Kodi mumamwa mapiritsi oletsa kubereka? Tiyeni tiphunzire za (Norgestrel; Ethinyl Estradiol)!

Mwina mukuganiza zokonzekera banja , kapena dokotala wanu akhoza kukupatsani mankhwala oletsa kubereka ngati mankhwala a vuto la mahomoni. Lero tikambirana za mapiritsi oletsa kubereka omwe ali ndi mankhwala a `(Norgestrel; Ethinyl Estradiol )`. Mankhwalawa nthawi zambiri amagwiritsidwa ntchito poletsa kutenga mimba . Tiyeni tiwone izi mwatsatanetsatane.

Kodi mankhwala awa ndi chiyani? Mwachidule...

Piritsi ili, lotchedwa `(Norgestrel; Ethinyl Estradiol ), limaletsa thupi lanu kutulutsa dzira` (ovulation), motero limaletsa kutenga mimba. Ndi la gulu la mapiritsi oletsa kubereka` (mankhwala oletsa kubereka operekedwa pakamwa). Kunena zoona, ndi kuphatikiza kwa mahomoni awiri`(estrogen)` ndi`(progestin).`

Mutha kuwona mapiritsi awa pamsika pansi pa mayina osiyanasiyana monga `(Cryselle)`, `(ELINEST)`, `(Lo/Ovral)`, `(Low-Ogestrel)`, `(Ogestrel 0.5/50)`, `(Ovral)`. Koma dzina ndi mlingo womwe dokotala wanu wakupatsani ndizomwe zili zofunika. Nthawi zina mankhwalawa angagwiritsidwenso ntchito pazifukwa zina zachipatala. Ngati muli ndi mafunso okhudza mankhwalawa, mutha kufunsa dokotala wanu kapena wamankhwala.

Zinthu zoti muuze dokotala wanu musanagwiritse ntchito mankhwalawa!

Musanayambe kugwiritsa ntchito mapiritsi oletsa kubereka awa, muyenera kuuza dokotala wanu ngati muli ndi vuto lililonse mwa matenda awa, kapena ngati munali nalo kale. Kodi izi ndizofunikira kwambiri?

• Kutuluka magazi m'mimba mwanu (kutuluka magazi pafupipafupi kapena kwachilendo m'mimba mwanu)
• Ngati muli ndi mbiri ya matenda a mitsempha yamagazi kapena magazi kuundana
• Ngati mwakhalapo kapena munakhalapo ndi khansa ya m'mawere, ya pachibelekero, ya endometrial, ya mazira, ya chiwindi, kapena ya uterine
• Matenda a shuga mellitus kapena kuchuluka kwa shuga m'magazi
• Ngati muli ndi matenda a ndulu
• Ngati muli ndi matenda a mtima kapena mwangodwala matenda a mtima posachedwapa
• Ngati muli ndi kuthamanga kwa magazi
• Ngati mulingo wa cholesterol m'magazi uli wokwera (Cholesterol Yambiri)
• Ngati muli ndi matenda a impso
• Ngati muli ndi matenda a chiwindi
• Ngati muli ndi mutu wa mutu wa migraine
• Ngati mudadwalapo sitiroko kale
• Ngati muli ndi vuto lotchedwa `Systemic lupus erythematosus (SLE)`
• Ngati ndinu wosuta fodya - iyi ndi mfundo yofunika kwambiri.
• Ngati muli ndi vuto la ziwengo chifukwa cha mahomoni otchedwa estrogen ndi progestin, mankhwala ena, zakudya, mitundu yopangira, kapena zotetezera.
• Ngati muli ndi pakati kapena mukuyesera kutenga pakati
• Ngati ndinu mayi woyamwitsa

Ngati mfundo iliyonse mwa izi ikukhudzani, ndikofunikira kwambiri kuti chitetezo chanu chikhale chotetezeka kulankhula ndi dokotala wanu za izi.

Kodi mapiritsi awa ndiyenera kuwagwiritsa ntchito bwanji?

Mankhwalawa ayenera kumwedwa pakamwa. Anthu ena angamve nseru akangomwa. Ngati izi zitachitika, kumwa mankhwalawo pamodzi ndi chakudya kungathandize kuchepetsa vutoli. Tsatirani malangizo omwe ali pa chizindikiro cha mankhwala omwe dokotala wanu wakupatsani ndendende.

