Masifunde ngqo ngeepilisi zokulawula ukuzalwa (i-Ethynodiol Diacetate; i-Ethinyl Estradiol)!

Ngamanye amaxesha kufuneka sisebenzise iipilisi zokulawula ukuzala njengendlela yokucwangcisa usapho, akunjalo? Okanye ugqirha angazinika ingxaki yehomoni. Ngoko ke namhlanje siza kuthetha ngepilisi enye enjalo. Igama lezonyango lale pilisi yi-'Ethynodiol Diacetate; Ethinyl Estradiol'. Nangona igama lisenokubonakala liyinkimbinkimbi kancinci, ungakhathazeki. Siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda.

Yintoni le yeza? Ngamafutshane...

Ngamafutshane, olu luhlobo lweepilisi zokulawula ukukhulelwa ezisetyenziselwa ukuthintela ukukhulelwa. Oogqirha babiza ezi pilisi ngokuthi "ziipilisi zokuthintela ukukhulelwa ngomlomo." Ezi pilisi ziqulathe indibaniselwano yeentlobo ezimbini zeehomoni zabasetyhini . Zibizwa ngokuba yi-"estrogen" kunye ne-"progestin".

Khawucinge nje, la ma-hormone mabini asebenza kunye ukuthintela iqanda ekuvuthweni nasekukhutshweni kwamaqanda akho, inkqubo ebizwa ngokuba yi-'ovulation.' Ukuba iqanda alikhutshwa, akukho ndlela yokuba isidoda singadibana ngayo nalo size sikhulelwe, akunjalo? Yiyo le ndlela ezi pilisi zithintela ngayo ukukhulelwa.

Ezi pilisi ngamanye amaxesha zisetyenziselwa ezinye izizathu zonyango. Ukuba ufuna ukwazi okungakumbi ngazo, ungabuza ugqirha wakho okanye ikhemisti.

Izinto ekufuneka uzixelele ugqirha wakho! (Ngaphambi kokuba uqale eli yeza)

Ngaphambi kokuba uqale ukusebenzisa ezi pilisi zokulawula ukuzalwa, kukho ezinye iimeko zempilo ekufuneka uxelele ugqirha wakho ngazo. Kuba, ezi pilisi zisenokungafaneleki kubantu abanezifo ezithile, okanye zisenokufuneka zisetyenziswe ngononophelo olukhulu kwaye zijongwe ngokukodwa. Ke ngoko, ukuba unayo nayiphi na kwezi zilandelayo, okanye ukhe wazisebenzisa ngaphambili, ungalibali ukuxelela ugqirha wakho ngazo:

• Ukuba kukho ukopha okungaqhelekanga kwilungu lobufazi.
• Ukuba unembali yesifo semithambo yegazi okanye amahlwili egazi.
• Ukuba ukhe waba nomhlaza wamabele, wesibeleko, we-endometrial, we-ovarian, wesibindi, okanye wesibeleko okanye wakha waba nawo.
• Ukuba unesifo seswekile (amanqanaba aphezulu eswekile egazini).
• Ukuba unesifo senyongo.
• Ukuba ucwangciselwe utyando kwixesha elizayo.
• Ukuba unesifo sentliziyo okanye usandul’ ukuba nesifo sentliziyo.
• Ukuba une-high blood pressure.
• Ukuba unezinga eliphezulu le-cholesterol okanye i-triglycerides egazini lakho.
• Ukuba ngaphambili ukhe waba neengxaki zentliziyo ezingaqhelekanga okanye ivalvu yentliziyo.
• Ukuba unesifo sezintso.
• Ukuba unesifo sesibindi.
• Ukuba usoloko uneentloko ezibuhlungu ze-migraine.
• Ukuba unesifo segazi esibizwa ngokuba yi-'Protein C/S deficiency'.
• Ukuba usandul’ ukufumana umntwana, waphunyelwa sisisu, okanye wakhupha isisu.
• Ukuba ukhe waba nestroke.
• Ukuba unesifo sokuzikhusela komzimba esibizwa ngokuba yi-"Systemic lupus erythematosus (SLE)".
• Ukuba ungumntu otshayayo (oku kubaluleke kakhulu).
• Ukuba ngaphambili ukhe waba nempendulo engaqhelekanga okanye ye-allergy kwiihomoni ezibizwa ngokuba yi-estrogens, i-progestins, amanye amayeza, ukutya, imibala yokutya, okanye izithinteli.
• Ukuba ukhulelwe okanye uzama ukukhulelwa okwangoku.
• Ukuba ungumama oncancisayo.

Kukhuseleko lwakho ukuxelela ugqirha ezi zinto.

Ulisebenzisa njani kanye kanye eli yeza?

