Ukunqamuka kokuya esikhathini kuyinto abesifazane abaningi ababhekene nayo abaneminyaka ephakathi kuka-45-55. Phakathi nalesi sikhathi, ungase uzwe ukungakhululeki okuningi, njengokujuluka okungazelelwe, ukushisa okukhulu, ukungalali ebusuku, ukucasuka, kanye nokoma kwesitho sangasese sowesifazane. Nakuba lokhu kujwayelekile, kungaba yisithiyo esikhulu empilweni yakho yansuku zonke. Ngakho-ke, ingabe nawe unalokhu kungakhululeki? Ngakho-ke kubaluleke kakhulu ukuthi wazi ngaleli qembu lama-hormone esikhuluma ngalo namuhla.
Iyini le patch yama-hormone?
Kalula nje, lesi yisigaxa esincane osinamathisela esikhumbeni sakho. Sifana neplasta. Lesi sigaxa siqukethe ingxube yezinhlobo ezimbili zamahomoni abesifazane. Ziyi -estrogen (Estradiol) kanye ne-progestin (Norethindrone).
Cabanga ngakho, ngesikhathi sokunqamuka kokuya esikhathini, ukukhiqizwa kwala ma-hormone emzimbeni wethu kwehla ngokwemvelo. Yingakho izinkinga eziningi esikhulume ngazo ekuqaleni zenzeka. Ngakho-ke lokho okwenziwa yilesi siqephu ukuletha ama-hormone adingwa ngumzimba ngesikhumba, futhi silawula izimpawu ezibangelwa ukwehla kwalawo ma-hormone. Lokhu ngezinye izikhathi kunconywa kwabesifazane abakhishwe ama-ovari ngokuhlinzwa.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokusebenzisa lo muthi
Njengoba lokhu kuyindlela yokwelapha ngama-hormone, kubaluleke kakhulu ukuthi udokotela wakho azi umlando wakho wezempilo ophelele. Uma unezinye zezimo ezilandelayo, qiniseka ukuthi utshela udokotela wakho ngaphambi kokusebenzisa lesi sitshalo.
- Uma uke waba namahlule egazi ngaphambilini noma isifo semithambo yegazi.
- Uma unomdlavuza webele, wesibeletho, noma wesibeletho noma usolwa ukuthi unomdlavuza onjalo.
- Uma unesifo sikashukela.
- Uma une-endometriosis noma i-uterine fibroids.
- Uma unesifo senyongo.
- Uma unesifo senhliziyo, ukuhlaselwa yinhliziyo muva nje, noma isifo sohlangothi.
- Uma une-cholesterol ephezulu noma amazinga e-calcium egazini lakho.
- Uma une-high blood pressure.
- Uma uke wahlinzwa i-hysterectomy.
- Uma unesifo sezinso noma sesibindi.
- Uma unesifo sokucindezeleka noma i-migraines.
- Ezinye izimo zezokwelapha ezithile njenge-lupus (Systemic Lupus Erythematosus - SLE).
- Uma ubhema (lokhu kubaluleke kakhulu).
- Uma kukhona ukopha kwesitho sangasese sowesifazane ngaphandle kwesizathu esaziwayo.
- Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa.
- Uma une-allergies kwamanye ama-hormone, imithi, ukudla, noma izithasiselo.
Ngilisebenzisa kanjani kahle leli patch?
Lokhu kuyinto esetshenziswa esikhumbeni. Kufanele uyisebenzise njengoba nje udokotela wakho ekutshelile.
1. Dabula iphakethe: Ungasebenzisi isikele, dabula ngesandla.
2. Lungisa i-patch: Susa ngokucophelela i-liner eqinile evikelayo ohlangothini olunamathelayo lwe-patch ngaphakathi. Zama ukungathinti uhlangothi olunamathelayo.
3. Faka: Faka uhlangothi olunamathelayo lwesichibi endaweni ehlanzekile, eyomile, engenazinwele yesisu sakho esingezansi . Ungafaki emanxebeni, ezibazini, noma ezindaweni ezinesikhumba esiqinile. Ungalokothi ufake lesi sichibi emabeleni noma eduze kwesinqe.
4. Shintsha indawo: Ukuze ugweme ukungezwani nesikhumba, shintsha indawo lapho ufaka khona i-patch isikhathi ngasinye. Isibonelo, uma uyifake ngakwesokudla kwesisu sakho kulokhu, yifake ngakwesokunxele ngesikhathi esizayo.
5. Shintsha ngokwesimiso: Udokotela wakho uzokutshela ukuthi yiziphi izinsuku zesonto okufanele ushintshe i-patch (isibonelo, njalo ngoMsombuluko nangoLwesine). Landela leso simiso ngqo.
6. Ungasiki: Ungasiki noma wenze noma yiziphi izinguquko esiqeshini.
Uzothola iphakethe lesiguli elihambisana nayo yonke imithi kadokotela. Lifunde ngokucophelela njalo. Ulwazi lungabuyekezwa.
Kuthiwani uma ngikhohlwa ukushintsha i-patch?
Uma ukhohlwa ukushintsha i-patch yakho ngosuku okufanele uyishintshe ngalo, susa endala bese ufaka entsha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi se-patch yakho elandelayo, lahla i-patch engafanele bese ufaka i-patch elandelayo ngesikhathi sakho esijwayelekile. Ungagqoki ama-patch amabili ngesikhathi esisodwa nganoma yisiphi isizathu.
