Vakadzi vazhinji vane makore 45-50 ekuberekwa vanongoerekana vanzwa kupisa nekudikitira. Kune vamwe, izvi zvinoitika kakawanda pazuva, uye kune vamwe, zvinotovamutsa husiku. Tinodaidza dambudziko iri kuti 'Menopause'. Kunyangwe izvi zviri zvechisikigo, kusagadzikana kunouya nazvo kunogona kunetsa zvishoma. Saka nhasi tiri kutaura nezvemushonga chaiwo unonyorerwa navanachiremba kuti uderedze kusagadzikana uku.
Ndezvipi izvi zvinosanganiswa maestrogen?
Zvichitaurwa zviri nyore, iyi ihormone yechikadzi. Mapiritsi aya ane hormone inonzi estrogen, iyo inogadzirwa mumuviri wedu. Panguva yekuenda kumwedzi, kana kuenda kumwedzi kwamira zvachose, huwandu hweestrogen hwemukadzi hunodzikira zvakanyanya. Ndosaka zviratidzo zvakaita sekupisa, kudikitira, uye kuoma kwechikadzi zvichiitika.
Saka mushonga uyu unorapa kudzorera hormone yeestrogen yakapera mumuviri. Tinoidaidza kuti Hormone Replacement Therapy (HRT) .
Mushonga uyu unonyanya kushandiswa pa:
- Dzora zviratidzo zvine chekuita nekuguma kuenda kumwedzi, zvakaita sekupisa .
- Dzivirirai osteoporosis, chirwere chekutetepa kwemapfupa chinokonzerwa nekushomeka kwe estrogen mumuviri.
- Sekurapa vakadzi vakabviswa mazai avo nekuvhiyiwa kana kuti vane mahormone mashoma nekuda kwezvimwe zvikonzero.
MuSri Lanka, mushonga uyu unowanzo kutengeswa nezita rekuti Premarin.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu
Sezvo uyu uri mushonga wehormone, unogona kukanganisa mamwe matambudziko aungave nawo. Saka, zvakakosha zvikuru kuudza chiremba wako nhoroondo yako yese yezvekurapa usati watanga mushonga uyu. Kunyanya kana uine chimwe chezvirwere zvinotevera, iva nechokwadi chekuvaudza.
| Chirwere kana mamiriro ezvinhu | Sei zvichikosha kuziva nezvazvo? |
|---|---|
| Kana wakambova nekenza yemazamu, chibereko, ovarian, kana cervical cancer kana kuti wakambova nayo | Mhando dzegomarara idzi dziri panjodzi yekukura zvakanyanya nekuda kwehomoni inonzi estrogen. |
| Kubuda ropa kubva munhengo yechikadzi kusingazivikanwe chikonzero | Nekuti ichi chingava chiratidzo chechirwere chakakomba, kurapwa nemahormone hakuna kukodzera usati waziva chikonzero chacho. |
| Kana wakambova neropa rakagwamba, sitiroko, kana kurwara nemoyo munguva pfupi yapfuura | Estrogen inogona kuwedzera njodzi yekugwamba kweropa. |
| Kukwira kweropa, chirwere cheshuga, cholesterol yakakwira | Mushonga uyu unogona kuita kuti zvirwere izvi zviome kudzora, saka zvakakosha kugara uchitarisa varwere. |
| Chirwere chechiropa kana chirwere cheitsvo | Nhengo idzi dzakakosha pakubvisa mishonga mumuviri. Kana ikakanganiswa, mushonga ungangoda kuchinjwa. |
| Kana uri munhu anoputa fodya | Njodzi yekugwamba kweropa uye sitiroko yakakura zvikuru , kunyanya kuvakadzi vane makore anopfuura makumi matatu nemashanu vanosvuta . |
| Kana uine pamuviri kana kuti uri kuedza kubata pamuviri | Mushonga uyu haukodzeri panguva yekuzvitakura. |
Ndinofanira kushandisa mushonga uyu sei uye ndedzipi nzira dzekudzivirira nadzo?
Nzira chaiyo yekutora mushonga
Izvi zviri nyore kwazvo.
- Inwa mushonga wakanyorwa negirazi remvura , sezvakarairwa nachiremba wako.
- Chinhu chinonyanya kukosha kutora piritsi panguva imwe chete zuva nezuva . Izvi zvinobatsira kuchengetedza huwandu hwemahormone mumuviri nenzira yakajairwa.
- Gara uchiverenga peji remurwere rine mushonga wako. Rine ruzivo rwakakosha rwakawanda.
