Vanhu vazhinji vanobuda ropa mukati memazuva matatu kusvika manomwe mushure mekupedzisira kutora piritsi re norethindrone, uye kubereka kunogona kudzoka nekukurumidza. Hapana kuderedza kunodiwa. Zvinoitika paunoregedza kutora norethindrone zvinoenderana nekuti wakaidya nei: chikamu chekurapa kwenguva pfupi chinowanzopedza nekubuda kweropa nekukurumidza, nepo kushandiswa kwemwedzi yakawanda kunogona kusabvisa chinhu.

TL;DR: Zvinhu Zvakakosha

  • Tarisiro yekubuda kweropa kwemazuva 3 kusvika 7 mushure mekupedzisira piritsi, richagara mazuva angasvika 3 kusvika 8.
  • Kudzivirirwa kubva pakubata pamuviri kunopera nepiritsi rekupedzisira iroro. Hapana nguva yekuregererwa.
  • Mushure memwedzi yekushandisa mini-pill nguva dzose, kubuda kweropa kudiki kwazvo kana kusauya zvachose kunowanzoitika.
  • Hapana kubuda kweropa pazuva rechi10 uye wakaroorana here? Ita bvunzo yekubata pamuviri pamba kutanga.
  • Mazuva echikadzi anogona kuramba asina kurongeka kwemwedzi ingasvika mitatu isati yagadziriswa.

Zvinoitika paunoregedza kutora norethindrone: hapana chinobviswa, kudzora kunongobviswa

Hapana chiri kunyatswa kubva mumuviri wako. Norethindrone inoshanda nekudzvinyirira masvingo emukati echiibereko, uye kazhinji, ovulation, saka zvinoitika paunoregedza kutora norethindrone ndezvekuti kudzvinyirira kunobviswa. Endometrium inodonha, kazhinji sekuibuda kweropa mushure memazuva matatu kusvika manomwe, uye ovulation inogona kutanga zvakare nekukurumidza. Chero chipi chakanga chadzorwa nemushonga chinodzokera pacharo nguva.

Nhamba yemazuva matatu kusvika manomwe inobva kune FDA-yakabvumidza label ye norethindrone acetate (DailyMed, 2024), iyo inotsanangura dosi ye5 mg inoshandiswa pakurapa endometriosis uye kubuda kweropa zvisina kurongeka kwechibereko, kwete iyo 0.35 mg contraceptive mini-pill. Musiyano wacho wakakosha kupfuura zita remhando ipi zvayo. Kana masvingo ako ave mutete kwemwedzi, kubuda kwako kweropa kunogona kuva kudiki, kwakareba, kana kusauya.

MedlinePlus (2024) iri pachena pamusoro pezvasara: norethindrone (norethisterone kunze kweUS) inobata endometriosis uye kubuda kweropa zvisina kurongeka kwechibereko pasina kuponesa chero ipi zvayo, saka usaregedza kurapwa kwawakapiwa pasina kutaura nachiremba wako. Uye kana yaive yekudzivirira pamuviri, kubata pamuviri kunogoneka nekukurumidza.

Chikadzi chako chinofanira kudzoka mukati mevhiki, kwete mwedzi

Mhinduro yakatendeseka kumubvunzo wekuti 'rikati riini chikadzi chichadzoka' kazhinji mukati mevhiki mushure mekupedzisira piritsi. Hwindo reFDA label riri mumazuva matatu kusvika manomwe, uye vanhu vanowanzoona mavara ekutanga achitanga nezuva rechipiri.

Chikamu chekare: kubuda kwemavara mashava achioma mukati memazuva maviri kusvika matatu, kuva neropa rakazara tsvuku nemazuva mana kusvika mashanu, zvobva zvadzika nemazuva manomwe kusvika masere. Zvinotora nguva yakareba sei kubuda kweropa? Kazhinji mazuva matatu kusvika masere.

