Natazia ndi chizindikiro cha mapiritsi oletsa kubereka . Piritsi iyi (yomwe ili kale yovomerezeka ku Ulaya pansi pa dzina lakuti Qlaira) ndiyo njira yoyamba yothandizira pakamwa yomwe imagulitsidwa ku United States. Natazia ndi wapadera chifukwa chakuti ndilo choyamba komanso kulera kwachinsinsi komwe kuli ndi estrogen yotchedwa estradiol valerate ndi progestin yotchedwa dienogest.
Kupatulapo Natazia, mankhwala onse opezeka omwe amapezeka ali ndi ethinyl estradiol . Valerate ya Estradiol, yokonzanso estrogen yomwe imapezeka ku Natazia, imatembenuzidwa kukhala estradiol mu thupi la mkazi.
Natazia ndi yosiyana ndi mapiritsi amodzi okhaokha omwe ali ndi mlingo wokhazikika wa estrogen ndi progestin . Natazia amapereka mlingo wosiyanasiyana wa mahomoni nthawi zinayi pa tsiku lililonse la mankhwala a masiku 28. Mapiritsi ali ndi mitundu yosiyanasiyana ya validate ya estradiol, ndi validate ya estradiol kuphatikizapo dienogest, kwa masiku enieni a masiku 28. Valerate ya estradiol imachepa kuchokera 3 mg mpaka 1 mg pa masiku 28. Patsulo iliyonse ya Natazia ili ndi mapiritsi awa omwe ayenera kutengedwa mu dongosolo ili:
- Mapiritsi awiri achikasu, omwe ali ndi 3 mg estradiol valerate.
- Mapiritsi asanu apakati awiri, omwe ali ndi 2 mg estradiol valerate ndi 2 mg dienogest.
- Mapiritsi 17 achikasu, omwe ali ndi 2 mg estradiol valerate ndi 3 mg dienogest.
- Mapiritsi awiri ofiira, omwe ali ndi 1 mg estradiol valerate.
- 2 mapiritsi oyera a placebo (alibe mahomoni).
Valerate ya Estradiol siyonse yeniyeni monga ethinyl estradiol. Chifukwa cha izi, Natazia akhoza kukhala njira yabwino yothandizira amayi omwe ali ndi chidwi ndi estrogen chifukwa mapiritsiwa sangayambitse zotsatira zambiri za estrogen .
Natazia Zotsatira Zotsatira:
Mofanana ndi mtundu uliwonse wa njira ya kulera , mukhoza kukhala ndi zotsatira zina (zomwe zimachitika patapita miyezi itatu yoyamba) ngati mugwiritsa ntchito Natazia. Zotsatira zofala kwambiri za mankhwalawa ndi awa:
- Matenda osabereka / ululu
- Kupatula kapena kusasamala magazi
- Kulemera kwalemera
- Mutu
- Zikodzo
- Kupweteka kwa m'mimba
- Nausea
- Maonekedwe amasintha
Malingaliro Opanda Kumvera a Natazia:
Natazia wakhala akuvomerezedwa ndi FDA kuti athetse kuchepa kwa magazi kwa amayi omwe ali ndi nthawi yolemera (yotchedwa menorrhagia ). Nkhani ya Natazia imanenanso kuti "pogwiritsa ntchito zolemba za odwala, amenorrhea (alibe nthawi) amapezeka pafupifupi 16 peresenti ya amayi omwe amagwiritsa ntchito Natazia."
