Menopause hi hmeichhe nunah danglamna nasa tak a thlen hun a ni. Hot flashes, hot flashes, leh mood swings te i nei thei bawk. A chang chuan, he hun chhung hian i ruh te pawh a chak lo tan thei bawk. Heng symptoms te hi i neih chuan i doctor chuan hormone therapy tan tir turin a hrilh che a ni mai thei. Estradiol leh Norethindrone te hi heng hormone pahnih hi pill pakhata inzawmkhawm an ni. Chuvangin vawiinah hian awlsam takin he thu hi sawi ila.
He damdawi hi eng atan nge hman a nih?
A awlsam zawngin hei hi Hormone Replacement Therapy (HRT) a ni. He damdawi hi i taksaa estrogen leh progesterone hormone level, menopause nena tlahniam thin chu, eng emaw chen chu siam that leh nan pek a ni.
Hei hian a tum ber chu:
- Menopause laiin harsatna tihziaawmna: Hei hian hot flashes leh zan lama thawk hah ang chi thilte a control thei a ni.
- Ruh nghet taka vawn dan: Menopause hnuah ruh a lo thim a, a chhe awlsam zawk (osteoporosis). He damdawi hian chu hlauhawmna chu a ti tlem a ni.
A pawimawh ber chu he damdawi hi hmeichhe nausen pum la nei te hnenah pek a ni a, a chhan chu a chhunga hormone Norethindrone hian nausen pum bang a venghim thei a ni.
He damdawi hi i ei hmaa i doctor hnena i hrilh tur thilte
I doctor-in he damdawi a pek hma hian i hriselna chanchin kimchang a hriat a ngai dawn a ni. Hei hi a chhan chu damdawi lam dinhmun thenkhatin he damdawi hi hman a hlauhawm thei a ni. Chuvangin, a hnuaia condition te hi i neih chuan i doctor hnenah hrilh ngei ang che.
| I hriselna dinhmun | Engvangin nge ka hriattir ang che? (A awlsam zawngin) |
|---|---|
| Breast, cervical, uterine cancer emaw cancer natna dang emaw a awm thei | Cancer thenkhat chu hormone-a innghat a nih avangin he damdawi hian a tipung thei a ni. |
| Lung natna, tun hnaia heart attack emaw stroke emaw | Hei hi thinlung natna i neih tawh chuan a hlauhawm thei hle a, heng hormone te hian thisen zam a tipung thei a ni. |
| Thisen kalna kawng natna emaw, thisen zam harsatna emaw | A chunga kan sawi tawh ang bawkin chhan pawh. Thisen zam awm theihna a tipung. |
| Liver natna emaw gallbladder natna emaw | Taksa hian heng hormone te hi liver kaltlangin a process thin. Liver a chak loh chuan damdawi chu taksaah a pungkhawm thei a, toxic a lo ni thei bawk. |
| Sawifiah loh vaginal bleeding | Hei hi natna bulpui na tak chhinchhiahna a nih theih avangin, a chhan hriat chhuah hma chuan hormone hmanga enkawl hi a dik lo. |
| Zunthlum, cholesterol sang, thisen sang | He damdawi hian heng dinhmunte hi control-na kawngah nghawng a nei thei a ni. |
| Migraine, Depression, Endometriosis, Fibroid natna te a awm bawk | Heng dinhmunte hi hormone inthlak danglamna avang hian a na zual thei a, a danglam thei bawk. |
| Naupai i nih chuan, nau pai tum i nih chuan, nau hnute i pe a nih chuan | He damdawi hi hengah hian a tha lo tak zet a ni. |
| Meizial i zuk chuan (a bik takin kum 35 chunglam i nih chuan) . | Meizial zu leh heng hormone te inkawp hian thisen zam leh stroke hlauhawmna nasa takin a tipung a ni . |
He damdawi hi engtin nge i hman?
Hei hi a awlsam hle. Doctor sawi angin nitin hun khatah tui glass khat nen pill pakhat ei thin ang che. Mi thenkhat chuan pum ruak a an ei chuan pum na lo an nei thei. Chutiang a nih chuan chaw ei rualin la rawh.Doctor-in a pek zat aia tam eng thil vangin pawh in suh.
Ka damdawi ka ei theihnghilh a nih chuan engtin nge ni ang?
Nitin zing dar 8-ah i pill i ei ang tih han ngaihtuah teh. Vawiin chawhnu dar 12 khan i hrechhuak ta. Tichuan, missed pill chu ei nghal rawh. Mahse i hriatreng hunah zan dar 6-7 vel a nih chuan, a tuk zing dar 8-a i ei tur hun nen a inhnaih hle tihna a nih chuan, pill hloh kha theihnghilh rawh. A hma ang bawkin a tuk zing dar 8-ah pill pakhat chauh ei tur a ni. Pill pahnih chu vawi khatah ei ngai suh, i hloh tawh chu siam that nan.
