Kusamba ndi gawo lachilengedwe m'moyo wa mkazi aliyense. Komabe, kusintha komwe kumabwera nako kungakhale kovuta pang'ono kupirira nthawi zina. Mwina mudakumanapo ndi zinthu monga kutuluka thukuta mwadzidzidzi (kutentha thupi), kusowa tulo, komanso kusasangalala ndi maganizo. Panthawi ngati iyi, dokotala wanu mwina adalankhula nanu za mankhwala obwezeretsa mahomoni. Chimodzi mwa mankhwalawa ndi Esterified Estrogens. Tiyeni tikambirane izi momveka bwino komanso momveka bwino.
Kodi mankhwala awa ndi amtundu wanji?
Mwachidule, Estrogens Yopangidwa ndi Esterified ndi mtundu wa mapiritsi omwe ali ndi mahomoni achikazi otchedwa estrogen. Amaperekedwa makamaka ngati mankhwala a mavuto omwe amapezeka pamene thupi lathu mwachibadwa lili ndi estrogen yochepa.
Pali ntchito zingapo zazikulu za mankhwalawa:
- Kusasangalala pambuyo pa kusamba: Kuletsa zizindikiro, makamaka kutentha thupi.
- Amaletsa kuonda kwa mafupa: Mankhwalawa amathandiza kupewa osteoporosis, matenda oonda mafupa omwe angachitike ndi kusamba.
- Kwa akazi omwe ali ndi mahomoni ochepa: Azimayi ena mwachibadwa amakhala ndi estrogen yochepa m'thupi lawo. Izi zimaperekedwanso kwa akazi otere.
- Pambuyo Pochotsa Ovarian Cyst: Ngati mazira anu achotsedwa opaleshoni, izi zimaperekedwanso ngati chithandizo cha kusowa kwa mahomoni komwe kumachitika.
- Kwa khansa zina: Mankhwalawa angagwiritsidwenso ntchito pochiza mitundu ina ya khansa, monga khansa ya m'mawere kapena khansa ya prostate.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanayambe kumwa mankhwalawa, ndikofunikira kwambiri kukambirana mbiri yanu yonse ya thanzi lanu ndi dokotala wanu popanda kubisa chilichonse. Onetsetsani kuti mwauza dokotala wanu ngati mwakhalapo kapena mwakhalapo ndi vuto lililonse mwa izi:
| Mkhalidwe wa thanzi | Zomwe muyenera kudziwa |
|---|---|
| Mbiri ya khansa | Ngati mwakhalapo kapena muli ndi khansa ya m'mawere, ya pachibelekero, ya m'chiberekero, ya m'chiberekero, ya m'chiberekero, kapena ya chiwindi. |
| Mavuto a magazi ndi mtima | Matenda a mitsempha yamagazi, magazi kuundana, matenda amtima, matenda amtima omwe achitika posachedwapa, sitiroko, kuthamanga kwa magazi, komanso cholesterol yambiri. |
| Mavuto a akazi | Kutuluka magazi kosazolowereka m'mimba, osachitidwa opaleshoni yochotsa chiberekero. |
| Matenda ena | Matenda monga matenda a shuga, matenda a ndulu, matenda a chiwindi, matenda a impso, mutu waching'alang'ala, matenda a dementia, kuchuluka kwa calcium m'magazi, ndi Systemic Lupus Erythematosus (SLE). |
| Zizolowezi ndi ziwengo | Ngati mumasuta, mumakhala ndi vuto la kusamvana ndi mahomoni, mankhwala ena, zakudya, kapena utoto. |
| Mimba ndi kuyamwitsa | Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Mezani piritsi ili ndi kapu ya madzi. Imwani mlingo wokhawo womwe dokotala wanu wakupatsani, monga momwe dokotala wanu wanenera. Khalani ndi chizolowezi chomwa mankhwala anu nthawi yomweyo tsiku lililonse. Izi zidzakuthandizani kukumbukira kumwa mankhwala anu pafupipafupi. Musamwe mankhwala ochulukirapo kuposa momwe dokotala wanu wakuuzani.
Chofunika kwambiri ndichakuti mankhwalawa ndi a inu nokha. Musapatse mnzanu mankhwala awa omwe ali ndi zizindikiro zomwezo monga inu. Thanzi la aliyense ndi losiyana.
