Ake sifunde kahle ngamaphilisi okuvimbela inzalo (i-Ethynodiol Diacetate; i-Ethinyl Estradiol)!

Ngezinye izikhathi kufanele sisebenzise amaphilisi okuvimbela inzalo njengendlela yokuhlela umndeni, akunjalo? Noma udokotela angase awanikeze inkinga yamahomoni. Ngakho-ke namuhla sizokhuluma ngephilisi elilodwa elinjalo. Igama lezokwelapha lalokhu yi-`Ethynodiol Diacetate; Ethinyl Estradiol`. Ngisho noma igama lingase libonakale liyinkimbinkimbi kancane, ungakhathazeki. Sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.

Uyini lomuthi? Kalula nje...

Kalula nje, lolu uhlobo lwephilisi lokuvimbela inzalo elisetshenziselwa ukuvimbela ukukhulelwa. Odokotela babiza lokhu ngokuthi "izithibela-nzalo zomlomo." La maphilisi aqukethe inhlanganisela yezinhlobo ezimbili zamahomoni abesifazane . Abizwa ngokuthi "i-estrogen" kanye "ne-progestin".

Cabanga nje, la ma-hormone amabili asebenza ndawonye ukuvimba iqanda ekuvuthweni nasekukhishweni kwama-ovari akho, inqubo ebizwa ngokuthi 'ukuvuthwa kweqanda.' Uma iqanda lingakhishwa, ayikho indlela isidoda esingahlangana ngayo nalo bese sikhulelwa, akunjalo? Yileyo ndlela la maphilisi avimbela ngayo ukukhulelwa.

La maphilisi ngezinye izikhathi asetshenziselwa ezinye izizathu zezokwelapha. Uma ufuna ukwazi okwengeziwe ngawo, ungabuza udokotela wakho noma usokhemisi.

Izinto okudingeka uzitshele udokotela wakho! (Ngaphambi kokuqala lo muthi)

Ngaphambi kokuthi uqale ukusebenzisa la maphilisi okuvimbela inzalo, kunezimo ezithile zempilo okufanele utshele udokotela wakho ngazo. Ngoba, la maphilisi angase angafaneleki kubantu abanezifo ezithile, noma kungadingeka asetshenziswe ngokucophelela okukhulu nangaphansi kokubhekwa okukhethekile. Ngakho-ke, uma unakho okulandelayo, noma uke wawasebenzisa esikhathini esidlule, ungakhohlwa ukutshela udokotela wakho ngakho:

• Uma kukhona ukopha okungajwayelekile kwesitho sangasese sowesifazane.
• Uma unomlando wesifo semithambo yegazi noma amahlule egazi.
• Uma uke waba nomdlavuza webele, wesibeletho, we-endometrial, we-ovarian, wesibindi, noma wesibeletho noma wake waba nawo.
• Uma unesifo sikashukela (amazinga aphezulu kashukela egazini).
• Uma unesifo senyongo.
• Uma uhlelelwe ukuhlinzwa esikhathini esizayo.
• Uma unesifo senhliziyo noma usanda kuhlaselwa yinhliziyo.
• Uma une-high blood pressure.
• Uma unezinga eliphezulu le-cholesterol noma i-triglycerides egazini lakho.
• Uma uke waba nezinkinga zenhliziyo ezingajwayelekile noma i-valve yenhliziyo ngaphambilini.
• Uma unesifo sezinso.
• Uma unesifo sesibindi.
• Uma uphathwa ikhanda elibuhlungu njalo.
• Uma unesifo segazi esibizwa ngokuthi 'ukuntuleka kwe-Protein C/S'.
• Uma usanda kuthola umntwana, waphuphuma isisu, noma wakhipha isisu.
• Uma uke waba nesifo sohlangothi.
• Uma unesifo sokuzivikela komzimba esibizwa ngokuthi "Systemic lupus erythematosus (SLE)".
• Uma ubhema (lokhu kubaluleke kakhulu).
• Uma uke waba nokusabela okungavamile noma kokungezwani komzimba nama-hormone abizwa ngokuthi ama-estrogen, ama-progestin, eminye imithi, ukudla, imibala yokudla, noma izithasiselo.
• Uma ukhulelwe noma uzama ukukhulelwa njengamanje.
• Uma ungumama oncelisayo.

Kuphephile kuwe ukutshela udokotela lezi zinto.

Uyisebenzisa kanjani kahle le mithi?