Kufungidzira kunotora nguva yakareba kupfuura kubuda kweropa. Cleveland Clinic inotaura kuti mazuva echikadzi anogona kuramba asina kurongeka kwemwedzi ingasvika mitatu mushure mekuregedza kudzivirira pamuviri kwehomoni isati yagadziriswa kuti ive nekuita kwakavimbika.

Kubuda kweropa kwekutanga kunokonzerwa nekuregeredza, kwete kutanga patsva kwechidooni

Kubuda kweropa mushure me norethindrone kunoreva kuti masvingo ako echiibereko ari kuita nekuda kwekudzikira kwemazinga ehormone, kwete kupedza kwechidooni che ovulation. Progestin inodonha, endometrium inorasikirwa nekutsigirwa kwayo, uye inodonha. Ndiko chiito chekudzikira kwehomoni.

Hezvino zvakawanda zvichasarudza kukuudzai: kubuda kweropa kunoratidza zvishoma kudarika vashandisi vanofunga. ACOG (2023) inotaura kuti norethindrone-only pills dzinodzvinyirira ovulation zvisina kurongeka, nevanhu vashoma vana kubva kune gumi vachiri kuita ovulation, saka kubuda kweropa hakukuudzi kana waibuda ovulation. Hazvibvisiwo pamuviri.

Kureba kwekushandiswa kunoita chimiro. Mushure mechikamu chekurapa kwemazuva 5 kusvika 10 chekumisa nguva, kubuda kweropa kunowanzoita nekukurumidza uye kuita semazuva echikadzi. Mushure memwedzi yekushandisa nguva dzose, tarisiro yekudiki, kunonoka, kana kusauya. Kurwadza kunowanzoitika, uye kana uchishandisa ibuprofen pakupera kwaro, inwa nekudya pane kuzviwanira kurwadza mudumbu kubva ku ibuprofen pamusoro pekurwadziwa.

Kana norethindrone yaive yekudzivirira pamuviri, kudzivirirwa kunopera nepiritsi rekupedzisira

Funga nezve kusiyana kwakaderera paunenge uchiri kuitora. CDC U.S. Selected Practice Recommendations (2024) inonzi norethindrone dose yakapotswa kana maawa matatu apfuura, uye inopa zano kurega kana kushandisa kudzivirirwa kwekuwedzera kusvikira mapiritsi atora nemazvo kweanoda kutevedzana mazuva maviri. Kudzivirirwa kunopera mumaawa matatu hakugari kwevhiki.

CDC inopawo zano kufunga nezve kukurumidza kudzivirira pamuviri mushure mekusaroora kana kurara pamwe chete mushure mekutora dose yakareba kana yakapotswa, uchidzivirira ulipristal acetate zvakanyanya, sezvo isingafanirwe kusanganiswa neprogestin. Izvi ndezvekuti, paACOG, mini-pill inovimba zvakanyanya nekukora kwemukaka wepabonde uye nguva chaiyo yemazuva ose.

Saka ita chinhu chiri nyore: tanga nzira yako yekutsiva pazuva rekupedzisira piritsi rako re norethindrone. Hapana gap, hapana kuverengerwa.

Zvakawanda zvinokonzerwa nekuregedza zvinongova kudzoka kwenzira yako yekare

Zvakawanda zvinokonzerwa nekuregeredza norethindrone hazvisi zviratidzo zvekudzikama zvachose. Kushanduka kwemanzwiro, kurwadziwa kwezamu, marwadzo nemusoro, kuzvimba, uye mazuva echikadzi asina kurongeka ndizvo zvakajairika, uye zvakawanda zvinogadzikana mukati memazuva echikadzi kana maviri sezvo progestin inodonha ichirega kudzora zvinokanganisa zvinhu zvinodzora manzwiro muuropi. Kana kusuruvara kukapinda mukutya kwakadzokorora, chimiro ichocho ndeche rumination-definition-causes-how-to-stop-it" target="_blank" rel="noopener noreferrer">rumination, uye chinopindura kune zvimwe zvishandiso kupfuura kungomirira shanduko yehomoni.

