I-Estrogen Vaginal

-Delile

• Ukuze usebenzise iringi yesitho sangasese sowesifazane, landela lezi zinyathelo:
• Ukuze usebenzise ithebhulethi yesitho sangasese sowesifazane, landela lezi zinyathelo:
• Ukuze usebenzise okufakwa esithweni sangasese sowesifazane (Imvexxy), landela lezi zinyathelo:
• Ukuze usebenzise ukhilimu wesitho sangasese sowesifazane, landela lezi zinyathelo:
• Ngaphambi kokusebenzisa i-estrogen sowesifazane sangasese,
• I-estrogen yesitho sangasese sangasese ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

I-Estrogen inyusa ingozi yokuthi uzoba nomdlavuza we-endometrium (umdlavuza wolwelwesi lwesibeletho [isibeletho]). Uma usebenzisa i-estrogen isikhathi eside, iba nkulu ingozi yokuba nomdlavuza we-endometrium. Uma ungazange ube ne-hysterectomy (ukuhlinzwa ukukhipha isibeletho), unganikezwa omunye umuthi obizwa nge-progestin ongawuthatha nge-estrogen sowesifazane. Lokhu kunganciphisa ingozi yokuba nomdlavuza we-endometrium kepha kungakhuphula ubungozi bokuthola ezinye izinkinga zempilo, kufaka phakathi umdlavuza webele. Ngaphambi kokuba uqale ukusebenzisa i-estrogen sowesifazane sangasese sowesifazane, tshela udokotela wakho uma uke waba nomdlavuza noma wake waba negazi elingajwayelekile esithweni sangasese. Shayela udokotela wakho ngokushesha uma unegazi elingajwayelekile noma elingajwayelekile ngesikhathi sowelashwa nge-estrogen yesitho sangasese sowesifazane. Udokotela wakho uzokubuka eduze ukuze akusize uqinisekise ukuthi awunawo umdlavuza we-endometrium ngesikhathi noma ngemuva kokwelapha kwakho.

Ocwaningweni olukhulu, abesifazane abathathe i-estrogen ngama-progestin ngomlomo babenobungozi obukhulu bokuhlaselwa yisifo senhliziyo, ukushaywa unhlangothi, amahlule egazini emaphashini noma emilenzeni, umdlavuza webele, nokuwohloka komqondo (ukulahlekelwa amandla okucabanga, ukufunda nokuqonda). Abesifazane abasebenzisa i-estrogen sowesifazane bodwa noma ngama-progestin bangaba nengozi enkulu yokuthuthukisa lezi zimo. Tshela udokotela wakho uma ubhema noma ubhema ugwayi, uma uke wahlaselwa yinhliziyo noma wahlaselwa isifo sohlangothi ngonyaka odlule, futhi uma wena noma omunye emndenini wakho uke waba namahlule egazini noma umdlavuza webele. Phinda utshele udokotela wakho uma uke waba nomfutho wegazi ophakeme noma waba nomfutho wegazi ophakeme, amazinga aphezulu egazi e-cholesterol noma amafutha, isifo sikashukela, isifo senhliziyo, i-lupus (isimo lapho umzimba uhlasela izicubu zawo ezidala ukulimala nokuvuvukala), izigaxa zamabele, noma i-mammogram engajwayelekile (i-x-ray yamabele asetshenziselwe ukuthola umdlavuza webele).

Lezi zimpawu ezilandelayo zingaba yizimpawu zezimo ezibucayi zezempilo ezibalwe ngenhla. Shayela udokotela wakho ngokushesha uma uhlangabezana nalezi zimpawu ezilandelayo ngenkathi usebenzisa i-estrogen sowesifazane sangasese: ngokuzumayo, ikhanda elibuhlungu; ukuhlanza okungazelelwe, okunzima; izinkinga zokukhuluma; isiyezi noma ukuquleka; ukulahleka okungazelelwe okuphelele noma okuncane kombono; ukubona kabili; ubuthakathaka noma ukuba ndikindiki kwengalo noma komlenze; ukuchoboza ubuhlungu besifuba noma isisindo sesifuba; ukukhwehlela igazi; ukuphefumula ngokuzumayo; ubunzima bokucabanga kahle, ukukhumbula, noma ukufunda izinto ezintsha; izigaxa zamabele noma ezinye izinguquko zamabele; khulula izingono; noma ubuhlungu, ubumnene, noma ubomvu emlenzeni owodwa.

