Kodi Ortho Evra Patch ikugwira ntchito ndi chiyani?
Dokotala wanu mwina adalimbikitsa pulogalamu ya Ortho Evra kapena mwinamwake mwawerengapo za njirayi yoletsa kubereka . Kodi kachilombo koyambitsa kubala kamagwira ntchito ndi chiyani ndi ubwino ndi zovuta zina zokhudzana ndi njira zina za kulera? Kodi zotsatira zake zingakhale zotani?
Zowonjezera
The Ortho Evra Patch ndi njira yoyamba ya sabata yoyamba.
Ndi mtundu wodabwitsa wa mankhwala ovomerezeka wa mankhwala omwe umabwera mu 4x4-cm woonda, ofewa, beige, pulasitiki, yomwe imamatira ku khungu la mkazi.
Kodi Zimagwiritsidwa Ntchito Bwanji?
The Ortho Evra Patch ili ndi ziboliboli zomwe mumaziika pa khungu lanu masiku asanu ndi awiri pamsabata zitatu motsatizana mwezi uliwonse. Sabata lachinayi simukusowa kuvala chigamba, ndipo panthawiyi nthawi zambiri mumatenga nthawi yanu.
Izi zikufanana ndi mitundu yambiri ya mapiritsi oletsa kubereka , kupatulapo kuti mumamwa mapiritsi masiku 21 (ndipo mwinamwake malowa masiku asanu ndi awiri otsiriza) mmalo mogwiritsa ntchito chigamba sabata iliyonse kwa masiku 21.
Chigambacho chikhoza kuvala pa gawo limodzi la magawo anayi a thupi kuphatikizapo:
- Dzanja lakunja lakunja
- Mimba
- Maphwando
- Mtsinje Wapamwamba (kutsogolo kapena kumbuyo, kupatulapo mabere anu)
Zilibe kanthu kaya ndi malo ati omwe mumagwiritsa ntchito, koma amayi ayenera kuvala chigawo kumbali ina ya thupi lake sabata iliyonse.
Mungasankhe malo kuti muike chigamba chanu pogwiritsa ntchito zovala zanu komanso zomwe zimakukondani kwambiri.
Kodi Zimagwira Ntchito Bwanji?
The Ortho Evra patch yapangidwa kuti apitirize kumasula maselo otchedwa estrogen (ethinyl estradiol) ndi mtundu wa progestin (norelgestromin) kupyolera pakhungu ndi m'magazi kuti ateteze kuti asatenge mimba kwa masiku asanu ndi awiri (ndicho chifukwa chake mkazi ayenera kubwezeretsa pambuyo pa sabata iliyonse).
The Ortho Evra patch ili ndi mahomoni omwewo omwe amapezeka piritsi.
Phindu
Pali ubwino wambiri wogwiritsira ntchito chitundu cha Ortho Evra chokhudzana ndi njira zina zothandizira kubereka. Izi zikuphatikizapo:
- Chigambacho ndi chophweka, chosavuta, ndi chotetezeka
- Ndi chigamba, simusowa kumwa mapiritsi a tsiku ndi tsiku, choncho ndi chinthu chimodzi chochepa chomwe mungaganizire tsiku lililonse
- Chigambachi chimakhala bwino komanso chodziwika bwino
- Zimasinthidwa komanso zimatha kubwerera mofulumira atasiya ntchito
- Mukhoza kuchita zonse zomwe mumakonda, ndikudziwa kuti chigambacho chiri pomwepo, ndikugwira ntchito yake
- The Ortho Evra Patch sichitsutsana ndi kugonana ndipo akhoza kulola zambiri
- Ambiri omwe amagwiritsa ntchito lipoti la chiphaso kukhala ndi nthawi yowonjezera, yowala, ndi yofupikitsa
- Ortho Evra imamatira mosavuta khungu ndipo sichiteteza zinthu monga kusamba, kusamba, kusambira, ndi kuchita masewera olimbitsa thupi
- Mungagwiritse ntchito mapepala anu kuti muchepetse nthawi yanu
Zopanda Phindu
Tsopano tikudziwa kuti pali mapulogalamu angapo omwe alibe njira zothandizira pulogalamu yoletsa kubereka , ndipo izi zikhonza kukhala zoona kwa Ortho Evra patch. Zina mwazinthu zina zingaphatikizepo chitetezo ku:
- Ovarian cysts
- Khansara ya ovarian
- Hirsutism (tsitsi lopaka nkhope)
- Ectopic mimba
- Matenda oyamba omwe amachititsa kuti munthu asamadwale matenda ovutika maganizo
- Khansa ya chiberekero
- Matenda osapsa
- Zikodzo
- Kusamba miyezi
- Kutaya magazi m'thupi (kusowa kwachitsulo komwe kumabwera chifukwa cha nthawi zovuta)
- Osteoporosis
Kuipa
Poyerekeza ndi njira zina zothandizira kubereka, chigambachi chingabweretse:
- Kusintha kwa chilakolako chogonana
- Kuwonjezera povutika maganizo kwa anthu omwe ali ndi mbiri ya kuvutika maganizo
- Zochita za khungu pamalo a patch application
Zotsatira Zotsatira
Pali mavuto akuluakulu kwa amayi omwe amasankha kugwiritsa ntchito katemera wotchedwa Ortho Evra, koma n'kofunika kuti mudziwe bwino izi musanayambe kumwa mankhwala. Mwamwayi, zambiri za zotsatirazi zikhoza kusintha kapena kutha pamene mutagwiritsa ntchito chigamba cha miyezi iwiri kapena itatu.
