He aha te Ethinyl Estradiol me te Norgestimate: Ngā Whakamahinga, te Inenga, Ngā Pānga Taha me Ētahi Atu

Ko te ethinyl estradiol me te norgestimate he rongoā whakawhānau tahi e rua ngā homoni waihanga. E mahi ana tēnei rongoā mā te ārai i te ovulation (te tuku o ngā hua manu mai i ō ovaries) me te uaua ake mō te parāoa kia tae atu ki te hua manu, ki te piri rānei te hua manu kua whakatōkia ki tō kōpū. Ko tētahi o ngā momo whakawhānau hormonal e tino tohua ana, e whai hua ana, neke atu i te 99% te whai huatanga ina tika te tango.

He aha te Ethinyl Estradiol me te Norgestimate?

E whakakotahi ana tēnei rongoā i ngā homoni waihanga e rua e whai ana i te estrogen me te progesterone tūturu o tō tinana. Ko te Ethinyl estradiol he momo waihanga o te estrogen, ko te norgestimate he progestin waihanga (he momo progesterone). Ka mahi tahi ēnei homoni ki te ārai i te hapū mā te aukati i ō ovaries mai i te tuku hua manu i ia marama.

Ka tae mai te whakakotahitanga i roto i te ahua pire, ā, ka tangohia ia rā. Ko te nuinga o ngā hanganga kei roto i te 21 pire homoni kaha me te 7 pire kore kaha (placebos) hei āwhina i a koe ki te pupuri i tō rātou rā. I te wiki e tango ana koe i ngā pire kore kaha, ka whai koe i te totoheke e whai ana i te wā hāora tūturu.

He aha te Ethinyl Estradiol me te Norgestimate e whakamahia ana mō?

Ko te whakamahinga tuatahi o tēnei rongoā ko te ārai i te hapū i roto i ngā wāhine e whiriwhiri ana i te whakawhānau hormonal. Heoi anō, ka tohua pea e ngā tākuta mō ētahi atu āhuatanga hauora e whai hua ana mai i te whakaritenga homoni.

I tua atu i te whakawhānau, ka āwhina tēnei whakakotahitanga ki te whakahaere i ngā huringa wā hāora kōaro mā te whakarato i ngā taumata homoni rite tonu puta noa i te marama. He maha ngā wāhine e kite ana ka kaha ake te matapae o ā rātou wā hāora, ā, he māmā ake i te wā e tango ana i tēnei rongoā.

Ka tohutohu pea tō tākuta i tēnei huinga rongoā mō te rongoā i te hakihaki ngawari i roto i ngā wāhine neke atu i te 15 tau te pakeke. Ka āwhina ngā homoni ki te whakaiti i te hanga hinu i tō kiri me te whakaiti i ngā pakarutanga. I tua atu, ka taea e ia te āwhina ki te whakahaere i ngā tohumate o te mate polycystic ovary syndrome (PCOS), tae atu ki ngā wā e kore e rite ana me te nui o te tipu o ngā makawe.

E whakamahi ana ētahi wāhine i tēnei rongoā hei whakaiti i ngā tohumate o te premenstrual syndrome (PMS) rānei, te premenstrual dysphoric disorder (PMDD) rānei. Ka āwhina ngā taumata homoni pūmau ki te whakaiti i ngā huringa o te ngākau, te pupuhi, me te ngawari o te u e pā ana ki te maha o ngā wāhine i mua i ō rātou wā.

Me pēhea te mahi a Ethinyl Estradiol me Norgestimate?

E mahi ana tēnei huinga mā ngā momo tikanga hei aukati i te hapū. Ko ngā homoni te mea nui ka aukati i ō ovaries mai i te tuku hua i te wā o tō huringa marama, ka kore e taea te hapū.

Ka matotoru hoki te rongoā i tō hūpē pūhihi, ka hanga he arai e uaua ai te kauhoe o te parāoa ki roto, ki te tae atu ki ngā hua. Ko tēnei whakamarumaru tāpui e tāpiri ana i tētahi atu paparanga o te whai huatanga aukati hapū.

I tua atu, ka huri ngā homoni i te ara o tō kōpū (endometrium), ka iti ake te tūponotanga o te hua i whakatōtōhia ki te whakauru me te tipu. Ko tēnei mahi toru te mea e tino whai hua ana te rongoā ina tangohia tonu.

Hei kaha aukati hapū, ka whakaarohia tēnei huinga he kaha ngawari. He whai hua ki te aukati i te hapū i runga i te pono engari he ngawari ki te nuinga o ngā wāhine ki te aro pai me ngā pānga taha e taea te whakahaere.

