Menopause, thla tin i period a tawp hun hi hmeichhe tin nunah a pianphung a ni. Mahse mi thenkhat tan chuan hun harsa tak a ni thei. Sudden sweating, hot flashes (‘hot flashes’ tia hriat bawk), mut theih lohna, leh thinrimna te hian nitin nun a tibuai thei vek a ni. Heng natna lan chhuah dan enkawl dan tur doctor-te’n an rawtna pakhat chu hormone therapy a ni. Vawiin hian damdawi pakhat Estradiol leh Progesterone tih kan sawi dawn a, chutiang enkawlna atana hman thin chu a ni.
A awlsam zawngin, he damdawi hi Estradiol leh Progesterone an tih hi eng nge ni?
Hei hi a takah chuan hormone pahnih inzawmkhawm a ni. Chu chu estrogen leh progestin . Menopause lai hian kan taksain heng hormone a siam chhuah hi a pianphungah a tlahniam thin. Tui tank chhunga tui level a tlahniam ang bawkin. Hetianga hormone tlahniam hi a hmaa kan sawi tawh ang khan harsatna tam tak, khaw lum leh thawk hahna te hi a ni.
Chuvangin he damdawi hian a tih chu taksaa hormone level tlahniam chu level engemaw takah a hruai kir leh thin. Hei hian menopause nena inzawm symptoms control-na kawngah nasa takin a pui a, a bik takin hot flashes . Hei hi Doctor rawtna ang chauha hman tur damdawi a ni.
He damdawi ka ei hmaa doctor hnena ka hrilh tur te chu engte nge ni?
Hei hi a pawimawh hle. He damdawi hi i ei tan hmain i doctor nen i hriselna chanchin kimchang i sawipui tur a ni. He damdawi hi damdawi lam harsatna thenkhat nei tan chuan a tha lo mai thei. A hnuaia damdawi lam harsatna i neih chuan doctor hnenah hrilh ngei ang che.
| Damdawi lam dinhmun/thu hriat tur | Hrilhfiahna |
|---|---|
| Cancer a vei tawh a ni | Breast, cervical, uterine, emaw a kaihhnawih cancer dang i neih emaw, i neih mek emaw a nih chuan. |
| Thinlung leh thisen kalna kawngah harsatna a awm | Heart attack, stroke, thisen zam that lohna, thisen sang, cholesterol sang. |
| Damdawi lam thil dang | Zunthlum, thin natna, kal natna, gallbladder natna, endometriosis, fibroids, migraine, depression, Systemic Lupus Erythematosus (SLE), Porphyria, Protein C emaw S tlakchhamna te. |
| Point dang pawh | Sawifiah loh vaginal bleeding, uterus lakchhuah a nih chuan (hysterectomy), meizuk, naupai tum, naupai, emaw nau hnute pek a nih chuan. |
| Allergy nei te pawh a awm | Estrogen, progestin hormone, damdawi dang, ei tur emaw, preservatives emaw allergy i neih chuan. |
Engtin chiah nge he damdawi hi i hman?
Hei hi hman a awlsam hle a, mahse felfai taka tih a ngai a ni.
- Tui nen in rawh: He capsule hi tui glass khat nen ei la.
- Chaw ei ruala ei: He damdawi hi chaw ei ruala ei hian pum na a tiziaawm thei.
- Nitin hun khata ei tur: A pawimawh ber chu nitin hun khata he damdawi hi ei tur a ni . Hei hian i hormone level a inmil theih nan a pui thin. I phone ah reminder i set thei bawk.
- Titawp suh: I doctor-in chawlhsan tura a tih hma loh chuan hei hi hmang chhunzawm zel ang che. Tih thut mai mai suh.
- Patient package insert chhiar: Damdawi pek i nih chuan patient package insert hi uluk takin chhiar thin ang che. Thu pawimawh tak tak a keng tel a ni.
Pawimawh: He damdawi hi i tan chauh pek a ni. I damdawi hi midang hnenah pe ngai suh. A hlauhawm thei hle.
Damdawi dose pakhat i ei loh chuan engtin nge i tih?
Ni e, a thleng thei. 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. Vawi khatah vawi hnih ei ngai suh.
Damdawi ka ei tam lutuk chuan engtin nge ni ang?
I ngaihtuah aia tam damdawi i ei nia i ngaih chuan Colombo National Hospital-a National Poisons Information Center -ah call nghal la, a nih loh leh damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal nghal rawh.
