Kuenda kumwedzi, nguva iyo kuenda kumwedzi kunopera, kunogona kuunza kusagadzikana kwakasiyana-siyana kwemuviri kumukadzi. Chinonyanya kuitika pane izvi kudikitira kamwe kamwe uye kupisa kwakanyanya. Dambudziko iri rinogona kushungurudza vamwe zvekuti havakwanise kuita mabasa avo ezuva nezuva. Saka, nhasi tiri kutaura nezvemushonga wakakosha unonyorerwa navanachiremba kudzora zviratidzo izvi. Iroro ipiritsi remahormone rinonzi Synthetic Conjugated Estrogens.
Mushonga uyu unonzi estrogen chii chaizvo?
Zvichitaurwa zviri nyore, uyu mushonga wekugadzira wakafanana nehomoni yeestrogen inogadzirwa mumuviri wechikadzi. Panguva yekuenda kumwedzi, huwandu hweestrogen mumuviri hunoderera. Mushonga uyu unoshanda nekudzoreredza huwandu hwehormone huri kudzikira kusvika pamwero wakati uye kuderedza kusagadzikana kunokonzerwa nawo, kunyanya kupisa . Tinoudaidzawo kuti Hormone Replacement Therapy (HRT) .
Kuwedzera kune chikonzero chikuru ichi, chiremba wako anogonawo kunyora mushonga uyu kune zvimwe zvirwere.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu
Usati watanga kutora mushonga uyu, zvakakosha kuzivisa chiremba wako nezvenhoroondo yako yese yehutano. Mushonga uyu ungasakodzera vanhu vane mamwe matambudziko ehutano. Iva nechokwadi chekuudza chiremba wako kana uine chimwe chezvinotevera:
Kenza nenjodzi dzayo
- Kana wakambova nekenza yemazamu, cervix, endometrium, ovaries, chiropa, kana chibereko.
- Kana mumwe munhu mumhuri, kunyanya amai kana hanzvadzi, akamborwara nekenza yemazamu.
Matambudziko ane chekuita nemoyo, mitsipa yeropa, uye kuumbwa kweropa
- Kana uine BP yakakwira.
- Kana uine chirwere chemwoyo kana kuti wakamborwara nemoyo munguva pfupi yapfuura.
- Kana wakambova nestroke kare.
- Kana uine chirwere chetsinga dzeropa, kana kuti ropa rakagwamba mumakumbo kana mumapapu.
- Kana huwandu hwecholesterol muropa hwakakwira.
Mamwe matambudziko ehutano
- Kana uine kubuda ropa kusingawanzoitiki kwechikadzi pasina chikonzero chinozivikanwa.
- Kana uine chirwere cheshuga.
- Kana uine chirwere chechiropa kana cheitsvo.
- Kana uine chirwere chenduru.
- Kana uine zvirwere zvechibereko zvakaita se endometriosis kana fibroids .
- Kurwadziwa nemusoro, kureva kuti, kana uine migraine .
- Kana huwandu hwecalcium muropa hwakakwira.
- Kana uine zvirwere zvepfungwa zvakaita sekuora mwoyo.
- Kana uine dementia kana kuti uri panjodzi yekuibata.
- Kana uri munhu anoputa fodya (izvi zvakakosha zvikuru).
- Kana uri kuedza kubata pamuviri, une pamuviri, kana kuti uri amai vanoyamwisa.
- Kana uine allergies kune piritsi iri re estrogen kana chero imwe mishonga, chikafu, kana dhayi.
Ndinofanira kushandisa mushonga uyu sei?
Zvakakosha zvikuru kutora mushonga uyu sezvakarairwa nachiremba, muchiyero chakakodzera.
- Medza piritsi iri negirazi remvura.
- Iva netsika yekunwa mishonga yako panguva imwe chete zuva nezuva. Nenzira iyi, hauzokanganwi uye zvichave nyore kuchengetedza huwandu hwemahormone emuviri wako hwakafanana.
- Usatore zvinopfuura zvakanyorerwa nachiremba, kana kuti utore kakawanda.
- Nguva dzose verenga zviri mupakeji yemurwere nokungwarira paunenge uchitora mushonga wako.
- Kana ukarasikirwa nedosi, inwa nekukurumidza sezvaunoyeuka. Zvisinei, kana yava nguva yekuti utore dosi rinotevera, svetuka dosi rausina kutora wotora dosi rinotevera panguva yakatarwa. Usambofa watora dosi mbiri panguva imwe chete.
Yambiro: Mushonga uyu wakanyorerwa iwe chete. Usape mushonga uyu kune mumwe munhu ane zviratidzo zvakafanana nezvako.
Kupfuura mwero wemushonga
Kana ukatora mushonga uyu wakawandisa netsaona, fonera National Poisons Information Centre kuColombo National Hospital nekukasika. Kana kuti enda kuEmergency Department (ETU) yechipatara chiri pedyo.
Chenjerera zvinhu izvi paunenge uchitora mushonga.
Zvakakosha kugara uchitarisa hutano hwako paunenge uchishandisa mushonga uyu.
- Kuongororwa nachiremba nguva dzose: Enda kunoongororwa nachiremba nguva dzose sezvakarairwa nachiremba wako. Taura nachiremba wako nezvekuti unofanira kuongororwa mammogram uye kangani, pamwe nekuongororwa zamu, kuongororwa kwechiuno, uye Pap smear.
