Kusamba ndi kusintha kwachilengedwe m'moyo wa mkazi. Koma sitilankhula zambiri za zovuta zina zakuthupi zomwe zimabwera nazo, sichoncho? Makamaka zinthu monga kuuma kwa m'mimba, kuyabwa, kutentha, ndi kupweteka panthawi yogonana. Izi zingayambitsenso nkhawa zambiri. Chifukwa chake, mankhwala amodzi omwe dokotala wanu angakulimbikitseni kuti muchepetse zizindikirozi ndi mapiritsi a Estradiol m'mimba. Tiyeni tikambirane za izi mwatsatanetsatane, mwachidule.
Kodi Estradiol ndi chiyani kwenikweni?
Mwachidule, Estradiol ndi mankhwala omwe ali ndi mahomoni omwewo otchedwa estrogen omwe amapangidwa mwachibadwa m'thupi la mkazi. Izi zimabwera ngati piritsi laling'ono lomwe lingalowetsedwe mu nyini. Pambuyo pa kusamba, kuchuluka kwa estrogen m'thupi kumachepa, ndichifukwa chake kuuma kwa nyini kumachitika. Chifukwa chake, piritsi ili likalowetsedwa mwachindunji mu nyini, dera limenelo limalandira mahomoni ofunikira a estrogen, ndipo minofu yake imayamba kuchira. Chifukwa cha izi, zizindikiro monga kuuma, kutupa, ndi ululu zimachepa pang'onopang'ono. Ku Sri Lanka, mankhwalawa amatha kuwoneka pansi pa mayina otchuka monga Vagifem.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Izi ndizofunikira kwambiri. Musanapereke mapiritsi a Estradiol kwa inu, dokotala wanu ayenera kudziwa mbiri yonse ya thanzi lanu. Izi zili choncho chifukwa kugwiritsa ntchito mankhwalawa ndi matenda enaake kungakhale koopsa. Ngati muli ndi matenda aliwonse omwe ali pansipa, onetsetsani kuti mwauza dokotala wanu za izi.
| Matenda kapena vuto | N’chifukwa chiyani ndiyenera kuuza dokotala ? |
|---|---|
| Kutuluka magazi kumaliseche popanda chifukwa | Ichi chingakhale chizindikiro cha vuto lalikulu, kotero chifukwa chake chiyenera kupezedwa kaye. |
| Magazi amaundana m'mitsempha yamagazi kapena matenda ena ofanana nawo | Homoni ya estrogen imatha kuwonjezera pang'ono chiopsezo cha magazi kuundana. |
| Khansa ya m'mawere, ya pachibelekero, ya m'chiberekero, ya m'chiberekero, ya m'chiberekero, kapena ya chiwindi | Popeza mitundu ina ya khansa imadalira mahomoni, mankhwalawa si oyenera. |
| Matenda a mtima, matenda a mtima kapena sitiroko omwe achitika posachedwapa | Pazochitika zotere, chisamaliro chapadera chiyenera kutengedwa pogwiritsa ntchito mahomoni. |
| Kuthamanga kwa magazi, matenda a shuga, cholesterol yambiri | Ndikofunikira kuwongolera bwino mavutowa mukamagwiritsa ntchito mankhwalawa. |
| Matenda a chiwindi kapena impso, matenda a ndulu | Ntchito ya ziwalo izi ndi yofunika chifukwa zimagwira ntchito yochotsa mankhwala m'thupi. |
| Matenda amisala, Mutu waching'alang'ala, SLE | Dokotala ayenera kudziwa za matenda osatha otere. |
| Kusuta (makamaka ngati muli ndi zaka zoposa 35) | Kusuta fodya ndi estrogen zikaphatikizana, chiopsezo cha magazi kuundana ndi sitiroko chimawonjezeka. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa | Mankhwalawa sali oyenera konse pazochitika zotere. |
| Matenda a mahomoni ena, mankhwala, zakudya, kapena utoto | Ndikofunikira kutiuza pasadakhale za ziwengo zilizonse. |
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Chabwino, tsopano tiyeni tiwone momwe tingagwiritsire ntchito izi ndendende. Musadandaule, ndi zophweka kwambiri. Werenganinso malangizo omwe amabwera ndi phukusi la mankhwala mosamala.
1. Kukonzekera: Choyamba, sambani manja anu bwino ndi sopo ndi madzi, kenako muwaume ndi thaulo loyera.
2.Kukonzekera Chogwiritsira Ntchito: Mankhwalawa ali mu chogwiritsira ntchito chapulasitiki. Chotsani mu paketi. Gwiritsani ntchito chogwiritsira ntchito chatsopano nthawi iliyonse.
3. Kuyang'ana piritsi: Nthawi zina piritsilo likhoza kukhala litachoka pa chipangizo chogwiritsira ntchito ndipo likadali mkati mwa paketi. Ngati izi zitachitika, libwezeretseni mosamala mu chipangizo chogwiritsira ntchito. Komabe, ngati piritsilo lagwa kuchokera mu paketi, tayani chipangizocho ndi piritsilo popanda kugwiritsa ntchito, ndipo tengani latsopano.
4. Malo: Gonani chagada pabedi kapena pamalo athyathyathya, pindani mawondo anu, ndipo tambasulani miyendo yanu pang'ono. Pumirani mpweya wozama ndipo pumulani.
5. Kulowetsa: Tsopano pang'onopang'ono lowetsani chogwiritsira ntchito chonse mu nyini, mozama momwe mungathere.
6. Kutulutsa piritsi: Kenako, kanikizani plunger pa chipangizo chogwiritsira ntchito mpaka pansi. Izi zidzatulutsa piritsilo m'chikazi.
