Ingabe usebenzisa amaphilisi okuvimbela inzalo njengendlela yokuhlela umndeni? Noma uyacabanga ngakho? Nakuba kuyindlela ephumelela kakhulu, kubaluleke kakhulu ukuthi wazi ngokugcwele ngala maphilisi, ukuthi awuthinta kanjani umzimba, nokuthi yini okufanele uyiqaphele uma uwasebenzisa. Ngakho-ke namuhla sizoxoxa ngalokhu.
Ziyini lezi zindlela zokuhlela umndeni?
Kalula nje, lezi uhlobo lwephilisi oluqukethe ama-hormone. Uhlobo oluthile lwephilisi esikhuluma ngalo kulesi sihloko luqukethe izinhlobo ezimbili zama-hormone abesifazane , i-estrogen ne-progestin . Umsebenzi oyinhloko wala maphilisi ukuvimbela ukukhulelwa.
Kwenzeka kanjani lokho? Cabanga nje, njalo ngenyanga umzimba wowesifazane ukhipha iqanda esibelethweni. Lokhu sikubiza ngokuthi i-ovulation. Ukuze kukhulelwe, leli qanda kumele lihlangane nesidoda. Ngakho-ke ama-hormone akula maphilisi avimba umzimba wakho ekukhipheni iqanda, okungukuthi, ukukhulula iqanda . Njengoba kungekho qanda, ayikho indlela yokukhulelwa. Ngokwezokwelapha, lokhu sikubiza ngokuthi izindlela zokuvimbela inzalo ngomlomo.
Ngaphezu kokuvimbela ukukhulelwa, odokotela ngezinye izikhathi bangase banikeze la maphilisi kwezinye izinkinga ezihlobene nama-hormone.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Lena yingxenye ebaluleke kakhulu. La maphilisi awawona awo wonke umuntu. Ngakho-ke, kubalulekile ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo. Uma unezinye zezimo ezilandelayo noma uke waba nazo emlandweni wakho, qiniseka ukuthi wazisa udokotela wakho ngazo.
| Isimo sezokwelapha/isici esiyingozi | Isizathu sokukhathazeka |
|---|---|
| Isifo semithambo yegazi, umlando wamahlule egazi, noma isifo sohlangothi | La maphilisi angandisa kancane ingozi yokuqhekeka kwegazi. |
| Umdlavuza webele, wesibeletho, wesibeletho, wesibeletho, wesibeletho, noma wesibindi | Ama-hormone angathonya ukukhula kwezinye izinhlobo zomdlavuza. |
| Umfutho Wegazi Ophakeme | Amaphilisi angakhuphula umfutho wegazi kakhulu. |
| Isifo sikashukela, i-cholesterol ephezulu noma i-triglycerides | Lezi zimo zandisa ingozi yesifo senhliziyo, futhi amaphilisi nawo angaba nomthelela omncane. |
| Isifo senhliziyo, umlando wokuhlaselwa yinhliziyo, noma izinkinga ze-valve yenhliziyo | Kufanele kuqashelwe kakhulu lapho kunikezwa la maphilisi iziguli zenhliziyo. |
| I-Migraine, ikakhulukazi uhlobo oluhambisana nokuphazamiseka kokubona | Ngezinye izikhathi i-migraines ingaba yimbi kakhulu noma ingozi yokushaywa yisifo sohlangothi inganda. |
| Isifo sesibindi, isifo sezinso, noma isifo senyongo | Lesi sitho sithinta inqubo yokususa ama-hormone emzimbeni. |
| Uma ubhema (ikakhulukazi uma uneminyaka engaphezu kwengu-35 ubudala) | Lokhu kuyisici esiyingozi kakhulu, okwandisa kakhulu ingozi yokuqhekeka kwegazi. |
| Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa | La maphilisi awafanele ukusetshenziswa ezimweni ezinjalo. |
| Izimo ezifana ne-Systemic Lupus Erythematosus (SLE), ukuntuleka kwe-Protein C/S | Ingozi yokuqhekeka kwegazi iphezulu uma lezi zimo zikhona. |
Uma unezinye zalezi zinto, lolu hlobo lwephilisi lungase lungakulungeli. Ngakho-ke, kubaluleke kakhulu ekuphepheni kwakho ukukhuluma nodokotela wakho ngaphandle kokufihla lutho .
