Kusamba, nthawi yomwe msambo wanu umatha pamwezi, ndi gawo lachilengedwe la moyo wa mkazi aliyense. Koma nthawi imeneyi ingakhale yovuta kwa ena. Kutuluka thukuta mwadzidzidzi, kutentha thupi (komwe kumadziwikanso kuti 'kutentha thupi'), kusowa tulo, ndi kukwiya zimatha kusokoneza moyo wanu watsiku ndi tsiku. Chithandizo chimodzi chomwe madokotala amalangiza kuti athetse zizindikirozi ndi chithandizo cha mahomoni. Lero, tikambirana za mankhwala otchedwa Estradiol ndi Progesterone, omwe amagwiritsidwa ntchito pochiza matendawa.
Mwachidule, kodi mankhwala awa otchedwa Estradiol ndi Progesterone ndi chiyani?
Izi kwenikweni ndi kuphatikiza kwa mahomoni awiri. Ndiko kuti, estrogen ndi progestin . Pa nthawi ya kusamba, kupanga kwa mahomoni amenewa m'thupi lathu kumachepa mwachibadwa. Monga momwe madzi amatsikira mu thanki yamadzi. Kuchepa kwa mahomoni kumeneku ndi komwe kumayambitsa mavuto ambiri omwe atchulidwa kale, monga kutentha thupi ndi thukuta.
Kotero chomwe mankhwalawa amachita ndikubwezeretsa kuchuluka kwa mahomoni m'thupi kufika pamlingo winawake. Izi zimathandiza kwambiri poletsa zizindikiro zokhudzana ndi kusamba, makamaka kutentha thupi . Uwu ndi mankhwala omwe ayenera kugwiritsidwa ntchito pokhapokha ngati dokotala walangiza.
Ndi zinthu ziti zomwe ndiyenera kuuza dokotala ndisanayambe kumwa mankhwalawa?
Izi ndizofunikira kwambiri. Musanayambe kumwa mankhwalawa, muyenera kukambirana ndi dokotala wanu za mbiri yanu yonse ya thanzi. Mankhwalawa sangakhale oyenera anthu omwe ali ndi matenda enaake. Ngati muli ndi matenda aliwonse otsatirawa, onetsetsani kuti mwadziwitsa dokotala wanu.
| Matenda/chidziwitso | Kufotokozera |
|---|---|
| Mbiri ya khansa | Ngati muli ndi khansa ya m'mawere, ya pachibelekero, ya m'chiberekero, kapena ina yofanana nayo kapena muli nayo panopa. |
| Mavuto a mtima ndi mitsempha yamagazi | Matenda a mtima, sitiroko, matenda otsekeka kwa magazi, kuthamanga kwa magazi, cholesterol yambiri. |
| Matenda ena | Matenda a shuga, matenda a chiwindi, matenda a impso, matenda a ndulu, endometriosis, fibroids, mutu waching'alang'ala, kuvutika maganizo, Systemic Lupus Erythematosus (SLE), Porphyria, kusowa kwa mapuloteni C kapena S. |
| Mfundo zina | Kutuluka magazi m'mimba mosayembekezereka, ngati chiberekero chachotsedwa (kuchotsedwa kwa chiberekero), kusuta fodya, kuyesa kutenga pakati, kukhala ndi pakati, kapena kuyamwitsa. |
| Matenda a ziwengo | Ngati muli ndi vuto la estrogen, progestin hormones, mankhwala ena, zakudya, kapena zotetezera. |
Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?
Izi n'zosavuta kugwiritsa ntchito, koma ziyenera kuchitidwa bwino kwambiri.
- Imwani ndi madzi: Mezani kapisozi iyi ndi galasi la madzi.
- Imwani ndi chakudya: Kumwa mankhwalawa pamodzi ndi chakudya kungathandize kuchepetsa kuvutika m'mimba.
- Imwani nthawi yomweyo tsiku lililonse: Chofunika kwambiri ndikumwa mankhwalawa nthawi yomweyo tsiku lililonse . Izi zimathandiza kuti mahomoni anu azikhala ofanana. Mutha kukhazikitsa chikumbutso pafoni yanu.
- Musasiye: Pitirizani kugwiritsa ntchito izi mpaka dokotala wanu atakuuzani kuti musiye. Musasiye mwadzidzidzi.
- Werengani phukusi la wodwala: Mukapatsidwa mankhwala, werengani phukusi la wodwalayo mosamala. Lili ndi mfundo zofunika.
