Ngaba nawe uhlangabezana nezi ngxaki emva kokuya exesheni? Yiza, masithethe nge-(Estradiol; Levonorgestrel) patch!

Ukuya exesheni yinto eqhelekileyo ebomini bomfazi, kodwa ezinye zeengxaki ezihambisana nako zinokuba nzima ukuzinyamezela, akunjalo? Iimpawu ezifana nobushushu obukhawulezileyo, ukubila, kunye "nobushushu obugqithisileyo" ngamanye amaxesha zinokungalawuleki. Awukwazi ukulala ebusuku, kwaye kufuneka uhlale udiniwe imini yonke. Akupheleli apho, ungaziva ungaphumli kwaye ucaphukile. Ekuhambeni kwexesha, amathambo akho anokuba buthathaka kwaye aphuke lula, nto leyo enokukhokelela kwisifo esibizwa ngokuba yi-"Osteoporosis". Ngoko ke, elinye iyeza onokulisebenzisa ukukunceda ngexesha elinje yi-"(Estradiol; Levonorgestrel)`` patch. Makhe sithethe ngale nto ngokweenkcukacha namhlanje, kulungile?

Yintoni le patch ethi `(Estradiol; Levonorgestrel)`? Yintoni eyenzayo?

Ngamafutshane, le yindawana encinci oyincamathisela eluswini lwakho. Iqulethe iintlobo ezimbini zeehomoni ezibizwa ngokuba yi-`(Estradiol)` kunye ne-`(Levonorgestrel)`. Ubusazi ukuba xa umntu eyeka ukuya exesheni, amanqanaba eehomoni ezibizwa ngokuba yi-`(Estrogen)` kunye ne-`(Progestin)` emzimbeni wethu ayancipha. Le ndawana inceda ukubuyisela loo manqanaba eehomoni anciphayo kwinqanaba elithile.

Ngoko ke kuza kuba yintoni na inzuzo yoku?

• Inciphisa ubushushu: Le yenye yeengxaki eziphambili ezibangelwa kukuyeka ukuya exesheni. Le patch inceda ekunciphiseni oku kungakhululeki kunye nokuvela kwayo rhoqo.
• Inceda ekuthinteleni i-osteoporosis: Emva kokuya exesheni, amathambo anokuba buthathaka. Le patch ikwanceda ekuthinteleni.

Oku kudla ngokuba phantsi kwegama lophawu elithi `(Climara Pro)`. Nangona kunjalo, oku akusebenzi kuwo wonke umntu. Ke ngoko, kungcono ukuthetha nogqirha ukuze ufumane ukuba oku kukulungele na.

Zeziphi izinto ekufuneka ndizixelele ugqirha ngaphambi kokuba ndisebenzise eli yeza?

Ngaphambi kokuba uqale ukusebenzisa le patch, kukho ezinye iimeko zempilo ekufuneka uxelele ugqirha wakho ngazo. Kuba, kunokuba yingozi kumntu onezi meko ukusebenzisa le patch. Cinga nje, ukuba unayo nayiphi na kwezi zinto, ungalibali ukuxelela ugqirha wakho ngayo, kulungile?

• Ukuba unesifo semithambo yegazi okanye imbali yeengxaki ezifana ne-thrombosis/amahlwili egazi.
• Ukuba unomhlaza webele, wesibeleko, i-endometrium, okanye isibeleko okanye ukhe waba nawo.
• Ukuba unesifo seswekile (iDiabetes Mellitus).
• Ukuba unesifo esithi `Endometriosis` (izicubu zesibeleko ezikhula ngaphandle kwesibeleko).
• Ukuba kukho izimila ezifana ne-``(Fibroids)`` esibelekweni .
• Ukuba unesifo senyongo.
• Ukuba unesifo sentliziyo okanye usandul’ ukuba nesifo sentliziyo.
• Ukuba inqanaba le-cholesterol egazini liphezulu kakhulu.
• Ukuba une-high blood pressure.
• Ukuba inqanaba le-calcium egazini liphezulu kakhulu.
• Ukuba ukhe wakhutshwa isisu (kufuneka uxoxe nogqirha wakho ngale nto, njengoko unyango lweehomoni lunokutshintsha ngamanye amaxesha).
• Ukuba unesifo sezintso.
• Ukuba unesifo sesibindi.
• Ukuba unesifo sengqondo esixhalabisayo.
• Ukuba unentloko ebuhlungu ye-migraine.
• Ukuba unesifo segazi esingaqhelekanga esibizwa ngokuba yi-'Porphyria'.
• Ukuba ukhe waba nesifo esifana nesifo sohlangothi ngaphambili.
• Ukuba unesifo senkqubo yomzimba yokuzikhusela esifana ne-'Systemic lupus erythematosus (SLE)'.
• Ukuba ungumntu otshaya icuba.
• Ukopha kwamalungu esini kwenzeka ngaphandle kwesizathu.
• Ukuba une-allergy kwi-estrogen, ii-hormone ze-progestin, amanye amayeza, ukutya, iidayi, okanye izithinteli.
• Ukuba ukhulelwe okanye uzama ukukhulelwa.
• Ukuba uncancisa umntwana.

