Cha, hhayi ngaphandle kokuthi udokotela wakho akutshongo ngokuqondile. Ungakwazi yini ukuthatha i-norethindrone ephindwe kabili ngasikhathi sinye ukuze uyeke ukuphuma kwegazi esikhathini ngokushesha? Ukuphinda kabili umthamo kwengeza ukuboniswa yi-hormone nemiphumela emibi ngaphandle kokusheshisa ukulawula ukuphuma kwegazi. Thatha umthamo owunikezwe ngudokotela, futhi ushayele udokotela wakho uma ukuphuma kwegazi kungayeki.

Isifinyezo: Okubalulekile

  • Ungaziphindi zodwa. Ithebulethi eyodwa eyengeziwe ayiyona inguqulo esheshayo yencwadi kadokotela wakho.
  • Ithebulethi yesibili ayisebenzi ngokushesha ngoba i-progestin yenza kube nza lingu ulayini wesibeletho ngaphezu kwezinsuku, hhayi amaminithi.
  • Kukhona nemithamo ephezulu ye-norethindrone, kodwa yabelwa udokotela ngemuva kokuthi imbangela yokuphuma kwegazi ihlolwe.
  • Umdose owodwa ungahlanganisi uvamile ukuba yingozi, kodwa ungathathi ithebulethi yesithathu ukuze uyilungise.
  • Ukucwilisa iphedi njalo ngehora imizuzu engu-2 noma ngaphezulu, noma noma yimaphi ama-clot noma izimpawu zokushaywa unhlangothi, kusho ukuthi shayela u-911.

Impendulo emfushane: ukuphuza i-norethindrone kabili ngasikhathi sinye ngeke kuyeke ukuya esikhathini ngokushesha

Ungakwazi yini ukuphuza i-norethindrone kabili ngasikhathi sinye ukuze uyeke ukuphuma kwegazi esikhathini? Cha, hhayi ngaphandle kokuthi udokotela wakho akutshongo ngokuqondile. I-MedlinePlus (NIH) ichaza ngokusobala: ungathathi umthamo ophindwe kabili ukuze ugcwalise lowo owaphuthelwa, futhi ungathathi okwengeziwe kwalemithi, noma uyiphuzile kaningi, kunalokho okunikezwe ngudokotela. Amatebulethi engeziwe angoza ukuboniswa yi-hormone ngaphandle kokungeza isivinini.

Nansi indlela ezokwenza okungekho iphrofayili yomqhudelwano echaza. I-progestin isebenza ngokuqinisa ulayini we-endometrial, futhi lokho kuyinqubo elinganiswa ngezinsuku zokuboniswa njalo, hhayi ngemizuzu ngemuva kwetebulethi. Umugqa wokuphendula womthamo wokuya esikhathini awuqali ngaso leso sikhathi noma awululami. Ithebulethi yesibili ingeza izinga le-hormone yakho egazini. Ayisheshisi i-hemostasis.

Izimo ezimbili empeleni zikhomba lokhu kusesha: uphuthelwe umthamo, noma umthamo owunikeziwe awulawuli ukuphuma kwegazi. Zombili zikhulunyiwe lapha phansi, futhi zinezipendulo ezihlukile.

I-Norethindrone dosing yokuphuma kwegazi ilungiswa udokotela, hhayi ukuphindwa kabili ekhaya

Umthamo we-Norethindrone wokuphuma kwegazi okunzima kuyisinqumo sikadokotela esenziwa ngama milligrams ngosuku, isikhathi esinqunyiwe sezinsuku. Ilebuli ye-FDA kuDailyMed ichaza kusuka ku-2.5 kuye ku-10 mg nsuku zonke izinsuku ezingama-5 kuye kwezingama-10 zokuphuma kwegazi okungavamile kwesibeletho ngenxa yokungalingani kwe-hormone, lapho kulindeleke ukuphuma kwegazi kusuka ezinsukwini ezingama-3 kuye kwezingama-7 ngemuva kokuphela komjikelezo.

