Abakyala bangi abali wakati w’emyaka 45-50 bafuna ebbugumu mu bwangu n’okutuuyana. Abamu kino kibaawo emirundi egiwerako olunaku, ate abamu kibazuukusa n’ekiro. Embeera eno tugiyita ‘Menopause’. Wadde kino kintu kya butonde, obutanyuma obujja nabwo buyinza okunyiiza katono. Kale leero twogera ku ddagala ery’enjawulo abasawo lye balagira okumalawo obuzibu buno.
Bino ebiyitibwa estrogens ebiyungiddwa (conjugated estrogens) bye biruwa?
Mu ngeri ennyangu, eno busimu bwa mukazi. Empeke zino zirimu ekirungo ekiyitibwa ‘estrogen’ ekikolebwa mu butonde mu mibiri gyaffe. Mu kiseera ky’okuggwaamu amaanyi, okugenda mu nsonga bwe kukoma enkalakkalira, estrogen mu mukyala ekendeera nnyo. Eno y’ensonga lwaki obubonero ng’ebbugumu, okutuuyana, n’okukala kw’obukyala bubaawo.
Kale eddagala lino kye likola kwe kuzzaawo obusimu bwa estrogen obubadde buweddewo mu mubiri. Ekyo tukiyita obujjanjabi obukyusa obusimu (HRT) .
Eddagala lino lisinga kukozesebwa ku:
- Fuga obubonero obukwatagana n’okuggwaamu amaanyi mu nsonga, gamba ng’ebbugumu ery’amaanyi .
- Zingiza obulwadde bw’amagumba obugonza amagumba obuva ku bungi bwa estrogen obutono.
- Ng’obujjanjabi eri abakyala abalongooseddwa enkwaso oba abalina obusimu obutono olw’ensonga endala.
Mu Sri Lanka, eddagala lino litera okutundibwa wansi w’erinnya lya Premarin.
Ebintu by’olina okutegeeza omusawo nga tonnamira ddagala lino
Okuva bwe kiri nti lino ddagala lya busimu, liyinza okukwatagana n’embeera ezimu ez’obujjanjabi z’oyinza okuba nazo. N’olwekyo, kikulu nnyo okutegeeza omusawo wo ebyafaayo byo byonna eby’obujjanjabi nga tonnatandika ddagala lino. Naddala bw’oba olina emu ku mbeera zino wammanga, kakasa nti ozibuulira.
| Obulwadde oba embeera | Lwaki kikulu okukimanya? |
|---|---|
| Bw’oba olina oba olina kookolo w’amabeere, nnabaana, enkwaso oba omumwa gwa nnabaana | Ebika bya kookolo bino biri mu bulabe bw’okwongera okukula olw’obusimu obuyitibwa estrogen. |
| Okuvaamu omusaayi mu bukyala nga tekimanyiddwa | Olw’okuba kano kayinza okuba akabonero k’embeera ey’amaanyi, obujjanjabi bw’obusimu tebusaanira nga tebunnazuulibwa kivaako. |
| Bw’oba waakafuna omusaayi okuziyira, okusannyalala oba okulwala omutima | Estrogen asobola okwongera okwongera ku bulabe bw’okuzimba omusaayi. |
| Puleesa, sukaali, kolesterol omungi | Eddagala lino liyinza okukaluubiriza embeera zino okufuga, n’olwekyo kyetaagisa okulondoola ennyo. |
| Obulwadde bw’ekibumba oba obulwadde bw’ekibumba | Ebitundu bino bikulu mu nkola y’okuggya eddagala mu mubiri. Bwe ziba zikoseddwa, kiyinza okwetaagisa okukyusa mu ddoozi y’eddagala. |
| Bw’oba oli munywa sigala | Obulabe bw'okuzimba omusaayi n'okusannyalala bungi nnyo naddala eri abakyala abasukka emyaka 35 abanywa sigala . |
| Bw’oba oli lubuto oba ng’ogezaako okufuna olubuto | Eddagala lino terisaanira ng’oli lubuto. |
Eddagala lino nkozese ntya era ngeri ki gye nnina okwegendereza?
Engeri entuufu ey’okumira eddagala
Kino kyangu nnyo.
- Ddira ddoozi eragiddwa n’egiraasi y’amazzi , ng’omusawo bw’akulagidde.
- Ekisinga obukulu kwe kumira empeke mu kiseera kye kimu buli lunaku . Kino kiyamba okukuuma obusimu mu mubiri mu ngeri etakyukakyuka.
- Bulijjo soma ekiyingiza omulwadde ekijja n’eddagala lyo. Kirimu amawulire mangi amakulu.
