Ni iki cyitwa Conjugated Estrogens na Medroxyprogesterone: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Conjugated estrogens na medroxyprogesterone ni imiti ihuriweho ikoreshwa mu gusimbuza imisemburo umubiri wawe utagikora nyuma yo gucura. Uyu muti urimo ubwoko bubiri bw'imisemburo: estrogen (iva mu bintu bisanzwe) na progesterone ikorwa mu buryo bwa gihanga yitwa medroxyprogesterone acetate.

Abagore benshi basanga iyi miti ihuriweho ifasha mu gukemura ibimenyetso bitari byiza byo gucura nk'umuriro mwinshi no kubira ibyuya nijoro. Muganga wawe yandika iyi miti yombi icyarimwe kuko gufata estrogen yonyine bishobora kongera ibyago by'ubuzima, mugihe kongeramo progesterone bifasha kurengera urwungano rw'inda yawe.

Conjugated Estrogens na Medroxyprogesterone bikoreshwa mu kuvura iki?

Uyu muti ahanini uvura ibimenyetso byo gucura bikomeye cyangwa byoroheje bibangamira ubuzima bwawe bwa buri munsi. Umuriro mwinshi, kubira ibyuya nijoro, no kumagara mu gitsina ni byo bintu bisanzwe abaganga bandikira iyi miti ihuriweho.

Uyu muti kandi ushobora gufasha gukumira osteoporosis (kunyiganyiga kw'amagufa) ku bagore bamaze gucura bafite ibyago byinshi byo kuvunika. Ariko, abaganga basuzuma gukoresha uyu muti gusa iyo indi miti ikomeza amagufa itakugirira akamaro.

Abagore bamwe bahura n'imihindagurikire y'amarangamutima, ibibazo byo gusinzira, no kugorana kwibanda mu gihe cyo gucura. Nubwo uyu muti ushobora gufasha kuri ibi bimenyetso, muganga wawe azasuzuma neza inyungu zayo n'ibyago bishobora guterwa mbere yo kugusaba kuyikoresha.

Conjugated Estrogens na Medroxyprogesterone bikora gute?

Iyi miti ihuriweho ikora isimbura imisemburo intanga ngore zawe zitagikora mu gihe cyo gucura. Igice cya estrogen gifasha kugabanya umuriro mwinshi, kubira ibyuya nijoro, no kumagara mu gitsina binyuze mu kwigana estrogen y'umubiri wawe isanzwe.

Igice cya medroxyprogesterone kirinda urukuta rw'umura wawe gukura cyane bishobora guterwa na estrogen yonyine. Tekereza progesterone nk'umufatanyabikorwa urinda, ugumisha imitsi yawe y'umura ifite ubuzima bwiza kandi igabanya ibyago bya kanseri zimwe na zimwe.

Ibi bifatwa nk'ubuvuzi bwa hormone bufite imbaraga ziringaniye. Burakomeye kurusha izindi nzira zishingiye ku bimera ariko muri rusange biroroshye kurusha imvange zimwe na zimwe za hormone zikozwe. Muganga wawe azatangirana n'urugero ruto rukora kugirango agabanye ingaruka ziterwa.

Nkwiriye Gufata Nte Conjugated Estrogens na Medroxyprogesterone?

Fata uyu muti nk'uko muganga wawe abitegeka, akenshi rimwe ku munsi ku gihe kimwe buri munsi. Urashobora kuwufata hamwe n'ibiryo cyangwa utabifite, nubwo kuwufata hamwe n'ibiryo bishobora gufasha kwirinda kuribwa mu gifu.

Mimina urupapuro rwose hamwe n'ikirahure cyuzuye cy'amazi. Ntukoreshe, ntukore, cyangwa ucagagure urupapuro, kuko ibi bishobora kugira ingaruka ku buryo umuti ukora mu mubiri wawe.

Niba uhinduye uvuye mu bundi buvuzi bwa hormone, muganga wawe azaguha amabwiriza yihariye yerekeye igihe. Ntukigere uhagarika gufata uyu muti ako kanya utabanje kuvugana n'umuganga wawe, kuko ibi bishobora gutuma ibimenyetso bisubira vuba.

Gerageza gufata urugero rwawe ku gihe kimwe buri munsi kugirango ugumane urwego rwa hormone ruhamye. Abagore benshi babona ko bifasha kuwufata hamwe na sauti cyangwa ifunguro rya nimugoroba kugirango bashyireho gahunda.

Nkwiriye Gufata Igihe Kingana Gite Conjugated Estrogens na Medroxyprogesterone?

