I-Slynd neNorethindrone: Amafasitela okweqa imithamo, ukuphepha, nokuthi yimuphi umuthi wentombazane ofanele

I-Slynd neNorethindrone zombili ziyimithi yokulawula inzalo equkethe i-progestin kuphela, ebizwa nangokuthi “mini pills,” kodwa azifani. I-Slynd iqukethe i-drospirenone, kanti umuthi wentombazane ojwayelekile we-norethindrone uqukethe u-0.35 mg we-norethindrone.

Zombili ziyizinketho zabantu abangenakukwazi noma abangafuni ukusebenzisa imithi yokulawula inzalo equkethe i-estrogen. Kodwa ziyahlukana ngezindlela ezibalulekile ekusebenziseni kwansuku zonke, okubandakanya ukuthi ungathatha isikhathi esingakanani umuthi ngaphambi kokuba kunconywe ukuvikeleka okwengeziwe, imiphumela yokopha, izinto zokuphepha, kanye nezindleko.

Uma uqhathanisa i-Slynd neNorethindrone, ukukhetha okulungile kuncike kancane kulokho okuthiwa kungcono kakhulu, kodwa kuncike kakhulu emlandweni wakho wezempilo, ukuthi ungathatha umuthi njalo kangakanani, ukuthi ucobisa yini, nokuthi yini ongayithola noma ongayikhokhela.

Isifinyezo: Izinto Ezibalulekile

• I-Slynd iqukethe i-drospirenone, kanti umuthi wentombazane ojwayelekile we-norethindrone uqukethe u-norethindrone 0.35 mg.
• I-Slynd inefasitela lamahora angu-24 okweqa umthamo nge miyalezo yayo yokweqa umthamo, kanti imithi yentombazane ye-norethindrone ejwayelekile inefasitela elincane lamahora angu-3.
• Uma umuthi we-norethindrone ubambezeleka ngaphezu kwamahora angu-3, ukuvikeleka okwengeziwe kuvame ukunconywa amahora angu-48 alandelayo.
• Uma umuthi we-Slynd ubambezeleka ngaphezu kwamahora angu-24, ukuvikeleka okwengeziwe kuvame ukunconywa izinsuku ezingu-7 ezilandelayo.
• Ukuphuma kwegazi kungaba okungajwayelekile ngomunye wemithi, noma ngabe i-Slynd ingaba yesimeme ngokuhamba kwesikhathi kwabanye abantu.
• I-Slynd ingakhuphula amazinga e-potassium kwabanye abantu futhi inemikhawulo ethile ehilela izimo zezinso, isibindi, namalenge.
• I-Norethindrone isetshenziswe amashumi eminyaka futhi inolwazi olubanzi lokucobisa.
• Ayikho imithi evikela ezifweni ezidluliselwa ngocansi (STIs).

Ucatshangelwa i-Slynd noma i-Norethindrone futhi ufuna umelaphi ukuthi abuyekeze izinketho zakho? Bhuka ukuvakashelwa okungaphuthumayo ku-inthanethi okungu-$39 no-August AI. Umelaphi onelayisense lase-US angabuyekeza umlando wakho wezempilo futhi anikeze umuthi lapho kufanele khona.

Ukuvakashelwa akusiqinisekisi i-residi, futhi izindleko zemithi zihlukile. Ngokuphathelene nokucobisa, izimo ezimbi zezokwelapha, noma izimpawu ezidinga ukuhlolwa komuntu siqu, ukuhlolwa nomhlinzeki wakho oyinhloko noma i-OB/GYN kungase kufaneleke kakhulu.

Yini umehluko phakathi kweSlynd neNorethindrone?

Zombili i-Slynd neNorethindrone ziyimithi yokulawula inzalo equkethe i-progestin kuphela, okusho ukuthi azinawo i-estrogen. Lokhu kubenza izinketho zabantu abadinga noma abakhetha ukugwema imithi yokulawula inzalo equkethe i-estrogen.

