Ingabe unenkinga yokwenza imisebenzi yakho yansuku zonke ngenxa yokopha kakhulu kokuya esikhathini okubangelwa yi-fibroids yesibeletho? Noma ingabe uhlushwa ubuhlungu obungabekezeleleki obubangelwa yi-endometriosis? Namuhla sikhuluma ngomuthi okhethekile odokotela abawuncomayo ukwelapha izimo ezinjalo. Igama lomkhiqizo walo yi-Myfembree.
Liquketheni leli philisi?
Empeleni lokhu kuyinhlanganisela yemithi emithathu. Lokho kusho ukuthi kunezithako ezintathu eziyinhloko ephilisini elilodwa. Ake sibone ukuthi iyini nokuthi yenzani.
1. I-Relugolix: Kalula nje, lokhu kusebenza ngokunciphisa ukukhiqizwa kwama-hormone athile emzimbeni wakho, njenge-estrogen. Uma la mazinga ama-hormone encishisiwe, ukopha okukhulu kanye nobuhlungu kuyalawulwa.
2. I-Estradiol: Njengoba kushiwo ngenhla, i-Relugolix yehlisa i-hormone ye-estrogen, okungaholela ekulahlekelweni kwamathambo ngokuhamba kwesikhathi. I-hormone i-Estradiol yengezwa kulokhu ukuze kuncishiswe leyo ngozi.
3. I-Norethindrone: Lolu uhlobo lwe-hormone olubizwa nge-progestin. I-Norethindrone isiza ekunciphiseni ingozi encane kakhulu yezinhlobo ezithile zomdlavuza (isib. umdlavuza wesibeletho) uma i-estradiol isetshenziswa yodwa.
Lokho kusho ukuthi, nakuba lo muthi ulawula izimpawu zakho ngakolunye uhlangothi, unciphisa nezinye izingozi ezingase zivele kulolo lawulo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Kubalulekile ukuthi udokotela wakho azi umlando wakho wezempilo ophelele ngaphambi kokunquma ukuthi lo muthi ukulungele yini. Qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezibalwe ngezansi.
| Ingabe unalezi zimo? | Kungani kufanele unikeze ulwazi? |
|---|---|
| Umlando wamahlule egazi noma isifo sohlangothi. | Lo muthi ungandisa kancane ingozi yokuqhekeka kwegazi. |
| Umdlavuza oxhomeke kuma-hormone njengomdlavuza webele, wesibeletho, kanye nomdlavuza wesibeletho. | Ama-hormone aqukethwe kulo muthi angathinta ezinye izimo zomdlavuza. |
| Isifo senhliziyo, umfutho wegazi ophakeme, i-cholesterol ephezulu. | Lo muthi kufanele usetshenziswe ngokucophelela kubantu abanesifo senhliziyo. |
| Isifo sikashukela, isifo sesibindi noma sezinso. | Lezi zimo zingathinta indlela umuthi okhishwa ngayo emzimbeni. |
| I-Migraine, izinkinga zempilo yengqondo (ukucindezeleka, imicabango yokuzibulala). | Izinguquko zama-hormone zingathinta lezi zimo, ngakho-ke kufanele kuqashelwe. |
| Ukubhema (ikakhulukazi uma uneminyaka engaphezu kwengu-35 ubudala). | Ukubhema, uma kuhlanganiswa nalomuthi, kwandisa kakhulu ingozi yokuqhekeka kwegazi kanye nesifo sohlangothi. |
| Ukopha kwesitho sangasese sowesifazane okungaziwa imbangela. | Imbangela yokopha kwegazi kumele itholakale ngokunembile ngaphambi kokuba kuqale ukwelashwa. |
| Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. | Lo muthi awunconywa ukuthi usetshenziswe ngesikhathi sokukhulelwa. Ungalimaza ingane. |
Ngingawusebenzisa kanjani lo muthi?
Thatha lo muthi njengoba nje udokotela wakho ekutshelile. Ngokuvamile, kufanele uphuze iphilisi elilodwa ngosuku, ngesikhathi esifanayo nsuku zonke, ngamanzi. Akunandaba ukuthi uwuphuza ngaphambi noma ngemva kokudla. Kodwa-ke, uma uzizwa unesisu esibuhlungu, kungcono ukuwuphuza kanye nokudla. Qhubeka uwuphuza kuze kube yilapho udokotela wakho ekutshelile ukuthi uyeke.
Uma uthola lo muthi ekhemisi, uzothola incwajana yolwazi ekhethekile (i-MedGuide) nayo. Ungakhohlwa ukuyifunda ngokucophelela njalo. Iqukethe ulwazi olubalulekile.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
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. Ungaphuzi amaphilisi amabili ngesikhathi esisodwa nganoma yisiphi isizathu.