Kukhona nemijikelezo ephezulu. Isibuyekezo esivunyiwe esiphikisana nabanye odokotela sokopha okungavamile okungazelelwe kubantu abasha (PMC, 2020) sichaza i-norethindrone acetate yomthamo ophezulu kusuka ku-5 kuye ku-10 mg njalo ngehora lesithupha, esetshenziswa lapho i-estrogen inganikezwa, bese ihlehla njengoba ukuphuma kwegazi kuncipha. Qaphela ukuthi yini eyenza leyo nombolo: umtholampilo, ukuhlolwa, nomuntu obuka ukuphuma kwegazi ukuze anqume ukuthi uzokwehlisa kanjani umthamo.

Leyo lebuli efanayo ikhomba i-norethindrone acetate yokuphuma kwegazi okungavamile kanye ne-amenorrhea yesibili kuphela lapho kungabikho khona izifo ezinjenge-submucous fibroids noma umdlavuza wesibeletho. Ukuphuma kwegazi okungachazeki noma okunamandla ngokungavamile kudinga ukuhlola ngaphambi kokuthi noma yimuphi umthamo uphakame.

Ukulungiswa okugadwe umtholampilo kanye nethebulethi eyengeziwe ezifakwe nguwe akufani. Owokuqala uhambisana nokuxilongwa. Okwesibili kungase kubambezele ukuphuma kwegazi ngokwanele ukuze kubambezele ukuthola ukuthi kungani kuqale.

Ukuze uthole ukuzihlola kalula: amatebulethi asukela ku-0.35 mg kuye ku-5 mg, futhi imithamo yansuku zonke enikeziwe isukela cishe ku-2.5 kuye ku-15 mg kuye ngesizathu. Ukuphinda kabili i-0.35 mg contraceptive pill nokuphinda kabili ithebulethi engu-5 mg kunezizinda eziningi ze-hormone ezihlukile.

Ukuphindeka kabili komthamo kuphindeka izimpawu ezibi, hhayi umphumela owufunayo

Ukuphindeka kabili komthamo we-norethindrone kwandisa ukuboniswa kwakho kuzo zonke izinto umuthi oluzenzayo, kuhlanganise nezingxenye ongazifisi. Ilebuli ye-FDA inezixwayiso zesenzakalo se-thrombotic ne-thromboembolic kuhlanganise ne-deep vein thrombosis ne-pulmonary embolism, futhi incoma ukuqapha kubantu abanezingo zokuhlupheka kwenhliziyo nemithambo: i-hypertension, isifo sikashukela, ukubhema ugwayi, i-cholesterol ephezulu, noma ukukhuluphala. Lebuli futhi iyalela ukuyeka umuthi uma kwenzeka ukulahlekelwa kombono kungazelelwe, umbono ongacacile, noma ikhanda elisha elinjenge-migraine.

Izindleko zansuku zonke ziwuphika nokuningi futhi kungenzeka kakhulu: isicanucanu, ubuhlungu besifuba, ikhanda, ukushintsha kwemizwa, nokunye ukopha okungalindeleki kamuva.

Kukhona futhi inkinga yokuhlela. Amatebulethi engeziwe asho ukuthi iphakethe liyaphela, futhi isikhala ekugcineni komjikelezo sibangela ukuphuma kwegazi ezinsukwini ezilandelayo. Ukuphindeka kabili komthamo namuhla kungase kukuthengele isonto elinzima.

Umdose owaphuthelwa akuyona imbangela yokubeka amathebulethi amabili

Umdose we-norethindrone owaphuthelwa uyinto ejwayelekile futhi inesixazululo esijwayelekile. I-MedlinePlus ithi yiphuzile ngokushesha lapho uyikhumbula, kodwa uma isikhathi sokudla okulandelayo cishe sifike, yeqela leyo ephuthelwe futhi ungaze uphinde kabili.

Ukuvimbela ukukhulelwa kuyisihlahla esibalulekile ukusazi. Ngokwe- imininingwane yeDailyMed progestin-only pill, ithebulethi ye-progestin-only ethathwe sekwedlule amahora angu-3 ibalwa njengalokhu iphuthelwe futhi yandisa ingozi yokukhulelwa, futhi umyalelo uthi yithathe ngokushesha lapho uyikhumbula kanye nokusebenzisa ukuvimbela okwengeziwe, okungasho ukuthi amathebulethi amabili awele ngosuku olulodwa. Lokho kukulungisa ukumbozwa kokuvimbela ukukhulelwa, hhayi ukuphinda kabili umthamo wokulawula ukuphuma kwegazi.