Me pēhea taku tango i te Ethinyl Estradiol me Norgestimate?

Tangohia tētahi pire i te wā kotahi i ia rā, ahakoa kei te tango koe i ngā pire homoni kaha, i ngā pire placebo kore kaha rānei. He mea nui te rite tonu mō te pupuri i ngā taumata homoni pūmau me te whai huatanga nui.

Ka taea e koe te tango i tēnei rongoā me te kore kai rānei, engari mā te tango me te kai ka āwhina i te whakaiti i te whakapairuaki mēnā ka pāngia tō puku. He maha ngā wāhine e kite ana mā te tango i te rongoā i te wā o te kai tina, i mua rānei i te moe ka āwhina i te whakaiti i te whakapairuaki.

Tīmatahia tō pākete tuatahi i te Rātapu tuatahi i muri i te tīmatanga o tō wā, i te rā tuatahi rānei o tō wā mēnā ka tūtohu tō tākuta. Mēnā ka tīmata koe i waenganui o te huringa, whakamahia he tikanga aukati hapū pērā i te kāreti mō ngā rā e whitu tuatahi.

Horomia te pire katoa me te wai. Kaua e kuru, e ngaungau, e whati rānei i ngā papa, nā te mea ka pā tēnei ki te tukunga o ngā homoni i tō tinana. Mēnā he uaua ki a koe te horomia i ngā pire, kōrerohia ki tō tākuta mō ētahi atu tikanga.

Mā te whakatakoto i tētahi pūoho i ia rā i runga i tō waea ka āwhina i a koe ki te mahara ki te tango i tō pire i ngā wā katoa. He maha ngā wāhine e kite ana mā te hono atu ki tētahi mahi o ia rā, pērā i te parai i ō rātou niho, ka māmā ake te mahara.

Kia Pēhea te Roa e Tango Ai au i te Ethinyl Estradiol me te Norgestimate?

Ka taea e koe te tango i tēnei rongoā mō te wā e hiahia ana koe ki te aukati hapū, ā, kāore he take hauora hei whakamutu. He maha ngā wāhine e whakamahi ana i te aukati hapū homoni mō ngā tau, kāore he raruraru.

Ka hiahia tō tākuta ki te kite i a koe i ngā wā katoa, te tikanga ia 6 ki te 12 marama, ki te aroturuki i tō hauora me te kōrero mō ō āwangawanga. Mā ēnei arowhai ka āwhina i te whakarite kia haumaru tonu te rongoā, ā, e tika ana mō koe.

Mēnā kei te whakamahi koe i tēnei rongoā mō te hakihaki, mō ētahi atu take rānei kāore i te aukati hapū, ka kōrero tō tākuta mō te roa o te haere tonu o te rongoā. Ko ētahi wāhine ka kite i te whakapai ake i te hakihaki i roto i te 3 ki te 6 marama, i ētahi atu rānei ka roa ake te rongoā.

Inā reri koe ki te whakamutu i te tango i te rongoā, ka taea e koe te mahi i tērā i ngā wā katoa. Ko tō hua whānau tūturu ka hoki mai i roto i ngā marama ruarua, ahakoa ka hapū ētahi wāhine i muri tonu i te whakamutu.

He Aha ngā Pānga Taha o te Ethinyl Estradiol me te Norgestimate?

He pai te aro ki tēnei rongoā e te nuinga o ngā wāhine, engari pērā i ngā rongoā homoni katoa, ka pā ngā pānga taha. He ngawari te nuinga o ngā pānga taha, ā, he maha ngā wā ka pai ake i te wā e urutau ana tō tinana ki ngā homoni i ngā marama tuatahi.

Koinei ngā pānga taha tino noa ka pā ki a koe i te wā e urutau ana tō tinana ki te rongoā:

• Te whakapairuaki, te pōpō rānei o te puku, ina koa i ngā wiki tuatahi
• Te mamae, te pū rānei o ngā u
• Te ānini, ngā huringa ngawari rānei o te ngākau
• Te toto i waenga i ngā wā o te huringa paheketanga
• Ngā huringa o te taumaha, he iti noa iho te nuinga
• Ngā huringa o tō rere toto i te wā o te huringa paheketanga

He maha ngā wā ka tino iti iho ēnei pānga noa i muri i te 2 ki te 3 marama o te whakamahi tonu. Me wā te tinana ki te urutau ki ngā taumata homoni hou.

