Progestin-Only (drospirenone) Njira Zolerera Pakamwa

Zamkati

• Musanayambe kumwa mapiritsi oletsa progestin-only (drospirenone),
• Progestin-only (drospirenone) yolera yakumwa ingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:
• Zizindikiro za bongo zingaphatikizepo:

Progestin-only (drospirenone) njira zakulera zam'kamwa zimagwiritsidwa ntchito popewa kutenga pakati. Progestin ndi timadzi tachikazi. Zimagwira ntchito poletsa kutuluka kwa mazira m'mimba mwake (ovulation) ndikusintha ntchofu ya khomo lachiberekero komanso zotchinga za chiberekero. Njira zakulera za progestin zokhazokha ndi njira yothandiza kwambiri yolerera, koma sizimaletsa kufalikira kwa kachilombo ka HIV (kachilombo ka HIV, kachilombo kamene kamayambitsa matenda a immunodeficiency syndrome [AIDS]) ndi matenda ena opatsirana pogonana.

Progestin-only (drospirenone) njira zakulera zam'kamwa zimabwera ngati mapiritsi oti azimwa kamodzi patsiku. Tengani zakumwa zolera pakamwa nthawi yofananira 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. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Progestin-yekha (drospirenone) njira zolerera zam'kamwa zimabwera m'mapaketi a mapiritsi 28 omwe ali ndi mitundu iwiri yosiyana. Tengani piritsi limodzi tsiku lililonse kwa masiku 28 motsatizana molingana ndi dongosolo lanu. Mapiritsi 24 oyamba ndi oyera komanso amakhala ndi chinthu chogwira ntchito (drospirenone).Mapiritsi 4 omaliza ndi obiriwira ndipo ali ndi chinthu chosagwira. Yambani paketi yatsopano tsiku lotsatira mutatenga piritsi lanu la 28.

Dokotala wanu angakuuzeni nthawi yomwe muyenera kuyamba kumwa progestin-only (drospirenone) yolera yakumwa. Uzani adotolo ngati mukusintha kuchokera ku njira ina yolerera (mapiritsi ena oletsa kubereka, mphete ya kumaliseche, chigamba cha transdermal, implant, jakisoni, chipangizo cha intrauterine [IUD]).

Ngati musanza kapena mutsekula m'mimba pasanathe maola atatu kapena anayi mutatenga piritsi loyera (lomwe lili ndi mankhwalawo), imwani piritsi lanu posachedwa (makamaka mkati mwa maola 12 a mlingo womwe mwalandira kale). Pitirizani dongosolo lanu lokhazikika ndi kumaliza paketi yanu yapano. Mukayamba paketi yatsopano, idzakhala tsiku limodzi kale kuposa momwe munalili kale. Mungafunike kugwiritsa ntchito njira yolerera ngati musanza kapena mutsekula m'mimba kwa masiku opitilira 1 mukamamwa mapiritsi oyera (okhala ndi mankhwalawa). 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.

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.

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.

