Estrogen ndi Progestin (Transdermal Patch Contraceptives)

Zamkati

• Mtundu uliwonse wa zigamba za kulera za estrogen ndi progestin ziyenera kugwiritsidwa ntchito kutsatira malangizo apadera omwe amaperekedwa kwa zomwe wopanga adziwa. Werengani izi mosamala musanayambe kugwiritsa ntchito timagulu ta maestrogen ndi progestin ndipo nthawi iliyonse mukadzaza mankhwala anu. Funsani dokotala wanu kapena wamankhwala ngati muli ndi mafunso. Malangizo otsatirawa akhoza kukuthandizani kukumbukira zinthu zofunika kuchita mukamagwiritsa ntchito mtundu uliwonse wa mankhwala oletsa kubala a estrogen ndi progestin:
• Musanagwiritse ntchito njira yolerera ya estrogen ndi progestin,
• Chiberekero cha kulera cha estrogen ndi progestin chingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:

Kusuta ndudu kumawonjezera ngozi yakubwera ndi zovuta zina kuchokera pachimake cholera, kuphatikizapo matenda amtima, kuwundana kwa magazi, ndi sitiroko. Kuopsa kumeneku ndikokwera kwa azimayi azaka zopitilira 35 komanso osuta kwambiri (ndudu 15 kapena kupitilira apo patsiku) komanso mwa azimayi omwe ali ndi index ya mass mass (BMI) ya 30 kg / m² kapena zambiri. Ngati mumagwiritsa ntchito njira yolerera, simuyenera kusuta.

Mankhwala a Estrogen ndi progestin transdermal (patch) amagwiritsidwa ntchito popewa kutenga mimba. Estrogen (ethinyl estradiol) ndi progestin (levonorgestrel kapena norelgestromin) ndi mahomoni awiri azimayi ogonana. Kuphatikizana kwa estrogen ndi progestin kumagwira ntchito poletsa kutulutsa mazira (kutulutsa mazira m'mimba mwake) ndikusinthira ntchofu ya khomo lachiberekero ndi gawo la chiberekero.Njira yolerera ndi njira yothandiza kwambiri yolerera, koma siyiletsa kufalikira kwa kachilombo ka HIV (kachilombo ka HIV; kachilombo kamene kamayambitsa matenda a immunodeficiency syndrome [AIDS]) ndi matenda ena opatsirana pogonana.

Transdermal estrogen ndi progestin zakulera zimabwera ngati chigamba chogwiritsa ntchito pakhungu. Chigawo chimodzi chimagwiritsidwa ntchito kamodzi pa sabata kwa masabata atatu, ndikutsatiridwa ndi sabata lopanda chigamba. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito njira yolerera monga momwe mwalamulira.

Ngati mukungoyamba kumene kugwiritsa ntchito mtundu wa Twirla brand estrogen ndi progestin yolera, muyenera kuyika chigamba chanu choyamba tsiku loyamba la kusamba kwanu. Ngati mukungoyamba kumene kugwiritsa ntchito mankhwala a Xulane brand estrogen ndi progestin, mungagwiritse ntchito chidutswa chanu choyamba tsiku loyamba kusamba kwanu kapena Lamlungu loyamba mutayamba msambo. Ngati mugwiritsa ntchito chigamba chanu choyamba mutatha tsiku lanu loyamba lakumasamba, muyenera kugwiritsa ntchito njira yolera yoberekera (monga kondomu ndi / kapena mankhwala opha umuna) masiku asanu ndi awiri oyamba a nthawi yoyamba. Lankhulani ndi dokotala kapena wamankhwala kuti mudziwe nthawi yomwe muyenera kuyamba kugwiritsa ntchito njira yanu yolerera.

Mukamasintha chigamba chanu, gwiritsani ntchito chigamba chanu tsiku lomwelo la sabata (Patch Change Day). Ikani chigamba chatsopano kamodzi pa sabata kwamasabata atatu. Mkati mwa Sabata 4, chotsani chigamba chakale koma osagwiritsanso ntchito chigamba chatsopano, ndipo yembekezerani kuyamba kusamba kwanu. Tsiku lotsatira kutha kwa Sabata 4, gwiritsani ntchito chigamba chatsopano kuti muyambe masabata anayi ngakhale kuti msambo wanu sunayambe kapena sunathe. Simuyenera kupitilira masiku 7 opanda chigamba.

