So wunim nnuru a wɔde siw awo ano (Lo Minastrin Fe) yi?

Mpɛn pii no, nnuruyɛfo ne mmea kamfo nnuru a wɔde siw awo ano kyerɛ sɛ wɔmfa nyɛ abusua nhyehyɛe anaasɛ hormone ho haw ahorow bi, ɛnte saa? Pill a ɛte saa no biako ne eyi, a nneɛma abiɛsa na ɛyɛ: `Norethindrone Acetate`, ` Ethinyl Estradiol` ne `Ferrous Fumarate` ( dade bi ). Ebia wunim no denam brand din `(Lo Minastrin Fe)` so. Enti, ɛnnɛ yɛbɛka saa pill yi ho asɛm , nea ɛyɛ, sɛnea wɔde di dwuma pɛpɛɛpɛ, ne nea ɛsɛ sɛ wohwɛ yiye wɔ ho.

Dɛn na ɛba wɔ aduru yi ho ankasa?

Sɛ yɛbɛka no tiawa a, eyi yɛ aduru a wɔde siw awo ano. Ɛne sɛ, ne titiriw no, ɛma wo nipadua no gyae nkesua, anaa ``ovulation''. Sɛ wɔannyi nkesua bi mfi mu a, ɔkwan biara nni hɔ a wubetumi afa so anyinsɛn. Ɛyɛ afiri a ɛma wo nipadua nya hormone ahorow abien (``estrogen'' ne `` progestin ''). Saa aduru yi kura ``Norethindrone Acetate'' (``progestin'' bi) ne ``Ethinyl Estradiol '' (``estrogen'' bi).

Bio nso, saa pill pack yi nso wɔ pills a iron wom a wɔfrɛ no `Ferrous Fumarate`. Nnuru bi a wɔde siw awo ano betumi atew mogya a epue bere a obi rekɔ brayɛ no so, anaasɛ nnipa binom betumi anya iron a enni nipadua no mu , na ɛno nti na wɔde dade nnuru yi nso ma no. Ɛma nipadua no nya dade dodow a ɛho hia.

Ɛtɔ da bi a nnuruyɛfo betumi de saa aduru yi adi dwuma wɔ nneɛma afoforo mu, enti sɛ wowɔ nsɛmmisa bi a, ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo anaa nnuruyɛfo.

Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi

Ansa na wubefi ase de awo ano aduru yi adi dwuma no, tebea horow bi wɔ hɔ a ɛsɛ sɛ woka ho asɛm kyerɛ wo duruyɛfo anaa ɔyarehwɛfo ampa , efisɛ nnuru yi a wode bedi dwuma ne tebea horow yi betumi ayɛ asiane.

Tebea horow a ɛtete saa no bi ni:

• Sɛ wowɔ mogya a ɛba wo awotwaa mu a ɛyɛ soronko (a wunnim nea ɛde ba ankasa).
• Sɛ wowɔ mogya ntini mu yare anaasɛ mogya a ɛtwetwe ho haw bi a .
• Sɛ wowɔ anaa woanya kokoram wɔ nufu, awotwaa mu, awotwaa mu, awotwaa mu, mmerɛbo, anaa awotwaa mu a , .
• Sɛ wowɔ asikreyare (`Asikreyare`) a .
• Sɛ wowɔ gallbladder yare a.
• Sɛ wɔbɛyɛ wo oprehyɛn daakye a .
• Komayare , anaasɛ sɛ woanya komayare nnansa yi a .
• Sɛ wowɔ mogya mmoroso a .
• Sɛ srade anaa triglycerides dodow a ɛwɔ mogya no mu dɔɔso a .
• Sɛ woadi kan anya koma a ɛbɔ a ɛnteɛ anaasɛ woanya koma no mu ntini ho haw a .
• Sɛ wowɔ asaabo mu yare a .
• Sɛ wowɔ mmerɛbo mu yare a .
• Sɛ wowɔ tiyɛ a ɛyɛ wo yaw a .
• Sɛ wowɔ ɔhaw bi a ɛka mogya a ɛtwetwe, te sɛ `Protein C/S a enni hɔ`.
• Sɛ wowoo akokoaa nnansa yi, woayi nyinsɛn agu, anaasɛ woayi nyinsɛn agu a .
• Sɛ woanya akisikuru a .
• Sɛ wowɔ tebea bi a wɔfrɛ no `Systemic lupus erythematosus (SLE).`
• Eyi ho hia yiye sɛ woyɛ obi a ɔnom tawa (titiriw sɛ woadi boro mfe 35 a).
• Sɛ wo ho yɛ wo hyew wɔ estrogen, progestin, nnuru afoforo, nnuan, anaa nneɛma a wɔde sie ho a.
• Sɛ mprempren woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a .
• Sɛ worema nufu a .

