Yini i-Conjugated Estrogens kanye ne-Medroxyprogesterone: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Conjugated estrogens kanye ne-medroxyprogesterone kuyindlela yokwelapha ngamaphilisi ama-hormone ahlanganisiwe esikhundleni sama-hormone umzimba wakho ongawenzi ngemva kokuya esikhathini. Lo muthi uqukethe izinhlobo ezimbili zama-hormone: i-estrogen (evela emithonjeni yemvelo) kanye nohlobo olwenziwe nge-progesterone olubizwa nge-medroxyprogesterone acetate.

Abesifazane abaningi bathola ukuthi le nhlanganisela iyasiza ekuphatheni izimpawu zokuya esikhathini ezingakhululeki njengokushisa okukhulu kanye nokujuluka ebusuku. Udokotela wakho unquma womabili ama-hormone ndawonye ngoba ukuthatha i-estrogen yodwa kungakhuphula izingozi ezithile zempilo, kuyilapho ukwengeza i-progesterone kusiza ukuvikela umugqa wakho wesibeletho.

Yini i-Conjugated Estrogens kanye ne-Medroxyprogesterone Esetshenziselwa Yona?

Lo muthi ngokuyinhloko welapha izimpawu zokuya esikhathini eziphakathi nendawo kuya kwezinkulu eziphazamisa impilo yakho yansuku zonke. Ukushisa okukhulu, ukujuluka ebusuku, kanye nokoma kwesitho sangasese sowesifazane yizizathu ezivame kakhulu odokotela abanquma ngazo le ndlela yokwelapha ehlanganisiwe.

Lo muthi ungasiza futhi ekuvikeleni i-osteoporosis (ukuncipha kwamathambo) kwabesifazane abase sebeqede ukuya esikhathini abasengozini enkulu yokuphuka. Kodwa-ke, odokotela ngokuvamile bacabangela lokhu kusetshenziswa kuphela uma eminye imithi eqinisa amathambo ingakulungele.

Abanye besifazane bahlangabezana nezinguquko zemizwa, izinkinga zokulala, nobunzima bokugxilisa ingqondo ngesikhathi sokuya esikhathini. Ngenkathi lo muthi ungasiza ngalezi zimpawu, udokotela wakho uzohlola ngokucophelela izinzuzo ngokumelene nezingozi ezingaba khona ngaphambi kokuncoma ukwelashwa.

Isebenza Kanjani i-Conjugated Estrogens kanye ne-Medroxyprogesterone?

Le nhlanganisela isebenza ngokufaka esikhundleni sama-hormone ama-ovari akho ayeka ukuwakhiqiza ngesikhathi sokuya esikhathini. Ingxenye ye-estrogen isiza ukunciphisa ukushisa okukhulu, ukujuluka ebusuku, kanye nokoma kwesitho sangasese sowesifazane ngokulingisa i-estrogen yemvelo yomzimba wakho.

Ingxenye ye-medroxyprogesterone ivikela umugqa wakho wesibeletho ekukhuleni ngokweqile okungenzeka nge-estrogen yodwa. Cabanga nge-progesterone njengozakwethu ovikelayo ogcina izicubu zakho zesibeletho ziphilile futhi anciphise ingozi yomdlavuza othile.

Lokhu kuthathwa njengokwelashwa ngamaphilisi okulingene ngamandla. Kuqinile kunezinye izindlela ezinamathiselwe ezitshalweni kodwa ngokuvamile kulula kunezinye izinhlanganisela zamahomoni ezenziwe ngamanye amakhemikhali. Udokotela wakho uzoqala ngomthamo ophansi osebenzayo ukuze anciphise imiphumela emibi.

Kufanele Ngiyithathe Kanjani I-Conjugated Estrogens ne-Medroxyprogesterone?

Thatha lo muthi njengoba nje udokotela wakho ekuyala, ngokuvamile kanye ngosuku ngesikhathi esifanayo nsuku zonke. Ungawuthatha ngaphandle noma ngaphandle kokudla, nakuba ukuwuthatha nokudla kungasiza ekuvikeleni isisu esibuhlungu.

