Estrogen ndi Progestin (Njira zakulera za mpheto)

Zamkati

• Musanagwiritse ntchito mphete yamaliseche ya estrogen ndi progestin,
• Estrogen ndi mphete yamaliseche ya progestin imatha kubweretsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mungakumane ndi zina mwazi uzani dokotala nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo:

Kusuta ndudu kumawonjezera chiopsezo cha zovuta zoyipa kuchokera ku estrogen ndi mphete yamaliseche ya progestin, kuphatikizapo matenda amtima, kuwundana kwa magazi, ndi zikwapu. Izi ndizowopsa kwa azimayi azaka zopitilira 35 komanso osuta kwambiri (ndudu 15 kapena kupitilira apo patsiku). Ngati mumagwiritsa ntchito estrogen ndi progestin, simuyenera kusuta.

Estrogen ndi progestin maliseche a mphete amagwiritsidwa ntchito popewa kutenga mimba. Estrogen (ethinyl estradiol) ndi progestin (etonogestrel kapena segesterone) ndi mahomoni awiri azimayi ogonana. Estrogen ndi progestin ali mgulu la mankhwala otchedwa kuphatikiza ma hormonal contraceptive (mankhwala oletsa kubereka). 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. Mphete za nyini 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.

Estrogen ndi progestin maliseche a mphete amabwera ngati mphete yosinthira kuyika mu nyini. Njira zolerera za mphete za estrogen ndi progestin nthawi zambiri zimayikidwa mu nyini ndipo zimasiyidwa m'malo mwa milungu itatu. Pambuyo pa masabata atatu mukugwiritsa ntchito mphete ya nyini, chotsani mpheteyo kwa sabata limodzi. Mutagwiritsa ntchito Annovera^® mphete ya nyini kwa masabata atatu, yeretseni ndi sopo wofatsa ndi madzi ofunda, yipeteni ndi youma ndi nsalu yoyera kapena chopukutira pepala, ndiyeno muyiyikeni momwe mungaperekere panthawi yopuma sabata limodzi. Mutagwiritsa ntchito NuvaRing^® mphete ya nyini kwa masabata atatu, mutha kuyiyika ndikuyika mphete yatsopano mukamatha sabata limodzi. Onetsetsani kuti mwayika mphete yanu kumaliseche kumapeto kwa sabata limodzi tsiku lomwelo komanso nthawi yomweyo yomwe mumayika kapena kuchotsa mpheteyo, ngakhale simunasiye magazi. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito mphete zolerera monga momwe mwalamulira.Musagwiritse ntchito mphete zingapo nthawi imodzi ndipo nthawi zonse ikani ndikuchotsa mpheteyo malinga ndi nthawi yomwe dokotala akukupatsani.

Mphete zazikazi zoberekera zimabwera mosiyanasiyana. Mitundu yosiyanasiyana ya mphete zakulera imakhala ndi mankhwala kapena Mlingo wosiyanasiyana, amagwiritsidwa ntchito m'njira zosiyanasiyana, ndipo amakhala ndi zoopsa zosiyanasiyana. Onetsetsani kuti mukudziwa mtundu wa mphete yakumaliseche yomwe mukugwiritsa ntchito komanso momwe mungayigwiritsire ntchito. Funsani dokotala wanu kapena wamankhwala kuti mupeze zolemba za wopanga kwa wodwalayo ndikuziwerenga mosamala.

Dokotala wanu angakuuzeni nthawi yomwe muyenera kuyika mphete yanu yoyamba yolerera. Izi zimadalira ngati mukugwiritsa ntchito njira yina yolerera m'mwezi wapitawu, simunagwiritse ntchito njira zakulera, kapena mwangobereka kumene kapena munachotsa mimba kapena kupita padera. Nthawi zina, mungafunikire kugwiritsa ntchito njira yowonjezera yolerera kwa masiku asanu ndi awiri oyamba omwe mumagwiritsa ntchito mphete yolerera. Dokotala wanu angakuuzeni ngati mukufuna kugwiritsa ntchito njira zoletsa zosunga zobwezeretsera ndipo adzakuthandizani kusankha njira, monga makondomu achimuna ndi / kapena spermicides. Musagwiritse ntchito diaphragm, kapu ya chiberekero, kapena kondomu ya amayi pamene mphete yolerera ilipo.

Ngati mukugwiritsa ntchito NuvaRing^® mphete ya nyini, ikani mphete yatsopano pakatha sabata limodzi; bwerezani kuzungulira kwa masabata atatu ogwiritsidwa ntchito ndi kupumula kwa sabata limodzi, pogwiritsa ntchito mphete yatsopano kumaliseche kulikonse.

