Zonse zokhudza mapiritsi a (Synthetic Conjugated Estrogens (B)) a kutupa komwe kumabwera chifukwa cha kusamba

Moni! Mwina mwapatsidwa mankhwala awa ndi dokotala, omwe ndi `(Synthetic Conjugated Estrogens (B))`. Kapena mwina ndinu munthu amene akuyang'ana kwambiri izi. Mwachidule, awa ndi mankhwala opangidwa ndi hormone `(Estrogen)`. Madokotala nthawi zambiri amalimbikitsa izi kuti achepetse kusasangalala komwe akazi amakumana nako ndi kusamba, kutanthauza kuti, kusamba kwa mwezi uliwonse kukatha, monga kutentha thupi ndi thukuta ladzidzidzi (izi zimatchedwa `(Hot flashes)`). Koma zingagwiritsidwenso ntchito pazinthu zina. Ngati muli ndi mafunso okhudza izi, ndi bwino kufunsa dokotala wanu kapena wamankhwala.

Ndi zinthu ziti zomwe ndiyenera kuuza dokotala ndisanayambe kumwa mankhwalawa?

Chabwino, tsopano musanayambe mankhwala awa , pali zinthu zingapo zomwe muyenera kuuza dokotala wanu kapena gulu lachipatala lomwe likukuthandizani. Musabise izi, chabwino? Chifukwa izi zidzatsimikizira ngati mankhwala awa ndi oyenera kwa inu kapena ayi, komanso momwe ayenera kuperekedwa. Onani ngati muli ndi vuto lililonse mwa izi:

• Ngati muli ndi magazi ochulukirapo m'mimba (kutanthauza kuti, kutuluka magazi nthawi zina kupatula nthawi yanu ya msambo).
• Ngati muli ndi matenda aliwonse a mitsempha yamagazi kapena vuto la magazi kuundana .
• Ngati muli ndi, kapena munakhalapo ndi, khansa monga khansa ya m'mawere , ya pachibelekero , ya endometrial, ya mazira, ya chiwindi , kapena ya uterine.
• Ngati muli ndi vuto la dementia .
• Ngati muli ndi matenda a shuga .
• Ngati muli ndi vuto lotchedwa " Endometriosis" .
• Ngati muli ndi zotupa za m'chiberekero (fibroids).
• Ngati muli ndi matenda a ndulu.
• Ngati muli ndi matenda a mtima kapena mwangodwala matenda a mtima posachedwapa.
• Ngati muli ndi kuthamanga kwa magazi.
• Ngati muli ndi cholesterol yambiri m'magazi.
• Ngati muli ndi calcium yambiri m'magazi mwanu.
• Ngati muli ndi matenda a impso.
• Ngati muli ndi matenda a chiwindi.
• Ngati muli ndi vuto la maganizo.
• Ngati muli ndi mutu wa mutu wa migraine.
• Ngati mwakhalapo ndi sitiroko.
• Ngati ndinu wosuta fodya.
• Ngati muli ndi vuto lachilendo kapena la ziwengo ku ma estrogen, mankhwala ena, zakudya, utoto, kapena zotetezera.
• Ngati muli ndi pakati kapena mukufuna kutenga mimba.
• Ngati ndinu mayi woyamwitsa.

Ngati chilichonse mwa zinthuzi chikukukhudzani, onetsetsani kuti mwauza dokotala wanu.

Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?

Chabwino, tiyeni timwe mankhwalawa momwe alili. Ndi piritsi lomwe mumamwa pakamwa. Muyenera kumwa ndi kapu yamadzi. Muyenera kutsatira malangizo omwe ali pa chizindikiro cha mankhwala monga momwe dokotala wanu wanenera. Ndikofunikira kwambiri kumwa mankhwala anu nthawi yomweyo tsiku lililonse, nthawi yomweyo. Musamwe mankhwala ochulukirapo kuposa omwe dokotala wanu wakuuzani. Mudzapatsidwa phukusi la odwala mukapatsidwa mankhwala awa komanso mukadzalandira mankhwala owonjezera. Muyenera kuwerenga mosamala nthawi zonse. Zomwe zili mmenemo zimatha kusintha nthawi ndi nthawi. Chifukwa chake ndi bwino kuwerenga zomwe zili mkati nthawi iliyonse mukalandira mankhwala atsopano. Lankhulani ndi dokotala wanu wa ana za kupereka mankhwalawa kwa ana aang'ono. Mankhwalawa nthawi zambiri savomerezedwa kuti agwiritsidwe ntchito kwa ana.

Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?

Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, musazengereze. Imbani malo owongolera poizoni kapena chipinda chadzidzidzi chapafupi nthawi yomweyo. Kapena chokani nthawi yomweyo.

Chofunika kudziwa: Mankhwalawa aperekedwa kwa inu nokha. Musagawire mankhwalawa ndi mnzanu kapena wachibale wanu, ngakhale atakhala ndi zizindikiro zomwezo monga inu. Zingakhale zoopsa.

Nanga bwanji ngati ndiphonya kumwa mankhwala anga?

Tsopano tangoganizani kuti mwaphonya mlingo wa mankhwala. Ngati zimenezo zitachitika, imwani mwamsanga mukangokumbukira. Koma ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe mlingo umodzi kawiri nthawi imodzi, kutanthauza kuti mlingo umodzi kawiri. Kuchita zimenezi kungayambitse zotsatirapo zoyipa.

Zinthu zina zomwe zingagwirizane ndi mankhwalawa (Kuyanjana)

Iyi ndi mfundo yofunika kwambiri. Mukatenga piritsi la `(Synthetic Conjugated Estrogens (B))` ili, muyenera kusamala ndi mankhwala ena omwe mukumwa, komanso zakudya ndi zakumwa zina. Chifukwa zinthu zina zimatha kuyanjana ndi mankhwalawa, kusintha momwe amagwirira ntchito, kapena kuyambitsa zotsatira zoyipa.

Musamwe piritsi ili ndi mankhwala awa:

Ngati mukugwiritsa ntchito mankhwalawa, sikoyenera kumwa `(Synthetic Conjugated Estrogens (B))`.

• Mankhwala omwe ali m'gulu lotchedwa `Aromatase inhibitors`. Zitsanzo zake ndi izi: `aminoglutethimide`, `anastrozole`, `exemestane`, `letrozole`, `testolactone`.
• Mankhwala otchedwa `Metyrapone`.

Zinthu izi zingagwirizanenso ndi mankhwalawa:

Ngati mukugwiritsa ntchito mankhwala kapena zinthu zomwe zili pansipa, muyeneranso kuuza dokotala wanu za mankhwalawo.

• Barbiturates, mwachitsanzo phenobarbital.
• `Carbamazepine`
• 'Clarithromycin'
• `Erythromycin`
• Madzi a mphesa - Inde, madzi a mphesa amakumananso ndi mankhwala ena!
• Mankhwala ochizira matenda a bowa, monga `ketoconazole` ndi `itraconazole`.
• `Phenytoin`
• `Ritonavir`
• Wort wa St. John - Iyi ndi mankhwala azitsamba omwe anthu ena amagwiritsa ntchito.
• Mahomoni a chithokomiro.

Mndandanda uwu mwina sungakhale wokwanira. Choncho uzani dokotala wanu za mankhwala onse omwe mukumwa (omwe dokotala wanu wakupatsani, omwe mwagula ku pharmacy), mankhwala azitsamba, ndi zowonjezera zakudya. Musaiwale kuuza dokotala wanu ngati mumasuta fodya, kumwa mowa, kapena kugwiritsa ntchito mankhwala ena. Zinthuzi zingakhudze mankhwala anu.

Zinthu zoti muzisamala nazo mukamamwa mankhwalawa

Pali zinthu zingapo zomwe muyenera kusamala nazo kwambiri mukamamwa mankhwalawa. Sikuti ndi nkhani yongomwa mankhwala okha.