Sɛ eyinom mu biara fa wo ho a, yɛsrɛ wo ka kyerɛ wo duruyɛfo no sɛnea ɛbɛyɛ a obetumi asi nea eye ma wo ho gyinae.

Ɔkwan bɛn so ankasa na wofa saa aduru yi?

Ɛho hia paa sɛ yɛde eyi di dwuma yiye.

• Ɛsɛ sɛ wonom aduru biako da biara, bere koro mu, ne sɛnea wɔakyerɛ wɔ packet no so no.
• Nnuru kotoku yi kura nnuru bi a ɛsɛ sɛ wowe na womene, ne ebi nso a ɛsɛ sɛ womene ne nyinaa . Ɛsɛ sɛ wɔwe nnuru 24 a edi kan a ɛwɔ packet no mu no yiye na wɔmene. Fa nsu kuruwa mene aduru a wɔawe no. Ɛsɛ sɛ wɔmene nnuru 4 a etwa to a ɛwɔ packet no mu no nyinaa.
• Ebia nnipa binom bɛte nka sɛ wɔn ho ayɛ wɔn yaw bere a wɔanom eyi awie no. Nea ɛbɛyɛ na eyi so atew no, wubetumi anom saa aduru yi ne aduan .
• Fa sɛnea wo duruyɛfo kyerɛ no nkutoo, na nnom nsen dodow a wɔkamfo kyerɛ no.

Sɛ wɔkyerɛw saa aduru yi ma wo a, wo nsa bɛka ɔyarefo a wɔde ahyɛ mu . Wo nsa bɛka no ne nnuru biara a wɔakyerɛw ama wo ne bere biara a wobɛsan ahyɛ no ma no. Ɛsɛ sɛ wokenkan no yiye bere nyinaa, efisɛ nsɛm a ɛwɔ mu no betumi asesa bere ne bere mu.

So wobetumi de eyi ama mmofra nkumaa?

Ɛtɔ mmere bi a nnuruyɛfo kamfo aduru yi kyerɛ mmeawa nkumaa a wɔafi ase rekɔ brayɛ mu. Nanso ɛhwehwɛ sɛ wɔhwɛ so yiye. Enti, ɛsɛ sɛ wɔyɛ no wɔ oduruyɛfo afotu nkutoo ase.

Na sɛ menom nnuru pii nso ɛ?

Sɛ wususuw sɛ woanom aduru yi dodo a, frɛ beae a wɔhwɛ awuduru so anaa baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ ntɛm ara.

Kae sɛ saa aduru yi yɛ wo nkutoo dea. Mfa nnkyɛ obi foforo biara.

Sɛ wo werɛ fi sɛ wobɛnom aduru bi a, dɛn na woyɛ?

Sɛ wo werɛ fi sɛ wobɛnom aduru bi a, hwɛ ɔyarefo ho nsɛm krataa a ɛka aduru no ho no na woanya afotu wɔ nea ɛsɛ sɛ woyɛ ho. Sɛ wo werɛ fi sɛ wobɛnom nnuru bɛboro biako a, ebia aduru yi tumi a wɔde siw nyinsɛn ano no so bɛtew. Sɛ eyi ba a, ɛho behia sɛ wode ɔkwan foforo a wɔfa so siw nyinsɛn ano (sɛ nhwɛso no, kɔndɔm) di dwuma. Bisa wo duruyɛfo no afotu wɔ eyi ho nso.

