Ingabe ufuna ulwazi mayelana nephilisi elisetshenziswa njengendlela yokuhlela umndeni? Mhlawumbe udokotela wakho ukunike leli philisi elibizwa ngokuthi i-Drospirenone (igama lomkhiqizo elithi Slynd). Noma mhlawumbe unesifiso sokwazi okwengeziwe ngalo. Ngakho-ke, liyini i-Drospirenone, empeleni lenzani emzimbeni, yiziphi izinto okufanele siziqaphele lapho silisebenzisa, futhi ingabe kukhona imiphumela emibi? Lona umzamo wokuthola ikhambi lemibuzo eminingi ongase ube nayo engqondweni yakho, ngendlela elula nenobungane.
Kalula nje, iyini i-Drospirenone?
I-Drospirenone iyiphilisi lokulawula inzalo, noma njengoba silibiza kanjalo, iphilisi lokuhlela umndeni, elisetshenziselwa ukuvimbela ukukhulelwa. Liyilungu leqembu lemithi yokulawula inzalo (Imithi Yokuvimbela Inzalo). Liqukethe i-hormone progestin kuphela. Ngakho-ke, libizwa nangokuthi "amaphilisi e-progestin kuphela" (ama-POP) noma "amaphilisi amancane".
Iphilisi lisebenza kakhulu ngokuvimbela umzimba wakho ukuthi ungavuthi, okuyilapho iqanda likhishwa esibelethweni. Uma iqanda lingakhishwa, isidoda asikwazi ukulivundisa, ngakho-ke ukukhulelwa akukwazi ukwenzeka. Liphinde lenze kube lukhuni ulwelwesi oluzungeze umlomo wesibeletho, okwenza kube nzima ukuthi isidoda singene esibelethweni. Lena yindlela iphilisi elivimbela ngayo ukukhulelwa.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Lokhu kubaluleke kakhulu. Ngaphambi kokuba udokotela wakho akunike lo muthi, kubalulekile ukuthi azi umlando wakho wezempilo ophelele. Lo muthi ungase ungafaneleki kubantu abanezimo ezithile zezokwelapha. Ngakho-ke, uma unezinye zezimo ezibalwe ngezansi, ungafihli lutho bese utshela udokotela wakho.
- Ukopha okungajwayelekile kwesitho sangasese sowesifazane: Uma ukopha okungajwayelekile kwesitho sangasese sowesifazane ngaphandle kwesizathu esaziwayo.
- Isifo se-adrenal gland: Uma unesimo esihlobene ne-adrenal gland yakho.
- Isifo semithambo yegazi noma amahlule egazi: Uma unomlando wamahlule egazi emilenzeni yakho, emaphashini, noma kwenye indawo, noma uma unesifo semithambo yegazi.
- Izimo zomdlavuza: Uma uke waba nomdlavuza webele, wesibeletho, i-endometrium, ama-ovari, isibindi, noma isibeletho.
- Ukucindezeleka: Uma okwamanje welashwa ukucindezeleka noma unomlando wako.
- Isifo sikashukela: Uma unesifo sikashukela.
- Isifo senhliziyo: Uma unesifo senhliziyo noma usanda kuhlaselwa yinhliziyo.
- Amazinga aphezulu e-potassium egazini: Uma izinga le-potassium egazini liphezulu.
- Isifo sezinso: Uma kunenkinga ngokusebenza kwezinso.
- Isifo sesibindi: Uma unesifo esihlobene nesibindi.
- Ubuhlungu bekhanda obubangelwa yi-migraine: Uma une-migraine.
- Isifo sohlangothi: Uma uke waba nesifo sohlangothi ngaphambilini.
- Ukungezwani komzimba: Uma uke waba nokusabela kokungezwani komzimba ne-Drospirenone, amanye ama-hormone e-progestin, eminye imithi, ukudla, udayi, noma izithasiselo.
- Ukuzama ukukhulelwa noma ukukhulelwa: Uma ukhulelwe noma unethemba lokukhulelwa.
- Ukuncelisa: Uma ungumama oncelisa ingane yakho.
Uma kukhona okukulolu hlu okukusebenzelayo, kubaluleke kakhulu ukuze uphephe ukukhuluma nodokotela wakho ngakho.
Ngilisebenzisa kanjani kahle leli philisi?
Ukuze uthole okuningi kulo muthi, kubalulekile ukuwusebenzisa ngendlela efanele.
- Umlomo: Leli iphilisi oliphuza ngamanzi. Abanye abantu bangase babe nobuhlungu besisu noma isicanucanu ngemuva kokuthatha lokhu. Uma lokhu kwenzeka, ukuphuza iphilisi ngesikhathi sokudla noma ngemva kokudla kunganciphisa kakhulu ukungakhululeki.