7. Kuchotsa: Tsopano chotsani chogwiritsira ntchito mosamala. Tayani chogwiritsira ntchito chomwe chagwiritsidwa ntchito mu zinyalala.
8. Kusamba m'manja: Apanso, sambani m'manja mwanu bwino ndi sopo.
Chofunika kwambiri ndikugwiritsa ntchito monga momwe dokotala wanenera, panthawi yoyenera, komanso muyeso woyenera . Musasiye kumwa popanda upangiri wa dokotala kapena kugwiritsa ntchito pafupipafupi.
Nanga bwanji ngati nditaiwala kumwa mankhwalawo?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri.
Nanga bwanji ngati mankhwalawo agwiritsidwa ntchito mopitirira muyeso?
Ngati mukukayikira kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poison Information Centre ku Colombo National Hospital kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana)
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba). Mankhwala ena amatha kusokonezana ndi Estradiol.
| Kuyanjana kwa mankhwala ndi estradiol | |
|---|---|
| Mankhwala omwe sayenera kumwedwa pamodzi: | |
| Aromatase inhibitors (monga anastrozole, letrozole) | |
| Mankhwala ena omwe angagwirizane: | |
| Maantibayotiki ena omwe amagwiritsidwa ntchito pa chifuwa chachikulu (monga rifampin) | Raloxifene kapena Tamoxifen (mankhwala a khansa ya m'mawere) |
| Warfarin (mankhwala ochepetsa magazi) | |
Zinthu zoyenera kusamala nazo mukamagwiritsa ntchito mankhwalawa
- Kupimidwa nthawi zonse ndi dokotala: Pitani kukapimidwa nthawi zonse monga momwe dokotala wanu wanenera. Izi zingaphatikizepo kupimidwa mawere ndi kupimidwa m'chiuno. Komanso, lankhulani ndi dokotala wanu za kufunika kopimidwa mammogram nthawi zonse.
- Kusunga madzi: Nthawi zina mankhwalawa angayambitse kutupa m'zala, m'manja, kapena m'mapazi. Angathenso kuwonjezera kuthamanga kwa magazi. Ngati mukukumana ndi izi, uzani dokotala wanu.
- Pewani kusuta: Ngati ndinu wosuta fodya, makamaka ngati muli ndi zaka zoposa 35, kusuta fodya mukumwa mankhwalawa kumawonjezera chiopsezo chanu cha magazi kuundana ndi sitiroko . Chifukwa chake, ndi bwino kupewa kusuta fodya kotheratu.
- Mimba: Ngati mukukayikira kuti muli ndi pakati pazifukwa zilizonse, siyani kugwiritsa ntchito mankhwalawa nthawi yomweyo ndipo dziwitsani dokotala wanu.
- Opaleshoni: Ngati mwakonzekera opaleshoni, funsani dokotala wanu musanakonzekere opaleshoniyo ngati muyenera kusiya kugwiritsa ntchito mankhwalawa.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatirapo zina mwa anthu ena, koma si aliyense amene amalandira. Samalani ndi zizindikiro zomwe zili pansipa.
| Zotsatirapo zoyipa zomwe zimafuna chithandizo chamankhwala mwachangu | |
|---|---|
| Matenda a ziwengo: kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, kapena pakhosi. | Zizindikiro za magazi kuundana: kupweteka kwa mwendo, kutupa kapena kutentha, kupuma movutikira, kupweteka pachifuwa. |
| Zizindikiro za sitiroko: Kusanza mwadzidzidzi kapena kufooka pankhope, mkono, kapena mwendo, kuvutika kulankhula, kusokonezeka, kuvutika kuyenda, ndi kusintha kwa masomphenya. | Kusintha kwa bere: ziphuphu zatsopano, kufiira, kupweteka, kutuluka kwa ma nipple. |
| Mavuto a chiwindi: Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu kapena bulauni, maso kapena khungu kukhala lachikasu. | Mavuto a kumaliseche: kutuluka magazi kosazolowereka pambuyo pa kusamba, kusintha kwa kutuluka kwa madzi m'thupi, kuyabwa, fungo. |
| Kawirikawiri si nkhani yaikulu (koma uzani dokotala ngati ikupitirira) | |
| Kutupa | Kupweteka m'mawere kapena kufinya |
| Kusanza kapena kusanza | Kutupa pang'ono kapena kusasangalala pamalo omwe jakisoni amaperekedwa. |
Uthenga Wopita Nawo Kunyumba
- Mapiritsi a Estradiol ndi mankhwala ochizira zizindikiro za kuuma kwa nyini komanso kutupa pambuyo pa kusamba.
- Musanagwiritse ntchito mankhwalawa, onetsetsani kuti mwauza dokotala wanu za mbiri yanu yonse ya thanzi lanu komanso mankhwala ena onse omwe mukumwa .
- Mankhwalawa ayenera kugwiritsidwa ntchito monga momwe dokotala wanenera . Mlingo wake sayenera kusinthidwa kapena kuyimitsidwa pakati.
- Dziwani zizindikiro za zotsatirapo zoyipa monga magazi kuundana, sitiroko, ndi kutuluka magazi kosazolowereka. Ngati muwona chilichonse mwa izi, funsani upangiri wa dokotala nthawi yomweyo.
- Ndikofunikira kwambiri kupita kukayezetsa dokotala nthawi yomwe mukugwiritsa ntchito mankhwalawa.
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