Yu de gɛt dɛn diskɔmfɔt ya bak afta yu dɔn menɔpauz? Kam, mek wi tɔk bɔt di (Estradiol; Levonorgestrel) pat!

Menopause na tin we uman kin du na in layf, bɔt sɔm pan di prɔblɛm dɛn we kin kam wit am kin at fɔ bia smɔl, nɔto so? Sɔmtɛm di sayn dɛm lɛk wam wam wam, swet, ɛn ``ɔt flash'' kin sɔmtɛm nɔr kin kɔntrol. Yu nɔ ebul fɔ slip na nɛt ɛn yu fɔ taya ɔl di de. Nɔto dat nɔmɔ, yu kin fil bak se yu nɔ de rɛst smɔl ɛn yu kin vɛks. As tɛm de go, yu bon dɛn kin wik ɛn brok izi wan, we kin mek yu gɛt wan sik we dɛn kɔl ``Osteoporosis''. So, wan mɛrɛsin we yu kin yuz fɔ ɛp yu na di tɛm lɛk dis na di ``(Estradiol; Levonorgestrel)`` pat. Mek wi tok abaut dis ditail tide, okay?

Wetin na dis `(Estradiol; Levonorgestrel)` pat? Wetin i de du?

Fɔ tɔk am simpul wan, dis na smɔl pat we yu kin stik pan yu skin. i gεt tu kayn כmon dεm we dεn kכl `(Estradiol)` εn `(Levonorgestrel)`. yu no se wit mεnopos, di lεvεl dεm fכ di כmon dεm we dεn kכl `(Estrogen)` εn `(Progestin)` na wi bכdi de dכn. dis pat de εp fכ mek dεn כmon lεvεl dεm we de dכn kam bak to sכm mak.

So us gud tin go kɔmɔt frɔm dis?

• I de ridyus di hot flash: Dis na wan pan di men prɔblɛm dɛn we kin kam wit di we aw pɔsin de fil we i de menɔpauz. Di pat de ɛp fɔ ridyus dis diskɔmfɔt ɛn di frɛkuɛns we i kin apin.
• I de ɛp fɔ mek yu nɔ gɛt ɔstioporosis: Afta yu dɔn lɛf fɔ gɛt bɛlɛ, di bon dɛn kin wik. Dis pat de ɛp bak fɔ mek i nɔ apin.

Dis kin kam ɔnda di brand nem `(Climara Pro)`. Bɔt, dis nɔto sɔntin we de wok fɔ ɔlman. So, i go fayn fɔ mek yu tɔk to dɔktɔ fɔ no if dis fayn fɔ yu.

Wetin na di tin dɛm we a nid fɔ tɛl di dɔktɔ bifo a yuz dis mɛrɛsin?

Bifo yu bigin fɔ yuz dis pat, sɔm wɛlbɔdi prɔblɛm dɛn de we yu fɔ rili tɛl yu dɔktɔ bɔt. Bikɔs, e kin denja fɔ pɔrsin wae gɛt dɛn kayn tin ya fɔ yuz dis pat. Jɔs tink, if yu gɛt ɛni wan pan dɛn tin ya, nɔ fɔgɛt fɔ tɛl yu dɔktɔ bɔt am, okay?

• If yu gɛt blɔd vesel sik ɔ yu gɛt histri bɔt prɔblɛm lɛk trombosis/blɔd klɔt.
• If yu gɛt ɔ yu dɔn gɛt kansa na yu bɔdi, yu sɛviks, yu ɛndometrium, ɔ yu uterus.
• If yu gɛt dayabitis (Diabetes Mellitus).
• if yu gεt di kכndishכn `Endometriosis` (uterin tisu we de gro ausayd di uterus).
• if tכmכro dεm lεk ``(Fibroids)`` de na di uterus .
• If yu gɛt gal blad sik.
• If yu gɛt at sik ɔ yu jɔs gɛt at atak.
• If di blɔd kɔlɔstrel lɛvɛl rili ay.
• If yu gɛt ay blɔd prɛshɔn.
• If di kalsiɔm lɛvɛl na di blɔd rili ay.
• If yu dɔn gɛt hysterectomy (yu fɔ tɔk bɔt dis wit yu dɔktɔ, bikɔs sɔmtɛm di ɔmon tritmɛnt dɛn kin chenj).
• If yu gɛt sik na yu kidni.
• If yu gɛt liva sik.
• If yu gɛt pwɛl hat sik.
• If yu gɛt maygren ed we de at.
• If yu gɛt wan sik we nɔ kin bɔku na blɔd we dɛn kɔl `Porphyria`.
• If yu bin dɔn gɛt wan sik lɛk strok bifo.
• If yu gɛt imyun sistɛm sik lɛk `Systemic lupus erythematosus (SLE)`.
• If yu na pɔsin we de smok tabak.
• Di blɔd we de kɔmɔt na di vagina kin apin fɔ natin.
• If yu gɛt alɛji to ɛstrojen, prɔjɛstin 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.