Hwɛ yiye bere a wo ne saa aduru yi renom nnuru afoforo no!

Saa nnuru a wɔde siw awo ano yi betumi ne nnuru afoforo bi adi nkitaho. Ɛne sɛ, aduru biako betumi aka ɔkwan a foforo fa so yɛ adwuma. Eyi betumi ama nsunsuanso bɔne a ɛba no ayɛ kɛse anaasɛ ɛbɛma aduru no a etu mpɔn no so atew.

Mfa awo ano aduru yi nka nnuru a edidi so yi ho:

• ``Dasabuvir a wɔde di dwuma; ombitasvir a wɔde di dwuma; paritaprevir a wɔde di dwuma; ritonavir` a wɔde di dwuma
• ``Ombitasvir a wɔde di dwuma; paritaprevir a wɔde di dwuma; ritonavir` a wɔde di dwuma

Afei nso, nnuru a edidi so yi betumi ne awo ano aduru yi adi nkitaho:

• `Acetaminophen` (paracetamol) a wɔde di dwuma wɔ ɔkwan a ɛyɛ hu so.
• Nnuru a ekum ɔyare mmoawa anaa nnuru a wɔde sa ɔyare mmoawa (e.g. rifampin, rifabutin, rifapentine, griseofulvin) .
• `Aprepitant`
• Vitamin C (`Ascorbic acid`) a ɛwɔ nipadua no mu.
• `Atorvastatin` (aduru a ɛma mogya mu srade so tew) .
• Nnuru a wɔde barbiturate yɛ (e.g. phenobarbital) .
• `Bosentan`
• `Carbamazepine a wɔde yɛ aduan`
• Caffeine a wɔde yɛ adwuma
• `Klofibrate`
• `Cyclosporine a wɔde yɛ adwuma`
• `Dantrolene`
• `Doxercalciferol a ɛyɛ aduru a wɔde yɛ aduru`
• `Felbamate` na ɛyɛ adwuma
• Grapefruit nsu a wɔde yɛ
• `Nsuo a wɔfrɛ no hydrocortisone`
• Nnuru a wɔde sa dadwen anaa nna a wontumi nna (e.g. diazepam, temazepam) .
• Asikreyare aduru
• `Ngo a ɛwɔ aboɔden abo mu`
• `Modafinil`
• `Mycophenolate a ɛwɔ nipadua no mu`
• `Nefazodone a wɔde yɛ adwuma`
• `Oxcarbazepine a wɔde yɛ nnuru`
• `Phenytoin`
• `Prednisolone a wɔde ma`
• Ritonavir anaa nnuru foforo a wɔde sa HIV/AIDS
• `Rosuvastatin` na ɛyɛ adwuma
• `Selegiline`
• Soya isoflavone a wɔde ka aduan ho
• St. John’s Wort (eyi yɛ nhabannuru) .
• ``Tamoxifen'' anaa ``raloxifene'' a wɔde di dwuma.
• `Theophylline a wɔde yɛ ade`
• Thyroid hormone ahorow a ɛma nipadua no yɛ adwuma
• `Topiramate` na ɛyɛ adwuma
• `Warfarin` (aduru a ɛma mogya yɛ mmerɛw) .

Ebia nkitahodi ahorow a ebetumi aba nyinaa nka saa din a wɔahyehyɛ yi ho. Enti, ɛho hia sɛ woka nnuru a worenom (wɔakyerɛw ama wo, a wɔmfa nnuru nhyɛ mu, nhabannuru, vitamin) nyinaa kyerɛ wo duruyɛfo.Ɛho hia yiye sɛ woka kyerɛ wo duruyɛfo . Afei nso, sɛ wonom sigaret, wonom nsa, anaa wode nnubɔne a mmara mma ho kwan di dwuma a, ka kyerɛ no.

