Ukunqamuka kokuya esikhathini kuyisikhathi soshintsho olukhulu empilweni yowesifazane. Ungase ube nokushisa okukhulu, ukushisa okukhulu, kanye nokushintshashintsha kwemizwelo. Ngezinye izikhathi, amathambo akho angase aqale ukuba buthaka phakathi nalesi sikhathi. Uma unezinye zalezi zimpawu, udokotela wakho kungenzeka ukuthi ukutshelile ukuthi uqale ukwelashwa ngama-hormone. I-Estradiol ne-Norethindrone zingama-hormone amabili ahlanganiswe ephilisini. Ngakho-ke ake sixoxe ngalokhu ngendlela elula namuhla.
Lomuthi usetshenziselwani?
Kalula nje, lokhu kuyi-Hormone Replacement Therapy (HRT). Lo muthi unikezwa ukubuyisela, ngezinga elithile, amazinga e-estrogen kanye nama-progesterone hormone emzimbeni wakho anciphayo ngokunqamuka kokuya esikhathini.
Lokhu kuhlose kakhulu:
- Ukunciphisa ukungakhululeki ngesikhathi sokunqamuka kokuya esikhathini: Lokhu kusiza ukulawula izinto ezifana nokushisa okukhulu kanye nokujuluka ebusuku.
- Ukugcina amathambo eqinile: Ngemva kokunqamuka kokuya esikhathini, amathambo aba mancane futhi aphuke kalula (i-osteoporosis). Lo muthi unciphisa leyo ngozi.
Okubaluleke kakhulu, lo muthi unikezwa abesifazane abasenaso isibeletho ngoba i-hormone i-Norethindrone ekuwo isiza ekuvikeleni izindonga zesibeletho.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuba udokotela wakho akunike lo muthi, kuzodingeka azi umlando wakho wezempilo ophelele. Lokhu kungenxa yokuthi ezinye izimo zezokwelapha zingenza kube yingozi ukusebenzisa lo muthi. Ngakho-ke, uma unezinye zezimo ezilandelayo, qiniseka ukuthi utshela udokotela wakho ngazo.
| Isimo sakho sempilo | Kungani kufanele ngikwazise? (Kalula nje) |
|---|---|
| Umdlavuza webele, wesibeletho, wesibeletho, noma esinye isimo somdlavuza | Ngenxa yokuthi eminye imidlavuza incike kuma-hormone, lo muthi ungabangela ukuba ikhule. |
| Isifo senhliziyo, ukuhlaselwa yinhliziyo kwakamuva noma isifo sohlangothi | Lokhu kungaba yingozi uma unomlando wesifo senhliziyo, njengoba la ma-hormone angandisa ingozi yokuqhekeka kwegazi. |
| Isifo semithambo yegazi noma izinkinga zokujiya kwegazi | Isizathu esifanayo nesingenhla. Sandisa ingozi yokuqhekeka kwegazi. |
| Isifo sesibindi noma isifo senyongo | Umzimba ucubungula la ma-hormone ngesibindi. Uma isibindi sibuthakathaka, umuthi unganqwabelana emzimbeni bese uba yingozi. |
| Ukopha okungachazeki kwesitho sangasese sowesifazane | Ngenxa yokuthi lokhu kungaba uphawu lwesifo esibucayi esiyisisekelo, ukwelashwa ngama-hormone akufaneleki kuze kutholakale imbangela. |
| Isifo sikashukela, i-cholesterol ephezulu, umfutho wegazi ophezulu | Lo muthi ungaba nomthelela ekulawuleni lezi zimo. |
| I-Migraine, Ukucindezeleka, i-Endometriosis, i-Fibroid | Lezi zimo zingase zibe zimbi kakhulu noma zishintshe ngenxa yezinguquko zamahomoni. |
| Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa | Lomuthi awufaneleki nhlobo kulezi zimo. |
| Uma ubhema (ikakhulukazi uma uneminyaka engaphezu kwengu-35) | Ukuhlanganiswa kokubhema kanye nala ma-hormone kwandisa kakhulu ingozi yokuqhekeka kwegazi kanye nesifo sohlangothi. |
Uyisebenzisa kanjani le mithi?
Lokhu kulula kakhulu. Phuza iphilisi elilodwa nengilazi yamanzi cishe ngesikhathi esifanayo nsuku zonke, njengoba udokotela wakho esho. Abanye abantu bangase bazizwe bengakhululekile esiswini uma beliphuza esiswini esingenalutho. Uma kunjalo, liphuze kanye nokudla.Ungaphuzi ngaphezu kwesilinganiso esinqunywe udokotela wakho nganoma yisiphi isizathu.
Kuthiwani uma ngikhohlwa ukuphuza umuthi wami?
Zicabange uphuza iphilisi lakho ngo-8 ekuseni nsuku zonke. Namuhla ukhumbule ngo-12 emini. Bese uphuza iphilisi ophuthelwe ngalo ngokushesha. Kodwa uma sekuseduze no-6-7 ntambama lapho ukhumbula, okusho ukuthi sekuseduze kakhulu nesikhathi okufanele uliphuze ngaso ngo-8 ekuseni ngosuku olulandelayo, khohlwa ngephilisi ophuthelwe ngalo. Thatha iphilisi elilodwa kuphela ngo-8 ekuseni ngosuku olulandelayo njengokujwayelekile. Ungalokothi uthathe amaphilisi amabili ngesikhathi esisodwa ukuze ubuyisele elo ophuthelwe ngalo.
