Yini i-Drospirenone kanye ne-Ethinyl Estradiol: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Drospirenone kanye ne-ethinyl estradiol yinhlanganisela yamaphilisi okulawula inzalo equkethe izinhlobo ezimbili zamahomoni okwenziwa. Lo muthi usebenza ngokuvimbela i-ovulation (ukukhululwa kwamaqanda e-ovaries yakho) futhi kwenze kube nzima ngesidoda ukufinyelela iqanda noma iqanda elivundisiwe ukuthi linamathele esibelethweni sakho.

Le nhlanganisela ingenye yezindlela zokuvimbela inzalo ngomlomo ezivame ukunqunywa emhlabeni wonke. Abesifazane abaningi bayayithola isebenza kahle hhayi nje ukuvimbela ukukhulelwa, kodwa futhi nokuphatha izimo ezithile ezihlobene namahomoni ezingathinta impilo yabo yansuku zonke.

Yini i-Drospirenone kanye ne-Ethinyl Estradiol?

Lo muthi uhlanganisa amahomoni amabili okwenziwa alingisa i-estrogen yakho yemvelo kanye ne-progesterone. I-Ethinyl estradiol iyindlela ye-estrogen, kuyilapho i-drospirenone iyi-progestin yokwenziwa (uhlobo lwe-progesterone) enezakhiwo ezithile eziyingqayizivele uma kuqhathaniswa namanye amaphilisi okulawula inzalo.

Okuthokozisayo nge-drospirenone ukuthi isebenza ngendlela efanayo ne-spironolactone, umuthi we-diuretic. Lokhu kusho ukuthi kungasiza ekunciphiseni ukugcinwa kwamanzi futhi kungase kube nemiphumela elwa ne-androgen, engaba usizo ezimweni ezithile zesikhumba nokuvuvukala.

Le nhlanganisela iza ngesimo samaphilisi futhi ithathwa ngomlomo kanye ngosuku. Amafomula amaningi alandela umjikelezo wezinsuku ezingama-28, ngamaphilisi amahomoni ayi-21 asebenzayo namaphilisi ayi-7 angasebenzi, nakuba ezinye izinhlobo zinamaphilisi ayi-24 asebenzayo kanye nama-4 angasebenzi.

Isetshenziselwani i-Drospirenone kanye ne-Ethinyl Estradiol?

Ukusetshenziswa okuyinhloko kwalo muthi ukuvimbela ukukhulelwa, futhi kusebenza ngaphezu kwama-99% uma kuthathwa ngendlela efanele. Nokho, odokotela bavame ukuyincoma kwezinye izimo ezihlobene namahomoni ezingathinta kakhulu izinga lempilo yakho.

Abaningi besifazane bathola ukukhululeka ezikhathini ezibuhlungu noma ezingajwayelekile uma bethatha le nhlanganisela. Ama-hormone asiza ukulawula umjikelezo wakho wokuya esikhathini, ngokuvamile enza izikhathi zibe lula, zibe mfushane, futhi zibikezeleke kalula. Lokhu kungaba usizo ikakhulukazi uma ubhekene nokopha okukhulu noma isikhathi esingabikezeleki.

Kulabo abahlupheka ngamabala, ikakhulukazi amabala e-hormonal aqhuma ngesikhathi somjikelezo wakho wokuya esikhathini, lo muthi unganikeza ukuthuthuka okukhulu. Izakhiwo ze-anti-androgen ze-drospirenone zisiza ukunciphisa ukukhiqizwa kwamafutha futhi kungaholela esikhumbeni esicacile ezinyangeni ezimbalwa zokusetshenziswa.

Abanye besifazane bathola ukukhululeka e-premenstrual dysphoric disorder (PMDD), uhlobo oluqinile lwe-PMS olungabangela ukuguquguquka kwemizwa, ukucindezeleka, nokukhathazeka. Ukulawulwa kwama-hormone kungasiza ukuzinzisa lezi zimpawu ezingokomzwelo ezenzeka ngaphambi kwesikhathi sakho.

Ngaphezu kwalokho, le nhlanganisela ingasiza ngokugcinwa kwamanzi nokuvuvukala okuhlangenwe nakho ngabanye besifazane ngezikhathi ezithile. Imiphumela efana ne-diuretic ye-drospirenone inganciphisa ukuvuvukala okungakhululeki nokuguquguquka kwesisindo okungabangelwa izinguquko ze-hormonal.

Isebenza Kanjani I-Drospirenone ne-Ethinyl Estradiol?