Le pilisi mayithathwe ngomlomo. Eyona nto ibalulekileyo kukuyithatha ngexesha elifanayo yonke imihla. Kulapho isebenza khona kakhulu. Ungakhetha ixesha elilula ukuba ulikhumbule, umzekelo, qho ebusuku emva kwesidlo sangokuhlwa.

Abanye abantu banokuba nesicaphucaphu kunye nokuphazamiseka kwesisu emva kokusela ezi pilisi. Ukuba oku kuyenzeka, thatha le pilisi xa usitya. Oku kunokunceda ukunciphisa iimpawu.

Landela imiyalelo ekwileyibhile kagqirha ngokuchanekileyo. Thatha ipilisi enye imihla ngemihla, njengoko kuyalelwe kwikhadi lepilisi. Musa ukuthatha okungaphezulu koko ugqirha akuxelele kona.

Eli yeza ngamanye amaxesha linikwa amantombazana amancinci aqalise ukuya exesheni, kodwa lifuna ingcebiso ekhethekileyo yezonyango.

Xa unikwa eli yeza, uza kufumana iphakheji yesigulana. Uza kufumana elitsha kunye nomyalelo ngamnye kwaye ngalo lonke ixesha ufumana uhlaziyo. Soloko ufunda ulwazi olukulo ngononophelo, njengoko ulwazi lunokutshintsha ngamanye amaxesha.

Kubalulekile: Ukuba ucinga ukuba uthathe eli yeza kakhulu, oko kukuthi, ukuba ukrokrela ukuba ugqithisile, yiya kwicandelo elikufutshane lesibhedlele okanye utsalele umnxeba kwiziko lolawulo lwetyhefu ngoko nangoko. Eli yeza limiselwe wena kuphela. Ungaze wabelane ngalo nabanye.

Wenza ntoni ukuba ulibele ukusela ipilisi?

Ewe, kunokwenzeka, akunjalo? Ngamanye amaxesha ungalibala ukusela ipilisi. Ungakhathazeki. Jonga iphepha lolwazi lwesigulana endilikhankanyileyo ngaphambili eliza neyeza lakho. Linemiyalelo yento omawuyenze kwimeko enjalo.

Ngokubanzi, ukuba uphoswe ziipilisi ezingaphezu kwesinye, ipilisi isenokungasebenzi kakuhle ekuthinteleni ukukhulelwa. Ukuba oku kuyenzeka, kunokufuneka usebenzise olunye uhlobo lokulawula ukukhulelwa (njengekhondom) okwethutyana. Oku kukwacacisiwe kwincwadana, okanye ubuze ugqirha wakho.

Zithini iindlela ezisebenzisana ngayo nale yeza?

Oku akufanele kuthathwe kunye neepilisi zokulawula ukukhulelwa.Kukho amayeza athile. Kwakhona, amanye amayeza amaninzi, iivithamini ozithathayo, kunye nezongezo zezityalo ozisebenzisayo zinokuchaphazela ukusebenza kwezi pilisi zokulawula ukuzala. Oku kuthetha ukuba ipilisi yokulawula ukuzala isenokungasebenzi kakuhle okanye iziphumo ebezingalindelekanga zinokwanda.

Ungaze usebenzise ezi pilisi zokulawula ukuzalwa kunye namayeza alandelayo:

• `Dasabuvir; ombitasvir; paritaprevir; ritonavir` (la ngamayeza anikwa i-hepatitis C)
• `Ombitasvir; paritaprevir; ritonavir` (eli likwaliyeza elinikwa i-hepatitis C)

Ukongeza, kukho inani lezinye iziyobisi kunye nezinto ezinokusebenzisana (ezichaphazela) nezi pilisi zokulawula ukuzalwa. Nazi imizekelo embalwa:

• I-Acetaminophen (efana ne-paracetamol)
• Ezinye ii-antibiotics (ingakumbi i-rifampin, i-rifabutin, i-rifapentine, i-griseofulvin, kwaye ngamanye amaxesha ii-penicillins okanye ii-tetracyclines)
• Amayeza eemeko ezifana nesifo sokuwa (ukuxhuzula/ukuphazamiseka) (ezifana `ne-phenobarbital`, `i-carbamazepine`, `i-oxcarbazepine`, `i-phenytoin`, `i-topiramate`)
• Amayeza okunyanga ixhala okanye ukungalali (umz. i-diazepam, i-temazepam)
• Amayeza eswekile
• Isongezelelo semifuno 'iSt. John's Wort'
• Amanye amayeza asetyenziselwa ukunyanga usulelo lwe-HIV okanye i-AIDS (umz. i-ritonavir)
• `I-Warfarin` (into enciphisa igazi)
• Ijusi yegrapefruit

Olu luhlu aluphelelanga. Kusenokuba kukho ezinye ezininzi. Ngoko ke, qiniseka ukuba uxelela ugqirha wakho okanye ikhemisti malunga nayo yonke imithi, iivithamini, izongezo zemifuno, okanye eminye imveliso oyithathayo. Qiniseka ukuba uxelela ugqirha wakho okanye ikhemisti ukuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi.

