Kusamba, kutanthauza 'nthawi imene msambo umatha', ndi chinthu chachibadwa komanso chachilengedwe m'moyo wa mkazi. Komabe, kusintha kwina kwa thupi komwe kumachitika panthawiyi kungakhale kosasangalatsa pang'ono. Makamaka pankhani ya ululu wa m'mimba ndi kuuma panthawi yogonana, anthu ambiri sakonda kulankhula za izi, amachita manyazi pang'ono. Limodzi mwa mankhwala omwe madokotala amalimbikitsa ngati yankho la mavuto otere ndi Estradiol Vaginal Insert, yomwe tikulankhula lero.
Mwachidule, kodi estradiol iyi ndi chiyani?
Estradiol ndi membala wa mahomoni otchedwa estrogen. Monga mukukumbukira, estrogen ndi mahomoni ofunikira kwambiri pakugwira ntchito kwa thupi la mkazi. Pa nthawi ya kusamba, kuchuluka kwa mahomoni a estrogen m'thupi kumachepa mwachibadwa. Kuchepa kumeneku kungayambitse kuti malo oberekera akazi akhale ouma, owonda, komanso osalimba. Izi zingayambitse kupweteka panthawi yogonana.
Kotero chomwe Estradiol iyi imachita ndikupereka pang'ono mahomoni a estrogen mwachindunji mu nyini, kuchepetsa kuuma ndi kupweteka. Ili ndi piritsi lomwe limayikidwa mu nyini, osati kumwa. Piritsi ili likhoza kuperekedwa ndi mayina osiyanasiyana monga Vagifem ndi Yuvafem.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Chabwino, tsopano izi ndizofunikira kwambiri. Dokotala wanu asanakupatseni mankhwala awa, ayenera kumvetsetsa bwino za thanzi lanu lonse. Chifukwa chake, ngati muli ndi vuto lililonse pansipa, onetsetsani kuti mwadziwitsa dokotala wanu .
- Ngati pali kutuluka magazi m'mimba mwa munthu wosazolowereka, si kwachibadwa.
- Ngati munakhalapo ndi magazi oundana kapena mavuto a mitsempha yamagazi m'mbuyomu.
- Ngati mwakhalapo kapena muli ndi khansa ya m'mawere, pachibelekero, pachibelekero, m'mazira obereketsa, pachiwindi, kapena mkati mwa chiberekero (endometrium).
- Ngati muli ndi vuto la dementia.
- Ngati muli ndi matenda a shuga.
- 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 kapena calcium m'magazi mwanu.
- Ngati chiberekero chachotsedwa opaleshoni (hysterectomy).
- Ngati muli ndi matenda a impso kapena chiwindi.
- Ngati muli ndi mutu wa mutu wa migraine.
- Ngati munadwalapo sitiroko kale.
- Ngati muli ndi matenda a autoimmune monga systemic lupus erythematosus (SLE).
- Ngati ndinu wosuta fodya.
- Ngati muli ndi vuto la ziwengo chifukwa cha hormone ya estrogen, mahomoni ena, mankhwala ena, zakudya, zotetezera, kapena utoto.
- Ngati mukuyesera kutenga mimba, muli ndi pakati, kapena ndinu mayi woyamwitsa.
Ndikofunikira kwambiri kuti mukhale otetezeka kuuza dokotala popanda kubisa zinthu izi.
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Izi n'zosavuta kugwiritsa ntchito, koma ziyenera kuchitika bwino.
1. Sambani m'manja mwanu: Sambani m'manja mwanu bwino ndi sopo musanagwiritse ntchito mankhwalawo komanso mutagwiritsa ntchito.
2. Ikani bwino: Werengani malangizo omwe amabwera ndi mankhwala mosamala. Nthawi zambiri, izi zimabwera ndi chogwiritsira ntchito chapadera. Muyenera kugwiritsa ntchito poyika mankhwalawo mu nyini.
3. Nthawi yabwino: Nthawi zambiri nthawi yabwino yogwiritsira ntchito mankhwalawa ndi usiku musanagone . Ndiye, popeza mukugona, mankhwalawa amakhala ndi nthawi yoti ayamwe bwino ndikuyamba kugwira ntchito.
4. Mlingo: Musagwiritse ntchito mopitirira muyeso womwe dokotala wakupatsani. Komanso, musasiye kumwa mwadzidzidzi popanda malangizo ake.
