Yini i-Estropipate: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Estropipate iyindlela yokwelashwa nge-hormone ye-estrogen esiza ukufaka esikhundleni se-estrogen umzimba wakho oyeka ukuyenza ngesikhathi sokuya esikhathini. Empeleni inguqulo yokwenziwa ye-estrogen yemvelo ama-ovari akho ayikhiqiza ngaphambi kokuya esikhathini, eyenzelwe ukudambisa izimpawu ezingakhululeki ezingenza lolu shintsho empilweni lube yinselele.

Cabanga nge-estropipate njengomsizi omnene ongena lapho ukukhiqizwa kwama-hormone emvelo emzimbeni wakho kwehla. Abesifazane abaningi bathola ukuthi iletha impumuzo ekuvuthweni, ukujuluka ebusuku, nezinye izimpawu zokuya esikhathini ezingaphazamisa impilo yansuku zonke nokulala.

Yini i-Estropipate Esetshenziselwa Yona?

I-Estropipate ikakhulukazi iphatha izimpawu zokuya esikhathini lapho amazinga e-estrogen emvelo emzimbeni wakho ehla kakhulu. Lo muthi ungenza ukuthi kube khona ibhalansi yama-hormone futhi ukusize uzizwe njengawe futhi ngesikhathi salolu shintsho olungokwemvelo empilweni.

Isizathu esivame kakhulu sokuthi odokotela banikeze i-estropipate ukulawula ukuvuthwa okulinganiselwe kuya kokukhulu nokujuluka ebusuku. Lawa magagasi asheshayo okushisa nokujuluka kungaphazamisa kakhulu, kukuvuse ebusuku noma kubangele amahloni ngezikhathi ezibalulekile.

Ngaphandle kokuvuthwa, i-estropipate futhi isiza ngomswakama wesitho sangasese sowesifazane nokungakhululeki ngesikhathi sobudlelwano obusondelene. Lapho amazinga e-estrogen ehla, izicubu zesitho sangasese sowesifazane zingancipha futhi zingabi nokuqina, okuholela ebuhlungwini noma ekungakhululeki okuthinta izinga lempilo yakho nobudlelwano bakho.

Udokotela wakho angase futhi ancome i-estropipate ukuvimbela i-osteoporosis kwabesifazane abasele ngemva kokuya esikhathini. I-Estrogen isiza ukugcina ukuminyana kwamathambo, ngakho ukuyifaka esikhundleni kunganciphisa ingozi yakho yokuqhekeka futhi kugcine amathambo aqinile njengoba ukhula.

Isebenza Kanjani i-Estropipate?

I-Estropipate isebenza ngokulingisa i-estrogen yemvelo umzimba wakho owayivame ukuyikhiqiza ngaphambi kokuya esikhathini. Ithathwa njengokufaka esikhundleni se-estrogen enamandla aphakathi nendawo ehlanganisa nezamukeli ze-estrogen emzimbeni wakho wonke, isiza ukubuyisela ukusebenza okujwayelekile kwama-hormone.

Uma usethatha i-estropipate, idlula emithanjeni yakho yegazi bese inamathela kuma-estrogen receptors ezicutshini ezihlukahlukene. Lokhu kusiza ukulawula izinga lokushisa lomzimba, ukugcina impilo yesitho sangasese sowesifazane, nokusekela ukuminyana kwamathambo njengoba nje i-estrogen yakho yemvelo yayenza.

Umuthi empeleni ukhohlisa umzimba wakho ukuthi ucabange ukuthi usakhiqiza amazinga afanele e-estrogen. Lokhu kusiza ukunciphisa ukuguquguquka okukhulu kwama-hormone okubangela izimpawu zokuya esikhathini, okudala imvelo yangaphakathi ezinzile.

Kufanele Ngiyithathe Kanjani I-Estropipate?

Thatha i-estropipate ngendlela eqondile udokotela wakho ayalela ngayo, ngokuvamile kanye ngosuku ngaphandle noma ngaphandle kokudla. Odokotela abaningi batusa ukuyithatha ngesikhathi esifanayo nsuku zonke ukuze kugcinwe amazinga e-hormone aqhubekayo emzimbeni wakho.

