Yu kin gɛt sɔm vagina diskɔmfɔt bak afta yu dɔn menopause? Sɔntɛnde di vagina kin fil dray, it, ɔ pen we yu de du mami ɛn dadi biznɛs. Dis na rili kɔmɔn tin fɔ bɔku uman dɛn. So, tide wi go tɔk bɔt wan krim we kin ɛp wit dis kayn diskɔmfɔt.
Us kayn mɛrɛsin dis? (Wetin na dis mɛrɛsin?)
Fɔ tɔk am simpul wan, di nem fɔ dis mɛrɛsin na ‘ Conjugated Estrogens’. I kin kam insay di fכm fכ krim we dεn kin put pan di vagina. Yu no se di ɔmon ‘ Estrogen’ we dɛn kin mek na wi bɔdi na wi bɔdi kin go dɔŋ we wi de menopause. na we di lεvεl fכ Estrogen dכn dכn di diskomfot dεm we wi bin dכn tכk bכt, dat min se di vagina de dray, rεd, it, כ fil pen we yu de du mami εn dadi biznεs. So wetin dis krim de du na fɔ gi di ɔmon Estrogen to di eria we de rawnd yu vagina ɛn ridyus dɛn diskɔmfɔt dɛn de. Dis na mɛrɛsin we de insay di ɛstrojen ɔmon grup. Yu kin sabi am wit di brand nem `Premarin`.
Yu kin yuz dis mɛrɛsin fɔ ɔda tin dɛn bak, so if yu gɛt ɛni kwɛstyɔn, i bɛtɛ fɔ aks yu dɔktɔ ɔ fama.
Wetin a fɔ tɛl di dɔktɔ bifo a yuz dis mɛrɛsin?
Dis na pɔynt we rili impɔtant. Bifo yu bigin yuz dis krim, sɔm tin dɛn de we yu fɔ tɛl yu dɔktɔ (keya tim). Bikɔs dis mɛrɛsin nɔ go fayn fɔ ɔlman. Si if dɛn tin ya apin to yu:
- If yu gɛt abnɔmal vagina blɔd (we min blɔd we nɔ tan lɛk prɛgnɛshɔn, bɔt na difrɛn we, fɔ no rizin).
- If yu bin dɔn gɛt blɔd klɔt na yu blɔd vesel dɛn trade, ɔ if yu gɛt blɔd vesel sik.
- If yu gɛt, ɔ yu dɔn ɛva gɛt , brɔst kansa, sɛvikal kansa, ɛndometrial kansa, ɔ uterin kansa .
- If yu gɛt wan sik wae de mɛk yu mɛmba lɛk dis maynia sik .
- If yu gɛt dayabitis mɛllitus .
- If yu gɛt sik we de na di gal blad .
- If yu gɛt at sik ɔ yu jɔs gɛt at atak .
- If yu gɛt ay blɔd prɛshɔn .
- If yu gɛt bɔku bɔku kɔlɔstrel na yu blɔd .
- If yu gɛt bɔku bɔku kalsiɔm na yu blɔd.
- If yu dɔn gɛt hysterectomy .
- If yu gɛt sik na yu kidni .
- If yu gɛt liva sik .
- If yu kin gɛt maygren ed we kin at ɔltɛm.
- If yu gɛt tin dɛn we de afɛkt di we aw blɔd de klɔt, lɛk we yu nɔ gɛt Protein C ɔ we yu nɔ gɛt Protein S .
- If yu dɔn gɛt strok bifo .
- If yu gɛt wan sik we de ambɔg yu bɔdi lɛk Systemic Lupus Erythematosus (SLE) .
- If yu na pɔsin we de smok (dis rili impɔtant).
- If yu gɛt alɛji to ɛstrojen ɔmon, ɔda mɛrɛsin, it, day, ɔ tin dɛn we de mek yu nɔ pwɛl.
- If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ .
- If yu de gi pikin in bɛlɛ .
If ɛni wan pan dɛn tin ya apin to yu, yu fɔ rili tɛl yu dɔktɔ . Dɔn i kin disayd if dis mɛrɛsin fayn fɔ yu, ɔ if ɔda tritmɛnt go bɛtɛ.
