Oya, keretse gusa umwanditsi w'ibiryo byemewe yabiguhamije. Urashobora gufata norethindrone 2 icyarimwe kugira ngo uhagarike imihango vuba? Kwigopya igipimo kongeramo guhanura imisemburo hamwe nibikorwa byingenzi byo kwibasirwa ntibikongeraho gutsindwa kwo kuvugurura imihango. Fata igipimo cyawe cyanditswe, kandi uhamagare umuganga wawe niba imihango idahinduka.

TL;DR: Ibintu by'ingenzi byo kwibuka

  • Ntubikope wenyine. Inyongerano yinyongera ntago ari uburyo bwa vuba bwa resept yawe.
  • Urukingo rwa kabiri ntirukora vuba kuko progestin ikomeza uruhererekane rw'uruhu iminsi, aho kuba amasegonda.
  • Gupima norethindrone byo hejuru birahari, ariko bigenwa numwanditsi wubuvuzi nyuma yo gusuzuma impamvu y'amaraso.
  • Urukingo rumwe rwikosa rimwe na rimwe ntago ari ikibazo cyihutirwa, ariko ntukajye ufata urukingo rwa gatatu kugirango ubikosore.
  • Guhindura pad buri saha amasaha 2 cyangwa menshi, cyangwa ikintu cyangwa ibimenyetso byo gukubita, bisobanura guhamagara 911.

Igisubizo cyihuse: gufata norethindrone 2 icyarimwe ntibihagarika imihango vuba

Urashobora gufata norethindrone 2 icyarimwe kugira ngo uhagarike imihango? Oya, keretse gusa umwanditsi wawe yaguhaye kubikora. MedlinePlus (NIH) irasobanutse: ntukajye ufata igipimo cyo kwigopya kugirango usimbure icyazimiye, kandi ntukajye ufata irindi shyiramo, cyangwa ukabikoresha kenshi, kuruta uko byagenwe. Inyongerano zinyongera ziyongerera ubuhinduzi bwa hormone ntibyongereho umuvuduko.

Dore inzira ihuriweho ntamashyirahamwe agenera ibindi bikoresho ashobora gusobanura. Progestin ikora ikomeza uruhererekane rw'uruhu, kandi ibyo bigaragara muminsi yo kwishimira bikomeye, aho kuba amasegonda nyuma y'urukingo. Igipimo cy'ibikorwa cyo guhagarika amaraso ntikigere kigerwa kandi ntigikoreshwa mu buryo bumwe. Urukingo rwa kabiri rwiyongera kurwego rwa hormone yawe. Ntabwo ibongeraho hemostasis.

Hariho ibibazo bibiri by'ukuri biganisha kuri iri shingiro: wazibye urukingo, cyangwa igipimo wahawe ntacyigenzura ku maraso. Bombi bashobora gusobanurwa hepfo, kandi bafite ibisubizo bitandukanye.

Gukoresha norethindrone ku maraso bigenwa numwanditsi wubuvuzi, ntibikope kumasaha

Gupima norethindrone kubantu bafite ibibazo bikomeye ni umwanzuro wumwanditsi ufatwa muri miligiramu kumunsi, muburyo bwo muminsi itandukanye. FDA label kuri DailyMed ivuga ko 2.5 kugeza 10 mg kumunsi iminsi 5 kugeza 10 kubavunagura bidahwitse kubera guhindagurika kwa hormone, hamwe no kuvugurura amaraso byitegwaho nyuma yiminsi 3 kugeza 7 nyuma yo kurangiza.

Gupima hejuru birahari. Inyandiko yo kwitegereza igaragaza ko yavuguruye amaraso akomeye mubagore bakiri bato (PMC, 2020) ivuga ko gupima hejuru kwa norethindrone acetate kugeza 5 kugeza 10 mg buri masaha atandatu, ikoreshwa mugihe estrogen itaboneka, hanyuma ikagabanywa uko amaraso agabanuka. Ni izihe nkingi zikikije umubare: ibitaro, igizamini, numuntu ureba amaraso kugirango afate umwanzuro mugihe agabanya igipimo.

Iyo nshingiro ivuga ko norethindrone acetate kubavunagura bidahwitse kandi ko kugaragara kw'imihango bidashobora kubaho mugihe amashyirahamwe akomeye nk'imitsi ikomeye cyangwa kanseri y'umugongo. Amaraso adasobanutse cyangwa adasanzwe akomeye akenera gusuzumwa mbere yuko igipimo cyose cyiyongera.

Kwitegereza kugenzura no gufata urukingo rwiyongera kumuntu ntabwo bikora kimwe. Iki cyambere giherekezwana n'uburwayi. Iki giheruka gishobora gucecekesha amaraso bihagije kugirango bikindurwe kumenya impamvu yabiteye.

