Ukusebenzisa Nokukhulelwa Okuphuthumayo Ukubuyekeza Nokubuyekeza
Thatha isinyathelo kuyindlela ephuthumayo yokuvimbela ukukhulelwa kwe-FDA etholakalayo ukusiza ukuvimbela ukukhulelwa okungalindelekile. Iqukethe iphilisi elilodwa futhi lenzelwe ukuba yindlela yokusekela ukusiza ukuvimbela ukukhulelwa. Lokhu kusho ukuthi akuhlosiwe ukusetshenziselwa ukuvimbela ngokweqile .
Thatha isenzo esiqukethe i-levonorgestrel-i-progestin eye isetshenziswe ngokuphepha kwamaphilisi amaningi okulawula ukubeletha amashumi eminyaka ambalwa.
Umehluko omkhulu wukuthi ukuthatha isenzo kunesilinganiso esiphezulu salesi progesin kunamaphilisi okulawula ukuzalwa okuvamile. Futhi ayinalo i- estrogen .
Indlela Esebenza ngayo
Kukhona impikiswano emayelana nendlela eqondile ethatha isenzo. Ngenxa yokuthi iqukethe levonorgestrel efana nePilisi, kukholelwa ukuthi ukuthatha isenzo kusebenza ukugwema ukukhulelwa ngendlela efanayo nePilisi. Indlela eyinhloko yokuthi i-Take Action ekuseni-emva kwephilisi isebenza ukuvimbela ukukhulelwa ngokukuvimbela ovulating , ngakho-ke ukuthatha isinyathelo kuvimbela i-ovary yakho ekukhululeni iqanda. Imikhombandlela ye-FDA idinga ukuthi bonke abakhiqizi be-levonorgestrel ekuseni-ngemuva kwamaphilisi kumele bachaze emibhalweni yomkhiqizo ukuthi ukukhulelwa okuphuthumayo kungase kusebenze ngokungavumeli iqanda elifakwe umanyolo ukuba lifake esibelethweni. Lokhu kuthiwa, iningi lobucwaningi besayensi kwi-levonorgestrel-esekelwe ekuseni-emva kwamaphilisi lembonisa ukuthi ukuthatha isenzo akubonakali kuthinte ukufakwa.
Njenganoma yimaphi amaphilisi asekuseni ekuseni, Thatha isinyathelo siphumelele kakhulu uma usheshe uyisebenzise. Amaphilisi amuva ekuseni asasebenza kangcono njengoba kudlula isikhathi esiningi. Lokhu kusho ukuthi ukuthatha isinyathelo kuzosebenza kahle uma uthatha leli philisi ekuseni-emva kwamahora angu-24. Ukuphumelela kuyancipha uma usebenzisa isenzo ukuthatha izinyathelo ezinsukwini ezilodwa kuya kwezinsuku ezimbili.
Khona-ke, izinga lokusebenza lihlehla futhi uma kuthathwa isenzo ngemuva kwezinsuku ezimbili.
Ukubuyekezwa kwepilisi emva kokusasa kanye nokucwaninga kusikisela ukuthi uma isetshenziswe kahle , Thatha isinyathelo kunganciphisa amathuba akho okukhulelwa. Ucwaningo lubonisa ukuthi cishe abesifazane abayisikhombisa kwabayisishiyagalombili abazobe bekhulelwe ngeke bakhulelwe emva kokusebenzisa isenzo.
Yini Engasetshenziselwa?
Thatha isinyathelo akuyona into efanayo nephilisi yokukhipha isisu (RU486). Kungani? Iphilisi elandela ekuseni ayinayo imithi efanayo ne-RU486. Uma usebenzisa ukuthatha isenzo futhi usuvele ukhulelwe, ngeke kubangele ukukhipha isisu . Thatha isinyathelo ngeke kuphelise ukukhulelwa okuqinile. Uma usukhulelwe kakade futhi sebenzisa Thatha isenzo, ngeke kulimaze ukukhulelwa kwakho okukhona.
Thatha isenzo kuhloswe ukuvimbela ukukhulelwa emva kwesinye isiqephu sokulala okungavinjelwe noma ukwehluleka kokukhulelwa. Lokhu kusho ukuthi ukuthatha isenzo ngeke kuqhubeke ukukuvikela ekukhulelweni kulo lonke umjikelezo wakho wokuya esikhathini. Uma unesondo esingavikelekile futhi (ngemuva kokusebenzisa i-Take Action), le pilisi elandelayo ekuseni ngeke ikunikeze ukuvikeleka okwengeziwe. Ithuba lakho lokukhulelwa kungenzeka libuye ngokushesha emva kokusebenzisa isenzo.