• Kupimidwa nthawi zonse ndi dokotala: Muyenera kuonana ndi dokotala wanu nthawi zonse kuti muwone thanzi lanu. Mukamamwa mankhwalawa, muyenera kupimidwa nthawi zonse ndi dokotala wanu, kupimidwa m'chiuno, ndi kupimidwa kwa Pap smears. Komanso, kambiranani ndi dokotala wanu ngati muyenera kupimidwa mammogram nthawi zonse, ndikutsatira malangizo awo.
• Kusunga madzi m'thupi: Mankhwalawa angapangitse thupi lanu kusunga madzi m'thupi. Izi zingayambitse kutupa m'zala zanu, m'manja, ndi m'mapazi. Kuthamanga kwa magazi kungakwerenso. Ngati mukumva ngati madzi akukhala m'thupi, uzani dokotala wanu.
• Ngati mukukayikira kuti muli ndi pakati: Ngati pazifukwa zilizonse mukuganiza kuti muli ndi pakati, siyani kumwa mankhwalawa nthawi yomweyo ndipo uzani dokotala wanu.
• Kusuta: Ngati mukugwiritsa ntchito fodya, lankhulani ndi dokotala wanu za vutoli. Ndondomeko yanu ya chithandizo ingafunike kusinthidwa. Kusuta fodya mukamamwa mankhwalawa kumawonjezera chiopsezo chanu cha magazi kuundana kapena sitiroko. Chiwopsezochi chimakhala chachikulu kwambiri ngati muli ndi zaka zoposa 35. Choncho pewani kusuta fodya momwe mungathere.
• Mavuto a maso: Mankhwalawa angayambitse maso ouma komanso kusawona bwino. Ngati muvala ma contact lens, mungakhale ndi vuto linalake. Kugwiritsa ntchito madontho a maso opaka mafuta kungathandize. Ngati vutoli likupitirira kapena ndi lalikulu, onani dokotala wanu.
• Mavuto a chiberekero (`Endometrial hyperplasia`):Mankhwalawa angakulitse chiopsezo chanu chokhala ndi endometrial hyperplasia, vuto lomwe lingayambitse khansa ya m'chiberekero. Kutenga mtundu wina wa mahomoni otchedwa progestin pamodzi ndi mankhwalawa kungathandize kuchepetsa chiopsezochi. Chifukwa chake, ngati chiberekero chanu sichinachotsedwe (hysterectomy), dokotala wanu angakulembereni progestin pamodzi ndi estrogen. Koma muyenera kudziwa kuti kumwa estrogen ndi progestin kungakhale ndi zoopsa zina pa thanzi. Lankhulani ndi dokotala wanu za ubwino ndi kuipa kogwiritsa ntchito estrogen ndi progestin. Iyi ndi nkhani yofunika kwambiri.
• Musanachite opaleshoni: Ngati mukuchitidwa opaleshoni iliyonse, mungafunike kusiya kumwa mankhwalawa kwakanthawi. Funsani dokotala wanu kuti akupatseni upangiri musanakonzekere opaleshoniyo.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Chabwino, tsopano tiyeni tiwone zotsatira zoyipa zomwe mankhwalawa angayambitse. Monga mankhwala ena onse, iyi ikhoza kukhala ndi zotsatirapo zazing'ono. Zina mwa izo ndi zinthu zomwe muyenera kuuza dokotala wanu nthawi yomweyo. Zina sizowopsa kwambiri ndipo zimatha pakatha masiku ochepa. Koma ngati zikupitirira kapena kukuvutitsani, muyenera kuuza dokotala wanu .

Ngati mukukumana ndi zotsatirazi, uzani dokotala wanu nthawi yomweyo:

Ngati mukukumana ndi zizindikiro zilizonsezi, musazengereze.

• Matenda a ziwengo - mwachitsanzo, kutupa pakhungu, kuyabwa kapena ziphuphu, kutupa kwa nkhope, milomo kapena lilime.
• Kusintha kwa minofu ya m'mawere kapena kutuluka kwa madzi m'thupi.
• Kusintha kwa masomphenya.
• Kupweteka pachifuwa.
• Kusokonezeka, kuvutika kulankhula kapena kumvetsetsa.
• Mkodzo wakuda.
• Zizindikiro zofanana ndi chimfine kapena kumva kudwala.
• Kudutsa mipando yowala.
• Kusanza, kusanza.
• Ululu, kutupa, ndi kutentha kwa mwendo (izi zitha kukhala chizindikiro cha magazi kuundana).
• Ululu m'mimba yakumanja.
• Mutu waukulu.
• Kuvuta kupuma.
• Kufooka mwadzidzidzi kapena kufooka pankhope, mkono, kapena mwendo.
• Kuvuta kuyenda, chizungulire, kulephera kulinganiza bwino zinthu, kapena mavuto ogwirizana.
• Kutuluka magazi m'mimba molakwika.
• Kuoneka kwachikasu kwa maso kapena khungu (jaundice).

