Ukunqamuka kokuya esikhathini kuyisikhathi soshintsho olukhulu empilweni yowesifazane. Ingabe uke uzizwe ukhungathekile ngokuqala ngokuzumayo kokushisa, ukushintshashintsha kwemizwa, noma ukoma kwesitho sangasese sowesifazane? Uma lezi zimpawu ziphazamisa ikhwalithi yokuphila kwakho, udokotela wakho angase akuncome umjovo we-Estradiol—uhlobo lwe-hormone ekhiqizwa ngokwemvelo ngumzimba wesifazane. Ake sibheke kabanzi lokhu kwelashwa, okunikezwa yiNirogi Lanka.
Ngakho-ke, iyini i-estradiol?
Kalula nje, i-Estradiol iwuhlobo lwe- estrogen , i-hormone eyinhloko yabesifazane. Ngesikhathi sokunqamuka kokuya esikhathini, amazinga e-estrogen emzimbeni wakho ayancipha ngokwemvelo. Umjovo we-Estradiol usiza ukubuyisela la mazinga e-hormone ukusiza ukulinganisela uhlelo lwakho.
Lokhu kwelashwa kusetshenziselwa kakhulu:
- Ukuphatha izimpawu zokunqamuka kokuya esikhathini: Ikakhulukazi ukunciphisa ubukhali bokushisa kanye nokujuluka ebusuku okuhambisana nakho.
- Ukubhekana nokungakhululeki kwesitho sangasese sowesifazane: Ukunciphisa ukoma kwesitho sangasese sowesifazane , ukulunywa , kanye nokungakhululeki ngesikhathi socansi ngemva kokunqamuka kokuya esikhathini.
- Ukuvimbela i-osteoporosis ( i-Osteoporosis ): Amazinga e-estrogen aphansi ngemva kokunqamuka kokuya esikhathini angaholela emathanjeni abuthakathaka kanye nengozi enkulu yokuqhekeka. I-Estradiol iyasiza ekunciphiseni le ngozi.
- Ukwelashwa komdlavuza wendlala yesitho sangasese sowesilisa: Ezimweni ezithile, lokhu kwelashwa ngamahomoni kusetshenziselwa nokuphatha izigaba ezithuthukile zomdlavuza wendlala yesitho sangasese sowesilisa kwabesilisa.
Ulwazi olubalulekile okufanele uluxoxe nodokotela wakho
Ngaphambi kokuqala ukwelashwa nge-Estradiol, kubaluleke kakhulu ukunikeza udokotela wakho umlando wakho wezokwelapha ophelele. Sicela udalule uma uke wabhekana nanoma yikuphi kwalokhu okulandelayo noma uke wabhekana nakho ngaphambilini:
- Ukopha okungachazeki kwesitho sangasese sowesifazane: Noma yikuphi ukopha ngaphandle komjikelezo wakho ojwayelekile.
- Ukuphazamiseka kwemithambo yegazi noma ukwakheka kwamahlule: Umlando wamahlule egazi emilenzeni yakho, emaphashini, noma ebuchosheni.
- Umdlavuza: Ikakhulukazi umdlavuza webele noma yimuphi omunye umdlavuza ozwela i-estrogen.
- Isifo senyongo.
- Isifo senhliziyo noma ukuhlaselwa yinhliziyo muva nje.
- Umfutho wegazi ophezulu.
- Amazinga aphezulu e-calcium egazini.
- Kungakhathaliseki ukuthi uke wahlinzwa isisu noma cha.
- Ukushoda kwamaprotheni okujiya kwegazi (isib., ukushoda kwamaprotheni C noma amaprotheni S).
- Uma uzama ukukhulelwa noma ukhulelwe njengamanje.
- Uma uncelisa.
- Ukungezwani komzimba nanoma yimaphi ama-hormone, imithi, ukudla, noma izithasiselo.
Ukuze uphephe, sicela ukhululeke ngokuphelele kudokotela wakho mayelana nesimo sakho sempilo; akukho mininingwane emincane kakhulu ongayisho.
Lo mjovo unikezwa kanjani?
I-Estradiol inikezwa njengomjovo we-intramuscular . Lokhu akuyona indlela yokwelapha ozinikeza yona; kumele inikezwe uchwepheshe wezempilo oqeqeshiwe esibhedlela noma emtholampilo.
