I-Tamoxifen, Ukukhiqiza, nokuKhulelwa Kwengozi
Ingabe kuphephile ukusebenzisa iTamoxifen ngesikhathi sokukhulelwa noma kungaba yingozi? Ingabe i-Tamoxifen ithinta ukuzala?
Tamoxifen Izingozi ekukhulelweni
Uma ufunda la mazwi kungenzeka ukuthi wena, noma umuntu omkhathalelayo uthatha i-Tamoxifen. Siyakuhalalisela ngokusinda! Lokho kusho ukuthi kunezinto eziningi okufanele wazi uma ucabangela ukukhulelwa ngenkathi uthatha iTamoxifen.
Ungaxube i-Tamoxifen nokukhulelwa
I-Tamoxifen ingalimaza amaqanda ahlolwe (imibungu) ngakho ungathathi uma usuvele ukhulelwe. Ngenxa yemvamisa ephakeme kakhulu ye-anomalies yokuzalwa, uTamoxifen akufanele neze ithathwe ngesikhathi sokukhulelwa.
Uma ucabanga ukuthi ukhulelwe, hamba ukuthatha iTamoxifen uphinde uthintane nodokotela wakho ngokushesha. Ezifundweni zelabhu ezilwaneni ezikhulelwe, i-Tamoxifen ibangele ukukhubazeka kokuzalwa, ukukhulelwa kwesisu, futhi ivimbela amaqanda okukhulelwa ukuba ahlanganise nodonga lwesibeletho.
I-Tamoxifen ne-Fertility
Lapho ufunda ukuthi iTamoxifen nokukhulelwa akuhlanganisi, cishe uyazibuza ngekusasa. Uma usuqedile ukuthatha i-Tamoxifen, ingabe ukukhulelwa kuzoba kuhle? Ngenhlanhla, emva kokuphuma kwesikhathi sezinyanga ezimbalwa ngaphandle kweTamoxifen, ingozi yokukhubazeka kokuzalwa evela eTamoxifen iyahamba. Ngaphezu kwalokho, izifundo zisitshela ukuthi i-Tamoxifen ayihlotshaniswa nobudala bokuqala kokuya esikhathini. Ngamanye amazwi, i-Tamoxifen ayinakwenzeka ukusheshisa inqubo "evamile" yokunciphisa ukuzala okuza nokukhula.
I-Tamoxifen nokuLawula
Kubaluleke kakhulu ukusebenzisa izinhlobo ezinhle ezingekho ze-hormonal zokuvimbela ukukhulelwa ngenkathi uthatha i-Tamoxifen. Izindlela zokwelapha ngokweqile ezifana namaphilisi okulawula ukubeletha, aqukethe i-estrogen ne-progesterone engakwazi ukukhulisa umdlavuza webele webele, okwandisa ingozi yokuphindaphindiwe.
Odokotela abaningi batusa inhlanganisela yezindlela ezimbili zokuvimbela ukukhulelwa ukuze ziphephe ngenkathi zithatha iTamoxifen. Khuluma nodokotela wakho ngezindlela ezahlukene zokuvimbela ukukhulelwa . Zama amakhondomu, i-spermicide, i- diaphragm , noma i-IUD ukuvimbela ukukhulelwa. Kungase kube yisikhathi esihle sokuzijwayeza ngezinketho eziphuthumayo zokubeletha - izindlela ezikhona uma, isibonelo, ikhondomu iphuka, ukuvimbela ukukhulelwa. Njengoba lezi, njengezinzalo zomlomo, ziqukethe amahomoni wesifazane, kubaluleke kakhulu ukuthi ukhulume ne-oncologist yakho ngaphambi kokusebenzisa lokhu.
I-Tamoxifen nohlelo lwakho lokuzala
Ngenkathi i-chemotherapy ingenza ube "i-menopausal" okwesikhashana, akuyona into evamile yokuzala ukuze ubuyele ngisho neminyaka emva kwalokhu ukwelashwa. Ngeke ube yinto yokwelashwa ngokwemvelo ku-Tamoxifen, ngaphandle kokuthi ususondele kakade kulelo phuzu lapho uqala ukwelashwa. Ngokuphambene nalokho, ochwepheshe be-infertility bathi ngezinye izikhathi ukuphakama okukhulu kweTamoxifen ukwandisa ukukhiqizwa kweqanda. Uma ama-ovari aphelile, i-Tamoxifen imisiwe bese kuthi ukuvimbela ukukhulelwa kungenziwa ukuzama.
I-Play It Safe for Season
Ukusebenzisa i-Tamoxifen ngemuva kokwelashwa komdlavuza wesifuba kunciphisa ingozi yokuphindaphinda ngamaphesenti angama-50 , futhi kwandisa ithuba lokuthi uzoba khona esikhathini esizayo ukuze ujabulele umndeni wakho.
Kungaba nzima ukubeka abantwana ekubambeni ngalesi sikhathi, kodwa okwamanje, kubalulekile ukugxila empilweni yakho kanye nenhlalakahle yakho. Uma usebenzisa i-Tamoxifen, kubalulekile nokuba uqaphele ukuthi kunezidakamizwa ezingakwazi ukuxhumana nomzimba wayo - ngokuyinhloko ukwenze njengokungathi awuthathi umuthi nhlobo. Funda okuningi ngangokunokwenzeka ukuze uthole izinzuzo ozidela ngazo. Uma uthanda ngempela ukuhlela ukukhulelwa kumele ube kude neTamoxifen okungenani izinyanga ezimbili. Lokhu kuvumela isikhathi sokuba isidakamizwa sidlule ohlelweni lwakho.
Kuthiwani Uma Ufuna Ngempela Umntwana Manje?
Uma ufuna ukukhulelwa futhi uzizwa ukuthi isikhathi siphelela ukuzala kwakho, xoxani ngezinketho zakho nodokotela wakho.
Kungenzeka ukuthi uthathe i-Tamoxifen iminyaka engaphansi kwemihlanu futhi uthola inzuzo yalesi sidakamizwa. Udokotela wakho angabuyekeza ukuxilongwa kwakho nawe, futhi akusize uqonde inani eliphansi lemzuzu odinga ukuyithatha. Ucwaningo luye lwabonisa ukuthi ukukhulelwa emva kokwelapha umdlavuza wamabele akukhulise kakhulu amathuba akho okuphindaphindiwe. Sebenzisa isikhathi nokuzama ukuthola impilo yakho futhi ucabange ngezinto eziza kuqala. Kunezindlela eziningi zokuba umzali, futhi omunye angakulungela wena.
Uma Usanda Kuqala Ukwelapha
Uma usanda kutholakala, futhi ngaphambi kokwelashwa, ufunde ukuthi ukwelashwa komdlavuza kungathinta kanjani ukuzala , nokuthi yini ongayenza ukuze uhlele phambili.
Imithombo:
Amant, F., Loibl, S., Neven, P., no K. Van Calsteren. Umdlavuza wesibeletho ekukhulelwe. I-Lancet . 2012. 379 (9815): 570-9.
Amabhontshisi, G., Amanani, H., De Wever, O., uCocquyt, V., noR. R. Broecke. Ukusetshenziswa kwe-tamoxifen ngaphambi nangemva kokukhulelwa. Oncologist . 2011. 16 (11): 1547-51.