Kuguma kwemwedzi, nguva iyo kuenda kumwedzi kunomira, ishanduko huru muhupenyu hwemukadzi. Munguva iyi, shanduko dzemahormone mumuviri dzinogona kukonzera kuti vamwe vakadzi vanzwe kusagadzikana kwakasiyana-siyana kwechikadzi. Zvakadai sekuoma kwechikadzi, kuvaviwa, uye kurwadziwa panguva yebonde. Saka nhasi tiri kutaura nezvemushonga wepamusoro unogona kubatsira kukunda kusagadzikana uku.
Chii chinonzi Estradiol Vaginal Ring iyi?
Zvichitaurwa zviri nyore, iyi iring diki, inochinjika inopinzwa munhengo yako yemukadzi. Izvi zvinoburitsa zvishoma nezvishoma hormone inonzi Estradiol. Estradiol imhando yehormone inonzi Estrogen. Mushure mekupedza kuenda kumwedzi, huwandu hweEstrogen mumuviri hunoderera, ndosaka zvinhu zvakaita sekuoma kwechikadzi, kurwadziwa, uye kusagadzikana zvichiitika. Saka hormone inoburitswa nering iyi inokanganisa nzvimbo iyoyo chete uye inobatsira kuderedza zviratidzo izvozvo. MuSri Lanka, unogona kuiwana pasi pemhando dzakadai seEstring.
Chii chandinofanira kuudza chiremba ndisati ndashandisa mushonga uyu?
Izvi zvakakosha zvikuru. Mushonga uyu haukodzeri munhu wese. Saka, kana uchitaura nachiremba wako, unofanira kupa tsananguro yakazara yehutano hwako usingavanzi chero chinhu . Kunyanya kana uine chimwe chezvirwere zviri pazasi, iva nechokwadi chekuvaudza nezvazvo.
- Njodzi yekenza: Kana uine kana uchifungidzira kuti une kenza yemazamu, yemuromo wechibereko, yechibereko chechibereko, yechibereko chechibereko, yechizvaro chechibereko, yechiropa, kana yechibereko.
- Matambudziko eropa: Kana wakambova nedambudziko rakadai sechirwere chetsinga dzeropa, kuvharika kweropa, kana sitiroko kare.
- Chirwere chemwoyo: Kana uine chirwere chemwoyo, chirwere chemwoyo chakaitika munguva pfupi yapfuura, BP yakakwira, kana cholesterol yakakwira.
- Zvimwe zvirwere: Kana uine zvirwere zvakaita sechirwere cheshuga, chirwere chenduru, chirwere chechiropa kana cheitsvo, misoro yemusoro, dementia, kana Systemic Lupus Erythematosus (SLE).
- Tsika nedzimwe ruzivo: Kana uri munhu anoputa fodya, ane pamuviri kana ari kuedza kubata pamuviri, kana kuti achiyamwisa.
- Kurwara: Kana uine allergy kune estrogen kana mamwe mahormone, mishonga, chikafu, kana zvinochengetedza.
- Kubviswa kwechibereko (hysterectomy): Ungave wakabviswa chibereko chako nekuvhiyiwa here kana kuti kwete (hysterectomy).
- Kubuda ropa zvisina kujairika: Kana paine kubuda ropa zvisina kujairika kwechikadzi pasina chikonzero chinozivikanwa.
Ndingashandisa sei mhete iyi?
Mirayiridzo yekushandisa izvi yakanyorwa zvakajeka papakeji yaunogamuchira. Unogona kuzviisa munhengo yako yemukadzi iwe pachako. Funga nezvazvo sekushandisa tampon. Kana usina chokwadi nazvo, unogona kubvunza chiremba wako kana nesi kuti akuudze nzira chaiyo yekurapa.
Chinhu chinonyanya kukosha ndechekuti mhete iyi inofanira kusiiwa munhengo yemukadzi kwemazuva makumi mapfumbamwe . Mushure memazuva makumi mapfumbamwe, yekare inofanira kubviswa uye itsva inofanira kuiswa.
Usamborega kushandisa izvi usina kurairwa nachiremba wako.
Kana uchifunga kuti watora mushonga uyu wakawandisa, fonera National Poisons Information Centre kuColombo National Hospital nekukasika. Kana kuti enda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo. Uyewo, mushonga uyu ndewako chete. Usambougovana nemumwe munhu.
Panogona kuva nematambudziko nemimwe mishonga here?
