Kusamba, nthawi imene msambo umatha kwathunthu, ndi nthawi ya kusintha kwakukulu m'moyo wa mkazi. Panthawiyi, kusintha kwa mahomoni m'thupi kungayambitse kusasangalala kwambiri, monga kutentha thupi, kukwiya pafupipafupi, kusowa tulo, komanso kuuma kwa m'mimba. Chifukwa chake, chimodzi mwa mankhwala omwe madokotala amalangiza kuti athetse zizindikirozi ndi mankhwala okhala ndi hormone ya Estradiol. Lero tikulankhula za izi, makamaka za Estradiol Topical Spray, yomwe imapopedwa pakhungu.
Mwachidule, kodi Estradiol ndi chiyani?
Estradiol ndi mtundu wa mahomoni otchedwa estrogen omwe amapangidwa mwachibadwa m'matupi athu. Kuchuluka kwa estrogen m'thupi kumachepa panthawi ya kusamba. Mankhwalawa amagwira ntchito yobwezeretsa kuchepa kwa estrogen pamlingo winawake.
Mukagwiritsa ntchito mankhwala otsukira awa, zizindikiro zokhudzana ndi kusamba kwa mimba ndi izi:
- Amachepetsa kuchuluka ndi kuopsa kwa kutentha.
- Zimathandizanso kuchepetsa zizindikiro monga kuuma kwa nyini, kuyabwa, ndi ululu panthawi yogonana.
Mankhwalawa amatha kupezeka m'mafakitale osiyanasiyana ku Sri Lanka ndi kunja. `Evamist` ndi dzina lodziwika bwino la mankhwala. Koma dzina lililonse lomwe limapezeka m'mafakitalewa, lili ndi hormone ya Estradiol.
Musanamwe mankhwala, onetsetsani kuti mwauza dokotala wanu zinthu izi:
Popeza iyi ndi njira yochizira matenda a mahomoni, ingayambitse mavuto ena m'thupi lanu. Chifukwa chake, ngati muli ndi vuto lililonse mwa zotsatirazi musanagwiritse ntchito mankhwalawa, muyenera kuuza dokotala wanu za vutoli.
| Matenda kapena chiopsezo | Kufotokozera |
|---|---|
| Matenda a khansa | Ngati muli ndi kapena munakhalapo ndi khansa ya m'mawere, pachibelekero, pachibelekero, m'mazira, m'mazira obereketsa, kapena m'chiwindi. |
| Mavuto a mtima ndi mitsempha yamagazi | Matenda a mtima, sitiroko, matenda otsekeka kwa magazi, kuthamanga kwa magazi, kapena cholesterol yokwera. |
| Kutuluka magazi kosazolowereka | Kutuluka magazi m'mimba mwachilendo kosadziwika chifukwa chake. |
| Matenda ena | Matenda a shuga, matenda a chiwindi kapena impso, matenda a ndulu, mutu waching'alang'ala, matenda a dementia, matenda a SLE (Systemic lupus erythematosus). |
| Zambiri zaumwini ndi zizolowezi | Ngati mwachitidwa opaleshoni yochotsa chiberekero, mukusuta fodya, mukuyesera kutenga pakati, kapena mukuyamwitsa. |
| Matenda a ziwengo | Ngati muli ndi vuto la estrogen kapena mahomoni ena, mankhwala, zakudya, kapena zotetezera. |
Kodi mumagwiritsa ntchito bwanji mankhwala opopera awa?
Ndikofunikira kwambiri kudziwa bwino momwe mungagwiritsire ntchito mankhwalawa.
1. Pakhungu lokha: Iyi si mankhwala oti munthu amwe pakamwa, koma ndi mankhwala opopera okha omwe amapaka pakhungu (ntchito yakunja).
2. Malo oyenera: Dokotala wanu adzakuwonetsani momwe mungagwiritsire ntchito. Nthawi zambiri, muyenera kupopera pakhungu loyera, louma, komanso losasweka , pakati pa chigongono ndi dzanja, komanso mkati mwa mphumi . Musapopera pa mabere anu.
3. Nthawi yokhazikika: Kumwa mankhwala nthawi yomweyo tsiku lililonse kudzakuthandizani kupeza zotsatira zabwino.
4. Ukhondo: Ngati mukusamba, muyenera kugwiritsa ntchito mankhwala opopera pokhapokha mutamaliza kusamba ndipo khungu lanu lauma bwino.
5. Pewani moto: Izi ndizofunikira kwambiri! Mukatha kugwiritsa ntchito mankhwala opopera, pewani moto ndi malawi mpaka malowo aume bwino. Komanso, musasute fodya. Izi zili ndi mowa ndipo zimatha kuyaka moto.
