Ukunqamuka kokuya esikhathini kuyisigaba semvelo empilweni yabo bonke abesifazane. Kodwa-ke, izinguquko ezihambisana nakho kungaba nzima ukuzibekezelela ngezinye izikhathi. Kungenzeka ukuthi uke wabhekana nezinto ezifana nokujuluka okungazelelwe (ukushisa okukhulu), ukuqwasha, kanye nokungakhululeki ngokomzwelo. Ngesikhathi esinjengalesi, udokotela wakho kungenzeka ukuthi ukhulume nawe ngokwelashwa kokushintsha ama-hormone. Enye indlela yokwelapha enjalo yi-Esterified Estrogens. Ake sixoxe ngalokhu kalula nangokucacile.
Luhlobo luni lomuthi lolu?
Kalula nje, ama-Esterified Estrogens awuhlobo lwephilisi eliqukethe i-hormone yesifazane i-estrogen. Ngokuyinhloko linikezwa njengekhambi lezinkinga ezenzeka lapho umzimba wethu unamazinga aphansi e-estrogen ngokwemvelo.
Kunezindlela eziningana zokusebenzisa lo muthi:
- Ukungakhululeki ngemva kokunqamuka kokuya esikhathini: Lawula izimpawu, ikakhulukazi ukushisa okukhulu.
- Kuvimbela ukuncipha kwamathambo: Lo muthi usiza ekuvimbeleni i-osteoporosis, isifo sokuncipha kwamathambo esingase senzeke ngesikhathi sokunqamuka kokuya esikhathini.
- Kwabesifazane abanamazinga aphansi ama-hormone: Abanye besifazane ngokwemvelo banamazinga aphansi e-estrogen emizimbeni yabo. Lokhu futhi kunikezwa abesifazane abanjalo.
- Ngemva Kokususwa Kwesivimbelo Se ...
- Kweminye imidlavuza: Lo muthi ungasetshenziswa futhi ekwelapheni izinhlobo ezithile zomdlavuza, njengomdlavuza webele noma umdlavuza wendlala.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuqala lo muthi, kubaluleke kakhulu ukuxoxa ngomlando wakho wezempilo ophelele nodokotela wakho ngaphandle kokufihla lutho. Qiniseka ukuthi utshela udokotela wakho uma uke waba nanoma yisiphi salezi zimo ezilandelayo noma uke waba naso:
| Isimo sempilo | Okudingayo ukukwazisa |
|---|---|
| Umlando womdlavuza | Uma uke waba nomdlavuza webele, wesibeletho, wesibeletho, wesibeletho, wesibeletho, noma wesibindi. |
| Izinkinga zegazi nenhliziyo | Izifo zemithambo yegazi, amahlule egazi, isifo senhliziyo, ukuhlaselwa yinhliziyo muva nje, isifo sohlangothi, umfutho wegazi ophakeme, i-cholesterol ephezulu. |
| Izinkinga zezifo zabesifazane | Ukopha okungajwayelekile kwesitho sangasese sowesifazane, ukungakhishwanga kwesibeletho. |
| Ezinye izifo | Izifo ezifana nesifo sikashukela, isifo senyongo, isifo sesibindi, isifo sezinso, i-migraine, i-dementia, amazinga aphezulu e-calcium egazini, kanye ne-Systemic Lupus Erythematosus (SLE). |
| Imikhuba kanye nokungezwani komzimba | Uma ubhema, uba nokusabela kokungezwani komzimba nama-hormone, eminye imithi, ukudla, noma udayi. |
| Ukukhulelwa nokuncelisa | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. |
Ngingawusebenzisa kanjani lo muthi?
Gwinya leli philisi ngengilazi yamanzi. Phuza kuphela umthamo owunikeziwe, njengoba nje udokotela wakho ekuyalile. Kwenze umkhuba ukuphuza umuthi wakho ngesikhathi esifanayo nsuku zonke. Lokhu kuzokusiza ukhumbule ukuphuza umuthi wakho kaningi. Ungaphuzi umuthi omningi kunalokho udokotela wakho akuyalele.
Into ebaluleke kakhulu ukuthi lo muthi ungowakho wedwa. Ungamniki lo muthi umngane onezimpawu ezifanayo nezakho. Impilo yawo wonke umuntu ihlukile.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, 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.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma usola ngisho nokuncane ukuthi uphuze kakhulu lo muthi,Shayela iNational Poisons Information Centre eColombo National Hospital ngokushesha. Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze. Ungakuthathi kalula lokhu.
