Pamene mukukalamba, kutanthauza kuti, pamene mukuyandikira kusamba, kodi mwatopa ndi kutentha mwadzidzidzi ndi kutentha (hot flashes), kusasangalala kosalekeza komwe kumabwera m'thupi lanu? Kodi mulinso ndi mavuto monga kupweteka panthawi yogonana, kuuma kwa nyini? Ngati ndi choncho, nkhaniyi idzakhala yofunika kwambiri kwa inu. Lero tikambirana za mankhwala apadera omwe amagwiritsidwa ntchito pamavuto otere. Amenewo ndi Estradiol Vaginal Ring.
Kodi mphete ya Estradiol Vaginal iyi ndi chiyani?
Mwachidule, ndi mphete yaying'ono komanso yosinthasintha yomwe mumayika mkati mwa nyini yanu. Imagwira ntchito potulutsa mahomoni otchedwa estrogen m'thupi lanu pang'onopang'ono komanso molamulirika.
Tsopano mwina mukudzifunsa kuti, "N'chifukwa chiyani ndikufunika estrogen?" N'zosavuta. Kusamba ndi nthawi yomwe kupanga kwachilengedwe kwa hormone ya estrogen m'thupi lanu kumachepa kwambiri. Kuchepa kwa hormone iyi ndi komwe kumayambitsa kusasangalala komwe kwatchulidwa pamwambapa, monga kutentha, kuuma kwa nyini, kuyabwa, ndi kupweteka panthawi yogonana. Chifukwa chake, chomwe mphete iyi imachita ndikubwezeretsa estrogen yotsala m'thupi ndikulamulira kusasangalalako. Uwu ndi mtundu wa mankhwala osinthira mahomoni .
Zinthu zomwe muyenera kuuza dokotala wanu musanagwiritse ntchito mankhwalawa
Musanayambe chithandizochi, ndikofunikira kwambiri kukambirana mbiri yanu yonse ya thanzi ndi dokotala wanu. Ngati pali vuto lililonse lomwe lili patebulo ili m'munsimu lomwe likukhudzanani, onetsetsani kuti mwadziwitsa dokotala wanu.
| Gulu | Mikhalidwe yomwe ingakukhudzeni |
|---|---|
| Mbiri ya khansa | Ngati muli ndi khansa ya m'mawere, ya pachibelekero, ya m'chiberekero, ya m'chiberekero, ya m'chiberekero, kapena ya chiwindi. |
| Mtima ndi mitsempha ya magazi | Matenda a mitsempha yamagazi kapena magazi kuundana, matenda a mtima, sitiroko, kuthamanga kwa magazi, cholesterol yambiri. |
| Matenda ena | Matenda a shuga, matenda a ndulu, matenda a chiwindi kapena impso, mutu waching'alang'ala, matenda a dementia, kuchuluka kwa calcium m'magazi, Systemic Lupus Erythematosus (SLE), kusowa kwa mapuloteni C kapena mapuloteni S. |
| Mfundo zina zofunika | Kuchotsedwa kwa chiberekero, kutuluka magazi m'mimba mosadziwika bwino, kusuta fodya, kukhala ndi pakati kapena kuyesa kutenga pakati, kuyamwitsa, ziwengo za mahomoni ena, mankhwala, zakudya, kapena zinthu zina. |
Kodi ndingagwiritse ntchito bwanji mphete iyi?
Mukhoza kulowetsa mpheteyo mu nyini yanu nokha, kapena mungapemphe dokotala kapena namwino wanu kuti akuikireni. Werengani malangizo omwe amabwera ndi mankhwala mosamala. Ngati simukudziwa momwe mungaiikire, musachite manyazi kufunsa dokotala wanu.
Chofunika kwambiri ndichakuti mphete iyi ikhalebe mu nyini kwa masiku 90 (miyezi 3) . Pambuyo pa masiku 90, muyenera kuchotsa mphete yakale ndikuyika yatsopano.
Musasiye kugwiritsa ntchito izi popanda upangiri wa dokotala.
Nanga bwanji ngati mankhwalawo awonjezeka?