Ndiyenera kuchita chiyani ngati ndaphonya mlingo?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yoti mutenge mlingo wotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira monga mwachizolowezi. Musamwe milingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya.
Nanga bwanji ngati mankhwalawo agwiritsidwa ntchito mopitirira muyeso?
Ngati mukuganiza kuti mwagwiritsa ntchito mankhwala ambiri, nthawi yomweyoImbani National Poison Information Centre ku Colombo National Hospital, kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Zinthu zapadera zomwe muyenera kuzidziwa mukamagwiritsa ntchito mankhwalawa
- Kugawana mankhwala ndi ena: Izi ndizofunikira kwambiri. Ngati mupopera mankhwalawo pa munthu wina (makamaka mwana) kapena chiweto, mankhwalawa amatha kulowa m'thupi lawo. Izi zingayambitse mavuto aakulu. Choncho, sungani malo omwe mudapopera mankhwalawo ndi zovala. Ngati mwapopera mwangozi pa munthu wina, nthawi yomweyo sambani malowo ndi sopo ndi madzi.
Chenjezo: Ngati muli ndi zaka zoposa 35 ndipo mukusuta, muli pachiwopsezo chachikulu cha magazi kuundana kapena sitiroko mukamamwa mankhwalawa. Chifukwa chake , tikukulangizani kuti mupewe kusuta fodya mukamamwa mankhwalawa.
- Kupimidwa nthawi zonse ndi dokotala: Mukamamwa mankhwalawa, muyenera kuonana ndi dokotala nthawi zonse kuti muwone momwe mulili. Lankhulani ndi dokotala wanu za kufunika kokapimidwa nthawi zonse ndi dokotala wa m'mawere, kuyesedwa kwa Pap smears, ndi kuyesedwa kwa mammogram.
- Kuopsa kwa khansa ya m'chiberekero: Mukatenga mankhwala a estrogen hormone okha, pali chiopsezo chochepa kwambiri chakuti chiberekero (endometrial hyperplasia) chidzakula n’kukhala khansa. Kuti muchepetse chiopsezochi, ngati chiberekero chanu sichinachotsedwe, dokotala wanu angakupatseni hormone ina yotchedwa progestin pamodzi ndi mankhwala a estrogen awa. Kambiranani ndi dokotala wanu za ubwino ndi kuipa kwa izi.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse mavuto ena mwa anthu ena. Ena ndi oopsa, ena ndi ofala.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
|---|---|
| Zizindikiro za sitiroko | Kufooka mwadzidzidzi pankhope, mkono, kapena mwendo, kuvutika kulankhula, kuvutika kuyenda, kukomoka, mutu waukulu. |
| Zizindikiro za magazi kuundana | Kupweteka kwa mwendo, kutupa kapena kufiira, kuvutika kupuma, kupweteka pachifuwa. |
| Kusintha kwa mabere | Ziphuphu zatsopano, kupweteka, kufiira, ndi kutuluka madzi m'chifuwa. |
| Mavuto a chiwindi | Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, khungu kapena maso kukhala achikasu, mkodzo wakuda. |
| Zizindikiro zina zazikulu | Matenda oopsa a ziwengo (kutupa kwa nkhope, milomo), kuthamanga kwa magazi, kutuluka magazi m'mimba mutasiya kusamba. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kupweteka m'mawere kapena kufinya | Kudzaza mimba |
| Kusanza kapena kusanza | Kutaya tsitsi |
Uthenga Wopita Nawo Kunyumba
- Estradiol spray ndi mankhwala a estrogen hormone omwe amagwiritsidwa ntchito poletsa zizindikiro za kusamba.
- Musanagwiritse ntchito mankhwalawa, uzani dokotala wanu mbiri yanu yonse ya matenda (makamaka khansa, matenda a mtima, ndi magazi kuundana).
- Mankhwalawa amagwiritsidwa ntchito pakhungu mkati mwa mphumi. Musamagwiritse ntchito pa mabere.
- Pewani moto ndi kusuta mpaka malo oyeretserawo aume.
- Chofunika kwambiri: Musalole kuti malo omwe mudapaka mankhwalawo akhudze khungu la ana, ziweto, kapena anthu ena. Phimbani ndi zovala.
- Mankhwalawa ndi a inu nokha. Musagawane ndi ena.
- Ngati mukumva zizindikiro monga kupweteka pachifuwa, mutu waukulu, kutupa mwendo, kapena kutuluka magazi mutatha kusamba, pitani kwa dokotala nthawi yomweyo.
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