Ingabe uya esikhathini sokunqamuka kokuya esikhathini? Noma ingabe udokotela wakho ukutshelile ukuthi amazinga akho ama-hormone aphansi? Uma kunjalo, kungenzeka ukuthi unikezwe umuthi obizwa ngokuthi i-Estropipate. Ngakho-ke namuhla, ake sixoxe ngokuthi iyini i-Estropipate, ukuthi yenzani emizimbeni yethu, nokuthi yini okudingeka siyiqaphele kakhulu lapho sisebenzisa lo muthi.
Uhlobo luni lomuthi i-Estropipate?
Kalula nje, i-Estropipate iyiphilisi eliqukethe i-hormone yesifazane i-estrogen. Isetshenziswa kakhulu njengokwelashwa kokufaka esikhundleni samahomoni (i-HRT) kwabesifazane asebedlule esikhathini sokunqamuka kokuya esikhathini.
Njengoba kungenzeka wazi, ukunqamuka kokuya esikhathini kuletha ukungakhululeki njengokushisa okukhulu, ukujuluka njalo, kanye nokungalali. Futhi, ngenxa yokwehla kwe-hormone ye-estrogen, amathambo aba mancane futhi aphuke kalula, okusho ukuthi kunengozi ye-osteoporosis. Ngakho-ke, lawa maphilisi e-Estropipate anikeza umzimba i-hormone ye-estrogen edingekayo, esiza ukulawula lokhu kungakhululeki nokuvikela amathambo.
Ngaphezu kwalokho, odokotela banikeza lo muthi kwabanye besifazane abanamazinga aphansi ama-hormone, akhiqizwa ngokwemvelo ngama-ovari abo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Leli iphuzu elibaluleke kakhulu. Ngaphambi kokuqala amaphilisi e-Estropipate, kubalulekile ukunikeza udokotela wakho incazelo ephelele yomlando wempilo yakho. Ikakhulukazi, qiniseka ukuthi uyamtshela uma unezinye zezimo ezilandelayo:
- Umlando wesifo semithambo yegazi noma amahlule egazi
- Umdlavuza webele, wesibeletho, we-endometrial, noma wesibeletho
- Isifo sikashukela
- I-Endometriosis
- Ama-fibroid esibelethweni
- Isifo senyongo
- Isifo senhliziyo noma ukuhlaselwa yinhliziyo kwakamuva
- I-cholesterol ephezulu egazini
- Umfutho wegazi ophakeme
- Izinga eliphezulu le-calcium egazini
- Uma isibeletho sisusiwe ngokuhlinzwa (i-hysterectomy)
- Isifo sezinso
- Isifo sesibindi
- Ukucindezeleka kwengqondo
- Ikhanda elibuhlungu le-migraine
- Isifo esibizwa ngokuthi i-porphyria
- Uma uke waba nesifo sohlangothi
- I-Systemic Lupus Erythematosus (SLE)
- Uma ubhema ugwayi
- Ukopha okungajwayelekile kwesitho sangasese sowesifazane okubangelwa imbangela engaziwa
- Ukusabela kokungezwani komzimba ne-estrogen noma amanye ama-hormone, imithi, ukudla, noma udayi
- Uma ukhulelwe noma uzama ukukhulelwa
- Uma ungumama oncelisayo
Ngingawusebenzisa kanjani lo muthi?
Leli iphilisi okufanele uliphuze ngomlomo. Thatha leli philisi nengilazi yamanzi. Phuza kuphela umthamo owubekiwe njengoba unqunywe udokotela wakho. Kubaluleke kakhulu ukuthatha iphilisi ngesikhathi esifanayo nsuku zonke. Lokhu kuzosiza ukugcina amazinga afanayo ama-hormone emzimbeni wakho.
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital, noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Lo muthi ungowakho kuphela. Ungawabelani nabanye nganoma yisiphi isizathu.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma uphuthelwa 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 ukuze ubuyisele umthamo ophuthelwe.
Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)
Eminye imithi oyithathayo ingathinta indlela i-Estropipate esebenza ngayo. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, imikhiqizo yamakhambi, kanye nemithi yokunciphisa ubuhlungu).
| Izinto ezingaba yinkinga | Izibonelo |
|---|---|
| Imithi okungafanele ithathwe ne-Estropipate | |
| Izithibi ze-Aromatase | i-aminoglutethimide, i-anastrozole, i-exemestane, i-letrozole, i-testolactone |
| Ezinye izinto ezingabangela ukusebenzisana ne-Estropipate | |
| Eminye imithi yokulwa nesifo sokuwa | Ama-Barbiturates afana ne-Carbamazepine ne-Phenobarbital |
| Amanye ama-antibiotic | I-Clarithromycin, i-Erythromycin |
| Imithi yokulwa nesikhunta | I-Ketoconazole, i-Itraconazole |
| Imithi yokwelapha isifo sofuba | I-Rifabutin, i-Rifampin, i-Rifapentine |
| Okunye | Ijusi le-Grapefruit, i-Ritonavir, i-St. John's Wort (i-herbal extract) |
Izinto okufanele uziqaphele ngenkathi uthatha umuthi
- Ukuhlolwa njalo kwezokwelapha: Ngesikhathi uthatha lo muthi, kubaluleke kakhulu ukubona udokotela wakho njalo ukuze uhlole impilo yakho. Kubalulekile ukuhlolwa njalo kwamabele kanye nokuhlolwa kwe-Pap smears. Futhi, khuluma nodokotela wakho ngesidingo se-mammograms bese ulandela imiyalelo yakhe.
