I-Levonorgestrel
-Delile
- Ngaphambi kokuthatha i-levonorgestrel,
- I-Levonorgestrel 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:
- Izimpawu zokudlula ngokweqile zingafaka okulandelayo:
I-Levonorgestrel isetshenziselwa ukuvimbela ukukhulelwa ngemuva kocansi olungavikelekile (ukuya ocansini ngaphandle kwanoma iyiphi indlela yokulawula ukubeletha noma indlela yokulawula ukubeletha eyehlulekile noma ayizange isetshenziswe kahle [isib. ]). I-Levonorgestrel akufanele isetshenziselwe ukuvimbela ukukhulelwa njalo. Lo muthi uzosetshenziswa njengendlela yokuvimbela inzalo ephuthumayo noma ibhekhaphu uma kwenzeka ukulawulwa kokubeletha njalo kwehluleka noma kusetshenziswe ngokungafanele. I-Levonorgestrel isekilasini lemithi ebizwa ngama-progestins. Isebenza ngokuvimbela ukukhishwa kweqanda esibelethweni noma ukuvimbela ukukhulelwa kweqanda ngesidoda (amaseli okuzala abesilisa). Kungasebenza futhi ngokushintsha ulwelwesi lwesibeletho (isibeletho) ukuvimbela ukukhula kokukhulelwa. I-Levonorgestrel ingavimbela ukukhulelwa, kepha ngeke ivimbele ukusabalala kwegciwane lesandulela ngculazi (i-HIV, igciwane elibanga i-immunodeficiency syndrome [i-AIDS] nezinye izifo ezithathelwana ngocansi.
I-Levonorgestrel iza njengethebhulethi ezothathwa ngomlomo. Uma uthatha i-levonorgestrel njengomkhiqizo owodwa wethebhulethi, thatha ithebhulethi eyodwa ngokushesha okukhulu ngaphakathi kwamahora angama-72 ngemuva kocansi olungavikelekile. Uma uthatha i-levonorgestrel njengomkhiqizo wamathebulethi amabili, thatha ithebhulethi eyodwa ngokushesha okukhulu ngaphakathi kwamahora angama-72 ngemuva kocansi olungavikelekile bese uthatha umthamo wesibili ngemuva kwamahora ayi-12 kamuva. I-Levonorgestrel isebenza kahle kakhulu uma ithathwa ngokushesha okukhulu ngemuva kocansi olungavikelekile.Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-levonorgestrel njengoba iqondisiwe.
Uma uhlanza ngaphansi kwamahora amabili ngemuva kokuthatha umthamo we-levonorgestrel, shayela udokotela wakho. Ungadinga ukuthatha omunye umthamo walo muthi.
Ngoba ungakhulelwa ngokushesha ngemuva kokwelashwa nge-levonorgestrel, kufanele uqhubeke nokusebenzisa indlela yakho ejwayelekile yokulawula ukubeletha noma uqale ukusebenzisa ukubeletha okuvamile ngokushesha.
Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.
Ngaphambi kokuthatha i-levonorgestrel,
- Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-levonorgestrel, noma imuphi omunye umuthi, noma iziphi izithako ezibhebheni ze-levonorgestrel. Buza usokhemisi wakho ukuthola uhlu lwezithako.
- Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, nezithako zokudla okunomsoco, okwenzayo noma ohlela ukukuthatha. Qiniseka ukuthi usho noma yikuphi kokulandelayo: ama-barbiturates afana ne-phenobarbital noma i-secobarbital; i-bosentan (iTracleer); i-griseofulvin (Grifulvin V, Gris-PEG); imishanguzo ethile esetshenziswa ukwelapha i-HIV kubandakanya i-atazanavir (Reyataz). darunavir (Prezista, e-Prezcobix), delavirdine (Rescriptor), efavirenz (Sustiva), etravirine (Intelence), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir (eKaletra), nelfinavir (Viracept), nevirapine (Edurant, eComplera), ritonavir (Norvir, eKaletra), saquinavir (Invirase), kanye netipranavir (Aptivus); imishanguzo ethile yokuquleka okufana ne-carbamazepine (Carbatrol, Equetro, Tegretol), felbamate (Felbatol), oxcarbazepine (Oxtellar XR, Trileptal), phenytoin (Dilantin, Phenytek), ne-topiramate (Qudexy XR, Topamax, Trokendi kanye ne-rifampin (i-Rifadin, i-Rimactane). I-Levonorgestrel kungenzeka ingasebenzi kahle noma ibe namathuba amaningi okudala imiphumela emibi uma ithathwa ngale mithi.
- utshele udokotela wakho ukuthi uthatha miphi imikhiqizo yamakhambi, ikakhulukazi iSt John's wort.
- utshele udokotela wakho uma ngabe uke waba nezimo zezempilo noma wake waba nazo.
- utshele udokotela wakho uma ukhulelwe. Ungathathi i-levonorgestrel uma usukhulelwe vele. I-Levonorgestrel ngeke iqede ukukhulelwa osekuqalile.
- kufanele wazi ukuthi ngemuva kokuthatha i-levonorgestrel, kuyinto ejwayelekile ukuthi isikhathi sakho esilandelayo sokuya esikhathini siqale kuze kube yisonto ngaphambili noma ngemuva kwalokho obekulindelwe. Uma isikhathi sakho esilandelayo sokuya esikhathini sibambezelekile isikhathi esingaphezu kwesonto eli-1 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-Levonorgestrel ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- okusindayo noma okukhanyayo kunokuvuza okuvamile kokuya esikhathini
- ukubona noma ukopha phakathi nesikhathi sokuya esikhathini
- isicanucanu
- ukuhlanza
- isifo sohudo
- ukukhathala
- ikhanda
- isiyezi
- ubuhlungu besifuba noma isisa
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-levonorgestrel)
I-Levonorgestrel ingadala 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 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, 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 okulandelayo:
- isicanucanu
- ukuhlanza
Gcina wonke ama-aphoyintimenti nodokotela wakho.
Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana ne-levonorgestrel.
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.
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