Aw a fɔ yuz dis mɛrɛsin?
Dis na tin bak we rili impɔtant. If yu nɔ yuz am fayn, yu nɔ go gɛt di tin dɛn we yu bin de op fɔ, ɛn yu kin ivin gɛt sayd ɛfɛkt dɛn.
- Dis krim na fɔ jɔs put am na di vagina. Nɔ tek am wit yu mɔt fɔ ɛni rizin.
- Yuz am jɔs lɛk aw di dɔktɔ tɛl am. Bɔku tɛm, yu fɔ yuz am bifo yu go slip na nɛt , bikɔs di krim go de na yu skin fɔ lɔng tɛm. Bɔt if yu dɔktɔ tɛl yu fɔ yuz am difrɛn tɛm, du am.
- Dis krim kam wit wan spɛshal apliketɔ . Na dat yu nid fɔ yuz fɔ put di krim.
- Wash yu an fayn fayn wan wit sop bifo ɛn afta yu yuz di krim.
- Fil di apliketɔ wit di rayt krim ɛn pul am na di tiub.
- Dɔn, ledɔm na di bed, bɛn yu ni dɛn, ɛn spre yu leg dɛn smɔl. Tek tɛm put di apliketɔ insay yu vagina ɛn push di plɔnja insay fɔ put di krim.
- Wash di apliketa we yu dɔn yuz fayn fayn wan wit ɔt wata we gɛt sop, rins am wit wata, ɛn lɛ i dray .
- Di dɔktɔ tɛl yu fɔ tek dis mɛrɛsin fɔ di wan ol tɛm we dɛn tɛl yu fɔ tek . Nɔ stɔp fɔ tek am. If yu nid fɔ stɔp, na di dɔktɔ in advays nɔmɔ yu fɔ du am.
Impɔtant: We dɛn gi yu dis mɛrɛsin, yu go gɛt bak wan peshɛnt infɔmeshɔn liflet (patient package insert). Yu go gɛt dis wit ɛvri prɛskrishɔn ɛn ɛvri tɛm we yu gɛt rifil. Rid dis liflet gud gud wan ɛvri tɛm we yu gɛt rifil, bikɔs di infɔmeshɔn we de na dis liflet kin chenj.
Tɔk to yu dɔktɔ bɔt aw fɔ gi pikin dɛn dis mɛrɛsin . Sɔntɛm dɛn nid spɛshal kia.
Wetin fɔ du if yu tek bɔku mɛrɛsin? (Ovadosage) .
If yu tink se yu dɔn tek dis mɛrɛsin tumɔs, kɔl pɔyzin kɔntrol sɛnta ɔ imejensi rum wantɛm wantɛm .
Duya notis: Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ sheb dis mɛrɛsin wit ɛni ɔda pɔsin .
Wetin a go du if a mis wan doz?
If yu mis wan doz, tek am jɔs afta yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz, skip di doz we yu mis ɛn tek yu nɛks doz. Nɔ ɛva tek dɛbul ɔ ɛkstra dos.
Us ɔda tin dɛn kin miks wit dis mɛrɛsin?
Dis na tin bak we rili impɔtant. Ɔda mɛrɛsin dɛn we yu kin tek kin intarakt wit dis krim ɛn ridyus ɔ inkrisayz di ifɛkt dɛn we di krim gɛt, ɔ mek nyu sayd ɛfɛkt.
Nɔ yuz dis krim wit dɛn mɛrɛsin ya:
- aromatase inhibito dεm - fכ egzampl, dכg dεm lεk aminoglutethimide, anastrozole, exemestane, letrozole, εn testolactone.
Dis mɛrɛsin kin intarakt bak wit dɛn tin ya:
- Barbiturates ɔ antikɔnvulsant
- Kabamazɛpin we dɛn kɔl
- Sɔm antibayɔtik fɔ sɔm infɛkshɔn dɛn
- Grepfruit jus we dɛn kin mek
- Mεdisin dεm fכ fכn infεkshכn - lεk itrakonazכl εn kεtokonazכl
- Ralɔksifen ɔ tamoksifen
- Rifabutin we dɛn kɔl
- Rifampin bin de du am
- Rifapentin we dɛn kɔl
- Ritonavir we dɛn kɔl
- St. John’s Wort (dis na wan ɔyl) .
