Inkinga abesifazane abaningi ababhekene nayo ukukhishwa kwegazi eliningi lokuya esikhathini kunokujwayelekile. Ngezinye izikhathi imbangela yalokhu yi-uterine fibroids, uhlobo lwesimila esakheka esibelethweni. Futhi, abanye besifazane bazwa ubuhlungu obungabekezeleleki ngenxa yesimo esibizwa ngokuthi i-endometriosis. Ngakho-ke, uma nawe uhlushwa yilesi simo, udokotela wakho angakutusa lo muthi. Ake sibone ukuthi uyini lo muthi, usebenza kanjani, nokuthi yini okudingeka uyiqaphele ngenkathi uwusebenzisa.
Uyini ngempela lo muthi? Usebenza kanjani?
Kalula nje, lokhu kuyinhlanganisela yemithi emithathu. Okusho ukuthi, iphilisi elilodwa liqukethe yonke imithi emithathu , i-Relugolix, i-Estradiol, ne-Norethindrone . Igama lomkhiqizo eliyinhloko lalo muthi yi -Myfembree .
Cabanga ngesimiso samahomoni somzimba wethu njengompompi wamanzi. Imbangela eyinhloko yokuya esikhathini esinzima kanye nobuhlungu be-endometriosis ukukhishwa ngokweqile kwehomoni ebizwa ngokuthi i-estrogen.
1. I-Relugolix: Lo muthi usebenza ngokuvala i-hormone kancane bese unciphisa inani le-estrogen elikhiqizwa emzimbeni. Uma amazinga e-estrogen ehla, ukopha okukhulu kanye nobuhlungu kuyalawulwa.
2. I-Estradiol: Kodwa uma i-estrogen yehla ngokuzumayo kakhulu, ingathinta amandla amathambo ethu. Ukuze kumiswe lokho, kufakwe inani elincane le-hormone ye-estrogen ebizwa ngokuthi i-Estradiol kulokhu. Ivimbela ukulahlekelwa amathambo.
3. I-Norethindrone: I-Estradiol iyodwa ingandisa ingozi yomdlavuza wesibeletho. I-hormone i-norethindrone isebenza ukunciphisa leyo ngozi nokuvikela isibeletho.
Lokho kusho ukuthi, nakuba leli philisi lilawula ama-hormone abangela inkinga ngakolunye uhlangothi, liphinde lisize ekuvimbeleni imiphumela emibi engase ivele kulolo lawulo kolunye.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Kubaluleke kakhulu ukwazisa udokotela wakho ngesimo sakho sempilo ephelele ngaphambi kokuqala lo muthi. Qiniseka ukuthi uyamtshela uma unezinye zezimo ezilandelayo:
- Uma wena noma othile emndenini wakho enamahlule egazi .
- Uma uke waba nomdlavuza webele, wesibeletho, wesibeletho, noma we-endometrial .
- Uma unesifo sikashukela .
- Uma unesifo senyongo .
- Uma unesifo senhliziyo, umfutho wegazi ophakeme, noma i-cholesterol ephezulu .
- Uma unesifo sezinso noma isifo sesibindi .
- I-LupusUma unezifo ezizimele ezifana.
- Uma wena noma ilungu lomndeni wakho nike naba nezinkinga zempilo yengqondo , ukucindezeleka, noma imicabango yokuzibulala.
- Uma uvame ukuba nekhanda elibuhlungu elibangelwa yi-migraine .
- I-Osteoporosis , okusho ukuthi uma unesifo esenza amathambo akho abe buthaka.
- Ukusetshenziswa kukagwayi , okungukuthi, uma ubhema ugwayi.
- Uma unokopha okungajwayelekile kwesitho sangasese sowesifazane okungekho sizathu esitholakalayo.
- Uma ukhulelwe noma uzama ukukhulelwa .
- Uma umntwana enceliswa .
- Uma une -allergy kunoma yimuphi omunye umuthi, ukudla, noma idayi .
Ungayisebenzisa kanjani imithi ngendlela efanele?
Indlela yokusebenzisa lo muthi ilula kakhulu, kodwa ibaluleke kakhulu.
- Phuza leli philisi nengilazi yamanzi .
- Kungcono ukuyithatha ngesikhathi esifanayo nsuku zonke . Kwenze umkhuba.
- Ungayithatha ngaphambi noma ngemva kokudla. Kodwa-ke, uma uzwa ubuhlungu besisu, yithathe kanye nokudla .
- Qhubeka usebenzisa lo muthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.
- Lo muthi awuvunyelwe ukusetshenziswa ezinganeni.
Wenzani uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe amaphilisi amabili ngesikhathi esisodwa.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
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.
