Estrogen kunye neProgestin (Unyango olubuyisela iHormone)

Umxholo

• Ngaphambi kokuba uthathe unyango lwehomoni,
• Unyango olungena endaweni yeHormone lunokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ezi mpawu zilandelayo aziqhelekanga, kodwa ukuba ufumana enye yazo okanye ezo zidweliswe kwicandelo LESILumkiso ESIBALULEKILEYO, tsalela umnxeba kwangoko:
• Iimpawu zokudlula ngaphezulu zinokubandakanya:

Unyango olubuyisela iHormone lunokunyusa umngcipheko wokuhlaselwa sisifo sentliziyo, ukubetha, umhlaza webele, kunye nokuqina kwegazi emiphungeni nasemilenzeni. Xelela ugqirha wakho ukuba uyatshaya kwaye ukhe wanamaqhuma amabele okanye umhlaza; isifo sentliziyo; ukubetha; amahlwili egazi; igazi elonyukayo; amanqanaba aphezulu egazi echolesterol okanye amafutha; okanye isifo seswekile. Ukuba wenza utyando okanye uza kulala ebhedini, thetha nogqirha wakho malunga nokumisa i-estrogen kunye neprogestin okungenani iiveki ezi-4 ukuya kwezi-6 ngaphambi kotyando okanye indawo yokulala.

Ukuba ufumana enye yeempembelelo ezilandelayo, biza ugqirha wakho ngokukhawuleza: ngokukhawuleza, intloko ebuhlungu; ngesiquphe, ukugabha kakhulu; ukulahleka kombono ngesiquphe okanye ngokupheleleyo; iingxaki zokuthetha; isiyezi okanye ukudinwa; ubuthathaka okanye ukuphazamiseka kwengalo okanye umlenze; ukutyumza iintlungu zesifuba okanye ubunzima besifuba; ukukhohlela igazi; ukuphefumla ngokukhawuleza; okanye iintlungu zethole.

Thetha nogqirha wakho malunga nobungozi kunye nezibonelelo zokuthatha i-estrogen kunye neprogestin.

Umdibaniso we-estrogen kunye neprogestin zisetyenziselwa ukunyanga iimpawu ezithile zokuyeka ukuya exesheni. I-Estrogen kunye neprogestin ziihomoni ezimbini zesini sabasetyhini. Unyango lweHormone olusebenzayo lusebenza ngokutshintsha i-hormone ye-estrogen engasenziyo emzimbeni. I-Estrogen inciphisa iimvakalelo zobushushu kumzimba ophezulu kunye namaxesha okubila kunye nobushushu (ukukhanya okushushu), iimpawu zelungu lobufazi (ukurhawuzelela, ukutshisa, kunye nokoma) kunye nobunzima ngokuchama, kodwa ayizinciphisi ezinye iimpawu zokuyeka ukuya exesheni ezinje ngokuba novalo okanye uxinzelelo. I-Estrogen ikwathintela nokunciphisa amathambo (i-osteoporosis) kubafazi abaya exesheni. Iprogestin yongezwa kwi-estrogen kunyango lokutshintsha i-hormone ukunciphisa umngcipheko womhlaza wesibeleko kubafazi abasenayo isibeleko.

Unyango olubuyisela iHormone luza njengecwecwe lokuthatha ngomlomo. Ihlala ithathwa kanye ngemini. Ukukunceda ukhumbule ukuthatha unyango lwehomoni, yithathe ngexesha elifanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha la mayeza ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho. Sukuyeka ukuthatha la mayeza ungakhange uthethe nogqirha wakho.

I-Activella, i-FemHrt, kunye ne-Prempro ziza njengeepilisi eziqukethe i-estrogen kunye neprogestin. Thatha ipilisi enye yonke imihla.