Mwachitsanzo, taganizirani kuti Kanthi atayamba kumwa mankhwalawa, mwadzidzidzi anavutika kulankhula, kapena anamva ngati mbali imodzi ya nkhope yake yachita dzanzi. Ngati chinthu chonga ichi chichitika, si bwino kuchedwa, muyenera kupita kwa dokotala nthawi yomweyo.

Zotsatira zoyipa izi nthawi zambiri sizifuna chithandizo chamankhwala (koma uzani dokotala ngati zikupitirira kapena zikukuvutitsani):

Izi nthawi zambiri zimatha patatha masiku ochepa.

• Kutaya tsitsi.
• Kuwonjezeka kwa njala kapena ludzu.
• Kuchuluka kwa kukodza.
• Zizindikiro za matenda a m'mimba - mwachitsanzo, kuyabwa, kutentha, kapena kutuluka magazi kosazolowereka.
• Kumva kutopa kwambiri kapena kufooka.

Mndandandawu sungakhale ndi zotsatirapo zonse zoyipa. Ngati muwona china chake chachilendo kuwonjezera pa izi, funsani dokotala wanu za izi. Muthanso kuuza FDA za zotsatirapo izi poyimbira 1-800-FDA-1088.

Kodi mumasunga bwanji mankhwala awa?

Mankhwalawa ayenera kusungidwa pamalo omwe ana sangawafikire. Izi ndizofunikira kwambiri. Sungani kutentha kwa chipinda (pakati pa madigiri 15 ndi 30 Celsius, komwe kuli pakati pa madigiri 59 ndi 86 Fahrenheit). Tayani mankhwala aliwonse omwe atha ntchito.

Uthenga Womaliza Wopita Nawo Kunyumba

Chabwino, tiyeni tifotokoze mwachidule zina mwa zinthu zomwe muyenera kukumbukira kuchokera pa zomwe takambirana.

• Mankhwalawa otchedwa `(Synthetic Conjugated Estrogens (B))` ndi hormone ya `(Estrogen)`. Madokotala amawalemba makamaka pa mavuto monga `(Hot flashes)` omwe amabwera chifukwa cha kusamba.
• Musanayambe kumwa mankhwala, ndikofunikira kuuza dokotala wanu za matenda anu onse ndi mankhwala ena onse omwe mukumwa (kuphatikizapo mankhwala achikhalidwe).
• Imwani mankhwalawo monga momwe dokotala wanenera, panthawi yoyenera. Musagawane ndi ena. Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira, koma ngati nthawi yatsala pang'ono kuti mutenge mlingo wotsatira, dumphani mlingo womwe mwaphonya ndikumwa pa mlingo wanu wotsatira womwe mwakonza.
• Ngati ndinu wosuta fodya, pali zoopsa zazikulu mukamagwiritsa ntchito mankhwalawa. Lankhulani ndi dokotala wanu za izi.
• Ngati mukukumana ndi zizindikiro zachilendo, makamaka kupweteka pachifuwa, kuvutika kulankhula, dzanzi mwadzidzidzi, kutuluka magazi modabwitsa, kapena kutupa kwa miyendo, uzani dokotala wanu nthawi yomweyo.
• Ndikofunikira kwambiri kukaonana ndi dokotala nthawi zonse (monga kuyezetsa mabere, kuyezetsa mapapi, ndi kuyezetsa ma mammogram).
• Azimayi omwe sanachotsedwe chiberekero ayenera kulankhula ndi dokotala wawo za ubwino ndi kuipa kwa kumwa estrogen ndi progestin.

Chofunika kwambiri ndichakuti ngati muli ndi mafunso kapena nkhawa zokhudzana ndi mankhwalawa, lankhulani ndi dokotala wanu, wamankhwala, kapena wothandizira zaumoyo wanu. Musadandaule, alipo kuti akuthandizeni. Kabuku aka ndi chidule chabe ndipo mwina sikakhala ndi mfundo zonse. Choncho musazengereze kufunsa mafunso.

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Ma estrogen opangidwa ndi mankhwala, estrogen, mankhwala olowa m'malo mwa mahomoni, kusamba, kutentha thupi, thanzi la akazi, zotsatirapo zake pa mankhwala