Imixholo ye-Estradiol

Umxholo

• Sebenzisa i-estradiol gel, landela la manyathelo:
• Sebenzisa i-estradiol emulsion, landela la manyathelo:
• Ngaphambi kokusebenzisa i-estradiol,
• Imixholo ye-estradiol inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko:
• Iimpawu zokudlula ngaphezulu zinokubandakanya:

I-Estradiol yonyusa umngcipheko wokuba uza kuba nomhlaza kwi-endometrium (umhlaza welayini yesibeleko [isibeleko]). Ngokude usebenzisa i-estradiol, umngcipheko omkhulu wokuba uya kuphuhlisa umhlaza we-endometrium. Ukuba awukabinayo i-hysterectomy (utyando lokususa isibeleko), kuya kufuneka unikwe elinye iyeza elibizwa ngokuba yi-progestin ukuba uyithathe kunye ne-estradiol yesihloko. Oku kunokunciphisa umngcipheko wokuba nomhlaza we-endometrium kodwa kunokunyusa umngcipheko wokuphuhlisa ezinye iingxaki zempilo, kubandakanya umhlaza webele. Ngaphambi kokuba uqale ukusebenzisa i-estradiol ye-topical, xelela ugqirha wakho ukuba unayo okanye wakhe wanomhlaza kwaye ukuba wopha ngokungaqhelekanga okanye ngokungaqhelekanga kwilungu lobufazi. Fowunela ugqirha wakho kwangoko ukuba wopha ngokungaqhelekanga okanye ngokungaqhelekanga kusisi ngexesha lonyango lwakho nge-estradiol yesihloko. Ugqirha wakho uyakukujonga ngokusondeleyo ukukunceda ukuba awuphuhlisi umhlaza we-endometrium ngexesha okanye emva konyango lwakho.

Kwisifundo esikhulu, abasetyhini abathathe ii-estrogens (iqela lamayeza elibandakanya i-estradiol) ngomlomo ngeeprogesin babenomngcipheko ophezulu wokuhlaselwa sisifo sentliziyo, imivumbo, amahlwili egazi emiphungeni okanye emilenzeni, umhlaza webele, kunye nesifo sengqondo esixhalabisayo (ukuphulukana namandla cinga, funda, kwaye uqonde). Abasetyhini abasebenzisa i-estradiol ye-topical yodwa okanye iiprogestins banokuba nomngcipheko ophezulu wokukhula kwezi meko. Xelela ugqirha wakho ukuba uyatshaya okanye usebenzisa icuba, ukuba ukhe wahlaselwa sisifo sentliziyo okanye wahlaselwa sistroke kunyaka ophelileyo kwaye ukuba wena okanye nabani na kusapho lwakho ukhe wanamahlwili egazi okanye umhlaza wamabele. Xelela ugqirha wakho ukuba unayo okanye ukhe waba noxinzelelo lwegazi oluphezulu, amanqanaba aphezulu egazi le-cholesterol okanye amafutha, isifo seswekile, isifo sentliziyo, i-lupus (imeko apho umzimba uhlasela izicwili zawo ezibangela ukonakala kunye nokudumba), izigaqa zamabele, okanye i-mammogram engaqhelekanga (i-x-ray yebele esetyenziselwa ukufumana umhlaza wamabele).

Ezi mpawu zilandelayo zinokuba ziimpawu zeemeko zempilo ezinzulu ezichazwe apha ngasentla.Biza ugqirha wakho ngokukhawuleza ukuba ufumana naziphi na ezi mpawu zilandelayo ngelixa usebenzisa i-estradiol yesihloko: ngesiquphe, intloko ebuhlungu; ngesiquphe, ukugabha kakhulu; iingxaki zokuthetha; isiyezi okanye ukudinwa; ukulahleka kombono ngequbuliso okanye ngokungaphelelanga, umbono ophindwe kabini; ubuthathaka okanye ukuphazamiseka kwengalo okanye umlenze; ukutyumza iintlungu zesifuba okanye ubunzima besifuba; ukukhohlela igazi; ukuphefumla ngokukhawuleza; amaqhuma amabele okanye olunye utshintsho lwebele; Ukukhutshwa kwiingono; ubunzima bokucinga ngokucacileyo, ukukhumbula, okanye ukufunda izinto ezintsha; okanye intlungu, ukuthamba, okanye ubomvu kumlenze omnye.