I-Ortho-Prefest iza kwikhadi leblister elinamapilisi angama-30. Thatha ipilisi enye epinki (equlethe i-estrogen kuphela) kube kanye yonke imihla kangangeentsuku ezi-3, emva koko uthathe ipilisi enye emhlophe (equlathe i-estrogen neprogestin) kube kanye yonke imihla iintsuku ezi-3. Phinda le nkqubo ude ugqibe zonke iitafile ezikwikhadi. Qalisa ikhadi elitsha le-blister kusuku emva kokuba ugqibile elokugqibela.

I-Premphase iza kwindawo yokuhambisa equlathe iipilisi ezingama-28. Thatha ithebhulethi enye yeemaroni (iqulethe i-estrogen kuphela) kanye yonke imihla ngeentsuku ezi-1 ukuya kwezi-14, kwaye uthathe ithebhulethi enye eluhlaza neblowu (equlathe i-estrogen neprogestin) kube kanye yonke imihla ngeentsuku ezili-15 ukuya kwezingama-28. Qalisa isixhobo esitsha ngosuku emva kokugqiba eyokugqibela. .

Ngaphambi kokuba uthathe unyango lwehormone, cela usokhemesti okanye ugqirha wakho ikopi yolwazi lomenzi wesigulana kwaye uyifunde ngononophelo.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba uthathe unyango lwehomoni,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-estrogen, iprogestin, okanye amanye amayeza.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, kunye neemveliso zamayeza owathathayo. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: acetaminophen (Tylenol); ii-anticoagulants ('igazi elincinci)' njengewarfarin (Coumadin); i-cyclosporine (iNeoral, iSandimmune); amayeza okubanjwa njenge carbamazepine (Tegretol), phenobarbital (Luminal, Solfoton), kunye ne phenytoin (Dilantin); i-morphine (iKadian, i-MS Contin, i-MSIR kunye nezinye) i-steroids yomlomo efana ne-dexamethasone (i-Decadron, i-Dexone), i-methylprednisolone (Medrol), i-prednisone (i-Deltasone) kunye ne-prednisolone (i-Prelone); irifampin (Rifadin, Rimactane); i-salicylic acid; temazepam (Ukubuyisela kwakhona); Inophylline (Theobid, Theo-Dur); kunye nonyango lwe-thyroid njenge-levothyroxine (i-Levothroid, i-Levoxyl, i-Synthroid). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• ukongeza kwezi meko zidweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO, xelela ugqirha wakho ukuba ngaba ubukhe wanaso na isisu kwaye ukuba ukhe wakha wanesifo sombefu; i-toxemia (uxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa); ukudakumba; ukuxhuzula (ukuxhuzula); intloko ebuhlungu; isibindi, intliziyo, i-gallbladder, okanye isifo sezintso; i-jaundice (ukutyheli kolusu okanye amehlo); ukopha kwilungu lobufazi phakathi kokuya exesheni; kunye nokufumana ubunzima obugqithisileyo kunye nokugcinwa kolwelo (ukudumba) ngexesha lokuya exesheni.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha la mayeza, biza ugqirha ngokukhawuleza. I-Estrogen kunye neprogestin zinokwenzakalisa umntwana ongekazalwa.
• ukuba uyenziwa utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha unyango olungena endaweni yehomoni.
• xelela ugqirha wakho ukuba uyatshaya. Ukutshaya ngelixa uthatha la mayeza kunokunyusa umngcipheko weziphumo ebezingalindelekanga ezinje ngegazi kunye nokubetha. Ukutshaya nako kunokunciphisa ukusebenza kweli yeza.
• xelela ugqirha wakho kunye nosokhemesti ukuba unxiba iilensi zonxibelelwano. Ukuba uphawula utshintsho kumbono okanye ukubanakho ukunxiba iilensi ngelixa uthatha unyango ngamayeza, jonga ugqirha wamehlo.

Buza ugqirha wakho malunga nokuthatha izongezo zecalcium ukuba uthatha eli yeza ukuthintela i-osteoporosis. Landela zonke iingcebiso malunga nokutya kunye nokuzilolonga, njengoko zombini zinokunceda ukuthintela isifo samathambo.

