Yini i-Estradiol kanye ne-Norethindrone Transdermal: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Estradiol kanye ne-norethindrone transdermal yindlela yokwelapha amahomoni eza njenge-patch oyifaka esikhumbeni sakho. Lezi zithako zokwelapha ezihlanganisiwe ziqukethe amahomoni amabili - i-estradiol (uhlobo lwe-estrogen) kanye ne-norethindrone (uhlobo lwe-progestin) - asebenza ndawonye ukusiza ukuphatha izimpawu zokuya esikhathini futhi bavikele impilo yakho ngalesi sikhathi sokuguquka.

I-patch iletha la mahomoni ngokuqhubekayo ngesikhumba sakho angene egazini lakho, ilingisa amaphethini amahomoni emvelo omzimba wakho ngokusondela kakhulu kunezibhebhe. Le ndlela ingasiza ukunciphisa ukushisa, ukujuluka ebusuku, nezinye izimpawu eziyinselele ngenkathi isekela impilo yamathambo akho nokuphila kahle konke.

Yini i-Estradiol kanye ne-Norethindrone Transdermal Esetshenziselwa Yona?

Lo muthi unqunyelwe ikakhulukazi ukwelapha izimpawu zokuya esikhathini eziphakathi nendawo kuya kwezinkulu kwabesifazane abasenawo isibeletho sabo. Ingxenye ye-estradiol isiza ukufaka esikhundleni se-estrogen eyehlayo ama-ovari akho angasayikukhiqiza, kuyilapho i-norethindrone ivikela umugqa wakho wesibeletho ekukhuleni ngokweqile.

Udokotela wakho angase ancome lokhu kwelashwa uma uhlangabezana nokushisa okucasulayo, ukujuluka ebusuku, ukoma kwesitho sangasese sowesifazane, noma ukuphazamiseka kokulala okuthinta kakhulu izinga lempilo yakho. Inhlanganisela futhi isiza ukuvimbela i-osteoporosis ngokugcina ukuminyana kwamathambo phakathi neminyaka lapho ukulahleka kwamathambo kuvame ukusheshisa.

Ngaphezu kwalokho, le therapy ingasiza ekushintsheni kwemizwa, ubunzima bokugxilisa ingqondo, kanye nomuzwa ojwayelekile wokuthi

Le phatchi isebenza ngokuletha amahomoni ngqo ngesikhumba sakho angene egazini lakho, idlula ngokuphelele uhlelo lwakho lokugaya ukudla. I-estradiol ithatha indawo ye-estrogen ama-ovari akho angasawenzi ngokwanele, kanti i-norethindrone isebenza njenge-progestin evikelayo.

Isici se-estradiol sisiza ukulawula izinga lokushisa lomzimba wakho, sisekela izicubu ezinempilo zesitho sangasese sowesifazane, futhi sigcina amandla amathambo. Futhi ithonya ama-neurotransmitters ebuchosheni bakho athinta imizwa namaphethini okulala, okuchaza ukuthi kungani ukwelashwa ngamahomoni kungathuthukisa lezi zimpawu futhi.

I-Norethindrone idlala indima ebalulekile yokuvikela ngokuqeda ukuthi umugqa wesisu ungabi mkhulu kakhulu. Ngaphandle kwalokhu kuvikela, i-estrogen yodwa ingakhuphula ingozi yakho yomdlavuza we-endometrial, okwenza inhlanganisela ibe yiyo yomibili esebenzayo futhi iphephe kakhulu kwabesifazane abanesibeletho.

Uhlelo lokulethwa kwe-transdermal lunikeza amazinga ahomoni aqhubekayo usuku lonke, lugwema iziqongo nemigodi engenzeka ngemithi yomlomo. Le ndlela eqhubekayo ivame ukuholela ekulawuleni okungcono kwezimpawu kanye nemiphumela emibi embalwa.

Kufanele Ngiyithathe Kanjani I-Estradiol kanye ne-Norethindrone Transdermal?

Uzosebenzisa le phatchi esikhumbeni esihlanzekile, esomile esiswini sakho esingezansi noma endaweni engenhla yezinqe, ugweme ukhalo lapho izingubo zingase zikuhlikihle khona. Khetha indawo ehlukile ngaso sonke isikhathi lapho ushintsha iphatchi ukuvimbela ukucasuka kwesikhumba.

Amaphatchi amaningi ashintshwa kabili ngesonto, ngokuvamile njalo emva kwezinsuku ezi-3-4, kodwa landela imiyalelo ethile kadokotela wakho. Cindezela iphatchi ngokuqinile cishe imizuzwana eyi-10 ukuze uqinisekise ukuthi inamathela kahle, unake ngokukhethekile emaphethelweni.