Ukweqisa umthamo
Uma ucabanga ukuthi uphuze lo muthi ngephutha, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana Kwezidakamizwa)
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi). Eminye imithi ingase ihlangane nale patch yama-hormone.
| Isigaba sezidakamizwa | Izibonelo namanothi |
|---|---|
| Ungalokothi usebenzise lezi | I-Aromatase inhibitors (isb. i-anastrozole, i-letrozole). |
| Tshela udokotela wakho uma usebenzisa lezi zinto. |
|
Lolu hlu aluphelele, ngakho-ke khuluma nodokotela wakho ngakho konke okuthathayo.
Izinto okufanele uziqaphele uma usebenzisa lesi siqephu
- Ukuhlolwa njalo kwezokwelapha: Vakashela udokotela wakho okungenani kanye njalo ezinyangeni eziyisithupha ukuze uhlole isimo sakho. Kubalulekile futhi ukuthi uhlolwe amabele, uhlolwe i-pelvic, kanye ne-mammogram ngezikhathi ezithile.
- Gwema ukubhema: Ukubhema kwandisa kakhulu ingozi yokuqhekeka kwegazi kanye nesifo sohlangothi, ikakhulukazi uma uneminyaka engaphezu kwengu-35. Ngakho-ke, kuyalulekwa kakhulu ukugwema ukubhema ngokuphelele.
- Ukugcinwa koketshezi: Lo muthi ungabangela ukuvuvukala eminweni yakho, ezandleni, noma emaqakaleni. Ungase futhi wandise umfutho wegazi lakho. Tshela udokotela wakho uma uhlangabezana nanoma yiziphi zalezi zimpawu.
- Ukukhulelwa: Uma usola ukuthi ukhulelwe, yeka ukusebenzisa i-patch ngokushesha bese ubona udokotela wakho.
- Ukuhlinzwa kanye ne-MRI: Uma uhlela ukuhlinzwa okukhethwa kukho, khuluma nodokotela wakho ngakho kusengaphambili. Futhi, uma uzokwenziwa i-MRI scan, tshela uchwepheshe we-MRI ukuthi usebenzisa le patch. Isembozo se-aluminium kwamanye ama-patches singashisa ngesikhathi se-MRI futhi sishise isikhumba.
- Uma i-patch iphuma: Ungageza bese uzivocavoca. Kodwa uma i-patch iphuma, zama ukuyiphinda uyifake. Uma ingasebenzi, faka i-patch entsha kwenye indawo bese uqhubeka nesimiso sakho esijwayelekile.
Yimiphi imiphumela emibi engaba khona yalo muthi?
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Eminye iyingozi, eminye ivamile.
| Imiphumela emibi okufanele ibikwe kudokotela wakho noma ku-ETU ngokushesha | |
|---|---|
| Ukungezwani komzimba (ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso/izindebe) | Ubuhlungu besifuba obungazelelwe |
| Ukushintsha kwamabele, amaqhubu, noma ukuphuma koketshezi | Ubuhlungu obukhulu bekhanda, izinguquko zombono |
| Ubunzima bokukhuluma noma ukuqonda, ukulahlekelwa inkumbulo | Ubunzima bokuphefumula ngokuzumayo |
| Ubuhlungu emilenzeni, ukuvuvukala, ukufudumala (izimpawu zokuqhekeka kwegazi) | Ukungazweli noma ubuthakathaka ebusweni, engalweni, noma emlenzeni |
| Ukopha okungavamile kwesitho sangasese sowesifazane | Ukuphuzi kwamehlo noma isikhumba, umchamo omnyama, ubuhlungu ohlangothini oluphezulu kwesokudla lwesisu (izimpawu zenkinga yesibindi) |
| Izinto okufanele uzitshele udokotela wakho uma ziqhubeka noma zikhathaza | |
| Izinduna, amabala ansundu ebusweni | Ubuhlungu besisu noma ukuqunjelwa |
| Izinguquko ekufiseni ukudla noma isifiso socansi | Ukuzizwa ukhathele noma ubuthakathaka ngendlela engavamile |
| Ukushintshashintsha kwemizwa | Ukwanda kwesisindo |
Ngingawugcina kanjani umuthi?
Gcina lesi sitsha kude nezingane. Gcina ekamelweni lokushisa, ephaketheni le-foil elivaliwe. Lahla noma yiziphi izitsha ezisele ngemuva kosuku lokuphelelwa yisikhathi ephaketheni noma ngemva kwezinyanga eziyisithupha.
Umlayezo Wokuya Nawe Ekhaya
- Le patch yama-hormone iwumuthi onikezwa ukulawula izimpawu zokunqamuka kokuya esikhathini. Akufanele wonke umuntu.
- Qiniseka ukuthi utshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke eminye imithi oyiphuzayo.
- Ukubhema ngenkathi usebenzisa lo muthi kwandisa kakhulu ingozi, ngakho gwema ukubhema ngokuphelele.
- Hamba uyohlolwa njalo ngudokotela (ikakhulukazi ukuhlolwa kwamabele kanye nokwesinqe).
- Uma uhlangabezana nemiphumela emibi kakhulu njengobuhlungu besifuba, ikhanda elibuhlungu kakhulu, noma ukuvuvukala kwemilenze, funa iseluleko sikadokotela ngokushesha.
- Lo muthi ungowakho wedwa. Ungalokothi wabelane ngawo nabanye.
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