I-Ortho Evra Patch isebenza kanjani futhi yiziphi izinzuzo nezokungcebeleka?
Udokotela wakho kungenzeka ukuthi watusa i-Ortho Evra patch noma kungenzeka ukuthi ufunde ngalolu khetho lokulawulwa kokuzalwa . I-patch yokulawulwa kokuzalwa isebenza kanjani futhi yiziphi ezinye izinzuzo nezinkinga ezihlobene nezinye izindlela zokuvimbela ukukhulelwa? Ziyini imiphumela emibi?
Okuyisisekelo
I-Ortho Evra Patch yiyona ndlela yokuqala yeviki lokuzalwa kwe-hormonal .
Kuyindlela ejwayelekile yokuqondisa nokuvimbela ukuvimbela ukuvimbela ukwelashwa okutholakala ku-4x4-cm encane, ebushelelezi, beige, ipaki yeplastiki ehambisana nesikhumba sowesifazane.
Isetshenziswa Kanjani?
I-Ortho Evra Patch inezinhlamvu ezibeka isikhumba sakho izinsuku ezingu-7 zamaviki amathathu alandelanayo ngenyanga. Isonto lesine awudingi ukufaka i-patch, futhi ngalesi sikhathi uzothola isikhathi sakho.
Lokhu kufana nezinhlobo eziningi zamaphilisi okulawula ukuzalwa , ngaphandle kokuthi uthatha amaphilisi ngezinsuku ezingu-21 (futhi mhlawumbe indawo yezinsuku ezingu-7 zokugcina) esikhundleni sokusebenzisa i-patch isonto ngalinye kulezo zinsuku ezingu-21.
I-patch ingagqoke kwenye yezindawo ezine ezihlukene zomzimba kufaka phakathi kwakho:
- Ingalo yangaphandle ephezulu
- Isisu
- Izintambo
- I-torso ephezulu (phambili noma emuva, ngaphandle kwamabele akho)
Akunandaba ukuthi yiziphi lezizindawo ozisebenzisayo, kepha owesifazane kufanele agqoke isiqephu endaweni ehlukile yomzimba wakhe ngesonto ngalinye.
Ungakhetha indawo ukubeka ikhathalogi yakho ngokusekelwe ekukhethweni kwakho kwezingubo kanye nalokho okuzizwa kangcono kuwe.
Isebenza kanjani?
I-Ortho Evra patch iklanyelwe ukukhulula ngokuqhubekayo ukugeleza okuqhubekayo kwe- synthetic estrogen (ethinyl estradiol) kanye nohlobo lwe-progestin (i-norelgestromin) ngesikhumba nasendaweni yegazi ukuvikela ekukhulelweni izinsuku ezingu-7 (yingakho owesifazane kufanele abuyisele esikhundleni ngemuva kwesonto ngalinye).
I-Ortho Evra patch iqukethe izinhlobo ezifanayo zamahomoni ezitholakalayo epilisi.
