Ukusetyenziswa kokuPhepha okuPhezulu nokuPhepha
Thatha iNyathelo yi-FDA evumelekileyo yokukhulelwa ngokukhawuleza okukhoyo ukukhusela ukukhulelwa okungafunekiyo. Iqukethe iipilisi enye kwaye ihloselwe ukuba yindlela yokugcina ukukhusela ukukhulelwa. Oku kuthetha ukuba ayithethwanga ukuba isetyenziswe njengento yokukhulelwa rhoqo.
Thatha iNtshukumo iqukethe i-levonorgestrel-progestin esetyenziswe ngokukhuselekileyo kwiipilisi ezininzi zokulawula izibelelo kwiminyaka emininzi.
Utheko oluphambili kukuba ukuthatha inxaxheba kunomlinganiselo ophezulu wale progesin kunokuba iipilisi zokulawulwa ngokuzalwa rhoqo zihlangene . Kwakhona ayiqukethe nayiphi i- estrogen .
Ingaba isebenza kanjani
Kukho ingxoxo malunga nendlela echanekileyo yokuthatha isenzo. Ngenxa yokuba iqulevonorgestrel efana nePilisi, kukholelwa ukuba ukuthatha isenzo kusebenza ukukhusela ukukhulelwa ngendlela efanayo nePilisi. Indlela eyona ndlela i-Action Take-morning emva kwepilisi isebenza ukukhusela ukukhulelwa kukukhupha kwi- ovulating , ngoko ukuthatha isenzo ngokuqhelekileyo kuvimbela i-ovary yakho ekukhululeni iqanda. Izikhokelo ze-FDA zifuna ukuba bonke abenzi be-levonorgestrel kusasa-emva kokuba iipilisi kufuneka zichaze kwi-label labeling ukuba i- contraceptive eziphuculweyo zingasebenzisa ngokungavumeli iqanda elichumayo ukuba lifake kwi-uterus. Oko kuthetha, ininzi yophando lwezesayensi kwi-levonorgestrel-based morning-emva kokuba iipilisi zityhila ukuba ukuthatha isenzo akubonakali kuthintela ukufakwa.
Njengokuba kukho nayiphi na ipilisi yomsasa, Thatha isenzo sisebenza ngokukhawuleza xa uyisebenzisa. Emva kokuba iipilisi zingasebenzi kangangoko njengoko kudlula ixesha elide. Oku kuthetha ukuba ukuthatha inxaxheba kuya kusebenza kakhulu xa uthatha le pilisi emva kwehora ezingama-24. Ukusebenza kuphantsi xa usebenzisa i-Action Take within one to two days.
Emva koko, izinga lokuphumelela lihla kwakhona xa kuthatha isenzo emva kokuba iintsuku ezimbini zidlule.
Ukuphononongwa kwama-pill emva kwe-pill kunye nophando lubonisa ukuba xa zisetyenziswe kakuhle , Thatha isenzo sinokunciphisa kakhulu amathuba okukhulelwa. Uphando lubonisa ukuba malunga nabafazi abasixhenxe kwabasibhozo abaya kuba bekhulelwe abayi kukhulelwa emva kokusebenzisa isenzo.
Yintoni Engasetyenziswanga?
Ukuthatha Isenzo akufani into efanayo nepilisi yokukhipha isisu (RU486). Ngoba? Iipilisi zasemva kwemva ayinayo imveliso efanayo ne-RU486. Ukuba usebenzisa I-Action Action kwaye sele sele ukhulelwe, ayiyi kubangela ukukhipha isisu . Ukuthatha isenzo akuyi kuphelisa ukukhulelwa okumiselweyo. Ukuba sele usukhulelwe kwaye usetyenzise ukuthatha isenzo, akuyi kukulimaza ukukhulelwa kwakho okukhoyo.
Ukuthatha isenzo kuthathelwa ukuthintela ukukhulelwa emva kwesiganeko esinye sesini esingakhuselekanga okanye ukungaphumeleli kokukhulelwa. Oku kuthetha ukuba ukuthatha isenzo akuyi kuqhubeka kukukhusela ekukhulelweni kuzo zonke izijikelezo zakho. Ukuba unesondo esingakhuselekanga kwakhona (emva kokusebenzisa I-Action Action), le pilisi-emva kwepilisi ayiyi kukunika ukhuseleko olongezelelweyo. Ithuba lakho lokukhulelwa liyakwazi ukubuyela ngokukhawuleza emva kokusebenzisa isenzo.
