Jekeseni wa Estrogen

Zamkati

• Musanagwiritse ntchito jakisoni wa estrogen,
• Jekeseni wa Estrogen ungayambitse 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:

Estrogen imawonjezera chiopsezo choti mungakhale ndi khansa ya m'mapapo (khansa ya m'chiberekero [chiberekero]). Mukamagwiritsa ntchito estrogen nthawi yayitali, pamakhala chiopsezo chachikulu chotenga khansa ya endometrial. Ngati simunalandire hysterectomy (opaleshoni yochotsa chiberekero), muyenera kupatsidwa mankhwala ena otchedwa progestin oti mutenge ndi jakisoni wa estrogen. 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 jakisoni wa estrogen, uzani adotolo ngati mwadwalapo khansa kapena muli ndi magazi achilendo kumaliseche. Itanani dokotala wanu nthawi yomweyo ngati muli ndi magazi osazolowereka kapena abwinobwino mukamamwa mankhwala a jekeseni wa estrogen.Dokotala wanu adzakuyang'anirani kuti muwone ngati simukukhala ndi khansa ya endometrial nthawi kapena mutalandira chithandizo.

Pakafukufuku wamkulu, azimayi omwe adatenga estrogen ndi progestins pakamwa anali pachiwopsezo chachikulu cha matenda amtima, sitiroko, kuundana kwamagazi m'mapapu kapena miyendo, khansa ya m'mawere, ndi dementia (kutaya kuganiza, kuphunzira, ndi kumvetsetsa). Amayi omwe amagwiritsa ntchito jakisoni wa estrogen okha kapena ndi ma progestin amathanso kukhala pachiwopsezo chachikulu chotenga izi. Uzani dokotala wanu ngati mumasuta kapena mumasuta fodya, ngati munagwidwa ndi vuto la mtima kapena kupwetekedwa mtima chaka chatha, ndipo ngati inu kapena aliyense m'banja mwanu mwakhalapo ndi magazi oumbana 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 jakisoni wa estrogen: mwadzidzidzi, mutu wopweteka kwambiri; 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; kuvuta kuganiza bwino, kukumbukira, kapena kuphunzira zinthu zatsopano; zotupa za m'mawere kapena zosintha zina m'mawere; kumaliseche ku nsonga zamabele; kapena kupweteka, kukoma, kapena kufiira mwendo umodzi.

Mutha kuchitapo kanthu kuti muchepetse chiopsezo choti mungakhale ndi vuto lalikulu laumoyo mukamagwiritsa ntchito jakisoni wa estrogen. Musagwiritse ntchito jakisoni wa estrogen nokha kapena ndi progestin popewa matenda amtima, matenda amtima, sitiroko, kapena dementia. Gwiritsani ntchito mlingo wotsika kwambiri wa estrogen womwe umawongolera zizindikiritso zanu ndipo umangogwiritsa ntchito jakisoni wa estrogen bola ngati kungafunikire. Lankhulani ndi dokotala miyezi iliyonse 3-6 kuti muone ngati mukuyenera kugwiritsa ntchito mankhwala ochepa a estrogen 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 jakisoni wa estrogen milungu isanu ndi iwiri isanachitike opaleshoni kapena malo ogona kuti muchepetse chiopsezo chokhala ndi magazi.

Lankhulani ndi dokotala wanu pafupipafupi za kuopsa ndi phindu logwiritsa ntchito jakisoni wa estrogen.

