Bɔrku uman dɛm wae ol 45-50 ia kin fil fɔ wam ɛn swet wantɛm wantɛm. Fɔ sɔm, dis kin apin bɔku tɛm insay di de, ɛn fɔ sɔm, i kin ivin wek dɛn na nɛt. Wi kin kɔl dis kɔndishɔn ‘Menopause’. Pan ɔl we dis na nɔmal tin, di diskɔmfɔt we kin kam wit am kin mek pɔsin vɛks smɔl. So tide wi de tɔk bɔt wan spɛshal mɛrɛsin we dɔktɔ dɛn kin gi fɔ pul dɛn diskɔmfɔt ya.
Wetin na dɛn kɔnjɔg ɛstrojen ya?
Fɔ tɔk am simpul wan, dis na uman ɔmon. Dɛn pils ya gɛt wan ɔmon we dɛn kɔl ɛstrojen, we dɛn kin mek na wi bɔdi bay wilful. we uman de mεnopos, we uman de stכp fכ tεm, di εstrojen lεvεl dεm de dכn bכku bכku wan. Na dat mek di sayn dɛm lɛk wam wam wam wam wam wam wam wam wam wam wam wam wam wam wam wam wam wam wam wam wam wam wam wam wam wam wam wam wam wam wam wam wam wam bɔdi kin wam, swet, ɛn vagina dray.
So wetin dis mɛrɛsin de du na fɔ mek di ɛstrojen ɔmon we dɔn dɔn na di bɔdi kam bak. Wi kɔl dat Ɔmon Riplesmɛnt Tɛrapi (HRT) .
Dɛn kin yuz dis mɛrɛsin mɔ fɔ:
- Kɔntrol di sayn dɛm we gɛt fɔ du wit di we aw pɔsin de fil we i de menɔpauz, lɛk we i de wam .
- Fɔ mek yu nɔ gɛt ɔstioporosis, we na wan sik we de mek yu bon tan lɛk we di ɛstrojen nɔ bɔku.
- As tritmɛnt fɔ uman dɛn we dɛn dɔn ɔpreshɔn fɔ pul dɛn ovaria ɔ we gɛt smɔl ɔmon lɛvɛl fɔ ɔda rizin dɛn.
Insay Sri Lanka, dɛn kin sɛl dis mɛrɛsin bɔku tɛm ɔnda di brand nem Premarin.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin
Bikɔs dis na ɔmon mɛrɛsin, i kin miks wit sɔm mɛrɛsin sik dɛn we yu kin gɛt. So, i rili impɔtant fɔ tɛl yu dɔktɔ yu kɔmplit mɛdikal histri bifo yu bigin dis mɛrɛsin. Ɛspɛshali if yu gɛt ɛni wan pan dɛn tin ya, mek shɔ se yu tɛl dɛn.
| Sik ɔ kɔndishɔn | Wetin mek i impɔtant fɔ no bɔt am? |
|---|---|
| If yu gɛt ɔ yu dɔn gɛt kansa na yu bɔdi, yu uterin, ovarian, ɔ yu sɛvikal kansa | Dɛn kayn kansa ya de pan risk fɔ mek dɛn gro mɔ bikɔs ɔf di ɔmon we dɛn kɔl ɛstrojen. |
| Blɔd we de kɔmɔt na di vagina we wi nɔ no wetin mek i apin | Bikɔs dis kin bi sayn fɔ wan siriɔs sik, i nɔr fayn fɔ trit ɔmon bifo dɛn no di kɔz. |
| If yu nɔ tu te yet we yu gɛt blɔd klɔt, strok, ɔ at atak | Ɛstrojen kin mek di blɔd klɔt mɔ ɛn mɔ. |
| Ay blɔd prɛshɔn, dayabitis, ay kɔlɔstrel | Dis mɛrɛsin kin mek i nɔ izi fɔ kɔntrol dɛn tin ya, so i nid fɔ de wach dɛn ɔltɛm. |
| Liva sik ɔ kidni sik | Dɛn ɔgan ya impɔtant fɔ pul drɔgs na di bɔdi. If ɛni sik de insay dɛn, dɛn kin gɛt fɔ chenj di doz fɔ di mɛrɛsin. |
| If yu na pɔsin we de smok | Di risk fɔ mek blɔd klɔt ɛn strok rili bɔku , mɔ fɔ uman dɛn we dɔn pas 35 ia we de smok . |
| If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ | Dis mɛrɛsin nɔ fayn we uman gɛt bɛlɛ. |
Aw a fɔ yuz di mɛrɛsin ɛn wetin a fɔ tek tɛm wit?
Di kɔrɛkt we fɔ tek mɛrɛsin
Dis na tin we rili simpul.
- Tek di doz we dɛn tɛl yu wit wan glas wata , lɛk aw yu dɔktɔ tɛl yu.
- Di tin we impɔtant pas ɔl na fɔ tek di pil di sem tɛm ɛvride . Dis kin ɛp fɔ mek di bɔdi gɛt di ɔmon dɛn we nɔ de chenj.