Ngati mukuganiza kuti mwagwiritsa ntchito molakwika izi, kapena ngati mukukayikira kuti mwamwa mankhwala owonjezera, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Kumbukirani, mankhwalawa ndi a inu nokha. Musagawane ndi wina aliyense.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Mankhwala ena omwe mumamwa amatha kusokonezana ndi mphete ya estrogen iyi ndikuyambitsa mavuto. Chifukwa chake, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mumamwa.
| Musagwiritse ntchito mankhwalawa ndi | |
|---|---|
| Mankhwala oletsa khansa omwe ali m'gulu la mankhwala oletsa aromatase (monga anastrozole, letrozole). | |
| Mavuto angabwerenso ndi izi - dziwitsani dokotala | |
| Maantibayotiki ena ndi ma fungicides | Mankhwala monga Carbamazepine, Rifampin |
| Madzi a mphesa | Zinthu zochokera ku zitsamba monga St. John's Wort |
| Mankhwala ena a tulo kapena khunyu | Mankhwala monga raloxifene kapena tamoxifen |
Mndandandawu suli wokwanira, choncho uzani dokotala wanu za mankhwala onse, mavitamini, ndi mankhwala achikhalidwe omwe mumamwa.
Zinthu zofunika kusamala nazo mukamagwiritsa ntchito Ring
- Kupimidwa nthawi zonse ndi dokotala: Pa nthawi ya chithandizochi, fufuzani mabere nthawi zonse, fufuzani m'chiuno, ndi fufuzani magazi a Pap monga momwe dokotala wanu wanenera. Komanso, kambiranani ngati mukufuna ma mammogram.
- Pewani kusuta: Ngati munthu wazaka zopitirira 35 akusuta pamene akumwa mankhwalawa, chiopsezo cha magazi kuundana ndi sitiroko chimakhala chachikulu kwambiri. Chifukwa chake, tikukulangizani kuti mupewe kusuta fodya kotheratu.
- Opaleshoni: Ngati mukufuna kuchitidwa opaleshoni, funsani dokotala wanu ngati muyenera kusiya kugwiritsa ntchito mphete iyi musanachite opaleshoni.
- Zochita za tsiku ndi tsiku: Mungathe kuchita chilichonse mukuvala mphete iyi, monga kusamba, kusambira, ndi kuchita masewera olimbitsa thupi. Simukuyenera kuchotsa mpheteyo panthawi yogonana. Komabe, ngati simukumva bwino, mutha kuchotsa mpheteyo panthawiyo yokha, kuitsuka ndi madzi ofunda komanso oyera, osati madzi otentha, kenako n’kuibwezeretsa.
Zotsatirapo Zotheka
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Ena ndi oopsa, ena ndi ofala.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Magazi oundana | Kupweteka kwa mwendo, kutupa kapena kutentha, kuvutika kupuma, kupweteka pachifuwa. |
| Stroke | Kusanza mwadzidzidzi kapena kufooka pankhope, mkono, kapena mwendo, kuvutika kulankhula, kusokonezeka, kuvutika kuyenda, mutu waukulu. |
| Kusintha kwa mabere | Ziphuphu zatsopano, kufiira, kupweteka, kapena 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 wachikasu/bulauni. |
| Zina | Kuthamanga kwa magazi, kutuluka magazi m'mimba mutasiya kusamba, kutuluka magazi kosazolowereka, kuyabwa, kapena fungo. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kutupa | Kupweteka m'mawere kapena kufinya |
| Kutaya tsitsi | Kusanza, kupweteka m'mimba, kusanza |
Uthenga Wopita Nawo Kunyumba
- Mphete ya Estradiol Vaginal ndi mankhwala okhala ndi hormone ya estrogen pa zizindikiro za kusamba (kutentha thupi, kuuma kwa nyini).
- Mphete iyi iyenera kugwiritsidwa ntchito kwa masiku 90 kenako n’kusinthidwa ndi yatsopano.
- Musanayambe kulandira chithandizo, uzani dokotala wanu za matenda anu onse ndi mankhwala omwe mukumwa.
- Kusuta fodya mukumwa mankhwalawa, makamaka ngati muli ndi zaka zoposa 35, kumawonjezera kwambiri chiopsezo cha magazi kuundana ndi sitiroko.
- Ngati mukukumana ndi zizindikiro zazikulu monga kupweteka kwa mwendo/kutupa, kupweteka pachifuwa, kupuma movutikira, kapena mutu wopweteka mwadzidzidzi, funsani upangiri wa dokotala nthawi yomweyo.
- Mankhwala awa ndi operekedwa kwa inu nokha. Musagawane ndi ena.
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