Iipilisi zokulawula ukuzalwa zeNorethindrone: Oko kufuneka ukwazi

Mhlawumbi uyazi ukuba abafazi abaninzi kunye namantombazana amancinci basebenzisa iipilisi zokulawula ukuzala njengendlela yokucwangcisa usapho, kwaye ngamanye amaxesha kwezinye iingxaki zehomoni. Ngoko ke namhlanje siza kuthetha ngenye yeepilisi ezinjalo , i-norethindrone . Oku kudla ngokubizwa ngokuba yi-"mini-pill". Kukho izinto ezimbalwa ekufuneka uzazi xa usebenzisa ezi pilisi. Masithethe ngazo zonke ezi zinto ngokucacileyo, ngokungathi sixelela umhlobo, kulungile?

Yintoni le yeza ibizwa ngokuba yiNorethindrone?

Ngamafutshane, iNorethindrone yipilisi ethintela ukukhulelwa. Ikwiqela leepilisi zokulawula ukukhulelwa. Ngokwezonyango, luhlobo lwehomoni ebizwa ngokuba yiprogestin .

Umsebenzi wayo ophambili kukuyeka ukukhutshwa kweqanda , oku kukukhululwa kweqanda rhoqo ngenyanga kwi-ovary yakho. Xa iqanda lingakhutshwa, akukho ndlela yokuba isidoda silichumise, kwaye ukukhulelwa akunakwenzeka. Ukongeza, yenza kube lukhuni i-mucus kumlomo wesibeleko, okwenza kube nzima ukuba isidoda singene kwisibeleko.

Into ebalulekileyo kukuba eli yeza alisetyenziselwa ukuthintela ukukhulelwa kuphela. Ngamanye amaxesha oogqirha banokulinika nokulawula izinto ezifana nokopha kakhulu kunye nentlungu ngexesha lokuya exesheni. Kodwa konke oko kwenzeka kuphela ngokwengcebiso kagqirha wakho.

Ungathenga eli yeza kwikhemesti phantsi kwamagama eempawu ezahlukeneyo. Umzekelo, usenokuba ukhe wawabona amagama anje ngoCamila, Errin, Heather, Nor-QD. Nangona kunjalo, lisenokuba namanye amagama eSri Lanka. Nangona kunjalo, onke aqulethe isithako esifanayo esisebenzayo, i-norethindrone.

Zeziphi izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale eli yeza?

Oku kubaluleke kakhulu. Ngaphambi kokuba uqale ukusebenzisa iNorethindrone, kufuneka uxelele iqela lakho lokhathalelo/ugqirha ngembali yakho yezonyango . Kubaluleke kakhulu ukubaxelela ukuba unayo nayiphi na kwezi meko zilandelayo:

• Isifo semithambo yegazi okanye iingxaki zokujiya kwegazi: Ukuba ukhe waba naso ngaphambili, okanye ukuba kukho umntu kusapho lwakho okhe waba naso esi sifo, mxelele ngaso.
• Umhlaza webele, umhlaza womlomo wesibeleko, okanye umhlaza wangasese: Ukuba unayo okanye ukhe waba nayo nayiphi na kwezi ntlobo zomhlaza.
• Isifo seswekile: Indlela ezi pilisi zehomoni ezibachaphazela ngayo abantu abanesifo seswekile isenokuhluka.
• Isifo sentliziyo: Naluphi na uhlobo lwesifo sentliziyo.
• Isifo sezintso.
• Isifo sesibindi: Eli yeza lisenokuchaphazela ukusebenza kwesibindi.
• Ukudakumba kwengqondo:Amanye amayeza e-hormone anokubangela utshintsho kwimo yengqondo.
• Intloko ebuhlungu: Ingakumbi ukuba uneentloko ezibuhlungu eziza ne-aura (iimpawu ezibonakala ngathi ubona ukukhanya).
• Isifo sokuwa ('Ukuxhuzula').
• Istroke: Ukuba ukhe waba nestroke ngaphambili.
• Ukopha kwamalungu esini ngaphandle kwesizathu: Oku kufanele kuhlolwe kuqala.
• Ukuba une-allergy kwi-norethindrone okanye nakweyiphi na eminye imithi, ukutya, iidayi, okanye izithinteli.
• Ukuba okwangoku ukhulelwe (`Ukhulelwe`) okanye uzama ukukhulelwa (`uzama ukukhulelwa`).
• Ukuba ungumama oncancisayo.