Ungathatha i-estropipate ngamanzi, ubisi, noma ijusi - noma yini ezizwa ikhululekile esiswini sakho. Abanye besifazane bathola ukuthi ukuyithatha nokudla kusiza ukunciphisa isicanucanu esincane esingase senzeke ekuqaleni.

Uma uthambekele ekuphazamisekeni kwesisu, zama ukuthatha umthamo wakho ngesnakhi esilula noma ukudla. Ama-crackers, isinkwa esosiwe, noma iyogathi kungasiza ukunciphisa noma yikuphi ukuphazamiseka okungase kube khona kokugaya ukudla ngenkathi umzimba wakho uzivumela emuthini.

Ungagxobi, uhlafune, noma uphule amaphilisi ngaphandle uma udokotela wakho ekutshela ngqo ukuthi wenze njalo. Gwinya wonke ukuze uqinisekise ukuthi uthola umthamo ofanele nesikhathi sokukhishwa kwama-hormone.

Kufanele Ngiyithathe Isikhathi Eside Kangakanani I-Estropipate?

Ubude bokwelashwa nge-estropipate buhluka kakhulu kumuntu nomuntu, kuye ngezimpawu zakho nesimo sempilo yakho. Udokotela wakho uzosebenza nawe ukunquma isikhathi sokwelashwa esifushane esisebenzayo esihlinzeka ngokuqeda izinhlungu.

Abesifazane abaningi basebenzisa i-estropipate iminyaka engu-1-5 ukuphatha izimpawu ezinzima zokuya esikhathini. Abanye bayayidinga izikhathi ezimfushane lapho izimpawu zingezesikhashana, kanti abanye bayazuza ekwelashweni isikhathi eside uma izimpawu ziqhubeka noma zibuyela.

Udktela wakho uzohlola njalo ukuthi usasidinga yini i-estropipate, ngokuvamile njalo emavikini angu-6-12. Bazohlola izimpawu zakho, babuyekeze noma yimaphi imiphumela emibi, futhi baxoxe ngokuthi sekuyisikhathi sokunciphisa umthamo noma ukuyeka ukwelashwa ngokuphelele.

Umgomo uhlala ukusebenzisa umthamo ophansi osebenzayo isikhathi esifushane esidingekayo. Le ndlela ikusiza ukuthi uthole ukukhululeka kwezimpawu ngenkathi unciphisa noma yiziphi izingozi ezingaba khona zesikhathi eside ezihambisana nokwelashwa ngamahomoni.

Yiziphi Imiphumela Emibi ye-Estropipate?

Njengayo yonke imithi, i-estropipate ingabangela imiphumela emibi, nakuba abesifazane abaningi bengatholi mingi noma bengenayo nhlobo. Ukuqonda ukuthi okulindelekile kungakusiza ukuthi uzizwe uqiniseka ngokwelashwa kwakho futhi wazi ukuthi ungaxhumana nini nodokotela wakho.

Imiphumela emibi evame kakhulu ivamise ukuba mnene futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi emasontweni ambalwa okuqala okwelashwa.

Imiphumela Ejwayelekile Emibi

Le miphumela emibi ithinta abesifazane abaningi kodwa ngokuvamile iyaphathwa futhi yesikhashana njengoba umzimba wakho uzivumelanisa nokushintshwa kwamahomoni:

• Ukuba buhlungu kwamabele noma ukuvuvukala okuzizwa kufana nalokho ongase ukuzwe ngaphambi kokuya esikhathini
• Ikhanda elibuhlungu elincane elivame ukuthuthuka ngokuhamba kwesikhathi kanye nokuthatha amanzi kahle
• Ukucanuzela kwenhliziyo noma ukuphatheka kabi kwesisu, ikakhulukazi emasontweni ambalwa okuqala
• Ushintsho lwemizwa noma ukuzwela ngokomzwelo njengoba amahomoni akho elinganisela kabusha
• Ukuqunjelwa noma ukukhuluphala okuncane ngenxa yokugcinwa kwamanzi
• Ukuminyana kwemilenze, ikakhulukazi ebusuku
• Ushintsho ekudleni kwakho noma okuthandayo ukudla

Iningi lale miphumela yindlela yomzimba wakho yokujwayela ukuba ne-estrogen futhi. Ivame ukunyamalala phakathi kwamasonto angu-2-4 njengoba uhlelo lwakho luzivumelanisa namazinga amasha amahomoni.