Ngenxa yoko, kubalulekile ukuba usebenzise olunye uhlobo olongezelelweyo lokulawula ukuzalwa .
Ukongezelela, Thatha iNtshukumo ayiyi kukukhusela kwizifo ezithathelwana ngesondo okanye i-HIV.
Ndifanele Ndiyisebenzise nini?
Thatha iNtetho ingathathwa naliphi na ixesha ngexesha lomjikelezo wakho wenyanga. Thatha iNyathelo kufuneka isetyenziswe nje ngokulawulwa kwexesha loxinzelelo. Kufuneka uqwalasele ukusebenzisa i-Action xa ungayisebenzisi naluphi na ulawulo lokuzalwa ngenkathi ulala ngesondo okanye xa ucinga ukuhluleka kokukhulelwa komzimba kungenzeka ngexesha lesondo, umzekelo:
- Ikhondom yahlutha okanye yaphula, mhlawumbi ngenxa yokuba yayingasetyenziswanga kakuhle .
- Uqaphele ukuba ukhohliwe ukuthatha iPilisi iintsuku ezimbalwa zokugqibela.
- Uye wenza iintsuku zakho ezinqamlekileyo waza walala ngesondo xa usenokuba yi- ovulating .
- Uqaphele ukuba iNuvaRing yakho yenzeke ngengozi .
Kufuneka usebenzise I-Action Action ngokukhawuleza xa unako. Isikhumbuzi nje, Thatha isenzo kufuneka sisetyenziswe kwiiyure ezingama-72 (iintsuku ezintathu) emva kwesondo esingakhuselekanga okanye ukuhluleka kokulawula ukuzalwa. Ulawulo lokuzalwa ngokukhawuleza, ngokubanzi, luye lwaboniswa ukuba lusetshenziswe kwiintsuku ezintlanu emva kwesondo esingakhuselekanga, ngoko kusenokuba luncedo ukusebenzisa i-Action Action emva kwepilisi emva kweeyure ezingama-120.
Iziphumo eziPhakathi
Xa zisetyenziswe ngokuchanekileyo, Thatha isenzo siboniswe ukuba lukhetho olukhuselekileyo lokulawula ukuzalwa kwabazali abaninzi. Iimpembelelo eziqhelekileyo zithatha i-Action zibandakanya:
- Utshintsho kwixesha lakho
- I sizathu
- Ubomi (isisu esisiswini) intlungu
- Ukukhathala
- Intloko
- Ubeleko lwesisu
- Utywala
Utshintsho kwimijikelezo yakho yokuya esikhathini kunokubuye kubangele ukusebenzisa i-Action Action. Ukusebenzisa le pilisi emva kwentsasa kunokubangela ukuba ixesha elilandelayo libe nzima okanye lilula kunokuba liqhelekile. Kukho nethuba lokuba unokwenza indawo phambi kwexesha elilandelayo. Ukusebenzisa ukuthatha isenzo kunokubangela ukuba ixesha lakho liqale ekuqaleni okanye emva kwexesha xa ubungayilindele ukuba liqale.
Kukho ithuba lokuba ungaphosa emva kokusebenzisa isenzo. Ufanele ubize ugqirha wakho ukuba uhlanza ngaphakathi kweeyure ezimbini zokusebenzisa isenzo kwaye ubuze ukuba ngaba ungayi kuphinda uphinde umthamo.
Ndingayichazela Njani Ukuba Yasebenza?
Indlela yodwa yokuxelela ngokuqinisekileyo ukuba ukuthatha isenzo sele kusebenze ukuba ufumana ixesha lakho. Uya kwazi ukuba ukuthatha isenzo kusebenze ukuba ixesha lakho lifike ngexesha eliqhelekileyo okanye ngeveki enye xa ukulindele ukuba uqale.