Ngenxa yalokhu, kubalulekile ukuthi usebenzise uhlobo oluthile lokulawulwa kokuzalwa .
Ukwengeza, Thatha isinyathelo ngeke sikuvikele ezifweni ezithathelwana ngocansi noma nge-HIV.
Kufanele Ngisisebenzise Nini?
Thatha isinyathelo nganoma yisiphi isikhathi phakathi nomjikelezo wakho wenyanga. Thatha isenzo kufanele sisetshenziswe kuphela njengokulawulwa kokuzalwa okuphuthumayo. Kufanele ucabange ukusebenzisa isenzo sokuthatha isenzo uma ungazange usebenzise ukulawula ukubeletha ngenkathi ucansi noma uma ucabanga ukuthi ukwehluleka kokukhulelwa kungase kwenzeke ngesikhathi socansi, isibonelo:
- Ikondomu ishiywe noma yaphuka, mhlawumbe ngoba yayingasetshenziswanga kahle .
- Uqaphele ukuthi ukhohliwe ukuthatha iPilisi ngezinsuku ezimbalwa zokugcina.
- Uhlukumeza izinsuku zakho ezivundile futhi walala ngocansi uma ungase ube ovulating .
- Uvele uqaphele ukuthi i- NuvaRing yakho yenzeke ngengozi .
Kufanele usebenzise isenzo sokuthatha isinyathelo ngokushesha. Isikhumbuzi nje kuphela, Thatha isenzo kufanele sisetshenziswe emahoreni angu-72 (izinsuku ezintathu) emva kokuhlukunyezwa okungavunyelwe kocansi noma ukwehluleka kokulawula ukuzalwa. Ukulawulwa kwezimo eziphuthumayo, ngokujwayelekile, kuboniswe ukuthi kusebenza kuze kube yizinsuku ezinhlanu emva kocansi olungalondekile, ngakho-ke kungase kusetshenziswe ukusebenzisa i-Take Action ekuseni-emva kwepilisi isikhathi esingamahora angu-120.
Imiphumela Ejwayelekile Ejwayelekile
Uma isetshenziswe kahle, Thatha Isenzo kuye kwaboniswa ukuthi kuyisinqumo esiphephile sokulawula ukubeletha kwabazali abaningi. Imiphumela emibi kakhulu ye-Take Action action ihlanganisa:
- Izinguquko esikhathini sakho
- I-nausea
- Ubuhlungu besisu (esiswini esiphansi) ubuhlungu
- Ukukhathala
- Izinsizwa
- Ububele besisu
- Isizungu
Izinguquko kumjikelezo wakho wokuya esikhathini zingase zivele ekusebenziseni ukuthatha isinyathelo. Ukusebenzisa le pilisi ekuseni-ngemuva kungabangela ukuthi isikhathi sakho esilandelayo sibe nzima noma silula kunalokho ngokuvamile. Kukhona nethuba lokuthi ungaba khona indawo ngaphambi kwesikhathi sakho esilandelayo. Ukusebenzisa ukuthatha isinyathelo kungabangela ukuthi isikhathi sakho siqale ekuqaleni noma kamuva kunesikhathi lapho ubungalindele ukuba uqale.
Kukhona kungenzeka ukuthi ungaphonsa ngemuva kokusebenzisa Isenzo. Kumele ubize udokotela wakho uma uhlanza zingakapheli amahora amabili usebenzisa isenzo sokuthatha isinyathelo bese ubuza ukuthi kufanele uphinde uyenze noma cha.
Ngingayitshela Kanjani Uma Kusebenza?
Indlela kuphela yokutshela ngokuqinisekile ukuthi ukuthatha isenzo sekusebenze uma uthola isikhathi sakho. Uzokwazi ukuthi ukuthatha isenzo kuphumelele uma isikhathi sakho sifika ngesikhathi esivamile noma phakathi nesonto elilodwa lapho ulindele khona ukuqala.
