Imithi Eyanciphisa Ukusebenza Kokubeleka KwamaHormonal Ukuphumelela

Izidakamizwa ezingabangela ukwehluleka kwePilisi

Uma utholakala ekubelethweni kwe-hormonal, kuhlanganise nokukhulelwa komlomo (amaphilisi okulawula ukubeletha) , i- NuvaRing , noma i- Ortho Evra patch , kufanele uqaphele ukuthi imithi ethile kanye nezithako zingakwandisa amathuba okuhluleka kokukhulelwa. Le mithi ingenza ukulawulwa kwama-hormonal kungasebenzi kahle ngoba kwandisa umzimba we-hormone. Lokhu kusho ukuthi ama-hormone angase aphulwe masinyane ngomzimba wakho, ngaleyo ndlela unciphise inani lamahomoni adingekayo ekuvikeleni okukhulelwe okukhulelwe.

Nazi imithi engu-10 enganciphisa ukuphumelela kokulawulwa kokuzalwa kwe-hormonal yakho:

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Ama-antibiotics

Naphezu kwezinkolelo ezedlule ukuthi ama-antibiotic amaningi angaphazamisa ukusebenza kwe-hormonal birth control, kuphela okuye kwafakazelwa ukuthi kubangele izinkinga yi-Rifadin / Rimactane (rifampin), esetshenziselwa ukwelapha isifo sofuba noma i-meningitis. I-Rifampin inganciphisa ukusebenza kwe-NuvaRing kanye ne-patch kanye. Uma ungaphansi kwamaphilisi okulawula ukubeletha, i-patch, noma i-NuvaRing nodokotela wakho ubeka i-rifampin, kuzodingeka usebenzise indlela yokusekela yokulawulwa kokubeletha njengamakhondomu noma i-diaphragm.

Udokotela wakho angancoma indlela yokusekelayo uma ukhona nezinye izinhlobo zama-antibiotic futhi, ukuze uphephe.

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Anti-HIV Protease Inhibitors

I-Nevirapine, i-Nelfinavir, ne-Norvir (i-ritonavir) yizidakamizwa ezivimbela ukuvimbela igciwane lesandulela ngculaza (i-HIV). Uma usebenzisa lezi noma imithi yokwelashwa kwegciwane lesandulela ngculaza noma i-AIDS, cela umhlinzeki wakho wezempilo uma imithi yakho ethize izokwehlisa ukusebenza kwephilisi yakho yokulawula ukuzalwa noma enye inhlanganisela yokuvimbela i-hormone.

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Anticonvulsants

Imithi ye-barbiturate yokukhiqiza ubuthongo, ukulawula ukukhathazeka, noma ukwelashwa (ukuxubana) kungaphazamisa ukusebenza kwephilisi lokulawula ukuzalwa. Izibonelo zalezi zinhlobo zemithi zihlanganisa:

• I-Felbatol (i-felbamate)
• I-Lamictal (i-lamotrigine)
• I-Luminal, i-Solfoton (phenobarbital)
• I-Mysoline (primidone)

Le mithi elandelayo ingasiza ekulawuleni ukuthunjwa (izinhlobo zokuhlukunyezwa) kwezinye izinhlobo zesifo sokuphuza kanye nokuphatha ubuhlungu obuhlobene nesisindo. Ukwengeza, i-Topamax (i-topiramate) ingahle ibekiwe ukuze kusize ukuvimbela ikhanda lekhanda. Le mithi inganciphisa iphilisi, i-NuvaRing, noma ukusebenza kwe-patch:

• I-Trileptal (i-oxcarbazepine)
• Tegretol, Carbatrol, Equetro, Epitol (carbamazepine)
• I-Dilantin, iPhenytek (i-phenytoin)
• I-Topamax (i-topiramate)

I-World Health Organization (WHO) incoma ukuthi abesifazane abasebenzisa i-anticonvulsants basebenzisanga ukuvimbela ukuvimbela ukwelashwa kwe-hormonal, ngaphandle kukaDepo-Provera (medroxyprogesterone acetate). Khuluma nodokotela wakho ngezingozi.

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Ama-antidepressants

Eminye imithi enqunywe ukucindezeleka ingashintsha amanani ama-hormone. Ama-antidepressants anganciphisa inani lama-hormone (estrogen kanye / noma i-progestin) ejikeleza emzimbeni wakho, okungenza kube lula ukusebenza kwamaphilisi. Lokhu kungahluka ngokuphawulekayo kwabesifazane kuya kwabesifazane, ngakho ukwehla kwenani lama-hormone ojikelezayo kungalingana nokudonsa okukhulu ekusebenzeni kwamaphilisi kwabanye abesifazane kunabanye. Ku-flip slide, ucwaningo luye lwaphakamisa nokuthi i-estrogen emapilisi inganciphisa ukusebenza kahle kwe-anti-depressant.

Ukuze ugweme noma yikuphi ukusebenzisana kwezidakamizwa, qiniseka ukuthi ukhuluma nodokotela wakho uma okwamanje uphathwa nge-antidepressant ethize futhi usebenzisa indlela yokulawula ukubeletha.

