Sawubona! Ukunqamuka kokuya esikhathini kungenye yezinguquko ezinkulu owesifazane adlula kuzo njengoba ekhula. Phakathi nalesi sikhathi, ungase uzizwe ungakhululekile ngenxa yezinto ezifana nokushisa okukhulu kanye nokujuluka ebusuku. Ngakho-ke namuhla, sizokhuluma ngokwelashwa ngama-hormone odokotela abancoma ukulawula lezi zimpawu.
Luhlobo luni lomuthi lolu?
Kalula nje, kuyinhlanganisela yama-hormone amabili. Okusho ukuthi, i-estrogen ne -progestin . Umuthi udokotela wakho awunike wona uqukethe i-'Norethindrone Acetate' (lolu uhlobo lwe-progestin) kanye ne-'Ethinyl Estradiol' (lolu uhlobo lwe-estrogen).
Ngokunqamuka kokuya esikhathini, ukukhiqizwa kwemvelo kwe-hormone i-estrogen emzimbeni wakho kuyehla. Lo muthi usebenza ngokubuyisela amazinga e-hormone esimweni esijwayelekile. Lokhu kungasiza ekulawuleni izimpawu eziningi ezihambisana nokunqamuka kokuya esikhathini, ikakhulukazi ukushisa okukhulu .
Ngaphezu kwalokho, kunezinye izinzuzo eziningana:
- Ukuvimbela i-Osteoporosis: Ngemva kokunqamuka kokuya esikhathini, amathambo aba mancane futhi abe sengozini yokuqhekeka kalula. Lo muthi usiza ekunciphiseni leyo ngozi.
- Ukuvikela ulwelwesi lwesibeletho: Ukuthatha i-estrogen kuphela kungabangela ukuthi ulwelwesi lwesibeletho luqine ngokungadingekile, okwandisa ingozi yomdlavuza wesibeletho. I-hormone ye-progestin iyengezwa kulokhu ukuvimbela lokhu.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha umuthi
Lokhu kubaluleke kakhulu. Uma unezinye zezimo ezingezansi, kufanele utshele udokotela wakho ngaphambi kokuqala lo muthi.
| Isifo noma ingozi | Incazelo |
|---|---|
| Izimo zomdlavuza | Uma uke waba nomdlavuza webele, wesibeletho, wesibeletho, noma we-endometrial. |
| Izinkinga ezihlobene negazi | Uma uke waba nesifo semithambo yegazi, ukujiya kwegazi, isifo sohlangothi, noma ukuhlaselwa yinhliziyo muva nje. Umfutho wegazi ophakeme, amazinga aphezulu e-cholesterol. |
| Isifo sesibindi noma sezinso | Uma unesifo sesibindi noma sezinso. |
| Ezinye izimo zezokwelapha | Isifo Sikashukela, I-Endometriosis, Ama-Fibroid, Isifo Senyongo, I-Migraine, Ukucindezeleka, I-Lupus (SLE), I-Porphyria. |
| Indlela yokuphila kanye nokungezwani komzimba | Uma ubhema, uphuma igazi ngendlela engavamile esithweni sangasese sowesifazane, noma une-allergy kuma-hormone noma eminye imithi noma ukudla. |
| Ukukhulelwa | Uma ukhulelwe, uzama ukukhulelwa, noma ungumama oncelisayo. |
Ngingawusebenzisa kanjani umuthi?
Leli philisi kufanele lithathwe ngesikhathi esifanayo nsuku zonke nengilazi yamanzi. Thatha umthamo onqunyiwe kuphela, njengoba nje udokotela wakho ekutshelile. Ungayithatha nokudla noma ngaphandle kokudla. Funda njalo isethulo sephakheji yesiguli esiza nomuthi wakho.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma ukhohlwa ukuphuza iphilisi, liphuze ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi sephilisi lakho elilandelayo, yeqa iphilisi ongazange ulisebenzise bese uphuza iphilisi elilandelayo ngesikhathi esibekiwe. Ungalokothi uthathe amaphilisi amabili ngesikhathi esisodwa.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, ungesabi. Shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Lo muthi unikezwe wena kuphela. Ngakho-ke, ungalokothi uwuhlanganyele nanoma ubani omunye.
