I-Progestin-Only (drospirenone) yokuvimbela inzalo ngomlomo

-Delile

• Ngaphambi kokuthatha amaphilisi wokuvimbela ukukhulelwa we-progestin-only (drospirenone),
• I-progestin-only (drospirenone) yokukhulelwa komlomo ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka:

I-Progestin-only (drospirenone) yokuvimbela inzalo isetshenziselwa ukuvimbela ukukhulelwa. I-Progestin iyi-hormone yabesifazane. Isebenza ngokuvimbela ukuphuma kwamaqanda esibelethweni (i-ovulation) nokushintsha isikhwehlela somlomo wesibeletho kanye nolwelwesi lwesibeletho. Izindlela zokuvimbela inzalo zomlomo ze-progestin kuphela ziyindlela ephumelela kakhulu yokulawula ukubeletha, kepha azikuvimbeli ukusabalala kwegciwane lesandulela ngculazi (i-HIV, igciwane elibanga i-immunodeficiency syndrome [i-AIDS] nezinye izifo ezithathelwana ngocansi.

I-progestin-only (i-drospirenone) yokukhulelwa komlomo iza njengamaphilisi okuphuza ngomlomo kanye ngosuku. Thatha izinto zokuvimbela inzalo ngomlomo ngasikhathi sinye 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 uyithathe kaningi kunokuyalelwa ngudokotela wakho.

I-Progestin-only (i-drospirenone) yokuvimbela inzalo iza ngamaphilisi amaphilisi angama-28 anemibala emi-2 ehlukene. Thatha ithebhulethi eli-1 nsuku zonke izinsuku ezingama-28 zilandelana ngokulandelana okubalulwe kuphakethe lakho. Amaphilisi okuqala angama-24 amhlophe futhi aqukethe isithako esisebenzayo (i-drospirenone).Amaphilisi we-4 wokugcina aluhlaza futhi aqukethe isithako esingasebenzi. Qala iphakethe elisha ngosuku ngemuva kokuthatha ithebhulethi yakho yama-28.

Udokotela wakho uzokutshela ukuthi kufanele uqale nini ukuthatha umuthi wakho wokuvimbela inzalo we-progestin-only (drospirenone). Tshela udokotela wakho uma ushintsha usuka kolunye uhlobo lokuvimbela inzalo (amanye amaphilisi okulawula ukubeletha, iringi yowesifazane, i-transdermal patch, ukufakelwa, umjovo, i-intrauterine device [IUD]).

Uma uhlanza noma uhanjiswa yisisu kungakapheli amahora amathathu noma amane ngemuva kokuthatha ithebhulethi emhlophe (equkethe isithako esisebenzayo), thatha ithebhulethi elandelayo ephaketheni lakho ngokushesha okukhulu (mhlawumbe kungakapheli amahora ayi-12 womthamo owathathwa phambilini). Qhubeka neshejuli yakho ejwayelekile yokuqedela bese uqedela iphakethe lakho lamanje. Uma uqala iphakethe elisha, kuzoba usuku olulodwa ngaphambi kwesheduli yakho yangaphambilini. Kungase kudingeke ukuthi usebenzise indlela yokulondoloza inzalo uma uhlanza noma uhanjiswa yisisu isikhathi esingaphezu kosuku olulodwa ngenkathi uthatha amaphilisi amhlophe (aqukethe isithako esisebenzayo). 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.

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.

Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.

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

Ngaphambi kokuthatha amaphilisi wokuvimbela ukukhulelwa we-progestin-only (drospirenone),

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-drospirenone, amanye ama-progestin, noma eminye imithi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, kanye nezithako zokudla okunomsoco okwenzayo. Qiniseka ukuthi usho noma ikuphi kokulandelayo: ama-angiotensin-converting enzyme (ACE) inhibitors anjenge benazepril (Lotensin, eLotrel), captopril, enalapril (Epaned, Vasotec, in Vaseretic), fosinopril, lisinopril (in Zestoretic), moexipril, perindopril, perindopril (e-Prestalia), i-quinapril (i-Accupril, ku-Accuretic, ngesi-Quinaretic), i-ramipril (i-Altace) ne-trandolapril (eTarka); ama-angiotensin receptor blockers afana ne-azilsartan (Edarbi, e-Edarbyclor), candesartan (Atacand, e-Atacand HCT), eprosartan, irbesartan (Avapro, e-Avalide), losartan (Cozaar, e-Hyzaar), olmesartan (Benicar, e-Azor, e-Benicar , e-Tribenzor), e-telmisartan (Micardis, e-Micardis HCT, e-Twynsta) nase-valsartan (Diovan, e-Entresto, e-Diovan HCT, e-Exforge, e-Exforge HCT); imishanguzo yokulwa ne-fungal efana ne-itraconazole (i-Onmel, i-Sporanox), i-ketoconazole, ne-voriconazole (i-Vfend); i-aprepitant (Hlela); i-aspirin nezinye izidakamizwa ezingezona ukuvuvukala (ama-NSAID) njenge-ibuprofen (Advil, Motrin) ne-naproxen (Aleve, Naprosyn); i-bosentan (iTracleer); i-boceprevir (i-Victrelis); carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, abanye); i-clarithromycin; imishanguzo ethile ye-HIV kubandakanya i-efavirenz (iSustiva, e-Atripla, eSymfi) kanye ne-indinavir (Crixivan); i-diuretics (‘amaphilisi amanzi’) njenge-amiloride (Midamor), i-spironolactone (i-Aldactone, iCarospir, e-Aldactzide), ne-triamterene (iDyrenium, eDyazide, eMaxzide); i-eplerenone (Inspra); i-felbamate (Felbatol); i-griseofulvin (i-Gris-Peg); i-heparin; i-phenobarbital; i-phenytoin (iDilantin, Phenytek); izithako ze-potassium; oxcarbazepine (Trileptal); i-rifabutin (i-Mycobutin); i-rifampin (iRifadin, iRimactane, eRifamate, eRifater); kanye ne-rufinamide (Banzel). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi
• utshele udokotela wakho ukuthi uthatha miphi imikhiqizo yamakhambi, ikakhulukazi iSt John's wort.
• Tshela udokotela wakho uma une-insufficiency ye-adrenal (isimo lapho umzimba ungakhiqizi izinto ezanele zemvelo ezidingekayo ekwenzeni imisebenzi ebalulekile efana nomfutho wegazi); ukopha okungavamile okungaziwa kwesitho sangasese sowesifazane; umdlavuza wesibindi, izicubu zesibindi, noma ezinye izinhlobo zesifo sesibindi; noma isifo sezinso. Phinda utshele udokotela wakho uma uke waba nomdlavuza webele noma umdlavuza wengxenye yesibeletho, umlomo wesibeletho, noma isitho sangasese sowesifazane. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi izinto zokuvimbela inzalo zeprogestin-only (drospirenone).
• utshele udokotela wakho uma uke waba namahlwili egazi emilenzeni, emaphashini noma emehlweni; unhlangothi noma mini-unhlangothi; isifo senhliziyo; ukukhumuzeka kwamathambo; isifo sikashukela; amazinga aphezulu we-potassium egazini; noma ukudangala.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-progestin-only (drospirenone) yokuvimbela inzalo yomlomo, shayela udokotela wakho.
• uma uphuthelwa yizikhathi ngenkathi uthatha izinto zokuvimbela inzalo ngomlomo, ungahle ukhulelwe. Uma ngabe uphuze amaphilisi akho ngokuya ngokuyalelwa futhi weqiwa isikhathi esisodwa, ungaqhubeka nokuwaphuza. 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. Futhi, shayela udokotela wakho uma uhlangabezana nezimpawu 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 izivimbelinzalo zomlomo zeprogestin-only (drospirenone).

