Ella ndi ntchito yatsopano ya mankhwala, yomwe imavomerezedwa ngati chithandizo cham'tsogolo , ndi FDA mu August 2010. Ella ali ndi mapiritsi amodzi okha (alipristal acetate, 30 mg). Ella ikhoza kugwiritsidwa ntchito ndi amayi kuteteza mimba yosakonzekera pambuyo pa kugonana kosatetezeka kapena kulephera kulera ndi piritsi limodzi lomwe lingatengedwe mwamsanga. Ella ndi othandiza kwambiri ngati atengedwa nthawi yomweyo, koma angagwiritsidwe ntchito kwa maola 120 (masiku asanu) pambuyo pa kugonana kosatetezedwa.
Njira zina zowononga zoberekera, Gawo B Yoyamba , Chotsatira Chotsatira Chokha , Njira Yanga , Chigwirizano , ndi Chotsatira , ndizovomerezedwa ndi FDA mpaka maola 72 (masiku atatu) pambuyo polephera kubereka kapena kusagonana.
Momwe Ikugwirira Ntchito
Ella akuganiziridwa kuti amagwira ntchito mofulumira kwa kubereka koyambirira makamaka poyimitsa kapena kuchepetsa kutuluka kwa dzira kuchokera ku ovary, kotero palibe dzira limene lingapezeke kuti umuna umere. N'zotheka kuti Ella akhozanso kugwira ntchito popewera chikhomo (implantation) pachiberekero. Ngakhale kuti Ella amaletsa kuvutitsa kwa masiku 5 patatha kugonana popanda chitetezo, pali vuto linalake kuti amayi akhoza kusokonezeka ndi izi ndipo molakwika amakhulupirira kuti atatenga Ella, ikhoza kuwatchinjiriza kuti asatenge mimba kuchokera kuzinthu zina zowononga popanda kugonana kwa masiku asanu (izi sizomwe zilili, monga umuna wochokera kuzinthu zina zowonjezera angathe kuthetsa mawindo oyambirira a masiku asanu).
Ella ili ndi mankhwala osokoneza bongo, omwe alibe mankhwala omwe amachititsa zotsatira za mahomoni ofunikira oyenerera kutenga pakati.
Ella ali m'gulu la mankhwala omwe amatchedwa progesterone receptor modulators. Chithandizo chokha chovomerezeka m'kalasi imeneyi ndi mifepristone, yomwe imadziwika kuti RU-486 . Mifepristone imavomerezedwa kuti igwiritsidwe ntchito monga gawo la regimen yomwe imayambitsa mimba . Chifukwa chakuti thupi limapindula kwambiri kuposa mifepristone, Ella angagwiritsidwe ntchito pazitsulo zochepa zomwe zimateteza kutenga pakati koma zomwe siziyenera kubweretsa mimba.
Sitikudziwikabe, ngakhale kuti Ella angawonjezere kuchuluka kwa mimba mwadzidzidzi mwa amayi owerengeka amene amabereka ngakhale kuti akugwiritsa ntchito mankhwalawa. Palinso chisokonezo kuti ngati Ella akhoza kuvulaza mimba yomwe ilipo kale (ngati mayiyo ali ndi pakati pomwe atenga Ella).
Chimene Sichiri
Kachilombo ka pangozi kawirikawiri kumasokonezedwa molakwika ndi mapiritsi oyambirira, kuchotsa mimba, RU486 (yomwe imatchedwanso M & M, Mifeprex, RU486, mifepristone kapena kuchotsa mimba ). Mankhwala awiriwa amakhala ndi zolinga ziwiri ndipo amagwira ntchito mosiyana.
Ella si piritsi lochotsa mimba. Sizowonjezereka ngati mutengedwera mkazi atakhala kale ndi pakati. Malingana ndi Watson Pharmaceuticals, amene amapanga chithandizo chodziwitsira, Ella sagwiritsidwe ntchito kuthetsa mimba yomwe ilipo kale.
Nthawi yogwiritsa ntchito
Pofuna kuchepetsa chiopsezo cha mimba yosakonzekera, Ella ayenera kutengedwa mwamsanga maola 120 (masiku asanu) a kugonana kosatetezeka kapena kulephera kulera. Posakhalitsa Ella amatengedwa, ndibwino kwambiri. Ella ingagwiritsenso ntchito nthawi iliyonse pa nthawi ya kusamba ndipo ikhoza kutengedwa kapena popanda chakudya. Ngati mumasanza mkati mwa maola atatu mutenga mapiritsi, muyenera kuonana ndi dokotala mwamsanga kuti mukambirane ngati mutenge mankhwala ena.
Amene Saliyenera Kuligwiritsa Ntchito
Ella sichiyenera kugwiritsidwa ntchito monga choloŵa m'malo mwachizoloŵezi chogwiritsa ntchito njira za kulera - sizimagwira ntchito komanso njira zina zambiri zowononga ngati zagwiritsidwa ntchito moyenera komanso molondola. Musagwiritse ntchito ella mobwerezabwereza pamwezi womwewo chifukwa cha zochitika zosiyanasiyana za kugonana kosatetezeka kapena kulephera kwa njira yolerera.
Musatenge Ella ngati mukudziwa kapena mukuganiza kuti muli ndi pakati kale. Ngati pali mwayi woti mutha kutenga pakati, dokotala wanu akuyenera kukupatsani mayeso a mimba musanayankhe Ella. Zowopsa kwa mwana wamwamuna pamene Ella amaperekedwa kwa mayi woyembekezera sadziwika.