Uma usuwathathile amabili ngengozi: umthamo owengeziwe owodwa ngengozi awuyona ingozi ejwayelekile ngaphandle kwezimpawu zesixwayiso lapha phansi. Ungathathi ithebulethi yesithathu ukuyilungisa, bese uqhubeka nohlelo lwakho oluvamile ngesikhathi esilandelayo. Noma yikuphi ukukhathazeka ngokweqisa kwe-norethindrone, i-MedlinePlus ikukhomba ku-Poison Control ku-1-800-222-1222, noma ku-911 uma othile ewa noma eyayihlanga.

Ukuphuma kwegazi okunzima ku-norethindrone kuyisizathu sokushayela udokotela, hhayi sokuphuza okwengeziwe

Ukuphuma kwegazi okunzima ku-norethindrone kusho ukuthi uhlelo ludinga ukubuyekezwa, hhayi ukuthi udinga umthamo omkhulu namhlanje.

Shayela u-911 noma uye ekamelweni lezenzo eziphuthumayo manje uma:

  • Ugcwalisa iphedi noma i-tampon njalo ngehora imizuzu engu-2 noma ngaphezulu, noma udlulisa ama-clot amakhulu.
  • Uzizwa ukhathazekile noma uyezwa ukuthi uyawa, noma une-heartbeat esheshayo noma ubunzima bokuphefumula kanye nokuphuma kwegazi okuningi.
  • Uthola ubuhlungu noma ukuvuvukala okungazelelwe emlenzeni, ubuhlungu besifuba, ubunzima bokuphefumula okungazelelwe, noma ukukhwehlela igazi.
  • Uthola ikhanda elibi kakhulu elingazelelwe, ukulahlekelwa kombono, inkulumo engacacile, noma ubuthakathaka ohlangothini olulodwa.

Bhuka ukuvakashelwa kungakapheli isonto elilandelayo uma:

  • Ukuphuma kwegazi kuyaqhubeka naphezu kokuthatha umthamo wakho owunikezwe ngudokotela kahle.
  • Ukuphuma kwegazi kuthathile isikhathi eside kunalokho udokotela wakho akukhulume ukuthi uzolindela.
  • Uphelelwa amathebulethi ngaphambi kokuphela komjikelezo.
  • Unezimpawu ze-iron-deficiency anemia, njengokukhathala okungapheli noma ukubunzwa lapho unyuka izitebhisi.

Ngalokho phakathi, ukuvakashelwa kwevidiyo kuyisinyathelo esilandelayo esifanelekile. Ukuvakashelwa kwe-August's $39 online urgent care kukuxhumanisa nodokotela onelayisense e-US ozohlola izimpawu zakho kanye nemiyalelo yakho yamanje futhi anqume ukuthi umuthi noma ukushintsha umthamo kuyafaneleka yini. Akukwazi ukuqinisekisa umuthi, akumelona ukuhlola ukuphuma kwegazi okusebenzayo noma izimpawu ezingase zibe khona zama-clot, futhi akumelona ukuxilonga imbangela yesakhiwo njenge-fibroid. Lezo zidinga ukuhlolwa komuntu siqu.

Khuluma nodokotela ngaphambi kokuthi uqale uma: unezifo zesibindi, umlando wakho noma womndeni wama-blood clots, umdlavuza webele wangempela noma wangaphambili, i-migraine ene-aura, uyabhema, noma ungase ukhulelwe.

Inkinga: noma yikuphi ukuphuma kwegazi ngemuva kokuyeka ukuya esikhathini, noma ukuphuma kwegazi okusha okungachazeki okungakaze kuhlolwe, kudinga ukuhlola kunokushintsha umthamo. Ama-hormones angakwazi ukunciphisa lokho kuphuma kwegazi ngenkathi eshiya imbangela yalo ingathintwa. Uma ufuna olunye ulwazi mayelana nezimo zokuphuma kwegazi ezivamile nezingavamile, umhlahlandlela wethu izinkinga zezempilo yomzimba zabesifazane kuyisiqalo esiwusizo.

