Inaliti ye-Estrogen

Umxholo

• Ngaphambi kokusebenzisa inaliti ye-estrogen,
• Inaliti ye-Estrogen 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-Estrogen yonyusa umngcipheko wokuba ube nomhlaza kwi-endometrium (umhlaza welayini yesibeleko [isibeleko]). Ngokude usebenzisa i-estrogen, umngcipheko omkhulu wokuba uya kuphuhlisa umhlaza we-endometrium. Ukuba awuzange ube ne-hysterectomy (utyando lokususa isibeleko), kuya kufuneka unikwe elinye iyeza elibizwa ngokuba yi-progestin ukuba uyithathe ngenaliti ye-estrogen. Oku kunokunciphisa umngcipheko wokuba nomhlaza we-endometrium, kodwa kunokunyusa umngcipheko wokuphuhlisa ezinye iingxaki zempilo, kubandakanya umhlaza webele. Ngaphambi kokuba uqale ukusebenzisa inaliti ye-estrogen, xelela ugqirha wakho ukuba wakhe wanomhlaza okanye ukhe wopha ngokungaqhelekanga kwilungu lobufazi. Fowunela ugqirha wakho kwangoko ukuba wopha ngokungaqhelekanga okanye ngokungaqhelekanga kwilungu lobufazi ngexesha lonyango lwakho ngenaliti ye-estrogen.

Kwisifundo esikhulu, abasetyhini abathathe i-estrogen ngeeprogesini ngomlomo babenomngcipheko ophezulu wokuhlaselwa sisifo sentliziyo, imivumbo, amahlwili egazi emiphungeni okanye emilenzeni, umhlaza webele, kunye nesifo sengqondo esixhalabisayo (ukuphulukana namandla okucinga, ukufunda nokuqonda). Abasetyhini abasebenzisa inaliti ye-estrogen yodwa okanye iiprogestins banokuba semngciphekweni omkhulu wokukhula kwezi meko. Xelela ugqirha wakho ukuba uyatshaya okanye usebenzisa icuba, ukuba ukhe wahlaselwa sisifo sentliziyo okanye wahlaselwa sistroke kunyaka ophelileyo, 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. Fowunela ugqirha ngokukhawuleza ukuba unazo naziphi na kwezi mpawu zilandelayo ngelixa usebenzisa inaliti ye-estrogen: ngesiquphe, intloko ebuhlungu; ngesiquphe, ukugabha kakhulu; iingxaki zokuthetha; isiyezi okanye ukudinwa; ukulahleka ngokukhawuleza okupheleleyo okanye okukodwa kombono; umbono kabini; ubuthathaka okanye ukuphazamiseka kwengalo okanye umlenze; ukutyumza iintlungu zesifuba okanye ubunzima besifuba; ukukhohlela igazi; ukuphefumla ngokukhawuleza; ubunzima bokucinga ngokucacileyo, ukukhumbula, okanye ukufunda izinto ezintsha; amaqhuma amabele okanye olunye utshintsho lwebele; Ukukhutshwa kwiingono; okanye intlungu, ukuthamba, okanye ubomvu kumlenze omnye.

Unokuthatha amanyathelo okunciphisa umngcipheko wokuba uza kuphuhlisa ingxaki enkulu yezempilo ngelixa usebenzisa inaliti ye-estrogen. Sukusebenzisa inaliti ye-estrogen wedwa okanye neprogestin ukukhusela isifo sentliziyo, isifo sentliziyo, ukubetha, okanye isifo sengqondo esixhalabisayo. Sebenzisa idosi esezantsi ye-estrogen elawula iimpawu zakho kwaye usebenzise inaliti ye-estrogen ixesha elide njengoko kufuneka. Thetha nogqirha wakho rhoqo kwiinyanga ezi-3-6 ukugqiba ukuba kufanelekile na ukusebenzisa idosi esezantsi ye-estrogen 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 inaliti ye-estrogen iiveki ezi-4 ukuya kwezi-4 ngaphambi kotyando okanye indawo yokulala ukunciphisa umngcipheko wokuba ube negazi.

Thetha nogqirha wakho rhoqo malunga nomngcipheko kunye nezibonelelo zokusebenzisa inaliti ye-estrogen.

