Menopause hi hmeichhe tin nunah hian natural stage a ni. Mahse, a kaihhnawih inthlak danglamna hi a chang chuan tuar harsa deuh thei a ni. I thawmhnaw hak (hot flashes), mut theih lohna, leh rilru lama harsatna te ang chi thil i tawng tawh mai thei. Hetiang hun lai hian i doctor chuan hormone replacement therapy chungchang a sawipui che a ni mai thei. Chutiang enkawlna pakhat chu Esterified Estrogens a ni. Hemi chungchang hi awlsam tak leh chiang takin sawi ila.
Hei hi eng damdawi nge ni?
A awlsam zawngin sawi ila, Esterified Estrogens hi pill chi khat a ni a, hmeichhe hormone estrogen a awm a. Kan taksain a pianphungah estrogen level a neih tlem laia harsatna lo awm thin damdawi atan a ni ber.
He damdawi hi hmanraw pawimawh tak tak engemaw zat a awm a:
- Postmenopausal discomforts: A lan chhuah dan, a bik takin hot flashes control.
- Ruh hring (bone thinning) a veng: He damdawi hian ruh natna (osteoporosis) a veng thei a, hei hi ruh tihthianghlimna natna, menopause nena lo awm thei a ni.
- Hmeichhia hormone level hniam nei tan: Hmeichhe thenkhat chuan an taksaah estrogen level hniam tak an nei thin. Hei hi chutiang hmeichhia tan pawh ruat a ni.
- Ovarian Cyst lakchhuah hnuah: I ovary te chu operation hmanga lakchhuah a nih chuan hei hi a chhuak hormone tlakchhamna enkawlna atan pek a ni bawk.
- Cancer thenkhat tan: He damdawi hi cancer chi thenkhat, hnute cancer emaw prostate cancer emaw enkawlna atan pawh hman theih a ni.
He damdawi hi i ei hmaa i doctor hnena i hrilh tur thilte
He damdawi i ei tan hma hian engmah thup lovin doctor nen i hriselna chanchin kimchang sawipui a pawimawh hle . A hnuaia natnate hi i neih emaw, i neih tawh emaw chuan i doctor hnenah hrilh ngei ang che:
| Hriselna dinhmun | I hriattir tur chu |
|---|---|
| Cancer a vei tawh a ni | Breast, cervical, uterine, ovarian, emaw liver cancer i neih emaw i neih tawh emaw a nih chuan. |
| Thisen leh thinlung lama harsatna nei | Thisen kalna natna, thisen zam, lung natna, tun hnaia heart attack, stroke, thisen sang, cholesterol sang. |
| Hmeichhia lam harsatna a awm | Vaginal bleeding pangngai lo, hysterectomy neih loh. |
| Natna dang | Natna chi hrang hrang, zunthlum, gallbladder natna, thin natna, kal natna, migraine, dementia, thisen calcium level sang, leh Systemic Lupus Erythematosus (SLE) te. |
| Thiltih dan leh allergy te | Meizial i zuk chuan hormone, damdawi dang, ei tur emaw, dye emaw lakah allergy nei rawh. |
| Naupai leh nau hnute pek | Naupai i nih chuan, nau pai tum i nih chuan, nau hnute i pe a nih chuan. |
He damdawi hi engtin nge ka hman ang?
He tablet hi tui glass khat nen ei la. Dose pek ang chauh ei la, i doctor-in a tih ang chiah chiah. Nitin hun khata i damdawi ei thin kha tih danah siam rawh. Hei hian i damdawi ei tam loh nan i hre reng ang. Damdawi doctor-in a tih aia tam ei loh tur a ni.
A pawimawh ber chu he damdawi hi i tan chauh a ni. He damdawi hi i thianpa, i symptoms inang nei hnenah pe suh. Mi tin hriselna a inang lo.
Damdawi dose khat ka ei loh chuan engtin nge ni ang?
Dose i ei theihnghilh chuan i hriatreng veleh ei nghal rawh. Mahse, i dose leh tur hun a lo thleng tawh a nih chuan missed dose kha skip la, i dose leh tur chu a hun ruatah ei rawh. Dose theihnghilh tawh chu siam that nan vawi khatah vawi hnih ei ngai suh.
Damdawi ka ei tam lutuk chuan engtin nge ni ang?
