Estrogen

Umxholo

• Ngaphambi kokuba uthathe i-estrogen,
• I-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 uthatha i-estrogen, umngcipheko wokuba uya kuba nomhlaza kwi-endometrium. Ukuba awuzange ube ne-hysterectomy (utyando lokususa isibeleko), kuya kufuneka unikwe elinye iyeza elibizwa ngokuba yi-progestin ukuba uyithathe nge-estrogen. Oku kunokunciphisa umngcipheko wokuba nomhlaza we-endometrium, kodwa kunokunyusa umngcipheko wokuphuhlisa ezinye iingxaki zempilo, kubandakanya umhlaza webele. Ngaphambi kokuba uqale ukuthatha i-estrogen, xelela ugqirha wakho ukuba unawo okanye wakhe wanomhlaza kwaye ukuba wopha ngokungaqhelekanga kwilungu lobufazi. Biza ugqirha wakho ngokukhawuleza ukuba wopha ngokungaqhelekanga okanye ngokungaqhelekanga ngexesha lonyango nge-estrogen. Ugqirha wakho uyakukujonga ngokusondeleyo ukukunceda ukuba awuphuhlisi umhlaza we-endometrium ngexesha okanye emva konyango lwakho.

Kwisifundo esikhulu, abasetyhini abathathe i-estrogen ngeeprogesini babenomngcipheko ophezulu wokuhlaselwa sisifo sentliziyo, imivumbo, amahlwili egazi emiphungeni okanye emilenzeni, umhlaza webele, kunye nesifo sengqondo esixhalabisayo (ukuphulukana namandla okucinga, ukufunda nokuqonda). Abasetyhini abathatha i-estrogen bodwa banokuba nomngcipheko ophezulu 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 uthatha i-estrogen: 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; 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 uthatha i-estrogen. Sukuthatha i-estrogen yodwa okanye iprogestin ukuthintela isifo sentliziyo, isifo sentliziyo, ukubetha, okanye isifo sengqondo esixhalabisayo. Thatha idosi ephantsi ye-estrogen elawula iimpawu zakho kwaye uthathe kuphela i-estrogen ixesha elide njengoko kufuneka. Thetha nogqirha wakho rhoqo kwiinyanga ezi-3 ukuya kwezi-6 ukuthatha isigqibo sokuba kufuneka uthathe idosi encinci ye-estrogen okanye uyeke ukuthatha amayeza.

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 ukuthatha i-estrogen iiveki ezi-4 ukuya kwezi-6 ngaphambi kotyando okanye indawo yokulala ukuze unciphise umngcipheko wokuba ube negazi.

Thetha nogqirha wakho rhoqo malunga nomngcipheko kunye nezibonelelo zokuthatha i-estrogen.

I-Estrogen isetyenziselwa ukunyanga ukurhawuzelela ('hot flas'; ngesiquphe iimvakalelo ezinamandla zobushushu nokubila) kwabasetyhini abafumana ukuya exesheni ('utshintsho lobomi', ukuphela kwexesha lokuya exesheni ngenyanga). Ezinye iimveliso ze-estrogen zikwasetyenziselwa ukunyanga ukoma kwilungu lobufazi, ukurhawuzelela, okanye ukutshisa, okanye ukuthintela i-osteoporosis (imeko apho amathambo esiba buthathaka kwaye abuthathaka kwaye aphule ngokulula) kwabasetyhini abanamava okanye abanamava okuyeka ukuya exesheni. Nangona kunjalo, abasetyhini abafuna amayeza kuphela ukunyanga ukoma kwelungu lobufazi okanye ukukhusela i-osteoporosis kuphela kufuneka baqwalasele unyango olwahlukileyo. Ezinye iimveliso ze-estrogen zikwanceda ukunciphisa iimpawu ze-estrogen esezantsi kubafazi abancinci abangazivelisi ngokwaneleyo i-estrogen ngokwendalo. Ezinye iimveliso ze-estrogen zikwasetyenziselwa ukunciphisa iimpawu zeentlobo ezithile zesifuba kunye neprostate (isifo sendoda yokuzala) somhlaza. I-Estrogen ikudidi lwamayeza abizwa ngokuba zihomoni. Isebenza ngokutshintsha i-estrogen edla ngokuveliswa ngumzimba.

I-Estrogen iza njengecwecwe lokuthatha ngomlomo. Ihlala ithathwa kunye okanye ngaphandle kokutya kube kanye ngemini. I-Estrogen ngamanye amaxesha ithathwa yonke imihla kwaye ngamanye amaxesha ithathwa ngokweshedyuli ejikelezayo etshintsha ixesha apho i-estrogen ithathwa yonke imihla kunye nexesha apho i-estrogen ingathathwanga. Xa i-estrogen isetyenziselwa ukunciphisa iimpawu zomhlaza, ihlala ithathwa kathathu ngemini. Thatha i-estrogen malunga nexesha elifanayo (ii) yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-estrogen ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Ugqirha wakho unokukuqala ngedosi esezantsi ye-estrogen kwaye ngokuthe ngcembe unyuse idosi yakho ukuba iimpawu zakho zisakhathaza, okanye unciphise idosi yakho ukuba iimpawu zakho zilawulwa kakuhle. Thetha nogqirha wakho malunga nendlela esebenza ngayo i-estrogen.

Buza usokhemesti okanye ugqirha wakho ngekopi yolwazi lomenzi wesigulana.