- Dzivisa kusvuta: Izvi zvakakosha zvikuru. Kana ukasvuta uchitora mushonga uyu, njodzi yako yekugwamba kweropa uye sitiroko inowedzera zvakanyanya. Njodzi iyi inonyanya kukwira kana uine makore anopfuura makumi matatu nemashanu ekuberekwa .
- Kuchengetwa kwemvura: Mushonga uyu dzimwe nguva unogona kukonzera kuchengetwa kwemvura, kuzvimba mumaoko, tsoka, kana muzvitsitsinho. Unogonawo kuwedzera BP. Udza chiremba wako kana ukasangana nekuchinja uku.
- Kukora kwemadziro echibereko:Kana ukatora mapiritsi eestrogen chete kwenguva yakareba, pane njodzi yekuti jira rechibereko (endometrium) richakora zvakanyanya uye pakupedzisira rinoshanduka kuita kenza (endometrial hyperplasia). Kuti udzivise izvi, kunze kwekunge chibereko chako chabviswa nekuvhiyiwa (hysterectomy), chiremba wako angangokupa rimwe hormone rinonzi progestin pamwe chete nemapiritsi ako eestrogen. Chiremba wako achakutsanangurira izvi zvakadzama.
- Kusagadzikana kwemaziso: Mushonga uyu unogona kukonzera maziso akaoma uye kusaona zvakanaka. Kana ukapfeka ma contact lenses, unogona kunzwa kusagadzikana. Madonhwe emaziso anozorwa anogona kushandiswa kana zvichidikanwa. Kana dambudziko rikaramba riripo, ona chiremba wako.
- Usati wavhiyiwa: Kana uchizovhiyiwa, taura nachiremba wako nguva isati yasvika uye bvunza kana uchida kurega kutora mushonga uyu kwenguva pfupi.
Migumisiro inogona kuitika yemushonga
Kufanana nemushonga upi zvawo, uyu unogona kukonzera mimwe migumisiro yakaipa. Tafura iri pazasi inoratidza zvakajeka.
| Mhedzisiro yedivi | Tsananguro uye zvekuita |
|---|---|
| Migumisiro yakakomba inoda kuudzwa chiremba wako nekukurumidza kana kuenda kuchipatara | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo kana rurimi. |
| Kurwadziwa pachipfuva, kuoma kufema | Izvi zvinogona kuva chiratidzo chechirwere chemwoyo kana kuti ropa rakagwamba mumapapu. |
| Zviratidzo zvestroke | Kushaya simba kune rumwe rutivi rwechiso, ruoko, kana gumbo, kushaya simba, kuoma kutaura, kuvhiringidzika, kuoma kufamba, dzungu. |
| Zviratidzo zvekugwamba kweropa | Kurwadziwa, kuzvimba, kutsvuka, uye kudziya kwegumbo. |
| Matambudziko echiropa | Kutsvuka kwemaziso kana ganda, weti yakasviba, tsvina yakachenuruka, kurwadziwa kumusoro kwedumbu kurudyi, kuda kurutsa. |
| Zvimwe zviratidzo zvakakomba | Kubuda ropa kusingawanzoitiki, mapundu kana shanduko mumazamu, kubuda ropa kubva mumazamu, musoro wakakomba, kuchinja kwekuona. |
| Migumisiro isingawanzove yakakomba, asi inofanira kutaurwa kuna chiremba wako kana ikaramba iripo: | |
| Zvipingamupinyi zvidiki | Kudonha kwebvudzi, kuwedzera nzara kana nyota, kuita weti nguva nenguva, hutachiona hwepanhengo yemukadzi (kuvaviwa, kubuda ropa zvisina kujairika), kunzwa kuneta zvisina kujairika. |
Zvimwe zvinhu zvinogona kupindirana nemushonga uyu
Unofanirawo kuudza chiremba wako nezve mimwe mishonga, mishonga yemiti, kana zvimwe zvinovaka muviri zvauri kutora. Mimwe mishonga inogona kukanganisa mushonga uyu weestrogen. Kunyanya, mishonga yakaita searomatase inhibitors yekenza haifanirwe kutorwa pamwe chete nemushonga uyu. Zvakare, mimwe mishonga yepfari, hutachiona hwefungus, mimwe mishonga inorwisa mabhakitiriya, uye kunyange muto wegrapefruit inogona kukanganisa mashandiro emushonga uyu.
Mharidzo Yekuenda Nayo Kumba
- Mushonga uyu mushonga wemahormone wekurapa kusagadzikana kwekuenda kumwedzi. Unofanira kushandiswa chete pasi pekutarisirwa kwachiremba.
- Usati watanga mushonga, udza chiremba wako nezvezvirwere zvako zvese pamwe chete nemimwe mishonga yauri kutora.
- Usaputa fodya zvachose paunenge uchitora mushonga uyu. Unowedzera zvakanyanya njodzi yekugwamba kweropa uye sitiroko.
- Usambofa wakarega kuongororwa kwemazamu nemazino ako nguva dzose sezvawakanyorerwa nachiremba.
- Kana ukaona chimwe chinhu chakadai sekubuda ropa kusingawanzoitiki muchizvaro, kurwadziwa pachipfuva, kuzvimba kwemakumbo, kana zviratidzo zvestroke, tsvaga rubatsiro rwechiremba nekukasika.
- Mushonga uyu ndewako chete. Usambougovana nevamwe.
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