Uyawaphuza yini amaphilisi okuvimbela inzalo? Ake sifunde nge-(Norgestrel; Ethinyl Estradiol)!

Ungase ucabange ngokuhlela umndeni , noma udokotela wakho kungenzeka ukuthi ukunike imithi yokuvimbela inzalo njengokwelashwa kwesimo samahomoni. Namuhla sizokhuluma ngamaphilisi okuvimbela inzalo aqukethe inhlanganisela ethi `(Norgestrel; Ethinyl Estradiol )`. Lawa avame ukusetshenziswa ukuvimbela ukukhulelwa . Ake sibheke lokhu ngokuningiliziwe.

Uyini lomuthi? Kalula nje...

Leli philisi, elibizwa ngokuthi `(Norgestrel; Ethinyl Estradiol ), livimbela umzimba wakho ekukhipheni iqanda` (ukuvuthwa), ngaleyo ndlela livimbele ukukhulelwa. Liyilungu leqembu lamaphilisi okuvimbela inzalo` (izivimbela inzalo zomlomo). Uma sikhuluma iqiniso, liyinhlanganisela yama-hormone amabili`(i-estrogen)` kanye`(i-progestin).`

Ungase ubone la maphilisi emakethe ngaphansi kwamagama emikhiqizo ehlukene njenge-`(Cryselle)`, `(ELINEST)`, `(Lo/Ovral)`, `(Low-Ogestrel)`, `(Ogestrel 0.5/50)`, `(Ovral)`. Kodwa igama kanye nomthamo udokotela wakho akunike wona yilokho okubalulekile. Ngezinye izikhathi lo muthi ungasetshenziswa nakwezinye izinjongo zezokwelapha. Uma unemibuzo ngawo, ungabuza udokotela wakho noma usokhemisi.

Izinto okufanele uzitshele udokotela wakho ngaphambi kokusebenzisa lo muthi!

Ngaphambi kokuba uqale ukusebenzisa la maphilisi okuvimbela inzalo, kufanele utshele udokotela wakho uma unezinye zezimo noma izinkinga zezokwelapha ezilandelayo, noma uma uke waba nazo esikhathini esidlule. Ingabe lokhu kubaluleke kakhulu?

• Ukopha okungajwayelekile kwesitho sangasese sowesifazane (ukopha okuvamile noma 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 uke waba nawo
• Isifo sikashukela i-mellitus noma amazinga aphezulu kashukela egazini
• Uma unesifo senyongo
• Uma unesifo senhliziyo noma usanda kuhlaselwa yinhliziyo
• Uma une-high blood pressure
• Uma izinga le-cholesterol egazini liphezulu (i-cholesterol ephezulu)
• Uma unesifo sezinso
• Uma unesifo sesibindi
• Uma unekhanda elibuhlungu le-migraine
• Uma uke waba nesifo sohlangothi ngaphambili
• Uma unesifo esibizwa ngokuthi 'i-Systemic lupus erythematosus (SLE)'
• Uma ubhema ugwayi – leli yiphuzu elibaluleke kakhulu.
• Uma une-allergy kuma-hormone abizwa ngokuthi i-estrogen ne-progestin, eminye imithi, ukudla, imibala yokwenziwa, noma izithasiselo.
• Uma ukhulelwe noma uzama ukukhulelwa okwamanje
• Uma ungumama oncelisayo

Uma noma yiliphi lala maphuzu lisebenza kuwe, kubaluleke kakhulu ukuze uphephe ukukhuluma nodokotela wakho ngakho.

Ngingawasebenzisa kanjani la maphilisi?

Lo muthi kufanele uphuzwe ngomlomo. Abanye abantu bangase bazizwe benesicanucanu ngemva kokuwuthatha. Uma lokhu kwenzeka, ukuthatha umuthi nokudla kungasiza ekunciphiseni lo muzwa. Landela iziqondiso eziselebula likadokotela udokotela wakho akunikeza lona ngqo.

Kubaluleke kakhulu ukuphuza leli philisi ngesikhathi esifanayo nsuku zonke futhi ngokulandelana okuboniswe ephaketheni. Njengoba nje uphuza itiye njalo ekuseni, gcina isikhathi esithile salokhu futhi. Kulapho-ke kuphela lapho uzokwazi ukuthola khona imiphumela ephezulu kulokhu. Ungathathi okungaphezu kwalokho okutshelwe udokotela.

Uma lo muthi unikezwa izingane ezincane, okungukuthi, izingane ezincane eziqale ukuya esikhathini, kungase kudingeke ukunakekelwa okukhethekile. Ngakho-ke khuluma nodokotela wakho ngakho.

Uma unikezwe lo muthi, uzothola iphakethe lesiguli. Funda lesi singeniso ngokucophelela isikhathi ngasinye lapho uthola umuthi omusha nesikhathi ngasinye lapho uthola umuthi omusha, njengoba ulwazi olukuwo lungashintsha.

