Yini i-Etonogestrel Intradermal Route: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Etonogestrel intradermal route ibhekisela ekufakweni kokulawula ukuzala okungena ngaphansi kwesikhumba sengalo yakho engenhla. Le nduku encane, eguquguqukayo ikhipha amahomoni ngokuqhubekayo iminyaka emithathu ukuvimbela ukukhulelwa.

Ukufakwa kusebenza ngokukhipha i-hormone eyenziwe ngamachiza ebizwa ngokuthi i-etonogestrel, efana ne-progesterone umzimba wakho owenza ngokwemvelo. Ingenye yezindlela ezisebenza kahle kakhulu zokulawula ukuzala okubuyisekayo okutholakala namuhla, enokusebenza ngaphezu kuka-99% ekuvikeleni ukukhulelwa.

Yini i-Etonogestrel?

I-Etonogestrel iyi-hormone eyenziwe ngamachiza elingisa i-progesterone, elinye lama-hormone abalulekile emjikelezweni wakho wokuya esikhathini. Uma ilethwa ngokufakwa ngaphansi kwesikhumba sakho, inikeza amazinga e-hormone aqhubekayo ngaphandle kokuthi kudingeke ukhumbule amaphilisi ansuku zonke.

Ukufakwa ngokwako kungangosayizi womentshisi futhi kuqukethe ama-milligram angu-68 e-etonogestrel. Yenziwe nge-core yepulasitiki eguquguqukayo ezungezwe ngamalunga alawula indlela i-hormone ekhishwa ngayo emzimbeni wakho ngokuhamba kwesikhathi.

Isetshenziselwani i-Etonogestrel?

Ukufakwa kwe-Etonogestrel kusetshenziselwa ikakhulukazi ukulawula ukuzala isikhathi eside kwabesifazane abafuna ukuvimbela ukukhulelwa ngempumelelo ngaphandle kokunakekelwa kwansuku zonke. Ukufakwa kunikeza ukuvikelwa okuqhubekayo kokukhulelwa iminyaka emithathu.

Ezinye izinyanga zingase futhi zincomise lokhu kufakwa kwabesifazane abanobunzima bokukhumbula ukuthatha amaphilisi okulawula ukuzala nsuku zonke noma abathola imiphumela eceleni evela ekunakekelweni okuqukethe i-estrogen. Ukufakwa kuqukethe kuphela i-progestin, okwenza ifaneleke kwabesifazane abangakwazi ukuthatha i-estrogen.

Kwezinye izimo, abahlinzeki bezempilo bangase baphakamise le nketho kwabesifazane abanokuphuma kwegazi okuningi kakhulu, njengoba abasebenzisi abaningi behlangabezana nezikhathi ezilula noma abangabi nazo nhlobo ngenkathi besebenzisa ukufakwa.

Isebenza kanjani i-Etonogestrel?

I-Etonogestrel isebenza ngezindlela eziningi ukuvimbela ukukhulelwa, okwenza ibe yindlela eqinile nethembekile yokuvimbela inzalo. Le hormone ikakhulukazi imisa ama-ovari akho ekukhipheni amaqanda njalo ngenyanga.

Lo mhlahlo futhi ukhulisa amafinyila emgodini wakho wesibeletho, okwenza isithiyo esenza kube nzima ngesidoda ukufinyelela kunoma yiliphi iqanda elingase likhishwe. Ngaphezu kwalokho, ishintsha ukugqama kwesibeletho sakho, okwenza kungabi maningi amathuba okuthi iqanda elivundisiwe lizifake.

Ngenxa yokuthi le hormone ikhishwa ngqo egazini lakho ngesikhumba sakho, idlula ohlelweni lwakho lokugaya ukudla. Lokhu kusho ukuthi kusebenza ngisho noma ugula ngokuhlanza noma isifo sohudo, ngokungafani namaphilisi okulawula ukuzala.

Kufanele Ngiyithathe Kanjani I-Etonogestrel?

Awuyithathi ngempela i-etonogestrel ngomqondo wendabuko njengoba kuyisithako esifakwa ngudokotela ngaphansi kwesikhumba sakho. Inqubo yokufaka iyashesha futhi yenziwa ehhovisi likadokotela kusetshenziswa i-anesthesia yendawo.

