Estrogen ndi Progestin (Hormone Replacement Therapy)

Zamkati

• Musanamwe mankhwala obwezeretsa mahomoni,
• Mankhwala obwezeretsa mahomoni angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mungakumane ndi zina mwazomwe zalembedwa m'gawo LENJEZO LOFUNIKIRA, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo:

Chithandizo chobwezeretsa mahomoni chitha kuwonjezera chiopsezo cha matenda a mtima, sitiroko, khansa ya m'mawere, komanso magazi m'mapapo ndi miyendo. Uzani dokotala wanu ngati mumasuta komanso ngati mwakhalapo ndi zotupa za m'mawere kapena khansa; matenda a mtima; sitiroko; kuundana kwamagazi; kuthamanga kwa magazi; kuchuluka kwama cholesterol kapena mafuta; kapena matenda ashuga. Ngati mukuchitidwa opaleshoni kapena mudzagona pabedi, lankhulani ndi adokotala za kuyimitsa estrogen ndi progestin osachepera 4 mpaka 6 milungu isanachitike opaleshoni kapena bedrest.

Ngati mukumane ndi zotsatirazi, itanani dokotala nthawi yomweyo: mwadzidzidzi, mutu wopweteka kwambiri; mwadzidzidzi, kusanza kwambiri; kutaya mwadzidzidzi pang'ono kapena kwathunthu; mavuto a kulankhula; chizungulire kapena kukomoka; kufooka kapena kufooka kwa mkono kapena mwendo; kuphwanya kupweteka pachifuwa kapena kulemera pachifuwa; kutsokomola magazi; kupuma mwadzidzidzi; kapena kupweteka kwa ng'ombe.

Lankhulani ndi dokotala wanu za kuopsa ndi maubwino otenga estrogen ndi progestin.

Kuphatikiza kwa estrogen ndi progestin amagwiritsidwa ntchito pochiza zizindikilo zina zakusamba. Estrogen ndi progestin ndi mahomoni awiri achikazi ogonana. Chithandizo chobwezeretsa mahomoni chimagwira ntchito m'malo mwa mahomoni a estrogen omwe sanapangidwenso ndi thupi. Estrogen imachepetsa kutentha kwa thupi kumtunda komanso nyengo yotuluka thukuta ndi kutentha (kutentha kwambiri), zizindikilo za kumaliseche (kuyabwa, kuwotcha, ndi kuuma) komanso kuvutika pokodza, koma sizithetsa zizindikilo zina zakusamba monga mantha kapena kukhumudwa. Estrogen imathandizanso kupewetsa mafupa (kufooka kwa mafupa) azimayi otha msinkhu. Progestin imawonjezeredwa ku estrogen mu mankhwala obwezeretsa mahomoni kuti muchepetse chiopsezo cha khansa ya chiberekero mwa amayi omwe ali ndi chiberekero chawo.

Mankhwala obwezeretsa mahomoni amabwera ngati piritsi kuti atenge pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku. Kukuthandizani kukumbukira kukumbukira kumwa mankhwala a mahomoni, tengani nthawi yomweyo. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani mankhwalawa ndendende monga momwe adanenera. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala. Osasiya kumwa mankhwalawa osalankhula ndi dokotala.

Activella, FemHrt, ndi Prempro amabwera ngati mapiritsi okhala ndi estrogen ndi progestin. Imwani piritsi limodzi tsiku lililonse.

Ortho-Prefest imabwera ndi chithuza chokhala ndi mapiritsi 30. Tengani piritsi limodzi la pinki (lokhala ndi estrogen yokha) kamodzi tsiku lililonse kwa masiku atatu, kenako tengani piritsi limodzi loyera (lokhala ndi estrogen ndi progestin) kamodzi tsiku lililonse kwa masiku atatu. Bwerezani izi mpaka mutsirize mapiritsi onse omwe ali pa khadi. Yambitsani chithuza chatsopano patatha tsiku lomaliza.

Premphase imabwera mumalo okhala ndi mapiritsi 28. Tengani piritsi limodzi la maroon (lokhala ndi estrogen yokha) kamodzi tsiku lililonse pa masiku 1 mpaka 14, ndipo tengani piritsi limodzi labuluu lowala (lokhala ndi estrogen ndi progestin) kamodzi tsiku lililonse pa masiku 15 mpaka 28. Yambitsani chopereka chatsopano tsiku lotsatira mukamaliza chomaliza .

