Mitu ya Estradiol

Zamkati

• Kuti mugwiritse ntchito gel osakaniza, tsatirani izi:
• Kuti mugwiritse ntchito estradiol emulsion, tsatirani izi:
• Musanagwiritse ntchito topical estradiol,
• Matenda a estradiol amatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHENJEZO, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo:

Estradiol amachulukitsa chiopsezo choti mungakhale ndi khansa ya endometrial (khansa ya m'chiberekero [chiberekero]). Mukamagwiritsa ntchito estradiol, pamakhala chiopsezo chachikulu chotenga khansa ya endometrial. Ngati simunalandire hysterectomy (opareshoni yochotsa chiberekero), muyenera kupatsidwa mankhwala ena otchedwa progestin oti muzimwa ndi topical estradiol. Izi zitha kuchepetsa chiopsezo chanu chokhala ndi khansa ya endometrial koma zitha kukulitsa chiopsezo chokhala ndi mavuto ena azaumoyo, kuphatikiza khansa ya m'mawere. Musanayambe kugwiritsa ntchito topical estradiol, uzani dokotala ngati mwakhalapo ndi khansa kapena ngati mwakhala ndi magazi osazolowereka kapena achikazi. Itanani dokotala wanu nthawi yomweyo ngati muli ndi magazi achilendo kapena osazolowereka mukamalandira chithandizo cham'mutu. Dokotala wanu amakuyang'anirani kwambiri kuti akuwonetseni kuti simukukhala ndi khansa ya endometrial nthawi kapena mutalandira chithandizo.

Pakafukufuku wamkulu, azimayi omwe adatenga ma estrogens (gulu la mankhwala omwe amaphatikizapo estradiol) pakamwa ndi ma progestin anali pachiwopsezo chachikulu cha matenda amtima, zilonda, magazi m'mapapu kapena miyendo, khansa ya m'mawere, ndi dementia (kutaya mphamvu kuganiza, kuphunzira, ndi kumvetsetsa). Amayi omwe amagwiritsa ntchito topical estradiol okha kapena ndi ma progestin amathanso kukhala pachiwopsezo chachikulu chotenga izi. Uzani dokotala wanu ngati mumasuta kapena mumasuta fodya, ngati mudadwalapo mtima kapena kudwala sitiroko chaka chathachi ndipo ngati inu kapena aliyense m'banja mwanu mwakhalapo ndi magazi ouma kapena khansa ya m'mawere. Uzaninso dokotala wanu ngati mwakhalapo ndi kuthamanga kwa magazi, kuchuluka kwama cholesterol kapena mafuta, matenda ashuga, matenda amtima, lupus (vuto lomwe thupi limagunda matupi ake omwe amawononga komanso kutupa), zotupa za m'mawere, kapena mammogram yachilendo (x-ray ya m'mawere yomwe amapeza khansa ya m'mawere).

Zizindikiro zotsatirazi zitha kukhala zizindikilo za zovuta zomwe zalembedwa pamwambapa.Itanani dokotala wanu nthawi yomweyo ngati mukukumana ndi zizindikiro izi mukamagwiritsa ntchito topical estradiol: mutu mwadzidzidzi, mutu; mwadzidzidzi, kusanza kwambiri; mavuto a kulankhula; chizungulire kapena kukomoka; kutaya mwadzidzidzi kwathunthu kapena pang'ono masomphenya; masomphenya awiri; kufooka kapena kufooka kwa mkono kapena mwendo; kuphwanya kupweteka pachifuwa kapena kulemera pachifuwa; kutsokomola magazi; kupuma mwadzidzidzi; ziphuphu za m'mawere kapena kusintha kwa mawere ena; kumaliseche ku nsonga zamabele; kuvuta kuganiza bwino, kukumbukira, kapena kuphunzira zinthu zatsopano; kapena kupweteka, kukoma, kapena kufiira mwendo umodzi.

Mutha kuchitapo kanthu kuti muchepetse chiopsezo choti mungakhale ndi vuto lalikulu laumoyo mukamagwiritsa ntchito topical estradiol. Musagwiritse ntchito topical estradiol nokha kapena ndi progestin popewa matenda amtima, matenda amtima, kapena sitiroko. Gwiritsani ntchito mlingo wotsika kwambiri wa topical estradiol womwe umawongolera zizindikiritso zanu ndipo umangogwiritsa ntchito topical estradiol bola momwe zingafunikire. Lankhulani ndi dokotala miyezi iliyonse 3-6 kuti muone ngati mukuyenera kugwiritsa ntchito mankhwala ochepetsa estradiol kapena muyenera kusiya kugwiritsa ntchito mankhwalawa.