Lo muthi usebenza ngezindlela eziningi ukuvimbela ukukhulelwa ngempumelelo. Isenzo esiyinhloko sihlanganisa ukucindezela i-ovulation ngokuthinta amasignali e-hormonal phakathi kobuchopho bakho nama-ovari, okwenza uhlelo lwakho lokuzala luhlale lulawulwa, luvinjwe okwesikhashana.

Ingxenye ye-estrogen (ethinyl estradiol) isiza ukugcina amazinga e-hormone azinzile kuyo yonke imijikelezo yakho. Isebenza ngohlelo lwakho lomzimba lwemvelo lokuphendula ukuvimbela ukuqhuma kwe-luteinizing hormone okuvame ukubangela i-ovulation njalo ngenyanga.

I-Drospirenone, ingxenye ye-progestin, yenza amafinyila akho esitho sesibeletho abe makhulu, okwenza kube nzima kakhulu ngesidoda ukuthi sihambe esithweni sakho sesibeletho futhi sifinyelele eqandeni. Lokhu kudala isithiyo esengeziwe sokukhulelwa ngisho noma i-ovulation ingenzeka.

Inhlanganisela futhi ishintsha ukugqoka kwesibeletho sakho (endometrium), okwenza kungafaneleki ukuthi iqanda elivundisiwe lingene. Lokhu kunikeza ungqimba lwesithathu lokuvikela ekukhulelweni.

Njengendlela yokuvimbela ukukhulelwa, le nhlanganisela ithathwa njengeqinile ngokulinganisela futhi isebenza kahle kakhulu. Izakhiwo ezihlukile ze-drospirenone ziyenza ibe yinzuzo ikakhulu kwabesifazane abahlangabezana nokugcinwa kwamanzi noma izinduna ze-hormonal ngezinye izindlela zokulawula ukuzala.

Kufanele Ngiyithathe Kanjani I-Drospirenone ne-Ethinyl Estradiol?

Thatha lo muthi njengoba unjalo njengoba uyalelwe ngumhlinzeki wakho wezempilo, okungcono ngesikhathi esifanayo nsuku zonke. Ukuqina ngesikhathi kusiza ukugcina amazinga e-hormone aqinile futhi kwandisa ukusebenza kahle kokubili ukuvimbela ukukhulelwa nezinye izinzuzo.

Ungawathatha lawa maphilisi ngaphandle kokudla, kodwa ukuwathatha nokudla kungasiza ukunciphisa noma yikuphi ukuphazamiseka kwesisu ongase ukuzwe ekuqaleni. Abanye besifazane bathola ukuthi ukuthatha iphilisi ngesidlo sakusihlwa noma isidlo sangaphambi kokulala kusebenza kahle emsebenzini wabo.

Qala iphakethe lakho lokuqala ngosuku lokuqala lokuya esikhathini noma ngesonto lokuqala ngemuva kokuqala kokuya esikhathini kwakho, ngokuya ngemiyalelo kadokotela wakho. Uma uqala ngosuku olungelona usuku lokuqala lokuya esikhathini sakho, uzodinga ukusebenzisa indlela yokuvimbela ukukhulelwa eyisipele izinsuku eziyisikhombisa zokuqala.

Landela ukuhleleka kwamaphilisi ephaketheni ngokucophelela. Amaphakethe amaningi anemicibisholo noma izinombolo ezikhombisa ukulandelana. Thatha iphilisi elilodwa elisebenzayo nsuku zonke izinsuku ezingama-21 noma ezingama-24 (ngokuya ngendlela yakho ethile), bese uthatha amaphilisi angasebenzi lapho cishe uzoba nokopha okuhoxiswayo okufana nokuya esikhathini.

Uma ushintsha usuka kwenye indlela yokuvimbela ukukhulelwa nge-hormonal, udokotela wakho uzokunikeza imiyalelo ethile mayelana nesikhathi sokuqinisekisa ukuvikelwa okuqhubekayo. Ungayeki indlela yakho yamanje uze uqale entsha ngaphandle uma uyalelwe ngokuqondile ngenye indlela.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Drospirenone ne-Ethinyl Estradiol?

Ungayithatha ngokuphepha le mithi uma nje udinga ukuzivikela ekukhulelweni noma ukwelashwa kwezimo ezihlobene namahomoni, uma nje ungenzi izinto ezingahambisani noma ezingahambisani. Abesifazane abaningi basebenzisa izindlela zokuvimbela inzalo ezinamahomoni iminyaka ngaphandle kwezinkinga.

