Ukunqamuka kokuya esikhathini, okusho ukuthi 'isikhathi lapho ukuya esikhathini kuphela', kuyinto evamile kakhulu futhi yemvelo empilweni yowesifazane. Kodwa-ke, ezinye zezinguquko zomzimba ezenzeka phakathi nalesi sikhathi zingaba yinto engakhululekile. Ikakhulukazi uma kukhulunywa ngezinto ezifana nobuhlungu besitho sangasese sowesifazane kanye nokoma ngesikhathi socansi, abantu abaningi abathandi ukukhuluma ngakho, bazizwa benamahloni kancane. Omunye wemithi odokotela abayincomayo njengesixazululo sezinkinga ezinjalo yi-Estradiol Vaginal Insert, esikhuluma ngayo namuhla.
Kalula nje, iyini le estradiol?
I-Estradiol iyilungu le-hormone i-estrogen. Njengoba ungase ukhumbule, i-estrogen iyi-hormone ebaluleke kakhulu ekusebenzeni komzimba wesifazane. Ngokunqamuka kokuya esikhathini, izinga lale hormone i-estrogen emzimbeni liyehla ngokwemvelo. Lokhu kwehla kungabangela ukuthi indawo yesitho sangasese sowesifazane yome, ibe mncane, futhi ilahlekelwe ukuqina. Lokhu kungabangela ubuhlungu ngesikhathi socansi.
Ngakho-ke lokho okwenziwa yi-Estradiol vaginal insert ukuletha inani elincane le-hormone i-estrogen ngqo esithweni sangasese sowesifazane, kunciphisa lokho koma nobuhlungu. Leli iphilisi elifakwa esithweni sangasese sowesifazane, elingathathwa ngomlomo. Leli philisi lingaba ngaphansi kwamagama emikhiqizo ehlukene njengeVagifem neYuvafem.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Kulungile, lokhu kubaluleke kakhulu. Ngaphambi kokuba udokotela wakho akunike lo muthi, kufanele abe nokuqonda okucacile ngesimo sakho sempilo esiphelele. Ngakho-ke, uma unezinye zezimo ezingezansi, qiniseka ukuthi utshela udokotela wakho .
- Uma kukhona ukopha okungajwayelekile kwesitho sangasese sowesifazane, akujwayelekile.
- Uma uke waba namahlule egazi noma izinkinga zemithambo yegazi esikhathini esidlule.
- Uma uke waba nomdlavuza webele, wesibeletho, wesibeletho, wesibeletho, wamaqanda, wesibindi, noma ulwelwesi lwesibeletho (i-endometrium).
- Uma unesifo sokulahlekelwa yingqondo.
- Uma unesifo sikashukela.
- Uma unesifo senyongo.
- Uma unesifo senhliziyo noma usanda kuhlaselwa yinhliziyo.
- Uma une-high blood pressure.
- Uma une-cholesterol ephezulu noma amazinga e-calcium egazini lakho.
- Uma isibeletho sisusiwe ngokuhlinzwa (i-hysterectomy).
- Uma unesifo sezinso noma sesibindi.
- Uma unekhanda elibuhlungu elibangelwa yi-migraine.
- Uma uke waba nesifo sohlangothi ngaphambili.
- Uma unesifo sokuzivikela komzimba njenge-systemic lupus erythematosus (SLE).
- Uma ubhema.
- Uma une-allergy ebangelwa yi-hormone i-estrogen, amanye ama-hormone, eminye imithi, ukudla, izithasiselo, noma udayi.
- Uma uzama ukukhulelwa, ukhulelwe, noma ungumama oncelisayo.
Kubaluleke kakhulu ukuze uphephe ukutshela udokotela ngaphandle kokufihla lezi zinto.
Ngiyisebenzisa kanjani ngempela le mithi?
Kulula kakhulu ukuyisebenzisa, kodwa kufanele yenziwe ngendlela efanele.
1. Geza izandla zakho: Geza izandla zakho kahle ngensipho ngaphambi nangemva kokusebenzisa umuthi.
2. Faka kahle: Funda imiyalelo eza nomuthi ngokucophelela. Ngokuvamile, lokhu kuza ne-applicator ekhethekile. Kufanele uyisebenzise ukufaka umuthi esithweni sangasese sowesifazane.
3. Isikhathi esingcono kakhulu: Ngokuvamile isikhathi esingcono kakhulu sokusebenzisa lo muthi kusebusuku ngaphambi kokulala . Ngemuva kwalokho, njengoba ulele phansi, umuthi unesikhathi sokumunca kahle futhi usebenze.
4. Isilinganiso: Ungasebenzisi okungaphezu kwalokho okunconywa udokotela. Futhi, ungayeki ukukuthatha ngokuzumayo ngaphandle kweseluleko sakhe.
Kuthiwani uma kukhona isimo esiphuthumayo?
