Uburyo bwo gufata Norethindrone kugira ngo uhagarike Imis Hamilton: Igihe, Ururembo, kandi Ni nde udakwiye kuyikoresha

Tangira gufata norethindrone hafi iminsi itatu mbere yuko imis Hamilton yegereye, ku rugero muganga wawe yemeye, akenshi 5 mg ya norethindrone acetate inshuro eshatu ku munsi, kandi ugumye kuyikoresha igihe cyose ibyo bikorwa. Gusama amaraso bisubira inyuma iminsi 3 kugeza 7 nyuma y'uruhare rwawe rwa nyuma. Uku gukoresha ntabwo byemewe, kandi ntabwo ari uburyo bwo kwirinda inda.

TL;DR: Ibintu by'ingenzi ugomba kwibuka

• Tangira hafi iminsi itatu mbere yuko imis Hamilton yegereye. Kwiga uburyo bwo gufata norethindrone kugira ngo uhagarike amaraso y'imis Hamilton ni ikibazo cyo kubara inyuma, ntabwo ari ikibazo cy'urugero.
• Uburyo bwo gusubika bwize ni 5 mg ya norethindrone acetate inshuro eshatu ku munsi, bucishijwe na muganga.
• Gusama amaraso bisubira inyuma iminsi 3 kugeza 7 nyuma y'uruhare rwa nyuma, rero uhitemo neza igihe cyo guhagarika.
• Uku gukoresha ntabwo byemewe, kandi imiti ntabwo irinda inda.
• Ntabwo ishobora guhagarika imis Hamilton yatangiye.

Norethindrone isubika imis Hamilton, kandi ntabwo yigeze yemezwa kugira ngo ihagarike imis Hamilton

Gufata norethindrone kugira ngo usubike amaraso y'imis Hamilton kugira ngo ube wifatanya n'ubukwe, irushanwa, cyangwa urugendo rurerire ni uburyo bw'ikinyobwa budasanzwe bw'umuti wemewe kubindi bintu. Inyandiko ya FDA kuri norethindrone acetate ireba amenoreya ya kabiri, endometriosis, hamwe n'amaraso adasanzwe y'ubugimbarara kubera ibura ry'imis Hamilton. Gusiga imis Hamilton itari mu gihe gikwiye ntibigaragara kuri yo.

Uburyo bw'ibikorwa burashobora kuvuga mu nteruro imwe: ikinini gihumanya cyane cyane imis Hamilton kugira ngo uruziga rw'umubyeyi rugume aho, kandi uruziga rw'umubyeyi rumanuka iyo umuti uhagaze.

Ni koko norethindrone ihagarika imis Hamilton? Isubika amaraso kuruta guhagarika imis Hamilton yawe burundu, kandi mugihe gikwiye irabikora neza. Mu igeragezwa ryahindagurika ryashyizwe ahagaragara muri BMC Women's Health, 8.7% by'abagore bafashe norethindrone acetate 5 mg inshuro eshatu ku munsi bagize amaraso cyangwa amaraso akoreshwa mugihe cyo gusubika, ugereranyije na 43.5% by'abagore bakoresheje imiti y'ubumwe bw'ibitsina kugira ngo bakore ibyo bimwe (p<0.007).

Ibyo idakora ni ugukumira inda, rero uburyo ubwo aribwo bwose wari ukoresha bugomba gukomeza. Imiti myinshi y'imis Hamilton yimurira imis Hamilton itarinjiwe: Plan B irashobora kandi gusubika imis Hamilton yawe, kandi ntabwo ari umuti wo gusubika.

Uburyo bwo gufata norethindrone kugira ngo uhagarike imis Hamilton: tangira mbere yuko amaraso atangira

Norethindrone ikoreshwa gusa n'umuganga. Tangira hafi iminsi itatu mbere yuko imis Hamilton yegereye, ufate urugero muganga wawe yemeye (akenshi 5 mg ya norethindrone acetate inshuro eshatu ku munsi), komeza muri icyo gikorwa cyawe, hanyuma uhagarike iyo witeguye gusama amaraso. Gusama amaraso bisubira inyuma ku minsi 3 kugeza 7 nyuma. Gutangira nyuma yuko amaraso atangiye ntibizakora.

