Ukunqamuka kokuya esikhathini kuyisikhathi soshintsho olukhulu empilweni yowesifazane. Ngezinye izikhathi, izinto ezifana nokomisa kwesitho sangasese sowesifazane, ukulunywa, kanye nobuhlungu ngesikhathi socansi kungaba yinto ecindezelayo kakhulu. I-Estradiol Vaginal Cream iwumuthi odokotela abawuncomayo ukusiza ngalezi zinkinga. Ngakho-ke, namuhla sizoxoxa ngokuningiliziwe ngalo muthi, ukuthi uwusebenzisa kanjani, nokuthi yini okufanele uyiqaphele.
Iyini le estradiol?
Kalula nje, i-Estradiol iyilungu le-hormone i-estrogen. Lapho umuntu enqamuka ukuya esikhathini, izinga le-estrogen emzimbeni wethu liyehla. Yingakho izimpawu ezifana nokoma, ukuvuvukala, nobuhlungu zivela esithweni sangasese sowesifazane.
Lo khilimu uhlose kakhulu ukunciphisa ukungakhululeki okwenzeka esithweni sangasese sowesifazane ngesikhathi sokunqamuka kokuya esikhathini. Okusho ukuthi, kunciphisa ukoma kwesitho sangasese sowesifazane, ubuhlungu, kanye nobuhlungu ngesikhathi socansi, okukunikeza impumuzo.
Into ebaluleke kakhulu ukuthi lokhu kungokokusetshenziswa kwesitho sangasese sowesifazane kuphela. Akuyona imithi yomlomo.
Yiziphi izinto okudingeka ngizitshele udokotela ngaphambi kokuthatha lo muthi?
Kubaluleke kakhulu ukuthi udokotela wakho azi umlando wakho wezempilo ophelele ngaphambi kokunquma ukuthi lo muthi ukulungele yini. Kufanele umtshele ikakhulukazi uma unezinye zezimo ezilandelayo:
| Uma unezinye zezimo ezilandelayo, kubalulekile ukwazisa udokotela wakho: |
|---|
| • Uma unesifo sokuphuma kwegazi esingavamile esithweni sangasese sowesifazane |
| • Uma unezinhlayiya zegazi emithanjeni yakho yegazi noma izifo ezihlobene nazo |
| • Uma uke waba nomdlavuza webele, wesibeletho, wesibeletho, wesibeletho, wamaqanda, noma wesibindi |
| • Uma unesifo sokulahlekelwa yingqondo |
| • Isifo sikashukela |
| • Isifo senyongo |
| • Isifo senhliziyo noma ukuhlaselwa yinhliziyo muva nje |
| • Umfutho wegazi ophakeme noma i-cholesterol ephezulu |
| • Isifo sesibindi noma sezinso |
| • Ikhanda elibuhlungu le-migraine |
| • Uma wake waba nesifo sohlangothi |
| • Izifo zesimiso somzimba ezifana ne-Systemic Lupus Erythematosus (SLE) |
| • Uma ubhema (lokhu kubaluleke kakhulu) |
| • Uma une-allergies kwamanye ama-hormone, i-soy, eminye imithi, ukudla, noma udayi |
| • Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa |
Uyisebenzisa kanjani ngempela le cream?
Kulula kakhulu ukuyisebenzisa kahle, kodwa kubalulekile ukuyenza kahle.
1. Ukuhlanzeka: Geza izandla zakho kahle ngensipho ngaphambi nangemva kokusebenzisa umuthi.
2. Ukulungisa i-applicator: Sebenzisa i-applicator ekhethekile kuphela eza nomuthi. Gcwalisa i-applicator ngenani lokhilimu olunikezwe udokotela.
3. Indawo yokusebenzisa: Lala ngomhlane ngamadolo akho agobile. Le ndlela yenza kube lula ukufaka umuthi.
4. Ukufaka umuthi: Faka i-applicator esithweni sangasese sowesifazane bese ucindezela i-plunger ukuze ucindezele ukhilimu.
5. Ukuhlanza i-applicator: Ngemva kokusebenzisa, geza i-applicator kahle ngamanzi afudumele anensipho bese uyihlanza ngamanzi ukuze ihlale ihlanzekile.
6.Ubude besikhathi: Thatha umuthi njengoba nje uyalelwe, isikhathi sonke osinikwe udokotela wakho. Ungayeki ukuwuthatha ngaphandle kweseluleko sikadokotela wakho.
Yini okufanele uyenze uma uphuthelwa umthamo?
Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
Ingabe ikhona eminye imithi engahambisani nalo muthi?
