Evista
URaloxifene isetshenziswa ukusiza ukuvimbela nokuphatha ukuncipha kwama-bone (osteoporosis) kuphela kwabesifazane abesebephelile ukuya ekuqaleni komjikelezo wabo wokuya esikhathini. Isebenza njenge-estrogen ukuyeka ukulahleka kwama-bone okungase kuqhubeke kwabesifazane ngemuva kokuphela komjikelezo wabo wokuya esikhathini, kodwa ayikhuphuli ubukhulu bama-bone njengoba kwenza imithamo yansuku zonke ye-0.625 mg ye-conjugated estrogens. URaloxifene ngeke aphathe ukushisa komzimba kokuphela komjikelezo wokuya esikhathini futhi kungabangela ukushisa komzimba. Futhi, i-raloxifene ayikhuthazi amabele noma i-uterus njengoba kwenza i-estrogen. URaloxifene wehlisa amazinga egazi e-cholesterol iyonke ne-low-density lipoprotein (LDL) cholesterol, i-cholesterol embi, kodwa awuyikhuphuli amazinga e-high-density lipoprotein (HDL) cholesterol, i-cholesterol enhle, egazini lakho. URaloxifene ubuye usetshenziswe ukunciphisa amathuba okuba ne-invasive breast cancer kwabesifazane abesebephelile ukuya ekuqaleni komjikelezo wabo wokuya esikhathini abanayo i-osteoporosis noma abasezingozini eziphezulu zokuba ne-invasive breast cancer. Lolukhuni luyatholakala kuphela ngomyalo wezokwelapha. Lo mkhiqizo uyatholakala ngezindlela zokwelapha ezilandelayo:
Uma kunqunywe ukuthi kusetshenziswe imithi, izingozi zokuthatha imithi kufanele ziqhathaniswe nezinzuzo ezizolethwa yiyo. Lo ngumqondo owenzayo wena nodokotela wakho. Kule mithi, okulandelayo kufanele kucabangelwe: Tshela udokotela wakho uma uke waba nanoma yiluphi uhlobo oluhlwempu noma oluhambisana nokwaleka kule mithi noma kunoma iyiphi enye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zokwaleka, njengokudla, izidakamizwa, izigcini, noma izilwane. Ngomkhiqizo ongenayo iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Le mithi ihlonzwe kuphela kwabesifazane abedlule isikhathi sokuqeda ukuya esikhathini futhi akuzange kubonakale ukuthi ibangela imiphumela emibi noma izinkinga kubantu abadala kunalokho elikwenzayo kubantu abadala abasanda kudlula isikhathi sokuqeda ukuya esikhathini. Izifundo kwabesifazane abancelisa zibonise imiphumela emibi kubantwana. Kufanele kunikezwe enye imithi noma ukhuluke ukuncelisa ngenkathi usebenzisa le mithi. Nakuba ezinye izidakamizwa kufanele zingasetshenziswa ndawonye, kwezinye izimo imithi emibili ehlukene ingasetshenziswa ndawonye ngisho noma kungenzeka ukuthi kube khona ukusebenzisana. Kulezi zimo, udokotela wakho angase afune ukushintsha umthamo, noma ezinye izinyathelo zokuphepha kungase kudingeke. Tshela ochwepheshe bakho bezempilo uma uthatha noma iyiphi enye imithi yokuqaphela noma engekho ngaphansi kwelayisensi (over-the-counter [OTC]). Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi sokudla noma eduze kwesikhathi sokudla noma ukudla izinhlobo ezithile zokudla njengoba kungenzeka kube khona ukusebenzisana. Ukusebenzisa utshwala noma utshaba ngezinye izidakamizwa kungabangela ukusebenzisana. Xoxa nochwepheshe bakho bezempilo ngokusetshenziswa kwemithi yakho ngokudla, utshwala, noma utshaba. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwale mithi. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi:
Iphepha elinawo ulwazi lwesiGuli lizokuhanjelwa ngaphambili kanye nemiyalo yakho, futhi lizokuhlinzeka ngemininingwane eminingi mayelana nokusetshenziswa kwe-raloxifene. Funda leli phepha ngokucophelela bese ubuza udokotela wakho uma udinga olunye ulwazi noma incazelo. Abaguli abaningi abazama ukuvimba noma ukwelapha ukulahlekelwa ngamathambo ngeke baphawule noma yiziphi izimpawu zenkinga. Eqinisweni, abaningi bangase bazizwe beqondile. Kubalulekile kakhulu ukuthi uthathe imithi yakho ngokuqondile njengoba kuyalwe. Umthamo walemithi uzobahlukile kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esemthethweni. Ulwazi olulandelayo luhlanganisa kuphela imithamo yemithi evamile. Uma umthamo wakho uhlukile, ungawushintshi ngaphandle kokuthi udokotela wakho akuyale ukuba wenze njalo. Inani lemithi oyithatha lixhomeke emandleni emithi. Futhi, inani lemithamo oyithatha nsuku zonke, isikhathi esivunyelwe phakathi kwemithamo, nobude besikhathi othatha imithi kuya ngenkinga yezokwelapha oyisebenzisela imithi. Uma uphuthelwa umthamo walemithi, suka umthamo ophuthelwe bese ubuyela esikhathini sakho sokuthola imithi. Ungawandisi imithamo. Gcina imithi esitsheni esivalekile ekushiseni kwegumbi, kude nokushisa, ukufuma, nokukhanya okulungile. Gcina ungawumisisi. Gcina ingafinyeleleki kubantwana. Ungagcini imithi esele iphelile noma imithi engasadingeki. Buza udokotela wakho ukuthi kufanele uyilahla kanjani noma iyiphi imithi ongayisebenzisi.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.