Menopause na tin we kin apin na ɔl uman in layf. Bɔt sɔm pan di chenj dɛn we kin kam wit am kin ambɔg smɔl. Yu kin gɛt tin dɛn bak lɛk fɔ wam yu bɔdi wantɛm wantɛm, yu nɔ kin slip, ɛn yu kin vɛks fɔ natin. Tide, wi go tɔk bɔt wan mɛrɛsin we dɔktɔ dɛn kin se fɔ ɛp insay tɛm lɛk dis.
Us kayn mɛrɛsin dis? (Drɔspirenɔn; Ɛstradiɔl) .
Fɔ tɔk am simpul wan, dis na pil we gɛt tu ɔmon dɛn we dɛn jɔyn togɛda. Dat min se, Drospirenone (wan kayn ɔmon we dɛn kɔl Progestin ) ɛn Estradiol (wan kayn ɔmon we dɛn kɔl Estrogen ). We di uman dɔn pas we i dɔn pas 40 ia, di lɛvɛl we dɛn ɔmon ya de na wi bɔdi kin go dɔŋ. Dis mɛrɛsin de wok fɔ mek dɛn ɔmon lɛvɛl dɛn de we dɔn go dɔŋ bak to sɔm mak.
Di men bɛnifit dɛn we yu kin gɛt frɔm dis na:
- I de ridyus di nɔmba ɛn di kayn we aw di hot flash we kin apin we pɔsin de menɔpauz.
- I de pul di sayn dɛm lɛk we yu vagina dray, i de it, ɛn pen we yu de du mami ɛn dadi biznɛs .
Yu kin si dis mɛrɛsin na Sri Lanka ɔnda di brand nem `Angeliq`, bɔt i kin de ɔnda ɔda nem.
Tin dɛn we yu fɔ tɛl yu dɔktɔ bifo yu tek mɛrɛsin
Bikɔs dis na ɔmon mɛrɛsin, i rili impɔtant fɔ mek yu dɔktɔ no gud gud wan bɔt yu wɛlbɔdi prɔblɛm. If yu gɛt ɛni wan pan dɛn tin ya we de dɔŋ ya, mek shɔ se yu tɛl yu dɔktɔ bifo yu bigin dis mɛrɛsin.
| Yu gɛt dɛn sik ya? |
|---|
| Blɔd vesel sik ɔ istri bɔt blɔd klɔt |
| Kansa na di brεst, di sεviks, di εndometrium, כ di uterus |
| Pwɛl at |
| Shuga |
| Endometriosis ɔ fibroid |
| Di sik we de na di gal blad |
| At sik ɔ at atak we dɛn jɔs dɔn gɛt |
| Ay blɔd kɔlɔstrel ɔ ay blɔd prɛshɔn |
| Kidni ɔ Liva sik |
| Maygren ed we de at |
| If yu dɔn gɛt strok |
| Ɔtoimyun sik dɛm lɛk sistɛm lupus εrythematosus (SLE) . |
| If yu de smok (especially if yu pas 35 ia) . |
| If yu gɛt vagina blɔd fɔ no rizin |
| If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ |
| If yu gɛt alɛji fɔ ɛni ɔda mɛrɛsin, it, ɔ day |
Aw a fɔ yuz dis pil?
Di we aw fɔ yuz dis rili simpul.
- Swɛla di pil wit wan glas wata.
- Tray fɔ tek di mɛrɛsin di sem tɛm ɛvride . Dis go ɛp yu fɔ gɛt di bɛst pan di mɛrɛsin.
- Nɔ drink pas di wan we di dɔktɔ tɛl yu fɔ drink.
- Ɔltɛm rid di pɔsin in paket insɛt we de kam wit yu mɛrɛsin. I kin gɛt ɔpdet infɔmeshɔn.
Wetin fɔ du if yu mis wan doz?
If yu fɔgɛt fɔ tek wan pil, tek am jɔs afta yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks pil, skip di pil we yu mis ɛn tek di nɛks pil di tɛm we yu dɔn sɛtul. Nɔ ɛva tek tu pils wan tɛm fɔ mek di wan we yu fɔgɛt.
Wetin yu kin du if yu drink pasmak?
If yu tink se yu dɔn tek mɔ mɛrɛsin pas aw yu tink, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta wantɛm wantɛm na di Kolombo Nashɔnal Ospital , ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. So, nɔ ɛva sheb am wit ɛni ɔda pɔsin.
Us ɔda mɛrɛsin dɛn kin miks wit dis mɛrɛsin?
