Kodi mukudziwa kuti akazi ambiri amakumana ndi nthawi yosiya kusamba nthawi ina m'miyoyo yawo? Ndi nthawi yomwe kusamba kumasiya kwamuyaya. Panthawiyi, amatha kukhala ndi zovuta zosiyanasiyana monga kutentha thupi, thukuta pafupipafupi, kuuma kwa m'mimba, kuyabwa, komanso kupweteka panthawi yogonana. Kwa ena, izi zimatha kusokoneza zochita zawo za tsiku ndi tsiku. Chifukwa chake, chithandizo chimodzi chomwe chingathandize kuchepetsa zovuta izi chimatchedwa Estradiol Skin Patches . Tiyeni tikambirane za izi mwatsatanetsatane lero, sichoncho?
Kodi chigamba cha khungu cha Estradiol ichi ndi chiyani?
Mwachidule, ichi ndi kachidutswa kakang'ono komwe mumakakamira pakhungu lanu. Zili ngati kupaka pulasitala. Kachidutswa aka kali ndi mankhwala otchedwa estradiol . Estradiol ndi mtundu wa mahomoni otchedwa estrogen . Monga mukudziwa, estrogen ndi mahomoni omwe amapangidwa mwachibadwa m'thupi la mkazi ndipo amathandizira ntchito zambiri zofunika.
Pamene kusamba kukuchitika, kuchuluka kwa estrogen m'thupi kumachepa pang'onopang'ono. Ndicho chifukwa chake kusasangalala komwe kwatchulidwa pamwambapa kumabwera. Chifukwa chake, chomwe estradiol patch iyi imachita ndikupereka hormone ya estrogen m'thupi kudzera pakhungu, ndikukonza kuchepa kwa milingo mpaka pamlingo wina.
Chigamba ichi makamaka:
- Amachepetsa kuchuluka ndi mphamvu ya kutentha thupi komwe kumachitika chifukwa cha kusamba.
- Zimathandiza kuthetsa zizindikiro monga kuuma kwa nyini, kuyabwa, ndi ululu.
- Nthawi zina amagwiritsidwanso ntchito popewa osteoporosis, matenda otaya mafupa omwe angachitike munthu akasiya kusamba.
Chigamba ichi chingakhale ndi mayina osiyanasiyana a makampani, mwachitsanzo `(Alora)`, `(Climara)`, `(Vivelle-Dot)`. Koma onse ali ndi estradiol ngati chosakaniza chachikulu. Ingagwiritsidwenso ntchito pazinthu zina, funsani dokotala wanu kapena wamankhwala za izi.
Ndi zinthu ziti zomwe ndiyenera kuuza dokotala ndisanayambe kugwiritsa ntchito mankhwalawa?
Musanayambe kugwiritsa ntchito estradiol patch iyi, ndikofunikira kwambiri kupatsa gulu lanu lazaumoyo (monga dokotala, namwino) kufotokozera kwathunthu za thanzi lanu. Ndikofunikira kwambiri kuwauza ngati muli ndi vuto lililonse mwa izi:
- Ngati muli ndi magazi ochulukirapo m'mimba mwanu omwe amachitika kunja kwa nthawi yanu yachizolowezi .
- Ngati munali ndi magazi oundana m'mitsempha yanu yamagazi kale kapena munali ndi matenda ena ofanana nawo.
- Ngati muli ndi kapena mukukayikira kuti muli ndi khansa ya m'mawere, khomo lachiberekero, endometrium, mazira, chiwindi, kapena chiberekero .
- Ngati muli ndi vuto la kulephera kukumbukira zinthu monga matenda a dementia .
- Ngati muli ndi matenda a shuga m'magazi (monga shuga wambiri m'magazi).
- Ngati muli ndi matenda a ndulu.
- Ngati muli ndi matenda a mtima kapena mwangodwala matenda a mtima posachedwapa.
- Ngati muli ndi kuthamanga kwa magazi .