Nneɛma a ɛsɛ sɛ wohwɛ so yiye bere a wode aduru yi redi dwuma no:

Sɛ worenom nnuru a wɔde siw awo ano yi a, ɛsɛ sɛ wohwɛ yiye wɔ nneɛma afoforo kakraa bi ho.

• Kɔ wo duruyɛfo nkyɛn kɔhwɛ wo daa. Ɛsɛ sɛ woyɛ wo nufu mu nhwehwɛmu daa, woyɛ wo nan ase nhwehwɛmu, na woyɛ Pap smears bere a worenom aduru yi no.
• Wɔ ɔsram a edi kan (`akyinhyia a edi kan`) mu bere a wufi ase de saa nnuru yi di dwuma no, ɛyɛ adwene pa sɛ wode awo ano aduru foforo bedi dwuma (e.g. kɔndɔm).
• Sɛ wususuw sɛ woanyinsɛn a, gyae aduru yi nom ntɛm ara na frɛ wo duruyɛfo .
• Sɛ worenom aduru yi ama hormone ho asɛm foforo a, ebia ebegye asram pii ansa na woahu nkɔso wɔ saa tebea no mu.
• Sigaretnom ma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ anaa akisikuru bere a ɔnom nnuru a wɔde siw awo ano yi yɛ kɛse. Asiane yi yɛ kɛse titiriw sɛ woadi boro mfe 35 a. Enti, yɛhyɛ wo nkuran denneennen sɛ nnom sigaret.
• Saa aduru yi betumi ama wo nipadua no tumi a ɛkura nsuo (`fluid retention`) no ayɛ kɛseɛ. Eyi kyerɛ sɛ wo nsateaa, wo nsa, ne wo nansoaa betumi ahonhon. Wo mogya mmoroso nso betumi akɔ soro. Sɛ wote nka saa a, ka kyerɛ wo duruyɛfo .
• Ebia saa aduru yi bɛma wo honam ani ayɛ mmerɛw wɔ owia ho. Enti, to owia a wobɛbɔ no ano hye sɛnea wubetumi biara. Sɛ ɛsɛ sɛ wupue kɔ owia mu a, hyɛ ntade a ɛbɔ wo ho ban ne nea ɛbɔ wo ho ban fi owia ho. Mfa owia akanea anaa mpa/ntanning beds nni dwuma.
• Sɛ wohyɛ ahwehwɛ a wɔde hwɛ ade, sɛ wuhu nsakrae bi wɔ w’ani so anaasɛ wote nka sɛ wo ho nyɛ wo dɛ sɛ wobɛhyɛ w’aniwa ahwehwɛ a, kɔ w’ani duruyɛfo nkyɛn.
• Mmea binom betumi ate ɛyaw, ahonhon, anaa mogya atɔ kakra wɔ wɔn anom . Sɛ eyi ba a, ka kyerɛ wo sẽ ho oduruyɛfo. Wobetumi atew eyi so denam wo sẽ a wobɛhohoro na wode nhama abɔ wo sẽ yiye so. Kɔ wo sẽ ho oduruyɛfo nkyɛn daa na ka nnuru a worenom no ho asɛm kyerɛ no.
• Sɛ woreyɛ oprehyɛn a wopaw a, bisa wo duruyɛfo sɛ ɛsɛ sɛ wugyae saa aduru yi nom ansa na wɔayɛ wo oprehyɛn no anaa.
• Saa aduru yi mmɔ wo ho ban mfi HIV (AIDS) anaa nyarewa afoforo a wonya fi nna mu ho. Ɛsɛ sɛ wode akwan foforo a wɔfa so bɔ wo ho ban di dwuma.

Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?

Te sɛ aduru biara no, eyi betumi de ɔhaw ahorow bi aba. Ɛnyɛ obiara na onya bi, nanso eye sɛ wobɛma w’ani ada hɔ.

