Azimayi ambiri amagwiritsa ntchito mapiritsi oletsa kubereka ngati njira yolerera. Koma kodi mukudziwadi mtundu wa mapiritsi omwe mukugwiritsa ntchito komanso momwe amakhudzira thupi lanu? Lero tikulankhula za imodzi mwa mitundu yodziwika bwino ya mapiritsi oletsa kubereka, omwe ali ndi mahomoni otchedwa norethindrone ndi ethinyl estradiol. Ndikofunikira kwambiri kudziwa bwino izi.
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Kodi mankhwala awa ndi chiyani? Mwachidule...
Izi ndi zomwe timazitcha kuti mankhwala oletsa kubereka, kapena mapiritsi oletsa kubereka. Ali ndi mitundu iwiri ya mahomoni achikazi, estrogen ndi progestin .
Chinthu chachikulu chomwe piritsi ili limachita ndikuletsa kutuluka kwa dzira mwezi uliwonse kuchokera ku imodzi mwa mazira anu. Izi zimaletsa kutenga mimba. Kuwonjezera pa kulera, madokotala nthawi zina amatha kukupatsani mankhwala pamavuto ena okhudzana ndi mahomoni (monga msambo wosakhazikika).
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Musanayambe kumwa mankhwalawa, muyenera kudziwitsa dokotala wanu ngati muli ndi matenda otsatirawa kapena mwakhalapo nawo. Kubisa izi kungakhudze kwambiri thanzi lanu.
| Matenda kapena vuto | N’chifukwa chiyani muyenera kusamala? |
|---|---|
| Matenda a mitsempha yamagazi kapena magazi kuundana | Mapiritsi awa angawonjezere pang'ono chiopsezo cha magazi kuundana. |
| Khansa ya m'mawere, ya pachibelekero, ya m'chiberekero, ya m'chiberekero, ya m'chiberekero, kapena ya chiwindi | Mahomoni amatha kukhudza mitundu ina ya khansa. |
| Matenda a mtima, matenda a mtima, sitiroko, kapena kuthamanga kwa magazi | Kugwiritsa ntchito mahomoni kungakhale koopsa ngati zinthuzi zilipo. |
| Matenda a shuga, cholesterol yambiri kapena triglycerides | Mankhwalawa amatha kukhudza kuchuluka kwa shuga m'magazi ndi cholesterol. |
| Mutu wa mutu wa mutu waching'alang'ala | Izi zitha kuonjezera mutu waching'alang'ala mwa akazi ena. |
| Matenda a chiwindi kapena impso, matenda a ndulu | Popeza ziwalo zimenezi zimachotsa mankhwala m'thupi, ntchito yawo ndi yofunika kwambiri. |
| Matenda odziteteza okha monga systemic lupus erythematosus (SLE) | Uphungu wa zachipatala ndi wofunika kwambiri pamene zinthu izi zikuchitika. |
| Ngati ndinu wosuta fodya (makamaka ngati muli ndi zaka zoposa 35) | Kuphatikiza kusuta fodya ndi mapiritsi awa kumawonjezera kwambiri chiopsezo cha magazi kuundana ndi matenda a mtima. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa | Mankhwalawa si oyenera pazochitika zotere. |
| Ngati muli ndi magazi osadziwika bwino m'mimba | Sikoyenera kumwa mankhwalawa musanazindikire bwino chomwe chikuyambitsa vutoli. |
| Ngati mukukonzekera kuchitidwa opaleshoni mtsogolomu | Mapiritsi awa angafunike kuyimitsidwa musanachite opaleshoni. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Ndi zophweka kwambiri. Imwani mapiritsi nthawi yomweyo tsiku lililonse.Yesani. Umu ndi momwe mungapezere zotsatira zabwino kwambiri. Imwani piritsi monga momwe zalembedwera pa khadi. Anthu ena amatha kuvutika m'mimba kapena nseru atatha kumwa izi. Ngati zitachitika, imwani piritsili pamodzi ndi chakudya.
Werengani mosamala phukusi la wodwala mukapatsidwa mankhwala anu. Ndi chizolowezi chabwino kuwawerenga nthawi iliyonse mukamwa mankhwala anu.
Ngati mwamwa mankhwala ochulukirapo mwangozi, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi. Mankhwalawa ndi a inu nokha, musawagawire ndi ena.
Kodi mumatani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mapiritsi, tsatirani malangizo omwe ali mu kapepala komwe mudalandira. Nthawi zambiri, mumauzidwa kuti mumwe mapiritsi amodzi mukangokumbukira kenako mumwe mapiritsi ena nthawi yokhazikika. Komabe, ngati mwaphonya mapiritsi opitilira limodzi, mphamvu ya mapiritsi oletsa kubereka ikhoza kuchepa. Chifukwa chake, ndi bwino kugwiritsa ntchito njira ina yolerera, monga kondomu, masiku amenewo. Ngati mukukayikira, funsani dokotala wanu.