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Imithi e-Antifungal

Imithi yama-anti-fungal inganciphisa nokuphumelela kwephilisi. Izinhlobo ezimbili ezinenkinga zihlanganisa:

• Ukumiswa komlomo i-Mycostatin, iNilstat, i-Nystex (nystatin), esetshenziselwa ukwelapha izifo zesilonda
• I-Fulvicin, i-Grifulvin V, i-Gris-Peg, i-Grisactin (i-griseofulvin), esetshenziselwa ukwelapha izifo zesikhumba, izinwele, isikhumba sesifuba, izinzipho, kanye ne-ringworm, i-jock itch, nomlenze womdlali

Uma usebenzisa enye yalezi zinhlobo zemithi, khuluma nomhlinzeki wakho wezempilo ngokusemandleni okunciphisa ukuphumelela kwephilisi, indandatho noma i-patch. Kungadingeka ukuthi usebenzise indlela yokulawula ukubeletha.

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Imithi yesifo sikashukela

Eminye yemithi yesifo sikashukela, kuhlanganise i-Actos (pioglitazone) ne-Avandia (rosiglitazone), ingase ihlanganyele namaphilisi okulawula ukuzalwa . Qinisekisa ukuthi uxoxe ngalezi zinhlobo zemithi nomhlinzeki wakho wezempilo ukuze ubone ukuthi ziyakuthinta kanjani ukusetshenziswa kwezibeletho zakho zomlomo.

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Ukwelashwa Okukhathazekayo

Buza umhlinzeki wakho wokunakekelwa kwempilo uma imishanguzo yakho elwa ne-anti-anxiety izokwehlisa ukusebenza kwephilisi. Imithi ethile esetshenziselwa ukuphatha izinkathazo, izifo ze-muscle, noma izinkinga zokulala, njenge-Valium, i-Diastat (diazepam), noma i-Restoril (temazepam) ingase iphazamise ukusebenzisana okuphumelelayo kokuvimbela ukukhulelwa.

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Ukwelashwa kwe-Pulmonary Hypertension

I-Tracleer (bosentan) ingumphikisi ophikisanayo we-endothelin osetshenziselwa ukuphatha abantu ngezinhlobo ezithile ze-pulmonary hypertension (i-PAH) -yinto ephezulu yegazi emithonjeni yemaphaphu. I-tracleer iye yaboniswa ukunciphisa izinga lokudla kwe-hormone egazini elingakubeka engozini enkulu yokukhulelwa.

Okunye ukukhathazeka ukuthi i-Tracleer ingabangela ukukhubazeka okukhulu kokubeletha uma kuthathwa ngesikhathi sokukhulelwa. Lokhu kukukhathazeka okunjalo ukuthi abesifazane abathatha le mithi kumele babe nokuhlolwa kokukhulelwa okungakahleleki ngaphambi kokuba baqale, kanye nenyanga ngayinye ngesikhathi belashwa nalesi sidakamizwa.

Amaphilisi okulawula ukubeletha, amahlumela , ama-patches, kanye nezimpande akufanele asetshenziswe yodwa ngoba ayithembekile uma usebenzisa i-Tracleer. Kumele ukhethe futhi usebenzise izinhlobo ezimbili zokuthembeka kokuzalwa ngesikhathi esifanayo.

Uma uke waba ne- tubal inzalo noma une- IUD , lezi zindlela zingasetshenziswa zodwa.

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Izindleko zemvelo

Ngaphandle kwemithi yokwelashwa, ezinye izithako eziye zaboniswa ukunciphisa ukuphumelela kokubeletha kwe-hormonal. Lokhu kufaka:

• I-Soy isoflavones: izinto zemvelo ezitholakala esitshalweni se-soya ezibiza ukunciphisa ukuqina kokukhanya kokushisa okuhlobene nokuya esikhathini nokusiza ukugcina amathambo aqinile
• I-wort yaseSt. John: i-herb noma i-supplement supplement ekhuthazwayo ukuze ikhono layo lokuthuthukisa imizwelo ecindezelekile

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Imithi yokulwa ne-Anti-Nausea

Thumela (aprepitant), esetshenziselwa ukuvimbela noma ukwelapha isicanucanu nokuhlanza kungaphazamisa nokusebenza komlomo ngomlomo . Nakuba kungekho imithi, ukuhlanza ngokweqile kanye / noma isifo sohudo kunganciphisa ukusebenza kwephilisi. Uma ubhekene nalezi zimpawu noma uthatha Ukuguqula, sebenzisa indlela eyengeziwe yokulawula ukubeletha futhi uxhumane nomhlinzeki wakho wezempilo ukuze uthole iseluleko.

Qonda ukuthi Indlela Yakho Yokukhulelwa Isebenza Kanjani

Uma unemibuzo mayelana nezindlela zokulawula ukubeletha noma ukusebenzisana okungenzeka neminye imithi, xhumana nomhlinzeki wakho wezempilo. Uzonciphisa amathuba akho okuhluleka kokulawula ukubeletha uma unengqondo efanele nokuqonda ukuthi ungasebenzisa kanjani ukukhulelwa kwakho.

> Imithombo:

> Martin KA, Barbieri RL. Sibutsetelo kokusetshenziswa kwe-Estrogen-Progestin Contraceptive. Kusesikhathini. Kubuyekezwe u-Agasti 17, 2016.

> Medline Plus. I-Estrogen ne-Progestin (Ukuvimbela Umlomo). Ilabhulali Kazwelonke Yezokwelapha yase-US. Kubuyekezwe ngo-Septhemba 15, 2015.

> Medline Plus. I-Bosentan. Ilabhulali Kazwelonke Yezokwelapha yase-US. Kubuyekezwe ngomhla ka-Mashi 15, 2017.

> Lee CR. Ukusebenzisana Kwezidakamizwa Nokukhulelwa KwamaHormon. Amathrendi ku-Urology, Gynecology & Health Sexual . 2009; 14 (3): 23-26. i-doi: 10.1002 / tre107.