Azimayi ambiri azaka zapakati pa 45-50 amamva kutentha mwadzidzidzi ndi thukuta. Kwa ena, izi zimachitika kangapo patsiku, ndipo kwa ena, zimawadzutsa ngakhale usiku. Vutoli timalitcha kuti 'Menopause'. Ngakhale kuti izi ndi zachibadwa, kusasangalala komwe kumabwera chifukwa chake kungakhale kokhumudwitsa pang'ono. Lero tikulankhula za mankhwala apadera omwe madokotala amapereka kuti achepetse kusasangalala kumeneku.
Kodi ma estrogens ogwirizana awa ndi ati?
Mwachidule, iyi ndi mahomoni achikazi. Mapiritsi awa ali ndi mahomoni otchedwa estrogen, omwe amapangidwa mwachibadwa m'thupi lathu. Pa nthawi ya kusamba, pamene kusamba kumasiya kwamuyaya, kuchuluka kwa estrogen m'thupi la mkazi kumatsika kwambiri. Ichi ndichifukwa chake zizindikiro monga kutentha thupi, thukuta, ndi kuuma kwa nyini zimachitika.
Kotero chomwe mankhwalawa amachita ndikubwezeretsa mahomoni a estrogen omwe atha m'thupi. Timatcha kuti Hormone Replacement Therapy (HRT) .
Mankhwalawa amagwiritsidwa ntchito makamaka pa:
- Lamulirani zizindikiro zokhudzana ndi kusamba, monga kutentha thupi .
- Pewani osteoporosis, matenda ochepetsa mafupa omwe amayamba chifukwa cha kuchepa kwa estrogen m'thupi.
- Monga chithandizo kwa amayi omwe adachitidwa opaleshoni yochotsa mazira awo kapena omwe ali ndi mahomoni ochepa pazifukwa zina.
Ku Sri Lanka, mankhwalawa nthawi zambiri amagulitsidwa pansi pa dzina la Premarin.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Popeza iyi ndi mankhwala a mahomoni, ingayambitse matenda ena omwe mungakhale nawo. Chifukwa chake, ndikofunikira kwambiri kuuza dokotala wanu mbiri yanu yonse ya matenda musanayambe kumwa mankhwalawa. Makamaka ngati muli ndi vuto lililonse mwa awa, onetsetsani kuti mwawauza.
| Matenda kapena vuto | N’chifukwa chiyani kuli kofunika kudziwa zimenezi? |
|---|---|
| Ngati muli ndi khansa ya m'mawere, uterine, ovarian, kapena cervical | Mitundu iyi ya khansa ili pachiwopsezo chowonjezereka chifukwa cha mahomoni otchedwa estrogen. |
| Kutuluka magazi m'mimba chifukwa chosadziwika | Popeza ichi chingakhale chizindikiro cha matenda aakulu, chithandizo cha mahomoni sichiyenera kudziwidwa chifukwa chake. |
| Ngati mwakhala ndi magazi oundana, sitiroko, kapena matenda a mtima posachedwapa | Estrogen ikhoza kuwonjezera chiopsezo cha magazi kuundana. |
| Kuthamanga kwa magazi, matenda a shuga, cholesterol yambiri | Mankhwalawa angapangitse kuti mavutowa akhale ovuta kuwathetsa, choncho kuyang'aniridwa pafupipafupi n'kofunika. |
| Matenda a chiwindi kapena matenda a impso | Ziwalo zimenezi n'zofunika kwambiri pochotsa mankhwala m'thupi. Ngati zakhudzidwa, mlingo wa mankhwalawo ungafunike kusinthidwa. |
| Ngati ndinu wosuta fodya | Chiwopsezo cha magazi kuundana ndi sitiroko n'chokwera kwambiri , makamaka kwa akazi azaka zopitilira 35 omwe amasuta . |
| Ngati muli ndi pakati kapena mukufuna kutenga mimba | Mankhwalawa si oyenera panthawi ya mimba. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa ndipo ndi njira ziti zodzitetezera zomwe ndiyenera kutsatira?
Njira yolondola yopezera mankhwala
Izi n'zosavuta kwambiri.
- Imwani mlingo wolembedwa ndi kapu ya madzi , monga momwe dokotala wanu wanenera.