Leli philisi kufanele liphuzwe ngomlomo. Into ebaluleke kakhulu ukuliphuza ngesikhathi esifanayo nsuku zonke. Yilapho lisebenza khona kakhulu. Ungakhetha isikhathi okulula ukusikhumbula, isibonelo, njalo ebusuku ngemva kwesidlo sakusihlwa.

Abanye abantu bangase babe nesicanucanu kanye nokuphazamiseka kwesisu ngemva kokuthatha la maphilisi. Uma lokhu kwenzeka, thatha leli philisi kanye nokudla. Lokhu kungasiza ekunciphiseni izimpawu.

Landela imiyalelo ebhalwe ilebula likadokotela ngqo. Thatha iphilisi elilodwa nsuku zonke, njengoba kuyalelwe ekhadini lephilisi. Ungathathi okungaphezu kwalokho udokotela akutshele kona.

Lomuthi ngezinye izikhathi unikezwa amantombazane amancane aqale ukuya esikhathini, kodwa udinga iseluleko esikhethekile sezokwelapha.

Uma unikezwa lo muthi, uzothola iphakethe lesiguli. Uzothola elisha kanye nomuthi ngamunye kadokotela kanye nesikhathi ngasinye lapho uthola umuthi wokugcwalisa kabusha. Funda njalo ulwazi olukuwo ngokucophelela, njengoba ulwazi lungashintsha ngezikhathi ezithile.

Okubalulekile: Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, okungukuthi, uma usola ukuthi uphuze ngokweqile, iya emnyangweni wezimo eziphuthumayo esibhedlela esiseduze noma ushayele isikhungo sokulawula ubuthi ngokushesha. Lo muthi unikezwe wena kuphela. Ungalokothi uwuhlanganyele nabanye.

Wenzani uma ukhohlwa ukuphuza iphilisi?

O, kungenzeka, akunjalo? Ngezinye izikhathi ungakhohlwa ukuphuza iphilisi. Ungakhathazeki. Bheka iphepha lolwazi lwesiguli engikhulume ngalo ekuqaleni elihambisana nomuthi wakho. Linemiyalelo yokuthi yini okufanele uyenze esimweni esinjalo.

Ngokuvamile, uma uphuthelwa amaphilisi angaphezu kwelilodwa, iphilisi lingase lingasebenzi kahle ekuvimbeleni ukukhulelwa. Uma lokhu kwenzeka, kungadingeka usebenzise enye indlela yokuvimbela inzalo (njengekhondomu) isikhashana. Lokhu kuchazwe futhi ephepheni, noma ubuze udokotela wakho.

Yiziphi izindlela ezisetshenziswa ngayo lo muthi?

Lokhu akufanele kuthathwe kanye namaphilisi okuvimbela inzalo.Kukhona imithi ethile. Futhi, eminye imithi eminingi, amavithamini athile owathathayo, kanye nezithasiselo zamakhambi ozisebenzisayo kungathinta ukusebenza kahle kwala maphilisi okuvimbela inzalo. Lokhu kusho ukuthi iphilisi lokuvimbela inzalo lingase lingasebenzi kahle noma imiphumela emibi inganda.

Ungalokothi usebenzise la maphilisi okuvimbela inzalo kanye nemithi elandelayo:

• `Dasabuvir; ombitasvir; paritaprevir; ritonavir` (lena imithi enikezwa i-hepatitis C)
• `Ombitasvir; paritaprevir; ritonavir` (lona futhi umuthi onikezwayo we-hepatitis C)

Ngaphezu kwalokho, kuneminye imithi eminingi nezinto ezingathintana (zithinta) nala maphilisi okuvimbela inzalo. Nazi izibonelo ezimbalwa:

• I-Acetaminophen (efana ne-paracetamol)
• Amanye ama-antibiotic (ikakhulukazi i-rifampin, i-rifabutin, i-rifapentine, i-griseofulvin, futhi ngezinye izikhathi ama-penicillin noma ama-tetracycline)
• Imithi yezimo ezifana nesifo sokuwa (ukuquleka/ukukhubazeka) (njenge-'phenobarbital', 'carbamazepine', 'oxcarbazepine', 'phenytoin', 'topiramate')
• Imithi yokukhathazeka noma yokungalali (isib. i-diazepam, i-temazepam)
• Imithi yesifo sikashukela
• Isengezo semithi 'iSt. John's Wort'
• Eminye imithi esetshenziswa ukwelapha ukutheleleka nge-HIV noma i-AIDS (isib. i-ritonavir)
• `I-Warfarin` (isidakamizwa esinciphisa igazi)
• Ijusi le-Grapefruit

Lolu hlu aluphelele. Kungase kube neminye eminingi. Ngakho-ke, qiniseka ukuthi utshela udokotela wakho noma usokhemisi ngayo yonke imithi, amavithamini, izithasiselo zamakhambi, noma omunye umkhiqizo owuthathayo. Qiniseka ukuthi utshela udokotela wakho noma usokhemisi uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa.

