Kusamba ndi kusintha kwachilengedwe m'moyo wa mkazi. Komabe, panthawiyi, akazi ena amatha kukhala ndi kutentha thupi komanso kutuluka thukuta usiku, zomwe zingapangitse moyo wawo watsiku ndi tsiku kukhala wovuta pang'ono. Lero, tikambirana za chithandizo chapadera cha mahomoni chomwe madokotala amapereka kuti athetse mavutowa ndikuletsa kutayika kwa mafupa.
Kodi mankhwala awa ndi amtundu wanji?
Mwachidule, ichi ndi kuphatikiza kwa mitundu iwiri ya mahomoni. Ndiko kuti, Conjugated Estrogens ndi Medroxyprogesterone . Cholinga chachikulu cha izi ndikubwezeretsa mahomoni a estrogen omwe amachepa mwachibadwa m'thupi pambuyo pa kusamba. Mankhwala a Medroxyprogesterone amawonjezeredwa kuti apewe mavuto ena omwe angachitike ndi chiberekero.
Mankhwalawa amagwiritsidwa ntchito makamaka pa:
- Lamulirani zizindikiro za kusamba monga kutentha thupi, kutentha thupi, ndi thukuta.
- Pewani matenda a osteoporosis, omwe amachititsa kuti mafupa azichepa komanso kusweka mosavuta.
Chofunika kwambiri, mankhwalawa nthawi zambiri amaperekedwa kwa akazi omwe sanachotsedwe chiberekero . Mutha kupeza mankhwalawa ku Sri Lanka pansi pa mayina monga Prempro kapena Premphase.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Mankhwalawa si oyenera aliyense. Chifukwa chake, ngati muli ndi vuto lililonse mwa awa, muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawo. Dokotalayo adzasankha ngati mankhwalawa ndi oyenera kwa inu kapena ayi kutengera izi.
| Matenda kapena vuto lina | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Kukhala kapena kukhala ndi khansa ya m'mawere, pachibelekero, khoma la uterine, kapena pachibelekero. | Mahomoni amenewa amatha kukhudza kukula kwa mitundu ina ya khansa. |
| Kutuluka magazi m'mimba pazifukwa zosadziwika. | Choyamba muyenera kupeza chifukwa chake. |
| Kukhala ndi magazi oundana m'mitsempha yamagazi, matenda a mtima, kapena sitiroko yaposachedwa. | Mankhwalawa angawonjezere pang'ono chiopsezo cha magazi kuundana. |
| Matenda a chiwindi kapena matenda a ndulu. | Mankhwalawa amachotsedwa m'thupi ndi chiwindi. |
| Matenda a shuga, kuthamanga kwa magazi, cholesterol yambiri. | Chisamaliro chapadera chiyenera kuperekedwa pazochitika izi. |
| Migraine, Endometriosis, Fibroids. | Matendawa amatha kusintha chifukwa cha mphamvu ya mahomoni. |
| Kusuta fodya. | Chiwopsezocho n'chokwera kwambiri, makamaka ngati muli ndi zaka zoposa 35. |
| Kukhala ndi pakati, kuyesera kutenga pakati, kapena kuyamwitsa. | Mankhwalawa si oyenera kugwiritsidwa ntchito pazochitika izi. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Izi n'zosavuta kwambiri.
- Piritsi ili liyenera kumwedwa pakamwa. Mezani lonse nthawi yomweyo ndi kapu ya madzi.
- Mungathe kutenga izi ndi chakudya kapena ayi.
- Chofunika kwambiri ndikumwa piritsi ili nthawi yomweyo tsiku lililonse, momwe mungathere. Mukangolizolowera, simungaiwale kwambiri.
- Gwiritsani ntchito kokha monga mwalangizidwira ndi dokotala wanu, kwa nthawi yomwe mwalangizidwa. Musamwe mankhwala ochulukirapo kuposa momwe mwalangizidwira.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira panthawi yomwe mwakonza.Musaiwale kumwa mapiritsi awiri nthawi imodzi.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, musachite mantha. Imbani nthawi yomweyo ku National Poison Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Zinthu zofunika kukumbukira mukamamwa mankhwala
- Kuyezetsa magazi nthawi zonse: Ndikofunikira kuonana ndi dokotala nthawi zonse mukamamwa mankhwalawa. Muyenera kuyezetsa magazi nthawi zonse m'mawere ndi m'chiuno . Komanso, lankhulani ndi dokotala wanu ngati muyenera kuyesedwa mammogram komanso kangati.
