Njira ya Levonorgestrel Intrauterine

Zamkati

• Musanalowetse levonorgestrel intrauterine system,
• Levonorgestrel intrauterine system imatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi kapena zomwe zatchulidwa mgawo la SPECIAL PRECAUTIONS, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

Levonorgestrel intrauterine system (Liletta, Mirena, Skyla) imagwiritsidwa ntchito popewa kutenga pakati. Mirena brand intrauterine system imagwiritsidwanso ntchito pochiza kutuluka magazi msambo kwa amayi omwe akufuna kugwiritsa ntchito njira ya intrauterine popewa kutenga pakati. Levonorgestrel ali mgulu la mankhwala otchedwa njira yolerera ya mahomoni. Levonorgestrel intrauterine system imagwira ntchito pochepetsa chiberekero cha chiberekero (chiberekero) popewa kutenga pathupi, kukulitsa mamina pa khomo la chiberekero (polowera chiberekero) kuteteza umuna kulowa, ndikulepheretsa umuna kusunthika ndikukhalabe m'chiberekero. Levonorgestrel amathanso kulepheretsa kutulutsa mazira (kutulutsa dzira m'mimba mwake mwa amayi ena). Levonorgestrel intrauterine system ndi njira yothandiza yolerera koma siyiletsa kufalikira kwa Edzi ndi matenda ena opatsirana pogonana.

Levonorgestrel intrauterine system ndi chida chaching'ono, chosinthika, chopangidwa ndi t chomwe chimalowetsedwa muchiberekero ndi wothandizira zaumoyo. Makina amtundu wa Liletta ndi Mirena amatha kukhala m'malo mwawo mpaka zaka 6 atalowetsedwa ndipo makina a Skyla brand intrauterine amatha kutsalira mpaka zaka zitatu atalowetsedwa. Ngati mukufunabe kugwiritsa ntchito njira ya intrauterine popewa kutenga pathupi nthawi imeneyi ikadutsa, wothandizira zaumoyo wanu amatha kuyika makina atsopano dongosolo lakale litachotsedwa. Machitidwe a intrauterine atha kuchotsedwa ndi dokotala nthawi iliyonse yomwe mukufuna kukhala ndi pakati kapena mukufuna kugwiritsa ntchito njira ina yolerera. Ngati Mirena brand intrauterine system imagwiritsidwa ntchito pochiza kutaya magazi kwambiri, imatha kusiya mpaka zaka 5 itayikidwa.

Dokotala wanu angakuuzeni nthawi yabwino kuti muyike levonorgestrel intrauterine system. Kutengera nthawi, mungafunike kugwiritsa ntchito njira yopewera mahomoni monga makondomu ndi mankhwala ophera umuna masiku asanu ndi awiri kuti mupewe kutenga mimba mukamagonana. Njira yanu ya intrauterine imatha kulowetsedwa atangotaya mimba yoyamba. Ngati mwabereka, munataya pathupi, kapena munachotsanso mimba ya trimester yachiwiri, dongosolo lanu la intrauterine siliyenera kulowetsedwa mpaka milungu isanu ndi umodzi itadutsa ndikuyesedwa kwakanema kukuwonetsa kuti chiberekero chanu chayambiranso.

Muyenera kuyika ma intrauterine system yanu muofesi kapena kuchipatala kwanu. Wothandizira zaumoyo wanu akhoza kukuwuzani kuti mutenge mankhwala osapatsirana musanafike kusankhidwa kuti akuthandizeni kuchepetsa kuponderezedwa panthawi yomwe mwayikidwa komanso mutatha. Mutha kukhala ndi zina mwazizindikiro mukamayikidwa: kutuluka thukuta, khungu lotuwa, kugunda kwamtima, kukomoka, chizungulire, kupondaponda, ndi magazi. Uzani wothandizira zaumoyo wanu ngati kupsinjika kwanu kuli kovuta kapena ngati zizindikirozi zimatenga nthawi yayitali kuposa mphindi 30. Wothandizira zaumoyo wanu adzakuwunikitsani kuti muwone ngati makina anu adayikidwa moyenera.