- Yithathe ngesikhathi: Lena yinto ebaluleke kakhulu. Yenza umkhuba wokuthatha iphilisi ngesikhathi esifanayo nsuku zonke . Khetha isikhathi okulula ukusikhumbula. Isibonelo, njalo ebusuku ngemva kwesidlo sakusihlwa. Kungumqondo omuhle futhi ukusetha i-alamu efonini yakho.
- Yithathe ngokulandelana: Amaphilisi amakwe ekhadini lephilisi ngokwezinsuku. Thatha amaphilisi ngaleyo ndlela. Lokhu kuzokwenza kube lula ukubona ukuthi uphuthelwe yiphilisi.
- Funda isengezo sephakheji yesiguli: Uma unikezwa umuthi, uzothola isengezo sephakheji yesiguli. Sifunde ngokucophelela isikhathi ngasinye lapho uthatha umuthi, njengoba ulwazi olukuwo lungase lubuyekezwe.
- Ungathathi okungaphezu kwesilinganiso esinqunyiwe: Thatha iphilisi elilodwa kuphela ngosuku njengoba kunqunywe udokotela wakho.
Wenzani uma ukhohlwa ukuphuza iphilisi?
Asikhumbuli konke njalo. Ngakho-ke kungenzeka ukuthi ukhohlwe ukuphuza iphilisi ngolunye usuku. Uma lokho kwenzeka, phuza iphilisi ophuthelwe ngokushesha nje lapho ukhumbula. Thatha iphilisi elilandelayo ngesikhathi esifanele. Lokhu kusho ukuthi kungadingeka uphuze amaphilisi amabili ngosuku olulodwa.
Kodwa-ke, uma ukhohlwa ukuphuza amaphilisi angaphezu kwelilodwa, ukusebenza kahle kwaleli philisi ekuvimbeleni ukukhulelwa kungancipha.Esimweni esinjalo, hlola incwajana yolwazi oyitholile. Izoba nemiyalelo ecacile. Futhi, khuluma nodokotela wakho mayelana nokusebenzisa uhlobo olwengeziwe lokuvimbela inzalo (isibonelo, ikhondomu) izinsuku ezimbalwa.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi usuphuze amaphilisi amaningi kakhulu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha . Ngaphandle kwalokho, shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Yimiphi eminye imithi engasebenzisana nalo muthi?
Eminye imithi oyithathayo ingase ihlangane ne-Drospirenone, inciphise ukusebenza kwayo noma yandise imiphumela emibi. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe udokotela, ethengwe ekhemisi, amakhambi, ngisho namavithamini).
Ithebula elingezansi libala eminye imithi engase ihlangane naleli philisi.
| Uhlobo lomuthi | Incazelo nezibonelo |
|---|---|
| Ungalokothi uthathe i-Drospirenone nalezi zinto. | |
| Eminye imithi ye-HIV/AIDS | I-Atazanavir, Cobicistat, Fosamprenavir |
| I-Bosentan | Umuthi womfutho wegazi ophezulu wamaphaphu |
| Lokhu kungaphikisana futhi - qiniseka ukuthi utshela udokotela wakho. | |
| Eminye imithi yokwelapha isithuthwane | I-Phenobarbital, i-Primidone, i-Carbamazepine, i-Oxcarbazepine, i-Phenytoin, i-Rufinamide, i-Topiramate, i-Felbamate |
| Amanye ama-antibiotic kanye nama-antifungal | I-Clarithromycin, i-Rifampin, i-Griseofulvin, i-Ketoconazole, i-Itraconazole |
| Eminye imithi ye-HIV noma i-Hepatitis | Buza udokotela. |
| Amanye ama-diuretics | I-Amiloride, i-Spironolactone, i-Triamterene |
| Ama-Painkiller (ama-NSAID) | Imithi efana ne-Ibuprofen ne-Naproxen |
| I-St. John's Wort | Ikhambi lokucindezeleka |
| Eminye imithi | I-Aprepitant, i-Cyclosporine, i-Heparin, i-Modafinil, izithasiselo ze-Potassium |
Lolu hlu lungase lungaphelele, ngakho-ke kungcono kakhulu ukutshela udokotela wakho ngakho konke okuthathayo.
Izinto okufanele uzikhumbule lapho uthatha imithi
- Ukuhlolwa njalo kwezokwelapha: Ngesikhathi uthatha lo muthi, bona udokotela wakho njalo ukuze ahlolwe. Kubalulekile ukuhlolwa njalo kwamabele kanye nokuhlolwa kwe-Pap smears. Ungase futhi ucelwe ukuthi uhlolwe igazi ukuze kuhlolwe izinto ezifana namazinga akho e-potassium.