Dambudziko rakakura ndicho chirwere chiri pasi payo. MedlinePlus iri pachena kuti norethindrone inobata pane kuti inorapa, saka marwadzo echi endometriosis uye kubuda kweropa kwakanyanya kunogona kudzoka. Ziva kuti kubuda kweropa panguva yekurapa hakusi chikonzero chekuregedza: muchikamu che 2012 PMC cohort, chakakanganisa 44.4% yevariwoshandi vane endometriosis pa norethindrone acetate uye chakagadziriswa nekugadzirisa dosi. Iyo label inobvumira mwedzi mitanhatu kusvika mipfumbamwe yekushandisa, kana kusvikira kubuda kweropa kwakanyanya kuchikonzera matambudziko.

Hapana kubuda kweropa pazuva rechi10 kunoda bvunzo yekubata pamuviri, kwete kumirira zvakare

Kana chikadzi chako chisati chadzoka mushure mekuregedza norethindrone uye wakaroorana, zuva rechi10 ndiro muganho wako. Ita bvunzo yekubata pamuviri pamba usati wafungidzira kuti kunonoka kwacho kungori homoni, uye iongorore zvakare mushure mevhiki kana ikasashanda uye uchiri kuona chinhu.

Mushure memwedzi yekushandisa progestin-only nguva dzose, kusauya kweropa zvachose kunowanzoitika uye hakusi chiratidzo chepamuviri chega. Kana uchiri usina chikadzi mushure memwedzi ingasvika mitatu mushure mekuregedza, ona chiremba. Norethindrone haikonzeri kusagadzikana kwekugara.

Kana uchida nhaurwa iyoyo nekukurumidza, August's $39 online urgent care visit inokubatanidza kune chiremba ane rezinesi muUS anogona kuongorora zviratidzo zvako uye kuona kana bvunzo kana kurapwa zvakakodzera. Haisi kugona kuita ongororo yepelvic, ultrasound, kana ma lab emuviri, uye hapana kushanya kunovimbisa mushonga.

Nguva dzekuregedza norethindrone dzichava dzejekiseni

MedlinePlus (2024) inonyora zviratidzo zvekukanganisa kweclot, sitiroko, kana dambudziko rechiropa kune chero ani kana achitora kana achangobva kutora norethindrone.

Fona 911 kana enda kune imwe nzvimbo yekukurumidzira zvino kana:

  • Kusagadzikana kwechidooni, kuona kwakajeka, kana mwenje unorara
  • Musoro wakakomba usingafanane nemusoro wawakambove nawo kare
  • Kutaura kwakashata, kana kusununguka kana kusatendera kune rumwe rutivi rwemuviri
  • Kurwadziwa kwechipfuva, kufema kwakakwirira, kana kukosora ropa
  • Kurwadziwa, kuzvimba, kupisa, kana tsvuku mumakumbo rimwe
  • Kusviba kweganda kana maziso, kana kurwadziwa kwakakomba kwechipfuva chepamusoro-kurudyi
  • Kubuda kweropa kunonyorovesa pad kana tampon awa rimwe chete kwemaawa 2 kana kupfuura, makota makuru kupfuura mari, kana kunetseka nekukundwa

Ronga kushanya mukati mevhiki rinouya kana:

  • Kubuda kweropa kunotora nguva yakareba kupfuura maawa 8
  • Hapana kubuda kweropa pazuva rechi10 uye pamuviri kunogoneka
  • Marwadzo echiEndometriosis kana nguva dzekurema dzichidzoka
  • Nguva dzichiri dzekuvhiringidzika mwedzi mitatu mushure mekupedzisira piritsi rako

Zvimwe zvezvinhu izvi zviri nani kugadziriswa usati wapindira piritsi rekupedzisira pane mushure maro. Taura nachiremba usati watanga kana:

