Kusamba, nthawi imene msambo umatha, ndi kusintha kwakukulu pa moyo wa mkazi. Panthawiyi, kusintha kwa mahomoni m'thupi kungapangitse akazi ena kukhala ndi mavuto osiyanasiyana a m'mimba. Monga kuuma kwa m'mimba, kuyabwa, ndi kupweteka panthawi yogonana. Lero tikulankhula za mankhwala opangidwa ndi topical omwe angathandize kuthetsa mavutowa.
Kodi mphete ya Estradiol Vaginal iyi ndi chiyani?
Mwachidule, iyi ndi mphete yaying'ono, yosinthasintha yomwe imayikidwa mu nyini yanu. Izi zimatulutsa pang'onopang'ono mahomoni otchedwa Estradiol. Estradiol ndi mtundu wa mahomoni otchedwa Estrogen. Pambuyo pa kusamba, kuchuluka kwa Estrogen m'thupi kumachepa, ndichifukwa chake zinthu monga kuuma kwa nyini, kupweteka, ndi kusasangalala zimachitika. Chifukwa chake mahomoni omwe amatulutsidwa ndi mphete iyi amakhudza dera lomwelo lokha ndipo amathandiza kuchepetsa zizindikirozo. Ku Sri Lanka, mutha kuwapeza m'makampani monga Estring.
Kodi ndiyenera kumuuza chiyani dokotala ndisanayambe kugwiritsa ntchito mankhwalawa?
Izi ndi zofunika kwambiri. Mankhwalawa si oyenera aliyense. Chifukwa chake, mukalankhula ndi dokotala wanu, muyenera kufotokoza zonse zokhudza thanzi lanu popanda kubisa chilichonse . Makamaka ngati muli ndi vuto lililonse pansipa, onetsetsani kuti mwawauza za vutoli.
- Kuopsa kwa khansa: Ngati muli ndi khansa ya m'mawere, ya pachibelekero, ya endometrial, ya m'chiberekero, ya chiwindi, kapena ya m'chiberekero.
- Mavuto a magazi: Ngati mudadwalapo matenda monga matenda a mitsempha yamagazi, magazi kuundana, kapena sitiroko m'mbuyomu.
- Matenda a mtima: Ngati muli ndi matenda a mtima, matenda a mtima omwe achitika posachedwapa, kuthamanga kwa magazi, kapena kuchuluka kwa cholesterol m'magazi.
- Matenda ena: Ngati muli ndi matenda monga matenda a shuga, matenda a ndulu, matenda a chiwindi kapena impso, mutu waching'alang'ala, matenda a dementia, kapena Systemic Lupus Erythematosus (SLE).
- Zizolowezi ndi zina: Ngati mukusuta fodya, muli ndi pakati kapena mukufuna kutenga pakati, kapena mukuyamwitsa.
- Matenda a ziwengo: Ngati muli ndi vuto la estrogen kapena mahomoni ena, mankhwala, zakudya, kapena zotetezera.
- Kuchotsa chiberekero: Kaya munachitidwa opaleshoni kapena ayi (hysterectomy).
- Kutuluka magazi kosadziwika bwino: Ngati pali kutuluka magazi kosadziwika bwino m'mimba popanda chifukwa chodziwika.
Kodi ndingagwiritse ntchito bwanji mphete iyi?
Malangizo ogwiritsira ntchito izi alembedwa momveka bwino pa phukusi lomwe mwalandira. Nthawi zambiri mutha kuziyika nokha mu nyini yanu. Ganizirani izi ngati kugwiritsa ntchito tampon. Ngati muli ndi kukayikira kulikonse za izi, mutha kufunsa dokotala kapena namwino wanu kuti akuuzeni njira yeniyeni.
Chofunika kwambiri ndichakuti mphete iyi ikhale mu nyini kwa masiku 90. Pakatha masiku 90, yakale iyenera kuchotsedwa ndipo yatsopano iyenera kuyikidwa.
Musasiye kugwiritsa ntchito izi popanda upangiri wa dokotala.
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi. Komanso, mankhwalawa ndi anu okha. Musagawane ndi wina aliyense.
Kodi pangakhale mavuto ndi mankhwala ena?
