Mapiritsi Oletsa Kubereka a Norethindrone: Zimene Mukuyenera Kudziwa

Mwina mukudziwa kuti akazi ambiri ndi atsikana achichepere amagwiritsa ntchito mapiritsi oletsa kubereka ngati njira yolerera, komanso nthawi zina pamavuto ena a mahomoni. Lero tikambirana za piritsi limodzi lotere , norethindrone . Nthawi zambiri limatchedwa "mini-pill". Pali zinthu zingapo zomwe muyenera kudziwa mukamagwiritsa ntchito mapiritsi awa. Tiyeni tikambirane zonsezi momveka bwino, ngati kuti tikuuza mnzanu, chabwino?

Kodi mankhwala otchedwa Norethindrone ndi chiyani?

Mwachidule, Norethindrone ndi piritsi loletsa kutenga mimba. Lili m'gulu la mapiritsi oletsa kubereka. Malinga ndi zamankhwala, ndi mtundu wa mahomoni otchedwa progestin .

Ntchito yake yayikulu ndikuletsa kutuluka kwa dzira , komwe ndi kutuluka kwa dzira mwezi uliwonse kuchokera ku ovary yanu. Dzira likapanda kutulutsidwa, palibe njira yoti umuna ulowetsedwe, ndipo mimba singathe kuchitika. Kuphatikiza apo, imakulitsa mamina m'chiberekero, zomwe zimapangitsa kuti umuna usamalowe m'chiberekero.

Chofunika kwambiri ndichakuti mankhwalawa sagwiritsidwa ntchito popewa kutenga mimba kokha. Nthawi zina madokotala amathanso kukupatsani mankhwala kuti muchepetse zinthu monga kutuluka magazi ambiri komanso kupweteka panthawi ya msambo. Koma zonsezi zimachitika pokhapokha ngati dokotala wanu wakupatsani malangizo.

Mutha kugula mankhwalawa ku pharmacy pogwiritsa ntchito mayina osiyanasiyana. Mwachitsanzo, mwina mwawonapo mayina monga Camila, Errin, Heather, Nor-QD. Komabe, akhoza kukhala ndi mayina ena ku Sri Lanka. Komabe, onse ali ndi chogwiritsira ntchito chomwecho, norethindrone.

Kodi ndi zinthu ziti zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa?

Izi ndizofunikira kwambiri. Musanayambe kumwa Norethindrone, muyenera kuuza gulu lanu la chisamaliro/dokotala za mbiri yanu yachipatala . Ndikofunikira kwambiri kuwauza ngati muli ndi vuto lililonse mwa izi:

• Matenda a mitsempha yamagazi kapena mavuto okhudza magazi: Ngati munakhalapo ndi vutoli kale, kapena ngati wina aliyense m'banja mwanu wakhalapo ndi vutoli, muuzeni za vutoli.
• Khansa ya m'mawere, khansa ya pachibelekero, kapena khansa ya m'chiberekero: Ngati muli ndi khansa yamtunduwu kapena munakhalapo nayo.
• Matenda a shuga: Momwe mapiritsi a mahomoni awa amakhudzira anthu odwala matenda a shuga zingakhale zosiyana.
• Matenda a mtima: Mtundu uliwonse wa matenda a mtima.
• Matenda a impso.
• Matenda a chiwindi: Mankhwalawa angakhudze momwe chiwindi chimagwira ntchito.
• Kuvutika maganizo:Mankhwala ena a mahomoni angayambitse kusintha kwa maganizo.
• Mutu Wopweteka: Makamaka ngati muli ndi mutu wopweteka womwe umabwera ndi aura (zizindikiro zomwe zimawoneka ngati mukuwona kuwala).
• Khunyu ('Kugwidwa').
• Stroke: Ngati mudadwalapo sitiroko kale.
• Kutuluka magazi kumaliseche popanda chifukwa: Izi ziyenera kufufuzidwa kaye.
• Ngati muli ndi vuto la norethindrone kapena mankhwala ena aliwonse, zakudya, utoto, kapena zotetezera.
• Ngati muli ndi pakati (`Mimba`) kapena mukuyesera kutenga pakati (`kuyesera kutenga pakati`).
• Ngati ndinu mayi woyamwitsa.