Imiphumela Emibi Engavamile Kodwa Ebucayi

Nakuba kungavamile, eminye imiphumela emibi idinga ukunakekelwa kwezokwelapha ngokushesha ngoba ingabonisa izinkinga ezingathi sína:

• Ukuphuma kwegazi okungavamile esithweni sangasese, ikakhulukazi uma kunzima noma kuqhubeka ngaphezu kwezikhathi ezilindelekile zokulungisa
• Ikhanda elibuhlungu elinamandla elizwakala ngendlela ehlukile kunamakhanda akho avamile
• Ubuhlungu besifuba noma ukuphefumula kanzima okwenzeka kungazelelwe
• Ubuhlungu emlenzeni, ukuvuvukala, noma ukufudumala okungase kubonise iqhubu legazi
• Ushintsho embonweni noma izinkinga zamehlo
• Ubuhlungu obukhulu besisu
• Ukuphuzi kwesikhumba noma amehlo, okungase kubonise izinkinga zesibindi

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, xhumana nodokotela wakho ngokushesha noma funa ukunakekelwa okuphuthumayo. Lezi kungaba yizimpawu zokuthi umzimba wakho awuwamukeli kahle umuthi futhi udinga ukuhlolwa kwezokwelapha ngokushesha.

Ubani Ongafanele Athathe I-Estropipate?

I-Estropipate ayiphephile kuwo wonke umuntu, futhi izimo ezithile zezempilo zikwenza kube yingozi kakhulu ukuyisebenzisa. Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuchazela lo muthi ukuze aqinisekise ukuthi uphephile kuwe.

Akufanele uthathe i-estropipate uma unomlando wamaqhubu egazi, unhlangothi, noma ukuhlaselwa yinhliziyo. Umuthi ungakhuphula ingozi yalezi zenzakalo ezinkulu zenhliziyo nemithambo yegazi, okwenza kube yingozi kubantu abanezimo ezinjalo.

Abesifazane abanomlando womdlavuza wamabele, umdlavuza wama-ovari, noma umdlavuza we-endometrial ngokuvamile abakwazi ukusebenzisa i-estropipate. I-Estrogen ingase ikwazi ukukhuthaza ukukhula komdlavuza ozwela amahomoni, okwenza ukwelashwa kube yingozi kakhulu.

Uma unesifo sesibindi noma ukuphuma kwegazi okungachazeki esithweni sangasese, i-estropipate ayinconywa. Lezi zimo zidinga izindlela zokwelapha ezihlukene, futhi i-estrogen ingase yenze isimo sakho sempilo sibe sibi kakhulu.

Abesifazane abakhulelwe akufanele neze bathathe i-estropipate, njengoba ingalimaza ingane esakhula. Uma usenemijikelezo, udokotela wakho uzoqinisekisa ukuthi awukhulelwe ngaphambi kokuqala ukwelashwa.

Amagama Omkhiqizo we-Estropipate

I-Estropipate iyatholakala ngaphansi kwegama lomkhiqizo elithi Ogen, nakuba ithengiswa njengomuthi ojwayelekile. Zombili izinhlobo zegama lomkhiqizo kanye nezivamile ziqukethe isithako esifanayo esisebenzayo futhi zisebenza ngendlela efanayo emzimbeni wakho.

I-Estropipate ejwayelekile ivamise ukuba ngentengo ephansi kune-brand name version, futhi umshwalense wakho ungase ukhethe inketho ejwayelekile. Ukusebenza kahle nokuphepha kuyafana kungakhathaliseki ukuthi iyiphi inguqulo oyikhethayo.

Ikhemisi lakho lingase lithathe indawo yenguqulo ejwayelekile ngokuzenzakalelayo ngaphandle uma udokotela wakho ebhala ngokuqondile ukuthi "igama lomkhiqizo kuphela" emiyalweni yakho. Lokhu kushintshwa kuphephile futhi kungasiza ekunciphiseni izindleko zakho zemithi.