Ukuba undixelela ezi zinto ngokuchanekileyo, ugqirha angagqiba ukuba eli yeza likulungele na, okanye ukuba kukho enye indlela engcono. Uyaqonda? Oku kungenxa yokhuseleko lwakho.

Ndingayisebenzisa njani le yeza? Yeyiphi indlela engcono?

Le pilisi kufuneka ithathwe ngomlomo, kunye neglasi yamanzi. Ungayithatha ngaphambi okanye emva kokutya, akunamsebenzi. Eyona nto ibalulekileyo kukuyithatha ngexesha elifanayo yonke imihla, kanye njengoko kutshiwo kwileyibhile kagqirha. Njengewotshi. Qiniseka ukuba uthatha iipilisi ngokulandelelana okukwipakethi. Musa ukuthatha okungaphezulu koko ugqirha wakho akuxelele kona.

Oogqirha ngamanye amaxesha bacebisa eli yeza kubantwana abancinci abangamabhinqa abaqalise ukuya exesheni, kodwa kufuneka kunikwe ingqalelo ekhethekileyo kulo.

Xa unikwa eli yeza, uza kufumana iphakheji yesigulana . Lifunde ngononophelo ngalo lonke ixesha uphinda ulizalise okanye ulizalise kwakhona, njengoko ulwazi olukulo lunokutshintsha ngamanye amaxesha.

Kuthekani ukuba uthatha amayeza amaninzi ngempazamo? (`Umthamo ogqithisileyo`)

Ukuba oku kuyenzeka, oko kuthetha ukuba ucinga ukuba usele iipilisi ezininzi kakhulu, fowunela isibhedlele esikufutshane okanye kwiziko lolawulo lwetyhefu ngokukhawuleza.

Kwakhona khumbula: Eli yeza lelakho kuphela. Ungaze unike omnye umntu iyeza lakho, nokuba uneempawu ezifanayo nezakho.

Wenza ntoni ukuba awukwazi/awulibali ukusela ipilisi?

Lo ngumbuzo obuzwa ngabantu abaninzi. Zama konke okusemandleni akho ukusela ipilisi yakho ngaphandle kokuphoswa lusuku olunye. Kuba ngalo lonke ixesha uphoswa yipilisi, okanye ngalo lonke ixesha uyisela kade, umngcipheko wakho wokukhulelwa uyanda.

• Ukuba ulibele ukusela ipilisi enye kuphela (nokuba sele kudlule iiyure ezi-3): Sela ipilisi oyiphosileyo kwangoko xa ukhumbula. Emva koko sela iipilisi eziseleyo ngexesha lakho eliqhelekileyo. Nangona kunjalo, kufuneka usebenzise olunye uhlobo lokuthintela ukukhulelwa (umz. iikhondom) kwiiyure ezingama-48 ezilandelayo.
• Ukuba uphoswe ziipilisi ezingaphezu kwesinye:Ukuba oku kuyenzeka, sebenzisa olunye uhlobo lokuthintela ukukhulelwa de kube lixesha lakho elilandelayo. Kwakhona, fowunela ugqirha wakho ngokukhawuleza ukuze akunike ingcebiso.

Ukuba unamathandabuzo malunga noku, ungabi nantloni uze ubuze ugqirha wakho ukuba akucacisele.

Ngawaphi amanye amayeza anokusebenza kunye nale mithi?

Kukho amayeza athile anokubangela iingxaki xa esetyenziswa nge-norethindrone. Oku kuthetha ukuba i-norethindrone isenokungasebenzi kakuhle, okanye iziphumo ebezingalindelekanga zinokwanda.

Ungaze uthathe iNorethindrone kunye nala mayeza:

• I-Amprenavir okanye i-Fosamprenavir (la ngamayeza asetyenziselwa i-HIV/AIDS)
• I-Bosentan (iyeza loxinzelelo lwegazi oluphezulu emaphaphu)

Ukongeza, la mayeza alandelayo anokusebenzisana ne-norethindrone. Ngoko ke, ukuba uthatha la mayeza, kufuneka uxelele ugqirha wakho :

