Uri kuenda kumwedzi here? Kana kuti chiremba wako akakuudza here kuti huwandu hwemahormone ako hwakaderera? Kana zvakadaro, ungangove wakanyorerwa mushonga unonzi Estropipate. Saka nhasi, ngatitaurei nezveEstropipate, kuti inoitei kumiviri yedu, uye zvatinofanira kungwarira zvakanyanya pakushandisa mushonga uyu.
Mushonga werudzii unonzi Estropipate?
Muchidimbu, Estropipate ipiritsi rine estrogen yevakadzi. Inonyanya kushandiswa semushonga wekutsiva mahormone (HRT) kuvakadzi vakambosvika panguva yekuguma kuenda kumwedzi.
Sezvamungangoziva, kuenda kumwedzi kunounza kusagadzikana kwakadai sekupisa, kudikitira nguva nenguva, uye kushaya hope. Zvakare, nekuda kwekudzikira kwehormone yeestrogen, mapfupa anotetepa uye anotyoka nyore nyore, zvinoreva kuti pane njodzi ye osteoporosis. Saka, mapiritsi aya eEstropipate anopa muviri hormone inodiwa yeestrogen, ichibatsira kudzora kusagadzikana uku nekudzivirira mapfupa.
Pamusoro pezvo, vanachiremba vanopa mushonga uyu kune vamwe vakadzi vane mahormone mashoma, ayo anogadzirwa nemazai avo.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga
Iyi inyaya inokosha zvikuru. Usati watanga mapiritsi eEstropipate, zvakakosha kupa chiremba wako tsananguro yakazara yehutano hwako. Kunyanya, iva nechokwadi chekuvaudza kana uine chimwe chezvirwere zvinotevera:
- Nhoroondo yechirwere chetsinga dzeropa kana kuvharika kweropa
- Kenza yemazamu, yemuromo wechibereko, ye endometrium, kana yechibereko
- Chirwere cheshuga
- Endometriosis
- Mafibroid echibereko
- Chirwere chenduru
- Chirwere chemwoyo kana kurwiswa kwemwoyo kwazvino
- Kolesteroli yakakwira muropa
- Kukwira kweropa
- Karusiyamu yakawanda muropa
- Kana chibereko chakabviswa nekuvhiyiwa (hysterectomy)
- Chirwere cheitsvo
- Chirwere chechiropa
- Kuora mwoyo kwepfungwa
- Musoro wemusoro unonzi migraine
- Chirwere chinonzi porphyria
- Kana wakambova nesitiroko
- Systemic Lupus Erythematosus (SLE)
- Kana uri munhu anoputa fodya
- Kubuda ropa kusina kujairika kwechikadzi kwechikonzero chisingazivikanwe
- Kurwara ne estrogen kana mamwe mahormone, mishonga, chikafu, kana madhayi
- Kana uine pamuviri kana kuti uri kuedza kubata pamuviri
- Kana uri amai vanoyamwisa
Ndinofanira kushandisa mushonga uyu sei?
Iri piritsi rekunwa nemuromo. Inwa piritsi iri negirazi remvura. Inwa mushonga wakanyorwa nachiremba wako chete. Zvakakosha kuti unwe piritsi panguva imwe chete zuva nezuva. Izvi zvichabatsira kuchengetedza huwandu hwemahormone mumuviri wako.
Kana ukangoerekana wafunga kuti watora mushonga uyu wakawandisa, fonera National Poisons Information Centre kuColombo National Hospital nekukasika, kana kuenda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
Mushonga uyu ndewako chete. Usaugovane nevamwe nekuda kwechikonzero chipi zvacho.
Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?
Kana ukarasikirwa nedosi, inwa nekukurumidza sezvaunoyeuka. Zvisinei, kana yava nguva yekutora dosi yako inotevera, svetuka dosi yawakarasikirwa wotora dosi yako inotevera panguva yakatarwa. Usambofa wakatora dosi mbiri kuti udzorere dosi yawakarasikirwa nayo.
Zvimwe zvinhu zvinogona kupindirana nemushonga uyu (Kudyidzana)
Mimwe mishonga yauri kutora inogona kukanganisa mashandiro eEstropipate. Saka, udza chiremba wako nezvemishonga yese yauri kutora (kusanganisira mavhitamini, mishonga yemiti, uye mishonga inoderedza marwadzo).
| Zvinhu zvinogona kukonzera matambudziko | Mienzaniso |
|---|---|
| Mishonga isingafanirwe kutorwa neEstropipate | |
| Zvinodzivisa Aromatase | aminoglutethimide, anastrozole, exemestane, letrozole, testolactone |
| Zvimwe zvinhu zvinogona kukonzera kusangana neEstropipate | |
| Mimwe mishonga yekurwisa pfari | Mishonga yeBarbiturates yakaita seCarbamazepine nePhenobarbital |
| Mamwe maantibayotiki | Clarithromycin, Erythromycin |
| Mishonga inorwisa fungus | Ketoconazole, Itraconazole |
| Mishonga yeTB | Rifabutin, Rifampin, Rifapentine |
| Zvimwe | Muto weGrapefruit, Ritonavir, St. John's Wort (muto wemishonga) |
Zvinhu zvaunofanira kuziva paunenge uchitora mushonga
- Kuongororwa nachiremba nguva dzose: Paunenge uchitora mushonga uyu, zvakakosha kuti ugare uchiona chiremba wako kuti utarise hutano hwako. Zvakakosha kuti ugare uchiongororwa mazamu uye kuongororwa Pap smears. Zvakare, taura nachiremba wako nezvekudiwa kwe mammograms uye tevera mirairo yake.