Dis list lɔng smɔl, bɔt fɔ mek yu sef, i rili impɔtant fɔ tɔk bɔt ɔl dis wit yu dɔktɔ.

Aw ɛksaktɔli yu de yuz dis pat?

Dis na tin we rili simpul, bɔt na jɔs wetin dɛn nid fɔ du.

1. Tek tɛm te di paket we gɛt di pat. Nɔ yuz ɛnitin lɛk siza, bikɔs dis kin kɔt di pat.

2. Rimov di stiff protektiv layna frɔm di adhesive sayd na di pat. Tray fɔ avɔyd fɔ tɔch di sayd we de adhesive as mɔ as yu ebul.

3. Put di pat, wit di adeziv sayd we de fes di skin, pan klin, dray, ɛn nɔ gɛt ia. כltu, di bכdi we de dכn εn di bכtכm na di bεst ples fכ put di pat.

4. Nɔ put am na say dɛn we wund, brok skin, skata, ɔ rɔf skin.

5. Nɔ put am na di bɔdi ɔ rawnd di wes.

6. We yu de put di pat ɛvri tɛm, nɔ put am na di sem say we yu bin de put am bifo. Put am na say we difrɛn smɔl. Dis go ɛp fɔ ridyus di iritashɔn na di skin.

7. Nɔ kɔt ɔ sheb di pat.

8. Nɔ stɔp fɔ yuz dis we yu nɔ tɔk to yu dɔktɔ.

9. If yu dɔktɔ tɛl yu fɔ du dat, nɔ fɔ put pas wan pat pan am wan tɛm.

We dɛn gi yu dis mɛrɛsin ɛn we yu gɛt am bak, dɛn go gi yu ``rifil'' sheet fɔ rid. I gɛt mɔ infɔmeshɔn bɔt dis mɛrɛsin. Nɔ fɔgɛt fɔ tek tɛm rid am ɔltɛm. Na bikɔs sɔntɛnde di tin dɛn we de insay de kin chenj.

Bɔt aw fɔ yuz dis mɛrɛsin fɔ yɔŋ pikin dɛn, yu fɔ aks yu dɔktɔ fɔ spɛshal advays.

Wetin yu go du if yu aksidɛntli fɔgɛt fɔ put pat pan am?

Oh, i kin apin. If yu fɔgɛt fɔ put pat pan am, yu kin put wan pan am jɔs lɛk aw yu mɛmba.Bɔt if i dɔn lɛf smɔl fɔ lɛ yu yuz di nɛks pat, nɔ put di wan we yu fɔgɛt, bɔt yu fɔ put di nɛks pat di tɛm we yu dɔn plan. Nɔ ɛva put tu pat ɔ mɔ pat wan tɛm.

Ɛni ɔda mɛrɛsin de we go ebul fɔ miks wit dis pat?

Yɛs, dɛn de. Sɔm mɛrɛsin kin kam wit prɔblɛm we dɛn tek am wit dis pat. So, yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk di mɛrɛsin dɛn we dɛn kin gi yu, di mɛrɛsin dɛn we dɛn kin bay na kɔt, tradishɔnal mɛrɛsin dɛn, vaytamɛn dɛn, ɛn tin dɛn we yu kin yuz fɔ it.

Nɔ yuz dis pat wit dɛn mɛrɛsin ya:

• Aromatase inhibito dεm (εgzampl dεm: aminoglutethimide, anastrozole, εksemestan, lεtrozol, tεstolakton). Dis na mɛrɛsin wae dɛn kin yuse fɔ mɛn sɔm kayn kansa.