Ungathatha izinyathelo ukunciphisa ingozi yokuthi uzoba nenkinga enkulu yezempilo ngenkathi usebenzisa i-estrogen sowesifazane sangasese. Ungasebenzisi i-estrogen sowesifazane wedwa noma ne-progestin ukuvikela isifo senhliziyo, isifo senhliziyo, unhlangothi, noma ukuwohloka komqondo. Sebenzisa umthamo ophansi kakhulu we-estrogen olawula izimpawu zakho futhi usebenzise kuphela i-estrogen sowesifazane uma nje kudingeka. Khuluma nodokotela wakho njalo ezinyangeni ezi-3 kuya kwezi-6 ukunquma ukuthi kufanele usebenzise umthamo ophansi we-estrogen noma kufanele uyeke ukusebenzisa umuthi.

Kufanele uhlole amabele akho njalo ngenyanga futhi une-mammogram kanye nokuhlolwa kwebele okwenziwa ngudokotela minyaka yonke ukusiza ukuthola umdlavuza webele ngokushesha ngangokunokwenzeka. Udokotela wakho uzokutshela ukuthi ungawahlola kanjani kahle amabele akho nokuthi ngabe kufanele ube nalezi zivivinyo kaningi ngaphezu kwesisodwa ngonyaka ngenxa yomlando wakho wezempilo noma womndeni.

Tshela udokotela wakho uma uhlinzwa noma uzophumula embhedeni. Udokotela wakho angakutshela ukuthi uyeke ukusebenzisa isitho sangasese sowesifazane amasonto ama-4 kuye kwayi-6 ngaphambi kokuhlinzwa noma ukuphumula kombhede ukunciphisa ubungozi bokuthi ube namahlule egazi.

Khuluma nodokotela wakho njalo ngezingozi nezinzuzo zokusebenzisa i-estrogen sowesifazane sangasese.

I-estrogen yesitho sangasese sowesifazane isetshenziselwa ukwelapha ukoma kwesitho sangasese sowesifazane, ukulunywa nokushisa; ukuchama okubuhlungu noma okunzima; kanye nesidingo esingazelelwe sokuchama ngokushesha kwabesifazane abahlangabezana noma abaye babhekana nokunqamuka kokuya esikhathini (ushintsho lwempilo; ukuphela kwezikhathi zokuya esikhathini njalo ngenyanga). Owesifazane^® iringi yesitho sangasese sowesifazane nayo isetshenziselwa ukwelapha ukushisa okushisayo ('hot flashes'; imizwa enamandla esheshayo yokushisa nokujuluka) kwabesifazane ababhekene nokunqamuka kokuya esikhathini. Ngaphambi kwangaphambilini^® ukhilimu wesitho sangasese sowesifazane uphinde usetshenziselwe ukwelapha i-kraurosis vulvae (isimo esingahle sibangele ukoma kwesitho sangasese sowesifazane nokungaphatheki kahle kwabesifazane noma amantombazane anoma yimuphi ubudala). Imvexxy^® ukufakwa kwesitho sangasese sowesifazane kusetshenziselwa ukwelashwa kwe-dyspareunia (ukuya ocansini okunzima noma okubuhlungu) kwabesifazane abaya esikhathini. I-estrogen yesitho sangasese sowesifazane isesigabeni semithi ebizwa ngamahomoni. Isebenza ngokufaka esikhundleni se-estrogen evame ukukhiqizwa ngumzimba.

