I-Ella iyisicelo esisha sezidakamizwa, esivunyiwe njengokwelashwa okuphuthumayo , yi-FDA ngo-Agasti 2010. Ella inephilisi eyodwa yomlomo (i-acalate acetate, 30 mg). I-Ella ingasetshenziswa abesifazane ukuvimbela ukukhulelwa okungahlosiwe emva kocansi olungalondekile noma ukwehluleka kokukhulelwa ngephilisi elilodwa elilodwa elingathathwa ngokushesha. U-Ella uyaphumelela kakhulu uma ethathwa ngokushesha, kodwa angasetshenziswa amahora angama-120 (izinsuku ezingu-5) ngemuva kocansi olungalondekile.
Ezinye izinketho eziphuthumayo zokuvimbela ukukhulelwa, Uhlelo B Isinyathelo Esinye , Isinyathelo Esilandelayo Esikhethiwe , Indlela Yami , Ukuthatha Isinyathelo , Nokukhethwa Okulandelayo , zivunyelwe i-FDA ukuthi zisetshenziswe kuze kufike emahoreni angu-72 (izinsuku ezintathu) emva kokuhluleka kokukhulelwa noma ukuvimbela ukuvimbela.
Indlela Esebenza ngayo
U-Ella ucatshangelwa ukuba asebenze ngokubeletha okuphuthumayo ngokuyinhloko ngokuyeka noma ukubambezela ukukhululwa kweqanda kusuka esibelethweni, ngakho-ke akukho maqanda azotholakala ukuze imbewu ikhule. Kungenzeka ukuthi u-Ella angase futhi asebenze ngokuvimbela okunamathiselweyo (ukufaka umfutho) esibelethweni. Nakuba u-Ella evimbela ukuvuthwa isikhathi eside ezinsukwini ezingu-5 ngemuva kocansi olungavimbelwe, kunokukhathazeka okuthile ukuthi abesifazane bangase badideke ngalokhu futhi bakholelwe ngephutha ukuthi uma kuthatha u-Ella, kungabakhusela ngokuqhubekayo ekukhulelweni kunoma yiziphi izenzo ezengeziwe zokulala okungavimbelwe izinsuku ezingu-5 (akulona iqiniso, njengoba isilisa kusuka ocansini eyengeziwe ingakwazi ukuqeda iwindi elingu-5 lokuqala).
U-Ella uqukethe i-ulipristal, imithi engeyona i-hormone evimbela imiphumela yamahomoni asemqoka adingekayo ekukhulelwe.
U-Ella ungowesigaba sezidakamizwa ezibizwa ngokuthi i-progesterone receptor modulators. Esinye isidakamizwa esamukelekile kuleli klasi yi-mifepristone, eyaziwa ngokuthi i- RU-486 . I-Mifepristone ivunyelwe ukusetshenziswa njengengxenye yomgwamanda owenza ukukhipha isisu . Ngenxa yokuthi umzimba unamathele kangcono kune-mifepristone, i-Ella ingasetshenziswa emazingeni aphansi avimbela ukukhulelwa kepha lokho akufanele kubangele ukukhipha isisu.
Kodwa-ke, akukacaci ukuthi ngabe u-Ella angase akhulise izinga lokukhipha isisu kaningi kulaba besifazane abambalwa abakhulelwe naphezu kokusebenzisa lesi sidakamizwa. Kukhona nokudideka ngokuthi ngabe u-Ella angabangela yini ukulimala kokukhulelwa okwamanje (uma owesifazane empeleni ekhulelwe ngesikhathi ethatha u-Ella).
Okungekho
Ukuvimbela ukukhulelwa okuphuthumayo kuvame ukudideka ngephutha ngepilisi yokukhipha isisu kuqala, i-RU486 (ebizwa nangokuthi i-M & M, iMifeprex, i-RU486, i-mifepristone noma isisu sokukhipha isisu ). Le mithi emibili isebenzela izinhloso ezimbili ezahlukene futhi isebenza ngokuhluke kakhulu komunye nomunye.
