Yini i-Ethinyl Estradiol kanye ne-Norelgestromin: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Ethinyl estradiol kanye ne-norelgestromin yinhlanganisela yesiqeshana sokulawula ukuzala esivimbela ukukhulelwa ngokulawulwa kwamahomoni. Lokhu kulawula ukuzala okudluliselwa ngesikhumba kuqukethe amahomoni amabili okwenziwa ngumuntu asebenza ndawonye ukuvimbela ukuvuthwa kwamaqanda nokudala izithiyo ezengeziwe zokukhulelwa.

Isiqeshana sinikeza enye indlela elula yamaphilisi okulawula ukuzala nsuku zonke, idinga kuphela ukusetshenziswa masonto onke. Abesifazane abaningi bakuthola kulula ukukhumbula le ndlela futhi ihambisana kakhulu nokuthatha imithi nsuku zonke.

Yini i-Ethinyl Estradiol kanye ne-Norelgestromin?

Lo muthi uhlanganisa amahomoni amabili okwenziwa ngumuntu ngefomethi yesiqeshana sesikhumba. I-Ethinyl estradiol iyindlela ye-estrogen, kuyilapho i-norelgestromin iwuhlobo lwe-progestin elilingisa i-progesterone emzimbeni wakho.

Isiqeshana siletha la mahomoni ngokuqhubekayo ngesikhumba sakho singene egazini lakho. Lokhu kukhishwa kwamahomoni okuqhubekayo kusiza ukugcina amazinga aqhubekayo kuyo yonke iviki, okungase kube ngcono kunamaphilisi athathwa nsuku zonke.

Ngokungafani nezindlela zokulawula ukuzala ngomlomo, isiqeshana sidlula ngqo ohlelweni lwakho lokugaya ukudla. Lokhu kusho ukuthi isisu esicasukile noma izinkinga zokugaya ukudla ngeke zithinte ukuthi umuthi usebenza kahle kangakanani kuwe.

Isetshenziselwani i-Ethinyl Estradiol kanye ne-Norelgestromin?

Ukusetshenziswa okuyinhloko kwalesi siqeshana ukuvimbela ukukhulelwa kwabesifazane abangakhulelwa. Yenzelwe abesifazane abafuna ukulawula ukuzala okuthembekile ngaphandle kwesimiso sansuku zonke sokuthatha amaphilisi.

Udokotela wakho angase futhi anikeze lo muthi ukusiza ukulawula imijikelezo yokuya esikhathini engajwayelekile. Abanye besifazane baba nesikhathi esibikezeleka kakhulu ngesikhathi besebenzisa izindlela zokulawula ukuzala ngamahomoni, nakuba lokhu kungewona umgomo oyinhloko.

Isiqeshana singasiza ukunciphisa imihuzuko yokuya esikhathini futhi senze izikhathi zibe lula kwabanye besifazane. Nokho, lezi zinzuzo ziyahlukahluka kumuntu nomuntu futhi akufanele zibe yisizathu esikhulu sokukhetha le ndlela.

Isebenza kanjani i-Ethinyl Estradiol kanye ne-Norelgestromin?

Le nhlanganisela isebenza ngezindlela ezintathu eziyinhloko ukuvimbela ukukhulelwa ngempumelelo. Ama-hormone ikakhulukazi amisa ama-ovari akho ukuthi angakhiphi amaqanda njalo ngenyanga, okusho ukuthi alikho iqanda elitholakalayo lokuvundiswa.

Umuthi futhi uqina amafinyila emgodini wakho wesibeletho, okwenza isithiyo esenza kube nzima ngesidoda ukufinyelela kunoma yiliphi iqanda. Lokhu kunikeza isivikelo esengeziwe ngaphezu kokuvimbela ukuvuthwa kweqanda.

Okokugcina, ama-hormone ashintsha umugqa wesibeletho sakho, okwenza kungabi maningi amathuba okuthi iqanda elivundisiwe lizifake. Le ndlela ephindwe kathathu yenza i-patch isebenze kakhulu uma isetshenziswa ngendlela efanele.

Njengokuvimbela ukukhulelwa ngama-hormone, le patch ithathwa njengemaphakathi. Amazinga e-hormone aklanyelwe ukuthi asebenze ngenkathi enciphisa imiphumela emibi kwabesifazane abaningi.

Kufanele Ngiyithathe Kanjani I-Ethinyl Estradiol kanye ne-Norelgestromin?