Itanani dokotala wanu ngati mukumva kuwawa kwambiri m'maola ochepa mutangoyambitsa dongosolo lanu la intrauterine. Izi zikhoza kukhala chizindikiro cha matenda aakulu.

Wothandizira zaumoyo wanu adzaika mawonekedwe anu a intrauterine m'chiberekero chanu, koma amasiya ulusi awiri wopendekera pachibelekeropo. Muyenera kuyang'ana ulusiwu kamodzi pamwezi kuti mudziwe ngati makina anu a intrauterine akadalipo. Kuti muwone ulusiwo, muyenera kusamba m'manja ndi sopo. Kenako, fikani pamwamba pa nyini yanu ndi zala zoyera kuti mumve ulusiwo. Ngati simungamve ulusiwo kapena ngati mukumva gawo lililonse la intrauterine kupatula ulusiwo, dongosolo lanu la intrauterine mwina silingakhalepo ndipo silingalepheretse kutenga pakati. Izi zikachitika, itanani dokotala wanu ndipo mugwiritse ntchito njira zosaletseka za mahomoni monga makondomu ndi mankhwala ophera umuna popewera kutenga mimba mpaka dokotala wanu atakuwonani.

Mudzafunika nthawi yotsatira ndi wothandizira zaumoyo masabata 4-6 pambuyo poti dongosolo lanu la intrauterine lidayikidwa kuti mutsimikizire kuti makina anu ali bwino. Pambuyo pa kusankhidwa uku, muyenera kuyesedwa kamodzi pachaka kapena kangapo ngati muli ndi mavuto kapena nkhawa.

Ngati levonorgestrel intrauterine system iyenera kuchotsedwa, lankhulani ndi dokotala wanu za nthawi yabwino yochotsa. Simukutetezedwa ku mimba mukachotsa ma intrauterine system, chifukwa chake ngati simukufuna kutenga pakati, muyenera kuwonetsetsa kuti muli ndi njira zolerera mukangotulutsa m'mimba mwanu. Ngati mukukonzekera kuti makina anu opatsirana m'mimba asinthidwe ndi makina atsopano a intrauterine, mutha kuchotsa dongosolo lakale ndikuyika dongosolo latsopanoli nthawi iliyonse mukamayamba kusamba. Ngati mwasankha kugwiritsa ntchito njira ina yolerera m'malo mwa intrauterine system yanu ndipo mumayamba kusamba nthawi zonse, muyenera kuchotsa njirayi m'masiku 7 oyambira nthawi yanu yakusamba ndikuyamba kugwiritsa ntchito njira yanu yatsopano yolerera kutali. Ngati mwasankha kugwiritsa ntchito njira yina yolerera ndipo simumasamba pafupipafupi, simusamba konse, kapena simutha kuchotsa dongosolo lanu la intrauterine m'masiku asanu ndi awiri oyamba a msambo, muyenera yambani kugwiritsa ntchito njira yanu yatsopano yolerera kutatsala masiku 7 kuti dongosolo la intrauterine lichotsedwe.

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.

