Konke mayelana nephilisi elithi (Synthetic Conjugated Estrogens (B)) lokuvuvukala okuza nokunqamuka kokuya esikhathini

Sawubona! Kungenzeka ukuthi unikezwe lo muthi ngudokotela, okungukuthi `(Synthetic Conjugated Estrogens (B))`. Noma ungase ube ngumuntu ohlola lokhu kabanzi. Kalula nje, lo umuthi owenziwe nge-hormone `(Estrogen)`. Odokotela bavame ukuncoma lokhu ukuze banciphise ukungakhululeki abesifazane ababhekana nakho ngesikhathi sokunqamuka kokuya esikhathini, okungukuthi, ngemva kokuphela kokuya esikhathini kwanyanga zonke, njengokushisa nokujuluka okungazelelwe (lokhu kubizwa ngokuthi `(Hot flashes)`). Kodwa ungasetshenziswa nakwezinye izinto. Uma unemibuzo ngakho, kungcono ukubuza udokotela wakho noma usokhemisi.

Yiziphi izinto okudingeka ngizitshele udokotela ngaphambi kokuqala lo muthi?

Kulungile, manje ngaphambi kokuthi uqale lo muthi , kunezinto ezimbalwa okufanele uzitshele udokotela wakho noma ithimba lezempilo elikwelaphayo. Ungazifihli lezi, kulungile? Ngoba lolu lwazi luzonquma ukuthi lo muthi ukufanele yini noma cha, nokuthi kufanele unikezwe kanjani. Bheka ukuthi unanoma yiziphi zalezi zimo:

• Uma uphuma igazi ngendlela engavamile esithweni sangasese sowesifazane (okungukuthi, uphuma igazi ngezinye izikhathi ngaphandle kokuya esikhathini).
• Uma unesifo semithambo yegazi noma inkinga yokujiya kwegazi .
• Uma uke waba nomdlavuza , noma uke waba nawo, njengomdlavuza webele , wesibeletho , we-endometrial, we-ovarian, wesibindi , noma wesibeletho.
• Uma unesifo sokulahlekelwa yingqondo .
• Uma unesifo sikashukela .
• Uma unesifo esibizwa ngokuthi "i- Endometriosis" .
• Uma unezimila zesibeletho (ama-fibroid).
• Uma unesifo senyongo.
• Uma unesifo senhliziyo noma usanda kuhlaselwa yinhliziyo.
• Uma une-high blood pressure.
• Uma unezinga eliphezulu le-cholesterol egazini.
• Uma unezinga eliphezulu le-calcium egazini lakho.
• Uma unesifo sezinso.
• Uma unesifo sesibindi.
• Uma unesifo sokucindezeleka kwengqondo.
• Uma unekhanda elibuhlungu elibangelwa yi-migraine.
• Uma uke waba nesifo sohlangothi.
• Uma ubhema ugwayi.
• Uma unesimo esingavamile noma sokungezwani komzimba nama-estrogen, eminye imithi, ukudla, amadayi, noma izithasiselo.
• Uma ukhulelwe noma uzama ukukhulelwa.
• Uma ungumama oncelisayo.

Uma kukhona kulezi zinto ezikuthintayo, qiniseka ukuthi utshela udokotela wakho.

Ngiyisebenzisa kanjani ngempela le mithi?

Kulungile, ngakho-ke masithathe lo muthi njengoba unjalo. Liphilisi olithatha ngomlomo. Kufanele ulithathe nengilazi yamanzi. Kufanele ulandele iziqondiso ezikulebula likadokotela njengoba udokotela wakho ekutshela. Kubaluleke kakhulu ukuthatha umuthi wakho ngesikhathi esifanayo nsuku zonke, ngezikhathi ezifanayo. Ungathathi okungaphezu kwalokho udokotela wakho akutshele ukuthi ukuthathe. Uzonikezwa iphakethe lesiguli uma unikezwe lo muthi nalapho uthola ukugcwalisa kabusha. Kufanele uhlale uwufunda ngokucophelela. Ulwazi olukuwo lungashintsha ngezikhathi ezithile. Ngakho-ke kuwumqondo omuhle ukufunda iphakethe njalo uma uthola umuthi omusha. Khuluma nodokotela wezingane mayelana nokunikeza lo muthi ezinganeni ezincane. Lo muthi awuvunyelwe ukusetshenziswa ezinganeni.

Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?

Uma ucabanga ukuthi kungenzeka ukuthi uphuze kakhulu lo muthi, ungalibali. Shayela isikhungo sokulawula ubuthi noma igumbi lezimo eziphuthumayo esibhedlela esiseduze ngokushesha. Noma hamba ngokushesha.

Inothi elibalulekile: Lo muthi unikezwe wena kuphela. Ungabelani ngalo muthi nomngane noma ilungu lomndeni, noma ngabe banezimpawu ezifanayo nezakho. Kungaba yingozi.

Kuthiwani uma ngiphuthelwa imithi yami?

Manje ake ucabange ukuthi uphuthelwe umthamo womuthi. Uma lokho kwenzeka, thatha ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa, okungukuthi, umthamo ophindwe kabili. Ukwenza kanjalo kungabangela imiphumela emibi.

Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)

Leli iphuzu elibaluleke kakhulu. Uma uthatha leli philisi elithi `(Synthetic Conjugated Estrogens (B))`, udinga ukuqaphela eminye imithi oyithathayo, kanye nokudla neziphuzo ezithile. Ngoba ezinye izinto zingasabela kulo muthi, zishintshe indlela osebenza ngayo, noma zibangele imiphumela emibi eyingozi.

Ungalokothi uthathe leli philisi kanye nale mithi:

Uma usebenzisa le mithi, akukhuthazwa ukuthatha `(Synthetic Conjugated Estrogens (B))`.

• Imithi eqenjini elibizwa ngokuthi `i-Aromatase inhibitors`. Izibonelo zifaka: `i-aminoglutethimide`, `i-anastrozole`, `i-exemestane`, `i-letrozole`, `i-testolactone`.
• Umuthi obizwa ngokuthi 'iMetyrapone'.

Lezi zinto zingasebenzisana nalomuthi:

Uma usebenzisa noma yimiphi imithi noma izinto ezibalwe ngezansi, kufanele futhi utshele udokotela wakho ngayo.

• Ama-Barbiturates, isibonelo i-phenobarbital.
• `I-Carbamazepine`
• `I-Clarithromycin`
• `I-Erythromycin`
• Ijusi le-Grapefruit - Yebo, ijusi le-grapefruit liyasabela neminye imithi!
• Imithi yokutheleleka kwesikhunta, njenge-'ketoconazole' kanye ne-'itraconazole'.
• `I-Phenytoin`
• `I-Ritonavir`
• I-St. John's Wort - Lona umuthi wezitshalo osetshenziswa abanye abantu.
• Ama-hormone e-thyroid.

Lolu hlu lungase lungaphelele. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe udokotela wakho, oyithengile ekhemisi), amakhambi, kanye nezithasiselo zokudla. Ungakhohlwa ukutshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa. Lezi zinto zingase zihlangane nemithi yakho.

Izinto okufanele uziqaphele lapho uthatha lo muthi

Kunezinto ezimbalwa okudingeka uziqaphele kakhulu lapho uthatha lo muthi. Akukhona nje ukuthatha umuthi.