He damdawi nena inzawm thei thil dang
I damdawi ei zawng zawng chu i doctor hnenah i hrilh tur a ni a, i doctor-in a pek ang chauh ni lovin, damdawi dawr atanga i lei vitamin, herbal products (St. John’s Wort ang chi) te pawh i hrilh tur a ni. Damdawi thenkhat chu he hormone therapy nen hian an inzawm thei a ni.
A bik takin, a hnuaia damdawi te hi i ei a nih chuan min hrilh ngei ang:
- Aromatase inhibitors (cancer damdawi chi khat) .
- Hriselna atana hman tur damdawi (e.g. Carbamazepine, Phenobarbital, Phenytoin) .
- Antibiotics thenkhat (e.g. Erythromycin, Rifampin) te hi a tha hle.
- Antifungals (e.g. Ketoconazole) te hi a tha hle.
- HIV emaw Hepatitis emaw damdawi
- Warfarin (thisen tithianghlimtu) .
- Zunthlum damdawi
- Grapefruit tui hian he damdawi hman thatna hi a nghawng thei bawk.
He list hi a kim lo a, chuvangin i ei zawng zawng doctor hnenah hrilh vek a him ber .
Damdawi ei huna hriat reng tur thil
- Damdawi lam enfiah fo: He damdawi ei lai hian doctor-in a tih angin checkup mumal neih a pawimawh hle. Hnute enfiah a pawimawh a, pelvic exam neih a pawimawh a, a tul chuan mammogram neih a pawimawh bawk.
- Meizial zuk loh tur: He damdawi i ei lai hian meizuk hian thisen zam, heart attack, leh stroke vei theihna nasa takin a tipung a ni . Chuvangin zu i in a nih chuan mahni himna tur atan bânsan tum a pawimawh hle.
- Surgery: Surgery i neih dawn chuan he damdawi hi i ei tih hi surgeon hnenah hrilh lawk ang che.
He damdawi hian eng side effect nge a neih theih?
Damdawi dang ang bawkin he damdawi hian side effect a nei thei bawk. Ṭhenkhat chu a serious a, a then chu a common. A pawimawh ber chu hengte hi fimkhur hi a ni.
| Side effect na tak tak, damdawi lam pan vat ngai | |
|---|---|
| Allergy nei te pawh a awm | Vun vun rawng, hnim hring, hmai, hmui, lei, thawk harsa. |
| 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 emaw, ke emaw-ah rang taka rilru hah emaw, chak lohna emaw, tawng harsa, kal harsa, lu na na tak. |
| Lung natna lan chhuah dan | A rilru, kekawrte, kut emaw, hmuiah emaw tight emaw, na emaw, nausea, thawk hah. |
| Hnute a inthlak danglam thin | Lump thar, sen, na, leh hnute atanga tui chhuak. |
| Liver lama harsatna a awm | Pum chunglam dinglam na, chaw ei chak lohna, mit emaw vun emaw a sen, zun dum. |
| Symptom na tak dang a awm bawk | Vaginal bleeding tam lutuk, rang taka thisen sang sang, mit hmuh dan danglam, kut leh ke ruh hring. |
| Side effects a tlangpuiin a na lo (mahse a awm reng chuan doctor hnenah hriattir tur a ni) . | |
| Lu na | Hnute na emaw, tightness emaw |
| Pum natna | Luhai |
Take-Home Thuchah a ni
- Hei hi hormone therapy a ni a, menopause symptoms enkawl nan hman thin a ni. Mi zawng zawng tan a tha lo a, chuvangin doctor thurawn hnuaiah chauh ei tur a ni.
- Damdawi i ei tan hmain i doctor hnenah i damdawi lam dinhmun zawng zawng leh damdawi dang i ei zawng zawngte hrilh hmasa phawt ang che.
- Thisen zam, heart attack, stroke, leh cancer thenkhat i vei theihna tur chu hre reng ang che. He risk hi a bik takin meizuk i nih chuan a sang hle.
- I rilru natna, thawk harsa, ke ruh na, lu na na tak ang chi symptom na tak tak i neih chuan doctor rawn la nghal rawh.
- Doctor-in a tih angin examination ruahman (breast leh pelvic exam) te chu tlawh loh tur a ni.
- He damdawi hi i tan chauh a ni. Midang hnenah share ngai suh.
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