Musanayambe kumwa mapiritsi oletsa progestin-only (drospirenone),

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la drospirenone, ma progestin ena, kapena mankhwala ena aliwonse.
• Uzani dokotala wanu komanso wamankhwala mankhwala omwe mukulandira komanso osapereka mankhwala, mavitamini, ndi zowonjezera zakudya zomwe mumamwa. Onetsetsani kuti mwatchulapo izi: zoletsa ma angiotensin-converting enzyme (ACE) monga benazepril (Lotensin, ku Lotrel), captopril, enalapril (Epaned, Vasotec, mu Vaseretic), fosinopril, lisinopril (mu Zestoretic), moexipril, perindopril, perindopril (mu Prestalia), quinapril (Accupril, mu Accuretic, mu Quinaretic), ramipril (Altace) ndi trandolapril (ku Tarka); angiotensin receptor blockers monga azilsartan (Edarbi, ku Edarbyclor), candesartan (Atacand, ku Atacand HCT), eprosartan, irbesartan (Avapro, ku Avalide), losartan (Cozaar, ku Hyzaar), olmesartan (Benicar, ku Azor, ku Benicar , ku Tribenzor), telmisartan (Micardis, ku Micardis HCT, ku Twynsta) ndi valsartan (Diovan, ku Entresto, ku Diovan HCT, ku Exforge, ku Exforge HCT); mankhwala antifungal monga itraconazole (Onmel, Sporanox), ketoconazole, ndi voriconazole (Vfend); Aprepitant (Emend); aspirin ndi mankhwala ena osagwiritsa ntchito kutupa (NSAIDs) monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn); chifuwa (Tracleer); boceprevir (Wopambana); carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, ena); kumvetsetsa; mankhwala ena a HIV kuphatikiza efavirenz (Sustiva, ku Atripla, ku Symfi) ndi indinavir (Crixivan); okodzetsa ('mapiritsi amadzi') monga amiloride (Midamor), spironolactone (Aldactone, Carospir, ku Aldactzide), ndi triamterene (Dyrenium, ku Dyazide, ku Maxzide); eplerenone (Inspra); felbamate (Felbatol); griseofulvin (Gris-Msomali); heparin; phenobarbital; phenytoin (Dilantin, Phenytek); zowonjezera potaziyamu; oxcarbazepine (Trileptal); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane, ku Rifamate, ku Rifater); ndi rufinamide (Banzel). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St.
• auzeni adotolo ngati muli ndi vuto losakwanira la adrenal (momwe thupi silimatulutsira zinthu zina zachilengedwe zofunikira pazofunikira monga kuthamanga kwa magazi); magazi osadziwika osadziwika amaliseche; khansa ya chiwindi, zotupa za chiwindi, kapena mitundu ina ya matenda a chiwindi; kapena matenda a impso. Komanso muuzeni dokotala ngati mwakhalapo ndi khansa ya m'mawere kapena khansa ya m'chiberekero, chiberekero, kapena nyini. Dokotala wanu angakuuzeni kuti musatenge mankhwala oletsa progestin-only (drospirenone).
• uzani dokotala wanu ngati mwakhalapo ndi magazi m'mapazi, m'mapapu, kapena m'maso mwanu; sitiroko kapena mini sitiroko; matenda a mtima; kufooka kwa mafupa; matenda ashuga; kuchuluka kwa potaziyamu m'magazi; kapena kukhumudwa.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga mankhwala oletsa kumwa progestin-only (drospirenone), itanani dokotala wanu.
• ngati mwaphonya nthawi mukamwa mankhwala akumwa, mutha kukhala ndi pakati. Ngati mwamwa mapiritsi anu 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. Komanso, itanani dokotala wanu ngati mukukumana ndi zizindikilo za mimba monga nseru, kusanza, ndi kupweteka kwa m'mawere, kapena ngati mukuganiza kuti muli ndi pakati.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani adotolo kapena dokotala kuti mukumwa mankhwala opatsirana pogwiritsira ntchito progestin-only (drospirenone).

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Ngati mwaphonya mapiritsi awiri oyera kapena opitilira muyeso (okhala ndi chogwiritsira ntchito), mwina simungatetezedwe ku mimba. Mungafunike kugwiritsa ntchito njira yobwezeretsa masiku 7. Ngati mwaphonya Mlingo wamapiritsi obiriwira (okhala ndi zosakaniza zopanda ntchito), dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Progestin-only (drospirenone) mapiritsi akulera am'kamwa amabwera ndi malangizo oti mutsatire mukaphonya chimodzi kapena zingapo. 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.

Progestin-only (drospirenone) yolera yakumwa ingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kusanza
• ziphuphu
• kusamba kosasamba
• kutuluka magazi kapena kuwona pakati pa msambo
• nthawi zopweteka
• mutu
• chikondi cha m'mawere
• kunenepa
• Kuchepetsa chilakolako chogonana

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

• mutu wopweteka kwambiri
• kusanza kwambiri
• mavuto olankhula
• kufooka kapena kufooka kwa mkono kapena mwendo
• kupweteka pachifuwa kapena kulemera pachifuwa
• kugunda kwamtima mosasinthasintha kapena mwachangu
• kupuma movutikira
• kupweteka kwa mwendo
• kuchepa pang'ono kapena kwathunthu kwakusintha kwamasomphenya kapena masomphenya
• kupweteka kwambiri m'mimba
• chikasu cha khungu kapena maso
• kupweteka kumtunda chakumanja kwam'mimba
• kukhumudwa, makamaka ngati mukuvutikanso kugona, kutopa, kusowa mphamvu, kusintha kwa zinthu zina, kapena ngati mukuganiza zodzivulaza
• Kutaya magazi msambo kolemetsa modabwitsa kapena komwe kumatenga nthawi yayitali
• kusamba kwa msambo

Njira zakulera zakumwa zitha kuwonjezera chiopsezo chotenga khansa ya pachibelekero ndi zotupa za chiwindi. Sizikudziwika ngati ma progestin-okha (drospirenone) akulera pakamwa nawonso amachulukitsa chiwopsezo cha izi. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa.

Progestin-only (drospirenone) yolerera pakamwa imatha 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).

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.

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
• kusanza
• magazi ukazi

Sungani maimidwe onse ndi dokotala wanu.

Musanayesedwe mu labotale, auzeni ogwira nawo ntchito kuti mumamwa mapiritsi a progestin-only (drospirenone), chifukwa mankhwalawa amatha kusokoneza mayeso ena a labotale.

Ngati mukufuna kukhala ndi pakati, siyani kumwa progestin-only (drospirenone) yolera. Njira zakulera za progestin zokha siziyenera kuchedwetsa kuthekera kwanu kutenga pakati.

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.

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