I-Estrogen

-Delile

• Ngaphambi kokuthatha i-estrogen,
• I-Estrogen ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka:

I-Estrogen inyusa ingozi yokuthi uzoba nomdlavuza we-endometrium (umdlavuza wolwelwesi lwesibeletho [isibeletho]). Uma uthatha isikhathi eside i-estrogen, iba sengozini enkulu yokuthi uzoba nomdlavuza we-endometrium. Uma ungazange ube ne-hysterectomy (ukuhlinzwa ukukhipha isibeletho), kufanele unikezwe omunye umuthi obizwa nge-progestin ozowuthatha nge-estrogen. Lokhu kunganciphisa ingozi yokuba nomdlavuza we-endometrium, kepha kungakhuphula ingozi yokuba nezinkinga ezithile zezempilo, kubandakanya umdlavuza webele. Ngaphambi kokuba uqale ukuthatha i-estrogen, 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. 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 babesengozini enkulu yokuhlaselwa yisifo senhliziyo, ukushaywa unhlangothi, amahlule egazini emaphashini noma emilenzeni, umdlavuza webele, nokuwohloka komqondo (ukulahlekelwa amandla okucabanga, ukufunda nokuqonda). Abesifazane abathatha i-estrogen bodwa 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 ophakeme wegazi, 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 yebele esetshenziselwa ukuthola umdlavuza webele).

Lezi zimpawu ezilandelayo zingaba yizimpawu zezimo ezibucayi zezempilo ezibalwe ngenhla. Shayela udokotela wakho ngokushesha uma uhlangabezana nalezi zimpawu ezilandelayo ngenkathi uthatha i-estrogen: ikhanda elingalindelekile, 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 uthatha i-estrogen. Ungathathi i-estrogen wedwa noma ne-progestin ukuvimbela isifo senhliziyo, isifo senhliziyo, unhlangothi, noma ukuwohloka komqondo. Thatha umthamo ophansi kakhulu we-estrogen olawula izimpawu zakho futhi uthathe i-estrogen kuphela uma kudingeka. Khuluma nodokotela wakho njalo ezinyangeni ezi-3 kuye kwezi-6 ukunquma ukuthi kufanele yini uthathe umthamo omncane we-estrogen noma uyeke ukuthatha 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 ukuthatha i-estrogen amasonto ama-4 kuye kwayi-6 ngaphambi kokuhlinzwa noma ukuphumula kombhede ukunciphisa ubungozi bokuthi uzoba namahlule egazi.

Khuluma nodokotela wakho njalo ngezingozi nezinzuzo zokuthatha i-estrogen.

I-Estrogen isetshenziselwa ukwelapha ukushisa okushisayo ('hot flashes'; imizwa enamandla esheshayo yokushisa nokujuluka) kwabesifazane ababhekene nokunqamuka kokuya esikhathini ('change of life', ukuphela kwezinyanga zokuya esikhathini njalo ngenyanga). Eminye imikhiqizo ye-estrogen nayo isetshenziselwa ukwelapha ukoma kwesitho sangasese sowesifazane, ukulunywa, noma ukushiswa, noma ukuvimbela i-osteoporosis (isimo lapho amathambo eba mncane futhi abe buthakathaka futhi aphuke kalula) kwabesifazane ababhekene noma abaye babhekana nokunqamuka kokuya esikhathini. Kodwa-ke, abesifazane abadinga umuthi kuphela ukwelapha ukoma kwesitho sangasese sowesifazane noma ukuvimbela i-osteoporosis kuphela kufanele bacabangele ukwelashwa okwehlukile. Eminye imikhiqizo ye-estrogen nayo ikhulula izimpawu ze-estrogen ephansi kwabesifazane abasebasha abangakhiqizi i-estrogen eyanele ngokwemvelo. Eminye imikhiqizo ye-estrogen nayo isetshenziselwa ukudambisa izimpawu zezinhlobo ezithile zesifo somdlavuza webele ne-prostate (umdlavuza wokuzala). I-Estrogen isesigabeni semithi ebizwa ngamahomoni. Isebenza ngokufaka esikhundleni se-estrogen evame ukukhiqizwa ngumzimba.

I-Estrogen iza njengethebhulethi ezothathwa ngomlomo. Imvamisa kuthathwa nokudla noma ngaphandle kokudla kanye ngosuku. I-Estrogen kwesinye isikhathi ithathwa nsuku zonke futhi kwesinye isikhathi ithathwa ngokuya ngesheduli ejikelezayo eshintsha isikhathi lapho i-estrogen ithathwa nsuku zonke nesikhathi lapho i-estrogen ingathathwa. Lapho i-estrogen isetshenziselwa ukuqeda izimpawu zomdlavuza, imvamisa iphuzwa kathathu ngosuku. Thatha i-estrogen cishe ngesikhathi esifanayo (ama) nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-estrogen njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Udokotela wakho angakuqala ngomthamo ophansi we-estrogen futhi akhuphule kancane umthamo wakho uma izimpawu zakho zisakhathaza, noma wehlise umthamo wakho uma izimpawu zakho zilawulwa kahle. Khuluma nodokotela wakho ngokuthi i-estrogen ikusebenzela kanjani.

Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.

