahorow bi wɔ nhyehyɛe ahorow a wogye nnuru a wɔmpɛ. Sɛnea ɛbɛyɛ foforo no, yi nnuru no fi ade no mu, de fra biribi te sɛ tii nhaban a wɔde adi dwuma, kɔfe a wɔayam, anaa dɔte mu, fa to kotoku mu, na tow gu nwura mu. Sɛ wunnye nni a, bisa wo duruyɛfo.
Nkrasɛm a Wɔde Kɔ Fie
- Estradiol ne Progesterone yɛ hormone ayaresa a wɔde ma de tew ɔhaw a ɛba bere a obi agyae brayɛ mu (titiriw ɔhyew a ɛba obi so) so.
- Ansa na wobɛnom saa aduru yi no, ɛho hia sɛ woka ayaresa tebea horow a wowɔ nyinaa ne nnuru afoforo a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Sigaretnom bere a ɔnom aduru no ma asiane a ɛwɔ hɔ sɛ obenya nsɛnnennen a emu yɛ den (mogya a ɛbɛtɔ, komayare) no yɛ kɛse .
- Sɛ wunya ɔhaw biara a emu yɛ den te sɛ nan a ɛho ahonhon, wo koko mu yaw, ɛyɛ den sɛ wobɛhome, anaasɛ ɛyɛ den sɛ wobɛkasa a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Di wo duruyɛfo akwankyerɛ akyi bere nyinaa, yɛ nhwehwɛmu a ɛfata, na fa w’aduru no di dwuma yiye.
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