U-Ella akuyona iphilisi yokukhipha isisu. Akusebenzi futhi uma kuthathwa ngemuva kokuba owesifazane usekhulelwe kakade. Ngokusho kukaWatson Pharmaceuticals, umenzi walesi sizathu sokukhulelwa okuphuthumayo, u-Ella akuyona into yokuqeda ukukhulelwa okukhona.
Ukusetshenziswa nini
Ukunciphisa ingozi yokukhulelwa okungakahleleki, u-Ella kufanele athathwe ngokushesha ngangokunokwenzeka emahoreni angu-120 (izinsuku ezingu-5) zobulili ezingavimbelwe noma ukwehluleka kokukhulelwa. Ngokushesha u-Ella uthathwa, kuzosebenza ngokwengeziwe. U-Ella angasetshenziswa nanoma yisiphi isikhathi ngesikhathi sokuya esikhathini futhi angathathwa noma ngaphandle kokudla. Uma uhlanza zingakapheli amahora amathathu ukuthatha iphilisi, kufanele uthintane nodokotela wakho ngokushesha ukuze uxoxe ukuthi uthathe elinye iphilisi.
Ngubani Okungafanele Awusebenzise?
U-Ella akahloswanga ukuthi asetshenziswe njengendlela esikhundleni sokusetshenziswa kwesimiso sokukhulelwa komzimba - akusebenzi kanye nezinye izinhlobo eziningi zokulawulwa kokuzalwa lapho zisetshenziselwa njalo futhi ngendlela efanele. Akufanele usebenzise i-ella isikhathi esingaphezu kwesisodwa kumjikelezo owodwa wokuya esikhathini sokusebenza okwehlukile kocansi olungavimbelwe noma ukwehluleka kokulawula ukuzalwa.
Ungamthathi u-Ella uma wazi noma usolwa ukuthi usukhulelwe kakade. Uma kunethuba ukuthi usuvele ukhulelwe, udokotela wakho kufanele akunikeze ukuhlolwa kokukhulelwa ngaphambi kokuchaza u-Ella. Izingozi ezinganeni lapho u-Ella enikezwa owesifazane okhulelwe aziwa.
Okuqhamuka uma udla imishanguzo
Uma isetshenziselwa ukuqondiswa, u-Ella uphephile kwabesifazane abaningi. Imiphumela emibi kakhulu ebikwe ngesikhathi ukuhlolwa kwamagciwane abesifazane abangu-2 637 abathola u-Ella kuhlanganisa:
- Izinwele (18%)
- I-nausea (12%)
- Ubuhlungu besisu nesisu esiswini (12%)
- I-Dysmenorrhea (ubuhlungu be-uterine ngesikhathi sokuya esikhathini) (10%)
- Ukukhathala (6%)
- Usizi (5%)
Ngemuva kokuthatha u-Ella, kungenzeka uthole izinguquko esikhathini sakho. Kwezinye izimo, isikhathi sakho esilandelayo singaba sinzima kakhulu noma sikhanyise, noma ngaphambili noma kamuva. Kubalulekile ukubonana nodokotela uma isikhathi sakho esihleliwe siphelile isikhathi esingaphezu kwesonto elilodwa, njengoba lokhu kungabonisa ukuthi ukukhulelwa kungenzeka.
Uma ubhekene nobuhlungu obukhulu besisu emasontweni amathathu kuya ku-5 ngemuva kokuthatha u-Ella, kungenzeka kube khona ukuthi unesisu sokukhulelwa, ngakho-ke kufanele ufune usizo lwezempilo ngokushesha.
Ukuphumelela
I-Ella iphumelela kakhulu ngokushesha lapho iqala. Uma kuthathwa njengokuqondiswa (kungakapheli amahora angama-120 wezocansi ezingavimbelwe noma ukwehluleka kokukhulelwa), u-Ella uyokwehlisa ithuba lokuthi uzokhulelwa. U-Ella akaphumelelanga kuzo zonke izimo futhi kufanele asetshenziselwe isiqephu esisodwa sokuziphatha okungavimbelwe. Ngesikhathi uvivinyo lwezokwelapha u-Ella lanciphisa kakhulu izinga lokukhulelwa ngesilinganiso esilindelekile se-5.5% (inani lokukhulelwa kulindeleke ngaphandle kokukhulelwa kokuphuthumayo kubalwa ngokususelwa esikhathini sokuziphatha ngokuphathelene nomjikelezo wesifazane wesifazane ngamunye) kuya kwisilinganiso esimisiwe esingu-2.2%.