Ka pā ki ētahi wāhine ngā pānga taha kāore i te tino noa, engari ka taea tonu te whakahaere, ā, me aro atu:

• Te iti o te hiahia mo te moe tahi
• Te pupuhi, te pupuri wai rānei
• Ngā huringa o te kiri, tae atu ki te pōuri o ētahi wāhi
• Ngā huringa o te wai i roto i te tara
• Te nui ake o te tairongo ki te rā
• Te raruraru o te arotahi whakapiri

Ahakoa he onge, me whai wāhi tonu ngā pānga taha kino, ā, ka pā ki te iti iho i te 1% o ngā kaiwhakamahi:

• Ngā kōpuku toto i ngā waewae, i ngā pūkahukahu rānei (ko ngā tohu ko te mamae ohorere o te waewae, te mamae o te uma, te poto rānei o te manawa)
• Ngā tohu o te whiu (te ānini nui ohorere, ngā huringa o te tirohanga, te ngoikore rānei)
• Ngā tohu o te whakaeke ngākau (te mamae o te uma, te mamae o te kauae, te mamae rānei o te ringa)
• Te mamae nui o te puku ka tohu i ngā raruraru o te pūkahukahu
• Te pouri nui, ngā huringa rānei o te ngākau
• Te kōwhai o te kiri, o ngā kanohi rānei (e tohu ana i ngā raruraru o te ate)

Mēnā ka pā ki a koe ētahi o ēnei tohu kino, me rapu tonu i te āwhina hauora. He onge ēnei raruraru, engari me rongoā wawe.

Ko wai kāore e tika ana kia tango Ethinyl Estradiol me Norgestimate?

He maha ngā āhuatanga hauora e kore ai e pai tēnei rongoā, ā, ka āta tātari tō tākuta i tō hītori hauora i mua i te whakahau. Ka taea e ngā homoni kei roto i ngā pire whakawhānau te whakanui i ngā tūponotanga mō ētahi wāhine.

Kaua koe e tango i tēnei rongoā mēnā he āhuatanga nui tō:

• He hītori o te pūpū toto, te whiu, te whakaeke ngākau rānei
• Ngā raruraru pūpū toto, ngā raruraru pūpū toto tuku iho rānei
• Te mate ate kaha, ngā puku ate rānei
• Te toto mai i te tara kāore i whakamāramahia
• Te hapū e mōhiotia ana, e whakapaehia ana rānei
• He hītori o ngā mate pukupuku e pā ana ki te homoni (u, kōpū, kaki kōpū rānei)
• Te toto tiketike kaha
• Ngā mamae mahunga migraine me te aura

Ka whakanui nui ēnei āhuatanga i tō tūponotanga ki ngā raruraru nui, ka waiho ētahi atu tikanga aukati hapū hei kōwhiringa haumaru ake mōu.

Ka āta whakaaro anō tō tākuta ki te whakahau i tēnei rongoā mēnā he āhuatanga ō e whakanui ana i te tūponotanga:

• Te kai paipa, ina koa kei runga ake koe i te 35 tau te pakeke
• Te mate huka me ngā raruraru oko toto
• Te cholesterol tiketike, te triglycerides rānei
• He hītori o te pōuri
• Te mate pūkahukahu
• Te mate tākihi, te mate ngākau rānei

Ko te whai i ēnei āhuatanga kāore i te whakakore aunoa i a koe, engari ka whakatau tō tākuta i ngā painga ki ngā tūponotanga mō tō āhuatanga motuhake.

Ngā Ingoa Waitohu o Ethinyl Estradiol me Norgestimate

Kei te wātea tēnei huinga homoni i raro i ētahi ingoa waitohu i te United States. Ko ngā ingoa waitohu tino noa ko Ortho Tri-Cyclen, Ortho Tri-Cyclen Lo, me TriNessa.

Ko ētahi atu ingoa waitohu ka kitea e koe ko Tri-Sprintec, Trinessa, me Tri-Previfem. Kei roto i ēnei waitohu rerekē ngā whakauru kaha kotahi engari he rerekē pea ngā whakauru kore kaha, he rerekē rānei ngā horopeta homoni.

Kei te wātea whānuitia ngā putanga whānui, ā, kei roto i a rātou ngā homoni kaha kotahi anō me ngā putanga waitohu. Ka taea e ngā kōwhiringa whānui te iti ake te utu, i te wā e whakarato ana i te whai huanga me te haumaru kotahi.

Ka pai pea tō mahere inihua ki ētahi waitohu, putanga whānui rānei, nō reira ko te kōrero ki tō tākuta me te kai rongoā ka āwhina i a koe ki te kimi i te kōwhiringa tino utu.