Izinzuzo
Kunezinzuzo ezimbalwa zokusebenzisa i-Ortho Evra patch ngokuphathelene nezinye izinhlobo zokulawulwa kokuzalwa. Lokhu kufaka:
- I-patch ilula, elula, futhi iphephile
- Nge-patch, akudingeki uthathe iphilisi yansuku zonke, ngakho-ke into eyodwa encane yokucabanga ngosuku ngalunye
- I-punch ngokuvamile ikhululekile futhi ihlakaniphile
- Kuyinto eguquguqukayo futhi ikhono lokuba nezintambo ezikhulelwe ngokushesha ngemva kokuyeka ukusetshenziswa
- Ungenza konke okwenza njalo, futhi wazi ukuthi i-patch ikhona lapho, yenza umsebenzi wayo
- I-Ortho Evra Patch ayiphazamisi ukulala nocansi futhi ingavumela ukungahambisani okuningi
- Abaningi abasebenzisa umbiko we-punch babe nezikhathi ezivamile, ezilula, nezifushane
- U-Ortho Evra unamathele kalula esikhumbeni futhi akavimbeli imisebenzi efana nokugeza, ukudonsa, ukubhukuda nokuzivocavoca
- Ungasebenzisa ama-patches akho ukweqa isikhathi sakho
Izinzuzo ezingezona ukukhulelwa
Manje siyazi ukuthi kunezinzuzo ezimbalwa ezingezona izisu zokuhlanganiswa kwamaphilisi okulawula ukubeletha , futhi lokhu kungenzeka kube yiqiniso ne-Ortho Evra patch. Ezinye zalezi zinzuzo ezengeziwe zingabandakanya ukuvikelwa okulandelayo:
- Ama-cysts ama-ovari
- Umdlavuza we-Ovarian
- I-Hirsutism (izinwele ezibucayi ngokweqile)
- Ukukhulelwa kwe-Ectopic
- Isifo sokuphefumula kwesifo se-Premenstrual kanye nokucindezeleka
- Umdlavuza wesibeletho
- Izicubu zesifuba ezingenabuhlungu
- I-acne
- Ukuya esikhathini sokugaya
- I-anemia (ukuntuleka kwensimbi okubangelwa izinkathi ezinzima)
- I-osteoporosis
Ukungalungi
Uma kuqhathaniswa nezinye izinhlobo zokulawulwa kokuzalwa, i-patch ingaholela ku:
- Izinguquko zesifiso socansi
- Ukwehlisa ukucindezeleka kulabo abanomlando wokucindezeleka
- Ukusabela isikhumba kusayithi lesicelo se-patch
Okuqhamuka uma udla imishanguzo
Kukhona umphumela ophansi wemiphumela emibi kulabo besifazane abakhetha ukusebenzisa i-Ortho Evra patch, kodwa kubalulekile ukujwayela lezi ngaphambi kokuqala ukwelashwa. Ngenhlanhla, eziningi zala miphumela emibi zizophuthuma noma zinyamalale ngemuva kokuthi usebenzise le patch izinyanga ezimbili kuya kwezintathu.
Imiphumela emibi engase ibe khona ihlanganisa:
- Imodi iyashintsha
- Izinsizwa
- Ukuhlwitha phakathi kwezinkathi
- Ububele besisu
- I-nausea (ngezinye izikhathi ngokuhlanza)
Izixwayiso
Nakuba izinzuzo eziningi, ama-cons, kanye nemiphumela emibi ye-Ortho Evra patch zifana namaphilisi okulawula ukuzalwa, kunezinto ezimbalwa ezibalulekile futhi. Amahomoni angena egazini nge-patches asuswa emzimbeni ngokuhlukile kunelawa maphilisi athathwa ngomlomo.
Abesifazane abasebenzisa i-patch yokulawulwa kokuzalwa bavezwe ema-estrogen angaphezu kwamaphesenti angu-60 kunelabo abathatha ipilisi yokulawula ukuzalwa. Lokhu kuvezwa kwe-estrogen kungakhuphula ingozi yemiphumela emibi kulabo abasebenzisa i-patch.
Ngokuqondene nalokhu kuphakama izinga le-estrogen, ingozi yezindwangu zegazi emilenzeni (futhi ingozi elandelayo ye -embolism ye- pulmonary engenzeka uma ama-clots ephuka futhi ehamba emapapheni) angase abe ngaphezulu ne-patch uma eqhathaniswa nephilisi yokulawula ukuzalwa equkethe 35 mcg ye-estrogen. Ingozi yezindwangu zegazi ingaphezu kokuphindwe kabili kulesi sigqebhezana njengendlela ejwayelekile yokulawula iphilisi, kodwa ingozi enkulu yezindwangu zegazi iphansi kakhulu nganoma iyiphi indlela.
Kukhona ingozi ephakeme kakhulu yokondla isifuba esibelethweni esivumelana nalokho kuphilisi lokulawula ukuzalwa.
Ubani Ongayisebenzisa?
