Ni iki cyitwa Conjugated Estrogens: Ibikoreshwa, Urutonde rw'imiti, Ingaruka zayo n'ibindi

Conjugated estrogens ni uburyo bwo gusimbuza imisemburo, bukaba burimo uruvange rw'imisemburo ya estrogen. Iyi miti ifasha gusimbuza estrogen umubiri wawe uhagarika gukora mu buryo busanzwe, cyane cyane mu gihe cyo gucura. Ushobora kumenya iyi miti ku izina ryayo risanzwe, Premarin, imaze imyaka myinshi ifasha abagore gucunga ibimenyetso bifitanye isano n'imisemburo.

Ni iki cyitwa Conjugated Estrogens?

Conjugated estrogens ni uruvange rw'imisemburo ya estrogen iboneka mu buryo busanzwe, ikaba ikurwa cyane cyane mu nkari z'amafarashi atwite. Iyi miti irimo ubwoko bwinshi bwa estrogen bukora bufatanyije kugira ngo bigane ibyo umubiri wawe wakora mu buryo busanzwe. Igice cy'izina ryitwa "conjugated" risobanura gusa ko iyi estrogen ihujwe mu buryo bw'imiti n'ibindi bintu, ibi bikaba bifasha umubiri wawe kuyinjiza no kuyikoresha neza.

Tekereza conjugated estrogens nk'uruvange rw'imisemburo ruringaniye neza rwandikwa na muganga wawe igihe urwego rwa estrogen rwawe rusanzwe rugabanuka. Ibi bikunda kuba mu gihe cyo gucura, ariko bishobora no kubaho nyuma yo kubagwa cyangwa kuvurwa. Iyi miti iza mu buryo bw'ibinini ufata unywa mu kanwa, bigatuma iba uburyo bworoshye bwo gusimbuza imisemburo buri munsi.

Conjugated Estrogens ikoreshwa mu iki?

Conjugated estrogens ikoreshwa cyane cyane mu kuvura ibimenyetso biterwa n'urwego rwa estrogen ruri hasi mu mubiri wawe. Igikoreshwa cyane ni ukugenzura ibimenyetso byo gucura nk'umuriro, ibyuya by'ijoro, no kumagara mu gitsina. Muganga wawe ashobora kandi kwandika iyi miti kugira ngo yirinde osteoporosis nyuma yo gucura, kuko estrogen ifasha gukomeza amagufa yawe.

Usibye gucura, conjugated estrogens ishobora gufasha mu zindi ndwara zifitanye isano n'imisemburo. Abagore bamwe bakeneye iyi miti nyuma yo kubagwa amavangingo yabo, uburyo bwo kubaga bita oophorectomy. Mu bagore bakiri bato, bishobora kuvura ubushobozi buke bwa ovarian, aho amavangingo ahagarika gukora neza mbere y'imyaka 40.

Mu buryo butajyenda cyane, abaganga bandika imiti irimo estrogen yegeranijwe kubera ubwoko bumwe bwa kanseri y'ibere ku bagabo n'abagore, nubwo iyi mikoreshereze isaba gukurikiranwa neza. Abaganga bamwe kandi bayikoresha mu kuvura kanseri ya prostate ku bagabo, nubwo ibi bigenda bigabanuka uko imiti mishya igenda iboneka.

Ni gute Estrogen yegeranijwe ikora?

Estrogen yegeranijwe ikora isimbura estrogen umubiri wawe utakigira mu bwinshi buhagije. Iyo umaze gufata umuti, ugenda mu maraso yawe ukifatanya n'ibice bya estrogen mu mubiri wawe hose. Ibi bice bimeze nk'imfunguzo zidasanzwe ari zo estrogen gusa ishobora gufungura, kandi iyo zikoreshejwe, zifasha gutegeka imikorere myinshi y'ingenzi y'umubiri.

Uyu muti ufatwa nk'ubuvuzi bwo gusimbuza imisemburo ifite imbaraga ziringaniye. Ifite imbaraga zihagije zo kuvura neza ibimenyetso byinshi bya menopause, ariko iroroshye bihagije gukoreshwa igihe kirekire iyo yanditswe neza. Ubwoko bwinshi bwa estrogen muri estrogen yegeranijwe bukora hamwe kugirango butange uburyo bwo gusimbuza imisemburo burambuye kuruta imiti imwe y'imisemburo.