Ngati mukugwiritsa ntchito Annovera^® mphete ya nyini, ikani mphete yoyera ya ukazi pakatha sabata limodzi; bwerezani kuzungulira kwa masabata atatu ogwiritsidwa ntchito ndikumapuma sabata limodzi mpaka masekondi 13.

Mphete yolerera nthawi zambiri imakhalabe mu nyini mpaka mutaichotsa. Nthawi zina zimatha kutuluka mukamachotsa tampon, panthawi yogonana, kapena poyenda matumbo. Itanani dokotala wanu ngati mphete yanu yolera ituluka pafupipafupi.

Ngati NuvaRing yanu^® Mphete yolerera ituluka, muyenera kutsuka ndi madzi ozizira kapena ofunda (osatentha) ndikuyesanso m'malo mwa maola atatu. Komabe, ngati NuvaRing yanu^® mphete yolerera imatuluka ndipo ndiyosweka, itayeni ndikuyikanso mphete yatsopano ya nyini. Ngati mphete yanu itagwa ndikusochera, muyenera kuyikamo ndi mphete yatsopano ndikuchotsa mphete yatsopano nthawi yomweyo munayenera kuchotsa mphete yomwe inatayika. Ngati simusintha NuvaRing yanu^® mphete ya nyini munthawi yoyenera, muyenera kugwiritsa ntchito njira yopewera mahomoni yoletsa kubereka (mwachitsanzo, makondomu okhala ndi umuna) mpaka mutakhala ndi mpheteyo masiku asanu ndi awiri motsatizana.

Ngati Annovera wanu^® Mphete yakunyini imagwera, isambitseni ndi sopo wofatsa ndi madzi ofunda, tsukani ndi kupukuta ndi chopukutira choyera kapena chopukutira pepala, ndipo yesani kuchikonza m'malo mwa maola awiri. Ngati mphete yanu yakumaliseche ilibe malo kwa nthawi yopitilira maola 2 pakatha masabata atatu kuti mphete ya nyini ilowetsedwe (mwachitsanzo, kugwa kamodzi kapena kangapo), muyenera kugwiritsa ntchito mankhwala osagwiritsa ntchito mahomoni njira zosunga zobwezeretsera (monga makondomu omwe ali ndi spermicide) mpaka mutakhala ndi mphete masiku asanu ndi awiri motsatizana.

Nthawi ndi nthawi yang'anani kupezeka kwa mphete ya nyini kumaliseche musanalowe komanso mutagonana.

Mphete zazikazi zolerera zimagwira ntchito pokhapokha ngati azigwiritsa ntchito pafupipafupi. Osasiya kugwiritsa ntchito mphete zakumaliseche osalankhula ndi dokotala.

