Ngaba unengxaki yokwenza imisebenzi yakho yemihla ngemihla ngenxa yokopha kakhulu exesheni okubangelwa zii-fibroids zesibeleko? Okanye ukhathazwa ziintlungu ezinganyamezelekiyo ezibangelwa yi-endometriosis? Namhlanje sithetha ngamayeza akhethekileyo acetyiswa ngoogqirha ukunyanga ezi meko. Igama lophawu lwale nto yiMyfembree.
Iqulethe ntoni le pilisi?
Oku kukudibanisa amayeza amathathu. Oko kuthetha ukuba kukho izithako ezintathu eziphambili kwipilisi enye. Masibone ukuba ziyintoni kwaye zenzani.
1. I-Relugolix: Ngamafutshane, oku kusebenza ngokunciphisa ukuveliswa kweehomoni ezithile emzimbeni wakho, njenge-estrogen. Xa la manqanaba eehomoni enciphile, ukopha okukhulu kunye nentlungu ziyalawulwa.
2. I-Estradiol: Njengoko kukhankanyiwe apha ngasentla, iRelugolix iyanciphisa i-estrogen hormone, enokubangela ukulahleka kwamathambo ngokuhamba kwexesha. I-hormone i-Estradiol yongezwa koku ukunciphisa loo mngcipheko.
3. I-Norethindrone: Olu luhlobo lwehomoni ebizwa ngokuba yi-progestin. I-Norethindrone inceda ekunciphiseni umngcipheko omncinci wezinye iintlobo zomhlaza (umz., umhlaza wesibeleko) xa i-estradiol isetyenziswa yodwa.
Oko kuthetha ukuba, nangona eli yeza lilawula iimpawu zakho kwelinye icala, likwanciphisa nezinye iingozi ezinokuvela kuloo ndlela yokulawula.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale amayeza
Kubalulekile ukuba ugqirha wakho ayazi imbali yakho epheleleyo yempilo ngaphambi kokuba agqibe kwelokuba eli yeza likulungele na. Qiniseka ukuba uxelela ugqirha wakho ukuba unenye yezi meko zidweliswe ngezantsi.
| Ngaba unazo ezi meko? | Kutheni ufanele uxelele? |
|---|---|
| Imbali yokuqhekeka kwegazi okanye isifo sohlangothi. | Eli yeza linokunyusa kancinci umngcipheko wokuqhekeka kwegazi. |
| Umhlaza oxhomekeke kwiihomoni ezifana nomhlaza wamabele, wesibeleko, kunye nomhlaza wesibeleko. | Iihomoni ezikuleli yeza zinokuchaphazela ezinye izifo zomhlaza. |
| Isifo sentliziyo, uxinzelelo lwegazi oluphezulu, i-cholesterol ephezulu. | Eli yeza lifanele lisetyenziswe ngononophelo kubantu abanesifo sentliziyo esibangwa zizifo. |
| Isifo seswekile, isifo sesibindi okanye sezintso. | Ezi meko zinokuchaphazela indlela ekhutshwa ngayo iyeza emzimbeni. |
| Intloko ebuhlungu, iingxaki zempilo yengqondo (ukudandatheka, iingcinga zokuzibulala). | Utshintsho lweehomoni lunokuchaphazela ezi meko, ngoko ke kufuneka kuqatshelwe. |
| Ukutshaya (ingakumbi ukuba uneminyaka engaphezu kwama-35 ubudala). | Ukutshaya, xa kudityaniswe nale mithi, kwandisa kakhulu umngcipheko wokuqhekeka kwegazi kunye nesifo sohlangothi. |
| Ukopha kwamalungu esini okungaziwayo. | Unobangela wokopha kufuneka uchongwe ngokuchanekileyo ngaphambi kokuba unyango luqale. |
| Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa. | Eli yeza alikhuthazwa ukuba lisetyenziswe ngexesha lokukhulelwa. Linokulimaza umntwana. |
Ndingayisebenzisa njani le yeza?
Sela eli yeza kanye njengoko ugqirha wakho ekuxelela. Ngokwesiqhelo, kufuneka usele ithebhulethi enye ngosuku, ngexesha elifanayo yonke imihla, ngamanzi. Akunamsebenzi nokuba ulisela ngaphambi okanye emva kokutya. Nangona kunjalo, ukuba uziva isisu sibuhlungu, kungcono ukulisela kunye nokutya. Qhubeka ulisela de ugqirha wakho akuxelele ukuba uyeke.
Xa ufumana eli yeza kwikhemesti, uza kufumana incwadana yolwazi ekhethekileyo (iMedGuide) kunye nalo. Ungalibali ukulifunda ngononophelo ngalo lonke ixesha. Liqulethe ulwazi olubalulekileyo.
Kuthekani ukuba ndiphoswa lidosi leyeza?
Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kuza kufuneka uthathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Musa ukuthatha iipilisi ezimbini ngaxeshanye nangasiphi na isizathu.
Wenza ntoni ukuba usela kakhulu?
