I-Estrogen ne-Progestin (Izindlela Zokukhulelwa Komlomo)

-Delile

• Ngaphambi kokuthatha izinto zokuvimbela inzalo ngomlomo,
• Izindlela zokuvimbela inzalo ngomlomo zingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Izimpawu ezilandelayo azivamile, kepha uma uhlangabezana nenye yazo, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka:

Ukubhema ugwayi kukhulisa ubungozi bemiphumela emibi kakhulu evela ezithweni zokuvimbela inzalo ngomlomo, kufaka phakathi isifo senhliziyo, amahlule egazi nokushaywa unhlangothi. Le ngozi iphezulu kubantu besifazane abangaphezu kweminyaka engama-35 ubudala nababhemayo abasindayo (osikilidi abali-15 noma ngaphezulu ngosuku). Uma uthatha izinto zokuvimbela inzalo ngomlomo, akufanele ubheme.

Izindlela zokuvimbela inzalo ngomlomo (amaphilisi okuvimbela inzalo) zisetshenziselwa ukuvimbela ukukhulelwa. I-Estrogen ne-progestin ngama-hormone amabili ocansi lwabesifazane. Ukuhlanganiswa kwe-estrogen ne-progestin kusebenza ngokuvimbela ama-ovulation (ukukhishwa kwamaqanda kuma-ovari). Zibuye ziguqule ulwelwesi lwesibeletho (isibeletho) ukuvimbela ukukhulelwa ekukhuleni futhi ziguqule amafinyila asemlonyeni wesibeletho (ukuvulwa kwesibeletho) ukuvimbela isidoda (amaseli okuzala abesilisa) ukungena. Izindlela zokuvimbela inzalo ngomlomo ziyindlela ephumelela kakhulu yokulawula ukubeletha, kepha azivimbeli ukusabalala kwegciwane lesandulela ngculazi (i-HIV, igciwane elibanga i-immunodeficiency syndrome [i-AIDS] nezinye izifo ezithathelwana ngocansi.

Eminye imikhiqizo yemithi yokuvimbela inzalo nayo isetshenziselwa ukwelapha induna ezigulini ezithile. Izindlela zokuvimbela inzalo ngomlomo zilapha induna ngokunciphisa inani lezinto ezithile zemvelo ezingadala induna.

Eminye imishanguzo yomlomo (Beyaz, Yaz) isetshenziselwa ukuqeda izimpawu zesifo sokuya esikhathini (izimpawu zomzimba nezingokomzwelo ezenzeka ngaphambi kokuya esikhathini inyanga ngayinye) kwabesifazane abakhethe ukusebenzisa izinto zokuvimbela inzalo ngomlomo ukuvimbela ukukhulelwa.

Izindlela zokuvimbela inzalo zomlomo ziza ngamaphakethe amaphilisi angama-21, 28, noma angama-91 azothathwa ngomlomo kanye ngosuku, nsuku zonke noma cishe zonke izinsuku zomjikelezo ojwayelekile. Ukugwema isicanucanu, thatha izinto zokuvimbela inzalo ngomlomo ngokudla noma ubisi. Thatha umuthi wakho wokuvimbela inzalo ngesikhathi esifanayo nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha umuthi wakho wokuvimbela inzalo njengoba nje uyalelwe. Ungayithathi kancane noma kancane, yithathe kaningi, noma uyithathe isikhathi eside kunokuyalelwa ngudokotela wakho.

Izindlela zokuvimbela inzalo zomlomo ziza nemikhiqizo eminingi ehlukene. Izinhlobo ezahlukahlukene zemithi yokuvimbela inzalo ziqukethe imishanguzo noma imithamo ehluke kancane, ithathwa ngezindlela ezihluke kancane, futhi inezingozi nezinzuzo ezihlukile. Qiniseka ukuthi uyazi ukuthi yiluphi uhlobo lwezinto zokuvimbela inzalo ozisebenzisayo nokuthi kufanele ulusebenzise kanjani. Cela udokotela wakho noma usokhemisi ikhophi lemininingwane yomkhiqizi wesiguli bese ulifunda ngokucophelela.

Uma unephakethe lamathebulethi angama-21, thatha ithebhulethi eli-1 nsuku zonke izinsuku ezingama-21 bese ungathathi lutho izinsuku eziyi-7. Bese uqala iphakethe elisha.

