Ingabe uya esikhathini sokunqamuka kokuya esikhathini? Khona-ke cishe ujwayelene nokungakhululeki kokushisa okungazelelwe, ukoma kwesitho sangasese sowesifazane, kanye nokushisa okungazelelwe. Namuhla sikhuluma ngephilisi lokwelapha ngama-hormone elinikezwa phakathi nalesi sikhathi. Ngemva kokufunda lokhu, uzokwazi ukuqonda kangcono lo muthi.
Luhlobo luni lomuthi lolu?
Kalula nje, lokhu kuyinhlanganisela yezinhlobo ezimbili zama-hormone. Okusho ukuthi, leli philisi liqukethe inani elincane le-hormone yesifazane i-estrogen (Esterified Estrogens) kanye ne-hormone yesilisa i-testosterone (Methyltestosterone).
Isetshenziswa kakhulu ukulawula izimpawu zokunqamuka kokuya esikhathini, njengokushisa komzimba kanye nokomisa kwesitho sangasese sowesifazane, njengoba kushiwo ngaphambili. Kodwa-ke, odokotela ngezinye izikhathi bangase bakunike lo muthi nakwezinye izimo. Ngakho-ke uma ungaqiniseki ukuthi kungani unikezwe lo muthi, kungcono ukubuza udokotela wakho ngawo.
Izinto udokotela wakho okufanele azazi ngaphambi kokuqala lo muthi
Lokhu kubaluleke kakhulu. Ngaphambi kokuthi uqale lo muthi, kufanele utshele udokotela wakho ngomlando wakho wezempilo ophelele. Qiniseka ukuthi umtshela nganoma yiziphi izimo ezilandelayo, ikakhulukazi:
| Isimo sezokwelapha noma umlando | Isizathu sokukhathazeka |
|---|---|
| Izimo zomdlavuza | Uma uke waba nomdlavuza noma okwamanje unomdlavuza ezindaweni ezifana nebele, umlomo wesibeletho, isibeletho, ama-ovari, noma isibindi. |
| Izinkinga zenhliziyo nemithambo yegazi | Izimo ezifana nesifo senhliziyo, isifo sohlangothi, umfutho wegazi ophakeme, ukujiya kwegazi emithanjeni yegazi, kanye ne-cholesterol ephezulu. |
| Ezinye izimo zezokwelapha | Isifo sikashukela, isifo sesibindi, isifo sezinso, isifo senyongo, i-migraine, i-dementia, i-SLE, amazinga aphezulu e-calcium egazini. |
| Imikhuba yomuntu siqu kanye nezinye izindaba | Uma ubhema, uke wahlinzwa isisu, noma wopha igazi ngendlela engachazeki. |
| Ukukhulelwa nokuncelisa | Uma ukhulelwe, uzama ukukhulelwa, noma ungumama oncelisayo. |
| Ukungezwani komzimba | Uma une-allergy kula ma-hormone noma eminye imithi, ukudla, noma udayi. |
Ngingawusebenzisa kanjani lo muthi?
Leli iphilisi okufanele uliphuze. Phuza leli philisi nengilazi yamanzi. Abanye abantu bangase bazizwe benesicanucanu ngemva kokuthatha lokhu. Uma lokhu kwenzeka, phuza leli philisi kanye nokudla.
Into ebaluleke kakhulu ukuphuza umuthi wakho njengoba nje udokotela wakho ekuyalele, ngesikhathi esifanele. Zama ukuphuza umuthi wakho ngesikhathi esifanayo nsuku zonke uma kungenzeka. Ungathathi okungaphezu kwalokho udokotela wakho akutshele khona, noma uwuthathe kaningi.
Uma unikezwa lo muthi, uzothola isengezo sephakheji yesiguli. Sifunde ngokucophelela, njengoba ulwazi olukuwo lungase lubuyekezwe njalo.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze. Phatha lokhu njengesimo esiphuthumayo.
Okubalulekile: Lo muthi unikezwe wena kuphela. Ungalokothi wabelane ngomuthi wakho nabanye.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ongawusebenzisi bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo okhohliwe.
Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)
Leli philisi le-hormone lingasebenzisana neminye imithi, amakhambi, namavithamini owathathayo. Ngakho-ke tshela udokotela wakho ngayo yonke imithi kanye nezithasiselo ozithathayo.
| Ungalokothi uthathe lo muthi kanye nawo! | |
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| Ungase usabele ngalezi zinto - tshela udokotela wakho. | |
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Izinto okufanele uzikhumbule lapho uthatha imithi
- Ukuhlolwa njalo kwezokwelapha: Ngesikhathi uthatha lo muthi, kufanele ubonane nodokotela wakho njalo ukuze uhlole isimo sakho. Kubalulekile ukuhlolwa njalo kwamabele kanye nokuhlolwa kwe-Pap smears . Futhi, khuluma nodokotela wakho ngokuthi kufanele wenze kangaki ama-mammogram bese wenza kanjalo ngokufanele.
