Uyazazi lezi zidakamizwa zokuvimbela inzalo (i-Lo Minastrin Fe)?

Izikhathi eziningi, odokotela nabesifazane batusa amaphilisi okuvimbela inzalo okuhlela umndeni noma ezinye izinkinga zama-hormone , akunjalo? Elinye lamaphilisi anjalo yileli, elenziwe ngezithako ezintathu: `I-Norethindrone Acetate`, ` I-Ethinyl Estradiol` kanye ne-`I-Ferrous Fumarate` (uhlobo lwensimbi ). Ungase ulazi ngegama lomkhiqizo `(Lo Minastrin Fe)`. Ngakho-ke, namuhla sizoxoxa ngaleli philisi , ukuthi lenzani, ukuthi lisetshenziswa kanjani ngqo, nokuthi yini okudingeka uyiqaphele.

Kwenzekani ngempela ngalo muthi?

Kalula nje, leli iphilisi lokuvimbela inzalo. Okusho ukuthi, empeleni livimba umzimba wakho ekukhipheni amaqanda, noma "ukukhiqizwa kwamaqanda". Uma iqanda lingakhishwa, ayikho indlela ongakhulelwa ngayo. Linikeza umzimba wakho izinhlobo ezimbili zama-hormone (``i-estrogen'' kanye ne-``i- progestin ''). Leli philisi liqukethe i-``Norethindrone Acetate'' (uhlobo lwe-``progestin'') kanye ne-``Ethinyl Estradiol '' (uhlobo lwe-``i-estrogen'').

Ngaphezu kwalokho, leli phakethe lamaphilisi liqukethe namaphilisi aqukethe insimbi abizwa ngokuthi i-`Ferrous Fumarate`. Amanye amaphilisi okuvimbela inzalo anganciphisa inani legazi eliphuma ngesikhathi sokuya esikhathini, noma abanye abantu bangaba nokuntuleka kwensimbi , yingakho la maphilisi ensimbi nawo enikezwa. Anikeza umzimba inani elidingekayo lensimbi.

Odokotela ngezinye izikhathi bangasebenzisa lo muthi kwezinye izinto, ngakho-ke uma unemibuzo, kungcono ukubuza udokotela wakho noma usokhemisi.

Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha lo muthi

Ngaphambi kokuba uqale ukusebenzisa la maphilisi okuvimbela inzalo, kunezimo ezithile okufanele utshele udokotela wakho noma umhlengikazi ngazo, njengoba ukusebenzisa le mithi enalezi zimo kungaba yingozi.

Nazi ezinye zezimo ezinjalo:

• Uma unesifo sokuphuma kwegazi esingavamile esithweni sangasese sowesifazane (ngaphandle kokwazi imbangela eqondile).
• Uma unesifo semithambo yegazi noma unenkinga yokuqhekeka kwegazi .
• Uma uke waba nomdlavuza webele, wesibeletho, i-endometrium, ama-ovari, isibindi, noma isibeletho ,
• Uma unesifo sikashukela (`i-Diabetes Mellitus`) .
• Uma unesifo senyongo.
• Uma uzohlinzwa esikhathini esizayo .
• Isifo senhliziyo , noma uma usanda kuhlaselwa yinhliziyo .
• Uma une -high blood pressure .
• Uma izinga le-cholesterol noma i-triglycerides egazini liphezulu .
• Uma uke waba nenkinga yokushaya kwenhliziyo okungajwayelekile noma inkinga yevalvu yenhliziyo .
• Uma unesifo sezinso .
• Uma unesifo sesibindi .
• Uma unekhanda elibuhlungu elibangelwa yi-migraine .
• Uma unenkinga ethinta ukujiya kwegazi, njengokuthi 'ukuntuleka kwe-Protein C/S'.
• Uma usanda kuthola umntwana, waphuphuma isisu, noma wakhipha isisu .
• Uma uke waba nesifo sohlangothi .
• Uma unesifo esibizwa ngokuthi `Systemic lupus erythematosus (SLE).`
• Lokhu kubaluleke kakhulu uma ubhema ugwayi (ikakhulukazi uma uneminyaka engaphezu kwengu-35).
• Uma une -allergy ku-estrogen, i-progestin, eminye imithi, ukudla, noma izithasiselo.
• Uma ukhulelwe njengamanje noma uzama ukukhulelwa .
• Uma uncelisa .