Kuberako kare bikorwa neza kuruta nyuma. Mu mabwiriza ya BMC Women's Health, imiti yatangiye ku munsi wa 12 cyangwa mbere y'umunsi wa 12, ni mbere kuruta uko abantu benshi bakeka iyo bashyizeho gahunda. Inyandiko yerekana gusama amaraso ku minsi 3 kugeza 7 nyuma yo guhagarika umuti, ariyo umubare ugenda wihitamo ku mpande zombi.

Iyo bikorewe n'iminsi nyayo, bisa n'ibi:

• Igikorwa: Ukwakira 17.
• Imis Hamilton itegerejwe: Ukwakira 14.
• Kubara inyuma iminsi itatu, bityo umuti wa mbere: Ukwakira 11.
• Uruhare rwa nyuma: Ukwakira 18, iyo igikorwa cyasoje.
• Tegereza gusama amaraso: hafi kuva ku ya 21 kugeza ku ya 25 Ukwakira.
• Muri byose: gukomeza gukoresha uburyo bwawe bwo kwirinda inda. Ntabwo birinda inda.

Shyiramo imiti mu gihe kingana, mu gitondo, mu gicamunsi, no nimugoroba, aho guhuza bibiri muri byo. Iminsi hagati y'imiti niho amaraso atangira. Kandi gahunda iza ivuye kuri muganga uzi imis Hamilton yawe. Ntabwo ushobora kwisanisha gahunda kuva ku nyandiko ya kera cyangwa ku miti y'undi muntu.

Ururembo rutanga gusubika imis Hamilton ntabwo ari urwo mu kinini gito

Ururembo rwa norethindrone rwo guhagarika amaraso y'imis Hamilton ntaho bihuriye n'urugero ruri mu kinini gito, kandi iki nicyo gitera cyane impaka zitandukanye kuri interineti. Norethindrone 0.35 mg ni umuti wa progestin-only ukoreshwa inshuro imwe ku munsi kandi buri gihe; kwitwara uko bitandukanye ntibizafasha gusubika ikintu. Norethindrone acetate 5 mg, igurishwa nka Aygestin, ni uburyo bukwiranye bwanditse nka norethindrone acetate kugira ngo isubike amaraso y'imis Hamilton.

Kubijyanye n'ibyo yemewe, inyandiko ishyiraho 2.5 kugeza 10 mg ya norethindrone acetate ku munsi iminsi 5 kugeza 10, kandi ni urufatiro abaganga bakoresha mu buryo budasanzwe. Uburyo bwo kwiga bwari 5 mg inshuro eshatu ku munsi, cyangwa 15 mg ku munsi. Impapuro zo mu Bwongereza zita uwo muti wa progestin nka norethisterone 5 mg, rero impapuro zo mu Bwongereza ntizivuga umuti utandukanye.

Inyandiko: urugero rwa norethindrone rwo guhagarika amaraso y'imis Hamilton, ku buryo n'ububazi.

Ntabwo wagabanya, ukaruta, cyangwa ugahuza imiti kugira ngo wongere ingaruka. Progestin nyinshi ntizongera gusubika, kandi imiti idahwanye ni uburyo bwiza bwo gutera amaraso wari wiyemeje kwirinda.

Kuki "kugeza ku minsi 17" na "kugeza ku minsi 27" byose ari byo

Norethindrone isubika imis Hamilton igihe kangahe? Gusa igihe cyose ugikomeje kuyikoresha. Ni yo mpamvu imibare yatanzwe ishingiye ku buryo bwo kwemera bitandukanye: LloydsPharmacy Online Doctor mu Bwongereza ivuga ko iminsi 17 y'uburyo bwo gusubika, telehealth na za online zafasha abagore nk'izizwe Wisp na Saalt zivuga imiti kugeza ku minsi 20, kandi ingamba zimwe zo mu Bwongereza zivuga kugeza ku minsi 27.

