Hmeichhe tam tak kum 45-50 inkar te hian khaw lum leh thawk hahna an nei nghal a. Ṭhenkhat tan chuan hetiang hi ni khatah vawi eng emaw zat a thleng a, ṭhenkhat tan chuan zanah pawh a kaitho a ni. Hetiang dinhmun hi ‘Menopause’ kan ti thin. Hei hi thil awmdan pangngai ni mahse, a kaihhnawih lungawi lohna hian a ti thinrim deuh thei. Chuvangin vawiinah hian heng harsatnate tihziaawmna atana doctor-te’n damdawi bik an pek chungchang kan sawi dawn a ni.
Heng conjugated estrogens te hi engte nge ni?
A awlsam zawngin hei hi hmeichhe hormone a ni. Heng pill te hian hormone estrogen an tih chu kan taksaah a pianphungah siam a ni. Menopause lai hian thlasik a tawp reng chuan hmeichhe estrogen level a tlahniam nasa hle. Chuvangin hot flashes, sweating, leh vaginal dryness ang chi symptoms a awm thin.
Chuvangin he damdawi hian a tih chu estrogen hormone tlahniam chu taksaah a rawn dah leh a ni. Chu chu Hormone Replacement Therapy (HRT) kan ti a ni.
He damdawi hi a bik takin:
- Menopause nena inzawm symptoms, hot flashes ang chi te chu control rawh .
- Osteoporosis, ruh tihthianghlimna natna, estrogen level hniam vanga lo awm chu ven.
- Hmeichhe ovary surgery hmanga lakchhuah emaw, thil dang avanga hormone level hniam emaw tan enkawlna atan.
Sri Lanka ramah chuan he damdawi hi Premarin brand name hmangin an hralh fo thin.
He damdawi hi i ei hmaa i doctor hnena i hrilh tur thilte
Hei hi hormone damdawi a nih avangin damdawi lam harsatna i neih thenkhat nen a inzawm thei a ni. Chuvangin, he damdawi hi i ei tan hmain i doctor hnenah i medical history kimchang hrilh hmasak a pawimawh hle . A bik takin a hnuaia condition te hi i neih chuan hrilh ngei ang che.
| Natna emaw dinhmun emaw | Engvangin nge fimkhur a pawimawh? |
|---|---|
| Breast, uterine, ovarian, emaw cervical cancer i neih emaw i neih tawh emaw a nih chuan | Heng cancer chi hrang hrangte hi hormone estrogen vangin a lo thang lian lehzual thei a ni. |
| A chhan hriat loh vaginal bleeding | Hei hi natna khirh tak chhinchhiahna a nih theih avangin a chhan hriat hmain hormone hmanga enkawl hi a rem lo. |
| Tun hnaia thisen zam, stroke, heart attack emaw i neih chuan | Estrogen hian thisen zam a tipung lehzual thei a ni. |
| Thisen sang, zunthlum, cholesterol sang | He damdawi hian heng dinhmunte hi control a ti harsa thei a, chuvangin enkawl fo a ngai a ni. |
| Liver natna emaw kal natna emaw | Heng taksa peng hrang hrangte hi taksa atanga damdawi lakchhuahna kawngah an pawimawh hle. An nghawng a nih chuan damdawi hman dan tur pawh thlak danglam a ngai mai thei. |
| Meizial zu mi i nih chuan | Thisen zam leh stroke vei theihna hi a sang hle a , a bik takin hmeichhia kum 35 chunglam meizuk te tan chuan a sang hle a ni . |
| Naupai emaw, nau pai tum emaw i nih chuan | He damdawi hi naupai lai hian a tha lo. |
Engtin nge damdawi hi ka hman ang a, eng fimkhurna nge ka tih ang?
Damdawi ei dan dik tak
Hei hi a awlsam hle.
- Take the prescribed dose with a glass of water , i doctor-in a tih angin.
- A pawimawh ber chu nitin a hun laia pill ei hi a ni . Hei hian taksa hormone level chu a inmil tawkin a vawng reng thei a ni.
