Segesterone acetate ne-ethinyl estradiol (indlela yasesigabeni)
Imikhiqizo etholakalayo
Annovera
Mayelana naleli khambi
Ukuhlanganiswa kwe-segesterone acetate ne-ethinyl estradiol kusetshenziswa ukuvimbela ukukhulelwa. Kuyindlela yokulawula ukubeletha efanele (ngesimo sesigqoko) enezinhlobo ezimbili zamahomoni, i-segesterone acetate ne-ethinyl estradiol. Isebenza ngokuvimbela iqanda lomfazi ukuthi lingakhula ngokuphelele inyanga ngayinye. Iqanda alisekeli ukwamukela isperm, futhi ukuqothuka (ukukhulelwa) kuvimbelwa. Ayikho indlela yokuvimbela ukukhulelwa enenzuzo engu-100%. Izindlela zokulawula ukubeletha ezinjengokwenza ubuhlinzwa bokuhlala ungakhulelwa noma ukungabi nobulili zinenzuzo kunezinqubo zesigqoko. Xoxa ngezinketho zakho zokulawula ukubelelwa nodokotela wakho. Lolukhuni aluvibeli ukutheleleka yi-HIV noma ezinye izifo ezithathelwana ngobulili. Ngeke lusebenze njengokulawula ukukhulelwa okusheshayo, njengoba kwenzeka ngemva kokungabi nokuvikelwa ngesikhathi sobulili. Lolukhuni lutholakala kuphela ngomyalelo wodokotela. Lo mkhiqizo utholakala ngezindlela zokulinganisa ezilandelayo:
Ngaphambi kokusebenzisa leli khambi
Ekwahluleni kokusebenzisa imithi, izingozi zokuthatha imithi kufanele ziqhathaniswe nezinzuzo ezizokwenzeka. Lo ngumqondo owenzayo wena nodokotela wakho. Kule mithi, okulandelayo kufanele kucabangelwe: Tshela udokotela wakho uma uke waba nokuthile okungavamile noma ukutholakala kwengcindezi kule mithi noma eminye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zokutholakala kwengcindezi, njengokudla, izidakamizwa, izigcini, noma izilwane. Ngomkhiqizo ongenamibhalo, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele mayelana nobudlelwano bobudala nemiphumela yokuhlanganiswa kwe-segesterone acetate ne-ethinyl estradiol azikwenziwe kubantu abancane. Noma kunjalo, izinkinga ezikhethekile zabantwana ezingakhawulela ukusebenziseka kwale mithi kubantu abasebasha azilindelekile. Le mithi ingasetshenziswa ekuphatheni ukukhulelwa kwabesifazane abasebasha kodwa akufanele isetshenziswe ngaphambi kokuba kuqale ukuya exeshini. Izifundo ezifanele mayelana nobudlelwano bobudala nemiphumela yokuhlanganiswa kwe-segesterone acetate ne-ethinyl estradiol azikwenziwe kubantu abadala. Le mithi ayikhonjelwe ukusetshenziswa kwabesifazane abadala. Ayikho izifundo ezifanele kwabesifazane zokunquma ingozi yengane uma usebenzisa le mithi ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokuthatha le mithi ngesikhathi sokuncelisa. Nakuba ezinye izidakamizwa kufanele zingasetshenziswanga ndawonye, kwezinye izimo izidakamizwa ezimbili ezahlukene zingasetshenziswa ndawonye ngisho noma kungenzeka ukuhlangana. Kulezi zimo, udokotela wakho angase afune ukushintsha umthamo, noma ezinye izinyathelo zokuphepha zingadingeka. Uma uthatha le mithi, kubalulekile kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma yimiphi imithi ehlaliswe ngezansi. Ukuhlangana okulandelayo kukhethwe ngokusekelwe ekubalulekeni kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma yimiphi imithi elandelayo ayikhuthazwa. Udokotela wakho angase anqume ukungakwelaphi ngale mithi noma ashintshe ezinye izidakamizwa ozithathayo. Ukusebenzisa le mithi nanoma yimiphi imithi elandelayo ngokuvamile akusikhuthazwa, kodwa kungadingeka kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani enye noma zombili izidakamizwa. Ukusebenzisa le mithi nanoma yimiphi imithi elandelayo kungabangela ukwanda kengozi yezinye izingozi ezibekiwe, kodwa ukusebenzisa kokubili izidakamizwa kungaba ukwelashwa okuhle kuwe. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani enye noma zombili izidakamizwa. Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi noma eduze kwesikhathi sokudla ukudla noma ukudla izinhlobo ezithile zokudla njengoba kungenzeka ukuhlangana. Ukusebenzisa utshwala noma utshaba nanoma yimiphi imithi kungabangela ukuhlangana. Ukuhlangana okulandelayo kukhethwe ngokusekelwe ekubalulekeni kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma yini elandelayo ayikhuthazwa. Udokotela wakho angase anqume ukungakwelaphi ngale mithi, ashintshe ezinye izidakamizwa ozithathayo, noma akunikeze imiyalo ekhethekile mayelana nokusetshenziswa kokudla, utshwala, noma utshaba. Ukusebenzisa le mithi nanoma yini elandelayo ngokuvamile akusikhuthazwa, kodwa kungase kungenzeki kwezinye izimo. Uma kusetshenziswa ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani le mithi, noma akunikeze imiyalo ekhethekile mayelana nokusetshenziswa kokudla, utshwala, noma utshaba. Ukusebenzisa le mithi nanoma yini elandelayo kungabangela ukwanda kengozi yezinye izingozi ezibekiwe kodwa kungase kungenzeki kwezinye izimo. Uma kusetshenziswa ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani 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
Sebenzisa lelihlungu ngokuqondile njengoba udokotela wakho ekutshele. Ungasebenzisi okuningi kwalokhu, ungalusebenzisi kaningi, futhi ungalusebenzisi isikhathi eside kunalokho udokotela wakho aku-odere. Ukwenza kanjalo kungabangela imiphumela emibi engafunwa. Lelihlungu kufanele lisetshenziswe kuphela esibelethweni. Lelihlungu elibumbene liku-vaginal system ebekwa esibelethweni sakho. I-vaginal system izokhipha kancane kancane inani elincane lelihlungu ukuze umzimba wakho ulisebenzise. Lelihlungu liza nephepha lemininingwane yomguli nemiyalo yomguli. Funda futhi ulandele le miyalo ngokucophelela. Buza udokotela wakho uma unemibuzo. Lelihlungu lisetshenziswa esikhathini sezinyanga ezine ngezikhathi eziyi-13 (umnyaka owodwa). Ungaqala ukusebenzisa i-vaginal system phakathi nosuku lwesibili nolwesihlanu lwesikhathi sakho sokuphuza, uligcine endaweni amasonto amathathu. Uma i-vaginal system isikhona esibelethweni sakho, akufanele ukwazi ukuyizwa. Uma uzizwa ungakhululekile, kungase kungafakwanga kude ngokwanele. Cindezela kancane i-vaginal system kude esibelethweni sakho. Uma uzwa ubuhlungu, khuluma nodokotela wakho. I-vaginal system ingase iye phansi ngengozi. Lokhu kungenzeka uma usususa i-tampon, ngesikhathi socansi, noma ucindezela ukuze wenze isisu. Yicindezele kancane emuva endaweni. Uma i-vaginal system iphuma ngokuphelele, geza ngesepu elithambile namanzi afudumele, uyomise ngendwangu ehlanzekile noma iphepha lesitambisi, bese uyifaka kabusha. Shaya udokotela wakho uma i-vaginal system iphuma izikhathi eziningi. Susa i-vaginal system ngemva kwamasonto amathathu ngosuku olufanayo nolwesonto nesikhathi esifakwe ngalo. Phakathi neviki elilodwa lokuphumula, ngokuvamile uzobe unesisu sakho. Geza i-vaginal system ngesepu elithambile namanzi afudumele, uyomise ngendwangu ehlanzekile noma iphepha lesitambisi, bese uyigcina endaweni eza nayo. Yifake kabusha ngemva kweviki. Ngesikhathi usebenzisa lelihlungu, kungase kudingeke ukusebenzisa enye indlela yokulawula ukubeletha (eg, ikhondomu, i-spermicide) ezinsukwini eziyisikhombisa zokuqala ukuvimbela ukukhulelwa, ikakhulukazi uma une-menstrual cycle engajwayelekile noma uma uqala ukusebenzisa le