Thatha idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

Unyango olungena endaweni yeHormone lunokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• intloko ebuhlungu
• isisu esimoshakele
• ukugabha
• isisu esiswini okanye ukudumba
• urhudo
• ukutya kunye nokutshintsha kobunzima
• utshintsho kwi-sex drive okanye kubuchule
• uvalo
• amabala ansundu ngombala okanye omnyama
• induna
• ukudumba kwezandla, iinyawo, okanye imilenze esezantsi (ukugcinwa kwamanzi)
• ukopha okanye ukubona phakathi kokuya exesheni
• utshintsho ekuhambeni kwexesha
• ukuthamba kwebele, ukwanda, okanye ukukhupha
• ubunzima bokunxiba iilensi zonxibelelwano

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ezi mpawu zilandelayo aziqhelekanga, kodwa ukuba ufumana enye yazo okanye ezo zidweliswe kwicandelo LESILumkiso ESIBALULEKILEYO, tsalela umnxeba kwangoko:

• umbono kabini
• iintlungu ezinzima zesisu
• mthubi ulusu okanye amehlo
• uxinzelelo lwengqondo
• ukopha okungaqhelekanga
• Ukuphelelwa ngumdla wokutya
• irhashalala
• ukudinwa kakhulu, ubuthathaka, okanye ukungabikho kwamandla
• ifiva
• umchamo omnyama-mnyama
• isitulo esikhanyayo

Unyango olubuyisela iHormone lunokunyusa umngcipheko wokuba nomhlaza kwi-endometrial kunye nesifo se-gallbladder. Thetha nogqirha wakho malunga nemingcipheko yokuthatha la mayeza.

Unyango olungena endaweni yeHormone lunokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha eli yeza.

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Yigcine kubushushu begumbi kwaye kude nobushushu kunye nokufuma (hayi kwigumbi lokuhlambela).

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Iimpawu zokudlula ngaphezulu zinokubandakanya:

• isisu esimoshakele
• ukugabha

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Kuya kufuneka ube novavanyo olupheleleyo lomzimba, kubandakanya imilinganiselo yoxinzelelo lwegazi, iimviwo zesifuba kunye ne-pelvic, kunye novavanyo lwePap ubuncinci ngonyaka. Landela izikhokelo zikagqirha wakho zokuvavanya amabele akho; Xela onke amaqhuma ngokukhawuleza.

Ukuba uthatha unyango olungena endaweni yehomoni ukunyanga iimpawu zokuyeka ukuya exesheni, ugqirha wakho uya kujonga zonke iinyanga ezi-3 ukuya kwezi-6 ukubona ukuba usafuna na la mayeza. Ukuba uthatha eli yeza ukukhusela ukuncipha kwamathambo (i-osteoporosis), uya kuyithatha ixesha elide.

Ngaphambi kokuba uvavanywe elebhu, xelela abasebenzi baselebhu ukuba uthathe unyango lwehormone, kuba eliyeza linokuphazamisa ezinye iimvavanyo zaselebhu.

Musa ukuvumela nabani na ukuba athathe amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

• Bijuva^® (njengemveliso yokudibanisa equlathe i-Estradiol, Progesterone)

• Ukusebenza^® (Equlathe i-Estradiol, Norethindrone)
• UAngeliq^® (iqulethe iDrospirenone, i-Estradiol)
• IbhinqaHRT^® (Equlathe i-Ethinyl Estradiol, Norethindrone)
• Jinteli^® (Equlathe i-Ethinyl Estradiol, Norethindrone)
• Mimvey^® (Equlathe i-Estradiol, Norethindrone)
• Ukukhetha kuqala^® (Equlathe i-Estradiol, Norgestimate)
• Phambi^® (iqulethe i-Estrogens edibeneyo, iMedroxyprogesterone)
• Ukuqala^® (iqulethe i-Estrogens edibeneyo, iMedroxyprogesterone)

• I-HRT