Ingabe nawe uzwa ukushisa okungazelelwe kanye nokujuluka njengoba usondela esikhathini sokunqamuka kokuya esikhathini , uneminyaka engu-45-50? Noma ingabe uhlala ucasukile futhi uzizwa ubuhlungu ngezinto ezincane? Ingabe ukhathele ukoma kwesitho sangasese sowesifazane kanye nobuhlungu ngesikhathi socansi? Lokhu ukungakhululeki okuvamile abesifazane abaningi ababhekana nakho ngesikhathi sokunqamuka kokuya esikhathini. Ngakho-ke namuhla sikhuluma ngokwelashwa kwama-hormone odokotela abakuncomayo kokuningi kwalokhu kungakhululeki.
Kuyini i-Estradiol ne-Norgestimate?
Kalula nje, lawa amaphilisi aqukethe ama-hormone amabili akhiqizwa ngokwemvelo emzimbeni wesifazane, i-estrogen ne-progestin . Lapho kufika isikhathi sokunqamuka kokuya esikhathini, amazinga ala ma-hormone emzimbeni wethu ayancipha. Ngakho-ke, lokho okwenziwa yilo muthi ukubuyisela inani elinciphile lama-hormone emzimbeni nokulawula ukungakhululeki okubangelwa yiwo.
Lo muthi usetshenziswa kakhulu kulezi zinto ezilandelayo:
- Ukushisa : Lo muthi usiza ekunciphiseni lokhu kungakhululeki okucasulayo okubangelwa ukunqamuka kokuya esikhathini.
- Ukungakhululeki kwesitho sangasese sowesifazane: Kusiza ekunciphiseni ukoma kwesitho sangasese sowesifazane, ukulunywa , kanye nobuhlungu ngesikhathi socansi.
- Ukuvimbela I-Osteoporosis : Ngenxa yokwehla kwama-hormone ngemva kokunqamuka kokuya esikhathini, amathambo angaba mancane futhi abe buthakathaka kakhulu. Lo muthi uyasiza nasekuvimbeleni lesi simo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Lokhu kuyingxenye ebaluleke kakhulu. Ngoba la maphilisi ama-hormone awafanele wonke umuntu. Angaba yingozi kubantu abanezimo ezithile zezokwelapha. Ngakho-ke, ngaphambi kokuba uqale ukuthatha lo muthi, kufanele utshele udokotela wakho uma unezinye zezimo ezilandelayo:
| Ingabe unalezi zimo? | Kungani kubalulekile? |
|---|---|
| Umdlavuza webele, wesibeletho, wesibeletho , noma umlando womdlavuza | Ngenxa yokuthi ezinye izinhlobo zomdlavuza zixhomeke kuma-hormone, lo muthi ungathinta ukukhula kwazo. |
| Amahlule egazi emithanjeni yegazi noma izifo ezihlobene nawo | Lo muthi ungandisa kancane ingozi yokuqhekeka kwegazi. |
| Isifo senhliziyo , ukuhlaselwa yinhliziyo kwakamuva noma isifo sohlangothi | Kufanele kuqashelwe ngokukhethekile lapho kunikezwa lo muthi kulabo abanomlando wesifo senhliziyo. |
| Umfutho wegazi ophakeme ongalawuleki | Lo muthi ungandisa umfutho wegazi. |
| Isifo sesibindi noma isifo senyongo | La ma-hormone enziwa yisibindi. Uma kunenkinga ngesibindi, kungaba yinkinga. |
| Ukopha okungachazeki kwesitho sangasese sowesifazane | Imbangela yokopha kwegazi kumele iqale ihlolwe. |
| Ezinye izifo ezifana nesifo sikashukela , i-endometriosis , i-migraine | Kubalulekile ukwazisa udokotela wakho ngoba lezi zimo zingashintsha kuye ngethonya lamahomoni. |
| Ingabe uyabhema? | Ingozi yokuqhekeka kwegazi kanye nesifo sohlangothi iyanda kakhulu, ikakhulukazi uma abesifazane abangaphezu kweminyaka engama-35 bebhema. |
| Ingabe ukhulelwe noma uzama ukukhulelwa? Ingabe uyancelisa? | Lomuthi awufaneleki nhlobo ezimweni ezinjalo. |
Ngingawusebenzisa kanjani lo muthi?
Kulula kakhulu. Thatha iphilisi elilodwa nsuku zonke, njengoba nje udokotela wakho ekuyalele, nengilazi yamanzi ngesikhathi esifanayo nsuku zonke . Ungayithatha nokudla noma ngaphandle kokudla. Ungathathi okungaphezu kwesilinganiso udokotela wakho akutshele ukuthi usithathe.
Kuthiwani uma ukhohlwa ukuphuza iphilisi?
