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

I-Ethinyl estradiol kanye ne-ethynodiol diacetate yinhlanganisela yamaphilisi okulawula ukuzala equkethe amahomoni amabili abesifazane. Lo muthi usebenza ngokuvimbela ukuvuthwa kwamaqanda futhi kwenze kube nzima ngesidoda ukufinyelela eqandeni, kukunikeza ukuvikeleka kokukhulelwa okuthembekile uma kuthathwa ngendlela efanele.

Lo muthi wokuvimbela ukukhulelwa ngomlomo uhlanganisa i-estrogen eyenziwe (ethinyl estradiol) ne-progestin eyenziwe (ethynodiol diacetate). Ngokuhlanganyela, lawa mahomoni alingisa umjikelezo wemvelo womzimba wakho ngenkathi enikeza ukuvikeleka okuqhubekayo ekukhulelweni okungahleliwe.

Yini i-Ethinyl Estradiol kanye ne-Ethynodiol Diacetate?

Lo muthi uyiphilisi elihlanganisiwe lokuvimbela ukukhulelwa ngomlomo eliqukethe amahomoni amabili okwenziwa. I-ethinyl estradiol isebenza njenge-estrogen ama-ovari akho akhiqiza ngokwemvelo, kuyilapho i-ethynodiol diacetate ilingisa i-progesterone.

Lawa mahomoni asebenza ndawonye ukuvimbela ukukhulelwa ngezindlela eziningi. Amisa ama-ovari akho ekukhipheni amaqanda, aqinise amafinyila omlomo wesibeletho ukuze avimbele isidoda, futhi anciphise umugqa wesibeletho ukuze kwenze ukufakelwa kungenzeki.

Le nhlanganisela isetshenziswe ngokuphepha amashumi eminyaka futhi imele enye yezindlela zokulawula ukuzala ezibuyisekayo ezisebenza kahle kakhulu ezitholakalayo. Uma ithathwa ngendlela efanele, isebenza ngaphezu kuka-99% ekuvikeleni ukukhulelwa.

Isetshenziselwani i-Ethinyl Estradiol kanye ne-Ethynodiol Diacetate?

Ukusetshenziswa okuyinhloko kwalo muthi ukuvimbela ukukhulelwa kwabesifazane abathintekayo ngokocansi. Yenzelwe njengomuthi wokuvimbela ukukhulelwa ngomlomo wansuku zonke owuthatha njalo ukuze ugcine amazinga e-hormone.

Ngaphandle kokulawula ukuzala, odokotela ngezinye izikhathi banikeza le nhlanganisela ukuze ithole ezinye izinzuzo ze-hormonal. Kungasiza ukulawula imijikelezo yokuya esikhathini engajwayelekile, kunciphise amaja ekuya esikhathini, futhi kwenze izikhathi zibe lula futhi zibikezeleke.

Ezinye izintokazi nazo zithola ukuthuthuka ekuqhumeni kwamabala ngenkathi zithatha lo muthi. Ama-hormone angasiza ukulinganisa ukukhiqizwa kwamafutha esikhumbeni sakho, yize lokhu kungesona isizathu esiyinhloko sokukuchaza.

Isebenza Kanjani I-Ethinyl Estradiol ne-Ethynodiol Diacetate?

Lo muthi usebenza ngokuthumela amasignali ebuchosheni bakho avimbela ukuqubuka kwama-hormone emvelo okuqala ukukhishwa kwamaqanda. Ngaphandle kokukhishwa kwamaqanda, alikho iqanda elitholakalayo lokukhulelwa.

Ingxenye ye-progestin yenza amafinyila emlonyeni wakho wesibeletho abe makhulu, idale isithiyo esenza kube nzima kakhulu ukuthi isidoda sibhukude. Lokhu kungeza ungqimba olwengeziwe lokuvikela ngisho noma ukukhishwa kwamaqanda kungenzeka.

Ngaphezu kwalokho, ama-hormone ashintsha umugqa wesibeletho sakho, okwenza singamukeli iqanda elikhulelwe. Le ndlela ephindwe kathathu yenza umuthi usebenze kahle kakhulu uma usetshenziswa ngendlela efanele.