Uma kukhona kwalokhu okukusebenzelayo, sicela utshele udokotela wakho ukuze akwazi ukunquma ukuthi yikuphi okungcono kakhulu kuwe.

Ulithatha kanjani ngempela leli philisi?

Kubaluleke kakhulu ukusebenzisa lokhu ngendlela efanele.

• Kufanele uphuze iphilisi elilodwa nsuku zonke, ngesikhathi esifanayo, futhi ngokulandelana okuboniswe ephaketheni.
• Leli phakethe lemithi liqukethe amaphilisi okufanele uwahlafune bese uwagwinya, kanti amanye okufanele uwagwinye wonke . Amaphilisi okuqala angu-24 ephaketheni kufanele ahlafunwe kahle bese egwinywa. Gwinya iphilisi elihlafunwe ngengilazi yamanzi. Amaphilisi okugcina angu-4 ephaketheni kufanele agwinywe wonke.
• Abanye abantu bangase bazizwe benesicanucanu ngemva kokuthatha lokhu. Ukuze unciphise lokhu, ungaphuza leli philisi kanye nokudla .
• Thatha kuphela njengoba kuqondiswe udokotela wakho, futhi ungaphuzi ngaphezu kwesilinganiso esinconyiwe.

Uma unikezwa lo muthi, uzothola iphakethe lesiguli . Uzolithola kanye nodokotela ngamunye kanye nesikhathi ngasinye lapho uthola umuthi wokugcwalisa. Kufanele uwufunde ngokucophelela njalo, njengoba ulwazi olukuwo lungashintsha ngezikhathi ezithile.

Ingabe lokhu kunganikezwa izingane ezincane?

Odokotela ngezinye izikhathi batusa lo muthi emantombazaneni asebeqalile ukuya esikhathini. Kodwa udinga ukunakekelwa okukhethekile. Ngakho-ke, kufanele wenziwe kuphela ngaphansi kweseluleko sikadokotela.

Kuthiwani uma ngiphuza umuthi omningi kakhulu?

Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela isikhungo sokulawula ubuthi noma igumbi lezimo eziphuthumayo ngokushesha.

Khumbula, lo muthi ungowakho kuphela. Ungawubelani nabanye abantu.

Wenzani uma ukhohlwa ukuphuza iphilisi?

Uma ukhohlwa ukuphuza iphilisi, bheka ishidi lolwazi lesiguli elihambisana nomuthi ukuze uthole iseluleko salokho okufanele ukwenze. Uma ukhohlwa ukuphuza amaphilisi angaphezu kwelilodwa, umphumela wokuvimbela inzalo walo muthi ungase wehle. Uma lokhu kwenzeka, kuzodingeka usebenzise enye indlela yokuvimbela inzalo (isibonelo, amakhondomu). Cela iseluleko kudokotela wakho ngalokhu futhi.

Qaphela lapho uthatha eminye imithi ngalo muthi!

La maphilisi okuvimbela inzalo angasebenzisana neminye imithi. Okusho ukuthi, umuthi owodwa ungathinta indlela omunye osebenza ngayo. Lokhu kungandisa imiphumela emibi noma kunciphise ukusebenza kahle komuthi.

