I-Estrogen ne-Progestin (Izindlela Zokuvimbela Inzalo zeTransdermal Patch)

-Delile

• Umkhiqizo ngamunye wama-patches wokukhulelwa we-estrogen ne-progestin kufanele usetshenziswe ngokulandela izinkomba ezithile ezinikezwe kulwazi lomkhiqizi lwesiguli. Funda lolu lwazi ngokucophelela ngaphambi kokuba uqale ukusebenzisa amaqebelengwane okukhulelwa i-estrogen ne-progestin futhi isikhathi ngasinye ugcwalisa imishanguzo yakho. Buza udokotela wakho noma usokhemisi uma unemibuzo. Izinkomba ezijwayelekile ezilandelayo zingakusiza ukuthi ukhumbule izinto ezithile ezibalulekile okufanele uzenze lapho usebenzisa noma yiluphi uhlobo lwe-estrogen kanye ne-progestin patch contraceptive:
• Ngaphambi kokusebenzisa isichibi sokuvimbela inzalo se-estrogen ne-progestin,
• Isiqephu sokuvimbela inzalo se-estrogen ne-progestin singadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:

Ukubhema ugwayi kukhulisa ubungozi bemiphumela emibi kakhulu evela esikhungweni sokuvimbela inzalo, kufaka phakathi isifo senhliziyo, amahlule egazi nokushaywa unhlangothi. Le ngozi ingaphezulu kwabesifazane abaneminyaka engaphezu kwengama-35 ubudala nababhemayo abasindayo (osikilidi abali-15 noma ngaphezulu ngosuku) nakwabesifazane abanenkomba yomzimba (BMI) engama-30 kg / m² noma ngaphezulu. Uma usebenzisa isichibi sokuvimbela inzalo, akufanele ubheme.

Izindlela zokuvimbela inzalo ze-Estrogen ne-progestin transdermal (patch) zivikela ukukhulelwa. I-Estrogen (i-ethinyl estradiol) ne-progestin (i-levonorgestrel noma i-norelgestromin) ngama-hormone amabili ocansi abesifazane. Inhlanganisela ye-estrogen ne-progestin isebenza ngokuvimbela ukuphuma kwamaqanda (ukukhishwa kwamaqanda esibelethweni) nangokushintsha isikhwehlela somlomo wesibeletho nolwelwesi lwesibeletho.Isiqephu sokuvimbela inzalo siyindlela ephumelela kakhulu yokulawula ukubeletha, kepha asivimbeli ukusabalala kwegciwane lesandulela ngculazi (i-HIV; igciwane elibanga i-immunodeficiency syndrome [i-AIDS] nezinye izifo ezithathelwana ngocansi.

Izindlela zokuvimbela inzalo zeTransdermal estrogen kanye neprogestin ziza njengesiqeshana esizosebenza esikhumbeni. Isiqephu esisodwa sisetshenziswa kanye ngesonto amasonto ama-3, silandelwe isonto elingenazo iziziba. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa isichibi sokuvimbela inzalo njengoba nje kuqondisiwe.

Uma uqala ukusebenzisa i-Twirla brand estrogen ne-progestin contraceptive patch, kufanele usebenzise i-patch yakho yokuqala ngosuku lokuqala lokuya esikhathini. Uma uqala ukusebenzisa i-Xulane brand estrogen ne-progestin contraceptive patch, ungafaka isichibi sakho sokuqala ngosuku lokuqala lokuya esikhathini noma ngeSonto lokuqala ngemuva kokuqala kwesikhathi sakho. Uma ufaka isichibi sakho sokuqala ngemuva kosuku lokuqala lokuya esikhathini, kufanele usebenzise indlela yokulondoloza inzalo (njengekhondomu kanye / noma isibulali-mbulali) ezinsukwini zokuqala eziyi-7 zomjikelezo wokuqala. Khuluma nodokotela wakho noma usokhemisi ukuthola ukuthi kumjikelezo wakho kufanele uqale nini ukusebenzisa isichibi sakho sokuvimbela inzalo.

Lapho ushintsha isichibi sakho, hlala usebenzisa isichibi sakho ngosuku olufanayo lweviki (iPatch Change Day). Faka isichibi esisha kanye ngesonto amasonto ama-3. Phakathi neviki 4, susa isichibi esidala kepha ungasebenzisi isichibi esisha, futhi ulindele ukuqala ukuya esikhathini kwakho. Ngosuku ngemuva kokuphela kweviki lesi-4, faka isichibi esisha ukuqala umjikelezo wamasonto amane noma ngabe isikhathi sakho sokuya esikhathini asiqalanga noma asikapheli. Akufanele uhambe ngaphezu kwezinsuku eziyi-7 ngaphandle kwesiqeshana.