- Ngati muli ndi cholesterol yambiri m'magazi anu.
- Ngati muli ndi calcium yambiri m'magazi mwanu.
- Ngati mwachitidwa opaleshoni yochotsa chiberekero (nthawi zina izi ndizofunikira kudziwa mtundu wa mahomoni omwe muyenera kupatsidwa).
- Ngati muli ndi matenda a impso .
- Ngati muli ndi matenda a chiwindi .
- Ngati muli ndi vuto la chithokomiro chochepa .
- Ngati muli ndi matenda odziteteza okha monga lupus .
- Ngati mutu wanu umapweteka pafupipafupi.
- Ngati muli ndi vuto lotchedwa kusowa kwa mapuloteni C/S, lomwe limawonjezera chiopsezo cha magazi kuundana.
- Ngati ndinu wosuta fodya (izi ndizofunikira kwambiri!).
- Ngati munadwalapo sitiroko kale.
- Ngati kale munakhalapo ndi vuto lachilendo kapena la ziwengo chifukwa cha estrogen kapena mankhwala ena, zakudya, mitundu yopangira, kapena zotetezera.
- Ngati muli ndi pakati kapena mukuyembekezera kutenga pakati .
- Ngati ndinu mayi woyamwitsa .
Mwa kuuza dokotala wanu zinthu izi, iye akhoza kudziwa ngati chigamba ichi chili choyenera kwa inu kapena ayi, kapena zomwe muyenera kusamala nazo kwambiri.
Kodi ndingagwiritse ntchito bwanji chigamba ichi moyenera?
Izi n'zosavuta kwenikweni, koma ndikofunikira kutsatira malangizo molondola.
1. Chigamba ichi ndi cha pakhungu lokha . Musachimwe pakamwa kapena kuchigwiritsa ntchito mwanjira ina iliyonse.
2. Gwiritsani ntchito mankhwalawo monga momwe dokotala wanu wanenera pa chizindikiro chomwe mwapatsidwa.
3. Musanagwiritse ntchito chigambacho, onetsetsani kuti dera la khungu lomwe mukufuna kupaka ndi loyera, louma, komanso lopanda ubweya . Nthawi zambiri, malo oti mugwiritse ntchito ndi m'mimba, matako, ndi ntchafu. Musagwiritse ntchito pa mabere.
4. Ikani mbali yomata ya chigambacho pakhungu ndipo chigwire mwamphamvu ndi dzanja lanu kwa masekondi angapo.
5. Musadule kapena kugawa chigambacho m'zidutswa .
6. Musagwiritse ntchito zigamba zoposa chimodzi nthawi imodzi.
7. Musanagwiritse ntchito chigamba chatsopano, onetsetsani kuti mwachotsa chigamba chakale .
8. Ngati mupitiliza kupaka chigambacho pamalo omwewo pakhungu lanu, chikhoza kufiira ndi kuyabwa. Chifukwa chake, nthawi iliyonse mukapaka chigambacho, yesani kuchipaka pamalo osiyana pang'ono ndi omwe mudapakapo kale .
9. Pitirizani kugwiritsa ntchito izi mpaka gulu lanu lachipatala litakuuzani kuti muchite zimenezo. Musasiye mwadzidzidzi popanda uphungu wawo.
Mudzalandira kabuku ka malangizo ogwiritsira ntchito mankhwala awa. Werengani mosamala. Ngati pali chilichonse chomwe simukumvetsa, funsani katswiri wa mankhwala kapena dokotala kuti akuthandizeni kumvetsa bwino. Mudzalandira kabukuka nthawi iliyonse mukalandira mankhwala atsopano kapena kudzazanso. Kumbukirani kuwerenga mosamala nthawi iliyonse.
Lankhulani ndi gulu lanu lachipatala za kugwiritsa ntchito mankhwalawa kwa ana , chifukwa angafunike chisamaliro chapadera.
Chofunika: Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi wina aliyense.
Kodi mumatani ngati mwaiwala kupaka chigamba?