Zotsatira zake zingakhalepo:
- Maonekedwe amasintha
- Mutu
- Kusuntha pakati pa nthawi
- Chikondi cha m'mimba
- Nausea (nthawi zina ndi kusanza)
Machenjezo
Ngakhale kuti mavitamini ambiri omwe amagwira ntchito, odwala, ndi zotsatira zake zapadera zimakhala zofanana ndi mapiritsi oletsa kubereka, pali kusiyana kochepa. Mahomoni omwe amalowa mwazi kudzera m'magazi amachotsedwa mthupi mosiyana ndi omwe amapangidwa kuchokera pakamwa.
Akazi omwe amagwiritsira ntchito chiphaso chowombera amavomerezedwa ndi oposa 60% kuposa estrogen kuposa omwe amadwala mapiritsi oletsa kubereka. Izi zawonjezeka kwambiri ndi mayendedwe a estrojeni angawonjezere chiopsezo cha zotsatirapo kwa iwo omwe amagwiritsa ntchito chigambachi.
Malinga ndi izi, mlingo wa estrojeni unkawonjezeka, pangozi ya mitsempha m'magazi (ndipo pangakhale chiopsezo cha embolism ya pulmona yomwe ikhoza kuchitika pakatha mapepala ndikupita kumapapo) akhoza kukhala apamwamba ndi chigamba poyerekeza ndi mapiritsi oletsa kubereka. ali ndi mcg 35 wa estrogen. Kuopsa kwa magazi kumakhala pafupifupi kawiri pamwamba pa chigambacho monga ndi mapiritsi oletsa kubereka, koma chiopsezo chachikulu cha magazi chimakhala chochepa ndi njira iliyonse.
Palinso chiopsezo chochepa cha chifuwa cha m'mawere pachimake chokhacho pa mapiritsi oletsa kubereka.
Ndani Angagwiritse Ntchito?
The Ortho Evra patch ndi njira yabwino yoperekera kwa amayi ambiri, ngakhale pali nthawi imene mitundu yosiyanasiyana ya kulera imasankhidwa.
Chigambacho sichiri chovomerezeka kwa amayi omwe:
- Ali ndi zaka zoposa 35 ndipo amasuta fodya
- Wakhala ndi matenda a mtima kapena stroke
- Khalani osayendetsa kuthamanga kwa magazi
- Wakhala ndi kukula kosazolowereka kapena kansa ya m'mawere
- Amagwiritsa ntchito kwambiri kuthamanga kwa magazi ndi kusuta ndudu (phunzirani zambiri za mapiritsi / mapiritsi olerera ndi kuthamanga kwa magazi )
- Amakhala ndi magazi (emimba embolism) kapena pulmonary embolism
- Khalani ndi matenda a chiwindi kapena kukula kwa chiwindi
- Wakhala ndi mavuto aakulu a valve
- Mukhale ndi matenda ena ochotsa magazi
- Angakhale ndi pakati
Mmene Mungapezere
The Ortho Evra patch imapezeka ndi mankhwala okhaokha ndipo amafunika kuyeza kuchipatala ndi kuthamanga kwa magazi kuwerenga kwa dokotala. Madokotala ambiri amalimbikitsanso kuti apange mapepala a Pap smear asanayambe kulandira chithandizo cham'mimba.
Mtengo
Mitengo imasiyanasiyana, koma mtengo wa chigamba uli pakati pa $ 30 ndi $ 40 pamwezi (kuphatikizapo kuwerengera kafukufuku wa zamankhwala kuti mupeze mankhwala). M'madera ambiri, Medicaid imaphatikizapo mtengo wa njira imeneyi. Mayi ayenera kufufuza chithandizo cha inshuwalansi yayekha.
Mphamvu
The Ortho Evra Patch ndi 92 peresenti mpaka 99.7 peresenti yotetezera kutenga mimba. Izi zikutanthauza kuti pogwiritsa ntchito bwino, amayi oposa 1 mwa 100 aliwonse omwe amagwiritsa ntchito chigambacho amakhala ndi pakati. Ndimagwiritsidwe ntchito, amayi 8 pa 100 aliwonse omwe amagwiritsa ntchito chigambachi amakhala ndi pakati.
