Estrogen

Zamkati

• Musanayambe kumwa estrogen,
• Estrogen ikhoza 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:

Estrogen imawonjezera chiopsezo choti mungakhale ndi khansa ya m'mapapo (khansa ya m'chiberekero [chiberekero]). Mukamadya estrogen, pamakhala chiopsezo chachikulu chotenga khansa ya endometrial. Ngati simunalandire hysterectomy (opareshoni yochotsa chiberekero), muyenera kupatsidwa mankhwala ena otchedwa progestin oti mutenge ndi 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 kumwa estrogen, uzani adotolo ngati mwadwalapo khansa kapena muli ndi magazi achilendo. Itanani dokotala wanu nthawi yomweyo ngati muli ndi magazi achilendo kapena osazolowereka mukamalandira mankhwala a estrogen. Dokotala wanu amakuyang'anirani kwambiri kuti akuwonetseni kuti simukukhala ndi khansa ya endometrial nthawi kapena mutalandira chithandizo.

Pakafukufuku wamkulu, azimayi omwe adatenga estrogen ndi ma progestin anali pachiwopsezo chachikulu cha matenda amtima, sitiroko, magazi m'mapapu kapena miyendo, khansa ya m'mawere, ndi dementia (kutaya kulingalira, kuphunzira, ndi kumvetsetsa). Amayi omwe amatenga estrogen okha 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 mukumane ndi zizindikiro izi mukamamwa 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; ziphuphu za m'mawere kapena kusintha kwa mawere ena; kumaliseche ku nsonga zamabele; kapena kupweteka, kukoma, kapena kufiira mwendo umodzi.

Mutha kuchitapo kanthu kuti muchepetse chiopsezo choti mungakhale ndi vuto lalikulu laumoyo mukamamwa estrogen. Musatenge estrogen nokha kapena ndi progestin kuti muteteze matenda amtima, matenda amtima, sitiroko, kapena matenda amisala. Tengani mlingo wotsika kwambiri wa estrogen womwe umawongolera zizindikiritso zanu ndikungotenga estrogen malinga momwe mungafunikire. Lankhulani ndi dokotala miyezi itatu iliyonse kapena isanu ndi umodzi kuti musankhe ngati mungamwe mankhwala ochepa a estrogen kapena muyenera kusiya kumwa mankhwalawo.

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 mugona pa bedi. Dokotala wanu angakuuzeni kuti musiye kumwa estrogen 4 mpaka 6 milungu isanakwane opaleshoni kapena kupumula kwa bedi kuti muchepetse chiopsezo chokhala ndi magazi.

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

Estrogen imagwiritsidwa ntchito pochiza nthenda yotentha ('hot flashes'; kutentha kwadzidzidzi kwa thukuta ndi thukuta) mwa amayi omwe akukumana ndi kusamba ('kusintha kwa moyo', kutha kwa msambo wamwezi uliwonse). Mitundu ina ya estrogen imagwiritsidwanso ntchito kuthana ndi kuuma kwa nyini, kuyabwa, kapena kuwotcha, kapena kupewa kufooka kwa mafupa (vuto lomwe mafupa amafooka ndi kufooka ndikuphwanya mosavuta) mwa amayi omwe akukumana kapena akusamba. Komabe, azimayi omwe amafunikira mankhwala okha kuti azitha kuwuma kumaliseche kapena popewa kufooka kwa mafupa ayenera kulandila chithandizo china. Mitundu ina ya estrogen imathandizanso kuthana ndi vuto la estrogen ochepa mwa atsikana omwe samatulutsa estrogen yokwanira mwachilengedwe. Mitundu ina ya estrogen imagwiritsidwanso ntchito kuthana ndi zizindikiritso zamitundu ina ya khansa ya m'mawere ndi prostate (gland yoberekera). Estrogen ali mgulu la mankhwala otchedwa mahomoni. Zimagwira ntchito m'malo mwa estrogen yomwe nthawi zambiri imapangidwa ndi thupi.

Estrogen imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa kapena wopanda chakudya kamodzi patsiku. Estrogen nthawi zina amatengedwa tsiku lililonse ndipo nthawi zina amatengedwa molingana ndi dongosolo lomwe limasinthasintha lomwe limasinthana ndi nthawi yomwe estrogen imamwa tsiku lililonse ndi nthawi yomwe estrogen satengedwa. Pamene estrogen imagwiritsidwa ntchito kuthetsa zizindikilo za khansa, nthawi zambiri imamwa katatu patsiku. Tengani estrogen mozungulira nthawi yofanana tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani estrogen ndendende monga momwe akuuzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Dokotala wanu angakuyambitseni ndi mlingo wochepa wa estrogen ndipo pang'onopang'ono muwonjezere mlingo wanu ngati zizindikiro zanu zikukuvutanibe, kapena kuchepetsa mlingo wanu ngati zizindikiro zanu zikuyendetsedwa bwino. Lankhulani ndi dokotala wanu za momwe estrogen imagwirira ntchito kwa inu.

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.