Uma isikhathi sakho siphelile isikhathi esingaphezu kwezinsuku eziyisikhombisa, kungenzeka ukuthi ukhulelwe. Uma ucabanga ukuthi lokhu kungenzeka, ungathatha ukuhlolwa kokukhulelwa ekhaya noma unqume ukuthi ngabe ukhulelwe yini noma cha. Uma unesimo esihle sokukhulelwa, kufanele ulandele udokotela wakho.
Ukucwaninga kusikisela ukuthi kukhona ukuxhumana phakathi kokukhulelwa kwe- progestin-kuphela (njengephilisi elandela ekuseni) nokukhulelwa kwe-ectopic. Ungase ube ne-ectopic pregnancy uma:
- Sekuphele amasonto amathathu kuya kwahlanu kusukela usebenzise ukuthatha isinyathelo.
- Isikhathi sakho siphelile.
- Uthola ubuhlungu obukhulu besisu.
Uma ucabanga ukuthi lokhu kungase kwenzeke, zama ukufuna ukwelashwa ngokushesha.
Ukuphi Ukuthenga
Icala le- Tummino v. Hamburg lenze indima enkulu kwisinqumo se-FDA sokuvumela i- Plan B One-Step- kanye nokunye okunye-okumele kuthengiswe phezu kwe-counter, ngaphandle kwemingcele yobudala.
Thatha isenzo singathengwa ngaphezu kwe-counter , ngaphandle kwemithi kadokotela, kungakhathaliseki ukuthi uneminyaka yakho. Ngenxa yezimfuneko ze-FDA, amaphakheji wephilisi ye-pilvrium eyodwa-emva kwamaphilisi (emva kwendlela yami , i- After Way , i- AfterPill , kanye ne- Next Choice One Dose ), kumele iphendule ukuthi ihloselwe ukusetshenziswa kwabesifazane abaneminyaka engu-17 noma ngaphezulu . Lezi zimfuneko zokubhalisa zafakwa ukuze zivikele isivumelwano seminyaka emithathu yokuzibandakanya neTeva (umkhiqizi wePlani B Isinyathelo esisodwa) -nokuba uTeva wayebhekene nokuqhuba ucwaningo lwezokwelapha olwalubonisa ukuphepha kwamapilisi ekuseni emva kokusebenza nokusebenza kwabesifazane abaneminyaka engu-16 futhi omncane. Ngenxa yokuthi i-Teva iphinde ibe umkhiqizi we-Take Action, le pilisi-emva kwepilisi ayiphuli isivumelwano sokuphela futhi ayinayo le mfuneko yokubhaliwe.
Ngisho noma ukuthatha isenzo kungathengwa ngaphezu kwe-counter, ungase usadinga isidakamizo (kungakhathaliseki ukuthi uneminyaka yakho) uma ufuna umshuwalense wakho ukumboza izindleko zaleli philisi ngemuva kwelanga. Ungabheka inqubomgomo yomshuwalense wakho wezempilo mayelana nezidingo zokungena.
Ngenxa yokuthi ukuthatha isenzo kusebenza kahle ngokushesha uma isetshenzisiwe, ukulondoloza isikhathi, ungase ufune ukubiza isitolo sakho sekhemisi / izidakamizwa esendaweni ngaphambi kokuthi uqinisekise ukuthi sithathe isenzo esitokisini. Ungase uthole ukuthi kuyasiza ukuthenga ukuthatha isinyathelo esikhathini esingaphambili-ngale ndlela, uzobe usuvele uyenzile, ngakho ungayithatha ngokushesha uma uyidinga.
Izindleko
Ngokuvamile, Izindleko Zokuthatha Izenzo zingaphansi kwamaphesenti angama-20 ngaphansi kwe-Plan B One Step efanayo. Kuyinto ehlukile ebiza kakhulu.
Imithombo:
Noé G, Croxatto HB, Salvatierra AM, Reyes V, Villarroel C, Muñoz C, Morales G, Retamales A. "Ukuphumelela kokukhulelwa kokubeletha okuphuthumayo nge-levonorgestrel enikezwe ngaphambi noma emva kokuvuthwa." Ukwelashwa . 2011; 84 (5): 486-492. i-doi: 10.1016 / i-contraception.2011.03.006.
THAZA I-ACTION (levonorgestrel) ithebhulethi. [I-Teva Women's Health, Inc.]. I-Med Med Daily. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=94f251c1-599c-4517-8c60-50a896b06992