Nneɛma a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara

Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara sɛnea wubetumi:

• Allergic reactions - honam ani akisikuru, ɛyaw, akisikuru, anim, anofafa, tɛkrɛma, anaa menewa a ɛho ahonhon.
• Mogya a etu - nan mu yaw, ahohoro, anaase ɔhyew, ahome a ɛyɛ tiaa, koko mu yaw.
• Gallbladder haw - yafunu mu yaw a emu yɛ den, akisikuru, ɔfe, atiridiinini.
• Mogya mmoroso a ɛkɔ soro.
• mmerɛbo mu opira - ɛyaw wɔ yafunu no atifi nifa so, aduan ho akɔnnɔ a ɛyera, akisikuru, nsu a ɛyɛ kɔla a ɛyɛ hann, nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum, honam ani anaa aniwa a ɛyɛ kɔkɔɔ, mmerɛwyɛ anaa ɔbrɛ a ɛyɛ soronko.
• Atiridiinini anaa tiyɛ foforo anaasɛ ɛreyɛ kɛse.
• Stroke sɛnkyerɛnne - anim, abasa, anaa nan a ɛyɛ mmerɛw mpofirim, ɛyɛ den sɛ wobɛkasa, adwene atu afra, ɛyɛ den sɛ wobɛnantew, ɛyɛ den sɛ wobɛkari pɛ, adwenemhaw, tiyɛ a emu yɛ den, nsakrae a ɛba w’ani so.
• Nsu a ɛyɛ soronko a ɛba ɔbea awotwaa mu, ɛyaw, anaa hua.
• Adwene a ɛyɛ den, nkate te sɛ adwenemhaw.

Mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛhaw adwene a, ka kyerɛ wo duruyɛfo.

Mpɛn pii no, saa nsunsuanso bɔne yi nyɛ aniberesɛm, nanso sɛ ɛkɔ so anaasɛ ɛhaw wo a, ka kyerɛ wo duruyɛfo :

• Nufu mu yaw anaasɛ ɛyɛ mmerɛw.
• Wora a ɛyɛ tuntum wɔ anim anaa mmeae afoforo a owia bɔ.
• Brayɛ a ɛnkɔ so daa anaasɛ nsensanee.
• Abofono.
• Yafunu mu yaw.

Saa nsɛm a wɔahyehyɛ yi nka nsunsuanso bɔne a ebetumi aba nyinaa ho. Wo ne wo duruyɛfo nkasa na ɔmma wo aduruyɛ mu afotu wɔ nneɛma bɔne a efi mu ba ho.

Wobɛyɛ dɛn ama nnuru akɔ so ayɛ nea asiane biara nni ho?

• Fa saa aduru yi sie baabi a mmofra ne afieboa ntumi nkɔ hɔ.
• Fa sie wɔ dan mu hyew (a ɛyɛ digrii Celsius 15 kosi 30, digrii Fahrenheit 59 kosi 86).
• Tow nnuru a ne bere atwam a womfa nni dwuma.

Ade a ɛho hia paa sɛ wokae ne

Eyi yɛ nsɛm a wɔaboaboa ano kɛkɛ. Ebia nsɛm no nyinaa nni mu. Sɛ wowɔ nsɛmmisa foforo biara fa saa aduru yi ho a, wo ne wo duruyɛfo, nnuruyɛfo, anaa akwahosan ho ɔyaresafo foforo nkasa. Mfi ase anaasɛ nnyae aduru bi a wonom da a wunnya wo duruyɛfo afotu. Di wo duruyɛfo afotu akyi bere nyinaa bere a woresisi w’akwahosan ho gyinae no. Ɛda no nkɔ yie mma wo!

` Norethindrone, Ethinyl Estradiol, Ferrous Fumarate, Lo Minastrin Fe, Nnuru a Wɔde Siw Awo ano, Abusua Nhyehyɛe, Nnuru a Wɔde Yɛ Nkwammoaa, Mmea Akwahosan