Ungathathi leli philisi lokuvimbela inzalo kanye nemithi elandelayo:

• ``Dasabuvir; ombitasvir; i-paritaprevir; i-ritonavir
• ``Ombitasvir; i-paritaprevir; i-ritonavir

Futhi, imithi elandelayo ingasebenzisana naleli philisi lokulawula ukubeletha:

• I-'Acetaminophen' (i-paracetamol)
• Ama-antibiotic noma imithi yokwelapha izifo (isib. i-rifampin, i-rifabutin, i-rifapentine, i-griseofulvin)
• `I-Aprepitant`
• I-Vitamin C (i-Ascorbic acid)
• `Atorvastatin` (umuthi owehlisa i-cholesterol)
• Imithi ye-barbiturate (isb. i-phenobarbital)
• `I-Bosentan`
• `I-Carbamazepine`
• I-caffeine
• 'I-Clofibrate'
• `I-Cyclosporine`
• `I-Dantrolene`
• I-Doxercalciferol
• `I-Felbamate`
• Ijusi le-Grapefruit
• `I-Hydrocortisone`
• Imithi yokukhathazeka noma yokungalali (isib. i-diazepam, i-temazepam)
• Imithi yesifo sikashukela
• `Amafutha amaminerali`
• `I-Modafinil`
• 'I-Mycophenolate'
• `I-Nefazodone`
• `I-Oxcarbazepine`
• `I-Phenytoin`
• `I-Prednisolone`
• I-Ritonavir noma eminye imithi ye-HIV/AIDS
• `I-Rosuvastatin`
• `Selegiline`
• Izithako ze-isoflavone ze-soy
• I-St. John's Wort (lena isitshalo)
• "I-Tamoxifen" noma "i-raloxifene"
• 'I-Theophylline'
• Amahomoni e-thyroid
• `I-Topiramate`
• `I-Warfarin` (isidakamizwa esinciphisa igazi)

Lolu hlu lungase lungahlanganisi konke ukuxhumana okungenzeka. Ngakho-ke, kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo (imithi kadokotela, ethengiswa ngaphandle kwemithi kadokotela, imithi yesintu, amavithamini).Kubaluleke kakhulu ukutshela udokotela wakho . Futhi, mtshele uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni.

Izinto okufanele uziqaphele uma usebenzisa lo muthi:

Uma uthatha la maphilisi okuvimbela inzalo, kudingeka uqaphele ngezinye izinto ezimbalwa.

• Bona udokotela wakho ukuze akuhlole njalo. Kufanele uhlolwe njalo amabele, uhlolwe i-pelvic, kanye ne-Pap smears ngenkathi uthatha lo muthi.
• Phakathi nenyanga yokuqala (`umjikelezo wokuqala`) uma uqala ukusebenzisa la maphilisi, kungumqondo omuhle ukusebenzisa uhlobo olwengeziwe lokuvimbela inzalo (isib. amakhondomu).
• Uma ucabanga ukuthi ukhulelwe, yeka ukuthatha lo muthi ngokushesha bese ushayela udokotela wakho ucingo.
• Uma uthatha lo muthi ngenxa yenkinga ethile yama-hormone, kungathatha izinyanga eziningana ukubona intuthuko kuleso simo.
• Ukubhema kwandisa kakhulu ingozi yokuqhekeka kwegazi noma isifo sohlangothi ngenkathi uthatha la maphilisi okuvimbela inzalo. Le ngozi iphezulu kakhulu uma uneminyaka engaphezu kwengu-35 ubudala. Ngakho-ke, welulekwa kakhulu ukuthi ungabhemi.
• Lo muthi ungandisa ikhono lomzimba wakho lokugcina amanzi ('ukugcinwa kwamanzi'). Lokhu kusho ukuthi iminwe yakho, izandla, namaqakala kungavuvukala. Umfutho wegazi lakho nawo ungakhuphuka. Tshela udokotela wakho uma uzizwa ngale ndlela.
• Lo muthi ungenza isikhumba sakho sizwele elangeni. Ngakho-ke, nciphisa ukuchayeka kwakho elangeni ngangokunokwenzeka. Uma kufanele uphume elangeni, gqoka izingubo zokuzivikela kanye ne-sunscreen. Ungasebenzisi izibani zelanga noma imibhede/amadokodo okushiswa kwesikhumba.
• Uma ugqoka ama-contact lens, uma ubona ushintsho ekuboneni kwakho noma uzizwa ungakhululekile ukugqoka ama-contact lens akho, bheka udokotela wakho wamehlo.
• Abanye besifazane bangase babe nobuhlungu, ukuvuvukala, noma ukuphuma kwegazi okuncane ezinsinini . Uma lokhu kwenzeka, tshela udokotela wamazinyo. Lokhu kungancishiswa ngokuxubha nokuhlikihla amazinyo akho kahle. Bona udokotela wamazinyo njalo bese umazisa ngemithi oyiphuzayo.
• Uma uhlinzwa ngokuzikhethela, buza udokotela wakho ukuthi kufanele uyeke yini ukuthatha lo muthi ngaphambi kwenqubo.
• Lo muthi awukuvikeli ekuthelelekeni nge-HIV (AIDS) noma kwezinye izifo ezithathelwana ngocansi. Kumelwe usebenzise izindlela zokuzivikela ezengeziwe.