Udokotela wakho uzofaka lo mhlahlo ngaphakathi kwengalo yakho engenhla, ngokuvamile engalweni yakho engasebenzi kakhulu. Ukufakwa kuthatha imizuzu embalwa nje, futhi uzokwazi ukuhamba ngalolo suku.

Ngaphambi kokufakwa, udokotela wakho uzoqinisekisa ukuthi awukhulelwe futhi uzoxoxa ngesikhathi esingcono kakhulu esekelwe endleleni yakho yamanje yokulawula ukuzala. Uma ushintsha emaphilisi, lo mhlahlo ungafakwa ngesonto lakho elingenamaphilisi noma ngenkathi uthatha amaphilisi asebenzayo.

Ngemuva kokufakwa, uzodinga ukugcina indawo yokufaka yomile amahora angama-24 futhi ugweme ukuphakamisa izinto ezisindayo ngaleyo ngalo izinsuku ezimbalwa. Udokotela wakho uzohlinzeka ngemiyalelo ethile yokunakekela ngemuva ukuze kuqinisekiswe ukuphulukiswa okufanele.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Etonogestrel?

Lo mhlahlo we-etonogestrel wenzelwe ukusebenza iminyaka emithathu ngqo kusukela ngosuku lokufakwa. Ngemuva kweminyaka emithathu, amazinga e-hormone aba mancane kakhulu ukuvimbela ukukhulelwa ngokuthembekile, ngakho-ke lo mhlahlo kufanele ususwe.

Ungakwazi ukukhipha i-implant nganoma yisiphi isikhathi ngaphambi kokuba iminyaka emithathu iphele uma ufuna ukukhulelwa noma uma uhlangabezana nemiphumela emibi ongakwazi ukuyibekezelela. Ukuzala ngokuvamile kubuya ngokushesha ngemva kokukhipha, ngokuvamile kungakapheli amasonto ambalwa.

Uma ufuna ukuqhubeka nokusebenzisa lolu hlobo lokulawula inzalo ngemva kweminyaka emithathu, udokotela wakho angakhipha i-implant endala bese efaka entsha ngesikhathi esifanayo sokuqokwa. Abesifazane abaningi bakhetha ukwenza lokhu ngoba banelisekile ngendlela i-implant esebenza ngayo.

Yini Imiphumela Emiqoka Ye-Etonogestrel?

Njengazo zonke izindlela zokuvimbela inzalo ezinamahomoni, i-implant ye-etonogestrel ingabangela imiphumela emibi, nakuba abesifazane abaningi beyibekezelela kahle. Umphumela ovamile kakhulu izinguquko emaphethini akho okopha kwesikhathi.

Nansi imiphumela emibi ebikwa kaningi ongase uyithole:

• Ukuphuma kwegazi okungajwayelekile noma ukubonakala phakathi kwesikhathi
• Izikhathi ezinzima noma ezilula kunezivamile
• Ukungabi bikho ngokuphelele kwezikhathi (amenorrhea)
• Ukucindezeleka kwekhanda noma ama-migraines
• Ukwanda kwesisindo (ngokuvamile amakhilogremu angu-1-2)
• Ushintsho lwemizwa noma ukucindezeleka
• Izinduna noma izinguquko zesikhumba
• Ukuzwela kwamabele
• Isicanucanu

Iningi lale miphumela emibi ithambile futhi ivame ukuthuthuka ngemva kwezinyanga ezimbalwa zokuqala njengoba umzimba wakho ujwayela i-hormone. Nokho, izinguquko zokuphuma kwegazi zingase ziqhubeke phakathi neminyaka emithathu yokusetshenziswa.