Umubiri wawe ukoresha estrogen yegeranijwe cyane cyane unyuze mu mwijima wawe, aho isenyuka hanyuma ikavanwaho. Ubu buryo bufasha gukomeza urwego rw'imisemburo ruzamuka umunsi wose, niyo mpamvu abantu benshi bafata uyu muti rimwe ku munsi.

Nkwiriye gufata gute Estrogen yegeranijwe?

Fata estrogen yegeranijwe nkuko umuganga wawe abitegeka, akenshi rimwe ku munsi ku gihe kimwe buri munsi. Urashobora gufata uyu muti hamwe n'ibiryo cyangwa utabifite, ariko kuwufata hamwe n'ibiryo birashobora gufasha kugabanya umujinya w'inda niba hari icyo ubona. Abantu benshi basanga bifasha gufata urugero rwabo mu gitondo kugirango bakomeze gahunda ihamye.

Mimina urupapuro rwose hamwe n'ikirahure cyuzuye cy'amazi. Ntugasenya, ntukore cyangwa ucagagure urupapuro, kuko ibi bishobora kugira ingaruka ku buryo umuti winjizwa. Niba ufata indi miti, uyitandukanye byibuze isaha imwe keretse umuganga wawe akubwiye ibindi.

Kugira ngo ubone ibisubizo byiza, gerageza gufata urugero rwawe ku gihe kimwe buri munsi. Ibi bifasha gukomeza urwego rwa hormone mu mubiri wawe. Niba utangira iyi miti, muganga wawe ashobora gutangira urugero ruto hanyuma akagenda arwongera buhoro buhoro bitewe nuko witwara n'ibimenyetso urimo guhura nabyo.

Nzamara igihe kingana iki mfata Conjugated Estrogens?

Igihe uzamara ufata conjugated estrogens biterwa nicyo ukoresha kandi nuko bikora neza kuri wewe. Kubijyanye n'ibimenyetso bya menopause, abagore benshi bakoresha imiti isimbura hormone mumyaka mike mugihe cyo guhinduka bikomeye. Muganga wawe azagenzura buri gihe niba ukikeneye imiti kandi urugero rungana iki.

Amabwiriza y'ubuvuzi ya none avuga ko ugomba gukoresha urugero ruto rukora neza mugihe gito gishoboka kugirango ucunge ibimenyetso byawe. Ubu buryo bufasha kongera inyungu mugihe ugabanya ibishobora kuba byatera. Abagore bamwe bakeneye gusimbuza hormone mumwaka umwe cyangwa ibiri gusa, mugihe abandi bashobora kungukirwa no gukoresha igihe kirekire, cyane cyane niba bafite ibyago byinshi byo kurwara umugongo.

Umutanga serivisi z'ubuzima azategura igenzura risanzwe kugirango akurikirane uko witwara kuri imiti. Uru ruzinduko ni amahirwe akomeye yo kuganira ku mpinduka zose z'ibimenyetso byawe, gusuzuma ingaruka zose, no guhindura gahunda yawe yo kuvura uko bikwiye. Ntukigere uhagarika gufata conjugated estrogens ako kanya utabanje kuvugana na muganga wawe, kuko ibi bishobora gutera gusubira kwibimenyetso.

Ni izihe ngaruka ziterwa na Conjugated Estrogens?

Abantu benshi bafata conjugated estrogens neza, ariko nk'imiti yose, irashobora gutera ingaruka. Inkuru nziza nuko ingaruka nyinshi zoroheje kandi akenshi zikagenda neza uko umubiri wawe wimenyereza imiti. Kumenya icyo witegura birashobora kugufasha kumva ufite icyizere cyinshi kubijyanye n'imiti yawe.

Ingaruka zisanzwe abagore benshi bahura nazo zirimo kubabara amabere, kuribwa umutwe, no kuruka gake. Ibi bimenyetso bikunze kubaho igihe utangiye gufata umuti cyangwa igihe urugero rwawo ruhindutse. Ushobora kandi kubona kubyimba, guhinduka kw'amarangamutima, cyangwa guhinduka mu gihe cy'imihango niba ukigira imihango.