Kugirango ugire icyo wakora wenyine: urukingo rwagati kuva 0.35 mg kugeza 5 mg, kandi ibipimo byagenewe buri munsi biragera kuri 2.5 kugeza 15 mg bitewe nicyo bikoreshwa. Kwigopya urukingo rwa 0.35 mg rwo gukumira inda no kwigopya urukingo rwa 5 mg ni ibintu bitandukanye cyane bya hormone.

Kwigopya igipimo byongera ibikorwa byingenzi, aho kuba ibyo ushaka

Kwigopya igipimo cya norethindrone byongera kwirinda byose bikora, harimo ibice utishimiye. FDA label irimo impuruza kubyerekeranye nibibazo byo kubyimba no kubyimba, harimo kubyimba kw'imitsi y'amaguru no guhagarara kw'umusonga, kandi igasaba kwitonda ku bantu bafite ibyago by'umutima: indwara yo mu mutima, diyabete, kunywa itabi, kolesteroli nyinshi, cyangwa umubyibuho. Inyandiko nanone igaragaza guhagarika imiti niba ibibazo by'amaso bikorewe, kwihindura kw'amaso, cyangwa umutwe mushya ufite imirire itera.

Ikiguzi cyo kubaho buri munsi kirushijeho kuba cyoroheje kandi gikunze kubaho: gusama, kubabara kw'ibere, umutwe, guhinduka kw'umunyu, no kwihinduranya bidahwitse nyuma.

Hariho kandi ikibazo cy'icyo gihe. Inyongerano z'inyongera bisobanura ko paki irangira vuba, kandi ikiruhuko ku mpera y'icyo gihe gishobora gutera amaraso akomeye nyuma.

Urukingo rwabuze ntacyo rutuma wifunga ibitsinze bibiri

Urukingo rwa norethindrone rwabuze ni ibintu bisanzwe kandi bifite igisubizo cyiza. MedlinePlus ivuga ko ugomba kugifata vuba uko ubibonye, ariko niba hafi igihe cyo gufata urukingo rukurikira, wihanganire icyabaye kandi ntukajye wifunga.

Gukumira inda ni ingingo ikwiye kumenya. Ibyerekeranye n'DailyMed progestin-only pill information, urukingo rwa progestin-only rwafashwe amasaha 3 kurenza igihe cyagenwe rubazwa ko rwabuze kandi rugakomeza gusobanura ibyago by'inda, kandi umuyobozi ni ugufata urukingo vuba uko ubibonye kandi ukoreshe uburyo bwo gukumira inda, bushobora bisobanura ko urukingo rwa kabiri rwashyirwa kumunsi umwe. Ibyo ni ugusubira inyuma mu gukumira inda, aho kuba gukubye igipimo cyo guhagarika amaraso.

Niba waramaze gufata bibiri kubera ikosa: urukingo rumwe rw'ikosa ntago ari ikibazo gikomeye mu gihe nta bimenyetso by'ubuhanga biri hepfo. Ntukajye ufata urukingo rwa gatatu kugirango ubikosore, kandi uzagaruke ku murongo wawe usanzwe ku gihe cyagenwe gikurikiyeho. Kubyerekeranye n'ikibazo cy'uburozi bwa norethindrone, MedlinePlus ikuyobora kuri Poison Control kuri 1-800-222-1222, cyangwa 911 niba umuntu yapfuye cyangwa atabashije guhumeka. Kandi ntukajye uhagarika cyangwa uhindura uko ufata norethindrone utabiganiriye na muganga wawe.

Amata arakomeye kuri norethindrone ni impamvu yo kwegera umuganga, aho kuba gufata byinshi

Amata akomeye kuri norethindrone bisobanura ko gahunda ikeneye kuvugururwa, aho kuba ugomba gufata igipimo kinini uyu munsi.

Hamagare 911 cyangwa ujye ku cyumba cyihutirwa none niba:

  • Uramaze gusohora pad cyangwa tampon buri saha amasaha 2 cyangwa menshi, cyangwa usohora ibikoresho binini.
  • Wumva ubizahajye cyangwa ubizibira, cyangwa ufite umutima wihuse cyangwa guhumeka bike hamwe n'amaraso menshi.
  • Uraza kugira ububabare bwihuse bw'ukuguru cyangwa gutwika, ububabare bw'ibere, guhumeka bike cyane, cyangwa kugongera amaraso.
  • Uraza kugira umutwe ukomeye, guhagarika kw'amaso, kuvuga cyane, cyangwa intege nke kuboko kumwe.

