Estrogen ndi Progestin (Njira Zolerera Pakamwa)

Zamkati

• Musanamwe mapiritsi akumwa,
• Njira zakulera pakamwa zimatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mungakumane ndi zina mwazi, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo:

Kusuta ndudu kumawonjezera ngozi ya zovuta zoyipa kuchokera ku njira zakumwa zakumwa, kuphatikizapo matenda a mtima, kuundana kwa magazi, ndi zilonda. Izi ndizowopsa kwa azimayi azaka zopitilira 35 komanso osuta kwambiri (ndudu 15 kapena kupitilira apo patsiku). Ngati mumamwa njira zakulera zakumwa, musasute.

Njira zakulera zakumwa (mapiritsi olera) amagwiritsidwa ntchito popewa kutenga pakati. Estrogen ndi progestin ndi mahomoni awiri achikazi ogonana. Kuphatikiza kwa estrogen ndi progestin kumagwira ntchito poletsa kutulutsa mazira (kutulutsa mazira m'mimba mwake). Amasinthanso mkombero wa chiberekero (m'mimba) popewa kutenga pathupi ndikusintha mamina pa khomo pachibelekeropo (kutsegula kwa chiberekero) kuteteza umuna (ziwalo zoberekera za abambo) kuti zisalowe. Njira zolerera pakamwa ndi njira yothandiza kwambiri yolerera, koma siziteteza kufala kwa kachilombo ka HIV (kachilombo ka HIV, kachilombo kamene kamayambitsa matenda a immunodeficiency syndrome [AIDS]) ndi matenda ena opatsirana pogonana.

Mitundu ina yolera yakumwa imagwiritsidwanso ntchito pochizira ziphuphu kwa odwala ena. Njira zakulera zakumwa zimathandizira ziphuphu pochepetsa kuchuluka kwa zinthu zina zachilengedwe zomwe zingayambitse ziphuphu.

Njira zina zakulera zakumwa (Beyaz, Yaz) zimagwiritsidwanso ntchito kuthana ndi matenda am'mbuyomu asanakwane msambo (zizindikiritso zakuthupi ndi zamaganizidwe zomwe zimachitika asanakwane msambo mwezi uliwonse) mwa azimayi omwe asankha kugwiritsa ntchito njira yolerera pakamwa popewa kutenga mimba.

Njira zakulera zam'kamwa zimabwera m'mapaketi a mapiritsi 21, 28, kapena 91 oti azitenga pakamwa kamodzi patsiku, tsiku lililonse kapena pafupifupi tsiku lililonse lazunguliro nthawi zonse. Pofuna kupewa nseru, tengani zakumwa zakumwa ndi chakudya kapena mkaka. Tengani zakulera zanu zam'kamwa nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani zakulera zanu zam'kamwa monga momwe mwalamulira. Musatenge pang'ono kapena pang'ono, muzitenga nthawi zambiri, kapena muzitenga nthawi yayitali kuposa momwe dokotala adanenera.

Njira zakulera zam'kamwa zimabwera mumitundu yosiyanasiyana. Mitundu yosiyanasiyana ya mankhwala akumwa ali ndi mankhwala kapena mankhwala osiyana pang'ono, amatengedwa mosiyanasiyana, ndipo amakhala ndi zoopsa ndi maubwino osiyanasiyana. Onetsetsani kuti mukudziwa mtundu wanji wa njira zolerera zomwe mukugwiritsa ntchito komanso momwe mungazigwiritsire ntchito. Funsani dokotala wanu kapena wamankhwala kuti mupeze zolemba za wopanga kwa wodwalayo ndikuziwerenga mosamala.

Ngati muli ndi paketi yamapiritsi 21, tengani piritsi limodzi tsiku lililonse kwa masiku 21 osakhala nalo masiku 7. Kenako yambani paketi yatsopano.