Mitundu ya estradiol cypionate ndi estradiol valerate ya jekeseni wa estrogen imagwiritsidwa ntchito kuthana ndi nthenda yotentha (kutentha kwamphamvu, kutentha kwamwadzidzidzi ndi thukuta) ndi / kapena kuuma kwa nyini, kuyabwa, ndi kuwotcha mwa amayi omwe akukumana ndi kusintha kwa thupi (kusintha kwa moyo; Kutha kwa msambo pamwezi). Komabe, amayi omwe amafunikira mankhwala kuti athe kuchira ukazi, kuyabwa, kapena kuwotcha ayenera kuganizira chithandizo china. Mitundu iyi ya jakisoni wa estrogen nthawi zina imagwiritsidwanso ntchito kuthana ndi matenda a estrogen otsika mwa atsikana omwe samatulutsa estrogen yokwanira mwachilengedwe. Mtundu wa estradiol valerate wa jakisoni wa estrogen nthawi zina umagwiritsidwanso ntchito kuthana ndi zizindikilo za mitundu ina ya prostate (khansa yamwamuna yoberekera) khansa. Mtundu wa estrogens wophatikizidwa umagwiritsidwa ntchito pochiza kutuluka mwazi kwachilendo komwe dokotala wasankha kumachitika kokha ndi vuto la kuchuluka kwa mahomoni ena mthupi. Jekeseni wa Estrogen uli mgulu la mankhwala otchedwa mahomoni. Zimagwira ntchito m'malo mwa estrogen yomwe nthawi zambiri imapangidwa ndi thupi.

Mitundu ya estradiol cypionate ndi estradiol valerate ya jakisoni wa estrogen wautali amabwera ngati madzi olowa mu mnofu. Mankhwalawa nthawi zambiri amabayidwa ndi katswiri wazachipatala kamodzi pamasabata atatu kapena anayi aliwonse. Pamene jakisoni wa estradiol valerate amagwiritsidwa ntchito pochiza matenda a kansa ya prostate, nthawi zambiri amabayidwa ndi katswiri wazachipatala kamodzi pamilungu 1 kapena 2 iliyonse.

Mtundu wa estrogens wophatikizika wa jekeseni wa estrogen umabwera ngati ufa wosakanikirana ndi madzi osawilitsa ndikubaya mu mnofu kapena mtsempha. Nthawi zambiri amabayidwa ndi katswiri wazachipatala ngati mlingo umodzi. Mlingo wachiwiri utha kubayidwa maola 6 mpaka 12 mutadwala koyamba ngati pakufunika kuti muchepetse magazi m'mimba.

Ngati mukugwiritsa ntchito jakisoni wa estrogen kuti muzitha kutentha, zizindikiro zanu ziyenera kusintha mkati mwa 1 mpaka masiku 5 mutalandira jakisoni. Uzani dokotala wanu ngati zizindikiro zanu sizikusintha panthawiyi.

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 jakisoni wa estrogen,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi jakisoni wa estrogen, mankhwala ena aliwonse a estrogen, mankhwala ena aliwonse, kapena zosakaniza zilizonse za jekeseni wa estrogen. Funsani wamankhwala wanu kapena onani zomwe wodwala akupanga kuti muwone mndandanda wazomwe zimapezeka mu jakisoni wa estrogen womwe mukufuna kugwiritsa ntchito.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala omwe simukulembera, mavitamini, ndi zowonjezera zakudya zomwe mumamwa kapena mukukonzekera. Onetsetsani kuti mwatchulapo izi: amiodarone (Cordarone, Pacerone); ma antifungals ena monga itraconazole (Sporanox) ndi ketoconazole (Nizoral); aprepitant (Emend); carbamazepine (Carbatrol, Epitol, Tegretol); cimetidine (Tagamet); clarithromycin (Biaxin); cyclosporine (Neoral, Sandimmune); dexamethasone (Decadron, Dexpak); diltiazem (Cardizem, Dilacor, Tiazac, ena); erythromycin (EES, Erythrocin); fluoxetine (Prozac, Sarafem); fluvoxamine (Luvox); griseofulvin (Fulvicin, Grifulvin, Gris-Msomali); lovastatin (Altocor, Mevacor); mankhwala a kachilombo ka HIV (HIV) kapena matenda opatsirana m'thupi (AIDS) monga atazanavir (Reyataz), delavirdine (Rescriptor), efavirenz (Sustiva), indinavir (Crixivan), lopinavir (ku Kaletra), nelfinavir (Viracept), nevirapine ( Viramune), ritonavir (Norvir, ku Kaletra), ndi saquinavir (Fortovase, Invirase); mankhwala a matenda a chithokomiro; nefazodone; phenobarbital; phenytoin (Dilantin, Phenytek); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane, ku Rifamate); sertraline (Zoloft); troleandomycin (TAO); verapamil (Calan, Covera, Isoptin, Verelan); ndi zafirlukast (Wokwanira). 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 munakhalapo ndi khungu kapena maso achikaso nthawi yapakati kapena pamene mukuchiritsidwa ndi mankhwala a estrogen, endometriosis (mkhalidwe womwe mtundu wa minofu yomwe imayendetsa chiberekero imakula m'malo ena a thupi), uterine fibroids (kukula m'chiberekero chomwe si khansa), mphumu, mutu waching'alang'ala, khunyu, porphyria (momwe zinthu zosazolowereka zimakhalira m'magazi zimayambitsa mavuto ndi khungu kapena dongosolo lamanjenje), kwambiri kapena kwambiri kashiamu wotsika m'magazi anu, kapena chithokomiro, chiwindi, impso, ndulu, kapena matenda am'mimba.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito jakisoni wa estrogen, itanani dokotala wanu.

