Indlela Yokuthatha I-Norethindrone Ukuyeka Ukuya Esikhathini: Isikhathi, Umthamo, Futhi Ubani Ongafanele Kusebenzise

Qala i-norethindrone cishe ezinsukwini ezintathu ngaphambi kokuba ukuya esikhathini kube ngenxa, ngomthamo odalwe udokotela wakho, ovame ukuba ngu-5 mg we-norethindrone acetate kathathu ngosuku, bese uqhubeka uyithatha ngesikhathi somcimbi wakho. Ukopha kuvame ukubuyela emuva ezinsukwini ezi-3 kuye kwezi-7 ngemuva komthamo wakho wokugcina. Le ngxenye ayikho emyalweni wokusebenzisa, futhi ayikona ukuvimbela ukukhulelwa.

Isifinyezo: Izinto Ezibalulekile

• Qala cishe ezinsukwini ezintathu ngaphambi kokuba ukuya esikhathini kube ngenxa. Ukufunda indlela yokuthatha i-norethindrone ukuyeka ukuya esikhathini ukopha kuyindaba yokubala emuva, hhayi eyokunikeza umthamo.
• Uhlelo olufundelwe lokubambezeleka ngu-5 mg we-norethindrone acetate kathathu ngosuku, ngesikhathi kadokotela kuphela.
• Ukuopha kuvame ukubuyela emuva ezinsukwini ezi-3 kuye kwezi-7 ngemuva komthamo wokugcina, ngakho-ke khetha usuku lokuyeka ngokucophelela.
• Ukusebenzisa kuyinto engamangalisiwe, futhi umuthi awuwona umuthi wokuvimbela inzalo.
• Awukwazi ukuyeka ukuya esikhathini okusuke sekuqalile.

I-Norethindrone ibambezele ukuya esikhathini, futhi ayizange igunyazwe ukuyeka.

Ukuthatha i-norethindrone ukubambezele ukuya esikhathini ngenxa yomshado, umncintiswano, noma indiza ende kuyisebenzisa ngendlela engamangalisiwe yomuthi ogunyazelwe okunye. Uhlu lwe- FDA lwe-norethindrone acetate luhlanganisa i-amenorrhea yesibili, i-endometriosis, nokopha okungajwayelekile esithweni sangasese sowesifazane ngenxa yokungalingani kwama-hormone. Ukuhlehlisa ukuya esikhathini okuyinkinga akuboniswa khona.

Indlela yokwenza yileyo: ithebhulethi igcina amazinga e-progestin aphezulu ukuze umthondo wesibeletho uhlale ubunjwe, futhi umthondo ususwa uma umuthi uyeka.

Ngakho-ke ngabe i-norethindrone iyayeka ukuya esikhathini? Ibambezele ukopha kunokuyivala, futhi uma isilungiselelwe kahle iyayenza kahle le nto. E- ucwaningo olwenziwa ngokungahambi ngezinombolo olushicilelwe ku-BMC Women's Health, abesifazane abangu-8.7% abebephuza i-norethindrone acetate engu-5 mg kathathu ngosuku babe nokopha noma ukuphuma kwegazi phakathi nokubambezeleka, uma kuqhathaniswa nabesifazane abangu-43.5% ababebenzisa ama-contraceptives angomlomo ahlanganisiwe ngalendaba efanayo (p<0.007).

Okungayenzi ukuthi ivimbele ukukhulelwa, ngakho-ke noma yiluphi uhlelo obelusebenzisa kufanele luqhubeke. Imithi eminingi yama-hormone ihambisa umjikelezo ngaphandle kokuba yenzelwe yona: i- Plan B ingabambezele ukuya kwakho esikhathini, futhi ayiwona umuthi wokubambezeleka.

Indlela yokuthatha i-norethindrone ukuyeka ukuya esikhathini: qala ngaphambi kokuba kuqale ukopha

I-Norethindrone idinga iresiphi kadokotela. Qala cishe ezinsukwini ezintathu ngaphambi kokuba ukuya esikhathini kube ngenxa, thatha umthamo udokotela wakho akubekele (ovame ukuba ngu-5 mg we-norethindrone acetate kathathu ngosuku), qhubeka ngesikhathi somcimbi wakho, bese uyeka uma usulungele ukuopha. Ukopha kuvame ukulandela ezinsukwini ezi-3 kuye kwezi-7 kamuva. Ukuqala ngemuva kokuqala kokopha akusebenzi.