Umhlinzeki wakho wezempilo uzofuna ukukubona njalo, ngokuvamile njalo ezinyangeni eziyi-6 kuya kweziyi-12, ukuze aqaphele ukusabela kwakho emuthini futhi ahlole noma yiziphi izinkinga zempilo eziqhubekayo. Lokhu kuhlolwa kubalulekile ekuqinisekiseni ukuthi imithi ihlala iphephile futhi ifanele wena.

Uma usebenzisa lo muthi ikakhulukazi ukwelashwa kwamabala, ungase ubone ukuthuthuka phakathi nezinyanga ezi-3 kuya kweziyi-6, ngemiphumela ephezulu evame ukwenzeka ngemva kwezinyanga eziyi-6 kuya kweziyi-12 zokusetshenziswa okuqhubekayo. Ukuze kulawulwe ukuya esikhathini, izinzuzo zivame ukubonakala ngemijikelezo yokuqala embalwa.

Akukho mkhawulo wesikhathi ongahleliwe wokuthatha lo muthi, kodwa udokotela wakho angase ancome ukuphumula ngezikhathi ezithile noma ukuhlolwa kabusha uma ube uwuthatha iminyaka eminingi. Izinto ezinjengobudala, isimo sokubhema, kanye nokuthuthukiswa kwezimo zempilo ezintsha kungathonya ukuthi ihlala isifanele isikhathi esingakanani.

Uma usulungele ukuyeka, kungakhathaliseki ukuthi uzama ukukhulelwa noma ngenxa yezinye izizathu, ungenza kanjalo nganoma yisiphi isikhathi. Imijikelezo yakho yemvelo ngokuvamile ibuyela emuva ezinyangeni ezimbalwa, nakuba abanye besifazane bengase babe nokungahambi kahle kwesikhashana njengoba imizimba yabo ilungisa kabusha.

Yiziphi Imiphumela Eceleni ye-Drospirenone kanye ne-Ethinyl Estradiol?

Abesifazane abaningi bayawuthatha kahle lo muthi, kodwa njengazo zonke izindlela zokuvimbela inzalo ezinamahomoni, kungabangela imiphumela emibi. Ukuqonda okufanele ukulindele kungakusiza ukuthi uzizwe ulungiseleleke kakhulu futhi wazi ukuthi ungaxhumana nini nomhlinzeki wakho wezempilo.

Imiphumela emibi evame kakhulu ivame ukuba milde futhi ivame ukuthuthuka ngemva kwezinyanga ezimbalwa zokuqala njengoba umzimba wakho ulungela amahomoni. Lezi ngokuvamile azidingi ukuyeka imithi futhi zingalawulwa ngamasu alula.

Imiphumela emibi evamile ongase uyithole ihlanganisa:

• Ukugula, ikakhulukazi emasontweni ambalwa okuqala ngemuva kokuqala umuthi
• Ukuqaqeka kwamabele noma ukuvuvukala okuncane
• Ukucabuka kwekhanda, ikakhulukazi uma uvame ukuba nakho
• Ushintsho lwemizwa, okuhlanganisa ukuzizwa unemizwa eminingi noma uthukuthele kalula
• Ukuphuma kwegazi okungajwayelekile noma ukubona amachashaza phakathi nezikhathi zokuya esikhathini, ikakhulukazi ezinyangeni ezimbalwa zokuqala
• Ushintsho lwesibalo somzimba, nakuba ukukhuluphala okukhulu kungavamile njengoba abantu abaningi bekholelwa
• Ushintsho oluthile oluthinta isifiso socansi, olungahamba nganoma iyiphi indlela

Le miphumela ejwayelekile ivamise ukungabonakali njengoba umzimba wakho ujwayela izinguquko ze-hormone. Abesifazane abaningi bathola ukuthi izinzuzo ezinjengesikhumba esicacile nezikhathi zokuya esikhathini ezivamile zidlula lezi zinguquko zesikhashana.

Imiphumela emibi engathi sína ayivamile kodwa idinga ukunakekelwa kwezokwelapha ngokushesha. Ngenxa yokuthi i-drospirenone inezindawo ezinjenge-diuretic, ngezinye izikhathi ingathinta amazinga akho e-potassium, nakuba lokhu kungavamile kwabesifazane abanempilo.