Muyenera kuyesa mabere anu mwezi uliwonse ndikukhala ndi mammogram ndi kuyesa mawere kochitidwa ndi dokotala chaka chilichonse kuti muthandize kuzindikira khansa ya m'mawere mwachangu. Dokotala wanu angakuuzeni momwe mungayang'anire mawere anu moyenera komanso ngati mukuyenera kuyesedwa kangapo kamodzi pachaka chifukwa cha mbiri yanu yazachipatala kapena yabanja.

Uzani dokotala wanu ngati mukuchitidwa opaleshoni kapena mudzagona pa kama. Dokotala wanu angakuuzeni kuti musiye kugwiritsa ntchito timitu ta estradiol masabata 4-6 isanachitike opaleshoni kapena malo ogona kuti muchepetse chiopsezo chokhala ndi magazi.

Lankhulani ndi dokotala wanu pafupipafupi za kuopsa ndi phindu logwiritsa ntchito topical estradiol.

Estradiol topical gel ndi emulsion (mafuta odzola osakaniza) amagwiritsidwa ntchito pochizira ndi kupewa kutentha kwamphamvu (kutentha kwamphamvu, kutentha kwadzidzidzi ndi thukuta) mwa amayi omwe akukumana ndi kusintha kwa thupi (kusintha kwa moyo, kutha kwa msambo wamwezi uliwonse). Gel topical ya Estradiol imagwiritsidwanso ntchito kuthana ndi kuuma kwa nyini, kuyabwa, ndi kuwotcha kwa amayi omwe akukumana ndi kusintha kwa thupi. Komabe, azimayi omwe ali ndi zizindikilo zokhazokha zowotcha ukazi, kuyabwa, ndi kuuma atha kupindula kwambiri ndi mankhwala omwe amagwiritsidwa ntchito pamutu pa nyini. Estradiol ali mgulu la mankhwala otchedwa estrogen hormone. Zimagwira ntchito m'malo mwa estrogen yomwe nthawi zambiri imapangidwa ndi thupi.

Matenda a estradiol amabwera ngati gel, kutsitsi, ndi emulsion yoti mugwiritse ntchito pakhungu. Nthawi zambiri amagwiritsidwa ntchito kamodzi patsiku. Emulsion ya Estradiol iyenera kugwiritsidwa ntchito m'mawa. Gel ya estradiol itha kugwiritsidwa ntchito nthawi iliyonse, koma iyenera kugwiritsidwa ntchito nthawi yofanana tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito toprostol estradiol monga momwe adauzira. Osamagwiritsa ntchito zocheperako kapena kuzigwiritsa ntchito pafupipafupi kuposa momwe adanenera dokotala.

Ngati mukugwiritsa ntchito gel osakaniza ya estradiol, muyenera kuyigwiritsa ntchito yopyapyala m'manja, kuyambira padzanja mpaka paphewa. Ngati mukugwiritsa ntchito estradiol emulsion, muyenera kuyigwiritsa ntchito ntchafu zonse ndi ana a ng'ombe (miyendo yakumunsi). Musagwiritse ntchito gel osakaniza kapena emulsion m'mawere anu. Onetsetsani kuti khungu lomwe mungagwiritsire ntchito topical estradiol ndi loyera komanso louma bwino, ndipo silofiyira, kupsa mtima, kapena kuthyoka.

Mukasamba kapena kusamba kapena kugwiritsa ntchito sauna, ikani mankhwala pamutu mukamaliza kusamba, kusamba kapena kugwiritsa ntchito sauna ndipo mwaumitsa khungu lanu kwathunthu. Ngati mukufuna kusambira, lolani nthawi yochuluka momwe mungathere pakati pa kugwiritsa ntchito gel osakaniza ndi kusambira. Musagwiritse ntchito zoteteza ku dzuwa posachedwa, nthawi yomweyo, kapena mutangotsala pang'ono kugwiritsa ntchito topical estradiol.

Gel ya estradiol itha kugwira moto. Mukamagwiritsa ntchito gel osakaniza ya estradiol, musasute kapena kupita pafupi ndi moto kapena kuyatsa lawi mpaka gelisi iume.

Samalani kuti musatenge gel osolidi m'maso mwanu. Ngati mungapeze gel osolidi m'maso mwanu, asambitseni ndi madzi ofunda nthawi yomweyo. Itanani dokotala ngati maso anu ayamba kukwiya.

Muyenera kugwiritsa ntchito gel osakaniza ya estradiol. Musalole kuti wina aliyense azipaka gel osakaniza pakhungu lanu.

