Kodi inunso mukukumana ndi mavuto amenewa mutatha kusamba? Tiyeni tikambirane za chigamba cha (Estradiol; Levonorgestrel)!

Kusamba ndi gawo lachilengedwe la moyo wa mkazi, koma zina mwa zovuta zomwe zimabwera nazo zimakhala zovuta pang'ono kupirira, sichoncho? Zizindikiro monga kutentha mwadzidzidzi, thukuta, ndi "kutentha kwambiri" nthawi zina zimakhala zosalamulirika. Simungathe kugona usiku, ndipo muyenera kukhala otopa tsiku lonse. Sikuti zokhazo, mungamvenso kusakhazikika komanso kukwiya. Pakapita nthawi, mafupa anu amatha kufooka ndikusweka mosavuta, zomwe zingayambitse matenda otchedwa "Osteoporosis". Chifukwa chake, mankhwala amodzi omwe mungagwiritse ntchito kuti akuthandizeni panthawi ngati iyi ndi chigamba cha ``(Estradiol; Levonorgestrel)```. Tiyeni tikambirane izi mwatsatanetsatane lero, chabwino?

Kodi chigamba ichi cha `(Estradiol; Levonorgestrel)` n'chiyani? Chimagwira ntchito bwanji?

Mwachidule, ichi ndi kachidutswa kakang'ono komwe mumayika pakhungu lanu. Kali ndi mitundu iwiri ya mahomoni otchedwa `(Estradiol)` ndi `(Levonorgestrel)`. Kodi mumadziwa kuti pa nthawi ya kusamba, kuchuluka kwa mahomoni otchedwa `(Estrogen)` ndi `(Progestin)` m'thupi lathu kumachepa. Kachidutswa aka kamathandiza kubwezeretsa kuchuluka kwa mahomoni komwe kumachepa pang'ono.

Ndiye kodi izi zibweretsa ubwino wotani?

• Amachepetsa kutentha: Ili ndi limodzi mwa mavuto akuluakulu omwe amabwera chifukwa cha kusamba. Chigambachi chimathandiza kuchepetsa kusasangalala kumeneku komanso kuchuluka kwa kusamba.
• Zimathandiza kupewa osteoporosis: Pambuyo pa kusamba, mafupa amakhala ofooka kwambiri. Chigamba ichi chimathandizanso kupewa.

Izi nthawi zambiri zimabwera pansi pa dzina la kampani `(Climara Pro)`. Komabe, izi sizinthu zomwe zimagwira ntchito kwa aliyense. Chifukwa chake, ndi bwino kulankhula ndi dokotala kuti mudziwe ngati izi ndi zoyenera kwa inu.

Ndi zinthu ziti zomwe ndiyenera kuuza dokotala ndisanayambe kugwiritsa ntchito mankhwalawa?

Musanayambe kugwiritsa ntchito chigamba ichi, pali matenda ena omwe muyenera kuuza dokotala wanu za iwo. Chifukwa, zingakhale zoopsa kwa munthu amene ali ndi matendawa kugwiritsa ntchito chigamba ichi. Tangoganizani, ngati muli ndi chilichonse mwa zinthuzi, musaiwale kuuza dokotala wanu za izo, chabwino?

• Ngati muli ndi matenda a mitsempha yamagazi kapena mbiri ya mavuto monga thrombosis/magazi kuundana.
• Ngati muli ndi khansa ya m'mawere, pachibelekero, endometrium, kapena chiberekero.
• Ngati muli ndi matenda a shuga (Diabetes Mellitus).
• Ngati muli ndi vuto la `Endometriosis` (minofu ya chiberekero yomwe imakula kunja kwa chiberekero).
• Ngati pali zotupa monga ``(Fibroids)`` m'chiberekero .
• Ngati muli ndi matenda a ndulu.
• Ngati muli ndi matenda a mtima kapena mwangodwala matenda a mtima posachedwapa.
• Ngati mulingo wa cholesterol m'magazi uli wokwera kwambiri.
• Ngati muli ndi kuthamanga kwa magazi.
• Ngati mulingo wa calcium m'magazi uli wokwera kwambiri.
• Ngati mwachitidwa opaleshoni yochotsa chiberekero (muyenera kukambirana izi ndi dokotala wanu, chifukwa nthawi zina mankhwala a mahomoni amatha kusintha).
• Ngati muli ndi matenda a impso.
• Ngati muli ndi matenda a chiwindi.
• Ngati muli ndi vuto la maganizo.
• Ngati muli ndi mutu wa mutu wa migraine.
• Ngati muli ndi matenda osowa magazi otchedwa `Porphyria`.
• Ngati munakhalapo ndi vuto monga sitiroko.
• Ngati muli ndi matenda a chitetezo chamthupi monga `Systemic lupus erythematosus (SLE)`.
• Ngati ndinu wosuta fodya.
• Kutuluka magazi m'mimba mwa mkazi kumachitika popanda chifukwa.
• Ngati muli ndi vuto la ziwengo chifukwa cha estrogen, progestin hormones, mankhwala ena, zakudya, utoto, kapena zotetezera.
• Ngati muli ndi pakati kapena mukufuna kutenga mimba.
• Ngati mukuyamwitsa mwana.