Yebo, eminye imithi ingase ingahambisani nalesi sikhilimu. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini nemithi yendabuko).
| Ungawuthathi lo muthi kanye nanoma yimuphi omunye umuthi. | |
|---|---|
| I-Aromatase inhibitors (isb., i-anastrozole, i-letrozole) | |
| Le mithi ingabangela nezinkinga (tshela udokotela wakho ). | |
| Eminye imithi ekwenza ulale noma yelaphe isifo sokuwa (ama-Barbiturates) | I-Carbamazepine |
| Ijusi le-Grapefruit | Ama-antifungal (isb. i-ketoconazole) |
| Amanye ama-antibiotic | I-St. John's Wort (umuthi wamakhambi) |
| I-Tamoxifen, i-Raloxifene | I-Warfarin (isidakamizwa esinciphisa igazi) |
Izinto okufanele uziqaphele lapho uthatha lo muthi
- Ukuhlolwa okuvamile: Kubalulekile ukubona udokotela wakho njalo ukuze ahlolwe njalo. Khuluma nodokotela wakho ngezinto ezifana nokuhlolwa kwamabele kanye nokuhlolwa kwe-Pap smears.
- Ukubhema: Uma ubhema, ikakhulukazi uma uneminyaka engaphezu kwengu-35, ingozi yakho yokuqhekeka kwegazi kanye nesifo sohlangothi iphakeme kakhulu. Ngakho-ke, sikweluleka kakhulu ukuthi ugweme ukubhema ngokuphelele.
- Ukugcinwa koketshezi: Ngezinye izikhathi iminwe yakho, izandla, noma amaqakala akho angavuvukala. Tshela udokotela wakho uma uzizwa ngale ndlela.
- Ukukhulelwa: Uma usola ukuthi ukhulelwe, yeka ukuthatha imithi bese ushayela udokotela wakho ucingo ngokushesha.
- Uma ngengozi uthatha lo muthi omningi kakhulu: Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela ngokushesha i-National Poisons Information Centre e-National Hospital , noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Yimiphi imiphumela emibi engaba khona?
Njengayo yonke imithi, lena ingaba nemiphumela emibi. Eminye yayo iyingozi, eminye ivamile.
| Uma unanoma yikuphi kwalokhu, shayela udokotela wakho ngokushesha. | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi. |
| Izimpawu ze-clot yegazi | Ubuhlungu emilenzeni, ukuvuvukala, ukuzizwa ushisa, ubunzima bokuphefumula, ubuhlungu besifuba. |
| Izinguquko emabeleni | Amaqhubu amasha, ukubomvu, ubuhlungu, kanye nokuphuma koketshezi engonweni. |
| Izimpawu zesifo sohlangothi | Ukungabi namandla/ubuthakathaka bobuso, ingalo noma umlenze ngokuzumayo, ubunzima bokukhuluma, ubunzima bokuhamba, ikhanda elibuhlungu kakhulu. |
| Izinkinga zesibindi | Ubuhlungu ohlangothini olungaphezulu kwesokudla lwesisu, ukulahlekelwa yisifiso sokudla, ukuphuzi kwamehlo noma isikhumba, umchamo ophuzi/onsundu omnyama. |
| Izinguquko zesitho sangasese sowesifazane | Ukopha ngemva kokunqamuka kokuya esikhathini, ukuphuma kwegazi okungajwayelekile, ukulunywa, noma iphunga. |
| Lokhu ngokuvamile akukubi kangako (kodwa tshela udokotela wakho uma kuqhubeka). | |
| Ukuqunjelwa | Ubuhlungu bebele noma ukuqina |
| Isicanucanu noma ukuhlanza | Ukushisa okuncane noma ukungakhululeki endaweni yokujova |
Umlayezo Wokuya Nawe Ekhaya
- I-Estradiol Vaginal Cream iyindlela yokwelapha yamahomoni yokungakhululeki kwesitho sangasese sowesifazane okubangelwa ukunqamuka kokuya esikhathini. Kufanele isetshenziswe kuphela esitho sangasese sowesifazane.
- Ngaphambi kokuqala umuthi, tshela udokotela wakho ngomlando wakho wezempilo ophelele kanye nayo yonke eminye imithi oyithathayo.
- Thatha umuthi njengoba nje udokotela wakho ekutshelile, kuze kube yilapho isikhathi esibekiwe siphela. Ungalokothi wandise umthamo noma uyeke ukuwuthatha phakathi nesikhathi.
- Hlala uqaphile imiphumela emibi efana nokuqhekeka kwegazi, izimpawu zohlangothi, izinguquko zamabele, noma ukopha ngemva kokunqamuka kokuya esikhathini. Uma ubona noma yikuphi kwalokhu, funa iseluleko sezokwelapha ngokushesha.
- Ukubhema ngenkathi uthatha lo muthi kwandisa kakhulu ingozi, ngakho-ke gwema ngokuphelele.
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