Musanamwe mankhwala obwezeretsa mahomoni, funsani wamankhwala kapena dokotala wanu kuti mumupatseko zidziwitso za wopanga kwa wodwalayo ndikuziwerenga mosamala.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanamwe mankhwala obwezeretsa mahomoni,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la estrogen, progestin, kapena mankhwala aliwonse.
• auzeni dokotala ndi wazamankhwala mankhwala omwe akupatsani, osavomerezeka, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa. Onetsetsani kuti mwatchulapo izi: acetaminophen (Tylenol); anticoagulants ('magazi ochepetsa magazi') monga warfarin (Coumadin); cyclosporine (Neoral, Sandimmune); mankhwala a khunyu monga carbamazepine (Tegretol), phenobarbital (Luminal, Solfoton), ndi phenytoin (Dilantin); morphine (Kadian, MS Contin, MSIR, ena); mankhwala amlomo monga dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), prednisone (Deltasone) ndi prednisolone (Prelone); rifampin (Rifadin, Rimactane); asidi salicylic; temazepam (Kubwezeretsa); theophylline (Theobid, Theo-Dur); ndi mankhwala a chithokomiro monga levothyroxine (Levothroid, Levoxyl, Synthroid). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• Kuphatikiza pa zomwe zalembedwa mu gawo LOFUNIKITSA CHENJEZO, uzani adotolo ngati mwadulidwapo ndipo ngati mwadwalapo mphumu; toxemia (kuthamanga kwa magazi nthawi yapakati); kukhumudwa; khunyu (khunyu); mutu waching'alang'ala; chiwindi, mtima, ndulu, kapena matenda a impso; jaundice (chikasu chachikopa kapena maso); nyini magazi pakati msambo; ndi kunenepa kwambiri komanso kusungira madzimadzi (bloating) panthawi yakusamba.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamamwa mankhwalawa, itanani dokotala wanu mwachangu. Estrogen ndi progestin zitha kuvulaza mwana wosabadwayo.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa mankhwala othandizira mahomoni.
• uzani dokotala wanu ngati mumasuta ndudu. Kusuta mukumwa mankhwalawa kumatha kukulitsa chiopsezo chanu chazovuta zina monga magazi kuundana ndi sitiroko. Kusuta kumathandizanso kuchepetsa mphamvu ya mankhwalawa.
• auzeni adotolo komanso asayansi yanu ngati muvala magalasi olumikizana nawo. Mukawona kusintha kwa masomphenya kapena kutha kuvala magalasi anu mukamamwa mankhwala obwezeretsa mahomoni, onani dokotala wa diso.

Funsani dokotala wanu zakumwa mankhwala owonjezera calcium ngati mukumwa mankhwalawa kuti mupewe kufooka kwa mafupa. Tsatirani malingaliro onse pazakudya ndi zolimbitsa thupi, popeza zonsezi zingathandize kupewa matenda am'mafupa.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Mankhwala obwezeretsa mahomoni angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• mutu
• kukhumudwa m'mimba
• kusanza
• kupweteka kwa m'mimba kapena kuphulika
• kutsegula m'mimba
• chilakolako ndi kusintha thupi
• Zosintha pakugonana kapena kuthekera
• manjenje
• zigamba za bulauni kapena zakuda
• ziphuphu
• kutupa kwa manja, mapazi, kapena miyendo yotsika (kusungira madzi)
• kutuluka magazi kapena kuwona pakati pa msambo
• kusintha kwa kusamba
• chikondi cha m'mawere, kukulitsa, kapena kutulutsa
• zovuta kuvala magalasi olumikizirana

Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mungakumane ndi zina mwazomwe zalembedwa m'gawo LENJEZO LOFUNIKIRA, itanani dokotala wanu mwachangu:

• masomphenya awiri
• kupweteka kwambiri m'mimba
• chikasu cha khungu kapena maso
• kuvutika maganizo kwambiri
• magazi osazolowereka
• kusowa chilakolako
• zidzolo
• kutopa kwambiri, kufooka, kapena kusowa mphamvu
• malungo
• mkodzo wamtundu wakuda
• chopondapo chowala

Chithandizo chobwezeretsa mahomoni chitha kuwonjezera chiopsezo chokhala ndi khansa ya endometrial ndi matenda a ndulu. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa.

Mankhwala obwezeretsa mahomoni angayambitse zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisunge kutentha komanso kutali ndi kutentha ndi chinyezi (osati kubafa).

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Zizindikiro za bongo zingaphatikizepo:

• kukhumudwa m'mimba
• kusanza

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Muyenera kukhala ndi mayeso athunthu, kuphatikiza kuyeza kwa magazi, mayeso a m'mawere ndi m'chiuno, komanso mayeso a Pap chaka chilichonse. Tsatirani malangizo a dokotala kuti mupime mabere anu; nenani ziphuphu zilizonse nthawi yomweyo.

Ngati mukumwa mankhwala othandizira kuti muzitha kusintha kusamba, dokotala wanu amayang'ana miyezi itatu kapena isanu ndi umodzi kuti awone ngati mukufunikirabe mankhwalawa. Ngati mukumwa mankhwalawa kuti muchepetse mafupa (kufooka kwa mafupa), mudzamwa kwa nthawi yayitali.

Musanayesedwe mu labotale, auzeni ogwira nawo ntchito kuti mumamwa mankhwala othandizira mahomoni, chifukwa mankhwalawa amatha kusokoneza mayeso ena a labotale.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Bijuva^® (monga chinthu chophatikizana chomwe chili ndi Estradiol, Progesterone)

• Yogwira^® (yokhala ndi Estradiol, Norethindrone)
• Angeliq^® (yokhala ndi Drospirenone, Estradiol)
• Mkazi ndi mkazi^® (okhala ndi Ethinyl Estradiol, Norethindrone)
• Jinteli^® (okhala ndi Ethinyl Estradiol, Norethindrone)
• Zotsatira^® (yokhala ndi Estradiol, Norethindrone)
• Zosankha^® (yokhala ndi Estradiol, Norgestimate)
• Kutsogolera^® (okhala ndi Conjugated Estrogens, Medroxyprogesterone)
• Kutulutsa^® (okhala ndi Conjugated Estrogens, Medroxyprogesterone)

• HRT