Ehe, mimwe mishonga inogona kukanganisana neEstradiol Ring iyi. Saka, zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora, kusanganisira mavhitamini, mishonga yemishonga, uye zvimwe zvinovaka muviri.
| Rudzi rwemishonga | Mienzaniso |
|---|---|
| Dzivisa kushandisa mhete iyi nemishonga iyi zvachose: | |
| Zvinodzivisa Aromatase | Mishonga yakaita seanastrozole, letrozole, exemestane |
| Udza chiremba wako kana uri kutora mishonga iyi: | |
| Mimwe mishonga | Carbamazepine, mimwe mishonga inorwisa mabhakitiriya, mishonga inorwisa mabhakitiriya (semuenzaniso ketoconazole), Ritonavir, Raloxifene, Tamoxifen, mishonga yemishonga yakaita seSt. John's Wort, muto weGrapefruit |
Zvinhu zvekungwarira pakushandisa mushonga uyu
Kuongororwa nachiremba nguva dzose
Paunenge uchishandisa izvi, unofanira kuona chiremba wako nguva nenguva kuti aongorore mamiriro ako ezvinhu. Taura nachiremba wako kana uchida kuongororwa zamu, Pap smear, uye mammogram, uye tevera mirairo yake.
Kusvuta uye njodzi
Kana uri munhu anoputa fodya, kunyanya kana wava nemakore anopfuura makumi matatu nemashanu, njodzi yako yekuva neropa rakagwamba kana sitiroko yakanyanya kuwanda kana uchishandisa mushonga uyu. Saka, zvakakosha kuti usasvuta zvachose.
Mamwe mapoinzi
- Kuzvimba: Mushonga uyu unogona kukonzera kuchengetwa kwemvura mumuviri, zvichikonzera kuzvimba mumaoko, tsoka, nemakumbo. Unogonawo kuwedzera BP. Kana ukaona chimwe chezviratidzo izvi, udza chiremba wako.
- Kubata Pamuviri: Kana uchifungidzira kuti une pamuviri, rega kushandisa mushonga uyu nekukasika wobvunza chiremba wako.
- Njodzi kuchibereko: Kune vakadzi vasina kubviswa chibereko, pane mukana mudiki wekuwedzera kukura kwe endometrial hyperplasia (kukora kwemukati mechibereko) kana uchishandisa estrogen chete. Kuti uderedze njodzi iyi, chiremba wako anogona kukupa imwe mhando yehormone inonzi progestin. Zvakakosha kukurukura izvi nachiremba wako uye kunzwisisa mabhenefiti nenjodzi kwauri.
- Mabasa ezuva nezuva: Unogona kugeza woita zvimwe zvinhu semazuva ese. Haudi kubvisa rin'i panguva yepabonde. Zvisinei, kana usinganzwe zvakanaka, unogona kuibvisa panguva iyoyo chete, woisuka mumvura inodziya (kwete inopisa), woiisazve.
Ndezvipi zvingakonzera migumisiro yakaipa?
Kufanana nemushonga upi zvawo, uyu unogona kukonzera mimwe migumisiro yakaipa. Mimwe yacho yakakomba, mimwe yacho inowanzoitika.
| Mhedzisiro yedivi | Tsananguro |
|---|---|
| Zvinhu zvekuudza chiremba wako nekukasika | |
| Kusawirirana kwemuviri | Mapundu eganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi. |
| Kugwamba kweropa | Kurwadziwa kwemakumbo, kuzvimba, kudziya, kuoma kufema, kurwadziwa kwechipfuva. |
| Kurohwa | Kunzwa kusanzwa kana kushaya simba kamwe kamwe pachiso, ruoko, kana gumbo, kuoma kutaura, kuoma kufamba, musoro wakanyanya. |
| Kuchinja mumazamu | Mapundu matsva, kutsvuka, kurwadziwa, uye kubuda kwemvura kubva muzamu. |
| Kukuvara kwechiropa | Kurwadziwa mudumbu, kushaya chido chekudya, kuda kurutsa, tsvina ine ruvara rwakajeka, weti yero kana yero, uye maziso kana ganda richitsvuka. |
| Matambudziko echikadzi | Kubuda ropa zvisina kujairika, kuvaviwa kana kunhuwa, kubuda ropa mushure mekuenda kumwedzi, kurwadziwa mudumbu. |
| Zvinhu zvisingawanzove zvakakomba, asi zvinofanira kutaurwa kuna chiremba kana zvikaramba zviripo | |
| Migumisiro midiki | Kuzvimba, kurwadziwa kwemazamu, kuda kurutsa, kurutsa, uye kusagadzikana zvishoma panzvimbo yekuisa ringi. |
Mharidzo Yekuenda Nayo Kumba
- Mhete yeEstradiol Vaginal imishonga inotorwa kubva kunhengo dzemukadzi mushure mekuguma kuenda kumwedzi.
- Usati washandisa izvi, udza chiremba wako nhoroondo yako yese yehutano (kunyanya kenza, ropa rakagwamba, chirwere chemwoyo).
- Ring imwe chete inofanira kushandiswa kwemazuva makumi mapfumbamwe. Usamira usina kurairwa nachiremba.
- Kana ukasangana nematambudziko akakomba akadai sekugwamba kweropa, kuoma mitezo, kana mapundu matsva mumazamu, tsvaga rubatsiro rwechiremba nekukasika.
- Njodzi yacho yakakura zvikuru kana ukasvuta. Kudzivisa kusvuta kwakakosha zvikuru kuti uchengetedzeke.
- Mushonga uyu ndewako chete. Usambougovana nevamwe.
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