Mankhwala Amene Amachepetsa Kugonana Kwako kwa Hormonal

Mankhwala Osokoneza Piritsi Olephera

Ngati muli pa mahomoni oletsa kubereka, kuphatikizapo mankhwala oletsa kubereka , NuvaRing , kapena Ortho Evra patch , muyenera kudziwa kuti mankhwala ena ndi zakudya zina zingapangitse mwayi wolepheretsa kubereka. Mankhwalawa amachititsa kuti mahomoni asamapangidwe bwino chifukwa amachulukitsa mavitamini. Izi zikutanthauza kuti mahomoni akhoza kuthyoledwa mofulumira kwambiri ndi thupi lanu, motero kuchepetsa chiwerengero cha mahomoni ofunika kuti chitetezo chokhala ndi mimba chitengeke.

Nazi mankhwala 10 omwe angachepetse mphamvu yowonongeka kwa mahomoni:

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Maantibayotiki

Ngakhale kuti amakhulupirira kale kuti mankhwala ambiri opha tizilombo amatha kusokoneza mphamvu ya kubadwa kwa mahomoni, okhawo amene atsimikiziridwa kuti amachititsa mavuto ndi Rifadin / Rimactane (rifampin), omwe amagwiritsidwa ntchito pochiza chifuwa chachikulu kapena meningitis. Rifampin ingachepetse mphamvu ya NuvaRing komanso chigamba. Ngati muli pa mapiritsi olerera, chigamba, kapena NuvaRing ndi dokotala anu akulembera rifampin, muyenera kugwiritsa ntchito njira yopezera kubereka monga makondomu kapena diaphragm.

Dokotala wanu angakulimbikitseni njira yobwezeretsera pamene muli ndi mitundu ina ya maantibayotiki, kuti mukhale otetezeka.

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Anti-HIV Protease Inhibitors

Nevirapine, Nelfinavir, ndi Norvir (ritonavir) ndi mankhwala osokoneza bongo omwe amagwiritsidwa ntchito pochiza matenda opatsirana pogonana. Ngati mukugwiritsa ntchito mankhwalawa kapena mankhwala ena ochizira kachirombo ka HIV kapena Edzi, funsani ogwira ntchito zaumoyo ngati mankhwala anu enieni amachepetsa mphamvu ya mapiritsi anu okhudzana ndi kulera.

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Anticonvulsants

Mankhwala osokoneza bongo opanga tulo, kulamulira nkhawa, kapena kupweteka (kuthamanga) kungayambitse kupambana kwa mapiritsi oletsa kubereka. Zitsanzo za mitundu iyi ya mankhwala ndizo:

• Felbatol (felbate)
• Lamictal (lamotrigine)
• Luminal, Solfoton (phenobarbital)
• Mysoline (primidone)

Mankhwala otsatirawa angathandizenso kuthana ndi matenda ena a khunyu komanso kudwala ululu wokhudzana ndi mitsempha. Komanso, Topamax (topiramate) ingathenso kulangizidwa kuti muteteze mutu wa mutu wa migraine. Mankhwalawa amachepetsanso mapiritsi, NuvaRing, kapena zotsatira zake:

• Trileptal (oxcarbazepine)
• Tegretol, Carbatrol, Equetro, Epitol (carbamazepine)
• Dilantin, Phenytek (phenytoin)
• Topamax (topiramate)

Bungwe la World Health Organization (WHO) limalimbikitsa amayi kuti atenge antiticonstants kuti asagwiritse ntchito mankhwala opatsirana pogonana, kupatulapo Depo-Provera (medroxyprogesterone acetate). Lankhulani ndi dokotala wanu za ngozi.

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Kudetsa nkhaŵa

Mankhwala ena omwe amaperekedwa chifukwa cha kuvutika maganizo amatha kusintha mahomoni. Mankhwala oletsa kupanikizika amatha kuchepetsa kuchuluka kwa mahomoni (estrogen ndi / kapena progestin) omwe amazungulira thupi lanu, zomwe zingawononge mphamvu ya mapiritsi. Izi zikhoza kukhala zosiyana kwambiri kuchokera kwa mkazi mpaka kwa amayi, kotero kuchepa kwa chiwerengero cha ma hormoni kungakhale kuchepa kwakukulu pa mapiritsi a mphamvu kwa amayi ena kusiyana ndi ena. Pa flip slide, kafukufuku wanena kuti estrogen mu mapiritsi akhoza kuchepetsa mphamvu ya wodwalayo.

Pofuna kupewa njira iliyonse yomwe mungagwiritsire ntchito mankhwala, onetsetsani kuti mukuyankhula ndi dokotala ngati mukukumana ndi vuto linalake loletsa kupatsirana pogonana ndipo mukugwiritsanso ntchito njira yoletsa kubereka.