Kuti mugwiritse ntchito gel osakaniza, tsatirani izi:

1. Musanagwiritse ntchito mlingo woyamba wa gel osakaniza a estradiol, chotsani chivundikiro chachikulu cha pampu ndikukanikiza pampopoyi kawiri. Sambani gel osakaniza yomwe imatuluka pansi pa masinki kapena itayireni bwino kuti isapezeke kwa ana ndi ziweto. Izi zimapangitsa pampuyo kuti ipereke mankhwala ofanana nthawi iliyonse ikakanikizidwa. Osabwereza gawo ili nthawi yoyamba yomwe mumagwiritsa ntchito pampu.
2. Gwirani mpope ndi dzanja limodzi ndikutunga chikho dzanja lanu pansi pamkamwa mwa mpopu. Sindikizani pampu mwamphamvu komanso mokwanira kuti mupereke gawo limodzi la gel osakaniza m'manja mwanu.
3. Gwiritsani ntchito dzanja lanu kuti mufalitse gel osakaniza pang'ono pamanja panu. Yesetsani kuphimba mkati ndi kunja kwa mkono wanu kuchokera m'manja mpaka paphewa ndi gel.
4. Osapaka kapena kutikita gel osakaniza pakhungu lanu. Dikirani mphindi 5 kuti khungu liume musanaphimbe mkono wanu ndi zovala.
5. Phimbani pampuwo ndi zisoti zazing'ono ndi zazikulu zoteteza.
6. Sambani m'manja ndi sopo.

Kuti mugwiritse ntchito estradiol emulsion, tsatirani izi:

1. Pezani matumba awiri a estradiol emulsion ndikukhala pamalo abwino.
2. Tsegulani thumba limodzi la estradiol emulsion podula kapena kudula pa notches pafupi ndi thumba.
3. Ikani thumba lathyathyathya pamwamba pa ntchafu yanu yakumanzere ndi malekezero otseguka akuyang'ana bondo lanu.
4. Gwiritsani kumapeto kwa thumba ndi dzanja limodzi ndikugwiritsa ntchito chala chakutsogolo cha dzanja lanu kukankhira ma emulsion onse m'thumba lanu.
5. Gwiritsani ntchito dzanja limodzi kapena onse awiri kuti mupukutire emulsion mu ntchafu yanu yonse ndi ng'ombe kwa mphindi zitatu mpaka mutame.
6. Tsukani emulsion iliyonse yomwe yatsala m'manja mwanu matako anu.
7. Bweretsani masitepe 1-6 pogwiritsa ntchito thumba latsopano la estradiol emulsion ndi ntchafu yanu yakumanja kuti mugwiritse ntchito zomwe zili m'thumba lachiwiri pa ntchafu yanu yamanja ndi ng'ombe.
8. Yembekezani mpaka khungu lomwe mudapaka estradiol emulsion litauma ndikuphimba ndi zovala.
9. Sambani m'manja ndi sopo.

Funsani wamankhwala kapena dokotala wanu kuti mumupatseko zidziwitso za wopanga kwa wodwalayo.

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

Musanagwiritse ntchito topical estradiol,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la estradiol gel kapena emulsion, mankhwala ena aliwonse a estrogen, mankhwala ena aliwonse, kapena zosakaniza zilizonse mu estradiol gel kapena emulsion. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza za estradiol gel kapena emulsion kapena ngati simukudziwa ngati mankhwala omwe muli nawo ali ndi vuto la estrogen.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, ndi zowonjezera zakudya, zomwe mukumwa kapena mukukonzekera. Onetsetsani kuti mwatchulapo izi: ma antifungals monga itraconazole (Sporanox) ndi ketoconazole (Nizoral); carbamazepine (Carbatrol, Epitol, Tegretol); clarithromycin (Biaxin); erythromycin (EES, Erythrocin); lovastatin (Altocor, Mevacor); mankhwala a matenda a chithokomiro; phenobarbital; rifampin (Rifadin, Rimactane, ku Rifamate); ndi ritonavir (Norvir, ku Kaletra), Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St.
• uzani dokotala wanu ngati mwakhalapo kapena mwakhalapo ndi mphumu; kugwidwa; mutu waching'alang'ala; endometriosis (mkhalidwe womwe mtundu wa minofu yomwe imayendetsa chiberekero [chiberekero] imakula m'malo ena a thupi); uterine fibroids (zophuka m'chiberekero zomwe si khansa); chikasu cha khungu kapena maso, makamaka panthawi yapakati kapena mukamagwiritsa ntchito mankhwala a estrogen; kashiamu wokwera kwambiri kapena wotsika kwambiri m'magazi anu; porphyria (momwe zinthu zosazolowereka zimakhalira m'magazi ndipo zimayambitsa mavuto pakhungu kapena dongosolo lamanjenje) kapena ndulu, chithokomiro, chiwindi, kapamba, kapena matenda a impso.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito topical estradiol, itanani dokotala wanu.
• konzekerani kupeŵa kuwunika kwa dzuwa kosafunikira kapena kwanthawi yayitali komanso kuvala zovala zoteteza, magalasi a dzuwa, ndi zoteteza ku dzuwa. Kumbukirani kupatula nthawi pakati pa kugwiritsa ntchito topical estradiol ndikugwiritsa ntchito zoteteza ku dzuwa. Gel ya Estradiol imapangitsa khungu lanu kumvetsetsa kuwala kwa dzuwa.
• muyenera kudziwa kuti topical estradiol itha kuvulaza anthu ena omwe amakhudza mankhwala omwe ali pakhungu lanu kapena pachidebe. Ndizovulaza kwambiri amuna ndi ana. Musalole kuti wina aliyense akhudze khungu pomwe mudapaka topical estradiol kwa ola limodzi mutagwiritsa ntchito mankhwalawa. Ngati wina angakhudze mutu wa estradiol, munthu ameneyo ayenera kutsuka khungu lake ndi sopo ndi madzi mwachangu.