Nanga bwanji ngati ndaphonya 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. Musamwe milingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaiwala.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukukayikira ngakhale pang'ono kuti mwamwa mankhwala ochulukirapo,Imbani National Poisons Information Centre ku Colombo National Hospital nthawi yomweyo. Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi. Musatenge izi mopepuka.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Mankhwala ena omwe mukumwa angagwirizane ndi piritsi la mahomoni ili. Choncho, uzani dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera).
Makamaka, mankhwala otsatirawa sayenera kumwedwa pamodzi ndi mankhwalawa:
- Mankhwala oletsa Aromatase monga aminoglutethimide, anastrozole, ndi exemestane.
Pakhoza kukhalanso ndi mavuto ndi zotsatirazi:
- Mankhwala oletsa kutsekula m'mimba monga phenobarbital
- Carbamazepine
- Maantibayotiki monga clarithromycin ndi erythromycin
- Madzi a mphesa
- Mankhwala ochizira matenda a bowa, monga ketoconazole ndi itraconazole
- Mankhwala monga rifampin ndi ritonavir
- Chitsamba cha St. John's Wort
Zinthu zofunika kukumbukira mukamamwa mankhwala
Muyenera kusamala thupi lanu pang'ono mukamamwa mankhwalawa.
Kupimidwa kuchipatala nthawi zonse
Mukamamwa mankhwalawa, ndikofunikira kuonana ndi dokotala nthawi ndi nthawi . Nthawi zambiri mumafunika kuyezetsa mawere, kuyezetsa magazi, komanso kuyezetsa chiuno. Komanso, kambiranani ndi dokotala wanu ngati muyenera kuyezetsa magazi, komanso kangati , ndipo tsatirani malangizo ake.
Kusunga madzi ndi kusuta
Mankhwalawa nthawi zina angayambitse kusunga madzi m'thupi, kutupa manja, mapazi, zala, ndi akakolo. Angathenso kuwonjezera kuthamanga kwa magazi. Ngati mukumva choncho, uzani dokotala wanu.
Chenjezo lofunika kwambiri: Kusuta fodya mukumwa mankhwalawa kumawonjezera chiopsezo chanu cha magazi kuundana ndi sitiroko. Chiwopsezochi chimakhala chachikulu makamaka ngati muli ndi zaka zoposa 35. Chifukwa chake, tikukulangizani kuti mupewe kusuta fodya mukumwa mankhwalawa.
Zoopsa zokhudzana ndi chiberekero
Pokhapokha ngati chiberekero chanu chachotsedwa opaleshoni (hysterectomy), kugwiritsa ntchito mapiritsi a estrogen okha kwa nthawi yayitali kungapangitse kuti mkati mwa chiberekero (endometrium) mukhale wokhuthala kwambiri. Matendawa amatchedwa endometrial hyperplasia. Izi pambuyo pake zimatha kukhala khansa ya chiberekero.Kuti achepetse chiopsezochi, dokotala wanu adzakupatsani mankhwala ena otchedwa progestin pamodzi ndi piritsi la estrogen ili. Funsani dokotala wanu mafunso aliwonse omwe muli nawo pankhaniyi.
Ndi zotsatirapo ziti zomwe mukuwona?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse mavuto ena mwa anthu ena. Ena ndi oopsa, ena ndi ofala kwambiri.
| Kugawa zotsatira zoyipa | |
|---|---|
| Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
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| Zotsatirapo zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa | |
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Uthenga Wopita Nawo Kunyumba
- Ma Estrogens Opangidwa ndi Esterified ndi mankhwala ofunikira omwe angathandize pamavuto ambiri okhudzana ndi kusamba, koma ayenera kugwiritsidwa ntchito pokhapokha ngati dokotala akuwalangiza.
- Onetsetsani kuti mwauza dokotala wanu za mbiri yanu yonse ya thanzi, mankhwala ena omwe mukumwa, ndi ziwengo zilizonse zomwe mungakhale nazo.
- Ngati mukukumana ndi mavuto ena aakulu monga kupweteka pachifuwa, dzanzi mwadzidzidzi, mutu waukulu, kapena kutuluka magazi mosayembekezereka, funsani dokotala nthawi yomweyo.
- Pewani kusuta fodya kotheratu mukamamwa mankhwalawa. Kungayambitse mavuto aakulu pa thanzi.
- Tetezani thanzi lanu mwa kupita kukayezetsa kuchipatala nthawi zonse.
- Mankhwalawa ndi a inu nokha. Musagawane ndi ena.
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