He damdawi nena inzawm thei thil dang
Damdawi, vitamin leh herbal remedy i ei zawng zawng hi doctor hnenah hrilh vek a pawimawh hle a, damdawi thenkhat hian heng hormonal pill te nen hian an inzawm a, damdawi thatna a tihziaawm emaw a tipung emaw thei a, a nih loh leh side effect hlauhawm tak tak a thlen thei bawk.
A bik takin cancer damdawi thenkhat (Aromatase inhibitors), epilepsy damdawi (e.g. Carbamazepine, Phenytoin), antibiotics thenkhat (e.g. Rifampin), leh grapefruit tui thlengin he damdawi nen hian an inzawm thei a ni. Chuvangin i ei zawng zawng chu i doctor hnenah hrilh ngei ang che.
Damdawi ei huna fimkhur tur thil
He damdawi hi i hman dawnin i taksa hi tlem tal i ngaihven a pawimawh hle.
- Medical checkup neih fo: Thla 6 danah vawi khat tal doctor hmu la, checkup kimchang i nei ang. Hnute enfiah te, pelvic exam te, a tul chuan mammogram neih te a pawimawh hle.
- Meizial zuk loh tur: Kan sawi tawh ang khan hmeichhe kum 35 chunglam tan he damdawi ei laia meizuk hi heart attack leh stroke kawngkhar hawn ang a ni. Chuvangin, meizuk hi pumpelh vek rawh.
- Swelling: A chang chuan he damdawi hian taksaah tui a tikhawlo thei a, kut zungtang, kut leh ke ruh a ti na thei bawk. Thisen sang a tisang thei bawk. Chutiang a nih chuan i doctor hnenah hrilh rawh .
- Operation hmain: Surgery ruahman lawk i neih chuan i doctor nen sawiho la, operation hmain he damdawi hi i ei tawh loh a ngai em tih zawt rawh.
Damdawi avanga side effect awm thei te
Damdawi dang ang bawkin he damdawi hian mi thenkhatah side effect a nei thei a ni. Chung zinga ṭhenkhat chu a pawi hle a, ṭhenkhat chu a awm fo bawk.
| Side effect na tak tak, damdawi lam pan vat ngai | |
|---|---|
| Vawikhatmah rilru na na tak, thawk harsa | Chu chu lungah thisen zam a awm tih chhinchhiahna a ni thei. |
| Ke na, a hring, a sen, leh lumna hriatna | Kea vein pakhata thisen zam chu deep vein thrombosis (DVT) chhinchhiahna a ni thei. |
| Thusawi harsa, hmai, kut emaw, ke emaw-ah rang taka bengchheng/rem lo, kal harsa | Hengte hi stroke chhinchhiahna a ni thei. |
| Lu na na tak, mit a danglam | Chungte chu thisen sang chhinchhiahna emaw, natna khirh tak dang emaw a ni thei. |
| Mit emaw vun emaw a sen (jaundice), zun dum, pum dinglam chunglam na | Hengte hi liver chhiatna chhinchhiahna a ni thei. |
| Breast lumps or changes, hnute tui chhuak, vaginal bleeding danglam tak | Hengte hi dinhmun khirh tak tak, enfiah nghal ngai a ni thei. |
| Side effects, a tlangpuiin ngaihtuahawm lo, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
|---|---|
| Acne a lo awm thin | A hmaiah chuan brown spot a awm |
| Ei duhna a inthlak danglam | Mipat hmeichhiatna lama duhna inthlak danglamna |
| Mood a inthlak a, a lungngai deuh hlek | Pum na emaw, pum na emaw |
| Rihna a sang chho zel | Thil danglam tak a chau tih hriatna |
Damdawi ka ei tam lutuk chuan engtin nge ni ang?
I ngaihtuah aiin damdawi i ei tam zawk nia i hriat chuan damdawi in hnai ber Emergency Department (ETU) pan nghal rawh. A nih loh leh Colombo National Hospital-a National Poisons Information Center-ah thurawn dil turin phone la.
Take-Home Thuchah a ni
- Estradiol leh Norethindrone te hi hormone hmanga enkawlna a ni a, menopausal symptoms leh ruh hloh te control nan an hmang thin.
- He damdawi hi i ei hmain i hriselna chanchin kimchang (a bik takin cancer, thinlung natna, thisen zam harsatna te) i doctor hnenah i hrilh hmasa phawt tur a ni.
- Nitin damdawi hi a rualin ei thin ang che. Doctor-in a pek zat aia tam ei ngai suh.
- He damdawi ei lai hian meizuk hi a hlauhawm hle , a bik takin kum 35 chunglam i nih chuan.
- I rilru natna, thawk harsa, ke hring, emaw, tawng harsa emaw ang chi symptom na tak tak i neih chuan doctor thurawn zawng nghal rawh.
- He damdawi chungchanga zawhna i neih chuan i doctor nen sawiho hlau ngai suh.
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