Menopause, di tɛm we uman kin stɔp fɔ gɛt mɔnt, na big chenj na uman in layf. insay dis tεm, di כmon dεm we de chenj na di bכdi kin mek sכm uman dεn gεt difrεn difrεn tin dεm we dεn kin fil na dεn vagina. Lɛk we di vagina dray, it, ɛn pen we pɔsin de du mami ɛn dadi biznɛs. So tide wi de tɔk bɔt wan tritmɛnt we dɛn kin put pan pɔsin in bɔdi we kin ɛp fɔ pul dɛn diskɔmfɔt ya.
Wetin na dis Estradiol Vaginal Ring?
Fɔ tɔk am simpul wan, dis na smɔl ring we kin chenj ɛn we dɛn kin put insay yu vagina. Dis kin mek wan ɔmon we dɛn kɔl Ɛstradiol kɔmɔt smɔl smɔl. Estradiol na wan kayn ɔmon we dɛn kɔl Ɛstrojen. Afta we uman dɔn pas 40 ia, di Estrogen lɛvɛl na di bɔdi kin go dɔŋ, na dat mek tin dɛn lɛk we di vagina dray, pen, ɛn we i nɔ kin fil fayn kin apin. So di ɔmon we dis ring de pul de afɛkt da eria de nɔmɔ ɛn i de ɛp fɔ ridyus dɛn sayn dɛn de. Na Sri Lanka, yu kin fɛn am ɔnda brand dɛn lɛk Estring.
Wetin a fɔ tɛl di dɔktɔ bifo a yuz dis mɛrɛsin?
Dis rili impɔtant. Dis mɛrɛsin nɔ fayn fɔ ɔlman. So, we yu de tɔk to yu dɔktɔ, yu fɔ gi kɔmplit diskripshɔn bɔt yu wɛlbɔdi prɔblɛm ɛn yu nɔ fɔ ayd ɛnitin . Ɛspɛshali if yu gɛt ɛni wan pan di kɔndishɔn dɛn we de dɔŋ ya, mek shɔ se yu tɛl dɛn bɔt am.
- Risk fɔ gɛt kansa: If yu gɛt ɔ yu tink se yu gɛt kansa na yu brɔst, sɛvikal, ɛndometrial, ovarian, liva, ɔ uterin kansa.
- Blɔd prɔblɛm: If yu dɔn gɛt wan sik lɛk blɔd vesel sik, blɔd we de rɔtin, ɔ strok trade.
- At sik: If yu gɛt at sik, yu gɛt at atak we yu jɔs gɛt, yu blɔd prɛshɔn, ɔ yu gɛt ay kɔlɔstrel.
- Ɔda sik dɛn we yu kin gɛt: If yu gɛt sik dɛn lɛk dayabitis, gal blad sik, liva ɔ kidni sik, maygren ed pen, dimɛnshɔn, ɔ Systemic Lupus Erythematosus (SLE).
- Di abit ɛn ɔda tin dɛn we yu fɔ no: If yu de smok, yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ.
- Alɛji: If yu gɛt alɛji fɔ ɛstrojen ɔ ɔda ɔmon, mɛrɛsin, it, ɔ tin dɛn we de mek yu nɔ pwɛl.
- Hysterectomy: If yu dɔn du ɔpreshɔn fɔ pul yu uterus (hysterectomy).
- Blɔd we nɔ de kɔmɔt: If abnɔmal blɔd de na di vagina fɔ no rizin.
Aw a go yuz dis ring?
Di instrɔkshɔn dɛn fɔ yuz dis de klia wan na di paket we yu gɛt. Yu kin put am insay yu vagina yusɛf. Tink bɔt am lɛk se yu de yuz tampon. If yu gɛt ɛni dawt bɔt am, yu kin aks yu dɔktɔ ɔ nɔs fɔ di rayt we fɔ du am.
di tin we impɔtant pas ɔl na fɔ lɛf dis ring na di vagina fɔ 90 dez . Afta 90 dez, dɛn fɔ pul di ol wan ɛn put nyu wan insay.
Nɔ ɛva stɔp fɔ yuz dis if yu dɔktɔ nɔ advays yu.
If yu tink se yu dɔn tek dis mɛrɛsin tumɔs, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital wantɛm wantɛm . Ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu. Dɔn bak, dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ ɛva sheb am wit ɛni ɔda pɔsin.
Prɔblɛm kin de wit ɔda mɛrɛsin dɛn?
Yes, sɔm mɛrɛsin kin intarakt wit dis Estradiol Ring. So, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk vaytamɛn dɛn, ɛbul mɛrɛsin dɛn, ɛn sɔpɔtmɛnt dɛn.
| Kategori fɔ drɔgs | Ɛgzampul dɛn |
|---|---|
| Nɔ yuz dis ring wit dɛn mɛrɛsin ya ɔltogɛda: | |
| Aromatase inhibito dɛn we de mek pɔsin nɔ ebul fɔ du sɔntin | Drug dɛn lɛk anastrozole, letrozole, exemestane |
| Tɛl yu dɔktɔ if yu de tek dɛn mɛrɛsin ya: | |
| Ɔda mɛrɛsin dɛn | Kabamazepin, sɔm antibayɔtik, antifɔngal (e.g. ketoconazole), Ritonavir, Raloxifene, Tamoxifen, ɛbul mɛrɛsin lɛk Sɛnt Jɔn Wɔt, Grepfruit jus |
Tin dɛn we yu fɔ tek tɛm wit we yu de yuz dis mɛrɛsin
Dɛn kin chɛk yu dɔktɔ ɔltɛm
We yu de yuz dis, yu fɔ go to yu dɔktɔ ɔltɛm fɔ chɛk yu sik. Tɔk to yu dɔktɔ bɔt if yu nid fɔ du ɛgzam na yu bɔdi, Pap smear, ɛn mammogram, ɛn fala in instrɔkshɔn.
