Relugolix, estradiol, ne norethindrone (indlela yokwelapha ngomlomo)
Imikhiqizo etholakalayo
Myfembree
Mayelana naleli khambi
Ukuhlanganiswa kweRelugolix, i-estradiol, ne-norethindrone kusetshenziswa ukuphatha ukuphuma kwegazi okukhulu ngesikhathi sokuya esikhathini okubangelwa yi-uterine leiomyomas (ama-fibroids) kubesifazane abangakafinyeleli ekuqedeni kwesikhathi sabo. Kusetshenziswa futhi ukuphatha ubuhlungu obuphakathi nendawo kuya kobunzima obubangelwa yi-endometriosis kubesifazane abangakafinyeleli ekuqedeni kwesikhathi sabo. Lolu dokotela lutholakala kuphela ngomyalo wodokotela wakho. Lo mkhiqizo utholakala ngezindlela zokulinganisa ezilandelayo:
Ngaphambi kokusebenzisa leli khambi
Uma ukhetha ukusebenzisa imithi, kufanele kuqhathaniswe ingozi yokuthatha imithi nezinzuzo ezizoletha. Lo ngumqondo owenzayo wena nodokotela wakho. Kule mithi, kufanele kucabangelwe okulandelayo: Tshela udokotela wakho uma uke waba nanoma iyiphi impendulo engajwayelekile noma ebangelwa ukungezwani kwalolu hlobo lomuthi noma eminye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zokungezwani, njengokudla, izibenge, izigcini, noma izilwane. Ngomkhiqizo ongenalo iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenzelwanga ubuhlobo bobudala nemiphumela yokuhlanganiswa kwe-relugolix, i-estradiol, ne-norethindrone kubantu abancane. Ukuphepha nokuphumelela akukaqiniswa. Ayikho imininingwane etholakalayo mayelana nobuhlobo bobudala nemiphumela yokuhlanganiswa kwe-relugolix, i-estradiol, ne-norethindrone kubantu abadala. Ayikho izifundo ezifanele kubesifazane zokunquma ingozi yengane uma usebenzisa le mithi ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokuthatha le mithi ngesikhathi sokuncelisa. Nakuba ezinye izimithi kufanele zingasetshenziswa ndawonye nhlobo, kwezinye izimo imithi emibili ehlukene ingasetshenziswa ndawonye ngisho noma kungenzeka ukuthi kube khona ukusebenzisana. Kulezi zimo, udokotela wakho angafuna ukushintsha umthamo, noma ezinye izinyathelo zokuphepha kungadingeka. Uma uthatha le mithi, kubalulekile kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma iyiphi imithi ehlaliswe ngezansi. Ukusebenzisana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ayinconywa. Udokotela wakho anganquma ukungakwelaphi ngale mithi noma ashintshe ezinye izimithi ozithathayo. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ngokuvamile ayinconywa, kodwa kungadingeka kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyisebenzisa kangaki enye noma kokubili imithi. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo kungabangela ukwanda kengozi yezinye izingozi ezihlangothini, kodwa ukusebenzisa kokubili imithi kungaba ukwelashwa okuhle kuwe. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyisebenzisa kangaki enye noma kokubili imithi. Ezinye izimithi akufanele zisetshenziswe ngesikhathi noma eduze kwesikhathi sokudla ukudla noma ukudla izinhlobo ezithile zokudla njengoba kungenzeka kube khona ukusebenzisana. Ukusebenzisa utshwala noma utshaba nezinye izimithi kungabangela ukusebenzisana. Ukusebenzisana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma yini elandelayo ayinconywa. Udokotela wakho anganquma ukungakwelaphi ngale mithi, ashintshe ezinye izimithi ozithathayo, noma akunikeze imiyalo ekhethekile mayelana nokusetshenziswa kokudla, utshwala, noma utshaba. Ukusebenzisa le mithi nanoma yini elandelayo kungabangela ukwanda kengozi yezinye izingozi ezihlangothini kodwa kungagwenyeki kwezinye izimo. Uma kusetshenziswa ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyisebenzisa kangaki le mithi, noma akunikeze imiyalo ekhethekile mayelana nokusetshenziswa kokudla, utshwala, noma utshaba. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwale mithi. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi:
Indlela yokusebenzisa leli khambi
Thatha leli leyeza kuphela njengoba kunqunyiwe udokotela wakho. Ungalithathi ngokweqile, ungalithathi njalo, futhi ungalithathi isikhathi eside kunalokho udokotela wakho akuqondile. Leli leyeza liza nephepha lemininingwane yomguli. Funda futhi ulandele lezi zinkomba ngokucophelela. Buza udokotela wakho uma unemibuzo. Thatha ithebulethi cishe ngesikhathi esifanayo nsuku zonke, nokudla noma ngaphandle kokudla. Sebenzisa leli leyeza ezinsukwini eziyi-7 kusukela ekuqaleni kwesikhathi sakho sokuya exeshini. Ungathola ezinye izidakamizwa (eg, izithasiselo zekhalsiyam noma i-vitamin D) ukusiza ukunciphisa ukulahleka kwamathambo. Thatha leli leyeza okungenani amahora angu-6 ngaphambi kokuthatha ezinye izidakamizwa ezibizwa ngokuthi yi-P-gp inhibitors. Buza udokotela wakho ngalezi zidakamizwa. Inani leli leyeza lizohluka kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esemthethweni. Ulwazi olulandelayo luhlanganisa kuphela amanani ajwayelekile aleli leyeza. Uma inani lakho lihlukile, ungalishintshi ngaphandle kokuthi udokotela wakho akuqondile ukwenza njalo. Inani leyeza olithathayo lixhomeke emandleni leyeza. Futhi, inani lezinye olithathayo nsuku zonke, isikhathi esivunyelwe phakathi kwezinye, nobude besikhathi olithatha leyeza kuya ngenkinga yezokwelapha oyisebenzisayo. Uma uphuthelwa yisilinganiso saleli leyeza, silithathe ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi sesilinganiso sakho esilandelayo, susa isilinganiso esiphuthelwe futhi ubuyele esimweni sakho sokuthatha imithi. Ungawandisi amanani. Gcina leli leyeza esitsheni esivaliwe ekushiseni kwegumbi, kude nokushisa, ukufuma, nokukhanya okulungile. Gcina ungawagqabi. Gcina ungafinyeleleki kubantwana. Ungagcini imithi eliphelile noma imithi engasadingeki. Buza ochwepheshe bakho bezempilo ukuthi kufanele ulahle njani noma iyiphi imithi ongayisebenzisi.