Mankhwala ena akhoza kuchepetsa kupambana kwa mapiritsi oletsa kubadwa kapena mabala. Izi zimaphatikizapo mankhwala monga mankhwala omwe amagwiritsidwa ntchito kawirikawiri. Ndikofunika kuyankhula ndi dokotala wanu za mankhwala omwe mumalandira komanso mankhwala ena atsopano omwe mungayankhe mutangoyamba kumene.
Chigambachi sichitha kuchepetsa amayi olemera kwambiri (omwe amalemera kuposa mapaundi 198.)
Mphamvu ya Ortho Evra Patch ikhozanso kuchepetsedwa chifukwa cha zolakwika za ogwiritsa ntchito . Mayi akhoza kukhala pachiopsezo chotenga mimba ngati:
- Chigamba chikugwera ndipo sichilowetsedwa mkati mwa maola 24
- Mkazi amaiwala kuti asinthe chigamba sabata iliyonse
- Ngati chigamba sichikusungidwa kutentha
- Ngati chigamba sichisungidwa chosindikizidwa mpaka chimagwiritsidwa ntchito
- Mayiyo amayesa kubwereza chigamba chomwe sichikakamira, chokhala nacho chokha kapena china chake pamwamba, chiri ndi zinthu zina zomwe zimagwiritsidwira ntchito, kapena zamasuka ndi kugwa kale.
Bwanji ngati Your Ortho Evra Patch Akugwa?
Mu kafufuzidwe kafukufuku, osachepera 2 peresenti ya mapepala amachokera ndipo osachepera 3 peresenti ya mapepala amamasula. Ngati chigambacho chapita kwa maola osachepera 24, nthawi zambiri mungachigwiritse ntchito (ngati adakali womangiriza.) Ngati yayamba maola 24, muyenera kugwiritsa ntchito chigamba chatsopano . Muyeneranso kugwiritsa ntchito mawonekedwe obwezeretsa kubereka kwa mwezi wonse.
Ngati mwaiwala kusintha chigamba chanu, malangizo amasiyana malinga ndi chigamba chomwe mukugwiritsa ntchito (1, 2, kapena 3,) koma ndi kwanzeru kugwiritsa ntchito mawonekedwe a kubwezera kwa mwezi wonse.
Phunzirani zambiri za malangizo omwe mungachite ngati chigamba chanu chikugwa kapena ngati mukuiwala kusintha .
Pogwiritsa Ntchito Patch Kuletsa Nthawi Yanu
Imodzi mwa ubwino wa mapiritsi oletsa kubereka ndikuti nthawi zina angagwiritsidwe ntchito kuti asiye nthawi yanu kuti mukhale ndi ufulu wopumula nthawi yanu pa tchuthi, kudzachita mwambo wapadera kapena kuyendayenda m'dziko lachiberekero. Phunzirani zambiri za momwe mungagwiritsire ntchito nthawi yanu pamtunda wa Ortho Evra .
Nanga Bwanji Kuwotcha kapena Kusambira?
Muyenera kusamba kapena kusambira popanda mavuto mukamagwiritsa ntchito Ortho Evra patch. Ngati inu mukugwidwa akugwera, komabe, onetsetsani kuti muyankhe kachidutswa mkati mwa maola 24. Izi zikachitika, zingakhale zotheka kugwiritsa ntchito chigamba chatsopano (onetsetsani kuti mutenge malo osungira mankhwala) m'malo mogwiritsanso ntchito chigamba chomwe chinagwera, chifukwa sichikanatha kukanika khungu lanu.
Pansi
The Ortho Evra patch imaperekanso mtundu wina wa mahomoni oyenera kubereka kumene muyenera kuganizira za kubereka kwanu kamodzi pa sabata. Pali ubwino wambiri komanso zovuta zogwiritsira ntchito mankhwala opatsirana pogonana.
Magulu anu a estrogen angakhale apamwamba mukamagwiritsa ntchito chigambacho kusiyana ndi mapiritsi oletsa kubereka. Popeza chiopsezo cha magazi chimawonjezereka ndi mlingo wa estrogen, ndizofunika kudziwa za ngoziyi.
Monga mapiritsi oletsa kubereka, Ortho Evra patch sichiteteza ku matenda opatsirana pogonana. Ngati mungakhale pa chiopsezo cha matenda opatsirana pogonana , nkofunika kuti mugwiritse ntchito kondomu nthawi zonse pamodzi ndi zida zanu zoletsa kubereka.
> Zotsatira:
> Galzote, R., Rafie, S., Teal, R., ndi S. Mody. Kutulutsidwa Kwachitsulo kwa Kuphatikizidwa Kwachilombo ka Hormonal: Kubwereza kwa Zakale Zamakono. International Journal of Women's Health . 2017. 9: 315-321.
> Raymond, E., Burke, A., ndi E. Espey. Kuphatikizidwa kwa Kugonana kwa Hormonal ndi Thromboembolism Yowopsya: Kuyika Zoopsya Kukhala Maganizo. Matenda a m'mimba komanso ma Gynecology . 2012. 119 (5): 1039-44.