Izinto okufanele uzikhumbule lapho uthatha lo muthi

Kubaluleke kakhulu ukunaka impilo yakho njalo ngenkathi usebenzisa la maphilisi okuvimbela inzalo.

• Ukuhlolwa njalo kwezokwelapha: Bona udokotela wakho njalo ukuze uhlole isimo sakho. Kubalulekile ukuhlolwa njalo kwamabele, ukuhlolwa kwe-pelvic, kanye nokuhlolwa kwe-Pap smears ngenkathi uthatha leli philisi.
• Isivikelo esengeziwe phakathi nenyanga yokuqala: Kungumqondo omuhle ukusebenzisa uhlobo olwengeziwe lokuvimbela inzalo (isib. amakhondomu) phakathi nenyanga yokuqala uqala ukuphuza la maphilisi, njengoba kungathatha isikhathi ukuthi umzimba wakho ujwayele amaphilisi futhi unikeze isivikelo esigcwele.
• Uma usola ukuthi ukhulelwe: Uma ucabanga ukuthi kungenzeka ukuthi ukhulelwe nganoma yisiphi isizathu, yeka ukuthatha la maphilisi ngokushesha bese ushayela udokotela wakho ucingo.
• Njengokwelashwa kwezinkinga zama-hormone: Uma uthatha la maphilisi ngenxa yenkinga yama-hormone (isib., imijikelezo yokuya esikhathini engajwayelekile, ukopha okukhulu), kungadingeka ukuthi uwathathe izinyanga eziningana ukuze ubone ukuthuthuka kuleso simo.
• Ukubhema kanye nengozi:Lokhu kubaluleke kakhulu! Uma ubhema ngenkathi uthatha la maphilisi okuvimbela inzalo, ikakhulukazi uma uneminyaka engaphezu kwengu-35, usengozini enkulu kakhulu yokuthola amahlule egazi noma isifo sohlangothi. Ngakho-ke, odokotela bakucebisa kakhulu ukuthi uyeke ngokuphelele ukubhema uma uthatha la maphilisi.
• Ukugcinwa kwamanzi: Lawa maphilisi ngezinye izikhathi angabangela umzimba wakho ukuthi ugcine amanzi amaningi kakhulu. Lokhu kungabangela ukuvuvukala eminweni yakho, ezandleni, noma emaqakaleni. Umfutho wegazi lakho nawo ungakhuphuka. Tshela udokotela wakho uma uhlangabezana nalokhu.
• Ukuzwela kwelanga: Lo muthi ungenza isikhumba sakho sizwele kakhulu ekukhanyeni kwelanga (photosensitivity). Ngakho-ke, gwema ukukhanya kwelanga okuqondile ngangokunokwenzeka. Uma kufanele uphume elangeni, gqoka izingubo ezimboza isikhumba sakho bese usebenzisa i-sunscreen. Ungasebenzisi izibani zelanga noma imibhede/amadokodo okushiswa kwelanga.
• Ama-Contact Lens: Uma ugqoka ama-contact lens bese ubona ushintsho embonweni wakho, noma uma uzizwa ungakhululekile ngenkathi ugqoka ama-lens akho, bheka udokotela wakho wamehlo.
• Izinkinga zezinsini: Abanye abantu bangase babe nobuhlungu, ukuvuvukala, noma ukuphuma kwegazi okuncane ezinsinini. Uma lokhu kwenzeka, tshela udokotela wamazinyo. Lokhu kungancishiswa ngokuxubha nokuhlikihla amazinyo akho kahle nsuku zonke. Bona udokotela wamazinyo njalo bese umtshela nganoma yimiphi imithi oyiphuzayo.
• Ngaphambi kokuhlinzwa: Uma uhlela ukuhlinzwa okukhethwa kukho, kungadingeka uyeke ukuthatha la maphilisi ezinsukwini ezimbalwa ngaphambi kwenqubo. Khuluma nodokotela wakho ngalokhu.
• Akukho ukuvikelwa ezifweni ezithathelwana ngocansi: Lokhu kubaluleke kakhulu. La maphilisi okuvimbela inzalo awakuvikeli ekuthelelekeni nge-HIV (AIDS) noma kwezinye izifo ezithathelwana ngocansi (STI). Ukuze uzivikele kuzo, kufanele usebenzise ezinye izindlela zokuzivikela, njengamakhondomu.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njengayo yonke imithi, la maphilisi okuvimbela inzalo angabangela imiphumela emibi kwabanye abantu. Amanye awabi yingozi, kodwa amanye ayakhathaza kancane.

