Menopause, bere a wo bra gyae ɔsram biara no yɛ ɔbea biara asetra fã a efi awosu mu. Nanso ebetumi ayɛ bere a emu yɛ den ama ebinom. Fifiri a ɛba mpofirim, ɔhyew a ɛba wo ho (a wɔsan frɛ no ‘ɔhyew’), nna a wuntumi nna, ne abufuw nyinaa betumi asiw wo da biara da asetra kwan. Ayaresa biako a nnuruyɛfo kamfo kyerɛ sɛ wɔmfa nni saa sɛnkyerɛnne ahorow yi ho dwuma ne hormone ayaresa. Ɛnnɛ, yɛrebɛka aduru bi a wɔfrɛ no Estradiol ne Progesterone a wɔde sa yare a ɛte saa ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne aduru yi a wɔfrɛ no Estradiol ne Progesterone?
Eyi yɛ nkwaadɔm abien a wɔaka abom ankasa. Ɛne sɛ, estrogen ne progestin . Sɛ yɛregyae brayɛ a, sɛnea yɛn nipadua no yɛ saa nkwaadɔm yi so tew fi awosu mu. Sɛnea nsu a ɛwɔ nsukorabea mu no so tew no. Nkwammoaa a ɛso tew yi na ɛde ɔhaw ahorow a yɛadi kan aka ho asɛm no pii te sɛ ɔhyew ne fifiri ba.
Enti nea aduru yi yɛ ne sɛ ɛde hormone dodow a ɛso atew wɔ nipadua no mu no san ba baabi pɔtee bi. Eyi boa kɛse wɔ sɛnkyerɛnne ahorow a ɛbata brayɛ ho, titiriw ɔhyew a ɛba obi ho no so . Eyi yɛ aduru a ɛsɛ sɛ wɔde di dwuma bere a oduruyɛfo akamfo akyerɛ nkutoo.
Nneɛma bɛn na ɛsɛ sɛ meka kyerɛ oduruyɛfo no ansa na manom saa aduru yi?
Eyi ho hia paa. Ansa na wubefi ase anom aduru yi no, ɛsɛ sɛ wo ne wo duruyɛfo susuw w’akwahosan ho abakɔsɛm a edi mũ ho. Ebia saa aduru yi mfata mma nnipa a wɔwɔ ayaresa tebea horow bi. Sɛ wowɔ ayaresa tebea horow a edidi so yi mu biara a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo.
| Aduruyɛ tebea/nsɛm | Nkyerɛmu |
|---|---|
| Kokoram ho abakɔsɛm | Sɛ wowɔ nufu, awotwaa, awotwaa, anaa kokoram foforo a ɛfa ho anaasɛ wowɔ mprempren a. |
| Koma ne mogya ntini mu haw ahorow | Koma mu yare, akisikuru, mogya a ɛtwetwe, mogya mmoroso, srade a ɛkɔ soro. |
| Ayaresa mu tebea afoforo | Asikreyare, mmerɛbo mu yare, asaabo mu yare, akisikuru, endometriosis, fibroids, atiridiinini, adwenemhaw, Systemic Lupus Erythematosus (SLE), Porphyria, Protein C anaa S a enni nipadua mu. |
| Nsɛntitiriw afoforo | Mogya a ɛtɔ wɔ ɔbea awotwaa mu a wontumi nkyerɛkyerɛ mu, awotwaa a wotwa, sigaretnom, mmɔden a wɔbɔ sɛ wobenyinsɛn, nyinsɛn, anaa nufu a wɔma. |
| Nneɛma a ɛma obi ho yɛ no hyew | Sɛ wo ho nyɛ wo hyew wɔ estrogen, progestin hormone, nnuru afoforo, nnuan, anaa nneɛma a wɔde siesie nneɛma ho a. |
Ɔkwan bɛn so ankasa na wode saa aduru yi di dwuma?
Eyi yɛ mmerɛw yiye sɛ wɔde bedi dwuma, nanso ɛsɛ sɛ wɔyɛ no fɛfɛɛfɛ yiye.
- Fa nsu nom: Fa nsu kuruwa mene saa aduru yi.
- Fa ka aduan ho: Sɛ wode aduru yi ka aduan ho a, ebetumi atew yafunu a ɛyɛ yaw so.
- Fa no bere koro mu da biara: Nea ɛho hia sen biara ne sɛ wobɛnom saa aduru yi bere koro mu da biara . Eyi boa ma wo hormone dodow kɔ so yɛ pɛ. Wubetumi de nkaebɔ bi asi wo fon so.
- Nnyae: Kɔ so de eyi di dwuma kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ gyae. Nnyae mpofirim.
- Kenkan ɔyarefo no aduru a wɔde ahyɛ mu no: Sɛ wɔma wo nnuru a, kenkan ɔyarefo no aduru a wɔde ahyɛ mu no yiye. Nsɛm a ɛho hia wom.
Nea ɛho hia: Wɔakyerɛw saa aduru yi ama wo nkutoo. Mfa w’aduru nkyɛ obi foforo da. Ebetumi ayɛ nea asiane wom.
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
Yiw, ebetumi aba. Fa dodow 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 wo dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru abien prɛko pɛ da.
Na sɛ menom nnuru pii nso ɛ?
Sɛ wususuw sɛ woanom nnuru pii sen sɛnea wususuw a, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no ntɛm ara , anaa kɔ ayaresabea a ɛbɛn wo no Ayaresa Dwumadibea a Ɛho Hia Ntɛmntɛm (ETU) .
