Etonogestrel - Ntchito, Mlingo, Zotsatirapo ndi Zina

Chiyambi: Kodi Etonogestrel ndi chiyani?

Etonogestrel ndi progestin yopangidwa, mtundu wa mahomoni omwe amatsanzira mahomoni achilengedwe a progesterone m'thupi. Amagwiritsidwa ntchito makamaka m'njira zosiyanasiyana zoletsa kubereka pogwiritsa ntchito mahomoni, zomwe zimathandiza kupewa kutenga mimba. Etonogestrel nthawi zambiri imapezeka m'mapiritsi oletsa kubereka ndipo imadziwika kuti imagwira ntchito bwino komanso mosavuta, popereka njira zolerera kubereka kwa nthawi yayitali kwa akazi.

Ntchito za Etonogestrel

Etonogestrel imavomerezedwa makamaka kuti igwiritsidwe ntchito m'madokotala otsatirawa:

• Njira zolerera: Etonogestrel imagwiritsidwa ntchito kwambiri ngati choyika pansi pa khungu (Nexplanon) kuti mupewe kutenga mimba. Imagwira ntchito kwa zaka zitatu.
• Kusintha kwa Msambo: Etonogestrel ingasinthe njira zochotsera magazi kusamba; komabe, sivomerezedwa mwapadera pochiza kutaya magazi ambiri kusamba.

Mmene Ntchito

Etonogestrel imagwira ntchito potengera mahomoni achilengedwe a progesterone, omwe amagwira ntchito yofunika kwambiri pa nthawi ya msambo komanso mimba. Imaletsa kwambiri ovulation, zomwe zikutanthauza kuti imaletsa mazira kutulutsa mazira m'mazira. Kuphatikiza apo, imakulitsa ntchofu ya m'chiberekero, zomwe zimapangitsa kuti umuna ukhale wovuta kulowa m'chiberekero, komanso imasintha mkati mwa chiberekero, zomwe zimapangitsa kuti chisagwiritsidwe ntchito ngati pakufunika umuna.

Mlingo ndi Utsogoleri

Etonogestrel nthawi zambiri imaperekedwa ngati choyikamo cha pansi pa khungu. Nazi malangizo okhazikika:

• Mlingo wa Akuluakulu: Chojambulira chimodzi (68 mg) chimayikidwa pansi pa khungu la mkono wapamwamba ndi dokotala. Chojambuliracho chimagwira ntchito kwa zaka zitatu.
• Mlingo wa Ana: Etonogestrel ingagwiritsidwe ntchito kwa achinyamata omwe ayamba kusamba, ndi mlingo wofanana ndi wa akuluakulu.
• Kuthamanga: Choyikacho chiyenera kusinthidwa zaka zitatu zilizonse kuti chipitirize kugwira ntchito bwino poletsa kubereka.

Zotsatirapo za Etonogestrel

Zotsatira zowonjezereka zingaphatikizepo:

• Kutuluka kwa msambo kosasamba
• litsipa
• kulemera phindu
• Chikondi cha m'mimba
• Maonekedwe amasintha

Zotsatira zoyipa zingaphatikizepo:

• Kuundana kwa magazi (kosowa kawirikawiri; chiopsezo chake chimakhala chochepa poyerekeza ndi njira zolerera zomwe zili ndi estrogen)
• Zotupa za chiwindi
• Kwambiri thupi lawo siligwirizana
• Ectopic mimba

Kuyanjana kwa Mankhwala

Etonogestrel ikhoza kuyanjana ndi mankhwala angapo, kuphatikizapo:

• Anticonvulsants: Monga phenytoin ndi carbamazepine, zomwe zingachepetse mphamvu ya Etonogestrel.
• mankhwala: Mankhwala opha tizilombo toyambitsa matenda monga rifampicin angachepetse mphamvu ya mankhwala; mankhwala opha tizilombo ambiri satero.
• Mankhwala a HIV: Mankhwala ena ochepetsa mphamvu ya kachilombo ka HIV amatha kusokoneza momwe mankhwala oletsa kubereka amagwirira ntchito.

Nthawi zonse muzidziwitsa dokotala za mankhwala omwe mukumwa kuti mupewe kuyanjana.

Ubwino wa Etonogestrel

Kugwiritsa ntchito Etonogestrel kuli ndi ubwino wambiri:

• Zokhalitsa: Amapereka njira yothandiza yolerera ana kwa zaka zitatu popanda kufunikira chisamaliro cha tsiku ndi tsiku.
• Zabwino: Mukayika, palibe chifukwa chokumbukira kumwa mapiritsi tsiku lililonse.
• Zosinthidwa: Nthawi zambiri mimba imabwerera msanga pambuyo poti chopachikacho chachotsedwa.
• Zizindikiro Zochepa za Msambo: Anthu ambiri omwe amagwiritsa ntchito mankhwalawa amakumana ndi nthawi yochepa ya msambo komanso kupweteka kwa msambo kumachepetsa.

