Biribiara a ɛfa (Synthetic Conjugated Estrogens (B)) aduru a wɔde ma ɔfe a ɛba bere a obi agyae brayɛ no ho

Hɛlo! Ebia oduruyɛfo bi na ɔkyerɛw saa aduru yi, a ɛne `(Synthetic Conjugated Estrogens (B))`. Anaasɛ ebia woyɛ obi a worehwehwɛ eyi mu akɔ akyiri. Sɛ yɛbɛka no tiawa a, eyi yɛ aduru a wɔde hormone `(Estrogen)` na ɛyɛ. Nnuruyɛfo taa kamfo eyi kyerɛ sɛnea ɛbɛyɛ a wɔbɛtew ɔhaw ahorow a mmea nya bere a wɔagyae brayɛ no so, kyerɛ sɛ, bere a ɔsram biara brayɛ agyae, te sɛ ɔhyew a ɛba ne fifiri a ɛba mpofirim (wɔfrɛ eyi `(Hot flashes)`). Nanso wobetumi de ayɛ nneɛma foforo nso. Sɛ wowɔ nsɛmmisa bi fa ho a, ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo anaa nnuruyɛfo.

Nneɛma bɛn na ɛsɛ sɛ meka kyerɛ oduruyɛfo no ansa na mafi saa aduru yi ase?

Okay, now before you start this medication , nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ woka kyerɛ wo duruyɛfo anaa akwahosan ho kuw a wɔresa wo yare no ampa. Mfa eyinom nsie, ɛyɛ? Efisɛ saa nsɛm yi na ɛbɛkyerɛ sɛ saa aduru yi fata wo anaasɛ ɛnsɛ, ne sɛnea ɛsɛ sɛ wɔde ma. Hwɛ sɛ wowɔ tebea horow yi bi anaa:

• Sɛ wowɔ mogya a ɛba wo awotwaa mu a ɛnyɛ ne kwan so (kyerɛ sɛ, mogya tu wo wɔ mmere afoforo mu a ɛnyɛ wo nna no).
• Sɛ wowɔ mogya ntini mu yare biara anaasɛ mogya a ɛtwetwe ho haw bi a.
• Sɛ wowɔ, anaasɛ woanya kokoram te sɛ nufu , awotwaa , awotwaa mu, awotwaa mu, mmerɛbo mu kokoram , anaa awotwaa mu kokoram a.
• Sɛ wowɔ adwenemhaw a .
• Sɛ wowɔ asikreyare a .
• Sɛ wowɔ tebea bi a wɔfrɛ no `` Endometriosis`` a .
• Sɛ wowɔ awotwaa mu akisikuru (fibroids).
• Sɛ wowɔ gallbladder yare a.
• Sɛ wowɔ komayare anaasɛ woanya komayare nnansa yi a.
• Sɛ wowɔ mogya mmoroso a.
• Sɛ wowɔ mogya mu srade a ɛkɔ soro a.
• Sɛ calcium dɔɔso wɔ wo mogya mu a.
• Sɛ wowɔ asaabo mu yare a.
• Sɛ wowɔ mmerɛbo mu yare a.
• Sɛ wowɔ adwenemhaw a.
• Sɛ wowɔ tiyɛ a ɛyɛ wo yaw a.
• Sɛ woanya akisikuru a.
• Sɛ woyɛ obi a ɔnom tawa a.
• Sɛ wowɔ estrogens, nnuru afoforo, nnuan, nnuru a wɔde yɛ nneɛma, anaa nneɛma a wɔde yɛ nneɛma a ɛnyɛ ne kwan so anaasɛ wo ho nyɛ wo hyew a.
• Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a.
• Sɛ woyɛ ɛna a ɔma nufu a.

Sɛ saa nneɛma yi bi fa wo ho a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo.

Ɔkwan bɛn so ankasa na mede saa aduru yi di dwuma?

