Abesifazane abaningi abaneminyaka engu-45-50 ubudala bazizwa benokushisa nokujuluka ngokuzumayo. Kwabanye, lokhu kwenzeka izikhathi eziningana ngosuku, kanti kwabanye, kubavusa ngisho nasebusuku. Lesi simo sisibiza ngokuthi 'iMenopause'. Nakuba lokhu kuyinto yemvelo, ukungakhululeki okuhambisana nakho kungaba yinto ecasulayo kancane. Ngakho-ke namuhla sikhuluma ngomuthi okhethekile odokotela abawunikezayo ukuze banciphise lokhu kungakhululeki.
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Ziyini lezi estrogen ezihlanganisiwe?
Kalula nje, lena yi-hormone yabesifazane. Lawa maphilisi aqukethe i-hormone ebizwa ngokuthi i-estrogen, ekhiqizwa ngokwemvelo emizimbeni yethu. Ngesikhathi sokunqamuka kokuya esikhathini, lapho ukuya esikhathini kuyeka unomphela, amazinga e-estrogen kowesifazane ehla kakhulu. Yingakho kuvela izimpawu ezifana nokushisa okukhulu, ukujuluka, kanye nokoma kwesitho sangasese sowesifazane.
Ngakho-ke lokho okwenziwa yilo muthi ukubuyisela i-hormone ye-estrogen encishisiwe emzimbeni. Lokho sikubiza ngokuthi i-Hormone Replacement Therapy (HRT) .
Lomuthi usetshenziswa kakhulu ku:
- Lawula izimpawu ezihambisana nokunqamuka kokuya esikhathini, njengokushisa okukhulu .
- Vimbela i-osteoporosis, isifo sokuncipha kwamathambo esibangelwa amazinga aphansi e-estrogen.
- Njengokwelashwa kwabesifazane abakhishwe ama-ovari ngokuhlinzwa noma abanamazinga aphansi ama-hormone ngezinye izizathu.
ESri Lanka, lo muthi uvame ukuthengiswa ngaphansi kwegama lomkhiqizo i-Premarin.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Njengoba lo umuthi wama-hormone, ungase uhlangane nezinye izimo zezokwelapha ongase ube nazo. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho umlando wakho ophelele wezokwelapha ngaphambi kokuqala lo muthi. Ikakhulukazi uma unezinye zezimo ezilandelayo, qiniseka ukuthi uyamtshela.
| Isifo noma umkhuba | Kungani kubalulekile ukuqaphela lokhu? |
|---|---|
| Uma uke waba nomdlavuza webele, wesibeletho, wesibeletho, noma wesibeletho | Lezi zinhlobo zomdlavuza zisengozini yokukhula okuqhubekayo ngenxa ye-hormone i-estrogen. |
| Ukopha kwesitho sangasese sowesifazane okungaziwa imbangela | Ngenxa yokuthi lokhu kungaba uphawu lwesifo esibucayi, ukwelashwa ngama-hormone akufaneleki ngaphambi kokuba imbangela itholakale. |
| Uma usanda kuba ne-blood clot, stroke, noma isifo senhliziyo | I-estrogen ingandisa kakhulu ingozi yokuqhekeka kwegazi. |
| Umfutho wegazi ophezulu, isifo sikashukela, i-cholesterol ephezulu | Lo muthi ungenza lezi zimo zibe nzima ukuzilawula, ngakho-ke ukuqapha njalo kuyadingeka. |
| Isifo sesibindi noma isifo sezinso | Lezi zitho zomzimba zibalulekile enqubweni yokususa izidakamizwa emzimbeni. Uma zithintekile, umthamo womuthi kungadingeka ushintshwe. |
| Uma ubhema | Ingozi yokuqhekeka kwegazi kanye nesifo sohlangothi iphezulu kakhulu , ikakhulukazi kwabesifazane abaneminyaka engaphezu kwengu-35 ababhemayo . |
| Uma ukhulelwe noma uzama ukukhulelwa | Lo muthi awufaneleki ngesikhathi sokukhulelwa. |
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Check Availability →Kufanele ngiyisebenzise kanjani imithi futhi yiziphi izinyathelo zokuphepha okufanele ngizithathe?
Indlela efanele yokuphuza imithi
Lokhu kulula kakhulu.
- Phuza umthamo owunikeziwe nengilazi yamanzi , njengoba kunqunywe udokotela wakho.
- Into ebaluleke kakhulu ukuphuza iphilisi ngesikhathi esifanayo nsuku zonke . Lokhu kusiza ukugcina amazinga ama-hormone emzimbeni ngendlela ehambisanayo.
