Menopause na tɛm we uman kin chenj bad bad wan. Yu kin gɛt hot flash, hot flash, ɛn chenj na yu maynd. Sɔntɛnde, yu bon dɛnsɛf kin bigin fɔ wik insay dis tɛm. If yu gɛt ɛni wan pan dɛn sik ya, yu dɔktɔ go dɔn tɛl yu fɔ bigin yuz ɔmon tritmɛnt. Estradiol ɛn Norethindrone na tu pan dɛn ɔmon ya we dɛn jɔyn togɛda fɔ mek wan pil. So lɛ wi tɔk bɔt dis simpul we tide.
Wetin dɛn kin yuz dis mɛrɛsin fɔ?
Fɔ tɔk am simpul wan, dis na Ɔmon Riplesmɛnt Tɛrapi (HRT). Dɛn kin gi dis mɛrɛsin fɔ mek yu gɛt bak, to sɔm mak, di lɛvɛl dɛn we di ɛstrojen ɛn prɔjɛstɛron ɔmon dɛn de na yu bɔdi we kin go dɔŋ we yu de menɔpauz.
Dis men wan aim fɔ:
- Fɔ ridyus di prɔblɛm we yu kin gɛt we yu de menɔpauz: Dis kin ɛp fɔ kɔntrol tin dɛn lɛk fɔ wam yu bɔdi ɛn fɔ swet na nɛt.
- fכ kip di bon dεm strכng: Afta di mεnopos, di bon dεm kin tכn εn i kin izi fכ brok (osteoporosis). Dis mɛrɛsin de ridyus da risk de.
di tin we impɔtant pas ɔl na dat, dɛn kin gi dis mɛrɛsin to uman dɛn we stil gɛt dɛn uterus bikɔs di ɔmon we dɛn kɔl Norethindrone we de insay de ɛp fɔ protɛkt di wɔl dɛn na di uterus.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin
Bifo yu dɔktɔ gi yu dis mɛrɛsin, i go nid fɔ no yu kɔmplit wɛlbɔdi istri. Dis na bikɔs sɔm mɛrɛsin kin mek i nɔr izi fɔ yuz dis mɛrɛsin. So, if yu gɛt ɛni wan pan dɛn tin ya, mek shɔ se yu tɛl yu dɔktɔ bɔt dɛn.
| Yu wɛlbɔdi kɔndishɔn | Wetin mek a fɔ tɛl yu? (Simply) |
|---|---|
| Brɔst, sɛvikal, uterin kansa, ɔ ɔda kansa kɔndishɔn | Bikɔs sɔm kansa dɛn kin dipen pan ɔmon, dis mɛrɛsin kin mek dɛn gro. |
| At sik, at atak ɔ strok we dɛn jɔs dɔn gɛt | Dis kin denja if yu dɔn gɛt at sik, bikɔs dɛn ɔmon ya kin mek yu blɔd klɔt mɔ ɛn mɔ. |
| Blɔd vesel sik ɔ blɔd klɔt prɔblɛm | Semweso rizin we de ɔp. I de mek di risk fɔ mek blɔd klɔt bɔku. |
| Liva sik ɔ gal blad sik | di bכdi de proכses dεn כmon dεm ya tru di liva. If di liva wik, di mɛrɛsin kin gɛda na di bɔdi ɛn tɔn to pɔyzin. |
| Blɔd we de kɔmɔt na di vagina we nɔ ɛksplen | Bikɔs dis kin bi sayn fɔ wan siriɔs ɔndalayn kɔndishɔn, ɔmon tritmɛnt nɔr fayn te dɛn no di kɔz. |
| Dayabitis, ay kɔlɔstrel, ay blɔd prɛshɔn | Dis mɛrɛsin kin gɛt ɛfɛkt fɔ kɔntrol dɛn kayn tin ya. |
| Maygren, Dipreshɔn, Ɛndomɛtriɔsis, Fibroid | Dɛn tin ya kin wɔs ɔ chenj bikɔs ɔf di chenj dɛn we di ɔmon dɛn kin chenj. |
| If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ | Dis mɛrɛsin nɔ fayn atɔl pan dɛn kayn tin ya. |
| If yu de smok (especially if yu pas 35 ia) . | We dɛn jɔyn fɔ smok ɛn dɛn ɔmon ya, dat kin mek di blɔd klɔt ɛn strok bad bad wan . |
Aw yu kin yuz dis mɛrɛsin?