Okay, enti momma yɛnnom saa aduru yi sɛnea ɛte no pɛpɛɛpɛ. Ɛyɛ aduru a wode fa w’ano nom. Ɛsɛ sɛ wode nsu kuruwa ka ho. Ɛsɛ sɛ wudi akwankyerɛ a ɛwɔ nnuru a wɔakyerɛw so no akyi sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ. Ɛho hia paa sɛ wobɛnom w’aduru no bere koro mu da biara, wɔ bere koro mu. Mma nnnom pii nsen nea wo duruyɛfo ka kyerɛ wo no, ɛyɛ? Wɔbɛma wo patient package insert bere a wɔakyerɛw saa aduru yi ama wo ne bere a woasan ahyɛ wo ma no. Ɛsɛ sɛ wokenkan no yiye bere nyinaa. Ebia nsɛm a ɛwɔ mu no bɛsakra bere ne bere mu. Enti ɛyɛ papa sɛ wobɛkenkan nea wɔde ahyɛ mu no bere biara a wubenya aduru foforo. Wo ne wo mmofra oduruyɛfo nkasa mfa saa aduru yi a wode bɛma mmofra nkumaa no ho. Mpɛn pii no, wɔmpene so sɛ wɔmfa saa aduru yi nni dwuma wɔ mmofra mu.

Sɛ wonom nnuru pii a, dɛn na ɛsɛ sɛ woyɛ?

Sɛ wususuw sɛ ebia woanom aduru yi dodo a, ntwentwɛn wo nan ase. Frɛ beae a wɔhwɛ awuduru so anaa ayaresabea dan a wɔhwɛ ntɛmpɛ a ɛbɛn hɔ no ntɛm ara. Anaasɛ fi hɔ ntɛm ara.

Nsɛm a ɛho hia: Wɔakyerɛw saa aduru yi ama wo nkutoo. Mfa saa aduru yi nkyɛ w’adamfo anaa w’abusua muni bi, sɛ mpo wɔn nso wɔ sɛnkyerɛnne koro no ara sɛ wo a. Ebetumi ayɛ nea asiane wom.

Na sɛ mepa m’aduru no nso ɛ?

Afei fa no sɛ woahwere nnuru dodow bi. Sɛ ɛba saa 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 dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru abien prɛko pɛ da, kyerɛ sɛ, mmɔho abien. Saa a wobɛyɛ no betumi de ɔhaw ahorow aba.

Nneɛma afoforo a ebetumi ne aduru yi adi nkitaho (Nkitahodi) .

Eyi yɛ asɛm a ɛho hia paa. Sɛ wofa saa `(Synthetic Conjugated Estrogens (B))` aduru yi a, ɛsɛ sɛ wohwɛ yiye wɔ nnuru afoforo a worenom no ho, ne nnuan ne anonne bi nso. Efisɛ nneɛma bi betumi ne aduru yi ayɛ wɔn ade, asakra sɛnea ɛyɛ adwuma, anaasɛ ɛde nsunsuanso bɔne a ɛyɛ hu aba.

Mfa saa aduru yi nka nnuru yi ho da:

Sɛ wode saa nnuru yi redi dwuma a, ɛnyɛ papa sɛ wobɛnom `(Synthetic Conjugated Estrogens (B))`.

• Nnuru a ɛwɔ kuw a wɔfrɛ no `Aromatase inhibitors` mu. Nhwɛsoɔ bi ne `aminoglutethimide`, `anastrozole`, `exemestane`, `letrozole`, `testolactone`.
• Aduru bi a wɔfrɛ no `Metyrapone`.

Saa nneɛma yi nso betumi ne aduru yi adi nkitaho:

Sɛ wode nnuru anaa nneɛma a wɔabobɔ din wɔ ase ha no bi redi dwuma a, ɛsɛ sɛ woka ho asɛm nso kyerɛ wo duruyɛfo.

• Barbiturates, sɛ nhwɛso no, phenobarbital.
• `Carbamazepine a wɔde yɛ aduan`
• `Klarithromycin`
• `Erythromycin a wɔde yɛ aduru`
• Grapefruit nsuo - Yiw, grapefruit nsuo nso ne nnuru bi yɛ adwuma!
• Nnuru a wɔde sa fungal yareɛ, te sɛ `ketoconazole` ne `itraconazole`.
• `Phenytoin`
• `Ritonavir a wɔde di dwuma`
• St. John's Wort - Wei ye nhabannuru a nnipa binom de di dwuma.
• Thyroid hormone ahorow a ɛma nipadua no yɛ adwuma.