Funana nosizo lwezokwelapha ngokushesha uma uhlangabezana nalokhu:

• Ubuhlungu obukhulu emlenzeni noma ukuvuvukala, okungase kubonise iqhubu legazi
• Ukuphefumula ngokushesha noma ubuhlungu besifuba
• Ukucabuka kwekhanda okukhulu, ikakhulukazi uma kuhluke ekucabukeni kwekhanda lakho okuvamile
• Ushintsho embonweni noma ubuhlungu obukhulu emehlweni
• Ubuhlungu obukhulu besisu
• Izimpawu zamazinga aphezulu e-potassium, njengobuthakathaka bemisipha noma ukushaya kwenhliziyo okungajwayelekile

Le miphumela emibi ayivamile, kodwa ukuyazi ikusiza ukuthi ufune ukunakekelwa okufanele ngokushesha uma kudingeka. Umhlinzeki wakho wezempilo uzoxoxa ngezici zakho eziyingozi ngazinye nokuthi yini okufanele uyibheke ngokusekelwe emlandweni wakho wezempilo.

Ubani Ongafanele Athathe I-Drospirenone kanye ne-Ethinyl Estradiol?

Izimo ezithile zezempilo nezici eziyingozi zenza lo muthi ungaphephile noma ungafaneleki kwabanye besifazane. Umhlinzeki wakho wezempilo uzobuyekeza ngokucophelela umlando wakho wezokwelapha nesimo sakho sempilo samanje ngaphambi kokunquma le nhlanganisela.

Akufanele uthathe lo muthi uma unomlando wamaqhubu egazi, unhlangothi, noma isifo senhliziyo. Ingxenye ye-estrogen ingakhuphula ingozi yakho yokuthuthukisa amaqhubu egazi ayingozi, ikakhulukazi emithanjeni ejulile emilenzeni yakho noma emaphashini.

Abesifazane abanezinhlobo ezithile zomdlavuza kufanele bagweme lo muthi. Uma unomdlavuza webele, umdlavuza we-endometrial, noma eminye imidlavuza ezwelayo ngamahomoni, amahomoni akulo muthi angase ashukumise ukukhula komdlavuza.

Izinkinga zesibindi nazo zenza lo muthi ungafaneleki. Isibindi sakho siqhubekisa lawa mahomoni, ngakho-ke uma unesifo sesibindi, i-cirrhosis, noma izimila zesibindi, umzimba wakho ungase ungakwazi ukuphatha umuthi ngokuphepha.

Ezinye izimo ezivame ukuvimbela ukusetshenziswa okuphephile zihlanganisa:

• Umfutho wegazi ophezulu ongagadiwe
• Isifo sikashukela esinezinkinga zezinso, amehlo, noma imizwa
• Isifo sezinso esibi noma ukwehluleka kwezinso
• Ukuphuma kwegazi okungachazeki kwesitho sangasese sowesifazane
• Izinhlobo ezithile zama-migraines, ikakhulukazi lezo ezine-aura
• Ukukhulelwa kwamanje noma okuhleliwe

Iminyaka kanye nezici zokuphila nazo zibaluleke kakhulu. Uma uneminyaka engaphezu kwengama-35 futhi uyabhema, le nhlanganisela ingase ingakuphepheli ngenxa yengozi eyengeziwe yenhliziyo nemithambo yegazi. Udokotela wakho uzoxoxa ngezindlela ezingase zifaneleke kakhulu.

Imithi ethile ingase ihlangane nale nhlanganisela, okuhlanganisa ama-antibiotics athile, ama-antifungals, kanye nemithi yokulwa nokuthuthumela. Njalo yazisa umhlinzeki wakho wezempilo ngayo yonke imithi, izithasiselo, kanye nemikhiqizo yezitshalo oyithathayo.

Amagama Omkhiqizo we-Drospirenone kanye ne-Ethinyl Estradiol

Le nhlanganisela yamahomoni itholakala ngaphansi kwamagama amaningi omkhiqizo, ngalinye linokwakheka okuhlukile kancane noma izithako ezingasebenzi. Umkhiqizo owaziwa kakhulu yi-Yaz, equkethe i-3 mg ye-drospirenone kanye ne-0.02 mg ye-ethinyl estradiol.

I-Yasmin olunye uhlobo oludumile oluqukethe umthamo ophezulu kancane we-estrogen (0.03 mg) kanye ne-3 mg efanayo ye-drospirenone. Le fomula ivame ukukhethwa kwabesifazane abadinga imiphumela eqinile ye-estrogen noma abane-breakthrough bleeding ngezinketho eziphansi.