Ngati muli ndi paketi yamapiritsi 28, tengani piritsi limodzi tsiku lililonse kwa masiku 28 motsatizana molingana ndi dongosolo lanu. Yambani paketi yatsopano tsiku lotsatira mutatenga piritsi lanu la 28. Mapiritsi omwe ali m'mapaketi ambiri a mapiritsi 28 akhoza kukhala ndi mitundu yosiyanasiyana. Mapaketi ambiri okhala ndi mapiritsi 28 ali ndi mapiritsi amtundu wina omwe ali ndi mitundu yosiyanasiyana ya estrogen ndi progestin, komanso amathanso kukhala ndi mapiritsi amtundu wina omwe ali ndi chinthu chosagwira kapena chowonjezera cha folate.

Ngati muli ndi phukusi la masiku 91, tengani piritsi limodzi tsiku lililonse masiku 91. Paketi yanu mumakhala mapiritsi atatu. Yambani ndi piritsi loyamba pateyara woyamba ndikupitiliza kumwa piritsi limodzi tsiku lililonse mwadongosolo lomwe liperekedwe mpaka mutatenga mapiritsi onse pamatayala onse. Mapiritsi omaliza ndi amtundu wina. Mapiritsiwa atha kukhala ndi zinthu zopanda ntchito, kapena atha kukhala ndi mlingo wochepa kwambiri wa estrogen. Yambani paketi yanu yatsopano tsiku mutatha kutenga piritsi lanu la 91.

Dokotala wanu angakuuzeni nthawi yomwe muyenera kuyamba kumwa zakumwa zanu zakumwa. Njira zolera zam'kamwa zimayambitsidwa tsiku loyamba kapena lachisanu la kusamba kwanu kapena Lamlungu loyamba pambuyo poti magazi ayamba. Dokotala wanu adzakuuzaninso ngati mukufuna kugwiritsa ntchito njira ina yolerera m'masiku 7 mpaka 9 oyamba mukamamwa njira yolerera ndipo ikuthandizani kusankha njira. Tsatirani malangizowa mosamala.

Mwinanso mudzatuluka magazi ofanana ndi msambo mukamamwa mapiritsi osagwira ntchito kapena mapiritsi ochepa a estrogen kapena mkati mwa sabata yomwe simumamwa zakumwa zanu zakumwa. Ngati mukumwa mtundu wa paketi yomwe ili ndi mapiritsi okhaokha, simudzakumana ndi magazi, koma mutha kukhala ndi magazi osayembekezereka ndikuwonetsetsa, makamaka koyambirira kwa chithandizo chanu. Onetsetsani kuti mwayamba kutenga paketi yanu yatsopano panthawi yake ngakhale mutakhala magazi.

Mungafunike kugwiritsa ntchito njira yolerera ngati musanza kapena mutsekula m'mimba mukamamwa njira yolerera. Lankhulani ndi dokotala wanu za izi musanayambe kumwa zakumwa zanu zakumwa kuti mukonzekere njira yoberekera pakafunika kutero. Ngati musanza kapena mutsekula m'mimba mukamamwa njira yolerera, itanani dokotala wanu kuti mudziwe nthawi yayitali yomwe muyenera kugwiritsa ntchito njira yobwezeretsera.

Ngati mwangobereka kumene, dikirani mpaka masabata 4 mutabereka kuti muyambe kumwa mankhwala olera. Ngati mwakhala mukuchotsa mimba kapena kupita padera, lankhulani ndi dokotala za nthawi yomwe muyenera kuyamba kumwa mankhwala oletsa kumwa.

Njira zakulera zam'kamwa zimagwira ntchito pokhapokha ngati amamwa pafupipafupi. Pitirizani kumwa zakumwa zakumwa tsiku lililonse ngakhale mukuwona kapena mukutuluka magazi, muli ndi vuto m'mimba, kapena simukuganiza kuti mutha kutenga pakati. Osasiya kumwa zakumwa zakumwa popanda kulankhula ndi dokotala.

