Moni! Kusamba ndi chimodzi mwa zinthu zazikulu zomwe mkazi amakumana nazo akamakalamba. Panthawiyi, mungakhale mukukumana ndi mavuto ambiri chifukwa cha zinthu monga kutentha thupi komanso thukuta usiku. Lero, tikambirana za mankhwala a mahomoni omwe madokotala amalimbikitsa kuti achepetse zizindikirozi.
Kodi mankhwala awa ndi amtundu wanji?
Mwachidule, ndi kuphatikiza kwa mahomoni awiri. Ndiko kuti, estrogen ndi progestin . Mankhwala omwe dokotala wanu adakupatsani ali ndi `Norethindrone Acetate` (iyi ndi mtundu wa progestin) ndi `Ethinyl Estradiol` (iyi ndi mtundu wa estrogen).
Pa nthawi ya kusamba, kupanga kwachilengedwe kwa hormone ya estrogen m'thupi lanu kumachepa. Mankhwalawa amagwira ntchito pobwezeretsa kuchuluka kwa hormone m'thupi lanu kukhala kwabwinobwino. Izi zingathandize kuchepetsa zizindikiro zambiri zokhudzana ndi kusamba, makamaka kutentha thupi .
Kuphatikiza apo, palinso maubwino ena angapo:
- Kupewa matenda a mafupa: Pambuyo pa kusamba, mafupa amakhala opyapyala ndipo amakhala osavuta kusweka. Mankhwalawa amathandiza kuchepetsa chiopsezo chimenecho.
- Kuteteza mkati mwa chiberekero: Kutenga estrogen kokha kungapangitse kuti mkati mwa chiberekero mukhuthale mosafunikira, zomwe zimawonjezera chiopsezo cha khansa ya m'chiberekero. Homoni ya progestin imawonjezeredwa ku izi kuti izi zisachitike.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala
Izi ndizofunikira kwambiri. Ngati muli ndi vuto lililonse mwa zotsatirazi, muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa.
| Matenda kapena chiopsezo | Kufotokozera |
|---|---|
| Matenda a khansa | Ngati muli ndi khansa ya m'mawere, ya pachibelekero, ya m'chiberekero, kapena ya endometrial. |
| Mavuto okhudzana ndi magazi | Ngati mwadwala matenda a mitsempha yamagazi, magazi kuundana, sitiroko, kapena matenda a mtima posachedwapa. Kuthamanga kwa magazi, kuchuluka kwa mafuta m'thupi. |
| Matenda a chiwindi kapena impso | Ngati muli ndi matenda aliwonse a chiwindi kapena impso. |
| Matenda ena | Matenda a shuga, Endometriosis, Fibroids, Matenda a ndulu, Mutu, Kuvutika Maganizo, Lupus (SLE), Porphyria. |
| Moyo ndi ziwengo | Ngati mumasuta fodya, muli ndi magazi ochulukirapo m'mimba, kapena muli ndi vuto la mahomoni kapena mankhwala ena kapena zakudya zina. |
| Mimba | Ngati muli ndi pakati, mukufuna kutenga pakati, kapena ndinu mayi woyamwitsa. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Piritsi ili liyenera kumwedwa nthawi yomweyo tsiku lililonse ndi kapu ya madzi. Imwani mlingo wokhawo womwe dokotala wanu wakuuzani, monga momwe mwalangizira. Mutha kumwa ndi chakudya kapena ayi. Nthawi zonse werengani phukusi la wodwala lomwe limabwera ndi mankhwala anu.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mapiritsi, imwani mwamsanga mukangokumbukira. Koma ngati nthawi yanu yotsatira yayandikira, siyani mapiritsi omwe munaphonya ndikumwa mapiritsi otsatira panthawi yomwe mwakonza. Musamwe mapiritsi awiri nthawi imodzi.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, musachite mantha. 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. Choncho, musawagawire ndi wina aliyense.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Mankhwala ena amatha kuyanjana ndi mankhwala a mahomoni awa, choncho muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala achikhalidwe).
