I-Natazia yinto yokutshatyalaliswa kweepilisi zokulawula ukuzalwa . Le pilisi (eye isele ilayisenisi eYurophu ngaphantsi kwegama legama elithi Qlaira) iyona ndlela yokuqala yokukhulelwa ngomlomo e-United States. I-Natazia iyingqayizivele kwimiqathango yokuba okokuqala kwaye yodwa yokukhulelwa komlomo equkethe i-estrogen ebizwa ngokuthi i-estradiol valerate kunye neprogesin ebizwa ngokuba yi-dienogest.
Ngaphandle kweNatazia, zonke iipilisi zokulawulwa kokuzalwa ezibandakanya i-ethinyl estradiol . I-Estradiol valerate, i-estrogen eyenziwe kwiNatazia, iguqulwa ibe yi-estradiol kumzimba wesifazane.
I-Natazia ihluke kwiipilisi zamasiko eziqhelekileyo ezenziwe yimizi ehlala i-estrogen kunye neprogesin . I-Natazia ihambisa ama-hormone ahlukeneyo ngamaxesha amane kwimijikelezo yonyango lweentsuku ezingama-28. Iipilisi ziqukethe amanani ahlukeneyo e-estradiol valerate, kunye ne-estradiol valerate ngokudibanisa ne-dienogest, kwiintsuku ezithile zomjikelezo weentsuku ezingama-28. I-estradiol valerate yehla ukusuka kwi-3 mg ukuya kwi-1 mg kwiintsuku ezingama-28. Iipakethe nganye ze-Natazia ziqulethe iipilisi ezilandelayo kufuneka zithathwe kulo myalelo:
- 2 iipilisi zamnyama eziluhlaza, ngasinye sine-3 mg isradiol valerate.
- Iipilisi ezibomvu eziphakathi kwe-5, ngasinye sine-2 mg isradiol valerate kunye no-2 mg we-dienogest.
- Iipilisi eziluhlaza ezilu-17 ezikhanyayo, ngasinye sine-2 mg isradiol valerate kunye ne-3 mg dienogest.
- 2 iipilisi ezibomvu zamnyama, ngasinye sine-1 mg isradiol valerate.
- 2 iiplatet white whitebo (iqukethe amahomoni).
I-valradiate ye-Estradiol ayinamandla kangako njenge-ethinyl estradiol. Ngenxa yoko, i-Natazia inokuba yintsebenziswano yokudibanisa kakuhle kwabasetyhini abanomdla kwi-estrogen ekubeni le pilisi ayinakuchukumisa iziphumo ezinxulumene ne-estrogen .
Iziphumo eziphambili zeNatazia:
Njengalo naluphi na uhlobo lwe- hormonal contraceptive , unokuba nemiphumo emibi (edla ngokuhamba emva kweenyanga ezi-3 zokuqala) ukuba usebenzisa iNatazia. Iimpembelelo eziqhelekileyo ezibiweyo ezi ziphumo zilandelayo:
- Ubunzima besisu / intlungu
- Ukuphaphaza okanye ukuphaphazeka ngokungavumelekanga
- Ukutyeba kwakho
- Intloko
- Acne
- Intlungu yesisu
- I sizathu
- Umoya utshintsha
Izinzuzo ezingenakwamkelwayo zeNatazia:
I-Natazia iye yavunyelwa yi-FDA ukunceda ukunciphisa ukuphuma kwamanzi kubasetyhini abanamaxesha amaninzi eenyanga (ezaziwa ngokuba yi- menorrhagia ). Ukwaziswa kukaNatazia nolwazi lubonisa ukuba "ngokusekelwe kwiidayari zezigulane, amenorrhea (engenakho ixesha) livela malunga nama-16% eesistim kubasetyhini basebenzisa iNatazia."
Uphando luxhasa ukuphumelela kweNatazia ekuncediseni abafazi abahluphekayo kwixesha elibi. Ngophando olungenamsebenzi, abaphandi bavavanya iipateni zokuphuma kwegazi kunye nokulawula umjikelezo kuma-804 amabhinqa (abaneminyaka eyi-18-50). Abafazi banikwa i-Natazia okanye ipilisi ye-monophasic kunye nama-hormone, i-ethinyl estradiol kunye ne-leonongestrel (njenge- Seasonique kunye ne- Amethyst ). Abafazi beqela laseNatazia babika iintsuku ezingaphantsi kwegazi kunye / okanye iintsuku eziqhathaniswayo kunye nabasetyhini kwiqela leepilisi le-pilophiyo eliphakathi kweentsuku ezili-16 kunye neentsuku ezingama-21. Abaphandi bafumanisa ukuba ngexesha lokukhishwa kwegazi (okokuthi, "ixesha"), abafazi basebenzisa iNatazia bachaza ukuphuma kwabo njengento encinci kwaye baphula iintsuku ezimbalwa xa kuthelekiswa neqela elilodwa.