Dore ibyo impapuro nyinshi zitasobanura: iyo mibare ntabwo igenzura ikintu kimwe. Bamwe babara igihe umuti wari wagenwe, abandi babara igihe amaraso yari yarasubitswe by'ukuri, kandi baza bavuye ku miti itandukanye (norethindrone 0.35 mg, norethindrone acetate 5 mg, norethisterone 5 mg zo mu Bwongereza) zitangiye ku gihe gitandukanye cy'imis Hamilton. Gutangira kumezi abiri mbere aho kuvuga icyenda bizagabanya gusubika, icyo igihembo cyavuze cyose.

Ntabwo hari ingaruka zahohotse. Umunsi wahagaritse niwo munsi isaha itangira, kandi gusama amaraso bisubira inyuma ku minsi 3 kugeza 7 nyuma, rero wihute kubarira inyuma ku gihe imis Hamilton yaba ikwiye. Mubyukuri, norethindrone isubika imis Hamilton igihe kangahe ni ikibazo cy'ibyo umuganga wawe yemeye kwandika: urugendo rugenda kurenza inyandiko y'iminsi 5 kugeza 10 rukeneye uburenganzira bw'umuganga, aho kwiyongerera.

Niba ufite amaraso, wahisemo igihe cyiza

Norethindrone ntabwo ishobora guhagarika imis Hamilton yatangiye, ikibazo LloydsPharmacy Online Doctor mu Bwongereza isubika imis Hamilton ivuga neza. Niba wari uri bushake uburyo bwo gufata norethindrone kugira ngo uhagarike amaraso y'imis Hamilton nyuma yuko amaraso atangiye, gutangira ubu ngubu bishobora kugabanya cyangwa kugabanya amaraso, ariko ntabwo bizayisubika. Tegura imis Hamilton ikurikira, kandi usabe umuganga kwandika iminsi.

Hagati mu gihe, guheba imiti ni ikindi kintu gikoreshwa. MedlinePlus igira inama gufata umuti wahabwe kuva wibutse, keretse niba hafi y'igihe cy'umuti ukurikira, mu gihe wirinda. Ntabwo ugomba kwiyongera.

Imiti yatinze yongera amahirwe yo gusama amaraso, kandi niba amaraso atangiye gusama, gutinya guhagarika ni ikosa. Gukomeza gahunda kandi uhamagara umuganga, kuko guhagarika norethindrone mu buryo budateganyijwe ntibiteganijwe nta nama y'ubuvuzi. Niba utabasha kumenya niba amaraso make ari amaraso akoreshwa cyangwa imis Hamilton itangiye kare, ugereranyije n'umuco usanzwe w' amaraso mbere y'imis Hamilton.

Ipfuze ubwihugururiro mbere yuko ushyiraho gahunda: norethindrone ntabwo ifitiye buri wese

Muganga wawe ushobora kugufasha kumenya ibintu byinshi. Inyandiko ya FDA irabuzanya norethindrone acetate ku bantu bafite:

• Amateka ya thrombophlebitis cyangwa izindi ndwara za thromboembolic, harimo thrombosis yimitsi cyangwa pulmonary embolism
• Indwara z'imitsi ireba ubwonko
• Kumenya cyangwa kwikeka kanseri y'ibere
• Kudasobanura amaraso adasanzwe y'ubugimbarara
• Indwara zikomeye za physique
• Kumenya cyangwa kwikeka ko utwite

Kurenza ibyo bidashobora gukoreshwa, Cleveland Clinic ihugurura kwitonda mu gihe ufite amateka yo kurwara imitsi cyangwa indwara z'imitsi, migrene, indwara y'umwijima, kanseri zimwe na zimwe, na indwara z'ibitsina; migrene ifite aura n'umwotsi nyuma y'imyaka 35 ni ibimenyetso bisanzwe kuri buri kinyobwa kimis Hamilton. Imiti myinshi irashobora kugabanya gusubika ubwako, harimo rifampin, imiti imwe ya virusi itera SIDA, barbiturates n'indi miti yo kwirinda ibitsina, na St. John's wort. Tegereza kugenzurwa kwa buri gihe hamwe n'ibibazo kubijyanye n'amateka yawe n'ay'umuryango wawe yo kwirinda kugira ngo byanditswe.