Ingabe kungaba nezinkinga ngeminye imithi? (Ukusebenzisana kwezidakamizwa)
Yebo, lo muthi ungasebenzisana neminye imithi. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nemithi yendabuko oyithathayo. Ithebula elingezansi lingachaza lokhu kabanzi.
| Uhlobo lokusabela | Izibonelo |
|---|---|
| Ungawuthathi lo muthi nanoma yini. | |
| Eminye imithi yokwelapha umdlavuza | Ama-inhibitors e-Aromatase (isb., i-anastrozole, i-letrozole) |
| Eminye imithi | I-Cisapride, i-Dronedarone, i-Elagolix, i-Pimozide, i-Thioridazine |
| Lokhu kungabangela izinkinga - tshela udokotela wakho. | |
| Amanye ama-antibiotic | I-Erythromycin, i-Clarithromycin |
| Imithi ye-HIV noma i-Hepatitis | Imithi yokulwa namagciwane |
| Imithi yokulwa nesikhunta | I-Ketoconazole, i-Itraconazole |
| Imithi yokwelapha ukuxhuzula | I-Carbamazepine, i-Phenytoin |
| Okunye | Ijusi le-Grapefruit, i-Rifampin, i-St. John's wort, i-Warfarin, imithi yesifo sikashukela, ama-hormone e-thyroid |
Lolu hlu aluphelele, ngakho-ke kubaluleke kakhulu ukutshela udokotela wakho ngakho konke okuthathayo.
Izinto okufanele uzicabangele lapho uthatha imithi
- Ukuhlolwa okuvamile: Vakashela udokotela wakho ekuhlolweni okuvamile ukuze ubone ukuthi unjani. Kuzodingeka futhi ukuthi uhlolwe amabele kanye ne-pelvic ngezikhathi ezithile.
- Izinguquko emjikelezweni wakho wokuya esikhathini: Ngesikhathi uthatha lo muthi, umjikelezo wakho wokuya esikhathini ungase ungabi njalo, ushintshe inani, noma ume ngokuphelele. Lokhu kuvamile.
- Gwema ukukhulelwa: Ngesikhathi uthatha lo muthi kanye nesonto elilodwa ngemva kokuyeka umuthi.Kubaluleke kakhulu ukugwema ukukhulelwa. Lo muthi ungalimaza kakhulu ingane engakazalwa. Khuluma nodokotela wakho ngendlela yokuvimbela inzalo efanele wena.
- Ukubhema: Uma ubhema, ikakhulukazi uma uneminyaka engaphezu kwengu-35 , ingozi yakho yokuqhekeka kwegazi kanye nesifo sohlangothi iphakeme. Khuluma nodokotela wakho ngalokhu.
- Ukuvuvukala: Lo muthi ungabangela ukugcinwa koketshezi emzimbeni. Ngakho-ke tshela udokotela wakho uma uzizwa sengathi iminwe yakho, izandla, noma amaqakala akho kuyavuvukala. Umfutho wegazi nawo ungakhuphuka.
- Impilo yamathambo: Lo muthi ungaba nomthelela othile emandleni amathambo uma usetshenziswa isikhathi eside. Xoxa ngalokhu nodokotela wakho.
Imiphumela emibi yomuthi
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Eminye iyingozi, eminye ivamile. Kubalulekile ukuqaphela lokhu.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi. |
| Ihluli | Ubuhlungu emilenzeni, ukuvuvukala noma ukufudumala, ubunzima bokuphefumula, ubuhlungu besifuba. |
| Isifo sohlangothi | Ukungazweli kobuso, ingalo, noma umlenze, ubunzima bokukhuluma, ukudideka, ubunzima bokuhamba. |
| Ukulimala kwesibindi | Ubuhlungu esiswini esingaphezulu kwesokudla, ukulahlekelwa yisifiso sokudla, ukuphuzi kwesikhumba noma amehlo, kanye nomchamo omnyama. |
| Izinguquko zengqondo | Ukucindezeleka okwandayo, imicabango yokuzibulala. |
| Ngokuvamile akukho okufanele ukhathazeke ngakho, kodwa uma kuqhubeka, tshela udokotela wakho. | |
| Ikhanda elibuhlungu kanye nesiyezi | Ubuhlungu bekhanda noma isiyezi ngezikhathi ezithile. |
| Ukushisa okukhulu | Ukuzwa ukushisa okungazelelwe emzimbeni. |
| Okunye | Ukulahlekelwa izinwele, ukukhathala, izinguquko zesifiso sobulili. |
Umlayezo Wokuya Nawe Ekhaya
- Lo muthi usetshenziswa kakhulu njengokwelapha ukopha okukhulu kokuya esikhathini okubangelwa yi-uterine fibroids kanye nobuhlungu be-endometriosis.
- Qiniseka ukuthi utshela udokotela wakho ngazo zonke ezinye izimo zakho zezokwelapha kanye nemithi oyiphuzayo.
- Zenze umkhuba ukuphuza imithi yakho ngesikhathi esifanayo nsuku zonke.
- Gwema ukukhulelwa ngokuphelele ngenkathi uthatha lo muthi futhi isonto elilodwa ngemva kokuyeka.
- Uma uhlangabezana nanoma yiziphi izimpawu ezinkulu njengobuhlungu bomlenze, ubuhlungu besifuba, ubunzima bokuphefumula, noma ukulahlekelwa ukwazi ngokuzumayo, funa iseluleko sezokwelapha ngokushesha.
- Lo muthi ungowakho kuphela. Ungawubelani nabanye abantu nganoma yisiphi isizathu.
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