Gwinya ithebhulethi yonke ngengilazi yamanzi egcwele. Ungayichobozi, uyihlafune, noma uyiphule ithebhulethi, njengoba lokhu kungathinta indlela umuthi osebenza ngayo emzimbeni wakho.

Uma ushintsha ukusuka kwenye i-hormone therapy, udokotela wakho uzokunikeza imiyalelo ethile mayelana nesikhathi. Ungayeki ukuthatha lo muthi kungazelelwe ngaphandle kokukhuluma nomhlinzeki wakho wezempilo kuqala, njengoba lokhu kungabangela ukuthi izimpawu zibuye ngokushesha.

Zama ukuthatha umthamo wakho ngesikhathi esifanayo nsuku zonke ukuze ugcine amazinga e-hormone ezinzile. Abesifazane abaningi bakuthola kuwusizo ukuwuthatha ngesidlo sasekuseni noma isidlo sakusihlwa ukuze basungule isimiso.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Conjugated Estrogens ne-Medroxyprogesterone?

Odokotela abaningi batusa ukusebenzisa lo muthi isikhathi esifushane ngangokunokwenzeka ukuze ulawule izimpawu zakho ngempumelelo. Lokhu ngokuvamile kusho ukuqala ngesikhathi sokuhlola sezinyanga ezi-3 kuya kwezi-6 ukuze ubone ukuthi kusebenza kahle kangakanani kuwe.

Udokotela wakho uzohlela ukuhlolwa okuvamile njalo ezinyangeni ezi-3 kuya kwezi-6 ukuze aqaphele impendulo yakho futhi abheke noma yimiphi imiphumela emibi. Lokhu kuvakasha kusiza ukunquma ukuthi kufanele uqhubeke yini, ulungise umthamo wakho, noma ucabange ukuyeka umuthi.

Ezinye izintokazi zingase zidinge ukwelashwa ngamaphilisi amahomoni iminyaka eminingi, kanti ezinye zithola ukukhululeka ngemva nje kwezinyanga ezimbalwa. Isimo sakho ngasinye, ubukhulu bezimpawu, kanye nezinto eziyingozi zizoqondisa ukuthi uhlala isikhathi esingakanani ekwelashweni.

Ukusetshenziswa kwesikhathi eside ngaphezu kweminyaka emi-5 kudinga ukucatshangelwa ngokucophelela kwezinzuzo uma kuqhathaniswa nezingozi. Udokotela wakho uzokusiza ukuthi wenze lesi sinqumo ngokusekelwe emlandweni wakho wezempilo othile kanye nezidingo zekhwalithi yempilo.

Yiziphi Izimo Ezingezinhle Zama-Estrogens Ahlanganisiwe kanye ne-Medroxyprogesterone?

Iningi labesifazane likubekezelela kahle lokhu kwelashwa, kodwa njengazo zonke izinhlobo zamahomoni, kungabangela imiphumela engemihle. Ukuqonda ukuthi yini ongayilindela kukusiza ukuthi uqaphele ukusabela okujwayelekile uma kuqhathaniswa nezimpawu ezikhathazayo ezidinga ukunakekelwa kwezokwelapha.

Imiphumela engemihle ejwayelekile abesifazane abaningi abayitholayo ihlanganisa ukuba buhlungu kwamabele, isicanucanu esincane, ikhanda elibuhlungu, kanye nezinguquko zemizwa. Lokhu kuvame ukuthuthuka njengoba umzimba wakho uzivumela emuthini ezinyangeni zokuqala.

Nawa ama-side effects avamile ongase uwaqaphele:

• Ukuba buhlungu kwamabele noma ukuvuvukala
• Isicanucanu esincane noma ukuphazamiseka kwesisu
• Ikhanda elibuhlungu
• Izinguquko zemizwa noma ukucasuka
• Ukuqunjelwa noma ukugcinwa kwamanzi
• Izinguquko endleleni yakho yokuya esikhathini
• Ama-cramps emilenzeni
• Isiyezi

Le miphumela ejwayelekile ivame ukungabonakali njengoba umzimba wakho uzivumela kumahomoni. Uma ziqhubeka noma ziba zimbi ngemva kwezinyanga ezimbalwa, udokotela wakho angase alungise umthamo wakho noma asikisele indlela yokwelapha ehlukile.