Nakuba kungavamile, abanye besifazane bangase babe nemiphumela emibi engathi sína edinga ukunakekelwa kwezokwelapha:

• Ukucindezeleka okukhulu noma izinguquko zemizwa
• Ubuhlungu obukhulu besisu
• Ukuphuma kwegazi okukhulu okuthatha amasonto
• Izimpawu zokutheleleka endaweni yokufaka
• Ukuphendula okukhulu komzimba
• Amaqhubu egazi (avamile kakhulu ngezindlela ze-progestin-only)

Uma uhlangabezana nanoma yiziphi zalezi zimpawu ezingathi sína, xhumana nomhlinzeki wakho wezempilo ngokushesha. Bangasiza ekutholeni ukuthi i-implant ilungele yini noma uma udinga ukucabangela ukuyikhipha.

Obani okungafanele bathathe i-Etonogestrel?

Ngenkathi i-etonogestrel implant iphephile kwabesifazane abaningi, izimo ezithile zezokwelapha nezimo zenza ingafaneleki noma idinga ukucatshangelwa okukhethekile. Udokotela wakho uzobukeza umlando wakho wezokwelapha ngokucophelela ngaphambi kokuncoma le nketho.

Akufanele uthole i-etonogestrel implant uma unesinye salezi zimo:

• Ukukhulelwa kwamanje noma okusolwayo
• Isifo sesibindi esisebenzayo noma imithombo yesibindi
• Umlando womdlavuza webele noma eminye imidlavuza ezwelayo ngamahomoni
• Ukuphuma kwegazi okungachazeki emithanjeni
• Ukungezwani ne-etonogestrel noma ezinye izingxenye ze-implant
• Amagazi amanje noma umlando wokuphazamiseka kwegazi

Udokotela wakho uzosebenzisa ukuqapha uma unesifo sikashukela, umfutho wegazi ophezulu, noma umlando wokucindezeleka, njengoba lezi zimo zingathinteka yizinguquko zamahomoni.

Imithi ethile nayo ingasebenzisana ne-etonogestrel, okungenzeka ukuthi iyenze ingasebenzi kahle. Lokhu kufaka phakathi imithi ethile yokuhlaselwa, imithi ye-HIV, kanye nezithasiselo zemvelo ezinjenge-St. John's wort. Hlala utshela udokotela wakho ngayo yonke imithi nezithasiselo ozithathayo.

Amagama e-Etonogestrel Brand

I-etonogestrel implant ithengiswa ngaphansi kwegama lomkhiqizo elithi Nexplanon e-United States. Lolu njengamanje ukuphela kwe-etonogestrel implant evunyelwe yi-FDA etholakalayo e-U.S.

Ngaphambilini, i-implant efanayo ebizwa ngokuthi i-Implanon yayitholakala, kodwa yathathelwa indawo yi-Nexplanon ngo-2011. I-Nexplanon inezici ezingcono, okuhlanganisa ukubonakala kalula kuma-X-ray nokuba nedivayisi yokufaka kabusha.

Kwamanye amazwe, i-etonogestrel implant ingase itholakale ngaphansi kwamagama ahlukene omkhiqizo, kodwa imithi nemiphumela yayo ihlala injalo.

Ezinye izindlela ze-Etonogestrel

Uma i-etonogestrel implant ingakulungele, ezinye izinketho zokulawula ukuzala ezisebenza isikhathi eside nesifushane ziyatholakala. Ngayinye inezinzuzo zayo nokucatshangelwa kwayo.

Ezinye izindlela ezisebenza isikhathi eside zihlanganisa:

• I-Copper IUD (ParaGard) - ihlala iminyaka eyi-10, ayinawo ama-hormone
• Ama-IUD e-hormonal (Mirena, Skyla, Kyleena) - ahlala iminyaka eyi-3-7 kuye ngohlobo
• Umjovo we-Depo-Provera - unikezwa njalo emavikini amathathu

Ezinye izindlela ezisheshayo zihlanganisa amaphilisi okulawula ukuzala, iziqeshana, izindandatho zesitho sangasese sowesifazane, amakhondomu, nama-diaphragms. Lokhu kudinga ukunakekelwa kaningi kodwa kukunika ukulawula okwengeziwe ekuqaleni nasekuyekeni.

Umhlinzeki wakho wezempilo angakusiza uqhathanise lezi zinketho ngokusekelwe endleleni yakho yokuphila, umlando wakho wezokwelapha, nezintandokazi zakho siqu ukuze uthole okukulungele kakhulu.