Uma unephakethe lamathebulethi angama-28, thatha ithebhulethi eyodwa nsuku zonke izinsuku ezingama-28 zilandelana ngokulandelana okubalulwe kuphakethe lakho. Qala iphakethe elisha ngosuku ngemuva kokuthatha ithebhulethi yakho yama-28. Amaphilisi asemaphaketheni amaningi anamathebulethi angama-28 angaba nemibala ehlukene. Amaphakethe amaningi angama-28-tablet anamaphilisi athile ombala aqukethe inani elihlukile le-estrogen ne-progestin, kepha futhi angaba namanye amaphilisi ombala aqukethe isithako esingasebenzi noma isengezo sefolate.

Uma unephakethe lethebhulethi lezinsuku ezingama-91, thatha ithebhulethi eli-1 nsuku zonke izinsuku ezingama-91. Iphakethe lakho lizoqukatha amathreyi amathathu amaphilisi. Qala ngethebhulethi yokuqala kuthileyi wokuqala bese uqhubeka nokuphuza ithebhulethi eli-1 nsuku zonke ngokulandelana okubalulwe kuphakethe uze uthathe wonke amaphilisi kuwo wonke amathreyi. Isethi yokugcina yamaphilisi inombala ohlukile. Lawa maphilisi angaqukatha isithako esingasebenzi, noma angaqukatha umthamo ophansi kakhulu we-estrogen. Qala iphakethe lakho elisha ngosuku ngemuva kokuthatha ithebhulethi yakho yama-91.

Udokotela wakho uzokutshela ukuthi kufanele uqale nini ukuthatha umuthi wakho wokukhulelwa ngomlomo. Izindlela zokuvimbela inzalo zomlomo zivame ukuqala ngosuku lokuqala noma lwesihlanu esikhathini sakho sokuya esikhathini noma ngeSonto lokuqala ngemuva noma lapho kuqala ukopha. Udokotela wakho uzokutshela nokuthi ngabe udinga ukusebenzisa enye indlela yokulawula ukubeletha phakathi nezinsuku zokuqala eziyi-7 kuya kweziyi-9 othatha umuthi wakho wokuvimbela inzalo futhi uzokusiza ukhethe indlela. Landela lezi zinkomba ngokucophelela.

Mhlawumbe uzokhipha ukopha okufana nesikhathi sokuya esikhathini ngenkathi uthatha amaphilisi angasebenzi noma amaphilisi we-estrogen aphansi noma phakathi nesonto ongathathi umuthi wakho wokuvimbela inzalo. Uma uthatha uhlobo lwephakethe eliqukethe kuphela amaphilisi asebenzayo, ngeke uhlangabezane nokuphuma kwegazi okuhleliwe, kepha ungahle uphume ukopha ngokungalindelekile futhi ubone, ikakhulukazi ekuqaleni kokwelashwa kwakho. Qiniseka ukuthi uqala ukuthatha iphakethe lakho elisha ngesikhathi ngisho noma usopha.

Kungase kudingeke usebenzise indlela yokulondoloza ukubeletha uma uhlanza noma uhudo ngenkathi uthatha umuthi wokuvimbela inzalo ngomlomo. Khuluma nodokotela wakho ngalokhu ngaphambi kokuba uqale ukuthatha umuthi wakho wokuvimbela inzalo ukuze ukwazi ukulungiselela indlela yokulondoloza inzalo uma kungenzeka idingeke. Uma uhlanza noma unesifo sohudo ngenkathi uthatha umuthi wokuvimbela inzalo ngomlomo, shayela udokotela wakho ukuthola ukuthi kufanele usebenzise indlela yokwenza isipele isikhathi esingakanani.

Uma usanda kubeletha, linda kuze kube amasonto amane ngemuva kokubeletha ukuze uqale ukuthatha izinto zokuvimbela inzalo ngomlomo. Uma uke wakhipha isisu noma wakhipha isisu, khuluma nodokotela wakho mayelana nokuthi kufanele uqale nini ukuthatha izinto zokuvimbela inzalo ngomlomo.

Izinto zokuvimbela inzalo zomlomo zizosebenza kuphela uma zithathwa njalo. Qhubeka nokuthatha izinto zokuvimbela inzalo nsuku zonke noma ngabe ubona noma wopha, unesisu esibuhlungu, noma ungacabangi ukuthi kungenzeka ukhulelwe. Ungayeki ukuthatha izinto zokuvimbela inzalo ngomlomo ngaphandle kokukhuluma nodokotela wakho.