Unokuthatha amanyathelo okunciphisa umngcipheko wokuba uza kuphuhlisa ingxaki enkulu yezempilo ngelixa usebenzisa i-estradiol yesihloko. Sukusebenzisa i-estradiol ye-topical yodwa okanye neprogesin ukukhusela isifo sentliziyo, isifo sentliziyo, okanye ukubetha. Sebenzisa elona thamo lisezantsi le-estradiol engundaba-mlonyeni elawula iimpawu zakho kwaye usebenzise i-estradiol ye-topical ixesha elide njengoko kufuneka. Thetha nogqirha wakho rhoqo kwiinyanga ezi-3-6 ukuze uthathe isigqibo sokuba ngaba kufanelekile ukusebenzisa idosi esezantsi ye-estradiol ye-topical okanye uyeke ukusebenzisa iyeza.

Kuya kufuneka uvavanye amabele akho rhoqo ngenyanga kwaye ubene-mammogram kunye novavanyo lwebele olwenziwa ngugqirha minyaka le ukukunceda ufumane umhlaza wamabele kwangoko. Ugqirha wakho uya kukuxelela ukuba uwavavanye njani kakuhle amabele akho kwaye kufuneka ubenazo ezi mviwo rhoqo kube kanye ngonyaka ngenxa yimbali yakho yobuqu okanye yosapho.

Xelela ugqirha wakho ukuba uyenziwa utyando okanye uza kuba ulala ebhedini. Ugqirha wakho angakuxelela ukuba uyeke ukusebenzisa i-estradiol ye-topical iiveki ezi-4-6 ngaphambi kotyando okanye indawo yokulala ukunciphisa umngcipheko wokuba ube negazi.

Thetha nogqirha wakho rhoqo malunga nomngcipheko kunye nezibonelelo zokusebenzisa i-estradiol yesihloko.

I-Estradiol ye-gel kunye ne-emulsion (uhlobo lomxube we-lotion) zisetyenziselwa ukunyanga nokukhusela ukufudumala okutshisayo (ukutshisa okutshisayo; ukuziva ngokukhawuleza kokushisa nokujuluka) kubafazi abanokuyeka ukuya esikhathini (utshintsho lobomi, ukuphela kwexesha lokuya esikhathini). I-gel ye-Estradiol yeengqungquthela isetyenziselwa ukunyanga ukoma komfazi, ukurhawuzelela, kunye nokutsha kwabasetyhini abafumana ukuya exesheni. Nangona kunjalo, abasetyhini abaneempawu zabo ezikhathazayo kuphela kukutshiswa lilungu lobufazi, ukurhawuzelela, kunye nokoma banokuzuza ngakumbi kumayeza asetyenziswa ngokukuko kwilungu lobufazi. I-Estradiol ikudidi lwamayeza abizwa ngokuba zihomoni ze-estrogen. Isebenza ngokutshintsha i-estrogen edla ngokuveliswa ngumzimba.

Imixholo ye-estradiol iza njengejeli, isitshizi, kunye ne-emulsion yokufaka ulusu. Ihlala isetyenziswa kanye ngemini. I-emulsion ye-Estradiol kufuneka isetyenziswe kusasa. Ijeli ye-Estradiol inokusetyenziswa nangaliphi na ixesha losuku, kodwa kufuneka isetyenziswe ngexesha elifanayo losuku yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Sebenzisa i-estradiol yesihloko ngokuchanekileyo njengoko kuyalelwe. Sukuyisebenzisa ngaphezulu okanye ngaphantsi okanye uyisebenzise rhoqo kunokuyalelwa ngugqirha.

