Kodi mumamvanso kutentha mwadzidzidzi ndi thukuta pamene mukuyandikira kusamba , muli ndi zaka 45-50? Kapena nthawi zonse mumakhala okwiya komanso okhumudwa ndi zinthu zazing'ono? Kodi mwatopa ndi kuuma kwa m'mimba komanso kupweteka panthawi yogonana? Izi ndi zovuta zomwe akazi ambiri amakumana nazo akasamba. Lero tikulankhula za chithandizo cha mahomoni chomwe madokotala amalimbikitsa pazovuta zambirizi.
Kodi Estradiol ndi Norgestimate ndi chiyani?
Mwachidule, awa ndi mapiritsi omwe ali ndi mahomoni awiri opangidwa mwachibadwa m'thupi la mkazi, estrogen ndi progestin . Pamene kusamba kumayamba, kuchuluka kwa mahomoni amenewa m'thupi lathu kumachepa. Chifukwa chake, chomwe mankhwalawa amachita ndikubwezeretsa kuchuluka kwa mahomoni m'thupi ndikuletsa kusasangalala komwe kumachitika chifukwa cha izi.
Mankhwalawa amagwiritsidwa ntchito makamaka pa izi:
- Kutentha : Mankhwalawa amathandiza kuchepetsa kusasangalala kumeneku komwe kumabwera chifukwa cha kusamba.
- Kusasangalala ndi nyini: Kumathandiza kuchepetsa kuuma kwa nyini, kuyabwa , ndi ululu panthawi yogonana.
- Kupewa Matenda a Osteoporosis : Chifukwa cha kuchepa kwa mahomoni pambuyo pa kusamba, mafupa amatha kuonda komanso kufooka kwambiri. Mankhwalawa amathandizanso kupewa vutoli.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Ichi ndi gawo lofunika kwambiri. Chifukwa mapiritsi a mahomoni awa si oyenera aliyense. Akhoza kukhala oopsa kwa anthu omwe ali ndi matenda enaake. Chifukwa chake, musanayambe kumwa mankhwalawa, muyenera kuuza dokotala wanu ngati muli ndi vuto lililonse mwa awa:
| Kodi muli ndi mikhalidwe iyi? | N’chifukwa chiyani n’kofunika? |
|---|---|
| Khansa ya m'mawere, ya pachibelekero, ya m'chiberekero , kapena ya khansa yakale | Popeza mitundu ina ya khansa imadalira mahomoni, mankhwalawa angakhudze kukula kwawo. |
| Magazi amaundana m'mitsempha yamagazi kapena matenda ena ofanana nawo | Mankhwalawa angawonjezere pang'ono chiopsezo cha magazi kuundana. |
| Matenda a mtima , matenda a mtima kapena sitiroko omwe achitika posachedwapa | Kusamala kwambiri kuyenera kuperekedwa popereka mankhwala awa kwa anthu omwe ali ndi matenda a mtima. |
| Kuthamanga kwa magazi kosalamulirika | Mankhwalawa angawonjezere kuthamanga kwa magazi. |
| Matenda a chiwindi kapena matenda a ndulu | Mahomoni amenewa amapangidwa ndi chiwindi. Ngati pali vuto ndi chiwindi, likhoza kukhala vuto. |
| Kutuluka magazi m'mimba kosamveka bwino | Choyamba, chifukwa cha kutuluka magazi chiyenera kufufuzidwa. |
| Matenda ena monga Matenda a Shuga , Endometriosis , Migraine | Ndikofunikira kudziwitsa dokotala wanu chifukwa matenda amenewa amatha kusintha malinga ndi zotsatira za mahomoni. |
| Mumasuta? | Chiwopsezo cha magazi kuundana ndi sitiroko chimawonjezeka kwambiri, makamaka ngati akazi opitirira zaka 35 akusuta. |
| Kodi muli ndi pakati kapena mukufuna kutenga mimba? Kodi mukuyamwitsa? | Mankhwalawa sali oyenera konse pazochitika zotere. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Ndi zophweka kwambiri. Imwani piritsi limodzi tsiku lililonse, monga momwe dokotala wanu wanenera, ndi kapu ya madzi nthawi yomweyo tsiku lililonse . Mutha kumwa ndi chakudya kapena ayi. Musamwe mopitirira muyeso womwe dokotala wanu wakuuzani kuti mumwe.
Nanga bwanji ngati mwaiwala kumwa mapiritsi?
