Ukunqamuka kokuya esikhathini, isikhathi lapho ukuya esikhathini kuphela, kuyinguquko enkulu empilweni yowesifazane. Phakathi nalesi sikhathi, izinguquko zamahomoni emzimbeni zingabangela abanye besifazane ukuba bazizwe benobuhlungu obuhlukahlukene besitho sangasese sowesifazane. Njengokoma kwesitho sangasese sowesifazane, ukulunywa, kanye nobuhlungu ngesikhathi socansi. Ngakho-ke namuhla sikhuluma ngokwelashwa okungasetshenziswa ngaphandle kokuhlinzwa okungasiza ekunqobeni lokhu kungakhululeki.

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Iyini le Ring ye-Estradiol Vaginal?

Kalula nje, lena indandatho encane, eguquguqukayo efakwa esithweni sakho sangasese. Lokhu kukhipha kancane kancane i-hormone ebizwa ngokuthi i-Estradiol. I-Estradiol uhlobo lwe-hormone ebizwa ngokuthi i-Estrogen. Ngemva kokunqamuka kokuya esikhathini, amazinga e-Estrogen emzimbeni ayancipha, yingakho izinto ezifana nokoma kwesitho sangasese sangasese, ubuhlungu, kanye nokungakhululeki kwenzeka. Ngakho-ke i-hormone ekhishwa yile ndandatho ithinta kuphela leyo ndawo futhi isiza ekunciphiseni lezo zimpawu. ESri Lanka, ungayithola ngaphansi kwemikhiqizo efana ne-Estring.

Yini okufanele ngiyitshele udokotela ngaphambi kokusebenzisa lo muthi?

Lokhu kubaluleke kakhulu. Lo muthi awufanele wonke umuntu. Ngakho-ke, uma ukhuluma nodokotela wakho, kufanele unikeze incazelo ephelele yesimo sakho sempilo ngaphandle kokufihla lutho . Ikakhulukazi uma unezinye zezimo ezingezansi, qiniseka ukuthi ubatshela ngazo.

Ingozi yomdlavuza: Uma unomdlavuza webele, wesibeletho, we-endometrial, we-ovarian, wesibindi, noma wesibeletho noma usola ukuthi unomdlavuza webele.
Izinkinga ezihlobene negazi: Uma uke waba nesimo esifana nesifo semithambo yegazi, amahlule egazi, noma isifo sohlangothi.
Isifo senhliziyo: Uma unesifo senhliziyo, ukuhlaselwa yinhliziyo muva nje, umfutho wegazi ophakeme, noma amazinga aphezulu e-cholesterol.
Ezinye izimo zezokwelapha: Uma unezifo ezifana nesifo sikashukela, isifo senyongo, isifo sesibindi noma sezinso, ikhanda elibuhlungu elibangelwa yi-migraine, i-dementia, noma i-Systemic Lupus Erythematosus (SLE).
Imikhuba kanye nolunye ulwazi: Uma ubhema, ukhulelwe noma uzama ukukhulelwa, noma uncelisa.
Ukungezwani komzimba: Uma une-allergy ku-estrogen noma kwamanye ama-hormone, imithi, ukudla, noma izithasiselo.
Ukususwa kwesibeletho: Kungakhathaliseki ukuthi ususiwe isibeletho sakho ngokuhlinzwa noma cha (ukususwa kwesibeletho).
Ukopha okungajwayelekile: Uma kukhona ukopha okungajwayelekile kwesitho sangasese sowesifazane ngaphandle kwesizathu esaziwayo.

Ngiyisebenzisa kanjani le ndandatho?

Imiyalelo yokusebenzisa lokhu ichazwe ngokucacile ephaketheni olitholayo. Ngokuvamile ungayifaka esithweni sakho sangasese sowesifazane. Cabanga ngakho njengokusebenzisa i-tampon. Uma unokungabaza ngakho, ungabuza udokotela wakho noma umhlengikazi ukuthi uzoyisebenzisa kanjani ngqo.

Into ebaluleke kakhulu ukuthi le ndandatho kufanele ishiywe esithweni sangasese sowesifazane izinsuku ezingama-90 . Ngemva kwezinsuku ezingama-90, endala kufanele isuswe bese kufakwa entsha.

Ungalokothi uyeke ukusebenzisa lokhu ngaphandle kweseluleko sikadokotela wakho.

Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze. Futhi, lo muthi ungowakho kuphela. Ungalokothi uwuhlanganyele nanoma ubani omunye.

Ingabe kungaba nezinkinga ngeminye imithi?

Yebo, eminye imithi ingasebenzisana nale Ring ye-Estradiol. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini, amakhambi, kanye nezithasiselo.