Njira zolera zapakamwa nthawi zina zimagwiritsidwanso ntchito pochiza msambo wambiri kapena wosasinthasintha komanso endometriosis (vuto lomwe mtundu wa minofu yomwe imayambira pachiberekero [chiberekero] umakula m'malo ena amthupi ndipo umayambitsa kupweteka, kusamba kwambiri kapena kusakhazikika [kusamba], komanso Zizindikiro zina). Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa ngati muli ndi vuto lanu.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanamwe mapiritsi akumwa,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la estrogen, progestin, kapena mankhwala aliwonse.
• Uzani dokotala wanu komanso wamankhwala mankhwala omwe mukulandira komanso osapereka mankhwala, mavitamini, ndi zowonjezera zakudya zomwe mumamwa. Onetsetsani kuti mwatchulapo izi: acetaminophen (APAP, Tylenol); maantibayotiki monga ampicillin (Principen), clarithromycin (Biaxin), erythromycin (EES, E-Mycin, Erythrocin), isoniazid (INH, Nydrazid), metronidazole (Flagyl), minocycline (Dynacin, Minocin), rifabutin (Mycobampin), Rifadin, Rimactane), tetracycline (Sumycin), ndi troleandomycin (TAO) (sikupezeka ku US); anticoagulants ('magazi ochepetsa magazi') monga warfarin (Coumadin); antifungals monga griseofulvin (Fulvicin, Grifulvin, Grisactin), fluconazole (Diflucan), itraconazole (Sporanox), ndi ketoconazole (Nizoral); atorvastatin (Lipitor); clofibrate (Atromid-S); cyclosporine (Neoral, Sandimmune); chifuwa (Tracleer); cimetidine (Tagamet); danazol (Danocrine); delavirdine (Wolemba) diltiazem (Cardizem, Dilacor, Tiazac); fluoxetine (Prozac, Sarafem, mu Symbyax); HIV protease inhibitors monga indinavir (Crixivan) ndi ritonavir (Norvir); mankhwala a khunyu monga carbamazepine (Tegretol), felbamate (Felbatol), lamotrigine (Lamictal), oxcarbazepine (Trileptal), phenobarbital (Luminal, Solfoton), phenytoin (Dilantin), primidone (Mysoline), ndi topiramate (topisate) modafinil (Provigil); morphine (Kadian, MS Contin, MSIR, ena); nefazodone; rifampin (Rimactane, ku Rifadin, ku Rifater); mankhwala amlomo monga dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), prednisone (Deltasone), ndi prednisolone (Prelone); temazepam (Kubwezeretsa); theophylline (Theobid, Theo-Dur); mankhwala a chithokomiro monga levothyroxine (Levothroid, Levoxyl, Synthroid); verapamil (Calan, Covera, Isoptin, Verelan); vitamini C; ndi zafirlukast (Wokwanira). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• ngati mukumwa mankhwala oletsa kumwa omwe ali ndi drosperinone (Beyaz, Gianvi, Loryna, Ocella, Safyral, Syeda, Yasmin, Yaz, ndi Zarah) uzani dokotala ndi wamankhwala ngati mukumwa mankhwala aliwonse omwe atchulidwa pamwambapa kapena awa: mavitamini a angiotensin (ACE) monga benazepril (Lotensin), enalapril (Vasotec), ndi lisinopril (Prinivil, Zestril); Otsutsana ndi angiotensin II monga irbesartan (Avapro), losartan (Cozaar), ndi valsartan (Diovan); aspirin ndi mankhwala ena osagwiritsa ntchito kutupa (NSAIDs) monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn); okodzetsa ('mapiritsi amadzi') monga amiloride (Midamor), spironolactone (Aldactone), ndi triamterene (Dyrenium); eplerenone (Inspra); heparin; kapena zowonjezera potaziyamu. Musanatenge Beyaz kapena Safyral, uzani dokotala kapena wamankhwala ngati mukumwa cholestyramine (Locholest, Prevalite, Questran), folate supplement, methotrexate (Trexall), pyrimethamine (Daraprim), sulfasalazine (Azulfidine), kapena valproic acid (Depakene, Stavzor).
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St.
