Yini i-Ulipristal: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

I-Ulipristal iyiphilisi lokuvimbela inzalo eliphuthumayo elingavimbela ukukhulelwa ngemva kocansi olungavikelekile noma ukwehluleka kokuvimbela inzalo. Ivame ukubizwa ngokuthi “iphilisi langemva kokulala,” nakuba lisebenza ngempumelelo kuze kube amahora angu-120 (izinsuku ezi-5) ngemva kokuhlangana. Lo muthi ukunika iwindi elide lokuvikela uma kuqhathaniswa nezinye izindlela zokuvimbela inzalo eziphuthumayo, okwenza kube yindlela ebalulekile uma uyidinga kakhulu.

Yini i-Ulipristal?

I-Ulipristal iyisiguquli esikhethiwe somamukeli we-progesterone esisebenza njengokuvimbela inzalo okuphuthumayo. Yiphilisi elilodwa olithatha ngomlomo ukuvimbela ukukhulelwa ngemva kokuhlangana okungavikelekile. Umuthi wenzelwe ngokuqondile izimo eziphuthumayo futhi awuhloselwe ukusetshenziswa njalo kokulawula ukuzala.

Lo muthi usebenza ngokubambezela noma ukuvimbela ukuvuthwa kwamaqanda, okusho ukuthi umisa ama-ovari akho ukuthi angakhiphi iqanda. Uma kungekho qanda elitholakalayo ukuze umqumbe ukhulelise, ukukhulelwa ngeke kwenzeke. I-Ulipristal isebenza kahle kakhulu uma ithathwa ngokushesha ngemva kocansi olungavikelekile, kodwa isasebenza kuze kube yizinsuku ezi-5.

Isetshenziselwani i-Ulipristal?

I-Ulipristal isetshenziselwa ngokuqondile ukuvimbela inzalo okuphuthumayo uma udinga ukuvimbela ukukhulelwa ngemva kocansi olungavikelekile. Lokhu kuhlanganisa izimo ezinjengokwehluleka kokuvimbela inzalo, amaphilisi okulawula ukuzala angathathwanga, noma ukuhlangana okungavikelekile. Kuyisu lakho lokusekela uma indlela yakho yokulawula ukuzala ejwayelekile yehluleka noma ingasetshenziswanga.

Umuthi ulusizo ikakhulukazi uma ungaphezu kwefasitela elivamile lama-72 amahora lezinye izindlela zokuvimbela inzalo eziphuthumayo. Njengoba i-ulipristal isebenza ngempumelelo kuze kube amahora angu-120, ikunika isikhathi esiningi sokufinyelela ekulawuleni ukuzala okuphuthumayo. Lolu hlu lwesikhathi olwandisiwe lungaba lubalulekile uma ungenakukwazi ukuya ekhemisi noma kumhlinzeki wezempilo ngokushesha.

Isebenza Kanjani i-Ulipristal?

I-Ulipristal isebenza ngokuvimba ama-progesterone receptors emzimbeni wakho, okuhlehlisa noma kuvimbele i-ovulation. Ithathwa njenge-contraceptive ephuthumayo eqinile nephumelelayo ngoba ingasebenza ngisho naseduze nesikhathi se-ovulation. Umuthi ngokuyisisekelo umisa umjikelezo wakho wokuzala okwesikhashana ukuvimbela ukukhulelwa.

Ngokungafani nezinye izindlela zokuvimbela ukukhulelwa eziphuthumayo, i-ulipristal ingasebenza ngisho nalapho ithathwa ngesikhathi se-luteal phase yomjikelezo wakho wokuya esikhathini. Lokhu kusho ukuthi isebenza kuyo yonke imikhakha ehlukene yomjikelezo wakho, ikunikeza ukuvikeleka okuthembekile uma ukudinga kakhulu. Umuthi awuthinti ukukhulelwa okukhona futhi ngeke ulimaze umbungu okhulayo uma usuvele ukhulelwe.

Kufanele Ngiyithathe Kanjani I-Ulipristal?

Thatha i-ulipristal njengohlobo olulodwa lwethebulethi engu-30mg ngomlomo ngamanzi ngokushesha ngangokunokwenzeka ngemva kocansi olungavikelekile. Ungayithatha nokudla noma ngaphandle kokudla, nakuba ukuyithatha esiswini esingenalutho kungase kusize ngokumuncwa. Ungagayi, uhlafune, noma uphule ithebulethi - liyigwinye lonke ukuze uthole imiphumela engcono.