Olu luhlu lude kancinci, kodwa ngenxa yokhuseleko lwakho, kubaluleke kakhulu ukuxoxa ngako konke oku nogqirha wakho.

Uyisebenzisa njani kanye kanye le patch?

Oku kulula kakhulu, kodwa kanye kanye oko kufuneka kwenziwe.

1. Khwebula ngononophelo ipakethi equlethe ipakethi. Musa ukusebenzisa nantoni na efana nesikere, kuba oku kungayinqumla ipakethi.

2. Susa i-liner eqinileyo yokukhusela kwicala elinamathelayo le-patch. Zama ukuphepha ukuchukumisa icala elinamathelayo kangangoko kunokwenzeka.

3. Faka ipetshi, icala elinamathelayo lijonge eluswini, ukuze ulusu olucocekileyo, olomileyo nolungenaboya lucoceke. Ngokwesiqhelo, isisu esisezantsi kunye neempundu zezona ndawo zilungileyo zokufaka ipetshi.

4. Musa ukuyifaka kwiindawo ezineenxeba, ulusu oluphukileyo, amanxeba, okanye ulusu olurhabaxa.

5. Musa ukuthambisa emabeleni okanye esinqeni.

6. Xa ufaka i-patch ngalo lonke ixesha, ungayifaki kwindawo efanayo naleyo yakuqala. Yifake kwindawo eyahlukileyo kancinci. Oku kuya kunceda ekunciphiseni ukurhawuzelelwa lusu.

7. Musa ukusika okanye ukwahlulahlula isiqwenga.

8. Musa ukuyeka ukuyisebenzisa ngaphandle kokuthetha nogqirha wakho.

9. Ngaphandle kokuba ugqirha wakho ekuyalele, musa ukufaka iipatch ezingaphezu kwesinye ngexesha.

Xa unikwa eli yeza kwaye xa ulifumana kwakhona, uza kunikwa iphepha elithi "refill" ukuze ulifunde. Linolwazi oluthe kratya malunga neli yeza. Ungalibali ukulifunda ngononophelo ngalo lonke ixesha. Kuba ulwazi olukulo ngamanye amaxesha lunokutshintsha.

Ngokuphathelele ukusetyenziswa kwale mithi kubantwana abancinci, kufuneka ucele ingcebiso ekhethekileyo kugqirha wakho.

Wenza ntoni ukuba ngempazamo ulibele ukufaka ipetshi?

Owu, inokwenzeka loo nto. Ukuba ulibele ukufaka ipetshi, ungayifaka kwangoko nje ukuba uyakhumbula.Nangona kunjalo, ukuba sele kuza kufuneka ipetshi elandelayo, musa ukuyibeka elibalekileyo, kodwa yifake ipetshi elandelayo ngexesha elicwangcisiweyo. Ungaze ufake iipetshi ezimbini okanye ezingaphezulu ngaxeshanye.

Ngaba kukho amanye amayeza anokusebenzisana nale patch?

Ewe, zikho. Amanye amayeza anokubangela iingxaki xa esetyenziswa ngale patch. Ngoko ke, kufuneka uxelele ugqirha wakho ngawo onke amayeza owasebenzisayo, kuquka amayeza kagqirha, amayeza athengiswa ngaphandle kwemvume kagqirha, amayeza esintu, iivithamini, kunye nezongezo zokutya.

Musa ukusebenzisa le patch kunye namayeza alandelayo:

• Ii-Aromatase inhibitors (imizekelo: i-aminoglutethimide, i-anastrozole, i-exemestane, i-letrozole, i-testolactone). La ngamayeza asetyenziselwa ukunyanga ezinye iintlobo zomhlaza.