Ungawasebenzisa kanjani la maphilisi ngendlela efanele?
Lokhu kulula kakhulu, kodwa kuyinto edinga ukwenziwa ngokuzithiba.
- Thatha iphilisi ngesikhathi esifanayo nsuku zonke: Njengomkhuba, thatha iphilisi ngesikhathi esifanayo nsuku zonke . Kungumqondo omuhle ukusetha i-alamu efonini yakho ukuze ikukhumbuze.
- Ngokulandelana kwephakethe: Thatha amaphilisi ngokulandelana okuphawulwe ngezinsuku nemicibisholo ephaketheni lamaphilisi.
- Ngokudla: Abanye abantu bangase babe nesicanucanu ngemva kokuthatha la maphilisi. Ukuze unciphise lokhu, ungaphuza iphilisi ngesikhathi sokudla noma ngemva kokudla.
- Kuthiwani uma uphuthelwa iphilisi?: Uma ukhohlwa ukuphuza iphilisi, hlola imiyalelo ehambisana nephakethe lakho lemithi. Ngokuvamile, uma uphuthelwa iphilisi elilodwa, utshelwa ukuthi ulithathe ngokushesha nje lapho ukhumbula bese uthatha iphilisi elilandelayo ngesikhathi esihleliwe. Kodwa-ke, uma uphuthelwa amaphilisi angaphezu kwelilodwa, ukusebenza kwawo kungancipha. Ezimweni ezinjalo, kuphephile ukusebenzisa olunye uhlobo lokuvimbela inzalo, njengamakhondomu, kuze kube yilapho usesikhathini esilandelayo. Uma ungabaza, buza udokotela wakho.
Qaphela: 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. Ungalokothi uwuhlanganyele nabanye.
Eminye imithi engase ihlangane nala maphilisi
Uma uthatha la maphilisi, kufanele uqaphele neminye imithi oyithathayo. Eminye imithi inganciphisa ukusebenza kwala maphilisi noma yandise imiphumela emibi.
Kuyelulekwa kakhulu ukuthi ungasebenzisi la maphilisi kanye nemithi elandelayo:
- I-Dasabuvir; ombitasvir; i-paritaprevir; i-ritonavir
- Ombitasvir; i-paritaprevir; i-ritonavir
Ngaphezu kwalokho, eminye imithi eminingi ingasebenzisana nala maphilisi. Ezinye izibonelo yilezi:
- Amanye ama-antibiotic , ikakhulukazi lawo asetshenziswa ukwelapha isifo sofuba, njenge-rifampin.
- Imithi yesifo sokuwa (isib. i-phenobarbital, i-carbamazepine, i-phenytoin).
- Eminye imithi esetshenziswa ukwelapha i-HIV/AIDS (isib. i-ritonavir).
- Imikhiqizo yamakhambi efana ne -St. John's Wort .
- Ama-antifungal (isb. i-griseofulvin).
- Eminye imithi esetshenziswayo yesifo sikashukela, i-cholesterol, kanye nomfutho wegazi ophakeme.
Lolu hlu aluphelele. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, imikhiqizo yamakhambi, kanye nezinhlungu zobuhlungu) . Futhi, qiniseka ukuthi uyamazisa udokotela wakho ngokusebenzisa kwakho ukubhema notshwala.
Izinto okufanele uzicabangele uma usebenzisa amaphilisi
Ukubhema kanye nengozi
Kubaluleke kakhulu: Uma ubhema ngenkathi uthatha la maphilisi, ingozi yakho yokuqhekeka kwegazi kanye nesifo sohlangothi iphakeme kakhulu. Le ngozi iphezulu kakhulu uma uneminyaka engaphezu kwengu-35 ubudala. Ngakho-ke, sikweluleka kakhulu ukuthi ugweme ngokuphelele ukubhema uma uthatha lo muthi.
Amanye amaphuzu abalulekile
- Ukuhlolwa Okuhleliwe: Ngesikhathi uthatha la maphilisi, yiya ezivivinyweni ezihleliwe (isib. ukuhlolwa komfutho wegazi, ukuhlolwa kwamabele, i-Pap smear) njengoba kuqondiswe udokotela wakho.