Ingabe i-Etonogestrel Ingcono Kune-Mirena IUD?

Kokubili i-etonogestrel implant kanye ne-Mirena IUD ziyizindlela zokuvimbela ukukhulelwa ezisebenza kahle kakhulu, kodwa zisebenza ngendlela ehlukile futhi zingahambisana nezintandokazi ezihlukene. Ukukhetha phakathi kwazo kuncike ezidingweni zakho ngazinye nokuthi umzimba wakho usabela kanjani kuma-hormone ahlukene.

I-etonogestrel implant inikeza ezinye izinzuzo: kulula ukuyifaka nokuyisusa, akudingi ukuhlolwa kwe-pelvic ukuze ifakwe, futhi abanye besifazane bakhetha ukuba nokuvimbela ukukhulelwa engalweni yabo kunasesibelethweni sabo. Iphinde isebenzise olunye uhlobo lwe-progestin, oluthile abesifazane abalubekezelela kangcono.

I-Mirena IUD inezinzuzo zayo: ihlala isikhathi eside (iminyaka eyi-7 uma iqhathaniswa neminyaka emi-3), ngokuvamile yenza izikhathi zibe lula kakhulu noma iziqede ngokuphelele, futhi ingasiza ngokuphuma kwegazi eliningi lokuya esikhathini. Iphinde ifakwe ngesikhathi sokuvakasha okuvamile ehhovisi kodwa idinga ukuhlolwa kwe-pelvic.

Zombili izindlela zisebenza ngaphezu kuka-99% ekuvikeleni ukukhulelwa. Umehluko omkhulu uza ezintandokazini zomuntu siqu, indlela umzimba wakho osabela ngayo kuma-hormone athile, kanye nezinto ezibhekelwa njengokuthi ufuna ukuthi ukukhulelwa kuhlale isikhathi esingakanani.

Imibuzo Evame Ukubuzwa Mayelana ne-Etonogestrel

Q1. Ingabe i-Etonogestrel iphephile kwabesifazane abanesifo sikashukela?

I-Etonogestrel ingasetshenziswa ngabesifazane abanesifo sikashukela, kodwa idinga ukuqashwa ngokucophelela ngumhlinzeki wakho wezempilo. Le hormone ingase ithinte kancane amazinga kashukela egazini, nakuba lo mphumela uvame ukuba mncane ngezindlela ezinamaprogestin kuphela njengokufakelwa.

Udokotela wakho uzofuna ukuqapha ushukela wakho wegazi eduze, ikakhulukazi ezinyangeni ezimbalwa zokuqala ngemva kokufakwa. Uma unesifo sikashukela esilawulwa kahle ngaphandle kwezinkinga, ukufakelwa kuvame ukubhekwa njengokuphephile futhi kuyasebenza.

Abesifazane abanesifo sikashukela abanezinkinga ezinjengesifo sezinso, izinkinga zamehlo, noma ukulimala kwemizwa kungenzeka badinge ukucabangela ezinye izindlela zokuvimbela inzalo, njengoba izindlela ze-hormonal zingase zikwazi ukwenza lezi zimo zibe zimbi.

Umbuzo 2. Kufanele ngenzeni uma ngilimaza i-Etonogestrel Implant yami ngengozi?

Uma ucabanga ukuthi ukufakelwa kwakho kulimele, xhumana nomhlinzeki wakho wezempilo ngokushesha. Ngenkathi ukufakelwa kuklanyelwe ukuba kuvumelane futhi kuqine, ukulimala ngokomzimba endaweni kungase kuthinte indlela okukhulula ngayo ama-hormone.

Izimpawu zokuthi ukufakelwa kwakho kungase kulimale zihlanganisa: awukwazi ukukuzwa ngaphansi kwesikhumba sakho lapho kufakwe khona, indawo iba nevuvukala kakhulu noma ibuhlungu, noma ungezwa izingcezu zokufakelwa ezibonakala ziphukile. Ungazami ukuzihlola noma ukuzama ukulawula ukufakelwa ngokwakho.