- Kana ukarasikirwa nedosi: Inwa dosi yawakarasikirwa nayo nekukurumidza paunenge uchiyeuka. Zvisinei, kana yava nguva yekutora dosi yako inotevera, siya dosi yawakarasikirwa nayo wotora dosi inotevera panguva yakatarwa. Usambofa watora dosi mbiri panguva imwe chete.
- Kana ukanwa doro zvakanyanya:Kana uchifunga kuti watora mushonga wakawandisa, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika. Kana kufonera National Poisons Information Centre kuColombo National Hospital .
Zvakakosha: Mushonga uyu wakanyorerwa iwe chete. Usape shamwari yako mushonga uyu, kunyangwe iine zviratidzo zvakafanana nezvako.
Zvinhu zvekungwarira paunenge uchitora mushonga
- Kuongororwa nachiremba nguva dzose: Paunenge uchitora mushonga uyu, zvakakosha kuona chiremba wako nguva nenguva. Taura nachiremba wako nezvehurongwa hwekuongororwa kwemazamu, kuongororwa kwepap smears, uye, kana zvichidikanwa, mammograms.
- Usati wavhiyiwa: Kana wakarongerwa kuvhiyiwa, zivisa chiremba wako uye kumbira mazano ekuti unofanira kurega here kutora mushonga uyu usati wavhiyiwa.
- Njodzi kuchibereko: Kana mukadzi asina kubviswa chibereko akatora mapiritsi eestrogen chete kwenguva yakareba, pane njodzi diki yekuti jira rechibereko (endometrial hyperplasia) richakora roshanduka kuita kenza. Kuti vadzivise izvi, vanachiremba vanowanzo nyora rimwe hormone rinonzi progestin pamwe chete neestrogen. Taura nachiremba wako nezveizvi uye sarudza mushonga wakakunakira.
Migumisiro inogona kuitika nekuda kwemishonga
Kufanana nemushonga upi zvawo, uyu unogona kukonzera mimwe migumisiro yakaipa. Mimwe yacho yakakomba, mimwe yacho inowanzoitika.
| Migumisiro yakakomba inofanira kutaurwa kuna chiremba wako nekukasika | |
|---|---|
| • Kurwadziwa kwechipfuva | • Kuomerwa nekufema |
| • Marwadzo, kuzvimba, uye kutsvuka kwegumbo, kunyanya mhuru | • Musoro wakakomba kamwe kamwe |
| • Kuchinja kwemaonero, kuoma kutaura | • Kunzwa kusanzwa kana kushaya simba kwechiso, ruoko, kana gumbo kamwe kamwe |
| • Kutsvuka kwemaziso kana ganda, weti yakasviba, tsvina yakachenuruka | • Kubuda ropa zvisina kujairika kubva munhengo yemukadzi |
| • Mapundu, shanduko, kana kubuda kwemvura mumazamu | • Zviratidzo zvekurwara nepfungwa zvakaita semapundu eganda uye kuvaviwa |
| Migumisiro inowanzo fanirwa kuudzwa chiremba kana ikaramba iripo kana kuti ichinetsa | |
| • Kudonha kwebvudzi | • Utachiona hwechikadzi (kukwenya, kubuda ropa) |
| • Kusvotwa, kurutsa | • Kuchinja kudiki muhuremu hwemuviri |
Mharidzo Yekuenda Nayo Kumba
- Conjugated estrogen mushonga wemahormone unoshandiswa kugadzirisa zviratidzo zvekuenda kumwedzi. Unofanira kungotorwa chete kana wapihwa mazano nachiremba.
- Usati watanga mushonga uyu, udza chiremba wako nezvezvirwere zvese zvaunazvo (kunyanya kenza, nhoroondo yekugwamba kweropa) uye mishonga yese yauri kutora.
- Vakadzi vanosvuta, kunyanya vakadzi vane makore anopfuura makumi matatu nemashanu, vari panjodzi huru yekubatwa nestroke uye kuvharika kweropa pavanotora mushonga uyu.
- Kana ukaona zviratidzo zvakaita sekurwadziwa muchipfuva, kunetseka kufema, kuzvimba kwemakumbo, kana musoro wakanyanya, tsvaga rubatsiro rwechiremba nekukasika.
- Usarega kuongororwa kwakaitwa nachiremba (kuongororwa kwemazamu, kuongororwa kwepamuviri) paunenge uchitora mushonga.
- Usakurudzira mushonga uyu kushamwari yako kana nhengo yemhuri, kunyangwe zviratidzo zvavo zvakafanana.
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