Uzosebenzisa i-patch entsha esikhumbeni esihlanzekile, esomile kanye ngesonto amasonto amathathu, bese uthatha isonto elingenayo i-patch. I-patch kufanele ifakwe ezinqeni zakho, esiswini, engalweni engenhla, noma emzimbeni ongenhla, ugweme amabele akho.

Khetha usuku olufanayo njalo ngesonto ukuze ushintshe ama-patch ukuze ugcine amazinga e-hormone aqhubekayo. Abesifazane abaningi bakhetha iSonto noma uMsombuluko ukuze kube lula ukukhumbula isimiso sabo.

Ngaphambi kokusebenzisa, qiniseka ukuthi isikhumba sakho sihlanzekile ngokuphelele futhi somile ngaphandle kwama-lotion noma amafutha. Cindezela i-patch ngokuqinile imizuzwana eyi-10, unake ngokukhethekile emaphethelweni ukuze uqinisekise ukuthi inamathela kahle.

Ungashawa, ubhukude, futhi uzivocavoce ngokujwayelekile nge-patch. Kodwa-ke, gwema ama-sauna, ama-hot tubs, noma eminye imisebenzi engase ibangele ukushisa ngokweqile, njengoba lokhu kungase kuthinte indlela i-patch ekhulula ngayo ama-hormone.

Uma i-patch iwa ngaphandle kwemizuzu engama-24, zama ukuyiphinda ngokushesha. Uma inganamatheli noma isuswe ngaphezu kwamahora angama-24, sebenzisa i-patch entsha futhi usebenzise ukuvimbela ukukhulelwa okuyisipele izinsuku eziyisikhombisa.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Ethinyl Estradiol kanye ne-Norelgestromin?

Ungasebenzisa lesi siqeshana isikhathi eside njengoba usidinga ukulawula ukuzala futhi ungaqali ukuba nemiphumela emibi. Abesifazane abaningi basebenzisa izindlela zokuvimbela inzalo ezinama-hormone iminyaka eminingi ngaphandle kwezinkinga.

Udkt wakho ngokuvamile uzoncoma ukuhlolwa njalo njalo njalo njalo emavikini ayi-6 kuya kwayi-12 ngenkathi usebenzisa isiqeshana. Lokhu kuhlolwa kusiza ukuqapha impilo yakho futhi kuqinisekise ukuthi isiqeshana siqhubeka sikulungele.

Uma uneminyaka engaphezu kwengama-35 futhi uyabhema, udkt wakho angase ancome ukukhawulela ukusetshenziswa kwesikhathi eside. Inhlanganisela yobudala, ukubhema, kanye nokulawulwa kokuzala okunamahomoni kungakhuphula izingozi ezithile zempilo.

Kufanele futhi uxoxe ngesikhathi nodkt wakho uma unomlando womndeni wamagazi, isifo senhliziyo, noma iminyango ethile yomdlavuza. Lezi zinto zingase zithinte ukuthi isiqeshana sikufanele isikhathi esingakanani.

Yiziphi Imiphumela Eceleni Ye-Ethinyl Estradiol kanye ne-Norelgestromin?

Njengazo zonke izindlela zokuvimbela inzalo ezinama-hormone, lesi siqeshana singabangela imiphumela emibi, nakuba abesifazane abaningi behlangabezana embalwa noma kungekho. Ukuqonda ukuthi yini ejwayelekile kungakusiza ukuthi uzizwe uqiniseka ngokwengeziwe ngokusebenzisa le ndlela.

Imiphumela ejwayelekile eceleni abesifazane abaningi abahlangabezana nayo ihlanganisa:

• Ukuvuvukala kwesikhumba noma ukubomvu lapho isiqeshana sasetshenziswe khona
• Ukuqaqamba kwamabele noma ukuvuvukala
• Ukucasuka, ikakhulukazi ngesikhathi semijikelezo yokuqala
• Ikhanda noma izinguquko ezincane zemizwa
• Ukuphuma kwegazi okungajwayelekile noma ukubona phakathi kwemijikelezo
• Ushintsho lwesilinganiso somzimba, ngokuvamile amaphawundi angu-1-3

Le miphumela ejwayelekile ngokuvamile ithuthuka ngemuva kwemijikelezo emi-2-3 njengoba umzimba wakho uzivumela ama-hormone. Abesifazane abaningi bathola ukuthi ababonakali kangako ngokuhamba kwesikhathi.