Uma uhlanza kungakapheli amahora amathathu ngemva kokuthatha umuthi, uzodinga ukuthatha enye idosi ngoba umzimba wakho ungase ungamuncanga inani eliphelele. Xhumana nomhlinzeki wakho wezempilo noma usokhemisi uma lokhu kwenzeka, njengoba uzodinga idosi yokushintsha. Ukuthatha umuthi ngesnakhi esilula kungasiza ekunciphiseni isicanucanu uma uthambekele ekuphazamisekeni kwesisu.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Ulipristal?

I-Ulipristal iyidosi yomuthi yesikhathi esisodwa oyithatha kanye kuphela ngesigameko socansi olungavikelekile. Awuyithathi izinsuku eziningi noma njengokwelashwa okuqhubekayo. Ithebulethi elilodwa linikeza idosi ephelele edingekayo yokuvimbela ukukhulelwa okuphuthumayo.

Uma uba nobulili obungavikelekile futhi ngemva kokuthatha i-ulipristal, uzodinga omunye umthamo ngalolo mcimbi ohlukile. Nokho, akufanele usebenzise i-ulipristal ngokuphindaphindiwe ngaphakathi komjikelezo ofanayo wokuya esikhathini, njengoba lokhu kungaphazamisa umjikelezo wakho futhi kunciphise ukusebenza kahle. Ukuze uthole izidingo eziqhubekayo zokuvimbela inzalo, khuluma nodokotela wakho mayelana nezinketho zokulawula ukuzala ezivamile.

Yiziphi Izimo Ezingezinhle Ze-Ulipristal?

Abantu abaningi bayayibekezelela i-ulipristal kahle, kodwa ezinye izimo ezingezinhle zingenzeka njengoba umzimba wakho usabela emuthini. Lezi zimo ngokuvamile zithambile futhi zesikhashana, zizixazulula zodwa ezinsukwini ezimbalwa.

Nawa amanye amaphutha ajwayelekile ongase uwathole:

• Ukucasuka kwesisu nokungakhululeki kwesisu
• Ikhanda elibuhlungu nesiyezi
• Ukuzwela kwamabele
• Ukukhathala nokushintsha kwemizwa
• Ushintsho emjikelezweni wakho olandelayo wokuya esikhathini
• Ubuhlungu obungaphansi kwesisu noma ukuqaqamba

Umjikelezo wakho wokuya esikhathini ungase uthinteke ngemva kokuthatha i-ulipristal, okuyinto evamile ngokuphelele. Isikhathi sakho esilandelayo singase sibe ngaphambi kwesikhathi noma ngemva kwesikhathi esilindelekile, futhi singase sibe sikhulu noma silula kunokujwayelekile.

Abanye abantu bathola imiphumela emibi engavamile kodwa esavame, okuhlanganisa:

• Ubuhlungu bemisipha nobuhlungu emhlane
• Ukushisa okukhulu
• Ushintsho lokukhipha esithweni sangasese
• Ukuqubuka kwamabala
• Umlomo owomile

Imiphumela emibi engathi sína ayivamile kodwa ingahlanganisa ukusabela okukhulu komzimba, ukopha okungapheli, noma ubuhlungu obukhulu besisu. Xhumana nodokotela wakho uma uhlangabezana nezimpawu ezinjengobunzima bokuphefumula, ukuqubuka okukhulu, noma ubuhlungu obungathuthuki ngemithi yokwelapha ubuhlungu etholakala ngaphandle kwemvume kadokotela.

Ubani Ongafanele Athatha I-Ulipristal?

I-Ulipristal ayifanele wonke umuntu, futhi izimo ezithile zenza kungaphephile ukuyisebenzisa. Akufanele uthathe lo muthi uma usuvele ukhulelwe, njengoba ngeke iqede ukukhulelwa okukhona futhi ayidingeki uma ukukhulelwa sekuvele kwenzekile.

Abantu abanezinkinga ezinkulu zesibindi kufanele bagweme i-ulipristal ngoba umuthi uqhutshwa esibindini. Uma unesifo sesibindi noma usebenzisa imithi ethinta ukusebenza kwesibindi, khuluma nodokotela wakho mayelana nezinye izindlela eziphephile. Isibindi sakho kumele sibe sempilweni ukuze siqhubeke kahle lo muthi.

Kufanele futhi ugweme i-ulipristal uma usebenzisa imithi ethile engaphazamisa ukusebenza kwayo:

• I-Rifampin neminye imithi yesifo sofuba
• I-Phenytoin neminye imithi yokulwa nokuhlaselwa
• I-Carbamazepine ne-mood stabilizers
• Izithasiselo ze-St. John's Wort
• Eminye imithi ye-HIV

Uma uncelisa, ungafaka i-ulipristal, kodwa kufanele ukhiphe ubisi lwebele bese ululahla amahora angu-36 ngemuva kokuthatha umuthi. Lokhu kuvimbela umuthi ukuthi ungangeni enganeni yakho ngobisi lwebele.