Ezinye izinto ezinokungqubana nale patch zezi:

• Ezinye iipilisi zokulala, ezifana neebarbiturates (umz. i-phenobarbital).
• `Carbamazepine` (iyeza lokuxhuzula).
• Ii-antibiotics ezinikwayo kwiintsholongwane ezithile.
• Ijusi yegrapefruit.
• Amayeza osulelo lwefungus (umz. `itraconazole`, `ketoconazole`).
• `Raloxifene` okanye `tamoxifen` (ikwaliyeza elinikwa ezinye iintlobo zomhlaza wamabele).
• `Rifabutin`, `rifampin`, okanye `rifapentine` (amayeza asetyenziselwa ukunyanga isifo sephepha).
• `I-Ritonavir` (iyeza losulelo lwe-HIV).
• `I-St. John's Wort` (isityalo sendabuko esisetyenziswa ngabanye ukuze baphile kakuhle engqondweni).

Olu luhlu lusenokungabandakanyi yonke into. Yiyo loo nto kubalulekile ukuxelela ugqirha wakho ngayo yonke into oyithathayo. Kwakhona, ukuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi, xelela ugqirha wakho ngayo loo nto.

Zeziphi izinto ekufuneka siziqwalasele xa sisebenzisa i-patch?

Xa usebenzisa le patch, kufuneka ukhathalele impilo yakho kancinci.

• Bona ugqirha wakho rhoqo: Ugqirha wakho kufuneka akubonise ukuba uphilile na. Kufuneka uhlolwe amabele, uhlolwe isitho sangasese sowesifazane, kwaye uhlolwe umlomo wesibeleko (kuquka ne-Pap smear) ngamaxesha athile. Kwakhona, thetha nogqirha wakho malunga nokuba kufuneka wenze kangaphi i-mammogram, kwaye wenze njalo ngokufanelekileyo.
• Lumka xa ulwelo lugcinwa: Eli yeza linokubangela ukugcinwa kwamanzi, ukudumba ezandleni, ezinyaweni nasemaqatheni. Linokunyusa uxinzelelo lwegazi. Ukuba uziva ngolu hlobo, xelela ugqirha wakho .
• Ukuba ucinga ukuba ukhulelwe: Ukuba ukrokrela kancinci ukuba ukhulelwe, yeka ukusebenzisa le patch ngoko nangoko uze ubone ugqirha wakho.
• Ngaba uyatshaya? Umngcipheko uphezulu: Ukuba utshaya ngelixa usebenzisa le patch, umngcipheko wakho wokuba negazi elijiyileyo okanye isifo sohlangothi uphezulu kakhulu. Lo mngcipheko uphezulu ngakumbi ukuba uneminyaka engaphezu kwama-35 ubudala.Ngoko ke, kungcono ukungatshayi.
• Ngaba unxiba iilensi zokunxibelelana? Ukuba unxiba iilensi zokunxibelelana, xelela ugqirha wakho ukuba ubona naluphi na utshintsho embonweni wakho okanye ukuba uziva ungakhululekanga xa unxibe iilensi zakho.
• Ngaba uyatyandwa okanye uya kwi-MRI scan? Ukuba ucwangciselwe utyando okanye i-MRI scan, kunokufuneka uyeke ukusebenzisa le patch okwethutyana. Thetha nogqirha wakho ngale nto ngaphambi kotyando.
• Ngaba ipatshi ingaphuma? Ewe, ipatshi ingaphuma xa uhlamba, udada, okanye usebenzisa i-sauna. Ukuba iyaphuma, zama ukuyiphinda uyifake. Ukuba akunjalo, faka ipatshi entsha kwenye indawo uze uqhubeke neshedyuli yakho yedosi eqhelekileyo.

Zithini iziphumo ebezingalindelekanga zale patch?

Njengayo nayiphi na iyeza, le patch inokubangela ezinye iziphumo ebezingalindelekanga. Asinguye wonke umntu ozifumanayo, kodwa kulungile ukuzazi.

