ʻO Estrogen a me Progestin (Hormone Replacement Therapy)

Anter

• Ma mua o ka lawe ʻana i ka hoʻōla hormonone,
• Hiki i ka Hormone replacement therapy ke kumu i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
• Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. ʻAʻole ʻike pinepine ʻia nā ʻōuli aʻe, akā inā ʻike ʻoe i kekahi o lākou a i ʻole nā ​​mea i helu ʻia i ka ʻĀINA WAIWAI, e kāhea koke i kāu kauka.
• Pākuʻi ʻia paha nā ʻōuli o ka overdose:

Hiki i ka Hormone replacement therapy ke hoʻonui i ka makaʻu o ka puʻuwai puʻuwai, ka hahau ʻana, ka maʻi ʻaʻai umauma, a me nā kahe o ke koko i nā akemāmā a me nā wāwae. E haʻi i kāu kauka inā puhipaka ʻoe a inā i loaʻa iā ʻoe a i ʻole loaʻa i nā puʻupuʻu umauma a i ʻole kanesa paha; he puʻuwai puʻuwai; he hahau ʻana; kahe koko; ke koko kiʻekiʻe; ke kiʻekiʻe o ke koko o ka momona a momona paha; a diabetes paha. Inā ke ʻoki ʻana ʻoe a i ʻole ma kahi moe, e kamaʻilio me kāu kauka e pili ana i ka hoʻōki ʻana i ka estrogen a me ka progestin ma kahi o 4 a 6 mau pule ma mua o ke ʻoki a me ka moe.

Inā ʻoe e ʻike i kekahi o nā hopena ʻē aʻe, e kāhea koke i kāu kauka: hikiwawe, ʻeha ke poʻo loa; lohi, luaʻi koʻikoʻi; pohihihi hapa a piha paha o ka ʻike; nā pilikia ʻōlelo; ʻino a maʻule paha; ka nāwaliwali a i ʻole ka helu ʻana o ka lima a me ka wāwae; ka ʻeha ʻana i ka ʻeha o ka umauma a i ʻole ke kaumaha o ka umauma; ʻū kahe i ke koko; hā pōkole o ka hanu; a ʻeha ʻeha paha.

E kamaʻilio me kāu kauka e pili ana i nā pilikia a me nā pono o ka lawe ʻana i ka estrogen a me ka progestin.

Hoʻohana ʻia nā hui pū ʻana o ka estrogen a me ka progestin e mālama i kekahi mau ʻōuli o ka menopause. ʻO ka Estrogen a me ka progestin ʻelua mau homoni wahine wahine. Hana ka Hormone replacement therapy i ka hoʻololi ʻana i ka hormone estrogen ʻaʻole e hana hou ʻia e ke kino. Hoʻoemi ka Estrogen i nā manaʻo o ka mehana i ke kino o luna a me nā manawa o ka hou ʻana a me ka wela (nā uila wela), nā ʻōuli o ke kino (ʻili, puhi, a me ka maloʻo) a me ka paʻakikī me ka urination, akā ʻaʻole ia e hoʻomaha i nā ʻōuli ʻē aʻe o ka menopause e like me ka hopohopo a me ke kaumaha. Pale ka Estrogen i ka lahilahi o nā iwi (osteoporosis) i nā wahine menopausal. Hoʻohui ʻia ʻo Progestin i ka estrogen i ka hormone replacement therapy e hōʻemi ai i ka makaʻu o ka maʻi ʻaʻai uterine i nā wahine i loaʻa i kā lākou kōpū.

Hormone replacement therapy hele mai e like me ka papa e lawe ma ka waha. Lawe ʻia ia i hoʻokahi manawa i ka lā. I mea e kōkua ai iā ʻoe e hoʻomanaʻo i ka lawe ʻana i ka pulima hōʻaila, lawe a puni ka manawa like i kēlā me kēia lā. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. Lawe i kēia lāʻau e like me ke kuhikuhi. Mai lawe i ka mea ʻoi aku a liʻiliʻi paha o ia mea a lawe pinepine iā ia ma mua o ka mea i kauoha ʻia e kāu kauka. Mai hōʻoki i ka lawe ʻana i kēia lāʻau me ke kamaʻilio ʻole ʻana me kāu kauka.

Hele mai ʻo Activella, FemHrt, a me Prempro ma ke ʻano he papa i loaʻa ka estrogen a me ka progestin. E lawe i hoʻokahi papa i kēlā me kēia lā.