Inde, mankhwala ena amatha kusokonezana ndi mphete ya Estradiol iyi. Chifukwa chake, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera.
| Gulu la mankhwala | Zitsanzo |
|---|---|
| Pewani kugwiritsa ntchito mphete iyi ndi mankhwala awa konse: | |
| Zoletsa za Aromatase | Mankhwala monga anastrozole, letrozole, exemestane |
| Uzani dokotala wanu ngati mukumwa mankhwala awa: | |
| Mankhwala ena | Carbamazepine, maantibayotiki ena, mankhwala opha mabakiteriya (monga ketoconazole), Ritonavir, Raloxifene, Tamoxifen, mankhwala azitsamba monga St. John's Wort, madzi a Grapefruit |
Zinthu zoyenera kusamala nazo mukamagwiritsa ntchito mankhwalawa
Kupimidwa kuchipatala nthawi zonse
Mukamagwiritsa ntchito izi, muyenera kuonana ndi dokotala wanu nthawi zonse kuti muwone momwe mulili. Lankhulani ndi dokotala wanu ngati mukufunikira kuyesedwa mawere, kuyesedwa kwa Pap, ndi kuyesedwa kwa mammogram, ndikutsatira malangizo ake.
Kusuta fodya ndi chiopsezo
Ngati ndinu wosuta fodya, makamaka ngati muli ndi zaka zoposa 35, chiopsezo chanu chokhala ndi magazi kuundana kapena sitiroko chimakhala chachikulu kwambiri mukamagwiritsa ntchito mankhwalawa. Chifukwa chake, ndikofunikira kupewa kusuta fodya kotheratu.
Mfundo zina
- Kutupa: Mankhwalawa angayambitse kusunga madzi m'thupi, zomwe zimapangitsa kuti manja, mapazi, ndi akakolo azitupa. Angawonjezerenso kuthamanga kwa magazi. Ngati mukukumana ndi zizindikiro izi, uzani dokotala wanu.
- Mimba: Ngati mukuganiza kuti muli ndi pakati, siyani kugwiritsa ntchito mankhwalawa nthawi yomweyo ndipo funsani dokotala wanu.
- Kuopsa kwa chiberekero: Kwa amayi omwe sanachotsedwe opaleshoni ya chiberekero, pali chiopsezo chochepa cha endometrial hyperplasia (kukhuthala kwa chiberekero) pogwiritsa ntchito estrogen yokha. Kuti achepetse chiopsezochi, dokotala wanu angakupatseninso mtundu wina wa mahomoni otchedwa progestin. Ndikofunikira kukambirana izi ndi dokotala wanu ndikumvetsetsa ubwino ndi zoopsa zake.
- Zochita za tsiku ndi tsiku: Mutha kusamba ndikuchita zinthu zina monga mwachizolowezi. Simukuyenera kuchotsa mphete panthawi yogonana. Komabe, ngati simukumva bwino, mutha kuyichotsa panthawiyo yokha, kuitsuka m'madzi ofunda (osati otentha), ndikuyiyikanso.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatira zina zoyipa. Zina mwa izo ndi zazikulu, zina mwa izo ndi zofala.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zinthu zoti muuze dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime. |
| Magazi oundana | Kupweteka kwa mwendo, kutupa, kutentha, kupuma movutikira, kupweteka pachifuwa. |
| Stroke | Kusanza mwadzidzidzi kapena kufooka pankhope, mkono, kapena mwendo, kuvutika kulankhula, kuvutika kuyenda, mutu waukulu. |
| Kusintha kwa mabere | Ziphuphu zatsopano, kufiira, kupweteka, ndi kutuluka madzi m'chifuwa. |
| Kuwonongeka kwa chiwindi | Kupweteka kumtunda kwa mimba kumanja, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu kapena bulauni, komanso maso kapena khungu kukhala lachikasu. |
| Mavuto a nyini | Kutuluka magazi kosazolowereka, kuyabwa kapena fungo, kutuluka magazi pambuyo pa kusamba, kupweteka m'mimba. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Zotsatirapo zazing'ono | Kutupa, kupweteka m'mawere, nseru, kusanza, komanso kusamva bwino pang'ono pamalo pomwe mphete yaikidwa. |
Uthenga Wopita Nawo Kunyumba
- Mphete ya Estradiol Vaginal ndi mankhwala ochizira ululu wa m'mimba pambuyo pa kusamba.
- Musanagwiritse ntchito izi, uzani dokotala mbiri yanu yonse ya thanzi (makamaka khansa, magazi kuundana, matenda a mtima).
- Mphete imodzi iyenera kugwiritsidwa ntchito kwa masiku 90. Musasiye popanda upangiri wa dokotala.
- Ngati mukukumana ndi mavuto ena aakulu monga magazi kuundana, kufooka kwa ziwalo, kapena ziphuphu zatsopano m'mabere, funsani upangiri wa dokotala nthawi yomweyo.
- Chiopsezo chimakhala chachikulu kwambiri ngati mukusuta. Kupewa kusuta fodya n'kofunika kwambiri kuti mukhale otetezeka.
- Mankhwalawa ndi a inu nokha. Musagawane ndi ena.
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