vaginal system ngaphezu kwezinsuku eziyi-5 kusukela ekuphuzweni kwakho kokugcina. Uma kudingeka ukususa i-vaginal system, gqoka unqunu wakho kuyo bese uyikhulula. Uma ushintsha kusuka endleleni yokulawula ukubeletha ehlanganisiwe (eg, amaphilisi, i-patch) kuya ku-Annovera™, qala ukusebenzisa lelihlungu nganoma yiluphi usuku. Ungalusebenzisi lelihlungu ngemva kwezinsuku ezingaphezu kweziyisikhombisa ezingenayo i-hormone. Uma ushintsha kusuka endleleni yokulawula ukubeletha eyenziwe yi-progestin kuphela (eg, i-progestin-only implant, injection, intrauterine system, pill) kuya ku-Annovera™, qala ukuyisebenzisa ngosuku olandelayo ngemva kokusebenzisa iphilisi lakho lokugcina le-progestin kuphela, noma ngosuku olukhishwa khona i-implant yakho noma i-IUD, noma ngosuku oluzoba khona ukudubula kwakho okulandelayo. Kumelwe futhi usebenzise enye indlela yokulawula ukubeletha (eg, ikhondomu yabesilisa ene-spermicide) ezinsukwini eziyisikhombisa zokuqala. Ungadli i-grapefruit noma uphuze ijusi le-grapefruit ngesikhathi usebenzisa lelihlungu. I-grapefruit nejusi le-grapefruit zingashintsha inani lelihlungu elisetshenziswa emzimbeni. Ungalusebenzisi lelihlungu kanye nama-creams, ama-gels, ama-lubricants, noma ama-suppositories e-oil-based. Buza udokotela wakho ngaphambi kokusebenzisa ezinye izinto noma ama-medicines esibelethweni sakho. Inani lelihlungu lizohluka kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esitikhwini. Ulwazi olulandelayo luhlanganisa kuphela amanani ajwayelekile alelihlungu. Uma inani lakho lihlukile, ungalishintshi ngaphandle kokuthi udokotela wakho akuqondise ukuba wenze njalo. Inani lelihlungu olithathayo lixhomeke emandleni lelihlungu. Futhi, inani lezinani olithathayo nsuku zonke, isikhathi esivunyelwe phakathi kwezinani, nobude besikhathi olithatha lelihlungu kuya ngenkinga yezokwelapha oyisebenzisayo. Shaya udokotela wakho noma umthengisi wezidakamizwa ukuze uthole imiyalo. Uma i-vaginal system iphumile futhi iphume isikhathi esingaphansi kwamahora amabili, geza ngesepu elithambile namanzi afudumele, uyomise ngendwangu ehlanzekile noma iphepha lesitambisi, bese uyifaka kabusha. Kufanele uvikelwe ekukhulelweni. Uma i-vaginal system iphume ngaphezu kwamahora amabili (kuhlanganise nokususwa okuningi), sebenzisa enye indlela yokulawula ukubeletha (kuhlanganise namakhondomu noma i-spermicide) kuze kube yilapho i-vaginal system ibe esibelethweni izinsuku eziyisikhombisa ngokulandelana. Uma ukhohlwe ukufaka kabusha i-vaginal system ngemva kweviki engenayo i-vaginal system, sebenzisa enye indlela yokulawula ukubeletha (kuhlanganise namakhondomu noma i-spermicide) kuze kube yilapho i-vaginal system ibe esibelethweni izinsuku eziyisikhombisa ngokulandelana. Uma ushiya i-vaginal system esibelethweni izinsuku ezingaphezu kweziyi-21, uyisuse izinsuku eziyisikhombisa bese uyifaka kabusha izinsuku eziyi-21 ukuze ubuyele esimisweni esijwayelekile. Gcina lelihlungu esitsheni esivalekile ekushiseni kwegumbi, kude nokushisa, ukufuma, nokukhanya okulungile. Gcina ungaganduki. Gcina kungafinyeleleki izingane. Ungagcini lelihlungu elidlulile noma lelihlungu elingasadingeki. Buza ochwepheshe bakho bezempilo ukuthi kufanele ulahle kanjani noma yiliphi ihlungu ongeke ulusebenzise. Ungalusebenzisi i-vaginal system ngaphezu kwezikhathi eziyi-13 (umnyaka owodwa). Beka i-vaginal system esetshenzisiwe endaweni eza nayo. Yiphonse ebhini. Ungayiphonsi i-vaginal system e-toilet.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.