Ɔda tin dɛn we kin agens dis pat na:

• Sɔm slip pils, lɛk barbiturates (e.g. phenobarbital).
• `Carbamazepine` (na mɛrɛsin fɔ ɛpilepshi).
• Antibayɔtik we dɛn kin gi fɔ sɔm infɛkshɔn dɛn.
• Grepfruit jus we dɛn kin mek.
• Mεdisin dεm fכ fכn infεkshכn (e.g. `itraconazole`, `ketoconazole`).
• `Raloxifene` ɔ `tamoxifen` (na mɛrɛsin bak we dɛn kin gi fɔ sɔm bɔdi kansa).
• `Rifabutin`, `rifampin`, ɔ `rifapentine` (mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn TB).
• `Ritonavir` (na mɛrɛsin fɔ HIV infɛkshɔn).
• `St. John's Wort` (na tradishonal herb we sɔm pipul dɛn kin tek fɔ mek dɛn gɛt wɛlbɔdi).

Sɔntɛm dis list nɔ go gɛt ɔltin. Na dat mek i impɔtant fɔ tɛl yu dɔktɔ bɔt ɔltin we yu de tek. Dɔn bak, if yu de smok, drink rɔm, ɔ yuz ɔda drɔgs, tɛl yu dɔktɔ bɔt dat bak.

Us tin dɛn wi fɔ de wach we wi de yuz di pat?

We yu de yuz dis pat, yu nid fɔ tek tɛm kia fɔ yu wɛlbɔdi smɔl.

• Si yu dɔktɔ ɔltɛm: Yu dɔktɔ fɔ si yu fɔ chɛk yu wɛlbɔdi. Yu fɔ du yu brɔst ɛgzam, vagina ɛgzam, ɛn sɛvikal ɛgzam (inklud Pap smear) ɔltɛm. Dɔn bak, tɔk to yu dɔktɔ bɔt aw ɔltɛm yu fɔ tek mammogram, ɛn du am akɔdin to dat.
• Wach fɔ mek yu nɔ gɛt wata: Dis mɛrɛsin kin mek yu nɔ gɛt wata, yu an, yu fut, ɛn yu anklɛ dɛn kin swel. I kin mek bak blɔd prɛshɔn go ɔp. If yu fil dis kayn we, tɛl yu dɔktɔ .
• If yu tink se yu go gɛt bɛlɛ: If yu ivin tink smɔl se yu gɛt bɛlɛ, stɔp fɔ yuz dis pat wantɛm wantɛm ɛn go to yu dɔktɔ.
• Yu de smok? Dɔn di risk kin bɔku: If yu de smok we yu de yuz dis pat, yu risk fɔ mek yu blɔd klɔt ɔ strok go bɔku pasmak. Dis risk kin pasmak if yu dɔn pas 35 ia.So, i bɛtɛ lɛ yu nɔ smok.
• Yu kin wɛr kɔntakt lens? If yu wɛr kɔntakt lens, tɛl yu dɔktɔ if yu notis ɛni chenj na yu yay ɔ if yu fil ɛni prɔblɛm we yu de wɛr yu lens.
• Yu de du ɔpreshɔn ɔ MRI skan? If dɛn dɔn plan fɔ du ɔpreshɔn ɔ MRI skan, yu go nid fɔ stɔp fɔ yuz dis pat fɔ sɔm tɛm. Tɔk to yu dɔktɔ bɔt dis bifo yu du di ɔpreshɔn.
• Yu tink se di pat kin kɔmɔt? Yɛs, di pat kin kɔmɔt we yu de shaw, swim, ɔ yuz sawna. If i du am, tray fɔ yuz am bak. If nɔto so, put nyu pat pan difrɛn say ɛn kɔntinyu wit yu rɛgyula doz schedule.

Wetin na di poshubul sayd effekt dɛm fɔ dis pat?

Lɛk ɛni mɛrɛsin, dis pat kin mek sɔm bad bad tin dɛn apin. Nɔto ɔlman kin gɛt dɛn, bɔt i fayn fɔ no bɔt dɛn.