Eminye imithi engase ihlangane nalo muthi
Eminye imithi ingasebenzisana nalokhu kwelashwa ngama-hormone, ngakho-ke kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini nemithi yendabuko).
| Ungawuthathi lo muthi ndawonye. | |
|---|---|
| Ama-inhibitors e-Aromatase (isb., i-anastrozole, i-letrozole) | Ukwelashwa kwe-Hepatitis C njenge-dasabuvir, i-ombitasvir, i-paritaprevir, ne-ritonavir |
| Ezinye izinto ezingasabela | |
|---|---|
| Ijusi le-Grapefruit | Izinto zokunciphisa igazi ezifana ne-Warfarin |
| Imithi yokulwa nesifo sokuwa efana nePhenobarbital neCarbamazepine | Imithi yesifo sikashukela |
| Eminye imithi ethathwayo ye-HIV noma i-AIDS | Imikhiqizo yamakhambi njenge-St. John's Wort |
| Imithi yokulwa nesikhunta efana ne-Itraconazole | Ama-antibiotic esifo sofuba, njenge-Rifampin |
| Amahomoni e-thyroid | Ama-steroid afana ne-Prednisone |
Izinto okufanele uzikhumbule lapho uthatha imithi
- Ukuhlolwa njalo kwezokwelapha:Bona udokotela wakho okungenani kanye njalo ezinyangeni eziyisithupha ukuze uhlole isimo sakho. Thola ukuhlolwa kwebele kanye ne-pelvic njalo. Khuluma nodokotela wakho ngesidingo se-mammogram.
- Ukuvuvukala komzimba: Lo muthi ungabangela ukugcinwa kwamanzi emzimbeni, okubangela ukuvuvukala ezandleni, ezinyaweni nasemaqakaleni. Ungakhuphula nomfutho wegazi. Tshela udokotela wakho uma uhlangabezana nanoma yiziphi zalezi zimpawu.
- Ukubhema: Uma ubhema, ikakhulukazi uma uneminyaka engaphezu kwengu-35, ingozi yakho yokuqhekeka kwegazi kanye nesifo sohlangothi iphakeme. Khuluma nodokotela wakho ngalokhu bese uthola iseluleko esidingekayo.
- Ukukhulelwa: Uma usola ukuthi ukhulelwe, yeka ukuthatha imithi ngokushesha bese wazisa udokotela wakho.
- Ukuhlinzwa: Uma uhlela ukuhlinzwa, buza udokotela wakho uma kudingeka uyeke ukuthatha lo muthi kusengaphambili.
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Eminye iyingozi, eminye ivamile.
| Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha | |
|---|---|
| Ukungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi. |
| Izimpawu ze-clot yegazi | Ubuhlungu emilenzeni, ukuvuvukala, ukufudumala, ubunzima bokuphefumula, ubuhlungu besifuba. |
| Izimpawu zesifo sohlangothi | Ukungabi namizwa ngokuzumayo kobuso, ingalo noma umlenze, ubunzima bokukhuluma, ubunzima bokuhamba, ikhanda elibuhlungu kakhulu. |
| Izinguquko emabeleni | Amaqhubu amasha, ukubomvu, ubuhlungu, kanye nokuphuma koketshezi engonweni. |
| Izimpawu zokulimala kwesibindi | Ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, ukuphuzi kwesikhumba noma amehlo, umchamo omnyama. |
| Okunye | I-migraines entsha noma eba yimbi kakhulu, ukopha kwesitho sangasese sowesifazane ngemva kokunqamuka kokuya esikhathini. |
| Uma kuqhubeka noma kukhathaza, tshela udokotela wakho. | |
| Ubuhlungu bebele noma ukuqina | Ikhanda elijwayelekile |
| Ukuvuvukala kwezandla, izinyawo, amaqakala | Amehlo omile, ikakhulukazi uma ugqoka ama-contact lens. |
Umlayezo Wokuya Nawe Ekhaya
- Ngaphambi kokuqala lokhu kwelashwa ngama-hormone, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye neminye imithi oyithathayo.
- Thatha umuthi ngesikhathi esifanayo nsuku zonke, ngokwesilinganiso esinqunyiwe. Uma uphuthelwa umthamo, ungaphuzi imithamo emibili ngesikhathi esisodwa.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nanoma yimiphi imiphumela emibi efana nokuvuvukala kwemilenze, ubuhlungu besifuba, ubunzima bokuphefumula, noma ubunzima bokukhuluma.
- Uma ubhema, usengozini enkulu uma uthatha lo muthi. Khuluma nodokotela wakho ngalokhu.
- Kubaluleke kakhulu ukuhlolwa kwezokwelapha kanye nokuhlolwa kwe-mammogram ngesikhathi esihleliwe.
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