Ukunqamuka kokuya esikhathini kuyinguquko yemvelo empilweni yowesifazane. Kodwa asikhulumi kakhulu ngezinye zezinto ezingahambi kahle emzimbeni ezihambisana nakho, akunjalo? Ikakhulukazi izinto ezifana nokomisa kwesitho sangasese sowesifazane, ukulunywa, ukusha, kanye nobuhlungu ngesikhathi socansi. Lokhu kungabangela nokucindezeleka okukhulu. Ngakho-ke, umuthi owodwa udokotela wakho angase awuncome ukuze anciphise lezi zimpawu amaphilisi esitho sangasese sowesifazane i-Estradiol. Ake sixoxe ngalokhu ngokuningiliziwe, kalula.
Iyini ngempela i-Estradiol?
Kalula nje, i-Estradiol umuthi oqukethe i-hormone efanayo ebizwa ngokuthi i-estrogen ekhiqizwa ngokwemvelo emzimbeni wesifazane. Lokhu kuza ngesimo sephilisi elincane elingafakwa esithweni sangasese sowesifazane. Ngemva kokunqamuka kokuya esikhathini, amazinga e-estrogen emzimbeni ayancipha, yingakho kwenzeka ukoma kwesitho sangasese sowesifazane. Ngakho-ke, lapho leli philisi lifakwa ngqo esithweni sangasese sowesifazane, leyo ndawo ithola i-hormone ye-estrogen edingekayo, futhi izicubu lapho ziqala ukululama. Ngenxa yalokhu, izimpawu ezifana nokoma, ukuvuvukala, nobuhlungu ziyancipha kancane kancane. ESri Lanka, lo muthi ungabonakala ngaphansi kwamagama emikhiqizo afana ne-Vagifem.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Lokhu kubaluleke kakhulu. Ngaphambi kokukunikeza amaphilisi e-Estradiol, udokotela wakho kufanele azi umlando wakho wezempilo ophelele. Lokhu kungenxa yokuthi ukusebenzisa lo muthi ngezimo ezithile zezokwelapha kungaba yingozi. Uma unezinye zezimo ezingezansi, qiniseka ukuthi utshela udokotela wakho ngakho.
| Isifo noma isimo | Kungani kufanele ngazise udokotela ? |
|---|---|
| Ukopha kwesitho sangasese sowesifazane ngaphandle kwesizathu | Lokhu kungaba uphawu lwesimo esibucayi, ngakho-ke imbangela kufanele itholakale kuqala. |
| Amahlule egazi emithanjeni yegazi noma izifo ezihlobene nawo | I-hormone i-estrogen ingandisa kancane ingozi yokuqhekeka kwegazi. |
| Umdlavuza webele, wesibeletho, wesibeletho, wesibeletho, wesibeletho, noma wesibindi | Ngenxa yokuthi ezinye izinhlobo zomdlavuza zixhomeke kuma-hormone, lo muthi awufaneleki. |
| Isifo senhliziyo, ukuhlaselwa yinhliziyo kwakamuva noma isifo sohlangothi | Ezimweni ezinjalo, kufanele kuqashelwe ngokukhethekile ukusetshenziswa kwama-hormone. |
| Umfutho wegazi ophezulu, isifo sikashukela, i-cholesterol ephezulu | Kubalulekile ukulawula lezi zimo kahle uma usebenzisa lo muthi. |
| Isifo sesibindi noma sezinso, isifo senyongo | Umsebenzi walezi zitho ubalulekile ngoba zihilelekile enqubweni yokukhipha izidakamizwa emzimbeni. |
| Ukuwohloka komqondo, i-Migraine, i-SLE | Udokotela kufanele aqaphele lezi zimo ezingamahlalakhona. |
| Ukubhema (ikakhulukazi uma uneminyaka engaphezu kwengu-35) | Uma ukubhema kanye ne-estrogen kuhlangana, ingozi yokuqhekeka kwegazi kanye nesifo sohlangothi iyanda. |
| Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa | Lomuthi awufaneleki nhlobo ezimweni ezinjalo. |
| Ukungezwani komzimba kwamanye ama-hormone, imithi, ukudla, noma udayi | Kubalulekile ukusazisa kusenesikhathi nganoma yikuphi ukungezwani komzimba. |
Ngiyisebenzisa kanjani ngempela le mithi?
Kulungile, manje ake sibone ukuthi singayisebenzisa kanjani kahle le nto. Ungakhathazeki, kulula kakhulu. Funda futhi imiyalelo eza nephakethe lemithi ngokucophelela.
1. Ukulungiselela: Okokuqala, geza izandla zakho kahle ngensipho namanzi, bese uzomisa ngethawula elihlanzekile.
2.Ukulungiselela i-Applicator: Umuthi uqukethwe ku-applicator yepulasitiki. Wukhiphe ephaketheni. Sebenzisa i-applicator entsha isikhathi ngasinye.
3. Ukuhlola iphilisi: Ngezinye izikhathi iphilisi kungenzeka ukuthi liphumile ku-applicator futhi lisesephaketheni. Uma lokhu kwenzeka, libuyisele ngokucophelela ku-applicator. Kodwa-ke, uma iphilisi liwile ephaketheni, lahla i-applicator nephilisi ngaphandle kokulisebenzisa, bese uthola elisha.
4. Indlela Yokuhlala: Lala ngomhlane embhedeni noma endaweni eyisicaba, goba amadolo akho, bese welula imilenze yakho kancane. Phefumula kakhulu bese uphumula.
5. Ukufakwa: Manje faka kancane kancane i-applicator ngokuphelele esithweni sangasese sowesifazane, ngokujulile ngangokunokwenzeka ngokunethezeka.