Ikani chigamba cha kulera kumalo oyera, owuma, osasunthika, athanzi pakhungu pa matako, pamimba, mkono wakunja wakunja, kapena thunthu lakumtunda, pamalo pomwe sipakopedwa ndi zovala zolimba. Osayika chidutswa cholerera pa mabere kapena pakhungu lofiira, lotopetsa, kapena lodulidwa. Osagwiritsa ntchito zodzoladzola, mafuta odzola, mafuta odzola, ufa, kapena zinthu zina zapakhungu pakhungu lomwe limalembetsera kulera. Chigawo chilichonse chatsopano chiyenera kugwiritsidwa ntchito pamalo atsopano pakhungu popewa kukwiya.

Osadula, kukongoletsa, kapena kusintha chigamba mwanjira iliyonse. Musagwiritse ntchito tepi, guluu, kapena zokutira kuti zigwirizane.

Mtundu uliwonse wa zigamba za kulera za estrogen ndi progestin ziyenera kugwiritsidwa ntchito kutsatira malangizo apadera omwe amaperekedwa kwa zomwe wopanga adziwa. Werengani izi mosamala musanayambe kugwiritsa ntchito timagulu ta maestrogen ndi progestin ndipo nthawi iliyonse mukadzaza mankhwala anu. Funsani dokotala wanu kapena wamankhwala ngati muli ndi mafunso. Malangizo otsatirawa akhoza kukuthandizani kukumbukira zinthu zofunika kuchita mukamagwiritsa ntchito mtundu uliwonse wa mankhwala oletsa kubala a estrogen ndi progestin:

1. Ing'ambani thumba lanu ndi zala zanu. Osatsegula thumba mpaka mutakonzeka kuyika chigamba.
2. Chotsani chigamba m'thumba. Samalani kuti musachotse chomangira pulasitiki chomveka bwino pamene muchotsa chigamba.
3. Chotsani theka kapena gawo lalikulu la pulasitiki. Pewani kukhudza pamwamba pake.
4. Ikani pamwamba pothimbirira pakhungu ndikuchotsa mbali ina ya pulasitiki. Limbani molimba pachigamba ndi dzanja lanu kwa masekondi 10, onetsetsani kuti m'mbali mwake mumamatira bwino.
5. Pambuyo pa sabata limodzi, chotsani chigamba pakhungu lanu. Pindani chigamba chogwiridwacho pakatikati kuti chizidziphatika pachokha ndikuchitaya kuti sichitha ana ndi ziweto zawo. Osamatsuka chigamba chogwiritsa ntchito mchimbudzi.

Onetsetsani chigamba chanu tsiku lililonse kuti muwonetsetse kuti chikutsatira. Ngati chigambacho sichinasungidwe pang'ono kapena tsiku limodzi, yesetsani kuyiyikanso pamalo omwewo nthawi yomweyo. Osayesa kuyambiranso chigamba chomwe sichimata, chomwe chadziphatika pawokha kapena china, chomwe chili ndi chinthu china chokhazikika kumtunda kapena chomwe chamasulidwa kapena kugwa kale. Ikani chigamba chatsopano m'malo mwake. Tsiku Lanu Losintha Patch lidzakhalabe chimodzimodzi. Ngati chigambacho chakhala chopatulira pang'ono kapena kopitilira tsiku limodzi, kapena ngati simukudziwa kuti chidutswacho chatenga nthawi yayitali bwanji, mwina simungatetezedwe ku mimba. Muyenera kuyamba kachitidwe katsopano pogwiritsa ntchito chigamba chatsopano nthawi yomweyo; tsiku lomwe mudzayike chigamba chatsopanocho limakhala Tsiku Lanu Losintha Patch. Gwiritsani ntchito njira zolerera zosungira sabata yoyamba ya nthawi yatsopano.