Nneɛma afoforo a ebia ɛne aduru yi bedi nkitaho
Ɛsɛ sɛ woka nnuru a wonom nyinaa kyerɛ wo duruyɛfo, ɛnyɛ nea wo duruyɛfo akyerɛw ama wo no nko, na mmom vitamin ahorow, nhabannuru (te sɛ St. John’s Wort) a wotɔ fi nnurutɔnbea nso. Nnuru bi betumi ne saa hormone ayaresa yi adi nkitaho.
Titiriw no, hwɛ hu sɛ wobɛka akyerɛ yɛn sɛ worenom nnuru a edidi so yi a:
- Aromatase inhibitors (kokoram aduru bi) .
- Nnuru a wɔde ko tia akisikuru (sɛ nhwɛso no, Carbamazepine, Phenobarbital, Phenytoin) .
- Nnuru bi a ekum ɔyare mmoawa (e.g. Erythromycin, Rifampin) .
- Nnuru a ekum fungal (sɛ nhwɛso no, Ketoconazole) .
- Nnuru a wɔde sa HIV anaa Hepatitis
- Warfarin (aduru a ɛma mogya yɛ mmerɛw) .
- Nnuru a wɔde sa asikreyare
- Grapefruit nsu nso betumi aka sɛnea aduru yi yɛ adwuma yiye.
Saa nsɛm a wɔahyehyɛ yi nwiei, enti ɛyɛ nea asiane biara nni ho sɛ wobɛka biribiara a wobɛnom ho asɛm akyerɛ wo duruyɛfo .
Nneɛma a ɛsɛ sɛ ɛtra w’adwenem bere a worenom nnuru no
- Aduruyɛ mu nhwehwɛmu a wɔyɛ no daa: Ɛho hia sɛ wokɔhwɛ wo daa sɛnea wo duruyɛfo akyerɛ wo bere a worenom aduru yi no. 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: Sigaretnom bere a wonom aduru yi ma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ, komayare, ne ɔyare a ɛma obi hwe ase no yɛ kɛse kɛse . Enti sɛ wonom sigaret a, ɛho hia paa sɛ wobɔ mmɔden sɛ wubegyae esiane w’ankasa ahobammɔ nti.
- Oprehyɛn: Sɛ wɔreyɛ wo oprehyɛn a, di kan ka kyerɛ oduruyɛfo a ɔyɛ oprehyɛn no sɛ worenom aduru yi.
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. Nea ɛho hia ne sɛ wobɛma w’ani ada hɔ wɔ eyinom ho.
| Nsunsuanso bɔne a anibere wom a ɛhwehwɛ sɛ wɔkɔ ayaresabea ntɛm ara | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no hyew | Wora mu akisikuru, ɛyaw, anim, anofafa, tɛkrɛma a ɛho ahonhon, ɛyɛ den sɛ wobɛhome. |
| Mogya a Ɛtwetwe Nsɛnkyerɛnne | Nan mu yaw, ɛho ahonhon anaa ɔhyew, ahome a ɛyɛ den, koko mu yaw. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare a ɛma obi hwe ase | Anim, abasa, anaa nan a ɛyɛ mmerɛw mpofirim anaa ɛyɛ mmerɛw, kasa a ɛyɛ den, nantew a ɛyɛ den, tiyɛ a emu yɛ den. |
| Komayare ho sɛnkyerɛnne ahorow | Koko, mmati, abasa, anaa anom a ɛyɛ den anaa ɛyaw, akisikuru, ahome a ɛyɛ tiaa. |
| Nufu mu nsakrae | Nkuru foforo, kɔkɔɔ, ɛyaw, ne nsu a efi nufu no mu ba. |
| mmerɛbo mu haw ahorow | Ɛyaw a ɛba yafunu nifa atifi, aduan ho akɔnnɔ a ɛyera, aniwa anaa honam ani yɛ kɔkɔɔ, nsu a ɛyɛ tumm. |
| Nsɛnkyerɛnne afoforo a anibere wom | Mogya a ɛtɔ dodo wɔ ɔbea no awotwaa mu, mogya mmoroso a ɛkɔ soro mpofirim, aniwa a ɛsakra, akwaa a ɛho ahonhon. |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm (nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo ) . | |
| Tipaeɛ | Nufu mu yaw anaasɛ ɛyɛ den |
| Yafunu mu yaw | Abofono |
Nkrasɛm a Wɔde Kɔ Fie
- Eyi yɛ hormone ayaresa a wɔde di brayɛ ho sɛnkyerɛnne ahorow ho dwuma. Ɛmfata obiara, enti ɛsɛ sɛ wɔnom wɔ nnuruyɛfo afotu ase nkutoo.
- Ansa na wubefi ase anom aduru no, ka w’ayaresa tebea nyinaa ne nnuru afoforo a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Hu asiane a ɛwɔ mogya a ɛbɛtɔ, komayare, akisikuru, ne kokoram bi mu. Asiane yi yɛ kɛse titiriw sɛ wonom sigaret a.
- Sɛ wuhu sɛnkyerɛnne ahorow a emu yɛ den 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 nhwehwɛmu a wɔayɛ ho nhyehyɛe (nufu ne akyi berɛmo mu nhwehwɛmu) sɛnea oduruyɛfo no akyerɛ no no nmpa wo ti so.
- Saa aduru yi yɛ wo nkutoo dea. Mfa nkyerɛ afoforo da.
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