I-estrogen yesitho sangasese sowesifazane iza njengendandatho eguquguqukayo, okufakwa kwesitho sangasese sowesifazane, njengethebhulethi ongayifaka esithweni sangasese, nokhilimu ozofakwa ngaphakathi esithweni sangasese sowesifazane. Izindandatho zesitho sangasese sowesifazane i-Estrogen zivame ukufakwa esithweni sangasese bese zishiywa endaweni yazo izinyanga ezintathu. Ngemuva kwezinyanga ezi-3, iringi iyasuswa, bese kufakwa iringi entsha uma kusadingeka ukwelashwa. Ukufakwa kwe-estrogen sangasese kuvame ukufakwa kanye ngosuku nsuku zonke ngasikhathi sinye amaviki ama-2, bese kusetshenziswa kanye njalo ezinsukwini ezi-3 kuye kwezi-4 (kabili ngeviki) inqobo nje uma kudingeka ukwelashwa. Amaphilisi esitho sangasese sowesifazane i-Estrogen ajwayele ukufakwa kanye ngosuku emavikini amabili okuqala okwelashwa abese efakwa kabili ngesonto inqobo nje uma kudingeka ukwelashwa. I-Estrace^® ukhilimu wesitho sangasese sowesifazane uvame ukufakwa kanye nsuku zonke amasonto ama-2 kuye kwangu-4, bese ufakwa kanye noma kathathu ngesonto. Ngaphambi kwangaphambilini^® umkhiqizo womkhiqizo wokhilimu wesitho sangasese sowesifazane uvame ukusetshenziswa ngokuya ngesheduli ejikelezayo eshintsha amasonto ambalwa lapho ukhilimu usetshenziswa nsuku zonke ngeviki elilodwa lapho ukhilimu ungasetshenziswanga. Sebenzisa i-estrogen sowesifazane sangasese ngasikhathi sosuku njalo lapho uyisebenzisa. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa i-estrogen sowesifazane sangasese njengoba uyalelwe. Ungayisebenzisi ngaphezulu noma ngaphansi kwayo noma uyisebenzise kaningi kunokuyalelwa ngudokotela wakho.

Ukuze usebenzise iringi yesitho sangasese sowesifazane, landela lezi zinyathelo:

1. Geza bese usula izandla zakho.
2. Susa indandatho yesitho sangasese sowesifazane esikhwameni sayo.
3. Yima ngomlenze owodwa phezulu esihlalweni, isinyathelo noma enye into, squat, noma ulale phansi. Khetha isikhundla esikahle kakhulu kuwe.
4. Bamba iringi yesitho sangasese sowesifazane phakathi kwesithupha sakho nomunwe wenkomba bese ucindezela izinhlangothi zendandatho ndawonye. Ungahle uthande ukusonta iringi ibe yisimo sesibalo-seyisishiyagalombili.
5. Bamba amafolda esikhumba azungeze isitho sakho sangasese ngesinye isandla.
6. Faka ithiphu yendandatho esithweni sakho sangasese bese usebenzisa umunwe wakho wokukhomba ukuze ucindezele indandatho ngaphakathi esithweni sakho sangasese ngangokunokwenzeka.
7. Iringi lesitho sangasese sowesifazane akudingeki ukuthi ibekwe ngendlela ethile ngaphakathi esithweni sakho sangasese, kodwa kuzoba ntofontofo futhi kungabi namathuba amancane okuwa lapho ibekwa emuva emuva esithweni sakho sangasese ngangokunokwenzeka. Iringi ayikwazi ukudlula umlomo wakho wesibeletho, ngakho-ke ngeke iye kude kakhulu esithweni sakho sangasese noma ilahleke lapho uyiphusha. Uma uzizwa ungaphathekile kahle, sebenzisa umunwe wakho wokukhomba ukusunduza iringi ngokuqhubekayo ungene esithweni sakho sangasese.
8. Geza izandla zakho futhi.
9. Shiya iringi ikhona izinyanga ezintathu. Iringi ingaphuma uma ungakayifaki ngokujulile esithweni sakho sangasese, uma imisipha yakho yesitho sangasese sowesifazane ibuthakathaka, noma uma ulwela ukunyakaza wamathumbu. Uma iringi iwa, yigeze ngamanzi afudumele bese uyishintsha esithweni sakho sangasese ngokulandela izinkomba ezingenhla. Uma iringi iwa futhi ilahlekile, faka iringi entsha bese ushiya iringi entsha endaweni kuze kube izinyanga ezintathu. Shayela udokotela wakho uma indandatho yakho iphuma kaningi.
10. Ungashiya iringi isendaweni lapho uya ocansini. Uma ukhetha ukuyisusa noma uma iwa, yigeze ngamanzi afudumele bese uyishintsha esithweni sakho sangasese ngokushesha.
11. Lapho usukulungele ukususa iringi, geza izandla zakho bese ume noma ulale endaweni ekahle.
12. Faka umunwe esithweni sakho sangasese bese uyixhuma eringini. Donsela phansi ngobumnene uye phambili ukuze ususe iringi.
13. Songa indandatho ngesicubu noma isiqeshana sephepha langasese bese uyilahla ngokuphepha, ukuze ingafinyeleleki ezinganeni noma ezifuyweni. Ungafaki iringi endlini encane.
14. Geza izandla zakho futhi.