- Ukugcinwa koketshezi: Lo muthi ungabangela ukuvuvukala eminweni yakho, ezandleni, noma emaqakaleni. Kungase futhi kwandise umfutho wegazi lakho. Tshela udokotela wakho uma uzizwa sengathi ugcina uketshezi.
- Ukukhulelwa: Uma ucabanga ukuthi kungenzeka ukuthi ukhulelwe, yeka ukuthatha lo muthi ngokushesha bese ubona udokotela wakho.
- Ukubhema: Lokhu kubaluleke kakhulu.
- Ama-Contact Lens: Uma ugqoka ama-contact lens, bheka udokotela wamehlo uma ubona noma yiziphi izinguquko embonweni wakho noma uma uzizwa ungakhululekile ukugqoka ama-lens.
- Ingozi yomdlavuza wesibeletho: Lokhu kwelashwa ngama-hormone kunengozi encane yokuthola isimo esibizwa ngokuthi i-endometrial hyperplasia, esingabangela ukuthi ulwelwesi lwesibeletho luqine, okungaholela kumdlavuza wesibeletho. Ukuze unciphise le ngozi, uma ungakaze ukhishwe i-hysterectomy, udokotela wakho angancoma ukuthi uthathe enye i-hormone (i-progestin) kanye nalomuthi. Khuluma nodokotela wakho ngalokhu futhi uqiniseke ukuthi uyaziqonda izinzuzo nezingozi.
- Ukungezwani komzimba (ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala)
- Ubuhlungu besifuba, ubunzima bokuphefumula
- Ikhanda elibuhlungu kakhulu
- Izinguquko zombono
- Ubunzima bokukhuluma noma ukuqonda
- Ukungazweli/ubuthakathaka ebusweni, engalweni, noma emlenzeni
- Ubuhlungu bomlenze, ukuvuvukala, ukubomvu
- Ukopha okungavamile kwesitho sangasese sowesifazane
- Ukushintsha kwamabele (izigaxa, ukuphuma kwamanzi)
- Ubuhlungu ohlangothini oluphezulu kwesokudla lwesisu
- Ukuphuzi kwamehlo noma isikhumba (i-jaundice)
- Umchamo omnyama, indle encane
- Isicanucanu esinzima, ukuhlanza
- Ukulahlekelwa izinwele
- Indlala noma ukoma okwenyuka ngokungavamile
- Isidingo sokuphuza njalo
- Izimpawu zokutheleleka kwesitho sangasese sowesifazane (ukucasuka, ukukhishwa okungavamile)
- Ukukhathala okungavamile
- Lokhu ukwelashwa ngama-hormone okunikezwa ukulawula izimpawu zokunqamuka kokuya esikhathini.
- Ngaphambi kokuqala umuthi, tshela udokotela wakho ngazo zonke izimo zakho zezempilo.
- Thatha umthamo onqunyiwe kuphela, ngesikhathi esifanayo nsuku zonke. Uma uphuthelwa umthamo, ungaphuzi imithamo emibili ngesikhathi esisodwa.
- Uma ubhema, ingozi yokuhlaselwa yinhliziyo kanye nesifo sohlangothi iphezulu kakhulu uma uthatha lo muthi.
- Kubalulekile ukuhlolwa kwamabele kanye nokuhlolwa kwe-Pap ngesikhathi.
- Uma uhlangabezana nemiphumela emibi kakhulu noma uthatha imithi eminingi kakhulu, funa iseluleko sezokwelapha ngokushesha.
- Zizwe ukhululekile ukuxoxa nganoma yimiphi imibuzo noma ukukhathazeka onakho ngalo muthi nodokotela wakho.
Khumbula, uma ubhema, ikakhulukazi uma uneminyaka engaphezu kwengu-35, ingozi yakho yokuqhekeka kwegazi noma isifo sohlangothi iphezulu kakhulu ngenkathi uthatha lo muthi. Ngakho-ke, kuyalulekwa ukuthi ugweme ngokuphelele ukubhema ngenkathi uthatha lo muthi.
Imiphumela emibi engase ivele ngenxa yemithi
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Eminye iyingozi, eminye ivamile.
| Imiphumela emibi okufanele ibikwe kudokotela ngokushesha | |
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| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
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