Izindlela zokuvimbela inzalo ngomlomo nazo kwesinye isikhathi zisetshenziselwa ukwelapha ukuya esikhathini okunzima noma okungajwayelekile kanye ne-endometriosis (isimo lapho uhlobo lwethishu eligudla isibeletho [isibeletho] lukhula kwezinye izindawo zomzimba futhi lubangele izinhlungu, ukuya esikhathini okunzima noma okungajwayelekile [futhi] ezinye izimpawu). Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi ngesimo sakho.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha izinto zokuvimbela inzalo ngomlomo,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-estrogen, i-progestin, noma eminye imithi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, kanye nezithako zokudla okunomsoco okwenzayo. Qiniseka ukuthi usho noma yikuphi okulandelayo: i-acetaminophen (APAP, Tylenol); ama-antibiotic afana ne-ampicillin (Principen), i-clarithromycin (i-Biaxin), i-erythromycin (i-EES, i-E-Mycin, i-Erythrocin), i-isoniazid (INH, i-Nydrazid), i-metronidazole (i-Flagyl), i-minocycline (i-Dynacin, i-Minocin), i-rifabutin (i-Mycobampin) I-Rifadin, i-Rimactane), i-tetracycline (i-Sumycin), ne-troleandomycin (TAO) (ayitholakali e-US); ama-anticoagulants (’ama-thinner egazi’) afana ne-warfarin (Coumadin); ama-antifungals afana ne-griseofulvin (i-Fulvicin, i-Grifulvin, i-Grisactin), i-fluconazole (i-Diflucan), i-itraconazole (i-Sporanox), ne-ketoconazole (i-Nizoral); i-atorvastatin (Lipitor); i-clofibrate (Atromid-S); i-cyclosporine (iNeoral, iSandimmune); i-bosentan (iTracleer); i-cimetidine (Tagamet); i-danazol (iDanocrine); i-delavirdine (i-Rescriptor); i-diltiazem (iCardizem, iDilacor, iTiazac); i-fluoxetine (i-Prozac, i-Sarafem, ku-Symbyax); I-HIV protease inhibitors efana ne-indinavir (Crixivan) ne-ritonavir (Norvir); imishanguzo yokubanjwa njenge-carbamazepine (Tegretol), i-felbamate (i-Felbatol), i-lamotrigine (i-Lamictal), i-oxcarbazepine (i-Trileptal), i-phenobarbital (i-Luminal, i-Solfoton), i-phenytoin (i-Dilantin), i-primidone (i-Mysoline) ne-topiramate (i-topiramate) i-modafinil (i-Provigil); morphine (Kadian, MS Contin, MSIR, nabanye); nefazodone; i-rifampin (iRimactane, eRifadin, eRifater); i-steroids yomlomo efana ne-dexamethasone (i-Decadron, i-Dexone), i-methylprednisolone (i-Medrol), i-prednisone (i-Deltasone), ne-prednisolone (i-Prelone); i-temazepam (i-Restoril); i-theophylline (Theobid, Theo-Dur); imithi ye-thyroid efana ne-levothyroxine (i-Levothroid, i-Levoxyl, i-Synthroid); i-verapamil (Calan, Covera, Isoptin, Verelan); uvithamini C; futhi zafirlukast (Accolate). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• uma uthatha izinto zokuvimbela inzalo zomlomo eziqukethe i-drosperinone (Beyaz, Gianvi, Loryna, Ocella, Safyral, Syeda, Yasmin, Yaz, noZarah) tshela udokotela kanye nosokhemisi wakho uma uthatha noma yimiphi imithi ebhalwe ngenhla noma okunye okulandelayo: i-angiotensin-converting enzyme (ACE) inhibitors efana ne-benazepril (Lotensin), i-enalapril (i-Vasotec), ne-lisinopril (i-Prinivil, i-Zestril); abamelene ne-angiotensin II abanjengo-irbesartan (Avapro), losartan (Cozaar), no-valsartan (Diovan); i-aspirin nezinye izidakamizwa ezingezona ukuvuvukala (ama-NSAID) njenge-ibuprofen (Advil, Motrin) ne-naproxen (Aleve, Naprosyn); i-diuretics (‘amaphilisi amanzi’) njenge-amiloride (Midamor), i-spironolactone (i-Aldactone), ne-triamterene (i-Dyrenium); i-eplerenone (Inspra); i-heparin; noma izithako ze-potassium. Ngaphambi kokuthatha iBeyaz noma iSafyral, phinda utshele udokotela noma usokhemisi wakho uma uthatha i-cholestyramine (i-Locholest, i-Prevalite, i-Questran), i-folate supplement, i-methotrexate (Trexall), i-pyrimethamine (i-Daraprim), i-sulfasalazine (i-Azulfidine), noma i-valproic acid (i-Depakene, Stavzor).
• utshele udokotela wakho ukuthi uthatha miphi imikhiqizo yamakhambi, ikakhulukazi iSt John's wort.
