So wonom nnuru a wɔde siw awo ano? Momma yensua (Norgestrel; Ethinyl Estradiol) ho ade!

Ebia woresusuw abusua nhyehyɛe ho , anaasɛ ebia wo duruyɛfo akyerɛw nnuru a wɔde siw nyinsɛn ano a wɔnom sɛ aduru a wɔde sa hormone tebea bi. Ɛnnɛ yɛrebɛka nnuru a wɔde siw awo ano a aduru a wɔfrɛ no `(Norgestrel; Ethinyl Estradiol )` wom ho asɛm. Wɔtaa de eyinom di dwuma de siw nyinsɛn ano . Momma yɛnhwɛ eyinom mu nkɔ akyiri.

Dɛn ne aduru yi? Sɛ yɛbɛka no tiawa a...

Saa aduru yi a wɔfrɛ no `(Norgestrel; Ethinyl Estradiol ) no mma wo nipadua no ntumi nnyi nkesua `(ovulation), na ɛnam so siw nyinsɛn ano. Ɛka awo ano aduru kuw `(anom nnuru a wɔde siw nyinsɛn ano) ho. Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛyɛ hormone abien a wɔaka abom `(estrogen)` ne `(progestin).`

Ebia wubehu saa nnuru yi wɔ gua so wɔ din ahorow te sɛ `(Cryselle)`, `(ELINEST)`, `(Lo/Ovral)`, `(Low-Ogestrel)`, `(Ogestrel 0.5/50)`, `(Ovral)` ase. Nanso edin ne dodow a wo duruyɛfo de ama wo no ne nea ɛho hia. Ɛtɔ da bi a, wobetumi de saa aduru yi nso adi dwuma wɔ aduruyɛ mu nneɛma afoforo mu. Sɛ wowɔ nsɛmmisa bi fa ho a, wubetumi abisa wo duruyɛfo anaa nnuruyɛfo.

Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na wode aduru yi adi dwuma!

Ansa na wubefi ase de awo ano aduru yi adi dwuma no, akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ wo duruyɛfo sɛ wowɔ ayaresa tebea anaa ɔhaw ahorow a edidi so yi bi, anaasɛ sɛ woanya bi bere bi a atwam a. So eyi ho hia paa?

• Mogya a ɛba ɔbea no awotwaa mu a ɛnyɛ ne kwan so (mogya a ɛba ɔbea no awotwaa mu a ɛtaa ba anaasɛ ɛnyɛ nea ɛtaa ba ) .
• Sɛ wowɔ mogya ntini mu yare anaa mogya a ɛtwetwe ho abakɔsɛm a
• Sɛ wowɔ nufu, awotwaa mu, awotwaa mu, awotwaa mu, mmerɛbo mu, anaa awotwaa mu kokoram anaasɛ woanya bi pɛn a
• Asikreyare anaa asikre a ɛkɔ soro wɔ mogya mu
• Sɛ wowɔ gallbladder yare a
• Sɛ wowɔ komayare anaasɛ woanya komayare nnansa yi a
• Sɛ wowɔ mogya mmoroso a
• Sɛ srade dodow a ɛwɔ mogya no mu dɔɔso a (High cholesterol) .
• Sɛ wowɔ asaabo mu yare a
• Sɛ wowɔ mmerɛbo mu yare a
• Sɛ wowɔ tiyɛ a ɛyɛ wo yaw a
• Sɛ woanya akisikuru pɛn a
• Sɛ wowɔ tebea bi a wɔfrɛ no `Systemic lupus erythematosus (SLE)` a
• Sɛ woyɛ tawanomfo a – eyi yɛ asɛm a ɛho hia yiye.
• Sɛ wo ho yɛ wo hyew wɔ hormone ahorow a wɔfrɛ no estrogen ne progestin, nnuru afoforo, nnuan, kɔla ahorow a wɔayɛ, anaa nneɛma a wɔde sie ho a.
• Sɛ mprempren woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a
• Sɛ woyɛ ɛna a ɔma nufu a

Sɛ saa nsɛm yi mu biara fa wo ho a, ɛho hia paa ma w’ahobammɔ sɛ wo ne wo duruyɛfo bɛkasa afa ho.