Ngaphambi kokusebenzisa iphatchi elisha, qiniseka ukuthi isikhumba sakho sihlanzekile futhi somile ngokuphelele. Gwema ukusebenzisa ama-lotion, amafutha, noma izimpushana endaweni yokusebenzisa, njengoba lokhu kungaphazamisa ikhono lephatchi lokunamathela nokuletha imithi ngendlela efanele.

Ungashawa, ubhukude, futhi uzivocavoce ngendlela ejwayelekile ngenkathi ugqoke isiqeshana. Uma sikhululeka, zama ukusicindezela sibuyele phansi. Uma singanamatheli, sithathe esisha uqhubeke nohlelo lwakho olujwayelekile.

Landelela izinguquko zakho zesiqeshana ekhalendeni noma kuhlelo lokusebenza lwefoni ukuze ugcine amazinga amahomoni aqhubekayo. Ukusetshenziswa okungajwayelekile kungaholela ezimpawini zokuphuma noma ukopha okungalindelekile.

Kufanele ngiyithathe isikhathi esingakanani i-Estradiol kanye ne-Norethindrone Transdermal?

Ubude bokwelashwa buhlukahluka kakhulu kumuntu nomuntu, kuye ngezimpawu zakho, imigomo yezempilo, kanye nezici eziyingozi zomuntu ngamunye. Abesifazane abaningi basebenzisa ukwelashwa ngamaphomoni isikhathi esifushane esidingekayo ukuphatha izimpawu zabo ngempumelelo.

Ekuqaleni, udokotela wakho cishe uzoncoma isikhathi sokuhlola sezinyanga ezi-3-6 ukuze ahlulele ukuthi umuthi usebenza kahle kangakanani kuwe futhi aqaphele noma yimaphi imiphumela emibi. Abesifazane abaningi bathola ukukhululeka okukhulu kwezimpawu emasontweni ambalwa okuqala okwelashwa.

Ukuphathwa kwezimpawu, ukwelashwa kungaqhubeka iminyaka eminingana, ikakhulukazi uma uhlangabezana nokushisa okukhulu noma ezinye izinkinga zekhwalithi yempilo. Kodwa-ke, udokotela wakho uzobuyekeza njalo ukuthi usawudinga yini umuthi nokuthi ngamuphi umthamo.

Uma usebenzisa le therapy ikakhulukazi ukuvikela amathambo, umugqa wesikhathi sokwelashwa ungase uhluke. Udokotela wakho uzocabangela ukuminyana kwamathambo akho, ingozi yokuphuka, nezinye izici lapho enquma ukuthi uzoluqhubeka isikhathi esingakanani ukwelashwa.

Ukuqokwa okulandelayo njalo ezinyangeni eziyi-6-12 kuvumela umhlinzeki wakho wezempilo ukuthi ahlolisise kabusha isidingo sakho sokuqhubeka nokwelashwa futhi alungise umthamo wakho uma kudingekile. Ungalokothi uyeke ukwelashwa ngamaphomoni ngokungazelelwe ngaphandle kokuxoxa ngakho nodokotela wakho kuqala.

Yiziphi Imiphumela Emibi ye-Estradiol kanye ne-Norethindrone Transdermal?

Njengayo yonke imithi, le nhlanganisela yamahomoni ingabangela imiphumela emibi, nakuba abesifazane abaningi beyibekezelela kahle. Imiphumela emibi evame kakhulu ngokuvamile imnene futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi.

Nawa amanye amaphutha ongase uhlangabezane nawo, siqala ngalawo avamile kakhulu:

• Ukuqubuka kwesikhumba endaweni yokunamathisela, okuhlanganisa ukubomvu, ukuluma, noma ukuqubuka okuncane
• Ukuba buhlungu kwamabele noma ukuvuvukala, okufana nalokho ongase ukuzwe ngemijikelezo yokuya esikhathini
• Ukuba nobuhlungu bekhanda, okuvame ukuba kuncane futhi kungancipha ngokuhamba kwesikhathi
• Ukucanuzela kwenhliziyo noma ukuphathwa yisisu, nakuba lokhu kungavamile ngamaphashi kunamaphilisi
• Ushintsho lwemizwa, okuhlanganisa ukucasuka noma ukuzwela ngokomzwelo
• Ukuphuma kwegazi okungajwayelekile noma ukuchitheka, ikakhulukazi ezinyangeni ezimbalwa zokuqala
• Ukuqunjelwa noma izinguquko zesibalo somzimba, nakuba ukukhuluphala okukhulu kungavamile
• Ukugcwala kwemilenze noma ubuhlungu bemisipha

Le miphumela evamile ngokuvamile iyathuthuka ezinyangeni ezimbalwa zokuqala njengoba umzimba wakho ujwayela amahomoni. Uma ziqhubeka noma ziba zimbi, udokotela wakho uvame ukulungisa umthamo wakho noma akusize ukuba uzilawule.