Ebia saa nsɛm a wɔahyehyɛ yi renwie pɛyɛ. Enti ka nnuru a worenom (a wo duruyɛfo akyerɛw ama wo, a woatɔ wɔ nnurutɔnbea), nhabannuru, ne aduannuru a wɔde ka aduan ho nyinaa ho asɛm kyerɛ wo duruyɛfo. Sɛ wonom sigaret, wonom nsa, anaa wode nnuru foforo di dwuma a, mma wo werɛ mmfi sɛ wobɛka akyerɛ wo duruyɛfo. Saa nneɛma yi betumi ne wo nnuru no adi nkitaho.

Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom aduru yi

Nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ wohwɛ yiye wɔ ho titiriw bere a worenom aduru yi no. Ɛnyɛ aduru no a wobɛnom kɛkɛ na ɛfa ho.

• Aduruyɛ mu nhwehwɛmu daa: Ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn daa hwɛ w’akwahosan. Bere a worenom aduru yi no, ɛho behia sɛ woyɛ wo nufu mu nhwehwɛmu daa, woyɛ wo akyi berɛmo mu nhwehwɛmu, na woyɛ Pap smears. Afei nso, wo ne wo duruyɛfo nkasa mfa nkyerɛ sɛ ebia ɛsɛ sɛ woyɛ wo nufu mu nhwehwɛmu daa anaa, na di wɔn akwankyerɛ akyi.
• Nsu a wɔde sie: Saa aduru yi betumi ama wo nipadua no akura nsu mu. Eyi betumi ama wo nsateaa, wo nsa, ne wo nan ase ahonhon. Wo mogya mmoroso nso betumi akɔ soro. Sɛ wote nka sɛ worenya nsuo a, ka kyerɛ wo duruyɛfoɔ.
• Sɛ wususuw sɛ woanyinsɛn a: Sɛ biribi nti wususuw sɛ woanyinsɛn a, gyae aduru yi nom ntɛm ara na ka kyerɛ wo duruyɛfo.
• Sigaretnom: Sɛ wode tawa mu nneɛma di dwuma a, wo ne wo duruyɛfo nka ho asɛm. Ebia ɛho behia sɛ wɔyɛ nsakrae wɔ w’ayaresa nhyehyɛe no mu. Sigaretnom bere a worenom aduru yi ma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ anaasɛ wobɛtɔ akisikuru no yɛ kɛse. Saa asiane yi yɛ kɛse mpo sɛ woadi boro mfe 35 a. Enti kwati sigaretnom sɛnea wubetumi biara.
• Aniwa ho haw: Saa aduru yi betumi ama aniwa ayɛ kusuu na aniwa nhu ade yiye. Sɛ wohyɛ ahwehwɛ a wɔde hwɛ ahwehwɛ a, ebia wo ho bɛtɔ wo kakra. Ebia nnuru a wɔde srade gu aniwa so a wode bedi dwuma no bɛboa. Sɛ ɔhaw yi kɔ so anaasɛ emu yɛ den a, kɔ wo duruyɛfo nkyɛn.
• Awotwaa mu haw ahorow (`Endometrial hyperplasia`): .Saa aduru yi betumi ama asiane a ɛwɔ hɔ sɛ wubenya endometrial hyperplasia, tebea a ebetumi ama woanya kokoram wɔ awotwaa no mu no ayɛ kɛse. Sɛ wɔnom hormone foforo a wɔfrɛ no progestin ka aduru yi ho a, ebetumi atew asiane yi so. Enti, sɛ woannyi wo awotwaa (hysterectomy) a, ebia wo duruyɛfo bɛkyerɛw wo progestin aka estrogen ho. Nanso ɛsɛ sɛ wuhu sɛ estrogen a wɔde progestin ka ho no betumi de akwahosan ho asiane afoforo aba. Wo ne wo duruyɛfo nka mfaso ne ɔhaw ahorow a ɛwɔ estrogen ne progestin a wode bedi dwuma so ho asɛm. Eyi yɛ nkɔmmɔbɔ a ɛho hia.
• Ansa na wobɛyɛ oprehyɛn: Sɛ wɔreyɛ wo oprehyɛn biara a, ebia ebehia sɛ wugyae aduru yi nom kakra. Bisa wo duruyɛfo no afotu ansa na woayɛ oprehyɛn no ho nhyehyɛe.

