Menopause i paltlang mek em? A nih loh leh i doctor chuan i hormone level a hniam tih a hrilh che em? Chutiang a nih chuan Estropipate tih damdawi an pe che a ni mai thei. Chuvangin vawiinah hian Estropipate hi eng nge a nih, kan taksaah eng nge a tih, leh he damdawi kan hman hunah eng nge a bik takin kan fimkhur a ngai tih hi han sawi ila.
Estropipate hi eng damdawi nge ni?
A awlsam zawngin sawi ila, Estropipate hi hmeichhe hormone estrogen awmna pill a ni. Hmeichhia menopause paltlang tawhte tan hormone replacement therapy (HRT) atan hman a ni ber.
I hriat angin, menopause hian boruak lum, thawk hah fo, leh mut theih lohna ang chi natna a keng tel a ni. Tin, estrogen hormone a tlahniam avangin ruh a hring a, a chhe awlsam bawk a, chu chu ruh natna (osteoporosis) a awm tihna a ni. Chuvangin, heng Estropipate tablets te hian taksaah estrogen hormone mamawh a pe a, heng harsatna te hi control nan leh ruh venghim turin a pui a ni.
Tin, doctor-te chuan hmeichhe thenkhat hormone level hniam tak tak, an ovary atanga siam chhuah pianphung atanga lo chhuak hormone level nei te tan he damdawi hi an pe thin.
Damdawi ei tan hmaa doctor hnena i hrilh tur thilte
Hei hi thil pawimawh tak a ni. Estropipate tablets i ei tan hmain i doctor hnenah i hriselna chanchin kimchang tak i hrilh hmasak phawt a pawimawh hle. A bik takin, a hnuaia dinhmunte hi i neih chuan hrilh ngei ang che:
- Thisen kalna kawng natna emaw thisen zam (blood clots) nei tawhna history
- Hnute, serh, endometrial emaw, nausen pum emaw cancer a ni
- Zunthlum
- Endometriosis natna a ni
- Nausen pum chhunga fibroid awm
- Gallbladder natna a ni
- Lung natna emaw, tun hnaia thinlung natna emaw
- Thisen cholesterol sang
- Thisen sang a sang
- Thisenah calcium a tam hle
- Nausen pum chu surgery hmanga lakchhuah a nih chuan (hysterectomy) .
- Kal natna
- Liver natna
- Rilru lama lungngaihna
- Migraine lu na
- Natna porphyria an tih chu
- Stroke i nei tawh a nih chuan
- A rilru a buai em em a, a rilru a hah em em bawk a. Systemic Lupus Erythematosus (SLE) .
- Vaihlo zuk i nih chuan
- A chhan hriat loh vaginal bleeding pangngai lo
- Estrogen emaw hormone dang emaw, damdawi emaw, ei tur emaw, dye emaw avanga allergy nei
- Naupai emaw, nau pai tum emaw i nih chuan
- Nu hnute pe lai i nih chuan
He damdawi hi engtin nge ka hman ang?
Hei hi ka ei tur pill a ni. He pill hi tui glass khat nen ei thin ang che. I doctor-in a tih angin a dose pek ang chauh ei rawh. Nitin pill hi a ruala ei a pawimawh hle. Hei hian i taksaa hormone level inang reng chu a vawng reng thei dawn a ni.
He damdawi hi i ei tam lutuk nia i inhriat thut 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 hi i tan chauh a ni. Eng thil vangin pawh midang hnenah share suh.
Damdawi dose i ei loh chuan engtin nge i tih ang?
Dose i miss a nih 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 hloh tawh chu tihpun nan double dose ei ngai suh.
He damdawi nena inzawm thei thil dang (Interactions) .
Damdawi dang i ei hian Estropipate hnathawh dan a nghawng thei a ni. Chuvangin, i damdawi ei zawng zawng (vitamin, herbal products, leh natna tidamtu te pawh tel) i doctor hnenah hrilh rawh.
| Buaina thlen thei thil | Entirnan |
|---|---|
| Estropipate nena ei ngai loh tur damdawi | |
| Aromatase tihkhawtlai a ni | aminoglutethimide, anastrozole, exemestane, letrozole, testolactone te a awm bawk |
| Estropipate nena inzawmna thlen thei thil dang | |
| Antiepileptic damdawi thenkhat | Barbiturates te chu Carbamazepine leh Phenobarbital te an ni |
| Antibiotics thenkhat | A rilru a hah lutuk chuan a rilru a buai em em a |
| Antifungals a ni | Ketoconazole, Itraconazole hmanga tihdam theih a ni |
| Tuberculosis natna damdawi | Rifabutin, Rifampin, Rifapentine te pawh a awm bawk |
| Thildang | Grapefruit tui, Ritonavir, St. John’s Wort (herbal extract) te chu a hmin a, a hmin hnuah a hmin leh a hmin a, a hmin hnuah a hmin leh a hmin a hmin a. |
Damdawi ei laiin i ngaihven tur thilte
- Damdawi lam enfiah fo: He damdawi hi i ei lai hian i hriselna enfiah nan doctor pan fo a pawimawh hle. Hnute enfiah leh Pap smear neih fo a pawimawh hle. Tin, i doctor nen mammogram neih a tulzia sawipui la, a thupek zawm bawk ang che.