Abaganga benshi basaba gukoresha uyu muti mu gihe gito gishoboka kugirango ucunge ibimenyetso byawe neza. Ibi bisobanura ko ugomba gutangirana n'igihe cy'igerageza cy'amezi 3 kugeza kuri 6 kugirango urebe uko bikora neza kuri wewe.

Muganga wawe azateganya ibizamini bisanzwe buri mezi 3 kugeza kuri 6 kugirango akurikirane uko witwara kandi arebe ingaruka zose ziterwa. Uru ruzinduko rufasha kumenya niba ugomba gukomeza, guhindura urugero rwawe, cyangwa gutekereza guhagarika umuti.

Abagore bamwe bashobora gukenera imiti ikoresha imisemburo mu myaka myinshi, mu gihe abandi babona ubufasha nyuma y'amezi make gusa. Ibyo wowe ubwawe wumva, ubukana bw'ibimenyetso, n'ibintu bigushyira mu kaga bizagufasha kumenya igihe uzamara ukoresha uwo muti.

Gukoresha uwo muti igihe kirekire kirenze imyaka 5 bisaba ko uzirikana neza inyungu n'ibibazo bishobora kuvuka. Muganga wawe azagufasha gufata icyemezo gishingiye ku buzima bwawe bwihariye n'icyo ukeneye kugira ngo ubuzima bwawe bugende neza.

Ni ibihe bibazo biterwa no gukoresha imisemburo ya conjugated estrogens na medroxyprogesterone?

Abagore benshi bakoresha uwo muti neza, ariko nk'imisemburo yose, ishobora gutera ibibazo. Kumenya icyo witegura bizagufasha kumenya ibimenyetso bisanzwe n'ibibazo bikomeye bisaba ubufasha bw'abaganga.

Ibibazo bisanzwe abagore benshi bahura nabyo birimo kubabara amabere, isesemi rito, kubabara umutwe, no guhinduka kw'amarangamutima. Ibi akenshi biragenda bikemuka uko umubiri wawe umenyera umuti mu mezi make ya mbere.

Dore ibibazo bikunze kugaragara ushobora kubona:

• Kubabara amabere cyangwa kubyimba
• Isesemi rito cyangwa kuribwa mu nda
• Kubabara umutwe
• Guhinduka kw'amarangamutima cyangwa kwishima cyane
• Kuzana amazi mu mubiri cyangwa kubyimba
• Guhinduka kw'imihango
• Kuribwa amaguru
• Urugero

Ibi bibazo bisanzwe akenshi biragabanuka uko umubiri wawe umenyera imisemburo. Niba bikomeje cyangwa bikiyongera nyuma y'amezi make, muganga wawe ashobora guhindura urugero rw'umuti ukoresha cyangwa agashaka uburyo bwo kuvura butandukanye.

Ibibazo bikomeye ntibikunze kubaho ariko bisaba ubufasha bw'abaganga ako kanya. Ibi birimo kubabara umutwe cyane, guhinduka kw'uburebure, kubabara mu gituza, guhumeka nabi, cyangwa kubabara amaguru cyane no kubyimba.

Ibibazo bidakunze kubaho ariko bikomeye bishobora kuba amaraso avuye mu maraso, indwara y'umutima, umutima guhagarara, cyangwa kanseri zimwe na zimwe. Nubwo ibi bibazo biba bike, muganga wawe azakugenzura neza kandi akuganirire ku bintu bigushyira mu kaga mbere yo gutangira kuvurwa.

Ni bande batagomba gukoresha imisemburo ya conjugated estrogens na medroxyprogesterone?

Uyu muti ntukwiriye buri wese, kandi indwara zimwe na zimwe zishobora kuwugira akaga. Muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kugutera uyu muti.

Ntugomba gufata uyu muti niba utwite, wonka, cyangwa ufite amaraso ava mu gitsina atumvikana. Ibi bintu bisaba uburyo butandukanye bwo kuvura kugira ngo umutekano wawe wizerwe.

Indwara nyinshi zituma uyu muti wa hormone utakwiriye:

• Amateka y'amaraso mu maguru yawe cyangwa mu muhaha
• Uburwayi bwo mu mutwe cyangwa umutima bwa mbere
• Indwara yawe irimo gukora mu mwijima
• Amateka ya kanseri y'ibere cyangwa izindi kanseri zifitanye isano na hormone
• Amaraso ava mu gitsina atumvikana
• Umubyimba mwinshi w'amaraso utagenzurwa neza
• Uburwayi bukomeye bwo mu mutwe
• Indwara y'umwijima

Muganga wawe azatekereza kandi ku myaka yawe, amateka y'umuryango wawe, n'imibereho yawe mu gihe cyo kumenya niba uyu muti ukwiriye kuri wowe. Abagore barengeje imyaka 65 cyangwa abanywa itabi bashobora guhura n'ibibazo byinshi kandi bagakeneye imiti itandukanye.