• Ukuhlolwa njalo kwezokwelapha: Kufanele ubonane nodokotela wakho njalo ukuze uqaphe impilo yakho. Ngesikhathi uthatha lo muthi, kuzodingeka uhlolwe amabele njalo, uhlolwe i-pelvic, kanye ne-Pap smears. Futhi, khuluma nodokotela wakho mayelana nokuthi kufanele yini uhlolwe njalo nge-mammogram, bese ulandela imiyalelo yakhe.
• Ukugcinwa koketshezi: Lo muthi ungabangela ukuthi umzimba wakho ugcine uketshezi. Lokhu kungabangela ukuvuvukala eminweni yakho, ezandleni nasemaqakaleni. Umfutho wegazi lakho nawo ungase ukhuphuke. Uma uzizwa sengathi uthola ukugcinwa koketshezi, tshela udokotela wakho.
• Uma usola ukuthi ukhulelwe: Uma nganoma yisiphi isizathu ucabanga ukuthi ukhulelwe, yeka ukuthatha lo muthi ngokushesha bese utshela udokotela wakho.
• Ukubhema: Uma usebenzisa imikhiqizo kagwayi, khuluma nodokotela wakho ngakho. Uhlelo lwakho lokwelashwa lungadinga ukulungiswa. Ukubhema ngenkathi uthatha lo muthi kwandisa ingozi yakho yokuqhekeka kwegazi noma isifo sohlangothi. Le ngozi iphakeme nakakhulu uma uneminyaka engaphezu kwengu-35 ubudala. Ngakho gwema ukubhema ngangokunokwenzeka.
• Izinkinga zamehlo: Lo muthi ungabangela amehlo omile kanye nokungaboni kahle. Uma ugqoka ama-contact lens, ungase uzizwe ungakhululekile. Ukusebenzisa amaconsi amehlo agcobayo kungasiza. Uma le nkinga iqhubeka noma inzima, bona udokotela wakho.
• Izinkinga zesibeletho (`i-Endometrial hyperplasia`):Lo muthi ungandisa ingozi yakho yokuthola i-endometrial hyperplasia, isimo esingaholela kumdlavuza wolwelwesi lwesibeletho. Ukuthatha olunye uhlobo lwe-hormone olubizwa ngokuthi i-progestin kanye nalo muthi kunganciphisa le ngozi. Ngakho-ke, uma ungakasuswa isibeletho sakho (i-hysterectomy), udokotela wakho angakunikeza i-progestin kanye ne-estrogen. Kodwa kufanele wazi ukuthi ukuthatha i-estrogen nge-progestin kungaba nezinye izingozi zempilo. Khuluma nodokotela wakho ngezinzuzo kanye nokubi kokusebenzisa i-estrogen kanye ne-progestin. Lena ingxoxo ebalulekile.
• Ngaphambi kokuhlinzwa: Uma uhlinzwa, kungadingeka uyeke ukuthatha lo muthi isikhashana. Cela iseluleko kudokotela wakho ngaphambi kokuhlela ukuhlinzwa.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Kulungile, manje ake sibone ukuthi yimiphi imiphumela emibi engabangwa yilo muthi. Njengayo yonke imithi, lo ungaba nemiphumela emibi emincane. Eminye yayo yizinto okufanele utshele udokotela wakho ngazo ngokushesha. Eminye ayibi kakhulu futhi izophela ezinsukwini ezimbalwa. Kodwa uma iqhubeka noma ikukhathaza, kufanele utshele udokotela wakho .

Uma uhlangabezana nale miphumela emibi, tshela udokotela wakho ngokushesha:

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, ungalibali.

• Ukusabela kokungezwani komzimba - isibonelo, ukuqubuka kwesikhumba, ukulunywa noma ukuqubuka, ukuvuvukala kobuso, izindebe noma ulimi.
• Izinguquko ezicutshini zebele noma ekuphumeni koketshezi.
• Izinguquko embonweni.
• Ubuhlungu besifuba.
• Ukudideka, ubunzima bokukhuluma noma ukuqonda.
• Umchamo onombala omnyama.
• Izimpawu ezifana nomkhuhlane noma ukuzizwa ungaphilile.
• Ukudlula ezihlalweni ezinombala okhanyayo.
• Isicanucanu, ukuhlanza.
• Ubuhlungu, ukuvuvukala, nokufudumala emlenzeni (lokhu kungaba uphawu lokuqhekeka kwegazi).
• Ubuhlungu esiswini esingaphezulu kwesokudla.
• Ikhanda elibuhlungu kakhulu.
• Ubunzima bokuphefumula.
• Ukungazweli noma ubuthakathaka ebusweni, engalweni, noma emlenzeni.
• Ubunzima bokuhamba, isiyezi, ukulahlekelwa yibhalansi, noma izinkinga zokuxhumanisa.
• Ukopha okungajwayelekile kwesitho sangasese sowesifazane.
• Ukuphuzi kwamehlo noma isikhumba (i-jaundice).