• utshele udokotela wakho uma uke waba namahlwili egazi emilenzeni, emaphashini noma emehlweni; i-thrombophilia (isimo lapho igazi lishaya kalula); isifo semithambo yegazi (imithambo yegazi eminyene eholela enhliziyweni); isifo se-cerebrovascular (ukuvimba noma ukwenza buthaka imithambo yegazi ngaphakathi kobuchopho noma okuholela ebuchosheni); unhlangothi noma mini-unhlangothi; ukushaya kwenhliziyo okungajwayelekile; Isifo senhliziyo; isifo senhliziyo; ubuhlungu besifuba; isifo sikashukela esithinte ukusakazeka kwakho; ikhanda eliza kanye nezinye izimpawu njengokushintshwa kombono, ubuthakathaka, nesiyezi; umfutho wegazi ophakeme; umdlavuza webele; umdlavuza wolwelwesi lwesibeletho, umlomo wesibeletho, noma isitho sangasese sowesifazane; umdlavuza wesibindi, izicubu zesibindi, noma ezinye izinhlobo zesifo sesibindi; ukuphuzi kwesikhumba noma kwamehlo ngenkathi ukhulelwe noma ngenkathi usebenzisa izinto zokuvimbela inzalo zamahomoni (amaphilisi okulawula ukubeletha, amabala, izindandatho, okufakelwa emzimbeni noma imijovo); ukopha okungavamile okungaziwa kwesitho sangasese sowesifazane; ukungakwazi ukusebenza kahle kwe-adrenal (isimo lapho umzimba ungakhiqizi ngokwanele izinto ezithile zemvelo ezidingekayo emisebenzini ebalulekile efana nomfutho wegazi); noma isifo sezinso. Phinda utshele udokotela wakho uma usanda kuhlinzwa noma uhlulekile ukuhambahamba nganoma yisiphi isizathu. Udokotela wakho angakutshela ukuthi akufanele uthathe izinhlobo ezithile zokuvimbela inzalo ngomlomo noma ukuthi akufanele uthathe noma yiluphi uhlobo lokuvimbela inzalo ngomlomo uma uke waba nanoma yiziphi zalezi zimo.
• Phinda utshele udokotela wakho ukuthi ngabe kukhona yini emndenini wakho onomdlavuza webele, uma ukhuluphele ngokweqile, futhi uma uke waba nezinkinga ngamabele akho njengezigaxa, i-mammogram engajwayelekile (i-breast x-ray), noma isifo sesifuba se-fibrocystic ( ukuvuvukala, amabele amathenda kanye / noma izigaxa zesifuba ezingesona umdlavuza); i-cholesterol yegazi ephezulu noma amafutha; isifo sikashukela; isifuba somoya; i-toxemia (umfutho wegazi ophakeme ngesikhathi sokukhulelwa); isifo senhliziyo; ubuhlungu besifuba; ukuquleka; ikhanda le-migraine; ukucindezeleka; isifo se-gallbladder; i-jaundice (ukuphuzi kwesikhumba noma kwamehlo); nokuzuza ngokweqile kwesisindo nokugcina uketshezi (ukuqunjelwa) ngesikhathi sokuya esikhathini.
• ungathathi izinto zokuvimbela inzalo ngomlomo uma ukhulelwe, uhlele ukukhulelwa, noma uncelisa ibele. Uma ukhulelwa ngenkathi uthatha izinto zokuvimbela inzalo ngomlomo, shayela udokotela wakho ngokushesha.
• uma uphuthelwa yizikhathi ngenkathi uthatha izinto zokuvimbela inzalo ngomlomo, ungahle ukhulelwe. Uma usebenzisa iphakethe lamathebulethi angama-91 futhi uphuthelwa isikhathi esisodwa, shayela udokotela wakho. Uma usebenzisa olunye uhlobo lwephakethe ngokwezinkomba bese uphuthelwa isikhathi esisodwa, ungaqhubeka uphuze amaphilisi akho. Kodwa-ke, uma ungawaphuzanga amaphilisi akho njengokuyalelwa futhi uphuthelwa yisikhathi esisodwa noma uma uphuze amaphilisi akho njengoba uqondisiwe futhi waphuthelwa izinkathi ezimbili, shayela udokotela wakho bese usebenzisa enye indlela yokulawula ukubeletha uze uhlolwe ukukhulelwa. Uma usebenzisa iphakethe lamathebulethi angama-28 aqukethe amaphilisi asebenzayo kuphela, ngeke ulindele ukuba nezikhathi njalo, ngakho-ke kungaba nzima ukusho uma ukhulelwe. Uma usebenzisa lolu hlobo lokuvimbela inzalo ngomlomo, shayela udokotela wakho futhi uhlolwe ukukhulelwa uma uthola izimpawu zokukhulelwa ezifana nesicanucanu, ukuhlanza, kanye nobumnene besifuba, noma uma usola ukuthi kungenzeka ukuthi ukhulelwe.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha izinto zokuvimbela inzalo ngomlomo.
• kufanele wazi ukuthi izindlela zokuvimbela inzalo ngomlomo zingadala ubumnyama besikhumba, ikakhulukazi ebusweni. Uma uhlangabezane nezinguquko kumbala wesikhumba sakho ngesikhathi ukhulelwe noma ngenkathi usebenzisa izindlela zokuvimbela inzalo ngomlomo esikhathini esedlule, kufanele ugweme ukuvezwa yilanga langempela noma elenziwe ngenkathi uthatha izinto zokuvimbela inzalo ngomlomo. Gqoka izingubo zokuzivikela, izibuko zelanga, nesikhumba selanga.
• Tshela udokotela kanye nosokhemisi wakho uma ugqoka amalensi wokuxhumana. Uma ubona ushintsho kumbono noma kwikhono lokugqoka amalensi ngenkathi uthatha izinto zokuvimbela inzalo ngomlomo, bheka udokotela wamehlo.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

