Anthu ambiri tsopano amagwiritsa ntchito mapiritsi oletsa kubereka ngati njira yolerera, sichoncho? Koma ndi angati mwa iwo omwe amadziwa bwino za izi? Mwina dokotala wanu wakupatsani mapiritsi amodzi mwa awa. Pali mitundu yosiyanasiyana ya awa. Lero, tikambirana za mapiritsi oletsa kubereka awa omwe ndi mahomoni, momwe amagwirira ntchito, komanso zomwe muyenera kusamala nazo mukamawagwiritsa ntchito.
Kodi mapiritsi oletsa kubereka awa ndi ati?
Mwachidule, awa ndi mtundu wa mankhwala omwe amagwiritsidwa ntchito popewa kutenga mimba. Awa amatchedwa mankhwala oletsa kubereka . Mtundu weniweni wa mapiritsi omwe tikukamba m'nkhaniyi uli ndi mitundu iwiri ya mahomoni achikazi.
- Estrogen
- Progestin
Mahomoni awiriwa amagwira ntchito limodzi kuti aletse thupi lanu kutulutsa mazira , komwe ndi kutulutsa dzira kuchokera ku ovary. Ngati dzira silikutulutsidwa, palibe njira yoti mimba ichitike.
Kuphatikiza apo, makadi ena a mapiritsiwa alinso ndi ferrous fumarate , yomwe ndi chitsulo. Izi zimaperekedwa panthawi ya msambo, kutanthauza, masiku omwe simukumwa mapiritsi, kuti mupewe kuchepa kwa magazi m'thupi chifukwa cha kusowa kwa chitsulo.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala
Musanayambe kugwiritsa ntchito mankhwalawa, muyenera kuuza dokotala wanu ngati muli ndi vuto lililonse mwa izi. Izi ndizofunikira kwambiri pa chitetezo chanu.
| Matenda kapena mwayi | Kufotokozera |
|---|---|
| Khansa | Ngati muli ndi khansa ya m'mawere, ya pachibelekero, ya m'chiberekero, ya m'chiberekero kapena ya chiwindi. |
| Mavuto okhudzana ndi magazi | Ngati mwakhala ndi matenda a mitsempha yamagazi, magazi kuundana, kapena sitiroko. |
| Matenda a mtima | Matenda a mtima, matenda a mtima omwe achitika posachedwapa, kuthamanga kwa magazi, cholesterol yambiri, kapena kugunda kwa mtima kosakhazikika. |
| Matenda ena | Matenda a shuga, matenda a chiwindi kapena impso, matenda a ndulu, lupus, mutu waching'alang'ala. |
| Mfundo zina | Ngati mukusuta fodya kapena ndudu, mwangobereka kumene mwana, mwapita padera, mukukonzekera opaleshoni, kapena mukutuluka magazi m'mimba mosadziwika bwino. |
| Mimba ndi kuyamwitsa | Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa. |
| Matenda a ziwengo | Ngati muli ndi vuto la estrogen, progestin, kapena mankhwala ena aliwonse kapena chakudya. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Momwe mankhwalawa amagwiritsidwira ntchito ndi ofunika kwambiri.
- Imwani nthawi yomweyo tsiku lililonse: Imwani mankhwala anu nthawi yomweyo tsiku lililonse, monga momwe dokotala wanu wanenera. Imwani mapiritsi motsatira ndondomeko yomwe ili pa khadi la mapiritsi.
- Momwe mungamwere: Mutha kutafuna mapiritsi awa kapena kuwameza onse ndi madzi. Ngati mutawatafuna, onetsetsani kuti mwamwa kapu yonse yamadzi pambuyo pake.
- Chepetsani nseru: Anthu ena amamva nseru akamamwa mapiritsi awa. Ngati izi zitachitika, imwani piritsili mukadya.
- Musasiye: Pitirizani kumwa mankhwala mpaka dokotala wanu atakuuzani kuti musiye.
Nanga bwanji ngati nditaiwala kumwa mapiritsi?
Ngati mwaiwala kumwa mapiritsi tsiku lina, onani malangizo omwe amabwera ndi mapiritsiwo. Nthawi zambiri, ngati mwaiwala kumwa mapiritsi, mumauzidwa kuti mumwe nthawi yomweyo mukakumbukira kenako mumwa mapiritsi ena nthawi yomweyo. Komabe, ngati mwaiwala kumwa mapiritsi opitilira limodzi, mapiritsiwo sangakhale othandiza kwenikweni. Pazochitika zotere, ndi bwino kugwiritsa ntchito njira ina yolerera, monga makondomu , kwa masiku 7. Ngati mukukayikira izi, funsani dokotala wanu.