- Funda njalo isethulo sesiguli esihambisana nomuthi wakho. Siqukethe ulwazi oluningi olubalulekile.
- Uma uphuthelwe umthamo: Thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
- Uma uphuza kakhulu:Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital .
Okubalulekile: Lo muthi unikezwe wena kuphela. Ungamniki umngane wakho lo muthi, noma ngabe unezimpawu ezifanayo nezakho.
Izinto okufanele uziqaphele lapho uthatha umuthi
- Ukuhlolwa njalo kwezokwelapha: Ngesikhathi uthatha lo muthi, kubalulekile ukubona udokotela wakho ngezikhathi ezithile. Khuluma nodokotela wakho mayelana nesimiso sokuhlolwa kwamabele, ukuhlolwa kwe-Pap smears, kanye, uma kudingeka, nokuhlolwa kwe-mammogram.
- Ngaphambi kokuhlinzwa: Uma uhlelelwe ukuhlinzwa, yazisa udokotela wakho bese ucela iseluleko sokuthi kufanele yini uyeke ukuthatha lo muthi ngaphambi kokuhlinzwa.
- Ingozi esibelethweni: Uma owesifazane ongazange ahlinzwe i-hysterectomy ephuza amaphilisi e-estrogen kuphela isikhathi eside, kunengozi encane kakhulu yokuthi ulwelwesi lwesibeletho (i-endometrial hyperplasia) luzokhula lube umdlavuza. Ukuze kuvinjelwe lokhu, odokotela bavame ukunikeza enye i-hormone ebizwa ngokuthi i-progestin kanye ne-estrogen. Khuluma nodokotela wakho ngalokhu bese ukhetha ukwelashwa okukulungele.
Imiphumela emibi engase ivele ngenxa yemithi
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi. Eminye yayo iyingozi, eminye yayo ivamile.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho ngokushesha | |
|---|---|
| • Ubuhlungu besifuba | • Ubunzima bokuphefumula |
| • Ubuhlungu, ukuvuvukala, kanye nokubomvu emlenzeni, ikakhulukazi ithole | • Ikhanda elibuhlungu ngokuzumayo, elinzima |
| • Ukushintsha kombono, ubunzima bokukhuluma | • Ukungazweli noma ubuthakathaka ebusweni, engalweni, noma emlenzeni |
| • Ukuphuzi kwamehlo noma isikhumba, umchamo omnyama, indle ekhanyayo | • Ukopha okungajwayelekile kwesitho sangasese sowesifazane |
| • Amaqhubu amabele, izinguquko, noma ukuphuma koketshezi | • Izimpawu zokungezwani komzimba njengokuqubuka kwesikhumba nokulunywa |
| Imiphumela emibi evamile okufanele ibikwe kudokotela uma iqhubeka noma ikhathaza | |
| • Ukulahlekelwa izinwele | • Ukutheleleka kwesitho sangasese sowesifazane (ukuluma, ukuphuma koketshezi) |
| • Isicanucanu, ukuhlanza | • Izinguquko ezincane esisindweni somzimba |
Umlayezo Wokuya Nawe Ekhaya
- I-estrogen ehlanganisiwe iyindlela yokwelapha yama-hormone esetshenziswa ukuphatha izimpawu zokunqamuka kokuya esikhathini. Kufanele ithathwe kuphela ngaphansi kweseluleko sikadokotela.
- Ngaphambi kokuqala lo muthi, tshela udokotela wakho ngazo zonke izimo zezokwelapha onazo (ikakhulukazi umdlavuza, umlando wamahlule egazi) kanye nayo yonke imithi oyithathayo.
- Abesifazane ababhemayo, ikakhulukazi abesifazane abaneminyaka engaphezu kwengu-35, basengozini enkulu kakhulu yokushaywa yisifo sohlangothi kanye nokuqhekeka kwegazi lapho bethatha lo muthi.
- Uma uhlangabezana nezimpawu ezifana nobuhlungu besifuba, ubunzima bokuphefumula, ukuvuvukala kwemilenze, noma ikhanda elibuhlungu kakhulu, funa iseluleko sezokwelapha ngokushesha.
- Ungayeki ukuhlolwa kwezokwelapha okuhleliwe (ukuhlolwa kwamabele, ukuhlolwa kwe-Pap) ngenkathi uthatha imithi.
- Ungamncomi lo muthi kumngane wakho noma ilungu lomndeni wakho, noma ngabe izimpawu zabo zifana.
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