Dɛn ne aduru yi mu nsunsuanso bɔne a ebetumi afi mu aba?

Okay, afei ma yɛnhwɛ nsunsuanso bɔne a aduru yi betumi de aba. Te sɛ nnuru nyinaa no, eyi betumi anya ɔhaw nketenkete. Ebi ne nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara. Afoforo nso nyɛ aniberesɛm saa na wobefi hɔ nna kakraa bi akyi. Nanso sɛ wɔkɔ so anaasɛ wɔhaw wo a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo .

Sɛ wunya saa nsunsuanso bɔne yi a, ka kyerɛ wo duruyɛfo ntɛm ara sɛ:

Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, ntwentwɛn wo nan ase.

• Nneɛma a ɛma obi ho yɛ no hyew - sɛ nhwɛso no, honam ani akisikuru, ɛyaw anaa akisikuru, anim, anofafa anaa tɛkrɛma a ɛho ahonhon.
• Nsakrae a ɛba nufu mu ntini anaa nsu a efi mu ba mu.
• Nsakrae a ɛba wɔ anisoadehu mu.
• Koko mu yaw.
• Adwene a ɛyɛ basaa, kasa anaa ntease a ɛyɛ den.
• Nsu a ne kɔla yɛ tuntum.
• Nsɛnkyerɛnne a ɛte sɛ atiridii anaasɛ ɔte nka sɛ ne ho nyɛ no dɛ.
• Nsu a ɛyɛ kɔla a ɛyɛ hann a ɛtwam.
• Akisikuru, ɔfe.
• Ɛyaw, ɔfe, ne ɔhyew a ɛba nan no mu (eyi betumi ayɛ mogya a ɛretu ho sɛnkyerɛnne).
• Ɛyaw a ɛba yafunu nifa a ɛwɔ soro no mu.
• Tiyɛ a emu yɛ den.
• Ɔhome a ɛyɛ den.
• Anim, abasa, anaa nan a ɛyɛ mmerɛw anaa ɛyɛ mmerɛw mpofirim.
• Nantew a ɛyɛ den, adwenemhaw, kari a ɛnkari pɛ, anaa ɔhaw ahorow a ɛfa nneɛma a wɔyɛ no pɛpɛɛpɛ ho.
• Mogya a ɛba ɔbea no awotwaa mu a ɛnyɛ ne kwan so.
• Aniwa anaa honam ani a ɛyɛ kɔkɔɔ (jaundice).

Sɛ nhwɛso no, fa no sɛ bere a Kanthi fii aduru yi ase akyi no, ɛyɛɛ den maa Kanthi mpofirim sɛ ɔbɛkasa, anaasɛ ɔtee nka sɛ n’anim fã biako ayɛ mmerɛw. Sɛ biribi a ɛte saa si a, ɛnyɛ papa sɛ wobɛtwentwɛn wo nan ase, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara.

Mpɛn pii no, saa nsunsuanso bɔne yi nhia sɛ wokɔ ayaresabea (nanso sɛ ɛkɔ so anaasɛ ɛhaw adwene a, ka kyerɛ wo duruyɛfo ):

Mpɛn pii no, eyinom brɛ ase wɔ nna kakraa bi mu.

• Nwi a ɛtɔ.
• Ɔkɔm anaa sukɔm a ɛkɔ soro.
• Nsu a wɔtow gu a ɛkɔ soro.
• Nsɛnkyerɛnne a ɛkyerɛ sɛ ɔbea no awotwaa mu yareɛ - sɛ nhwɛsoɔ no, ɛyaw, ɛhyeɛ, anaa nsuo a ɛyɛ soronko.
• Ɔbrɛ anaa mmerɛwyɛ a wɔte nka soronko.