He damdawi hi i ei tam lutuk nia rinhlelhna tlemte pawh i neih chuan, .Colombo National Hospital-a National Poisons Information Center-ah biak nghal rawh. A nih loh leh damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal rawh. Hei hi ngaihthah suh.
He damdawi nena inzawm thei thil dang
Damdawi dang i ei lai hian he hormone pill hi a inzawm thei a ni. Chuvangin, i damdawi ei zawng zawng (vitamin, herbal remedies, leh supplement te pawh tel) i doctor hnenah hrilh rawh.
A bik takin, a hnuaia damdawi te hi he damdawi nen hian ei loh tur a ni :
- Aromatase inhibitor te chu aminoglutethimide, anastrozole, leh exemestane te an ni.
A hnuaia mite hi harsatna a awm thei bawk:
- Barbiturates te chu phenobarbital ang chi te hi a ni
- Carbamazepine a ni
- Antibiotics te chu clarithromycin leh erythromycin te an ni
- Grapefruit tui tak a ni
- Fungal infection damdawi, ketoconazole leh itraconazole te
- Damdawi rifampin leh ritonavir te
- A thinghnah chu St. John’s Wort a ni
Damdawi ei huna hriat reng tur thil
He damdawi hi i ei lai hian i taksa hi tlem tal i enkawl belh a ngai a ni.
Damdawi lam enfiah fo thin
He damdawi hi i ei hian i doctor chu hun bi neia hmuh a pawimawh hle . A tlangpuiin hnute enfiah, Pap smear, leh pelvic exam te i neih a ngai dawn a ni. Tin, i doctor nen mammogram i tih tur leh tih loh tur leh tih tam loh tur chungchang sawipui la, a thupek zawm bawk ang che.
Tui vawn leh meizuk
He damdawi hian a chang chuan taksaah tui a tikhawlo thei a, kut, ke, kut zungtang leh kekawrte a ti na thei bawk. Thisen sang a tisang thei bawk. Hetiang hian i inhriat chuan doctor hnenah hrilh rawh.
Vaukhânna pawimawh tak: He damdawi i ei lai hian meizuk hian thisen zam leh stroke i neih theihna a tipung nasa hle. He risk hi kum 35 chunglam i nih chuan a sang hle. Chuvangin he damdawi i ei lai hian meizuk hi i pumpelh vek tur a ni.
Nausen pum nena inzawm hlauhawmna
I nausen pum chu operation hmanga lakchhuah a nih loh chuan (hysterectomy) hun rei tak estrogen chauh nei pill hman chuan nausen pum chhunga lining (endometrium) chu a thim lutuk thei a ni. Hetiang dinhmun hi endometrial hyperplasia an ti a. Hei hi a hnuah uterine cancer-ah a chang thei a ni.Hetiang hlauhawmna tihziaawm nan hian i doctor chuan he estrogen pill nen hian hormone dang progestin tih a pe ang. Hemi chungchanga zawhna i neih chuan doctor zawt rawh.
Eng side effect nge i hmuh theih?
Damdawi dang ang bawkin he damdawi hian mi thenkhatah side effect a nei thei a ni. Ṭhenkhat chu serious an ni a, ṭhenkhat chu common tak an ni.
| Side effect hrang hrangte thliar hranna | |
|---|---|
| Side effects te chu doctor hnenah report nghal tur a ni | |
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| Side effects te chu a awm reng emaw, a buaithlak emaw a nih chuan doctor hnenah hriattir tur a ni | |
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Take-Home Thuchah a ni
- Esterified Estrogens hi damdawi pawimawh tak a ni a, menopause nena inzawm harsatna tam takah a pui thei a, mahse doctor thurawn hnuaiah chauh hman tur a ni.
- I hriselna chanchin kimchang, damdawi dang i ei leh allergy i neih zawng zawngte chu i doctor hnenah hrilh ngei ang che.
- Side effect na tak tak i neih chuan i rilru na, rang taka rilru hahna, lu na nasa tak, emaw thisen chhuah dan danglam tak i neih chuan doctor lam pan nghal rawh.
- He damdawi hi ei lai hian meizuk loh vek tur a ni. Hriselna atana hlauhawmna nasa tak a thlen thei a ni.
- Medical checkup neih fo la, i hriselna humhim rawh.
- He damdawi hi i tan chauh a ni. Midang hnenah share ngai suh.
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