- Uma usola ukuthi ukhulelwe: Uma unezinsolo ezincane kakhulu zokuthi kungenzeka ukuthi ukhulelwe, njengokuthi uma isikhathi sakho sesidlulile, yeka ukuthatha iphilisi ngokushesha bese ubona udokotela wakho.
- Akukho sivikelo ezifweni ezithathelwana ngocansi: Lokhu kubaluleke kakhulu. Leli philisi alikuvikeli kwi-HIV noma kwezinye izifo ezithathelwana ngocansi (ama-STI). Ukuze uzivikele ezifweni ezinjalo, kumele usebenzise indlela yokuvimbela, njengekhondomu.
- Ukuhlinzwa Okuhleliwe: Uma uhlela ukuhlinzwa okukhulu (ukuhlinzwa okukhethayo), buza udokotela wakho ukuthi kufanele uyeke yini ukuthatha leli philisi ngaphambi kwalo.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-Drospirenone ingabangela imiphumela emibi kwabanye abantu. Kodwa-ke, akuwona wonke umuntu oyitholayo. Eminye iyingozi kakhulu, kanti eminye imnene. Into ebalulekile ukuqaphela lezi zimpawu.
| Umphumela ongemuhle | Incazelo (Tshela udokotela wakho ngokushesha uma unesinye noma ngaphezulu salezi) |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ihluli | Ubuhlungu emilenzeni, ukuvuvukala noma umuzwa wokufudumala, ubunzima bokuphefumula, ubuhlungu besifuba. |
| Isifo senhliziyo | Ubuhlungu noma ukuqina esifubeni, emahlombe, ezingalweni, noma emhlathini, isicanucanu, ubunzima bokuphefumula, ukujuluka okubandayo, ukuquleka. |
| Isifo sohlangothi | Ukuba ndikindiki noma ubuthakathaka obungazelelwe ebusweni, engalweni, noma emlenzeni, ubunzima bokukhuluma, ukudideka, ubunzima bokuhamba, ukulahlekelwa yibhalansi, isiyezi, ikhanda elibuhlungu kakhulu, ukushintsha kombono. |
| Ukulimala kwesibindi | Ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi noma onsundu omnyama, ukuphuzi kwesikhumba noma amehlo, ukukhathala okungavamile. |
| Amazinga aphezulu e-potassium | Ubuthakathaka bemisipha, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile. |
| Ushintsho esimweni sengqondo | Ukuwohloka kwemizwa, imizwa yokucindezeleka. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Induna | Ikhanda elibuhlungu |
| Ubuhlungu bebele noma ukuqina | Ukuya esikhathini okungajwayelekile noma ukubona amabala |
| Ubuhlungu bokuya esikhathini | Isicanucanu |
| Ukwanda kwesisindo | |
Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingashiwongo kulolu hlu, khuluma nodokotela wakho ngazo futhi.
Uyigcina kanjani imithi yakho?
- Gcina kude nezingane nezilwane ezifuywayo.
- Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-20 no-25). Vikela ekushiseni okukhulu kanye nomswakama.
- Lahla ngokuphephile noma yimuphi umuthi osele ngemva kosuku lokuphelelwa yisikhathi.
Ngiyethemba ukuthi lesi sihloko sikunike ukuqonda okuhle ngephilisi le-Drospirenone. Khumbula, lokhu kumane nje kuyisifinyezo. Uma uneminye imibuzo, ungesabi ukukhuluma nodokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Drospirenone iyiphilisi lokuvimbela inzalo eliqukethe i-hormone i-progestin kuphela, evimbela ukukhulelwa.
- Lokhu kusebenza ngesikhathi esifanayo nsuku zonke.Kubalulekile ukuthatha iphilisi. Uma uphuthelwa iphilisi, bheka incwajana yemiyalelo ehambisana nalo.
- Tshela udokotela wakho nganoma yimiphi eminye imithi, amavithamini, noma amakhambi owasebenzisayo, njengoba eminye imithi ingase ihlangane nalena.
- Uma uhlangabezana nanoma yiziphi izimpawu ezinkulu njengobuhlungu besifuba obungazelelwe, ubunzima bokuphefumula, ukuvuvukala emlenzeni, noma ubunzima bokukhuluma, funa iseluleko sezokwelapha ngokushesha .
- Khumbula njalo ukuthi leli philisi alinikezi noma yisiphi isivikelo ezifweni ezithathelwana ngocansi (ama-STI).
- Uma unemibuzo mayelana nalomuthi, ungalokothi unqikaze ukubuza udokotela wakho.
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