Ngicela ungakhathazeki ngalokhu. Thatha iphilisi olibaleke ngalo ngokushesha nje lapho ukhumbula. Kodwa-ke, uma seliseduze kakhulu nesikhathi sephilisi lakho elilandelayo (isibonelo, phakathi namahora ambalwa), yeqa iphilisi olibaleke ngalo bese uthatha iphilisi elilandelayo ngesikhathi esihleliwe. Ungalokothi uthathe amaphilisi amabili ngesikhathi esisodwa ukuze ubuyisele iphilisi olibaleke ngalo.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Izinto okufanele uziqaphele lapho uthatha umuthi
Uma usebenzisa lo muthi, kubaluleke kakhulu ukucabangela lezi zinto ngokuphepha kwakho kanye nempilo yakho.
- Ukuhlolwa njalo kwezokwelapha: Ngokuqinisekile okungenani kanye njalo ezinyangeni eziyisithuphaBona udokotela wakho ukuze akuhlole. Udokotela wakho uzokwenza ukuhlolwa kwesibeletho samabele akho kanye nesitho sangasese sowesifazane. Futhi, khuluma naye ngokuthi kufanele yini uhlolwe i-mammogram ngesikhathi esijwayelekile.
- Gwema ukubhema: Njengoba sishilo ngaphambili, ukubhema ngenkathi uthatha lo muthi, ikakhulukazi uma uneminyaka engaphezu kwengu-35, kwandisa kakhulu ingozi yokuqhekeka kwegazi kanye nesifo sohlangothi. Ngakho-ke, kungcono ukugwema ukubhema ngokuphelele.
- Ukuvuvukala: Ngezinye izikhathi lo muthi ungabangela ukugcinwa kwamanzi emzimbeni, okubangela ukuvuvukala ezandleni, eminweni, noma emaqakaleni. Uma lokhu kwenzeka noma uma uzizwa umfutho wegazi wakho uphezulu, tshela udokotela wakho.
- Uma usola ukuthi ukhulelwe: Uma usola ukuthi ukhulelwe nganoma yisiphi isizathu, yeka ukuthatha imithi ngokushesha bese wazisa udokotela wakho.
- Ngaphambi kokuhlinzwa: Uma uhlela ukwenza noma yikuphi ukuhlinzwa, khuluma nodokotela wakho kusengaphambili bese ubuza ukuthi kufanele yini uyeke ukuthatha lo muthi ngaphambi kwenqubo.
Imiphumela emibi engaba khona yomuthi
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi kwabanye abantu. Eminye iyingozi, eminye ijwayelekile. Kubalulekile ukuqaphela lokhu.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Izimpawu ze-clot yegazi | Ubuhlungu emilenzeni, ukuvuvukala, ukufudumala, ubunzima bokuphefumula, ubuhlungu besifuba. |
| Izimpawu Zokushaywa Yisifo Sohlangothi | Ukuba ndikindiki/ubuthakathaka ohlangothini olulodwa lobuso, ingalo, noma umlenze, ubunzima bokukhuluma, ubunzima bokuhamba, ikhanda elibuhlungu kakhulu, ukushintsha kombono. |
| Izinguquko emabeleni | Amaqhubu amasha, ukubomvu, ubuhlungu, kanye nokuphuma koketshezi engonweni. |
| Izimpawu zesifo sesibindi | Ubuhlungu esiswini esingaphezulu kwesokudla, ukulahlekelwa yisifiso sokudla, isicanucanu, ukuphuzi kwesikhumba noma amehlo, umchamo ophuzi/onsundu omnyama. |
| Ukuphuma koketshezi olungavamile esithweni sangasese sowesifazane | Ukopha ngemva kokuya esikhathini, ukulunywa kakhulu, kanye nokuphuma koketshezi olunuka kabi. |
| Ubuhlungu bebele | Ukuzwa ukuqina noma ubuhlungu obuncane bebele. |
| Ukugcwala kwesisu / isicanucanu | Ukungakhululeki esiswini, ukuzizwa sengathi uhlanza. |
| Ukulahlekelwa izinwele | Ukulahlekelwa izinwele okuncane. |
Umlayezo Wokuya Nawe Ekhaya
- I-Estradiol ne-Norgestimate ukwelashwa kwama-hormone okusetshenziselwa ukwelapha izimpawu zokunqamuka kokuya esikhathini nokuvimbela ukulahlekelwa amathambo.
- Ngaphambi kokuqala lo muthi, kubalulekile ukuthi utshele udokotela wakho umlando wakho wezokwelapha ophelele (ikakhulukazi umdlavuza, amahlule egazi, nesifo senhliziyo).
- Njengoba nje udokotela eshilo, thatha umuthi ngesikhathi esifanayo nsuku zonke. Ungalokothi uthathe ngaphezu komthamo onconywayo.
- Lomuthi ungowakho wedwa. Ungalokothi unike abanye umuthi wakho.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nobuhlungu bemilenze, ubuhlungu besifuba, ubunzima bokuphefumula, noma ukuvuvukala kobuso, funa iseluleko sezokwelapha ngokushesha.
- Ukuhlolwa kwezokwelapha njalo ezinyangeni eziyisithupha nokugwema ukubhema kubaluleke kakhulu ukuze uphephe.
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