| Musamwe mankhwalawa pamodzi. | |
|---|---|
| Mankhwala oletsa aromatase (monga anastrozole, letrozole) | Mankhwala a Hepatitis C monga dasabuvir, ombitasvir, paritaprevir, ritonavir |
| Zinthu zina zomwe zingachitike | |
|---|---|
| Madzi a mphesa | Mankhwala ochepetsa magazi monga Warfarin |
| Mankhwala oletsa khunyu monga Phenobarbital ndi Carbamazepine | Mankhwala a matenda a shuga |
| Mankhwala ena omwe amamwa a HIV kapena Edzi | Zinthu zochokera ku zitsamba monga St. John's Wort |
| Mankhwala oletsa bowa monga Itraconazole | Maantibayotiki a chifuwa chachikulu, monga Rifampin |
| Mahomoni a chithokomiro | Ma steroid monga Prednisone |
Zinthu zofunika kukumbukira mukamamwa mankhwala
- Kupimidwa nthawi zonse kwa dokotala:Pitani kwa dokotala wanu kamodzi pa miyezi 6 iliyonse kuti muwone ngati muli ndi vuto. Pitani kukayezetsa mawere ndi m'chiuno nthawi zonse. Komanso lankhulani ndi dokotala wanu za kufunika kochita mammogram.
- Kutupa kwa thupi: Mankhwalawa angayambitse kusunga madzi m'thupi, zomwe zimapangitsa kuti manja, mapazi, ndi akakolo azitupa. Angathenso kuwonjezera kuthamanga kwa magazi. Uzani dokotala wanu ngati mukukumana ndi zizindikiro izi.
- Kusuta: Ngati ndinu wosuta fodya, makamaka ngati muli ndi zaka zoposa 35, chiopsezo chanu chokhala ndi magazi ambiri ndi sitiroko chimakhala chachikulu. Lankhulani ndi dokotala wanu za izi ndipo pezani upangiri wofunikira.
- Mimba: Ngati mukuganiza kuti muli ndi pakati, siyani kumwa mankhwala nthawi yomweyo ndipo dziwitsani dokotala wanu.
- Opaleshoni: Ngati mukukonzekera kuchitidwa opaleshoni iliyonse, funsani dokotala wanu ngati muyenera kusiya kumwa mankhwalawa musanayambe.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Ena ndi oopsa, ena ndi ofala.
| Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime. |
| Zizindikiro za magazi kuundana | Kupweteka kwa mwendo, kutupa, kutentha, kupuma movutikira, kupweteka pachifuwa. |
| Zizindikiro za sitiroko | Kusanza kwadzidzidzi kwa nkhope, mkono kapena mwendo, kuvutika kulankhula, kuvutika kuyenda, mutu waukulu. |
| Kusintha kwa mabere | Ziphuphu zatsopano, kufiira, kupweteka, ndi kutuluka madzi m'chifuwa. |
| Zizindikiro za kuwonongeka kwa chiwindi | Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, khungu kapena maso kukhala achikasu, mkodzo wakuda. |
| Zina | Mutu watsopano kapena woipa kwambiri, kutuluka magazi m'mimba mukatha kusamba. |
| Ngati zikupitirira kapena zikukuvutitsani, uzani dokotala wanu. | |
| Kupweteka m'mawere kapena kufinya | Mutu waukulu |
| Kutupa kwa manja, mapazi, akakolo | Maso ouma, makamaka ngati muvala ma contact lens. |
Uthenga Wopita Nawo Kunyumba
- Musanayambe chithandizo cha mahomoni ichi, uzani dokotala wanu za matenda anu onse ndi mankhwala ena omwe mukumwa.
- Imwani mankhwala nthawi yomweyo tsiku lililonse, malinga ndi mlingo womwe waperekedwa. Ngati mwaphonya mlingo, musamwe milingo iwiri nthawi imodzi.
- Fufuzani thandizo lachipatala mwamsanga ngati mukukumana ndi mavuto ena aakulu monga kutupa kwa miyendo, kupweteka pachifuwa, kupuma movutikira, kapena kuvutika kulankhula.
- Ngati ndinu wosuta fodya, muli pachiwopsezo chachikulu mukamagwiritsa ntchito mankhwalawa. Lankhulani ndi dokotala wanu za izi.
- Ndikofunikira kwambiri kupita kukayezetsa kuchipatala ndi kukaonana ndi dokotala nthawi yomwe yakonzedwa.
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