Njengokuvimbela ukukhulelwa okunamandla aphakathi nendawo, kunikeza ukuvikeleka okuthembekile ngenkathi kuvame ukubekezeleleka kahle. Imithamo yama-hormone ilinganiswe ngokucophelela ukuze isebenze ngaphandle kokuba phezulu ngokungadingekile.

Kufanele Ngiwuthathaphi I-Ethinyl Estradiol ne-Ethynodiol Diacetate?

Thatha iphilisi elilodwa ngesikhathi esifanayo nsuku zonke, okungcono ngesidlo noma ngesikhathi sokulala ukunciphisa isisu esicasulayo. Ukuqina ngesikhathi kusiza ukugcina amazinga e-hormone ezinzile futhi kwandisa ukusebenza kahle.

Amaphakethe amaningi aqukethe amaphilisi asebenzayo angama-21 alandelwa ngamaphilisi angasebenzi angu-7, yize ezinye izindlela zokwakheka zinamaphilisi asebenzayo angama-28. Ngesonto lephilisi elingasebenzi, ngokuvamile uzoba nokopha okufana nokuya esikhathini.

Uma uqala okokuqala ngqa, qala ngosuku lokuqala lokuya esikhathini sakho noma ngeSonto lokuqala ngemuva kokuqala kokuya esikhathini sakho. Udokotela wakho uzokunikeza imiyalelo ethile esekelwe emkhiqizweni nasesimweni sakho.

Ukuthatha iphilisi ngokudla kungasiza ekuvikeleni isicanucanu, okuhlangenwe nakho ezinye izintokazi ekuqaleni. Khetha isikhathi esisebenzayo ngohlelo lwakho lwansuku zonke, kungaba nge-breakfast, isidlo sakusihlwa, noma ngesikhathi sokulala.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Ethinyl Estradiol kanye ne-Ethynodiol Diacetate?

Ungayithatha ngokuphepha le mithi uma nje udinga ukulawulwa kokuzala futhi ungenazo izimo ezingavumelekile. Abesifazane abaningi basebenzisa izindlela zokuvimbela inzalo ezinama-hormone iminyaka ngaphandle kwezinkinga.

Udokotela wakho uzofuna ukukubona njalo, ngokuvamile njalo emavikini angu-6 kuya kwangu-12, ukuze aqaphele impilo yakho futhi axoxe nganoma yiziphi izinkathazo. Lokhu kuhlolwa kusiza ukuqinisekisa ukuthi imithi iyaqhubeka ikufanele.

Uma uhlela ukukhulelwa, ungaleka ukuyeka ukuthatha amaphilisi nganoma yisiphi isikhathi. Iningi labesifazane libuyela ngokushesha ekuzaleni ngemva kokuyeka, ngokuvamile ezinyangeni ezimbalwa.

Abanye besifazane bathatha ikhefu ezindleleni zokuvimbela inzalo ezinama-hormone, nakuba lokhu kungadingeki ngokwezokwelapha. Uma unokukhathazeka ngokusebenzisa isikhathi eside, xoxa ngesimo sakho ngamunye nomhlinzeki wakho wezempilo.

Yiziphi Imiphumela Eceleni ye-Ethinyl Estradiol kanye ne-Ethynodiol Diacetate?

Abesifazane abaningi ababi nemiphumela eminingi noma abanayo ngale mithi. Uma imiphumela emibi yenzeka, ivame ukuba mnene futhi ithambekele ekuthuthukiseni ngemva kwezinyanga ezimbalwa zokuqala njengoba umzimba wakho uzivumela.

Nawa amanye imiphumela emibi evame kakhulu ongase uyithole ezinyangeni ezimbalwa zokuqala:

• Ukucasuka kwesisu noma isisu, ikakhulukazi uma uqala
• Ukuba buhlungu kwamabele noma ukuvuvukala okuncane
• Ukucasuka kwekhanda noma izinguquko ezincane zemizwa
• Ukuthola amachashaza phakathi nezikhathi
• Ushintsho endleleni yakho ejwayelekile yokuya esikhathini
• Ushintsho oluncane lwesisindo

Le miphumela evamile ivame ukuzinza njengoba umzimba wakho uzivumela kuma-hormone. Ukuthatha iphilisi ngokudla nangokulala kungasiza ukunciphisa isicanucanu kanye nezinye izimpawu ezihlobene nesisu.