Dis na tin we rili simpul. Tek wan pil wit wan glas wata lɛk di sem tɛm ɛvride, lɛk aw yu dɔktɔ se. Sɔm pipul dɛn kin gɛt prɔblɛm wit dɛn bɛlɛ if dɛn tek am ɛmti bɛlɛ. If na so, tek am wit it.Nɔ drink pas di mɔni we yu dɔktɔ tɛl yu fɔ ɛni rizin.
Wetin a go du if a fɔgɛt fɔ tek mi mɛrɛsin?
Imajin se yu de tek yu pil 8 oklɔk mɔnin ɛvride. Tide yu mɛmba na 12 oklɔk na nɛt. Dɔn tek di pil we yu mis wantɛm wantɛm. Bɔt if na arawnd 6-7 oklɔk na nɛt we yu mɛmba, we min se i rili klos to di tɛm we yu fɔ tek am 8 oklɔk mɔnin di nɛks de, den fɔgɛt bɔt di pil we yu mis. Tek wan pil nɔmɔ na 8 oklɔk mɔnin di nɛks de lɛk aw yu kin tek am. Nɔ ɛva tek tu pils wan tɛm fɔ mek di wan we yu mis.
Ɔda tin dɛm wae kin miks wit dis mɛrɛsin
I rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɛvri mɛrɛsin, vaytamɛn, ɛn ɛbul mɛrɛsin we yu de tek, bikɔs sɔm mɛrɛsin kin miks wit dɛn ɔmon pil ya ɛn ridyus ɔ mek di mɛrɛsin wok fayn, ɔ mek yu gɛt denja sayd ɛfɛkt.
Na patikyula, sɔm kansa drɔgs (Aromatase inhibitors), epilepsy drɔgs (e.g. Carbamazepine, Phenytoin), sɔm antibayɔtiks (e.g. Rifampin), ɛn ivin grepfruit jus kin intarakt wit dis mɛrɛsin. So mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl wetin yu de tek.
Tin dɛn we yu fɔ tek tɛm wit we yu de tek mɛrɛsin
I rili impɔtant fɔ pe atɛnshɔn smɔl to yu bɔdi we yu de yuz dis mɛrɛsin.
- Yu fɔ chɛk yu dɔktɔ ɔltɛm: Si yu dɔktɔ wan tɛm ɛvri 6 mɔnt fɔ mek yu chɛk yu kɔmplit wan. I impɔtant fɔ mek dɛn du ɛgzam na yu brɔst, ɛgzam na yu bɛlɛ, ɛn yu fɔ tek mammogram if nid de.
- Nɔ smok: As wi bin dɔn tɔk, fɔ smok we yu de tek dis mɛrɛsin fɔ uman we dɔn pas 35 ia tan lɛk we yu opin di domɔt fɔ mek yu gɛt at atak ɛn strok. So, nɔ smok kpatakpata.
- Swɛlin: Sɔntɛnde dis mɛrɛsin kin mek wata nɔ de na di bɔdi, ɛn dis kin mek di finga dɛn, an dɛn, ɔ anklɛ dɛn swel. I kin mek bak blɔd prɛshɔn go ɔp. If dis apin, tɛl yu dɔktɔ .
- Bifo dɛn du di ɔpreshɔn: If dɛn dɔn arenj fɔ mek dɛn du yu ɔpreshɔn, tɔk to yu dɔktɔ bɔt am ɛn aks yu if yu nid fɔ stɔp fɔ tek dis mɛrɛsin bifo dɛn du di ɔpreshɔn.
