Ulipristal

-Delile

• Ngaphambi kokuthatha ulipristal,
• I-Ulipristal ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalolu phawu olulandelayo, shayela udokotela wakho ngokushesha:

I-Ulipristal isetshenziselwa ukuvimbela ukukhulelwa ngemuva kocansi olungavikelekile (ukuya ocansini ngaphandle kwanoma iyiphi indlela yokulawula ukubeletha noma ngendlela yokulawula ukubeletha eyehlulekile noma ayizange isetshenziswe kahle [isb., Ikhondomu eyashibilika noma yaphuka noma amaphilisi okulawula ukubeletha angathathwanga njengoba bekuhleliwe ]). I-Ulipristal akufanele isetshenziselwe ukuvimbela ukukhulelwa njalo. Lo muthi uzosetshenziswa njengendlela yokuvimbela inzalo ephuthumayo noma ibhekhaphu uma kwenzeka ukulawulwa kokubeletha njalo kwehluleka noma kusetshenziswe ngokungafanele. I-Ulipristal isekilasini lemithi ebizwa ngama-progestins. Isebenza ngokuvimbela noma ngokubambezela ukukhishwa kweqanda esibelethweni. Kungasebenza futhi ngokushintsha ulwelwesi lwesibeletho (isibeletho) ukuvimbela ukukhula kokukhulelwa. I-Ulipristal ingavimbela ukukhulelwa, kepha ngeke ivimbele ukusabalala kwegciwane lesandulela-ngculazi (i-HIV, igciwane elibanga i-immunodeficiency syndrome [i-AIDS] nezinye izifo ezithathelwana ngocansi.

I-Ulipristal iza njengethebhulethi ezothathwa ngomlomo. Imvamisa kuthathwa nokudla noma ngaphandle kokudla ngokushesha okukhulu emva kocansi olungaphephile. I-Ulipristal ingathathwa ize ifike emahoreni ayi-120 (izinsuku ezi-5) ngemuva kocansi olungavikelekile, kepha uma isheshe yathathwa, maningi amathuba okuthi izovimbela ukukhulelwa. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha ulipristal njengoba nje kuqondisiwe.

I-Ulipristal ingasetshenziswa nganoma yisiphi isikhathi ngesikhathi sokuya esikhathini. Kodwa-ke, akufanele isetshenziswe kaningi ngesikhathi esifanayo sokuya esikhathini.

Uma uhlanza ngaphansi kwamahora ama-3 ngemuva kokuthatha i-ulipristal, shayela udokotela wakho. Ungadinga ukuthatha omunye umthamo walo muthi.

Ngoba ungakhulelwa ngemuva nje kokwelashwa nge-ulipristal, kufanele usebenzise indlela yokuvimbela (ikhondomu noma i-diaphragm ene-spermicide) ngaso sonke isikhathi lapho uya ocansini phakathi nomjikelezo ofanayo wokuya esikhathini njengoba uthathe ulipristal. Ukusebenzisa izindlela zokuvimbela inzalo ze-hormonal (njengamaphilisi okulawula ukubeletha, izindandatho noma amabala) zingakapheli izinsuku ezinhlanu uthathe i-ulipristal kungenza yomibili le mithi ingasebenzi kahle. Ungaqala noma uqalise kabusha ngokusebenzisa izinto zokuvimbela inzalo ze-hormonal okungenani izinsuku ezi-5 ngemuva kokuthatha i-ulipristal, kepha kufanele uqhubeke nokusebenzisa indlela yokuvimbela ukukhulelwa kuze kube yilapho usuthathe isikhathi sakho esilandelayo.

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

Ngaphambi kokuthatha ulipristal,

• Tshela udokotela wakho kanye nosokhemisi uma une-allergies ku-ulipristal, noma imiphi eminye imishanguzo, noma ezinye izithako ezikumaphilisi e-ulipristal. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, kanye nezithako zokudla okunomsoco ozithathayo noma ohlela ukuzithatha. Qiniseka ukuthi usho noma yikuphi okulandelayo: imishanguzo ethile yokubulala amagciwane efana ne-griseofulvin (Gris-PEG), itraconazole (Onmel, Sporanox), noma ketoconazole; ama-barbiturates afana ne-phenobarbital noma i-secobarbital (Seconal); i-bosentan (iTracleer); imithi ethile yokuquleka efana ne-carbamazepine (Equetro, Tegretol, Teril, abanye), felbamate (Felbatol), oxcarbazepine (Trileptal), phenytoin (Dilantin, Phenytek), ne-topiramate (Topamax, eQsymia); kanye ne-rifampin (Rifadin, Rimactane, eRifamate, eRifater). Eminye imishanguzo eminingi ingaxhumana ne-ulipristal, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu. I-Ulipristal kungenzeka ingasebenzi kahle noma ibe namathuba amaningi okudala imiphumela emibi uma ithathwa nale mithi.
• utshele udokotela wakho ukuthi uthatha miphi imikhiqizo yamakhambi, ikakhulukazi iSt John's wort.
• utshele udokotela wakho uma ukhulelwe noma ucabange ukuthi kungenzeka ukhulelwe. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-ulipristal. Ungathathi i-ulipristal ethathwe ukuqeda ukukhulelwa okukhona.
• Tshela udokotela wakho uma uke waba nezimo zezempilo noma wake wakhulelwa nge-ectopic (ukukhulelwa ngaphandle kwesibeletho).
• tshela udokotela wakho uma uncelisa.
• kufanele wazi ukuthi ngemuva kokuthatha i-ulipristal, kuyinto ejwayelekile ukuthi isikhathi sakho esilandelayo sokuya esikhathini siqale kuze kube yisonto elilodwa ngaphambili noma ngemuva kwalokho obekulindelwe. Uma isikhathi sakho esilandelayo sokuya esikhathini sibambezelekile isikhathi esingaphezu kwesonto elilodwa ngemuva kosuku olulindelekile, shayela udokotela wakho. Ungahle ukhulelwe futhi udokotela wakho mhlawumbe uzokutshela ukuthi uhlolwe ukukhulelwa.

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

I-Ulipristal ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• izikhathi ezibuhlungu zokuya esikhathini
• ukubona noma ukopha phakathi nesikhathi sokuya esikhathini
• isicanucanu
• ukukhathala
• ikhanda
• isiyezi

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalolu phawu olulandelayo, shayela udokotela wakho ngokushesha:

• Ubuhlungu obukhulu besisu (amasonto amathathu kuya kwayisi-5 ngemuva kokuthatha i-ulipristal)

I-Ulipristal ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngemuva kokuthatha 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. Yigcine ekamelweni lokushisa kude nokukhanya, ukushisa okweqile, nomswakama (hhayi endlini yangasese).

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

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.

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.

Gcina wonke ama-aphoyintimenti nodokotela wakho.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Isidakamizwa sakho kungenzeka ukuthi asigcwaliseki. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nolipristal.

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.

• U-Ella^®