Kodi dokotala wanu wakupatsani piritsi ili la kulera, mwina loletsa ziphuphu, kapena lochiza matenda otchedwa Premenstrual Dysphoric Disorder (PMDD)? Mwina munamvapo za mankhwalawa ndi mayina monga Yaz, Yasmin, ndi Ocella. Ali ndi zosakaniza zomwezo. Choncho lero, tiyeni tikambirane mwachidule, ngati kuti mukulankhula ndi mnzanu.
Kodi mankhwala awa ndi chiyani?
Mwachidule, iyi ndi piritsi yoletsa kubereka. Ndiko kuti, mankhwala oletsa kutenga mimba. Amaphatikiza mitundu iwiri yopangidwa ya mahomoni awiri omwe amapezeka mwachibadwa m'matupi athu. Awa ndi estrogen ndi progestin . Ma mahomoni awiriwa amagwira ntchito limodzi kuti aletse thupi lanu kutulutsa dzira (ovulation). Ngati dzira silikutulutsidwa, palibe njira yoti mutenge mimba. Kuphatikiza pa izi, monga tanenera kale, mankhwalawa amagwiritsidwanso ntchito pochiza ziphuphu ndi PMDD.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Izi ndizofunikira kwambiri. Ngati muli ndi vuto lililonse mwa matenda omwe ali pansipa, kapena munali nalo kale, muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa. Izi zili choncho chifukwa kugwiritsa ntchito mankhwalawa ndi matenda awa kungakhale koopsa.
| Zinthu zomwe muyenera kuuza dokotala wanu | |
|---|---|
| Kutuluka magazi kumaliseche pazifukwa zosadziwika | Matenda a Adrenal gland |
| Mbiri ya matenda a mitsempha yamagazi kapena magazi kuundana | Khansa ya m'mawere, ya pachibelekero, ya m'chiberekero, ya m'chiberekero, ya m'chiberekero, kapena ya chiwindi |
| Matenda a shuga | Matenda a ndulu |
| Matenda a mtima kapena matenda a mtima aposachedwa | Kuthamanga kwa magazi |
| Cholesterol yambiri | Kuchuluka kwa potaziyamu m'magazi |
| Matenda a impso | Matenda a chiwindi |
| Mutu wa mutu wa mutu waching'alang'ala | Stroke |
| Matenda a SLE (systemic lupus erythematosus) | Chizolowezi chosuta |
| Kukhala ndi pakati kapena kuyesa kutenga mimba | Kuyamwitsa mwana |
| Kukhala ndi vuto la ziwengo chifukwa cha mankhwala ena, chakudya, kapena utoto. | |
Kodi mapiritsi awa mumawagwiritsa ntchito bwanji kwenikweni?
Imeneyi ndi piritsi loti munthu amwe pakamwa. Anthu ena angamve nseru akamaliza kumwa. Kuti muchepetse vutoli, ndi bwino kumwa piritsi limodzi ndi chakudya. Chofunika kwambiri ndikumwa piritsi nthawi yomweyo tsiku lililonse. Ikani alamu pafoni yanu. Imwani piritsi tsiku lililonse monga momwe mwalangizidwira pa khadi la piritsi. Musamwe zoposa zomwe dokotala wakuuzani.
Mukapatsidwa mankhwala, mudzalandira phukusi la wodwala. Liwerengeni mosamala nthawi zonse. Chidziwitso chomwe chili mmenemo chingasinthidwe.
Nanga bwanji ngati nditaiwala kumwa mapiritsi?
Ngati mwaiwala kumwa mapiritsi tsiku lina, tsatirani malangizo omwe ali mu kapepala komwe mudalandira. Nthawi zambiri, ngati mwaiwala kumwa mapiritsi opitilira limodzi, mphamvu yoletsa kubereka ya mankhwalawa imatha kuchepa. Chifukwa chake, ndibwino kugwiritsa ntchito njira yowonjezera yoletsa kubereka, monga makondomu, kwa mwezi wonse.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Zinthu zofunika kukumbukira mukamamwa mankhwala
- Kupimidwa nthawi zonse ndi dokotala: Mukamamwa mankhwalawa, ndikofunikira kupita kukapimidwa nthawi zonse monga momwe dokotala wanu wanenera. Ndikofunikira kuchita zinthu monga kupimidwa mawere ndi kuyezetsa magazi.
- Kusuta: Izi ndizofunikira kwambiri.
- Kusunga madzi m'thupi: Mankhwalawa angayambitse kusunga madzi m'thupi mwa anthu ena. Zala zanu, manja anu, ndi akakolo anu zingamve kutupa. Kuthamanga kwa magazi anu kungakwerenso. Ngati mukukumana ndi kusintha kulikonse mwa izi, lankhulani ndi dokotala wanu.
- Kumva ku dzuwa: Khungu lanu likhoza kukhala losamva ku dzuwa pang'ono mukamamwa mankhwalawa. Choncho, ngati mukupita ku dzuwa, gwiritsani ntchito mafuta abwino oteteza ku dzuwa. Pewani kugwiritsa ntchito nyali za dzuwa, mabedi oteteza ku dzuwa, ndi zina zotero.
- Kuletsa kubereka: Ndikotetezeka kugwiritsa ntchito njira ina yolerera kubereka (monga makondomu) mwezi woyamba woyambira kumwa mapiritsi awa.