Ezinye Izindlela Zokwelapha I-Estropipate

Eminye imithi ye-estrogen inganikeza izinzuzo ezifanayo uma i-estropipate ingakulungele. Udokotela wakho angakusiza ukuthi uhlole lezi zinketho ngokusekelwe ezimpawini zakho ezithile nezidingo zempilo.

Ama-estrogen ahlanganisiwe (njenge-Premarin) enye inketho evamile yokushintshwa kwamahomoni. Atholakala emithonjeni yemvelo futhi angase asebenze kangcono kwabanye besifazane, nakuba engase abangele nemiphumela emibi efanayo.

Izithambiso ze-Estradiol, ama-gel, noma amaphilisi anikeza izindlela ezihlukene zokulethwa ezingase zivumelane nendlela yakho yokuphila kangcono. Abanye besifazane bakhetha izithambiso ngoba zinikeza amazinga amahomoni aqhubekayo ngaphandle kwamaphilisi ansuku zonke.

Ezinye izindlela ezingezona zamahomoni zihlanganisa ama-antidepressants athile, imithi yokwehlisa umfutho wegazi, kanye nezinguquko zendlela yokuphila ezingasiza ekuphatheni izimpawu zokuya esikhathini. Lezi zingase zibe izinqumo ezingcono uma ungenakukwazi ukuthatha i-estrogen ngokuphepha.

Ingabe i-Estropipate Ingcono Kune-Premarin?

Kokubili i-estropipate ne-Premarin ziyindlela yokwelapha i-estrogen esebenzayo, kodwa zisebenza kancane ngokuhlukile emzimbeni wakho. Ukukhetha phakathi kwazo kuncike ekuphenduleni kwakho komuntu ngamunye kanye nezintandokazi kunokuthi enye ibe ngcono ngokuqinisekile.

I-Estropipate iyi-estrogen eyenziwe ngabantu abanye besifazane abathola ukuthi ibangela imiphumela emincane kuno-Premarin. Kungase kube lula ohlelweni lwakho lokugaya ukudla futhi kubangele ukungabi nandaba okuncane kubantu abazwelayo.

I-Premarin iqukethe ingxube yama-estrogen avela emithonjeni yemvelo, okulingisa kakhulu ukukhiqizwa kwamahomoni omzimba wakho wokuqala. Abanye besifazane bazizwa ukuthi inikeza ukukhululeka okugcwele kakhulu kwezimpawu ngenxa yalolu hlobo.

Udokotela wakho uzocabangela umlando wakho wezokwelapha, izimpawu zamanje, nokuthi usabela kanjani ekwelashweni lapho ekhetha phakathi kwalezi zinketho. Okusebenza kahle kakhulu kowesifazane oyedwa kungase kungabi kuhle komunye.

Imibuzo Evame Ukubuzwa Nge-Estropipate

Ingabe i-Estropipate iphephile ezigulini zenhliziyo?

I-Estropipate kungenzeka ingaphephile uma unezifo zenhliziyo ezikhona noma izici eziphawulekayo zengozi yenhliziyo nemithambo yegazi. Umuthi ungakhuphula ingozi yokuhlaselwa yinhliziyo, ukushaywa unhlangothi, kanye namahlule egazi, ikakhulukazi kwabesifazane abaneminyaka engaphezu kwengama-60 noma labo abanezimo zenhliziyo.

Udokotela wakho uzohlola ngokucophelela impilo yakho yenhliziyo nemithambo yegazi ngaphambi kokubhala i-estropipate. Bazocabangela iminyaka yakho, umlando womndeni, umfutho wegazi, amazinga e-cholesterol, nezinye izici eziyingozi ukuze banqume ukuthi izinzuzo zidlula yini izingozi.

Uma uthuthukisa izinkinga zenhliziyo ngenkathi uthatha i-estropipate, udokotela wakho angase ancome ukuyeka umuthi futhi ahlole ezinye izindlela zokwelapha izimpawu zakho zokuya esikhathini.

Ngingenzani Uma Ngisebenzisa Ngengozi I-Estropipate Eningi Kakhulu?