Lankhulani ndi dokotala wanu za kudya mphesa ndi kumwa madzi amphesa mukamamwa mankhwalawa.

Mukaiwala kugwiritsa ntchito mlingo wa gel osakaniza a estradiol koma kumbukirani kutadutsa maola 12 musanagwiritse ntchito mlingo wanu wotsatira, gwiritsani ntchito mlingo womwe mwaphonya nthawi yomweyo. Ngati mukukumbukira pasanathe maola 12 musanagwiritse ntchito mlingo wanu wotsatira, dumpha mlingo womwe umasowa ndikupitiliza muyeso wanu wamawa tsiku lotsatira. Musagwiritse ntchito gel osakaniza kuti mupange mlingo wosowa.

Ngati mwaiwala kugwiritsa ntchito estradiol emulsion m'mawa, muigwiritse ntchito mukangokumbukira. Osagwiritsa ntchito ma emulsion owonjezera kuti mupeze mlingo womwe umasowa ndipo osagwiritsa ntchito estradiol emulsion kangapo tsiku lililonse.

Matenda a estradiol amatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• mutu
• kupweteka kwa m'mawere kapena kufatsa
• nseru
• kutsegula m'mimba
• kudzimbidwa
• mpweya
• kutentha pa chifuwa
• kunenepa kapena kutayika
• zosintha
• kukhumudwa
• manjenje
• kugona
• kuvuta kugona kapena kugona
• kusintha kwa chikhumbo chakugonana
• kupweteka kwa msana
• mphuno
• chifuwa
• zizindikiro ngati chimfine
• kutayika tsitsi
• kukula kosafunika kwa tsitsi
• kuda kwa khungu pamaso
• zovuta kuvala magalasi olumikizirana
• kuyabwa kapena kufiira kwa khungu komwe mudapaka topical estradiol
• kutupa, kufiira, kuyaka, kuyabwa, kapena kuyabwa kumaliseche
• ukazi kumaliseche

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHENJEZO, itanani dokotala wanu mwachangu:

• maso otupa
• chikasu cha khungu kapena maso
• kuyabwa
• kusowa chilakolako
• malungo
• kupweteka pamodzi
• kupweteka m'mimba, kupweteka, kapena kutupa
• mayendedwe omwe ndi ovuta kuwongolera
• ming'oma
• zotupa kapena zotupa pakhungu
• kutupa, kwa maso, nkhope, milomo, lilime, mmero, manja, mapazi, akakolo, kapena miyendo yakumunsi
• ukali
• kupuma
• kuvuta kupuma kapena kumeza

Matenda a estradiol atha kuwonjezera chiopsezo chanu chokhala ndi khansa m'mimba mwake ndi matenda a ndulu omwe angafunike kuchitidwa opaleshoni. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa.

Matenda a estradiol amatha kuyambitsa 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. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa). Osamazizira estradiol. Sungani gel osakaniza kutali ndi lawi lotseguka. Chotsani mpope wanu wa estradiol gel mutagwiritsa ntchito Mlingo wa 64 ngakhale mutakhala mulibe kanthu.

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:

• nseru
• kusanza
• magazi ukazi

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu akhoza kuyitanitsa mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira ku topical estradiol.

Musanapite kukayezetsa labotale, uzani adotolo ndi omwe akuwagwiritsa ntchito kuti mukugwiritsa ntchito ma topical estradiol.

Musalole kuti wina aliyense agwiritse ntchito 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.

• Divigel^®
• Elestrin^®
• Estrasorb^®
• EstroGel^®
• Evamist^®

• Thandizo la Estrogen Replacement
• ERT