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

Ngati mwaphonya nthawi yoti mulandire jakisoni wa estrogen, itanani dokotala wanu posachedwa.

Jekeseni wa Estrogen ungayambitse zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kupweteka kwa m'mawere kapena kufatsa
• kukhumudwa m'mimba
• kusanza
• kunenepa kapena kutayika
• chizungulire
• manjenje
• kukhumudwa
• kupsa mtima
• kusintha kwa chikhumbo chakugonana
• kutayika tsitsi
• kukula kosafunika kwa tsitsi
• khungu lakuda kumaso
• zovuta kuvala magalasi olumikizirana
• kukokana kwamiyendo
• kutupa, kufiira, kuwotcha, 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
• kupweteka, kutupa, kapena kukoma m'mimba
• kusowa chilakolako
• kufooka
• chikasu cha khungu kapena maso
• kupweteka pamodzi
• mayendedwe omwe ndi ovuta kuwongolera
• zidzolo kapena matuza
• ming'oma
• kuyabwa
• kutupa kwa maso, nkhope, lilime, mmero, manja, mikono, mapazi, akakolo, kapena miyendo yakumunsi
• ukali
• kuvuta kupuma kapena kumeza

Estrogen imatha kuwonjezera chiopsezo chanu chokhala ndi khansa m'mimba mwake kapena matenda a ndulu omwe angafunike kuthandizidwa ndi opaleshoni. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito jakisoni wa estrogen.

Estrogen imatha kupangitsa kukula kumachedwetsa kapena kuyima koyambirira kwa ana omwe amalandila miyezo yayikulu kwakanthawi. Jekeseni wa Estrogen amathanso kukhudza nthawi ndi kuthamanga kwa chitukuko chakugonana mwa ana.Dotolo wa mwana wanu amamuyang'anira mosamala akamalandira chithandizo cha estrogen. Lankhulani ndi dokotala wa mwana wanu za kuopsa kopereka mankhwalawa kwa mwana wanu.

Jekeseni wa Estrogen ungayambitse 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).

Dokotala wanu azisunga mankhwalawo muofesi yake.

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
• magazi ukazi

Sungani maimidwe onse ndi dokotala wanu.

Musanayezetsedwe kwa labotale, uzani adotolo ndi ogwira nawo ntchito kuti mukugwiritsa ntchito jakisoni wa estrogen.

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.

• Delestrogen^®
• DEPO-Estradiol^®
• Premarin^® Zamgululi

• estradiol cypionate
• valerate ya estradiol
• congenugated estrogens