Imiphumela engavamile kodwa ebucayi idinga ukunakekelwa kwezempilo ngokushesha. Nakuba kungavamile, kubalulekile ukuqaphela lezi zimpawu zokuxwayisa:

• Ubuhlungu obukhulu besifuba noma ukuphefumula kanzima, okungase kubangele igazi elivimba imithambo
• Ubuhlungu bekhanda obukhulu obuzumayo, izinguquko zombono, noma ubunzima bokukhuluma
• Ubuhlungu obukhulu besisu noma ukuphuzi kwesikhumba namehlo
• Ukuphuma kwegazi okungajwayelekile noma ukukhipha
• Ukucindezeleka okukhulu noma izinguquko zemizwa
• Ukuvuvukala noma ubuhlungu emlenzeni owodwa, ikakhulukazi ithole

Uma uhlangabezana nanoma yiziphi zalezi zimpawu ezinzima, xhumana nomhlinzeki wakho wezempilo ngokushesha noma funa ukunakekelwa kwezimo eziphuthumayo. Nakuba lezi zinkinga zingavamile, ukunaka ngokushesha kubalulekile ekuphepheni kwakho.

Ubani Ongafanele Athathwe I-Estradiol kanye ne-Norethindrone Transdermal?

Ezinye izimo zezempilo zenza lo muthi ungafaneleki noma uyingozi. Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokunquma lo muthi ukuze aqinisekise ukuthi uphephile kuwe.

Akufanele usebenzise lo muthi uma unayo noma wake waba nalezi zimo ezinzima:

• Amaqhubu egazi emilenzeni yakho, emaphashini, noma kwezinye izingxenye zomzimba wakho
• Umkhuhlane wamabele noma eminye imikhuhlane encike ku-estrogen
• Ukuphuma kwegazi okungachazeki kwelilunga lobulili obungahloliwe
• Isifo sesibindi esisebenzayo noma izinkinga ezinkulu zesibindi
• Isifo sohlangothi noma ukuhlaselwa yinhliziyo
• Ukukhulelwa okwaziwayo noma okusolwayo

Lezi zimo zimelela izimo ezinqabelayo lapho izingozi zidlula ngokusobala noma yiziphi izinzuzo ezingaba khona. Udokotela wakho uzohlola ezinye izindlela zokwelapha uma kukhona okukusebenzayo.

Ngaphezu kwalokho, izimo ezithile zempilo zidinga ukuqapha okwengeziwe nokuqapha okuseduze uma usebenzisa lo muthi:

• Umfutho wegazi ophezulu noma isifo senhliziyo
• Isifo sikashukela noma i-pre-diabetes
• Isifo se-gallbladder noma umlando wamatshe e-gallstones
• Ikhanda elibuhlungu le-migraine, ikakhulukazi eline-aura
• Izinkinga zezinso noma zesibindi
• Umlando wokucindezeleka noma izinkinga zemizwa
• Izinkinga ze-thyroid
• Umlando womndeni wamaqhubu egazi noma imikhuhlane ethile

Ukuba nenye yalezi zimo akukuvimbeli ngempela ukuthi usebenzise ukwelashwa ngamahomoni, kodwa kusho ukuthi udokotela wakho uzokuqapha eduze futhi angase alungise uhlelo lwakho lokwelapha. Ukuhlolwa okuvamile kuba kubaluleke nakakhulu ukuqinisekisa ukuphepha kwakho.

Amagama e-Estradiol kanye ne-Norethindrone Transdermal Brand

Lo muthi ohlanganisiwe uyatholakala ngaphansi kwamagama amaningi omkhiqizo, i-CombiPatch iyona engaziwa kakhulu futhi ebekwe kakhulu. I-CombiPatch iletha womabili amahomoni e-patch eyodwa oyishintsha kabili ngesonto.

Amanye amagama omkhiqizo angase atholakale ngokuya ngendawo yakho nekhemisi. Umkhiqizo othile odokotela bakho abawubhalayo ungase uncike ekuhlinzekweni kwakho komshwalense, imithamo eqondile yamahomoni oyidingayo, noma impendulo yakho emazingeni ahlukene.