Mndandanda uwu ndi wautali pang'ono, koma kuti mukhale otetezeka, ndikofunikira kwambiri kukambirana zonsezi ndi dokotala wanu.

Kodi chigamba ichi mumagwiritsa ntchito bwanji kwenikweni?

Izi ndi zosavuta, koma ndi zomwe ziyenera kuchitika.

1. Tsegulani mosamala paketi yomwe ili ndi chigambacho. Musagwiritse ntchito zinthu monga lumo, chifukwa izi zitha kudula chigambacho.

2. Chotsani choteteza cholimba kuchokera kumbali ya guluu. Yesetsani kupewa kukhudza mbali ya guluu momwe mungathere.

3. Pakani chigambacho, mbali yomatira ikuyang'ana pakhungu, kuti khungu loyera, louma, komanso lopanda ubweya liyeretsedwe. Nthawi zambiri, m'mimba ndi matako apansi ndi malo abwino kwambiri opakira chigambacho.

4. Musapake pamalo omwe ali ndi mabala, khungu losweka, zipsera, kapena khungu louma.

5. Musamapaka pa mabere kapena m'chiuno.

6. Mukapaka chigamba nthawi iliyonse, musachipaka pamalo omwewo monga kale. Chipaka pamalo ena osiyana pang'ono. Izi zithandiza kuchepetsa kuyabwa pakhungu.

7. Musadule kapena kugawa chigambacho.

8. Musasiye kugwiritsa ntchito mankhwalawa popanda kulankhula ndi dokotala wanu.

9. Pokhapokha ngati dokotala wanu wakuuzani, musagwiritse ntchito ma patch oposa amodzi nthawi imodzi.

Mukapatsidwa mankhwala awa ndipo mukalandiranso, mudzapatsidwa pepala loti "mudzazenso" kuti muwerenge. Lili ndi zambiri zokhudza mankhwala awa. Musaiwale kuwawerenga mosamala nthawi zonse. Chifukwa nthawi zina zambiri zomwe zili mmenemo zimatha kusintha.

Ponena za kugwiritsa ntchito mankhwalawa kwa ana aang'ono, muyenera kufunsa dokotala wanu kuti akupatseni upangiri wapadera.

Kodi mumatani ngati mwaiwala kugwiritsa ntchito chigamba mwangozi?

Zingachitike. Ngati mwaiwala kupaka chigamba, mutha kupaka chimodzi nthawi yomweyo mukakumbukira.Komabe, ngati nthawi yatsala pang'ono kuti chigamba china chiyambe, musagwiritse ntchito chomwe mwachiiwala, koma gwiritsani ntchito chigamba china panthawi yomwe mwakonza. Musagwiritse ntchito zigamba ziwiri kapena zingapo nthawi imodzi.

Kodi pali mankhwala ena omwe angagwirizane ndi chigamba ichi?

Inde, alipo. Mankhwala ena angayambitse mavuto akamwedwa ndi chigamba ichi. Chifukwa chake, muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mankhwala olembedwa ndi dokotala, mankhwala ogulitsidwa kunja kwa chipatala, mankhwala achikhalidwe, mavitamini, ndi zowonjezera zakudya.

Musagwiritse ntchito chigamba ichi ndi mankhwala otsatirawa:

• Mankhwala oletsa kutupa (zitsanzo: aminoglutethimide, anastrozole, exemestane, letrozole, testolactone). Awa ndi mankhwala omwe amagwiritsidwa ntchito pochiza mitundu ina ya khansa.