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

Uma uphuthelwa imithamo emi-2 noma ngaphezulu yamaphilisi amhlophe (aqukethe isithako esisebenzayo), ungahle ungavikeleki ekukhulelweni. Ungadinga ukusebenzisa indlela eyisipele yokulawula ukubeletha izinsuku eziyi-7. Uma uphuthelwa imithamo yamathebulethi aluhlaza (aqukethe izithako ezingasebenzi), weqa umthamo ongabanjwanga bese uqhubeka nesimiso sakho somthamo ojwayelekile. Amaphilisi okuvimbela ukukhulelwa eprogestin-only (drospirenone) eza nezinkomba ezithile okufanele zilandelwe uma uphuthelwa umthamo owodwa noma ngaphezulu. 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.

I-progestin-only (drospirenone) yokukhulelwa komlomo ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• isicanucanu
• ukuhlanza
• induna
• izikhathi ezingajwayelekile zokuya esikhathini
• ukopha noma ukubona phakathi kwesikhathi sokuya esikhathini
• izikhathi ezibuhlungu
• ikhanda
• isisa sebele
• ukuzuza kwesisindo
• kwehle isifiso sobulili

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• ikhanda elibi kakhulu
• ukuhlanza okukhulu
• izinkinga zokukhuluma
• ubuthakathaka noma ukuba ndikindiki kwengalo noma komlenze
• ubuhlungu besifuba noma ubunzima besifuba
• ukushaya kwenhliziyo okungajwayelekile noma okusheshayo
• ukuphelelwa umoya
• ubuhlungu bomlenze
• ukulahleka okuncane noma okuphelele kombono noma izinguquko zombono
• ubuhlungu obukhulu besisu
• ukuphuzi kwesikhumba noma kwamehlo
• ubuhlungu engxenyeni engenhla kwesokudla yesisu
• ukudangala, ikakhulukazi uma unenkinga yokulala, ukukhathala, ukuphelelwa amandla, ezinye izinguquko zemizwa, noma uma ucabanga ukuzilimaza
• ukopha kokuya esikhathini okunzima ngokweqile noma okuhlala isikhathi eside
• ukuntuleka kwezikhathi zokuya esikhathini

Izindlela zokuvimbela inzalo ngomlomo zingakhuphula ubungozi bokuthola umdlavuza womlomo wesibeletho nezicubu zesibindi. Akwaziwa ukuthi i-progestin-only (i-drospirenone) yokuvimbela inzalo yomlomo nayo iyakhuphula ubungozi balezi zimo. Khuluma nodokotela wakho ngezingozi zokuthatha lo muthi.

I-progestin-only (drospirenone) yokukhulelwa komlomo 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 ephaketheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa 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.

Izimpawu zokudlula ngokweqile zingafaka:

• isicanucanu
• ukuhlanza
• ukopha esithweni sangasese

Gcina wonke ama-aphoyintimenti nodokotela wakho.

Ngaphambi kokuba wenze izivivinyo zelabhoratri, tshela abasebenza elabhorathri ukuthi uthatha i-progestin-only (drospirenone) yomuthi wokuvimbela inzalo, ngoba lo muthi ungaphazamisa ezinye izivivinyo zaselebhu.

Uma ufuna ukukhulelwa, yeka ukuthatha i-progestin-only (drospirenone) yokuvimbela inzalo. Izindlela zokuvimbela inzalo ze-progestin kuphela akufanele zilibazise ikhono lakho lokukhulelwa.

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.

• Slynd^®

• Amaphilisi okuvikela inzalo
• I-POP