- Dzivisa kusvuta: Izvi zvakakosha zvikuru! Kana ukasvuta uchitora mushonga uyu, kunyanya kana uine makore anopfuura makumi matatu nemashanu ekuberekwa, njodzi yako yekuva neropa rakagwamba kana sitiroko yakanyanya. Saka, zvinokurudzirwa zvikuru kuti usasvuta zvachose.
- Kuzvimba: Mushonga uyu unogona kukonzera kuzvimba mumaoko, tsoka, kana minwe nekuda kwekusabata kwemvura mumuviri. Kumanikidzwa kweropa kunogonawo kuwedzera. Kana ukasangana neizvi, udza chiremba wako.
- Njodzi yegomarara remuchibereko: Mushonga uyu une njodzi yekukura kwemasero emukati mechibereko, inova kukura kusingawanzoitiki kwemasero mudumbu rechibereko. Izvi zvinogona kuzopedzisira zvaita kenza yemuchibereko. Kuti uderedze njodzi iyi, chiremba wako anogona kukupa imwe hormone inonzi progestin pamwe chete neEstropipate kana chibereko chako chisina kubviswa nekuvhiyiwa. Taura nachiremba wako nezveizvi uye unzwisise mabhenefiti nenjodzi kwauri.
- Kubata pamuviri: Kana uchifungidzira kuti une pamuviri, rega kutora mushonga uyu nekukasika wobvunza chiremba wako.
- Kuvhiyiwa:Kana uchizovhiyiwa, udza chiremba wako pachine nguva. Ungangoda kurega kutora mushonga uyu kwenguva pfupi usati wavhiyiwa.
Ndezvipi zvingakonzera migumisiro yakaipa?
Kufanana nemushonga upi zvawo, Estropipate inogona kukonzera migumisiro yakaipa. Heano mamwe emigumisiro inogona kuitika.
| Mhedzisiro yedivi | Zvekuita |
|---|---|
| Migumisiro yakaipa yaunofanira kuudza chiremba wako nekukasika | |
| Kurwara nepfungwa (kuzvimba kwechiso, miromo, rurimi, mapundu eganda, kuvaviwa) | Tsvaga rubatsiro rwechiremba nekukasika. |
| Kuchinja kwemazamu, mapundu, kana kubuda kwemvura | |
| Kuchinja kwemaonero, kurwadziwa pachipfuva, kuoma kufema | |
| Kuvhiringidzika, kuoma kutaura kana kunzwisisa | |
| Musoro wakakomba, kunetseka kufamba, dzungu, kurasikirwa nemuviri | |
| Kushaya simba kana kushaya simba kamwe kamwe pachiso, ruoko, kana gumbo | |
| Marwadzo, kuzvimba, uye kudziya kwegumbo | |
| Kurwadziwa mudumbu rekumusoro kurudyi, kuda kurutsa, kurutsa | |
| Kubuda ropa kusina kujairika kwechikadzi | |
| Kutsvuka kwemaziso kana ganda, weti yakasviba, kana tsvina yekurara | |
| Udza chiremba wako kana zvichiramba zvichiitika kana kuti zvichikunetsa. | |
| Kudonha kwebvudzi | Taura nachiremba wako. |
| Kunzwa kuneta kana kushaya simba zvakanyanya | |
| Zviratidzo zvehutachiona hwepanhengo yekubereka (kuvaviwa, kuzvimba, kubuda ropa zvisina kujairika) | |
Rondedzero iyi ingasave nemhedzisiro yese inogona kuitika. Kana ukasangana nekumwe kusagadzikana, bvunza chiremba wako.
Mharidzo Yekuenda Nayo Kumba
- Estropipate mushonga une hormone inonzi estrogen inoshandiswa kudzora zviratidzo zvine chekuita nekuguma kuenda kumwedzi uye kurapa kushomeka kwemahormone.
- Usati watanga mushonga uyu, zivisa chiremba wako zvizere nezvezvirwere zvako zvese nemimwe mishonga yauri kutora.
- Kusvuta paunenge uchitora mushonga uyu kunowedzera njodzi yekugwamba kweropa uye sitiroko. Saka, dzivisa kusvuta zvachose.
- Tsvaga rubatsiro rwechiremba nekukasika kana ukasangana nematambudziko akadai sekurwadziwa muchipfuva, kufema zvakaoma, kubuda ropa kusingawanzoitiki muchizvaro, kana mapundu emazamu.
- Usarega kutora mushonga uyu, chinja mwero wemushonga, kana kuupa vamwe pasina kurairwa nachiremba wako.
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