Uma sikhuluma ngezindlela zokuhlela umndeni, enye yezindlela ezithandwa kakhulu nezisetshenziswa kabanzi phakathi kwabantu abaningi amaphilisi okulawula inzalo. Kodwa kunezinhlobo eziningana ezahlukene zala maphilisi okulawula inzalo. Namuhla, kulesi sihloko, sizokhuluma ngohlobo olulodwa olukhethekile lwephilisi, i-Norgestrel. Okukhethekile kwaleli philisi ukuthi liqukethe uhlobo olulodwa lwe-hormone, hhayi izinhlobo ezimbili zama-hormone njengamanye amaphilisi okulawula inzalo. Ngakho-ke, ake sibone ukuthi liyini ngempela leli philisi, ukuthi lisetshenziswa kanjani ngendlela efanele, nokuthi yiziphi izinto okudingeka siziqaphele ngenkathi silisebenzisa.
Iyini i-Norgestrel?
Kalula nje, i-Norgestrel iyiphilisi lokuvimbela inzalo elithathwa ngomlomo ukuvimbela ukukhulelwa noma njengendlela yokuhlela umndeni. Iqukethe i-hormone yabesifazane kuphela i-progestin . Yingakho ngezinye izikhathi ibizwa ngokuthi 'iphilisi elincane'.
Lo muthi ungase ube ngaphansi kwamagama emikhiqizo ahlukene. Amanye amagama emikhiqizo kungenzeka angasatholakali kwamanye amazwe. Kodwa-ke, kungenzeka ukuthi unikezwe lolu hlobo lomuthi ngudokotela eSri Lanka. Ngezinye izikhathi usetshenziselwa ezinye izinjongo zezokwelapha. Ungacela udokotela wakho ukuthi akunike ulwazi olwengeziwe.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Ukuze uphephe futhi uphumelele kakhulu ngemithi, kufanele wazise udokotela wakho uma unezinye zezimo ezilandelayo ngaphambi kokuthi uqale ukusebenzisa leli philisi.
| Ukugula noma isimo | Kungani kufanele ukhathazeke? |
|---|---|
| Umlando wesifo semithambo yegazi noma amahlule egazi | Amaphilisi e-hormone angashintsha kancane le ngozi. |
| Umdlavuza webele, wesibeletho, noma wesitho sangasese sowesifazane | Kungaba nemiphumela kumdlavuza oxhomeke kuma-hormone. |
| Ukucindezeleka | Izinguquko zama-hormone zingathinta isimo sengqondo. |
| Isifo sikashukela | Amazinga kashukela egazini kufanele aqashwe ukuze kutholakale imiphumela engaba khona. |
| Isifo senhliziyo, isifo sesibindi, noma isifo sezinso | Ukusebenza kwalezi zitho kungathinteka. |
| I-Migraine noma i-seizures | Kufanele uqaphele noma yiziphi izinguquko ezimpawu. |
| Ukopha kwesitho sangasese sowesifazane okungaziwa imbangela | Isizathu salokhu kumele siphenywe kuqala. |
| Uma ukhulelwe noma uzama ukukhulelwa | La maphilisi akufanele athathwe ngesikhathi sokukhulelwa. |
| Uma uncelisa | Kubalulekile ukufuna iseluleko sezokwelapha njengoba inani elincane lama-hormone lingafakwa obisini. |
Ngingalithatha kanjani iphilisi?
Indlela yokusebenzisa lo muthi ilula kakhulu, kodwa ibaluleke kakhulu.
- Leli philisi kufanele liphuzwe ngomlomo. Kungcono ukuliphuza ngamanzi.
- Ungayithatha lokhu nokudla noma ngaphandle kokudla.
- Into ebaluleke kakhulu ukuphuza iphilisi ngesikhathi esifanayo nsuku zonke. Khetha isikhathi okulula ukusikhumbula. Isibonelo, njalo kusihlwa ngemva kwesidlo sakusihlwa.
- Thatha amaphilisi ngokulandelana okuboniswe ekhadini lephilisi, njengoba kuboniswe yimicibisholo.
- Sebenzisa kuphela njengoba udokotela wakho ekuyalile. Ungalokothi uthathe okungaphezu kwesilinganiso esinqunyiwe.
Uma ucabanga ukuthi uphuze kakhulu lo muthi ngephutha, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital, noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.Ungakuthathi kalula lokhu.
Wenzani uma ukhohlwa ukuphuza iphilisi?
Lena inkinga abantu abaningi abanayo. Njalo uma uphuthelwa iphilisi, ukusebenza kahle kwezindlela zakho zokuvimbela inzalo kuyancipha futhi ingozi yokukhulelwa iyanda.
- Uma uphuthelwe iphilisi: Phuza iphilisi ophuthelwe lona ngokushesha nje lapho ukhumbula (ngisho noma sekudlule amahora amathathu). Bese uphuza iphilisi elilandelayo ngesikhathi sakho esijwayelekile ngalolo suku. Kodwa ukuze uthole isivikelo esengeziwe, qiniseka ukuthi usebenzisa olunye uhlobo lokuvimbela inzalo, njengamakhondomu, emahoreni angu-48 alandelayo.
- Uma uphuthelwa amaphilisi angaphezu kwelilodwa: Lokhu kuyingozi kakhulu. Qiniseka ukuthi usebenzisa indlela yokusekela yokuvimbela inzalo kuze kube yilapho usuya esikhathini esilandelayo. Futhi, khuluma nodokotela wakho ngokushesha ukuze uthole iseluleko.
Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)
Eminye imithi oyithathayo ingathinta ukusebenza kahle kwaleli philisi lokuvimbela inzalo. Lokhu kusho ukuthi iphilisi lingase lingasebenzi kahle. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho uma uthatha noma yimuphi wale mithi elandelayo:
| Isigaba sezidakamizwa | Izibonelo |
|---|---|
| Amanye ama-antibiotic kanye nama-antifungal | i-rifampin, i-griseofulvin |
| Imithi ye-Barbiturates/Seizure | i-phenobarbital, i-carbamazepine, i-phenytoin, i-topiramate |
| Imithi ye-HIV/AIDS | i-ritonavir |
| Imikhiqizo yezitshalo | I-wort kaSt. John |
Lolu hlu aluphelele. Tshela udokotela wakho ngayo yonke imithi, amavithamini, amakhambi, kanye nezithasiselo zokudla ozithathayo. Futhi, tshela udokotela wakho uma ubhema noma uphuza utshwala.
Izinto okufanele uzikhumbule lapho uthatha imithi
- Bona udokotela wakho ukuze akuhlole njalo. Lokhu kungafaka phakathi ukuhlolwa kwebele, ukuhlolwa kwesitho sangasese sowesifazane, kanye ne-Pap smear.
- Uma usola kancane ukuthi ukhulelwe, yeka ukuthatha iphilisi ngokushesha bese ubona udokotela wakho.
- Phakathi nenyanga yokuqala uqala ukusebenzisa lo muthi, kuphephile ukusebenzisa uhlobo olwengeziwe lokuvimbela inzalo (isib. amakhondomu) .
Kubaluleke kakhulu: Leli philisi lokuvimbela inzalo likuvikela kuphela ekukhulelweni. Alivikeli kwi-HIV (AIDS) noma kwezinye izifo ezithathelwana ngocansi. Kubalulekile ukusebenzisa ikhondomu njengendlela yokuvimbela.
Imiphumela emibi engaba khona
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi kwabanye abantu. Eminye yayo iyingozi, eminye yayo ivamile.
| Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha | |
|---|---|
| - Ukuphuma koketshezi noma ubuhlungu emabeleni - Ikhanda elibuhlungu kakhulu ngokuzumayo - Ubuhlungu besifuba, imbobo, noma umlenze - Ubunzima bokuphefumula | - Ubunzima bokubona noma ukukhuluma - Ukuqubuka kwesikhumba, ukulunywa noma amaqhubu - Ukuphuzi kwesikhumba noma amehlo - Ukukhathala okungavamile |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| - Izinguquko esikhathini sanyanga zonke (ukwanda, ukwehla) - Isicanucanu - Ikhanda elibuhlungu (elivamile) - Ukwanda noma ukwehla kwesisindo | - Izinguquko esifiso sobulili - Ukukhula kwezinwele ebusweni - Ukucasuka, ukushintshashintsha kwemizwelo - Ukuvuvukala okubangelwa ukugcinwa kwamanzi emzimbeni |
Uma ubona noma yini engavamile engekho kulolu hlu, khuluma nodokotela wakho ngayo futhi.
Umlayezo Wokuya Nawe Ekhaya
- Kubalulekile ukuthatha iphilisi le-Norgestrel ngesikhathi esifanayo nsuku zonke .
- Uma uphuthelwa iphilisi noma amaphilisi amaningana, qiniseka ukuthi usebenzisa enye indlela yokuvimbela inzalo bese uthintana nodokotela wakho.
- Leli philisi alinikezi noma yisiphi isivikelo ezifweni ezithathelwana ngocansi (ama-STI). Sebenzisa ikhondomu ngalokho.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nobuhlungu besifuba, ikhanda elibuhlungu kakhulu, noma ukubona okufiphele , funa iseluleko sezokwelapha ngokushesha.
- Lo muthi ungowakho wedwa. Ungalokothi wabelane ngawo nabanye.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Iyini i-Norgestrel (Norgestrel / Ovrette / Opill) iphilisi?
Leli iphilisi lokuhlela umndeni elithathwa nsuku zonke ukuvimbela ukukhulelwa okungafunwa (Iphilisi Lokuvimbela Ukukhulelwa Lansuku Zonke / Ukuvimbela Ukukhulelwa Ngomlomo). Ikhethelo laleli philisi ukuthi liqukethe i-hormone ebizwa ngokuthi 'i-Progestin-only' kuphela! (Lokho kusho ukuthi leli philisi alinalo i-hormone i-Estrogen). Ngakho-ke, lingasetshenziswa ngokukhululeka yilabo abane-allergy/inkinga ye-hormone i-Estrogen, kanye nangomama abancelisayo.
💬 Owesifazane angazivimbela kanjani ukuthi angabi nomntwana ngemva kokuthatha leli philisi (i-Norgestrel)?
Lokhu kunikeza isithiyo esinezindlela ezintathu! 1. Uma kuthathwa nsuku zonke, kuqinisa ulwelwesi lomlomo wesibeletho, okwenza kube nzima ukuthi isidoda singene kulo bese singena esibelethweni. 2. Kunciphisa ulwelwesi lwesibeletho, okwenza lungafaneleki ukukhulelwa (i-endometrial atrophy). 3. Kuvimbela nokukhishwa kwamaqanda.
💬 Yimiphi imiphumela emibi eyinhloko kanye nezingozi zaleli philisi lokuhlela umndeni (i-Progestin kuphela)?
Njengoba ingenayo i-estrogen, umphumela oyinhloko nocasulayo kakhulu abesifazane abaningi abawutholayo 'ukopha okungajwayelekile / ukubona amabala'. Enye into eyingozi ukuthi kufanele uyithathe 'ngasikhathi sinye' nsuku zonke! Ngisho noma uphuthelwe umthamo ngamahora ama-3, ukuvikelwa kwayo kuphukile ngokuphelele futhi unethuba elikhulu lokukhulelwa umntwana!
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