Ngati mundiuza zinthu izi molondola, dokotala angasankhe ngati mankhwala awa ndi oyenera kwa inu, kapena ngati njira ina ndi yabwino. Kodi mukumvetsa? Izi ndi za chitetezo chanu.

Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa? Kodi njira yabwino kwambiri ndi iti?

Piritsi ili liyenera kumwedwa pakamwa, ndi kapu ya madzi. Mutha kumwa musanadye kapena mutatha kudya, sizili choncho. Chofunika kwambiri ndikumwa nthawi yomweyo tsiku lililonse, monga momwe zalembedwera pa chizindikiro cha mankhwala. Monga momwe wotchi imagwirira ntchito. Onetsetsani kuti mwamwa mapiritsi motsatira dongosolo lomwe lili pa paketi. Musamwe zoposa zomwe dokotala wanu wakuuzani.

Madokotala nthawi zina amalimbikitsa mankhwalawa kwa ana aang'ono aakazi omwe ayamba kusamba, koma chisamaliro chapadera chiyenera kuperekedwa kwa iwo.

Mukapatsidwa mankhwala awa, mudzalandira phukusi la odwala . Liwerengeni mosamala nthawi iliyonse mukadzadzanso mankhwala anu, chifukwa chidziwitso chomwe chili mmenemo chingasinthe nthawi ndi nthawi.

Nanga bwanji ngati mwamwa mankhwala ochulukirapo mwangozi? ('Kumwa mankhwala ochulukirapo`)

Ngati izi zitachitika, kutanthauza kuti mukuganiza kuti mwamwa mapiritsi ambiri, imbani chipinda chapafupi chadzidzidzi kapena malo owongolera poizoni nthawi yomweyo.

Kumbukiraninso: Mankhwalawa ndi a inu nokha. Musapatse wina aliyense mankhwala anu, ngakhale atakhala ndi zizindikiro zomwezo monga inu.

Kodi mumatani ngati simungathe/mukuyiwala kumwa mapiritsi?

Funso limene anthu ambiri amafunsa ndi ili. Yesetsani kumwa mapiritsi anu popanda kuphonya tsiku lililonse. Chifukwa nthawi iliyonse mukaphonya mapiritsi, kapena nthawi iliyonse mukawamwa mochedwa, chiopsezo chanu chokhala ndi pakati chimawonjezeka.

• Ngati mwaiwala kumwa piritsi limodzi lokha (ngakhale litachedwa ndi maola atatu): Imwani piritsi lomwe munaphonya mwamsanga mukangokumbukira. Kenako imwani mapiritsi otsalawo nthawi yanu yanthawi zonse. Komabe, muyenera kugwiritsa ntchito njira ina yolerera (monga makondomu) kwa maola 48 otsatira.
• Ngati mwaphonya mapiritsi oposa limodzi:Ngati izi zitachitika, gwiritsani ntchito njira ina yolerera mpaka nthawi yanu yotsatira. Komanso, imbani dokotala wanu nthawi yomweyo kuti akupatseni malangizo.

Ngati muli ndi kukayikira kulikonse pankhaniyi, musachite manyazi ndipo funsani dokotala wanu kuti akufotokozereni bwino.

Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?

Pali mankhwala ena omwe angayambitse mavuto akamwedwa ndi norethindrone. Izi zikutanthauza kuti norethindrone singagwire ntchito bwino, kapena zotsatira zake zingachuluke.

Musamwe Norethindrone ndi mankhwala awa:

• Amprenavir kapena Fosamprenavir (izi ndi mankhwala ogwiritsidwa ntchito pochiza HIV/AIDS)
• Bosentan (mankhwala ochizira kuthamanga kwa magazi m'mapapo)

Kuphatikiza apo, mankhwala otsatirawa angagwirizane ndi norethindrone. Chifukwa chake, ngati mukumwa izi, muyenera kuuza dokotala wanu :