Uma uphuthelwa izilinganiso zokukhulelwa kwakho ngomlomo, ungahle ungavikeleki ekukhulelweni. Ungadinga ukusebenzisa indlela yokusekelayo yokulawula ukubeletha izinsuku eziyi-7 kuya kwezi-9 noma kuze kube sekupheleni komjikelezo. Yonke imikhiqizo yezindlela zokuvimbela inzalo ngomlomo iza nezinkomba ezithile okufanele uzilandele uma uphuthelwa isilinganiso esisodwa noma eziningi. Funda ngokucophelela izikhombisi-ndlela kulwazi lomkhiqizi lwesiguli esize nomuthi wakho wokukhulelwa ngomlomo. Uma unemibuzo, shayela udokotela wakho noma usokhemisi. Qhubeka nokuthatha amaphilisi akho njengoba kuhlelwe futhi usebenzise indlela yokulondoloza inzalo kuze kuphendulwe imibuzo yakho.

Izindlela zokuvimbela inzalo ngomlomo zingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• isicanucanu
• ukuhlanza
• isisu noma ukuqunjelwa
• isifo sohudo
• ukuqunjelwa
• i-gingivitis (ukuvuvukala kwezicubu zezinsini)
• ukwanda noma ukuncipha kwesifiso sokudla
• ukukhuluphala noma ukwehlisa isisindo
• amabala wesikhumba ansundu noma amnyama
• induna
• ukukhula kwezinwele ezindaweni ezingavamile
• ukopha noma ukubona phakathi kwesikhathi sokuya esikhathini
• izinguquko ekuhambeni kokuya esikhathini
• izikhathi ezibuhlungu noma ezingabanjwanga
• isisa sesifuba, ukukhulisa, noma ukukhipha
• ukuvuvukala, ububomvu, ukucasuka, ukushisa, noma ukulunywa kwesitho sangasese sowesifazane
• ukukhishwa kwesitho sangasese sowesifazane esimhlophe

Eminye imiphumela emibi ingaba mibi. Izimpawu ezilandelayo azivamile, kepha uma uhlangabezana nenye yazo, shayela udokotela wakho ngokushesha:

