Ukunqamuka kokuya esikhathini, isikhathi lapho ukuya kwakho kwanyanga zonke kuphela, kuyingxenye yemvelo yokuphila kwabo bonke abesifazane. Kodwa kungaba isikhathi esinzima kwabanye. Ukujuluka okungazelelwe, ukushisa okukhulu (okwaziwa nangokuthi 'ukushisa okukhulu'), ukungalali, kanye nokucasuka konke kungaphazamisa impilo yakho yansuku zonke. Ukwelashwa okukodwa odokotela abakuncomayo ukulawula lezi zimpawu ukwelashwa ngama-hormone. Namuhla, sizokhuluma ngomuthi obizwa ngokuthi i-Estradiol kanye ne-Progesterone, osetshenziselwa ukwelashwa okunjalo.
Kalula nje, uyini lo muthi obizwa ngokuthi i-Estradiol ne-Progesterone?
Empeleni lokhu kuyinhlanganisela yama-hormone amabili. Okungukuthi, i-estrogen ne-progestin . Ngesikhathi sokunqamuka kokuya esikhathini, ukukhiqizwa kwala ma-hormone emzimbeni wethu kwehla ngokwemvelo. Njengoba nje izinga lamanzi ethangini lamanzi lehla. Lokhu kwehla kwama-hormone kuyimbangela yokungakhululeki okuningi okukhulunywe ngakho ngaphambili, njengokushisa okukhulu nokujuluka.
Ngakho-ke lokho okwenziwa yilo muthi ukubuyisela amazinga e-hormone aphansi emzimbeni ezingeni elithile. Lokhu kusiza kakhulu ekulawuleni izimpawu ezihambisana nokunqamuka kokuya esikhathini, ikakhulukazi ukushisa . Lo muthi kufanele usetshenziswe kuphela ngokunconywa udokotela.
Yiziphi izinto okudingeka ngizitshele udokotela ngaphambi kokuthatha lo muthi?
Lokhu kubaluleke kakhulu. Ngaphambi kokuba uqale ukuthatha lo muthi, kufanele uxoxe nodokotela wakho ngomlando wakho wezempilo ophelele. Lo muthi ungase ungafaneleki kubantu abanezimo ezithile zezokwelapha. Uma unezinye zezimo zezokwelapha ezilandelayo, qiniseka ukuthi utshela udokotela wakho.
| Isimo/ulwazi lwezokwelapha | Incazelo |
|---|---|
| Umlando womdlavuza | Uma unomdlavuza webele, wesibeletho, wesibeletho, noma omunye umdlavuza ohlobene nawo noma okwamanje. |
| Izinkinga zenhliziyo nemithambo yegazi | Ukuhlaselwa yinhliziyo, isifo sohlangothi, izinkinga zokujiya kwegazi, umfutho wegazi ophakeme, i-cholesterol ephezulu. |
| Ezinye izimo zezokwelapha | Isifo sikashukela, isifo sesibindi, isifo sezinso, isifo senyongo, i-endometriosis, i-fibroids, i-migraine, ukucindezeleka, i-Systemic Lupus Erythematosus (SLE), i-Porphyria, ukuntuleka kwe-Protein C noma i-S. |
| Amanye amaphuzu | Ukopha okungachazeki kwesitho sangasese sowesifazane, uma isibeletho sisusiwe (ukususwa kwesibeletho), ukubhema, ukuzama ukukhulelwa, ukukhulelwa, noma ukuncelisa. |
| Ukungezwani komzimba | Uma une-allergy ku-estrogen, ama-hormone e-progestin, eminye imithi, ukudla, noma izithasiselo. |
Uyisebenzisa kanjani kahle le mithi?
Lokhu kulula kakhulu ukukusebenzisa, kodwa kudinga ukwenziwa ngobunono obukhulu.
- Phuza ngamanzi: Gwinya leli kapsuli ngengilazi yamanzi.
- Thatha kanye nokudla: Ukuthatha lo muthi kanye nokudla kunganciphisa ukucasuka kwesisu.
- Yithathe ngesikhathi esifanayo nsuku zonke: Into ebaluleke kakhulu ukuthatha lo muthi ngesikhathi esifanayo nsuku zonke . Lokhu kusiza ukugcina amazinga akho ama-hormone engaguquguquki. Ungasetha isikhumbuzi efonini yakho.
- Ungayeki: Qhubeka nokusebenzisa lokhu kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke. Ungayeki ngokuzumayo.
- Funda isembozo sephakheji yesiguli: Uma unikezwa imithi, funda isembozo sephakheji yesiguli ngokucophelela. Siqukethe ulwazi olubalulekile.
Okubalulekile: Lo muthi unikezwe wena wedwa. Ungalokothi unike omunye umuntu umuthi wakho. Ungaba yingozi.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Yebo, kungenzeka. Thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kunalokho ocabanga ngakho, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Ezinye izinto ezingase zihlangane nalo muthi
Kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo, hhayi nje leyo oyinikezwe udokotela wakho, kodwa namavithamini, imikhiqizo yamakhambi (njenge-St. John's Wort) oyithenga ekhemisi. Eminye imithi ingasebenzisana nalokhu kwelashwa kwama-hormone.