• Mankhwala opha tizilombo toyambitsa matenda kapena mankhwala ochizira matenda: makamaka rifampin, rifabutin, rifapentine, ndi griseofulvin. Ma penicillin kapena tetracyclines angakhudzidwenso.
• Aprepitant (mankhwala oletsa kusanza)
• Mankhwala a Barbiturate: Mwachitsanzo, Phenobarbital (piritsi logonetsa, mankhwala oletsa khunyu).
• Carbamazepine (mankhwala ogwiritsidwa ntchito pa matenda a khunyu ndi matenda ena amisala)
• Felbamate (mankhwala a khunyu)
• Modafinil (mankhwala omwe amagwiritsidwa ntchito pochiza kugona kwambiri)
• Oxcarbazepine (mankhwala a khunyu)
• Phenytoin (mankhwala a khunyu)
• Ritonavir kapena mankhwala ena omwe amagwiritsidwa ntchito pochiza HIV/AIDS.
• Wort wa St. John (iyi ndi mankhwala owonjezera a zitsamba).
• Topiramate (mankhwala a khunyu ndi mutu waching'alang'ala).

Mndandandawu sungakhale ndi mankhwala onse omwe angakhalepo. Chifukwa chake, uzani dokotala wanu za mankhwala onse (omwe amalembedwa ndi dokotala kapena omwe amagulitsidwa pamtengo wotsika), mankhwala azitsamba, mavitamini, ndi zowonjezera zakudya zomwe mukumwa. Uzaninso dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena. Izi zingakhudze momwe mankhwalawa amagwirira ntchito.

Ndi chiyani chinanso chomwe ndiyenera kudziwa ndikamamwa mankhwalawa?

Muyenera kusamalira thanzi lanu nthawi zonse mukamagwiritsa ntchito Norethindrone.

• Pitani kukayezetsa nthawi zonse: Pitani kukayezetsa nthawi zonse monga momwe dokotala wanu wanenera. Nthawi zambiri, mudzapemphedwa kuti mukayezetse mawere, mukayezetse chiuno, komanso mukayezetse magazi a Pap pamene mukumwa mankhwalawa.
• Chitetezo chowonjezera mwezi woyamba: Onetsetsani kuti mwagwiritsa ntchito njira yowonjezera yolerera (monga makondomu) mwezi woyamba (nthawi yoyamba) yomwa mapiritsiwa, chifukwa zimatenga masiku angapo kuti mapiritsiwo azolowere bwino thupi lanu ndikupereka chitetezo chokwanira.
• Ngati mukuganiza kuti muli ndi pakati: Ngati mukuganiza kuti muli ndi pakati pazifukwa zinazake (monga kusamba kwanu kwachedwa, kusanza m'mawa), siyani kumwa mapiritsiwa nthawi yomweyo ndipo imbani dokotala wanu.
• Pa mavuto a mahomoni: Ngati mukumwa mankhwalawa osati chifukwa cha kulera, koma chifukwa cha vuto lina la mahomoni (monga kutuluka magazi ambiri), zingatenge miyezi ingapo (nthawi zingapo) kuti vutoli liwongoke. Khalani oleza mtima.
• Palibe chitetezo ku HIV/AIDS ndi matenda ena opatsirana pogonana: Izi ndizofunikira kwambiri . Mapiritsi a Norethindrone amangotetezani ku mimba. Sakutetezani ku matenda a HIV (AIDS) kapena matenda ena opatsirana pogonana. Chifukwa chake, muyenera kugwiritsa ntchito njira ina yolerera, monga kondomu, kuti mudziteteze ku zinthu izi.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena aliwonse, norethindrone ingayambitse mavuto mwa anthu ena. Komabe, si aliyense amene amawapeza. Mavuto ena ndi aakulu ndipo muyenera kuuza dokotala wanu nthawi yomweyo ngati muwapeza. Ena si aakulu kwambiri, koma ngati apitirira, ndi bwino kuuza dokotala wanu .

