Ukunquma Uma Ukukhetha Ukulawula Ukuzalwa Kulungile Kuwe
I-Yaz iyinhlanganisela yokulawula i- combinate yokulawula i-estrogen ( ethinyl estradiol ) ne-progestin ( drospirenone ). Uma isetshenziswa nsuku zonke, i-Yaz inganciphisa amathuba okukhulelwa ngamaphesenti angaba ngu-99.
I-Yaz ifika emgqeni we-blister wamaphilisi angu-28: ama-pinks alula angu-24 aqukethe ama-hormone asebenzayo kanye namaphilisi amane omhlophe we-placebo. Isidakamizwa sithengisa noma yikuphi kusuka ku-$ 15 kuya ku-80% ngepakethe ngayinye futhi siyatholakala njengesijwayelekile ngaphansi kwamagama afana no-Gianvi no-Loryn.
Izinqubo zomshuwalense we-medicaid nezangasese zizovame ukumboza izindleko zokwelapha nyangazonke.
Ukubeka imininingwane
I-Yaz ithathwa kanye nsuku zonke noma ngaphandle kokudla. Kumele kuthathwe ngesikhathi esifanayo nsuku zonke, mhlawumbe emva kwesidlo sakusihlwa noma ngesikhathi sokulala.
Ukwelashwa kungaqaliswa ngenye yezindlela ezimbili:
- Thatha iphilisi yokuqala ngeSonto masinyane emva kokuqala kwenkathi yakho noma ngabe usaphuma. Uma isikhathi sakho siqala ngeSonto, thatha iphilisi yakho yokuqala. Qiniseka ukuthi usebenzisa indlela yokulondoloza ukuvimbela ukukhulelwa, njengekhondomu, uze uthathe amaphilisi ayisikhombisa.
- Thatha iphilisi yakho yokuqala phakathi kwamahora angu-24 okuqala kokuqala kwesikhathi sakho. Ngalendlela, akudingeki ukuthi usebenzise indlela yokulondoloza njengoba iphilisi iphumelela kusukela kumthamo wokuqala.
Uma uzwa ukucasuka kwesisu ngemuva kokuthatha i-Yaz, zama ukuyidla ngokudla noma isidlo sakho sakusihlwa.
Izinzuzo Zokusetshenziswa
Ngaphandle kwezinzuzo zalo zokukhulelwa, ukuhlanganiswa kwamaphilisi okulawula ukuzalwa okufana ne-Yaz kungahlinzeka ngokuvikelwa kwezimo eziningana ezihlobene nokungafani, njenge:
- Umdlavuza we-Ovarian
- Umdlavuza we-Endometrial
- Umdlavuza we-Colorectal
- I-benign cysts ebeleni
- Ama-cysts athile ama-ovari
- Ukoma komzimba wamagciwane kanye nobulili obubuhlungu
- I-osteoporosis
- Izinwele zomzimba ngokweqile (i- hirsutism )
Ukusetshenziswa okungezona kokukhulelwa
Ngaphezu kokuvimbela ukukhulelwa, i-Yaz inezinamba eziningi ezingasebenzisi ukukhulelwa. Oyinhloko phakathi kwalokhu ukwelashwa kwesimo esibi se- PMS eyaziwa ngokuthi yi- premenstrual disorder disorder (PMDD) .
I-PMDD yisimo esicindezelayo esithinta abaningi besinye kwabesifazane abangu-20. Ukusetshenziswa okuhlangene kwe-ethinyl estradiol ne-drospirenone kubonakala kuphumelela kakhulu ngokumelene ne-PMDD kunezinye izinhlobo zokukhulelwa komlomo.
I-Yaz nayo iyakwazi ukuphatha izigaxa ezilinganiselwe ngokuvimba ama-hormone abesilisa abangela ukuphuma kwe-acne. Uma unquma ukuthatha isisu somlomo, uqale ukuqala esikhathini, futhi uneminyaka engaphansi kwengu-14 ubudala, i-Yaz inganikeza izinzuzo ezimbili ekuvimbeleni ukukhulelwa nokuhlanza isikhumba esikhethwe ngu-acne.