Ɔkwan bɛn so na ɛsɛ sɛ mede saa nnuru yi di dwuma?

Ɛsɛ sɛ wɔde ano nom saa aduru yi. Ebia nnipa binom bɛte akisikuru bere a wɔanom awie no. Sɛ eyi ba a, aduru no a wɔde ka aduan ho no betumi aboa ma atenka yi so atew. Di akwankyerɛ a ɛwɔ nnuru a wɔakyerɛw ama wo a wo duruyɛfo de ma wo no akyi pɛpɛɛpɛ.

Ɛho hia yiye sɛ wobɛnom saa aduru yi bere koro mu da biara ne sɛnea wɔakyerɛ wɔ packet no so no. Sɛnea wonom tii anɔpa biara no, sie bere pɔtee bi ma eyi nso. Ɛno ansa na wubetumi anya nea ɛsen biara afi eyi mu aba. Mma nnnom pii nsen nea oduruyɛfo no aka akyerɛ wo.

Sɛ wɔde saa aduru yi ma mmofra nkumaa, kyerɛ sɛ, mmofra nkumaa a wɔafi ase rekɔ brayɛ mu a, ebia ɛho behia sɛ wɔhwɛ so yiye. Enti wo ne wo duruyɛfo nka ho asɛm.

Sɛ wɔkyerɛw saa aduru yi ma wo a, wo nsa bɛka ɔyarefo a wɔde ahyɛ mu. Kenkan saa insert yi yiye bere biara a wubenya aduru foforo ne bere biara a wobɛsan ahyɛ mu ma, efisɛ ebia nsɛm a ɛwɔ mu no bɛsakra.

Na sɛ menom nnuru pii nso ɛ? (Nneɛma a wɔde ma boro so) .

Fa no sɛ woanom aduru yi dodo. Sɛ ɛba saa a , ɛsɛ sɛ wokɔ ayaresabea dan a ɛbɛn wo a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu ntɛm ara, anaasɛ wofrɛ beae bi a wɔhwɛ awuduru so. Mfa eyi nyɛ hwee, ɛyɛ?

Nea ɛho hia: Saa aduru yi yɛ ma wo nkutoo. Mfa mma obi foforo, sɛ mpo wɔn nso wɔ yare no ho sɛnkyerɛnne te sɛ wo a.

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

Sɛ wo werɛ fi sɛ wobɛnom aduru bi da bi a, ɔyarefo ho nsɛm krataa a ɛka w’aduru ho no bɛma wo akwankyerɛ. Hwɛ mu. Ɛtɔ mmere bi a, sɛ wo werɛ fi sɛ wobɛnom nnuru bɛboro biako a, ebia aduru no rentumi nyɛ adwuma yiye. Sɛ eyi ba a, ebia ebehia sɛ wode ɔkwan foforo a wɔfa so siw nyinsɛn ano di dwuma. Enti bisa wo duruyɛfo no ɛno nso ho asɛm.

Nneɛma afoforo a ebetumi ne aduru yi adi nkitaho (Nkitahodi) .

Saa nnuru a wɔde siw awo ano yi betumi ne nnuru afoforo a worenom no adi nkitaho. Enti, sɛ wokɔ wo duruyɛfo nkyɛn a, hwɛ hu sɛ wobɛka nnuru a worenom mprempren nyinaa ho asɛm akyerɛ wɔn, a vitamin, nhabannuru, nnuru a wɔmfa nnuru nkyerɛw, ne aduan a wɔde ka aduan ho ka ho.