• uzani dokotala wanu ngati mwakhalapo ndi magazi m'mapazi, m'mapapu, kapena m'maso mwanu; thrombophilia (momwe magazi amaundana mosavuta); mitsempha yamitsempha yamitsempha yamitsempha (yotsekeka yamagazi yopita kumtima); matenda a cerebrovascular (kutseka kapena kufooketsa mitsempha yamagazi mkati mwaubongo kapena kupita kuubongo); sitiroko kapena mini sitiroko; kugunda kwamtima kosasintha; matenda a mtima; matenda a mtima; kupweteka pachifuwa; matenda ashuga omwe akhudza kuyenda kwanu; mutu womwe umabwera limodzi ndi zizindikilo zina monga kusintha kwa masomphenya, kufooka, ndi chizungulire; kuthamanga kwa magazi; khansa ya m'mawere; khansa ya pamimba ya chiberekero, khomo pachibelekeropo, kapena nyini; khansa ya chiwindi, zotupa za chiwindi, kapena mitundu ina ya matenda a chiwindi; chikasu cha khungu kapena maso panthawi yapakati kapena pomwe mukugwiritsa ntchito njira yolerera ya mahomoni (mapiritsi oletsa kubala, zigamba, mphete, zopangira, kapena jakisoni); magazi osadziwika osadziwika amaliseche; kusakwanira kwa adrenal (momwe thupi silimatulutsira zinthu zina zakuthupi zofunikira pazofunikira monga kuthamanga kwa magazi); kapena matenda a impso. Uzaninso dokotala wanu ngati mwangopanga kumene opaleshoni kapena simunathe kuyendayenda pazifukwa zilizonse. Dokotala wanu angakuuzeni kuti simuyenera kumwa mitundu yina yolerera pakamwa kapena kuti simuyenera kumwa mtundu uliwonse wamankhwala akumwa ngati mwakhalapo kapena mwakhalapo ndi izi.
• Muuzeni dokotala ngati wina m'banja mwanu adakhalapo ndi khansa ya m'mawere, ngati ndinu wonenepa kwambiri, komanso ngati mwakhala mukukumana ndi mavuto ndi mabere anu monga zotupa, mammogram yachilendo (breast x-ray), kapena matenda am'mimba a fibrocystic ( kutupa, mabere ofewa komanso / kapena zotupa za m'mawere zomwe si khansa); cholesterol yamafuta ambiri kapena mafuta; matenda ashuga; mphumu; toxemia (kuthamanga kwa magazi nthawi yapakati); matenda amtima; kupweteka pachifuwa; kugwidwa; mutu waching'alang'ala; kukhumudwa; matenda a ndulu; jaundice (chikasu chachikopa kapena maso); ndi kunenepa kwambiri komanso kusungira madzimadzi (bloating) panthawi yakusamba.
• musamamwe mankhwala akumwa ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamamwa njira yolerera, itanani dokotala wanu mwachangu.
• ngati mwaphonya nthawi mukamwa mankhwala akumwa, mutha kukhala ndi pakati. Ngati mukugwiritsa ntchito phukusi la mapiritsi 91 ndipo mwaphonya nthawi imodzi, itanani dokotala wanu. Ngati mukugwiritsa ntchito mtundu wina wa paketi molingana ndi malangizo ndikuphonya nthawi imodzi, mutha kupitiriza kumwa mapiritsi anu. Komabe, ngati simunamwe mapiritsi anu monga mwalamulo ndipo mwaphonya nthawi imodzi kapena ngati mwamwa mapiritsi monga mwalamulidwa ndikusowa nthawi ziwiri, itanani dokotala wanu ndikugwiritsa ntchito njira ina yolerera mpaka mutayezetsa pakati. Ngati mukugwiritsa ntchito paketi yamapiritsi 28 yomwe ili ndi mapiritsi okhaokha, simungayembekezere kukhala ndi nthawi pafupipafupi, chifukwa chake zingakhale zovuta kudziwa ngati muli ndi pakati. Ngati mukugwiritsa ntchito njira yolerera imeneyi, itanani dokotala wanu kuti akayezetse ngati muli ndi zizindikilo zoyembekezera monga nseru, kusanza, komanso kukoma mtima, kapena ngati mukuganiza kuti muli ndi pakati.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani adotolo kapena dokotala kuti mukumwa mankhwala akumwa.
• muyenera kudziwa kuti njira yolerera pakamwa imatha kupangitsa khungu kukhala lamdima, makamaka pamaso. Ngati mwasintha khungu lanu mukakhala ndi pakati kapena mukamamwa njira zolerera m'mbuyomu, muyenera kupewa kupezeka ndi kuwala kwenikweni kwa dzuwa mukamamwa njira zolera. Valani zovala zoteteza, magalasi a dzuwa, ndi zotchingira dzuwa.
• auzeni adotolo komanso asayansi yanu ngati muvala magalasi olumikizana nawo. Mukawona kusintha kwa masomphenya kapena kutha kuvala magalasi anu mukamamwa njira zolera zakumwa, onani dokotala wa maso.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Mukaphonya kuchuluka kwa njira yanu yolerera, mwina simungatetezedwe ku mimba. Mungafunike kugwiritsa ntchito njira yobwezeretsera kulera kwa masiku 7 mpaka 9 kapena mpaka kumapeto kwazungulira. Mtundu uliwonse wa njira zakulera zam'kamwa zimadza ndi njira zoyenera kutsatira ngati mwaphonya muyezo umodzi kapena ingapo. Werengani mosamala mayendedwe mu zomwe wopanga adalemba kwa wodwala yemwe adabwera ndi njira yanu yolerera yakumwa. Ngati muli ndi mafunso, itanani dokotala wanu kapena wamankhwala. Pitilizani kumwa mapiritsi anu monga munakonzera ndikugwiritsa ntchito njira yolerera mpaka mafunso anu ayankhidwe.