Ezinye izinhlobo zemikhiqizo zihlanganisa i-Beyaz, engeza isithasiselo se-folate kufomula eyisisekelo ye-Yaz, kanye ne-Safyral, ehlanganisa ifomula ye-Yasmin ne-folate. Lezi zinhlobo zenzelwe abesifazane abangase bakhulelwe futhi bangazuza ku-folic acid eyengeziwe.

Izinhlobo ze-Generic nazo ziyatholakala futhi ziqukethe izithako ezifanayo ezisebenzayo njengezinhlobo zemikhiqizo. Lezi zivame ukuba ngentengo engabizi futhi zisebenza ngempumelelo, nakuba abanye besifazane beqaphela umehluko emiphumeleni emibi ngenxa yezithako ezingasebenzi ezihlukene.

Umshwalense wakho kanye nokusabela komuntu siqu kuma-formulations ahlukene kungase kuthinte ukuthi yiluphi uhlobo udokotela wakho aluncamela. Zonke izinhlobo zisebenza ngendlela efanayo futhi zinikeza ukusebenza okufanayo kokuvimbela inzalo.

Ezinye izindlela ze-Drospirenone ne-Ethinyl Estradiol

Uma le nhlanganisela ingakulungele, ezinye izinketho eziningi zokulawula ukuzala eziphumelelayo ziyatholakala. Umhlinzeki wakho wezempilo angakusiza ukuthi uthole enye indlela ekufanela kangcono izidingo zakho zempilo, indlela yokuphila, nezintandokazi zakho.

Ezinye izidakamizwa zokulawula ukuzala ezihlanganisiwe zisebenzisa ezinye izinhlobo ze-progestin, njenge-norgestimate, levonorgestrel, noma i-desogestrel. Lezi zingaba izinketho ezingcono uma uhlangabezana nemiphumela emibi evela ku-drospirenone noma unezici eziyingozi ezenza le nhlanganisela ethile ingafaneleki.

Amaphilisi e-Progestin-only (avame ukubizwa ngamaphilisi amancane) awaqukethe i-estrogen futhi angase afaneleke uma ungenakho ukuthatha i-estrogen ngenxa yezingozi zamahlule egazi, ama-migraines, noma ezinye izinto ezingavumelani. Lokhu kudinga isikhathi esiqondile kakhulu kodwa kungasebenza kwabesifazane abaningi.

Izindlela zokuvimbela inzalo ezisebenza isikhathi eside ezingabuyiseki zinikeza ezinye izindlela ezinhle ezingadingi ukuphathwa nsuku zonke. I-IUD enama-hormone ikhipha amanani amancane e-progestin ngqo esibelethweni sakho, kanti i-IUD yethusi inikeza ukuvimbela inzalo okungenayo ama-hormone iminyaka engama-10.

Ezinye izinketho zama-hormone zihlanganisa isiqeshana sokuvimbela inzalo, indandatho yesitho sangasese sowesifazane, noma umjovo. Ngayinye inezinzuzo nobubi obuhlukene mayelana nokulula, imiphumela emibi, nokusebenza kahle.

Izindlela zokuvimbela ezingenawo ama-hormone ezifana namakhondomu, ama-diaphragm, noma ama-cervical caps nazo ziyizinketho, nakuba ngokuvamile zingasebenzi kahle njengezindlela zama-hormone futhi zidinga ukusetshenziswa ngaso sonke isikhathi sokuhlangana ngokocansi.

Ingabe i-Drospirenone ne-Ethinyl Estradiol Ingcono Kunezinye Izidakamizwa Zokulawula Ukuzala?

Ukuthi le nhlanganisela

Ngokuqondene nokuvimbela ukukhulelwa, le nhlanganisela isebenza ngendlela efanayo namanye amaphilisi okulawula ukuzala esesimanje uma ethathwa ngendlela efanele. Ukukhetha phakathi kwezinhlobo ezahlukene kuvame ukuncika ekutheni uzithwala kanjani imiphumela emibi nokuthi ngabe uthola izinzuzo ezengeziwe zezinye izimo.

Umhlinzeki wakho wezempilo angakusiza ukuthi ulinganise izinzuzo nobubi ngokusekelwe emlandweni wakho wezempilo, izimpawu zamanje, nezintandokazi zakho. Okusebenzela umngane wakho noma ilungu lomndeni wakho kungenzeka kungabi yikho okukufanele.

Imibuzo Evame Ukubuzwa Mayelana ne-Drospirenone kanye ne-Ethinyl Estradiol

Ingabe i-Drospirenone kanye ne-Ethinyl Estradiol iphephile kwabesifazane abane-PCOS?