Ngati mukukumana ndi zotsatirapo zilizonsezi, uzani dokotala wanu mwamsanga:

• Matenda a ziwengo: kutupa pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi.
• Zizindikiro za magazi kuundana: kupweteka kwa mwendo, kutupa, kapena kutentha, kuvutika kupuma, kupweteka pachifuwa.
• Mavuto a ndulu: Kupweteka kwambiri m'mimba, nseru, kusanza, malungo.
• Kuwonjezeka kwa kuthamanga kwa magazi.
• Zizindikiro za kuvulala kwa chiwindi: Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu kapena bulauni, khungu kapena maso achikasu, komanso kumva kutopa kwambiri kapena kufooka.
• Mutu watsopano kapena woipa kwambiri, mutu wopweteka.
• Zizindikiro za sitiroko: Kusanza mwadzidzidzi kapena kufooka pankhope, mkono, kapena mwendo, kuvutika kulankhula, kutaya chidziwitso, kuvutika kuyenda, kulephera kulinganiza bwino zinthu, chizungulire, mutu waukulu, kusintha kwa masomphenya.
• Kutuluka kwa madzi m'mimba mwa munthu wosazolowereka, kuyabwa, kapena fungo loipa.
• Kuipiraipira kwa mkhalidwe wamaganizo, malingaliro monga kupsinjika maganizo.

Zotsatirapo zoyipa izi nthawi zambiri sizimakhala zazikulu mokwanira kuti munthu adziwitse dokotala. Koma ngati zikupitirira kapena kukuvutitsani, uzani dokotala wanu :

• Kupweteka m'mawere kapena kupweteka kwa m'mawere.
• Madontho akuda a khungu pankhope kapena m'malo omwe dzuwa limawomba.
• Kusamba kosakhazikika kapena kuwona mawanga.
• Kusanza.
• Kulemera.

Mndandandawu sungakhale ndi zotsatirapo zonse zoyipa. Ngati muwona china chake chachilendo kuwonjezera pa izi, lankhulani ndi dokotala wanu za izi.

Kodi mapiritsi awa ndiyenera kuwasunga bwanji?

Ndikofunikanso kwambiri kusunga mankhwala anu moyenera.

• Sungani pamalo omwe ana ndi ziweto sangafikire.
• Sungani kutentha kwa chipinda (pakati pa madigiri 15 ndi 30 Celsius / madigiri 59 ndi 86 Fahrenheit). Sungani kutali ndi chinyezi ndi kutentha kwambiri. Musasunge m'malo ngati bafa.
• Musagwiritse ntchito mankhwala otha ntchito. Tayani bwino.

Dziwani: Kabuku aka ndi chidule chabe. Sikangakhale ndi tsatanetsatane wonse. Ngati muli ndi mafunso ena okhudza mankhwalawa, lankhulani ndi dokotala wanu, wamankhwala, kapena wopereka chithandizo chamankhwala.

Uthenga Womaliza Wopita Nawo Kunyumba

Chabwino, takambirana zambiri za Norethindrone, sichoncho? Tiyeni tikambirane mwachidule zinthu zomwe muyenera kukumbukira:

• Imwani piritsi nthawi yomweyo tsiku lililonse. Ichi ndiye chinthu chofunikira kwambiri.
• Dziwani bwino zomwe mungachite ngati mwaphonya kumwa mapiritsi. Ngati mukukayika, funsani dokotala wanu.
• Uzani dokotala wanu za mankhwala ena onse ndi zowonjezera zomwe mumamwa. Mankhwala amatha kuyanjana.
• Mapiritsi awa sateteza ku matenda opatsirana pogonana monga HIV/AIDS. Gwiritsani ntchito njira zina zodzitetezera.
• Ngati mukukumana ndi zotsatirapo zoyipa, pitani kwa dokotala nthawi yomweyo.
• Pitani kukayezetsa kuchipatala nthawi zonse.

Norethindrone ndi njira yothandiza kwambiri yolerera ngati igwiritsidwa ntchito moyenera. Komabe, ndikofunikira kuti thanzi lanu ndi chitetezo chanu chidziwike bwino za izi ndikutsatira malangizo a dokotala wanu. Ngati mukufuna kudziwa zambiri, musachite manyazi kufunsa dokotala wanu, chabwino?

Norethindrone , mapiritsi oletsa kubereka, mapiritsi ang'onoang'ono, progestin, njira zolerera, thanzi la amayi, mahomoni