Bere a worenyin, kyerɛ sɛ, bere a worebɛn brayɛ no, so ɔhyew ne ɔhyew a ɛba mpofirim (ɔhyew), ɔhaw a ɛba wo nipadua mu bere nyinaa no abrɛ wo? So wo nso wowɔ ɔhaw ahorow te sɛ ɛyaw bere a wo ne obi reda, ɔbea awotwaa mu a ɛyɛ kusuu? Sɛ saa a, asɛm yi bɛyɛ nea ɛho hia wo paa. Ɛnnɛ yɛbɛka aduru titiriw bi a wɔde sa ɔhaw a ɛtete saa ho asɛm. Ɛno ne Estradiol Vaginal Ring no.
Dɛn ne saa Estradiol Vaginal Ring yi?
Sɛ yɛbɛka no tiawa a, ɛyɛ nkaa ketewaa bi a ɛyɛ mmerɛw a wode hyɛ wo awotwaa mu. Ɛyɛ adwuma denam hormone bi a wɔfrɛ no estrogen a ɛma ɛkɔ wo nipadua mu brɛoo na ɛhyɛ so no so.
Seesei ebia woresusuw ho sɛ, "Dɛn nti na mihia estrogen?" Ɛyɛ mmerɛw. Bere a wo nipadua no gyae brayɛ yɛ bere a wo nipadua mu ahoɔdennuru a wɔfrɛ no estrogen a efi awosu mu no so tew kɛse. Saa hormone yi a ɛso tew yi ne nea ɛde ɔhaw ahorow a yɛadi kan aka ho asɛm no ba, te sɛ ɔhyew, ɔbea awotwaa a ɛyɛ kusuu, ɛyaw, ne ɛyaw a ɛba bere a ɔne obi reda no. Enti, nea saa mprɛte yi yɛ ne sɛ ɛsan de estrogen a asɛe no ba nipadua no mu na ɛhyɛ saa ɔhaw ahorow no so. Eyi yɛ aduru bi a wɔde si hormone ananmu .
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na wode aduru yi adi dwuma
Ansa na wubefi saa ayaresa yi ase no, ɛho hia yiye sɛ wo ne wo duruyɛfo susuw w’akwahosan ho abakɔsɛm a edi mũ ho. Sɛ tebea horow a wɔabobɔ din wɔ pon a ɛwɔ ase ha no mu biara fa wo ho a, hwɛ hu sɛ wobɛbɔ wo duruyɛfo amanneɛ.
| Ɔfa | Tebea horow a ebia ɛfa wo ho |
|---|---|
| Kokoram ho abakɔsɛm | Sɛ wowɔ nufu, awotwaa, awotwaa, awotwaa, anaa mmerɛbo mu kokoram anaasɛ woanya bi a. |
| Koma ne mogya ntini | Nyarewa a ɛwɔ mogya ntini anaa mogya a ɛtɔ, komayare, akisikuru, mogya mmoroso, srade a ɛkɔ soro. |
| Ayaresa mu tebea afoforo | Asikreyare, akisikuru, mmerɛbo anaa asaabo mu yare, atiridiinini, adwenemhaw, mogya mu calcium dodow a ɛkɔ soro, Systemic Lupus Erythematosus (SLE), Protein C anaa Protein S a enni nipadua no mu. |
| Nsɛntitiriw afoforo a ɛho hia | Esiane sɛ wɔatwa awotwaa no, mogya atu no wɔ ɔkwan a ɛnteɛ so, anom sigaret, wanyinsɛn anaasɛ ɔrebɔ mmɔden sɛ obenyinsɛn, wama nufu, hormone afoforo, nnuru, nnuan, anaa nneɛma bi ho akisikuru. |
Mɛyɛ dɛn de saa mpɛtea yi adi dwuma?
W’ankasa wubetumi de mpɛtea no ahyɛ wo awotwaa mu, anaasɛ wubetumi ama wo duruyɛfo anaa ɔyarehwɛfo de ahyɛ wo ho. Kenkan akwankyerɛ a ɛka aduru no ho no yiye. Sɛ wunnim sɛnea wode bɛhyɛ mu a, mma wofɛre da sɛ wubebisa wo duruyɛfo.
Ade a ɛho hia sen biara ne sɛ ɛsɛ sɛ saa mpɛtea yi tra awotwaa no mu nnafua 90 (asram 3) . Nnafua 90 akyi no, ɛsɛ sɛ wuyi mpɛtea dedaw no na wode foforo hyɛ mu.
Nnyae eyi a wode bedi dwuma a wunnyaa wo duruyɛfo afotu.
Na sɛ aduru no kɔ soro nso ɛ?
Sɛ wususuw sɛ wode eyi adi dwuma wɔ ɔkwan a ɛnteɛ so, anaasɛ wususuw sɛ woanom nnuru a ɛboro so a, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no ntɛm ara . Anaasɛ kɔ ayaresabea a ɛbɛn wo no Emergency Treatment Unit (ETU) .
Kae sɛ, wɔakyerɛw aduru yi ama wo nkutoo. Mfa nnkyɛ obi foforo da.