Ngati khungu lomwe lili pansi pake limakwiyitsidwa, mutha kuchotsa chigambacho ndikugwiritsa ntchito chigamba chatsopano pamalo ena pakhungu lanu. Siyani chigamba chatsopano mpaka tsiku lanu losintha Patch. Onetsetsani kuti muchotse chigamba chakale chifukwa simuyenera kuvala zigamba zingapo kamodzi.

Funsani wamankhwala kapena dokotala wanu kuti mumupatseko zidziwitso za wopanga kwa wodwalayo.

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

Musanagwiritse ntchito njira yolerera ya estrogen ndi progestin,

• Uzani dokotala ndi wazamankhwala ngati muli ndi vuto la ma estrogens, progestins, mankhwala ena aliwonse, kapena zosakaniza zilizonse zamagulu a estrogen ndi progestin. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• Uzani dokotala wanu ngati mukugwiritsa ntchito njira ina iliyonse yoletsa kubereka, monga mapiritsi, mphete, jakisoni, kapena ma implant. Dokotala wanu angakuuzeni momwe muyenera kusiya ndi njira ina yolerera ndikuyamba kugwiritsa ntchito njira yolerera. Musagwiritse ntchito njira ina iliyonse yoletsa kubereka mukamagwiritsa ntchito njira yolerera.
• auzeni adotolo ngati mukumwa ombitasvir, paritaprevir, ndi ritonavir (Technivie) kapena dasabuvir (ku Viekira Pak). Dokotala wanu angakuuzeni kuti musagwiritse ntchito mankhwala oletsa estrogen ndi progestin ngati mukumwa mankhwalawa.
• Uzani dokotala wanu komanso wamankhwala mankhwala omwe mukulandira komanso osapereka mankhwala, mavitamini, ndi zowonjezera zakudya zomwe mumamwa. Onetsetsani kuti mwatchulapo izi: acetaminophen (APAP, Tylenol); anticoagulants ('magazi ochepetsa magazi') monga warfarin (Coumadin); antifungals monga fluconazole (Diflucan), itraconazole (Onmel, Sporanox, Tolsura), ketoconazole, ndi voriconazole (Vfend); Aprepitant (Emend); ascorbic acid (vitamini C); atorvastatin (Lipitor, mu Caduet); barbiturates monga phenobarbital; boceprevir (sakupezekanso ku U.S.); chifuwa (Tracleer); clofibrate (sakupezeka ku US); colesevelam (Welchol); cyclosporine (Gengraf, Neoral, Sandimmune); griseofulvin (Gris-Msomali); mankhwala a HIV monga atazanavir (Reyataz, ku Evotaz), darunavir (Prevista, ku Symtuza, ku Prezcobix), etravirine (Intelence), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir (ku Kaletra), nelfinavir (Viracept) nevirapine (Viramune), ritonavir (Norvir, ku Kaletra, ku Viekira Pak) ndi tipranavir (Aptivus); mankhwala a khunyu monga carbamazepine (Carbatrol, Equetro, Tegretol, ena), felbamate (Felbatol), lamotrigine (Lamictal), oxcarbazepine (Oxtellar XR, Trileptal), phenytoin (Dilantin, Phenytek), rufinamude (Banzel) , Topamax, Trokendi, ku Qysmia); morphine (Kadian, MS Kupitiliza); Steroids wamlomo monga dexamethasone (Hemady), methylprednisolone (Medrol), prednisone (Rayos), ndi prednisolone (Orapred ODT, Prelone); rifampin (Rifadin, Rimactane, ku Rifamate, ku Rifater); rosuvastatin (Ezallor Kuwaza, Crestor); tizanidine (Zanaflex); telaprevir (sichikupezeka ku U.S.); temazepam (Kubwezeretsa); theophylline (Theo-24, Theochron); ndi mankhwala a chithokomiro monga levothyroxine (Levo-T, Levoxyl, Synthroid, Tirosint, ena). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi timatumba ta estrogen ndi progestin, kotero onetsetsani kuti muwauze adotolo zamankhwala onse omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka mankhwala okhala ndi wort ya St.