Njira zakulera pakamwa zimatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kusanza
• kupweteka kwa m'mimba kapena kuphulika
• kutsegula m'mimba
• kudzimbidwa
• gingivitis (kutupa kwa chingamu)
• kuchuluka kapena kuchepa kwa njala
• kunenepa kapena kuonda
• zigamba za bulauni kapena zakuda
• ziphuphu
• kukula kwa tsitsi m'malo achilendo
• kutuluka magazi kapena kuwona pakati pa msambo
• kusintha kwa kusamba
• zopweteka kapena kusowa nthawi
• chikondi cha m'mawere, kukulitsa, kapena kutulutsa
• kutupa, kufiira, kuyabwa, kuwotcha, kapena kuyabwa kumaliseche
• kutuluka koyera kumaliseche

Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mungakumane ndi zina mwazi, itanani dokotala wanu mwachangu:

• mutu wopweteka kwambiri
• kusanza kwambiri
• mavuto olankhula
• chizungulire kapena kukomoka
• kufooka kapena kufooka kwa mkono kapena mwendo
• kuphwanya kupweteka pachifuwa kapena kulemera pachifuwa
• kutsokomola magazi
• kupuma movutikira
• kupweteka kwa mwendo
• kutaya pang'ono kapena kwathunthu kwa masomphenya
• masomphenya awiri
• maso otupa
• kupweteka kwambiri m'mimba
• chikasu cha khungu kapena maso
• kusowa chilakolako
• kutopa kwambiri, kufooka, kapena kusowa mphamvu
• malungo
• mkodzo wamtundu wakuda
• chopondapo chowala
• kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi
• kukhumudwa, makamaka ngati mukuvutikanso kugona, kutopa, kutaya mphamvu, kapena kusintha kwa zinthu zina
• magazi osazolowereka
• zidzolo
• Kutaya magazi msambo kolemetsa modabwitsa kapena komwe kumatenga masiku opitilira 7 motsatira