- Meizial zuk loh tur: Hei hi a pawimawh hle! He damdawi i ei lai hian meizuk i nih chuan, a bik takin kum 35 aia upa i nih chuan thisen zam emaw, stroke emaw i neih theihna a sang hle. Chuvangin, zuk leh hmuam inthiarfihlim vek turin kan chah tak zet a ni.
- Swelling: He damdawi hian tui a tlakchham avangin kut, ke, kut zungtang a ti na thei. Thisen sang pawh a sang thei bawk. Hetiang hi i tawn chuan doctor hnenah hrilh rawh.
- Uterine cancer vei theihna: He damdawi hian endometrial hyperplasia hlauhawmna a keng tel a, chu chu nausen pum chhunga cell awm dan pangngai lo taka lo thanglian a ni. Hei hi a hnuah uterine cancer-ah a chang thei a ni. Hetiang hlauhawmna tihziaawm nan hian i doctor chuan i uterus chu operation hmanga lakchhuah a nih loh chuan Estropipate nen hormone dang progestin tih a pe thei ang. Hemi chungchang hi i doctor nen sawiho la, i tana a thatna leh a hlauhawmna te hrethiam rawh.
- Naupai: Naupai i rinhlelh chuan he damdawi hi ei kha bansan nghal la, doctor rawn rawh.
- Inzai:Eng surgery pawh i neih dawn chuan doctor hnenah hrilh lawk rawh. Operation hmain he damdawi hi rei lo te chhung atan i chawlhsan a ngai mai thei.
Side effect awm thei te chu engte nge ni?
Damdawi dang ang bawkin Estropipate hian side effect a nei thei a ni. A hnuaia tarlan te hi a side effect awm thei thenkhat te an ni.
| Side effect a awm thei | Eng nge tih tur |
|---|---|
| Side effect na tak tak, doctor hnenah report nghal tur a ni | |
| Allergic reaction (hmai, hmui, lei hring, vun hring, vun hring) . | Damdawi lam thurawn zawng nghal rawh. |
| Hnute inthlak danglam, lumps, emaw tui chhuak emaw | |
| Mit a danglam a, rilru a na a, thawk harsa a ti bawk | |
| Buaina, thusawi emaw hriatthiam harsat | |
| Lu na na tak, kal harsa, luak chhuak, taksa inthlauhna hloh | |
| Hmai, kut emaw, ke emaw a natna emaw, chak lohna emaw a awm nghal | |
| Ke pakhatah natna, hring leh lumna | |
| Pum dinglam chunglam na, luak chhuak, luak chhuak | |
| Vaginal bleeding pangngai lo | |
| Mit emaw vun emaw a sen, zun dum emaw, tarry stool emaw | |
| A awm reng emaw, a buaithlak emaw chuan doctor hnenah hrilh rawh. | |
| Sam tlakchhamna | I doctor nen inbia ang che. |
| Thil danglam taka chau emaw chak lo emaw anga inhriatna | |
| Vaginal infection (itching, inflammation, abnormal discharge) lan chhuah dan . | |
He list-ah hian side effect awm thei zawng zawng a tel lo mai thei. Harsatna dang i neih chuan doctor rawn rawh.
Take-Home Thuchah a ni
- Estropipate hi menopause nena inzawm symptoms control nan leh hormone tlakchhamna enkawlna atana hman hormone estrogen awmna damdawi a ni.
- He damdawi hi i ei tan hmain i damdawi lam dinhmun zawng zawng leh damdawi dang i ei turte chu i doctor hnenah hriattir kim vek ang che.
- He damdawi ei lai hian meizuk hian thisen zam leh stroke hlauhawmna nasa takin a tipung a ni. Chuvangin meizuk hi pumpelh vek tur a ni.
- Side effect na tak tak i neih chuan i rilru na, thawk harsa, vaginal bleeding danglam tak, emaw hnute lumps te i neih chuan doctor pan nghal rawh.
- He damdawi hi ei khap suh la, a dose thlak suh la, i doctor thurawn tel lo chuan midang hnenah pe suh.
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