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

Musanagwiritse ntchito mphete yamaliseche ya estrogen ndi progestin,

• uzani dokotala wanu komanso wamankhwala kuti ngati muli ndi vuto la etonogestrel, segesterone, ethinyl estradiol, mankhwala ena aliwonse, kapena chilichonse chomwe chimaphatikizidwa mu mphete ya estrogen ndi progestin. Funsani wamankhwala wanu kuti awonetse mndandanda wazomwe zimaphatikizira mphete yamaliseche ya estrogen ndi progestin.
• auzeni adotolo ngati mukumwa ombitasvir, paritaprevir, ndi ritonavir (Technivie) kapena dasabuvir (ku Viekira Pak). Dokotala wanu angakuwuzeni kuti musagwiritse ntchito mphete yamtundu wa estrogen ndi progestin ngati mukumwa mankhwala amodzi kapena angapo.
• Uzani dokotala ndi wazamankhwala mankhwala ena omwe mumalandira, mavitamini, ndi zakudya zina zomwe mumamwa. Onetsetsani kuti mwatchulapo izi: acetaminophen (Tylenol, ena); antifungals monga fluconazole (Diflucan), griseofulvin (Gris-Peg), itraconazole (Onmel, Sporanox), ketoconazole (Nizoral), miconazole (Oravig), ndi voriconazole (Vfend); Aprepitant (Emend); ascorbic acid (vitamini C); atorvastatin (Lipitor); barbiturates; boceprevir (Victrelis; sakupezeka ku U.S.); chifuwa (Tracleer); clofibric asidi; cyclosporine (Gengraf, Neoral, Sandimmune); mankhwala a HIV kapena Edzi monga atazanavir (Reyataz), darunavir (Prezista) ndi ritonavir (Norvir), delavirdine (Rescriptor), efavirenz (Sustiva), etravirine (Intelence), indinavir (Crixivan), lopinavir (Kaletra), nelfinavir (Virtept) ), nevirapine (Viramune), ritonavir (Norvir), saquinavir (Invirase), ndi tipranavir (Aptivus); morphine (Astramorph, Kadian, ena); prednisolone (Wodziwika); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane), rufinamide (Banzel); mankhwala a khunyu monga carbamazepine (Tegretol, Teril, ena), felbamate (Felbatol), lamotrigine (Lamictal), oxcarbazepine (Trileptal), phenobarbital, phenytoin (Dilantin, Phenytek), ndi topiramate (Topamax); telaprevir (Incivek; sichikupezeka ku US); temazepam (Kubwezeretsa); theophylline (Elixophyllin, Theo-24, ena); chithokomiro; ndi tizanidine (Zanaflex). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Muyenera kugwiritsa ntchito njira zowonjezera zakulera ngati mutamwa mankhwalawa mukamagwiritsa ntchito mphete yolerera.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka mankhwala okhala ndi wort ya St.
• uzani dokotala wanu ngati mwakhalapo kapena mudakhalapo ndi khansa ya m'mawere kapena khansa ina iliyonse; matenda a cerebrovascular (kutseka kapena kufooketsa mitsempha yamagazi mkati mwaubongo kapena kupita kuubongo); sitiroko kapena mini-stroke; mitsempha yamitsempha yamitsempha yamitsempha (yotsekeka yamagazi yopita kumtima); kupweteka pachifuwa; matenda a mtima; magazi aundana m'miyendo kapena m'mapapu anu; cholesterol kapena triglycerides; kuthamanga kwa magazi; matenda a fibrillation; kugunda kwamtima kosasintha; vuto lililonse lomwe limakhudza mavavu amtima wanu (ziphuphu zomwe zimatseguka komanso kutseka kuti magazi aziyenda mumtima); shuga ndipo ali ndi zaka zoposa 35; shuga ndi kuthamanga kwa magazi kapena mavuto a impso, mitsempha, maso, kapena misempha; shuga kwa zaka zoposa 20; matenda ashuga omwe akhudza kuyenda kwanu; mutu womwe umabwera limodzi ndi zizindikilo zina monga kusintha kwa masomphenya, kufooka, ndi chizungulire; mutu waching'alang'ala (ngati uli ndi zaka zoposa 35); zotupa za chiwindi kapena matenda a chiwindi; Kutaya magazi kapena mavuto a magazi; magazi osadziwika amadzi; kapena matenda a chiwindi kapena mitundu ina ya matenda a chiwindi. Dokotala wanu mwina angakuuzeni kuti musagwiritse ntchito mphete yamaliseche ya estrogen ndi progestin.
• uzani dokotala wanu ngati mwangobereka kumene mwana, kupita padera, kapena kuchotsa mimba. Komanso, uzani dokotala ngati mwakhalapo ndi jaundice (khungu lachikaso kapena maso achikaso); mavuto a m'mawere monga mammogram yachilendo kapena x-ray ya m'mawere, mawere a m'mawere, matenda am'mimba a fibrocystic; mbiri ya banja la khansa ya m'mawere; kugwidwa; kukhumudwa; melasma (zigamba zofiirira kumaso); chikhodzodzo, chiberekero kapena rectum yomwe yagwera kapena kutuluka mu nyini; vuto lililonse lomwe limapangitsa kuti nyini yanu ikhale yosakwiya; poizoni (matenda a bakiteriya); cholowa cha angioedema (cholowa chomwe chimayambitsa kutupa mmanja, mapazi, nkhope, mayendedwe apansi, kapena matumbo); kapena impso, chithokomiro, kapena matenda a ndulu.
• Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Mukakhala ndi pakati mukamagwiritsa ntchito mphete ya nyini ya 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 mphete yolerera molingana ndi malangizo ndipo mwaphonya nthawi imodzi. Simuyenera kuyamwitsa mukamagwiritsa ntchito mphete yolerera.
• ngati mukuchitidwa opaleshoni, uzani adotolo kuti mukugwiritsa ntchito mphete ya kumaliseche ya estrogen ndi progestin. Dokotala wanu angakufunseni kuti musiye kugwiritsa ntchito mphete yakunyumba osachepera milungu 4 isanakwane komanso mpaka masabata awiri mutachitidwa maopareshoni ena.