Niba ufite ubu imiti ya combination oral contraceptive, ntukongezwe na norethindrone. Ahubwo, usabe gusubika ibikoresho by'imyabaga hamwe no kwirinda icyumweru cya placebo, arizo nzira yoroshye kandi irushijeho kumenyekana ku muntu ufata umuti wa pill.

Niba igihe cyugarijwe, Urusengero rwa $39 kuri interineti rubahuza numuganga wemewe muri Amerika ushobora gusubiramo amateka yawe kandi ugahabwa urwandiko iyo bibaye ngombwa. Umuganga niwe ugena, ntabwo platform. Kuvugana na video ntibyashobora kugusuzuma, kwandikira ibizamini by'amaraso uwo munsi, cyangwa kwirinda amaraso akomeye, kandi nta na kimwe muri ibyo cyagombye gutegereza gahunda ya telehealth.

Inkomoko nyinshi ni ibibazo, ariko ibihagije bivuga guhagarika no gushakira ubufasha

Inkomoko nyinshi za norethindrone yo gusubika imis Hamilton ni iranga kuruta ko zishobora gutera ikibazo: ubunebwe, kuribwa mu nda, kwishima mu gituza, kubabara umutwe, guhinduka ku myumvire, no gusama amaraso, byose bikurikira urugendo kandi bikagabanya iyo rugishize. Ibikoreshwa ni imitsi. MedlinePlus irerekana ububabare mu maguru, ubushyuhe cyangwa ububyimba, kugorwa mu guhumeka, kwitsamura amaraso, no kuribwa mu gituza nk'ibimenyetso by'umusemburo ukeneye ubuvuzi bwihutirwa.

Hamagara 911 cyangwa ugende mu gikoni cy'ibitaro byihutirwa ubu niba:

• Kubabara mu gituza, kugorwa mu guhumeka, cyangwa kwitsamura amaraso
• Kubabara bikomeye mu mutwe, kuramuka kw'amaso cyangwa guhinduka, kuvuguruza ijambo, cyangwa intege nke cyangwa ububyimba ku ruhande rumwe
• Kubabara, ubushyuhe, ububyimba, cyangwa ubururubisi mu gituza kimwe
• Kwiyerera uruhu cyangwa amaso, inkari zuzuyemo, cyangwa kubabara bikomeye mu gice cyo hejuru cy'iburyo bw'inda.

Shyiramo gahunda mu gihe cy'icyumweru gikurikira niba:

• Am variouso asiga impapuro z'ubwihe cyangwa tampon buri saa cyangwa munsi
• Kubabara bikomeye mu nda
• Am variouso atabasha guhagarara mugihe ukomeje gahunda
• Ntabwo abas Hamilton zabonetse mu minsi 7 nyuma y'uruhare rwawe rwa nyuma
• Imitwe mishya, idahwema.

Ganira n'umuganga mbere yo gutangira niba:

• Ikintu icyo ari cyo cyose kiri kuri lisiti yo kutakoreshwa kibikoreshwa kuri wowe
• Ufite migrene ifite aura
• Ushogora kandi uri hejuru ya 35
• Ufite ubu imiti ya combination oral contraceptive
• Ufata rifampin, imiti yo kwirinda ibitsina, cyangwa St. John's wort

Ibibazo bisanzwe bibazwa

Norethindrone izahagarika imis Hamilton zanjye buri kwezi niba nkomeje kuyikoresha?

Muvoma. Uruhare rumwe rwateguwe ni ikintu kimwe; kwisanisha buri kwezi ni icyemezo cyo kwandika, ntabwo ari akamenyero ko kwirinda, kandi nta muntu ugomba gusubiramo no gusohoka buri gihe ku rugero rwa 15 mg buri munsi utagishishikaye. Niba ushaka ko imis Hamilton ihagarara igihe kirekire, ibikoresho byagenewe ako kazi ni ibitabo by'ubwumvikane bya buri gihe cyangwa ibyumweru by'imis Hamilton, hamwe n'akabumbiro ka hormonal.