Iifom ye-estradiol cypionate kunye ne-estradiol valerate ye-estrogen isetyenziselwa ukunyanga ukufudumala okutshisayo (ukutshisa okutshisayo; ngokukhawuleza ukutshisa okutshisayo kunye nokubila) kunye / okanye ukoma komfazi, ukurhawuzelela nokutshisa kwabasetyhini abahlangabezana nokuyeka ukuya esikhathini (utshintsho lobomi; ukuphela kwexesha lokuya exesheni). Nangona kunjalo, abasetyhini abafuna amayeza kuphela ukunyanga ukoma kwilungu lobufazi, ukurhawuzelela, okanye ukutshisa kufuneka baqwalasele unyango olwahlukileyo. Ezi ntlobo zenaliti ye-estrogen ngamanye amaxesha zisetyenziselwa ukunyanga iimpawu ze-estrogen esezantsi kubafazi abancinci abangavelisi ngokwaneleyo i-estrogen ngokwendalo. Ifom ye-estradiol valerate yenaliti ye-estrogen ngamanye amaxesha isetyenziselwa ukunciphisa iimpawu zeentlobo ezithile zeprostate (ilungu lendoda lokuzala) umhlaza. Uhlobo lwe-estrogens edityanisiweyo yenaliti ye-estrogen isetyenziselwa ukunyanga ukopha okungaqhelekanga kwilungu lobufazi kugqitywe ngugqirha ukuba kubangelwa yingxaki kuphela ngamanani eehomoni ezithile emzimbeni. Inaliti ye-Estrogen ikudidi lwamayeza abizwa ngokuba zihomoni. Isebenza ngokutshintsha i-estrogen edla ngokuveliswa ngumzimba.

Iifom ye-estradiol cypionate kunye ne-estradiol valerate yexesha elide lenza inaliti ye-estrogen iza njengamanzi ukujova kwimisipha. La mayeza ahlala ejojowe yingcali yokhathalelo lwempilo kube kanye emva kweeveki ezintathu ukuya kwezine. Xa ifom ye-estradiol valerate yesitofu se-estrogen isetyenziselwa ukunyanga iimpawu zomhlaza webala, ihlala ijojowe yingcali yokhathalelo lwempilo kube kanye kwiiveki ezi-1 ukuya kwezi-2.

Ifom ye-estrogens edityanisiweyo yenaliti ye-estrogen iza njengomgubo wokudibanisa namanzi angenazintsholongwane kunye nokujova izihlunu okanye umthambo. Ihlala itofwe yingcali yokhathalelo lwempilo njengethamo elinye. Idosi yesibini inokujova iiyure ezi-6 ukuya kwezi-12 emva kwethamo lokuqala ukuba kuyafuneka ukulawula ukopha kwilungu lobufazi.

Ukuba usebenzisa inaliti ye-estrogen ukunyanga ukushushu okutshisayo, iimpawu zakho kufuneka ziphuculwe kwisithuba seentsuku ezi-1 ukuya kwezi-5 emva kokufumana inaliti. Tshela ugqirha wakho ukuba iimpawu zakho aziphuculanga ngeli xesha.

Buza usokhemesti okanye ugqirha wakho ngekopi yolwazi lomenzi wesigulana.