Faka isichibi sokuvimbela inzalo endaweni ehlanzekile, eyomile, eqinile, enempilo yesikhumba ezinqeni, esiswini, engalweni engaphezulu engenhla, noma esifubeni esingaphezulu, endaweni engeke igutshulwe yizingubo eziqinile. Ungabeki isichibi sokuvimbela inzalo emabeleni noma esikhunjeni esibomvu, esicasukile noma esisikiwe. Ungafaki izimonyo, okhilimu, okokugcoba, izimpushana, noma eminye imikhiqizo yezindawo endaweni yesikhumba lapho kubekwa khona isichibi sokuvimbela inzalo. Isiqephu ngasinye esisha kufanele sifakwe endaweni entsha esikhunjeni ukusiza ukugwema ukucasuka.

Musa ukusika, ukuhlobisa, noma ukushintsha isichibi nganoma iyiphi indlela. Ungasebenzisi i-tape eyengeziwe, i-glue, noma i-wraps ukubamba isichibi endaweni yaso.

Umkhiqizo ngamunye wama-patches wokukhulelwa we-estrogen ne-progestin kufanele usetshenziswe ngokulandela izinkomba ezithile ezinikezwe kulwazi lomkhiqizi lwesiguli. Funda lolu lwazi ngokucophelela ngaphambi kokuba uqale ukusebenzisa amaqebelengwane okukhulelwa i-estrogen ne-progestin futhi isikhathi ngasinye ugcwalisa imishanguzo yakho. Buza udokotela wakho noma usokhemisi uma unemibuzo. Izinkomba ezijwayelekile ezilandelayo zingakusiza ukuthi ukhumbule izinto ezithile ezibalulekile okufanele uzenze lapho usebenzisa noma yiluphi uhlobo lwe-estrogen kanye ne-progestin patch contraceptive:

1. Dabula uvule isikhwama ngeminwe yakho. Musa ukuvula isikhwama uze ulungele ukufaka isichibi.
2. Susa isichibi esikhwameni. Qaphela ukuthi ungasusi i-liner epulasitiki ecacile njengoba ususa isichibi.
3. Susa ingxenye noma ingxenye enkulu yelineni lepulasitiki. Gwema ukuthinta indawo enamathelayo yesiqephu.
4. Faka indawo enamathelayo yesiqeshana esikhumbeni bese ususa enye ingxenye yelineni lepulasitiki. Cindezela phansi ngokuqinile esichibini ngentende yesandla sakho amasekhondi ayi-10, uqiniseke ukuthi imiphetho inamathela kahle.
5. Ngemuva kwesonto elilodwa, susa isichibi esikhunjeni sakho. Songa isichibi esisetshenzisiwe ngesigamu ukuze sinamathele kuso bese usilahla ukuze singatholakali ezinganeni nasezifuyweni. Ungafaki isichibi esisetshenzisiwe phansi ethoyilethi.

Hlola isichibi sakho nsuku zonke ukuze uqiniseke ukuthi siyanamathela. Uma isichibi sikhishwe ingxenye ethile noma ngokuphelele isikhathi esingaphansi kosuku olulodwa, zama ukusifaka endaweni efanayo ngokushesha. Ungazami ukufaka kabusha isichibi esingasanamatheli, esinamathele kuso noma kwenye indawo, esinokuqukethwe okuthile okunamathele ebusweni baso noma oke wakhululeka noma wawa ngaphambili. Faka isichibi esisha esikhundleni salokho. Usuku lwakho lokuguqulwa kwesichibi luzohlala lunjalo. Uma i-patch ihlukaniswe ngokwengxenye noma ngokuphelele isikhathi esingaphezu kosuku olulodwa, noma uma ungazi ukuthi isiqeshana sikhishwe isikhathi esingakanani, ungahle ungavikeleki ekukhulelweni. Kufanele uqale umjikelezo omusha ngokusebenzisa i-patch entsha ngokushesha; usuku osebenzisa ngalo isichibi esisha kuba usuku lwakho olusha lwePatch Change. Sebenzisa ukulawulwa kokuzalwa kokusekelayo isonto lokuqala lomjikelezo omusha.

Uma isikhumba esingaphansi kwesiqephu sakho sicasukile, ungasusa isichibi bese usebenzisa isichibi esisha endaweni ehlukile esikhunjeni. Shiya i-patch entsha endaweni kuze kube usuku lwakho olujwayelekile lokuguqula ama-Patch. Qiniseka ukuthi ususa isichibi esidala ngoba akufanele neze ugqoke ama-patch angaphezu kwelilodwa ngesikhathi.

Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.

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

Ngaphambi kokusebenzisa isichibi sokuvimbela inzalo se-estrogen ne-progestin,

• Tshela udokotela wakho kanye nosokhemisi uma ngabe uxabana nama-estrogens, ama-progestin, noma imiphi eminye imishanguzo, noma iziphi izithako ezikumaqebelengwane okukhulelwa i-estrogen kanye ne-progestin. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• utshele udokotela wakho uma usebenzisa noma yiluphi olunye uhlobo lokulawulwa kokubeletha kwamahomoni, njengamaphilisi, izindandatho, imijovo, noma okufakelwayo. Udokotela wakho uzokutshela ukuthi ungayeka kanjani futhi nini ukusebenzisa olunye uhlobo lokulawulwa kokubeletha bese uqala ukusebenzisa isichibi sokuvimbela inzalo. Ungasebenzisi noma yiluphi olunye uhlobo lokulawulwa kokuzalwa kwamahomoni ngenkathi usebenzisa isichibi sokuvimbela inzalo.
• Tshela udokotela wakho uma uthatha inhlanganisela ye-ombitasvir, i-paritaprevir, ne-ritonavir (Technivie) ene-dasabuvir noma engenayo (eViekira Pak). Udokotela wakho mhlawumbe uzokutshela ukuthi ungasebenzisi i-estrogen ne-progestin patch contraceptive uma uthatha le mithi.
• 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-anticoagulants (’ama-thinner egazi’) afana ne-warfarin (Coumadin); ama-antifungals afana ne-fluconazole (Diflucan), itraconazole (Onmel, Sporanox, Tolsura), ketoconazole, ne-voriconazole (Vfend); i-aprepitant (Hlela); i-ascorbic acid (uvithamini C); i-atorvastatin (Lipitor, eCaduet); ama-barbiturates afana ne-phenobarbital; i-boceprevir (ayisatholakali e-U.S.); i-bosentan (iTracleer); i-clofibrate (ayisatholakali e-US); i-colesevelam (i-Welchol); i-cyclosporine (Gengraf, Neoral, Sandimmune); i-griseofulvin (i-Gris-PEG); imishanguzo ye-HIV efana ne-atazanavir (Reyataz, e-Evotaz), darunavir (Prevista, eSymtuza, e-Prezcobix), etravirine (Intelence), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir (eKaletra), nelfinavir (Viracept) i-nevirapine (i-Viramune), i-ritonavir (i-Norvir, e-Kaletra, e-Viekira Pak) ne-tipranavir (i-Aptivus); imishanguzo yokuquleka efana ne-carbamazepine (Carbatrol, Equetro, Tegretol, abanye), felbamate (Felbatol), lamotrigine (Lamictal), oxcarbazepine (Oxtellar XR, Trileptal), phenytoin (Dilantin, Phenytek), rufinamude (Bezel top) , ITopamax, iTrokendi, eQysmia); i-morphine (iKadian, i-MS Contin); i-steroids yomlomo efana ne-dexamethasone (Hemady), i-methylprednisolone (i-Medrol), i-prednisone (i-Rayos), ne-prednisolone (i-Orapred ODT, i-Prelone); i-rifampin (iRifadin, iRimactane, eRifamate, eRifater); i-rosuvastatin (i-Ezallor Sprinkle, iCrestor); i-tizanidine (iZanaflex); i-telaprevir (ayisatholakali e-U.S.); i-temazepam (i-Restoril); i-theophylline (Theo-24, Theochron); nemithi ye-thyroid efana ne-levothyroxine (Levo-T, Levoxyl, Synthroid, Tirosint, abanye). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imishanguzo eminingi ingase futhi ihlanganyele nama-patches wokuvimbela ukukhulelwa we-estrogen ne-progestin, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu.
• utshele udokotela wakho ukuthi yimiphi imikhiqizo yamakhambi oyithathayo, ikakhulukazi imikhiqizo equkethe iSt John's wort.