Titiriw no, nnuru pii wɔ hɔ a ɛnsɛ sɛ wɔde nnuru a wɔde siw awo ano yi ka ho da. Nhwɛsoɔ:

• `(Dasabuvir; ombitasvir; paritaprevir; ritonavir)`
• `(Ombitasvir; paritaprevir; ritonavir)`

Nea ɛka ho no, nnuru ne nneɛma a edidi so yi betumi ne nnuru a wɔde siw awo ano yi adi nkitaho:

• Acetaminophen a wɔde yɛ aduru
• Nnuru a ekum ɔyare mmoawa anaa nnuru a wɔde sa ɔyare mmoawa (titiriw rifampin, rifabutin, rifapentine, griseofulvin, ne ɛtɔ mmere bi a penicillin anaa tetracycline) .
• `Aprepitant`
• Ascorbic acid (vitamin C) `(Ascorbic acid (vitamin C))`
• `Atorvastatin` (aduru a ɛma mogya mu srade so tew) .
• Nnuru a wɔde barbiturate yɛ (e.g. phenobarbital) .
• `Bosentan`
• Caffeine a wɔde yɛ adwuma
• `Carbamazepine` (aduru a wɔde sa akisikuru) .
• `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 nnuru (e.g. pioglitazone) .
• Mineral ngo a wɔde yɛ nneɛma
• `Modafinil`
• `Mycophenolate a ɛwɔ nipadua no mu`
• `Nefazodone a wɔde yɛ adwuma`
• `Oxcarbazepine a wɔde yɛ nnuru`
• `Phenytoin` (aduru a wɔde sa akisikuru) .
• `Prednisolone` (aduru bi a wɔde yɛ nnuru) .
• Ritonavir anaa nnuru foforo a wɔde sa HIV/AIDS
• `Rosuvastatin` (aduru a ɛma mogya mu srade so tew) .
• `Selegiline`
• Soya isoflavone a wɔde ka aduan ho
• Nnuadewa a wɔde ka aduan ho a wɔfrɛ no St. John’s Wort
• `Tamoxifen` anaa `raloxifene` (nnuru a wɔde sa kokoram) .
• `Theophylline` (aduru a wɔde sa ayamtu) .
• Thyroid hormone ahorow a ɛma nipadua no yɛ adwuma
• `Topiramate` na ɛyɛ adwuma
• Warfarin (aduru a ɛma mogya yɛ mmerɛw) .

Ebia saa nsɛm a wɔahyehyɛ yi nyɛ nea ɛfa ne nyinaa ho. Enti, sɛ wonom sigaret, wonom nsa, anaa wode nnubɔne a mmara mma ho kwan di dwuma a, ka ho asɛm kyerɛ wo duruyɛfo efisɛ nneɛma bi betumi ne wo nnuru no adi nkitaho.

Nneɛma a ɛsɛ sɛ ɛtra w’adwenem bere a worenom aduru yi

Kɔ wo duruyɛfo nkyɛn kɔhwɛ wo daa bere a worenom aduru a wɔde siw awo ano yi. Mpɛn pii no, ɛho behia sɛ wɔyɛ wo nufu mu nhwehwɛmu, wo akyi berɛmo mu nhwehwɛmu, ne Pap smear bere a worenom aduru yi no.