6. Ukukhulula iphilisi: Bese ucindezela i-plunger ku-applicator phansi. Lokhu kuzokhipha iphilisi lingene esithweni sangasese sowesifazane.
7. Ukususa: Manje susa ngokucophelela i-applicator. Lahla i-applicator esetshenzisiwe kudoti.
8. Ukugeza izandla: Futhi, geza izandla zakho kahle ngensipho.
Into ebaluleke kakhulu ukuyisebenzisa njengoba nje udokotela esho, ngesikhathi esifanele, ngenani elifanele . Ungayeki ukuyithatha ngaphandle kweseluleko sikadokotela noma uyisebenzise kaningi.
Kuthiwani uma ngikhohlwa ukuthatha umuthi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Kuthiwani uma umuthi usetshenziswa kakhulu?
Uma usola ukuthi uphuze lo muthi ngokweqile, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana)
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi). Eminye imithi ingasebenzisana ne-Estradiol.
| Ukusebenzisana okungenzeka kwezidakamizwa ne-estradiol | |
|---|---|
| Imithi okungafanele ithathwe ndawonye: | |
| I-Aromatase inhibitors (isb., i-anastrozole, i-letrozole) | |
| Eminye imithi engase ihlanganyele: | |
| Amanye ama-antibiotic asetshenziselwa isifo sofuba (isib. i-rifampin) | I-Raloxifene noma i-Tamoxifen (imithi yomdlavuza webele) |
| I-Warfarin (isidakamizwa esinciphisa igazi) | |
Izinto okufanele uziqaphele uma usebenzisa umuthi
- Ukuhlolwa njalo kwezokwelapha: Hamba uyohlolwa njalo njengoba kuqondiswe udokotela wakho. Lokhu kungafaka phakathi ukuhlolwa kwebele kanye nokuhlolwa kwe-pelvic. Futhi, khuluma nodokotela wakho ngesidingo sokuhlolwa njalo kwe-mammogram.
- Ukugcinwa kwamanzi: Ngezinye izikhathi lo muthi ungabangela ukuvuvukala eminweni, ezandleni, noma emaqakaleni. Ungakhuphula nomfutho wegazi. Uma uhlangabezana nalokhu, tshela udokotela wakho.
- Gwema ukubhema: Uma ubhema, ikakhulukazi uma uneminyaka engaphezu kwengu-35, ukubhema ngenkathi uthatha lo muthi kwandisa kakhulu ingozi yakho yokuqhekeka kwegazi kanye nesifo sohlangothi . Ngakho-ke, kungcono ukugwema ukubhema ngokuphelele.
- Ukukhulelwa: Uma usola ukuthi ukhulelwe nganoma yisiphi isizathu, yeka ukusebenzisa umuthi ngokushesha bese wazisa udokotela wakho.
- Ukuhlinzwa: Uma unokuhlinzwa okuhleliwe, buza udokotela wakho ngaphambi kokuhlela ukuhlinzwa ukuthi kufanele yini uyeke ukusebenzisa lo muthi.
Imiphumela emibi engase ivele ngenxa yemithi
Njenganoma yimuphi umuthi, lo muthi ungabangela imiphumela emibi kwabanye abantu, kodwa akuwona wonke umuntu oyitholayo. Qaphela izimpawu ezingezansi.
| Imiphumela emibi kakhulu edinga usizo lwezokwelapha ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo. | Izimpawu zokuqhekeka kwegazi: ubuhlungu emilenzeni, ukuvuvukala noma ukufudumala, ubunzima bokuphefumula, ubuhlungu besifuba. |
| Izimpawu zesifo sohlangothi: Ukungazweli noma ubuthakathaka obungazelelwe ebusweni, engalweni, noma emlenzeni, ubunzima bokukhuluma, ukudideka, ubunzima bokuhamba, kanye nokushintsha kombono. | Izinguquko zesifuba: amaqhubu amasha, ukubomvu, ubuhlungu, ukuphuma kwamanzi ezingonweni. |
| Izinkinga zesibindi: Ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi noma onsundu omnyama, ukuphuzi kwamehlo noma isikhumba. | Izinkinga zesitho sangasese sowesifazane: ukopha okungajwayelekile ngemva kokunqamuka kokuya esikhathini, izinguquko ekuphumeni kwegazi, ukulunywa, iphunga. |
| Ngokuvamile akuyona into embi kangako (kodwa tshela udokotela wakho uma iqhubeka) | |
| Ukuqunjelwa | Ubuhlungu bebele noma ukuqina |
| Isicanucanu noma ukuhlanza | Ukuvuvukala okuncane noma ukungakhululeki endaweni yomjovo. |
Umlayezo Wokuya Nawe Ekhaya
- Amaphilisi e-Estradiol esithweni sangasese sowesifazane ayindlela yokwelapha izimpawu zendawo zokoma kwesitho sangasese sowesifazane ngemva kokuya esikhathini kanye nokuvuvukala.
- Ngaphambi kokusebenzisa lo muthi, qiniseka ukuthi utshela udokotela wakho ngomlando wakho wezempilo ophelele kanye nayo yonke eminye imithi oyithathayo .
- Umuthi kufanele usetshenziswe njengoba nje udokotela emyalile . Umthamo akufanele ushintshwe noma umiswe phakathi nesikhathi.
- Qaphela izimpawu zemiphumela emibi engathi sína njengokuqhekeka kwegazi, isifo sohlangothi, kanye nokopha okungavamile. Uma ubona noma yikuphi kwalokhu, funa iseluleko sezokwelapha ngokushesha.
- Kubaluleke kakhulu ukuya ekuhlolweni kwezokwelapha okuhleliwe ngenkathi usebenzisa lo muthi.
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