Ukuba usebenzisa ijeli ye-estradiol, kuya kufuneka uyigalele kumaleko obhityileyo kwingalo enye, ukusuka esihlahleni ukuya egxalabeni. Ukuba usebenzisa i-estradiol emulsion, kuya kufuneka uyisebenzise kumathanga kunye namathole (imilenze esezantsi). Musa ukusebenzisa ijeli ye-estradiol okanye i-emulsion emabeleni akho. Qiniseka ukuba ulusu apho uza kufaka khona i-estradiol ye-topical lucocekile kwaye lomile ngokupheleleyo, kwaye alibomvu, alicaphukisi, okanye lophukile.

Ukuba uyahlamba okanye uhlamba okanye usebenzisa i-sauna, sebenzisa i-estradiol ye-topical emva kokuba ugqibile ukuhlamba, ukuhlamba okanye ukusebenzisa i-sauna kwaye umise ulusu lwakho ngokupheleleyo. Ukuba ucwangcisa ukudada, vumela ixesha elininzi kangangoko phakathi kokufaka ijeli ye-estradiol kunye nokudada. Sukufaka i-sunscreen kungekudala ngaphambi koko, ngaxeshanye, okanye kungekudala emva kokufaka i-estradiol.

Ijeli ye-Estradiol inokubamba umlilo. Xa usebenzisa ijeli ye-estradiol, musa ukutshaya okanye usondele emlilweni okanye uvule ilangatye ide ijel.

Lumka ungafumani i-estradiol gel emehlweni akho. Ukuba ufumana i-estradiol gel emehlweni akho, zihlambe ngamanzi amaninzi ashushu kwangoko. Biza ugqirha ukuba amehlo akho ayacaphuka.

Kufuneka usebenzise ngokwakho gel gel estradiol. Sukuvumela nabani na ongomnye agudle ijeli kulusu lwakho.

Sebenzisa i-estradiol gel, landela la manyathelo:

1. Ngaphambi kokuba usebenzise idosi yakho yokuqala yejeli ye-estradiol, susa isiciko esikhulu sepompo kwaye ucofe ngokupheleleyo impompo kabini. Hlamba ijeli ephuma ezantsi esinkini okanye uyilahle ngokukhuselekileyo ukuze ingafikeleleki ebantwaneni nakwizilwanyana zasekhaya. Oku kunika amandla impompo ukuze ikhuphe inani elifanayo lamayeza ngalo lonke ixesha icinezelwe. Sukuphinda eli nyathelo emva kwexesha lokuqala usebenzisa impompo.
2. Bamba impompo ngesandla esinye kwaye nekomityi ngesinye isandla esingezantsi kombhobho wempompo. Cinezela impompo ngokuqinileyo nangokugqibeleleyo ukuhambisa idosi enye yejel entendeni yesandla sakho.
3. Sebenzisa isandla sakho ukusasaza ijeli ngokubhitya kangangoko kunokwenzeka kuyo yonke ingalo yakho. Zama ukugquma ngaphakathi nangaphandle kwengalo yakho ukusuka esihlahleni ukuya egxalabeni ngejeli.
4. Musa ukurabha okanye uhlikihle ijeli kulusu lwakho. Lindela imizuzu emi-5 ukuvumela ulusu lome ngaphambi kokumboza ingalo yakho ngempahla.
5. Yogquma impompo ngeeminqwazi ezincinane nezinkulu zokuzikhusela.
6. Hlamba izandla zakho ngesepha namanzi.

Sebenzisa i-estradiol emulsion, landela la manyathelo:

1. Fumana iipakethi ezimbini ze-estradiol emulsion kwaye uhlale kwindawo efanelekileyo.
2. Vula isingxobo esinye se-estradiol emulsion ngokunqunqa okanye ngokukrazula iinotshi ezikufutshane nomphezulu wengxowa.
3. Beka isingxobo esisicaba ngaphezulu kwethanga lakho lasekhohlo kwaye isiphelo esivulekileyo sijonge edolweni.
4. Bamba isiphelo esivaliweyo sesingxobo ngesandla esinye kwaye usebenzise umnwe wesikhombisi wesinye isandla sakho ukutyhala yonke i-emulsion engxoweni ethangeni lakho.
5. Sebenzisa esinye okanye zozibini izandla ukuze uthambise i-emulsion kwithanga lakho lonke kunye nethole imizuzu emi-3 de kube kufakwe ngokupheleleyo.
6. Hlikihla nayiphi na i-emulsion eseleyo ezandleni zakho kwiimpundu zakho.
7. Phinda amanyathelo u-1-6 usebenzisa isingxobo esitsha se-estradiol emulsion kunye nethanga lakho lasekunene ukuze usebenzise imixholo yesingxobo sesibini kwithanga lakho lasekunene nethole.
8. Lindela de ulusu apho ufake khona i-estradiol emulsion yomile ngokupheleleyo kwaye uyigubungele ngempahla.
9. Hlamba izandla zakho ngesepha namanzi.