Niba urwaye diyabete, ibibazo bya thyroid, cyangwa indwara y'impyiko, urashobora gukoresha uyu muti, ariko uzakenera gukurikiranwa cyane. Muganga wawe azagereranya inyungu n'ibibazo bishobora kuvuka ku buzima bwawe bwihariye.

Amazina y'ubwoko bwa Conjugated Estrogens na Medroxyprogesterone

Izina risanzwe ry'uyu muti ni Prempro, iboneka cyane muri farumasi. Premphase ni irindi zina ry'ubwoko ritanga hormone zimwe ariko mu buryo butandukanye bwo gutanga imiti.

Ubwoko bwa generic buraboneka kandi bukora neza nk'ubwoko bw'amazina. Umufarumasiti wawe ashobora kugufasha gusobanukirwa itandukaniro riri hagati y'ubwoko n'ubwoko bwa generic, harimo n'ibitekerezo by'ikiguzi.

Ubwoko bumwe na bumwe buza mu mbaraga zitandukanye, bityo muganga wawe azavuga neza ubwoko ukeneye. Buri gihe genzura na farumasi yawe ko urimo guhabwa umuti ukwiye n'imbaraga zikwiye.

Izindi Nshuti za Conjugated Estrogens na Medroxyprogesterone

Hariho izindi nshuti nyinshi zishobora gukoreshwa niba urwo ruvange rutagukundiye cyangwa niba utarushobora gukoresha neza. Muganga wawe ashobora kugufasha gushaka izindi nzira zishobora guhuza neza ibyo ukeneye n'ubuzima bwawe.

Izindi nzira zo kuvura hormone zirimo ibishishwa bya estrogen gusa, amavuta, cyangwa impeta niba warabazwe inda. Abagore bamwe bakunda ubu buryo kuko butanyura mu nzira yo mu gifu kandi bushobora gutera ingaruka nke.

Izindi nzira zitari hormone nazo zishobora gufasha gucunga ibimenyetso bya menopause. Ibi birimo imiti imwe yo kurwanya depression, imiti igabanya umuvuduko w'amaraso, n'ibyongerera imbaraga nk'umukara cohosh cyangwa soy isoflavones.

Impinduka mu mibereho nk'imyitozo ngororamubiri ya buri gihe, gucunga umunaniro, no kwirinda ibitera ibibazo nk'ibiryo biryoshye bishobora kugabanya cyane gushyuha ku bagore benshi. Muganga wawe ashobora kugusaba kubanza kugerageza ubu buryo cyangwa hamwe n'imiti.

Ese Conjugated Estrogens na Medroxyprogesterone biruta Estradiol na Progesterone?

Uru ruvange rwombi rufasha kuvura ibimenyetso bya menopause, ariko bikora mu buryo butandukanye gato mu mubiri wawe. Guhitamo hagati yabyo biterwa n'ibimenyetso byawe byihariye, amateka y'ubuzima bwawe, n'uko umubiri wawe witwara ku miti.

Conjugated estrogens ziva mu bintu bisanzwe kandi zirimo ubwoko bwinshi bwa estrogen, mugihe estradiol ari ubwoko bumwe, bukomeye bwa estrogen. Abagore bamwe bumva bameze neza ku bwoko bumwe kurusha ubundi, nubwo byombi bifatwa nkibifite umutekano kandi bifite akamaro.

Igice cya progesterone nacyo kiratandukanye hagati y'inzira. Medroxyprogesterone ni synthetic, mugihe izindi nzira zikoresha progesterone bioidentical ihuza cyane imiterere ya hormone yawe isanzwe.

Muganga wawe azatekereza ibintu nk'uburemere bw'ibimenyetso byawe, ibintu bigira uruhare mu kwangiza ubuzima, n'uburambe bwa mbere bwo kuvura hormone mugihe agushakira inzira nziza. Rimwe na rimwe bifata kugerageza uruvange rutandukanye kugirango umenye icyo gikora neza.

Ibibazo Bikunze Kubazwa ku bijyanye na Conjugated Estrogens na Medroxyprogesterone

Ese Conjugated Estrogens na Medroxyprogesterone birakwiriye ku bantu barwaye indwara z'umutima?

Uyu muti ukeneye kubanza gutekerezwa neza niba urwaye indwara z'umutima cyangwa ufite ibyago byo kurwara indwara z'umutima. Amabwiriza ya muganga y'ubu ntarema gusaba gutangira imiti ya hormone cyane cyane kugira ngo urinde umutima.