- Chofunika kwambiri ndikumwa mapiritsi nthawi yomweyo tsiku lililonse . Izi zimathandiza kuti mahomoni m'thupi azikhala bwino nthawi zonse.
- Nthawi zonse werengani nkhani ya wodwala yomwe imabwera ndi mankhwala anu. Ili ndi mfundo zambiri zofunika.
- Ngati mwaphonya mlingo: Imwani mlingo womwe mwaphonya nthawi yomweyo mukakumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe milingo iwiri nthawi imodzi.
- Ngati mumwa mowa kwambiri:Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital .
Chofunika: Mankhwalawa aperekedwa kwa inu nokha. Musapatse mnzanu mankhwala awa, ngakhale atakhala ndi zizindikiro zomwezo monga inu.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
- Kupimidwa nthawi zonse ndi dokotala: Mukamamwa mankhwalawa, ndikofunikira kuonana ndi dokotala nthawi ndi nthawi. Lankhulani ndi dokotala wanu za nthawi yoyezetsa mabere, kuyezetsa magazi m'thupi, komanso, ngati pakufunika, kuyezetsa magazi m'thupi.
- Musanachite opaleshoni: Ngati mukufuna kuchitidwa opaleshoni iliyonse, dziwitsani dokotala wanu ndikupempha upangiri ngati muyenera kusiya kumwa mankhwalawa musanachite opaleshoni.
- Kuopsa kwa chiberekero: Ngati mayi amene sanachotsedwe chiberekero akumwa mapiritsi a estrogen okha kwa nthawi yayitali, pali chiopsezo chochepa kwambiri chakuti chiberekero (endometrial hyperplasia) chidzakula n’kusanduka khansa. Pofuna kupewa izi, madokotala nthawi zambiri amalemba mahomoni ena otchedwa progestin pamodzi ndi estrogen. Lankhulani ndi dokotala wanu za izi ndipo sankhani chithandizo chomwe chili choyenera kwa inu.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatira zina zoyipa. Zina mwa izo ndi zazikulu, zina mwa izo ndi zofala.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
|---|---|
| • Kupweteka pachifuwa | • Kuvuta kupuma |
| • Kupweteka, kutupa, ndi kufiira kwa mwendo, makamaka ng'ombe yamphongo | • Mutu wopweteka kwambiri komanso wadzidzidzi |
| • Kusintha kwa masomphenya, kuvutika kulankhula | • Kufooka mwadzidzidzi pankhope, mkono, kapena mwendo |
| • Maso kapena khungu limakhala lachikasu, mkodzo wakuda, ndowe zotumbululuka | • Kutuluka magazi m'mimba molakwika |
| • Matumbo, kusintha, kapena kutuluka magazi m'mawere | • Zizindikiro za ziwengo monga ziphuphu pakhungu ndi kuyabwa |
| Zotsatira zoyipa zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa: | |
| • Tsitsi limatayika | • Matenda a m'mimba (kuyabwa, kutuluka magazi) |
| • Kusanza, kusanza | • Kusintha pang'ono kwa kulemera kwa thupi |
Uthenga Wopita Nawo Kunyumba
- Conjugated estrogen ndi mankhwala a mahomoni omwe amagwiritsidwa ntchito pochiza zizindikiro za kusamba. Ayenera kumwedwa pokhapokha ngati dokotala akuwalangiza.
- Musanayambe kumwa mankhwalawa, uzani dokotala wanu za matenda onse omwe muli nawo (makamaka khansa, mbiri ya magazi kuundana) ndi mankhwala onse omwe mukumwa.
- Azimayi omwe amasuta fodya, makamaka akazi azaka zopitirira 35, ali pachiwopsezo chachikulu cha sitiroko ndi magazi kuundana akamamwa mankhwalawa.
- Ngati mukumva zizindikiro monga kupweteka pachifuwa, kuvutika kupuma, kutupa kwa miyendo, kapena mutu waukulu, funsani dokotala nthawi yomweyo.
- Musamadumphe kupita kukayezetsa kuchipatala nthawi yomwe mwakonzekera (mayeso a mawere, mayeso a Pap) pamene mukumwa mankhwala.
- Musamalimbikitse mnzanu kapena wachibale wanu kumwa mankhwalawa, ngakhale zizindikiro zawo zitakhala zofanana.
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