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

Ngaphambi kokusebenzisa inaliti ye-estrogen,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana nenaliti ye-estrogen, naziphi na iimveliso ze-estrogen, naliphi na iyeza, okanye naziphi na izithako kwiinaliti ze-estrogen. Buza usokhemesti wakho okanye ujonge ulwazi lomenzi wesigulana uluhlu lwezithako ezikuhlobo lwenaliti yeestrogen oceba ukuyisebenzisa.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhalwanga, iivithamini, kunye nezongezelelo zesondlo ozithathayo okanye oceba ukuzithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: amiodarone (Cordarone, Pacerone); ii-antifungals ezithile ezinje nge-itraconazole (Sporanox) kunye ne-ketoconazole (Nizoral); i-aprepitant (Emend); carbamazepine (Carbatrol, Epitol, Tegretol); cimetidine (iTagamet); i-clarithromycin (i-Biaxin); i-cyclosporine (iNeoral, iSandimmune); dexamethasone (iDecadron, iDexpak); diltiazem (Cardizem, Dilacor, Tiazac, nabanye); i-erythromycin (i-EES, i-Erythrocin); i-fluoxetine (iProzac, iSarafem); i-fluvoxamine (iLuvox); i-griseofulvin (iFulvicin, iGrifulvin, iGris-PEG); I-lovastatin (Altocor, Mevacor); amayeza e-HIV (HIV) okanye i-immunodeficiency syndrome (i-AIDS) efana ne-atazanavir (Reyataz), delavirdine (Rescriptor), efavirenz (Sustiva), indinavir (Crixivan), lopinavir (eKaletra), nelfinavir (Viracept), nevirapine ( IViramune), i-ritonavir (i-Norvir, e-Kaletra), kunye ne-saquinavir (i-Fortovase, i-Invirase); amayeza ngenxa sifo; nefazodone; phenobarbital; phenytoin (iDilantin, iPhenytek); irifabutin (Mycobutin); i-rifampin (iRifadin, iRimactane, eRifamate); i-sertraline (iZoloft); troleandomycin (TAO); i-verapamil (Calan, Covera, Isoptin, Verelan); kunye ne-zafirlukast (eyiyo). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba zeziphi iimveliso zemithi ozithathayo, ngakumbi iSt John's wort.
• xelela ugqirha wakho ukuba ngaba ubukhe wanombala otyheli okanye amehlo ngexesha lokukhulelwa okanye ngexesha lonyango lwakho ngemveliso yeestrogen, i-endometriosis (imeko apho uhlobo lwethishu olujikeleza isibeleko [isibeleko] lukhula kwezinye iindawo Umzimba), i-uterine fibroids (ukukhula kwisibeleko esingengomhlaza), isifuba, isifo se-migraine, ukubanjwa, i-porphyria (imeko apho izinto ezingaqhelekanga zakha egazini kwaye zibangele iingxaki kulusu okanye kwinkqubo yeemithambo), phezulu kakhulu okanye kakhulu amanqanaba asezantsi e-calcium egazini lakho, okanye i-thyroid, isibindi, izintso, i-gallbladder, okanye isifo se-pancreatic.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa usebenzisa inaliti ye-estrogen, tsalela umnxeba ugqirha wakho.

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

Ukuba uphoswa idinga lokufumana idosi yenaliti ye-estrogen, tsalela ugqirha ngokukhawuleza.

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

• iintlungu zesifuba okanye ukuthamba
• isisu esimoshakele
• ukugabha
• ubunzima okanye ukulahleka
• isiyezi
• uvalo
• ukudakumba
• ukucaphuka
• utshintsho kwiminqweno yesini
• ukulahleka kweenwele
• ukukhula kweenwele okungafunekiyo
• mnyama mnyama ulusu ebusweni
• ubunzima bokunxiba iilensi zonxibelelwano
• iinyanda zomlenze
• ukudumba, ukuba bomvu, ukutshisa, ukurhawuzelela, okanye ukucaphuka 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
• iintlungu, ukudumba, okanye ukuthamba esiswini
• Ukuphelelwa ngumdla wokutya
• ubuthathaka
• mthubi ulusu okanye amehlo
• intlungu edibeneyo
• iintshukumo ekunzima ukuzilawula
• irhashalala okanye amadyungudyungu
• urhwebo
• ukurhawuzelela
• ukudumba kwamehlo, ubuso, ulwimi, umqala, izandla, iingalo, iinyawo, amaqatha okanye imilenze esezantsi
• ukudinwa
• ubunzima bokuphefumla okanye ukugwinya

I-Estrogen inokunyusa umngcipheko wokuba nomhlaza kwii-ovari okanye isifo se-gallbladder esenokufuna ukunyangwa ngotyando. Thetha nogqirha wakho malunga nomngcipheko wokusebenzisa inaliti ye-estrogen.

I-Estrogen inokubangela ukukhula kucothe okanye kuyeke kwangethuba ebantwaneni abafumana iidosi ezinkulu ixesha elide. Inaliti ye-Estrogen inokuchaphazela ixesha kunye nesantya sokukhula ngokwesondo ebantwaneni.Ugqirha womntwana wakho uya kumjonga ngononophelo ngexesha lonyango lwakhe nge-estrogen. Thetha nogqirha womntwana wakho malunga neengozi zokunika umntwana wakho eli yeza.

Inaliti ye-Estrogen 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).

Ugqirha wakho uya kugcina amayeza eofisini yakhe.

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
• ukopha kwilungu lobufazi

Gcina lonke ixesha lokudibana nogqirha wakho.

Ngaphambi kokuba uvavanywe elebhu, xelela ugqirha wakho kunye nabasebenzi baselebhu ukuba usebenzisa inaliti ye-estrogen.

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.

• I-Delestrogen^®
• I-DEPO-Estradiol^®
• Ngaphambi^® I.V.

• I-estradiol cypionate
• valerate ye-estradiol
• ii-estrogens ezidibeneyo