Kuthiwani uma ngiphuza umuthi omningi kakhulu? (Umthamo oweqile)

Ake sithi usuthathe lo muthi omningi kakhulu. Uma lokho kwenzeka , kufanele uye egumbini lezimo eziphuthumayo esibhedlela esiseduze ngokushesha, noma ushayele isikhungo sokulawula ubuthi. Ungakuthathi kalula lokhu, kulungile?

Okubalulekile: Lo muthi ungowakho kuphela. Ungawuniki omunye umuntu, noma ngabe unezimpawu ezifanayo nezakho.

Wenzani uma ukhohlwa ukuphuza iphilisi?

Uma ukhohlwa ukuphuza iphilisi ngolunye usuku, ishidi lolwazi lwesiguli eliza nomuthi wakho lizokunikeza imiyalelo. Lihlole. Ngezinye izikhathi, uma ukhohlwa ukuphuza amaphilisi angaphezu kwelilodwa, umuthi ungase ungasebenzi kahle. Uma lokhu kwenzeka, kungadingeka usebenzise olunye uhlobo lokuvimbela inzalo. Ngakho-ke buza udokotela wakho ngalokho futhi.

Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)

La maphilisi okuvimbela inzalo angasebenzisana neminye imithi oyithathayo. Ngakho-ke, uma ubona udokotela wakho, qiniseka ukuthi umtshela ngayo yonke imithi oyithathayo njengamanje, okuhlanganisa amavithamini, imithi yamakhambi, imithi engekho ngaphansi kukadokotela, kanye nezithasiselo zokudla.

Ikakhulukazi, kunemithi eminingana okungafanele ithathwe nala maphilisi okuvimbela inzalo. Isibonelo:

• `(Dasabuvir; ombitasvir; paritaprevir; ritonavir)`
• `(Ombitasvir; paritaprevir; ritonavir)`

Ngaphezu kwalokho, imithi nezinto ezilandelayo zingase zihlangane nala maphilisi okulawula ukuzalwa:

• I-Acetaminophen
• Ama-antibiotic noma imithi yokwelapha izifo (ikakhulukazi i-rifampin, i-rifabutin, i-rifapentine, i-griseofulvin, futhi ngezinye izikhathi ama-penicillin noma ama-tetracycline)
• `I-Aprepitant`
• I-Ascorbic acid (ivithamini C) `(i-Ascorbic acid (ivithamini C))`
• `Atorvastatin` (umuthi owehlisa i-cholesterol)
• Imithi ye-barbiturate (isb. i-phenobarbital)
• `I-Bosentan`
• I-caffeine
• `I-Carbamazepine` (umuthi wesifo sokuwa)
• '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 (isib. i-pioglitazone)
• Uwoyela wamaminerali
• `I-Modafinil`
• 'I-Mycophenolate'
• `I-Nefazodone`
• `I-Oxcarbazepine`
• `Phenytoin` (umuthi wesifo sokuwa)
• `I-Prednisolone` (uhlobo lwe-steroid)
• I-Ritonavir noma eminye imithi ye-HIV/AIDS
• `Rosuvastatin` (umuthi owehlisa i-cholesterol)
• `Selegiline`
• Izithako ze-isoflavone ze-soy
• Isengezo semifino i-St. John's Wort
• `Tamoxifen` noma `raloxifene` (imithi yomdlavuza)
• 'Theophylline' (umuthi we-asthma)
• Amahomoni e-thyroid
• `I-Topiramate`
• I-Warfarin (isidakamizwa esinciphisa igazi)

Lolu hlu lungase lungabandakanyi konke. Ngakho-ke, uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni, tshela udokotela wakho ngazo ngoba ezinye izinto zingathintana nemithi yakho.

Izinto okufanele uzikhumbule lapho uthatha lo muthi

Bona udokotela wakho ukuze akuhlole njalo ngenkathi uthatha leli philisi lokuvimbela inzalo. Ngokuvamile kuzodingeka uhlolwe amabele, uhlolwe i-pelvic, kanye ne-Pap smear ngenkathi uthatha lo muthi.