Njira zakulera zakumwa zitha kuwonjezera mwayi woti muzikhala ndi zotupa za chiwindi. Zotupa izi si mtundu wa khansa, koma zimatha kuthyoka ndikupangitsa magazi kutuluka kwambiri mthupi. Njira zakulera pakamwa zitha kukulitsanso mwayi woti muzikhala ndi khansa ya m'mawere kapena chiwindi, kapena kudwala matenda a mtima, sitiroko, kapena magazi oundana. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito njira zakumwa zakumwa.

Kafukufuku wina akuwonetsa kuti azimayi omwe amatenga njira zakulera zomwe zili ndi drosperinone (Beyaz, Gianvi, Loryna, Ocella, Safyral, Syeda, Yasmin, Yaz, ndi Zarah) atha kukhala ndi vuto lotupa kwambiri mtsempha wamagazi (matenda owopsa kapena owopsa omwe magazi amaundana omwe amapangika m'mitsempha, nthawi zambiri m'miyendo ndipo amatha kuyenda mthupi kupita kumapapu) kuposa azimayi omwe amatenga njira zolerera zomwe zilibe drosperinone. Komabe, maphunziro ena sakusonyeza izi. Musanayambe kumwa mankhwala oletsa kumwa, lankhulani ndi dokotala wanu za chiopsezo choti mudzayamba kuundana m'magazi komanso za njira zakulera zakumwa kapena njira ina yolerera yomwe ingakhale yabwino kwambiri kwa inu.

Njira zakulera zakumwa zimatha kubweretsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwalawa mu paketi yomwe idabwera, yotsekedwa mwamphamvu, komanso komwe ana sangakwanitse. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Zizindikiro za bongo zingaphatikizepo:

• nseru
• magazi ukazi

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Muyenera kuyesedwa kwathunthu chaka chilichonse, kuphatikiza kuyeza kwa magazi, mayeso a m'mawere ndi m'chiuno, komanso mayeso a Pap. Tsatirani malangizo a dokotala kuti mupime mabere anu; nenani ziphuphu zilizonse nthawi yomweyo.

Musanayezetsedwe ku labotale, auzeni ogwira ntchitoyo kuti mumamwa njira zolerera.

Ngati mukufuna kusiya kumwa zakumwa zakumwa ndi kutenga mimba, dokotala wanu angakuuzeni kuti mugwiritse ntchito njira ina yolerera mpaka mutayambanso kusamba. Zitha kutenga nthawi yayitali kuti mukhale ndi pakati mukasiya kumwa zakumwa zakumwa, makamaka ngati simunakhalepo ndi mwana kapena ngati munali osasamba, osakwanira, kapena osasamba kwathunthu musanatengere njira zakulera zakumwa. Komabe, ndizotheka kutenga pakati pasanathe masiku ochepa kuchokera poletsa njira zina zakumwa. Ngati mukufuna kusiya kumwa zakumwa zakumwa koma simukufuna kutenga pakati, muyenera kuyamba kugwiritsa ntchito njira yina yolerera mukangosiya kumwa zakumwa. Kambiranani mafunso aliwonse omwe mungakhale nawo ndi dokotala wanu.

Njira zolerera pakamwa zitha kuchepetsa kuchuluka kwa zochitika m'thupi lanu. Folate ndi yofunikira pakukula kwa mwana wathanzi, chifukwa chake muyenera kukambirana ndi dokotala ngati mukufuna kukhala ndi pakati mukangosiya kumwa mankhwala oletsa kumwa. Dokotala wanu angakulimbikitseni kuti mutenge mankhwala owonjezera kapena mankhwala oletsa kumwa omwe ali ndi folate (Beyaz, Safyral).

