I nun kawng pawimawh tak, menopause tih chu i paltlang mek em? A nih loh leh i paltlang tawh em? Tichuan i taksaa lumna leh thawk hahna (hot flashes) lo thleng nghal mai chu i chau tawh ngei ang? Heng harsatna te bakah hian i ruh chak lo zauh zauh pawh hi he hun chhunga thil thleng a ni. Chuvangin, i doctor chuan he thuziak-a kan sawi tur damdawi hi heng harsatnate hi thunun nan leh i ruhte tichak turin a pe che a ni mai thei. He damdawi chungchanga i hriat tur chu a awlsam zawngin i lo en ang u.
Hei hi eng damdawi nge ni? A awlsam zawngin...
Hei hi a takah chuan hormone chi khat a ni. A awlsam zawngin, menopause nen chuan kan taksaa pianphung atanga lo chhuak hormone estrogen chu a tlahniam thin. He damdawi hian estrogen hormone level tlahniam chu eng emaw chen chu a siam tha leh a ni. Tichuan, a hmaa kan sawi tawh ang khan menopause symptoms, hot flashes leh sweating te chu a tlahniam ta a ni.
Tin, he damdawi hian ruh natna (osteoporosis) a veng thei bawk. Estrogen hi hormone a ni a, chu chuan kan ruhte a tichak reng a ni. Chuvangin a tlahniam chuan ruh a chak lo thei a ni. He damdawi hian chu hlauhawmna chu a ti tlem a ni.
A pawimawh ber chu, hei hi doctor-in a pek chauhvin hman tur a ni a, a sawi ang chiah chiah a ni. Mi dangin a hman i hmuh vang mai maiin i tan a thawk ang tih ngaihtuah ngai suh.
Damdawi ei hmaa doctor hnena i hrilh tur thilte
He damdawi hi mi zawng zawng tan a tha lo. I taksaa damdawi lam thil dangte nen a inzawm thei bawk. Chuvangin he damdawi hi i tan hmain doctor hnenah i hriselna chanchin kimchang hrilh hmasak a pawimawh hle . A bik takin a hnuaia condition te hi i neih chuan hriattir ngei ang che.
| Hriselna dinhmun i doctor hriattir tur | |
|---|---|
| Cancer natna vei te | Hnute, serh, nausen pum, ovary, emaw, thin emaw ang chi hmunah cancer i nei tawh emaw, i vei mek emaw a nih chuan. |
| Thisen leh thisen kalna kawngah harsatna a awm | Blood clotting disorder, stroke, tun hnaia heart attack, thisen sang, cholesterol sang. |
| Hmeichhia tana harsatna bik | Sawifiah loh vaginal bleeding, endometriosis, uterine fibroids te. |
| Damdawi lam thil dang | Liver natna, kal natna, zunthlum, gallbladder natna, thyroid lama harsatna, seizure disorder, migraine lu na, dementia, Systemic lupus erythematosus (SLE) te. |
| Point dang pawh | Naupai i nih chuan, naupai tum i nih chuan, nau hnute i pe a nih chuan. Meizial i zuk chuan. He damdawi emaw damdawi dang emaw ei tur dang emaw allergy i neih chuan. |
He damdawi hi engtin nge i hman?
- He pill hi tui glass khat nen ei tur a ni .
- Nitin i damdawi chu hun khatah ei tum ang che , i doctor-in a tih ang chiah khan. Chutiang chuan i theihnghilh lovang a, damdawi pawh a thawk tha zawk ang.
- I doctor-in titawp tura a tih hma loh chuan hei hi hmang chhunzawm zel ang che. I rilru a hahdam viau pawhin chawlhsan thut suh.
- I damdawi nena rawn kal package insert kha uluk takin chhiar fo ang che. Thu pawimawh tak tak a keng tel thei a ni.
Damdawi dose khat ka ei loh chuan engtin nge ni ang?
Khawngaihin i damdawi ei theihnghilh hi lungngai suh. I hriatreng veleh missed dose kha ei nghal rawh. Mahse i dose leh tur hun a lo thleng tawh a nih chuan missed dose kha skip la, a hnuaia dose chu a hun ruatah ei rawh. Double dose ei ngai suh.
Damdawi i ei tam lutuk chuan engtin nge i tih ang?
He damdawi hi i ei tam lutuk nia i inhriat thut chuan hlauthawng suh la , damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal nghal rawh. A nih loh leh Colombo National Hospital-a National Poisons Information Center-ah thurawn dil turin phone la.
Damdawi ei huna fimkhur tur thil
He damdawi hi i ei lai hian i taksa hi tlem tal i enkawl belh a ngai a ni.