Uzothola iphakethe lesiguli elihambisana nomuthi wakho. Sicela ulifunde kahle njalo uma uthola umthamo, njengoba ulwazi lungabuyekezwa njalo.
Yini okufanele uyenze uma kwenzeka ukudlula ngokweqile?
Uma usola ukuthi uphuze ngokweqile, sicela uxhumane nesikhungo sakho sokulawula ubuthi ngokushesha noma uqhubekele eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze.
Kuthiwani uma uphuthelwa umthamo?
Ukunamathela osukwini lwakho lokujova oluhleliwe kubalulekile. Uma ungakwazi ukuya e-aphoyintimenti yakho, xhumana nodokotela wakho noma umtholampilo ngokushesha ukuze uhlele kabusha.
Ukuxhumana okungenzeka kwezidakamizwa ne-Estradiol
Uma uthatha eminye imithi yezimo eziyisisekelo, kufanele wazise udokotela wakho. Eminye imithi ingase ihlangane ne-Estradiol, okungase kushintshe ukusebenza kwayo noma kwandise ingozi yemiphumela emibi.
| Uhlobo Lomuthi/Izidakamizwa | Incazelo kanye nezibonelo |
|---|---|
| Izithibi ze-Aromatase | Imithi esetshenziselwa umdlavuza webele. Izibonelo: i-anastrozole, i-letrozole, i-exemestane. |
| Ama-antibiotic athile | Ama-antibiotic athile asetshenziswa ukwelapha izifo ezahlukahlukene. |
| Ama-Anticonvulsants noma ama-Sedatives | Izibonelo: I-Carbamazepine, Ama-Barbiturates. |
| Imithi yokulwa nesikhunta | Izibonelo: i-itraconazole, i-ketoconazole. |
| Ama-Anticoagulant (Ama-Blood Thinners) | Isibonelo: I-Warfarin. |
| Amanye Ama-hormone/Imithi Yomdlavuza | Izibonelo: I-Raloxifene, i-tamoxifen. |
| Izithasiselo Zezitshalo | Isibonelo: I-St. John's Wort. |
| Ijusi le-Grapefruit | Gwema ukudla ijusi yamagilebhisi ngenkathi uthatha lo muthi. |
Lolu hlu aluphelele. Sicela uqinisekise ukuthi udalula yonke imithi, amavithamini, noma izithasiselo zamakhambi ozithathayo kudokotela wakho.
Izinto Ezibalulekile Okufanele Uzicabangele Ngesikhathi Sokwelashwa
Ukuhlolwa Kwezokwelapha Okuvamile
Ngesikhathi usebenzisa lolu hlobo lokwelashwa, kufanele uvakashele udokotela wakho njalo ukuze uqaphe impilo yakho. Kubalulekile ukuhlolwa njalo kwamabele , ukuhlolwa kwe-pelvic , kanye nokuhlolwa kwe-Pap smears . Ngaphezu kwalokho, xoxa nomhlinzeki wakho wezempilo mayelana nezikhathi ezinconywayo zokuhlolwa kwe-mammogram .
Gwema Ukubhema!
Lokhu kubalulekile. Uma ubhema ngenkathi uthola ukwelashwa ngama-hormone, ingozi yakho yokuba namahlule egazi kanye nokuhlaselwa yisifo sohlangothi iyanda kakhulu , ikakhulukazi uma uneminyaka engaphezu kwengu-35. Ngenxa yalesi sizathu, sikweluleka kakhulu ukuthi uyeke ukubhema ngokuphelele ngesikhathi sokwelashwa kwakho nge-Nirogi Lanka.
Ingozi Yomdlavuza Wesibeletho
Ukusetshenziswa isikhathi eside kwe-estrogen kukodwa kungabangela ukuthi ulwelwesi lwesibeletho luqine (i-endometrial hyperplasia), okwandisa ingozi yomdlavuza. Ukuze kuncishiswe lokhu, odokotela bavame ukunikeza i-progestin kanye ne-estrogen kwabesifazane abangakaze bahlinzwe i-hysterectomy. Sicela uxoxe nodokotela wakho ngohlelo lokwelapha oluphephile nolufanele kakhulu ngezidingo zakho ezithile.
Amanye Amanothi Abalulekile
- Ukugcinwa Koketshezi: Lo muthi ungabangela ukuvuvukala eminweni yakho, ezandleni, noma emaqakaleni, futhi ungase uphakamise umfutho wegazi lakho. Uma ubona lezi zimpawu, yazisa udokotela wakho.