- Warfarin (wan tin we de mek blɔd tan) .
Sɔntɛm dis list nɔ go kɔmplit. So, yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (we dɛn gi yu, we yu nɔ de bay, ɛbul, vaytamɛn, tin dɛn we yu de it). Dɔn bak, tɛl yu dɔktɔ if yu de smok, drink rɔm, ɔ yuz ɔda drɔgs. Sɔm tin kin miks wit dis mɛrɛsin.
Wetin na di tin dɛm we yu fɔ tek tɛm wit we yu de yuz dis mɛrɛsin?
Yu nid fɔ tek tɛm smɔl bɔt yu wɛlbɔdi biznɛs we yu de yuz dis mɛrɛsin.
- Si yu dɔktɔ fɔ mek dɛn chɛk yu ɔltɛm . Yu go nid fɔ du ɛgzam na yu brɔst ɛn ɛgzam na yu bɛlɛ ɔltɛm. Dɔn bak, tɔk to yu dɔktɔ bɔt if yu fɔ du mammogram ɛn ustɛm yu fɔ du am , ɛn fala wetin i tɛl yu fɔ du.
- Dis mɛrɛsin kin mek yu bɔdi gɛt mɔ wata, ɛn dis kin mek yu finga dɛn, yu an dɛn, ɛn yu anklɛ dɛn swel . Yu blɔd prɛshɔn kin go ɔp bak . Tɛl yu dɔktɔ if yu gɛt dis.
- If fɔ ɛni rizin yu tink se yu gɛt bɛlɛ, stɔp fɔ yuz dis mɛrɛsin wantɛm wantɛm ɛn tɛl yu dɔktɔ .
- If yu smok, dat kin mek yu gɛt mɔ blɔd ɔ yu kin gɛt strok , mɔ if yu dɔn pas 35. So i bɛtɛ fɔ lɛ yu nɔ smok .
- If yu wɛr kɔntakt lens, tɛl yu dɔktɔ if yu notis chenj na yu yay ɔ if yu fil bad we yu de wɛr yu lens.
- If yu de du elective surgery , yu kin nid fɔ stɔp fɔ tek dis mɛrɛsin bifo i apin. Tɔk to yu dɔktɔ bɔt dis bifo yu arenj fɔ mek dɛn du yu ɔpreshɔn.
Wetin na di sayd ɛfɛkt dɛm we dis mɛrɛsin kin gɛt? (Sayd Ɛfɛkt dɛn)
Lɛk ɛni mɛrɛsin, dis mɛrɛsin kin mek sɔm pipul dɛn gɛt sayd ɛfɛkt, bɔt nɔto ɔlman kin gɛt am. Sɔm sayd ɛfɛkt dɛn kin siriɔs, ɛn yu fɔ tɛl yu dɔktɔ wantɛm wantɛm if yu gɛt dɛn.
Di sayd ɛfɛkt dɛm we yu fɔ tɛl yu dɔktɔ wantɛm wantɛm:
- Alɛji ɔ angioedema : Skin de rɔsh, it ɔ ayv, yu fes, yay, lip, tɔŋ, an ɔ fut de swel, i nɔ izi fɔ swɛla ɔ blo. If dis apin, nɔ delay.
- Blɔd klɔt : Leg de pen, swel ɔ wam, i nɔ izi fɔ blo, i de pen na yu chɛst. Dis kin rili denja, bikɔs if dis blɔd klɔt kin stɔp, i kin bi big prɔblɛm.
- di chenj dεm na di brεst tisu : nyu lumps, rεd, pen, כ dischaj frכm di nipl.
- Prɔblɛm dɛn na di gal blad : I kin gɛt siriɔs bɛlɛ pen, yu kin gɛt nɔys, yu kin vɔmit, yu kin gɛt fiva.
- At atak : Pen ɔ tayt na yu chɛst, sholda, an, ɔ jaw, nɔs, at fɔ blo, kol ɔ klem skin, fɔdɔm, ɔ diziz.
- Ebi blɔd we de kɔmɔt na di vagina .
- Di blɔd prɛshɔn we de go ɔp .