• ikhanda elibi kakhulu
• ukuhlanza okukhulu
• izinkinga zokukhuluma
• isiyezi noma ukuquleka
• ubuthakathaka noma ukuba ndikindiki kwengalo noma komlenze
• ubuhlungu besifuba noma isisindo sesifuba
• ekhwehlela igazi
• ukuphelelwa umoya
• ubuhlungu bomlenze
• ukulahleka kombono okuyingxenye noma okuphelele
• ukubona kabili
• Amehlo aqhamukayo
• ubuhlungu obukhulu besisu
• ukuphuzi kwesikhumba noma kwamehlo
• ukulahlekelwa isifiso sokudla
• ukukhathala ngokweqile, ubuthakathaka, noma ukungabi namandla
• imfiva
• umchamo onombala omnyama
• isitulo esinombala okhanyayo
• ukuvuvukala kwezandla, izinyawo, amaqakala, noma imilenze engezansi
• ukudangala, ikakhulukazi uma unenkinga yokulala, ukukhathala, ukuphelelwa amandla, noma ezinye izinguquko zemizwa
• ukopha okungavamile
• ukuqubuka
• ukopha kokuya esikhathini okunzima ngokweqile noma okuhlala isikhathi eside kunezinsuku eziyi-7 zilandelana

Izindlela zokuvimbela inzalo ngomlomo zingakhuphula amathuba okuthi ube nezicubu zesibindi. Lezi zicubu akulona uhlobo lomdlavuza, kepha ziyakwazi ukugqashuka futhi zibangele ukopha okukhulu emzimbeni. Izindlela zokuvimbela inzalo ngomlomo zingakhuphula nethuba lokuthi uzoba nomdlavuza webele noma wesibindi, noma uhlaselwe yisifo senhliziyo, isifo sohlangothi noma igazi eliqinile. Khuluma nodokotela wakho ngezingozi zokusebenzisa izinto zokuvimbela inzalo ngomlomo.

Olunye ucwaningo lukhombisa ukuthi abesifazane abathatha izinto zokuvimbela inzalo zomlomo eziqukethe i-drosperinone (Beyaz, Gianvi, Loryna, Ocella, Safyral, Syeda, Yasmin, Yaz, noZarah) bangaba namathuba amaningi okuba ne-vein thrombosis ejulile (isimo esibi noma esisongela ukuphila amahlule egazi akha emithanjeni, imvamisa emilenzeni futhi angahamba emzimbeni aye emaphashini) kunabesifazane abathatha izinto zokuvimbela inzalo zomlomo ezingenayo i-drosperinone. Kodwa-ke, ezinye izifundo azikhombisi le ngozi eyengeziwe. Ngaphambi kokuba uqale ukuthatha izinto zokuvimbela inzalo ngomlomo, khuluma nodokotela wakho ngengozi yokuthi uzoba namahlule egazi nokuthi iyiphi indlela yokuvimbela inzalo ngomlomo noma enye indlela yokulawula ukubeletha engaba ukukhetha okuhle kuwe.

Izindlela zokuvimbela inzalo ngomlomo zingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Gcina le mithi ephaketheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese).

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Izimpawu zokudlula ngokweqile zingafaka:

• isicanucanu
• ukopha esithweni sangasese

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Kufanele uhlolwe ngokuphelele ngokomzimba minyaka yonke, kufaka phakathi izilinganiso zomfutho wegazi, izivivinyo zamabele nezomgogodla, kanye nokuhlolwa kwePap. Landela izinkomba zikadokotela wakho zokuhlola amabele akho; bika noma yiziphi izigaxa ngokushesha.

Ngaphambi kokuba wenze izivivinyo zelabhoratri, tshela abasebenza elabhorathri ukuthi uthatha izinto zokuvimbela inzalo ngomlomo.

Uma ufisa ukuyeka ukuthatha izinto zokuvimbela inzalo ngomlomo bese ukhulelwa, udokotela wakho angakutshela ukuthi usebenzise enye indlela yokulawula ukubeletha uze uqale ukuya esikhathini njalo. Kungathatha isikhathi eside ukuthi ukhulelwe ngemuva kokuyeka ukuthatha izinto zokuvimbela inzalo ngomlomo, ikakhulukazi uma ungakaze ube nengane noma uma ubungeke ube nezikhathi ezingajwayelekile, ezingavamile, noma ezingaphelele zokuya esikhathini ngaphambi kokuthatha imishanguzo yomlomo. Kodwa-ke, kungenzeka ukuthi ukhulelwe zingakapheli izinsuku ezimbalwa umise izindlela ezithile zokuvimbela inzalo zomlomo. Uma ufuna ukuyeka ukuthatha izinto zokuvimbela inzalo ngomlomo kodwa ungafuni ukukhulelwa, kufanele uqale ukusebenzisa olunye uhlobo lokulawulwa kokubeletha ngokushesha nje lapho uyeka ukuthatha izinto zokuvimbela inzalo ngomlomo. Xoxa nganoma yimiphi imibuzo ongaba nayo nodokotela wakho.