Imiphumela emibi kakhulu ayivamile kodwa idinga ukunakekelwa kwezokwelapha ngokushesha. Lokhu kufaka phakathi:

• Ubuhlungu obukhulu besifuba noma ukuphefumula kanzima
• Ikhanda elibuhlungu elingazelelwe noma izinguquko zombono
• Ubuhlungu obukhulu emlenzeni noma ukuvuvukala
• Ubuhlungu obukhulu besisu
• Ukuphuzi kwesikhumba noma amehlo
• Ushintsho olukhulu lwemizwa noma ukucindezeleka

Lezi zimpawu zingase zikhombe izinkinga ezingavamile kodwa eziqatha njengamaqhubu egazi noma izinkinga zesibindi. Xhumana nomhlinzeki wakho wezempilo ngokushesha uma uhlangabezana nanoma yiziphi zalezi zimpawu.

Abanye besifazane bangase bahlangabezane nemiphumela engavamile engemihle efana nale:

• Ukuphendula okukhulu komzimba okune-rash noma ubunzima bokuphefumula
• Izinkinga ze-Gallbladder
• Umfutho wegazi ophezulu
• Ukucindezeleka okukhulu noma ukuhlaselwa ukwethuka
• Ukuphuma kwegazi okungavamile esithweni sangasese noma ukukhipha

Ngenkathi le miphumela engavamile ingavamile, ukuyazi kukusiza ukuthi ubone ukuthi nini okufanele ufune ukunakekelwa kwezempilo ngokushesha.

Ubani Ongafanele Athathe I-Ethinyl Estradiol kanye ne-Norelgestromin?

Le patch ayilungele wonke umuntu, futhi izimo ezithile zezempilo zenza kungaphephile ukuyisebenzisa. Udokotela wakho uzobuyekeza umlando wakho wezokwelapha ngokucophelela ngaphambi kokukuyalela lo muthi.

Akufanele usebenzise le patch uma une:

• Umlando wamaqhubu egazi emilenzeni yakho, emaphashini, noma kwezinye izingxenye zomzimba wakho
• Umlando wamanje noma owedlule wokushaywa unhlangothi noma ukuhlaselwa yinhliziyo
• Ulwazi noma ukusolwa ngomdlavuza webele noma eminye imidlavuza ezwelayo ngamahomoni
• Isifo sesibindi noma izimila zesibindi
• Ukuphuma kwegazi okungachazeki esithweni sangasese
• Umfutho wegazi ophezulu kakhulu

Lezi zimo zikhuphula kakhulu ingozi yakho yezinkinga eziqatha ezivela ekulawuleni ukuzala ngamahomoni. Udokotela wakho uzokusiza ukuthi uthole ezinye izindlela eziphephile uma ngabe noma yiziphi zalezi zinto zisebenza kuwe.

Izimo ezengeziwe lapho i-patch ingase ingafaneleki zihlanganisa:

• Ukukhulelwa noma ukusolwa ngokukhulelwa
• Ukuncelisa, ikakhulukazi ezinyangeni eziyisithupha zokuqala
• Ukuba neminyaka engaphezu kwengama-35 nokubhema ugwayi
• Isifo sikashukela esiqatha esinezinkinga
• Ikhanda elibuhlungu le-migraine eline-aura
• Ukucindezeleka okukhulu noma izifo zemizwa

Udokotela wakho uzolinganisela lezi zinto eziyingozi ngokumelene nezinzuzo ukuze anqume ukuthi i-patch ilungele yini. Kukhona ngokuvamile ezinye izinketho zokulawula ukuzala ezingase ziphephe kulezi zimo.

Amagama eBrand ka-Ethinyl Estradiol kanye ne-Norelgestromin

Igama elivamile kakhulu le-patch yi-Ortho Evra, nakuba itholakala njenge-Xulane. Zombili ziqukethe izithako ezifanayo ezisebenzayo futhi zisebenza ngokufanayo.

Izinhlobo ze-generic zingase zitholakale ngokuhamba kwesikhathi, kodwa ukwakheka kwe-patch kuyinkimbinkimbi kunezibhebhe. Umkhemisi wakho angakutshela ukuthi iyiphi inguqulo yomshuwalense wakho oyihlanganisa kangcono.

Kungakhathaliseki igama le-brand, zonke izinhlobo zale patch ziqukethe imithamo efanayo yamahomoni. Umehluko omkhulu ungase ube ekunamatheleni noma ekuklanyweni kokupakisha.

Ezinye izindlela zika-Ethinyl Estradiol kanye ne-Norelgestromin

Uma i-patch ingakulungile, ezinye izindlela zokulawula inzalo zinikeza ukusebenza okufanayo. Udokotela wakho angakusiza ukuthi uhlole izinketho ezingase zivumelane nendlela yakho yokuphila nezidingo zempilo kangcono.