Zonke izinhlobo zemithi evunywe yi-FDA kumele zihlangabezane nezindinganiso ezifanayo zokuphepha nokusebenza kahle. Kodwa-ke, umehluko omncane ekwakhiweni kwesichibi, okunamathiselwayo, noma izithako ezingasebenzi zingase zithinte ukuthi imikhiqizo ehlukene isebenza kahle kangakanani kuwe.

Uma udinga ukushintsha imikhiqizo nganoma yisiphi isizathu, yazisa udokotela wakho ukuze bakwazi ukuqapha ukuthi usabela kanjani kushintsho. Ngezinye izikhathi ukulungiswa okuncane ngesikhathi noma indlela yokusebenzisa kusiza ekuqinisekiseni ukuqhubeka kokusebenza kahle.

Ezinye izindlela ze-Estradiol kanye ne-Norethindrone Transdermal

Kukhona ezinye izindlela uma lesi sichibi singasebenzi kahle kuwe noma uma ukhetha ezinye izindlela zokulethwa. Udokotela wakho angakusiza ukuthi uhlole lezi zinketho ngokusekelwe ezidingweni zakho ezithile nakuzintandokazi zakho.

Ezinye izinketho zokwelashwa ngamahomoni zihlanganisa amaphilisi omlomo ahlanganisa i-estrogen ne-progestin, izichibi ezihlukene zehomoni ngayinye, noma izindandatho zangasese ezinikeza ukulethwa kwamahomoni endawo. Abanye besifazane benza ngcono ngamafomula ahlukene amahomoni noma amashejuli okulethwa.

Ezinye izindlela ezingezona zamahomoni zokuphatha izimpawu zokuya esikhathini zihlanganisa imithi ethile yokucindezeleka, imithi yokucindezela igazi, noma imithi yokulwa nokuhlaselwa ezinganciphisa ukushisa. Lezi zinketho zisebenza ngendlela ehlukile kunamahomoni kodwa zingasebenza ekuphathweni kwezimpawu.

Izindlela zokuphila ezifana nokuzivocavoca njalo, ukuphatha ingcindezi, izinguquko zokudla, kanye nezindlela zokupholisa nazo zingasiza ekuphatheni izimpawu zokuya esikhathini. Abesifazane abaningi bathola ukuthi ukuhlanganisa izinguquko zokuphila nokwelashwa kwezokwelapha kunikeza imiphumela engcono kakhulu.

Udokotela wakho uzocabangela ubukhulu bezimpawu zakho, umlando wezempilo, nezintandokazi zakho siqu lapho encoma indlela engcono kakhulu yesimo sakho. Unganqikazi ukuxoxa ngezinkinga mayelana nokwelashwa kwakho kwamanje noma intshisekelo yokuzama okuthile okuhlukile.

Ingabe i-Estradiol kanye ne-Norethindrone Transdermal ingcono kunezinye izindlela zokwelashwa ngamahomoni?

Noma leli phatchi lingcono kunezinye izindlela zokwelapha ngamahomoni kuncike ezidingweni zakho, indlela yakho yokuphila, nokuthi umzimba wakho usabela kanjani ekwelashweni okuhlukahlukene. Indlela ngayinye yokuletha inezinzuzo eziyingqayizivele kanye nokubi okungenzeka.

I-patch inikeza izinzuzo eziningi uma iqhathaniswa namahomoni omlomo. Idlula uhlelo lwakho lokugaya ukudla, okunganciphisa isicanucanu futhi kunikeze amazinga e-hormone aqhubekayo usuku lonke. Lokhu kulethwa okuqhubekayo kuvame ukuholela ekulawuleni okungcono kwezimpawu futhi kunganciphisa izingozi ezithile zempilo.

Uma iqhathaniswa nokuthatha imithi ehlukene ye-estrogen ne-progestin, i-patch ehlanganisiwe inikeza lula futhi isiza ukuqinisekisa ukuthi uthola womabili amahomoni ngokuqhubekayo. Lokhu kungasiza ikakhulukazi uma ngezinye izikhathi ukhohlwa ukuthatha amaphilisi noma ukhetha inqubo elula.

Noma kunjalo, abanye besifazane bakhetha imithi yomlomo ngoba ayibonakali kakhulu noma ngoba abathandi ukuba nento enamathele esikhumbeni sabo. Abanye bangase bahlangabezane nokucasuka kwesikhumba okwenza amaphatchi angasebenzi isikhathi eside.