Shyira ku rutonde rwa gahunda mu cyumweru gitaha niba:

  • Amashusho aracyakomeje nubwo wafashe igipimo cyawe cyagenwe neza.
  • Amashusho yamaze igihe kirenze uko umuganga wawe yavuze ko yitegwaho.
  • Uraza kurangiza urukingo mbere yuko igihe kirangira.
  • Ufite ibimenyetso by'uburwayi bw'ububare buke bw'ububare, nk'unaniro cyangwa guhumeka bike munini munsi y'inzoka.

Kuri iyo ntara yo hagati, urugendo rw'amashusho ni intambwe ikurikira. Uru rugendo rwa mbere rwa madolari 39 kuri murandasi ruguhuza numuganga wemewe mu bihugu by'Abanyamerika uzareba ibimenyetso byawe nikoreshwa ryawe ry'ubu kandi afate umwanzuro niba urukingo cyangwa impinduka y'igipimo bifatika. Ntabwo bishobora kwemeza urukingo, ntashobora gusuzuma amaraso akomeye cyangwa ibimenyetso by'ubuhanga, kandi ntashobora gusobanura ikintu nk'imitsi. Ibyo bikenera kwitegereza.

Ganira numuganga mbere yuko utangira niba: ufite indwara y'umwijima, ufite indwara y'imitsi y'amaraso cyangwa imitsi yo mu muryango, kanseri y'ibere iriho cyangwa yavuyemo, imirire y'umugore, unywa, cyangwa washobora kuba utwite.

Ibyo byose: amaraso igihe cyose nyuma yo kurangiza, cyangwa amaraso mashya adasobanutse adasuzumwe na rimwe, akenera gusuzumwa aho kugira ngo igipimo gihinduke. Hormone zishobora guhagarika ayo maraso kandi zikaba zikomeye n'impamvu yabyo.

Ibibazo bisanzwe bibazwa

Norethindrone irasa na norethindrone acetate (Aygestin)?

Oya. Bahujwe cyane ariko ntibahinduranywa. Norethindrone isanzwe izwi nk'urukingo rwa progestin-only rwa 0.35 mg (ibimenyetso nka Camila na Errin). Norethindrone acetate, igurishwa nka Aygestin, yaje mu rukingo rwa 5 mg kandi niwe wemewe na FDA label kubavunagura bidahwitse. Soma ku rupapuro rwawe mbere yo kwemeza ko igipimo icyo ari cyo cyose kibareba.

Norethindrone ihagarika amaraso ako kanya?

Oya. Amaraso agabanuka buri munsi muminsi mike yo gukoresha bikomeye aho guhagarara mumasaa, kandi nibyo byose bituma urukingo rwa mbere rudafasha. FDA label yitegura kuvugurura amaraso nyuma yiminsi 3 kugeza 7 nyuma yo kurangiza, bityo amaraso yoroheje nyuma yo kurangiza akaba ari ibikoresho bikora nk'uko byagenze.

Nshobora gufata ibuprofen na norethindrone kubavunagura bikomeye?

Rimwe na rimwe. NSAIDs zishobora kugabanya amaraso y'imihango n'ububabare, kandi ntibihurana na progestins mu buryo bubuza kwikoreshwa, ariko niba bikugendekera bitewe n'imitsi y'amaraso yawe, imitsi y'igifu, n'amateka yawe. Baza umuganga wawe mbere. Niba ufite ibuprofen isanzwe, soma kuri uburyo bwo kwirinda ububabare bw'igifu biva kuri ibuprofen.

Birumvikana gufata ibitsinze 2 bya norethindrone niba nshobora kuba ntwite?

Oya. Norethindrone acetate ntabwo ikoreshwa mu nda izwi, kandi kongera igipimo cy'umwanditsi w'ubuvuzi mugihe inda ishoboka ari ikosa mukuryo zombi. Fata test y'inda, hanyuma uhamagare umuganga wawe nimisunzu mbere yo guhindura ikintu icyo ari cyo cyose. Niba amaraso ari menshi kandi test yemeza ko ushobora kuba utwite, uzabyitware nk'ihamagare ryihutirwa.

Icyo bivuze: urashobora gufata norethindrone 2 icyarimwe kugira ngo uhagarike imihango? Oya, keretse gusa umwanditsi wawe yaguhaye kubikora. Fata igipimo wahawe, ubyitware ku rukingo rwabuze mukwirinda aho kwibanda, kandi ubyereke ku maraso atagishoboye kugera ku muganga aho kugana urukingo rwa kabiri.

Inyandiko: Inyandiko iyi iragamije gutanga amakuru gusa kandi ntabwo isobanura inama y'ubuvuzi. Komeza wibazane numuvuzi ufite ubumenyi kugirango ugere ku rwego rwo gusobanura nibyo bikoreshwa. Niba ufite ikibazo cy'ubuvuzi, hamagara 911 cyangwa ujye ku cyumba cyihutirwa cyegereye.