Lankhulani ndi dokotala wanu zakumwa zakumwa zamadzimadzi pomwe mukugwiritsa ntchito mankhwalawa.

Mtundu uliwonse wa mphete yakumaliseche imakhala ndi njira zoyenera kutsata kuti ndi nthawi yiti yochotsera kapena kuyika mphete ya kulera. Werengani mosamala malangizowo mu chidziwitso cha wopanga kwa wodwala yemwe adabwera ndi mphete yanu yolerera. Ngati simulowetsa mphete ya nyini malingana ndi malangizo kapena kuphonya mlingo, muyenera kugwiritsa ntchito njira yobwezeretsa kulera. Musagwiritse ntchito mphete imodzi ya ukazi nthawi imodzi. Ngati muli ndi mafunso, itanani dokotala wanu kapena wamankhwala.

Estrogen ndi mphete yamaliseche ya progestin imatha kubweretsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kutupa, kufiira, kuyabwa, kuwotcha, kuyabwa, kapena matenda anyini
• kutuluka kumaliseche koyera kapena koyera
• Kutuluka magazi kumaliseche kapena kuwonetseredwa ngati si nthawi yanu yosamba
• chikondi chosazolowereka
• mutu
• nseru
• kusanza
• kutsegula m'mimba
• kunenepa kapena kutayika
• kupweteka kwa m'mawere, kukoma mtima, kapena kusapeza bwino
• kusapeza kwa ukazi kapena kutengeka kwa thupi lachilendo
• kupweteka m'mimba
• ziphuphu
• kusintha kwa chikhumbo chakugonana

Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mungakumane ndi zina mwazi uzani dokotala nthawi yomweyo:

• kupweteka kumbuyo kwa mwendo wapansi
• kupweteka kwakanthawi, kwadzidzidzi, kapena kuphwanya pachifuwa
• kulemera pachifuwa
• kupuma movutikira
• kupweteka mutu modzidzimutsa, kusanza, chizungulire, kapena kukomoka
• mavuto mwadzidzidzi ndi mawu
• kufooka kapena kufooka kwa mkono kapena mwendo
• masomphenya awiri, kusawona bwino, kapena kusintha kwina kwamasomphenya
• zigamba zakuda pakhungu pamphumi, masaya, mlomo wapamwamba, ndi / kapena chibwano
• chikasu cha khungu kapena maso; kusowa chilakolako; mkodzo wamdima; kutopa kwambiri; kufooka; kapena matumbo ofiira owala
• kutentha kwambiri mwadzidzidzi, kusanza, kutsegula m'mimba, kukomoka kapena kukomoka mukaimirira, kuthamanga, kupweteka kwa minofu, kapena chizungulire
• kukhumudwa; kuvuta kugona kapena kugona; kutaya mphamvu; kapena zosintha zina
• zidzolo; kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi; ming'oma; kapena kuyabwa

Mphete ya nyini ya Estrogen ndi progestin ingakulitse mwayi woti muzikhala ndi zotupa za chiwindi. Zotupa izi si mtundu wa khansa, koma zimatha kuthyoka ndikupangitsa magazi kutuluka kwambiri mthupi. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mphete yolerera.

Estrogen ndi mphete yamaliseche ya progestin imatha kubweretsa 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. Zisunge kutentha komanso kutali ndi dzuwa, kutentha kwambiri ndi chinyezi (osati kubafa). Osayiika m'firiji kapena kuiwunditsa. Taya NuvaRing^® tsiku lomaliza litatha ngati silinagwiritsidwe ntchito m'thumba (zojambulazo) kenako ndikumata zinyalala. Osatenthetsa mphete ya nyini mchimbudzi.

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

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.

Zizindikiro za bongo zingaphatikizepo:

• magazi
• nseru
• kusanza

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Tsatirani malangizo a dokotala kuti mupime mabere anu; nenani ziphuphu zilizonse nthawi yomweyo.

Musanayezetsedwe labotale, uzani adotolo ndi ogwira nawo ntchito kuti mukugwiritsa ntchito mphete ya nyini ya estrogen ndi progestin.

Osagwiritsa ntchito mafuta opangira mafuta (kuphatikiza ma silicone) okhudzana ndi ukazi ndi Annovera^® mphete ya nyini.

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.

• Annovera^® (okhala ndi Ethinyl Estradiol, Segesterone)
• NuvaRing^® (okhala ndi Ethinyl Estradiol, Etonogestrel)

• mphete zolerera