Le nhlanganisela ingaba usizo ngempela kwabesifazane abaningi abane-PCOS (i-polycystic ovary syndrome). Izakhiwo ze-anti-androgen ze-drospirenone zisiza ukulwa nama-hormone amadoda aphakeme avamile ku-PCOS, okungenzeka athuthukise izimpawu ezinjengezinduna, ukukhula kwezinwele ngokweqile, nezikhathi ezingajwayelekile.

Kodwa-ke, abesifazane abane-PCOS bavame ukuba nezinye izimo ezinjengokumelana ne-insulin noma umfutho wegazi ophezulu okudingeka zicatshangelwe. Udokotela wakho uzohlola isithombe sakho esiphelele sempilo, okuhlanganisa isisindo sakho, umfutho wegazi, kanye nobungozi besifo sikashukela, ngaphambi kokunquma ukuthi lo muthi ukufanele yini.

Ngingenzani uma ngiphuthelwa ukusebenzisa i-Drospirenone kanye ne-Ethinyl Estradiol eningi kakhulu?

Uma ngengozi uthatha iphilisi elingaphezu kwelilodwa ngosuku, ungangeni ekuqineni. Ukuthatha iphilisi elengeziwe noma amabili akunakwenzeka ukuthi kubangele ukulimala okukhulu, yize kungenzeka ukuthi uzwe isicanucanu, ukuhlanza, noma ukopha okungajwayelekile.

Xhumana nomhlinzeki wakho wezempilo noma isikhungo sokulawula ubuthi ukuze uthole isiqondiso, ikakhulukazi uma uthathe amaphilisi amaningi engeziwe. Bangakweluleka ngokuthi okulindelekile nokuthi ngabe udinga ukunakekelwa kwezokwelapha. Qhubeka nokuthatha amaphilisi akho avamile njengoba kuhleliwe ngaphandle kokuthi uqondiswe ngokuqondile ngenye indlela.

Ngingenzani uma ngiphuthelwa umthamo we-Drospirenone kanye ne-Ethinyl Estradiol?

Uma uphuthelwa iphilisi elilodwa elisebenzayo, lithathe ngokushesha lapho ukhumbula, ngisho noma lokho kusho ukuthatha amaphilisi amabili ngosuku olulodwa. Awudingi ukusebenzisa ezinye izindlela zokuvimbela ukukhulelwa uma ungahambisani ngamahora angama-24.

Uma uphuthelwa amaphilisi amabili alandelanayo asebenzayo, thatha amaphilisi amabili namuhla namaphilisi amabili kusasa, bese uqhubeka neshejuli yakho ejwayelekile. Sebenzisa ezinye izindlela zokuvimbela ukukhulelwa izinsuku eziyisikhombisa ezilandelayo. Uma uphuthelwa amaphilisi amathathu noma ngaphezulu, cabangela ukuqala iphakethe elisha bese usebenzisa ezinye izindlela zokuvimbela ukukhulelwa ngesonto lokuqala.

Ngingayeka nini ukuthatha i-Drospirenone ne-Ethinyl Estradiol?

Ungayeka ukuthatha lo muthi nganoma yisiphi isikhathi, kodwa kungcono ukuqeda iphakethe lakho lamanje ukuze ugweme ukopha okungajwayelekile. Uma uyeka ukuzama ukukhulelwa, ungaqala ukuzama ngokushesha, njengoba inzalo ivame ukubuyela ngokushesha ngemva kokuyeka.

Uma uyeka ngenxa yemiphumela emibi noma ezinye izinkathazo, xoxa ngesikhathi nodokotela wakho. Bangase bafune ukukuqapha ngesikhathi sokushintsha noma bakusize uqale enye indlela ngaphambi kokuyeka le.

Ngingayithatha i-Drospirenone ne-Ethinyl Estradiol ngenkathi ngincelisa?

Le nhlanganisela ngokuvamile ayinconywa ngesikhathi sokuncelisa, ikakhulukazi ezinyangeni eziyisithupha zokuqala. Ingxenye ye-estrogen inganciphisa ukukhiqizwa kobisi futhi ingadlulela obisini lwebele ngamanani amancane.

Uma uncelisa futhi udinga ukuzivikela ekukhulelweni, udokotela wakho cishe uzoncoma izinketho ze-progestin-only eziphephile ngesikhathi sokunakekela. Uma ungasancelisi noma ukuhlinzekwa kwakho kobisi sekusungulwe kahle, ungaxoxa ngokuthi le nhlanganisela ingase ilungele yini wena.