• tshela udokotela wakho uma usanda kuhlinzwa noma usembhedeni. Tshela nodokotela wakho uma uke wahlaselwa yinhliziyo noma wake wahlaselwa; isifo sohlangothi; amahlule egazi emilenzeni, emaphashini, noma emehlweni; i-thrombophilia (isimo lapho igazi lishaya kalula); ubuhlungu besifuba ngenxa yesifo senhliziyo; umdlavuza wamabele, ulwelwesi lwesibeletho, umlomo wesibeletho, noma isitho sangasese sowesifazane; ukopha kwesitho sangasese sowesifazane phakathi kokuya esikhathini; i-hepatitis (ukuvuvukala kwesibindi); ukuphuzi kwesikhumba noma kwamehlo, ikakhulukazi ngenkathi ukhulelwe noma usebenzisa izinto zokuvimbela inzalo zamahomoni; isimila sesibindi; ubuhlungu bekhanda obenzeka ngezinye izimpawu ezinjengobuthakathaka noma ubunzima bokubona noma bokuhamba; umfutho wegazi ophakeme; isifo sikashukela esidale izinkinga ngezinso zakho, amehlo, izinzwa, noma imithambo yegazi; noma isifo se-valve senhliziyo. Udokotela wakho mhlawumbe uzokutshela ukuthi akufanele usebenzise isichibi sokuvimbela inzalo.
• Tshela udokotela wakho uma usanda kubeletha noma uke wakhipha isisu noma wakhipha isisu, uma unesisindo esingamakhilogremu ayi-198 noma ngaphezulu, futhi uma ubhukuda njalo noma isikhathi eside (imizuzu engama-30 noma ngaphezulu). Tshela nodokotela wakho ukuthi ngabe kukhona yini emndenini wakho owake waba nomdlavuza webele futhi uma uke waba nezigaxa zesifuba, isifo se-fibrocystic sesifuba (isimo lapho izigaxa noma izixuku ezingewona umdlavuza emabeleni), noma okungajwayelekile i-mammogram (x-ray yamabele). Phinda utshele udokotela wakho uma wena noma omunye emndenini wakho uke waba ne-cholesterol yegazi ephezulu noma amafutha; isifo sikashukela; isifuba somoya; i-migraines noma ezinye izinhlobo zekhanda; ukucindezeleka; ukuquleka; izikhathi ezincane noma ezingajwayelekile zokuya esikhathini; i-angioedema (isimo esidala ubunzima bokugwinya noma ukuphefumula nokuvuvukala okubuhlungu kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi); noma isibindi, inhliziyo, i-gallbladder, noma isifo sezinso.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi usebenzisa iziqinti zokuvimbela inzalo ze-estrogen ne-progestin, shayela udokotela wakho ngokushesha. Kufanele usole ukuthi ukhulelwe futhi ushayele udokotela wakho uma usebenzise isichibi sokuvimbela inzalo ngendlela efanele futhi weqiwe yizikhathi ezimbili zilandelana, noma uma ungasisebenzisanga kahle isichibi sokuvimbela inzalo futhi uphuthelwe yisikhathi esisodwa.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa i-estrogen ne-progestin patch contraceptive. Khuluma nodokotela wakho ngalokhu ngokushesha lapho ukuhlinzwa kwakho kuhlelwe ngoba udokotela wakho angafuna ukuthi uyeke ukusebenzisa isichibi sokuvimbela inzalo emasontweni ambalwa ngaphambi kokuhlinzwa kwakho.
• tshela udokotela wakho uma ugqoka amalensi oxhumana naye. Uma ubona izinguquko kumbono wakho noma emandleni okugqoka amalensi ngenkathi usebenzisa i-estrogen ne-progestincontraceptive patch, bheka udokotela wamehlo.
• kufanele wazi ukuthi uma usebenzisa isichibi sokuvimbela inzalo, inani elilinganiselwe le-estrogen egazini lakho lizophakama kunalokho obekungaba khona uma usebenzisa umuthi wokuvimbela inzalo ngomlomo (iphilisi lokulawula ukubeletha), futhi lokhu kungakhuphula ubungozi bemiphumela emibi efana amahlule egazi emilenzeni noma emaphashini. Khuluma nodokotela wakho ngezingozi zokusebenzisa isichibi sokuvimbela inzalo.