Wenzani uma uphuza kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kunalokho obekucabanga, ngisho nangephutha, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Eminye imithi engase ihlangane nalo muthi
Uma uthatha lo muthi, kungase kube nokuxhumana neminye imithi oyithathayo. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini kanye nemithi yamakhambi.
| Imithi okungafanele ithathwe nale mithi (UNGAYITHATHI kanye) | |
|---|---|
| Izithibi ze-Aromatase | Isibonelo: i-anastrozole, i-letrozole |
| I-Elagolix, i-Cisapride, i-Dronedarone | Ukuthatha lokhu ndawonye kungabangela izinkinga ezinkulu. |
| Ezinye izinto ezingase zihlangane nazo | |
| Amanye ama-antibiotic | Isibonelo: i-erythromycin, i-clarithromycin |
| Eminye imithi ye-HIV noma i-Hepatitis | |
| Imithi yokuquleka | Isibonelo: i-carbamazepine, i-phenytoin |
| Ijusi le-Grapefruit | |
| I-St. John's Wort (isengezo semifino) | |
| Izinto zokunciphisa igazi (isib. i-Warfarin) | |
Okubalulekile: Lolu hlu aluphelele, ngakho tshela udokotela wakho nganoma yimiphi imithi oyithathayo.
Izinto okufanele uzikhumbule lapho uthatha imithi
- Ukuhlolwa njalo: Udokotela wakho kufanele akuvakashele njalo ukuze ahlole ukuthi unjani. Kufanele futhi uhlolwe njalo amabele kanye ne-pelvic.
- Izinguquko emjikelezweni wakho wokuya esikhathini: Ngesikhathi uthatha lo muthi, umjikelezo wakho wokuya esikhathini ungase ungabi njalo, inani lokopha lingashintsha, noma ungase uyeke ukuya esikhathini ngokuphelele. Lokhu kuvamile.
- Gwema ukukhulelwa: Kufanele ugweme ukukhulelwa ngenkathi uthatha lo muthi. Lokhu kungalimaza kakhulu ingane esibelethweni. Ngakho-ke, kubalulekile ukusebenzisa indlela yokuvimbela inzalo, njengekhondomu. Qhubeka usebenzisa le ndlela yokuvimbela inzalo ngisho nangesonto elilodwa ngemva kokuyeka umuthi.
- Ukubhema Nengozi: Uma ubhema, ikakhulukazi uma uneminyaka engaphezu kwengu-35, ingozi yakho yokuqhekeka kwegazi kanye nesifo sohlangothi iphakeme kakhulu ngenkathi uthatha lo muthi. Ngakho-ke, kungcono ukugwema ngokuphelele ukubhema ngenkathi uthatha lo muthi.
- Impilo Yamathambo: Ukusetshenziswa kwalomuthi isikhathi eside kungabangela ukwehla kobuningi bamathambo. Ngakho-ke, kubalulekile ukudla ukudla okucebile nge-calcium ne-vitamin D bese ukhuluma nodokotela wakho ngempilo yamathambo.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Eminye iyingozi, eminye ivamile.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, nobunzima bokuphefumula. |
| Izimpawu ze-clot yegazi | Ubuhlungu emilenzeni, ukuvuvukala, ukufudumala, ubunzima bokuphefumula, ubuhlungu besifuba. |
| Izimpawu zesifo sohlangothi | Ukungazweli noma ubuthakathaka bobuso, ingalo noma umlenze, ubunzima bokukhuluma, ubunzima bokuhamba, ikhanda elibuhlungu kakhulu. |
| Izimpawu zokulimala kwesibindi | Ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, ukuphuzi kwesikhumba noma amehlo, umchamo omnyama. |
| Izinguquko zengqondo | Ukucindezeleka okwandayo, imicabango yokuzibulala. |
| Uma kuqhubeka noma kukhathaza, tshela udokotela wakho. | |
| Ukushisa okukhulu | Ikhanda elibuhlungu, isiyezi, ukukhathala. |
| Ukulahlekelwa izinwele | Ushintsho esifisweni sobulili. |
Umlayezo Wokuya Nawe Ekhaya
- Lo muthi uwukwelashwa okukhethekile kwamahomoni okopha kakhulu okubangelwa yi-fibroids yesibeletho kanye nobuhlungu be-endometriosis.
- Ngaphambi kokuqala umuthi, qiniseka ukuthi utshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye neminye imithi oyithathayo.
- Thatha iphilisi ngesikhathi esifanayo nsuku zonke. Uma weqiwa umthamo, ungalokothi uthathe amaphilisi amabili ngesikhathi esisodwa.
- Ukubhema ngenkathi uthatha lo muthi kwandisa kakhulu ingozi yokuqhekeka kwegazi kanye nesifo sohlangothi.
- Gwema ukukhulelwa ngesikhathi sokwelashwa. Khuluma nodokotela wakho mayelana nokuvimbela inzalo okufanele.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nobuhlungu besifuba, ubunzima bokuphefumula, noma ubunzima bokukhuluma, funa iseluleko sezokwelapha ngokushesha.
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