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Mankhwala ena, mavitamini, komanso mankhwala azitsamba omwe mumamwa amatha kusokonezana ndi mapiritsi oletsa kubereka awa. Choncho uzani dokotala wanu zonse zomwe mukumwa. Nazi zina mwa zinthu zimenezo.
| Musatenge izi ndi chilichonse. | |
|---|---|
| Mankhwala ena a Hepatitis C, monga dasabuvir; ombitasvir; paritaprevir; ritonavir. | |
| Angayankhenso ndi zotsatirazi (uzani dokotala): | |
| Mankhwala opha tizilombo | Makamaka mitundu monga Rifampin, Griseofulvin, Penicillins, Tetracyclines. |
| Mankhwala a khunyu | Mankhwala monga Phenobarbital, Carbamazepine, Phenytoin, ndi Topiramate. |
| Mankhwala a HIV/AIDS | Monga Ritonavir. |
| Zogulitsa zitsamba | Wort wa St. John. |
| Zina | Acetaminophen (Paracetamol), Atorvastatin, Warfarin, mankhwala a shuga, mahomoni a chithokomiro, madzi a mphesa. |
Zinthu zofunika kuziganizira mukamamwa mankhwala
- Kupimidwa nthawi zonse ndi dokotala: Mukamamwa mankhwalawa, ndikofunikira kuonana ndi dokotala nthawi ndi nthawi kuti akapimidwe. Ndikofunikira kuyesedwa mabere ndi kuyesedwa kwa Pap.
- Pewani kusuta: Izi ndizofunikira kwambiri.
- Kutupa m'thupi: Nthawi zina, madzi amatha kusonkhana m'thupi, zomwe zimapangitsa kuti zala, manja, ndi mapazi zitupa. Kuthamanga kwa magazi kungakwerenso. Ngati muwona kusintha kulikonse kotere, uzani dokotala wanu.
- Kumva kukhudzidwa ndi dzuwa: Mankhwalawa angapangitse khungu kukhala losavuta kumva kuwala kwa dzuwa. Choncho, ndi bwino kugwiritsa ntchito mafuta oteteza ku dzuwa ndi kuphimba khungu lanu mukapita ku dzuwa.
- Ngati mukukayikira kuti muli ndi pakati: Ngati mukukayikira ngakhale pang'ono kuti muli ndi pakati, siyani kumwa mapiritsi nthawi yomweyo ndipo pitani kwa dokotala .
- Palibe chitetezo ku matenda opatsirana pogonana:
- Musanagwiritse ntchito mapiritsi oletsa kubereka ngati awa, onetsetsani kuti mwaonana ndi dokotala kuti muwonetsetse kuti ndi oyenera thanzi lanu.
- Uzani dokotala wanu za matenda ena aliwonse omwe muli nawo komanso mankhwala aliwonse omwe mumamwa . Musabise chilichonse.
- Imwani mankhwala anu nthawi yomweyo tsiku lililonse, motsatira dongosolo lomwelo . Dziwani choti muchite ngati mwaphonya mlingo.
- Dziwani zizindikiro za zotsatirapo zoyipa, monga magazi kuundana ndi sitiroko. Ngati mukukumana ndi chilichonse mwa izi, funsani upangiri wa dokotala nthawi yomweyo.
- Kumbukirani kuti mapiritsi awa sateteza ku matenda opatsirana pogonana . Gwiritsani ntchito njira zina zodzitetezera.
Kusuta fodya mukumwa mankhwalawa kumawonjezera chiopsezo chanu cha magazi kuundana kapena sitiroko , makamaka ngati muli ndi zaka zoposa 35. Chifukwa chake, tikukulangizani mwamphamvu kuti mupewe kusuta konse.
Izi ndi malingaliro olakwika ambiri. Mapiritsi oletsa kubereka amangoteteza mimba. Sakutetezani ku HIV (AIDS) kapena matenda ena opatsirana pogonana . Ndikofunikira kugwiritsa ntchito njira zodzitetezera monga makondomu.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zina. Koma musachite mantha. Ndikofunikira kudziwa izi.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime. |
| Zizindikiro za magazi kuundana | Kupweteka kwa mwendo, kutupa kapena kumva kutentha, kuvutika kupuma, kupweteka pachifuwa. |
| Zizindikiro za sitiroko | Kusanza mwadzidzidzi kapena kufooka pankhope, mkono, kapena mwendo, kuvutika kulankhula, kuvutika kuyenda, mutu waukulu. |
| Zizindikiro za kuwonongeka kwa chiwindi | Kupweteka m'mimba yakumanja, kusowa chilakolako cha chakudya, khungu kapena maso kukhala achikasu, mkodzo wakuda. |
| Zina | Kuthamanga kwa magazi, mutu waching'alang'ala watsopano kapena woipa, kuvutika maganizo (kuvutika maganizo). |
| Zotsatirapo zomwe nthawi zambiri sizifuna thandizo lachipatala (koma ziyenera kunenedwa ngati zikupitirira) | |
| Kupweteka m'mawere kapena kufinya | Kusamba kosakhazikika kapena kuoneka ngati mawanga. |
| Kusintha kwa khungu | Madontho akuda pakhungu pankhope kapena m'malo omwe dzuwa limawomba. |
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