Kodi mukupita ku nthawi yopuma? Kapena dokotala wanu wakuuzani kuti kuchuluka kwa mahomoni anu ndi kochepa? Ngati ndi choncho, mwina mwapatsidwa mankhwala otchedwa Estropipate. Lero, tiyeni tikambirane za Estropipate, zomwe imachita m'thupi lathu, komanso zomwe tiyenera kusamala nazo makamaka tikamagwiritsa ntchito mankhwalawa.
Kodi Estropipate ndi mankhwala amtundu wanji?
Mwachidule, Estropipate ndi piritsi lomwe lili ndi mahomoni achikazi otchedwa estrogen. Limagwiritsidwa ntchito makamaka ngati mankhwala obwezeretsa mahomoni (HRT) kwa akazi omwe adasiya kusamba.
Monga mukudziwa, kusamba kumabweretsa kusasangalala monga kutentha thupi, thukuta pafupipafupi, komanso kusowa tulo. Komanso, chifukwa cha kuchepa kwa mahomoni a estrogen, mafupa amachepa ndipo amasweka mosavuta, zomwe zikutanthauza kuti pali chiopsezo cha matenda a osteoporosis. Chifukwa chake, mapiritsi a Estropipate awa amapatsa thupi mahomoni ofunikira a estrogen, omwe amathandiza kuwongolera kusasangalala kumeneku ndikuteteza mafupa.
Kuphatikiza apo, madokotala amapereka mankhwalawa kwa akazi ena omwe ali ndi mahomoni ochepa, omwe amapangidwa mwachilengedwe ndi mazira awo.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Iyi ndi mfundo yofunika kwambiri. Musanayambe kumwa mapiritsi a Estropipate, ndikofunikira kudziwitsa dokotala wanu mbiri yanu yonse ya thanzi lanu. Makamaka, onetsetsani kuti mwawauza ngati muli ndi vuto lililonse mwa awa:
- Mbiri ya matenda a mitsempha yamagazi kapena magazi kuundana
- Khansa ya m'mawere, ya pachibelekero, ya endometrium, kapena ya m'chiberekero
- Matenda a shuga
- Endometriosis
- Ma fibroids a m'chiberekero
- Matenda a ndulu
- Matenda a mtima kapena matenda a mtima aposachedwa
- Cholesterol yambiri m'magazi
- Kuthamanga kwa magazi
- Kalisiamu wambiri m'magazi
- Ngati chiberekero chachotsedwa opaleshoni (hysterectomy)
- Matenda a impso
- Matenda a chiwindi
- Kuvutika maganizo
- Mutu wa mutu wa mutu waching'alang'ala
- Matenda otchedwa porphyria
- Ngati mwakhalapo ndi sitiroko
- Systemic Lupus Erythematosus (SLE)
- Ngati ndinu wosuta fodya
- Kutuluka magazi m'mimba kosazolowereka chifukwa chosadziwika
- Kusamvana ndi estrogen kapena mahomoni ena, mankhwala, zakudya, kapena utoto
- Ngati muli ndi pakati kapena mukufuna kutenga mimba
- Ngati ndinu mayi woyamwitsa
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Imeneyi ndi piritsi loti mumwe pakamwa. Imwani piritsili ndi kapu ya madzi. Imwani mlingo wokhawo womwe dokotala wanu wakupatsani. Ndikofunikira kwambiri kumwa piritsili nthawi yomweyo tsiku lililonse. Izi zidzakuthandizani kusunga kuchuluka kwa mahomoni m'thupi lanu.
Ngati mwadzidzidzi 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.
Mankhwalawa ndi a inu nokha. Musagawane ndi ena pazifukwa zilizonse.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri kuti mubwezeretse mlingo womwe mwaphonya.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa (Kuyanjana)
Mankhwala ena omwe mukumwa angakhudze momwe Estropipate imagwirira ntchito. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi mankhwala ochepetsa ululu).
| Zinthu zomwe zingakhale zovuta | Zitsanzo |
|---|---|
| Mankhwala Omwe Sayenera Kumwedwa ndi Estropipate | |
| Zoletsa za Aromatase | aminoglutethimide, anastrozole, exemestane, letrozole, testolactone |
| Zinthu zina zomwe zingayambitse kuyanjana ndi Estropipate | |
| Mankhwala ena oletsa khunyu | Mankhwala oletsa kutsekula m'mimba monga Carbamazepine ndi Phenobarbital |
| Maantibayotiki ena | Clarithromycin, Erythromycin |
| Mankhwala oletsa bowa | Ketoconazole, Itraconazole |
| Mankhwala a chifuwa chachikulu | Rifabutin, Rifampin, Rifapentine |
| Zina | Madzi a mphesa, Ritonavir, St. John's Wort (chotsitsa cha zitsamba) |
Zinthu zomwe muyenera kudziwa mukamamwa mankhwala
- Kupimidwa nthawi zonse ndi dokotala: Mukamamwa mankhwalawa, ndikofunikira kwambiri kuonana ndi dokotala nthawi zonse kuti muwone thanzi lanu. Ndikofunikira kuyesedwa mabere nthawi zonse ndi kuyesedwa kwa Pap. Komanso, lankhulani ndi dokotala wanu za kufunika kochitidwa mammogram ndikutsatira malangizo ake.
