I-Estrogen ne-Progestin (Ukwelashwa Okubuyisela IHormone)

-Delile

• Ngaphambi kokuthatha i-hormone replacement therapy
• Ukwelashwa esikhundleni seHormone kungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Lezi zimpawu ezilandelayo azivamile, kepha uma uhlangabezana nenye yazo noma leyo ebhalwe esigabeni ESIBALULEKILE SEXWAYISO, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka:

Ukwelashwa esikhundleni seHormone kungakhuphula ubungozi bokuhlaselwa yinhliziyo, isifo sohlangothi, umdlavuza webele, namahlule egazini emaphashini nasemilenzeni. Tshela udokotela wakho uma ubhema nokuthi ngabe uke waba nezigaxa zesifuba noma umdlavuza noma wake; isifo senhliziyo; isifo sohlangothi; amahlule egazi; umfutho wegazi ophakeme; amazinga aphezulu egazi e-cholesterol noma amafutha; noma isifo sikashukela. Uma uhlinzwa noma uzobe usembhedeni, khuluma nodokotela wakho ngokumisa i-estrogen ne-progestin okungenani amasonto amane kuya kwayisithupha ngaphambi kokuhlinzwa noma indawo yokulala.

Uma uhlangabezana nanoma yimiphi imiphumela emibi elandelayo, shayela udokotela wakho ngokushesha: ikhanda elingalindelekile, elibi kakhulu; ukuhlanza okungazelelwe, okunzima; ukulahleka kombono okuncane ngokungazelelwe noma okuphelele; izinkinga zokukhuluma; isiyezi noma ukuquleka; ubuthakathaka noma ukuba ndikindiki kwengalo noma komlenze; ukuchoboza ubuhlungu besifuba noma isisindo sesifuba; ukukhwehlela igazi; ukuphefumula ngokuzumayo; noma ubuhlungu benkonyane.

Khuluma nodokotela wakho ngezingozi nezinzuzo zokuthatha i-estrogen ne-progestin.

Inhlanganisela ye-estrogen ne-progestin isetshenziselwa ukwelapha izimpawu ezithile zokunqamuka kokuya esikhathini. I-Estrogen ne-progestin ngama-hormone amabili ocansi lwabesifazane. Ukwelashwa okufaka esikhundleni seHormone kusebenza ngokufaka esikhundleni i-estrogen hormone engasenziwa ngumzimba. I-Estrogen inciphisa imizwa yokufudumala emzimbeni ophezulu nezikhathi zokujuluka nokushisa (ukushisa okushisayo), izimpawu zesitho sangasese sowesifazane (ukulunywa, ukushisa, nokoma) nobunzima bokuchama, kepha akuzinciphisi ezinye izimpawu zokunqamuka kokuya esikhathini njengokwesaba noma ukudangala. I-Estrogen futhi ivimbela ukuncipha kwamathambo (i-osteoporosis) kwabesifazane abaya esikhathini. I-Progestin yengezwa ku-estrogen ekwelashweni okubuyisela ama-hormone ukunciphisa ingozi yomdlavuza wesibeletho kwabesifazane abasenaso isibeletho sabo.

Ukwelashwa okufaka esikhundleni seHormone kuza njengethebhulethi ukuyithatha ngomlomo. Kuvame ukuthathwa kanye ngosuku. Ukukusiza ukuthi ukhumbule ukuthatha i-hormone replacement therapy, yisebenzise ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha le mithi ngendlela eqondiswe ngayo. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho. Ungayeki ukuthatha le mithi ngaphandle kokukhuluma nodokotela wakho.

I-Activella, i-FemHrt, ne-Prempro iza njengamaphilisi aqukethe i-estrogen ne-progestin. Thatha ithebhulethi eyodwa nsuku zonke.

