Ukunqamuka kokuya esikhathini, isikhathi lapho ukuya esikhathini kuphela, kungaletha ukungakhululeki okuhlukahlukene ngokomzimba kowesifazane. Okuvame kakhulu kulokhu ukujuluka okungazelelwe kanye nokushisa okukhulu. Lesi simo singaba sicindezela kakhulu kwabanye kangangokuthi abakwazi ukwenza imisebenzi yabo yansuku zonke. Ngakho-ke, namuhla sikhuluma ngomuthi okhethekile odokotela abawunikeza ukulawula lezi zimpawu. Lolo uhlobo lwephilisi lama-hormone elibizwa ngokuthi i-Synthetic Conjugated Estrogens.
Uyini ngempela lo muthi obizwa ngokuthi i-estrogen?
Kalula nje, lo umuthi wokwenziwa ofana ne-hormone i-estrogen ekhiqizwa ngokwemvelo emzimbeni wesifazane. Ngesikhathi sokunqamuka kokuya esikhathini, amazinga e-estrogen emzimbeni ayancipha. Lo muthi usebenza ngokubuyisela amazinga e-hormone anciphayo ngezinga elithile futhi unciphise ukungakhululeki okubangelwa yiwo, ikakhulukazi ukushisa . Siphinde siwubize ngokuthi i -Hormone Replacement Therapy (HRT) .
Ngaphezu kwalesi sizathu esiyinhloko, udokotela wakho angase akunike lo muthi kwezinye izimo zezokwelapha.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuthi uqale ukuthatha lo muthi, kubaluleke kakhulu ukwazisa udokotela wakho ngomlando wakho wezempilo ophelele. Lo muthi ungase ungafaneleki kubantu abanezimo ezithile zezokwelapha. Qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezilandelayo:
Umdlavuza kanye nezingozi ezihambisana nawo
- Uma uke waba nomdlavuza webele, wesibeletho, i-endometrium, ama-ovari, isibindi, noma isibeletho.
- Uma othile emndenini, ikakhulukazi umama noma udadewabo, eke waba nomdlavuza webele.
Izinkinga ezihlobene nenhliziyo, imithambo yegazi, kanye nama-blood clots
- Uma une-high blood pressure.
- Uma unesifo senhliziyo noma usanda kuhlaselwa yinhliziyo.
- Uma uke waba nesifo sohlangothi ngaphambilini.
- Uma unesifo semithambo yegazi, noma amahlule egazi emilenzeni noma emaphashini.
- Uma izinga le-cholesterol egazini liphezulu.
Ezinye izimo zempilo
- Uma uphuma igazi ngendlela engavamile esithweni sangasese sowesifazane ngaphandle kwesizathu esaziwayo.
- Uma unesifo sikashukela.
- Uma unesifo sesibindi noma sezinso.
- Uma unesifo senyongo.
- Uma unezifo zesibeletho ezifana ne -endometriosis noma i-fibroids .
- I-Migraine, okungukuthi, uma une -migraine .
- Uma izinga le-calcium egazini liphezulu.
- Uma unezifo zengqondo ezifana nokucindezeleka.
- Uma unesifo sokulahlekelwa yingqondo noma usengozini yaso.
- Uma ubhema (lokhu kubaluleke kakhulu).
- Uma uzama ukukhulelwa, ukhulelwe, noma ungumama oncelisayo.
- Uma une-allergies kule pilisi ye-estrogen noma yimuphi omunye umuthi, ukudla, noma idayi.
Ngingawusebenzisa kanjani umuthi?
Kubaluleke kakhulu ukuthatha lo muthi njengoba nje udokotela emyalile, ngesilinganiso esifanele.
- Gwinya leli philisi ngengilazi yamanzi.
- Zijwayeze ukuphuza imithi yakho ngesikhathi esifanayo nsuku zonke. Ngaleyo ndlela, ngeke ukhohlwe futhi kuzoba lula ukugcina amazinga ama-hormone emzimbeni wakho ehambisana.
- Ungathathi okungaphezu kwalokho okunqunywe udokotela, noma ukuthathe kaningi.
- Funda njalo iphakethe lesiguli ngokucophelela uma uthatha umuthi wakho.
- 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 imithamo emibili ngesikhathi esisodwa.
Isexwayiso: Lo muthi unikezwe wena kuphela. Unganiki lo muthi kunoma ubani onezimpawu ezifana nezakho.
Ukweqisa umthamo
Uma ngephutha uthatha lo muthi omningi kakhulu, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital . Noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Qaphela lezi zinto uma uthatha umuthi.
Kubaluleke kakhulu ukuqapha impilo yakho njalo ngenkathi usebenzisa lo muthi.
- Ukuhlolwa njalo kwezokwelapha: Hamba uyohlolwa njalo kwezokwelapha njengoba kunqunywe udokotela wakho. Khuluma nodokotela wakho mayelana nokuthi kufanele wenze i-mammogram kangaki nokuthi kufanele uyenze kangaki, kanye nokuhlolwa kwebele, ukuhlolwa kwe-pelvic, kanye ne-Pap smear.
- Gwema ukubhema: Lokhu kubaluleke kakhulu. Uma ubhema ngenkathi uthatha lo muthi, ingozi yakho yokuqhekeka kwegazi kanye nesifo sohlangothi iyanda kakhulu. Le ngozi iphezulu kakhulu uma uneminyaka engaphezu kwengu-35 ubudala .