Zinthu zina zomwe zingasemphane ndi chigamba ichi ndi izi:

• Mapiritsi ena ogonetsa, monga barbiturates (monga phenobarbital).
• `Carbamazepine` (mankhwala a khunyu).
• Mankhwala opha tizilombo toyambitsa matenda omwe amaperekedwa pa matenda enaake.
• Madzi a mphesa.
• Mankhwala a matenda a bowa (monga `itraconazole`, `ketoconazole`).
• `Raloxifene` kapena `tamoxifen` (mankhwala omwe amaperekedwanso pa khansa zina za m'mawere).
• `Rifabutin`, `rifampin`, kapena `rifapentine` (mankhwala ogwiritsidwa ntchito pochiza chifuwa chachikulu).
• `Ritonavir` (mankhwala ochizira matenda a HIV).
• `St. John's Wort` (mankhwala achikhalidwe omwe ena amamwa kuti athandize anthu kukhala ndi thanzi labwino).

Mndandandawu sungakhale ndi chilichonse. Ndicho chifukwa chake ndikofunikira kuuza dokotala wanu za chilichonse chomwe mumamwa. Komanso, ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena osokoneza bongo, muuzeni dokotala wanu za zimenezo.

Kodi ndi zinthu ziti zomwe tiyenera kuziganizira tikamagwiritsa ntchito chigamba?

Mukamagwiritsa ntchito chigamba ichi, muyenera kusamalira thanzi lanu pang'ono.

• Pitani kwa dokotala wanu nthawi zonse: Dokotala wanu ayenera kukuonani kuti akuthandizeni kudziwa ngati muli ndi thanzi labwino. Muyenera kupimidwa mawere, kupimidwa nyini, komanso kupimidwa khomo lachiberekero (kuphatikizapo kupimidwa kwa Pap) nthawi ndi nthawi. Komanso, lankhulani ndi dokotala wanu za nthawi zomwe muyenera kupimidwa mammogram, ndipo chitani izi motsatira.
• Samalani ndi kusunga madzi m'thupi: Mankhwalawa angayambitse kusunga madzi m'thupi, kutupa m'manja, m'mapazi, ndi m'mapazi. Angathenso kuwonjezera kuthamanga kwa magazi. Ngati mukumva choncho, uzani dokotala wanu .
• Ngati mukuganiza kuti muli ndi pakati: Ngati mukukayikira pang'ono kuti muli ndi pakati, siyani kugwiritsa ntchito chigamba ichi nthawi yomweyo ndipo pitani kwa dokotala wanu.
• Kodi mumasuta? Ndiye kuti chiopsezo chimakhala chachikulu: Ngati mumasuta mukugwiritsa ntchito chigamba ichi, chiopsezo chanu chokhala ndi magazi kuundana kapena sitiroko chimakhala chachikulu kwambiri. Chiwopsezochi chimakhala chachikulu makamaka ngati muli ndi zaka zoposa 35.Chifukwa chake, ndibwino kusasuta.
• Kodi mumavala ma contact lens? Ngati mumavala ma contact lens, uzani dokotala wanu ngati muwona kusintha kulikonse m'maso mwanu kapena ngati mukumva kusasangalala mukavala ma contact lens anu.
• Kodi mukuchitidwa opaleshoni kapena MRI scan? Ngati mwakonzekera kuchitidwa opaleshoni kapena MRI scan, mungafunike kusiya kugwiritsa ntchito chigamba ichi kwakanthawi. Lankhulani ndi dokotala wanu za izi musanachite opaleshoni.
• Kodi chigambacho chingachoke? Inde, chigambacho chingachoke mukamasamba, kusambira, kapena kugwiritsa ntchito sauna. Ngati chachoka, yesani kuchipakanso. Ngati sichoncho, ikani chigamba chatsopano pamalo ena ndipo pitirizani ndi ndondomeko yanu yanthawi zonse ya mlingo.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha chigamba ichi?

Monga mankhwala ena aliwonse, chigamba ichi chingayambitse zotsatira zina zoyipa. Si aliyense amene amachipeza, koma ndibwino kudziwa za izo.

Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo:

Ngati mukukumana ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo:

• Matenda a ziwengo: Ziphuphu pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi.
• Kuundana kwa magazi: kupweteka kwa mwendo, kutupa kapena kutentha, kuvutika kupuma, kupweteka pachifuwa.
• Kusintha kwa bere: Ziphuphu zatsopano m'bere, kufiira, kupweteka, kapena kutuluka madzi m'chubu.
• Mavuto a ndulu: Kupweteka kwambiri kumtunda kwa kumanja kwa mimba, nseru, kusanza, malungo.
• Matenda a mtima: Kupweteka kapena kupsinjika pachifuwa, mapewa, manja, kapena nsagwada, nseru, kuvutika kupuma, kumva kuzizira kapena thukuta, komanso kukomoka.
• Kuwonjezeka kwa kuthamanga kwa magazi.
• Kuvulala kwa chiwindi: Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu kapena bulauni, maso kapena khungu kukhala lachikasu, komanso kutopa kosazolowereka.
• Kudwala sitiroko: Kusanza mwadzidzidzi kapena kufooka pankhope, mkono, kapena mwendo, kuvutika kulankhula, kusokonezeka, kuvutika kuyenda, kulephera kukhazikika bwino, chizungulire, mutu waukulu, komanso kusintha kwa masomphenya.
• Kupweteka kwa maso mwadzidzidzi kapena kusintha kwa masomphenya: kusawona bwino, kuona kuwala kozungulira magetsi, kutayika kwa masomphenya.
• Kutuluka magazi m'mimba mutatha kusamba, kupweteka m'chiuno.

Zotsatirapo zomwe nthawi zambiri sizili zoopsa kwenikweni, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira:

Izi nthawi zambiri zimatha patatha masiku angapo, koma ngati zikupitirira kapena zikukuvutitsani kwambiri, uzani dokotala wanu :

• Kupweteka kwa msana.
• Kupweteka m'mawere kapena kupweteka kwa m'mawere.
• Mutu.
• Kukwiya pamalo opaka mankhwala.
• Kutupa kwa akakolo, manja, kapena mapazi.

Mndandandawu sungakhale ndi zotsatirapo zonse zoyipa. Ngati muwona china chake chachilendo, lankhulani ndi dokotala wanu za icho. Muthanso kunena za zotsatirapo zoyipa ku FDA (nambala ya foni: 1-800-FDA-1088).

Kodi mumasunga bwanji mankhwalawa kukhala otetezeka?

• Sungani mankhwalawa pamalo omwe ana sangawafikire .
• Sungani kutentha kwa chipinda (pakati pa madigiri 15 ndi 30 Celsius / madigiri 59 ndi 86 Fahrenheit).
• Musasunge mabala ochotsedwa mu phukusi loteteza.
• Musagwiritse ntchito mankhwala aliwonse tsiku lotha ntchito litatha.
• Zigamba zomwe zagwiritsidwa ntchito ziyenera kutayidwa bwino. Popeza pakhoza kukhala mahomoni otsala mu chigamba chomwe chagwiritsidwa ntchito, pindani chigambacho pakati, ndi mbali zomatira pamodzi, ndikuchitaya mu zinyalala.

Uthenga Womaliza Wopita Nawo Kunyumba

Chabwino, takambirana zambiri za chigamba ichi cha `(Estradiol; Levonorgestrel)`, sichoncho?

Kumbukirani izi: Chigamba ichi chingakhale yankho labwino kwambiri pamavuto ena omwe amabwera chifukwa cha kusamba. Komabe, si cha aliyense. Palinso zinthu zingapo zomwe muyenera kuzidziwa mukamachigwiritsa ntchito.

Choncho, ngati mukuona kuti mukufunikira chithandizo chamtunduwu, onetsetsani kuti mwalankhula ndi dokotala. Dokotala wanu adzaganizira za thanzi lanu, mankhwala ena omwe mukumwa, ndikukufotokozerani ngati chigamba ichi chili choyenera kwa inu, ubwino wake, komanso zoopsa zomwe zingabwere.

Ngati muli ndi mafunso ena okhudza izi, musazengereze kufunsa dokotala wanu, wamankhwala, kapena wopereka chithandizo chamankhwala. Mukadziwa zambiri za thanzi lanu, mumakhala ndi thanzi labwino.

Kusamba , ma hormone patches, estradiol, levonorgestrel, thanzi la akazi, zotsatirapo zake, chithandizo cha mahomoni