Menopause , kum 45-50 i nih lai hian i hnaih deuh deuh hian khaw lum leh thawmhnaw i nei nghal bawk em? A nih loh leh, i thinrim reng a, thil tenawm tak takin i rilru a tihnat reng em? Inpawl laiin vaginal dryness leh natna te hian i chau tawh em? Hengte hi hmeichhe tam takin menopause-a an tawn thin harsatna tlangpui a ni. Chuvangin vawiin hian heng harsatna tam tak hi doctor-te’n an rawt hormone treatment kan sawi dawn a ni.
Estradiol leh Norgestimate hi eng nge ni?
A awlsam zawngin, hengte hi hmeichhe taksaa pianphung anga siam hormone pahnih, estrogen leh progestin -te awmna pill an ni. Menopause a awm chuan kan taksaa heng hormone awm zat hi a tlahniam thin. Chuvangin, he damdawi hian a tih chu taksaa hormone tlahniam tawhte chu a siam that leh a, a vanga harsatna awmte chu a thunun leh a ni.
He damdawi hi a hnuaia mite tan hian hman a ni ber:
- Hot flashes : He damdawi hian he menopause nena lo awm thin, he harsatna nasa tak hi a tihziaawm thei a ni.
- Vaginal discomfort: Inpawl laiin vaginal dryness, itching , leh natna te a tiziaawm thei.
- Osteoporosis ven dan : Menopause hnua hormone a tlahniam avangin ruh a hring thei a, a chhe thei bawk. He damdawi hian he natna hi a veng thei bawk.
He damdawi hi i ei hmaa i doctor hnena i hrilh tur thilte
Hei hi a pawimawh hle a ni. A chhan chu heng hormone pill te hi mi zawng zawng tan a tha lo. Damdawi lam harsatna thenkhat nei tan chuan hlauhawm tak an ni thei. Chuvangin, he damdawi hi i ei tan hmain a hnuaia natna te hi i neih chuan i doctor hnenah i hrilh ngei tur a ni:
| Heng dinhmunte hi i nei em? | Engvangin nge a pawimawh? |
|---|---|
| Breast, cervical, uterine cancer , emaw, cancer vei tawh emaw | Cancer chi thenkhat chu hormone-a innghat a nih avangin he damdawi hian an thanlenna a nghawng thei a ni. |
| Thisen kalna kawng emaw a kaihhnawih natna emaw a thisen zam | He damdawi hian thisen zam a tipung deuh thei a ni. |
| Heart disease , tun hnaia heart attack emaw stroke emaw | He damdawi hi thinlung natna nei tawhte hnena pek hunah fimkhur bik tur a ni. |
| Thisen sang thunun theih loh | He damdawi hian thisen sang a tisang thei a ni. |
| Liver natna emaw gallbladder natna emaw | Heng hormone te hi thin (liver) atanga siam a ni. Liver-ah harsatna a awm chuan harsatna a awm thei. |
| Sawifiah loh vaginal bleeding | Thisen chhuah chhan hi chhui hmasak a ngai a ni. |
| Natna dang Diabetes , Endometriosis , Migraine te pawh a awm thei | I doctor hriattir a pawimawh a, a chhan chu heng dinhmunte hi hormone-te nghawng dan azirin a danglam thei a ni. |
| Meizial i in em? | Thisen zam leh stroke hlauhawmna a sang hle a, a bik takin hmeichhia kum 35 chunglam zuk leh hmuam an tih chuan a sang hle. |
| Nau i pai em, nau pai i tum em? Nau hnute i pe em? | Hetiang hunah hian he damdawi hi a tha lo tak zet a ni. |
He damdawi hi engtin nge ka hman ang?
A awlsam khawp mai. Nitin tablet pakhat, i doctor-in a tih ang chiah chiah ei la, nitin tui glass khat chu a rualin ei rawh . Chaw ei rual emaw ei loh pawhin i ei thei bawk. I doctor-in a tih zat aia tam ei suh.
Pill i ei theihnghilh a nih chuan engtin nge ni ang?