Sɔm ɔda mɛrɛsin dɛn we yu de tek kin intarakt wit dis ɔmon pil, so i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn ɛbul mɛrɛsin dɛn).
| Nɔ tek dis mɛrɛsin wit | |
|---|---|
| Bosentan we de na di wɔl | Sɔm mɛrɛsin fɔ HIV/AIDS (lɛk Amprenavir, Atazanavir) . |
| Metyrapone we dɛn kin yuz | Sɔm mɛrɛsin dɛn we de mek pɔsin nɔ gɛt kansa (Aromatase inhibitors) . |
| If yu de tek dis mɛrɛsin, tɛl yu dɔktɔ. | |
| Parasetamol (Asetaminofɛn) we dɛn kɔl . | Sɔm antibayɔtik dɛn |
| Mɛrɛsin fɔ mek pɔsin gɛt ay blɔd prɛshɔn | Mɛrɛsin fɔ gɛt dayabitis |
| Di mɛrɛsin dɛn we de mek pɔsin nɔ fil bad (lɛk Carbamazepine, Phenytoin) . | Antifungals dɛn we dɛn kin yuz |
| Di tin dɛn we dɛn kin yuz fɔ mɛn pen (NSAID) . | Ɛbul mɛrɛsin dɛn lɛk Sɛnt Jɔn Wɔt |
| Blɔd tin dɛn lɛk Warfarin | Grepfruit jus we dɛn kin mek |
*Dis list nɔ kɔmplit. So tɛl yu dɔktɔ bɔt ɔl wetin yu de tek.*
Tin dɛn we yu fɔ tek tɛm wit we yu de tek mɛrɛsin
- Di mɛdikal chɛk-ap ɔltɛm: We yu de tek dis mɛrɛsin, go to yu dɔktɔ wan tɛm ɛvri 6 mɔnt fɔ mek dɛn chɛk yu kɔmplit wan. Dɔn bak, tɔk to yu dɔktɔ bɔt aw i nid fɔ du ɛgzam na yu bɔdi, ɛgzam fɔ yu bɛlɛ, ɛn fɔ mek yu mamogram ɔltɛm.
- Smok: If yu na pɔsin we de smok, mɔ if yu dɔn pas 35 ia, yu risk fɔ mek yu blɔd klɔt ɛn strok kin bɔku we yu de tek dis mɛrɛsin. Tɔk to yu dɔktɔ bɔt dis.
- Swɛlin: Dis mɛrɛsin kin mek wata nɔ de na di bɔdi, ɛn dis kin mek di an, finga, ɔ anklɛ swel. I kin mek bak di blɔd prɛshɔn go ɔp. If yu gɛt ɛni wan pan dɛn chenj ya, tɛl yu dɔktɔ.
- If yu tink se yu gɛt bɛlɛ: If yu gɛt ivin smɔl saspek se yu gɛt bɛlɛ, stɔp fɔ tek di mɛrɛsin wantɛm wantɛm ɛn tɔk to yu dɔktɔ.
Di sayd ɛfɛkt dɛn we di mɛrɛsin kin gɛt
| If yu gɛt dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm ɔ go na ɔspitul. | |
|---|---|
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong, i nɔ izi fɔ blo. |
| Di sayn dɛn we de sho se blɔd dɔn rɔtin | Leg pen, swel ɔ wam, at fɔ blo, chɛst pen. |
| Brest de chenj | Nyu lumps, rεd, pen, εn wata we de kכmכt na di nipl. |
| Di sayn dɛn we de sho se pɔsin gɛt at atak | Tayt ɔ pen na di chɛst, sholda, an, ɔ jaw, nɔs, shɔt briz. |
| Di sayn dɛn we de sho se pɔsin gɛt strok | Wantɛm we yu fes, yu an, ɔ yu fut kin wik, yu nɔ kin ebul fɔ tɔk, yu kɔnfyus, yu nɔ kin ebul fɔ waka, yu ed kin at bad bad wan. |
| Di sayn dɛm we de sho se di liva dɔn pwɛl | Pen na di ɔp rayt say na di bɛlɛ, i nɔ kin want fɔ it, di skin ɔ di yay kin yɔlɔ, ɛn di urine kin dak. |
| Bɔku tɛm, dɛn tin ya nɔ kin siriɔs, bɔt if dɛn kɔntinyu fɔ de, tɛl yu dɔktɔ. | |
| Breast pen ɔ tayt | Ed de at |
| Menstrual saykl we nɔ de ɔltɛm ɔ we gɛt spat | Di we aw pɔsin de fil kin chenj |
| Bɛlɛ de pen | We yu de gɛt mɔ wet |
Mɛsej we dɛn kin kɛr go na os
- Dis na ɔmon mɛrɛsin we dɛn kin gi fɔ kɔntrol di sayn dɛn we pɔsin kin gɛt we i nɔ gɛt bɛlɛ.
- Bifo yu bigin fɔ tek di mɛrɛsin, tɛl yu dɔktɔ bɔt ɔl yu mɛrɛsin ɛn ɔl di ɔda mɛrɛsin dɛn we yu de tek.
- Tek yu mɛrɛsin di sem tɛm ɛvride, jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek.
- Yu fɔ no bɔt di sayn dɛm wae de sho se yu gɛt siriɔs sayd ɛfɛkt lɛk wae yu blɔd de klɔt, yu paralayz, ɛn at atak. If yu gɛt ɛni wan pan dɛn tin ya, go to dɔktɔ wantɛm wantɛm.
- Di risk kin rili bɔku if yu de smok. Tɔk to yu dɔktɔ bɔt am.
- Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ ɛva sheb am wit ɔda pipul dɛn.
- I fɔ mek dɛn du mɛdikal ɛgzamɛn ɔltɛm.
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