Menopause, bere a brayɛ gyae no betumi de nipadua mu ɔhaw ahorow aba ɔbea so. Eyinom mu nea abu so sen biara ne fifiri a ɛba mpofirim ne ɔhyew a ɛba obi so. Saa tebea yi betumi ahaw ebinom araa ma wontumi nyɛ wɔn da biara da dwumadi ahorow. Enti, ɛnnɛ yɛreka aduru titiriw bi a nnuruyɛfo kyerɛw ma de siw saa sɛnkyerɛnne ahorow yi ano ho asɛm. Ɛno yɛ hormone aduru bi a wɔfrɛ no Synthetic Conjugated Estrogens.
Dɛn ankasa na wɔfrɛ saa aduru yi estrogen?
Sɛ yɛbɛka no tiawa a, eyi yɛ aduru a wɔayɛ a ɛte sɛ estrogen hormone a efi awosu mu yɛ wɔ ɔbea nipadua mu no. Bere a obi agyae brayɛ no, estrogen dodow a ɛwɔ nipadua no mu no so tew. Saa aduru yi yɛ adwuma denam hormone dodow a ɛso tew a ɛsan de ba kodu baabi na ɛtew ɔhaw a ɛde ba no so, titiriw ɔhyew a ɛba nipadua no mu so . Yɛfrɛ eyi nso Hormone Replacement Therapy (HRT) .
Nea enti titiriw yi akyi no, ebia wo duruyɛfo nso bɛkyerɛw saa aduru yi ama wo wɔ ayaresa tebea afoforo bi ho.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi
Ansa na wubefi ase anom saa aduru yi no, ɛho hia yiye sɛ wobɔ wo duruyɛfo amanneɛ wɔ w’akwahosan ho abakɔsɛm a edi mũ ho. Ebia saa aduru yi mfata mma nnipa a wɔwɔ ayaresa tebea horow bi. Hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wowɔ tebea horow a edidi so yi mu biara a:
Kokoram ne asiane ahorow a ɛbata ho
- Sɛ woanya kokoram wɔ nufu, awotwaa mu, awotwaa mu, awotwaa, mmerɛbo, anaa awotwaa mu anaasɛ woanya pɛn a.
- Sɛ obi a ɔwɔ abusua no mu, titiriw ɛna anaa onuawa bi, anya nufu mu kokoram a.
Nsɛm a ɛfa koma, mogya ntini, ne mogya a ɛtwetwe ho
- Sɛ wowɔ mogya mmoroso a.
- Sɛ wowɔ komayare anaasɛ woanya komayare nnansa yi a.
- Sɛ woadi kan anya akisikuru a.
- Sɛ wowɔ mogya ntini mu yare, anaasɛ mogya a ɛtɔ wo nan anaa w’ahurututu mu a.
- Sɛ srade a ɛwɔ mogya no mu no dɔɔso a.
Akwahosan tebea afoforo
- Sɛ wowɔ mogya a ɛba wo awotwaa mu a ɛyɛ soronko a wonnim nea enti a ɛte saa a.
- Sɛ wowɔ asikreyare a.
- Sɛ wowɔ mmerɛbo anaa asaabo mu yare a.
- Sɛ wowɔ gallbladder yare a.
- Sɛ wowɔ awotwaa mu nyarewa te sɛ endometriosis anaa fibroids a .
- Atiridiinini, kyerɛ sɛ, sɛ wowɔ atiridiinini a .
- Sɛ calcium dodow a ɛwɔ mogya no mu dɔɔso a.
- Sɛ wowɔ adwenemyare te sɛ adwenemhaw a.
- Sɛ wowɔ adwenemhaw anaasɛ wowɔ asiane mu sɛ wobenya bi a.
- Sɛ woyɛ obi a ɔnom sigaret (eyi ho hia yiye).
- Sɛ worebɔ mmɔden sɛ wubenyinsɛn, woanyinsɛn, anaa woyɛ ɛna a ɔma nufu a.
- Sɛ wo ho yɛ wo hyew wɔ estrogen aduru yi anaa aduru foforo biara, aduan, anaa ade a wɔde yɛ ade ho a.
Ɔkwan bɛn so na ɛsɛ sɛ mede aduru no di dwuma?
