Ingabe nawe ubhekene nalezi zinkinga ngemva kokunqamuka kokuya esikhathini? Woza, ake sixoxe nge-patch ethi (Estradiol; Levonorgestrel)!

Ukunqamuka kokuya esikhathini kuyingxenye yemvelo yokuphila kowesifazane, kodwa okunye ukungakhululeki okuhambisana nakho kungaba nzima ukukuthwala, akunjalo? Izimpawu ezifana nokushisa okungazelelwe, ukujuluka, kanye "nokushisa okukhulu" ngezinye izikhathi zingase zingalawuleki. Awukwazi ukulala ebusuku, futhi kufanele uhlale ukhathele usuku lonke. Akukhona lokho kuphela, ungase uzizwe ungakhululekile futhi ucasukile. Ngokuhamba kwesikhathi, amathambo akho angase abe buthakathaka futhi aphuke kalula, okungaholela esifweni esibizwa ngokuthi "i-Osteoporosis". Ngakho-ke, umuthi owodwa ongawusebenzisa ukukusiza ngesikhathi esinjengalesi yi-"(Estradiol; Levonorgestrel)`` patch. Ake sixoxe ngalokhu ngokuningiliziwe namuhla, kulungile?

Iyini le patch ethi `(Estradiol; Levonorgestrel)`? Yenzani?

Kalula nje, lesi yisigaxa esincane osinamathisela esikhumbeni sakho. Siqukethe izinhlobo ezimbili zamahomoni abizwa ngokuthi `(Estradiol)` kanye `(Levonorgestrel)`. Ubuwazi ukuthi ngokunqamuka kokuya esikhathini, amazinga amahomoni abizwa ngokuthi `(Estrogen)` kanye `(Progestin)` emzimbeni wethu ayancipha. Lesi sigaxa sisiza ukubuyisela lawo mazinga amahomoni anciphayo ngezinga elithile.

Ngakho-ke kuzozuzisa ngani lokhu?

• Yehlisa ukushisa: Lena ingenye yezinkinga ezinkulu ezihambisana nokunqamuka kokuya esikhathini. I-patch iyasiza ekunciphiseni lokhu kungakhululeki kanye nokuvama kokuvela kwayo.
• Kusiza ekuvimbeleni i-osteoporosis: Ngemva kokunqamuka kokuya esikhathini, amathambo avame ukuba buthakathaka. Lesi sici siyasiza nasekuvimbeleni lokhu.

Lokhu kuvame ukuba ngaphansi kwegama lomkhiqizo elithi `(Climara Pro)`. Kodwa-ke, lokhu akuyona into esebenzela wonke umuntu. Ngakho-ke, kungcono ukukhuluma nodokotela ukuze uthole ukuthi lokhu kulungile yini kuwe.

Yiziphi izinto okudingeka ngizitshele udokotela ngaphambi kokusebenzisa lo muthi?

Ngaphambi kokuthi uqale ukusebenzisa lesi sitsha, kunezimo ezithile zempilo okufanele nakanjani utshele udokotela wakho ngazo. Ngoba, kungaba yingozi kumuntu onalezi zimo ukusebenzisa lesi sitsha. Cabanga nje, uma unezinye zalezi zinto, ungakhohlwa ukutshela udokotela wakho ngazo, kulungile?

• Uma unesifo semithambo yegazi noma umlando wezinkinga ezifana ne-thrombosis/amahlule egazi.
• Uma uke waba nomdlavuza webele, wesibeletho, i-endometrium, noma wesibeletho.
• Uma unesifo sikashukela (i-Diabetes Mellitus).
• Uma unesifo esithi `Endometriosis` (izicubu zesibeletho ezikhula ngaphandle kwesibeletho).
• Uma kukhona izimila ezifana ne-"(Fibroid)`` esibelethweni .
• Uma unesifo senyongo.
• Uma unesifo senhliziyo noma usanda kuhlaselwa yinhliziyo.
• Uma izinga le-cholesterol egazini liphezulu kakhulu.
• Uma une-high blood pressure.
• Uma izinga le-calcium egazini liphezulu kakhulu.
• Uma uke wahlinzwa i-hysterectomy (kufanele uxoxe ngalokhu nodokotela wakho, njengoba ukwelashwa ngama-hormone kungashintsha ngezinye izikhathi).
• Uma unesifo sezinso.
• Uma unesifo sesibindi.
• Uma unesifo sokucindezeleka kwengqondo.
• Uma unekhanda elibuhlungu elibangelwa yi-migraine.
• Uma unesifo segazi esingavamile esibizwa ngokuthi 'i-Porphyria'.
• Uma wake waba nesimo esifana nesifo sohlangothi ngaphambilini.
• Uma unesifo samasosha omzimba njenge-'Systemic lupus erythematosus (SLE)'.
• Uma ubhema ugwayi.
• Ukopha kwesitho sangasese sowesifazane kwenzeka ngaphandle kwesizathu.
• Uma une-allergy ku-estrogen, ama-hormone e-progestin, eminye imithi, ukudla, amadayi, noma izithasiselo.
• Uma ukhulelwe noma uzama ukukhulelwa.
• Uma uncelisa ingane.