Ukuze usebenzise ithebhulethi yesitho sangasese sowesifazane, landela lezi zinyathelo:

1. Khipha umfakisicelo oyedwa emugqeni wabafake izicelo ebhokisini lakho.
2. Vula ukugoqwa kwepulasitiki bese ususa umfakisicelo.
3. Yima ngomlenze owodwa phezulu esihlalweni, esinyathelweni, noma kwenye into, noma ulale phansi. Khetha isikhundla esikahle kakhulu kuwe.
4. Bamba umfakisicelo ngesandla esisodwa ngomunwe ekugcineni kwepliga.
5. Sebenzisa esinye isandla ukuhola ngobumnene umfakisicelo ekuvulekeni kwesitho sangasese sowesifazane. Uma ithebhulethi iwa ngaphandle kwesicelo, ungazami ukuyisusa. Lahla lokho okufaka isicelo nethebhulethi bese usebenzisa okukusebenzisa okusha.
6. Faka umfakisicelo esithweni sakho sangasese ngangokunokwenzeka. Ungamphoqi ofaka isicelo esithweni sakho sangasese noma ufake ngaphezu kwesigamu somfakisicelo esithweni sakho sangasese.
7. Cindezela ngobumnene i-plunger uze uzwe ukuchofoza.
8. Susa isicelo esingenalutho esithweni sakho sangasese bese usilahla ngendlela obuyosisebenzisa ngayo isitampu se-tampon sepulasitiki. Ungagcini noma usebenzise kabusha umfakisicelo.

Ukuze usebenzise okufakwa esithweni sangasese sowesifazane (Imvexxy), landela lezi zinyathelo:

1. Geza bese usula izandla ngaphambi kokuphatha okufakwa esithweni sangasese.
2. Cindezela ukufakwa okukodwa kwesitho sangasese sowesifazane ngokusebenzisa ucwecwe lwephakethe le-blister.
3. Bamba okufakwa esithweni sangasese sowesifazane ngesiphetho esikhulu phakathi kweminwe yakho.
4. Khetha indawo engcono kakhulu yokufaka ukufakwa kwesitho sangasese sowesifazane noma ulele phansi noma umile,
5. Ngokugcina okuncane, faka okufakwayo cishe ngamayintshi ama-2 esithweni sakho sangasese usebenzisa umunwe wakho.

Ukuze usebenzise ukhilimu wesitho sangasese sowesifazane, landela lezi zinyathelo:

1. Susa ikepisi kuthubhu kakhilimu.
2. Gcoba umkhawulo wombhobho womfakisicelo ekugcineni kompayipi ovulekile.
3. Cindezela ngobumnene ishubhu kusuka ezansi ukugcwalisa ofaka isicelo ngenani likakhilimu othe udokotela wakho ulisebenzise. Bheka ukumakwa ohlangothini lomfakisicelo ukusiza ukukala umthamo wakho.
4. Susa isikulufa kofaka isicelo.
5. Lala ngomhlane bese udonsela amadolo akho esifubeni sakho.
6. Ngobumnene faka umfakisicelo esithweni sakho sangasese bese ucindezela i-plunger phansi ukuze ukhiphe ukhilimu.
7. Susa umfakisicelo esithweni sakho sangasese.
8. Ukuhlanza umfakisicelo, donsela i-plunger ukuze uyisuse emgqonyeni. Geza umfakisicelo nepulakhethi ngensipho emnene namanzi afudumele. Ungasebenzisi amanzi ashisayo noma ubilise umfakisicelo.

Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.