Dore ingaruka zikunze kuvugwa cyane zikunda gukira zonyine:

• Kubabara cyangwa kubyimba kw'amabere
• Kuribwa umutwe cyangwa imitsi y'umutwe
• Kuruka cyangwa kurwara inda
• Kubyimba cyangwa guhinduka kw'ibiro
• Guhererekana kw'amarangamutima cyangwa kwishima
• Kuvusha mu gitsina cyangwa kubona amaraso make

Izi ngaruka zisanzwe zikunda kugabanuka nyuma y'ibyumweru bike bya mbere by'ubuvuzi uko umubiri wawe wimenyereza impinduka za hormone.

Ingaruka zikomeye ntizisanzwe ariko zisaba ubufasha bwihuse bw'abaganga. Vugana n'umuganga wawe ako kanya niba wumva uribwa umutwe cyane, guhinduka kw'ibyo ubona, kubabara mu gituza, cyangwa guhumeka nabi cyane. Ibimenyetso by'amaraso yiziba, nk'ububabare mu kuguru cyangwa kubyimba, nabyo bisaba isuzuma ryihuse ry'abaganga.

Dore ibimenyetso by'imburira bisaba ubufasha bwihuse bw'abaganga:

• Kuribwa umutwe cyane cyangwa kudahwema
• Gu hinduka kw'ibyo ubona cyangwa ibibazo by'amaso
• Kubabara mu gituza cyangwa guhumeka nabi
• Kubabara mu kuguru, kubyimba, cyangwa gushyuha
• Gusohoka amaraso mu gitsina bidasanzwe
• Kubabara cyane mu nda
• Uruhu cyangwa amaso y'umuhondo

Nubwo izi ngaruka zikomeye zitabaho kenshi, kuzimenya bifasha gushaka ubufasha vuba niba bibaye ngombwa, ibyo bishobora kwirinda ingorane.

Ninde utagomba gufata Estrogens ihujwe?

Estrogens ihujwe ntizigirwa umutekano kuri buri wese, kandi ibibazo by'ubuzima bimwe na bimwe bituma uyu muti utabera cyangwa ugatera akaga. Umuganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kwandika uyu muti kugirango yemeze ko ari umutekano kuri wowe. Kuba inyangamugayo ku mateka yawe y'ubuzima bifasha umuganga wawe gufata icyemezo cyiza cyo kukwitaho.

Ntabwo ukwiye gufata imisemburo ya estrogen conjugated niba waragize amaraso yiziba, sitiroki, cyangwa umutima. Uyu muti ushobora kongera ibyago byo kurwara izi ndwara zikomeye, cyane cyane niba warigeze kuzirwara mbere. Indwara yawe y'umwijima cyangwa amateka y'ibibazo by'umwijima bituma uyu muti udakwiriye.

Dore indwara zikomeye zisanzwe zituma umuntu adashobora gukoresha estrogen conjugated:

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• Amateka y'amaraso yiziba cyangwa sitiroki
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• Indwara y'umwijima ikora
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• Amateka y'uburwayi bwa kanseri y'ibere cyangwa kanseri y'uruhu rw'inda
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• Gusohoka amaraso mu gitsina kidafite ibisobanuro
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• Gusama cyangwa gukeka ko utwite
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• Indwara y'umutima ikora
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Muganga wawe azagereranya ibi byago n'inyungu zishoboka kugirango amenye niba estrogen conjugated ikwiriye kuri wowe.

Izindi ndwara zimwe na zimwe zisaba kwitonda cyane ariko ntizikuraho uyu muti. Niba urwaye diyabete, umuvuduko ukabije w'amaraso, cyangwa ufite amateka y'umuryango ya kanseri y'ibere, muganga wawe arashobora kugutera estrogen conjugated ariko azakugenzura neza. Ikintu cy'ingenzi ni ukuganira neza n'umuganga wawe ku bijyanye n'ibibazo byose by'ubuzima bwawe.

Amazina y'ubwoko bwa estrogen conjugated

Premarin ni izina rizwi cyane ry'ubwoko bwa estrogen conjugated kandi rimaze imyaka myinshi riboneka. Ubu bwoko burimo estrogen conjugated ikomoka mu nkari z'ifarashi zitwite, niho izina

Hari izindi nzira zishobora gusimbura imisemburo ya estrogen ikoreshwa iyo iyi miti itagukwiriye. Imisemburo ya bioidentical, nk'estradiol, isa neza n'imisemburo umubiri wawe ukora mu buryo busanzwe. Iyi miterere iza mu buryo butandukanye burimo ibishishwa, amavuta, na tablet, bitanga uburyo bwo gufata imisemburo.