Isibonelo, ake ucabange ukuthi ngemva kokuqala lo muthi, uKanthi wavele waba nobunzima bokukhuluma, noma wazizwa sengathi olunye uhlangothi lobuso bakhe luphelelwe amandla. Uma kwenzeka into efana naleyo, akuwona umqondo omuhle ukulibala, udinga ukubona udokotela ngokushesha.

Le miphumela emibi ngokuvamile ayidingi ukunakekelwa kwezokwelapha (kodwa tshela udokotela wakho uma iqhubeka noma ikhathaza):

Lokhu kuvame ukuphela phakathi nezinsuku ezimbalwa.

• Ukulahlekelwa izinwele.
• Ukwanda kwendlala noma ukoma.
• Ukuchama okwandayo.
• Izimpawu zokutheleleka kwesitho sangasese sowesifazane - isibonelo, ukulunywa, ukusha, noma ukukhishwa okungavamile.
• Ukuzizwa ukhathele noma ubuthakathaka ngendlela engavamile.

Lolu hlu lungase lungahlanganisi yonke imiphumela emibi. Uma ubona noma yini engavamile ngaphezu kwale, buza udokotela wakho ngayo. Ungabika futhi le miphumela emibi ku-FDA ngokufonela ku-1-800-FDA-1088.

Uwugcina kanjani lo muthi?

Lomuthi kufanele ugcinwe kude nezingane. Lokhu kubaluleke kakhulu. Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-15 no-30, okuphakathi kwama-degree Fahrenheit angu-59 no-86). Lahla noma yimuphi umuthi ophelelwe yisikhathi.

Umyalezo Wokugcina Wokuya Nasekhaya

Kulungile, ake ngifingqe ezinye zezinto okudingeka uzikhumbule kulokho esikhulume ngakho.

• Lo muthi obizwa ngokuthi `(Synthetic Conjugated Estrogens (B))` uyi-`(Estrogen)` hormone. Odokotela bawunikeza kakhulu izinkinga ezifana `(Hot flashes)` ezihambisana nokunqamuka kokuya esikhathini.
• Ngaphambi kokuqala umuthi, kubalulekile ukutshela udokotela wakho ngazo zonke izimo zakho zempilo kanye nayo yonke eminye imithi oyithathayo (kufaka phakathi imithi yendabuko).
• Thatha umuthi njengoba nje udokotela esho, ngesikhathi esifanele. Ungabelani ngawo nabanye. Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula, kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uwuthatha kumthamo wakho olandelayo ohleliwe.
• Uma ubhema, kunezingozi ezinkulu lapho uthatha lo muthi. Khuluma nodokotela wakho ngakho.
• Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile, ikakhulukazi ubuhlungu besifuba, ubunzima bokukhuluma, ukungazweli ngokuzumayo, ukopha okungavamile, noma ukuvuvukala kwemilenze, tshela udokotela wakho ngokushesha.
• Kubalulekile ukuhlolwa njalo kwezokwelapha (njengokuhlolwa kwamabele, ukuhlolwa kwe-Pap smears, kanye nokuhlolwa kwe-mammogram).
• Abesifazane abangakasuswa isibeletho kufanele bakhulume nodokotela wabo ngezinzuzo kanye nokungalungi kokuthatha i-estrogen ne-progestin.

Into ebaluleke kakhulu ukuthi uma unemibuzo noma ukukhathazeka ngalo muthi, khuluma nodokotela wakho, usokhemisi, noma umhlinzeki wakho wezempilo. Ungakhathazeki, bakhona ukukusiza. Leli pheshana liyisifinyezo nje futhi kungenzeka lingabi nalo lonke ulwazi. Ngakho-ke ungangabazi ukubuza imibuzo.

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Ama - estrogen ahlanganisiwe, i-estrogen, ukwelashwa kokufaka esikhundleni sama-hormone, ukunqamuka kokuya esikhathini, ukushisa okukhulu, impilo yabesifazane, imiphumela emibi yezidakamizwa