- Ɔltɛm rid di pasɛnt insɛt we kam wit yu mɛrɛsin. I gɛt bɔku impɔtant tin dɛn.
- If yu mis wan doz: Tek di doz we yu mis as yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek di nɛks doz, skip di doz we yu mis ɛn tek di nɛks doz di tɛm we yu dɔn sɛtul. Nɔ ɛva tek tu dos wan tɛm.
- If yu drink pasmak:If yu tink se yu dɔn tek bɔku mɛrɛsin, go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm. Ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital .
Impɔtant: Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Nɔ gi yu padi dis mɛrɛsin, ilɛksɛf dɛn gɛt di sem sayn lɛk yu.
Tin dɛn we yu fɔ tek tɛm wit we yu de tek mɛrɛsin
- Fɔ chɛk yu dɔktɔ ɔltɛm: We yu de tek dis mɛrɛsin, i impɔtant fɔ go to yu dɔktɔ ɔltɛm. Tɔk to yu dɔktɔ bɔt wan schedule fɔ ɛgzam na yu bɔdi, Pap smear, ɛn if nid de, mammogram.
- Bifo dɛn du di ɔpreshɔn: If dɛn dɔn plan fɔ du ɛni ɔpreshɔn, tɛl yu dɔktɔ ɛn aks fɔ advays if yu fɔ stɔp fɔ tek dis mɛrɛsin bifo dɛn du di ɔpreshɔn.
- Risk to di uterus: If uman we nɔ bin dɔn du hysterectomy tek estrogen-only pills fɔ lɔng tɛm, i rili smɔl risk fɔ mek di layn na di uterus (endometrial hyperplasia) tik ɛn tɔn to kansa. Fɔ mek dis nɔ apin, dɔktɔ dɛn kin gi ɔda ɔmon we dɛn kɔl projɛstin wit ɛstrojen. Tɔk to yu dɔktɔ bɔt dis ɛn pik di tritmɛnt we go fayn fɔ yu.
Sayd ɛfɛkt dɛn we kin apin bikɔs ɔf mɛrɛsin
Lɛk ɛni mɛrɛsin, dis wan kin mek sɔm bad bad tin dɛn apin. Sɔm pan dɛn siriɔs, sɔm pan dɛn kɔmɔn.
| Siriɔs sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
|---|---|
| • SMƆL TƆK: Chɛst de pen | • SMƆL TƆK: I nɔ izi fɔ blo |
| • SMƆL TƆK: Pen, swel, ɛn rɛd na di leg, mɔ di kaw pikin | • SMƆL TƆK: Ɛd kin at wantɛm wantɛm |
| • SMƆL TƆK: Vishɔn kin chenj, i nɔ kin izi fɔ tɔk | • SMƆL TƆK: Di fes, an, ɔ leg kin swɛ ɔ wik wantɛm wantɛm |
| • SMƆL TƆK: Di yay ɔ di skin de yɔlɔ, di urine we dak, di stɔl we de shayn | • SMƆL TƆK: Di blɔd we nɔ de kɔmɔt na di vagina |
| • SMƆL TƆK: Brest lumps, chenj, ɔ dischaj | • SMƆL TƆK: Di sayn dɛm we de sho se yu gɛt alɛji lɛk we yu gɛt rɔsh na yu skin ɛn we yu de it |
| Kɔmɔn sayd ɛfɛkt dɛm wae dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu ɔr de mɔna yu | |
| • SMƆL TƆK: Di ia we de lɔs | • SMƆL TƆK: Di vagina infɛkshɔn (it, dischaj) . |
| • SMƆL TƆK: Nɔs, vɔmit | • SMƆL TƆK: Smɔl chenj dɛn kin apin na di bɔdi wet |
Mɛsej we dɛn kin kɛr go na os
- Konjugεt εstrojen na כmon tεrapi we dεn kin yus fכ mεnεj di mεnoposal simptom dεm. Na ɔnda dɔktɔ advays nɔmɔ dɛn fɔ tek am.
- Bifo yu bigin dis mɛrɛsin, tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu gɛt (especially cancer, history of blood clots) ɛn ɔl di mɛrɛsin dɛn we yu de tek.
- Uman dɛn we de smok, mɔ uman dɛn we dɔn pas 35 ia, kin gɛt strok ɛn blɔd we dɛn de tek dis mɛrɛsin.
- If yu gɛt sɔm sayn dɛn lɛk we yu de fil pen na yu chɛst, i nɔ izi fɔ blo, yu leg de swel, ɔ yu ed de at bad bad wan, go to dɔktɔ wantɛm wantɛm.
- Nɔ skip di mɛdikal chɛk-ap dɛn we dɛn dɔn sɛtul fɔ (brɛst ɛgzam, Pap tɛst) we yu de tek di mɛrɛsin.
- Nɔ rɛkɛmand dis mɛrɛsin to yu padi ɔr fambul, ilɛksɛf dɛn sik fiba.
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