Ngā Kōwhiringa kē mō Ethinyl Estradiol me Norgestimate

Mēnā kāore tēnei rongoā i te tika mōu, he maha atu ngā kōwhiringa whakahaere whānautanga whai hua e wātea ana. Ka taea e tō tākuta te āwhina i a koe ki te kimi i tētahi kōwhiringa kē e pai ake ana ki ō hiahia hauora me tō oranga.

Ko ētahi atu pire whakahaere whānautanga whakakotahi e whakamahi ana i ngā huinga homoni rerekē ka pai ake pea mōu. Ko ngā pire kei roto i ngā momo progestins rerekē, pēnei i te drospirenone, levonorgestrel rānei, ka iti ake pea ngā pānga taha mō ētahi wāhine.

He haumaru ake ngā pire progestin-anake (mini-pire) mō ngā wāhine e kore e taea te tango estrogen nā te āhua o te hauora. Kei roto i ēnei pire anake te progesterone waihanga, ā, kāore e whakanui i te tūponotanga o te toto.

Ko ngā kōwhiringa homoni kore-pire ko te pāti whakahaere whānautanga, te mowhiti tara, ngā IUD homoni rānei. E whakatutuki rerekē ana ēnei tikanga i ngā homoni, ā, he pai ake pea mō ngā wāhine e uaua ana ki te mahara ki ngā pire o ia rā.

Ko ngā kōwhiringa kore-homoni ko ngā IUD parahi, ngā tikanga arai pēnei i ngā diaphragm, ngā kōniha rānei, me ngā tikanga mō te mōhiotanga ki te whānautanga. Kāore ēnei kōwhiringa e pā ki ō taumata homoni tūturu.

He Pai Ake Anei te Ethinyl Estradiol me Norgestimate i Ētahi Atu Pire Whakahaere Whānautanga?

E mahi ana tēnei huinga i te whai hua rite ki te nuinga o ētahi atu pire whakahaere whānautanga i te wā e tangohia tika ana. Ko te

Ki te whakatauritea ki ngā pire kei roto ngā progestins tawhito, he iti ake pea ngā pānga taha o te norgestimate, pēnei i te huringa o te ngākau, te pikinga rānei o te taumaha. E kite ana ētahi wāhine he iti ake te hakihaki, ā, he pai ake pea te kiri.

Heoi anō, ko ngā pire kei roto ngā progestins hou, pēnei i te drospirenone, he pai ake pea mō ngā wāhine e pōhēhē ana, e huri ana rānei te ngākau. Ko ēnei hanganga hou i hangaia kia iti ake ai ētahi pānga taha.

Ko te hoahoa triphasic o te maha o ngā pire norgestimate (kei te huri ngā taumata hormone puta noa i te marama) he mea māori ake pea ki ētahi wāhine. He pai ake ki ētahi atu ngā pire monophasic e tuku ana i te horopeta hormone kotahi i ia rā.

Ka whakaaro tō tākuta ki tō hītori hauora, ngā rongoā e inu ana koe, me ō hiahia whaiaro kia tūtohu i te kōwhiringa pai mōu. Ko te mea e pai ana mō tētahi wāhine, kāore pea i te pai mō tētahi atu.

Ngā Pātai Auau mō Ethinyl Estradiol me Norgestimate

Q1. He Haumaru te Ethinyl Estradiol me Norgestimate mō ngā Wāhine e mate huka ana?

He haumaru pea tēnei rongoā mō ngā wāhine e pai ana te whakahaere i te mate huka, engari me mātakitaki pai. Ka pā iti pea ngā homoni ki ngā taumata huka toto, nō reira ka hiahia tō tākuta ki te aroturuki i tō whakahaere glucose.

Ko ngā wāhine e mate huka ana, he raruraru tō ngā oko toto (pēnei i te retinopathy diabetic, te nephropathy rānei) he nui ake ngā tūponotanga, ā, me whakamahi pea i ētahi atu momo aukati hapū. Ka whakatau tō tākuta i tō whakahaere mate huka me ngā raruraru ki ngā painga o te aukati hapū hormonal.

Mēnā he mate huka tōu, ā, kei te inu koe i tēnei rongoā, aroturukihia tō huka toto i ngā wā katoa, ina koa i te tīmatanga. E hiahia ana ētahi wāhine ki ngā whakatikatika iti ki ā rātou rongoā mate huka i te tīmatanga o te aukati hapū hormonal.

Q2. Me pēhea ahau ki te inu nui rawa i te Ethinyl Estradiol me te Norgestimate?

Ko te tango i ngā pire anō ka pā mai te whakapairuaki, te ruaki, te toto rānei, engari kāore pea he nui rawa te horopeta. Ki te tūpono ka tango koe i ētahi pire anō, ka pāngia pea tō puku, ka kite rānei koe i te toto kōaro.