Ezinye izinto ezingase zihlangane nalo muthi
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nemithi yamakhambi oyithathayo, njengoba eminye imithi ingasebenzisana nala maphilisi ama-hormone futhi inciphise noma inyuse ukusebenza kahle komuthi, noma ibangele imiphumela emibi eyingozi.
Ikakhulukazi, eminye imithi yomdlavuza (i-Aromatase inhibitors), imithi yesifo sokuwa (isib. i-Carbamazepine, i-Phenytoin), eminye imithi elwa namagciwane (isib. i-Rifampin), ngisho nejusi lamagilebhisi kungasebenzisana nalo muthi. Ngakho-ke qiniseka ukuthi utshela udokotela wakho ngakho konke okuthathayo.
Izinto okufanele uziqaphele lapho uthatha umuthi
Kubaluleke kakhulu ukunaka umzimba wakho kancane uma usebenzisa lo muthi.
- Ukuhlolwa njalo kwezokwelapha: Bona udokotela wakho okungenani kanye njalo ezinyangeni eziyisithupha ukuze uhlolwe ngokuphelele. Kubalulekile ukuhlolwa kwebele, ukuhlolwa kwe-pelvic, kanye ne-mammogram uma kudingeka.
- Gwema ukubhema: Njengoba sishilo ngaphambili, ukubhema ngenkathi uthatha lo muthi kowesifazane oneminyaka engaphezu kwengu-35 kufana nokuvula umnyango wokuhlaselwa yinhliziyo kanye nesifo sohlangothi. Ngakho-ke, gwema ukubhema ngokuphelele.
- Ukuvuvukala: Ngezinye izikhathi lo muthi ungabangela ukugcinwa kwamanzi emzimbeni, okubangela ukuvuvukala eminweni, ezandleni, noma emaqakaleni. Kungakhuphula nomfutho wegazi. Uma lokhu kwenzeka, tshela udokotela wakho .
- Ngaphambi kokuhlinzwa: Uma unokuhlinzwa okuhleliwe, khuluma nodokotela wakho ngakho bese ubuza ukuthi udinga ukuyeka yini ukuthatha lo muthi ngaphambi kokuhlinzwa.
Imiphumela emibi engaba khona yomuthi
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi kwabanye abantu. Eminye yale miphumela iyingozi, eminye ivamile.
| Imiphumela emibi kakhulu edinga usizo lwezokwelapha ngokushesha | |
|---|---|
| Ubuhlungu obukhulu besifuba obungazelelwe, ubunzima bokuphefumula | Kungaba uphawu lokuqhekeka kwegazi emaphashini. |
| Ubuhlungu bomlenze, ukuvuvukala, ukubomvu, kanye nomuzwa wokufudumala | Ukuqhekeka kwegazi emthanjeni emlenzeni kungaba uphawu lwe-deep vein thrombosis (DVT). |
| Ubunzima bokukhuluma, ukungazweli/ukuba ndikindiki ngokuzumayo ebusweni, engalweni, noma emlenzeni, ubunzima bokuhamba | Lezi kungaba izimpawu zokuhlaselwa yisifo sohlangothi. |
| Ubuhlungu obukhulu bekhanda, izinguquko zombono | Lokhu kungaba izimpawu zomfutho wegazi ophakeme noma esinye isimo esibucayi. |
| Ukuphuzi kwamehlo noma isikhumba (i-jaundice), umchamo omnyama, ubuhlungu ohlangothini oluphezulu kwesokudla lwesisu | Lokhu kungaba izimpawu zokulimala kwesibindi. |
| Amaqhubu noma izinguquko zesifuba, ukuphuma kwegazi esibeleni, ukopha okungavamile kwesitho sangasese sowesifazane | Lezi kungaba yizimo ezibucayi ezidinga ukuhlolwa ngokushesha. |
| Imiphumela emibi evame ukuba yinto engakhathazeki ngayo, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
|---|---|
| Induna | Amabala ansundu ebusweni |
| Izinguquko ekufiseni ukudla | Izinguquko esifisweni socansi |
| Ukushintshashintsha kwemizwa, ukuzizwa ucindezelekile kancane | Ubuhlungu besisu noma ukuqunjelwa |
| Ukwanda kwesisindo | Ukuzizwa ukhathele ngendlela engavamile |
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kunalokho ocabanga ukuthi ungakwenza, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Umlayezo Wokuya Nawe Ekhaya
- I-Estradiol ne-Norethindrone ukwelashwa kwama-hormone okusetshenziswa ukulawula izimpawu zokunqamuka kokuya esikhathini kanye nokulahlekelwa amathambo.
- Ngaphambi kokuthatha lo muthi, kufanele utshele udokotela wakho ngomlando wakho wezempilo ophelele (ikakhulukazi umdlavuza, isifo senhliziyo, izinkinga zokujiya kwegazi).
- Thatha umuthi ngesikhathi esifanayo nsuku zonke. Ungalokothi uthathe okungaphezu kwesilinganiso esinqunywe udokotela wakho.
- Ukubhema ngenkathi uthatha lo muthi kuyingozi kakhulu , ikakhulukazi uma uneminyaka engaphezu kwengu-35.
- Uma uhlangabezana nezimpawu ezinkulu njengobuhlungu besifuba, ubunzima bokuphefumula, ukuvuvukala kwemilenze, noma ubunzima bokukhuluma, funa iseluleko sezokwelapha ngokushesha.
- Uma unemibuzo mayelana nalomuthi, ungesabi ukuxoxa ngawo nodokotela wakho.
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