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Apri^® (yokhala ndi Desogestrel, Ethinyl Estradiol)
• Aranelle^® (okhala ndi Ethinyl Estradiol, Norethindrone)
• Aviane^® (okhala ndi Ethinyl Estradiol, Levonorgestrel)
• Azurette^® (yokhala ndi Desogestrel, Ethinyl Estradiol)
• Balziva^® (okhala ndi Ethinyl Estradiol, Norethindrone)
• Beyaz^® (yokhala ndi Drospirenone, Ethinyl Estradiol, Levomefolate)
• Mzere^® (okhala ndi Ethinyl Estradiol, Norethindrone)
• Camrese^® (okhala ndi Ethinyl Estradiol, Levonorgestrel)
• Camrese Lo^® (okhala ndi Ethinyl Estradiol, Levonorgestrel)
• Cesia^® (yokhala ndi Desogestrel, Ethinyl Estradiol)
• Misozi^® (okhala ndi Ethinyl Estradiol, Norgestrel)
• Maulendo^® (yokhala ndi Desogestrel, Ethinyl Estradiol)
• Wotulutsidwa^® (okhala ndi Ethynodiol, Ethinyl Estradiol)
• Chotsani^® (yokhala ndi Desogestrel, Ethinyl Estradiol)
• Limbikitsani^® (okhala ndi Ethinyl Estradiol, Levonorgestrel)
• Estrostep^® Fe (yokhala ndi Ethinyl Estradiol, Norethindrone)
• Mkazi^® Fe (yokhala ndi Ethinyl Estradiol, Norethindrone)
• Gianvi^® (yokhala ndi Drospirenone, Ethinyl Estradiol)
• Jolessa^® (okhala ndi Ethinyl Estradiol, Levonorgestrel)
• Mphatso^® (okhala ndi Ethinyl Estradiol, Norethindrone)
• Mphatso^® Fe (yokhala ndi Ethinyl Estradiol, Norethindrone)
• Kariva^® (yokhala ndi Desogestrel, Ethinyl Estradiol)
• Kelnor^® (okhala ndi Ethynodiol, Ethinyl Estradiol)
• Leena^® (okhala ndi Ethinyl Estradiol, Norethindrone)
• Lessina^® (okhala ndi Ethinyl Estradiol, Levonorgestrel)
• Levlen^® (okhala ndi Ethinyl Estradiol, Levonorgestrel)
• Mlevi^® (okhala ndi Ethinyl Estradiol, Levonorgestrel)
• Levora^® (okhala ndi Ethinyl Estradiol, Levonorgestrel)
• Lo / Ovral^® (okhala ndi Ethinyl Estradiol, Norgestrel)
• Loestrin^® (okhala ndi Ethinyl Estradiol, Norethindrone)
• Loestrin^® Fe (yokhala ndi Ethinyl Estradiol, Norethindrone)
• Loryna^® (yokhala ndi Drospirenone, Ethinyl Estradiol)
• LoSeasonique^® (okhala ndi Ethinyl Estradiol, Levonorgestrel)
• Ogestrel Wotsika^® (okhala ndi Ethinyl Estradiol, Norgestrel)
• Lutera^® (okhala ndi Ethinyl Estradiol, Levonorgestrel)
• Lybrel^® (okhala ndi Ethinyl Estradiol, Levonorgestrel)
• Microgestin^® (okhala ndi Ethinyl Estradiol, Norethindrone)
• Microgestin^® Fe (yokhala ndi Ethinyl Estradiol, Norethindrone)
• Zamgululi^® (yokhala ndi Desogestrel, Ethinyl Estradiol)
• Zithunzi^® (okhala ndi Ethinyl Estradiol, Norethindrone)
• MonoNessa^® (okhala ndi Ethinyl Estradiol, Norgestimate)
• Natazia^® (okhala ndi estradiol valerate ndi dienogest)