I-Ortho Evra patch iyindlela ephephile yokulawulwa kokubeletha kwabesifazane abaningi, nakuba kunezikhathi lapho uhlobo oluhlukile lokulawulwa kokuzalwa lukhethwa.
I-patch ayinconywa kwabesifazane aba:
- Bangaphezu kweminyaka engama-35 bese bebhema ugwayi
- Ube nesifo senhliziyo noma isifo sohlangothi
- Yiba nomfutho wegazi ophezulu ongalawuleki
- Kuye kwaba nokukhula okungavamile noma umdlavuza webele
- Ukulawula ukucindezeleka kwegazi nokubhema ugwayi (funda kabanzi mayelana namaphilisi okulawula ukuzala / ukucindezela kwegazi )
- Ube ne-blood clots (embolism ene-venous) noma i-embolism ye-pulmonary
- Unesifo sesibindi noma ukukhula kwesibindi
- Ube nezinkinga ezinkulu ze-valve yenhliziyo
- Zinezinkinga ezithile zokulinda igazi ngefa
- Kungenzeka ukuthi ukhulelwe
Indlela Yokuthola
I-Ortho Evra patch itholakale kuphela nge-odokotela futhi idinga ukuhlolwa kwezokwelapha nokufundwa kwengcindezi yegazi kusuka kudokotela. Odokotela abaningi bancoma ukuthi usesikhathini samaphepha we-Pap smear ngaphambi kokumisa ukukhulelwa kwe-hormonal.
Izindleko
Amanani ahlukahluka, kodwa izindleko ezijwayelekile ze-patch ziphakathi kuka-$ 30 no-$ 40 ngenyanga (kanye nezindleko zokuhlolwa kwezokwelapha ukuze uthole imithi.) Emiphakathini eminingi, i-Medicaid ihlanganisa izindleko zalendlela yokukhulelwa. Owesifazane kufanele ahlole inqubomgomo yakhe yomshuwalense wezempilo yangasese njengoba ukuhlolwa kokulawulwa kokuzalwa kuhluka.
Ukuphumelela
I-Ortho Evra Patch ingamaphesenti angu-92 kuya ku-99.7% ephumelelayo ekuvimbeleni ukukhulelwa. Lokhu kusho ukuthi ngokusetshenziswa okuphelele, abesifazane abangaphansi kuka-1 kwabangu-100 abasebenzisa lesi siqeshana bazokhulelwa. Ngokusetshenziswa okujwayelekile, owesifazane kwabayisishiyagalolunye kwabayishumi abasebenzisa isiqephu bazokhulelwa.
Imithi ethile inganciphisa ukuphumelela kwamaphilisi okulawula ukubeletha noma ama-patches. Lokhu kufaka phakathi izidakamizwa ezifana nezidakamizwa ezivame ukusetshenziswa ngakho kubalulekile ukukhuluma nodokotela wakho mayelana nanoma yimiphi imithi oyithathayo kanye nanoma imiphi imithi emisha ongayinquma emva kokuqala i-patch.
I-patch ingase ingabi nakancane kakhulu kubantu besifazane abakhuluphele ngokweqile (labo ababa ngaphezu kwamakhilogremu angu-198.)
Ukusebenza kwe-Ortho Evra Patch nakho kunganciphisa ngenxa yephutha lomsebenzisi . Owesifazane angase abe ngaphezulu engozini yokukhulelwa uma:
- I-patch iyawa futhi ingashintshi kungakapheli amahora angu-24
- Owesifazane ukhohlwa ukushintsha isiqephu isonto ngalinye
- Uma i-patch ingagcinwa ekamelweni lokushisa
- Uma i-patch ingagcinwa igcinwe uphawu kuze isetshenziswe
- Owesifazane uzama ukusebenzisa i-patch engasenamathela, eye yazinamathela kuye noma enye indawo, inezinye izinto ezinamathele kuyo, noma ikhululekile futhi yawa phansi ngaphambili.