Hele mai ʻo Ortho-Prefest i kahi kāleka blister i loko o 30 papa. Lawe i hoʻokahi papa ʻalani (nona ka estrogen wale nō) hoʻokahi manawa i kēlā me kēia lā no 3 mau lā, a laila e lawe i hoʻokahi papa keʻokeʻo (nona ka estrogen a me ka progestin) hoʻokahi manawa i kēlā me kēia lā no 3 mau lā. E hana hou i kēia hana a hiki i kou hoʻopau ʻana i nā papa āpau ma ke kāleka. E hoʻomaka i kahi kāleka blister hou i ka lā ma hope o kou hoʻopau ʻana i ka mea hope loa.

Hele mai ʻo Premphase i kahi dispenser i loaʻa he 28 mau papa. Lawe i hoʻokahi papa maroon (nona ka estrogen wale nō) hoʻokahi manawa i kēlā me kēia lā i nā lā 1 a 14, a lawe i hoʻokahi papa polū polū (i loaʻa ka estrogen a me ka progestin) i kēlā me kēia lā i nā lā 15 a 28. E hoʻomaka i kahi dispenser hou i ka lā ma hope o kou hoʻopau ʻana i ka mea hope loa .

Ma mua o ka lawe ʻana i ka hoʻōla hormonone, e nīnau i kāu kauka lāʻau a i ʻole kauka no kahi kope o ka ʻike a ka mea hana no ka mea maʻi a heluhelu pono iā ia.

Kau ʻia kēia lāʻau no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.

Ma mua o ka lawe ʻana i ka hoʻōla hormonone,

• e haʻi i kāu kauka a me kāu kauka lāʻau inā he maʻi ʻoe i ka estrogen, progestin, a i ʻole nā ​​lāʻau ʻē aʻe.
• e haʻi i kāu kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, nā mea hoʻowaiwai a me nā huahana lāʻau āu e lawe nei. E haʻi pono i kekahi o kēia mau mea: acetaminophen (Tylenol); anticoagulants ('blood thinners') e like me warfarin (Coumadin); cyclosporine (Neoral, Sandimmune); nā lāʻau no ka hopu ʻana e like me carbamazepine (Tegretol), phenobarbital (Luminal, Solfoton), a me phenytoin (Dilantin); morphine (Kadian, MS Contin, MSIR, nā mea ʻē aʻe); nā steroid oral e like me dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), prednisone (Deltasone) a me prednisolone (Prelone); rifampin (Rifadin, Rimactane); waikawa salicylic; temazepam (Restoril); theophylline (Theobid, Theo-Dur); a me ka lāʻau thyroid e like me levothyroxine (Levothroid, Levoxyl, Synthroid). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
• i ka hoʻohui ʻana i nā kūlana i helu ʻia i ka ʻĀINA WAIWAI, e haʻi i kāu kauka inā loaʻa iā ʻoe kahi hysterectomy a inā he asthma kāu a i ʻole loaʻa. toxemia (ke koko kiʻekiʻe i ka wā hāpai); kaumaha; epilepsy (hopu 'ia); ʻeha poʻo migraine; ke akepaʻa, ka puʻuwai, ka pāhū, a i ʻole ka maʻi ʻaʻai. jaundice (melemele o ka ʻili a me nā maka); kahe kahe ma waena o nā manawa o ka paina; a me ka nui o ke kaumaha a me ka paʻa ʻana o ka wai (bloating) i ka wā o ka menstrual cycle.
• e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i kēia lāʻau, e kāhea koke i kāu kauka. Hiki i ka Estrogen a me ka progestin ke hōʻeha i ka fetus.
• inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o nā niho, e haʻi i ke kauka a i ʻole kauka niho paha ʻoe ke lawe nei i ka lāʻau hoʻōla hormonone.
• e haʻi i kāu kauka inā puhi ʻoe i ka pika. ʻO ka puhihihi ʻana i ka lawe ʻana i kēia lāʻau e hoʻonui ai i kou hopena i nā hopena ʻino e like me ke koko a me ka hahau. Hiki i ka puhi ʻana ke hoʻemi i ka hopena o kēia lāʻau.
• e haʻi i kāu kauka a me kāu kauka lāʻau inā ʻoe e komo i nā aniani pili. Inā ʻoe e ʻike i nā loli i ka hihiʻo a i ʻole hiki ke komo i kāu mau aniani i ka wā e lawe ana i ka hōpona e like me ka therapy, e ʻike i ke kauka maka.

E noi i kāu kauka e pili ana i ka lawe ʻana i nā mea hoʻopiha calcium inā ʻoe e lawe i kēia lāʻau no ka pale ʻana i ka osteoporosis. E hāhai i nā ʻōlelo aʻoaʻo a me ka papa hoʻoikaika kino, no ka mea, hiki i nā mea ʻelua ke pale i ka maʻi iwi.

E lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Eia nō naʻe, inā kokoke i ka manawa no ka mahele hope aʻe, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.

Hiki i ka Hormone replacement therapy ke kumu i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

• ʻeha poʻo
• hoʻohuhū ʻōpū
• ka luaʻi
• ʻōpū a ʻōpū paha ka ʻōpū
• pāhoehoe
• loli ka makemake a me ke kaumaha
• nā hoʻololi i ka hoʻokele moekolohe a i ʻole ka hiki
• hopohopo
• palaoa ʻeleʻele a ʻeleʻele paha
• huehue
• ka pehu ʻana o nā lima, nā wāwae, a me nā wāwae o lalo (ka paʻa o ka wai)
• kahe kahe a kiko paha ma waena o nā manawa menstrual
• nā hoʻololi i ke kahe o ka menstrual
• palupalu ka umauma, hoʻonui ʻana, a i ʻole ka hoʻokuʻu ʻana
• ka paʻakikī paʻakikī i nā aniani kilohi

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. ʻAʻole ʻike pinepine ʻia nā ʻōuli aʻe, akā inā ʻike ʻoe i kekahi o lākou a i ʻole nā ​​mea i helu ʻia i ka ʻĀINA WAIWAI, e kāhea koke i kāu kauka.

• hihio pālua
• ʻeha nui i ka ʻōpū
• melemele o ka ʻili a me nā maka
• kaumaha kaumaha
• kahe koko ʻole ʻana
• nalo ʻai ʻole
• hūwī
• ka luhi nui loa, nāwaliwali, a me ka ikaika ʻole
• fiva
• mimi ʻeleʻele
• pahu noho kukui

Hiki i ka Hormone replacement therapy ke hoʻonui i ka makaʻu o ka ulu ʻana i ka maʻi ʻaʻai endometrial a me ka maʻi o ka gallbladder. E kamaʻilio me kāu kauka e pili ana i ka makaʻu i ka lawe ʻana i kēia lāʻau.

Hiki i ka Hormone replacement therapy ke kumu i nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana i kēia lāʻau.

Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).

E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela a mai ka wela a me ka makū (ʻaʻole i loko o ka lua.

Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, ​​nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.

He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org

I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.

Pākuʻi ʻia paha nā ʻōuli o ka overdose:

• hoʻohuhū ʻōpū
• ka luaʻi

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E loaʻa iā ʻoe kahi hoʻokolohua kino holoʻokoʻa, e like me ke ana o ke kaomi o ke koko, nā hōʻoia umauma a me nā pelvic, a me kahi hōʻike Pap i kēlā me kēia makahiki. E hāhai i nā kuhikuhi a kāu kauka no ka nānā ʻana i kou umauma; e hōʻike koke i nā puʻupuʻu.

Inā ʻoe e lawe nei i ka lāʻau hoʻōla hormonone e mālama ai i nā ʻōuli o ka menopause, e nānā kāu kauka i kēlā me kēia 3 a 6 mau mahina e ʻike inā pono ʻoe i kēia lāʻau. Inā ʻoe e lawe i kēia lāʻau e pale ai i ka lahilahi o nā iwi (osteoporosis), e lawe ʻoe ia no kahi manawa lōʻihi.

Ma mua o kāu loaʻa ʻana o nā hoʻokolohua hoʻokolohua, e haʻi i nā limahana o ke keʻena hoʻokolohua e lawe ʻoe i ka hōʻaihoʻi hōmona, no ka mea e hoʻopilikia paha kēia lāʻau i kekahi mau hoʻokolohua hoʻokolohua.

Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.

He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā ​​mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.

• ʻO Bijuva^® (ma ke ʻano he huahana hoʻohui ʻia me Estradiol, Progesterone)

• Hooikaika^® (loaʻa iā Estradiol, Norethindrone)
• Angeliq^® (me Drospirenone, Estradiol)
• FemHRT^® (i loaʻa ʻo Ethinyl Estradiol, Norethindrone)
• ʻO Jinteli^® (i loaʻa ʻo Ethinyl Estradiol, Norethindrone)
• Mimvey^® (loaʻa iā Estradiol, Norethindrone)
• ʻO Prefest^® (nona ka Estradiol, Norgestimate)
• Premphase^® (i loaʻa nā Estrogens Conjugated, Medroxyprogesterone)
• Prempro^® (i loaʻa nā Estrogens Conjugated, Medroxyprogesterone)

• HRT