Imibuzo ejwayelekile

Ingabe i-norethindrone ifana ne-norethindrone acetate (Aygestin)?

Cha. Zihlobene kakhulu kodwa azifani. I-norethindrone eyisisekelo iyaziwa kakhulu njenge-0.35 mg progestin-only contraceptive pill (izinhlobo ezinjengeCamila ne-Errin). I-norethindrone acetate, ethengiswa njenge-Aygestin, iza kumatebulethi angu-5 mg futhi iyifomu lelabuli le-FDA elihlanganisa ukuphuma kwegazi okungavamile kwesibeletho. Hlola ibhodlela lakho ngaphambi kokuthi ucabange ukuthi noma yimaphi ama-dosing advice akusebenzi kuwena.

Ingabe i-norethindrone iyayeka ukuphuma kwegazi ngaso leso sikhathi?

Cha. Ukuphuma kwegazi kuvamile ukuncipha kancane kancane phezu kwezinsuku eziningana zokuphuza njalo kunokuyeka zingakapheli amahora, okuyinto ebamba nje ukuthi kungani ithebulethi eyengeziwe ayisizi. Ilebuli ye-FDA ilindele ukuphuma kwegazi kusuka ezinsukwini ezingama-3 kuye kwezingama-7 ngemuva komjikelezo ophelile, ngakho ukuphuma kwegazi okuncane ngemuva kokuthi uqedile kuvamile ukuthi umuthi usebenze njengoba uhloswe.

Ngingakwazi ukuphuza i-ibuprofen ne-norethindrone yokuphuma kwegazi okuningi?

Ngezinye izikhathi. I-NSAIDs inganciphisa ukuphuma kwegazi lokuya esikhathini nokunciphisa ubuhlungu, futhi ayihlangani ne-progestins ngendlela eyenza ukuthi zingafaneleki, kodwa ukuthi ziyakufanela yini kuncike ezinso zakho, esiswini sakho, nomlando wakho wokuphuma kwegazi. Cela udokotela wakho kuqala. Uma usuvele usebenzisa i-ibuprofen njalo, funda ngokuqeda ubuhlungu besisu obubangelwa yi-ibuprofen.

Kubalulekile yini ukuphuza amathebulethi amabili e-norethindrone uma ngingase ngikhulelwe?

Cha. I-norethindrone acetate ayisetshenziswa ekukhulelweni okwaziwayo, futhi ukwengeza umthamo ongazange unikezwe ngudokotela ngenkathi kungenzeka ukukhulelwa kuyisenzo esingalungile kuzo zombili izinhlangothi. Yenza ukuhlolwa kokukhulelwa, bese ushayela udokotela wakho ngomphumela ngaphambi kokushintsha noma yini. Uma ukuphuma kwegazi kunamandla futhi ukuhlolwa okuhle kungenzeka, phatha lokho njengokushayela okusheshayo kosuku olufanayo.

Into ebaluleke kakhulu: ungakwazi yini ukuphuza i-norethindrone kabili ngasikhathi sinye ukuze uyeke ukuphuma kwegazi esikhathini? Cha, hhayi ngaphandle kokuthi udokotela wakho ayakuyala. Thatha umthamo owunikezwe ngudokotela, phatha ithebulethi eyaphuthelwa ngokugcagcela kunokugxilisa, futhi uphakamise ukuphuma kwegazi okungayeki kudokotela kunokuba ithebulethi yesibili.

Isitatimende: Lesi sihloko sinemininingwane kuphela futhi asihambisani nezeluleko zokwelashwa. Njalo xhumana nomhlinzeki wezempilo ofanelekayo ukuthola izinqumo zokuxilongwa nokwelashwa. Uma ubhekene nesimo sezulu esiphuthumayo sezempilo, shayela u-911 noma uye egumbini lezenzo eziphuthumayo eliseduze ngokushesha.