I-Ortho-Prefest iza nekhadi le-blister eliqukethe amaphilisi angama-30. Thatha ithebhulethi eyodwa epinki (equkethe i-estrogen kuphela) kanye nsuku zonke izinsuku ezintathu, bese uthatha ithebhulethi eyodwa emhlophe (equkethe i-estrogen ne-progestin) kanye ngosuku izinsuku ezintathu. Phinda le nqubo uze uqede wonke amaphilisi asekhadini. Qala ikhadi elisha lamabhamuza ngosuku olulandelayo ngemuva kokuqeda elokugcina.

I-Premphase iza kumkhiphi oqukethe amaphilisi angama-28. Thatha ithebhulethi eyodwa ye-maroon (equkethe i-estrogen kuphela) kanye ngosuku ngezinsuku 1 kuya ku-14, bese uthatha ithebhulethi eyodwa eluhlaza okwesibhakabhaka (equkethe i-estrogen ne-progestin) kanye nsuku zonke ngezinsuku eziyi-15 kuye kwangama-28. .

Ngaphambi kokuthatha i-hormone replacement therapy, buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi wesiguli bese uyifunda ngokucophelela.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-hormone replacement therapy

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-estrogen, i-progestin, noma eminye imithi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela nemishanguzo ongayinikiwe, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyiphuzayo. Qiniseka ukuthi usho noma yikuphi okulandelayo: i-acetaminophen (iTylenol); ama-anticoagulants (’ama-thinner egazi’) afana ne-warfarin (Coumadin); i-cyclosporine (iNeoral, iSandimmune); imishanguzo yokuquleka efana ne-carbamazepine (Tegretol), phenobarbital (Luminal, Solfoton), ne-phenytoin (Dilantin); morphine (Kadian, MS Contin, MSIR, nabanye); i-steroids yomlomo efana ne-dexamethasone (i-Decadron, i-Dexone), i-methylprednisolone (i-Medrol), i-prednisone (i-Deltasone) ne-prednisolone (i-Prelone); i-rifampin (i-Rifadin, i-Rimactane); i-salicylic acid; i-temazepam (i-Restoril); i-theophylline (Theobid, Theo-Dur); nemithi ye-thyroid efana ne-levothyroxine (i-Levothroid, i-Levoxyl, i-Synthroid). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• ngaphezu kwezimo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, tshela udokotela wakho uma uke wahlinzwa isibeletho nokuthi ngabe uke waba nesifuba somoya noma wake waba naso yini; i-toxemia (umfutho wegazi ophakeme ngesikhathi sokukhulelwa); ukucindezeleka; isithuthwane (ukuquleka); ikhanda le-migraine; isibindi, inhliziyo, i-gallbladder, noma isifo sezinso; i-jaundice (ukuphuzi kwesikhumba noma kwamehlo); ukopha kwesitho sangasese sowesifazane phakathi kokuya esikhathini; nokuzuza ngokweqile kwesisindo nokugcina uketshezi (ukuqunjelwa) ngesikhathi sokuya esikhathini.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha lo muthi, shayela udokotela wakho ngokushesha. I-Estrogen ne-progestin kungalimaza umbungu.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa i-hormone replacement therapy.
• tshela udokotela wakho uma ubhema osikilidi. Ukubhema ngenkathi uthatha lo muthi kungakhuphula ubungozi bemiphumela emibi efana namahlule egazi nokushaywa unhlangothi. Ukubhema nakho kunganciphisa ukusebenza kwalo muthi.
• Tshela udokotela kanye nosokhemisi wakho uma ugqoka amalensi wokuxhumana. Uma ubona izinguquko kumbono noma kwikhono lokugqoka amalensi akho ngenkathi usebenzisa i-hormone replacement therapy, bheka udokotela wamehlo.

Buza udokotela wakho mayelana nokuthatha izithasiselo ze-calcium uma uthatha le mithi yokuvikela i-osteoporosis. Landela zonke izincomo zokudla nokuzivocavoca, ngoba zombili zingasiza ekuvikeleni isifo samathambo.

Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

Ukwelashwa esikhundleni seHormone kungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ikhanda
• isisu esibuhlungu
• ukuhlanza
• isisu noma ukuqunjelwa
• isifo sohudo
• ukushintsha kwesifiso sokudla nesisindo
• izinguquko ku-sex drive noma ikhono
• uvalo
• amabala wesikhumba ansundu noma amnyama
• induna
• ukuvuvukala kwezandla, izinyawo, noma imilenze ephansi (ukugcinwa kwamanzi)
• ukopha noma ukubona phakathi kwesikhathi sokuya esikhathini
• izinguquko ekuhambeni kokuya esikhathini
• isisa sesifuba, ukukhulisa, noma ukukhipha
• ubunzima bokugqoka amalensi wokuxhumana

Eminye imiphumela emibi ingaba mibi. Lezi zimpawu ezilandelayo azivamile, kepha uma uhlangabezana nenye yazo noma leyo ebhalwe esigabeni ESIBALULEKILE SEXWAYISO, shayela udokotela wakho ngokushesha:

• ukubona kabili
• ubuhlungu obukhulu besisu
• ukuphuzi kwesikhumba noma kwamehlo
• ukucindezeleka okukhulu kwengqondo
• ukopha okungavamile
• ukulahlekelwa isifiso sokudla
• ukuqubuka
• ukukhathala ngokweqile, ubuthakathaka, noma ukungabi namandla
• imfiva
• umchamo onombala omnyama
• isitulo esinombala okhanyayo

Ukwelashwa esikhundleni seHormone kungakhuphula ubungozi bokuba nomdlavuza we-endometrium kanye nesifo se-gallbladder. Khuluma nodokotela wakho ngezingozi zokuthatha lo muthi.

Ukwelashwa kokushintsha i-Hormone kungadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa nomswakama (hhayi endlini yangasese).

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Izimpawu zokudlula ngokweqile zingafaka:

• isisu esibuhlungu
• ukuhlanza

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Kufanele ube nokuhlolwa okuphelele ngokomzimba, kufaka phakathi izilinganiso zomfutho wegazi, izivivinyo zamabele nezomgogodla, kanye nokuhlolwa kwePap okungenani minyaka yonke. Landela izinkomba zikadokotela wakho zokuhlola amabele akho; bika noma yiziphi izigaxa ngokushesha.

Uma uthatha i-hormone replacement therapy ukwelapha izimpawu zokunqamuka kokuya esikhathini, udokotela wakho uzohlola njalo ezinyangeni ezi-3 kuye kwezi-6 ukubona ukuthi usawudinga yini lo muthi. Uma uthatha lo muthi ukuvimbela ukuncipha kwamathambo (i-osteoporosis), uzoyiphuza isikhathi eside.

Ngaphambi kokuthola izivivinyo zelabhoratri, tshela abasebenza elabhorethri ukuthi uthatha ukwelashwa kokushintsha ama-hormone, ngoba lo muthi ungaphazamisa ezinye izivivinyo zaselebhu.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• Bijuva^® (njengomkhiqizo ohlanganisiwe oqukethe i-Estradiol, iProgesterone)

• I-Activella^® (equkethe i-Estradiol, iNorethindrone)
• Angeliq^® (equkethe iDrospirenone, i-Estradiol)
• I-FemHRT^® (equkethe i-Ethinyl Estradiol, Norethindrone)
• UJinteli^® (equkethe i-Ethinyl Estradiol, Norethindrone)
• Mimvey^® (equkethe i-Estradiol, iNorethindrone)
• Ukukhetha kuqala^® (equkethe i-Estradiol, Norgestimate)
• Ngaphambi^® (equkethe ama-Conjugated Estrogens, iMedroxyprogesterone)
• I-Prempro^® (equkethe ama-Conjugated Estrogens, iMedroxyprogesterone)

• HRT