• Ahobammɔ foforo wɔ ɔsram a edi kan no mu: Nyansa wom sɛ wode awo ano aduru foforo (e.g. kɔndɔm) bedi dwuma wɔ ɔsram a edi kan (kyinhyia a edi kan) a wɔnom saa nnuru yi mu.
• Sɛ wususuw sɛ woanyinsɛn a: Sɛ wususuw sɛ biribi nti na woanyinsɛn a, gyae nnuru yi nom ntɛm ara na kɔ wo duruyɛfo nkyɛn.
• Sɛ́ aduru a wɔde sa hormone haw ahorow: Sɛ worenom saa aduru yi sɛ hormone haw bi aduru a, ebia ebehia sɛ wode di dwuma asram pii (kyinhyia pii) na ama woahu sɛ wo tebea no atu mpɔn.
• Sigaretnom ne Asiane a Ɛwɔ Mu: Sɛ wonom sigaret bere a worenom nnuru a wɔde siw awo ano yi, titiriw sɛ woadi boro mfe 35 a, asiane a ɛwɔ hɔ sɛ wubenya mogya a ɛbɛtɔ anaa akisikuru no yɛ kɛse koraa. Ɛno nti na nnuruyɛfo tu fo denneennen sɛ ɛnsɛ sɛ wɔnom sigaret bere a wɔrenom nnuru yi.
• Nsu a ɛkɔ wo nipadua mu: Saa aduru yi betumi ama nsu akɔ wo nipadua mu. Eyi betumi ama wo nsateaa, wo nsa, anaa wo nan ase ahonhon. Wo mogya mmoroso nso betumi akɔ soro. Sɛ wunya eyi a, ka kyerɛ wo duruyɛfo .
• Owia ho nkate: Ebia saa aduru yi bɛma wo honam ani ayɛ mmerɛw kɛse wɔ owia ho. Enti, to owia a wobɛbɔ no ano hye sɛnea wubetumi biara. Sɛ wokɔ abɔnten a, hyɛ ntade a ɛkata wo honam ani, hyɛ ahwehwɛ a wɔde hwɛ owia, na fa aduru a ɛbɔ wo ho ban fi owia ho di dwuma. Mfa owia akanea anaa mpa/ntanning beds nni dwuma.
• Wɔ wɔn a wɔhyɛ ahwehwɛ a wɔde hwɛ ahwehwɛ no fam: Sɛ wohyɛ ahwehwɛ a wɔde hwɛ ade na wuhu sɛ nsakrae bi aba w’ani so, anaasɛ sɛ wo ho nyɛ wo dɛ bere a wohyɛ w’aniwa a, kɔ w’ani hwɛ ho ɔbenfo nkyɛn.
• Nsõ ho haw: Mmea binom betumi ate ɛyaw, ahohoro, anaa mogya atɔ kakra wɔ wɔn anom. Sɛ eyi ba a, ma wo sẽ ho oduruyɛfo nhu. Wobetumi adi tebea yi so denam wo sẽ a wobɛhohoro na wode nhama a wɔde twitwiw wo sẽ mu da biara da so. Kɔ wo sẽ ho oduruyɛfo nkyɛn daa na ka nnuru biara a worenom ho asɛm kyerɛ wɔn.
• Oprehyɛn a wɔayɛ ho nhyehyɛe: Sɛ woyɛ oprehyɛn a wopaw a, bisa wo duruyɛfo sɛ ɛsɛ sɛ wugyae aduru yi nom ansa na wɔayɛ wo oprehyɛn no anaa.
• Ahobammɔ biara nni hɔ a wɔde bɛbɔ HIV/AIDS ne nyarewa a wonya fi nna mu: Eyi ho hia yiye. Saa nnuru a wɔde siw awo ano yi mmɔ wo ho ban mfi HIV/AIDS anaa nyarewa foforo biara a wonya fi nna mu ho. Ɛsɛ sɛ wode akwan foforo a wɔfa so bɔ wo ho ban di dwuma (e.g. kɔndɔm).

Nsunsuanso bɔne a ebetumi afi aduru yi mu aba

Te sɛ nnuru nyinaa no, saa nnuru a wɔde siw awo ano yi betumi de ɔhaw ahorow aba nnipa binom so. Nanso ɛnyɛ obiara na onya bi, ɛnte saa? Wɔn mu binom yɛ aniberesɛm kakra, .Sɛ wuhu biribi a ɛte saa a, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara.