Khawngaihin he thil hi ngaihtuah buai suh. I hriatreng veleh missed pill kha ei nghal rawh. Mahse, i pill pek leh hun tur a hnaih hle a nih chuan (entir nan darkar tlemte chhungin) pill hloh chu skip la, a hun ruatah pill dang ei rawh. Pill theihnghilh tawh chu siam that nan vawi khatah pill pahnih ei ngai suh.
Damdawi ka ei tam lutuk chuan engtin nge ni ang?
Damdawi i ei tam lutuk nia i hriat chuan Colombo National Hospital-a National Poisons Information Center-ah call nghal rawh . A nih loh leh damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal rawh.
Damdawi ei huna fimkhur tur thil
He damdawi i hman hian i himna leh hriselna atan hengte hi ngaihtuah a pawimawh hle.
- Medical check-up neih fo: Thla 6 danah vawi khat tal tih ngei ngei tur a niCheckup turin doctor hmu rawh. I doctor chuan i hnute leh i hnute chu pelvic exam a ti ang. Tin, a hun takah mammogram neih tur nge tih pawh sawipui bawk ang che.
- Meizial zuk loh tur: Kan sawi tawh ang khan he damdawi ei lai hian meizuk hian, a bik takin kum 35 chunglam i nih chuan thisen zam leh stroke hlauhawmna nasa takin a tipung a ni. Chuvang chuan meizuk hi pumpelh vek a tha.
- Swelling: A chang chuan he damdawi hian taksaah tui a tikhawlo thei a, kut, kut zungtang, kekawrte a ti na thei bawk. Chutiang a nih chuan emaw, i thisen sang a ni tih i hriat chuan doctor hnenah hrilh rawh.
- Naupai i rinhlelh chuan: Eng thil vang pawha naupai i rinhlelh chuan damdawi ei kha bansan nghal la, i doctor hnenah hriattir rawh.
- Operation hmain: Surgery neih i tum a nih chuan i doctor nen inbia hmasa la, operation hmain he damdawi hi i ei tawh loh tur tih zawt hmasa phawt ang che.
Damdawi avanga side effect awm thei te
Damdawi dang ang bawkin he damdawi hian mi thenkhatah side effect a nei thei a ni. Ṭhenkhat chu hlauhawm tak an ni a, ṭhenkhat chu mi pangngai an ni. Hengte hi hriat chian a pawimawh.
| Side effect a awm thei | Hrilhfiahna |
|---|---|
| Thisen zam natna lan chhuah dan | Ke na, a hring, lum, thawk harsa, rilru na. |
| Stroke natna lan chhuah dan | Hmai, kut leh ke kil khata rilru hah/chak lo, tawng harsa, kal harsa, lu na na tak, mit hmuh dan inthlak danglam. |
| Hnute chhunga inthlak danglamna | Lump thar, sen, na, leh hnute atanga tui chhuak. |
| Liver natna lan chhuah dan | Pum dinglam chunglam na, chaw ei chak lohna, luak chhuak, vun emaw mit emaw a sen, zun dum/brown. |
| Vaginal discharge pangngai lo | Postmenopausal bleeding, itching lutuk, leh rimchhia tak tak chhuak. |
| Hnute na | Hnute tight deuh emaw, natna emaw tlem a awm. |
| Pum a khat / nausea | Pum natna, luak chhuak ang maia awm. |
| Sam tlakchhamna | Sam tla tlem te te. |
Take-Home Thuchah a ni
- Estradiol leh Norgestimate te hi hormone hmanga enkawlna a ni a, chu chu menopausal symptoms enkawl nan leh ruh tlakchhamna venna atan hman a ni.
- He damdawi hi i ei tan hmain i doctor hnenah i medical history kimchang (a bik takin cancer, thisen zam, leh thinlung natna) i hrilh hmasak phawt a pawimawh hle.
- Doctor-in a sawi ang chiah khan nitin damdawi hi a rualin ei thin ang che. Dose rawt aia tam ei ngai suh.
- He damdawi hi i tan chauh a ni. I damdawi hi midang hnenah pe ngai suh.
- Side effect na tak tak, ke na, rilru na, thawk harsa, emaw hmai hring emaw i neih chuan doctor lam pan nghal rawh.
- Thla 6 danah medical checkup neih leh meizuk loh hi i himna atan a pawimawh hle.
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