Izinto ekufuneka uzikhumbule xa usebenzisa eli yeza

Kubaluleke kakhulu ukuba uhlale uqaphela impilo yakho ngelixa usebenzisa ezi pilisi zokuthintela ukukhulelwa.

• Ukuhlolwa rhoqo kwezonyango: Bona ugqirha wakho rhoqo ukuze ujonge imeko yakho. Kubalulekile ukuba uhlolwe amabele rhoqo, uhlolwe isinqe, kunye nokuhlolwa kwe-Pap smears ngelixa usela le pilisi.
• Ukhuseleko olongezelelekileyo kwinyanga yokuqala: Kungcono ukusebenzisa olunye uhlobo lokuthintela ukukhulelwa (umz. iikhondom) kwinyanga yokuqala uqala ukuthatha ezi pilisi, kuba kungathatha ixesha ukuba umzimba wakho uziqhelanise neepilisi kwaye unike ukhuseleko olupheleleyo.
• Ukuba ukrokrela ukuba ukhulelwe: Ukuba ucinga ukuba ukhulelwe nangasiphi na isizathu, yeka ukuthatha la mapilisi ngoko nangoko uze utsalele ugqirha wakho umnxeba.
• Njengonyango lweengxaki zehomoni: Ukuba usela ezi pilisi ngenxa yengxaki yehomoni (umz., imijikelo yokuya exesheni engacwangciswanga, ukopha kakhulu), kunokufuneka uthathe ezi pilisi kangangeenyanga eziliqela ukuze ubone ukuphucuka kuloo meko.
• Ukutshaya kunye nomngcipheko:Oku kubaluleke kakhulu! Ukuba utshaya ngelixa usela ezi pilisi zokulawula ukuzala, ingakumbi ukuba uneminyaka engaphezu kwama-35, usemngciphekweni omkhulu wokufumana igazi elijiyileyo okanye isifo sohlangothi. Ke ngoko, oogqirha bakucebisa ngamandla ukuba uyeke ngokupheleleyo ukutshaya ukuba usela ezi pilisi.
• Ukugcinwa kwamanzi: Ezi pilisi ngamanye amaxesha zinokubangela ukuba umzimba wakho ugcine amanzi amaninzi. Oku kunokubangela ukudumba kwiminwe yakho, ezandleni, okanye emaqatheni. Uxinzelelo lwakho lwegazi lunokunyuka. Xelela ugqirha wakho ukuba uhlangabezana noku.
• Uvakalelo lwelanga: Eli yeza lingenza ulusu lwakho lube buthathaka ngakumbi kwilanga (photosensitivity). Ngoko ke, kuphephe ukukhanya kwelanga ngokuthe ngqo kangangoko unako. Ukuba kufuneka uphume elangeni, nxiba impahla egquma ulusu lwakho kwaye usebenzise i-sunscreen. Musa ukusebenzisa izibane zelanga okanye iibhedi/ii-booths zelanga.
• Iilensi zoQhagamshelwano: Ukuba unxiba iilensi zoQhagamshelwano kwaye ubona utshintsho kwindlela obona ngayo, okanye ukuba uziva ungakhululekanga xa unxibe iilensi zakho, bona ugqirha wamehlo.
• Iingxaki zeentsini: Abanye abantu banokuba neentlungu, ukudumba, okanye ukopha kancinci kwiintsini. Ukuba oku kuyenzeka, xelela ugqirha wamazinyo. Oku kungancitshiswa ngokuxubha amazinyo akho kakuhle yonke imihla. Bona ugqirha wamazinyo rhoqo kwaye umxelele ngayo nayiphi na imithi oyithathayo.
• Ngaphambi kotyando: Ukuba uceba ukwenza utyando lokuzikhethela, kunokufuneka uyeke ukuthatha ezi pilisi kwiintsuku ezimbalwa ngaphambi kwenkqubo. Thetha nogqirha wakho ngale nto.
• Akukho khuselo kwizifo ezidluliselwa ngesondo: Oku kubaluleke kakhulu. Ezi pilisi zokulawula ukukhulelwa azikukhuseli kwi-HIV (AIDS) okanye kuzo naziphi na ezinye izifo ezidluliselwa ngesondo (STIs). Ukuze uzikhusele kuzo, kufuneka usebenzise ezinye iindlela zokuzikhusela, ezinje ngeekhondom.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengazo zonke iziyobisi, ezi pilisi zokulawula ukukhulelwa zinokubangela iziphumo ebezingalindelekanga kwabanye abantu. Ezinye azinabungozi kangako, kodwa ezinye ziyaxhalabisa.