Buza usokhemesti okanye ugqirha wakho ngekopi yolwazi lomenzi wesigulana.

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

Ngaphambi kokusebenzisa i-estradiol,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-estradiol gel okanye i-emulsion, naziphi na ezinye iimveliso ze-estrogen, nawaphi na amanye amayeza, okanye naziphi na izithako kwijeli ye-estradiol okanye emulsion. Buza usokhemesti wakho ukuba afumane uluhlu lwezithako ezikwi-gel ye-estradiol okanye i-emulsion okanye ukuba awuqinisekanga ukuba amayeza onayo awanalo i-estrogen.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, kunye nezongezo zesondlo, ozithathayo okanye oceba ukuzithatha. Qiniseka ukuba ukhankanya oku kulandelayo: ii-antifungals ezinje nge-itraconazole (Sporanox) kunye ne-ketoconazole (Nizoral); carbamazepine (Carbatrol, Epitol, Tegretol); i-clarithromycin (i-Biaxin); i-erythromycin (i-E.S.S, i-Erythrocin); I-lovastatin (Altocor, Mevacor); amayeza ngenxa sifo; phenobarbital; irifampin (Rifadin, Rimactane, eRifamate); kunye ne-ritonavir (eNorvir, eKaletra), ugqirha wakho unokufuna ukutshintsha idosi yamayeza okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba zeziphi iimveliso zemithi ozithathayo, ngakumbi iSt John's wort.
• xelela ugqirha wakho ukuba ukhe wakha wafumana i-asthma; ukuxhuzula; intloko ebuhlungu; i-endometriosis (imeko apho uhlobo lwethishu olujikeleza isibeleko [isibeleko] lukhula kwezinye iindawo zomzimba); uterine fibroids (ukukhula kwisibeleko awungomhlaza); ukutyabeka kolusu okanye kwamehlo, ngakumbi ngexesha lokukhulelwa okanye ngelixa usebenzisa imveliso ye-estrogen; amanqanaba aphezulu kakhulu okanye asezantsi kakhulu e-calcium egazini lakho; i-porphyria (imeko apho izinto ezingaqhelekanga zakha egazini kwaye zibangela iingxaki kulusu okanye kwinkqubo yeemvakalelo) okanye kwi-gallbladder, kwi-thyroid, kwisibindi, kwi-pancreas, okanye kwisifo sezintso.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa usebenzisa i-estradiol ye-topical, tsalela ugqirha wakho.
• cwangcisa ukuthintela ukukhanya elangeni ngokungeyomfuneko okanye ixesha elide kunye nokunxiba impahla ekhuselayo, iiglasi zelanga kunye nescreen selanga. Khumbula ukuvumela ixesha elithile phakathi kokufaka i-estradiol ye-topical kunye nokufaka i-sunscreen. Ijeli ye-Estradiol inokwenza ulusu lwakho lubuthathaka kwilanga.
• Kuya kufuneka uyazi ukuba i-estradiol yeengxoxo inokubenzakalisa abanye abantu abachukumisa amayeza asesikhumbeni sakho okanye kwisitya. Kuyingozi kakhulu emadodeni nasebantwaneni. Musa ukuvumela nabani na ongomnye achukumise ulusu apho ufake khona i-estradiol ye-topical kangangeyure enye emva kokufaka iyeza. Ukuba umntu uchukumisa i-estradiol, kufuneka ahlambe ulusu ngesepha namanzi ngokukhawuleza.