Nakuba kungavamile, abanye besifazane bangase babe nemiphumela emibi eqhubekayo edinga ukuxoxwa nodokotela wabo:

• Ushintsho oluqhubekayo lwemizwa noma ukucindezeleka
• Ushintsho olukhulu ekuphumeni kwegazi
• Ukwesaba isicanucanu noma ukuhlanza okuqhubekayo
• Ushintsho esikhumbeni noma izinduna eziqhubekayo
• Ushintsho oluthinta isifiso socansi

Le miphumela ayenzeki kuwo wonke umuntu, kodwa kubalulekile ukwazi ukuthi kungenzeka ukuze ukwazi ukuxoxa ngayo nomhlinzeki wakho wezempilo uma kwenzeka.

Imiphumela emibi kakhulu ayivamile kodwa idinga ukunakekelwa kwezempilo ngokushesha. Qaphela izimpawu ezinjengobuhlungu obukhulu besisu, ubuhlungu besifuba, ikhanda elibuhlungu kakhulu, izinguquko embonweni, noma ubuhlungu emlenzeni nokuvuvukala.

Ubani Ongafanele Athathe I-Ethinyl Estradiol ne-Ethynodiol Diacetate?

Lo muthi awuphephile kuwo wonke umuntu, futhi izimo ezithile zezempilo zenza kungafaneleki noma kube yingozi. Udokotela wakho uzobuyekeza umlando wakho wezokwelapha ngokucophelela ngaphambi kokuwubhala.

Akufanele uthathe lo muthi uma unezithako zegazi, unhlangothi, ukuhlaselwa yinhliziyo, noma izimo ezithile zenhliziyo. Ingxenye ye-estrogen ingandisa ingozi yokujiya kwegazi kubantu abasengozini.

Abesifazane abanezinhlobo ezithile zomdlavuza, ikakhulukazi lezo ezizwela ama-hormone njengeminye imidlavuza yamabele, kufanele bagweme lo muthi. Ama-hormone angase ashukumise ukukhula komdlavuza.

Ezinye izinto ezibalulekile ezingafanele zithathwe zihlanganisa isifo esibi sesibindi, ukuphuma kwegazi okungachazeki kwesitho sangasese sowesifazane, kanye nezifo ezithile zofuzo zokujiya kwegazi. Ukubhema, ikakhulukazi uma uneminyaka engaphezu kwengama-35, kwandisa kakhulu izingozi futhi kungase kwenze lo muthi ungafaneleki.

Uma unesifo sikashukela, umfutho wegazi ophezulu, noma i-migraines, ungase usakwazi ukusebenzisa lo muthi, kodwa uzodinga ukuqapha eduze. Udokotela wakho uzokala izinzuzo ngokumelene nezingozi ezingase zibe khona esimweni sakho esithile.

Amagama Omkhiqizo we-Ethinyl Estradiol ne-Ethynodiol Diacetate

Le nhlanganisela ye-hormone itholakala ngaphansi kwamagama amaningi omkhiqizo, i-Demulen ingomunye owaziwa kakhulu. Ezinye izindlela zokwakheka zingaqukatha izithako ezifanayo ezisebenzayo ngemithamo ehlukile kancane.

Izinhlobo ze-generic nazo ziyatholakala futhi ziqukethe izithako ezifanayo ezisebenzayo njengezinhlobo zamagama omkhiqizo. Ikhemisi lakho lingase lithathe indawo yohlobo olujwayelekile, olusebenza ngendlela efanayo futhi ngokuvamile olungabizi kakhulu.

Izinhlobo ezahlukene zingase zibe nezithako ezingasebenzi ezihlukile, okungase kube nomthelela uma unezifo ezithile zokungezwani komzimba. Hlala uhlola usokhemisi wakho uma uqaphela noma yiziphi izinguquko emuthini wakho.