Ɛho hia yiye sɛ wobɛnom saa aduru yi sɛnea oduruyɛfo no akyerɛ no pɛpɛɛpɛ, wɔ dodow a ɛfata mu.
- Fa nsu kuruwa mene saa aduru yi.
- Fa yɛ wo su sɛ wobɛnom w’aduru no bere koro mu da biara. Saa kwan no so no, wo werɛ remfi na ɛbɛyɛ mmerɛw sɛ wobɛma wo nipadua mu hormone dodow akɔ so ayɛ pɛ.
- Mma nnnom pii nsen nea oduruyɛfo no akyerɛ wo, anaasɛ nnom no mpɛn pii.
- Kenkan ɔyarefo no aduru a wɔde ahyɛ mu no yiye bere nyinaa bere a worenom w’aduru no.
- Sɛ wopa 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 abien bere koro mu da.
Kɔkɔbɔ: Wɔakyerɛw saa aduru yi ama wo nkutoo. Mfa saa aduru yi mma obi foforo biara a ɔwɔ yare no ho sɛnkyerɛnne te sɛ wo.
Dodo a wɔde di dwuma boro so
Sɛ wonom aduru yi pii wɔ akwanhyia mu a, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no ntɛm ara . Anaasɛ kɔ Emergency Department (ETU) a ɛwɔ ayaresabea a ɛbɛn wo no.
Hwɛ yiye wɔ saa nneɛma yi ho bere a worenom nnuru no.
Ɛho hia yiye sɛ wobɛhwɛ w’akwahosan so bere nyinaa bere a wode saa aduru yi redi dwuma no.
- Aduruyɛ mu nhwehwɛmu daa: Kɔ aduruyɛ mu nhwehwɛmu daa sɛnea wo duruyɛfo akyerɛ wo no. Wo ne wo duruyɛfo nkasa mfa nkyerɛ sɛ ebia ɛsɛ sɛ woyɛ wo nufu mu nhwehwɛmu, ne mpɛn dodow a ɛsɛ sɛ woyɛ wo nufu mu nhwehwɛmu, wo akyi berɛmo mu nhwehwɛmu, ne Pap smear.
- Kwati sigaretnom: Eyi ho hia paa. Sɛ wonom sigaret bere a worenom aduru yi a, asiane a ɛwɔ hɔ sɛ wo mogya bɛtɔ na woabɔ akisikuru no kɔ soro kɛse. Asiane yi yɛ kɛse titiriw sɛ woadi boro mfe 35 a .
- Nsuo a ɛtumi sie: Ɛtɔ da bi a, saa aduru yi tumi ma nsuo kɔ mu, nsa, anan, anaa asen mu ahohoro. Ebetumi ama mogya mmoroso nso akɔ soro. Sɛ wunya nsakrae yi bi a, ka kyerɛ wo duruyɛfo.
- Awotwaa no fasu a ɛyɛ den:Sɛ wonom nnuru a estrogen nkutoo wom bere tenten a, asiane wɔ hɔ sɛ awotwaa no mu nneɛma (endometrium) no bɛyɛ den dodo na awiei koraa no adan kokoram (endometrial hyperplasia). Nea ɛbɛyɛ na wɔasiw eyi ano no, gye sɛ wɔayi wo awotwaa no afi oprehyɛn so (hysterectomy) a, ɛda adi sɛ wo duruyɛfo bɛkyerɛw wo hormone foforo a wɔfrɛ no progestin aka wo estrogen nnuru no ho. Wo duruyɛfo bɛkyerɛkyerɛ eyi mu akyerɛ wo kɔ akyiri.
- Aniwa a ɛnyɛ dɛ: Aduru no betumi ama aniwa ayɛ mmerɛw na aniwa nhu ade yiye. Sɛ wohyɛ ahwehwɛ a wɔde hwɛ ahwehwɛ a, ebia wo ho bɛtɔ wo kakra. Wobetumi de nnuru a wɔde srade aniwa gu mu adi dwuma sɛ ɛho hia a. Sɛ ɔhaw no kɔ so a, kɔ wo duruyɛfo nkyɛn.