- Gwema ukubhema: Lokhu kubaluleke kakhulu! Uma ubhema ngenkathi uthatha lo muthi, ikakhulukazi uma uneminyaka engaphezu kwengu-35 ubudala, ingozi yakho yokuba negazi elijiyile noma isifo sohlangothi iphezulu kakhulu. Ngakho-ke, kuyalulekwa kakhulu ukuthi ugweme ukubhema ngokuphelele.
- Ukuvuvukala: Lo muthi ungabangela ukuvuvukala ezandleni, ezinyaweni, noma eminweni ngenxa yokugcina uketshezi. Umfutho wegazi nawo ungakhuphuka. Uma ubhekana nalokhu, tshela udokotela wakho.
- Ingozi yomdlavuza wesibeletho: Lo muthi uthwala ingozi ye-endometrial hyperplasia, okuwukukhula okungavamile kwamaseli olwelwesini lwesibeletho. Lokhu kungakhula kamuva kube umdlavuza wesibeletho. Ukuze unciphise le ngozi, udokotela wakho angase akunikeze enye i-hormone ebizwa ngokuthi i-progestin kanye ne-Estropipate uma isibeletho sakho singakasuswa ngokuhlinzwa. Khuluma nodokotela wakho ngalokhu futhi uqonde izinzuzo nezingozi zakho.
- Ukukhulelwa: Uma usola ukuthi ukhulelwe, yeka ukuthatha lo muthi ngokushesha bese uthintana nodokotela wakho.
- Ukuhlinzwa:Uma uzohlinzwa, tshela udokotela wakho kusenesikhathi. Kungase kudingeke uyeke okwesikhashana ukuthatha lo muthi ngaphambi kokuhlinzwa.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-Estropipate ingabangela imiphumela emibi. Ngezansi kuneminye yemiphumela emibi engaba khona.
| Umphumela ongemuhle | Okufanele ngikwenze |
|---|---|
| Imiphumela emibi kakhulu okufanele uyibike kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba (ukuvuvukala kobuso, izindebe, ulimi, ukuqubuka kwesikhumba, ukulunywa) | Funa iseluleko sezokwelapha ngokushesha. |
| Ukushintsha kwamabele, amaqhubu, noma ukuphuma koketshezi | |
| Ukushintsha kombono, ubuhlungu besifuba, ubunzima bokuphefumula | |
| Ukudideka, ubunzima bokukhuluma noma ukuqonda | |
| Ikhanda elibuhlungu kakhulu, ubunzima bokuhamba, isiyezi, ukulahlekelwa yibhalansi yomzimba | |
| Ukungazweli noma ubuthakathaka ebusweni, engalweni, noma emlenzeni | |
| Ubuhlungu, ukuvuvukala, nokufudumala emlenzeni | |
| Ubuhlungu esiswini esingaphezulu kwesokudla, isicanucanu, ukuhlanza | |
| Ukopha okungavamile kwesitho sangasese sowesifazane | |
| Ukuphuzi kwamehlo noma isikhumba, umchamo omnyama, noma indle yokulala | |
| Tshela udokotela wakho uma kuqhubeka noma kuyakhathaza. | |
| Ukulahlekelwa izinwele | Khuluma nodokotela wakho. |
| Ukuzizwa ukhathele noma ubuthakathaka ngendlela engavamile | |
| Izimpawu zokutheleleka kwesitho sangasese sowesifazane (ukucasuka, ukuvuvukala, ukukhishwa okungavamile) | |
Lolu hlu lungase lungahlanganisi yonke imiphumela emibi engaba khona. Uma uhlangabezana nanoma yikuphi okunye ukungakhululeki, xhumana nodokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Estropipate umuthi oqukethe i-hormone i-estrogen esetshenziselwa ukulawula izimpawu ezihambisana nokunqamuka kokuya esikhathini nokwelapha ukuntuleka kwama-hormone.
- Ngaphambi kokuqala lo muthi, yazisa udokotela wakho ngokuphelele ngazo zonke izimo zakho zezokwelapha kanye neminye imithi oyithathayo.
- Ukubhema ngenkathi uthatha lo muthi kwandisa kakhulu ingozi yokuqhekeka kwegazi kanye nesifo sohlangothi. Ngakho-ke, gwema ukubhema ngokuphelele.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nanoma yimiphi imiphumela emibi efana nobuhlungu besifuba, ubunzima bokuphefumula, ukopha okungavamile kwesitho sangasese sowesifazane, noma amaqhubu amabele.
- Ungayeki ukuthatha lo muthi, ushintshe umthamo, noma uwunike abanye ngaphandle kweseluleko sikadokotela wakho.
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