Imiphumela emibi okufanele utshele udokotela wakho ngayo ngokushesha:

Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, yazisa udokotela wakho noma isibhedlela esiseduze ngokushesha okukhulu:

• Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa, amaqhubu (amabala amakhulu abomvu), ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
• Ukuqhekeka kwegazi: ubuhlungu bomlenze, ukuvuvukala, noma ukufudumala, ubunzima bokuphefumula, ubuhlungu besifuba.
• Izinkinga zenyongo: Ubuhlungu obukhulu esiswini esingaphezulu, isicanucanu, ukuhlanza, umkhuhlane.
• Umfutho wegazi ophakeme.
• Ukulimala kwesibindi:Ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi noma onsundu omnyama, ukuphuzi kwesikhumba noma amehlo, kanye nokuzizwa ukhathele noma ubuthakathaka ngendlela engajwayelekile.
• I-migraines noma ikhanda elisha noma elibi kakhulu.
• Isifo sohlangothi: Ukungazweli noma ubuthakathaka bobuso, ingalo, noma umlenze, ubunzima bokukhuluma, ukudideka, ubunzima bokuhamba, ukulahlekelwa yibhalansi, isiyezi, ikhanda elibuhlungu kakhulu, izinguquko embonweni.
• Ukuphuma koketshezi olungavamile esithweni sangasese sowesifazane, ukulunywa, noma iphunga elibi.
• Ukuwohloka kwemizwa, imizwa efana nokucindezeleka.

Imiphumela emibi evame ukungabi mibi kakhulu, kodwa ekhathazayo, kufanele ibikwe kudokotela:

Lezi zinto ngokuvamile azizimbi kangako, kodwa uma ziqhubeka noma zikukhathaza kakhulu, kuwumqondo omuhle ukutshela udokotela wakho:

• Ubuhlungu noma ukuqina kwebele.
• Amabala amnyama esikhumba ebusweni noma kwezinye izindawo ezivezwe elangeni.
• Ukuya esikhathini okungajwayelekile noma ukuphuma kwegazi okuncane (ukubonakala kancane) phakathi kokuya esikhathini.
• Isicanucanu.
• Ukwanda kwesisindo.

Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Uma ubona noma yini engavamile, sicela ubuze udokotela wakho ngayo.

Uwugcina kanjani lo muthi uphephile?

Gcina lo muthi kude nezingane nezilwane ezifuywayo .

Kufanele igcinwe ekamelweni lokushisa (phakathi kwama-degree Celsius angu-15 no-30, ama-degree Fahrenheit angu-59 no-86). Lahla noma yimuphi umuthi ongasetshenziswanga ngemva kosuku lokuphelelwa yisikhathi.

Into ebaluleke kakhulu okufanele uyikhumbule! (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke ngithemba ukuthi usuyaqonda kangcono iphilisi lokuvimbela inzalo elibizwa ngokuthi i-`Ethynodiol Diacetate; i-Ethinyl Estradiol` esikhulume ngalo.

Khumbula, lo umuthi okufanele usetshenziswe kuphela ngokwelulekwa ngudokotela. Uma unemibuzo noma ukukhathazeka, ungangabazi ukubuza udokotela wakho, usokhemisi, noma umhlinzeki wezempilo. Leli pheshana liyisifinyezo nje futhi kungenzeka lingabi nayo yonke imininingwane. Ukuphepha kwakho kuyinto ebaluleke kakhulu!

Ukugwema ukubhema, ukuphuza iphilisi ngesikhathi, ukutshela udokotela wakho ngezimo zakho zempilo, kanye nokuqaphela ukusebenzisana neminye imithi konke kungokwenzuzo yakho.

Amaphilisi okuvimbela inzalo, i-Ethynodiol Diacetate, i-Ethinyl Estradiol, ukuvimbela ukukhulelwa, impilo yabesifazane, ama-hormone, imiphumela emibi, izindlela zokuvimbela inzalo ngomlomo, i-estrogen, i-progestin, amaphilisi okuvimbela inzalo eSinhala