- Pewani kusuta: Izi ndizofunikira kwambiri! Ngati mukusuta mukumwa mankhwalawa, makamaka ngati muli ndi zaka zoposa 35, chiopsezo chanu chokhala ndi magazi kuundana kapena sitiroko chimakhala chachikulu kwambiri. Chifukwa chake, tikukulangizani kuti mupewe kusuta kwathunthu.
- Kutupa: Mankhwalawa angayambitse kutupa m'manja, m'mapazi, kapena m'zala chifukwa cha kusunga madzi m'thupi. Kuthamanga kwa magazi kungawonjezekenso. Ngati mukukumana ndi izi, uzani dokotala wanu.
- Kuopsa kwa khansa ya m'chiberekero: Mankhwalawa ali ndi chiopsezo cha endometrial hyperplasia, yomwe ndi kukula kosazolowereka kwa maselo m'kati mwa chiberekero. Izi zimatha kukhala khansa ya m'chiberekero. Pofuna kuchepetsa chiopsezochi, dokotala wanu angakupatseni mahomoni ena otchedwa progestin pamodzi ndi Estropipate ngati chiberekero chanu sichinachotsedwe opaleshoni. Lankhulani ndi dokotala wanu za izi ndipo mumvetse ubwino ndi zoopsa zake.
- Mimba: Ngati mukuganiza kuti muli ndi pakati, siyani kumwa mankhwalawa nthawi yomweyo ndipo funsani dokotala wanu.
- Opaleshoni:Ngati mukufuna kuchitidwa opaleshoni iliyonse, uzani dokotala wanu pasadakhale. Mungafunike kusiya kumwa mankhwalawa kwakanthawi musanachite opaleshoni.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, Estropipate ingayambitse zotsatirapo zoyipa. Nazi zina mwa zotsatirapo zake.
| Zotsatira zoyipa | Zoyenera kuchita |
|---|---|
| Zotsatirapo zoyipa zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo (kutupa kwa nkhope, milomo, lilime, ziphuphu pakhungu, kuyabwa) | Funani upangiri wa dokotala nthawi yomweyo. |
| Kusintha kwa mawere, ziphuphu, kapena kutuluka madzi m'thupi | |
| Kusintha kwa masomphenya, kupweteka pachifuwa, kuvutika kupuma | |
| Kusokonezeka, kuvutika kulankhula kapena kumvetsetsa | |
| Mutu waukulu, kuvutika kuyenda, chizungulire, kutayika kwa thupi | |
| Kufooka mwadzidzidzi kapena kufooka pankhope, mkono, kapena mwendo | |
| Ululu, kutupa, ndi kutentha kwa mwendo | |
| Ululu m'mimba yakumanja, nseru, kusanza | |
| Kutuluka magazi kosazolowereka m'mimba | |
| Maso kapena khungu kukhala lachikasu, mkodzo wakuda, kapena ndowe zotsalira | |
| Uzani dokotala wanu ngati zikupitirira kapena zikukuvutitsani. | |
| Kutaya tsitsi | Lankhulani ndi dokotala wanu. |
| Kumva kutopa kwambiri kapena kufooka | |
| Zizindikiro za matenda a m'mimba (kuyabwa, kutupa, kutuluka magazi kosazolowereka) | |
Mndandandawu sungakhale ndi zotsatirapo zonse zomwe zingachitike. Ngati mukukumana ndi vuto lina lililonse, funsani dokotala wanu.
Uthenga Wopita Nawo Kunyumba
- Estropipate ndi mankhwala okhala ndi hormone ya estrogen yomwe imagwiritsidwa ntchito poletsa zizindikiro zokhudzana ndi kusamba komanso kuchiza kusowa kwa mahomoni.
- Musanayambe kumwa mankhwalawa, dziwitsani dokotala wanu zonse zokhudza matenda anu onse ndi mankhwala ena omwe mukumwa.
- Kusuta fodya mukumwa mankhwalawa kumawonjezera kwambiri chiopsezo cha magazi kuundana ndi sitiroko. Chifukwa chake, pewani kusuta fodya kotheratu.
- Fufuzani thandizo lachipatala mwamsanga ngati mukukumana ndi mavuto ena monga kupweteka pachifuwa, kupuma movutikira, kutuluka magazi m'mimba modabwitsa, kapena kutupa m'mawere.
- Musasiye kumwa mankhwalawa, kusintha mlingo, kapena kupatsa ena popanda upangiri wa dokotala.

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