Kafukufuku amathandiza kuti Natazia athandize amayi omwe akuvutika ndi nthawi yovuta. Kafukufuku woposerapo, ofufuza adafufuza njira ya magazi ndi machitidwe ozunguza magazi m'mayi 804 (azaka 18-50). Akaziwa anapatsidwa Natazia kapena mapiritsi a monophasic ndi mahomoni, ethinyl estradiol ndi levonorgestrel (monga Seasonique ndi Amethyst ). Azimayi omwe ali mu gulu la Natazia adanena kuti magazi ndi ochepa kwambiri poyerekeza ndi amayi omwe ali m'gulu la mapiritsi a monophasic - apakati pa masiku 16 ndi masiku 21. Ofufuzawo anapeza kuti nthawi yomwe amasiya kutuluka (mwachitsanzo, "nthawi"), akazi omwe amagwiritsa ntchito Natazia adanena kuti magazi awo anali ochepa kwambiri ndipo amatha kupuma kwa masiku angapo poyerekeza ndi gulu lokhalokha.
Pomalizira, amayi omwe amagwiritsira ntchito Natazia amakhalanso osataya magazi.
Pulogalamu ya Orthodox:
Chifukwa ma hormone ndi osiyana pa magawo anayi a mapiritsiwa, muyenera kutsatira njira zosiyana malinga ndi komwe muli phukusi lanu pamene mukuiwala kumwa mapiritsi. Lamuloli ndilo lamulo labwino lotsatira (koma muyenera kuyang'ana ndi mapiritsi omwe akufotokoza zomwe zimabwera ndi paketi ya mwezi uliwonse). Ngati mutatha kumwa mapiritsi osachepera 12 , pewani kumwa mapiritsi mwamsanga mukamapiranso mapiritsi anu nthawi zonse (simukusowa kugwiritsa ntchito mankhwala osungira chithandizo).
Mukamagwiritsa ntchito Natazia, ngati muli ndi maola oposa 12 mochedwa ndipo mukuiwala kuti mutenge:
- Piritsi ONE Patsiku la 1-17: Tengani mapiritsi mukangokumbukira, ndipo piritsani piritsi lotsatira nthawi zonse (mukhoza kutenga mapiritsi awiri tsiku limodzi); Gwiritsani ntchito kulandira chithandizo kwa masiku 9 otsatira ndikupitiriza kumwa mapiritsi limodzi panthawi imodzi.
- Mipiritsi iwiri (mzere) M'masiku 1-17: Musatenge mapiritsi omwe akuphonya.Kodi, piritsani mapiritsi tsiku limene munayamba mwawona kuti mwaphonya mapiritsi. Mukhoza kukhala ndi pakati ngati mutagonana masiku asanu ndi atatu mutaponya mapiritsiwa, choncho gwiritsani ntchito njira yoletsa kubereka kwa masiku 9. Pitirizani kutenga mapiritsi limodzi tsiku limodzi panthawi imodzi. ** DZIWANI: Ngati mwaphonya mapiritsi masiku 17 ndi 18, tsatirani malangizo a masiku 17-25 mmalo mwake.
- Piritsi ONE Patsiku la 18-24: Musatenge mapiritsi aliwonse pakapakiti kano ka pulogalamu yamtunduwu - kutaya phukusi lotsalira ndikuyamba mapiritsi atsopano (Tsiku 1) tsiku lomwelo. Gwiritsani ntchito kulandira chithandizo kwa masiku 9 otsatira ndikupitiriza kumwa mapiritsi limodzi panthawi imodzi.
- Mipiritsi iwiri (mzere) Pa masiku 17-25: Musatenge mapiritsi aliwonse pakalipano yanu yamakono - kutaya phukusi lonselo. Tengani mapiritsi 3 tsiku la mapiritsi atsopano, gwiritsani ntchito njira zowonjezera kubereka kwa masiku 9 otsatira, ndipo pitirizani kutenga mapiritsi amodzi kuchokera pakiti yatsopano yamatabwa nthawi yomweyo. Dziwani: Ngati mwaphonya mapiritsi a masiku 25 ndi 26, tsatirani malangizo a masiku 25-28.
- Piritsi ONE Patsiku la 25-28: Tengani mapiritsi mukangokumbukira, ndipo piritsani piritsi lotsatira nthawi zonse (mukhoza kutenga mapiritsi awiri tsiku limodzi); Palibe mankhwala okwanira omwe akufunikira koma pitirizani kutenga mapiritsi limodzi panthawi imodzi.