- Pewani kusuta: Izi ndizofunikira kwambiri. Ngati munthu wazaka zoposa 35 akusuta pamene akumwa mankhwalawa, chiopsezo cha magazi kuundana ndi sitiroko chimakhala chachikulu kwambiri. Chifukwa chake, tikulangiza mwamphamvu kuti tisasute fodya konse.
- Ngati mukukayikira kuti muli ndi pakati: Ngati mukukayikira kuti muli ndi pakati, siyani kumwa mankhwala nthawi yomweyo ndipo pitani kwa dokotala nthawi yomweyo.
- Musanachite opaleshoni: Ngati mwachitidwa opaleshoni yosankha, mungafunike kusiya kumwa mankhwalawa masiku angapo opaleshoni isanachitike. Lankhulani ndi dokotala wanu za izi.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, izi zingayambitse zotsatirapo zina mwa anthu ena. Dziwani zizindikiro zomwe zili pansipa.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Zizindikiro za ziwengo | Kutupa pakhungu, kuyabwa kwambiri, kutupa kwa milomo/lilime/nkhope, kuvutika kupuma. |
| Kupweteka pachifuwa | Kupweteka pachifuwa mwadzidzidzi komanso koopsa. |
| Makhalidwe a dongosolo lamanjenje | Mutu waukulu, dzanzi mwadzidzidzi kapena kufooka pankhope, mkono kapena mwendo, kuvutika kulankhula kapena kumvetsetsa, kuvutika kuyenda, chizungulire. |
| Zizindikiro za magazi kuundana | Ululu, kutupa, ndi kutentha kwa mwendo (makamaka matako). |
| Mavuto a chiwindi | Maso kapena khungu kukhala lachikasu, mkodzo wakuda, kupweteka kumtunda kwa kumanja kwa mimba, nseru. |
| Zizindikiro zina zazikulu | Kutuluka magazi kosazolowereka m'mimba, ziphuphu kapena kusintha kwa mabere, kusintha kwa masomphenya. |
| Zotsatirapo zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa | |
| Zotsatira zoyipa zofala | Kutaya tsitsi, kutopa kosazolowereka, njala kapena ludzu lochuluka, kuyabwa m'mimba kapena kutuluka magazi kosazolowereka. |
Kodi muyenera kusunga bwanji mankhwala anu?
Ganizirani izi mukamasunga mankhwala anu.
- Sungani pamalo otetezeka, kutali ndi ana .
- Sungani pamalo otentha (pakati pa madigiri 15 ndi 30 Celsius). Sungani kutali ndi kutentha kwambiri ndi chinyezi.
- Musagwiritse ntchito mankhwala otha ntchito. Tayani bwino.
Mankhwalawa ndi a inu nokha. Musapatse wina aliyense amene ali ndi zizindikiro zomwezo monga inu. Mwina sangawayenerere. Ngati muli ndi vuto lililonse, lankhulani ndi dokotala wanu.
Uthenga Wopita Nawo Kunyumba
- Uwu ndi mankhwala a mahomoni omwe amaperekedwa kwa amayi omwe sanachotsedwe chiberekero chawo chifukwa cha zizindikiro zomwe zimachitika atatha kusamba.
- Musanayambe kumwa mankhwala, uzani dokotala wanu za matenda anu onse ndi mankhwala ena omwe mukumwa.
- Imwani mapiritsi nthawi yomweyo tsiku lililonse. Ngati mwaphonya mlingo, musamwe mapiritsi awiri nthawi imodzi.
- Kusuta fodya mukumwa mankhwalawa n'koopsa kwambiri, makamaka ngati muli ndi zaka zoposa 35.
- Kaonaneni ndi dokotala wanu panthawi yomwe mwakonza ndipo muyezedwe mawere ndi nyini yanu.
- Ngati mukumva kupweteka pachifuwa mwadzidzidzi, kuvutika kulankhula, kutupa mwendo, kapena kutuluka magazi mosazolowereka, funsani dokotala nthawi yomweyo.
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