Birakerewe gusubika imis Hamilton niba igikorwa cyanjye ari iminsi itatu gusa?

Rimwe na rimwe. Ni ikibazo cy'imyubakire kuruta itegeko ry'iminsi itatu. Niba imis Hamilton ikiri kure iminsi icumi cyangwa irenga, haba hari umwanya wo guhurira, gufata imiti mu bitaro, n'umunsi wo gutangira iminsi itatu mbere yuko yegereye. Niba yegereye amasaha 48, kubara uburyo bwo gufata norethindrone kugira ngo uhagarike amaraso y'imis Hamilton ntibizatsinda.

Imis Hamilton yanjye izagaruka neza nyuma yo guhagarika norethindrone?

Yego. Mu igeragezwa rya BMC Women's Health, gusubira ku muvuduko usanzwe kwari hafi amezi 2.0 nyuma ya norethindrone, ugereranyije n'amezi 3.6 nyuma yo gukoresha imiti y'ubumwe bw'ibitsina kugira ngo ihindagure, kandi nta nda zabonetse mugihe cy'ubushakashatsi. Imis Hamilton yawe ya mbere nyuma ishobora kugenda kare cyangwa itinze mbere yuko umuvuduko usubira.

Nzakoresha ikizamini cy'inda niba nta maraso abonetse nyuma yo kurangiza urugendo?

Yego. Kubera ko uyu muti atari umuti wo kwirinda inda, amaraso atabonetse mu gihe cy'icyumweru nyuma y'uruhare rwawe rwa nyuma asaba ikizamini aho gutegereza, kandi inyandiko irabuzanya norethindrone mu gihe utwite. Hariho ibisobanuro bikomeye byo kwibagirwa imis Hamilton utwite, ariko shira inda hanze mbere.

Ni ubuhe buryo buhari niba norethindrone idafitiye akamaro?

Yego, hari uburyo buhari, buri kimwe gifite ibiciro bitandukanye. Kwihutisha ibikoresho by'imyabaga bifasha abakoresha ibyo bikoresho, nubwo bifite ibyago byo kurwara imitsi n'uburibwe. Igikoresho cya hormonal IUD kigabanya cyangwa gihagarika amaraso mu mezi aho kuvuga iminsi, rero gikemura ibibazo by'umwaka utaha, ntabwo ibibazo by'uyu mpera y'icyumweru. Ibi byose ni ibyemezo by'umuganga.

Ikintu cy'ingenzi: igihe, ntabwo kinini gitanga icyemezo niba ibi bikora

Ibintu bine byihindura mu musaruro. Tangira hafi iminsi itatu mbere yuko imis Hamilton yegereye, byiza ku munsi wa 12 cyangwa mbere. Reka umuganga agena urugero n'igihe cy'urugendo, hamwe na 5 mg ya norethindrone acetate inshuro eshatu ku munsi nk'uburyo bwakoreshejwe mu bushakashatsi. Tegereza amaraso ku minsi 3 kugeza 7 nyuma y'uruhare rwawe rwa nyuma, kandi uhitemo neza igihe cyo guhagarika. Kandi gukomeza gukoresha uburyo bwo kwirinda inda, kuko gukoresha norethindrone kugira ngo usubike amaraso y'imis Hamilton ntibigira icyo birinda. Ibyo bisigara ikintu kimwe cyo kwibuka kubijyanye n'uburyo bwo gufata norethindrone kugira ngo uhagarike amaraso y'imis Hamilton neza: kubabara mu gituza, kugorwa mu guhumeka, intege nke ku ruhande rumwe, cyangwa uruguru rw'ibibero bisobanura guhagarika ibinini no gushaka ubuvuzi bwihutirwa.

Igihenure: Ingingo iyi niho y'amakuru gusa kandi ntibishobora kuba inama y'ubuvuzi. Burugura umuganga ufite ubuhanga kugira ngo ugire ubugenzuzi n'ibyemezo by'ubuvuzi. Niba ufite ikibazo gikomeye cy'ubuzima, hamagara 911 cyangwa ugende mu gikoni cy'ibitaro byihutirwa.