Lolu hlu lude kancane, kodwa ukuze uphephe, kubaluleke kakhulu ukuxoxa ngakho konke lokhu nodokotela wakho.

Uyisebenzisa kanjani kahle le patch?

Lokhu kulula kakhulu, kodwa yilokho kanye okudingeka kwenziwe.

1. Dabula ngokucophelela iphakethe eliqukethe isichibi. Ungasebenzisi noma yini efana nesikere, ngoba lokhu kungase kusike isichibi.

2. Susa i-liner eqinile yokuvikela ohlangothini olunamathelayo lwe-patch. Zama ukugwema ukuthinta uhlangothi olunamathelayo ngangokunokwenzeka.

3. Faka i-patch, uhlangothi olunamathelayo lubheke esikhumbeni, esikhumbeni esihlanzekile, esomile, esingenazinwele. Ngokuvamile, isisu esingezansi kanye nezinqe kuyizindawo ezinhle kakhulu zokufaka i-patch.

4. Ungafaki ezindaweni ezinezilonda, isikhumba esiphukile, izibazi, noma isikhumba esinamaqhubu.

5. Ungafaki emabeleni noma eduze kwesinqe.

6. Uma ufaka i-patch njalo, ungayifaki endaweni efanayo nangaphambili. Yifake endaweni ehlukile kancane. Lokhu kuzosiza ekunciphiseni ukucasuka kwesikhumba.

7. Ungayisiki noma uhlukanise isichibi.

8. Ungayeki ukusebenzisa lokhu ngaphandle kokukhuluma nodokotela wakho.

9. Ngaphandle kokuthi udokotela wakho akutshele, ungafaki i-patch engaphezu kweyodwa ngesikhathi.

Uma unikezwa lo muthi futhi uma uwuthola futhi, uzonikezwa ishidi elithi "refill" ukuze ulifunde. Linolwazi olwengeziwe ngalo muthi. Ungakhohlwa ukulifunda ngokucophelela njalo. Ngoba ulwazi olukuwo lungashintsha ngezinye izikhathi.

Ngokuphathelene nokusetshenziswa kwalomuthi ezinganeni ezincane, kufanele ucele iseluleko esikhethekile kudokotela wakho.

Wenzani uma ukhohlwa ngephutha ukusebenzisa i-patch?

O, kungenzeka. Uma ukhohlwa ukufaka i-patch, ungayifaka ngokushesha nje lapho ukhumbula.Kodwa-ke, uma sekuyisikhathi se-patch elandelayo, ungayifaki ekhohliwe, kodwa faka i-patch elandelayo ngesikhathi esihleliwe. Ungalokothi ufake ama-patch amabili noma ngaphezulu ngesikhathi esisodwa.

Ingabe ikhona eminye imithi engasebenzisana nalesi sitshalo?

Yebo, zikhona. Eminye imithi ingabangela izinkinga uma ithathwa ngaleli patch. Ngakho-ke, kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa imithi kadokotela, imithi etholakala ngaphandle kwemithi kadokotela, imithi yendabuko, amavithamini, kanye nezithasiselo zokudla.

Ungasebenzisi lesi sitshalo kanye nemithi elandelayo:

• Ama-Aromatase inhibitors (izibonelo: i-aminoglutethimide, i-anastrozole, i-exemestane, i-letrozole, i-testolactone). Lena imithi esetshenziselwa ukwelapha ezinye izinhlobo zomdlavuza.