Musanalowetse levonorgestrel intrauterine system,

• Uzani dokotala ndi wazamankhwala ngati muli ndi vuto la levonorgestrel, mankhwala ena aliwonse, kapena zida zilizonse zomwe zimagwiritsidwa ntchito popanga levonorgestrel intrauterine system. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: anticoagulants ('magazi ochepetsa magazi') monga warfarin (Jantoven).
• uzani dokotala wanu ngati mwakhalapo ndi khansa ya m'mawere kapena ngati mukuganiza kuti mwina muli ndi khansa ya m'mawere komanso ngati muli ndi izi: chilichonse chomwe chingakhudze mawonekedwe amkati mwa chiberekero chanu kuphatikiza ma fibroids (kukula mkati kapena kupitilira chiberekero chomwe chingayambitse magazi kusamba kwambiri, kupweteka, ndi zizindikiro zina); khansa ya chiberekero kapena khomo pachibelekeropo; magazi osadziwika osadziwika amaliseche; matenda osachiritsidwa a nyini kapena khomo pachibelekeropo; matenda otupa m'mimba (PID; matenda am'mimba); vuto lililonse lomwe limakhudza chitetezo chamthupi mwanu monga khansa ya m'magazi (khansa yomwe imayamba m'maselo oyera a magazi) kapena Edzi (yomwe imapeza matenda a immunodeficiency syndrome); kapena matenda a chiwindi kapena chotupa cha chiwindi. Muuzeni adotolo ngati mudatenga kachilombo koyambitsa matendawa mukakhala ndi pakati kapena kutaya mimba m'miyezi itatu yapitayo, ngati mudakhala ndi PID m'mbuyomu ndipo simunakhale ndi pakati kuyambira PID yanu itakhala bwino, mukabaya mankhwala osokoneza bongo, ngati muli opitilira awiri ogonana nawo, kapena ngati mnzanu ali ndi zibwenzi zingapo. Dokotala wanu angakuuzeni kuti musagwiritse ntchito levonorgestrel intrauterine system.
• Uzani dokotala ngati mwadwalapo stroko, matenda amtima, ectopic pregnancy (mimba yomwe imatulukira kunja kwa chiberekero), opareshoni kuti athane ndi vuto lanu la machubu (machubu omwe amanyamula mazira omwe amasulidwa ndi thumba losunga mazira Chiberekero), kapena Pap smear yachilendo (kuyesa kupeza khansa ya khomo pachibelekeropo). Komanso muuzeni dokotala ngati mwakhalapo ndi mtima wosagunda, matenda a mtima, kuthamanga kwa magazi, vuto lililonse lomwe linakupangitsani kukomoka, kupweteka mutu kwambiri kapena mutu waching'alang'ala, vuto lakutseka magazi, kapena khunyu.
• uzani dokotala wanu ngati muli kale ndi dongosolo la intrauterine m'malo mwake.
• Simuyenera kukhala ndi levonorgestrel intrauterine system yomwe imayika ngati muli ndi pakati kapena mukufuna kutenga pakati. Dokotala wanu adzakuyesani mimba musanayike dongosolo lanu la intrauterine ngati pali mwayi woti mungakhale ndi pakati.
• muyenera kudziwa za kuopsa kokhala ndi pakati mukakhala ndi dongosolo la intrauterine. Sizingatheke kuti mudzakhala ndi pakati pomwe makina anu a intrauterine alipo, koma ngati mungakhale ndi pakati, pali chiopsezo kuti mimba yanu ikhale ectopic. Mimba za Ectopic zitha kupha moyo ndipo zitha kuyambitsa magazi mkati kapena kutaya chonde. Ngati mimba yanu si ectopic, pali chiopsezo kuti mutenge matenda aakulu, kupita padera, kuyamba kubereka msanga, kapena kufa ngati mimba yanu ikupitilira ndi intrauterine system yanu. Mukakhala ndi pakati ndi levonorgestrel intrauterine system yomwe ilipo, inu ndi dokotala muyenera kukambirana za kuopsa kochotsa dongosololi. Mukapitiliza kutenga pakati ndi njira ya intrauterine m'malo mwake, izi zimawonjezera chiopsezo chotenga padera kapena matenda. Muyenera kukaonana ndi dokotala nthawi zambiri ndikukuyimbirani foni mukakhala ndi zizindikilo zakuchepa kwa mimba kapena matenda opatsirana monga chimfine, malungo, kuzizira, kupunduka, kupweteka, kutuluka magazi, kapena kutuluka kwamaliseche kapena kutuluka. Itanani dokotala wanu nthawi yomweyo ngati mukuganiza kuti mutha kutenga pakati kapena ngati mukukumana ndi zizindikilo za ectopic pregnancy monga kutuluka magazi kwachilendo kumaliseche kapena kupweteka m'mimba mwanu nthawi iliyonse pamene intrauterine system yanu ili pomwepo.
• uzani dokotala wanu ngati mukuyamwitsa. Mutha kugwiritsa ntchito levonorgestrel intrauterine system mukamayamwitsa ngati papitilira milungu 6 mutabereka.
• muyenera kuyembekezera kusintha kwa msambo wanu pomwe intrauterine system yanu ili m'malo. Nthawi yanu imakhala yosasamba, imatenga nthawi yayitali, ndipo imalemera kuposa nthawi zonse m'miyezi 3-6 yoyamba mutakhazikitsa dongosolo lanu la intrauterine. Mutha kuwona kapena kutuluka magazi nthawi yayitali panthawiyi.Nthawi ikamapita, nthawi yanu imatha kukhala yopepuka komanso yofupikirapo kapena imatha kutha. Nthawi yanu ikaima, imabweranso dongosolo lanu la intrauterine litachotsedwa. Itanani dokotala wanu ngati mwakhala mukusamba koma simunakhalepo m'masabata asanu ndi limodzi, kapena ngati magazi anu adakhala owala kwakanthawi koma amalemera.
• inu ndi mnzanu simungamve dongosolo lanu la intrauterine panthawi yogonana chifukwa makinawo adzaikidwa mkati mwa chiberekero chanu. Komabe, mnzanuyo amatha kumva ulusiwo. Itanani dokotala wanu ngati izi zichitika.
• muyenera kudziwa kuti pali chiopsezo kuti njira yanu ya intrauterine imalumikizidwa ndi khoma la chiberekero chanu kapena itha kupyola khoma lachiberekero chanu, kuwononga kapena kuwononga ziwalo zina. Izi zikachitika, mungafunike opaleshoni kuti muchotse dongosololi. Pali chiopsezo chachikulu kuti njira yanu ya intrauterine idzadutsa khoma la chiberekero chanu ngati mukuyamwitsa.
• Muyenera kudziwa kuti kugwiritsa ntchito levonorgestrel intrauterine system kumatha kuwonjezera chiopsezo kuti mukhale ndi PID. PID itha kubweretsa kusabereka, ectopic pregnancy, ululu womwe sutha, ndi imfa. Nthawi zina PID imayenera kuchitidwa opaleshoni, kuphatikiza hysterectomy (opaleshoni yochotsa chiberekero). Ziwopsezo zomwe mungakhale nazo PID ndizapamwamba ngati inu kapena mnzanu muli ndi zibwenzi zingapo. Itanani dokotala wanu ngati mukukumana ndi zizindikiro izi za PID: Kutaya magazi nthawi yayitali kapena kutulutsa magazi kwambiri, kutulutsa kwachilendo kwachilendo, kupweteka kwa m'mimba, kugonana kowawa, kuzizira, kapena malungo.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Levonorgestrel intrauterine system imatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• mutu
• ziphuphu
• chikondi cha m'mawere
• nseru
• kunenepa
• kukokana kapena kupweteka msambo
• Kuchepetsa chilakolako chogonana
• kukhumudwa
• amasintha malingaliro
• kutayika tsitsi
• kukula kosafunika kwa tsitsi