Ndikofunikira kwambiri kumwa piritsi ili nthawi yomweyo tsiku lililonse komanso motsatira dongosolo lomwe lasonyezedwa pa paketi. Monga momwe mumamwa tiyi m'mawa uliwonse, sungani nthawi yeniyeni ya izi. Pokhapokha mudzatha kupeza zotsatira zabwino kwambiri kuchokera pa izi. Musamwe zoposa zomwe dokotala wakuuzani.

Ngati mankhwalawa aperekedwa kwa ana aang'ono, kutanthauza ana aang'ono omwe ayamba kusamba, chisamaliro chapadera chingafunike. Choncho lankhulani ndi dokotala wanu za vutoli.

Mukapatsidwa mankhwala awa, mudzalandira phukusi la odwala. Werengani nkhaniyi mosamala nthawi iliyonse mukalandira mankhwala atsopano komanso nthawi iliyonse mukalandiranso mankhwala ena, chifukwa zambiri zomwe zili mmenemo zingasinthe.

Nanga bwanji ngati nditamwa mankhwala ochulukirapo? (Kumwa mankhwala ochulukirapo)

Tangoganizirani kuti mwamwa mankhwala ochulukirapo. Ngati zimenezo zitachitika , muyenera kupita kuchipatala chapafupi nthawi yomweyo, kapena kuyimbira foni malo owongolera poizoni. Musatenge izi ngati zosafunikira, eti?

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

Kodi mumatani ngati mwaiwala kumwa mapiritsi?

Ngati mwaiwala kumwa mapiritsi tsiku lina, pepala lodziwitsa odwala lomwe limabwera ndi mankhwala anu lidzakupatsani malangizo. Onani. Nthawi zina, ngati mwaiwala kumwa mapiritsi opitilira limodzi, mankhwalawa sangagwire ntchito bwino. Ngati izi zitachitika, mungafunike kugwiritsa ntchito njira ina yolerera. Choncho funsani dokotala wanu za zimenezo.

Zinthu zina zomwe zingagwirizane ndi mankhwalawa (Kuyanjana)

Mapiritsi oletsa kubereka awa amatha kuyanjana ndi mankhwala ena omwe mukumwa. Chifukwa chake, mukapita kwa dokotala wanu, onetsetsani kuti mwawauza za mankhwala onse omwe mukumwa pakadali pano, kuphatikiza mavitamini, mankhwala azitsamba, mankhwala osaperekedwa ndi dokotala, ndi zowonjezera zakudya.

Makamaka, pali mankhwala angapo omwe sayenera kumwedwa ndi mapiritsi oletsa kubereka awa. Mwachitsanzo:

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

Kuphatikiza apo, mankhwala ndi zinthu zotsatirazi zitha kuyanjana ndi mapiritsi oletsa kubereka awa:

• Acetaminophen
• Mankhwala opha tizilombo toyambitsa matenda (makamaka rifampin, rifabutin, rifapentine, griseofulvin, nthawi zina penicillins kapena tetracyclines)
• `Aprepitant`
• Ascorbic acid (vitamini C) (Ascorbic acid (vitamini C))
• `Atorvastatin` (mankhwala ochepetsa mafuta m'thupi)
• Mankhwala a barbiturate (monga phenobarbital)
• `Bosentan`
• Kafeini
• `Carbamazepine` (mankhwala a khunyu)
• 'Clofibrate'
• 'Cyclosporine'
• `Dantrolene`
• Doxercalciferol
• `Felbamate`
• Madzi a mphesa
• `Hydrocortisone`
• Mankhwala oletsa nkhawa kapena kusowa tulo (monga diazepam, temazepam)
• Mankhwala a shuga (monga pioglitazone)
• Mafuta a mchere
• `Modafinil`
• 'Mycophenolate'
• `Nefazodone`
• `Oxcarbazepine`
• `Phenytoin` (mankhwala a khunyu)
• `Prednisolone` (mtundu wa steroid)
• Ritonavir kapena mankhwala ena a HIV/AIDS
• `Rosuvastatin` (mankhwala ochepetsa cholesterol)
• `Selegiline`
• Zowonjezera za soya isoflavone
• Chowonjezera cha zitsamba cha St. John's Wort
• Mankhwala a khansa otchedwa `Tamoxifen` kapena `raloxifene`
• 'Theophylline' (mankhwala a mphumu)
• Mahomoni a chithokomiro
• `Topiramate`
• Warfarin (mankhwala ochepetsa magazi)