• uzani dokotala wanu ngati mwachitidwa opaleshoni posachedwapa kapena ngati muli pa kama. Muuzeni dokotala ngati mwadwalapo kapena mwakhalapo ndi vuto la mtima; sitiroko; magazi aundana m'miyendo mwanu, m'mapapu, kapena m'maso; thrombophilia (momwe magazi amaundana mosavuta); chifuwa chifukwa cha matenda amtima; khansa ya m'mawere, mzere wa chiberekero, khomo pachibelekeropo, kapena nyini; nyini magazi pakati msambo; chiwindi (kutupa kwa chiwindi); chikasu cha khungu kapena maso, makamaka mukakhala ndi pakati kapena mukugwiritsa ntchito njira zakulera za mahomoni; chotupa cha chiwindi; kupweteka mutu komwe kumachitika ndi zizindikilo zina monga kufooka kapena kuvutika kuwona kapena kusuntha; kuthamanga kwa magazi; matenda ashuga omwe adayambitsa mavuto ndi impso, maso, misempha, kapena mitsempha yamagazi; kapena matenda a valavu yamtima. Dokotala wanu angakuuzeni kuti musagwiritse ntchito njira yolerera.
• uzani dokotala wanu ngati mwangobereka kumene kapena munapita padera kapena kuchotsa mimba, ngati mumalemera 198 lbs kapena kuposa, komanso ngati mumasambira pafupipafupi kapena kwa nthawi yayitali (mphindi 30 kapena kupitilira apo). Uzani dokotala wanu ngati wina m'banja mwanu adakhalapo ndi khansa ya m'mawere ndipo ngati mudakhalapo ndi zotupa za m'mawere, matenda a fibrocystic a m'mawere (momwe mabampu kapena misala yomwe siili khansa m'mabere), kapena yachilendo mammogram (x-ray ya mabere). Komanso muuzeni dokotala ngati inu kapena aliyense m'banja mwanu mwakhalapo ndi cholesterol yamafuta ambiri kapena mafuta; matenda ashuga; mphumu; migraines kapena mitundu ina ya mutu; kukhumudwa; kugwidwa; kusamba pang'ono kapena kosasamba; angioedema (vuto lomwe limayambitsa kuvuta kumeza kapena kupuma ndi kutupa kowawa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi); kapena chiwindi, mtima, ndulu, kapena matenda a impso.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito timatumba ta estrogen ndi progestin, itanani dokotala wanu mwachangu. Muyenera kukayikira kuti muli ndi pakati ndipo itanani dokotala ngati mwagwiritsa ntchito njira yolerera molondola ndipo mwaphonya magawo awiri motsatizana, kapena ngati simunagwiritse ntchito njira yolerera molondola ndipo mwaphonya nthawi imodzi.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito njira yolerera ya estrogen ndi progestin. Lankhulani ndi dokotala wanu za izi mukangomaliza kuchitidwa opaleshoni chifukwa dokotala wanu angafune kuti musiye kugwiritsa ntchito njira yolerera milungu ingapo musanachite opareshoni.
• uzani dokotala wanu ngati muvala magalasi ochezera. Mukawona kusintha kwa masomphenya anu kapena kutha kuvala magalasi anu mukamagwiritsa ntchito estrogen ndi progestincontraceptive patch, onani dokotala wamaso.
• muyenera kudziwa kuti mukamagwiritsa ntchito njira yolerera, kuchuluka kwa estrogen m'magazi anu kudzakhala kwakukulu kuposa momwe mungagwiritsire ntchito njira yolerera (mapiritsi oletsa kubereka), ndipo izi zitha kuwonjezera ngozi zoyipa monga magazi aundana m'miyendo kapena m'mapapu. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito njira yolerera.

Lankhulani ndi dokotala wanu za kudya zipatso zamtengo wapatali ndi kumwa madzi amphesa pogwiritsira ntchito mankhwalawa.

Mukaiwala kuyika chigamba chanu kumayambiliro amtundu uliwonse (Sabata 1, Tsiku 1), mwina simungatetezedwe ku mimba. Ikani chigawo choyamba cha mkombero watsopano mukangokumbukira. Tsopano pali Patch Change Day yatsopano ndi Tsiku latsopano 1. Gwiritsani ntchito njira yobwezeretsa kulera kwa sabata limodzi.