- Ukugcinwa kwamanzi: Lo muthi ngezinye izikhathi ungabangela ukugcinwa kwamanzi, ukuvuvukala ezandleni, ezinyaweni, noma emaqakaleni. Ungakhuphula nomfutho wegazi. Tshela udokotela wakho uma uhlangabezana nanoma yiluphi lwalezi zinguquko.
- Ukuqina kodonga lwesibeletho:Uma uthatha amaphilisi e-estrogen kuphela isikhathi eside, kunengozi yokuthi ulwelwesi lwesibeletho (i-endometrium) luzokhula kakhulu futhi ekugcineni luphenduke umdlavuza (i-endometrial hyperplasia). Ukuze uvimbele lokhu, ngaphandle kokuthi isibeletho sakho sisusiwe ngokuhlinzwa (i-hysterectomy), udokotela wakho cishe uzokunikeza enye i-hormone ebizwa ngokuthi i-progestin kanye namaphilisi akho e-estrogen. Udokotela wakho uzokuchazela lokhu ngokuningiliziwe.
- Ukungakhululeki kwamehlo: Umuthi ungabangela amehlo omile kanye nokungaboni kahle. Uma ugqoka ama-contact lens, ungase uzizwe ungakhululekile. Amaconsi amehlo agcotshwayo angasetshenziswa uma kudingeka. Uma inkinga iqhubeka, bona udokotela wakho.
- Ngaphambi kokuhlinzwa: Uma uzohlinzwa, khuluma nodokotela wakho kusengaphambili bese ubuza ukuthi udinga ukuyeka okwesikhashana yini ukuthatha lo muthi.
Imiphumela emibi engaba khona yomuthi
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi. Ithebula elingezansi libonisa ngokucacile.
| Umphumela ongemuhle | Incazelo nokuthi yini okufanele uyenze |
|---|---|
| Imiphumela emibi kakhulu edinga ukubikwa ngokushesha kudokotela wakho noma esibhedlela | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Ubuhlungu besifuba, ubunzima bokuphefumula | Lokhu kungaba uphawu lokuhlaselwa yinhliziyo noma ukuqhekeka kwegazi emaphashini. |
| Izimpawu zesifo sohlangothi | Ukuba ndikindiki kolunye uhlangothi lobuso, ingalo, noma umlenze, ubuthakathaka, ubunzima bokukhuluma, ukudideka, ubunzima bokuhamba, isiyezi. |
| Izimpawu ze-clot yegazi | Ubuhlungu, ukuvuvukala, ukubomvu, nokufudumala emlenzeni. |
| Izinkinga zesibindi | Ukuphuzi kwamehlo noma isikhumba, umchamo omnyama, indle ekhanyayo, ubuhlungu engxenyeni engenhla kwesokudla yesisu, isicanucanu. |
| Ezinye izimpawu ezinkulu | Ukopha okungajwayelekile kwesitho sangasese sowesifazane, amaqhubu noma izinguquko emabeleni, ukuphuma kwamanzi emabeleni, ikhanda elibuhlungu elibi, izinguquko embonweni. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela wakho uma iqhubeka: | |
| Iziphazamiso ezincane | Ukulahlekelwa izinwele, indlala noma ukoma okukhulu, ukuchama njalo, izifo zesitho sangasese sowesifazane (ukuluma, ukuphuma koketshezi olungavamile), ukuzizwa ukhathele ngendlela engavamile. |
Ezinye izinto ezingase zihlangane nalo muthi
Kufanele futhi utshele udokotela wakho nganoma yimiphi eminye imithi, imikhiqizo yamakhambi, noma izithasiselo ozithathayo. Eminye imithi ingasebenzisana nalo muthi we-estrogen. Ikakhulukazi, imithi efana ne -aromatase inhibitors yomdlavuza akufanele ithathwe nalo muthi. Futhi, eminye imithi yesifo sokuwa, izifo zesikhunta, amanye ama-antibiotic, ngisho nejusi le-grapefruit ingathinta indlela lo muthi osebenza ngayo.
Umlayezo Wokuya Nawe Ekhaya
- Lo muthi uwukwelashwa kwama-hormone kokungakhululeki kokunqamuka kokuya esikhathini. Kufanele usetshenziswe kuphela ngaphansi kokuqondisa kukadokotela.
- Ngaphambi kokuqala umuthi, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke eminye imithi oyithathayo.
- Gwema ukubhema ngokuphelele ngenkathi uthatha lo muthi. Ukwandisa kakhulu ingozi yokuqhekeka kwegazi kanye nesifo sohlangothi.
- Ungalokothi weqe ukuhlolwa okuvamile kwebele kanye nokwesitho sangasese sowesifazane okunqunywe udokotela wakho.
- Uma ubona noma yini efana nokopha okungajwayelekile kwesitho sangasese sowesifazane, ubuhlungu besifuba, ukuvuvukala kwemilenze, noma izimpawu zokushaya kwenhliziyo, funa iseluleko sezokwelapha ngokushesha.
- Lo muthi ungowakho wedwa. Ungalokothi wabelane ngawo nabanye.
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