Chofunika: Mankhwalawa aperekedwa kwa inu nokha. Musagawire mankhwala anu ndi wina aliyense. Akhoza kukhala oopsa.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Inde, zitha kuchitika. Imwani mlingo womwe mwaphonya nthawi yomweyo mukakumbukira. Koma ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe milingo iwiri nthawi imodzi.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Muyenera kuuza dokotala wanu za mankhwala onse omwe mumamwa, osati omwe dokotala wanu wakupatsani okha, komanso mavitamini, mankhwala azitsamba (monga St. John's Wort) omwe mumagula ku pharmacy. Mankhwala ena amatha kuyanjana ndi mankhwala a mahomoni awa.
Makamaka, onetsetsani kuti mwatiuza ngati mukumwa mankhwala otsatirawa:
- Aromatase inhibitors (mtundu wa mankhwala a khansa)
- Mankhwala oletsa kupweteka kwa mutu (monga Carbamazepine, Phenobarbital, Phenytoin)
- Maantibayotiki ena (monga Erythromycin, Rifampin)
- Mankhwala oletsa bowa (monga Ketoconazole)
- Mankhwala a HIV kapena Hepatitis
- Warfarin (mankhwala ochepetsa magazi)
- Mankhwala a matenda a shuga
- Madzi a mphesa angakhudzenso mphamvu ya mankhwalawa.
Mndandandawu sunathe, kotero ndibwino kuuza dokotala wanu zonse zomwe mumamwa .
Zinthu zofunika kukumbukira mukamamwa mankhwala
- Kupimidwa nthawi zonse ndi dokotala: Ndikofunikira kuti mupimidwe nthawi zonse monga momwe dokotala wanu wanenera mukamamwa mankhwalawa. Ndikofunikira kuti mupimidwe mawere, mupimidwe m'chiuno, ndipo ngati kuli kofunikira, mupimidwe ndi mammogram.
- Pewani kusuta: Kusuta fodya mukamamwa mankhwalawa kumawonjezera chiopsezo cha magazi kuundana, matenda a mtima, komanso sitiroko . Choncho ngati mukusuta, ndikofunikira kwambiri kuyesa kusiya kuti mukhale otetezeka.
- Opaleshoni: Ngati mukufuna kuchitidwa opaleshoni, uzani dokotala pasadakhale kuti mukumwa mankhwala awa.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Zina zimakhala zoopsa, zina zimakhala zofala. Chofunika kwambiri ndikudziwa izi.
| Zotsatirapo zoyipa zomwe zimafuna chithandizo chamankhwala mwachangu | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, komanso kuvutika kupuma. |
| Zizindikiro za magazi kuundana | Kupweteka kwa mwendo, kutupa kapena kutentha, kuvutika kupuma, kupweteka pachifuwa. |
| Zizindikiro za sitiroko | Kusanza mwadzidzidzi kapena kufooka pankhope, mkono, kapena mwendo, kuvutika kulankhula, kuvutika kuyenda, mutu waukulu. |
| Zizindikiro za matenda a mtima | Kulimba kapena kupweteka pachifuwa, paphewa, pa mkono, kapena pa nsagwada, nseru, kupuma movutikira. |
| Kusintha kwa m'mawere | Ziphuphu zatsopano, kufiira, kupweteka, ndi kutuluka madzi m'chifuwa. |
| Mavuto a chiwindi | Kupweteka m'mimba yakumanja, kusowa chilakolako cha chakudya, chikasu cha maso kapena khungu, mkodzo wakuda. |
| Zizindikiro zina zazikulu | Kutuluka magazi ambiri m'mimba, kukwera mwadzidzidzi kwa kuthamanga kwa magazi, kusintha kwa masomphenya, kutupa kwa miyendo. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa (koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira) | |
| Mutu | Kupweteka m'mawere kapena kufinya |
| Kupweteka m'mimba | Kusanza |
Uthenga Wopita Nawo Kunyumba
- Iyi ndi mankhwala a mahomoni omwe amagwiritsidwa ntchito pochiza zizindikiro za kusamba. Sikoyenera aliyense, choncho ayenera kumwedwa pokhapokha ngati dokotala alangiza.
- Musanayambe kumwa mankhwala, uzani dokotala wanu za matenda anu onse komanso mankhwala ena onse omwe mukumwa.
- Dziwani za chiopsezo chanu cha magazi kuundana, matenda a mtima, sitiroko, ndi khansa zina. Chiwopsezochi chimakhala chachikulu makamaka ngati mukusuta fodya.
- Ngati mukukumana ndi zizindikiro zazikulu monga kupweteka pachifuwa, kuvutika kupuma, kutupa mwendo, kapena mutu waukulu, funsani dokotala nthawi yomweyo.
- Musaphonye mayeso okonzedwa (mayeso a m'mawere ndi m'chiuno) monga momwe dokotala wanenera.
- Mankhwalawa ndi a inu nokha. Musagawane ndi ena.
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