Ezinye izinketho zokulawula inzalo ngamahomoni zihlanganisa:

• Izibhebhe zokulawula inzalo ezinokuhlanganiswa okufanayo noma okuhlukile kwamahomoni
• Izindandatho zesitho sangasese sowesifazane ezikhipha amahomoni amasonto amathathu
• Ama-IUD amahomoni ahlala iminyaka engu-3-7
• Imithombo yokulawula inzalo enikezwa njalo ezinyangeni ezintathu
• Izitshalo ezibekwe ngaphansi kwesikhumba sengalo yakho

Indlela ngayinye inezinzuzo zayo kanye nezinto okufanele zicatshangelwe. Izibhebhe zinikeza ukuguquguquka okwengeziwe kodwa zidinga ukukhumbula nsuku zonke, kuyilapho ama-IUD enikeza ukuvikelwa kwesikhathi eside ngaphandle kokulungiswa kwamasonto onke.

Ezinye izindlela ezingezona zamahomoni zihlanganisa:

• Ama-IUD ethusi asebenza iminyaka engu-10
• Izindlela zokuvimbela ezifana namakhondomu noma ama-diaphragm
• Izindlela zokuqwashisa ngokuzala zabasebenzisi abazinikele
• Ukunqanda unomphela kulabo abaqiniseka ngesinqumo sabo

Udokotela wakho angaxoxa ngokuthi yiziphi ezinye izindlela ezingase zisebenze kangcono ngokusekelwe emlandweni wakho wezempilo, indlela yokuphila, nezintandokazi zakho.

Ingabe i-Ethinyl Estradiol kanye ne-Norelgestromin ingcono kunezibhebhe zokulawula inzalo?

Isiqeshana namaphilisi kusebenza ngendlela efanayo kodwa kunikeza izinzuzo ezihlukene ngokuya ngendlela yakho yokuphila. Zombili zisebenza kahle kakhulu uma zisetshenziswa ngendlela efanele, ngamanani empumelelo angaphezu kuka-99% uma zisetshenziswa ngendlela ephelele.

Isiqeshana singase sibe ngcono uma uvame ukukhohlwa ukuthatha amaphilisi nsuku zonke. Ukusetshenziswa masonto onke kungaba lula ukukukhumbula kunemithi yansuku zonke, okuholela ekuvikelweni okuqhubekayo.

Amaphilisi angase abe ngcono uma unesikhumba esibucayi noma ungathandi ukugqoka isiqeshana esibonakalayo. Abanye besifazane bathanda nokuguquguquka kokukwazi ukuyeka amaphilisi ngokushesha uma kwenzeka imiphumela emibi.

Isiqeshana sinikeza amazinga e-hormone aqhubekayo ngoba sidlula uhlelo lwakho lokugaya ukudla. Lokhu kungasho imiphumela emibi embalwa ehlobene ne-hormone kwabanye besifazane, nakuba abanye bengase bahlangabezane nokucasuka kwesikhumba okwengeziwe.

Izindleko nokumbozwa komshuwalense nakho kungathonya ukuthi yisiphi isinqumo esikusebenzela kangcono. Amaphilisi avame ukungabizi futhi ahlanganiswa kabanzi yizinhlelo zomshuwalense.

Imibuzo Evame Ukubuzwa Mayelana ne-Ethinyl Estradiol kanye ne-Norelgestromin

Q1. Ingabe i-Ethinyl Estradiol kanye ne-Norelgestromin iphephile ku-Diabetes?

Lesi siqeshana singasetshenziswa ngabesifazane abane-diabetes elawulwa kahle, kodwa idinga ukuqashwa okuseduze. Ama-hormone angathinta amazinga kashukela egazini, ngakho udokotela wakho uzofuna ukulandelela ukulawulwa kwe-glucose yakho kaningi.

Uma une-diabetes enezinkinga ezinjengokugula kwezinso, izinkinga zamehlo, noma ukulimala kwemizwa, isiqeshana singase singabi yisinqumo esingcono kakhulu. Lezi zinkinga zingakhuphula ingozi yakho yemiphumela emibi engathí sina evela ekulawuleni ukuzala nge-hormonal.

Udokotela wakho uzosebenza nawe ukuze anqume ukuthi isiqeshana siphephile yini ngokusekelwe ekutheni usunesikhathi esingakanani une-diabetes nokuthi ilawulwa kahle kangakanani. Bangase batusa ukuhlolwa okuvame kakhulu ngenkathi usebenzisa ukulawulwa kokuzala nge-hormonal.

Q2. Kufanele ngenzeni uma ngingahlosi ukusebenzisa i-Ethinyl Estradiol kanye ne-Norelgestromin eningi kakhulu?