Kuchuluka kwa mankhwala osokoneza bongo
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo mwangozi, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi wina aliyense.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Mankhwala ena omwe mukumwa angakhudze momwe mapiritsi oletsa kubereka awa amagwirira ntchito. Ndipo mapiritsi awa angakhudze momwe mankhwala ena amagwirira ntchito. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi mankhwala a Ayurvedic).
| Musamwe mapiritsi oletsa kubereka ndi awa. | |
|---|---|
| Mankhwala ena ochiza kachilombo ka Hepatitis C (monga Dasabuvir; ombitasvir; paritaprevir; ritonavir) | |
| Mankhwalawa angagwirizane ndi mankhwala awa. | |
| Maantibayotiki ndi maantibayotiki | Makamaka Rifampin, Griseofulvin, Penicillins, ndi Tetracyclines. |
| Mankhwala a khunyu | Mankhwala monga Phenobarbital, Carbamazepine, Phenytoin, ndi Topiramate. |
| Zina | Acetaminophen (Paracetamol), Atorvastatin (yothandiza cholesterol), mankhwala a shuga, mankhwala a HIV/AIDS, St. John's Wort (chotsitsa cha zitsamba), Warfarin (yochepetsa magazi), mahomoni a chithokomiro. |
*Iyi si mndandanda wathunthu. Chifukwa chake, ndikofunikira kwambiri kudziwitsa dokotala wanu za mankhwala onse omwe mukumwa.*
Zinthu zofunika kuziganizira mukamamwa mankhwala
- Kupimidwa kuchipatala: Mukamamwa mankhwalawa, pitani kwa dokotala nthawi ndi nthawi. Ndikofunikira kupimidwa nthawi zonse monga kuyezetsa mabere ndi kuyezetsa mapapo.
- Pewani kusuta: Izi ndizofunikira kwambiri! Ngati ndinu wosuta fodya, makamaka ngati muli ndi zaka zoposa 35, chiopsezo chanu chokhala ndi magazi kuundana ndi sitiroko chimakhala chachikulu kwambiri mukamamwa mankhwalawa. Choncho chinthu chabwino kwambiri chomwe mungachite ndikupewa kusuta fodya kotheratu.
- Kutupa m'thupi: Anthu ena amatha kutupa m'malo monga zala, manja, kapena akakolo. Kuthamanga kwa magazi kungakwerenso. Ngati mukukumana ndi izi, uzani dokotala wanu .
- Kumva ku dzuwa: Mankhwalawa angapangitse khungu lanu kukhala losamva ku dzuwa. Choncho, ngati mukufuna kukhala padzuwa, valani zovala zophimba khungu lanu ndipo gwiritsani ntchito mafuta oteteza ku dzuwa.
- Magalasi Olumikizana: Ngati muvala magalasi olumikizana, pitani kwa dokotala wa maso ngati muwona kusintha kulikonse m'maso mwanu kapena mukumva kusasangalala kuvala magalasi anu.
- Palibe chitetezo ku matenda opatsirana pogonana:
- Mapiritsi oletsa kubereka ndi mankhwala omwe ayenera kumwedwa pokhapokha ngati dokotala wakupatsani upangiri.
- Uzani dokotala wanu za matenda anu onse ndi mankhwala ena onse omwe mukumwa.
- Ngati muli ndi zaka zoposa 35 ndipo mukusuta, chiopsezo chomwa mapiritsi awa ndi chachikulu kwambiri. Pewani kusuta fodya kotheratu.
- Mapiritsi awa amangoteteza mimba. Sateteza ku matenda opatsirana pogonana, kuphatikizapo HIV.
- Ngati pali zotsatirapo zoyipa kwambiri, funsani upangiri wa dokotala nthawi yomweyo.
Chofunika: Mapiritsi oletsa kubereka awa amangoteteza mimba. Sakutetezani ku HIV (AIDS) kapena matenda ena opatsirana pogonana. Muyenera kugwiritsa ntchito njira yolepheretsa kutenga mimba, monga makondomu.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, mapiritsi oletsa kubereka angayambitse zotsatira zina zoyipa. Ena ndi oopsa, pomwe ena ndi ofala.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Zizindikiro za magazi kuundana | Kupweteka kwa mwendo, kutupa kapena kutentha, kuvutika kupuma, kupweteka pachifuwa. |
| Zizindikiro za Stroke | Kusanza mwadzidzidzi kapena kufooka pankhope, mkono, kapena mwendo, kuvutika kulankhula, kusokonezeka, kuvutika kuyenda, mutu waukulu. |
| Matenda a chiwindi | Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu/bulauni, maso kapena khungu kukhala lachikasu. |
| Zizindikiro zina zazikulu | Kuthamanga kwa magazi, mutu watsopano kapena wowonjezereka, kusintha kwa malingaliro monga kuvutika maganizo, ndi kutuluka magazi kosazolowereka m'mimba. |
| Ngati zikupitirira kapena zikukuvutitsani, uzani dokotala wanu. | |
| Kupweteka kwa m'mawere | Kumva kupweteka kapena kufinya m'mabere. |
| Kusintha kwa nthawi ya msambo | Kusasamba kosakhazikika kapena kutuluka magazi pang'ono panthawi ya kusamba. |
| Zina | Kusanza, kunenepa kwambiri, mawanga akuda pankhope kapena khungu lomwe lili ndi dzuwa. |
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