Chonde musadandaule ndi izi. Imwani mapiritsi omwe munaphonya nthawi yomweyo mukakumbukira. Komabe, ngati nthawi ya piritsi lanu lotsatira yayandikira kwambiri (mwachitsanzo, mkati mwa maola ochepa), thawani piritsi lomwe munaphonya ndikumwa piritsi lotsatira panthawi yomwe yakonzedwa. Musamwe mapiritsi awiri nthawi imodzi kuti mubwezeretse piritsi lomwe munaliiwala.
Nanga bwanji ngati nditamwa 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 zoti muzisamala nazo mukamamwa mankhwala
Mukamagwiritsa ntchito mankhwalawa, ndikofunikira kwambiri kuganizira zinthu izi pa chitetezo ndi thanzi lanu.
- Kuyezetsa kuchipatala nthawi zonse: Mosakayikira kamodzi pa miyezi 6 iliyonsePitani kwa dokotala wanu kuti akakufufuzeni. Dokotala wanu adzakuyezani mawere anu ndi nyini yanu m'chiuno. Komanso, kambiranani naye ngati muyenera kupita ku mammogram nthawi zonse.
- Pewani kusuta: Monga tanenera kale, kusuta fodya mukumwa mankhwalawa, makamaka ngati muli ndi zaka zoposa 35, kumawonjezera kwambiri chiopsezo cha magazi kuundana ndi sitiroko. Chifukwa chake, ndi bwino kupewa kusuta konse.
- Kutupa: Nthawi zina mankhwalawa angayambitse kusunga madzi m'thupi, zomwe zimapangitsa kutupa m'manja, zala, kapena akakolo. Ngati izi zitachitika kapena ngati mukumva kuthamanga kwa magazi kwanu kuli kokwera, uzani dokotala wanu.
- Ngati mukukayikira kuti muli ndi pakati: Ngati mukukayikira kuti muli ndi pakati pazifukwa zilizonse, siyani kumwa mankhwala nthawi yomweyo ndipo dziwitsani dokotala wanu.
- Musanachite opaleshoni: Ngati mukukonzekera kuchitidwa opaleshoni iliyonse, lankhulani ndi dokotala wanu pasadakhale ndipo mufunseni ngati muyenera kusiya kumwa mankhwalawa musanachite opaleshoni.
Zotsatirapo zomwe zingakhalepo chifukwa cha mankhwalawa
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatirapo zina mwa anthu ena. Ena ndi owopsa, ena ndi abwinobwino. Ndikofunikira kudziwa izi.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zizindikiro za magazi kuundana | Kupweteka kwa mwendo, kutupa, kutentha, kupuma movutikira, kupweteka pachifuwa. |
| Zizindikiro za Stroke | Kufooka/kufooka mbali imodzi ya nkhope, mkono, kapena mwendo, kuvutika kulankhula, kuvutika kuyenda, mutu waukulu, kusintha kwa masomphenya. |
| Kusintha kwa mabere | Ziphuphu zatsopano, kufiira, kupweteka, ndi kutuluka madzi m'chifuwa. |
| Zizindikiro za matenda a chiwindi | Kupweteka m'mimba yakumanja, kusowa chilakolako cha chakudya, nseru, khungu kapena maso kukhala achikasu, mkodzo wakuda wachikasu/bulauni. |
| Kutuluka kwachilendo kwa nyini | Kutuluka magazi pambuyo pa kusamba, kuyabwa kwambiri, ndi kutuluka magazi koipa. |
| Kupweteka kwa m'mawere | Kumva kupweteka pang'ono kwa bere kapena kufinya. |
| Kudzaza m'mimba / nseru | Kusamva bwino m'mimba, kumva ngati kusanza. |
| Kutaya tsitsi | Tsitsi lochepa. |
Uthenga Wopita Nawo Kunyumba
- Estradiol ndi Norgestimate ndi mankhwala a mahomoni omwe amagwiritsidwa ntchito pochiza zizindikiro za kusamba komanso kupewa kutayika kwa mafupa.
- Musanayambe kumwa mankhwalawa, ndikofunikira kuti muuze dokotala wanu mbiri yanu yonse ya matenda (makamaka khansa, magazi kuundana, ndi matenda a mtima).
- Monga momwe dokotala ananenera, imwani mankhwala nthawi yomweyo tsiku lililonse. Musamwe mankhwala opitirira mlingo woyenera.
- Mankhwala awa ndi a inu nokha. Musapatse ena mankhwala anu.
- Ngati mukukumana ndi mavuto aakulu monga kupweteka kwa mwendo, kupweteka pachifuwa, kupuma movutikira, kapena kutupa pankhope, funsani dokotala nthawi yomweyo.
- Kupita kukayezetsa kuchipatala miyezi 6 iliyonse komanso kupewa kusuta fodya ndikofunikira kwambiri kuti mukhale otetezeka.
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