Ikakhulukazi, qiniseka ukuthi usitshela uma uthatha imithi elandelayo:
- I-Aromatase inhibitors (uhlobo lomuthi womdlavuza)
- Imithi yokulwa nokuxhuzula (isib. i-Carbamazepine, i-Phenobarbital, i-Phenytoin)
- Amanye ama-antibiotic (isib. i-Erythromycin, i-Rifampin)
- Ama-antifungal (isb. i-Ketoconazole)
- Imithi ye-HIV noma i-Hepatitis
- I-Warfarin (isidakamizwa esinciphisa igazi)
- Imithi yesifo sikashukela
- Ijusi le-grapefruit lingathinta nokusebenza kahle kwalomuthi.
Lolu hlu aluphelele, ngakho-ke kungcono ukutshela udokotela wakho ngakho konke okuthathayo .
Izinto okufanele uzikhumbule lapho uthatha imithi
- Ukuhlolwa njalo kwezokwelapha: Kubalulekile ukuhlolwa njalo njengoba udokotela wakho ekuyalele ngenkathi uthatha lo muthi. Kubalulekile ukuhlolwa kwebele, ukuhlolwa kwe-pelvic, kanye, uma kudingeka, ne-mammogram.
- Gwema ukubhema: Ukubhema ngenkathi uthatha lo muthi kwandisa kakhulu ingozi yakho yokuqhekeka kwegazi, ukuhlaselwa yinhliziyo, kanye nesifo sohlangothi . Ngakho-ke uma ubhema, kubaluleke kakhulu ukuzama ukuyeka ukuze uphephe.
- Ukuhlinzwa: Uma uzohlinzwa, tshela udokotela ohlinzayo kusenesikhathi ukuthi uthatha lo muthi.
Yimiphi imiphumela emibi engaba khona yalo muthi?
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Eminye iyingozi, eminye ivamile. Into ebalulekile ukuqaphela lokhu.
| Imiphumela emibi kakhulu edinga usizo lwezokwelapha ngokushesha | |
|---|---|
| Ukungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, nobunzima bokuphefumula. |
| Izimpawu Zegazi Eliqhekekile | Ubuhlungu emilenzeni, ukuvuvukala noma ukufudumala, ubunzima bokuphefumula, ubuhlungu besifuba. |
| Izimpawu zesifo sohlangothi | Ukuba ndikindiki noma ubuthakathaka obungazelelwe ebusweni, engalweni, noma emlenzeni, ubunzima bokukhuluma, ubunzima bokuhamba, ikhanda elibuhlungu kakhulu. |
| Izimpawu zokuhlaselwa yinhliziyo | Ukuqina noma ubuhlungu esifubeni, ehlombe, engalweni, noma emhlathini, isicanucanu, ukuphelelwa umoya. |
| Izinguquko zesifuba | Amaqhubu amasha, ukubomvu, ubuhlungu, kanye nokuphuma koketshezi engonweni. |
| Izinkinga zesibindi | Ubuhlungu esiswini esingaphezulu kwesokudla, ukulahlekelwa yisifiso sokudla, ukuphuzi kwamehlo noma isikhumba, umchamo omnyama. |
| Ezinye izimpawu ezinkulu | Ukopha kakhulu kwesitho sangasese sowesifazane, ukwanda kwengcindezi yegazi ngokuzumayo, izinguquko zombono, ukuvuvukala kwamalungu omzimba. |
| Imiphumela emibi evame ukungabi mibi kakhulu (kodwa okufanele ibikwe kudokotela uma iqhubeka) | |
| Ikhanda elibuhlungu | Ubuhlungu bebele noma ukuqina |
| Ubuhlungu besisu | Isicanucanu |
Umlayezo Wokuya Nawe Ekhaya
- Lokhu ukwelashwa ngama-hormone okusetshenziselwa ukuphatha izimpawu zokunqamuka kokuya esikhathini. Akufanele wonke umuntu, ngakho-ke kufanele kuthathwe kuphela ngaphansi kweseluleko sikadokotela.
- Ngaphambi kokuqala umuthi, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke eminye imithi oyithathayo.
- Qaphela izingozi zokuqhekeka kwegazi, ukuhlaselwa yinhliziyo, isifo sohlangothi, kanye neminye imidlavuza. Le ngozi iphezulu kakhulu uma ubhema.
- Uma uhlangabezana nezimpawu ezinkulu njengobuhlungu besifuba, ubunzima bokuphefumula, ukuvuvukala emlenzeni, noma ikhanda elibuhlungu kakhulu, funa iseluleko sezokwelapha ngokushesha.
- Ungaphuthelwa ukuhlolwa okuhleliwe (ukuhlolwa kwebele kanye nokwesinqe) njengoba kunqunywe udokotela.
- Lo muthi ungowakho wedwa. Ungalokothi wabelane ngawo nabanye.
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