Amagama Omkhiqizo we-Ulipristal

I-Ulipristal itholakala ngaphansi kwegama lomkhiqizo elithi ella e-United States. Leli yigama lomkhiqizo elivamile ozohlangana nalo uma ufuna le ndlela yokuvimbela ukukhulelwa esiphuthumayo. Ezinye izindawo zingase zibe namagama omkhiqizo ahlukene, kodwa isithako esisebenzayo sihlala sifana.

Uma ucela i-ulipristal ekhemisi, ungafaka isicelo se- "ella" noma "ulipristal acetate." Womabili la magama abhekisela emuthini ofanayo. Igama lomkhiqizo elithi ella laziwa kakhulu ngosokhemisi nabahlinzeki bezempilo.

Ezinye izindlela ze-Ulipristal

Uma i-ulipristal ingatholakali noma ingakulungele, ezinye izinketho zokuvimbela ukukhulelwa eziphuthumayo ziyatholakala. I-Levonorgestrel (Plan B One-Step) iyindlela evame kakhulu, nakuba isebenza kuphela kuze kube amahora angu-72 ngemuva kocansi olungavikelekile. Lokhu kukunika iwindi elifushane uma liqhathaniswa nokusebenza kwe-ulipristal kwamahora angu-120.

I-IUD yethusi enye inketho yokuvimbela inzalo ephumelelayo engaphuthumayo engafakwa kuze kube yizinsuku ezi-5 ngemva kocansi olungavikelekile. Isebenza ngaphezu kuka-99% ekuvikeleni ukukhulelwa futhi inganikeza ukuvimbela inzalo kwesikhathi eside ngemva kwalokho. Kodwa-ke, idinga ukuvakashelwa ngumhlinzeki wezempilo kanye nenqubo encane yokufakwa.

Kubantu abangakwazi ukusebenzisa izindlela zokuvimbela inzalo eziphuthumayo ezinamahomoni, i-IUD yethusi iba inketho engcono kakhulu. Isebenza ngokuvimbela ukukhulelwa nokufakwa ngaphandle kokusebenzisa amahomoni. Umhlinzeki wakho wezempilo angakusiza ukuthi unqume ukuthi iyiphi inketho esebenza kangcono esimweni sakho.

Ingabe i-Ulipristal ingcono kune-Plan B?

I-Ulipristal inikeza izinzuzo eziningana ngaphezu kwe-Plan B (levonorgestrel), ikakhulukazi ngesikhathi nokusebenza kahle. Inzuzo enkulu iwukuthi i-ulipristal inesikhathi eside sokusebenza - isebenza kuze kube amahora angu-120 uma kuqhathaniswa newindi le-Plan B lama-72 amahora. Lokhu kukunikeza isikhathi esiningi sokufinyelela ekunqandeni inzalo okuphuthumayo uma ukudinga.

Ucwaningo lubonisa ukuthi i-ulipristal igcina ukusebenza kwayo kangcono ngokuhamba kwesikhathi uma iqhathaniswa ne-Plan B. Ngenkathi yomibili imithi isebenza kahle uma ithathwa ngokushesha ngangokunokwenzeka, i-ulipristal ayilahlekelwa ukusebenza ngokushesha njengoba amahora edlula. Lokhu kuyenza ibe inketho ethembeke kakhulu uma ungenakukwazi ukuthatha ukuvimbela inzalo okuphuthumayo ngokushesha.

Kodwa-ke, i-Plan B itholakala kabanzi futhi ingathengwa ngaphandle kwemvume kadokotela ezindaweni eziningi. I-Ulipristal ngokuvamile idinga imvume kadokotela emazweni amaningi, okungadala izithiyo zokufinyelela. Ukukhetha phakathi kwazo kuvame ukuncika ekutheni ungayifinyelela ngokushesha kangakanani imithi ngayinye nokuthi isikhathi esingakanani sesidlulile ngocansi olungavikelekile.

Imibuzo Evame Ukubuzwa Mayelana ne-Ulipristal

Ingabe i-Ulipristal iphephile kubantu abanesifo sikashukela?

I-Ulipristal ngokuvamile iphephile kubantu abanesifo sikashukela, njengoba ingawashintshi kakhulu amazinga kashukela egazini. Umuthi usebenza ngamahomoni okuzala kunokuba i-insulin noma ukukhishwa kwe-glucose. Nokho, kufanele uqaphele ushukela wakho wegazi njengenjwayelo futhi uthintane nomhlinzeki wakho wezempilo uma ubona izinguquko ezingavamile.