Uma usola ukuthi uphuze kakhulu lo muthi, noma uma othile ewudlile, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Lo muthi unikezwe wena kuphela. Wenzelwe wena ngokwesimo sakho kanye nempilo yakho. Ngakho-ke, ungalokothi uwuhlanganyele nabanye.
Imiphumela emibi nezinye izinto okufanele uziqaphele
Kunezinto ezithile okudingeka siziqaphele uma sisebenzisa lo muthi. Ake sizibheke kuthebula elingezansi.
| Umphumela/izimpawu ezingemuhle | Okufanele ngikwenze |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
| Ukusabela kokungezwani komzimba Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. | Funa iseluleko sezokwelapha ngokushesha noma uye ku-ETU. |
| Ihluli Ubuhlungu emilenzeni, ukuvuvukala, ukubomvu, ubunzima bokuphefumula, ubuhlungu besifuba. | Lesi yisimo esiphuthumayo. Yiya esibhedlela ngokushesha. |
| Isifo sohlangothi Ukungabi namandla/ubuthakathaka bobuso, ingalo noma umlenze ngokuzumayo, ubunzima bokukhuluma, ubunzima bokuhamba, ikhanda elibuhlungu elibi ngokuzumayo. | Lesi yisimo esiphuthumayo. Yiya esibhedlela ngokushesha. |
| Izinguquko emabeleni Amaqhubu amasha, ukubomvu, ubuhlungu, kanye nokuphuma koketshezi engonweni. | Yazisa udokotela wakho ngokushesha. |
| Ukuphuma kwegazi/ukuphuma kwegazi okungajwayelekile esithweni sangasese sowesifazane Ukopha, ukuphuma kwegazi okukhulu, ukulunywa, noma iphunga elibi ngisho nangemva kokunqamuka kokuya esikhathini. | Yazisa udokotela wakho ngokushesha. |
| Izimpawu zokulimala kwesibindi Ubuhlungu esiswini esingaphezulu kwesokudla, isicanucanu, ukuphuzi kwesikhumba noma amehlo, umchamo omnyama. | Yazisa udokotela wakho ngokushesha. |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Ukuqunjelwa, ubuhlungu bebele noma ukucasuka, isicanucanu, ukuhlanza. | Uma lokhu kuqhubeka noma kukhathaza, khuluma nodokotela wakho. |
Amanye amaphuzu abalulekile
- Ukuhlolwa okuvamile: Hlala uthintana nodokotela wakho njalo ukuze ubone ukuthi ukwelashwa kwakho kuqhubeka kanjani. Kuzodingeka ukuthi uhlolwe amabele kanye nokuhlolwa kwe-pelvic ngezikhathi ezithile. Ungase udinge ne-mammogram.Khuluma nodokotela wakho mayelana nokuthi udinga ukuhlolwa yini nokuthi ungakwenza kanjani, bese ulandela imiyalelo yakhe.
- Ukubhema: Njengoba sishilo ngaphambili, ukubhema kwandisa kakhulu ingozi yokuqhekeka kwegazi kanye nesifo sohlangothi. Le ngozi iphezulu kakhulu uma uneminyaka engaphezu kwengu-35 ubudala. Ngakho-ke, sikweluleka ukuthi ugweme ukubhema ngokuphelele.
- Ukuhlinzwa: Uma unokuhlinzwa okuhleliwe (ukuhlinzwa okukhethayo), kungadingeka uyeke ukuthatha lo muthi isikhashana ngaphambi kwawo. Khuluma nodokotela wakho ngalokhu bese uthola iseluleko.
Umlayezo Wokuya Nawe Ekhaya
- I-estradiol vaginal insert iyindlela yokwelapha yamahomoni yendawo yobuhlungu kanye nokoma kwesitho sangasese sowesifazane okwenzeka ngemva kokunqamuka kokuya esikhathini.
- Kubalulekile ukutshela udokotela wakho ngazo zonke izimo zakho zezokwelapha (ikakhulukazi umdlavuza, amahlule egazi, isifo senhliziyo) kanye neminye imithi oyiphuzayo ngaphambi kokusebenzisa lokhu.
- Lo muthi ungowokusetshenziswa kwesitho sangasese sowesifazane kuphela. Sebenzisa umthamo onqunyiwe ngesikhathi esinqunyiwe (ngokuvamile ngaphambi kokulala).
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nanoma yimiphi imiphumela emibi, njengezigaxa zebele, ukuvuvukala kwemilenze kanye nobuhlungu, ubunzima bokuphefumula, noma ikhanda elibuhlungu ngokuzumayo.
- Ungaphuthelwa ukuhlolwa kwezokwelapha okuhleliwe (isb., ukuhlolwa kwamabele kanye nokwesinqe). Gwema ukubhema ngokuphelele ngenkathi usebenzisa lo muthi.
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