- Ansa na wɔbɛyɛ wo oprehyɛn: Sɛ wobɛyɛ oprehyɛn biara a, di kan ne wo duruyɛfo nkasa na bisa sɛ ɛsɛ sɛ wugyae aduru yi nom bere tiaa bi anaa.
Nsunsuanso bɔne a ebetumi afi aduru no mu aba
Te sɛ aduru biara no, eyi betumi de ɔhaw ahorow bi aba. Pon a ɛwɔ aseɛ ha no kyerɛ wɔn pefee.
| Nsunsuanso bɔne | Nkyerɛkyerɛmu ne nea ɛsɛ sɛ wɔyɛ |
|---|---|
| Nneɛma bɔne a anibere wom a ɛhwehwɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara anaasɛ wokɔ ayaresabea | |
| Nneɛma a ɛma obi ho yɛ no hyew | Wora mu akisikuru, ɛyaw, anim, ano anaa tɛkrɛma a ɛho ahonhon. |
| Koko mu yaw, ɛyɛ den sɛ wobɛhome | Eyi betumi ayɛ komayare anaa mogya a atɔ ahurututu mu ho sɛnkyerɛnne. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare a ɛma obi hwe ase | Anim, nsa, anaa nan fã biako a ɛyɛ mmerɛw, mmerɛwyɛ, kasa a ɛyɛ den, adwene a ɛyɛ basaa, nantew a ɛyɛ den, adwenemhaw. |
| Mogya a ɛretu ho sɛnkyerɛnne | Ɛyaw, ɔfe, kɔkɔɔ, ne ɔhyew wɔ nan no mu. |
| mmerɛbo mu haw ahorow | Aniwa anaa honam ani yɛ kɔkɔɔ, nsu a ɛyɛ tuntum, nsu a ɛyɛ mmerɛw, ɛyaw wɔ yafunu no atifi nifa so, akisikuru. |
| Nsɛnkyerɛnne afoforo a anibere wom | Mogya a ɛba ɔbea no awotwaa mu a ɛyɛ soronko, akisikuru anaa nsakrae a ɛba nufu mu, nsu a efi nufu mu, tiyɛ a emu yɛ den, nsakrae a ɛba wɔ anisoadehu mu. |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ: | |
| Nneɛma nketenkete a ɛhaw adwene | Nwi a ɛtɔ, ɔkɔm anaa sukɔm a ɛkɔ soro, nsu a wɔtaa tow, ɔbea no awotwaa mu nyarewa (ɛyɛ akisikuru, nsu a ɛyɛ soronko), ɔbrɛ a ɔte nka a ɛyɛ soronko. |
Nneɛma afoforo a ebia ɛne aduru yi bedi nkitaho
Ɛsɛ sɛ woka nnuru foforo biara, nhabannuru, anaa nnuru a wɔde ka ho a worenom nso kyerɛ wo duruyɛfo. Nnuru bi betumi ne estrogen aduru yi adi nkitaho. Titiriw no, ɛnsɛ sɛ wɔde nnuru te sɛ aromatase inhibitors a wɔde sa kokoram ka saa aduru yi ho. Afei nso, nnuru bi a wɔde sa akisikuru, fungal infections, nnuru bi a ekum ɔyare mmoawa, ne grapefruit nsu mpo betumi aka ɔkwan a saa aduru yi yɛ adwuma no.
Nkrasɛm a Wɔde Kɔ Fie
- Saa aduru yi yɛ hormone aduru a wɔde sa ɔhaw ahorow a ɛba bere a obi agyae brayɛ mu no. Ɛsɛ sɛ wɔde di dwuma wɔ oduruyɛfo hwɛ 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.
- Kwati sigaretnom koraa bere a worenom aduru yi. Ɛma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ ne akisikuru no yɛ kɛse.
- Mma ntwa nufu ne awotwaa mu nhwehwɛmu a wo duruyɛfo kyerɛw ma wo daa no so da.
- Sɛ wuhu biribi te sɛ mogya a ɛba wo awotwaa mu a ɛyɛ soronko, wo koko mu yaw, wo nan a ɛho ahonhon, anaa sɛnkyerɛnne ahorow a ɛkyerɛ sɛ woabɔ akisikuru a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Saa aduru yi yɛ wo nkutoo dea. Mfa nkyerɛ afoforo da.
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