Imiphumela engemihle engathi sína ayivamile kodwa idinga ukunakekelwa kwezokwelapha ngokushesha. Lokhu kufaka phakathi ikhanda elibuhlungu elibukhali, izinguquko embonweni, ubuhlungu besifuba, ukuphefumula kanzima, noma ubuhlungu emlenzeni obukhali nokuvuvukala.

Izinkinga ezingavamile kodwa ezingathi sína zingahlanganisa amahlule egazi, unhlangothi, isifo senhliziyo, noma iminye iminyango yomdlavuza. Ngenkathi lezi zingozi ziphansi, udokotela wakho uzokuqapha ngokucophelela futhi axoxe ngezinto eziyingozi zakho ngaphambi kokuqala ukwelashwa.

Ubani Ongafanele Athathe Ama-Estrogens Ahlanganisiwe kanye ne-Medroxyprogesterone?

Lo muthi awuphephile kuwo wonke umuntu, futhi izimo ezithile zezempilo ziwenza ube yingozi. Udokotela wakho uzoqala ngokubuyekeza umlando wakho wezempilo ngaphambi kokukuchazela le nhlanganisela.

Akufanele usebenzise lo muthi uma ukhulelwe, uncelisa, noma unezinkinga zokuphuma kwegazi ngaphandle kwencazelo esithweni sakho sangasese. Lezi zimo zidinga izindlela ezihlukene zokwelapha ukuqinisekisa ukuphepha kwakho.

Izimo eziningana zezempilo zenza le therapy yamahomoni ingafaneleki kuwe:

• Umlando wamagazi aqinile emilenzeni yakho noma emaphashini
• Ukushaywa unhlangothi noma ukuhlaselwa yinhliziyo ngaphambilini
• Isifo sesibindi esisebenzayo
• Umlando womdlavuza wamabele noma eminye imidlavuza ethintekayo kumahomoni
• Ukuphuma kwegazi ngaphandle kwencazelo esithweni sakho sangasese
• Umfutho wegazi ophezulu ongaphathwanga kahle
• Ikhanda elibuhlungu eliqinile le-migraine
• Isifo se-gallbladder

Udokotela wakho uzobheka iminyaka yakho, umlando womndeni wakho, kanye nezinto eziphathelene nendlela yokuphila lapho enquma ukuthi lo muthi ukufanele yini. Abesifazane abaneminyaka engaphezu kwengama-65 noma labo ababhemayo bangase babhekane nezingozi eziphakeme futhi badinge ukwelashwa okuhlukile.

Uma unesifo sikashukela, izinkinga ze-thyroid, noma isifo sezinso, ungase usakwazi ukusebenzisa lo muthi, kodwa uzodinga ukuqashwa eduze. Udokotela wakho uzoqaphela izinzuzo ngokumelene nezinkinga ezingaba khona esimweni sakho esithile.

Amagama e-Conjugated Estrogens kanye ne-Medroxyprogesterone Brand

Igama elivamile kakhulu lale nhlanganisela yi-Prempro, etholakala kabanzi emakhemisi. I-Premphase elinye igama lomkhiqizo elihlinzeka ngamahomoni afanayo kodwa ngeshejuli yokulinganisa ehlukile.

Izinhlobo ze-Generic nazo ziyatholakala futhi zisebenza ngempumelelo njengezinketho zegama lomkhiqizo. Umuthi wakho we-pharmacist angakusiza ukuthi uqonde umehluko phakathi kwemikhiqizo kanye ne-generics, okuhlanganisa izindleko.

Ezinye izindlela ziza ngamandla ahlukene, ngakho udokotela wakho uzochaza ngokuqondile ukuthi yiluphi uhlobo oludingayo. Njalo hlola kabili nomuthi wakho we-pharmacist ukuthi uthola umuthi ofanele namandla.

Ezinye izindlela ze-Conjugated Estrogens kanye ne-Medroxyprogesterone

Kunezindlela eziningana uma le nhlanganisela ingasebenzi kahle kuwe noma uma ungenakuyithatha ngokuphepha. Udokotela wakho angakusiza ukuthi uhlole ezinye izinketho ezingase zivumelane kangcono nezidingo zakho kanye nephrofayili yezempilo.