• Amayeza okubulala iintsholongwane okanye amayeza osulelo: ingakumbi i-rifampin, i-rifabutin, i-rifapentine, kunye ne-griseofulvin. Iipenicillins okanye ii-tetracyclines nazo zinokuchaphazeleka.
• I-Aprepitant (iyeza lokulwa nokuhlanza)
• Amayeza e-Barbiturate: Umzekelo, iPhenobarbital (ipilisi yokulala, iyeza lokulwa nesifo sokuwa).
• I-Carbamazepine (iyeza elisetyenziselwa isifo sokuwa kunye nezinye izifo zengqondo)
• I-Felbamate (iyeza lokuxhuzula)
• I-Modafinil (iyeza elisetyenziselwa ukunyanga ukozela okugqithisileyo)
• I-Oxcarbazepine (iyeza lokuxhuzula)
• I-Phenytoin (iyeza lokuxhuzula)
• I-Ritonavir okanye amanye amayeza asetyenziselwa ukunyanga i-HIV/AIDS.
• I-wort yaseSt. John (esi sisongezelelo semifuno).
• I-Topiramate (iyeza lokuxhuzula kunye ne-migraines).

Olu luhlu lusenokungabandakanyi zonke iindlela ezinokwenzeka zokusebenzisana namayeza. Ngoko ke, xelela ugqirha wakho ngawo onke amayeza (abhalwe ngugqirha okanye athengiswa ngaphandle kwemvume kagqirha), iimveliso zemifuno, iivithamini, kunye nezongezo zokutya ozithathayo. Kwakhona xelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi. Oku kunokuchaphazela indlela amayeza asebenza ngayo.

Yintoni enye endifanele ndiyiqaphele xa ndisebenzisa eli yeza?

Kufuneka uhlale ukhathalela impilo yakho ngelixa usebenzisa iNorethindrone.

• Yiya kuhlolwa rhoqo: Yiya kuhlolwa rhoqo njengoko ugqirha wakho eyalele. Ngokwesiqhelo, uya kucelwa ukuba uhlolwe amabele, uhlolwe isinqe, kunye ne-Pap smear ngelixa usebenzisa eli yeza.
• Ukhuseleko olongezelelekileyo kwinyanga yokuqala: Qiniseka ukuba usebenzisa uhlobo olongezelelweyo lokulawula ukukhulelwa (umz. iikhondom) kwinyanga yokuqala (umjikelo wokuqala) wokuthatha ezi pilisi, njengoko kuthatha iintsuku ezimbalwa ukuba ipilisi ilungele umzimba wakho ngokupheleleyo kwaye inike ukhuseleko oluphezulu.
• Ukuba ukrokrela ukuba ukhulelwe: Ukuba ucinga ukuba ukhulelwe ngasizathu sithile (umz., ukuba ixesha lakho lihambile, ukucaphuka kwasekuseni), yeka ukuthatha ezi pilisi ngoko nangoko uze utsalele umnxeba ugqirha wakho.
• Kwiingxaki zeehomoni: Ukuba awusebenzisi eli yeza lokuthintela ukukhulelwa, kodwa uthatha elinye ingxaki yeehomoni (umz. ukopha kakhulu), kungathatha iinyanga ezininzi (imijikelo eliqela) ukuba imeko iphucuke. Yiba nomonde.
• Akukho khuselo kwi-HIV/AIDS kunye nezinye izifo ezidluliselwa ngesondo: Oku kubaluleke kakhulu . Iipilisi zeNorethindrone zikukhusela kuphela ekukhulelweni. Azikukhuseli kwi-HIV (AIDS) okanye kwezinye izifo ezidluliselwa ngesondo (STDs). Ke ngoko, kufuneka usebenzise olunye uhlobo lokuthintela ukukhulelwa, njengekhondom, ukuze uzikhusele kwezi zinto.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengalo naliphi na iyeza, i-norethindrone inokubangela iziphumo ebezingalindelekanga kwabanye abantu. Nangona kunjalo, ayinguye wonke umntu ozifumanayo. Ezinye iziphumo ebezingalindelekanga ziyingozi kwaye kufuneka uxelele ugqirha wakho ngoko nangoko ukuba uzifumana. Ezinye azibi kakhulu, kodwa ukuba ziyaqhubeka, ngumbono olungileyo ukuxelela ugqirha wakho .