Ukusetshenziswa kwamapheshisi angaphezu kwelilodwa ngesikhathi esisodwa kubhekwa njengokweqisa umthamo futhi kudinga ukunakekelwa kwezokwelapha ngokushesha. Susa noma yimaphi amapheshisi engeziwe ngokushesha futhi uthinte udokotela wakho noma isikhungo sokulawula ubuthi.

Izimpawu zokusebenzisa okuningi kakhulu zingabandakanya isicanucanu esibi, ukuhlanza, ubumnene besifuba, noma ukuphuma kwegazi okungavamile kwesitho sangasese. Le miphumela yenzeka ngoba umzimba wakho wamukela amahomoni amaningi ngesikhathi esisodwa.

Ungazami ukuzelapha ngokweqisa ngokweqa amapheshisi noma ukuthatha eminye imithi. Umhlinzeki wakho wezempilo udinga ukuhlola isimo sakho futhi anikeze ukunakekelwa okufanele.

Q3. Kufanele Ngenzeni Uma Ngingaphuthelwa Umthamo We-Ethinyl Estradiol kanye ne-Norelgestromin?

Uma ukhohlwa ukushintsha ipheshisi lakho futhi sekudlule amahora angama-48, faka ipheshisi elisha ngokushesha. Ungaqhubeka neshejuli yakho ejwayelekile, futhi akukho ukuhlinzekwa kokuvikela okudingekayo.

Uma sekudlule amahora angama-48 kusukela lapho obekufanele ushintshe khona ipheshisi, faka ipheshisi elisha futhi usebenzise ukuhlinzekwa kokuvikela izinsuku eziyisikhombisa. Lokhu kuqinisekisa ukuthi ugcina ukuvikeleka ngenkathi amazinga akho e-hormone ezinzile.

Ngesonto lakho elingenamapheshisi, uma ukhohlwa ukufaka ipheshisi elisha ngemuva kwezinsuku eziyisikhombisa, faka elilodwa ngokushesha lapho ukhumbula. Sebenzisa ukuhlinzekwa kokuvikela izinsuku eziyisikhombisa zokuqala zomjikelezo wakho omusha.

Q4. Ngingayeka Nini Ukuthatha I-Ethinyl Estradiol kanye ne-Norelgestromin?

Ungayeka ukusebenzisa ipheshisi nganoma yisiphi isikhathi, kodwa kungcono ukuqeda umjikelezo wakho wamanje ukuze ugweme ukuphuma kwegazi okungajwayelekile. Vele ungafaki ipheshisi elisha ngemuva kwesonto lakho elingenamapheshisi.

Umjikelezo wakho wokuya esikhathini wemvelo ngokuvamile uzobuya phakathi nezinyanga eziyi-1-3 ngemuva kokuyeka ipheshisi. Kodwa-ke, kungathatha isikhathi eside kwabanye besifazane, ikakhulukazi uma izikhathi bezingajwayelekile ngaphambi kokuqala ukulawulwa kokuzalwa ngama-hormone.

Uma uyeka ngoba ufuna ukukhulelwa, ungaqala ukuzama ukukhulelwa ngokushesha. Ama-hormone asusa uhlelo lwakho ngokushesha, futhi asikho isidingo sokulinda phakathi kokuyeka ipheshisi nokuzama ukukhulelwa.

Q5. Ngingakwazi yini ukuzivocavoca nokubhukuda ngenkathi ngisebenzisa i-Ethinyl Estradiol kanye ne-Norelgestromin Patch?

Yebo, ungaqhubeka nomkhuba wakho wokuzivocavoca ojwayelekile nemisebenzi yokubhukuda ngenkathi ugqoke i-patch. I-adhesive yakhelwe ukuthi ihlale ngesikhathi semisebenzi yansuku zonke ejwayelekile, okuhlanganisa ukujuluka nokuchayeka emanzini.

Nokho, gwema ukuchayeka isikhathi eside ezimweni ezishisa kakhulu njengama-sauna noma ama-hot tubs, njengoba ukushisa ngokweqile kungathinta indlela i-patch ekhulula ngayo ama-hormone. Ukushawa okufushane okushisayo kulungile, kodwa ukuchayeka isikhathi eside ekushiseni akukhuthazwa.

Uma i-patch iqala ukuphakama emaphethelweni ngesikhathi sokuzivocavoca, yicindezele phansi ngokuqinile. Uma iwa ngokuphelele, landela imiyalelo yezilinganiso ezingaphuthelwanga kuye ngokuthi sekunesikhathi esingakanani ingekho.