Whakapā atu ki tō tākuta, ki te kaimātai rongoā rānei mō te tohutohu ki te tango koe i ētahi pire anō. Ka taea e rātou te tohutohu mēnā e hiahia ana koe ki te āwhina hauora, ka taea rānei e koe te haere tonu i tō hōtaka auau.

Kaua e ngana ki te "whakatika" i ngā pire anō mā te whakawātea i ngā horopeta i muri mai. Ka taea e tēnei te whakaiti i te whai huatanga, me te pā mai i te toto kōaro. Engari, haere tonu ki te tango i ō pire i te wā i whakaritea, me te whakamahi i te aukati hapū tūāpapa mēnā ka tohutohutia.

Q3. Me pēhea ahau ki te kore e tango i te horopeta o Ethinyl Estradiol me Norgestimate?

Ki te kore koe e tango i tētahi pire kaha, tangohia i te wā e mahara ana koe, ahakoa te tikanga ka tango koe i ngā pire e rua i te rā kotahi. Kāore koe e hiahia ki te aukati hapū tūāpapa ki te kore koe e tango i tētahi pire anake.

Ko te kore e tango i ngā pire kaha e rua i te rarangi ka hiahia kia tango koe i ngā pire e rua mō ngā rā e rua kia whakatika. Whakamahia te aukati hapū tūāpapa pērā i ngā kāreti mō ngā rā e whitu i muri i te korenga o ngā pire kia mōhio ai te whakamarumaru.

Ki te kore koe e tango i ngā pire kaha e toru, neke atu rānei, maka atu te pākete, ka tīmata i tētahi hou. Whakamahia te aukati hapū tūāpapa mō ngā rā e whitu tuatahi o te pākete hou. Kāore pea koe e whai toto tangohanga i taua marama, he mea noa tēnei.

Ko te kore e tango i ngā pire korekore (placebo) kāore e pā ki te whai huatanga, engari ko te pupuri i tō hōtaka ia rā ka āwhina i te kore e wareware i ngā pire kaha i te wā e tīmata anō ana koe.

Q4. Āhea ahau e mutu ai te tango i te Ethinyl Estradiol me Norgestimate?

Ka taea e koe te mutu te tango i tēnei rongoā i ngā wā katoa, engari he pai ki te whakaoti i tō pākete o nāianei kia kore ai te toto kōaro. Ko te mutu i waenga i te pākete ka pā mai te toto, te pōro rānei.

Ko tō whānautanga ka hoki mai i roto i te 1 ki te 3 marama i muri i te mutu, ahakoa ka taea e ētahi wāhine te hapū tonu. Whakamahia te aukati hapū kē tonu ki te kore koe i te rite mō te hapū.

Ka pātai ētahi wahine i ngā huringa wā poto i roto i ā rātou huringa paheketanga i muri i te whakamutu. Ka rerekē pea ō wā paheketanga mō ētahi marama i te wā e hoki mai ana te hanga taiaki tūturu o tō tinana.

Mēnā kei te whakamutu koe nā te pānga taha, kōrero ki tō tākuta mō ētahi atu tikanga aukati hapū. Ka āwhina rātou i a koe ki te huri marie ki tētahi atu kōwhiringa ka pai ake mōu.

Q5. Ka taea e au te tango Ethinyl Estradiol me Norgestimate i te wā e whāngai ū ana?

Kāore tēnei huinga e tūtohutia i te wā e whāngai ū ana nā te mea ka taea e te estrogen te whakaiti i te hanga miraka. Ka taea hoki e ngā taiaki te uru ki roto i te miraka ū, ka pā pea ki tō pēpi.

He kōwhiringa haumaru ake ngā pire progestin-anake (mini-pills) mō ngā whaea e whāngai ū ana. Kāore ēnei e mau ana i te estrogen, ā, he iti ake te tūpono ka pā ki te tuku miraka, ki te kounga rānei.

E tūtohu ana te nuinga o ngā tākuta kia tatari kia 6 wiki i muri i te whānautanga i mua i te tīmatanga o tētahi aukati hapū taiaki. Ka āhei tēnei i tō tinana ki te ora, me te whakatū i te whāngai ū mēnā ka whiriwhiri koe ki te whāngai.

Mēnā e hiahia ana koe ki te aukati hapū i te wā e whāngai ū ana, kōrero ki tō tākuta mō ngā kōwhiringa haumaru. Ka taea e ngā tikanga arai, ngā pire progestin-anake, ētahi IUD rānei te whakarato i te whakamarumaru whai hua me te kore e pā ki te whāngai ū.