Musanayambe kumwa estrogen,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi mtundu uliwonse wa oral estrogen, mankhwala ena aliwonse a estrogen, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a estrogen. Ngati mutenga Estrace^® Uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la aspirin kapena tartrazine (chowonjezera cha chakudya). Funsani wamankhwala wanu kapena onani zomwe wodwala akupanga kuti muwone mndandanda wazomwe sizingagwire ntchito pamapiritsi a estrogen omwe mukufuna kumwa.
• 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 antifungal 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); mankhwala opatsirana (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 mukatenga estrogen, itanani dokotala wanu mwachangu.
• lankhulani ndi dokotala wanu za kuopsa ndi maubwino otenga estrogen ngati muli ndi zaka 65 kapena kupitirirapo. Azimayi achikulire sayenera kumwa oral estrogen pokhapokha akamamwa ma hormone ena. Orrogen estrogen ya pakamwa yotengedwa popanda mahomoni ena siyabwino komanso yothandiza ngati mankhwala ena omwe angagwiritsidwe ntchito kuthana ndi vuto lomwelo.
• ngati mukumwa estrogen kuti mupewe kufooka kwa mafupa, lankhulani ndi dokotala wanu za njira zina zopewera matendawa monga kuchita masewera olimbitsa thupi komanso kumwa vitamini D ndi / kapena calcium zowonjezera.

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

Lankhulani ndi dokotala wanu za njira zowonjezera calcium ndi vitamini D mu zakudya zanu, makamaka ngati mukumwa estrogen kuti muteteze kufooka kwa 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.

Estrogen ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kupweteka kwa m'mawere kapena kufatsa
• kukhumudwa m'mimba
• kusanza
• kutentha pa chifuwa
• kudzimbidwa
• kutsegula m'mimba
• mpweya
• kunenepa kapena kutayika
• kukokana kwamiyendo
• manjenje
• kukhumudwa
• chizungulire
• kutentha kapena kumva kulasalasa m'manja kapena m'miyendo
• minofu yolimba
• kutayika tsitsi
• kukula kosafunika kwa tsitsi
• khungu lakuda kumaso
• zovuta kuvala magalasi olumikizirana
• kutupa, kufiira, kuwotcha, kuyabwa, kapena kuyabwa kumaliseche
• ukazi kumaliseche
• kusintha chilakolako chogonana
• zizindikiro zozizira

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

• maso otupa
• zilonda zapakhosi, malungo, kuzizira, chifuwa, ndi zizindikilo zina za matenda
• 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 kotenga estrogen.

Estrogen imatha kupangitsa kukula kumachedwetsa kapena kuyima koyambirira kwa ana omwe amamwa kwambiri kwa nthawi yayitali. Estrogen ingakhudzenso nthawi ndi kuthamanga kwa chitukuko cha kugonana mwa ana. Dokotala wa mwana wanu amamuyang'anira mosamala akamalandira chithandizo cha estrogen. Lankhulani ndi dokotala wa mwana wanu za kuopsa kopereka mankhwalawa kwa mwana wanu.

Estrogen ikhoza 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).

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

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.

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.

Musanapite kukayezetsa labotale, auzeni adotolo ndi ogwira nawo ntchito kuti mukumwa estrogen.

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.

• Amnestrogen^® (Estrogen ovomerezeka)^¶
• Cenestin^® (conjugated synthetic A estrogens)
• Enjuvia^® (conjugated synthetic B estrogens)
• Estrace^® Mapiritsi (estradiol)
• Estratab^® (Estrogen ovomerezeka)
• Evex^® (Estrogen ovomerezeka)^¶
• Wachikhalidwe^® (Estrogen ovomerezeka)^¶
• Menest^® (Estrogen ovomerezeka)
• Ogen^® Mapiritsi (estropipate)
• Ortho-est^® (estropipate)
• Premarin^® Mapiritsi (conjugated estrogens)

• Covaryx^® (okhala ndi Esterified Estrogens, Methyltestosterone)
• Essian^® (okhala ndi Esterified Estrogens, Methyltestosterone)
• Kutentha kwambiri^® (okhala ndi Esterified Estrogens, Methyltestosterone)
• Achikazi^® (okhala ndi Esterified Estrogens, Methyltestosterone)
• Menogen^® (okhala ndi Esterified Estrogens, Methyltestosterone)
• Menrium^® (yokhala ndi Chlordiazepoxide, Esterified Estrogens)^¶
• Milprem^® (okhala ndi Conjugated Estrogens, Meprobamate)^¶
• PMB^® (okhala ndi Conjugated Estrogens, Meprobamate)^¶
• Premarin^® ndi Methyltestosterone (yomwe ili ndi Conjugated Estrogens, Methyltestosterone)
• Zosangalatsa^® (okhala ndi Esterified Estrogens, Methyltestosterone)

• congenugated estrogens
• Estrogen yovomerezeka
• kutha
• kugulitsa

^¶ Chogulitsa ichi sichikupezeka pamsika. Njira zina zitha kupezeka.