Kusamba ndi nthawi ya kusintha kwakukulu m'moyo wa mkazi. Nthawi zina, zinthu monga kuuma kwa nyini, kuyabwa, ndi kupweteka panthawi yogonana zimatha kukhala zovuta kwambiri. Estradiol Vaginal Cream ndi mankhwala omwe madokotala amalangiza kuti athandize ndi mavuto otere. Chifukwa chake, lero tikambirana mwatsatanetsatane za mankhwalawa, momwe angagwiritsire ntchito, komanso zomwe muyenera kusamala nazo.
Kodi Estradiol iyi ndi chiyani?
Mwachidule, Estradiol ndi membala wa mahomoni otchedwa estrogen. Pa nthawi ya kusamba, kuchuluka kwa estrogen m'thupi lathu kumachepa. Ichi ndichifukwa chake zizindikiro monga kuuma, kutupa, ndi kupweteka zimawonekera m'chikazi.
Kirimu uyu cholinga chake chachikulu ndi kuchepetsa kusasangalala komwe kumachitika mu nyini panthawi ya kusamba. Izi zikutanthauza kuti, amachepetsa kuuma kwa nyini, kupweteka, ndi ululu panthawi yogonana, zomwe zimakupatsirani mpumulo.
Chofunika kwambiri ndichakuti izi ndi zogwiritsidwa ntchito m'njira ya m'mimba yokha. Si mankhwala omwa.
Ndi zinthu ziti zomwe ndiyenera kuuza dokotala ndisanayambe kumwa mankhwalawa?
Ndikofunikira kwambiri kuti dokotala wanu adziwe mbiri yonse ya thanzi lanu asanasankhe ngati mankhwala awa ndi oyenera kwa inu. Muyenera kuwauza makamaka ngati muli ndi vuto lililonse mwa izi:
| Ngati muli ndi vuto lililonse mwa zotsatirazi, ndikofunikira kudziwitsa dokotala wanu: |
|---|
| • Ngati muli ndi magazi osadziwika bwino m'mimba mwanu |
| • Ngati muli ndi magazi oundana m'mitsempha yanu yamagazi kapena matenda ena ofanana nawo |
| • Ngati muli ndi khansa ya m'mawere, pachibelekero, pachibelekero, m'mazira, m'mazira oberekera, kapena m'chiwindi. |
| • Ngati muli ndi vuto la matenda amisala |
| • Matenda a shuga |
| • Matenda a ndulu |
| • Matenda a mtima kapena matenda a mtima omwe angochitika kumene |
| • Kuthamanga kwa magazi kapena cholesterol yambiri |
| • Matenda a chiwindi kapena impso |
| • Mutu wa mutu wa mutu waching'alang'ala |
| • Ngati munayamba mwadwalapo sitiroko |
| • Matenda a chitetezo chamthupi monga Systemic Lupus Erythematosus (SLE) |
| • Ngati ndinu wosuta fodya (izi ndizofunikira kwambiri) |
| • Ngati muli ndi vuto la mahomoni ena, soya, mankhwala ena, zakudya, kapena utoto |
| • Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa |
Kodi mumagwiritsa ntchito bwanji kirimu iyi?
N'zosavuta kugwiritsa ntchito izi molondola, koma ndikofunikira kuchita bwino.
1. Ukhondo: Sambani m'manja mwanu bwino ndi sopo musanagwiritse ntchito mankhwalawo komanso mutagwiritsa ntchito.
2. Kukonzekera chogwiritsira ntchito: Gwiritsani ntchito chogwiritsira ntchito chapadera chokha chomwe chimabwera ndi mankhwala. Dzazani chogwiritsira ntchito ndi kuchuluka kwa kirimu komwe dokotala wakupatsani.
3. Malo ogwiritsira ntchito: Gonani chagada ndi mawondo anu opindika. Malo amenewa amapangitsa kuti kulowetsa mankhwalawo kukhale kosavuta.
4. Kuyika mankhwala: Ikani chogwiritsira ntchito mu nyini ndikukankhira chopukutira kuti mulowetse kirimu.
5. Kutsuka chogwiritsira ntchito: Mukatha kugwiritsa ntchito, sambitsani chogwiritsira ntchito bwino ndi madzi ofunda a sopo ndikutsuka ndi madzi kuti chikhale choyera.
6.Nthawi: Imwani mankhwala monga momwe mwalangizidwira, kwa nthawi yonse yomwe dokotala wanu wakupatsani. Musasiye kumwa popanda upangiri wa dokotala.