Ezinye izindlela zokusebenzisa i-Ethinyl Estradiol kanye ne-Ethynodiol Diacetate

Ezinye izindlela eziningi zokulawula ukuzala ziyatholakala uma le nhlanganisela ethile ingakulungele. Amanye amaphilisi ahlanganisiwe asebenzisa ama-progestin ahlukene ne-ethinyl estradiol, okungase kukufanele kangcono.

Amaphilisi e-progestin kuphela ayindlela uma ungafuni ukuthatha i-estrogen. Lawa “maphilisi amancane” asebenza ngendlela ehlukile kodwa angasebenza kahle kakhulu, ikakhulukazi kwabesifazane abancelisa noma abanezinkinga ezihlobene ne-estrogen.

Izinketho ezingezona ama-hormone zihlanganisa izindlela zokuvimbela ezifana namakhondomu nama-diaphragm, ama-IUD ethusi, nezindlela zokuqwashisa ngokuzala. Izinketho ezisebenza isikhathi eside njengama-IUD ama-hormonal kanye nezitshalo zinikeza iminyaka yokuvikela ngokuqashelwa okuncane kwansuku zonke.

Umhlinzeki wakho wezempilo angakusiza ukuthi uhlole ezinye izindlela ezisuselwe emlandweni wakho wezempilo, indlela yokuphila, nezintandokazi zakho. Okusebenza kahle kakhulu kuyahlukahluka kakhulu kumuntu nomuntu.

Ingabe i-Ethinyl Estradiol kanye ne-Ethynodiol Diacetate ingcono kunezinye izindlela zokulawula ukuzala?

Le nhlanganisela akudingeki ukuthi ingcono noma imbi kunezinye izindlela zokulawula ukuzala - kumayelana nokuthola okusebenza kahle kakhulu emzimbeni wakho nezidingo zakho. Wonke amaphilisi ahlanganisiwe asebenza kahle kakhulu uma esetshenziswa ngendlela efanele.

Abanye besifazane benza kangcono ngezinhlobo ezahlukene ze-progestin, njengoba ngamunye enemiphumela ehlukile kancane emoyeni, esikhumbeni, nakwezinye izimpawu. I-ethynodiol diacetate ekule nhlanganisela ithathwa njengemnene futhi iyabekezeleleka.

Uma iqhathaniswa namaphilisi amasha, le nhlanganisela inerekhodi elide lokuphepha nokusebenza kahle. Kodwa-ke, ezinye izindlela ezintsha zingase zibe namaphrofayili ahlukene emiphumeleni engemihle abanye besifazane abayithandayo.

"Umuthi wokulawula ukuzalwa" ongcono kakhulu ngumuthi ongawuthatha njalo ngaphandle kwemiphumela emibi. Kungase kudingeke ukuzama izinketho ezahlukene ukuze uthole okuhambisana nawe.

Imibuzo Evame Ukubuzwa Mayelana ne-Ethinyl Estradiol kanye ne-Ethynodiol Diacetate

Q1. Ingabe i-Ethinyl Estradiol kanye ne-Ethynodiol Diacetate iphephile ku-Diabetes?

Abesifazane abanesifo sikashukela bangasebenzisa lo muthi, kodwa badinga ukuqashwa eduze. Ama-hormone angase athinte kancane amazinga kashukela egazini, ngakho udokotela wakho angase afune ukuhlola ukulawulwa kwe-glucose yakho kaningi.

Uma unesifo sikashukela esinezinkinga ezinjengokugula kwezinso, izinkinga zamehlo, noma ukulimala kwemizwa, udokotela wakho uzoba qaphele kakhulu. Lezi zinkinga zingakhuphula ingozi yemiphumela emibi evela ekulawuleni ukuzalwa ngama-hormone.

Abesifazane abaningi abanesifo sikashukela esilawulwa kahle basebenzisa amaphilisi ahlanganisiwe ngempumelelo. Okubalulekile ukusebenza eduze nodokotela wakho oqala ukukunakekela kanye nodokotela wakho wezifo zabesifazane ukuze uqaphele impilo yakho.