Kuthiwani uma i-Ortho Evra Patch yakho igobile?
Ekucwaningweni kocwaningo, amaphesenti angaphansi kwamaphesenti angu-2 aphuma futhi amaphesenti angaphansi kwamaphesenti angama-3 avulwa. Uma i-patch ivaliwe amahora angaba ngu-24, ungayifaka kabusha (uma nje isalokhu ifaka.) Uma sekuphelile amahora angu-24, kuzodingeka usebenzise i-patch entsha . Kufanele futhi usebenzise ifomu lokuvuselela lokulawulwa kokuzalwa kwenyanga yonke.
Uma ukhohlwa ukushintsha isiqeshana sakho, imiyalo iyahlukahluka kuye ngokuthi yikuphi okusetshenzisiwe (1, 2, noma 3,) kodwa kuwukuhlakanipha ukusebenzisa ifomu lokuvuselela lokulawulwa kokuzalwa kwenyanga yonke.
Funda kabanzi mayelana nemikhombandlela ngokuqondile okufanele ukwenze uma i-patch yakho iwa noma uma ukhohlwa ukuyishintsha .
Ukusebenzisa i-Patch Ukuma Isikhathi Sakho
Enye yezinzuzo zamaphilisi okulawula ukubeletha ukuthi angase asetshenziswe ngezinye izikhathi ukuyeka isikhathi sakho ekukuvumela inkululeko yokweqa isikhathi sakho ngesikhathi seholide elizayo, ukuze kube khona umcimbi okhethekile noma ngisho nokuhamba ezweni elibhekene ne-grizzly bear. Funda kabanzi mayelana nokweqa isikhathi sakho kwi-Patch ye-Ortho Evra .
Kuthiwani Ngokudumala noma Ukubhukuda?
Kumele ukwazi ukugeza noma ukubhukuda ngaphandle kwezinkinga ngenkathi usebenzisa i-Ortho Evra patch. Uma u-patch iwa, nokho, qiniseka ukuthi uphinde usebenzise i-patch zingakapheli amahora angu-24. Uma lokhu kwenzeka, kungase kube ukukhetha ukusebenzisa i-patch entsha (qinisekisa ukuthi uthole indawo kusuka kumakhemikhali wakho) kunokuba uphinde usebenzise i-patch ewa, ngoba kungenzeka ukuthi ayinamathela esikhumbeni sakho.
Ngaphansi
I-Ortho Evra patch inikeza olunye uhlobo lwe-hormonal contraception lapho udinga ukucabanga kuphela ngokulawulwa kwakho kokuzalwa kanye ngesonto. Kunezinzuzo ezimbalwa kanye nokunye ukungalungi kokusebenzisa ukukhulelwa kwe-hormonal.
Amazinga akho e-estrogen angase abe ngaphezulu uma usebenzisa i-patch kunokuba nephilisi yokulawula yokuzalwa evamile. Njengoba ingozi yezindwangu zegazi ikhula nge-estrogen dose, kubalulekile ukuqaphela le ngozi engenzeka.
Njengamaphilisi okulawula ukubeletha, i-Ortho Evra patch ayinikeli ukuvikela izifo ezithathelwana ngocansi. Uma ngabe usengozini ye-STD , kubalulekile ukuthi usebenzise njalo amakhondomu kanye nama-patches wakho wokulawula ukuzalwa.
> Imithombo:
> Galzote, R., Rafie, S., Teal, R., noS S. Mody. Ukwedluliswa Okudlulisiwe Kwendlela Yokubeletha Yamahomoni Ehlanganisiwe: Ukubuyekezwa Kwezincwadi Zamanje. I-International Journal Yempilo Yabesifazane . 2017. 9: 315-321.
> Raymond, E., Burke, A., no-E. Espey. Izinkinga zokuvimbela amaHormon kanye ne-Venous Thromboembolism: Ukubeka amathuba engozini. I-Obstetrics ne-Gynecology . 2012. 119 (5): 1039-44.