Ezinye izinketho zokwelapha ngamaphilisi zihlanganisa ama-patch e-estrogen kuphela, ama-gel, noma izindandatho uma uke wahlinzwa i-hysterectomy. Abanye besifazane bakhetha lezi zindlela ngoba zidlula uhlelo lokugaya ukudla futhi zingase zibangele imiphumela emibi embalwa.

Ezinye izindlela ezingezona zamahomoni nazo zingasiza ekuphatheni izimpawu zokuya esikhathini. Lokhu kuhlanganisa ama-antidepressants athile, imithi yokwehlisa umfutho wegazi, kanye nezithasiselo ezinjenge-black cohosh noma i-soy isoflavones.

Ushintsho lwendlela yokuphila njengokuzivocavoca njalo, ukuphatha ingcindezi, nokugwema izinto ezibangela izimpawu ezinjengokudla okunezinongo kunganciphisa kakhulu ukushisa okushisayo kwabesifazane abaningi. Udokotela wakho angase ancome ukuzama lezi zindlela kuqala noma kanye nemithi.

Ingabe i-Conjugated Estrogens kanye ne-Medroxyprogesterone ingcono kune-Estradiol kanye ne-Progesterone?

Zombili lezi zinhlanganisela ziyasebenza ekwelapheni izimpawu zokuya esikhathini, kodwa zisebenza ngendlela ehlukile emzimbeni wakho. Ukukhetha phakathi kwazo kuncike ezimpawini zakho ezithile, umlando wezempilo, nokuthi umzimba wakho usabela kanjani ekwelashweni.

Ama-estrogen ahlanganisiwe avela emithonjeni yemvelo futhi aqukethe izinhlobo eziningi ze-estrogen, kuyilapho i-estradiol iyinhlobo eyodwa, enamandla kakhulu ye-estrogen. Abanye besifazane bazizwa kangcono ngohlobo olulodwa kunolunye, nakuba zombili zithathwa njengeziphephile futhi ziyasebenza.

Ingxenye ye-progesterone nayo iyahluka phakathi kwezinketho. I-Medroxyprogesterone iyinhlanganisela yokwenziwa, kuyilapho ezinye izindlela zisebenzisa i-progesterone ye-bioidentical evumelana kakhulu nesakhiwo sehomoni yemvelo yomzimba wakho.

Udokotela wakho uzocabangela izinto ezinjengobukhulu bezimpawu zakho, izici eziyingozi, kanye nokuhlangenwe nakho kwangaphambilini kokwelashwa ngamaphilisi lapho encoma inketho engcono kakhulu kuwe. Ngezinye izikhathi kuthatha ukuzama izinhlanganisela ezihlukene ukuze uthole okusebenza kahle.

Imibuzo Evame Ukubuzwa Mayelana Ne-Conjugated Estrogens kanye ne-Medroxyprogesterone

Ingabe i-Conjugated Estrogens kanye ne-Medroxyprogesterone iphephile ezigulini zenhliziyo?

Lo muthi udinga ukucatshangelwa ngokucophelela uma unesifo senhliziyo noma izinto eziyingozi zezinkinga zenhliziyo. Iziqondiso zamanje zezokwelapha ngokuvamile azincomi ukuqala ukwelashwa ngamahomoni ikakhulukazi ukuvikela inhliziyo.

Uma usuvele unesifo senhliziyo, udokotela wakho uzohlola izingozi nezinzuzo ngokucophelela okukhulu. Abanye besifazane abanezimo zenhliziyo bangasebenzisa ngokuphepha ukwelashwa ngamahomoni ngezimpawu ezinzima zokuya esikhathini, kodwa lokhu kudinga ukuqapha okuseduze nokunakekelwa okukhethekile.

Impilo yakho yenhliziyo nemithambo yegazi, iminyaka yakho lapho uqala ukwelashwa, nesikhathi esedlule kusukela ekuya esikhathini konke kungena kulesi sinqumo. Abesifazane abaqala ukwelashwa ngamahomoni kungakapheli iminyaka eyi-10 yokuya esikhathini bangase babe namaphrofayili ahlukene eyingozi kunalabo abaqala kamuva.