Izindi nzira zitari iz'imisemburo zirashobora gufasha mu gucunga ibimenyetso bya menopause. Ibintu bituma serotonin yongera gufatwa (SSRIs) nka paroxetine birashobora kugabanya ubushyuhe bwinshi, mugihe gabapentin ishobora gufasha mu gucunga ubushyuhe bwinshi n'ibibazo byo gusinzira. Impinduka mu mibereho, harimo imyitozo ngororamubiri ya buri gihe, gucunga umunaniro, no guhindura imirire, birashobora kandi gutanga ubufasha bukomeye ku bimenyetso.

Ku buzima bw'amagufa by'umwihariko, imiti nka bisphosphonates (nka alendronate) irashobora gukumira osteoporosis itagombye gusimbuza imisemburo. Muganga wawe ashobora kugufasha gushakisha izi nzira niba imisemburo ya estrogen itakwiriye cyangwa niba ukunda uburyo butari ubw'imisemburo bwo gucunga ibimenyetso byawe.

Ese imisemburo ya Conjugated Estrogens iruta Estradiol?

Imisemburo ya conjugated estrogens na estradiol ni uburyo bwombi bufasha gusimbuza imisemburo, ariko bikora mu buryo butandukanye gato mu mubiri wawe. Conjugated estrogens irimo ubwoko bwinshi bwa estrogen, mugihe estradiol ari umusemburo umwe, wa bioidentical. Guhitamo hagati yabyo akenshi biterwa n'ibimenyetso byawe bwite, ibyo ukunda, n'uko umubiri wawe witwara kuri buri muti.

Conjugated estrogens ishobora gutanga uburyo bwuzuye bwo gusimbuza imisemburo kuko irimo ubwoko butandukanye bwa estrogen bukora hamwe. Ariko, estradiol isa neza n'ibyo intanga ngore zawe zikora mu buryo busanzwe, ibyo abantu bamwe bakunda. Estradiol kandi iza mu buryo bwinshi bwo gutanga imiti, harimo ibishishwa n'amavuta, binyura mu mwijima kandi bishobora kugabanya ibyago bimwe na bimwe.

Umuvuzi wawe azatekereza ibintu nk'imyaka yawe, amateka y'ubuzima bwawe, n'uburemere bw'ibimenyetso iyo ahitamo hagati y'izi nzira. Abagore bamwe babaho neza hamwe n'imwe kurusha iyindi, kandi birashobora gufata igihe kugirango umenye icyo gikora neza kuri wewe. Uburyo "bwiza" ni ukuri buri kimwe gicunga neza ibimenyetso byawe hamwe n'ingaruka nke.

Ibikunze Kubazwa Ku Bijyanye na Conjugated Estrogens

Ese Conjugated Estrogens irinzwe ku ndwara z'umutima?

Conjugated estrogens bisaba gutekereza neza niba ufite indwara y'umutima cyangwa ibintu byongera ibyago by'umutima n'imitsi. Ubushakashatsi buherutse gukorwa bwerekana ko gutangira imiti isimbura imisemburo imbere y'imyaka 10 ya menopause bishobora kugira akamaro ku mutima, ariko kuyitangira nyuma cyangwa ku bagore bafite indwara z'umutima zihari birashobora kongera ibyago by'umutima n'imitsi. Umuganga wawe w'umutima n'umuganga w'abagore bagomba gukorana kugirango basuzume uko ubuzima bwawe buhagaze.

Niba ufite indwara y'umutima idakomeye cyangwa ibintu byongera ibyago nka kolesteroli nyinshi, umuganga wawe ashobora gukomeza kwandika conjugated estrogens ariko azakugenzura neza. Ariko, niba waragize umutima utera, sitiroki, cyangwa ufite indwara y'umutima ikomeye, iyi miti ntisanzwe itangwa kubera ibyago byiyongera by'amaraso no guhura n'ibibazo by'umutima n'imitsi.

Nigute nakora niba nanyweye conjugated estrogens nyinshi bitunguranye?