Uma ngengozi uthatha i-estropipate eningi kunaleyo ebekiwe, ungapheli amandla, kodwa xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ukuze uthole isiqondiso. Ukuthatha i-estrogen eningi kakhulu kungabangela isicanucanu, ukuhlanza, ubumnene bebele, nokopha okungajwayelekile.

Shayela udokotela wakho ngokushesha uma unezimpawu ezinzima njengokuhlanza okuqhubekayo, ikhanda elibuhlungu elibuhlungu, noma ukopha okungajwayelekile. Bangakwazi ukukweluleka ukuthi ngabe udinga ukuhlolwa kwezokwelapha noma ungaqapha izimpawu ngokuphepha ekhaya.

Ukuvimbela ukweqisa imithi ngengozi, gcina imithi yakho esitsheni sayo sokuqala ngamalebula acacile, futhi cabanga ukusebenzisa umhleli wamaphilisi uma uthatha imithi eminingi nsuku zonke.

Kufanele Ngenzeni Uma Ngeqe Umthamo We-Estropipate?

Uma uqeda umthamo we-estropipate, yithathe ngokushesha nje lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Kulokho, weqa umthamo oqediwe bese uqhubeka neshejuli yakho ejwayelekile.

Ungathathi imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo oqediwe, ngoba lokhu kungandisa ingozi yakho yemiphumela emibi. Umthamo owodwa oqediwe ngeke ube nomthelela omkhulu ekwelashweni kwakho, ngakho-ke vele uqhubeke nomkhuba wakho ojwayelekile.

Uma uvame ukukhohlwa imithamo, zama ukusetha i-alamu yansuku zonke noma ukugcina imithi yakho endaweni ebonakalayo njengesikhumbuzi. Ukuthatha imithi nsuku zonke ngokuqhubekayo kusiza ukugcina amazinga e-hormone ezinzile ukuze kulawulwe kangcono izimpawu.

Ngingayeka Nini Ukuthatha I-Estropipate?

Ungayeka ukuthatha i-estropipate lapho wena nodokotela wakho ninquma ukuthi izinzuzo azisadluli izingozi, noma lapho izimpawu zakho zokuya esikhathini ziyeke ngokwanele. Lesi sinqumo kufanele senziwe ngaso sonke isikhathi ngesiqondiso sezokwelapha kunokuba wenze ngokwakho.

Udkt wakho cishe uzoncoma ukunciphisa kancane kancane umthamo wakho kunokuyeka ngokuphazima kweso. Le ndlela yokunciphisa isiza ukuvimbela ukubuya kungazelelwe kwezimpawu zokuya esikhathini futhi yenza ushintsho lube lula.

Abesifazane abaningi bayayeka ngempumelelo i-estropipate ngemva kweminyaka engu-2-5 yokwelashwa, nakuba abanye bengase badinge izifundo ezinde kuye ngezimpawu zabo nempilo yabo yonke. Ukuhlolwa njalo kusiza ukunquma isikhathi esifanele sakho.

Ngingayithatha I-Estropipate Neminye Imithi?

I-Estropipate ingasebenzisana neminye imithi eminingi, ngakho-ke kubalulekile ukutshela udokotela wakho ngayo yonke imithi kadokotela, imithi etholakala ngaphandle kwe-oda, kanye nezithasiselo ozithathayo. Lokhu kuhlanganisa amavithamini, imithi yezitshalo, ngisho nezidambisi zokucasuka ngezikhathi ezithile.

Eminye imithi efana nale ehlambulula igazi, imithi yokulwa nokuthuthumela, kanye nama-antibiotics athile kungathinta indlela i-estropipate esebenza ngayo emzimbeni wakho. Udokotela wakho angase adinge ukulungisa imithamo noma akuqaphele eduze uma uthatha lezi zinhlanganisela.

Njalo thintana nodokotela wakho noma usokhemisi ngaphambi kokuqala noma yimuphi umuthi omusha ngenkathi uthatha i-estropipate. Bangahlola ukuthi kungenzeka yini ukuthi kuxhumane futhi baqinisekise ukuthi yonke imithi yakho isebenza ngokuphepha ndawonye.