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi kapena zomwe zatchulidwa mgawo la SPECIAL PRECAUTIONS, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

• fungo loipa kapena nyini yachilendo
• ukazi kupweteka
• kupweteka panthawi yogonana
• zilonda kumaliseche
• chikasu cha khungu kapena maso
• kufooka kwadzidzidzi kwa mkono kapena mwendo
• kugwera pansi mbali imodzi ya nkhope
• kuvuta kuyankhula kapena kumvetsetsa
• kuphwanya chifuwa kapena kupweteka m'mapewa
• kutupa kwa milomo, lilime, mmero, mikono, manja, miyendo, kapena mapazi
• zidzolo
• ming'oma

Levonorgestrel intrauterine system imatha kuwonjezera ngozi kuti mungakhale ndi chotupa pa ovary yanu. Mtundu uwu umatha kupweteka koma umatha m'miyezi 2-3. Nthawi zambiri, opaleshoni yochotsa chotupacho ingafunike. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito levonorgestrel intrauterine system.

Levonorgestrel intrauterine system imatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi mavuto achilendo pomwe makina anu a intrauterine ali m'malo.

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 maimidwe onse ndi dokotala wanu.

Ngati muli ndi Skyla brand intrauterine system, uzani dokotala wanu ndi ogwira ntchito pa radiology kuti muli ndi mtundu uwu wa intrauterine musanayese kujambula kwa maginito oyeserera (MRI).

Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudza levonorgestrel intrauterine system.

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.

• Lileta^®
• Mirena^®
• Skyla^®

• mahomoni IUD