Ukuba ixesha lakho lingaphaya kweentsuku ezisixhenxe, kuya kwenzeka ukuba unokukhulelwa. Ukuba ucinga ukuba le nto inokuba yimeko, unokuthatha uvavanyo lokukhulelwa ekhaya ukuba unqume ukuba ngaba ukhulelwe. Ukuba uvavanyo lokukhulelwa olufanelekileyo, kufuneka ulandele ugqirha wakho.
Uphando lubonisa ukuba kukho ukunxibelelana phakathi kwepropini-contraceptive kuphela (njengepilisi emva kwenyanga) kunye nokukhulelwa kwe-ectopic. Unakho ukukhulelwa kwe-ectopic ukuba:
- Kuye iveki ezintathu ukuya ezintlanu ukususela ekusebenziseni ukuthatha isenzo.
- Ixesha lakho liphelile.
- Unesihlungu esiswini esiswini.
Ukuba ucinga ukuba oku kungenjalo, zama ukufuna unyango lwangoku.
Kuphi ukuthenga
Icala lenkundla i- Tummino v. Hamburg yenza indima enkulu kwisigqibo se-FDA sokwamkela iSicwangciso seNye -Isinyathelo -enye kunye nezinye iindlela zokusetyenziswa-eziza kuthengiswa ngaphaya kwe-counter, ngaphandle kwemingcele yeminyaka.
Thatha iNtshukumo ingathengwa ngaphaya kwe-counter , ngaphandle kwemvume, kungakhathaliseki ukuba uneminyaka yobudala. Ngenxa yeemfuno ze-FDA, iiphakheji zenye iipilisi enye ye-pilvriorgestrel-esekelwe kwi-pilic-emva kweepilisi (njenge- My Way , AfterPill , kunye ne- Next Choice One Dose ) kufuneka zithi zijoliswe ekusebenziseni kwabasetyhini abaneminyaka eli-17 okanye ngaphezulu . Le mfuneko yokubhaliweyo yafakwa kwindawo yokukhusela isivumelwano seminyaka emithathu yokuzibandakanya kunye neTeva (umenzi weCwangciso B inye-nyathelo) -nokuba uTeva wayejongene nokuqhuba uphando lweeklinikhi ezibonisa ukukhuselwa kwepilisi emva komva kunye nokusebenza kwamabhinqa aneminyaka eyi-16 ncinane. Ngenxa yokuba iTeva ibuye yenze i-Take Action, le pilisi-emva kwepilisi ayikwaphuli isivumelwano sokuphela kwaye ayinayo imfuneko yokubhaliweyo.
Nangona i-Action Action ingathengwa ngaphaya kwe-counter, ungadinga imithi (nokuba uneminyaka engakanani) ukuba ufuna i-inshurensi yakho ukuba igubungele iindleko zalo mva-emva kwepilisi. Unokujonga ngeprogram yomshuwalense wezempilo malunga neemfuno zokukhawuleza.
Ngenxa yokuba uthatha isenzo sisebenza ngokukhawuleza xa sisetyenzisiweyo, ukugcina ixesha, ungathanda ukubiza umnxeba wakho weekhemisi / ivenkile ngaphambi kokuya ukuqinisekisa ukuba sele ithatha isenzo kwisitokisi. Unokufumanisa kukunceda ukuthenga Isenzo phambi kwexesha-ngale ndlela, uya kuba sele unako ukuyenza, ngoko unokuthatha ngokukhawuleza ukuba uyayidinga.
Iindleko
Ngokuqhelekileyo, kuthatha iindleko zeNtshukumo malunga neepesenti ezingama-20 ngaphantsi kohlobo olulinganayo lweCwangciso B Elinye Isinyathelo. Ngenye indlela ebiza imali.
Imithombo:
Noé G, Croxatto HB, Salvatierra AM, Reyes V, Villarroel C, Muñoz C, Morales G, Retamales A. "Ukuphumelela kokukhulelwa kwexesha eliphuculweyo kunye nevonorgestrel enikwe ngaphambi okanye emva kokuvuthwa." Ukukhulelwa . 2011; 84 (5): 486-492. i-doi: 10.1016 / j.ukungaqondiyo.2011.03.006.
TAKE I-ACTION (levonorgestrel) ithebhulethi. [ITeva Women's Health, Inc.]. IMedical Med. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=94f251c1-599c-4517-8c60-50a896b06992