Q2. Kufanele ngenzeni uma ngiphuzile i-Ethinyl Estradiol kanye ne-Ethynodiol Diacetate ngengozi eningi kakhulu?

Ukuphuza amaphilisi engeziwe ngengozi akunakwenzeka ukuthi kubangele ukulimala okukhulu, kodwa ungase uhlangabezane nesicanucanu, ukuhlanza, noma ukuphuma kwegazi. Ungazami ukuzenza uhlanze ngaphandle uma uqondiswe ngqo ngumhlinzeki wezempilo.

Uma uphuze amaphilisi engeziwe amaningana, xhumana nodokotela wakho noma usokhemisi ukuze uthole isiqondiso. Bangakunika iseluleko sokuthi yini ongayilindela nokuthi ngabe kudingeka yini ukuqashwa okukhethekile.

Qhubeka uphuza amaphilisi akho ajwayelekile njengoba kuhlelelwe ngaphandle uma utshelwe ngenye indlela. Ukuphuza amaphilisi engeziwe akunikezi ukuvikeleka okwengeziwe futhi kungase kwandise imiphumela emibi.

Q3. Kufanele ngenzeni uma ngiphuthelwa umthamo we-Ethinyl Estradiol kanye ne-Ethynodiol Diacetate?

Uma uphuthelwa iphilisi elilodwa, liphuze ngokushesha lapho ukhumbula, ngisho noma lokho kusho ukuphuza amaphilisi amabili ngosuku olulodwa. Awudingi ukulawula ukuzalwa okusekelayo uma ungaphuze ngaphansi kwamahora angama-24.

Uma uphuthelwe amaphilisi amabili elandelana, thatha amaphilisi amabili ngosuku olikhumbulayo namaphilisi amabili ngosuku olulandelayo. Sebenzisa indlela yokuvimbela yokuvikela enye izinsuku eziyisikhombisa ezilandelayo ukuze uqinisekise ukuvikeleka.

Ukuphuthelwa kwamaphilisi amathathu noma ngaphezulu kunciphisa kakhulu ukusebenza kahle. Thatha iphilisi elilodwa nsuku zonke futhi usebenzise indlela yokuvimbela yokuvikela enye ngesikhathi esisele salowo mjikelezo. Cabangela ukuqala iphakethe elisha uma uphuthelwe amaphilisi amaningi.

Q4. Ngingayeka nini ukuthatha i-Ethinyl Estradiol ne-Ethynodiol Diacetate?

Ungayeka ukuthatha lo muthi nganoma yisiphi isikhathi, kodwa kungcono ukuqeda iphakethe lakho lamanje ukuze ugweme ukuphuma kwegazi okungajwayelekile. Ukuyeka phakathi nephakethe kuvame ukubangela ukuphuma kwegazi noma ukubona.

Uma uyeka ukuzama ukukhulelwa, ungaqala ukuzama ngokushesha ngemva kokuyeka. Iningi labesifazane libuyela ekuzaleni phakathi nezinyanga ezimbalwa, nakuba abanye bekhulelwa ngokushesha.

Uma ushintshela kwenye indlela yokulawula ukuzala, udokotela wakho uzokunikeza imiyalelo ethile mayelana nesikhathi sokuqinisekisa ukuvikeleka okuqhubekayo.

Q5. Ngingayithatha i-Ethinyl Estradiol ne-Ethynodiol Diacetate ngenkathi ngincelisa?

Lo muthi ngokuvamile awunconyelwe ngenkathi uncelisa, ikakhulukazi ezinyangeni eziyisithupha zokuqala. I-estrogen inganciphisa ukukhiqizwa kobisi futhi ithinte izinga lobisi.

Amaphilisi e-progestin kuphela avame ukukhethwa kwabesifazane abancelisayo, njengoba engawuthinti umhlinzeko wobisi. Lezi ezinye izindlela zingasebenza kahle njengokulawula ukuzala.

Uma uncelisa futhi udinga ukulawula ukuzala, xoxa ngezinketho zakho nodokotela wakho. Bangakuncoma ezinye izindlela eziphephile ezingeke ziphazamise ukuncelisa.