Izindlela zokuvimbela inzalo ngomlomo zinganciphisa inani lama-folate emzimbeni wakho. I-Folate ibalulekile ekukhuleni kwengane enempilo, ngakho-ke kufanele ukhulume nodokotela wakho uma ufuna ukukhulelwa kungekudala ngemuva kokuyeka ukuthatha izinto zokuvimbela inzalo ngomlomo. Udokotela wakho angancoma ukuthi uthathe isithasiselo sefolayithi noma isivimbelinzalo somlomo esiqukethe i-folate supplement (Beyaz, Safyral).

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• Apri^® (equkethe i-Desogestrel, i-Ethinyl Estradiol)
• U-Aranelle^® (equkethe i-Ethinyl Estradiol, Norethindrone)
• Aviane^® (equkethe i-Ethinyl Estradiol, i-Levonorgestrel)
• I-Azurette^® (equkethe i-Desogestrel, i-Ethinyl Estradiol)
• IBalziva^® (equkethe i-Ethinyl Estradiol, Norethindrone)
• Beyaz^® (equkethe iDrospirenone, i-Ethinyl Estradiol, i-Levomefolate)
• I-Brevicon^® (equkethe i-Ethinyl Estradiol, Norethindrone)
• UCamrese^® (equkethe i-Ethinyl Estradiol, i-Levonorgestrel)
• UCamrese Lo^® (equkethe i-Ethinyl Estradiol, i-Levonorgestrel)
• ICesia^® (equkethe i-Desogestrel, i-Ethinyl Estradiol)
• I-Cryselle^® (equkethe i-Ethinyl Estradiol, iNorgestrel)
• ICyclesa^® (equkethe i-Desogestrel, i-Ethinyl Estradiol)
• Wakhishwa^® (equkethe i-Ethynodiol, i-Ethinyl Estradiol)
• I-Desogen^® (equkethe i-Desogestrel, i-Ethinyl Estradiol)
• Enpresse^® (equkethe i-Ethinyl Estradiol, i-Levonorgestrel)
• I-Estrostep^® Fe (equkethe i-Ethinyl Estradiol, Norethindrone)
• Ubufazi^® Fe (equkethe i-Ethinyl Estradiol, Norethindrone)
• UGianvi^® (equkethe iDrospirenone, i-Ethinyl Estradiol)
• Jolessa^® (equkethe i-Ethinyl Estradiol, i-Levonorgestrel)
• UJunel^® (equkethe i-Ethinyl Estradiol, Norethindrone)
• UJunel^® Fe (equkethe i-Ethinyl Estradiol, Norethindrone)
• IKariva^® (equkethe i-Desogestrel, i-Ethinyl Estradiol)
• UKelnor^® (equkethe i-Ethynodiol, i-Ethinyl Estradiol)
• ULeena^® (equkethe i-Ethinyl Estradiol, Norethindrone)
• U-Lessina^® (equkethe i-Ethinyl Estradiol, i-Levonorgestrel)
• ULevlen^® (equkethe i-Ethinyl Estradiol, i-Levonorgestrel)
• I-Levlite^® (equkethe i-Ethinyl Estradiol, i-Levonorgestrel)
• ULevora^® (equkethe i-Ethinyl Estradiol, i-Levonorgestrel)
• I-Lo / Ovral^® (equkethe i-Ethinyl Estradiol, iNorgestrel)
• Loestrin^® (equkethe i-Ethinyl Estradiol, Norethindrone)
• Loestrin^® Fe (equkethe i-Ethinyl Estradiol, Norethindrone)
• ULoryna^® (equkethe iDrospirenone, i-Ethinyl Estradiol)
• LoSeasonique^® (equkethe i-Ethinyl Estradiol, i-Levonorgestrel)
• I-Ogestrel ephansi^® (equkethe i-Ethinyl Estradiol, iNorgestrel)
• ULutera^® (equkethe i-Ethinyl Estradiol, i-Levonorgestrel)
• I-Lybrel^® (equkethe i-Ethinyl Estradiol, i-Levonorgestrel)
• I-Microgestin^® (equkethe i-Ethinyl Estradiol, Norethindrone)
• I-Microgestin^® Fe (equkethe i-Ethinyl Estradiol, Norethindrone)