Ukufika ngaphambi kungcono kunokufika sekwephuzile. Kwi-BMC Women's Health protocol, umthamo waqala ngosuku lwenyanga lwe-12 noma ngaphambili, olusuka phambili kunalokho abantu abaningi abacabanga ngakho lapho bebhuka i-aphoyintimenti. I- lwehlisa ukopha ezinsukwini ezi-3 kuye kwezi-7 ngemuva kokuba umuthi uyekisiwe, okuyinombolo ohlela ngayo womabili amacala.

Uma uhlelwe ngezinsuku zangempela, ubukeka kanje:

• Umcimbi: Mhlaka-17 ku-Okthoba.
• Ukuya esikhathini kulindeleke: Mhlaka-14 ku-Okthoba.
• Bala emuva izinsuku ezintathu, ngakho umthamo wokuqala: Mhlaka-11 ku-Okthoba.
• Umthamo wokugcina: Mhlaka-18 ku-Okthoba, uma nje umcimbi usuwudlulile.
• Lindela ukuopha: cishe kusukela mhlaka-21 kuye ku-25 ku-Okthoba.
• Kuyo yonke le nto: qhubeka nokusebenzisa ukuvimbela inzalo kwakho okuvamile. Lokhu akuvimbeleli ukukhulelwa.

Hlukanisa imithamo ngokulinganayo, ekuseni, ntambama, nakusihlwa, kunokuba uhlanganise emibili yazo ndawonye. Izikhala phakathi kwemithamo yizo lapho ukuphuma kwegazi kungase kuqale khona. Futhi uhlelo luvela kudokotela owazi umjikelezo wakho. Ungalubuyiseli uhlelo kusuka kwenye iresiphi yakudala noma emaphilisi omunye umuntu.

Umthamo wokubambezele ukuya esikhathini awuwona umthamo we-mini-pill

Umthamo we-norethindrone wokuyeka ukuya esikhathini ukopha akuhlobene nomthamo kuphakethe le-mini-pill, futhi le yiwo kuphela umthombo omkhulu wezeluleko ezingqubuzanayo ku-inthanethi. I-Norethindrone 0.35 mg iyisithintamvubu esingenazo izinhlamvu ezithathwa kanye ngosuku njalo; ukuyithatha ngokuhlukile ngeke kubambezele lutho ngokwethenjwa. I-Norethindrone acetate 5 mg, ethengiswa njenge-Aygestin, yiyo ifomu elithathwa njenge-norethindrone acetate ukubambezele ukuya esikhathini ukopha.

Ngenxa yezizathu zayo ezigunyaziwe, uhlu lubeka u-2.5 kuye ku-10 mg we-norethindrone acetate ngosuku amahlandla ayi-5 kuye kwayi-10, futhi lokho kuyisimo odokotela abalungele ukusebenzisa ngaphandle kwesibonelo. Uhlelo lwezifundo belunguju-5 mg kathathu ngosuku, noma u-15 mg ngosuku. Amakhasi ase-UK abiza into efanayo ngo-norethisterone 5 mg, ngakho ikhasi laseBrithani alichazi umuthi owahlukile.

Ithebula: Umthamo we-norethindrone wokuyeka ukuya esikhathini ukopha, ngohlobo namandla.

Ungalokothi usike, uphindwe kabili, noma uhlanganise imithamo ukuze ukwandise umphumela. Ama-progestin engeziwe awathembisi ukubambezeleka okwengeziwe, futhi ukunikeza imithamo ngokungalingani kuyindlela ephumelela kakhulu yokubangela ukuopha obukuzama ukukugwema.

Kungani "ezingama-17" futhi "ezingama-27" zombili ziqinisile

Kungakanani i-norethindrone ibambezele ukuya esikhathini? Kuphela isikhathi lapho uyiqhubeka uyithatha. Yingakho izinombolo ezishicilelwe zibukeka zingqubuzana: i-LloydsPharmacy Online Doctor e-UK ichaza cishe izinsuku ezi-17 zokubambezeleka, amakhasi we-telehealth ne-period-care njenge-Wisp ne-Saalt achaza ukunikeza imithamo kuze kube sezinsukwini ezingama-20, nezinye iziqondiso ze-UK zisho kufika ezinsukwini ezingama-27.

Nansi into amakhasi amaningi angayitsheli: lezi zinombolo azilinganisi into efanayo. Ezinye zibalala ukuthi isikhathi esingakanani isifundo sinikezwe imithamo, ezinye ukuthi ukuopha kwabambezeleka isikhathi esingakanani, futhi zivela kumikhiqizo ehlukene (norethindrone 0.35 mg, norethindrone acetate 5 mg, UK norethisterone 5 mg) ziqale ngezikhathi ezihlukene kulo mjikelezo. Ukuqala ezinsukwini ezimbili ngaphambili esikhundleni sezinhlanu uzothola ukubambezeleka okuncane, noma ngabe yini ebhalwe ebhokisini.