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Mankhwala Antifungal

Mankhwala oletsa fungal amathandizanso kuchepetsa mapiritsi. Mitundu iwiri yomwe ili yovuta imaphatikizapo:

• Kuyimitsa pamlomo Mycostatin, Nilstat, Nystex (nystatin), yomwe amagwiritsidwa ntchito pochiza matenda a yisiti
• Fulvicin, Grifulvin V, Gris-Peg, Grisactin (griseofulvin), yomwe amagwiritsidwa ntchito pochizira matenda a bowa a khungu, tsitsi, khungu, ndi misomali, komanso nyongolotsi, jekeseni, ndi phazi la wothamanga

Ngati mukugwiritsa ntchito imodzi mwa mankhwalawa, lankhulani ndi wothandizira zaumoyo wanu zomwe zingathe kuchepetsa kupatsirana kwa mapiritsi, mphete, kapena chigamba. Mungafunike kugwiritsa ntchito njira yoletsa kubereka.

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Mankhwala a shuga

Mankhwala ena a shuga, kuphatikizapo Actos (pioglitazone) ndi Avandia (rosiglitazone), angagwirizane ndi mapiritsi oletsa kubereka . Onetsetsani kuti mukulankhulana ndi mankhwalawa ndi wothandizira zaumoyo wanu kuti muwone ngati zingakhudze kugwiritsa ntchito mankhwala opatsirana pakamwa.

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Matenda Oda Nkhawa

Funsani wothandizira zaumoyo wanu ngati mankhwala anu odana ndi nkhawa angachepetse piritsi. Mankhwala ena omwe amachititsa kuti azikhala ndi nkhawa, minofu yamtundu, kapena mavuto ogona, monga Valium, Diastat (diazepam), kapena Restoril (temazepam) angayambe kusokoneza ntchito yogwiritsira ntchito njira zowathandiza kulera.

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Mankhwala Ochepetsa Kuthamanga Kwambiri

Tracleer (bosentan) ndi wotsutsa awiri wa endothelin omwe amatha kugwiritsira ntchito pochitira anthu ndi mitundu ina ya mitsempha yambiri ya magazi (PAH) -ndikuthamanga kwa magazi m'mitsuko ya mapapo. Mankhwala owonetsetsa awonetseredwa kuti achepetse kuchuluka kwa ma hormone m'magazi omwe angakuike pangozi kwambiri kuti mutenge mimba.

Chinthu chinanso chodetsa nkhawa ndi chakuti Tracleer ingayambitse zilema zoyambirira za kubala ngati zitengedwera panthawi yoyembekezera. Ichi ndi chodetsa nkhaŵa kuti amayi omwe amamwa mankhwalawa ayenera kukhala ndi chiyeso choyambitsa mimba asanayambe, komanso mwezi uliwonse panthawi ya mankhwala ndi mankhwalawa.

Mapiritsi oletsa kubadwa, kuwombera , zigoba, ndi implants sayenera kugwiritsidwa ntchito payekha chifukwa sizodalirika pogwiritsira ntchito Tracleer. Muyenera kusankha ndi kugwiritsa ntchito njira ziwiri zodalirika panthawi yomweyo.

Ngati mwakhala ndi kuperekera kwa tubal kapena muli ndi HIV , njirazi zingagwiritsidwe ntchito payekha.

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Zachilengedwe

Kuphatikiza pa mankhwala opatsirana, mankhwala ena owonetsetsa awonetseredwa kuti achepetse mphamvu ya kupatsirana kwa mahomoni. Izi zikuphatikizapo:

• Mafuta a soya: zinthu zachilengedwe zomwe zimapezeka ku zomera za soya zomwe zimati zimachepetsa kukula kwa kutentha kwa mimba komanso kuthandiza mafupa amphamvu
• Wort John's wort: zitsamba kapena zakudya zowonjezera zomwe zimalimbikitsidwa kuti zithetseretu maganizo ovutika maganizo

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Mankhwala Osokoneza Bongo

Kuthandizira (aprepitant), yomwe imagwiritsidwa ntchito popewera kapena kusamalitsa mseru ndi kusanza kungathenso kusokoneza ubwino wa kulera . Ngakhale kuti si mankhwala, kusanza kwakukulu komanso / kapena kutsekula m'mimba kumachepetsanso mphamvu ya mapiritsi. Ngati mukukumana ndi zizindikiro izi kapena mutengereni, gwiritsani ntchito njira yowonjezeramo yobereka ndipo funsani malangizo anu.

Mvetserani momwe Njira Yanu Yogwirira Ntchito imagwirira ntchito

Ngati muli ndi mafunso aliwonse okhudza njira zothandizira kubereka kapena kuyanjana ndi mankhwala ena, funsani wothandizira zaumoyo wanu. Mudzachepetsa mwayi wanu wolephera kubereka ngati mukudziwa bwino momwe mungagwiritsire ntchito njira yobereka.

> Zotsatira:

> Martin KA, Barbieri RL. Zowona za Kugwiritsa Ntchito Estrogen-Kulera kwa Progesin. Zaposachedwa. Idasinthidwa pa August 17, 2016.

> Medline Plus. Estrogen ndi Progestin (Kulankhula Kwachinyengo). Laibulale ya National National Medicine. Idasinthidwa pa September 15, 2015.

> Medline Plus. Bosentan. Laibulale ya National National Medicine. Kusinthidwa pa March 15, 2017.

> Lee CR. Kuyanjanitsa Mankhwala ndi Kugonana kwa Hormonal. Zotsatira za Urology, Gynecology & Sexual Health . 2009; 14 (3): 23-26. lembani: 10.1002 / tre.107.