- Matenda opatsirana pogonana: Kumbukirani izi. Piritsi ili limakutetezani ku mimba yokha. Silikutetezani ku HIV (AIDS) kapena matenda ena aliwonse opatsirana pogonana . Muyenera kugwiritsa ntchito kondomu kuti mudziteteze.
- Masiku 1-24: Munthawi imeneyi, mudzamwa mapiritsi a pinki opepuka. Awa ndi mapiritsi "ogwira ntchito" . Izi zikutanthauza kuti ali ndi mahomoni omwe amaletsa kutenga mimba. Imwani piritsi limodzi nthawi yomweyo tsiku lililonse.
- Masiku 25-28: M'masiku anayi awa, mudzamwa mapiritsi oyera. Awa ndi mapiritsi "osagwira ntchito" , kapena ma placebo. Alibe mahomoni aliwonse. Alipo kuti akuthandizeni kukumbukira kumwa mapiritsi anu tsiku lililonse.
- Pa tsiku la 29: Muyenera kuyamba paketi yatsopano ya mapiritsi. Yambaninso ndi piritsi loyamba lopepuka la pinki.
- Ndikofunikira kwambiri kumwa mankhwalawa nthawi yomweyo tsiku lililonse .
- Musanayambe kumwa mankhwala, uzani dokotala wanu za matenda onse omwe muli nawo komanso mankhwala ena onse omwe mukumwa .
- Kusuta fodya mukumwa mankhwalawa n'koopsa kwambiri, makamaka ngati muli ndi zaka zoposa 35.
- Izi zimangoletsa kutenga mimba ndipo sizimateteza ku matenda opatsirana pogonana monga HIV/AIDS.
- Fufuzani thandizo lachipatala mwamsanga ngati mukukumana ndi zizindikiro monga kupweteka pachifuwa, kuvutika kupuma, kutupa mwendo, kapena mutu waukulu.
- Mankhwalawa ndi a inu nokha. Musawagawire ena.
Ngati mukusuta fodya mukumwa mankhwalawa, makamaka ngati muli ndi zaka zoposa 35, chiopsezo cha magazi kuundana ndi sitiroko chimakhala chachikulu kwambiri. Chifukwa chake, tikukulangizani kuti mupewe kusuta fodya kotheratu.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawo?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Koma si aliyense amene amawapeza. Ena ndi oopsa, ena ndi ofala. Tiyeni tiwone zomwe zili.
| Mtundu wa zotsatira zoyipa | Makhalidwe |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Magazi oundana | Kupweteka kwa mwendo, kutupa kapena kutentha, kuvutika kupuma, kupweteka pachifuwa. |
| Stroke | Kusanza mwadzidzidzi kapena kufooka pankhope, mkono, kapena mwendo, kuvutika kulankhula, kuvutika kuyenda, mutu waukulu. |
| Kuvulala kwa chiwindi | Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, khungu kapena maso kukhala achikasu, mkodzo wakuda wachikasu/bulauni. |
| Zizindikiro zina zazikulu | Zizindikiro monga kukwera kwa kuthamanga kwa magazi, mutu waching'alang'ala watsopano kapena woipa, komanso kuvutika maganizo. |
| Zotsatirapo zomwe nthawi zambiri zimakhala zofala, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kupweteka m'mawere kapena kufinya | Kusanza |
| Kusamba kosakhazikika kapena kuwona mawanga | Kulemera |
| Madontho akuda pakhungu pankhope kapena malo omwe dzuwa limawala | |
Mafunso Ofunsidwa Kawirikawiri (Mafunso Ofunsidwa Kawirikawiri)
Kodi mapiritsi a Yaz/Yasmin awa ali ndi estrogen?
Inde. Mapiritsi awa ali ndi mahomoni onse awiri, estrogen yopangidwa (ethinyl estradiol) ndi progesterone yopangidwa (drospirenone). Timatcha mapiritsi omwe ali ndi mahomoni onse awiriwa kuti "mapiritsi oletsa kubereka ophatikizana."
Kodi mumamwa bwanji khadi la mapiritsi la Yaz?
Phukusi la mapiritsi la Yaz nthawi zambiri limakhala ndi mapiritsi 28.
Kodi mankhwalawa angagwiritsidwe ntchito poletsa kubereka mwadzidzidzi (Plan B)?
Ayi. Ayi ndithu. Yaz/Yasmin ndi mapiritsi oletsa kubereka omwe amaperekedwa tsiku lililonse, osati mankhwala oletsa kubereka omwe amaperekedwa mwadzidzidzi. Pali mitundu yosiyanasiyana ya mapiritsi omwe amagwiritsidwa ntchito pazidzidzidzi. Funsani dokotala wanu za izi.
Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?
Izi ndizofunikira kwambiri. Ngati mukumwa mankhwala ena aliwonse, uzani dokotala wanu za mankhwalawo. Mankhwala ena opha tizilombo toyambitsa matenda, mankhwala a khunyu, mankhwala a HIV, ndi mankhwala othamanga magazi amatha kuyanjana ndi mapiritsi a mahomoni awa. Komanso, uzani dokotala wanu za mavitamini aliwonse, mankhwala azitsamba (monga St. John's wort), ndi mankhwala a Ayurvedic omwe mukumwa.
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