- Ukukhulelwa okusolwayo: Uma usola ngisho nokuncane ukuthi ukhulelwe, yeka ukuthatha iphilisi ngokushesha bese ubona udokotela.
- Ukuvuvukala: Ngezinye izikhathi la maphilisi angabangela ukuthi umzimba wakho ugcine amanzi, okubangela ukuthi iminwe yakho, izandla nezinyawo zakho zivuvuke. Uma uzizwa ngale ndlela, tshela udokotela wakho .
- Ukuzwela kwelanga: Isikhumba sakho singase sibe nomuzwa omncane ekukhanyeni kwelanga ngenkathi uthatha la maphilisi. Ngakho-ke, kungumqondo omuhle ukusebenzisa isivikelo selanga futhi ugqoke izingubo ezimboza umzimba wakho uma uphuma elangeni.
- Akukho sivikelo ezifweni ezithathelwana ngocansi: Khumbula lokhu. La maphilisi akuvikela kuphela ekukhulelweni. Awakuvikeli kwi-HIV (AIDS) noma kwezinye izifo ezithathelwana ngocansi (STI). Kumelwe usebenzise indlela yokuvimbela njengekhondomu.
Imiphumela emibi engaba khona
Njenganoma yimuphi umuthi, la maphilisi angabangela imiphumela emibi. Iningi lawo alibi kakhulu futhi liyanyamalala njengoba umzimba ujwayela umuthi. Kodwa-ke, kunezimpawu ezithile okufanele siziqaphele ngokukhethekile.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
| Izimpawu ze-clot yegazi | Ubuhlungu emilenzeni, ukuvuvukala, ukufudumala, ubunzima bokuphefumula, ukuqina kwesifuba. |
| Izimpawu Zokushaywa Yisifo Sohlangothi | Ukuba ndikindiki noma ubuthakathaka obungazelelwe ebusweni, engalweni, noma emlenzeni, ubunzima bokukhuluma, ukudideka, ubunzima bokuhamba, ikhanda elibuhlungu kakhulu. |
| Izimpawu zokulimala kwesibindi | Ubuhlungu ohlangothini olungaphezulu kwesokudla lwesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi/onsundu omnyama, ukuphuzi kwamehlo/isikhumba. |
| Ezinye izimpawu ezinkulu | Ukwanda komfutho wegazi, ikhanda elibuhlungu elisha noma elibi kakhulu, ukucindezeleka, ukuphuma koketshezi olungavamile esithweni sangasese sowesifazane. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ubuhlungu bebele | Ubuhlungu noma ukuqina kwamabele. |
| Ukuya esikhathini okungajwayelekile | Ukubonakala okuncane phakathi kwemijikelezo yokuya esikhathini. Lokhu kuvamile ezinyangeni ezimbalwa zokuqala. |
| Ukushintsha kombala wesikhumba | Amabala amnyama ebusweni noma esikhumbeni esivezwe yilanga. |
Umlayezo Wokuya Nawe Ekhaya
- Amaphilisi okuhlela umndeni ayindlela ephumelela kakhulu yokuvimbela ukukhulelwa, kodwa kuphela uma esetshenziswa ngendlela efanele nangesikhathi esifanayo nsuku zonke .
- Ngaphambi kokuqala la maphilisi, tshela udokotela wakho ngomlando wakho wezempilo ophelele kanye nayo yonke eminye imithi oyithathayo .
- Uma uphuza la maphilisi, gwema ukubhema ngokuphelele . Kuyingozi kakhulu, ikakhulukazi uma uneminyaka engaphezu kwengu-35.
- La maphilisi awavikeli ezifweni ezithathelwana ngocansi, okuhlanganisa ne-HIV . Indlela efana nekhondomu iyadingeka kulokho.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nekhanda elibuhlungu kakhulu, ubuhlungu besifuba, noma ukuvuvukala kwemilenze, funa iseluleko sezokwelapha ngokushesha.
- Uma unezinkinga noma ukukhathazeka, ungesabi ukukhuluma nodokotela wakho.
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