Amehluko amakhulu avela ohlobo lwe-progestin emthini ngamunye nendlela imithi enikezwa ngayo.

I-Slynd (drospirenone): I-Slynd iqukethe u-4 mg we-drospirenone. I-Drospirenone inomsebenzi we-progestogenic kanye ne-anti-androgenic, futhi inomsebenzi we-antimineralocorticoid, okusho ukuthi ingathinta ibhalansi ye-sodium ne-potassium.

I-Norethindrone: Umuthi wentombazane ojwayelekile we-norethindrone uqukethe u-0.35 mg we-norethindrone. I-Norethindrone isetshenziswe njengesilawuli sokuzala se-progestin kuphela amashumi eminyaka.

Lawa mehluko athinta indlela izithuthukisi ezithembekile ngayo uma uzithatha sekubambezelekile, iziphi izimpawu zokuphuma kwegazi ongase uzibone, nokuthi yiziphi izimo zezempilo ezidinga ukuqapha okwengeziwe.

Ukuze uthole okwengeziwe ngokuthi imithi yokulawula inzalo yomlomo isebenza kanjani, bona umhlahlandlela wethu ngemithi yokulawula inzalo ku-inthanethi.

Eceleni Eceleni: I-Slynd neNorethindrone

Amafasitela okweqa imithamo: Omunye wamehluko omkhulu kakhulu

Kubantu abaningi, umehluko ongokoqobo phakathi kweSlynd neNorethindrone ukuthi umuthi kufanele uthathwe ngokuqinile ngesikhathi esifanayo nsuku zonke.

Umuthi Wentombazane Ojwayelekile weNorethindrone

Imithi yentombazane ye-norethindrone ejwayelekile inefasitela lamahora ama-3.

Uma ubambezeleke ngaphezu kwamahora ama-3 uthatha umuthi we-norethindrone, thatha umuthi owubhojozwele ngokushesha nje lapho uwukhumbula bese uqhubeka nokuthatha imithi eseleyo ngesikhathi sakho esivamile. Kufanele futhi usebenzise ukuvikeleka okwengeziwe, njengama-condom, amahora angu-48 alandelayo.

Lelo fasitela elincane lingaba nzima uma unezikhathi ezingabikeleki, usebenza ngama-shift, uhamba kakhulu, noma umane nje ungathathi imithi ngesikhathi esifanayo nsuku zonke.

I-Slynd

I-Slynd inefasitela lamahora angama-24 emiyalweni yayo yokweqa umthamo.

Uma ubambezeleke ngaphansi kwamahora angu-24, thatha umuthi owubhojozwele ngokushesha nje lapho uwukhumbula bese uqhubeka nohlelo lwakho olujwayelekile. Ukuvikeleka okwengeziwe ngokuvamile akudingeki kulesi simo.

Uma uye wangathatha imithi ye-Slynd esebenzayo isikhathi esingaphezu kwamahora angu-24, thatha umuthi wokugcina owubhojozwele ngokushesha ngangokunokwenzeka, qhubeka nokuthatha imithi eseleyo, bese usebenzisa ukuvikeleka okwengeziwe izinsuku ezingu-7 ezilandelayo.

Lokho akusho ukuthi i-Slynd ayikwazi ukubhojozwa. Kusho ukuthi imiyalezo yayo yokudayisa ikunikeza ukuguquguquka okwengeziwe lapho umuthi uthathwa sekubambezelekile.

Izimpawu zokuphuma kwegazi nemiphumela emzimbeni

Ukuphuma kwegazi okungajwayelekile kuvamile ngemithi yokuphuma kwengane kuphela, ikakhulukazi ekuqaleni kwezinyanga zokuqala. Akukho i-Slynd noma i-Norethindrone eqinisekisa izikhathi ezingabikeleki.