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

Ngaphambi kokusebenzisa i-estrogen sowesifazane sangasese,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-estrogen sowesifazane sangasese, noma yimiphi eminye imikhiqizo ye-estrogen, noma imuphi omunye umuthi, noma iziphi izithako zohlobo lwe-estrogen sowesifazane ohlela ukuzisebenzisa. Buza usokhemisi wakho noma hlola imininingwane yesiguli somkhiqizi ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela nemishanguzo ongayinikiwe, amavithamini, nezithako zokudla okunomsoco, okwenzayo noma ohlela ukukuthatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: amiodarone (Pacerone); ama-antifungal athile afana ne-itraconazole (Sporanox) ne-ketoconazole; i-aprepitant (Hlela); carbamazepine (Carbatrol, Epitol, Tegretol); i-cimetidine (Tagamet); i-clarithromycin (i-Biaxin); i-cyclosporine (iNeoral, iSandimmune); i-dexamethasone (i-Decadron, i-Dexpak); i-diltiazem (Cardizem, Dilacor, Tiazac, abanye); i-erythromycin (E.E.S, i-Erythrocin); i-fluoxetine (i-Prozac, i-Sarafem); i-fluvoxamine (i-Luvox); i-griseofulvin (i-Fulvicin, i-Grifulvin, i-Gris-PEG); i-lovastatin (Altocor, Mevacor); imishanguzo yegciwane lesandulela ngculazi (i-HIV) noma i-immunodeficiency syndrome (i-AIDS) efana ne-atazanavir (Reyataz), i-delavirdine (i-Rescriptor), i-efavirenz (i-Sustiva), i-indinavir (i-Crixivan), i-lopinavir (e-Kaletra), i-nelfinavir (i-Viracept), i-nevirapine ( I-Viramune), i-ritonavir (i-Norvir, e-Kaletra), ne-saquinavir (i-Fortovase, i-Invirase); imithi yesifo se-thyroid; eminye imithi esetshenziswa emomozini; nefazodone; i-phenobarbital; i-phenytoin (iDilantin, Phenytek); i-rifabutin (i-Mycobutin); i-rifampin (iRifadin, iRimactane, eRifamate); i-sertraline (iZoloft); troleandomycin (TAO); i-verapamil (Calan, Covera, Isoptin, Verelan); futhi zafirlukast (Accolate). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho ukuthi uthatha miphi imikhiqizo yamakhambi, ikakhulukazi iSt John's wort.
• Tshela udokotela wakho uma unesifo sesibindi noma ukuphazamiseka kwegazi njengokushoda kwamaprotheni C, ukushoda kwamaprotheni S, noma ukushoda kwe-antithrombin okungakhuphula ubungozi bokuba namahlule egazi angajwayelekile. Udokotela wakho mhlawumbe uzokutshela ukuthi ungasebenzisi imikhiqizo yesitho sangasese se-estrogen.
• Tshela udokotela wakho uma uke waphuza noma waphuka isikhumba noma amehlo ngesikhathi ukhulelwe noma ngesikhathi sokwelashwa kwakho ngomkhiqizo we-estrogen, i-endometriosis (isimo lapho uhlobo lwesicubu esilingana nesibeletho [isibeletho] lukhula kwezinye izindawo umzimba), i-uterine fibroids (ukukhula esibelethweni okungewona umdlavuza), i-asthma, i-migraine ikhanda, ukuquleka, i-porphyria (isimo lapho izinto ezingavamile zakha khona egazini futhi zidale izinkinga ngesikhumba noma ngohlelo lwezinzwa), eziphakeme kakhulu noma kakhulu amazinga aphansi we-calcium egazini lakho, noma i-thyroid, izinso, i-gallbladder, noma isifo se-pancreatic. Uma uzosebenzisa iringi yesitho sangasese sowesifazane, tshela futhi udokotela wakho uma unesifo sangasese; noma isiphi isimo esenza ukuthi isitho sakho sangasese sibe namathuba amaningi okucasuka; isitho sangasese sowesifazane esincane; noma isimo lapho i-rectum, isinye, noma isibeletho sikhukhumele noma sawela esithweni sangasese.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi usebenzisa i-estrogen sowesifazane sangasese, shayela udokotela wakho ngokushesha.
• kufanele wazi ukuthi umenzi wohlobo olulodwa lukakhilimu wesitho sangasese sowesifazane i-estrogen uthi ukusetshenziswa kokhilimu kunganciphisa i-latex noma izinsimbi zokulawula ukuzalwa zenjoloba njengamakhondomu noma izifafazi. Lawa madivayisi kungenzeka angasebenzi uma uwasebenzisa ngesikhathi sokwelashwa kwakho ngokhilimu we-estrogen wesitho sangasese sowesifazane. Khuluma nodokotela wakho ngezindlela zokulawula ukubeletha ezizokusebenzela.