  • Unoitwa norethindrone ye endometriosis kana kubuda kweropa kwechibereko zvisina kurongeka
  • Ndiyo yekudzivirira yako chete uye haudi kubata pamuviri
  • Wamboita nhoroondo yekuva nekukanganisika kwe clot kana musoro une aura, izvo zvinoderedza sarudzo dzako dzekutsiva
  • Uri kuyedza kubata pamuviri mushure mekushandisa kwenguva refu

Mibvunzo Inowanzo bvunzwa

Ndinoda here kuderedza norethindrone, kana kuti ndingaregedza kamwe chete?

Kwete. Hapana chikonzero chekuti uzvideredze, uye izvo zvinoitika paunoregedza kutora norethindrone kamwe chete zvakafanana nekuregedza zvishoma nezvishoma: homoni inodonha uye masvingo echiibereko anodonha. Kuchenjerera kwechokwadi hakusi kwe pharmacology asi kwekurapa. MedlinePlus inopa zano kurega kurapwa kwakapiwa pasina kutaura nachiremba wako, nekuti chirwere chepasi chinoripo.

Ndinogona here kuregedza norethindrone pakati pebhokisi?

Hongu. Mapaketi eprogestin-chete hapana vhiki re placebo rekupedzisa, saka hapana chekupedzisa. Kudzivirirwa kwako kunopera nezuva iroro, kwete pakupera kwebhokisi, saka tanga nzira ipi yekutsiva nekukurumidza. Usachengeta mapiritsi asina kushandiswa kuti uzvipe wega gare gare kuti umise nguva kana kudzora zviratidzo, sezvo dosi ne nguva zvinoenderana nechinangwa.

Kuregedza norethindrone kuchakonzeresa mburwa here?

Kwete kazhinji. Kudzoka kwemburwa vanhu vanotsanangura mushure mekuvhenganiswa mapiritsi kunokonzerwa nekurasikirwa kwe estrogen, iyo yaive ichidzora chiitiko che androgens paganda. Norethindrone-only pills hapasati dzambopa estrogen iyo, saka vanhu vazhinji havachinji zvakanyanya paganda ravo. Kana mburwa dzakanga dzatovepo usati watanga, tarisiro dzayo icharamba iri pamwero wakada kufanana nevekare.

Ndicharasa here uremu mushure mekuregedza norethindrone?

Dzimwe nguva, uye zvishoma kupfuura zvaungatarisira. Chero kudonha kwevhiki rekutanga kunowanzova paunzi kana maviri ekudonhedzwa kwemvura uye kuzara kwezamu, kwete mafuta. Kudzikama kwezvimwe kunotora ndiko kuchinja kwechokwadi uye kunofadza, asi ingori mvura. Kana uremu hwako huchichinja zvakanyanya mumwedzi unotevera, tsvaga chimwe chikonzero pane kuchirumbidza piritsi.

Chikuru

Zvinoitika paunoregedza kutora norethindrone zviri nyore muchimiro uye zvakasiyana-siyana mune zvakawanda: kubuda kweropa mukati memazuva matatu kusvika manomwe kuchagara kwemazuva matatu kusvika masere, kubereka kunodzokera nekukurumidza, mazuva echikadzi asina kurongeka kwemwedzi ingasvika mitatu, uye chirwere chepakutanga chakasununguka kudzoka. Mazuva maviri akakosha. Tanga nzira yako yekudzivirira yekutsiva pazuva rekupedzisira piritsi rako, uye ita bvunzo yekubata pamuviri kana pasina chakadzoka nezuva rechi10.

Disclaimer: Nyaya ino ndeyekuzivisa chete uye haisi zano rekurapa. Nguva dzose bvunza chiremba ane ruzivo kuti uwane tsananguro nekuita sarudzo dzekurapa. Kana uri kusangana nedambudziko rekurapa, fonera 911 kana enda kune imwe nzvimbo yekukurumidzira nekukurumidza.