Zotsutsana za Etonogestrel

Etonogestrel iyenera kupewedwa pazochitika izi:

• Mimba: Ndi zoletsedwa kwa amayi apakati.
• Matenda A chiwindi: Azimayi omwe ali ndi matenda aakulu a chiwindi sayenera kugwiritsa ntchito Etonogestrel.
• Matenda a thromboembolic omwe amagwira ntchito: Etonogestrel iyenera kupewedwa kwa anthu omwe ali ndi vuto la thromboembolic.
• Khansa ya M'mawere: Khansa ya m'mawere yomwe ilipo kapena yakale ndi yotsutsana nayo.

Kusamala ndi machenjezo

Musanagwiritse ntchito Etonogestrel, ganizirani njira zotsatirazi zodzitetezera:

• Mbiri Yachipatala: Kambiranani mbiri yanu yonse yachipatala ndi dokotala wanu, makamaka pankhani ya magazi kuundana, mavuto a chiwindi, kapena khansa ya m'mawere.
• Kuwunika pafupipafupi: Kuonana ndi dokotala wanu pafupipafupi n'kofunika kwambiri kuti muwone ngati pali zotsatirapo kapena zovuta zilizonse.
• Mayeso a Labu: Palibe mayeso enieni a labu omwe amafunikira musanayambe Etonogestrel, koma dokotala wanu angakulangizeni kuti muyezedwe nthawi zonse.

Ibibazo

• Kodi Etonogestrel imagwiritsidwa ntchito chiyani? Etonogestrel imagwiritsidwa ntchito makamaka ngati njira yolerera ndipo ingakhudze momwe magazi amatuluka msambo amakhalira.
• Kodi Etonogestrel imaperekedwa bwanji? Amaperekedwa ngati choyikamo cha subdermal m'dzanja lapamwamba ndi dokotala.
• Kodi Etonogestrel imatenga nthawi yayitali bwanji? Chomeracho chimagwira ntchito kwa zaka zitatu.
• Zotsatira zoyipa zomwe zimachitika nthawi zambiri ndi zotani? Zotsatirapo zoyipa zomwe zimachitika nthawi zambiri zimaphatikizapo kutuluka magazi mosakhazikika, mutu, komanso kunenepa kwambiri.
• Kodi ndingatenge mimba ndikugwiritsa ntchito Etonogestrel? Etonogestrel ndi yothandiza kwambiri, koma palibe njira zolerera zomwe zimagwira ntchito 100%. Funsani dokotala wanu ngati mukuganiza kuti muli ndi pakati.
• Kodi Etonogestrel ndi yotetezeka kwa achinyamata? Inde, Etonogestrel ingagwiritsidwe ntchito ndi achinyamata omwe ayamba kusamba.
• Kodi ndiyenera kuchita chiyani ngati ndaphonya nthawi yanga yokonzekera opaleshoni yoikamo? Lumikizanani ndi dokotala wanu kuti musinthe nthawi yoti mupiteko mwamsanga.
• Kodi Etonogestrel ingakhudze momwe ndimamvera? Ogwiritsa ntchito ena amanena kuti maganizo awo asintha; kambiranani ndi dokotala wanu za nkhawa zilizonse.
• Kodi Etonogestrel idzakhudza kulemera kwanga? Kulemera ndi zotsatirapo zina zomwe zingachitike, koma zomwe munthu aliyense akukumana nazo zingasiyane.
• Kodi ndingatenge mimba mwachangu bwanji ndikachotsa Etonogestrel? Kubereka nthawi zambiri kumabwerera msanga pambuyo poti chopaliracho chachotsedwa.

Mayina A Brand

Etonogestrel imagulitsidwa pansi pa mayina angapo a makampani, kuphatikizapo:

• Nexplanon
• Implanon (mtundu wakale)

Kutsiliza

Etonogestrel ndi njira yothandiza kwambiri yolerera yomwe imapereka chitetezo cha nthawi yayitali ku mimba. Chifukwa cha kuperekedwa kwake kosavuta komanso ubwino wake pothana ndi zizindikiro za msambo, ndi chisankho chodziwika bwino pakati pa akazi omwe akufuna njira zodalirika zolerera. Komabe, ndikofunikira kukambirana mbiri yanu yachipatala ndi zoopsa zilizonse zomwe zingachitike ndi dokotala wanu musanayambe kugwiritsa ntchito Etonogestrel.