Ekugqibeleni, abafazi basebenzisa i-Natazia nabo banakho amathuba okuba bangabi naluphi na igazi.
Ukungaphumeleli i-Ortho Ortho-Cyclen Lo Pill:
Ngenxa yokuba ama-hormone ahluke kuzo zonke izigaba ezine zeepilisi, uya kufuneka ulandele izikhokelo ezahlukeneyo kuxhomekeke apho ukhona kwipakethi yakho xa ukhohlwa ukuthatha iipilisi (s). Oku kulandelayo ngumgaqo omhle wokutsalathisa (kodwa kufuneka uhlale ujonga ipilisi echaza ulwazi oluza kunye nepakethe nganye ngenyanga). Ukuba ungaphantsi kweeyure ezili-12 ngokukhawuleza uthathe i pilisi yakho, thatha i pilisi ngokukhawuleza ukuba ukhumbule kwaye uthathe ipilisi yakho elandelayo ngexesha lakho eliqhelekileyo (awuyidingi ukusebenzisa ukukhulelwa kwe-contraception).
Xa usebenzisa i-Natazia, ukuba ungeyure leeyure ezili-12 uze ubalekele ukuyithatha:
- IPilisi enye Kwiintsuku 1-17: Thatha i pilisi ngokukhawuleza ukhumbule, kwaye uthathe ipilisi elandelayo ngexesha lakho eliqhelekileyo (ungathabatha iipilisi ezimbini ngosuku olunye); sebenzisa ukukhulelwa kwengcinezelo kwiintsuku ezili-9 ezizayo ngeli xesha uqhubeka uthatha ipilisi enye ngexesha elinye elinye ipakethe.
- IIMPILWINI EZIMBINI (ngokulandelelanayo) Ngeentsuku 1-17: Musa ukuthatha iipilisi eziphosakeleyo.Nye, thatha i pilisi ngosuku oqale waphawula ukuba ulilahle iipilisi. Unokukhulelwa xa ulala ngesithuba seentsuku ezili-9 emva kokuphosakelwa kwezi pilisi, ngoko sebenzisa indlela yokulawula ukukhusela ukulungiselela ezo ntsuku ezili-9. Qhubeka uthatha ipilisi enye ngalunye ngosuku ngexesha elifanayo kulo lonke umjikelezo wakho. ** QAPHELA: Ukuba uphoswa iipilisi iintsuku ezili-17 no-18, landela imiyalelo yeentsuku ezili-17-25 endaweni yoko.
- IPilisi enye kwiintsuku 18-24: Musa ukuthatha nayiphina iipilisi kwi-pack yakho ye-blister yangoku-uphonsa intsalela yepakethi uze uqalise ipakisha entsha yeepilisi (Usuku 1) ngaloo mini. Sebenzisa i-contraceptive yokugcinwa kwe-contraception kwiintsuku ezili-9 ezizayo ngeli xesha uqhubeka uthatha ipilisi enye ngexesha elinye xa ufuna enye ipakethe.
- EZIMBINI Iipilisi (ngokulandelelanayo) Ngeentsuku 17-25: Musa ukuthatha nayiphina iipilisi ukusuka kwipakethi yakho ye-blister yangoku-uphonsa yonke ipakethe. Thatha iPilisi yePilisi 3 kwipiliti entsha yepilisi, sebenzisa ukulawulwa kokuzalwa kokubeletha kwiintsuku ezili-9 ezizayo, kwaye uqhubeke uthatha ipilisi enye kwi-pack entsha ye-blister ngexesha elinye ngosuku. Qaphela: Ukuba uphoswa iipilisi zeentsuku ezingama-25 no-26, landela imiyalelo yeentsuku ezingama-25-28 endaweni yoko.