Iziphumo ebezingalindelekanga ekufuneka uxelele ugqirha wakho ngazo ngoko nangoko:

Ukuba ufumana naziphi na kwezi mpawu, bona ugqirha ngokukhawuleza:

• Iimpendulo ze-allergy: Ukurhawuzelela kwesikhumba, ukurhawuzelela, amaqhuqhuva, ukudumba kobuso, imilebe, ulwimi, okanye umqala.
• Ukuqhekeka kwegazi: iintlungu zomlenze, ukudumba okanye ukufudumala, ubunzima bokuphefumla, iintlungu zesifuba.
• Utshintsho lwebele: Amaqhuma amatsha ebeleni, ukubomvu, iintlungu, okanye ukuphuma kwamanzi kwingono.
• Iingxaki zenyongo: Intlungu ebuhlungu kwicala eliphezulu lasekunene lesisu, isicaphucaphu, ukuhlanza, umkhuhlane.
• Uhlaselo lwentliziyo: Intlungu okanye ukuqina esifubeni, emagxeni, ezingalweni, okanye emhlathini, isicaphucaphu, ubunzima bokuphefumla, ukuziva ubanda okanye ubila, kunye nokuquleka.
• Ukunyuka koxinzelelo lwegazi.
• Ukulimala kwesibindi: Intlungu kwicala eliphezulu lasekunene lesisu, ukuphelelwa ngumdla wokutya, isicaphucaphu, indle ekhanyayo, umchamo otyheli okanye omdaka omnyama, ukutyheli kwamehlo okanye ulusu, kunye nokudinwa okungaqhelekanga.
• Istroke: Ukungaziva mnandi okanye ubuthathaka ngequbuliso ebusweni, engalweni, okanye emlenzeni, ubunzima bokuthetha, ukudideka, ubunzima bokuhamba, ukulahleka kokulinganisela, isiyezi, intloko ebuhlungu kakhulu, kunye notshintsho embonweni.
• Intlungu yamehlo ngequbuliso okanye utshintsho lombono: umbono ofipheleyo, ukubona ukukhanya okujikelezayo kwezibane, ukulahlekelwa ngumbono.
• Ukopha kwegazi kwisini emva kokuya exesheni, iintlungu zesinqe.

Iziphumo ebezingalindelekanga ezihlala zingeyongozi kangako, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka:

Ezi zifo zihlala ziphela emva kweentsuku ezimbalwa, kodwa ukuba ziyaqhubeka okanye zikukhathaza kakhulu, xelela ugqirha wakho :

• Umqolo obuhlungu.
• Intlungu okanye ukuthamba kwamabele.
• Intloko ebuhlungu.
• Ukucaphuka kwindawo yokufaka isicelo.
• Ukudumba kwamaqatha, izandla, okanye iinyawo.

Olu luhlu lusenokungabandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ubona nantoni na engaqhelekanga, thetha nogqirha wakho ngayo. Ungaxela neziphumo ebezingalindelekanga kwi-FDA (inombolo yefowuni: 1-800-FDA-1088).

Uligcina njani eli yeza likhuselekile?

• Gcina eli yeza kude nokufikelela ebantwaneni .
• Gcina kubushushu begumbi (phakathi kwe-15 kunye ne-30 degrees Celsius / 59 kunye ne-86 degrees Fahrenheit).
• Musa ukugcina amabala asusiweyo kwiphakheji yokukhusela.
• Musa ukusebenzisa naliphi na iyeza emva komhla wokuphelelwa.
• Iipatches ezisetyenzisiweyo mazilahlwe ngendlela efanelekileyo. Ekubeni kusenokubakho iihormones ezisele kwipatch esetyenzisiweyo, songa ipatch ibe phakathi, kunye namacala anamathelayo, uze uyilahle emgqomeni.

Umyalezo Wokugqibela Wokuya Ekhaya

Kaloku, sithethe kakhulu ngale patch ethi `(Estradiol; Levonorgestrel)`, akunjalo?

Khumbula oku: Le patch inokuba sisisombululo esihle kwezinye zeengxaki ezibangelwa kukuyeka ukuya exesheni. Nangona kunjalo, ayilungelanga wonke umntu. Kukwakho nezinto ezininzi ekufuneka uziqaphele xa uyisebenzisa.

Ngoko ke, ukuba uziva ufuna olu hlobo lonyango, qiniseka ukuba uthetha nogqirha. Ugqirha wakho uza kuyiqwalasela imeko yakho yempilo, amanye amayeza owasebenzisayo, aze akuchazele ukuba le patch ifanelekile na kuwe, zeziphi iingenelo eza kukubonelela ngazo, kunye neengozi ezinokubakho.

Ukuba unemibuzo engaphezulu malunga noku, ungathandabuzi ukubuza ugqirha wakho, ikhemisti, okanye umboneleli wezempilo. Okukhona unolwazi oluthe kratya ngempilo yakho, kokukhona unokuba sempilweni.

Ukuya exesheni, ii-hormone patches, i-estradiol, i-levonorgestrel, impilo yabasetyhini, iziphumo ebezingalindelekanga, unyango lwee-hormone