Inketho

Udokotela wakho wenhliziyo kanye nodokotela wakho wezifo zabesifazane kufanele basebenzisane ukuze banqume ukuthi ukwelashwa ngamahomoni kufanelekile yini esimweni sakho. Bazocabangela ezinye izindlela zokwelapha izimpawu zokuya esikhathini ezingase ziphephe kakhulu esimweni senhliziyo yakho.

Kufanele ngenzeni uma ngisebenzisa i-Estradiol ne-Norethindrone Transdermal eningi ngengozi?

Uma ngengozi ufaka iziqeshana ezimbili noma usebenzisa umthamo ophezulu kunalowo obekiwe, ungangeni ekuqeqesheni. Susa noma yiziphi iziqeshana ezengeziwe ngokushesha bese uthintana nomhlinzeki wakho wezempilo ukuze uthole isiqondiso sokuthi uqhubeke kanjani.

Qaphela izimpawu ezinjengokugula okukhulu, ukuhlanza, ubumnene bebele, noma ukuphuma kwegazi okungavamile. Ngenkathi ukweqisa ngengozi kungenzeki ukuthi kubangele ukulimala okukhulu, kubalulekile ukuthola iseluleko sezokwelapha mayelana nokuphatha noma yiziphi izimpawu nokulungisa umthamo wakho olandelayo.

Gcina irekhodi lokuthi ukweqisa kwenzeke nini kanye nanoma yiziphi izimpawu oziphilayo. Lolu lwazi luzosiza umhlinzeki wakho wezempilo ukuthi akunikeze iseluleko esingcono kakhulu sesimo sakho esithile.

Kufanele ngenzeni uma ngiphuthelwa umthamo we-Estradiol ne-Norethindrone Transdermal?

Uma ukhohlwa ukushintsha isiqeshana sakho ngeshejuli, faka esisha ngokushesha nje lapho ukhumbula. Bese uqhubeka neshejuli yakho ejwayelekile kusukela ngalelo phuzu, ulungisa ikhalenda lakho ngokufanele.

Uma isiqeshana besingekho ngaphezu kosuku olulodwa, ungase uhlangabezane nezinye izimpawu zokuphuma njengokushisa okushisayo noma izinguquko zemizwa. Lokhu kufanele kulungiswe uma uqala ukwelashwa okuqhubekayo.

Ungafaki iziqeshana ezengeziwe ukuze

Isinqumo sokuyeka ukwelashwa ngamahomoni kufanele senziwe ngaso sonke isikhathi ngokubonisana nomhlinzeki wakho wezempilo. Bazokusiza ukuthi uhlole ukuthi izimpawu zakho zithuthuke ngokwanele yini ukuze uyeke ukwelashwa noma ngabe udinga ukuqhubeka ngenxa yezinye izizathu zempilo.

Odokotela abaningi batusa ukunciphisa umthamo kancane kancane kunokuyeka kungazelelwe, ngoba lokhu kungasiza ekunciphiseni ukubuyela emuva kwezimpawu zokuya esikhathini. Le nqubo yokunciphisa umthamo ingathatha izinyanga eziningana ukuqedela.

Udokotela wakho uzocabangela izinto ezinjengobunzima bezimpawu zakho zamanje, ukuminyana kwamathambo, impilo yenhliziyo nemithambo yegazi, kanye nezintandokazi zomuntu siqu lapho ehlela isu lakho lokuyeka. Ukuqokwa okulandelayo njalo kuzosiza ekuqinisekiseni ukuthi uguquko luhamba kahle.

Ngingakwazi yini ukuzivocavoca nokubhukuda ngenkathi ngigqoke isichibi?

Yebo, ungalondoloza umkhuba wakho wokuzivocavoca ojwayelekile nemisebenzi yokubhukuda ngenkathi ugqoke isichibi. I-adhesive yakhelwe ukuthi ihlale endaweni ngesikhathi somsebenzi womzimba nokuchayeka emanzini.

Ngemuva kokubhukuda noma ukuzivocavoca okukhulu, ngomusa thinta isichibi somile bese uhlola ukuthi imiphetho isanamathele kahle yini. Uma isichibi siqala ukuphakama, sicindezele emuva ngokuqinile. Ngokuvamile, ungase udinge ukufaka esikhundleni sesichibi esikhululeka ngesikhathi somsebenzi onamandla.

Abanye besifazane bathola ukuthi ukusebenzisa isichibi ezindaweni ezingase zingathinteki izingubo zokuzivocavoca noma imishini kusiza ukugcina ukunamathela okungcono. Udokotela wakho angase ancome izindawo ezinhle kakhulu zokubeka ngokuya ngezinga lomsebenzi wakho nezintandokazi.