Zotsatira Zotsatira
Pogwiritsidwa ntchito monga momwe amachitira, Ella ndi otetezeka kwa amayi ambiri. Zotsatira zambiri zomwe zimachitika panthawi ya mayeso a amayi 2,637 omwe alandira Ella ndi awa:
- Mutu (18%)
- Nausea (12%)
- Mavuto m'mimba ndi m'mimba (12%)
- Dysmenorrhea (ululu wa uterin pa nthawi ya kusamba) (10%)
- Kutopa (6%)
- Chizungu (5%)
Mutatha kutenga Ella, mukhoza kusintha nthawi yanu. Nthawi zina, nthawi yanu yotsatira ikhoza kukhala yolemera kapena yopepuka, kapena poyamba kapena mtsogolo. Ndikofunika kukaonana ndi dokotala ngati nthawi yanu isanathe nthawi yoposa sabata imodzi, chifukwa izi zikhoza kusonyeza kuti mimba ikhoza kuchitika.
Ngati muli ndi ululu waukulu m'mimba 3 mpaka 5 milungu mutatha kutenga Ella, pakhoza kukhala kuti mungakhale ndi ectopic mimba, kotero muyenera kufufuza mwamsanga mankhwala.
Mphamvu
Ella ndiwothandiza kwambiri mwamsanga pamene wayamba. Mukatengedwa monga mwadongosolo (mkati mwa maola 120 a kugonana kosatetezeka kapena kulephera kulera), Ella amachepetsa mwayi woti mutenge mimba. Ella sagwira ntchito nthawi zonse ndipo amagwiritsidwa ntchito pokhapokha pachidziwitso cha kugonana kosatetezedwa. Pakati pa mayesero a kachipatala Ella anachepetsa kuchepetsa mimba kuchokera ku chiwerengero cha 5.5% (chiwerengero cha mimba zapadera popanda kuyerekezera mwadzidzidzi kuwerengedwa chifukwa cha nthawi yogonana pogonana pa nthawi iliyonse ya mkazi) kwa chiwerengero cha 2.2%.
Ella akuwoneka kuti sagwira ntchito kwambiri mwa amayi olemera kwambiri. Pa njira zachipatala, 3.2% a amayi omwe ali ndi chiwerengero cha mthupi (BMI)> 30 kg / mamita anayamba kutenga pakati pogwiritsa ntchito Ella.
Ella sangapitirize kupeŵa kutenga mimba pa nthawi yonse ya amayi, choncho onetsetsani kuti mumagwiritsa ntchito njira yowonetsera nthawi yomwe mukugonana. Wopanga akuti "kubwerera mofulumira kwa chonde kumakhala kutsatila mankhwala ndi ella chifukwa cha kulera kofulumira; choncho, nthawi zonse kubereka koyenera kumapitiriridwa kapena kuyambitsidwa mwamsanga potsatira kugwiritsa ntchito ella kuti pitirizani kupeŵa kutenga mimba."
Mankhwala ena ndi mankhwala a zitsamba angachepetsenso mphamvu ya ella. Izi zikuphatikizapo:
- Mabala
- Bosentan
- Carbamazepine
- Felbamate
- Griseofulvin
- Oxcarbazepine
- Phenytoin
- Rifampin
- Wotchedwa St. John's Wort
- Topiramate
Kusamala
Lankhulani ndi wothandizira zaumoyo wanu ngati mumagwiritsa ntchito mankhwala opatsirana (monga mapiritsi , chigamba , Depo Provera , NuvaRing ). Kugwiritsira ntchito Ella kungapangitse njira yanu yowonetsera mahomoni nthawi zonse kukhala yosavuta . Chifukwa cha izi, ngati mumagwiritsa ntchito Ella ngati njira yowulera yofulumira, muyenera kugwiritsa ntchito njira yodalirika yoletsa kubereka (monga kondomu ndi spermicide , kondomu ya mkazi , sponge ) pa nthawi zina zomwe mumagonana pa nthawi yomweyo.
Muyenera kukhala ndi chithandizo cha dokotala kuti mupeze Ella. Malingana ndi wothandizira zaumoyo wanu, mukhoza kapena simukusowa kuyendera ofesi kuti mulandire mankhwala a Ella. Wopanga amalangiza alangizi othandizira kuchipatala kuti atsimikizire kapena kuchotsa mimba yomwe ilipo kale asanalembere kalata ya Ella.
Monga tcheru, mukhoza kufunsa dokotala wanu za kupeza mankhwala kwa Ella kuti akhale ndi nthawi yambiri. Mwanjira iyi, mutha kale kukhala ndi mankhwala oti mudzakwaniritsidwe mwamsanga ndipo simuyenera kuyembekezera kuti mudzakhale odwala.
Ndalama
Mitengo ya mmawa uno - pambuyo pa mapilisi amasiyana malinga ndi kumene mumagula. Ella angawononge ndalama zokwana madola 55 ku pharmacy. Pali ntchito yamagetsi yomwe mungagwiritse ntchito kugula Ella kwa $ 67, kuphatikizapo kutumiza kwaulere ndi kusamalira kwa tsiku lotsatira.
Kuteteza matenda opatsirana pogonana
Ella alibe chitetezo ku matenda opatsirana pogonana kapena HIV.
Chitsime:
Watson Pharmaceuticals. Ella - lilipristal acetate piritsi: Complete Complete Information. Kupezeka: December 10,2010. http://pi.watson.com/data_stream.asp?product_group=1699&p=pi&language=E