Ukunqamuka kokuya esikhathini, isikhathi lapho ukuya esikhathini kuphela ngokuphelele, yisikhathi soshintsho olukhulu empilweni yowesifazane. Phakathi nalesi sikhathi, izinguquko zamahomoni emzimbeni zingabangela ukungakhululeki okukhulu, njengokushisa okukhulu, ukucasuka okuvamile, ukuqwasha, kanye nokoma kwesitho sangasese sowesifazane. Ngakho-ke, enye yezindlela zokwelapha ezinconywa odokotela ukulawula lezi zimpawu umuthi oqukethe i-hormone i-Estradiol. Namuhla sikhuluma ngayo, ikakhulukazi nge-Estradiol Topical Spray, efuthwa esikhumbeni.
Kalula nje, iyini i-estradiol?
I-Estradiol uhlobo lwe-hormone i-estrogen ekhiqizwa ngokwemvelo emizimbeni yethu. Amazinga e-estrogen emzimbeni ayancipha ngokunqamuka kokuya esikhathini. Lo muthi usebenza ukubuyisela lawo mazinga e-estrogen anciphile ngezinga elithile.
Uma usebenzisa lesi sifutho, izimpawu ezihlobene nokunqamuka kokuya esikhathini zifaka:
- Kunciphisa inani kanye nobukhali be-hot flashes.
- Kuphinde kusize ekunciphiseni izimpawu ezifana nokoma kwesitho sangasese sowesifazane, ukulunywa, kanye nobuhlungu ngesikhathi socansi.
Lo muthi ungaba ngaphansi kwamagama emikhiqizo ehlukahlukene eSri Lanka nakwamanye amazwe. I-'Evamist' ingenye yamagama emikhiqizo adumile. Kodwa noma ngabe yiliphi igama eliba ngaphansi kwalo, liqukethe i-hormone i-Estradiol.
Ngaphambi kokuthatha umuthi, qiniseka ukuthi utshela udokotela wakho lezi zinto:
Njengoba lokhu kuyindlela yokwelapha ngama-hormone, kungase kuhlangane nezinye izimo zezokwelapha emzimbeni wakho. Ngakho-ke, uma unezinye zezimo ezilandelayo ngaphambi kokusebenzisa lo muthi, kufanele utshele udokotela wakho ngakho.
| Isifo noma ingozi | Incazelo |
|---|---|
| Izimo zomdlavuza | Uma uke waba nomdlavuza webele, wesibeletho, wesibeletho, wesibeletho, wama-ovari, noma wesibindi. |
| Izinkinga zenhliziyo nemithambo yegazi | Ukuhlaselwa yinhliziyo, isifo sohlangothi, izinkinga zokujiya kwegazi, umfutho wegazi ophakeme, noma i-cholesterol ephezulu. |
| Ukopha okungavamile | Ukopha okungajwayelekile kwesitho sangasese sowesifazane okungaziwa imbangela. |
| Ezinye izimo zezokwelapha | Isifo sikashukela, isifo sesibindi noma sezinso, isifo senyongo, i-migraine, i-dementia, isifo se-SLE (Systemic lupus erythematosus). |
| Ulwazi lomuntu siqu kanye nemikhuba | Uma uke wakhishwa isisu, ubhema, uzama ukukhulelwa, noma uncelisa. |
| Ukungezwani komzimba | Uma une-allergy ku-estrogen noma kwamanye ama-hormone, imithi, ukudla, noma izithasiselo. |
Uyisebenzisa kanjani kahle le spray?
Kubaluleke kakhulu ukwazi kahle ukuthi lo muthi uwusebenzisa kanjani.
1. Kwesikhumba kuphela: Lona akusiwo umuthi wokuphuza ngomlomo, kodwa uwukufafaza nje kuphela okufanele uwusebenzise esikhumbeni (ukusetshenziswa kwangaphandle).
2. Indawo efanele: Udokotela wakho uzokukhombisa ukuthi uyisebenzisa kanjani. Ngokuvamile, kufanele uyifuthe esikhumbeni esihlanzekile, esomile, esingaphukile , phakathi kwendololwane nesihlakala, kanye nangaphakathi kwebunzi . Ungalokothi uyifuthe emabeleni akho.
3. Isikhathi esivamile: Ukuthatha umuthi ngesikhathi esifanayo nsuku zonke kuzokusiza uthole imiphumela engcono.
4. Ukuhlanzeka: Uma ugeza, kufanele ufake i-spray kuphela uma usuqedile ukugeza futhi isikhumba somile kahle.
5. Hlala kude nomlilo: Lokhu kubaluleke kakhulu! Ngemva kokufaka isifutho, hlala kude nomlilo namalangabi kuze kube yilapho indawo yomile ngokuphelele. Futhi, ungabhemi. Lokhu kuqukethe utshwala futhi kungabamba umlilo.