• Isivikelo esengeziwe ngenyanga yokuqala: Kuwukuhlakanipha ukusebenzisa uhlobo olwengeziwe lokuvimbela inzalo (isib. amakhondomu) phakathi nenyanga yokuqala (umjikelezo wokuqala) wokuthatha la maphilisi.
• Uma usola ukuthi ukhulelwe: Uma ucabanga ukuthi ukhulelwe nganoma yisiphi isizathu, yeka ukuthatha la maphilisi ngokushesha bese ubona udokotela wakho.
• Njengokwelashwa kwezinkinga zama-hormone: Uma uthatha lo muthi njengokwelashwa kwenkinga yama-hormone, kungadingeka uwusebenzise izinyanga eziningana (imijikelezo eminingana) ukuze ubone ukuthuthuka esimweni sakho.
• Ukubhema Nengozi: Uma ubhema ngenkathi uthatha la maphilisi okuvimbela inzalo, ikakhulukazi uma uneminyaka engaphezu kwengu-35, ingozi yakho yokuba negazi elijiyile noma isifo sohlangothi iphakeme kakhulu. Yingakho odokotela beluleka kakhulu ukuthi ungabhemi ngenkathi uthatha la maphilisi.
• Ukugcinwa koketshezi: Lo muthi ungabangela ukugcinwa koketshezi emzimbeni wakho. 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 elangeni. Ngakho-ke, nciphisa ukuchayeka kwakho elangeni ngangokunokwenzeka. Uma uphuma ngaphandle, gqoka izingubo ezimboza isikhumba sakho, gqoka izibuko zelanga, bese usebenzisa i-sunscreen. Ungasebenzisi izibani zelanga noma imibhede/amadokodo okushiswa kwelanga.
• Kwabagqoka amalensi okuxhumana: Uma ugqoka amalensi okuxhumana futhi ubona ushintsho embonweni wakho, noma uma uzizwa ungakhululekile ngenkathi ugqoka amalensi akho, bheka uchwepheshe wakho wokunakekelwa kwamehlo.
• Izinkinga zezinsini: Abanye besifazane bangase babe nobuhlungu, ukuvuvukala, noma ukuphuma kwegazi okuncane ezinsinini zabo. Uma lokhu kwenzeka, yazisa udokotela wakho wamazinyo. Lesi simo singalawulwa ngokuxubha nokuhlikihla amazinyo nsuku zonke. Bona udokotela wakho wamazinyo njalo bese ubatshela nganoma yimiphi imithi oyiphuzayo.
• Ukuhlinzwa Okuhleliwe: Uma une-opening yokuzikhethela, buza udokotela wakho ukuthi kufanele uyeke yini ukuthatha lo muthi ngaphambi kokuhlinzwa.
• Akukho ukuvikelwa kwi-HIV/AIDS kanye nezifo ezithathelwana ngocansi: Lokhu kubaluleke kakhulu. La maphilisi okuvimbela inzalo awakuvikeli kwi-HIV/AIDS noma kwezinye izifo ezithathelwana ngocansi. Kumelwe usebenzise ezinye izindlela zokuzivikela (isib. amakhondomu).

Imiphumela emibi engaba khona yalo muthi

Njengayo yonke imithi, la maphilisi okuvimbela inzalo angabangela imiphumela emibi kwabanye abantu. Kodwa akuwona wonke umuntu owatholayo, akunjalo? Amanye awo angathi sína kakhulu,Uma ubona into efana naleyo, kufanele ubonane nodokotela ngokushesha.

Imiphumela emibi okufanele ibikwe kudokotela ngokushesha:

• Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa, amaqhubu, 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.
• 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, kanye nokukhathala okungavamile.
• I-migraines noma ikhanda elibuhlungu 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 .
• Ukuwohloka kwemizwa, imizwa yokucindezeleka .

Imiphumela emibi evame ukungadingi iseluleko sezokwelapha (kodwa kufanele ibikwe kudokotela uma iqhubeka noma ikhathaza):

• Ubuhlungu bebele noma ukuthamba
• Amabala amnyama esikhumba ebusweni noma kwezinye izindawo ezivezwe yilanga
• Ukuya esikhathini okungajwayelekile noma ukubona amabala
• Isicanucanu
• Ukwanda kwesisindo

Lolu hlu lungase lungahlanganisi yonke imiphumela emibi. Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile, khuluma nodokotela wakho. Ungabika futhi imiphumela emibi ku-FDA (ngokushayela ku-1-800-FDA-1088).

Ngingawugcina kanjani lo muthi?

Gcina lo muthi kude nezingane nezilwane ezifuywayo.

Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-15 no-30 / 59 no-86 degrees Fahrenheit). Lahla noma yimuphi umuthi ophelelwe yisikhathi.

Okubalulekile: Lesi sihloko siyisifinyezo kuphela. Singase singabi nayo yonke imininingwane. Uma uneminye imibuzo mayelana nalo muthi, khuluma nodokotela wakho, usokhemisi, noma omunye umhlinzeki wezempilo.

Izinto ezibaluleke kakhulu okudingeka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke ngithemba ukuthi usuyaqonda kangcono amaphilisi okuvimbela inzalo esikhulume ngawo.

• Ngaso sonke isikhathi ngesikhathi esifanayo, ulandela imiyalelo ngqoKubaluleke kakhulu ukuphuza la maphilisi.
• Qiniseka ukuthi utshela udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha onazo kanye nanoma yimiphi eminye imithi oyiphuzayo.
• Uma ubhema, izingozi ziphezulu uma uthatha la maphilisi. Ngakho-ke, kungcono ukugwema ukubhema.
• La maphilisi awavikeli ezifweni ezithathelwana ngocansi.
• Uma uhlangabezana nanoma yimiphi imiphumela emibi kakhulu, funa iseluleko sezokwelapha ngokushesha.

Kungumthwalo wakho wemfanelo ukunakekela impilo yakho. Ngakho-ke, uma usebenzisa imithi enjalo, kuwukuhlakanipha ukuba nolwazi oluphelele futhi ulandele imiyalelo kadokotela wakho.

Amaphilisi okuvimbela inzalo, i-Norgestrel, i-Ethinyl Estradiol, Ukuvimbela ukukhulelwa, Ama-hormone, Impilo yabesifazane, Imiphumela emibi