Nanga bwanji ngati pachitika ngozi?
Ngati mukukayikira kuti mwamwa mankhwala ochulukirapo, kapena ngati wina wamwa, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Mankhwalawa aperekedwa kwa inu nokha. Amapangidwira thanzi lanu komanso thanzi lanu. Chifukwa chake, musawagawire ena.
Zotsatirapo zake ndi zinthu zina zoti muzisamala nazo
Pali zinthu zina zomwe tiyenera kusamala nazo tikamagwiritsa ntchito mankhwalawa. Tiyeni tiwone zomwe zili mu tebulo ili m'munsimu.
| Zotsatirapo/zizindikiro | Zoyenera kuchita |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Matenda a ziwengo Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. | Fufuzani upangiri wa dokotala nthawi yomweyo kapena pitani ku ETU. |
| Magazi oundana Kupweteka kwa mwendo, kutupa, kufiira, kupuma movutikira, kupweteka pachifuwa. | Izi ndi zadzidzidzi. Pitani kuchipatala nthawi yomweyo. |
| Stroke Kufooka kwadzidzidzi kwa nkhope, mkono kapena mwendo, kuvutika kulankhula, kuvutika kuyenda, mutu waukulu mwadzidzidzi. | Izi ndi zadzidzidzi. Pitani kuchipatala nthawi yomweyo. |
| Kusintha kwa mabere Ziphuphu zatsopano, kufiira, kupweteka, ndi kutuluka madzi m'chifuwa. | Uzani dokotala wanu nthawi yomweyo. |
| Kutuluka magazi/kutuluka magazi m'mimba mwanu mosayenera Kutuluka magazi, kutuluka magazi ambiri, kuyabwa, kapena fungo loipa ngakhale mutasiya kusamba. | Uzani dokotala wanu nthawi yomweyo. |
| Zizindikiro za kuvulala kwa chiwindi Kupweteka m'mimba yakumanja, nseru, khungu kapena maso kukhala achikasu, mkodzo wakuda. | Uzani dokotala wanu nthawi yomweyo. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kutupa, kupweteka m'mawere kapena kupweteka, nseru, kusanza. | Ngati izi zikupitirira kapena zikukuvutitsani, lankhulani ndi dokotala wanu. |
Mfundo zina zofunika
- Kuyezetsa pafupipafupi: Lumikizanani ndi dokotala wanu nthawi zonse kuti muwone momwe chithandizo chanu chikuyendera. Muyenera kuyezetsa mawere ndi chiuno nthawi ndi nthawi. Mungafunikenso kuyesedwa ndi mammogram.Lankhulani ndi dokotala wanu ngati muyenera kuyezetsa magazi ndi momwe mungachitire, ndipo tsatirani malangizo ake.
- Kusuta: Monga tanenera kale, kusuta kumawonjezera kwambiri chiopsezo cha magazi kuundana ndi sitiroko. Chiwopsezochi chimakhala chachikulu makamaka ngati muli ndi zaka zoposa 35. Chifukwa chake, tikukulangizani kuti mupewe kusuta konse.
- Opaleshoni: Ngati mwakonzekera opaleshoni (opaleshoni yosankha), mungafunike kusiya kumwa mankhwalawa kwa kanthawi musanamwe. Lankhulani ndi dokotala wanu za izi ndipo funsani upangiri.
Uthenga Wopita Nawo Kunyumba
- Estradiol vaginal insert ndi mankhwala am'deralo a ululu ndi kuuma kwa m'mimba zomwe zimachitika pambuyo pa kusamba.
- Ndikofunikira kuuza dokotala wanu za matenda anu onse (makamaka khansa, magazi kuundana, matenda a mtima) ndi mankhwala ena omwe mukumwa musanagwiritse ntchito mankhwalawa.
- Mankhwalawa ndi a m'mimba okha. Gwiritsani ntchito mlingo wolembedwa panthawi yolembedwa (nthawi zambiri musanagone).
- Fufuzani thandizo lachipatala mwamsanga ngati mukukumana ndi mavuto ena aakulu, monga kutupa m'mawere, kutupa kwa miyendo ndi kupweteka, kupuma movutikira, kapena mutu waukulu mwadzidzidzi.
- Musaphonye mayeso azachipatala omwe akonzedwa (monga mayeso a m'mawere ndi m'chiuno). Pewani kusuta fodya kwathunthu mukugwiritsa ntchito mankhwalawa.
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