Chonde musachite mantha nthawi ngati zimenezi. Mukangokumbukira kuti mwaphonya chigamba chanu, chipakeni mwachangu momwe mungathere. Komabe, ngati nthawi yatsala pang'ono yoti mupake chigamba china, ikani chigamba chomwe muyenera kugwiritsa ntchito panthawi yomwe mwakonza m'malo mwa chomwe munachiiwala. Musamagwiritse ntchito zigamba ziwiri nthawi imodzi kapena kumwa mankhwala owonjezera.
Kodi chimachitika ndi chiyani ngati mwamwa mankhwala ochulukirapo (overdose)?
Ngati mukuganiza kuti mwagwiritsa ntchito mankhwala ochulukirapo, kapena ngati wina wagwiritsa ntchito molakwika, imbani malo oletsa poizoni kapena chipinda chodzidzimutsa chapafupi nthawi yomweyo.
Ndi zinthu zina ziti zomwe zingagwirizane ndi estradiol patch iyi?
Inde, pali mankhwala ena omwe angayambitse mavuto akamwedwa ndi estradiol patch iyi. Chifukwa chake, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa (osati omwe dokotala wanu wakupatsani okha, komanso mankhwala ochepetsa ululu omwe mumagula ku pharmacy, mavitamini, mankhwala achikhalidwe, komanso mankhwala azitsamba).
Musagwiritse ntchito estradiol patch, makamaka ndi mankhwala otsatirawa:
- Mankhwala oletsa aromatase ndi gulu la mankhwala. Zitsanzo zake ndi monga `(aminoglutethimide)`, `(anastrozole)`, `(exemestane)`, `(letrozole)`, ndi `(testolactone)`.
Kuphatikiza apo, mankhwala otsatirawa angagwirizane ndi estradiol patch:
- Carbamazepine (mankhwala omwe amagwiritsidwa ntchito pochiza matenda monga khunyu )
- Maantibayotiki ena, mwachitsanzo `(erythromycin)` kapena `(clarithromycin)`
- Mankhwala ena a matenda opatsirana ndi mavairasi monga HIV kapena chiwindi
- Mankhwala ena a matenda a bowa, mwachitsanzo `(ketoconazole)`, `(itraconazole)`, kapena `(posaconazole)`
- Phenobarbital
- Raloxifene
- Rifampin
- Wort wa St. John (uyu ndi mankhwala ochokera ku zitsamba)
- Mankhwala "Tamoxifen".
Mndandandawu sungakhale ndi zotsatirapo zonse zomwe zingachitike, choncho ndikofunikira kuuza gulu lanu lachipatala za mankhwala onse omwe mumamwa, komanso ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena.
Kodi ndiyenera kudziwa chiyani ndikamagwiritsira ntchito chigamba ichi?
Ndikofunikira nthawi zonse kusamala thanzi lanu mukamagwiritsa ntchito chigamba ichi.
- Pitani kukayezetsa nthawi zonse: Pitani kwa dokotala wanu nthawi ndi nthawi kuti mukayeze thanzi lanu. Ndikofunikira kuyesedwa mabere nthawi zonse, kuyezetsa m'chiuno, ndi kuyezetsa mapapo nthawi imeneyi. Komanso, lankhulani ndi dokotala wanu ngati muyenera kupita ku mammogram nthawi ndi nthawi, ndikutsatira malangizo ake.
- Kusunga madzi m'thupi: Mankhwalawa nthawi zina angapangitse thupi lanu kusunga madzi m'thupi, zomwe zimapangitsa kuti zala zanu, manja, kapena akakolo anu zitupa. Kuthamanga kwa magazi kungakwerenso . Ngati mukumva ngati mukusunga madzi m'thupi, uzani dokotala wanu.
- Ngati mukuganiza kuti muli ndi pakati: Ngati mukuganiza kuti muli ndi pakati pazifukwa zina zilizonse, siyani kugwiritsa ntchito mankhwalawa nthawi yomweyo ndipo uzani dokotala wanu .