1. Damdawi lam inenkawl fo: Doctor-in a hrilh hun hunah i hnenah kal rawh. Bik takinA hun taka hnute enfiah, Pap test, leh mammogram neih a pawimawh hle.
2. Cancer hlauhawmna: Estrogen hormone therapy hian hmeichhe thenkhatah hnute emaw, nausen pum emaw cancer vei theihna a tisang deuh thei. Hei vang hian regular checkup neih a pawimawh. Menopause hnua vaginal bleeding danglam tak i neih chuan doctor hnenah hrilh nghal rawh.
3. Thisen zam hlauhawmna: He damdawi hian thisen zam emaw, stroke emaw a tipung deuh thei. Hetiang hlauhawmna hi thisen sang, zunthlum, cholesterol sang, thau lutuk, leh zu in thinte tan a sang hle.
4. Surgery hmaa: Surgery neih i tum emaw, ni engemaw zat mut i tum emaw a nih chuan he damdawi hi i ei tih i doctor hnenah hrilh ngei ngei tur a ni. Surgery hmain damdawi ei hi rei vak lo i chawlhsan a ngai mai thei.
He damdawi hian side effect a neih theih dan
Damdawi dang ang bawkin hei hian mi thenkhatah side effect a thlen thei a ni. Mahse, mi zawng zawngin an hmu vek lo. Ṭhenkhat chu serious an ni a, ṭhenkhat erawh chu mild an ni thung.
| 🚨 Side effect na tak tak, doctor hnena hriattir nghal tur a ni | |
|---|---|
| Allergic avanga thil thleng | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring. |
| Thisen zam (Blood Clot) a lan chhuah dan | Ke na, a hring emaw, a lum emaw, thawk harsa, rilru na. |
| Stroke natna lan chhuah dan | Hmai, kut leh ke kil khata rilru hah emaw, chak lohna emaw, tawng harsa, lu na tak tak, leh mit hmuh dan inthlak danglam. |
| Liver chhiatna chhinchhiahna | Pum dinglam chunglam a na a, ei duhna a tlakchham a, mit emaw vun emaw a sen a, zun a dum bawk. |
| Symptom na tak dang a awm bawk | Thisen sang, gallbladder lama harsatna (pum natna nasa tak, luak chhuak), mit a danglam nghal emaw mit na emaw, menopause hnuah pawh vaginal bleeding. |
| 🙂 Side effects, a tlangpuiin ngaihtuahawm lo, mahse a awm reng chuan doctor hnenah i hrilh tur a ni. | |
| Chaw ei dan (digestive system) a ni | Nausea, pum na, luak chhuak. |
| Thildang | Luak chhuak, ril na, taksa ruh hring, ke ruh, kut emaw ke emaw a hring. |
He list-ah hian side effect awm thei zawng zawng a tel lo. Thil danglam tak i hmuh chuan i doctor nen sawiho rawh.
He damdawi nena inzawm thei thil dang
He damdawi hian damdawi dang, vitamin emaw, herbal product emaw i ei lai nen a inzawm thei a ni. Chuvangin i ei zawng zawng chu i doctor hnenah hrilh la. A bik takin a hnuaia mite hian he damdawi hnathawh dan hi a nghawng thei a ni.
- Epilepsy natna damdawi (e.g. Phenobarbital, Carbamazepine, Phenytoin) te hi a tha hle.
- Antifungal thenkhat (e.g. ketoconazole) .
- Antibiotics thenkhat (e.g. Clarithromycin, Erythromycin, Rifampin) te hi a tha hle.
- Thlai chi hrang hrang, St. John’s wort ang chi te
- Grapefruit tui tak a ni
- Thyroid hormone a awm a
He list hi a kim lo a, chuvangin i damdawi ei zawng zawng doctor hnenah hrilh vek a him ber.
Take-Home Thuchah a ni
- He damdawi hi hormone therapy a ni a, menopause symptoms leh ruh hloh loh nan a pui a ni.
- Hei hi i hman hmain i doctor hnenah i hriselna chanchin kimchang (a bik takin cancer, thisen zam, thinlung natna) i hrilh hmasak phawt a pawimawh hle.
- Damdawi ei lai hian scheduled medical exam (breast exam, Pap smear, mammogram) te chu skip suh.
- Ke na leh hring, thawk harsa, lu na thut emaw, thisen chhuah dan pangngai lo emaw ang chi symptom na tak tak i neih chuan doctor pan nghal tur a ni.
- He damdawi hi i tan chauh a ni. Midang hnenah share ngai suh.
- Damdawi dang i ei zawng zawng chu i doctor hnenah hrilh rawh.
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