Yimiphi imiphumela emibi engaba khona?

Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi. Akuwona wonke umuntu oyitholayo, kodwa kuhle ukuqaphela.

Izinto okufanele uzazise udokotela wakho ngokushesha

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, kufanele utshele udokotela wakho ngokushesha okukhulu:

• Ukusabela kokungezwani komzimba - ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
• Ukuqhekeka kwegazi - ubuhlungu bemilenze, ukuvuvukala, noma ukufudumala, ukuphelelwa umoya, ubuhlungu besifuba.
• Izinkinga zenyongo - ubuhlungu obukhulu besisu, isicanucanu, ukuhlanza, umkhuhlane.
• Ukwanda komfutho wegazi.
• Ukulimala kwesibindi - ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi noma onsundu omnyama, ukuphuzi kwesikhumba noma amehlo, ubuthakathaka noma ukukhathala okungavamile.
• I-migraines noma ikhanda elisha noma elibi kakhulu.
• Izimpawu zesifo sohlangothi - ukuba ndikindiki noma ubuthakathaka obungazelelwe ebusweni, engalweni, noma emlenzeni, ubunzima bokukhuluma, ukudideka, ubunzima bokuhamba, ukulahlekelwa ibhalansi, isiyezi, ikhanda elibuhlungu kakhulu, ushintsho embonweni.
• Ukuphuma koketshezi olungavamile esithweni sangasese sowesifazane, ukulunywa, noma iphunga.
• Ukuwohloka kwemizwa, imizwa efana nokucindezeleka.

Ngokuvamile akuyona into embi kangako, kodwa uma kuyinkinga, tshela udokotela wakho.

Le miphumela emibi ngokuvamile ayibi mibi kakhulu, kodwa uma iqhubeka noma ikukhathaza, tshela udokotela wakho :

• Ubuhlungu noma ukuqaqamba kwebele.
• Amabala amnyama esikhumba ebusweni noma kwezinye izindawo ezivezwe elangeni.
• Ukuya esikhathini okungajwayelekile noma ukubonakala kwamabala.
• Isicanucanu.
• Ubuhlungu besisu.

Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Khuluma nodokotela wakho ukuze uthole iseluleko sezokwelapha mayelana nemiphumela emibi.

Ugcina kanjani imithi iphephile?

• Gcina lo muthi kude nezingane nezilwane ezifuywayo.
• Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-15 no-30, phakathi kwama-degree Fahrenheit angu-59 no-86).
• Lahla imithi ephelelwe yisikhathi ngaphandle kokuyisebenzisa.

Into ebaluleke kakhulu okufanele uyikhumbule ukuthi

Lokhu kumane nje kuyisifinyezo. Kungase kungabi nalo lonke ulwazi. Uma uneminye imibuzo mayelana nalomuthi, khuluma nodokotela wakho, usokhemisi, noma omunye umhlinzeki wezempilo. Ungalokothi uqale noma uyeke ukuthatha umuthi ngaphandle kweseluleko sikadokotela wakho. Landela njalo iseluleko sikadokotela wakho lapho wenza izinqumo ngempilo yakho. Ube nosuku oluhle!

I- Norethindrone, i-Ethinyl Estradiol, i-Ferrous Fumarate, i-Lo Minastrin Fe, Amaphilisi Okulawula Ukuzalwa, Ukuhlela Umndeni, Ama-hormone, Impilo Yabesifazane