Thetha nogqirha wakho malunga nokutya igrapefruit kunye nokusela ijusi yegrapefruit ngelixa uthatha eli yeza.

Ukuba uyalibala ukusebenzisa idosi ye-estradiol gel kodwa ukhumbule ngaphezulu kweeyure ezili-12 ngaphambi kokuba ucwangcise ukusebenzisa idosi yakho elandelayo, sebenzisa idosi ephosiweyo kwangoko. Ukuba ukhumbula ngaphantsi kweeyure ezili-12 ngaphambi kokuba ucwangciselwe ukusebenzisa idosi yakho elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yesiqhelo ngosuku olulandelayo. Musa ukufaka ijeli eyongezelelweyo ukwenza idosi ephosiweyo.

Ukuba uyalibala ukufaka i-estradiol emulsion kusasa, yisebenzise ngokukhawuleza xa ukhumbula. Sukufaka i-emulsion eyongezelelweyo ukwenza idosi ephosiweyo kwaye musa ukusebenzisa i-estradiol emulsion ngaphezulu kwesihlandlo esinye ngosuku.

Imixholo ye-estradiol inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• intloko ebuhlungu
• iintlungu zesifuba okanye ukuthamba
• isicaphucaphu
• urhudo
• ukuqhina
• irhasi
• isilungulela
• ubunzima okanye ukulahleka
• utshintsho lweemvakalelo
• ukudakumba
• uvalo
• ukozela
• ubunzima bokulala okanye ukulala
• utshintsho kwiminqweno yesini
• umqolo obuhlungu
• impumlo enemifinya
• ukukhohlela
• Iimpawu ezinjengomkhuhlane
• ukulahleka kweenwele
• ukukhula kweenwele okungafunekiyo
• ukuba mnyama kolusu ebusweni
• ubunzima bokunxiba iilensi zonxibelelwano
• Ukurhawuzelela okanye ukuba bomvu kwesikhumba apho usebenzise khona i-estradiol yesihloko
• ukudumba, ukuba bomvu, ukutsha, ukurhawuzelela, okanye ukurhawuzelela kwilungu lobufazi
• ukukhutshwa kwilungu lobufazi

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko:

• Amehlo aqumbileyo
• mthubi ulusu okanye amehlo
• ukurhawuzelela
• Ukuphelelwa ngumdla wokutya
• ifiva
• intlungu edibeneyo
• isisu, iintlungu, okanye ukudumba
• iintshukumo ekunzima ukuzilawula
• urhwebo
• irhashalala okanye amadyunguza kulusu
• ukudumba, kwamehlo, kobuso, imilebe, ulwimi, umqala, izandla, iinyawo, amaqatha okanye imilenze esezantsi
• ukudinwa
• ukuvutha
• ubunzima bokuphefumla okanye ukugwinya

I-estradiol ye-topical inokunyusa umngcipheko wokuba nomhlaza kwii-ovari kunye nesifo se-gallbladder esenokufuna ukunyangwa ngotyando. Thetha nogqirha wakho malunga neengozi zokusebenzisa eli yeza.

Imixholo ye-estradiol inokubangela 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 obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela). Sukuyiqanda iqokobhe le-estradiol. Gcina ijeli ye-estradiol kude nelangatye elivulekileyo. Yilahle impompo yakho ye-estradiol yejel emva kokuba usebenzise iidosi ezingama-64 nokuba ayinalutho ngokupheleleyo.

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:

• isicaphucaphu
• ukugabha
• ukopha kwilungu lobufazi

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho unokuyalela iimvavanyo ezithile zebhu ukujonga impendulo yomzimba wakho kwi-estradiol yeengxoxo.

Ngaphambi kokuba uvavanywe elebhu, xelela ugqirha wakho kunye nabasebenzi baselebhu ukuba usebenzisa i-estradiol yesihloko.

Musa ukuvumela omnye umntu asebenzise 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.

• Divigel^®
• U-Elestrin^®
• I-Estrasorb^®
• EstroGel^®
• Ubungqina^®

• Unyango lokutshintsha i-Estrogen
• I-ERT