Akukho mphumela ogciniwe. Usuku oluyeka ngalo yilo usuku lapho isikhathi siqala khona, futhi ukuopha kuvame ukuza ezinsukwini ezi-3 kuye kwezi-7 kamuva, ngakho-ke bala emuva kusukela lapho ukuya khona esikhathini kungaba khona. Empeleni, kungakanani i-norethindrone ibambezele ukuya esikhathini kuyimibuzo mayelana nalokho umbhali wakho akulungele ukukubhalela: isifundo esigijima ngaphesheya kwesikhathi esibekiwe se-5 kuye kwayi-10 kudinga ukugunyazwa okucacile, hhayi ukuzandisa.

Uma Usuqale Ukopha, Usuphuthelwe Isikhathi

I-Norethindrone ayikwazi ukuyeka ukuya esikhathini okusuke sekuqalile, umkhawulo i-LloydsPharmacy Online Doctor's UK period-delay service iyawubeka kahle. Uma ubheka ukuthi ungathatha kanjani i-norethindrone ukuyeka ukuya esikhathini ukopha ngemuva kokuqala kokopha, ukuqala manje kungase kube lula noma kufingqiwe ukuopha, kodwa ngeke kukubambezele. Hlela umjikelezo olandelayo, bese ucela umbhali ukuthi abeke izikhathi.

Phakathi komjikelezo, imithamo elahlekile kungenye iphuzu lokuhluleka. I- MedlinePlus iyeluleka ukuthatha umthamo olahlekile ngokushesha lapho uwukhumbula, ngaphandle kokuba kuseduze isikhathi somthamo olandelayo, kulokho kude. Ungaphindi kabili.

Imithamo yakamuva yandisa amathuba okuphuma kwegazi, futhi uma kuqala ukuphuma kwegazi, umqondo wokuyeka ungulona olungalungile. Hlala esikhathini bese ubiza umbhali, ngoba ukuyeka i-norethindrone ngokuphazima kweso akukwelulekwa ngaphandle kokwelulekwa kwezokwelapha. Uma ungakwazi ukutshela ukuthi ukuopha okuncane kuyiphuma kwegazi noma ukuya kwakho esikhathini ngaphambi kwesikhathi, qhathanisa nomfanekiso ojwayelekile we- ukuphuma kwegazi ngaphambi kokuya kwakho esikhathini.

Zihlolisise ngaphambi kokubhuka: i-norethindrone ayiphephile kuwo wonke umuntu

Okunye kwalokhu kuhlolwa ungakwenza ngaphambi kwe-aphoyintimenti. I- FDA label ayivumeli i-norethindrone acetate kubantu abanoloku:

• Umlando we-thrombophlebitis noma ezinye izimo ze-thromboembolic, okubandakanya i-deep vein thrombosis noma i-pulmonary embolism
• Isifo somgogodla we-cerebral
• Ukwaziwa noma ukusolwa komdlavuza webele
• Ukopha okungajwayelekile esithweni sangasese sowesifazane okungaziwa
• Ukungasebenzi kahle okukhulu kwesibindi
• Ukukhulelwa okwaziwayo noma okusolwayo

Ngaphandle kokuyeka ngokuqinile, i- Cleveland Clinic iyeluleka ukuthi kuthathwe ngokucophelela uma unomlando weziqu zokujiya kwegazi noma isifo semithambo yegazi, izinhlungu zekhanda ezimbi, isifo sesibindi, imitholampilo ethile, nezifo zokuxoshwa; izinhlungu zekhanda ezimbi ezihambisana ne-aura nokubhema ngemuva kweminyaka engu-35 kuyizimpawu ezijwayelekile kunoma iyiphi iresiphi ye-hormonal. Imithi eminingi ingakwazi ukudambisa ukubambezeleka uqobo, okubandakanya i-rifampin, eminye imithi ye-HIV, ama-barbiturate neminye imithi yokuxoshwa, ne-St. John's wort. Lindela ukuthi kukalwe ingcindezi yakho yegazi futhi ubuzwe ngomlando wakho nomlando womndeni wakho wokujiya kwegazi ngaphambi kokuba kunikezwe noma yini.