I-Slynd: Idatha yezivivinyo zezokwelapha ibonisa ukuthi ukuphuma kwegazi okungahleliwe nokubona kungase kwenzeke, ikakhulukazi ekuqaleni kokwelashwa. Kwabanye abantu, ukuphuma kwegazi kuba kuncane noma kube okubikeleki ngokwengeziwe ngokuhamba kwesikhathi. I-Drospirenone nayo inomsebenzi we-anti-androgenic, ongase usize abanye abantu abane-acne.

I-Norethindrone: Ukubona, ukuphuma kwegazi okungajwayelekile, nokuguquguquka kokugeleza kwesikhathi kuvamile. Abanye abantu baneziphuma eziningi, kanti abanye baneziphuma ezimbalwa ngokuhamba kwesikhathi.

Noma yimuphi umuthi ungashintsha iphethini yakho evamile yesikhathi. Uma ukuphuma kwegazi kuqhubeka, kungabi nzima kakhulu, noma kudale ukukhathazeka, khuluma nomelaphi esikhundleni sokucabanga ukuthi udinga ukuwuyeka umuthi.

Izincazelo Zokuphepha: Okubalulekile Kwakho Konke

Zombili izidakamizwa zivame ukubhekwa njengezinketho zokulawula inzalo ezifanele kubantu abaningi, kodwa izinto zazo zokuphepha azifani.

Izici Zokucatshangelwa Kwe-Slynd

I-Drospirenone inomsebenzi we-antimineralocorticoid, ngakho i-Slynd ingakhuphula amazinga e-potassium kwabanye abantu.

I-Slynd akufanele isetshenziswe kubantu abanezimo ezithile zezinso, zesibindi, noma zamalenge. Iphinde ibe nezixhumanisi ezibalulekile nemithi engakhuphula i-potassium.

Umelaphi wakho kungase kudingeke ukuthi acatshangelwe imithi efana nezithako ze-potassium kanye neminye imithi ethinta amazinga e-potassium lapho enquma ukuthi i-Slynd ifanele yini.

Imininingwane yokunikezwa kwe-Slynd nayo ifaka imihlahlandlela ethile kubantu abathatha imithi ebambezela ngamandla noma ngendlela emaphakathi i-CYP3A4.

Izici Zokucatshangelwa KweNorethindrone

I-Norethindrone inomlando omude wokusebenzisa njengesilawuli sokuzala se-progestin kuphela futhi ayiphethe isixwayiso esifanayo esihlobene ne-potassium esihlotshaniswa ne-drospirenone.

Isici sayo esijwayelekile esisebenzayo yikuphuma kwegazi. Ukubona kanye nokuphuma kwegazi okungajwayelekile kungase kube okubandakanya, ikakhulukazi ekuqaleni kwezinyanga zokuqala.

I-Norethindrone nayo inolwazi olubanzi lokucobisa, okuyisizathu esinye esenza yaba yinketho ejwayelekile ye-progestin kuphela kubantu abangase baba ngemva kokubeletha futhi bancisisa.

Ukungabikho kwesixwayiso se-potassium akusho ukuthi i-norethindrone ifanele kuyo yonke into. Umlando wakho womuntu siqu wezempilo, imithi, nezidingo zokulawula inzalo kusenezinto ezibalulekile.

Ubani Ongakhetha i-Slynd neNorethindrone?

Ayikho imithi eyodwa yentombazane engasebenza kangcono kubo bonke. Amahluko angokoqobo angasiza ukunciphisa ukuthi yini ongayixoxa nomelaphi.

I-Slynd Ingase Fanele Ukucatshangelwa Uma Wena:

• Unobunzima bokuthatha umuthi ngesikhathi esifanayo nsuku zonke
• Usebenza ngama-shift noma amahora angajwayelekile
• Uhamba kakhulu
• Ufuna umuthi wentombazane we-progestin onefasitela elide le-late-pill
• Unentshisekelo emuntwini one-anti-androgenic activity
• Une-inshuiransi ethola i-Slynd ibe nesesikhathi
• Ukhetha ukuguquguquka kokudayisa okunikezwa yi-Slynd

I-Slynd ingase ingafanele uma unezimo ezithile zezinso, zesibindi, noma zamalenge noma uthatha imithi engakhuphula i-potassium.