Niba usanzwe urwaye indwara z'umutima, muganga wawe azagereranya neza ibyago n'inyungu. Abagore bamwe bafite ibibazo by'umutima bashobora gukoresha imiti ya hormone mu buryo bwizewe kubera ibimenyetso bikomeye bya menopause, ariko ibi bisaba gukurikiranwa hafi no kwitabwaho byihariye.

Ubuzima bwawe bw'imitsi y'amaraso, imyaka yawe igihe utangira kuvurwa, n'igihe umaze ugeze muri menopause byose bigira uruhare muri iki cyemezo. Abagore batangira imiti ya hormone mu gihe kitarenze imyaka 10 bageze muri menopause bashobora kugira ibyago bitandukanye n'abatangira nyuma.

Nkwiriye gukora iki niba nanyweye cyane Conjugated Estrogens na Medroxyprogesterone ku buryo butunganye?

Kunywa uyu muti cyane bishobora gutera isesemi, kuruka, kubabara amabere, no kuva amaraso bidahoraho. Niba unyweye doze y'inyongera ku buryo butunganye, ntugire ubwoba, ariko vugana na muganga wawe cyangwa umufarumasiti kugira ngo baguhe ubujyanama.

Ntugerageze "gukosora" doze yarenze urugero ukoresha doze itaha. Ahubwo, garuka ku gahunda yawe isanzwe yo kunywa imiti kandi umenyeshe umuganga wawe icyabaye.

Niba unyweye cyane kuruta uko byategetswe cyangwa wumva utameze neza, gisha ubufasha bw'ubuvuzi vuba. Kunywa imiti ya hormone nyinshi cyane ntibitera urupfu, ariko abaganga bashobora gutanga ubuvuzi bukwiye no gukurikirana.

Nkwiriye gukora iki niba nanyimye doze ya Conjugated Estrogens na Medroxyprogesterone?

Niba wimye doze, yinywere vuba uko wibuka, keretse igihe kigeze cyo kunywa doze yawe itaha. Mur'icyo gihe, reka doze wimye hanyuma ukomeze gahunda yawe isanzwe.

Ntugasuzume imiti ibiri icyarimwe kugira ngo usimbure urugero wasuzumye, kuko ibyo bishobora kongera ibyago byo kugira ingaruka zidakunda. Urugero rumwe wasuzumye ntiruzagira ingaruka zikomeye ku buvuzi bwawe, bityo ntugire impungenge niba ibyo bibaye rimwe na rimwe.

Niba ukunda kwibagirwa imiti, tekereza gushyiraho ibyibutso kuri terefone cyangwa gufata imiti yawe icyarimwe n'ibindi bikorwa bya buri munsi nko kumesa amenyo yawe. Igihe gihamye gifasha gukomeza urwego rwa hormone.

Ni ryari nshobora guhagarika gufata Conjugated Estrogens na Medroxyprogesterone?

Ntuzahagarike iyi miti ako kanya utabanje kuvugana na muganga wawe. Guhagarika ako kanya bishobora gutuma ibimenyetso byawe byo gucura biza vuba kandi bishobora gutera ingaruka zitari nziza nk'izo mu gihe cyo gukurwaho imiti.

Muganga wawe azagufasha gukora gahunda yo guhagarika igihe kigeze. Ibi bishobora gushoboka ugabanya buhoro buhoro urugero rwawe mu mezi menshi kugira ngo ugabanye kugaruka kw'ibimenyetso.

Abaganga benshi basaba gukora igerageza ryo guhagarika cyangwa kugabanya imiti ya hormone kugira ngo barebe niba ukiyikeneye. Ibimenyetso byawe, uko ubuzima bwawe bumeze, n'igihe cy'ubuvuzi bizagenga igihe cy'ibi bigeragezo.

Nshobora gufata Conjugated Estrogens na Medroxyprogesterone hamwe n'indi miti?

Iyi miti ishobora guhura n'indi miti myinshi, bityo buri gihe bwire muganga wawe na farumasiye ku miti yose n'ibyongerera imiti ufata. Imwe mu mibanire ishobora gutuma hormone zitagira akamaro cyangwa zikongera ingaruka zidakunda.

Antibiotike zimwe na zimwe, imiti ivura indwara zifata ubwonko, n'imiti ituma amaraso atavura vuba ishobora guhura n'imiti ya hormone. Muganga wawe ashobora gukenera guhindura urugero cyangwa kugukurikiranira hafi niba ufata iyi miti yombi icyarimwe.

St. John's wort n'izindi nyongera imiti zimwe na zimwe z'ibyatsi na zo zishobora kugira ingaruka ku buryo umubiri wawe ukoresha hormone. Wibuke kuvuga imiti yose y'umwimerere cyangwa ibicuruzwa byo ku isoko ukoresha buri gihe.