Smok ɛn risk
If yu na pɔsin we de smok, mɔ if yu pas 35 ia, yu risk fɔ gɛt blɔd klot ɔ strok kin bɔku we yu de yuz dis mɛrɛsin. So, i impɔtant fɔ lɛ wi avɔyd fɔ smok kpatakpata.
Ɔda pɔynt dɛn
- Swɛlin: Dis mɛrɛsin kin mek wata nɔ de na di bɔdi, ɛn dis kin mek di an, fut, ɛn anklɛ swel. I kin mek bak di blɔd prɛshɔn go ɔp. If yu gɛt ɛni wan pan dɛn sayn ya, tɛl yu dɔktɔ.
- Bɛlɛ: If yu tink se yu gɛt bɛlɛ, stɔp fɔ yuz dis prɔdak wantɛm wantɛm ɛn go to yu dɔktɔ.
- Risk to di uterus: fכ uman dεm we nכ bin dכn hysterectomy, sכm risk de fכ εndometrial hyperplasia (we di layn na di uterus tik) we dεn yuz εstrojen nכmכ. Fɔ mek yu nɔ gɛt dis prɔblɛm, yu dɔktɔ kin gi yu ɔda kayn ɔmon bak we dɛn kɔl projɛstin. I impɔtant fɔ tɔk bɔt dis wit yu dɔktɔ ɛn ɔndastand di bɛnifit ɛn risk fɔ yu.
- Di tin dɛn we yu kin du ɛvride: Yu kin shaw ɛn du ɔda tin dɛn lɛk aw yu kin du. Yu nɔ nid fɔ pul di ring we yu de du mami ɛn dadi biznɛs. Bɔt if yu nɔ fil fayn, yu kin pul am da tɛm de nɔmɔ, was am wit wata we wam (nɔto ɔt), ɛn put am bak.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɛni mɛrɛsin, dis wan kin mek sɔm bad bad tin dɛn apin. Sɔm pan dɛn siriɔs, sɔm pan dɛn kɔmɔn.
| Sayd ɛfɛkt we pɔsin kin gɛt | Tɔk bɔt |
|---|---|
| Tin dɛn fɔ tɛl yu dɔktɔ wantɛm wantɛm | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong. |
| Blɔd we de klɔt | Leg pen, swel, wam, at fɔ blo, chɛst pen. |
| Strok | Wantɛm we yu fes, yu an, ɔ yu fut kin wik, yu nɔ kin ebul fɔ tɔk, i nɔ kin izi fɔ waka, yu ed kin at bad bad wan. |
| Di chenj dɛn we de apin na di bɔdi | Nyu lumps, rεd, pen, εn wata we de kכmכt na di nipl. |
| Liva we dɔn pwɛl | Pen na di ɔp rayt say na di bɛlɛ, yu nɔ go want fɔ it, yu nɔ de fil fayn, yu de stɔl we gɛt layt kɔlɔ, yu urine we gɛt dak yɔlɔ ɔ brawn, ɛn yu yay ɔ yu skin de yɔlɔ. |
| Prɔblɛm dɛn we de na di vagina | Dischaj we nɔ de, it ɔ smɛl, blɔd we de kɔmɔt afta yu dɔn pas 40 ia, pen na yu bɛlɛ we de dɔŋ. |
| Tin dɛm wae nɔr kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Smɔl smɔl sayd ɛfɛkt dɛn | Blɔt, brɔst pen, nɔs, vɔmit, ɛn smɔl diskɔmfɔt na di say we dɛn put di ring. |
Mɛsej we dɛn kin kɛr go na os
- di Estradiol Vaginal Ring na di tכpikכl כmon tritmεnt fכ di vagina diskכmfכt afta mεnopos.
- Bifo yu yuz dis, tɛl yu dɔktɔ yu kɔmplit wɛlbɔdi histri (especially kansa, blɔd we de klɔt, at sik).
- Wan ring fɔ yuz fɔ 90 dez. Nɔ stɔp if yu dɔktɔ nɔ advays yu.
- If yu gɛt ɛni siriɔs sayd ɛfɛkt lɛk blɔd we de klɔt, paralayz, ɔ nyu lumps na yu bɔdi, go to dɔktɔ wantɛm wantɛm.
- Di risk kin rili bɔku if yu de smok. Fɔ avɔyd fɔ smok rili impɔtant fɔ mek yu sef.
- Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ ɛva sheb am wit ɔda pipul dɛn.
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