- Mapiritsi Awiri (mzere) Pa masiku 25-28: Musatenge mapiritsi aliwonse pakapakiti anu omwe ali nawo pakali pano ndipo muwutaya. Yambani paketi yatsopano tsiku lomwelo kapena yambani paketi yatsopano tsiku limene mumayambitsa phukusi latsopano. Simukusowa njira yobwezera.
Kuchita Natazia:
Kuphatikizira mapiritsi oyenera kubereka ndi njira yabwino kwambiri yothandiza kubereka . Piritsi ndi 92-99.7% yogwira bwino. Ndizimene zimagwiritsidwa ntchito, amayi 8 mwa amayi 100 alionse adzatenga pakati pa chaka choyamba cha mapiritsi. Ndi ntchito yabwino, osachepera 1 adzakhala ndi pakati. Mosasamala mtundu wake / kuchuluka kwa ma homoni, mapiritsi onse akugwiritsidwa ntchito mofanana pofuna kupewa mimba.
Mutha kukhala kale ndi pakati kapena mutakhala ndi pakati ngati mutagonana musanapeze mapiritsi. Mipiritsi yomwe munaphonya komanso / kapena pafupi nanu kumapeto kwa kayendetsedwe kake, zimapangitsa kuti mutenge mimba.
Natazia akhoza kukhala opanda mphamvu kwa amayi omwe ali ochepa kwambiri (omwe angagwiritsidwe ntchito kwa pafupifupi 30% mwa Amwenye onse). Mphamvu ya Natazia kwa amayi omwe ali ndi chiwerengero cha thupi la BMI cha> 30 kg / m2 sichinazindikiridwe.
Mitengo ya Natazia:
Zikuwoneka kuti mtengo wa Natazia ndi wamtengo wapatali kusiyana ndi njira zina zothandizira pakamwa. Popeza Natazia amadziwika kuti ndi mankhwala omwe amagwiritsidwa ntchito ngati mankhwala kapena mankhwala atatu omwe ali pansi pa inshuwalansi yochulukitsa thanzi, sangathe kubisala kapena angafunike ndalama zambiri.
Izi zikunenedwa, palibe njira yowonjezera ya Natazia. Bayer (ndi wopanga) ali ndi ufulu wapadera wokonza ndi kugulitsa Natazia mpaka 2016 - pamene chikalatacho chikutha. Pambuyo pake, makampani ena osokoneza bongo angathe kupanga ndi kugulitsa Natazia. Chifukwa palibe Natazia yomwe imakhalapo, ikhoza kubwerekedwa ndi ndalama zogulitsa zothandizira inshuwalansi.
Mukhozanso kusunga ndalama pa Natazia ndi Bayer Savings Card. Pambuyo poyambitsa khadi ili (lomwe silikulipira chilichonse), muyenera kulijambula ndi kuliwonetsa kwa asayansi wanu:
- Ngati muli ndi inshuwaransi, simudzalipira ndalama zokwana $ 30 pamwezi uliwonse wa mankhwala a Natazia.
- Ngati mulibe inshuwalansi, mudzalandira ndalama zokwana madola 25 pa ndalama zanu zapakhomo pamwezi uliwonse.
Zotsatira:
Ahrendt HJ, Makalova D, Parke S, Mellinger U, Mansour D. "Kuwombera ndi kayendedwe ka mkodzo ndi njira yovomerezera yovomerezeka yovomerezeka ya isradiol: Kuzungulira kwachisanu ndi chiwiri, kuyesera kwapadera kwa vumbulutso la estradiol / dienogest ndi ethinyl estradiol / levonorgestrel." Kulera . 2009; 80: 436-444. Nkhani yowonjezera imapezeka kupyolera mwachinsinsi.
"NATAZIA - validate ndi estradiol valerate / dienogest kit." [Bayer HealthCare Pharmaceuticals Inc.]. Tsiku la Med. Kupezeka: December 4, 2014.