Kodi mungachite chiyani ngati mwaphonya mlingo?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Koma ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wanu wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi.
Kodi pali mankhwala ena omwe sagwirizana ndi mankhwalawa?
Inde, mankhwala ena sangagwirizane ndi kirimu iyi. Chifukwa chake, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala achikhalidwe).
| Musamwe mankhwalawa pamodzi ndi mankhwala ena aliwonse. | |
|---|---|
| Aromatase inhibitors (monga anastrozole, letrozole) | |
| Mankhwalawa angayambitsenso mavuto (uzani dokotala wanu ). | |
| Mankhwala ena omwe amakupangitsani kugona kapena kuchiza khunyu (Barbiturates) | Carbamazepine |
| Madzi a mphesa | Mankhwala oletsa bowa (monga ketoconazole) |
| Maantibayotiki ena | Wort wa St. John (mankhwala azitsamba) |
| Tamoxifen, Raloxifene | Warfarin (mankhwala ochepetsa magazi) |
Zinthu zoti muzisamala nazo mukamamwa mankhwalawa
- Kuyezetsa magazi pafupipafupi: Ndikofunikira kuonana ndi dokotala wanu pafupipafupi kuti akayezetse magazi pafupipafupi. Lankhulani ndi dokotala wanu za zinthu monga kuyezetsa magazi m'mawere ndi kuyezetsa magazi m'mimba.
- Kusuta: Ngati mumasuta, makamaka ngati muli ndi zaka zoposa 35, chiopsezo chanu chokhala ndi magazi ambiri ndi sitiroko chimakhala chachikulu kwambiri. Chifukwa chake, tikukulangizani kuti mupewe kusuta konse.
- Kusunga madzi m'thupi: Nthawi zina zala zanu, manja, kapena akakolo anu amatha kutupa. Uzani dokotala wanu ngati mukumva choncho.
- Mimba: Ngati mukukayikira kuti muli ndi pakati, siyani kumwa mankhwalawo ndipo imbani dokotala nthawi yomweyo.
- Ngati mwangozi mwamwa mankhwala ochulukirapo: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poisons Information Centre ku National Hospital , kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena onse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Zina mwa izo ndi zazikulu, zina ndizofala.
| Ngati muli ndi chilichonse mwa izi, imbani dokotala wanu nthawi yomweyo. | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime. |
| Zizindikiro za magazi kuundana | Kupweteka kwa mwendo, kutupa, kumva kutentha, kupuma movutikira, kupweteka pachifuwa. |
| Kusintha kwa mabere | Ziphuphu zatsopano, kufiira, kupweteka, ndi kutuluka madzi m'chifuwa. |
| Zizindikiro za sitiroko | Kufooka kwadzidzidzi kwa nkhope, mkono kapena mwendo, kuvutika kulankhula, kuvutika kuyenda, mutu waukulu. |
| Mavuto a chiwindi | Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, maso kapena khungu kukhala lachikasu, mkodzo wakuda wachikasu/bulauni. |
| Kusintha kwa nyini | Kutuluka magazi pambuyo pa kusamba, kutuluka magazi kosazolowereka, kuyabwa, kapena fungo. |
| Izi nthawi zambiri sizimakhala zoopsa (koma uzani dokotala ngati zipitirira). | |
| Kutupa | Kupweteka m'mawere kapena kufinya |
| Kusanza kapena kusanza | Kupsa pang'ono kapena kusasangalala pamalo omwe jakisoni adabayidwa |
Uthenga Wopita Nawo Kunyumba
- Kirimu wa Estradiol Vaginal ndi mankhwala a mahomoni ochizira kusasangalala kwa m'mimba chifukwa cha kusamba. Ayenera kugwiritsidwa ntchito m'mimba mokha.
- Musanayambe kumwa mankhwala, uzani dokotala wanu za mbiri yanu yonse ya thanzi komanso mankhwala ena onse omwe mukumwa.
- Imwani mankhwalawo monga momwe dokotala wanu wanenera, kwa nthawi yonse yomwe mwapatsidwa. Musawonjezere mlingo kapena kusiya kumwa pakati.
- Nthawi zonse samalani ndi zotsatirapo zoopsa monga magazi kuundana, zizindikiro za sitiroko, kusintha kwa mawere, kapena kutuluka magazi pambuyo pa kusamba. Ngati muwona chilichonse mwa izi, funsani upangiri wa dokotala nthawi yomweyo.
- Kusuta fodya pamene mukumwa mankhwalawa kumawonjezera kwambiri chiopsezo, choncho pewani kotheratu.
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