Imiphumela Ejwayelekile Ejwayelekile
Imiphumela emibi ye-Yaz ngokuvamile imnene ukulinganisa futhi ijwayele ukuxazulula ezinyangeni ezimbili kuya kwezintathu njengoba umzimba wakho uqala ukuvumelanisa namahomoni. Imiphumela emibi kakhulu yilezi:
- Isisu sithukuthele
- I-nausea
- Ukuvota
- Ububele besisu
- Ukusakaza noma ukuphuma phakathi kwezinkathi
- Izinsizwa
Ngokuvamile, i-Yaz ingase ibangele nokuthi:
- Ukuvimbela
- Ukugcinwa kwe-Fluid
- Ama-patches amnyama esikhumba ( melasma )
- Ukunciphisa i-libido
- Ushukela ophezulu wegazi (ikakhulukazi kwabesifazane abanesifo sikashukela)
- Ukwanda kwe-cholesterol kanye ne-triglycerides
- Ukucindezeleka (ngokuvamile kulabo abanomlando wokucindezeleka)
Ukungafani
I-Drospirenone ingandisa amazinga we-potassium wegazi futhi akufanele isetshenziswe uma unezinso, isibindi, noma i-adrenal disorder. I-Potassium yi-mineral edlalayo ebaluleke kakhulu ekusebenzeni kwamangqamuzana omzimba nesisindo, kuhlanganise nalawo enhliziyo kanye ne-circulatory system.
Ngakho-ke, i-Yaz akufanele isetshenziswe kwabesifazane abane:
- Umlando wenhliziyo, ukucindezeleka okujulile kwe-vein , embolism ye-pulmonary , noma i-retinal thrombosis
- Ukucindezelwa kwegazi okungalawuleki
- Izinso ezihlobene nesifo sikashukela, iso, izinzwa, noma ukuphazamiseka kokujikeleza
- Umlando wesifo somdlavuza webele, umdlavuza womlomo wesibeletho, umdlavuza we-ovarian, nanoma imuphi omunye umdlavuza ophethwe amahomoni
- Ukuphuma kwamagciwane okungavamile
- I-cirrhosis
- I-Migraines nge aura
Ukusebenzisana kwezidakamizwa
Ukusetshenziswa okuhlangene kwe-Yaz nemithi ethile kungaholela emazingeni aphakeme kakhulu e-potassium, eyaziwa njenge- hyperkalemia . Izimpawu zohlu lwe-hyperkalemia kusuka ekuhlanzeni nasezinhlungwini zenhliziyo ezinhlungu zesifuba nokucindezeleka okuphefumula.
Ukuze ugweme lokhu, odokotela kuzodinga ukunakekelwa ngokucophelela amazinga e-potassium okungenani inyanga yokuqala yokwelashwa uma uthatha noma yimiphi imithi elandelayo:
- Izidakamizwa ezingezona ukuvuvukala (non-steroidal anti-inflammatory (NSAIDs)
- I-potassium-yokuphazamisa izidakamizwa ezifana ne-Aldactone (i-spironolactone) ne-Midamor (amiloride)
- Ama-inhibitors e-ACE afana ne-Capoten (i-captopril), i-Vasotec (i-enalapril), ne-Zestril (i-lisinopril)
- Abavimba be-Angiotensin receptor njengeCozaar (losartan), iDivan (valsartan), ne-Avapro (i-irbesartan)
- I-Heparin
> Umthombo:
> Ukuphathwa Kwezokudla Nezidakamizwa zase-US. "Yaz (drospirenone / ethinyl estradiol) ye-Oral Contraception ne-Premenstrual Dysphoric Disorder." I-Silver Spring, e-Maryland; ibuyekezwe ngo-Septhemba 22, 2011.