• Nekoni^® 0.5 / 35 (yokhala ndi Ethinyl Estradiol, Norethindrone)
• Nekoni^® 1/50 (munali Mestranol, Norethindrone)
• Nordette^® (okhala ndi Ethinyl Estradiol, Levonorgestrel)
• Norinyl^® 1 + 35 (yokhala ndi Ethinyl Estradiol, Norethindrone)
• Norinyl^® 1 + 50 (yokhala ndi Mestranol, Norethindrone)
• Nortrel^® (okhala ndi Ethinyl Estradiol, Norethindrone)
• Ocella^® (yokhala ndi Drospirenone, Ethinyl Estradiol)
• Wosakaniza^® (okhala ndi Ethinyl Estradiol, Norgestrel)
• Ortho Tri-Cyclen^® (okhala ndi Ethinyl Estradiol, Norgestimate)
• Ortho Tri-Cyclen^® Lo (wokhala ndi Ethinyl Estradiol, Norgestimate)
• Ortho-Kutenga^® (yokhala ndi Desogestrel, Ethinyl Estradiol)
• Ortho-Cyclen^® (okhala ndi Ethinyl Estradiol, Norgestimate)
• Ortho-Novum^® 1/35 (yokhala ndi Ethinyl Estradiol, Norethindrone)
• Ortho-Novum^® 1/50 [DSC] (munali Mestranol, Norethindrone)
• Ovcon^® (okhala ndi Ethinyl Estradiol, Norethindrone)
• Portia^® (okhala ndi Ethinyl Estradiol, Levonorgestrel)
• Yambitsani^® [DSC] (ili ndi Ethinyl Estradiol, Norgestimate)
• Quasense^® (okhala ndi Ethinyl Estradiol, Levonorgestrel)
• Kubwereranso^® (yokhala ndi Desogestrel, Ethinyl Estradiol)
• Mzinda^® (yokhala ndi Drospirenone, Ethinyl Estradiol, Levomefolate)
• Nyanja^® (okhala ndi Ethinyl Estradiol, Levonorgestrel)
• Nyanja^® (okhala ndi Ethinyl Estradiol, Levonorgestrel)
• Solia^® (yokhala ndi Desogestrel, Ethinyl Estradiol)
• Kuthamanga^® (okhala ndi Ethinyl Estradiol, Norgestimate)
• Zamgululi^® (okhala ndi Ethinyl Estradiol, Levonorgestrel)
• Syeda^® (yokhala ndi Drospirenone, Ethinyl Estradiol)
• Tilia^® Fe (yokhala ndi Ethinyl Estradiol, Norethindrone)
• Tri-Legest^® Fe (yokhala ndi Ethinyl Estradiol, Norethindrone)
• TriNessa^® (okhala ndi Ethinyl Estradiol, Norgestimate)
• Tri-Norinyl^® (okhala ndi Ethinyl Estradiol, Norethindrone)
• Triphasil^® (okhala ndi Ethinyl Estradiol, Levonorgestrel)
• Zowonjezera^® [DSC] (ili ndi Ethinyl Estradiol, Norgestimate)
• Tri-Sprintec^® (okhala ndi Ethinyl Estradiol, Norgestimate)
• Trivora^® (okhala ndi Ethinyl Estradiol, Levonorgestrel)
• Velivet^® (yokhala ndi Desogestrel, Ethinyl Estradiol)
• Yasmin^® (yokhala ndi Drospirenone, Ethinyl Estradiol)
• Yaz^® (yokhala ndi Drospirenone, Ethinyl Estradiol)
• Zarah^® (yokhala ndi Drospirenone, Ethinyl Estradiol)
• Zenchent^® (okhala ndi Ethinyl Estradiol, Norethindrone)
• Zeosa^® Fe (yokhala ndi Ethinyl Estradiol, Norethindrone)
• Zovia^® (okhala ndi Ethynodiol, Ethinyl Estradiol)

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