I-Norethindrone Ingase Fanele Ukucatshangelwa Uma Wena:

• Ufuna inketho evamile enezindleko eziphansi
• Unolwazi olubanzi ngalo noma ukhetha umuthi wentombazane ojwayelekile
• Ucibisa futhi ufuna inketho enomlando omude wokusebenzisa
• Ungakwazi ukuthatha umuthi wakho ngempumelelo zingakapheli ihora le-3
• Udinga ukugwema i-drospirenone ngenxa yesimo sezokwelapha esifanele noma ukuxhumana nemithi

Ifasitela lamahora amathathu liyisithiyo esikhulu kakhulu esisebenzayo. Uma kuthatha umuthi cishe ngesikhathi esifanayo nsuku zonke kunzima, xoxa ukuthi olunye uhlelo lokulawula inzalo lungaba lula yini ukusebenzisa njalo.

Ingabe i-Slynd neNorethindrone zingashintshwa?

Cha. I-Slynd neNorethindrone azishintshwa kalula nje ngoba zombili ziyimithi yokuphuma kwengane kuphela.

Ziqukethe ama-progestin ahlukene futhi zinemiyalelo ehlukene yokudayisa. Ukushintsha kusuka kwenye kuya kwenye kungase futhi kuthinte ukuthi nini udinga ukuvikeleka okwengeziwe.

Indlela ephephile yokushintsha kuncike kumuthi owusebenzisayo manje, nini owuthatha okokugcina, ukuthi ubujonge yini imithi, nokuthi uyakwazi ucansi yini.

Ungazenzeli wena ukudluliselwa ngokuthatha imithamo eyizingxenye noma ngokushintsha uhlelo wedwa.

Ngeminye imininingwane ngokuyeka noma ukushintsha imithi ye-hormone, bona umhlahlandlela wethu okwenzekayo lapho uyeka ukuthatha i-norethindrone: ukuphuma kwegazi, inzalo, kanye nesikhathi sosuku nosuku.

Ngomhlahlandlela wokuthi ama-residi asebenza kanjani nge-telehealth, bona umhlahlandlela wethu ngokuthola i-residi ku-inthanethi, ngokusemthethweni.

Kwenzekani Uma Ubhojoza Umuthi Ongaphezu Kwodwa?

Ukubhojoza imithi eminingi kwehlukile kunokuthatha umuthi owodwa sekubambezelekile.

Nge-Norethindrone, ukubhojoza umuthi ngaphezu kwamahora ama-3 kusho ukuthi ukuvikeleka okwengeziwe kunconywa amahora angu-48. Uma ubhojoze umuthi owodwa noma ngaphezulu, landela imiyalelo ethize yomuthi wakho bese ucabanga ukukhuluma nomelaphi noma usokhemisi.

Nge-Slynd, ukubhojoza umuthi osebenzayo ngaphezu kwamahora angu-24 kusho ukuthi ukuvikeleka okwengeziwe kunconywa izinsuku ezingu-7. Uma ubhojozwe imithi esebenzayo eminingana, landela imiyalelo ekumininingwaneni yokunikezwa kwephakethe lakho noma ucele umelaphi noma usokhemisi ukuthi akunike umhlahlandlela.

Uma uye waba nobudlelwano bobulili obungavikelekile ngemuva kokubhojoza imithi, ungacabangi ukuthi uvikelekile. Noma ngabe ukuvikeleka okuphuthumayo kufanele, kuncike ekutheni imithi yabonakala nini, nini ucansi lwenzeka, nokuthi yimuphi umuthi wokulawula inzalo owusebenzisayo.