Khuluma nodokotela wakho mayelana nokudla isithelo samagilebhisi nokuphuza ijusi lamagilebhisi ngenkathi usebenzisa lo muthi.

Uma ukhohlwa ukufaka isichibi sakho ekuqaleni kwanoma imuphi umjikelezo wama-patch (Isonto 1, Usuku 1), ungahle ungavikeleki ekukhulelweni. Faka isichibi sokuqala somjikelezo omusha ngokushesha nje lapho ukhumbula. Manje sekunosuku olusha lwePatch Change kanye nosuku olusha 1. Sebenzisa indlela yokulondoloza inzalo isonto elilodwa.

Uma ukhohlwa ukushintsha isichibi sakho phakathi nomjikelezo wama-patch (Isonto 2 noma iSonto 3) izinsuku ezi-1 noma ezi-2, faka isichibi esisha ngokushesha bese usebenzisa isichibi esilandelayo osukwini lwakho olujwayelekile lwe-Patch Change Day. Uma ukhohlwa ukushintsha isichibi sakho maphakathi nomjikelezo izinsuku ezingaphezu kwezingu-2, ungahle ungavikeleki ekukhulelweni. Misa umjikelezo wamanje bese uqala umjikelezo omusha ngokushesha ngokusebenzisa isichibi esisha. Manje sekunosuku olusha lwePatch Change kanye nosuku olusha 1. Sebenzisa indlela yokulondoloza inzalo ngeviki elilodwa.

Uma ukhohlwa ukususa isichibi sakho ekupheleni komjikelezo wama-patch (Isonto 4), susa ngokushesha kwakho lapho ukhumbula. Qala umjikelezo olandelayo ngosuku olujwayelekile lwe-Patch Change Day, usuku olulandela usuku lwe-28.

Isiqephu sokuvimbela inzalo se-estrogen ne-progestin singadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ukucasuka, ububomvu, noma ukuqubuka endaweni lapho ufake khona isichibi
• isisa sesifuba, ukukhulisa, noma ukukhipha
• isicanucanu
• ukuhlanza
• isisu noma ukuqunjelwa
• ukuzuza kwesisindo
• shintsha ekudleni
• induna
• ukulahleka kwezinwele
• ukopha noma ukubona phakathi kwesikhathi sokuya esikhathini
• izinguquko ekuhambeni kokuya esikhathini
• izikhathi ezibuhlungu noma ezingabanjwanga
• ukulunywa kwesitho sangasese sowesifazane noma ukucasuka
• ukukhishwa kwesitho sangasese sowesifazane esimhlophe

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:

• ikhanda elibuhlungu ngokuzumayo, ukuhlanza, isiyezi, noma ukuquleka
• izinkinga zokukhuluma ngokuzumayo
• ubuthakathaka noma ukuba ndikindiki kwengalo noma komlenze
• ukulahleka kombono okuncane ngokungazelelwe noma okuphelele
• ukubona kabili noma izinguquko kumbono
• Amehlo aqhamukayo
• ukuchoboza ubuhlungu besifuba
• ubunzima besifuba
• ekhwehlela igazi
• ukuphelelwa umoya
• ubuhlungu emuva komlenze ongezansi
• ubuhlungu obukhulu besisu
• izinkinga zokulala, ukuguquka kwemizwelo, nezinye izimpawu zokudangala
• ukuphuzi kwesikhumba noma kwamehlo; ukulahlekelwa ukudla; umchamo omnyama; ukukhathala ngokweqile; ubuthakathaka; noma ukunyakaza kwamathumbu okukhanyayo
• amabala amnyama esikhumba esiphongweni, ezihlathini, endebeni ephezulu, kanye / noma esilevini
• ukuvuvukala kwamehlo, ubuso, ulimi, umphimbo, izandla, izinyawo, amaqakala noma imilenze engezansi

Isiqephu sokuvimbela inzalo se-estrogen ne-progestin singakhuphula ubungozi bokuba nomdlavuza we-endometrium nowebele, isifo se-gallbladder, izicubu zesibindi, isifo senhliziyo, isifo sohlangothi kanye namahlule egazi. Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi.

I-Ethinyl estradiol ne-norelgestromin patch yokukhulelwa ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi usebenzisa 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 esitsheni 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, susa wonke amachashazi asetshenzisiwe bese ushayela isikhungo sakho sendawo sokulawula ubuthi ku-1-800-222-1222. Uma isisulu siwile noma singaphefumuli, shayela abezimo eziphuthumayo zendawo ku-911.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Kufanele ube nokuhlolwa okuphelele ngokomzimba minyaka yonke, kufaka phakathi izilinganiso zomfutho wegazi kanye nezivivinyo zamabele nezokhalo. Landela izinkomba zikadokotela wakho zokuhlola amabele akho; bika noma yiziphi izigaxa ngokushesha.

Ngaphambi kokuba wenze izivivinyo zaselabhoratri, tshela abasebenzi bezobuchwepheshe ukuthi usebenzisa isichibi sokuvimbela inzalo se-estrogen ne-progestin, ngoba lo muthi ungaphazamisa ezinye izivivinyo zaselabhoratri.

Ungavumeli omunye umuntu asebenzise 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.

• Xulane^® (equkethe i-Ethinyl Estradiol, Norelgestromin)
• Twirla^® (equkethe i-Ethinyl Estradiol, i-Levonorgestrel)

• isichibi sokulawula inzalo