U-Ella ubonakala engasebenzi kahle kunabesifazane abakhuluphele. Phakathi nemigwaqo yomtholampilo, u-3.2% wabesifazane abane-index mass mass (BMI)> 30 kg / m baba abakhulelwe basebenzisa u-Ella.
U-Ella ngeke aqhubeke nokuvimbela ukukhulelwa phakathi nomjikelezo womunye wesifazane, ngakho qiniseka ukuthi usebenzisa indlela yokulawula ngokuzalwa njalo esikhathini esilandelayo lapho ulala naye. Umkhiqizi uthi "ukubuya okusheshayo kokuzala kungase kulandele ukwelashwa nge-ella yokukhulelwa okuphuthumayo; ngakho-ke, ukukhulelwa ngokweqile kufanele kuqhutshwe noma kuqaliswe ngokushesha ngangokunokwenzeka emva kokusebenzisa i-ella ukuqinisekisa ukuvimbela okuqhubekayo kokukhulelwa."
Imithi ethile nemikhiqizo ye-herbal nayo inganciphisa ukusebenza kwe-ella. Lokhu kufaka:
- I-Barbiturates
- I-Bosentan
- I-Carbamazepine
- I-Felbamate
- Griseofulvin
- Oxcarbazepine
- Phenytoin
- Rifampin
- Wort St. John's Wort
- I-Topiramate
Ukuqapha
Khuluma nomhlinzeki wakho wezempilo uma usebenzisa i- hormonal birth control ( njengepilisi , i- patch , i- Depo Provera , i- NuvaRing ). Ukusebenzisa u-Ella kungenza indlela yakho yokulawula i-hormonal yokuzalwa yokuzalwa iphumelele kangako . Ngenxa yalokhu, uma usebenzisa i-Ella njengendlela yokukhulelwa okuphuthumayo, kufanele usebenzise indlela yokuvimbela ukubeletha okuthembekile (njengekhondomu ene- spermicide , ikhondomu yabesifazane , isiponji ) nganoma yisiphi esinye isikhathi ozoya ocansini kulowo mjikelezo wesimiso.
Kufanele ube nesidakamizwa kadokotela ukuze uthole u-Ella. Ngokuya kumhlinzeki wakho wezempilo, kungenzeka noma ungadingi ukuvakashelwa ihhovisi ukuze uthole umyalelo we-Ella. Umkhiqizi weluleka abahlinzeki bezokwelapha ukuqinisekisa noma ukukhipha ukukhulelwa okukhona ngaphambi kokubhala umuthi ka-Ella.
Njengokuqapha, ungacela udokotela wakho ngokuthola i-prescription yokuthi u-Ella abe nokuhamba kwesikhathi - nje uma kwenzeka isimo esiphuthumayo. Ngale ndlela, uzobe usuvele unesidakamizwa ozogcwaliswa ngokushesha futhi ngeke udinga ukulinda ukuze uthole ukuqokwa kwezokwelapha.
Izindleko
Amanani ale philisi entsha-emva kwephilisi ehlukahluka kuye ngokuthi uyithenga kuphi. U-Ella angabiza okungenani i-$ 55 ekhemisi. Kukhona insizakalo ye-inthanethi engayisebenzisa ukuthi uthenge u-Ella nge $ 67, kanye nokuthunyelwa kwamahhala nokusingatha kokulethwa kwezinsuku ezizayo.
Ukuvikelwa kwe-STI
U-Ella akahlinzeki ngokuvikela izifo ezithathelwana ngocansi noma i-HIV.
Umthombo:
Watson Pharmaceuticals. I-Ella - i-aypristal acetate ithebhulethi: Complete Complete Prescribing Information. Kufinyelelwe: kuDisemba 10,2010. http://pi.watson.com/data_stream.asp?product_group=1699&p=pi&language=E