Ngingenzani uma ngiphuzile i-Conjugated Estrogens kanye ne-Medroxyprogesterone eningi ngengozi?

Ukuphuza umuthi omningi kakhulu kungabangela isicanucanu, ukuhlanza, ubumnene bebele, nokopha okungajwayelekile. Uma ngengozi uphuza umthamo owengeziwe, ungapheli amandla, kodwa xhumana nodokotela wakho noma usokhemisi ukuze uthole isiqondiso.

Ungazami ukuzama ukulungisa ukweqisa ngokweqa umthamo wakho olandelayo. Esikhundleni salokho, buyela esimisweni sakho esijwayelekile sokulinganisa futhi wazise umhlinzeki wakho wezempilo ukuthi kwenzekeni.

Uma uphuze okuningi kakhulu kunokunqunyiwe noma uzizwa ungaphilile, funa ukwelashwa ngokushesha. Ukweqisa ngamahomoni okuningi akusongeli impilo, kodwa ochwepheshe bezokwelapha bangahlinzeka ngokunakekelwa okufanele nokuqapha.

Ngingenzani uma ngiphuthelwa umthamo we-Conjugated Estrogens kanye ne-Medroxyprogesterone?

Uma uphuthelwa umthamo, wuthatha ngokushesha lapho ukhumbula, ngaphandle kwalapho sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Esimweni esinjalo, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ongekho, ngoba lokhu kungakhuphula ingozi yakho yemiphumela emibi. Umthamo owodwa ongekho ngeke ube nomthelela omkhulu ekwelashweni kwakho, ngakho-ke ungakhathazeki uma lokhu kwenzeka ngezikhathi ezithile.

Uma uvame ukukhohlwa imithamo, cabangela ukusetha izikhumbuzi zocingo noma ukuthatha imithi yakho ngesikhathi esifanayo nomunye umsebenzi wansuku zonke njengokuxubha amazinyo akho. Isikhathi esiqhubekayo sisiza ukugcina amazinga e-hormone aqinile.

Ngingayeka nini Ukuthatha Ama-Estrogens Ahlanganisiwe kanye ne-Medroxyprogesterone?

Ungalokothi uyeke lo muthi ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Ukuyeka kungazelelwe kungabangela ukuthi izimpawu zakho zokuya esikhathini zibuye ngokushesha futhi kungaholela emiphumeleni efana nokuhoxiswa okungakhululekile.

Udokotela wakho uzokusiza ukuthi wakhe uhlelo lokuyeka uma isikhathi sesifanele. Lokhu kungabandakanya ukunciphisa kancane kancane umthamo wakho ezinyangeni eziningana ukuze kuncishiswe ukubuyela kwezimpawu.

Odokotela abaningi batusa imizamo yezikhathi ezithile yokuyeka noma ukunciphisa ukwelashwa nge-hormone ukuze babone ukuthi usayidinga yini. Izimpawu zakho, isimo sempilo, nobude bokwelashwa kuzoqondisa isikhathi salezi zivivinyo.

Ngingathatha Ama-Estrogens Ahlanganisiwe kanye ne-Medroxyprogesterone Ngeminye Imithi?

Lo muthi ungasebenzisana neminye imithi eminingana, ngakho-ke ngaso sonke isikhathi tshela udokotela wakho kanye nosokhemisi ngayo yonke imithi nezithasiselo ozithathayo. Ezinye izindlela zokusebenzisana zingenza ama-hormone angasebenzi kahle noma andise imiphumela emibi.

Ama-antibiotics athile, imithi yokulwa nokuhlaselwa, kanye nezinciphisi zegazi kungase kusebenzisane nokwelashwa nge-hormone. Udokotela wakho kungadingeka ukuthi alungise imithamo noma akuqaphele eduze uma uthatha le mithi ndawonye.

I-St. John's wort nezinye izithasiselo zamakhambi zingase futhi zithinte indlela umzimba wakho oqhubula ngayo ama-hormone. Qiniseka ukuthi usho noma yimaphi amakhambi emvelo noma imikhiqizo engaphandle kwekhawunta oyisebenzisa njalo.