Tamoxifen, Kubereka, ndi Kuopsa kwa Mimba
Kodi ndizotheka kugwiritsira ntchito Tamoxifen panthawi yoyembekezera kapena ingakhale yoopsa? Kodi Tamoxifen imakhudza chonde?
Tamoxifen Zoopsa Pathupi
Ngati mukuwerenga mawuwa mwinamwake kuti, kapena munthu wina amene mumamukonda akutenga Tamoxifen. Ndikuyamika pokhala wopulumuka! Izi zikuti, pali zinthu zambiri zomwe muyenera kuzidziwa ngati mukuganizira kutenga mimba pamene mutenga Tamoxifen.
Osakaniza Tamoxifen ndi Kumimba
Tamoxifen ikhoza kuvulaza mazira (mazira) opangidwa ndi feteleza kotero Musatenge ngati muli kale pakati. Chifukwa cha kuchuluka kwa msinkhu wa abambo, abamoxifen sayenera kunyalanyaza panthawi yoyembekezera.
Ngati mukuganiza kuti mwatenga mimba, lekani kutenga Tamoxifen ndikumufunsa dokotala nthawi yomweyo. Mu kafukufuku wamaphunziro pa zinyama zapakati, Tamoxifen yayambitsa zilema zobereka, kuperewera kwa pathupi, ndipo amaletsa mazira ophatikizidwa kuti azigwirizanitsa ndi chiberekero cha chiberekero.
Tamoxifen ndi Fertility
Pambuyo pozindikira kuti Tamoxifen ndi kutenga mimba sikusakanikirana, mwina mukuganiza za tsogolo. Mukamaliza kutenga Tamoxifen, kodi mimba idzakhala yabwino? Mwamwayi, patatha kusamba kwa miyezi ingapo kuchokera ku Tamoxifen, chiopsezo cha kubala kwa Tamoxifen chimatha. Kuwonjezera apo, maphunziro amatiuza kuti Tamoxifen sichikugwirizana ndi msinkhu wakale wa kusamba. Mwa kuyankhula kwina, Tamoxifen sitingathe kufulumizitsa ndondomeko ya "yachibadwa" ya kuchepa kwachonde kumene kumabwera ndi kukalamba.
Tamoxifen ndi Kulera
Ndikofunika kwambiri kugwiritsa ntchito njira zabwino zopanda mphamvu zamagulu pamene akugwira Tamoxifen. Njira za kulera monga mapiritsi oletsa kubereka, muli estrogen ndi progesterone zomwe zingapangitse kukula kwa khansa ya m'mawere, zomwe zingawonjezere chiopsezo cha kubwereza.
Madokotala ambiri amalimbikitsa njira ziwiri zogwiritsira ntchito njira zoberekera kuti azitha kuteteza Tamoxifen. Lankhulani ndi dokotala wanu za njira zosiyanasiyana za kulera . Yesani kondomu, spermicide, diaphragm , kapena IUD kuti muteteze mimba. Zingakhalenso nthawi yabwino kuti mudziwe njira zodabwitsa zowonongolera - njira zopezeka ngati, kondomu ikutha, kupewa mimba. Popeza izi, monga kulandira chithandizo chamankhwala, zimakhala ndi mahomoni aakazi, ndizofunika kwambiri kuti muyankhule ndi oncologist musanagwiritse ntchito izi.
Tamoxifen ndi njira Yanu yoberekera
Ngakhale chemotherapy ikhoza kukupangitsani inu kukhala "menopausal," si zachilendo kuti chonde kubwereranso zaka patapita chithandizochi. Sitidzangokhala mwachangu pa Tamoxifen, pokhapokha mutakhala kale pafupi ndi mfundo imeneyi pamene munayamba mankhwala. M'malo mwake, akatswiri odziwa kusabereka amatha kupereka mphamvu ya Tamoxifen kuti aziwonjezera mazira. Kamodzi kamene kamakhala ndi mazira ochulukirapo, Tamoxifen imayimilira ndipo kenako kuyesa kubereka kungayesedwe.
MaseĊµera Otetezeka Kwa Nyengo
Kugwiritsira ntchito Tamoxifen pambuyo pa chithandizo cha khansa ya m'mawere kumachepetsa chiopsezo cha kubwereza ndi 50 peresenti , ndipo kumawonjezera mwayi kuti mudzakhalapo mtsogolo kuti mukondwere ndi banja lanu.
Zingakhale zobvuta kuika ana panthawiyi, koma pakalipano, ndikofunika kuika maganizo anu pa thanzi lanu. Ngati mukugwiritsa ntchito Tamoxifen, nkofunikanso kudziwa kuti pali mankhwala omwe angagwirizane ndi kagayidwe kake kameneka - ndikupanga ngati kuti simunagwiritse ntchito mankhwalawa. Phunzirani zambiri momwe mungathere kuti mupeze madalitso omwe mumapereka. Pamene mukufuna kwenikweni kukonzekera mimba muyenera kukhala pa Tamoxifen kwa miyezi iwiri. Izi zimapatsa nthawi kuti mankhwalawa atuluke m'dongosolo lanu.
Bwanji Ngati Mukufunadi Mwana Wanu Tsopano?
Ngati mukufuna kukhala ndi pakati ndipo mukumva kuti nthawi yatha kubereka kwanu, kambiranani zosankha zanu ndi dokotala wanu.
Zitha kukhala zotheka kutenga Tamoxifen kwa zaka zopitirira zisanu ndikupindula ndi mankhwalawa. Dokotala wanu angakambirane ndi matenda anu, ndikuthandizani kuti muzindikire kuchuluka kwa nthawi yomwe mukufunika kuti mutenge. Kafukufuku wasonyeza kuti kutenga mimba pambuyo pa chithandizo cha khansa ya m'mawere sikukuwonjezera mwayi wanu wobwereza. Gwiritsani ntchito nthawi komanso khama lanu kuti mupeze thanzi lanu ndikuganizira za zomwe mukufuna kuchita m'tsogolomu. Pali njira zambiri zothandizira ana, ndipo wina akhoza kukhala wabwino.
Ngati Mukungoyamba Chithandizo
Ngati mwapezeka kale, ndipo musanayambe kuchipatala, muphunzire momwe chithandizo cha khansa chingakhudzire chonde , ndi zomwe mungachite kuti mukonzekere.
Zotsatira:
Amant, F., Loibl, S., Neven, P., ndi K. Van Calsteren. Khansara ya m'mimba mukakhala ndi pakati. Lancet . 2012. 379 (9815): 570-9.
Buluu, G., Denys, H., De Wever, O., Cocquyt, V., ndi R. Broecke. Gwiritsani ntchito tamoxifen musanakhale ndi mimba. Oncologist . 2011. 16 (11): 1547-51.