Ezinye izinto ezingase zingqubuzane nalesi sici yilezi:

• Amanye amaphilisi okulala, njenge-barbiturates (isib. i-phenobarbital).
• `I-Carbamazepine` (umuthi wesifo sokuwa).
• Ama-antibiotic anikezwa izifo ezithile.
• Ijusi le-grapefruit.
• Imithi yokutheleleka kwesikhunta (isib. `itraconazole`, `i-ketoconazole`).
• `Raloxifene` noma `tamoxifen` (futhi umuthi onikezwa eminye imidlavuza yebele).
• `Rifabutin`, `rifampin`, noma `rifapentine` (imithi esetshenziselwa ukwelapha isifo sofuba).
• `I-Ritonavir` (umuthi wokutheleleka nge-HIV).
• `I-St. John's Wort` (ikhambi lendabuko elisetshenziswa abanye ukuze bathuthukise inhlalakahle yengqondo).

Lolu hlu lungase lungafaki konke. Yingakho kubalulekile ukutshela udokotela wakho ngakho konke okuthathayo. Futhi, uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa, tshela udokotela wakho ngalokho futhi.

Yiziphi izinto okufanele siziqaphele lapho sisebenzisa i-patch?

Uma usebenzisa lesi sitshalo, udinga ukunakekela impilo yakho kancane.

• Bona udokotela wakho njalo: Udokotela wakho kufanele akuhlole ukuze ahlole impilo yakho. Kufanele uhlolwe amabele, uhlolwe isitho sangasese sowesifazane, kanye nokuhlolwa komlomo wesibeletho (kufaka phakathi i-Pap smear) ngezikhathi ezithile. Futhi, khuluma nodokotela wakho ngokuthi kufanele wenze kangaki i-mammogram, bese ukwenza ngokufanele.
• Qaphela ukugcinwa koketshezi: Lo muthi ungabangela ukugcinwa kwamanzi, ukuvuvukala ezandleni, ezinyaweni nasemaqakaleni. Ungakhuphula nomfutho wegazi. Uma uzizwa ngale ndlela, tshela udokotela wakho .
• Uma ucabanga ukuthi ukhulelwe: Uma usola kancane ukuthi ukhulelwe, yeka ukusebenzisa lesi sitshalo ngokushesha bese ubona udokotela wakho.
• Uyabhema? Khona-ke ingozi iphakeme: Uma ubhema ngenkathi usebenzisa lesi sitshalo, ingozi yakho yokuba negazi elijiyile noma isifo sohlangothi iphakeme kakhulu. Le ngozi iphakeme kakhulu uma uneminyaka engaphezu kwengu-35 ubudala.Ngakho-ke, kungcono ukungabhemi.
• Ingabe ugqoka amalensi okuxhumana? Uma ugqoka amalensi okuxhumana, tshela udokotela wakho uma ubona noma yiziphi izinguquko embonweni wakho noma uma uzizwa ungakhululekile ngenkathi ugqoka amalensi akho.
• Ingabe uyahlinzwa noma uyahlolwa nge-MRI? Uma uhlelelwe ukuhlinzwa noma i-MRI scan, kungadingeka uyeke ukusebenzisa lesi sici okwesikhashana. Khuluma nodokotela wakho ngalokhu ngaphambi kokuhlinzwa.
• Ingabe i-patch ingaphuma? Yebo, i-patch ingaphuma uma ugeza, ubhukuda, noma usebenzisa i-sauna. Uma iphuma, zama ukuyiphinda uyifake. Uma kungenjalo, faka i-patch entsha kwenye indawo bese uqhubeka nesheduli yakho ejwayelekile yomthamo.

Yimiphi imiphumela emibi engaba khona yalesi sitshalo?

Njenganoma yimuphi umuthi, lesi sitshalo singadala imiphumela emibi. Akuwona wonke umuntu oyitholayo, kodwa kuhle ukuqaphela.