• I-Mircette^® (equkethe i-Desogestrel, i-Ethinyl Estradiol)
• I-Modicon^® (equkethe i-Ethinyl Estradiol, Norethindrone)
• MonoNessa^® (equkethe i-Ethinyl Estradiol, Norgestimate)
• Natazia^® (equkethe i-estradiol valerate ne-dienogest)
• INekoni^® 0.5 / 35 (iqukethe i-Ethinyl Estradiol, iNorethindrone)
• INekoni^® 1/50 (equkethe iMestranol, Norethindrone)
• Nordette^® (equkethe i-Ethinyl Estradiol, i-Levonorgestrel)
• UNorinyl^® 1 + 35 (iqukethe i-Ethinyl Estradiol, iNorethindrone)
• UNorinyl^® 1 + 50 (equkethe iMestranol, Norethindrone)
• I-Nortrel^® (equkethe i-Ethinyl Estradiol, Norethindrone)
• Ocella^® (equkethe iDrospirenone, i-Ethinyl Estradiol)
• Ogestrel^® (equkethe i-Ethinyl Estradiol, iNorgestrel)
• I-Ortho Tri-Cyclen^® (equkethe i-Ethinyl Estradiol, Norgestimate)
• I-Ortho Tri-Cyclen^® I-Lo (equkethe i-Ethinyl Estradiol, Norgestimate)
• I-Ortho-Cept^® (equkethe i-Desogestrel, i-Ethinyl Estradiol)
• I-Ortho-Cyclen^® (equkethe i-Ethinyl Estradiol, Norgestimate)
• I-Ortho-Novum^® 1/35 (iqukethe i-Ethinyl Estradiol, Norethindrone)
• I-Ortho-Novum^® 1/50 [DSC] (iqukethe iMestranol, iNorethindrone)
• I-Ovcon^® (equkethe i-Ethinyl Estradiol, Norethindrone)
• UPortia^® (equkethe i-Ethinyl Estradiol, i-Levonorgestrel)
• I-Previfem^® [DSC] (iqukethe i-Ethinyl Estradiol, Norgestimate)
• I-Quasense^® (equkethe i-Ethinyl Estradiol, i-Levonorgestrel)
• Buyisela kabusha^® (equkethe i-Desogestrel, i-Ethinyl Estradiol)
• Safyral^® (equkethe iDrospirenone, i-Ethinyl Estradiol, i-Levomefolate)
• Seasonale^® (equkethe i-Ethinyl Estradiol, i-Levonorgestrel)
• Seasonique^® (equkethe i-Ethinyl Estradiol, i-Levonorgestrel)
• USolia^® (equkethe i-Desogestrel, i-Ethinyl Estradiol)
• I-Sprintec^® (equkethe i-Ethinyl Estradiol, Norgestimate)
• Sronyx^® (equkethe i-Ethinyl Estradiol, i-Levonorgestrel)
• Syeda^® (equkethe iDrospirenone, i-Ethinyl Estradiol)
• Tilia^® Fe (equkethe i-Ethinyl Estradiol, Norethindrone)
• I-Tri-Legest^® Fe (equkethe i-Ethinyl Estradiol, Norethindrone)
• TriNessa^® (equkethe i-Ethinyl Estradiol, Norgestimate)
• UTri-Norinyl^® (equkethe i-Ethinyl Estradiol, Norethindrone)
• Triphasil^® (equkethe i-Ethinyl Estradiol, i-Levonorgestrel)
• I-Tri-Previfem^® [DSC] (iqukethe i-Ethinyl Estradiol, Norgestimate)
• I-Tri-Sprintec^® (equkethe i-Ethinyl Estradiol, Norgestimate)
• I-Trivora^® (equkethe i-Ethinyl Estradiol, i-Levonorgestrel)
• Velivet^® (equkethe i-Desogestrel, i-Ethinyl Estradiol)
• Yasmin^® (equkethe iDrospirenone, i-Ethinyl Estradiol)
• Yaz^® (equkethe iDrospirenone, i-Ethinyl Estradiol)
• Zarah^® (equkethe iDrospirenone, i-Ethinyl Estradiol)
• IZenchent^® (equkethe i-Ethinyl Estradiol, Norethindrone)
• UZeosa^® Fe (equkethe i-Ethinyl Estradiol, Norethindrone)
• Zovia^® (equkethe i-Ethynodiol, i-Ethinyl Estradiol)

• Amaphilisi okuvikela inzalo