Udokotela wakho angahlola indawo yokufakelwa futhi angase ancome izivivinyo zokucabanga njenge-X-ray ukuze ahlole ukuthi ukufakelwa kusaphelele futhi kusendaweni efanele. Uma ukulimala kuqinisekisiwe, bazoxoxa ngezinketho zokususa nokufaka esikhundleni nawe.

Umbuzo 3. Kufanele ngenzeni uma ngifuna ukususa i-Etonogestrel Implant yami ngaphambi kwesikhathi?

Ungakwazi ukususwa kwe-etonogestrel implant yakho nganoma yisiphi isikhathi phakathi neminyaka emithathu uma ufuna ukukhulelwa noma uma uhlangabezana nemiphumela emibi. Xhumana nomhlinzeki wakho wezempilo ukuze uhlele i-aphoyintimenti yokususwa.

Inqubo yokususwa ivame ukushesha futhi yenziwa ngaphansi kwe-anesthesia yendawo, efana nokufakwa. Udokotela wakho uzokwenza ukusikwa okuncane futhi asuse ngokucophelela i-implant. Abesifazane abaningi bangakwazi ukubuyela emisebenzini yabo ejwayelekile phakathi nosuku olulodwa noma ezimbili.

Uma ufuna ukuqhubeka nokusebenzisa ukulawulwa kokuzalwa ngamahomoni ngemva kokususwa, udokotela wakho angakwazi ukufaka i-implant entsha ngokushesha noma akusize ukuthi ushintshele kwenye indlela. Khumbula ukuthi inzalo ivame ukubuyela ngokushesha ngemva kokususwa, ngakho sebenzisa indlela yokuvimbela ukukhulelwa uma ungafuni ukukhulelwa.

Q4. Ngingayeka nini ukusebenzisa indlela yokuvimbela ukukhulelwa ngemva kokuthola i-Etonogestrel Implant?

Isikhathi sincike ekutheni i-implant ifakwe nini ngesikhathi somjikelezo wakho. Uma ifakwe phakathi nezinsuku zokuqala ezi-5 zokuya esikhathini kwakho, i-implant inikeza ukuvikeleka ngokushesha futhi akukho ukulawulwa kokuzalwa okudingekayo.

Uma ifakwe nganoma yisiphi esinye isikhathi emjikelezweni wakho, uzodinga ukusebenzisa indlela yokuvimbela ukukhulelwa (njengama-condom) izinsuku eziyi-7 zokuqala ngemva kokufakwa. Lokhu kunika i-implant isikhathi sokukhipha amahomoni anele ukuvimbela ukuzala ngempumelelo.

Uma ushintsha emaphilisi okulawula ukuzalwa, isikhathi singase sihluke. Umhlinzeki wakho wezempilo uzokunikeza imiyalelo ethile esekelwe esimweni sakho ukuze kuqinisekiswe ukuvikeleka okuqhubekayo kokukhulelwa.

Q5. Ngingakwazi yini ukuzivocavoca ngendlela evamile nge-Etonogestrel Implant?

Yebo, ungahlanganyela kuyo yonke imisebenzi ejwayelekile yomzimba nokuzivocavoca uma indawo yakho yokufaka isiphilile, ngokuvamile phakathi nezinsuku ezimbalwa kuya evikini. I-implant yenzelwe ukuhlala endaweni ngesikhathi sayo yonke imisebenzi yomzimba.

Ezinsukwini ezimbalwa zokuqala ngemva kokufakwa, gwema ukuphakamisa izinto ezisindayo noma ukuzivocavoca kanzima ngengalo lapho i-implant ifakwe khona. Lokhu kusiza ukuvimbela izinkinga futhi kuvumele ukuphulukiswa okufanele kwendawo yokufaka.

Uma selaphekile, le nto efakelwe ngeke iphazamise ezemidlalo, ukubhukuda, ukuphakamisa izinsimbi, noma eminye imisebenzi. Abadlali abaningi basebenzisa le nto efakelwe ngoba ayidingi ukunakekelwa nsuku zonke futhi ngeke ithintwe isimiso sabo sokuqeqesha.