Imiphumela emibi okufanele utshele udokotela wakho ngayo ngokushesha:

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, xhumana nodokotela ngokushesha:

• Ukusabela kokungezwani komzimba: Ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
• Ukuqhekeka kwegazi: ubuhlungu bomlenze, ukuvuvukala noma ukufudumala, ubunzima bokuphefumula, ubuhlungu besifuba.
• Izinguquko zebele: Amaqhubu amasha ebeleni, ukubomvu, ubuhlungu, noma ukuphuma koketshezi oluphuma engonweni.
• Izinkinga zenyongo: Ubuhlungu obukhulu engxenyeni ephezulu kwesokudla yesisu, isicanucanu, ukuhlanza, umkhuhlane.
• Ukuhlaselwa yinhliziyo: Ubuhlungu noma ukuqina esifubeni, emahlombe, ezingalweni, noma emhlathini, isicanucanu, ubunzima bokuphefumula, ukuzizwa ubanda noma ujuluka, kanye nokuquleka.
• Ukwanda komfutho wegazi.
• Ukulimala kwesibindi: Ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi noma onsundu omnyama, ukuphuzi kwamehlo noma isikhumba, kanye nokukhathala okungavamile.
• Isifo sohlangothi: Ukungazweli noma ubuthakathaka obungazelelwe ebusweni, engalweni, noma emlenzeni, ubunzima bokukhuluma, ukudideka, ubunzima bokuhamba, ukulahlekelwa ibhalansi, isiyezi, ikhanda elibuhlungu kakhulu, kanye nezinguquko embonweni.
• Ubuhlungu bamehlo noma ukushintsha kombono ngokuzumayo: ukubona okufiphele, ukubona ama-halo azungeze ukukhanya, ukulahlekelwa umbono.
• Ukopha kwesitho sangasese sowesifazane ngemva kokunqamuka kokuya esikhathini, ubuhlungu be-pelvic.

Imiphumela emibi evame ukungabi yingozi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka:

Lokhu kuvame ukuphela ngemva kwezinsuku ezimbalwa, kodwa uma kuqhubeka noma kukukhathaza kakhulu, tshela udokotela wakho :

• Ukuhlungu obusemhlane.
• Ubuhlungu noma ukuqaqamba kwebele.
• Ikhanda elibuhlungu.
• Ukucasuka endaweni yokufaka isicelo.
• Ukuvuvukala kwamaqakala, izandla, noma izinyawo.

Lolu hlu lungase lungabi nayo yonke imiphumela emibi. Uma ubona noma yini engavamile, khuluma nodokotela wakho ngayo. Ungabika futhi imiphumela emibi ku-FDA (inombolo yocingo: 1-800-FDA-1088).

Uwugcina kanjani lo muthi uphephile?

• Gcina lo muthi kude nezingane .
• Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-15 no-30 / 59 no-86 degrees Fahrenheit).
• Ungagcini ama-patches asusiwe ephaketheni elivikelayo.
• Ungasebenzisi noma yimuphi umuthi ngemva kosuku lokuphelelwa yisikhathi.
• Ama-patches asetshenzisiwe kufanele alahlwe ngendlela efanele. Njengoba kungase kube nama-hormone asele e-patch esetshenzisiwe, goqa i-patch phakathi, izinhlangothi ezinamathelayo zihlangane, bese uyiphonsa emgqonyeni kadoti.

Umyalezo Wokugcina Wokuya Nasekhaya

Nokho, sikhulume kakhulu ngaleli gama elithi '(Estradiol; Levonorgestrel)`, akunjalo?

Khumbula lokhu: Le patch ingaba yisisombululo esihle kwezinye zezinkinga ezihambisana nokunqamuka kokuya esikhathini. Kodwa-ke, akuyona eyawo wonke umuntu. Kukhona nezinto eziningana okufanele uziqaphele uma uyisebenzisa.

Ngakho-ke, uma uzizwa udinga lolu hlobo lokwelashwa, qiniseka ukuthi ukhuluma nodokotela. Udokotela wakho uzocabangela isimo sakho sempilo, eminye imithi oyithathayo, futhi akuchazele ukuthi le patch ikufanele yini, ukuthi izokunikeza izinzuzo zini, nokuthi yiziphi izingozi ezingaba khona.

Uma uneminye imibuzo mayelana nalokhu, ungangabazi ukubuza udokotela wakho, usokhemisi, noma umhlinzeki wezempilo. Uma unolwazi oluningi ngempilo yakho, kulapho ungaba nempilo engcono khona.

Ukunqamuka kokuya esikhathini, ama-hormone patches, i-estradiol, i-levonorgestrel, impilo yabesifazane, imiphumela emibi, ukwelashwa ngama-hormone