Mndandandawu sungakhale ndi zonse. Choncho, ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo, uzani dokotala wanu za iwo chifukwa zinthu zina zingasokoneze mankhwala anu.

Zinthu zofunika kukumbukira mukamamwa mankhwalawa

Pitani kwa dokotala wanu kuti akakuwoneni nthawi zonse mukumwa mapiritsi oletsa kubereka awa. Nthawi zambiri mumafunika kuyezetsa mawere, kuyezetsa m'chiuno, ndi kuyezetsa magazi a Pap pamene mukumwa mankhwalawa.

• Chitetezo chowonjezera m'mwezi woyamba: Ndi bwino kugwiritsa ntchito njira yowonjezera yolerera (monga makondomu) m'mwezi woyamba (nthawi yoyamba) wakumwa mapiritsiwa.
• Ngati mukuganiza kuti muli ndi pakati: Ngati mukuganiza kuti muli ndi pakati pazifukwa zilizonse, siyani kumwa mapiritsi awa nthawi yomweyo ndipo pitani kwa dokotala wanu.
• Monga chithandizo cha mavuto a mahomoni: Ngati mukumwa mankhwalawa ngati chithandizo cha vuto la mahomoni, mungafunike kuwagwiritsa ntchito kwa miyezi ingapo (miyezi ingapo) kuti muwone kusintha kwa vuto lanu.
• Kusuta ndi Kuopsa: Ngati mumasuta pamene mukumwa mapiritsi oletsa kubereka awa, makamaka ngati muli ndi zaka zoposa 35, chiopsezo chanu chokhala ndi magazi kuundana kapena sitiroko chimakhala chachikulu kwambiri. Ichi ndichifukwa chake madokotala amalangiza mwamphamvu kuti musasute pamene mukumwa mapiritsi awa.
• Kusunga madzi m'thupi: Mankhwalawa angayambitse kusunga madzi m'thupi lanu. Izi zingayambitse kutupa m'zala zanu, m'manja, kapena m'mapazi. Kuthamanga kwa magazi anu kungakwerenso. Uzani dokotala wanu ngati mukukumana ndi izi.
• Kumva ku dzuwa: Mankhwalawa angapangitse khungu lanu kukhala losavuta kumva ku dzuwa. Choncho, chepetsani kukhudzana ndi dzuwa momwe mungathere. Ngati mutuluka panja, valani zovala zophimba khungu lanu, valani magalasi a dzuwa, ndipo gwiritsani ntchito mafuta oteteza ku dzuwa. Musagwiritse ntchito nyali za dzuwa kapena mabedi/mahema opaka utoto.
• Kwa ovala ma contact lens: Ngati muvala ma contact lens ndipo mukuona kusintha kwa maso anu, kapena ngati simukumva bwino mukuvala ma contact lens anu, pitani kwa katswiri wa maso anu.
• Mavuto a mkamwa: Azimayi ena amatha kumva kupweteka, kutupa, kapena kutuluka magazi pang'ono m'kamwa mwawo. Ngati izi zitachitika, dziwitsani dokotala wanu wa mano. Vutoli lingathe kuthetsedwa potsuka mano anu ndi floss tsiku lililonse. Pitani kwa dokotala wanu wa mano nthawi zonse ndikumuuza za mankhwala aliwonse omwe mukumwa.
• Opaleshoni yokonzekera: Ngati mwachitidwa opaleshoni yosankha, funsani dokotala wanu ngati muyenera kusiya kumwa mankhwalawa musanachite opaleshoni.
• Palibe chitetezo ku HIV/AIDS ndi matenda opatsirana pogonana: Izi ndizofunikira kwambiri. Mapiritsi oletsa kubereka awa sakutetezani ku HIV/AIDS kapena matenda ena opatsirana pogonana. Muyenera kugwiritsa ntchito njira zina zodzitetezera (monga makondomu).