Uma usuvele usebenzisa i-contraceptive ehlanganisiwe, ungangezi i-norethindrone phezu kwayo. Kunalokho, buza mayelana nokudlulisa amaphakethe ahambisana ngokuqhubekayo bese ugwema isonto le-placebo, okuyindlela elula futhi eqondakala kakhulu kulowo osuke eseyiphuza iphilisi.

Uma isikhathi siminyene, i- wizidi yase-August engu-$39 online ikuxhumanisa nodokotela ogunyazwe yi-US ongabuyekeza umlando wakho futhi anikeze iresiphi lapho kufanelekile. Udokotela yilowo owenza leso sinqumo, hhayi inkundla. Ukubona ngesithombe akukwazi ukukuhlola, ukuhlela ukuhlolwa kwegazi ngalolo suku, noma ukuphatha ukuopha okuyigazini okwenzeka kakade, futhi akukho nalokho okumele kulinde i-aphoyintimenti ye-telehealth.

Izimpawu ezingezinhle kakhulu ziyizinkinga, kodwa ezimbalwa zisho ukuthi uyeke futhi uthole usizo

Izimpawu ezingezinhle kakhulu ze-norethindrone period delay ziyacasula kunokuba zibe yingozi: isicanucanu, ukudembela, ubuhlungu besifuba, ikhanda elibuhlungu, ukushintsha kwemizwa, nokuphuma kwegazi, konke lokhu kuvame ukulandela isifundo futhi kuyaphela lapho siphela. Lezo ezibalulekile yilezo zemithambo yegazi. I- MedlinePlus ibala ubuhlungu emlenzeni, ukufudumala noma ukudembela, ukuphefumula kancane okungazelelwe, ukukhwehlela igazi, nobuhlungu obukhulu esifubeni njengezimpawu ezingase zibhekise kusikweletu esidinga ukunakekelwa ngokushesha.

Shayela u-911 noma uye egumbini lezimo eziphuthumayo manje uma:

• Ubunzima besifuba obungazelelwe, ukuphefumula kancane, noma ukukhwehlela igazi
• Ikhanda elibuhlungu kakhulu, ukulahlekelwa umbono noma ukushintsha, inkulumo eyinyonyayo, noma ubuthakathaka noma ukubolabala ohlangothini olulodwa
• Ubuhlungu, ukufudumala, ukudembela, noma ububomvu emlenzeni owodwa
• Ukuphuzi kwesikhumba noma amehlo, umchamo omnyama, noma ubuhlungu obukhulu engxenyeni ephezulu yesokudla yesisu

Bhukha i-aphoyintimenti phakathi nesonto elizayo uma:

• Ukuopha kugcwala ipadi noma itampon njalo ngehora noma ngaphansi
• Ubuhlungu obukhulu besisu sesitho sangasese
• Ukuphuma kwegazi okungayeki ngenkathi uhlala esikhathini
• Akukho ukuopha kungakapheli cishe isonto kusukela emithanjeni yakho yokugcina
• Izinhlungu ezintsha, ezingapheli zekhanda

Khuluma nodokotela ngaphambi kokuba uqale uma:

• Noma yimuphi umkhiqizo ohlwini lokungasebenzisiwe ukusebenzela wena
• Unama-migraine anama-aura
• Ubhema futhi uneminyaka engaphezu kwengu-35
• Usuvele usebenzisa i-contraceptive ehlanganisiwe
• Uphuza i-rifampin, imithi yokuxoshwa, noma i-St. John's wort

Imibuzo Evame Ukubuzwa

Ngabe i-norethindrone iyayiyeka yini ukuya kwami esikhathini njalo ngenyanga uma ngiyaqhubeka nokuyithatha?

Kuvamile ukuthi cha. Isifundo esisodwa esihleliwe yinto eyodwa; ukusiphinda njalo ngenyanga kuyisinqumo sokuphatha, hhayi umkhuba wokuzimela, futhi akekho okumele ajikele emjikelezweni nangaphandle kwe-15 mg ye-progestin nsuku zonke ngokungapheli yedwa. Uma ufuna ukuya esikhathini ukugcizelelwe isikhathi eside, amathuluzi enzelwe lo msebenzi yi-pills ehlanganisiwe eqhubekayo noma yohlelo olugcwele kanye ne-IUD ye-hormonal.

Sekwephuzile yini ukubambezele ukuya kwami esikhathini uma umcimbi wami ungamashwa ezinsukwini ezintathu?