Ukucobisa: I-Slynd neNorethindrone

Zombili i-Slynd neNorethindrone ziyizilawuli zenzalo ze-progestin kuphela, ngakho azinawo i-estrogen.

Ulawulo lwe-progestin kuphela kuvame ukusetshenziswa ngesikhathi sokucobisa ngoba izilawuli ze-estrogen zingase zingafaneleki kakhulu ekuqaleni kwesikhathi sangemva kokubeletha futhi zingathinta ukukhiqiza ubisi kwabanye abantu.

I-Norethindrone isetshenziswe ngesikhathi sokucobisa iminyaka eminingi, ngakho kukhona isipiliyoni esibanzi sezokwelapha nayo.

I-Slynd ingasetshenziswa nabanye abantu abancisisa, kodwa izimo zomuntu ngamunye kusenezinto ezibalulekile. Uma usanda kubeletha, ucobisa, noma ukhathazekile ngobisi, xoxa izinketho zakho zokulawula inzalo no-OB/GYN wakho noma omunye umelaphi onekhono.

Nini Okufanele Uthinte Udokotela

Funa usizo lwezokwelapha oluphuthumayo uma uthola izimpawu ezingabonisa inkinga enkulu yezokwelapha, njengokuthi:

• Ubunzima bokuphefumula noma ukuqunjelwa kobuso, izindebe, ulimi, noma umphimbo
• Ubuhlungu obubukhali besifuba noma ukuphelelwa umoya
• Ubuhlungu obubi noma obungazelelwe bemihlakeni noma ukuqunjelwa
• Ukuganga noma ezinye izimpawu ezimbi kakhulu
• Ukuphuma kwegazi okubuthakathaka kakhulu okuhambisana nobuthakathaka, isiyezi, noma ezinye izimpawu ezikhathazayo

Thintana nomelaphi uma uthola:

• Ukuphuma kwegazi okuqhubekayo noma okungavamile kakhulu
• Ukuphuma kwegazi okuqhubeka nokuphazamisa ngemuva kwesikhathi sokuqala sokulungisa
• Izinguquko ezinkulu zesimo sengqondo
• Ukubuhlungu okubuthakathaka kwesifuba okubi kakhulu noma okuqhubekayo
• Ama-palpitations, ubuthakathaka obungajwayelekile bemisipha, noma ezinye izimpawu ezingabonisa inkinga ye-electrolyte
• Izinkinga zokuthwala umuthi

Khuluma nomelaphi ngaphambi kokuqala noma ukushintsha uma wena:

• Unezifo zezinso, zesibindi, noma zamalenge
• Uthatha imithi noma izithako ezingathinta i-potassium
• Ucibisa noma usanda kubeletha
• Unamakhono amakhulu ezokwelapha
• Uthatha eminye imithi engaxhumana nemithi yakho yokulawula inzalo

Imibuzo Evame Ukubuzwa

Yikuphi okungcono, i-Slynd noma i-Norethindrone?

Akukho okungcono kunakho konke. Ukukhetha kuncike emlandweni wakho wezempilo, uhlelo lwakho lwemithi, isimo sakho sokucobisa, izintandokazi zakho zokuphuma kwegazi, izindleko, nokufinyelela.

I-Slynd inikeza ifasitela elide le-late-pill, kanti i-norethindrone inomlando omude wokusebenzisa futhi ivamise ukutholakala njengegeneric enezindleko eziphansi. I-Slynd nayo inezixwayiso ezithile ezihlobene ne-potassium ezingasebenzi kwi-norethindrone ngendlela efanayo.

Khuluma nomelaphi mayelana nokuthi yiziphi izinketho ezifanela nezimo zakho.

Ngingakwazi yini ukushintsha kusuka ku-norethindrone kuya ku-Slynd noma ngokuphambene?

Yebo, kodwa ukudluliselwa kufanele kuhlelwe kunokuba kwenziwe ngendlela yokuqala.

