Amachiza ayanciphisa ukuCholwa koPhulo lweHormonal

Iziyobisi ezinokubangela ukuhluleka kwePill

Ukuba unokukhulelwa kwe-hormonal, kubandakanya ukukhulelwa komlomo (iipilisi zokulawula ukuzala) , iNuvaRing , okanye iqhosha le- Ortho Evra , kufuneka uqaphele ukuba amanye amayeza kunye nezongezelelo kunokunyusa amathuba okuhluleka kokukhulelwa. La mayeza angenza ukulawula ukuzalwa kwe-hormonal kusebenze kangako kuba banda i-metabolism ye-hormone. Oku kuthetha ukuba i-hormone ingaphulwa ngokukhawuleza ngumzimba wakho, ngoko ukunciphisa inani lama-hormone eziyimfuneko ukukhusela ngokukhuselekileyo kokukhulelwa.

Nazi iyeza ezili-10 ezinokunciphisa ukusebenza kolawulo lwakho lokuzalwa kwe-hormonal:

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Antibiotics

Ngaphandle kweenkolelo zangaphambili ukuba ezininzi iintsholongwane zingaphazamisa ukuphumelela kolawulo lokuzalwa kwe-hormone, yodwa ebonakaliswe ukuba ibangele i-Rifadin / Rimactane (rifampin), esetyenziselwa ukwelapha isifo sofuba okanye i-meningitis. I-Rifampin inokunciphisa ukusebenza kwe-NuvaRing kunye nepaki. Ukuba ulawulwa ngeepilisi zokuzalwa, i-patch, okanye i-NuvaRing kunye nogqirha wakho ubeka i-rifampin, kuya kufuneka usebenzise indlela yokulondoloza yokulawula ukuzalwa njengamakhondom okanye i-diaphragm.

Ugqirha wakho unokuncoma indlela yokulondoloza xa uhlala kwezinye iindidi ze-antibiotics ngokunjalo, ukuze ukhusele.

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I-Anti-HIV Protease Inhibitors

I-Nevirapine, i-Nelfinavir, ne-Norvir (i-ritonavir) yilezi zonyango ezisetyenziselwa ukuphathisa intsholongwane kaGawulayo (HIV). Ukuba usebenzisa le yonyango okanye unyango lwe-HIV okanye i-AIDS, cela umboneleli wakho wezempilo ukuba unyango lwakho luya kunciphisa ukuphumelela kwepilisi yakho yokuzalwa okanye enye inxaxheba yokukhulelwa kwe-hormone.

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Anticonvulsants

Amachiza e-barbiturate ekuveliseni ubuthongo, ukulawula uxhalaba, okanye ukuphathwa kweengxaki (ukuxubusha) kunokuphazamisa ukusebenza kwepill pilill. Imizekelo yale meko yonyango iquka:

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

La mayeza alandelayo anokunceda ekuthinjeni (ukuxubusha) ukulawula ezithile kwiintlobo zokuhluthwa nokuphelisa intlungu enxulumene nenzwa. Ukongezelela, i-Topamax (i-topiramate) inokumiselwa ukuba incede ukukhusela i-migraine ikhanda. Ezi mpilisi zingaphinde zinciphise iphilisi, i-NuvaRing, okanye i-patch's effectiveness:

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

I-World Health Organisation (WHO) incomela ukuba abafazi bathatha i-anticonbulsants ukusebenzisa i-hormonal contraception, ngaphandle kweDepo-Provera (i-medroxyprogesterone acetate). Thetha ugqirha wakho malunga nobungozi.

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Ukuxhatshazwa

Amanye amayeza anqunyelwe ukudakumba angakwazi ukuguqula amanqanaba e-hormone. I-anti-depressants inokunciphisa inani lama-hormone (estrogen kunye / okanye progestin) ejikelezayo emzimbeni wakho, onokuyiphumeza ukuphumelela kwepilisi. Oku kuyahluka kakhulu kumfazi ukuya kumfazi, ngoko ukuncipha kwinani lee-hormone ezijikelezayo kunokulingana nokulahla okukhulu ekusebenzeni kweepilisi kwabanye abafazi kunabanye. Kwi-flip slide, uphando luye lwacebisa ukuba i-estrogen kwipilisi inganciphisa ukusebenza kwe-anti-depressant.

Ukuze ugweme naluphi na ukusebenzisana kwezidakamizwa, qiniseka ukuba uthetha ugqirha ukuba ngaba uphatha unyango oluthile kwaye usebenzise indlela yokulawula ukuzalwa.

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Imithi yokuSebenza

Amachiza anxamnye nefayili anganciphisa ukusebenza kwepilisi. Iintlobo ezimbini eziyingxaki zibandakanya:

• Ukumiswa komlomo i-Mycostatin, i-Nilstat, i-Nystex (i-nystatin), esetyenziselwa ukunyanga izifo zesantya
• I-Fulvicin, i-Grifulvin V, i-Gris-Peg, i-Grisactin (i-griseofulvin), esetyenziselwa ukuphatha unyango lwe-fungus yesikhumba, iinwele, isikhumba, kunye nezipikili, kunye neengwenya, i-jock itch, kunye neenyawo

Ukuba usebenzisa enye yeentlobo zonyango, xelela umboneleli wakho wezempilo malunga nokunciphisa ukusebenza kwepilisi, isandi, okanye ipaki. Ungadinga ukusebenzisa indlela yokulawula ukukhusela ukukhusela.