- Kusuta ndi Kuopsa: Iyi ndi mfundo yofunika kwambiri. Ngati ndinu wosuta fodya, makamaka ngati muli ndi zaka zoposa 35, chiopsezo chanu chokhala ndi magazi ambiri ndi sitiroko chimakhala chachikulu kwambiri mukamagwiritsa ntchito chigamba ichi. Chifukwa chake, ndi bwino kusiya kusuta konse ngati mungathe.
- Kwa ovala ma contact lens: Ngati muvala ma contact lens ndipo mukuona kusintha kwa maso anu, kapena ngati simukumva bwino mukuvala ma contact lens anu, pitani kwa katswiri wa maso.
- Kuchuluka kwa estrogen m'chiberekero: Kugwiritsa ntchito estrogen kwa nthawi yayitali kungayambitse kukula kwa chiberekero (endometrial hyperplasia) . Ngati sichichiritsidwa, vutoli lingayambitse khansa ya m'chiberekero. Pofuna kuchepetsa chiopsezochi, akazi omwe sanachotsedwe chiberekero amapatsidwa mtundu wina wa mahomoni otchedwa progestin pamodzi ndi estrogen. Komabe, kumwa estrogen ndi progestin pamodzi kungayambitsenso mavuto ena azaumoyo. Chifukwa chake, ndikofunikira kukambirana zabwino ndi zoyipa za chithandizo cha mahomoni ichi ndi dokotala wanu ndikusankha chomwe chili chabwino kwa inu.
- Opaleshoni kapena mayeso ena azachipatala:Ngati mukuchita opaleshoni iliyonse, MRI, CT scan, kapena mayeso ena apadera azachipatala mtsogolo, uzani gulu lanu lazachipatala kuti mukugwiritsa ntchito estradiol patch iyi. Mungafunike kuchotsa chigambacho musanayesedwe.
- Kutuluka kwa chigamba: Mukasamba, kusambira, kapena kugwiritsa ntchito sauna, chigambacho chingachoke mukachiika m'madzi. Ngati chikatuluka, yesani kuchigwiritsanso ntchito. Ngati sichoncho, ikani chigamba chatsopano pamalo ena ndipo pitirizani ndi ndondomeko yanu yanthawi zonse yoperekera mlingo.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?
Monga mankhwala ena aliwonse, estradiol patch iyi ingayambitse mavuto ena mwa anthu ena. Ena ndi oopsa ndipo ayenera kuuzidwa kwa dokotala nthawi yomweyo. Ena si oopsa kwambiri, koma ngati apitirira kapena akuvutitsa, muyenera kuuza dokotala wanu.
Zotsatirapo zomwe zimafuna chithandizo chamankhwala mwachangu:
Ngati mukukumana ndi zizindikiro izi, uzani gulu lanu lachipatala mwamsanga momwe mungathere:
- Matenda a ziwengo: Ziphuphu pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi.
- Kuundana kwa magazi: Kupweteka kwa mwendo, kutupa, kapena kutentha, kupuma movutikira, kupweteka pachifuwa. (Mwachitsanzo, ngati mwavala chigambacho ndipo mwadzidzidzi mukumva kutupa, kupweteka, kapena kuvutika kupuma mwendo wanu, kungakhale chizindikiro cha magazi kuundana. Ngati zimenezo zitachitika, muyenera kuonana ndi dokotala nthawi yomweyo.)
- Kusintha kwa minofu ya m'mawere: ziphuphu zatsopano, kufiira kwa m'mawere, kupweteka, kapena kutuluka kwa mabere.
- Mavuto a ndulu: Kupweteka kwambiri m'mimba, nseru, kusanza, kutentha thupi.
- 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, khungu kapena maso kukhala achikasu, kumva kutopa kwambiri kapena kufooka.
- 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.
- Kutuluka kwa madzi m'mimba, kuyabwa, kapena fungo losazolowereka.