Isigaba sezidakamizwa	Izibonelo
Gwema ukusebenzisa le ndandatho nale mithi ngokuphelele:
Izithibi ze-Aromatase	Imithi efana ne-anastrozole, i-letrozole, ne-exemestane
Tshela udokotela wakho uma uthatha le mithi:
Eminye imithi	I-Carbamazepine, amanye ama-antibiotic, ama-antifungal (isib. i-ketoconazole), i-Ritonavir, i-Raloxifene, i-Tamoxifen, imithi yamakhambi efana ne-St. John's Wort, ijusi le-Grapefruit

Izinto okufanele uziqaphele uma usebenzisa lo muthi

Ukuhlolwa njalo kwezokwelapha

Ngesikhathi usebenzisa lokhu, kufanele ubonane nodokotela wakho njalo ukuze ahlole isimo sakho. Khuluma nodokotela wakho mayelana nokuthi udinga yini ukuhlolwa kwebele, i-Pap smear, kanye ne-mammogram, bese ulandela imiyalelo yakhe.

Ukubhema kanye nengozi

Uma ubhema, ikakhulukazi uma uneminyaka engaphezu kwengu-35, ingozi yakho yokuba negazi elijiyile noma isifo sohlangothi iphezulu kakhulu uma usebenzisa lo muthi. Ngakho-ke, kubalulekile ukugwema ngokuphelele ukubhema.

Amanye amaphuzu

Ukuvuvukala: Lo muthi ungabangela ukugcinwa kwamanzi emzimbeni, okubangela ukuvuvukala ezandleni, ezinyaweni nasemaqakaleni. Kungase futhi kwandise umfutho wegazi. Uma uhlangabezana nanoma yiziphi zalezi zimpawu, tshela udokotela wakho.
Ukukhulelwa: Uma usola ukuthi ukhulelwe, yeka ukusebenzisa lo mkhiqizo ngokushesha bese uthintana nodokotela wakho.
Ingozi esibelethweni: Kwabesifazane abangazange bahlinzwe i-hysterectomy, kunengozi encane ye-endometrial hyperplasia (ukuqina kolwelwesi lwesibeletho) uma usebenzisa i-estrogen kuphela. Ukuze unciphise le ngozi, udokotela wakho angakunikeza olunye uhlobo lwe-hormone olubizwa nge-progestin. Kubalulekile ukuxoxa ngalokhu nodokotela wakho futhi uqonde izinzuzo nezingozi zakho.
Imisebenzi yansuku zonke: Ungageza futhi wenze eminye imisebenzi njengenjwayelo. Akudingeki ukuthi ukhiphe indandatho ngesikhathi socansi. Kodwa-ke, uma ungakhululekile, ungayikhipha ngaleso sikhathi kuphela, uyihlanze ngamanzi afudumele (hhayi ashisayo), bese uyiphinda uyifake.

Yimiphi imiphumela emibi engaba khona?

Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi. Eminye yayo iyingozi, eminye yayo ivamile.

Umphumela ongemuhle	Incazelo
Izinto okufanele uzitshele udokotela wakho ngokushesha
Ukusabela kokungezwani komzimba	Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi.
Ihluli	Ubuhlungu emilenzeni, ukuvuvukala, ukufudumala, ubunzima bokuphefumula, ubuhlungu besifuba.
Isifo sohlangothi	Ukuba ndikindiki noma ubuthakathaka obungazelelwe ebusweni, engalweni, noma emlenzeni, ubunzima bokukhuluma, ubunzima bokuhamba, ikhanda elibuhlungu kakhulu.
Izinguquko emabeleni	Amaqhubu amasha, ukubomvu, ubuhlungu, kanye nokuphuma koketshezi engonweni.
Ukulimala kwesibindi	Ubuhlungu ohlangothini olungaphezulu kwesokudla lwesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi noma onsundu omnyama, kanye nokuphuzi kwamehlo noma isikhumba.
Izinkinga zesitho sangasese sowesifazane	Ukuphuma koketshezi okungajwayelekile, ukulunywa noma iphunga, ukopha ngemva kokuya esikhathini, ubuhlungu besisu esingezansi.
Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka
Imiphumela emibi emincane	Ukuqunjelwa, ubuhlungu bebele, isicanucanu, ukuhlanza, kanye nokungakhululeki okuncane endaweni yokufaka iringi.

Umlayezo Wokuya Nawe Ekhaya

Indandatho ye-Estradiol Vaginal iyindlela yokwelapha yama-hormone esetshenziswayo lapho kutholakala ukungakhululeki kwesitho sangasese sowesifazane ngemva kokunqamuka kokuya esikhathini.
Ngaphambi kokusebenzisa lokhu, tshela udokotela wakho umlando wakho wezempilo ophelele (ikakhulukazi umdlavuza, amahlule egazi, isifo senhliziyo).
Indandatho eyodwa kufanele isetshenziswe izinsuku ezingama-90. Ungayeki ngaphandle kweseluleko sikadokotela wakho.
Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nokuqhekeka kwegazi, ukukhubazeka, noma amaqhubu amasha emabeleni, funa iseluleko sezokwelapha ngokushesha.
Ingozi iphezulu kakhulu uma ubhema. Ukugwema ukubhema kubaluleke kakhulu ukuze uphephe.
Lo muthi ungowakho wedwa. Ungalokothi wabelane ngawo nabanye.