- Strɔk : I kin gɛt swɛt ɔ wik na in fes, an, ɔ leg wantɛm wantɛm, i kin at fɔ tɔk, i kin kɔnfyus, i nɔ kin izi fɔ waka, i nɔ kin balans, i kin gɛt diziz, i kin gɛt ed we kin at bad bad wan, ɔ i kin chenj di we aw yu de si. Imajin se i nɔ izi fɔ yu fɔ tɔk wantɛm wantɛm, ɛn dis kin bi sayn fɔ se yu dɔn strok.
- Sɔdɛn ay pen ɔ di vishɔn chenj : yu nɔ de si fayn, yu de si halos rawnd layt, yu nɔ de si fayn igen.
- Dischaj we nɔ kɔmɔn na di vagina , i de it, ɔ i de smɛl.
If yu gɛt ɛnitin lɛk dis, nɔ panik, nɔ delay, ɛn go to dɔktɔ wantɛm wantɛm..
Sayd ɛfɛkt dɛm wae nɔr kin nid fɔ go to yu dɔktɔ, bɔt yu fɔ ripɔt to yu dɔktɔ if dɛn kɔntinyu ɔr de mɔna yu:
- Fɔ blo
- Breast pen ɔ tenderness
- Dak pat pan di skin na di fes ɔ ɔda say dɛn we di san de shayn
- Di ia we de lɔs
- Menstrual saykl we nɔ de ɔltɛm ɔ we gɛt spat
- Vɔmit
- Bɛlɛ de pen
- Di anklɛ, an, ɔ fut kin swel
Nɔto ɔl di sayd ɛfɛkt dɛn we de na dis list kin apin. If yu notis ɛni ɔda tin we nɔ kɔmɔn, aks yu dɔktɔ bɔt am.
Aw a fɔ kip dis mɛrɛsin?
- Kip am usay pikin ɛn animal dɛn we yu lɛk nɔ go ebul fɔ rich.
- Stɔr am na rum tɛmpracha (bitwin 15 ɛn 30 digri sɛlshiɔs, bitwin 59 ɛn 86 digri Fahrenheit).
- Trowe di mɛrɛsin we dɔn pas we yu nɔ yuz am.
Mɛmba se dis liflet na jɔs sɔm tin dɛn. Sɔntɛm i nɔ go gɛt ɔl di infɔmeshɔn. If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis mɛrɛsin, tɔk to yu dɔktɔ, fama, ɔ ɔda pɔsin we de kia fɔ yu wɛlbɔdi biznɛs.
Faynal Mɛsej fɔ Tek-Hom
Okay, so naw yu dɔn ɔndastand gud gud wan bɔt wetin wi bin de tɔk bɔt (Conjugated Estrogens Vaginal Cream). Lɛ wi tɔk bak bɔt di tin dɛn we impɔtant pas ɔl:
- Dis krim na fɔ yuz di vagina nɔmɔ . Yuz am jɔs lɛk aw yu dɔktɔ tɛl yu, fɔ di tɛm we di tritmɛnt de go.
- If yu gɛt ɛni ɔda mɛrɛsin ɔ yu de tek ɛni ɔda mɛrɛsin, tɛl yu dɔktɔ bɔt ɔl dɛn tin ya bifo yu yuz di mɛrɛsin .
- If yu gɛt ɛni siriɔs sayd ɛfɛkt , tɛl yu dɔktɔ wantɛm wantɛm .
- Nɔ fɔgɛt fɔ de chɛk-ap ɔltɛm ɔltɛm.
- Dis mɛrɛsin na fɔ yu nɔmɔ, nɔ sheb am wit ɔda pɔsin .
- If yu de smok, fɔ lɛf fɔ smok kin rili fayn fɔ yu wɛlbɔdi , mɔ we yu de tek ɔmon tɛrapi lɛk dis.
If yu gɛt ɛni dawt ɔ kwɛstyɔn, nɔ fred fɔ aks yu dɔktɔ. Dɔn yu kin fala dis tritmɛnt kɔrɛkt wan ɛn gɛt wɛlbɔdi.
` εstrojen, vagina, mεnopos, כmon tεrapi, krim, sayd ifekt, uman dεm hεlth
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