- Ama-Contact Lens: Uma ugqoka ama-contact lens futhi ubona izinguquko zombono noma ukungakhululeki, thintana nochwepheshe wamehlo (udokotela wamehlo/udokotela wamehlo).
- Ukuhlinzwa: Uma kukhona ukuhlinzwa okuzayo, yazisa udokotela wakho kusenesikhathi ukuthi uzobe uphathwa nge-estrogen therapy.
Imiphumela Engase Ibe Khona
Njenganoma yimuphi umuthi, i-Estradiol ingabangela imiphumela emibi. Nakuba eminye ingaba mincane, eminye ingaba yingozi. Uma uhlangabezana nezimpawu eziphuthumayo, sicela uxhumane no-911 noma uvakashele umnyango wezimo eziphuthumayo oseduze nawe ngokushesha.
Sicela uxhumane nomhlinzeki wakho wezempilo uma lezi zimpawu ziqhubeka noma ziba yinkinga.
| Umphumela Ongemuhle | Incazelo |
|---|---|
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, noma ukuvuvukala kobuso, izindebe, nolimi. |
| Ihluli | Ubuhlungu, ukuvuvukala, noma ukufudumala emlenzeni, ukuphelelwa umoya, noma ubuhlungu besifuba. |
| Isifo sohlangothi | Ukungazweli noma ubuthakathaka ngokuzumayo (ikakhulukazi ohlangothini olulodwa), ubunzima bokukhuluma, ubunzima bokuhamba, noma ikhanda elibuhlungu kakhulu. |
| Izinguquko Zesifuba | Amaqhubu amasha, ukubomvu, ubuhlungu obungapheli, noma ukuphuma kwamanzi ezingonweni. |
| Izinkinga Zesibindi | Ubuhlungu besisu esingenhla kwesokudla, ukulahlekelwa yisifiso sokudla, ukuphuzi kwesikhumba noma amehlo (i-jaundice), noma umchamo onombala omnyama. |
| Izinkinga Ezingavamile Zesitho Sangasese Sowesifazane | Ukopha ngemva kokunqamuka kokuya esikhathini noma ukuphuma kwegazi okunephunga elingavamile. |
| Ukuthamba Kwesifuba | Ukuzwa ubuhlungu obungapheli noma ubunzima emabeleni. |
| Ukuqunjelwa | Ukuzizwa ugcwele, unegesi, noma uvuvukele esiswini. |
| Isicanucanu Nokuhlanza | Ukungaphatheki kahle kwesisu noma ukuhlanza okungapheli. |
| Ukulahlekelwa Izinwele | Ukuncipha noma ukulahleka kwezinwele okubonakalayo. |
Iseluleko Esibalulekile Sokuthatha Uhambe Naso Ekhaya Esivela eNirogi Lanka
- I-Estradiol iyindlela yokwelapha yama-hormone ephumelelayo yokulawula izimpawu zokunqamuka kokuya esikhathini, kodwa kubalulekile ukuqaphela izingozi zempilo ezihambisana nayo.
- Ngaphambi kokuqala ukwelashwa, nikeza udokotela wakho umlando ophelele wezokwelapha kanye nohlu lwazo zonke izidakamizwa ozithathayo njengamanje.
- Lo muthi uhloselwe ukunikezwa endaweni yezokwelapha noma esibhedlela; awusetshenziselwa ekhaya.
- Uma uzwa izimpawu eziphuthumayo njengobuhlungu besifuba, ukuvuvukala kwemilenze, noma ubunzima bokukhuluma ngokuzumayo, sicela ushayele u-911 noma uvakashele umnyango wezimo eziphuthumayo oseduze nawe ngokushesha.
- Gwema ukubhema ngokuqinile ngenkathi usebenzisa lolu hlobo lokwelapha, ngoba kwandisa kakhulu ingozi yokuqhekeka kwegazi kanye nesifo sohlangothi.
- Ungalokothi uphuthelwe ama-aphoyintimenti akho okulandelela ahleliwe, njengoba ukuqapha njalo kubalulekile ukuze uphephe.
I-Estradiol, i-Estrogen, i-Menopause, i-Hormone Replacement Therapy (HRT), ukushisa, impilo yabesifazane, i-Nirogi Lanka