- Kutuluka magazi m'mimba mutatha kusamba, kupweteka m'chiuno.
Zotsatirapo zomwe nthawi zambiri sizifuna upangiri wa dokotala (koma ziyenera kunenedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa):
- Kutupa
- Kupweteka m'mawere kapena kupweteka kwa m'mawere
- Kutaya tsitsi
- Kusanza
- Kupweteka m'mimba
- Kusanza
Mndandandawu sungakhale ndi zotsatirapo zonse zoyipa. Ngati muwona china chake chachilendo kuwonjezera pa izi, lankhulani ndi dokotala wanu za izi.
Kodi ndiyenera kusunga kuti chigamba cha mankhwala ichi?
- Sungani pamalo omwe ana ndi ziweto sangafikire.
- Sungani kutentha kwa chipinda (pakati pa madigiri 20 ndi 25 Celsius / madigiri 68 ndi 77 Fahrenheit).
- Sungani mankhwalawa m'thumba lake loyambirira mpaka mutakonzeka kugwiritsa ntchito.
- Ngati pali ma patches omwe atha ntchito, achotseni.
Ndikofunikanso kwambiri kutaya zigamba zomwe zagwiritsidwa ntchito bwino. Ngakhale chigamba chomwe chagwiritsidwa ntchito chingakhalebe ndi mankhwala ena. Chifukwa chake, pindani chigamba chomwe chagwiritsidwa ntchito pakati, phatikizani mbali ziwiri zomata pamodzi, kenako chitayireni m'zinyalala komwe ana kapena ziweto sizingafikire.
Ndikofunikira kutaya bwino mankhwala omwe simukuwafunanso kapena omwe atha ntchito. Pali njira ziwiri zochitira izi:
- Pitani ku pulogalamu yopezera mankhwala obwezeretsa mankhwala ndipo muipereke. Mutha kudziwa zambiri za malo otere ku pharmacy yanu kapena ku polisi.
- Ngati izi sizingatheke, funsani akatswiri a zamankhwala kapena gulu lanu la zamankhwala kuti akupatseni upangiri wa momwe mungatayire mankhwala awa mosamala.
Kumbukirani, kabuku aka ndi chidule chabe. Sikangakhale ndi mfundo zonse. Ngati muli ndi mafunso ena okhudza mankhwalawa, lankhulani ndi dokotala wanu, wamankhwala, kapena wopereka chithandizo chamankhwala.
Pomaliza, zinthu zingapo zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)
Chabwino, tsopano mwamvetsa bwino za estradiol skin patch yomwe takambirana lero. Chofunika kwambiri ndichakuti iyi ndi mankhwala a mahomoni. Chifukwa chake, musagwiritse ntchito kapena kusiya kugwiritsa ntchito popanda upangiri wa dokotala.
- Ngati mukukumana ndi zizindikiro za kusamba, musachite manyazi kapena kuvutika nokha. Lankhulani ndi dokotala wanu kuti akupatseni chithandizo chabwino kwambiri.
- Mukamagwiritsa ntchito chigamba, tsatirani malangizowo ndendende.
- Onetsetsani kuti mwauza dokotala wanu za mankhwala ena aliwonse omwe mukumwa komanso matenda ena aliwonse omwe muli nawo.
- Ngati mukusuta fodya, kuyesa kusiya kusuta n'kwabwino kwambiri pa thanzi lanu , makamaka mukamagwiritsa ntchito mahomoni ngati awa.
- Ngati mukuona zizindikiro zachilendo kapena zotsatirapo zake, uzani dokotala wanu nthawi yomweyo.
Thanzi lanu ndilofunika. Choncho, ngati muli ndi kukayikira kulikonse pa chilichonse, musazengereze kufunsa.
Estradiol , Estrogen, Kusamba, Kutentha Kwambiri, Kutupa kwa Mafupa, Chithandizo Chosintha Mahomoni, Chigamba cha Khungu











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