Ukuba ufumana naziphi na kwezi ziphumo ebezingalindelekanga, xelela ugqirha wakho ngokukhawuleza:

• Iimpendulo ze-allergy: ukurhawuzelela kwesikhumba, ukurhawuzelela, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi, okanye umqala.
• Iimpawu zokuqhekeka kwegazi: iintlungu zomlenze, ukudumba, okanye ubushushu, ubunzima bokuphefumla, iintlungu zesifuba.
• Iingxaki zenyongo: Intlungu ebuhlungu yesisu, isicaphucaphu, ukuhlanza, umkhuhlane.
• Ukunyuka koxinzelelo lwegazi.
• Iimpawu zokulimala kwesibindi: Intlungu kwicala eliphezulu lasekunene lesisu, ukuphelelwa ngumdla wokutya, isicaphucaphu, indle ekhanyayo, umchamo otyheli okanye omdaka omnyama, ukutyheli kolusu okanye amehlo, kunye nokuziva udiniwe okanye ubuthathaka ngendlela engaqhelekanga.
• I-migraines entsha okanye eyandayo, iintloko ezibuhlungu.
• Iimpawu zestroke: Ukungaziva okanye ubuthathaka ngequbuliso ebusweni, engalweni, okanye emlenzeni, ubunzima bokuthetha, ukulahlekelwa zingqondo, ubunzima bokuhamba, ukungaphumeleli kokulinganisela, isiyezi, intloko ebuhlungu kakhulu, utshintsho embonweni.
• Ukuphuma kwamanzi kwilungu lobufazi, ukurhawuzelelwa, okanye ivumba elibi.
• Ukuwohloka kwemeko yengqondo, iimvakalelo ezinje ngokudakumba.

Ezi ziphumo bezingalindelekanga azibi nkulu ngokwaneleyo ukuba ungaxelela ugqirha. Kodwa ukuba ziyaqhubeka okanye ziyakukhathaza, xelela ugqirha wakho :

• Intlungu okanye ukuthamba kwamabele.
• Amabala amnyama eluswini ebusweni okanye kwiindawo ezichatshazelwe lilanga.
• Ukuya exesheni okungaqhelekanga okanye ukubonakala kwamabala.
• Isicaphucaphu.
• Ukutyeba kwakho.

Olu luhlu lusenokungabandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ubona nantoni na engaqhelekanga ukongeza kwezi, thetha nogqirha wakho ngayo.

Ndingazigcina njani ezi pilisi?

Kubaluleke kakhulu ukugcina amayeza akho ngokufanelekileyo.

• Gcina kude nabantwana kunye nezilwanyana zasekhaya.
• Gcina kubushushu begumbi (phakathi kwe-15 kunye ne-30 degrees Celsius / 59 kunye ne-86 degrees Fahrenheit). Gcina kude nokufuma kunye nobushushu obugqithisileyo. Musa ukugcina kwiindawo ezifana negumbi lokuhlambela.
• Musa ukusebenzisa amayeza aphelelwe lixesha. Lahla kakuhle.

Nceda uqaphele: Eli phetshana lisisishwankathelo nje kuphela. Lisenokungabi nazo zonke iinkcukacha. Ukuba unemibuzo engaphezulu malunga neli yeza, thetha nogqirha wakho, usokhemesti, okanye umboneleli wezempilo.

Umyalezo Wokugqibela Wokuya Ekhaya

Kulungile, ngoko ke sithethe kakhulu ngeNorethindrone, akunjalo? Makhe siphinde sichaze izinto ekufuneka uzikhumbule:

• Sela ipilisi ngexesha elifanayo yonke imihla. Le yeyona nto ibalulekileyo.
• Yazi kakuhle into omawuyenze xa uphoswe yipilisi. Ukuba awuqinisekanga, buza ugqirha wakho.
• Xelela ugqirha wakho ngazo zonke ezinye iziyobisi kunye nezongezo ozithathayo. Amayeza anokunxibelelana.
• Ezi pilisi azikhuseli kwizifo ezidluliselwa ngesondo ezifana ne-HIV/AIDS. Sebenzisa ezinye iindlela zokuzikhusela.
• Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinzulu, bonana nogqirha ngokukhawuleza.
• Yiya kuhlolwa rhoqo ngugqirha.

I-Norethindrone yindlela esebenzayo kakhulu yokulawula ukukhulelwa xa isetyenziswa ngokuchanekileyo. Nangona kunjalo, kubalulekile ukuba impilo yakho nokhuseleko lwakho lufumane ulwazi olupheleleyo ngayo kwaye ulandele imiyalelo kagqirha wakho. Ukuba ufuna ukwazi okungakumbi, ungabi namahloni okubuza ugqirha wakho, kulungile?

I- Norethindrone, iipilisi zokulawula ukuzalwa, i-minipill, i-progestin, ukuthintela ukukhulelwa, impilo yabasetyhini, iihomoni