Iziphumo ebezingalindelekanga ekufuneka uxelele ugqirha wakho ngazo ngoko nangoko:

Ukuba ufumana naziphi na kwezi mpawu zilandelayo, yazisa ugqirha wakho okanye isibhedlele esikufutshane ngokukhawuleza:

• Iimpendulo ze-allergy: ukurhawuzelela kwesikhumba, ukurhawuzelela, amaqhuqhuva (amabala amakhulu abomvu), ukudumba kobuso, imilebe, ulwimi, okanye umqala.
• Ukuqhekeka kwegazi: iintlungu zomlenze, ukudumba, okanye ukufudumala, ubunzima bokuphefumla, iintlungu zesifuba.
• Iingxaki zenyongo: Intlungu ebuhlungu esiswini esingaphezulu, isicaphucaphu, ukuhlanza, umkhuhlane.
• Uxinzelelo lwegazi oluphezulu.
• Ukulimala kwesibindi:Intlungu kwicala eliphezulu lasekunene lesisu, ukuphelelwa ngumdla wokutya, isicaphucaphu, indle ekhanyayo, umchamo otyheli okanye omdaka, ukutyheli kolusu okanye amehlo, kunye nokuziva udiniwe okanye ubuthathaka ngendlela engaqhelekanga.
• Intloko ebuhlungu okanye iintloko ezibuhlungu ezintsha okanye eziya zisiba mandundu.
• Istroke: Ukungaziva mnandi okanye ubuthathaka bobuso, ingalo, okanye umlenze ngequbuliso, ubunzima bokuthetha, ukudideka, ubunzima bokuhamba, ukulahleka kokulinganisela, isiyezi, intloko ebuhlungu kakhulu, utshintsho embonweni.
• Ukuphuma kwamanzi kwilungu lobufazi ngendlela engaqhelekanga, ukurhawuzelelwa, okanye ivumba elibi.
• Ukuwohloka kweemvakalelo, iimvakalelo ezinje ngokudakumba.

Iziphumo ebezingalindelekanga ezingaqhelekanga, kodwa ezikhathazayo, kufuneka zixelwe kugqirha:

Ezi zinto azisoloko zibalulekile, kodwa ukuba ziyaqhubeka okanye zikukhathaza kakhulu, kulungile ukuxelela ugqirha wakho:

• Intlungu yebele okanye ukuxinana.
• Amabala amnyama eluswini ebusweni okanye kwezinye iindawo ezichatshazelwe lilanga.
• Ukungaqheleki kwemijikelo yokuya exesheni okanye ukopha kancinci (ukubonakala kancinci) phakathi kokuya exesheni.
• Isicaphucaphu.
• Ukutyeba kwakho.

Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ubona into engaqhelekanga, nceda ubuze ugqirha wakho ngayo.

Uligcina njani eli yeza likhuselekile?

Gcina eli yeza kude nabantwana kunye nezilwanyana zasekhaya .

Ifanele igcinwe kubushushu begumbi (phakathi kwe-15 kunye ne-30 degrees Celsius, 59 kunye ne-86 degrees Fahrenheit). Lahla nayiphi na iyeza elingasetyenziswanga emva komhla wokuphelelwa.

Eyona nto ibalulekileyo ekufuneka uyikhumbule! (Umyalezo oya nawo ekhaya)

Kulungile, ngoko ke ndiyathemba ukuba ngoku uyiqonda ngcono ipilisi yokulawula ukuzalwa ebizwa ngokuba yi-'Ethynodiol Diacetate; i-Ethinyl Estradiol' esithethe ngayo.

Khumbula, eli liyeza elifanele lisetyenziswe kuphela xa kucetyiswa ngugqirha. Ukuba unemibuzo okanye iinkxalabo, ungathandabuzi ukubuza ugqirha wakho, usokhemesti, okanye umboneleli wezempilo. Eli phetshana lisisishwankathelo nje kwaye lisenokungabi nazo zonke iinkcukacha. Ukhuseleko lwakho yeyona nto ibalulekileyo!

Ukuphepha ukutshaya, ukusela ipilisi ngexesha elifanelekileyo, ukuxelela ugqirha wakho ngemeko yakho yempilo, kunye nokuqaphela ukusebenzisana namanye amayeza konke oku kukulungele.

Iipilisi zokulawula ukuzala, i -Ethynodiol Diacetate, i-Ethinyl Estradiol, ukuthintela ukukhulelwa, impilo yabasetyhini, iihomoni, iziphumo ebezingalindelekanga, izithintelo zokukhulelwa ngomlomo, i-estrogen, i-progestin, iipilisi zokulawula ukuzala.