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Imithi yeSwekile

Amanye amayeza enesifo sikashukela, kuquka i-Actos (pioglitazone) kunye ne-Avandia (rosiglitazone), inokusebenzisana neepilisi zolawulo lokuzalwa . Qinisekisa ukuxoxa ngale ndlela kunye neentlobo zamachiza kunye nomboneleli wakho wezempilo ukuze abone ukuba ziya kuchaphazela njani ukusebenzisa imithi yakho yokukhulelwa komlomo.

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Ukuxhalabisa

Cela umniki-nkonzo wakho wempilo ukuba unyango lwakho olunefuthe lokuxhalaba luya kunciphisa ukuphumelela kwepilisi. Amanye amayeza asetyenziselwa ukuphatha uxhalaba, ukuxhamla kwemisipha, okanye iingxaki zokulala, ezifana neValium, i-Diastat (diazepam), okanye i-Restoril (temazepam) inokuthi iphazamise ukusetyenziswa ngokufanelekileyo kokusetyenziswa kokukhusela.

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Unyango lwe-Pulmonary Hypertension

I-Tracleer (i-bosentan) yi-endothelin ye-receptor antagonist esetyenziselwa ukuphatha abantu ngeentlobo ezithile ze-pulmonary blood pressure (PAH) -iyiphi imfutho yegazi ephezulu kwimitya yemiphunga. I-Tracleer iboniswe ukunciphisa i-hormone concentrations egazini elingakunokubeka emngciphekweni wokukhulelwa.

Enye inkxalabo kukuba i-Tracleer inokubangela iziphene ezinzulu zokuzalwa xa kuthathwa ngexesha lokukhulelwa. Oku kukuxhalabisa ukuba abafazi abathabatha eli gama kufuneka babe novavanyo lokukhulelwa olubi ngaphambi kokuba baqale, kunye nenyanga nganye ngexesha lolo nyango kunye nale nkunkuma.

Iipilisi zokulawula ukuzala, izibhengezo , iimfumba , kunye neziplani akufanele zisetyenziswe yodwa ngenxa yokuba zingathembekanga xa zisebenzisa i-Tracleer. Kumele ukhethe kwaye usebenzise iindlela ezimbini zokuthembeka zokuzalwa ngexesha elifanayo.

Ukuba une- stallization okanye i- IUD , le ndlela ingasetyenziselwa yodwa.

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Zendalo

Ukongezelela kumachiza enyango, izibonelelo ezithile ziye zaboniswa ukunciphisa ukusebenza kwe-contraception ye-hormonal. Ezi ziquka:

• I-Soy isoflavones: izixhobo zemvelo ezifunyenwe kwisityalo se-soya ezibiza ukunciphisa ubukhulu bokutshisa okutshatyalaliswa komntu kunye nokunceda ukugcina amathambo aqinile
• I-wort yaseYt. John: i-herb okanye isongezelelo sokutya esakhuthazwayo ngenxa yokukwazi ukuphucula imimoya ecinezelekileyo

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Iimvavanyo ezichasayo

Ukuguqula (aprepitant), esetyenziselwa ukuthintela okanye ukuphatha isicupunu kunye nokuhlanza kungaphazamisa nokusebenza komlomo ngomlomo . Nangona ingekho iyeza, ukuhlanza ngokweqile kunye / okanye urhudo kunganciphisa ukusebenza kwepilisi. Ukuba ufumana ezi zimpawu okanye uthatha ukuPhakamisa, sebenzisa indlela eyongezelelweyo yolawulo lokuzalwa kunye noqhagamshelwano nomboneleli wakho wezempilo ukuze ucebise.

Qonda indlela iNkqubo yakho yokuLawula isebenza ngayo

Ukuba unemibuzo malunga neendlela zokulawula ukuzalwa okanye ukusebenzisana namanye amayeza, qhagamshelana nomboneleli wakho wezempilo. Uya kunciphisa amathuba akho okungafezeki kokulawulwa kokuzalwa xa unengqiqo eyiyo kwaye uyiqonda kakuhle indlela yokusebenzisa imithwalo yakho yokukhulelwa.

> Imithombo:

> Martin KA, Barbieri RL. Ubume ngokubanzi bokusetyenziswa kwe-Estrogen -Progestin contraception. Isemgangathweno. Ukuhlaziywa kwe-Agasti 17, 2016.

> Medline Plus. I-Estrogen kunye neProgestin (i-Oral Contraceptive). ILayibrari yeSizwe ka-US yamayeza. Ukuhlaziywa kweSeptemba 15, 2015.

> Medline Plus. Bosentan. ILayibrari yeSizwe ka-US yamayeza. Ukuhlaziywa kweyoKwindla 15, 2017.

> Lee CR. Ukusebenzisana kwezidakamizwa kunye nokuNyuka kweHormonal. Imiqondiso kwi-Urology, Gynecology & Health Health . 2009; 14 (3): 23-26. i-doi: 10.1002 / tre107.