- I damdawi nena rawn kal patient insert kha chhiar fo ang che. Thu pawimawh tak tak a keng tel a ni.
- Dose i miss a nih chuan: I hriatreng veleh missed dose chu 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. Vawi khatah vawi hnih ei ngai suh.
- I in tam lutuk chuan:Damdawi i ei tam lutuk nia i hriat chuan damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh. A nih loh leh Colombo National Hospital a National Poisons Information Center ah biak theih a ni bawk .
Pawimawh: He damdawi hi i tan chauh pek a ni. He damdawi hi i thianpa hnenah pe suh, nangmah ang bawka natna lanchhuahna nei pawh nise.
Damdawi ei huna fimkhur tur thil
- Damdawi lam enfiah fo: He damdawi hi i ei lai hian doctor pan fo a pawimawh. I doctor nen hnute enfiahna tur schedule te, Pap smear te, leh a tul chuan mammogram te neih dan tur te sawipui rawh.
- Operation hma: Surgery neih tur i neih chuan doctor hnenah hriattir la, operation hmaa he damdawi hi i ei loh tur leh tih loh tur chungchangah thurawn dil rawh.
- Nausen pum tana hlauhawm: Hmeichhiain nau pai lawk lo hian hun rei tak chhung estrogen chauh nei pills a ei chuan nausen pum chhunga lining (endometrial hyperplasia) chu a thick a, cancer-ah a chantir theihna chance a tlem hle. Chutiang a nih loh nan doctor-te chuan estrogen nen hormone dang progestin an tih chu an pe tlangpui. Hemi chungchang hi i doctor nen inbia la, i tana tha ber tur chu thlang rawh.
Damdawi avanga side effect lo awm thei
Damdawi dang ang bawkin he damdawi hian side effect engemaw zat a nei thei. Ṭhenkhat chu serious an ni a, ṭhenkhat chu common tak an ni.
| Side effect na tak tak, doctor hnena hriattir nghal tur | |
|---|---|
| • A rilru a na | • Thâwk harsa |
| • Ke na, a hring, leh a sen, a bik takin bawnghnuteah | • Lu na tak, na tak |
| • Mit hmuh a danglam a, tawng harsa a ti | • Hmai, kut emaw, ke emaw a natna emaw, chak lohna emaw a awm nghal |
| • Mit emaw vun emaw a sen, zun dum, bawlhhlawh dum | • Vaginal bleeding pangngai lo |
| • Hnute hnim hring, inthlak danglam emaw, tui chhuak emaw | • Allergy symptoms, vun rawng leh vun natna te |
| Side effect tlangpui, a awm reng emaw, a buaithlak emaw a nih chuan doctor hnenah hriattir tur a ni | |
| • Sam tlakchham | • Vaginal infection (itching, thisen chhuak) . |
| • Luak chhuak, luak chhuak | • Taksa rih zawng inthlak danglamna tenau te |
Take-Home Thuchah a ni
- Conjugated estrogen hi hormone therapy a ni a, menopausal symptoms enkawlna atana hman thin a ni. Damdawi lam thurawn hnuaiah chauh lak tur a ni.
- He damdawi hi i ei tan hmain i doctor hnenah i damdawi lam dinhmun zawng zawng (a bik takin cancer, thisen zam history) leh i damdawi ei zawng zawngte hrilh hmasa phawt ang che.
- Hmeichhia meizuk, a bik takin hmeichhia kum 35 chunglam te hian he damdawi hi an ei hian stroke leh thisen zam an vei theihna a sang zawk hle.
- I rilru natna, thawk harsa, ke na, lu na na tak ang chi symptom i neih chuan doctor rawn la nghal rawh.
- Damdawi ei laiin scheduled medical checkup (breast exam, Pap test) te chu skip suh.
- I thianpa emaw, i chhungte emaw hnenah he damdawi hi rawt suh, an natna lan chhuah dan inang pawh ni se.
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