Kungenzeka ukuthi uke walwa nomdlavuza webele futhi manje uthatha imithi udokotela wakho ayinikezile ukuze awuvimbele ukuthi ungabuyi. Le mithi ibaluleke kakhulu ekunciphiseni ingozi yokuthi umdlavuza uphinde ubuye. Kodwa ngezinye izikhathi ingaba nemiphumela emibi emincane. Njengoba lokhu kwelashwa kuvame ukuhlala isikhathi eside, njengeminyaka emi-5, ngezinye izikhathi engu-7-10, kubalulekile ukuqaphela le miphumela emibi.
Kungani kunikezwa lokhu kwelashwa kwama-hormone?
Kalula nje, izinhlobo ezimbili kwezintathu zomdlavuza webele ziyakhula ngenxa yama-hormone i-estrogen ne-progesterone emizimbeni yethu. Lawa abizwa ngokuthi umdlavuza "one-hormone". Ukwelashwa ngama-hormone kusebenza ngokuvimbela la ma-hormone ukuthi angafinyeleli kumaseli omdlavuza.
Kusetshenziswa izinhlobo ezimbili eziyinhloko zemithi kulokhu.
| Uhlobo lwesidakamizwa | Ukusebenza kahle | Ubani ovame ukutshelwa yona? |
|---|---|---|
| I-Tamoxifen | Lokhu kuvimbela i-hormone ye-estrogen ukuthi ingangeni esitokisini somdlavuza. Kufana nokuvala ithangi likaphethiloli lemoto. Ngisho noma kukhona uphethiloli, imoto ngeke iqale. | Kwabesifazane abangakaze badlule esikhathini sokunqamuka kokuya esikhathini. |
| Ama-Inhibitors e-Aromatase Isibonelo: i-Anastrozole, i-Exemestane, i-Letrozole | Le mithi inciphisa amazinga e-estrogen emzimbeni wonke, okusho ukuthi inciphisa inani likaphethiloli elidingwa umdlavuza. | Kwabesifazane asebedlule esikhathini sokunqamuka kokuya esikhathini. |
Into ebalulekile ukuthi lezi zindlela zokwelapha ziyasiza ngempela ekusindiseni izimpilo, ngakho-ke kubalulekile ukulawula imiphumela emibi nokuqhubeka nokwelashwa uma kwenzeka.
Yimiphi imiphumela emibi evame kakhulu futhi yini engenziwa ngayo?
Iningi labantu alibi nemiphumela emibi emibi esongela impilo. Kodwa-ke, kungase kube nokungakhululeki okuncane. Uma uhlangabezana nanoma yikuphi kwalokhu, qiniseka ukuthi utshela udokotela wakho .
Ukushisa okukhulu kanye nokujuluka ebusuku
Lokhu kuvamile kwabesifazane ngesikhathi sokunqamuka kokuya esikhathini. Zombili lezi zindlela zokwelapha ngama-hormone zingabangela lesi simo.
Yini engenziwa?
- Okokuqala, ungazama ukwenza izinguquko ezincane endleleni yokuphila. Gcina ikamelo lakho lokulala lipholile kancane , bese ufaka ifeni.
- Uma ugqoka , gqoka izembatho eziningana ongazikhumula uma kudingeka, kunokugqoka isembatho esisodwa esikhulu ngesikhathi.
- Gcina ibhodlela lamanzi abandayo eduze kombhede wakho. Abanye abantu bathanda nokugcina iphakethe leqhwa ngaphansi komcamelo wabo.
- Abanye abantu bathola impumuzo nge -acupuncture .
Uma lezi zinto zingasizi futhi usazizwa ungakhululekile, udokotela wakho angase akunike imithi. Eminye imithi yokucindezeleka (njenge-SSRIs, i-SNRIs) kanye nemithi efana ne-Gabapentin ingasiza. Kodwa-ke, eminye imithi ingaphazamisa impumelelo yokwelashwa kwakho komdlavuza, ngakho-ke kubalulekile ukuxoxa nodokotela wakho ngemithi engcono kakhulu.
Ingabe isitho sakho sangasese sowesifazane sizwakala somile? (Ukoma kwesitho sangasese sowesifazane)
Lesi esinye isimo esivamile esibangelwa ukwehla kwamazinga e-estrogen emzimbeni.
Yini engenziwa?
- Kukhona izinto zokugcoba zesitho sangasese sowesifazane kanye nezinto zokugcoba ezitholakala emakhemisi.
- Uma lokhu kunganikezi impumuzo, udokotela wakho angase akunikeze ukhilimu we-estrogen osebenza kuphela ezicutshini zesitho sangasese sowesifazane futhi ongamuncwa umzimba. Kodwa-ke , kufanele uxoxe nodokotela wakho ukuthi lokhu kulungile yini kuwe nokuthi yiziphi izingozi nezinzuzo.
Ukushintshashintsha kwemizwa, ukucindezeleka, nezinkinga zokulala
Abanye abantu bangase babe nokushintshashintsha kwemizwelo, ukukhathazeka, ukucindezeleka, kanye nezinkinga zokulala ngenkathi bethatha lokwelashwa.