Mukaiwala kusintha chigamba chanu pakati pa gawoli (Sabata 2 kapena Sabata 3) masiku 1 kapena 2, ikani chigamba chatsopano nthawi yomweyo ndikugwiritsanso ntchito chigawo chotsatira pa Tsiku Lanu Losintha Patch. Mukaiwala kusintha chigamba chanu pakati pa masiku opitilira 2, mwina simungatetezedwe ku mimba. Lekani kuzungulira kwamakono ndikuyamba kuzungulira kwatsopano nthawi yomweyo pogwiritsa ntchito chigamba chatsopano. Tsopano pali Patch Change Day yatsopano ndi Tsiku latsopano 1. Gwiritsani ntchito njira yobwezeretsa kulera kwa sabata limodzi.

Ngati muiwala kuchotsa chigamba chanu kumapeto kwa gawoli (Sabata 4), chotsani pomwe mukukumbukira. Yambitsani kuzungulira kotsatira pa Patch Change Day, tsiku lotsatira Tsiku 28.

Chiberekero cha kulera cha estrogen ndi progestin chingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kupsa mtima, kufiira, kapena kuthamanga pamalo pomwe mudapaka chigamba
• chikondi cha m'mawere, kukulitsa, kapena kutulutsa
• nseru
• kusanza
• kupweteka kwa m'mimba kapena kuphulika
• kunenepa
• kusintha kwa njala
• ziphuphu
• kutayika tsitsi
• kutuluka magazi kapena kuwona pakati pa msambo
• kusintha kwa kusamba
• zopweteka kapena kusowa nthawi
• kuyabwa kumaliseche kapena kuyabwa
• kutuluka koyera kumaliseche

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:

• kupweteka mutu modzidzimutsa, kusanza, chizungulire, kapena kukomoka
• mavuto olankhula mwadzidzidzi
• kufooka kapena kufooka kwa mkono kapena mwendo
• kutaya mwadzidzidzi pang'ono kapena kwathunthu
• kuwona kawiri kapena kusintha kwamasomphenya
• maso otupa
• kuphwanya kupweteka pachifuwa
• kulemera pachifuwa
• kutsokomola magazi
• kupuma movutikira
• kupweteka kumbuyo kwa mwendo wapansi
• kupweteka kwambiri m'mimba
• mavuto ogona, kusintha kwa malingaliro, ndi zizindikilo zina zakusokonezeka
• chikasu cha khungu kapena maso; kusowa chilakolako; mkodzo wamdima; kutopa kwambiri; kufooka; kapena matumbo ofiira owala
• zigamba zakuda pakhungu pamphumi, masaya, mlomo wapamwamba, ndi / kapena chibwano
• kutupa kwa maso, nkhope, lilime, mmero, manja, mapazi, akakolo, kapena miyendo yakumunsi

Chiberekero cha kulera cha estrogen ndi progestin chitha kuonjezera chiopsezo chokhala ndi khansa ya m'mawere ndi m'mawere, matenda a ndulu, zotupa za chiwindi, matenda a mtima, sitiroko, ndi magazi. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa.

Ethinyl estradiol ndi norelgestromin njira yolerera ingayambitse zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamagwiritsa ntchito 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 mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. 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

Pakadwala mopitirira muyeso, chotsani zigamba zonse zomwe zagwiritsidwa ntchito ndikuyimbira malo oyang'anira poyizoni ku 1-800-222-1222. Ngati wovulalayo wagwa kapena sakupuma, itanani oyang'anira zadzidzidzi ku 911.

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

Musanayesedwe mu labotale, auzeni ogwira ntchitoyo kuti mugwiritse ntchito njira yolerera ya estrogen ndi progestin, chifukwa mankhwalawa amatha kusokoneza mayeso ena a labotale.

Musalole kuti wina aliyense agwiritse ntchito 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.

• Xulane^® (okhala ndi Ethinyl Estradiol, Norelgestromin)
• Twirla^® (okhala ndi Ethinyl Estradiol, Levonorgestrel)

• chigamba cholera