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

Ngaphambi kokuba uthathe i-estrogen,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba u-aleji kulo naluphi na uphawu lwe-estrogen yomlomo, naziphi na iimveliso ze-estrogen, naliphi na iyeza, okanye naziphi na izithako ezikwiipilisi ze-estrogen. Ukuba uza kuthatha i-Estrace^® Amacwecwe ebrendi, xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-aspirin okanye i-tartrazine (isongezelelo sombala wokutya). Buza usokhemesti wakho okanye ujonge ulwazi lomenzi wesigulana uluhlu lwezinto ezingasebenziyo kuhlobo lweetafile ze-estrogen oceba ukuzithatha.
• 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); Aprepitant (Hlomela); 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); irifampin (Rifadin, Rimactane, 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 uthatha i-estrogen, biza ugqirha wakho ngokukhawuleza.
• thetha nogqirha wakho malunga nobungozi kunye nezibonelelo zokuthatha i-estrogen ukuba uneminyaka engama-65 ubudala okanye ngaphezulu. Abafazi abalupheleyo akufuneki bathathe i-estrogen yomlomo ngaphandle kokuba bathatha nezinye iihomoni. I-estrogen yomlomo ethathwe ngaphandle kwamanye amahomoni ayikhuselekanga okanye ayisebenzi njengamanye amayeza anokusetyenziselwa ukunyanga imeko efanayo.
• ukuba uthatha i-estrogen ukukhusela i-osteoporosis, thetha nogqirha wakho ngezinye iindlela zokuthintela isifo njengokuzilolonga kunye nokuthatha ivithamin D kunye / okanye izongezo ze calcium.

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

Thetha nogqirha wakho malunga neendlela zokunyusa inani le-calcium kunye nevithamin D kwindlela otya ngayo, ngakumbi ukuba uthatha i-estrogen ukukhusela i-osteoporosis.

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.

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

• iintlungu zesifuba okanye ukuthamba
• isisu esimoshakele
• ukugabha
• isilungulela
• ukuqhina
• urhudo
• irhasi
• ubunzima okanye ukulahleka
• iinyanda zomlenze
• uvalo
• ukudakumba
• isiyezi
• ukutshisa okanye ukubetha ezingalweni okanye emilenzeni
• izihlunu eziqinileyo
• ukulahleka kweenwele
• ukukhula kweenwele okungafunekiyo
• mnyama mnyama ulusu ebusweni
• ubunzima bokunxiba iilensi zonxibelelwano
• ukudumba, ukuba bomvu, ukutshisa, ukurhawuzelela, okanye ukucaphuka kwilungu lobufazi
• ukukhutshwa kwilungu lobufazi
• utshintsho kwiminqweno yesini
• iimpawu ezibandayo

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

• Amehlo aqumbileyo
• umqala obuhlungu, umkhuhlane, Ukugodola, ukukhohlela, kunye neminye imiqondiso yosulelo
• 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 nemingcipheko yokuthatha i-estrogen.

I-Estrogen inokubangela ukukhula kuyekise okanye kuyeke kwangethuba ebantwaneni abathatha idosi enkulu ixesha elide. I-Estrogen inokuchaphazela ixesha kunye nesantya sokukhula ngokwesondo ebantwaneni. Ugqirha womntwana wakho uya kumjonga ngononophelo ngethuba lokunyanga kwakhe nge-estrogen. Thetha nogqirha womntwana wakho malunga neengozi zokunika umntwana wakho eli yeza.

I-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).

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

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

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.

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 uthatha i-estrogen.

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.

• Amnestrogen^® (I-estrogens eqinisekisiweyo)^¶
• ICenestin^® (Ukudibanisa okudityanisiweyo ii-estrogens)
• Enjuvia^® (Ukudibanisa i-estrogens B)
• Umgca^® Amacwecwe (estradiol)
• I-Estratab^® (I-estrogens eqinisekisiweyo)
• I-Evex^® (I-estrogens eqinisekisiweyo)^¶
• Ubume^® (I-estrogens eqinisekisiweyo)^¶
• Eyona ndoda^® (I-estrogens eqinisekisiweyo)
• Ogen^® Amacwecwe (estropipate)
• Ortho-est^® (estropipate)
• Ngaphambi^® Iipilisi (ii-estrogens ezidibeneyo)

• Imvelaphi^® (iqulethe i-Estrogens eqinisekisiweyo, iMethyltestosterone)
• Essian^® (iqulethe iEsterified Estrogens, Methyltestosterone)
• I-Estratest^® (iqulethe iEsterified Estrogens, Methyltestosterone)
• Ekwimazi^® (iqulethe iEsterified Estrogens, Methyltestosterone)
• IMenogen^® (iqulethe iEsterified Estrogens, Methyltestosterone)
• IMenrium^® (Equlathe iChlordiazepoxide, iEsterified Estrogens)^¶
• IMilprem^® (equlathe iiCostugated Estrogens, iMeprobamate)^¶
• PMB^® (equlathe iiCostugated Estrogens, iMeprobamate)^¶
• Ngaphambi^® kunye neMethyltestosterone (equlathe i-Conjugated Estrogens, Methyltestosterone)
• Syntest^® (iqulethe iEsterified Estrogens, Methyltestosterone)

• ii-estrogens ezidibeneyo
• I-estrogens eqinisekisiweyo
• estradiol
• estropipate

^¶ Le mveliso inophawu akusekho kwimarike. Ezinye iindlela ezinokubakho zinokubakho.