Ukuba ucinga ukuba uthathe amayeza amaninzi kunokuba ubucinga, nokuba ngempazamo, fowunela iZiko loLwazi lweePoisons kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko, okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Amanye amayeza anokusebenza kunye nale mayeza
Xa usebenzisa eli yeza, kunokubakho unxibelelwano phakathi kwamanye amayeza owasebenzisayo. Kungoko ke, kubaluleke kakhulu ukuxelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo, kuquka iivithamini kunye namayeza esintu.
| Amayeza angafanele asetyenziswe kunye nala mayeza (Musa ukuwasebenzisa kunye nawo) | |
|---|---|
| Izithinteli zeAromatase | Umzekelo: i-anastrozole, i-letrozole |
| I-Elagolix, iCisapride, iDronedarone | Ukuthatha ezi zinto kunye kunokubangela iingxaki ezinkulu. |
| Ezinye izinto ezinokusebenzisana nazo | |
| Amanye amayeza okubulala iintsholongwane | Umzekelo: i-erythromycin, i-clarithromycin |
| Amanye amayeza e-HIV okanye i-Hepatitis | |
| Amayeza okuxhuzula | Umzekelo: i-carbamazepine, i-phenytoin |
| Ijusi yegrapefruit | |
| I-St. John's Wort (isongezo semifuno) | |
| Izinto zokunciphisa igazi (umz. iWarfarin) | |
Kubalulekile: Olu luhlu aluphelelanga. Ngoko ke xelela ugqirha wakho malunga namayeza owasebenzisayo.
Izinto ekufuneka uzikhumbule xa usebenzisa amayeza
- Ukuhlolwa rhoqo: Ugqirha wakho kufuneka akujonge rhoqo ukuze ajonge ukuba unjani na. Kufuneka uhlolwe amabele kunye ne-pelvic rhoqo.
- Utshintsho kumjikelo wakho wokuya exesheni: Ngelixa usela eli yeza, umjikelo wakho wokuya exesheni usenokuba ngongaqhelekanga, ubungakanani bokopha bunokutshintsha, okanye ungayeka ukuya exesheni ngokupheleleyo. Oku kuqhelekile.
- Kuphephe ukukhulelwa: Kufuneka ukuphephe ukukhulelwa ngelixa usebenzisa eli yeza. Oku kunokubangela ingozi enkulu kumntwana ongekazalwa. Ngoko ke, kubalulekile ukusebenzisa indlela yokuthintela ukukhulelwa, njengekhondom. Qhubeka usebenzisa le ndlela yokuthintela ukukhulelwa nokuba yiveki emva kokuyeka ukusebenzisa eli yeza.
- Ukutshaya kunye nomngcipheko: Ukuba utshaya, ingakumbi ukuba ungaphezulu kweminyaka engama-35, umngcipheko wakho wokuqhekeka kwegazi kunye nesifo sohlangothi uphezulu kakhulu ngelixa usebenzisa eli yeza. Ke ngoko, kungcono ukukuphepha ngokupheleleyo ukutshaya ngelixa usebenzisa olu nyango.
- Impilo yamathambo: Ukusetyenziswa kwale mithi ixesha elide kunokubangela ukwehla koxinano lwamathambo. Ngoko ke, kubalulekile ukutya ukutya okutyebileyo kwi-calcium kunye ne-vitamin D kwaye uthethe nogqirha wakho malunga nempilo yamathambo.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengayo nayiphi na iyeza, eli linokuba nemiphumo emibi. Eminye iyingozi, eminye ixhaphakile.
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha ngoko nangoko | |
|---|---|
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi, ubunzima bokuphefumla. |
| Iimpawu zehlwili legazi | Intlungu yomlenze, ukudumba, ubushushu, ubunzima bokuphefumla, intlungu yesifuba. |
| Iimpawu zestroke | Ukuba ndindisholo okanye ubuthathaka ebusweni, engalweni, okanye emlenzeni, ubunzima bokuthetha, ubunzima bokuhamba, intloko ebuhlungu kakhulu. |
| Iimpawu zomonakalo wesibindi | Intlungu kwicala eliphezulu lasekunene lesisu, ukuphelelwa ngumdla wokutya, ukutyheli kolusu okanye amehlo, umchamo omnyama. |
| Utshintsho lwengqondo | Ukwanda koxinzelelo, iingcinga zokuzibulala. |
| Ukuba iyaqhubeka okanye iyakhathaza, xelela ugqirha wakho. | |
| Ubushushu obugqithisileyo | Intloko ebuhlungu, isiyezi, ukudinwa. |
| Ukulahleka kweenwele | Utshintsho kwiminqweno yesondo. |
Umyalezo Wokuya Ekhaya
- Eli yeza lonyango olukhethekileyo lwehomoni lokopha kakhulu okubangelwa zii-fibroids zesibeleko kunye nentlungu ye-endometriosis.
- Ngaphambi kokuba uqale amayeza, qiniseka ukuba uxelela ugqirha wakho ngazo zonke iimeko zakho zempilo kunye namanye amayeza owasebenzisayo.
- Sela ipilisi ngexesha elifanayo yonke imihla. Ukuba uphoswe yidosi, ungaze uthathe iipilisi ezimbini ngexesha elinye.
- Ukutshaya ngelixa usebenzisa eli yeza kwandisa kakhulu umngcipheko wokuqhekeka kwegazi kunye nesifo sohlangothi.
- Kuphephe ukukhulelwa ngexesha lonyango. Thetha nogqirha wakho malunga nolawulo lokuzala olufanelekileyo.
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinzulu ezifana neentlungu zesifuba, ubunzima bokuphefumla, okanye ubunzima bokuthetha, funa ingcebiso kagqirha ngokukhawuleza.
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