- Bw’oba osubiddwa ddoozi: Ddira ddoozi gy’osubiddwa amangu ddala ng’ojjukira. Wabula bwe kiba nga kinaatera okutuuka ku ddoozi yo eddako, buuka ddoozi gy’osubiddwa n’omira ddoozi eddako mu ssaawa gye wategese. Tomirangako ddoozi bbiri omulundi gumu.
- Bw’onywa ennyo:Bw’oba olowooza nti onywedde eddagala lingi, genda mu ddwaaliro erikuli okumpi mu kitongole ky’abalwadde ab’amangu (ETU) mu bwangu. Oba kuba ku ssimu ya National Poisons Information Center mu ddwaaliro ly'eggwanga erya Colombo .
Ekikulu: Eddagala lino likuwandiikiddwa ggwe wekka. Eddagala lino tomuwa mukwano gwo, ne bw’aba n’obubonero bwe bumu naawe.
Ebintu by’olina okwegendereza ng’omira eddagala
- Okwekebeza abasawo buli kiseera: Bw’oba omira eddagala lino, kikulu okulaba omusawo buli luvannyuma lwa kiseera. Yogerako n’omusawo wo ku nteekateeka y’okukebera amabeere, okukebera amabeere, era bwe kiba kyetaagisa, okukebera amabeere.
- Nga tonnalongoosebwa: Bw’oba olina okulongoosebwa kwonna, tegeeza omusawo wo era osabe amagezi oba olina okulekera awo okumira eddagala lino nga tonnalongoosebwa.
- Obulabe eri nnabaana: Singa omukyala atalongooseddwa nnabaana okumala ebbanga eddene ng’amira empeke ezirimu estrogen yokka, waliwo akabi akatono ennyo nti lining ya nnabaana (endometrial hyperplasia) ejja kugonza n’efuuka kookolo. Okuziyiza kino, abasawo batera okuwandiika obusimu obulala obuyitibwa progestin wamu ne estrogen. Yogerako n’omusawo wo ku nsonga eno era olonde obujjanjabi obusinga okukuyamba.
Ebizibu ebiyinza okuva ku ddagala
Okufaananako n’eddagala lyonna, lino liyinza okuvaako ebizibu ebimu. Ebimu bya siriyaasi, ebimu bya bulijjo.
| Ebizibu eby’amaanyi ebirina okuloopebwa eri omusawo mu bwangu | |
|---|---|
| • Obulumi mu kifuba | • Okukaluubirirwa okussa |
| • Okulumwa, okuzimba n’okumyuuka mu kigere naddala ennyana | • Okulumwa omutwe okw’amangu, okw’amaanyi |
| • Okulaba kukyuka, okukaluubirirwa okwogera | • Okuziyira oba okunafuwa mu maaso, omukono oba okugulu okw’amangu |
| • Amaaso oba olususu okufuuka ekya kyenvu, omusulo enzirugavu, omusulo ogumyufu | • Okuvaamu omusaayi mu bukyala mu ngeri etaali ya bulijjo |
| • Ebizimba mu mabeere, enkyukakyuka oba okufulumya amazzi | • Obubonero bwa alergy ng’okusiiyibwa ku lususu n’okusiiyibwa |
| Ebizibu ebitera okubaawo ebirina okuloopebwa eri omusawo singa bisigala nga binywevu oba nga bitawaanya | |
| • Okugwa kw’enviiri | • Endwadde z’obukyala (okusiiwa, okufulumya amazzi) . |
| • Okuziyira, okusiiyibwa | • Enkyukakyuka entonotono mu buzito bw’omubiri |
Obubaka Obutwala Awaka
- Conjugated estrogen ddagala lya busimu erikozesebwa okuddukanya obubonero bw’okuggwaamu amaanyi mu nsonga. Kirina okutwalibwa ng’abasawo bakiwabula.
- Nga tonnatandika ddagala lino, buulira omusawo wo ku mbeera zonna ez’obujjanjabi z’olina (naddala kookolo, ebyafaayo by’okuzimba omusaayi) n’eddagala lyonna ly’omira.
- Abakyala abanywa sigala naddala abakyala abasukka mu myaka 35, bali mu bulabe bwa maanyi nnyo obw’okulwala obulwadde bwa ssukaali n’okuzimba omusaayi nga bamira eddagala lino.
- Bw’ofuna obubonero ng’okulumwa mu kifuba, okukaluubirirwa okussa, okuzimba amagulu oba okulumwa ennyo omutwe, genda mangu omusawo amagezi.
- Tobuuka kukeberebwa kw’abasawo okutegekeddwa (okukeberebwa amabeere, okukeberebwa Pap) ng’omira eddagala.
- Eddagala lino toliwa mukwano gwo oba omuntu w’omu maka go, ne bwe kiba nti obubonero bwe bufaanagana.
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