Ngoba imithi iqukethe ama-progestin ahlukene futhi inemiyalelo ehlukene yokweqa umthamo, isikhathi sokushintsha kanye nesidingo sokuvikeleka okwengeziwe kuncike kumuthi wakho wamanje, umuthi wakho omusha, nokuthi ubujonge yini imithamo.

Umelaphi noma usokhemisi angakutshela ngqo ukuthi nini uzoqala umuthi omusha nokuthi udinga ukuvikeleka okwengeziwe.

Zombili i-Slynd ne-Norethindrone ziphephile yini ekucobiseni?

Zombili ziyimithi yokuphuma kwengane kuphela futhi zingaba izinketho ngesikhathi sokucobisa. I-Norethindrone ikakhulukazi inesipiliyoni esibanzi ekucobiseni.

Uma ucibisa, ikakhulukazi uma usanda kubeletha noma ukhathazekile ngobisi, xoxa ngokuphathwa ngemithi no-OB/GYN wakho, umbelethisi, noma omunye umelaphi onekhono.

Kuthiwani uma ngibhojoza umthamo weSlynd?

Uma ubambezeleke ngaphansi kwamahora angu-24 uthatha umuthi osebenzayo we-Slynd, thatha ngokushesha nje lapho uwukhumbula bese uqhubeka nokuthatha imithi eseleyo ngesikhathi sakho esivamile. Ukuvikeleka okwengeziwe ngokuvamile akudingeki kumuthi obambezeleke ngaphansi kwamahora angu-24.

Uma kudlule amahora angaphezu kwangu-24, thatha umuthi osebenzayo owubhojozwele kakhulu ngokushesha ngangokunokwenzeka, qhubeka nohlelo lwakho olujwayelekile, bese usebenzisa ukuvikeleka okwengeziwe izinsuku ezingu-7.

Uma ubhojoze imithi eminingana noma ube nobudlelwano bobulili obungavikelekile ngemuva kokubhojoza imithi, landela imiyalelo eyayihamba nomuthi wakho noma thintana nomelaphi noma usokhemisi.

Ingabe i-Slynd noma i-Norethindrone ivikela ezifweni ze-STI?

Cha. Akukho i-Slynd noma i-Norethindrone evikela ezifweni ezidluliselwa ngocansi.

Uma ukuvikelwa kwe-STI kubalulekile, sebenzisa ama-condom kanye nomuthi wakho wokulawula inzalo. Ukuthola ulwazi ngokuhlolwa kwe-STI, bona umhlahlandlela wethu ngokuhlolwa kwe-STD ku-inthanethi uma leyo okuqukethwe itholakala emtatsheni wakho.

Isiphetho

I-Slynd neNorethindrone ziyimithi yentombazane ye-progestin kuphela, kodwa azifani.

Umehluko omkhulu ongokoqobo yifasitela lokweqa umthamo. Imithi yentombazane ye-norethindrone ejwayelekile inefasitela lamahora amathathu, kanti imiyalelo ye-Slynd ivumela ukuguquguquka okwengeziwe ngefashitela lamahora angu-24 omuthi obambezelekile. I-Slynd nayo inezixwayiso ezithile ezihlobene ne-potassium, kanti i-norethindrone ineminyaka eminingi yokusebenzisa futhi itholakala kabanzi njengegeneric.

Umlando wakho wezempilo, isimo sakho sokucobisa, uhlelo lwakho lwemithi, izintandokazi zakho zokuphuma kwegazi, nezindleko konke kubalulekile lapho ukhetha phakathi kwazo. Umelaphi angakusiza ukuthi unqume ukuthi yiziphi izinketho ezifanele wena nokuthi uzisebenzise kanjani kahle.

Futhi khumbula: akukho munye umuthi ovikela ezifweni ze-STI. Sebenzisa ama-condom lapho kudingeka khona ukuvikelwa kwe-STI.