- IPilisi elilodwa kwiintsuku ezingama-25-28: Thatha i pilisi ngokukhawuleza ukhumbule, kwaye uthathe ipilisi elandelayo ngexesha lakho eliqhelekileyo (ungathabatha iipilisi ezimbini ngosuku olunye); Ayikho imithwalo yokukhulelwa kokukhusela iyadingeka kodwa qhubeka uthabatha iipilisi enye ngexesha elifanayo kuyo yonke ipakethe.
- IIMPILA EZIMBINI (ngokulandelelanayo) Ngeentsuku 25-28: Musa ukuthatha nayiphi na iipilisi kwi-pack yakho ye-blister yangoku kwaye uyilahle ngaphandle. Qala ipakethi entsha ngomhla omnye okanye uqale ipakethi entsha ngosuku oqhele ukuqala ipakethi entsha. Awudingi indlela yokugcina.
Natazia Impumelelo:
Ukudibanisa iipilisi zokulawula iipilisi kuyindlela efanelekileyo kwaye efanelekileyo yokukhulelwa . I pilisi ngu-92-99.7% esebenzayo. Ngokusetyenziswa okuqhelekileyo, aba-8 kwabasetyhini abayi-100 baya kukhulelwa kunyaka wokuqala wokusetyenziswa kweepilisi. Ngokusetyenziswa okugqibeleleyo, ngaphantsi kwe-1 kuya kukhulelwa. Kungakhathaliseki uhlobo / inani lamahomoni kwi pilisi, zonke iipilisi ezidibeneyo zisebenza ngendlela efanayo ukukhusela ukukhulelwa.
Usenokuba ukhulelwe okanye unokukhulelwa ukuba ulala ngesini emva kweemithi ezilahlekileyo. Iipilisi ezininzi oziphosakeleyo kunye / okanye ukusondela kwakho kukuphela komjikelo, kuphakamisa umngcipheko wokukhulelwa.
I-Natazia ingaba yincinci kumabhinqa aphelile (anokuthi afake isicelo kwi-30% yabantu bonke baseMelika). Ukusebenza kweNatazia kwabasetyhini abanomlinganiselo wesikhokelo somzimba (BMI) we> 30 kg / m2 ayizange ihlolwe.
Iindleko zeNatazia:
Kubonakala ukuba ixabiso leNatazia libiza ngaphezu kweminye imithi yokukhulelwa komlomo. Ekubeni i-Natazia ithathwa njengamayeza atshwayo okanye i-3 drug ngaphansi kweenkqubo ezininzi ze-inshorensi yezempilo, ingenakukhutshwa okanye ingafuna i-copay ephezulu.
Oko kuthethwa, akukho nanye i-generic e-Natazia. Bayer (ngumenzi) unamalungelo akhethekileyo kwimveliso kunye nokuthengiswa kweNatazia kude kube ngowama-2016 - xa ilungelo lobunikazi liphela. Emva kwelo xesha, ezinye iinkampani zonyango ziyakwazi ukwenza nokuthengisa iNatazia. Ngenxa yokuba akukho nhlobo ye-Natazia, inokuthi ihlanganiswe ngaphandle kweendleko zokuphuma ngaphandle kwe- inshorensi.
Ungagcina imali kwiNatazia kunye neBayer Savings Card. Emva kokuqalisa le khadi (engabi nantoni na into), kufuneka uyiprinte kwaye uyibonise kumakhomistiki wakho:
- Ukuba unesi-inshorensi, awuyi kuhlawula imali engaphezu kwama-30 kwiinyanga zonke zeNatazia.
- Ukuba awunayo i-inshurensi, uya kufumana i-$ 25 kwiindleko zakho zokuphuma ngaphandle kweenyanga.
Imithombo:
U-Ahrendt HJ, uMalalova D, uParke S, uMellinger U, uMansour D. "Umzekelo wokuhlamba kunye nokulawula umjikelezo nge-contraradial-oral based contraceptive: umjikelezo wesixhenxe, uvavanyo olulinganiselayo lwe-estradiol valerate / dienogest kunye ne-ethinyl estradiol / levonorgestrel." Ukukhulelwa . 2009; 80: 436-444. Inqaku elipheleleyo lifikeleleke ngokubhalisa kwangasese.
"I-NATAZIA-estradiol valerate kunye ne-estradiol valerate / kit dienogest." [Bayer HealthCare Pharmaceuticals Inc.]. IMedical Med. Kufumaneka: Disemba 4, 2014.