Ngezinye izikhathi. Lokhu ukubala kwesikhathi sokuqala kunokuba umthetho wezinsuku ezintathu. Uma ukuya kwakho esikhathini kusenezinsuku ezishumi noma ngaphezulu, kuvame ukuba nesikhala se-aphoyintimenti, ukulanda ekhemisi, nosuku lokuqala ezinsukwini ezintathu ngaphambi kokuba kube ngenxa. Uma kuphakathi kwamahora angu-48, ukuzama ukubala ukuthi ungathatha kanjani i-norethindrone ukuyeka ukuya esikhathini ukopha ngeke kukwehlele isikhathi.

Ngabe umjikelezo wami uzobuya uzilungise ngemuva kokuba ngiyekile i-norethindrone?

Yebo. Ku- ucwaningo lwe-BMC Women's Health, ukubuyela komjikelezo ojwayelekile kwakungaba yizinyanga ezi-2.0 ngemuva kwe-norethindrone, uma kuqhathaniswa nezinyanga ezingaba ngu-3.6 ngemuva kwama-contraceptives angomlomo ahlanganisiwe asetshenziselwa ukubambezeleka, futhi akukho ukukhulelwa okwenzeka ngesikhathi socwaningo. Umjikelezo wakho wokuqala ngemuva kungase kusuke usuke ngokushesha noma ubambezeleke ngaphambi kokuba isigqi sibuyele esimweni.

Ngabe kufanele ngithathe isivivinyo sokukhulelwa uma kungekho ukuopha okuvela ngemuva kokuba ngiqede isifundo?

Yebo. Ngoba lo muthi awuwona umuthi wokuvimbela inzalo, ukuopha okungakafiki kungakapheli isonto kusukela emithanjeni yakho yokugcina kufanelekile ukuhlolwa kunokulinda, futhi uhlu aluvumeli i-norethindrone ngesikhathi sokukhulelwa. Kunezinye izizathu ze- ukuya esikhathini okungazelelwe lapho ungakhulelwe, kodwa khipha ukukhulelwa kuqala.

Yiziphi izindlela ezikhona uma i-norethindrone ingaphephile kimina?

Yebo, kunezindlela ezihlukahlukene, ngayinye inezingozi zayo. Ukudlulisa amaphakethe asebenzayo e-pill ehlanganisiwe ngokuqhubekayo kufanele kulunge kulowo osuke eyithatha kakade, nakuba iletha ezayo izikweletu zayo kanye nokuhlolwa kwezinhlungu zekhanda. I-IUD ye-hormonal yenza ukuya esikhathini kube lula noma kuyeke ngaphezu kwezinyanga esikhundleni sezinsuku, ngakho-ke ixazulula imicimbi yonyaka ozayo, hhayi eyaleli mpelasonto. Konke lokhu kuyizinqumo zika-dokotela.

Isiphetho: Isikhathi, hhayi ithebhulethi, sinquma ukuthi lokhu kuzosebenza yini

Izinto ezine zishintsha umphumela. Qala cishe ezinsukwini ezintathu ngaphambi kokuba ukuya esikhathini kube ngenxa, okungcono ngosuku lwenyanga lwe-12 noma ngaphambili. Vumela udokotela ukuthi abeke umthamo nobude besifundo, nge-5 mg ye-norethindrone acetate kathathu ngosuku njengohlelo olwalufundwa ngempela. Lindela ukuopha ezinsukwini ezi-3 kuye kwezi-7 ngemuva komthamo wakho wokugcina, bese ukhetha usuku lwakho lokuyeka ngokuhambisana nalokho. Futhi qhubeka nokusebenzisa indlela yangempela yokuvimbela inzalo, ngoba ukusebenzisa i-norethindrone ukubambezele ukuya esikhathini ukopha akuyona iyona evikela lutho. Lokho kushiya into eyodwa ongayibamba ngekhanda mayelana nendlela yokuthatha i-norethindrone ukuyeka ukuya esikhathini ukopha ngokuphepha: ubuhlungu besifuba, ukungaphefumuli, ubuthakathaka ohlangothini olulodwa, noma umlenze obuhlungu nodembayo kusho ukuyeka amathebhulethi bese uthola usizo oluphuthumayo.

Isitatimende: Lesi sihloko siyenzelwe ulwazi kuphela futhi akusona iseluleko sezokwelapha. Njalo xhumana nomhlinzeki wezempilo oqeqeshiwe ngezinqumo zokuxilonga nokwelashwa. Uma uhlangabezana nesimo esiphuthumayo sezokwelapha, shayela u-911 noma uye egumbini lezimo eziphuthumayo eliseduze ngokushesha.