Sɔm bad tin dɛn we yu fɔ tɛl yu dɔktɔ bɔt wantɛm wantɛm:

If yu gɛt ɛni wan pan dɛn sik ya, go to dɔktɔ wantɛm wantɛm:

• Alɛji: Skin de rɔsh, it, ayv, swel na yu fes, lip, tɔng, ɔ trot.
• Blɔd klɔt: yu leg de pen, yu de swel ɔ wam, i nɔ izi fɔ blo, yu chɛst de pen.
• di brεst chenj: Nyu lumps na di brεst, i de rεd, i de pen, כ di wata we de kכmכt na di nipl.
• Prɔblɛm dɛn na di gal blad: I kin gɛt siriɔs pen na di ɔp rayt say na di bɛlɛ, yu kin gɛt nɔys, yu kin vɔmit, yu kin gɛt fiva.
• At atak: Pen ɔ tayt na in chɛst, sholda, an, ɔ jaw, nɔs, i nɔ kin izi fɔ blo, i kin fil kol ɔ i kin swet, ɛn i kin fɔdɔm.
• Di blɔd prɛshɔn we de go ɔp.
• Liva injuri: Pen na di ɔp rayt say na di bɛlɛ, i nɔ kin want fɔ it, i kin nɔs, i kin gɛt layt kɔlɔ na di stɔl, i kin gɛt dak yɔlɔ ɔ brawn urine, yu yay ɔ yu skin kin yɔlɔ, ɛn yu kin taya we nɔ kɔmɔn.
• 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 igen, i kin gɛt diziz, i kin gɛt ed we kin at bad bad wan, ɛn i kin chenj di we aw i de si.
• Di pen we de kam na yu yay wantɛm wantɛm ɔ di we aw yu de si tin kin chenj: yu nɔ kin si fayn, yu kin si halos rawnd layt, yu nɔ kin si fayn fayn wan.
• blɔd we de kɔmɔt na di vagina afta we yu dɔn menɔpauz, pen na di bɛlɛ.

Sayd ɛfɛkt dɛn we nɔ kin rili denja, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de:

Dɛn tin ya kin go insay sɔm dez, bɔt if dɛn kɔntinyu ɔ de mɔna yu bɔku, tɛl yu dɔktɔ :

• Bak pen.
• Breast pen ɔ tenderness.
• Ed de at.
• Iriteshɔn na di sayt we dɛn de yuz am.
• Di anklɛ, an, ɔ fut kin swel.

Dis list nɔ kin gɛt ɔl di sayd ɛfɛkt dɛn. If yu notis ɛnitin we nɔ kɔmɔn, tɔk to yu dɔktɔ bɔt am. Yu kin ripɔt bak di sayd ɛfɛkt dɛn to di FDA (fon nɔmba: 1-800-FDA-1088).

Aw yu kin kip dis mɛrɛsin sef?

• Kip dis mɛrɛsin usay pikin dɛn nɔ go ebul fɔ rich .
• Stɔr na rum tɛmpracha (bitwin 15 ɛn 30 digri sɛlshiɔs / 59 ɛn 86 digri Fahrenheit).
• Nɔ kip di pat dɛn we dɛn pul na di paket we de protɛkt am.
• Nɔ yuz ɛni mɛrɛsin afta di de we i dɔn fɔ yuz am.
• Dɛn fɔ trowe di pat dɛn we dɛn dɔn yuz fayn fayn wan. Bikɔs ɔmon dɛn kin stil lɛf na di pat we yu dɔn yuz, fol di pat na tu pat, wit di sayd dɛn we de adhesive togɛda, ɛn trowe am na di dɔti.

Faynal Mɛsej fɔ Tek-Hom

Wel, wi don tok plenti boht dis `(Estradiol; Levonorgestrel)` pat, no so?

Yu fɔ mɛmba dis: Dis pat kin bi fayn sɔlv fɔ sɔm pan di prɔblɛm dɛn we kin kam wit yu mɛnɔpauz. Bɔt, nɔto fɔ ɔlman. Bɔku tin dɛn de bak we yu fɔ no we yu de yuz am.

So, if yu fil se yu nid dis kayn tritmɛnt, mek shɔ se yu tɔk to dɔktɔ. Yu dɔktɔ go tek tɛm tink bɔt yu wɛlbɔdi prɔblɛm, ɔda mɛrɛsin dɛn we yu de tek, ɛn ɛksplen to yu if dis pat fayn fɔ yu, us bɛnifit i go gi yu, ɛn us prɔblɛm dɛn i go mek yu gɛt.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ aks yu dɔktɔ, fama, ɔ pɔsin we de kia fɔ yu wɛlbɔdi biznɛs. Di mɔ yu no bɔt yu wɛlbɔdi biznɛs, na di mɔ yu go gɛt wɛlbɔdi.

` Menopause, ɔmon pat, estradiol, levonorgestrel, uman dɛn wɛlbɔdi, sayd ifɛkt, ɔmon tɛrapi