Uma uthatha imithi yesifo sikashukela, akukho ukusebenzisana okwaziwayo ne-ulipristal okungathinta ukulawulwa kukashukela wakho wegazi. Ungaqhubeka nokuthatha imithi yakho yesifo sikashukela njengoba kunqunywe ngenkathi usebenzisa izindlela zokuvimbela inzalo eziphuthumayo.

Kufanele Ngenzeni Uma Ngithatha I-Ulipristal Engaphezu Kwemithi Ngengozi?

Ukuthatha ithebhulethi ye-ulipristal engaphezu kweyodwa ngeke kwandise ukusebenza kwayo futhi kungase kwandise imiphumela emibi efana nesicanucanu nokugcwala. Uma ngengozi uthatha amathebhulethi amaningi, thintana nomhlinzeki wakho wezempilo noma ukulawulwa kwezinto ezinobuthi ukuze uthole isiqondiso. Bangakusiza ukuthi ulawule noma yimiphi imiphumela emibi eyandisiwe.

Izimo eziningi zokweqisa umthamo nge-ulipristal zibangela imiphumela emibi enamandla kodwa yesikhashana kunokuba kube nezinkinga ezinzima. Nokho, kubalulekile ukuthola iseluleko sezokwelapha ukuze uqinisekise ukuthi uqashwe ngendlela efanele futhi uthole ukunakekelwa okufanele uma kudingeka.

Kufanele Ngenzeni Uma Ngiphuthelwa Ukuthatha I-Ulipristal Ngaphakathi Kwefasitela Lesikhathi?

Uma ungaphezu kwefasitela le-ulipristal le-120-hour, amaphilisi okuvimbela inzalo eziphuthumayo anciphisa ukusebenza. Xhumana nomhlinzeki wakho wezempilo ngokushesha ukuze uxoxe ngezinketho zakho, ezingase zihlanganise ukufakwa kwe-IUD yethusi uma usangaphakathi kwezinsuku ezi-5 zocansi olungavikelekile.

Umhlinzeki wakho wezempilo angakusiza ukuthi uqonde ingozi yakho yokukhulelwa futhi axoxe ngezinyathelo ezilandelayo. Bangase bancomende ukuthatha ukuhlolwa kokukhulelwa emasontweni ambalwa noma bahlole ezinye izinketho ngokusekelwe esimweni sakho esithile nezintandokazi.

Ngingayeka nini ukukhathazeka ngokukhulelwa ngemva kokuthatha i-Ulipristal?

Ungazizwa uqiniseka ngokwengeziwe mayelana nokuvimbela ukukhulelwa uma ukuya kwakho esikhathini okulandelayo kufika ngesikhathi esifanele. Uma ukuya kwakho esikhathini sekweqe isonto, thatha ukuhlolwa kokukhulelwa ukuqinisekisa ukuthi ukwelashwa okuphuthumayo kusebenze. Abantu abaningi baya esikhathini sabo ezinsukwini ezimbalwa ngemuva kokuthi bavame ukuba ngazo.

Khumbula ukuthi i-ulipristal ingalibazisa ukuya kwakho esikhathini ngezinsuku ezimbalwa, ngakho-ke ungesabi uma kuphuze kancane. Kodwa-ke, uma uba nezimpawu zokukhulelwa noma ukuya kwakho esikhathini kulibazise kakhulu, ukuthatha ukuhlolwa kokukhulelwa kuzokunika ukuthula kwengqondo.

Ngingakwazi Ukusebenzisa Ukulawulwa Kokuzalwa Okujwayelekile Ngemuva Kokuthatha I-Ulipristal?

Kufanele ulinde okungenani izinsuku ezi-5 ngemuva kokuthatha i-ulipristal ngaphambi kokuqala noma ukuqhubeka nezindlela zokulawula ukuzalwa ngamahomoni njengamaphilisi, iziqeshana, noma izindandatho. Ukuqala ukwelashwa ngamahomoni ngokushesha ngemuva kwe-ulipristal kunganciphisa ukusebenza kahle kokuvimbela okuphuthumayo. Sebenzisa izindlela zokuvimbela ezinjengamakondomu ngalesi sikhathi sokulinda.

Ngemuva kwesikhathi sokulinda sezinsuku ezi-5, ungaqala indlela yakho ejwayelekile yokulawula ukuzalwa. Kodwa-ke, uzodinga ukusebenzisa ukulawulwa kokuzalwa okusekelayo izinsuku eziyi-7 zokuqala zokulawulwa kokuzalwa ngamahomoni ukuqinisekisa ukuvikelwa okuphelele. Umhlinzeki wakho wezempilo angakunika isiqondiso esithile esisekelwe endleleni yakho yokulawula ukuzalwa oyikhethile.