Ebia nneɛma bɔne a efi mu ba nyinaa nka saa nsɛm a wɔahyehyɛ yi ho. Sɛ wuhu biribi a ɛyɛ soronko ka eyinom ho a, bisa wo duruyɛfo no ho asɛm. Wubetumi nso abɔ saa nsunsuanso bɔne yi ho amanneɛ akyerɛ FDA denam frɛ a wobɛfrɛ 1-800-FDA-1088 so.

Ɔkwan bɛn so na wode aduru yi sie?

Ɛsɛ sɛ wɔde saa aduru yi sie baabi a mmofra ntumi nkɔ. Eyi ho hia paa. Fa sie wɔ dan mu hyew (a ɛyɛ digrii Celsius 15 kosi 30, a ɛyɛ digrii Fahrenheit 59 kosi 86). Tow aduru biara a ne bere atwam no gu.

Nkrasɛm a Etwa To a Wɔde Kɔ Fie

Okay, enti ma menbɔ nneɛma bi a ɛsɛ sɛ wokae fi nea yɛaka ho asɛm no mu no mua.

• Saa aduru yi a wɔfrɛ no `(Synthetic Conjugated Estrogens (B))` yɛ `(Estrogen)` hormone. Nnuruyɛfo kyerɛw no titiriw ma ɔhaw ahorow te sɛ `(Hot flashes)` a ɛba bere a obi agyae brayɛ no.
• Ansa na wubefi aduru no ase no, ɛho hia sɛ woka w’akwahosan tebea nyinaa ne nnuru afoforo a worenom nyinaa (a nnuru a wɔde di dwuma wɔ amanne kwan so ka ho) kyerɛ wo duruyɛfo.
• Fa aduru no sɛnea oduruyɛfo no ka no pɛpɛɛpɛ, wɔ bere a ɛfata mu. Mfa nnkyerɛ afoforo. Sɛ wopa dodow bi a, fa no bere a woakae ara pɛ, nanso sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ a, twa dodow a woayera no so na fa no wɔ wo dodow a edi hɔ a woahyɛ da ayɛ ho nhyehyɛe no mu.
• Sɛ woyɛ obi a ɔnom sigaret a, asiane kɛse wɔ hɔ bere a worenom aduru yi no. Wo ne wo duruyɛfo nka ho asɛm.
• Sɛ wuhu sɛnkyerɛnne biara a ɛyɛ soronko, titiriw wo koko mu yaw, ɛyɛ den sɛ wobɛkasa, wo ho yɛ wo yaw mpofirim, mogya tu wo soronko, anaa wo nan a wohoro a, ka kyerɛ wo duruyɛfo ntɛm ara.
• Ɛho hia sɛ wɔyɛ aduruyɛ mu nhwehwɛmu daa (te sɛ nufu mu nhwehwɛmu, Pap smears, ne mammograms).
• Ɛsɛ sɛ mmea a wɔannyi wɔn awotwaa no ne wɔn duruyɛfo kasa fa mfaso ne ɔhaw ahorow a ɛwɔ estrogen a wɔde progestin ka ho no ho.

Adeɛ a ɛho hia paa ne sɛ, sɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo wɔ saa aduru yi ho a, wo ne wo duruyɛfoɔ, nnuruyɛfoɔ, anaa w’akwahosan ho ɔyaresafoɔ nkasa. Mma ɛnhaw wo, wɔwɔ hɔ sɛ wɔbɛboa wo. Saa kratawa yi yɛ nsɛm a wɔaboaboa ano kɛkɛ na ebia ɛnyɛ nsɛm no nyinaa. Enti ntwentwɛn wo nan ase sɛ wubebisa nsɛm.

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` Synthetic conjugated estrogens, estrogen, hormone replacement therapy, bratwa, ɔhyew a ɛba, mmea akwahosan, nnubɔne ho nsunsuanso bɔne