Niba utunguranye ukanywa conjugated estrogens nyinshi kuruta uko byategetswe, ntugahungabane, ariko uvugishe umuganga wawe cyangwa ikigo gishinzwe kugenzura uburozi kugirango baguhe ubuyobozi. Kunywa doze yinyongera rimwe na rimwe ntibishoboka ko byateza ibibazo bikomeye, ariko birashobora kongera ibyago byawe byo kugira ingaruka zirimo isesemi, kubabara amabere, cyangwa kuva amaraso.

Reka kwitegereza ibimenyetso nk'umururumba ukabije, kuruka, kuribwa amabere, cyangwa kuva amaraso bidasanzwe, kandi ushake ubufasha bw'abaganga niba bibayeho. Ku bindi byongerwa, garuka ku gahunda yawe isanzwe kandi ntugerageze "gukosora" urugero rwongerewe urukana urugero rukurikira. Niba ukunda kwibagirwa imiti cyangwa ukanywa imiti yongerewe, tekereza gukoresha umuteguro w'imiti cyangwa gushyiraho ibyibutsa kuri terefone.

Nkwiriye gukora iki niba nciwe urugero rwa Conjugated Estrogens?

Niba ucikanwe urugero rwa conjugated estrogens, rinywe vuba na bwangu uko wibuka, keretse igihe cyegereje urugero rukurikira rwatanzwe. Muri icyo gihe, reka urugero rucikanwe ukomeze gahunda yawe isanzwe. Ntukigere unywa imiti ibiri icyarimwe kugirango ukosore urugero rucikanwe, kuko ibi bishobora kongera ibyago byo kugira ingaruka ziterwa n'imiti.

Gucikanwa urugero rimwe na rimwe ntibiteje akaga, ariko gerageza kugumana ubumwe kugirango ugere ku miyoborere myiza y'ibimenyetso. Niba ukunda kwibagirwa imiti, ibimenyetso byawe bishobora kugaruka cyangwa bikiyongera. Gushyiraho alarme ya buri munsi cyangwa gukoresha umuteguro w'imiti birashobora kugufasha kuguma ku murongo w'itegeko ryawe ry'imiti.

Nshobora guhagarika ryari kunywa Conjugated Estrogens?

Umutuzo wo guhagarika conjugated estrogens ugomba gufatwa buri gihe hamwe n'ubuyobozi bwa muganga wawe. Abagore benshi bashobora kugabanya buhoro urugero rwabo hanyuma bakazihagarika imiti igihe ibimenyetso byabo bya menopause bibangamiye byahagaze. Ibi bikunda kuba nyuma y'imyaka mike menopause itangiye, ariko igihe kiratandukanye kuri buri muntu.

Muganga wawe ashobora gukugira inama yo kugabanya urugero buhoro buhoro aho guhagarara ako kanya. Ubu buryo buhoro buhoro bufasha kugabanya kugaruka kw'ibimenyetso no kugabanya ibyago byo kugira ingaruka ziterwa n'imiti. Abagore bamwe basanga bashobora guhagarara rwose, mu gihe abandi bakeneye gukomeza urugero ruto kugirango barinde amagufa cyangwa ibimenyetso bihoraho. Kugenzura buri gihe bifasha kumenya igihe gikwiye kuri wewe.

Nshobora kunywa Conjugated Estrogens hamwe n'indi miti?

Estrojeni zihujwe zirashobora gukorana n'imiti myinshi, bityo ni ngombwa kubwira muganga wawe ibyo urimo gufata byose, harimo imiti itangwa idakeneye uruhushya rwa muganga na za supplement. Imwe mu miti irashobora kugabanya imikorere ya estrojeni zihujwe, mu gihe iyindi ishobora kongera ibyago byo kugira ingaruka ziterwa n'iyo miti.

Imiti igabanya amaraso nka warfarin ikeneye gukurikiranwa neza iyo ifatanyije na estrojeni zihujwe, kuko imisemburo ishobora kugira uruhare mu mikorere y'umuti ugabanya amaraso. Antibiyotike zimwe na zimwe n'imiti ivura indwara zo gufatwa n'urugero, na byo birashobora kugabanya imikorere ya hormone replacement therapy. Muganga wawe cyangwa umufarumasiti ashobora kureba imiti yose ufata kugira ngo arebe niba hariho uburyo yakorana kandi agahindura doze niba bibaye ngombwa.