Ezinye izinto ezingase zihlangane nalo muthi
Eminye imithi oyithathayo ingase ihlangane naleli philisi lama-hormone. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, imithi yamakhambi, kanye nezithasiselo).
Ikakhulukazi, imithi elandelayo akufanele ithathwe nalo muthi:
- Ama-inhibitor e-Aromatase afana ne-aminoglutethimide, i-anastrozole, kanye ne-exemestane.
Kungase kube nezinkinga ngalokhu okulandelayo:
- Ama-Barbiturates afana ne-phenobarbital
- I-Carbamazepine
- Ama-antibiotic afana ne-clarithromycin ne-erythromycin
- Ijusi le-Grapefruit
- Imithi yokutheleleka kwesikhunta, njenge-ketoconazole ne-itraconazole
- Imithi efana ne-rifampin ne-ritonavir
- Ikhambi i-St. John's Wort
Izinto okufanele uzikhumbule lapho uthatha imithi
Udinga ukunakekela umzimba wakho kancane ngenkathi uthatha lo muthi.
Ukuhlolwa njalo kwezokwelapha
Uma uthatha lo muthi, kubalulekile ukubona udokotela wakho ngezikhathi ezithile. Ngokuvamile kuzodingeka uhlolwe amabele, uhlolwe i-Pap smear, kanye nokuhlolwa kwe-pelvic. Futhi, khuluma nodokotela wakho ngokuthi kufanele wenze ama-mammogram kangaki nokuthi kufanele wenze kangaki , bese ulandela imiyalelo yakhe.
Ukugcinwa kwamanzi nokubhema
Lo muthi ngezinye izikhathi ungabangela ukugcinwa kwamanzi emzimbeni, ukuvuvukala kwezandla, izinyawo, iminwe, namaqakala. Ungakhuphula nomfutho wegazi. Uma uzizwa ngale ndlela, tshela udokotela wakho.
Isixwayiso esibaluleke kakhulu: Ukubhema ngenkathi uthatha lo muthi kwandisa kakhulu ingozi yakho yokuqhekeka kwegazi kanye nesifo sohlangothi. Le ngozi iphezulu kakhulu uma uneminyaka engaphezu kwengu-35 ubudala. Ngakho-ke, kuyalulekwa kakhulu ukuthi ugweme ngokuphelele ukubhema ngenkathi uthatha lo muthi.
Izingozi ezihlobene nesibeletho
Ngaphandle kokuthi isibeletho sakho sisusiwe ngokuhlinzwa (hysterectomy), ukusetshenziswa isikhathi eside kwamaphilisi e-estrogen kuphela kungabangela ukuthi ulwelwesi lwesibeletho (endometrium) lube lukhulu kakhulu. Lesi simo sibizwa ngokuthi i-endometrial hyperplasia. Lokhu kungakhula kamuva kube umdlavuza wesibeletho.Ukuze kuncishiswe le ngozi, udokotela wakho uzokunikeza enye i-hormone ebizwa ngokuthi i-progestin kanye naleli philisi le-estrogen. Buza udokotela wakho noma yimiphi imibuzo onayo ngalokhu.
Yimiphi imiphumela emibi ongayibona?
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi kwabanye abantu. Eminye yayo iyingozi, eminye ivamile.
| Ukuhlukaniswa kwemiphumela emibi | |
|---|---|
| Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha | |
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| Imiphumela emibi okufanele ibikwe kudokotela uma iqhubeka noma ikhathaza | |
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Umlayezo Wokuya Nawe Ekhaya
- Ama-Estrogen aqinisekisiwe ayimithi ebalulekile engasiza ezinkingeni eziningi ezihlobene nokunqamuka kokuya esikhathini, kodwa kufanele asetshenziswe kuphela ngaphansi kweseluleko sikadokotela.
- Qiniseka ukuthi utshela udokotela wakho ngomlando wakho wezempilo ophelele, eminye imithi oyithathayo, kanye nanoma yikuphi ukungezwani komzimba okungenzeka ukuthi unakho.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nobuhlungu besifuba, ukungazweli okungazelelwe, ikhanda elibuhlungu kakhulu, noma ukuphuma kwegazi okungavamile, funa iseluleko sezokwelapha ngokushesha.
- Gwema ukubhema ngokuphelele ngenkathi uthatha lo muthi. Kungabangela izingozi ezinkulu empilweni.
- Vikela impilo yakho ngokuya njalo ekuhlolweni kwezokwelapha.
- Lo muthi ungowakho wedwa. Ungalokothi wabelane ngawo nabanye.
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