Nneɛma bɔne a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo ntɛm ara:

• Nneɛma a ɛma obi ho yɛ no hyew: honam ani akisikuru, ɛyaw, akisikuru, anim, anofafa, tɛkrɛma, anaa menewa a ɛho ahonhon.
• Mogya a ɛtɔ: nan mu yaw, ɛho ahonhon anaasɛ ɛyɛ hyew, ɛyɛ den sɛ wobɛhome, ɛyɛ wo koko mu yaw.
• Gallbladder haw: Ɛyaw a emu yɛ den wɔ yafunu atifi, akisikuru, ɔfe, atiridiinini.
• Mogya mmoroso a ɛkɔ soro .
• Mmɛn mu opira: Ɛyaw wɔ yafunu nifa so atifi, aduan ho akɔnnɔ a ɛyera, akisikuru, nsu a ɛyɛ kɔla a ɛyɛ hare, nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum, honam ani anaa aniwa a ɛyɛ kɔkɔɔ, ne ɔbrɛ a ɛyɛ soronko.
• Atiridiinini anaa tiyɛ foforo anaasɛ ɛreyɛ kɛse .
• Akisikuru: Anim, nsa, anaa nan a ɛyɛ mmerɛw mpofirim anaa ɛyɛ mmerɛw, ɛyɛ den sɛ ɔbɛkasa, adwene atu afra, ɛyɛ den sɛ ɔbɛnantew, ɛkari 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 ɛresɛe, adwenemhaw ho nkate .

Nneɛma bɔne a mpɛn pii no enhia sɛ wonya aduruyɛ mu afotu (nanso sɛ ɛkɔ so anaasɛ ɛhaw adwene a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo ):

• 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
• Mu duru a ɛkɔ soro

Ebia nneɛma bɔne a efi mu ba nyinaa nka saa nsɛm a wɔahyehyɛ yi ho. Sɛ wuhu sɛnkyerɛnne biara a ɛyɛ soronko a, wo ne wo duruyɛfo nkasa. Wubetumi nso abɔ nsunsuanso bɔne ho amanneɛ akyerɛ FDA (denam frɛ a wobɛfrɛ 1-800-FDA-1088 so).

Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi sie?

Fa saa aduru yi sie baabi a mmofra ne afieboa ntumi nkɔ hɔ.

Fa sie wɔ dan mu hyew (a ɛwɔ digrii Celsius 15 kosi 30 / digrii Fahrenheit 59 ne 86 ntam). Tow aduru biara a atwam bere a ne bere atwam no gu.

Nea ɛho hia: Asɛm yi yɛ nsɛm a wɔaboaboa ano nkutoo. Ebia emu 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.

Nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae (Take-Home Message) .

Okay, enti mewɔ anidaso sɛ seesei woanya ntease pa wɔ awo ano aduru a yɛkaa ho asɛm no ho.

• Bere nyinaa bere koro no ara mu, di akwankyerɛ ahorow no akyi pɛpɛɛpɛƐho hia yiye sɛ wobɛnom saa nnuru yi.
• Hwɛ hu sɛ wobɛka aduruyɛ mu tebea foforo biara a wowɔ ne nnuru foforo biara a wonom ho asɛm akyerɛ wo duruyɛfo .
• Sɛ woyɛ obi a ɔnom sigaret a, asiane ahorow no dɔɔso bere a wonom nnuru yi. Enti, ɛbɛyɛ papa sɛ wobɛkwati sigaretnom.
• Saa nnuru yi mmɔ wo ho ban mfi nyarewa a wonya fi nna mu ho.
• Sɛ wunya ɔhaw biara a anibere wom a, hwehwɛ aduruyɛfo afotu ntɛm ara.

Ɛyɛ w’ankasa w’asɛyɛde sɛ wobɛhwɛ w’akwahosan so. Enti, sɛ wode nnuru a ɛtete saa redi dwuma a, nyansa wom sɛ wobɛma wo nsɛm a edi mũ na woadi wo duruyɛfo akwankyerɛ akyi.

` Nnuru a wɔde siw awo ano, Norgestrel, Ethinyl Estradiol, Nyinsɛn a wosiw ano, Nnuru a ɛma nipadua no nya ahoɔden, Mmea akwahosan, Nsunsuanso bɔne