Di sayd ɛfɛkt dɛn we di mɛrɛsin kin gɛt
Lɛk ɛni mɛrɛsin, dis wan kin mek sɔm pipul dɛn gɛt sayd ɛfɛkt. Sɔm pan dɛn tin ya siriɔs, sɔm kin kɔmɔn.
| Siriɔs sayd ɛfɛkt dɛn we nid fɔ go to dɔktɔ wantɛm wantɛm | |
|---|---|
| Wan bad bad pen na yu chɛst wantɛm wantɛm, i nɔ kin izi fɔ blo | I kin bi sayn fɔ se blɔd dɔn klot na di lɔng dɛn. |
| Leg de pen, swel, rɛd, ɛn fil fɔ wam | we bכdi kכlכt na wan vein na di leg kin bi sayn fכ dip vein thrombosis (DVT). |
| I nɔ kin izi fɔ tɔk, yu fes, yu an, ɔ yu leg kin swɛ/swɛ wantɛm wantɛm, i nɔ kin izi fɔ waka | Dɛn tin ya kin bi sayn dɛn fɔ sho se pɔsin gɛt strok. |
| Siriv ed pen, vishɔn chenj | Dɛn tin ya kin bi sayn fɔ sho se yu gɛt ay blɔd prɛshɔn ɔ ɔda siriɔs sik. |
| di yay ɔ di skin we de yɔlɔ (jaundice), di urine we dak, pen na di ɔp rayt say na di bɛlɛ | Dɛn tin ya kin bi sayn dɛn we de sho se di liva dɔn pwɛl. |
| di brεst lumps כ chenj, di brεst dεm we de kכmכt, di blɔd we de kɔmɔt na di vagina we nɔ kɔmɔn | Dɛn tin ya kin bi siriɔs tin dɛn we yu nid fɔ chɛk wantɛm wantɛm. |
| Sayd ɛfɛkt dɛm wae nɔr kin bi natin fɔ wɔri bɔt, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
|---|---|
| Akni we gɛt akni | Brawn spat dɛn na di fes |
| Di chenj dɛn we de apin na di we aw pɔsin want fɔ it | Di chenj dɛn we pɔsin kin gɛt we i want fɔ du mami ɛn dadi biznɛs |
| Di mud kin chenj, i kin fil bad smɔl | Bɛlɛ de at ɔ blo |
| We yu de gɛt mɔ wet | Fɔ fil taya we nɔ kɔmɔn |
Wetin a go du if a tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek mɔ mɛrɛsin pas aw yu tink, 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 fɔ advays.
Mɛsej we dɛn kin kɛr go na os
- Estradiol ɛn Norethindrone na ɔmon tritmɛnt dɛn we dɛn kin yuz fɔ trit di simptom dɛm we pɔsin kin gɛt we i dɔn pas we i dɔn menɔpauz ɛn di bon dɛm we kin lɔs.
- Bifo yu tek dis mɛrɛsin, yu fɔ tɛl yu dɔktɔ bɔt yu kɔmplit wɛlbɔdi histri (especially kansa, at sik, prɔblɛm wit blɔd we de klɔt).
- Tek di mɛrɛsin di sem tɛm ɛvride. Nɔ ɛva tek pas wetin di dɔktɔ tɛl yu fɔ tek.
- Fɔ smok we yu de tek dis mɛrɛsin rili denja , mɔ if yu dɔn pas 35 ia.
- If yu gɛt siriɔs sik lɛk aw yu de fil pen na yu chɛst, yu nɔ go ebul fɔ blo fayn, yu leg de swel, ɔ yu nɔ go ebul fɔ tɔk, go to dɔktɔ wantɛm wantɛm.
- If yu gɛt ɛni kwɛstyɔn bɔt dis mɛrɛsin, nɔ ɛva fred fɔ tɔk bɔt am wit yu dɔktɔ.
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