Zotsatirapo zomwe zingakhalepo chifukwa cha mankhwalawa

Monga mankhwala ena onse, mapiritsi oletsa kubereka awa angayambitse mavuto ena mwa anthu ena. Koma si aliyense amene amawalandira, eti? Ena mwa iwo ndi oopsa pang'ono,Ngati mukuona chinthu chonga chimenecho, muyenera kupita kwa dokotala nthawi yomweyo.

Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo:

• Matenda a ziwengo: kutupa pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi.
• Kuundana kwa magazi: kupweteka kwa mwendo, kutupa kapena kutentha, kuvutika kupuma, kupweteka pachifuwa.
• Mavuto a ndulu: Kupweteka kwambiri m'mimba, nseru, kusanza, kutentha thupi.
• Kuwonjezeka kwa kuthamanga kwa magazi .
• 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 kutopa kosazolowereka.
• Mutu kapena mutu watsopano kapena woipa kwambiri .
• Kufa ndi sitiroko: Kusanza kapena kufooka mwadzidzidzi kwa nkhope, mkono, kapena mwendo, kuvutika kulankhula, kusokonezeka, kuvutika kuyenda, kulephera kulinganiza bwino zinthu, chizungulire, mutu waukulu, kusintha kwa masomphenya.
• Kutuluka kwa madzi m'mimba, kuyabwa, kapena fungo losazolowereka .
• Kuvutika maganizo, kuvutika maganizo .

Zotsatirapo zomwe nthawi zambiri sizifuna upangiri wa dokotala (koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa):

• Kupweteka m'mawere kapena kupweteka kwa m'mawere
• Madontho akuda pakhungu kapena malo ena omwe amawonetsedwa ndi dzuwa
• Kusamba kosakhazikika kapena kuwona mawanga
• Kusanza
• Kulemera

Mndandandawu sungakhale ndi zotsatirapo zonse zoyipa. Ngati mukukumana ndi zizindikiro zachilendo, lankhulani ndi dokotala wanu. Muthanso kunena za zotsatirapo zoyipa ku FDA (poyimbira 1-800-FDA-1088).

Kodi ndiyenera kusunga bwanji mankhwalawa?

Sungani mankhwalawa pamalo omwe ana ndi ziweto sangafikire.

Sungani kutentha kwa chipinda (pakati pa madigiri 15 ndi 30 Celsius / madigiri 59 ndi 86 Fahrenheit). Tayani mankhwala aliwonse omwe atha ntchito.

Chofunika: Nkhaniyi ndi chidule chokha. Mwina siili ndi tsatanetsatane wonse. Ngati muli ndi mafunso ena okhudza mankhwalawa, lankhulani ndi dokotala wanu, wamankhwala, kapena wothandizira zaumoyo wina.

Zinthu zofunika kwambiri zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, ndikukhulupirira kuti tsopano mwamvetsa bwino mapiritsi oletsa kubereka omwe tinakambirana.

• Nthawi zonse nthawi imodzi, kutsatira malangizo molondolaNdikofunikira kwambiri kumwa mapiritsi awa.
• Onetsetsani kuti mwauza dokotala wanu za matenda ena aliwonse omwe muli nawo komanso mankhwala ena aliwonse omwe mukumwa.
• Ngati ndinu wosuta fodya, zoopsa zake zimakhala zazikulu mukamwa mapiritsi awa. Chifukwa chake, ndi bwino kupewa kusuta fodya.
• Mapiritsi awa sateteza ku matenda opatsirana pogonana.
• Ngati mukukumana ndi zotsatirapo zoyipa, funsani upangiri wa dokotala nthawi yomweyo.

Ndi udindo wanu kusamalira thanzi lanu. Chifukwa chake, mukamagwiritsa ntchito mankhwala otere, ndi bwino kudziwa zonse ndikutsatira malangizo a dokotala wanu.

Mapiritsi oletsa kubereka, Norgestrel, Ethinyl Estradiol, Kupewa mimba, Mahomoni, Thanzi la akazi, Zotsatirapo zake