Khuluma nodokotela wakho mayelana nokudla isithelo samagilebhisi nokuphuza ijusi lamagilebhisi ngenkathi usebenzisa lo muthi.

Faka isicelo noma ufake umthamo ongabanjwanga ngokushesha nje lapho usikhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungasebenzisi umthamo ophindwe kabili noma usebenzise ukhilimu owengeziwe ukwenza umthamo ongabanjwanga.

I-estrogen yesitho sangasese sangasese ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ubuhlungu besifuba noma isisa
• isicanucanu
• isilungulela
• ukuhlanza
• isiyezi
• uvalo
• ukudana
• ukucasuka
• ubunzima bokulala noma ukulala
• izinguquko ezifisweni zocansi
• ukulahleka kwezinwele
• ukukhula kwezinwele okungafuneki
• mnyama mnyama esikhunjeni ebusweni
• imizwa engazelelwe yokushisa noma ukujuluka
• ubunzima bokugqoka amalensi wokuxhumana
• amajaqamba omlenze
• ukuvuvukala, ukubomvu, ukushisa, ukulunywa, noma ukucasuka kwesitho sangasese sowesifazane
• ukukhishwa kwesitho sangasese sowesifazane
• ukuchama kabuhlungu noma okunzima
• ukuhlungu obusemhlane
• izimpawu ezibandayo
• izimpawu zomkhuhlane

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:

• Amehlo aqhamukayo
• ubuhlungu, ukuvuvukala, noma ukuthamba esiswini
• ukulahlekelwa isifiso sokudla
• ubuthakathaka
• ukuphuzi kwesikhumba noma kwamehlo
• ubuhlungu obuhlangene
• ukunyakaza okunzima ukulawula
• ukuqubuka noma amabhamuza
• isifuba
• ukulunywa
• ukuvuvukala kwamehlo, ubuso, ulimi, umphimbo, izandla, izingalo, izinyawo, amaqakala noma imilenze engezansi
• ukushaqeka
• ukuphefumula kanzima noma ukugwinya

I-Estrogen ingakhuphula ingozi yokuba nomdlavuza wama-ovari noma isifo se-gallbladder esingadinga ukwelashwa ngokuhlinzwa. Khuluma nodokotela wakho ngezingozi zokusebenzisa i-estrogen sowesifazane sangasese.

I-Estrogen ingadala ukukhula noma ukuyeka kusenesikhathi ezinganeni ezithola amanani amakhulu isikhathi eside. I-estrogen yesitho sangasese sangasese nayo ingathinta isikhathi nesivinini sokukhula kocansi ezinganeni. Udokotela wengane yakho uzomqapha ngokucophelela ngenkathi elashwa nge-estrogen. Khuluma nodokotela wengane yakho ngezingozi zokunikeza ingane yakho lo muthi.

I-estrogen yesitho sangasese sangasese ingadala 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 okweqile 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 othile egwinya i-estrogen sowesifazane sangasese, esebenzisa amaphilisi noma izindandatho ezengeziwe, noma efaka ukhilimu owengeziwe, shayela isikhungo sakho solawulo lobuthi ku-1-800-222-1222. Uma isisulu siwile noma singaphefumuli, shayela abezimo eziphuthumayo zendawo ku-911.

Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

• isicanucanu
• ukuhlanza
• ukopha esithweni sangasese

Gcina wonke ama-aphoyintimenti nodokotela wakho.

Ngaphambi kokwenza noma yiluphi uvivinyo lwelabhoratri, tshela udokotela wakho nabasebenzi belebhuthi ukuthi usebenzisa i-estrogen sowesifazane sangasese.

Ungavumeli omunye umuntu asebenzise 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.

• I-Estrace^® Ukhilimu
• Ukuhlukaniswa kocingo^® Faka
• Owesifazane^® Faka
• Imvexxy^®
• Ogen^® Ukhilimu^¶
• Ngaphambi kwangaphambilini^® Ukhilimu
• I-Vagifem^® Amaphilisi Esitho Sangasese

• ama-estrogen ahlanganisiwe
• estradiol

^¶ Lo mkhiqizo onophawu alusekho emakethe. Ezinye izindlela ezijwayelekile zingatholakala.