Yini okufanele ngiyenze uma ngiphuthelwa umthamo?
Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo njengokujwayelekile. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo ophuthelwe.
Kuthiwani uma umuthi usetshenziswa kakhulu?
Uma ucabanga ukuthi usebenzise umuthi omningi kakhulu, ngokusheshaShayela iNational Poison Information Centre eColombo National Hospital, noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Izinto ezikhethekile okufanele uziqaphele uma usebenzisa lo muthi
- Ukwabelana ngomuthi nabanye: Lokhu kubaluleke kakhulu. Uma ufafaza umuthi komunye umuntu (ikakhulukazi ingane) noma isilwane esifuywayo, umuthi ungangena emzimbeni wakhe. Lokhu kungabangela imiphumela emibi kakhulu. Ngakho-ke, gcina indawo lapho ufake khona umuthi imbozwe ngezingubo. Uma ufafaza omunye umuntu ngephutha, geza indawo ngokushesha ngensipho namanzi.
Isexwayiso: Uma uneminyaka engaphezu kwengu-35 ubudala futhi ubhema, usengozini enkulu yokuqhekeka kwegazi noma isifo sohlangothi ngenkathi uthatha lo muthi. Ngakho-ke , kuyalulekwa kakhulu ukuthi ugweme ngokuphelele ukubhema ngenkathi uthatha lo muthi.
- Ukuhlolwa njalo kwezokwelapha: Ngesikhathi uthatha lo muthi, kufanele ubonane nodokotela wakho njalo ukuze ahlole isimo sakho. Khuluma nodokotela wakho ngesidingo sokuhlolwa njalo kwamabele, ukuhlolwa kwe-Pap smears, kanye ne-mammograms.
- Ingozi yomdlavuza wesibeletho: Uma uthatha ukwelashwa ngama-hormone e-estrogen kuphela, kunengozi encane kakhulu yokuthi ulwelwesi lwesibeletho (i-endometrial hyperplasia) luzokhula lube umdlavuza. Ukuze unciphise le ngozi, uma isibeletho sakho singakasuswa, udokotela wakho angase akunikeze enye i-hormone ebizwa ngokuthi i-progestin kanye nalo muthi we-estrogen. Xoxa ngezinzuzo nezingozi zalokhu nodokotela wakho.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi kwabanye abantu. Eminye iyingozi, eminye ivamile.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho ngokushesha | |
|---|---|
| Izimpawu zesifo sohlangothi | Ukungazweli noma ubuthakathaka ebusweni, engalweni, noma emlenzeni, ubunzima bokukhuluma, ubunzima bokuhamba, ukuquleka, ikhanda elibuhlungu kakhulu. |
| Izimpawu zokuqhekeka kwegazi | Ubuhlungu emilenzeni, ukuvuvukala noma ukubomvu, ubunzima bokuphefumula, ubuhlungu besifuba. |
| Izinguquko emabeleni | Amaqhubu amasha, ubuhlungu, ukubomvu, kanye nokuphuma koketshezi engonweni. |
| Izinkinga zesibindi | Ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, ukuphuzi kwesikhumba noma amehlo, umchamo omnyama. |
| Ezinye izimpawu ezinkulu | Ukungezwani komzimba okukhulu (ukuvuvukala kobuso, izindebe), umfutho wegazi ophakeme, ukopha kwesitho sangasese sowesifazane ngemva kokunqamuka kokuya esikhathini. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ubuhlungu bebele noma ukuqina | Ukugcwalisa isisu |
| Isicanucanu noma ukuhlanza | Ukulahlekelwa izinwele |
Umlayezo Wokuya Nawe Ekhaya
- I-Estradiol spray iyindlela yokwelapha i-estrogen hormone esetshenziswa ukulawula izimpawu zokunqamuka kokuya esikhathini.
- Ngaphambi kokusebenzisa lo muthi, tshela udokotela wakho umlando wakho wezokwelapha ophelele (ikakhulukazi umdlavuza, isifo senhliziyo, kanye nokuqhekeka kwegazi).
- Umuthi usetshenziswa esikhumbeni esingaphakathi kwebunzi. Ungalokothi uwufake emabeleni.
- Hlala kude nomlilo nokubhema kuze kube yilapho indawo elungisiwe yomile.
- Okubaluleke kakhulu: Ungavumeli indawo lapho ufaka khona umuthi ukuthinta isikhumba sezingane, izilwane ezifuywayo, noma abanye abantu. Mboza ngezingubo.
- Lo muthi ungowakho wedwa. Ungalokothi wabelane ngawo nabanye.
- Uma uhlangabezana nezimpawu ezifana nobuhlungu besifuba, ikhanda elibuhlungu kakhulu, ukuvuvukala emlenzeni, noma ukopha ngemva kokunqamuka kokuya esikhathini, bonana nodokotela wakho ngokushesha.
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