Yini engenziwa?
- Uma uzizwa ngale ndlela, ungakufihli. Ukucindezeleka kuyisimo sezokwelapha. Kunezindlela zokwelapha eziphumelelayo, njengemithi kanye nokwelashwa kwengqondo .
- Izinto ezifana nokuzindla, ukuzivocavoca njenge-tai chi, kanye nokwelashwa kokuziphatha kwengqondo (i-CBT) kungaba usizo kakhulu ekuthuliseni ingqondo.
Ubuhlungu Nokungakhululeki Kwamalunga
Ubuhlungu bamalunga obubangelwa yilokhu kwelashwa ngama-hormone bungase bunganciphisi ama-painkiller njenge-paracetamol ne-ibuprofen esivame ukuyisebenzisa ekwelapheni i-arthritis.
Yini engenziwa?
- Kunobufakazi bokuthi i-acupuncture ingaqeda lobu buhlungu.
- Ukuzivocavoca njalo akugcini nje ngokunciphisa ubuhlungu bamalunga, kodwa futhi kukusiza ukuthi ulale kahle ebusuku.
Ezinye izinto okufanele uzicabangele
Ukulahlekelwa amathambo
Lokhu kungumphumela ongemuhle ongenzeka ikakhulukazi kubantu abathatha izivimbeli ze-aromatase, ngoba le mithi yehlisa amazinga e-estrogen emzimbeni wonke. Ngokuhamba kwesikhathi, ubuningi bamathambo bungancipha kancane kancane, okungenzeka kuholele esimweni esibizwa ngokuthi i-osteoporosis.
Yini engenziwa?
- Kubalulekile ukuthatha isithasiselo sevithamini D nokuzibandakanya ekuzilolongeni ukuze uqinise amathambo.
- Udokotela wakho uzokuthumela ukuhlolwa kokuqina kwamathambo (i-bone scan) ngezikhathi ezithile.
- Uma izimpawu zokuqala zokuncipha kwamathambo (i-osteopenia) ziqala ukubonakala, udokotela wakho angase akunikeze imithi efana ne-bisphosphonates, elawula ukulahleka kwamathambo.
Izingozi ezinkulu kodwa ezingavamile
Kunengozi encane kakhulu yokuqhekeka kwegazi kubantu abasebenzisa i-tamoxifen. Uma unomlando wokuqhekeka kwegazi noma uma othile emndenini wakho eke waba nalo, kufanele utshele udokotela wakho ngaphambi kokuthatha lo muthi.
Futhi, kunengozi encane kakhulu yomdlavuza wesibeletho kwabesifazane asebekhulile abathatha i-tamoxifen. Yingakho izivimbeli ze-aromatase zivame ukunikezwa abesifazane baleyo minyaka.
Ingabe ukushintsha imithi kuzoletha impumuzo?
Yebo. Ngezinye izikhathi, uma imiphumela emibi yomuthi owodwa inzima, ukushintshela komunye kunganikeza impumuzo. Isibonelo, kunezinhlobo ezintathu ze-aromatase inhibitors. Ngenxa yokuthi zinomehluko omncane endleleni ezisebenza ngayo, umuntu ongasabeli kahle kolunye uhlobo angase akwazi ukubekezelela olunye.
Kodwa lesi sinqumo akusona esenziwa nguwe wedwa. Khuluma nodokotela wakho nganoma yikuphi ukungakhululeki obhekene nakho, futhi uzonquma ukushintsha imithi yakho uma kudingeka.
Kungakhathaliseki ukuthi kwenzekani, ungalokothi uyeke ukuthatha imithi yakho ngaphandle kokukhuluma nodokotela wakho. Imitholampilo yomdlavuza inezindlela eziningi zokukusiza ukuthi uphathe le miphumela emibi. Uma uyeka ukuthatha imithi yakho wedwa, ungase wandise ingozi yokuthi umdlavuza wakho uphinde ubuye. Ngakho-ke khuluma nodokotela wakho ngokukhululekile ngaso sonke isikhathi.
Umlayezo Wokuya Nawe Ekhaya
- Ukwelashwa ngama-hormone omdlavuza webele kuyindlela yokwelapha ephumelela kakhulu evimbela umdlavuza ukuthi ungabuyi futhi isindise izimpilo.
- Imiphumela emibi ivamile, ngokuvamile ayibi mibi kakhulu, futhi ingalawulwa.
- Uma uzizwa ungakhululekile, khuluma nodokotela wakho ngakho ngokukhululekile. Kunezixazululo zalokho.
- Ukushintsha indlela yokuphila elula (ukuzivocavoca umzimba, ukudla, ukuhlala endaweni epholile) kunganciphisa imiphumela eminingi emibi.
- Ungayeki ukuthatha ukwelashwa ngama-hormone nganoma yisiphi isizathu ngaphandle kweseluleko sikadokotela. Kuyingozi kakhulu.
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