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

Ngaphambi kokuthatha i-estrogen,

• Tshela udokotela wakho kanye nosokhemisi uma ungenwe i-allergen kunoma yiluphi uhlobo lwe-estrogen yomlomo, noma imiphi eminye imikhiqizo ye-estrogen, noma imuphi omunye umuthi, noma iziphi izithako ezibhebheni ze-estrogen. Uma uzothatha i-Estrace^® amaphilisi omkhiqizo, tshela udokotela kanye nosokhemisi uma unegciwane ku-aspirin noma i-tartrazine (isithasiselo sombala wokudla). Buza usokhemisi wakho noma hlola imininingwane yesiguli somkhiqizi ukuthola uhlu lwezithako ezingasebenzi kumkhiqizo wamathebulethi e-estrogen ohlela ukuwathatha.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela noma engabhaliswanga, amavithamini, kanye nezithako zokudla okunomsoco ozithathayo noma ohlela ukuzithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: amiodarone (Cordarone, Pacerone); ama-antifungal athile afana ne-itraconazole (Sporanox) ne-ketoconazole (Nizoral); 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, Erythrocin); i-fluoxetine (i-Prozac, iSarafem); 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; 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 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 kwesibeletho okungawona umdlavuza), isifuba somoya, ikhanda elibuhlungu, 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, isibindi, izinso, i-gallbladder, noma isifo se-pancreatic.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-estrogen, shayela udokotela wakho ngokushesha.
• khuluma nodokotela wakho ngezingozi nezinzuzo zokuthatha i-estrogen uma uneminyaka engama-65 noma ngaphezulu. Abesifazane asebekhulile akufanele bavame ukuthatha i-estrogen yomlomo ngaphandle kokuthi bathathe namanye ama-hormone. I-estrogen yomlomo ethathwe ngaphandle kwamanye amahomoni ayiphephile futhi ayisebenzi njengeminye imithi engasetshenziswa ukwelapha isimo esifanayo.
• uma uthatha i-estrogen ukuvimbela i-osteoporosis, khuluma nodokotela wakho ngezinye izindlela zokuvimbela lesi sifo njengokuvivinya umzimba nokuthatha izithako ze-vitamin D kanye / noma ze-calcium.

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

Khuluma nodokotela wakho ngezindlela zokwandisa inani le-calcium nevithamini D ekudleni kwakho, ikakhulukazi uma uthatha i-estrogen ukuvimbela i-osteoporosis.

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.

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

• ubuhlungu besifuba noma isisa
• isisu esibuhlungu
• ukuhlanza
• isilungulela
• ukuqunjelwa
• isifo sohudo
• igesi
• ukuzuza kwesisindo noma ukwehla
• amajaqamba omlenze
• uvalo
• ukudana
• isiyezi
• ukushisa noma ukuncinza ezingalweni noma emilenzeni
• imisipha eqinile
• ukulahleka kwezinwele
• ukukhula kwezinwele okungafuneki
• mnyama mnyama esikhunjeni ebusweni
• ubunzima bokugqoka amalensi wokuxhumana
• ukuvuvukala, ukubomvu, ukushisa, ukulunywa, noma ukucasuka kwesitho sangasese sowesifazane
• ukukhishwa kwesitho sangasese sowesifazane
• shintsha isifiso sobulili
• izimpawu ezibandayo

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:

• Amehlo aqhamukayo
• umphimbo obuhlungu, umkhuhlane, amakhaza, ukukhwehlela, nezinye izimpawu zokutheleleka
• 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 zokuthatha i-estrogen.

I-Estrogen ingadala ukukhula noma yehle ekuqaleni kwezingane ezithatha amanani amakhulu isikhathi eside. I-Estrogen nayo ingathinta isikhathi nesivinini sokukhula kocansi ezinganeni. Udokotela wengane yakho uzomqapha ngokucophelela phakathi nokwelashwa kwakhe nge-estrogen. Khuluma nodokotela wengane yakho ngezingozi zokunikeza ingane yakho lo muthi.

I-Estrogen 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).

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

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.

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
• ukopha esithweni sangasese

Gcina wonke ama-aphoyintimenti nodokotela wakho.

Ngaphambi kokwenza noma yiluphi uvivinyo lwelabhoratri, tshela udokotela wakho kanye nabasebenzi be-laboratory ukuthi uthatha i-estrogen.

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.

• I-Amnestrogen^® (ama-estrogens aqinisekisiwe)^¶
• I-Cenestin^® (conjugated synthetic A estrogens)
• Enjuvia^® (i-conjugated synthetic B estrogens)
• I-Estrace^® Amathebulethi (estradiol)
• I-Estratab^® (ama-estrogens aqinisekisiwe)
• I-Evex^® (ama-estrogens aqinisekisiwe)^¶
• Abesifazane^® (ama-estrogens aqinisekisiwe)^¶
• Menest^® (ama-estrogens aqinisekisiwe)
• Ogen^® Amathebulethi (estropipate)
• Ortho-est^® (estropipate)
• Ngaphambi kwangaphambilini^® Amathebulethi (ama-estrogens ahlanganisiwe)

• I-Covaryx^® (equkethe i-Esterified Estrogens, Methyltestosterone)
• Essian^® (equkethe i-Esterified Estrogens, Methyltestosterone)
• I-Estratest^® (equkethe i-Esterified Estrogens, Methyltestosterone)
• Femtest^® (equkethe i-Esterified Estrogens, Methyltestosterone)
• I-Menogen^® (equkethe i-Esterified Estrogens, Methyltestosterone)
• IMenrium^® (equkethe iChlordiazepoxide, Esterified Estrogens)^¶
• Milprem^® (equkethe ama-Conjugated Estrogens, iMeprobamate)^¶
• PMB^® (equkethe ama-Conjugated Estrogens, iMeprobamate)^¶
• Ngaphambi kwangaphambilini^® neMethyltestosterone (equkethe ama-Conjugated Estrogens, iMethyltestosterone)
• I-Syntest^® (equkethe i-Esterified Estrogens, Methyltestosterone)

• ama-estrogen ahlanganisiwe
• ama-estrogens aqinisekisiwe
• estradiol
• estropipate

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