Nneɛma afoforo a ebia ɛne aduru yi bedi nkitaho
Nnuru afoforo a wonom betumi ne estrogen ring yi adi nkitaho na ɛde ɔhaw ahorow aba. Enti, ɛho hia paa sɛ woka nnuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo.
| Mfa saa aduru yi nni dwuma da | |
|---|---|
| Nnuru a wɔde ko tia kokoram a ɛka nnuru a esiw aromatase ano (e.g. anastrozole, letrozole) kuw no ho. | |
| Ɔhaw betumi aba eyinom nso ho - bɔ oduruyɛfo no amanneɛ | |
| Nnuru a ekum ɔyare mmoawa ne nnuru a ekum fungal ahorow bi | Nnuru te sɛ Carbamazepine, Rifampin |
| Grapefruit nsu a wɔde yɛ | Nneɛma a wɔde nhabannuru yɛ te sɛ St. John’s Wort |
| Nnuru bi a wɔde sa nna anaa akisikuru | Nnuru te sɛ raloxifene anaa tamoxifen |
Saa nsɛm a wɔahyehyɛ yi nyɛ nea edi mũ, enti ka nnuru, vitamin, ne aduru biara a wobɛnom ho asɛm kyerɛ wo duruyɛfo.
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a wode Ring no redi dwuma no
- Aduruyɛ mu nhwehwɛmu daa: Wɔ saa ayaresa yi mu no, yɛ nufu mu nhwehwɛmu, akyi berɛmo mu nhwehwɛmu, ne Pap smears daa sɛnea wo duruyɛfo kyerɛ no. Afei nso, munsusuw ho sɛ ebia wuhia mammograms anaa.
- Kwati sigaretnom: Sɛ obi a wadi boro mfe 35 nom sigaret bere a ɔnom aduru yi a, asiane a ɛwɔ hɔ sɛ mogya bɛtɔ ne akisikuru no yɛ kɛse koraa. Enti, yɛtu wo fo sɛ kwati sigaretnom koraa.
- Oprehyɛn: Sɛ wɔayɛ nhyehyɛe sɛ wɔbɛyɛ wo oprehyɛn a, bisa wo duruyɛfo sɛ ɛsɛ sɛ wugyae saa mpɛtea yi a wode di dwuma ansa na woayɛ no anaa.
- Da biara da dwumadi ahorow: Wubetumi ayɛ biribiara bere a wohyɛ saa mpɛtea yi, te sɛ aguare, asuguare, ne apɔw-mu-teɛteɛ. Ɛho nhia sɛ wuyi mpɛtea no bere a wo ne obi reda. Nanso, sɛ wote nka sɛ wo ho nyɛ wo dɛ a, wubetumi ayi mprɛte no afi mu saa bere no nkutoo, na wode nsu a ɛyɛ hyew na ɛho tew ahohoro mu, na ɛnyɛ nsu a ɛyɛ hyew, na afei woasan de ahyɛ mu.
Nsunsuanso bɔne a Ebetumi Aba
Te sɛ aduru biara no, eyi betumi anya ɔhaw ahorow. Ebi yɛ aniberesɛm, ebi nso abu so.
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon. |
| Mogya a ɛtwetwe | Nan mu yaw, ɛho ahonhon anaa ɔhyew, ahome a ɛyɛ den, koko mu yaw. |
| Nnwodwoɔ | Anim, abasa, anaa nan a ɛyɛ mmerɛw mpofirim anaa ɛyɛ mmerɛw, kasa a ɛyɛ den, adwene a ɛyɛ basaa, nantew a ɛyɛ den, tiyɛ a emu yɛ den. |
| Nsakrae a ɛba nufu mu | Nkuru foforo, kɔkɔɔ, ɛyaw, anaa nsu a efi nufu no mu ba. |
| mmerɛbo mu haw ahorow | Ɛyaw a ɛba yafunu no nifa so atifi, aduan ho akɔnnɔ a ɛyera, honam ani anaa aniwa a ɛyɛ kɔkɔɔ, nsu a ɛyɛ kɔkɔɔ/biribiri tuntum. |
| Foforɔ | Mogya mmoroso, mogya a ɛba ɔbea no awotwaa mu bere a wagyae brayɛ akyi, nsu a ɛtɔ soronko, ɛyaw, anaa hua. |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Nneɛma a ɛho ayɛ fĩ | Nufu mu yaw anaasɛ ɛyɛ den |
| Nwi a ɛtɔ | Akisikuru, ɔfe, yafunu mu yaw |
Nkrasɛm a Wɔde Kɔ Fie
- Estradiol Vaginal Ring yɛ ayaresa a hormone estrogen wom a wɔde sa brayɛ ho sɛnkyerɛnne ahorow (ɔhyew a ɛyɛ hyew, ɔbea no awotwaa a ɛyɛ kusuu).
- Ɛsɛ sɛ wɔde saa mpɛtea yi di dwuma nnafua 90 na afei wɔde foforo si ananmu.
- Ansa na wubefi ayaresa ase no, ka w’ayaresa tebea ne nnuru a wonom nyinaa kyerɛ wo duruyɛfo.
- Sigaret a wobɛnom bere a worenom aduru yi, titiriw sɛ woadi boro mfe 35 a, ɛma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ ne akisikuru no yɛ kɛse.
- Sɛ wunya sɛnkyerɛnne biara a emu yɛ den te sɛ nan mu yaw/a ɛho ahonhon, wo koko mu yaw, ɛyɛ den sɛ wobɛhome, anaasɛ wo ti a ɛyɛ wo yaw mpofirim a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Eyi yɛ aduru a wɔakyerɛw ama wo nkutoo. Mfa nkyerɛ afoforo da.
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