Kana zvasvika pakusarudza piritsi yepiritsi yekuberekwa, pane zvakawanda zvingasarudzwa. Kunyange zvazvo mapiritsi akawanda ekuberekwa aripo anouya mumapuranga makumi maviri nemashanu kana makumi maviri nemashanu, pane maviri akasiyana-siyana ekugadzirwa kwemapiritsi ekuberekwa nokuti anowanikwa mumazuva makumi maviri nemasere. Aya mapiritsi ekuberekwa ari Yaz naBeyaz.
- Yaz zvirokwazvo ine mazuva makumi maviri nemaviri emapiritsi emapilisi, inoteverwa nemazuva mana emapiritsi e placebo. Kune vakadzi vanosarudza mapiritsi ekudzivirira kubata pamuviri , Yaz zvakare FDA inogamuchirwa kuti itarame zviratidzo zvepfungwa uye zvemuviri zveMDC - D - zviratidzo zvakakomba zvakakwana kuti zvigadzirire hupenyu hwevakadzi vakawanda. Yaz ihwowo FDA-inogamuchirwa kubata mushonga wepineti (kana iwe watova nemwedzi wako uye uri nemakore gumi nemashanu).
- Beyaz imwe yemapiritsi matsva pamusika. Kungofanana neJaz, iyo FDA-inogamuchirwa kubatsira kubatsira kupa PMDD zviratidzo zvekare uye kubata chirwere chemaitiro. Chii chinoita kuti Beyaz yakasiyana uye ine 24 hormone mapiritsi inosanganisirawo levomefolate calcium (B vitamini / folic acid). Panewo mapiritsi 4 e-placebo asina mahomoni asi ane folate zvakare. Nyaya inoderedza hutano hwekusava nehutachiona hwemapuraneti husingaoneki mukudzivirira. Izvi zvinogona kubatsira kana iwe uchiva nepamuviri apo uchishandisa Beyaz kushandiswa kana nguva pfupi mushure mekurega kushandiswa kwayo. Beyaz inopa iwe ne 0.4 mg ye folic acid yakakurudzirwa zuva rega rega kuvakadzi vezera rekubereka.
Chimwe chinhu chinogona kuitika chemazuva makumi maviri nemazana mana (24) dosing purogiramu ndechokuti inogona kukupa huwandu hweshemone shomanana kudarika mazuva makumi maviri emapiritsi anoshingaira mune rimwe zuva 21/28 day pack. Zvose Yaz naBeyaz vanoshanda seimwe imwe yemapiritsi. Asi, kuwedzera pakuve nemapiritsi makumi maviri nemaviri ekushanda mapiritsi, mapiritsi aya akasiyanawo nekuda kwehuwandu hweprogestin zvavari.
Yaz naBeyaz zvose zvinosanganisira isrogen / drospirenone kuumbwa.
Pakave nekumwe kunetseka kuti drospirenone-ine mapiritsi inogona kuwedzera mukana wako wekuwedzera ropa . Ichokwadi ndechokuti mapiritsi ose ekuberekwa anoisa mukana wekuwedzera ropa. Nezvo zvichitaurirwa, zvichibva kune imwe FDA inobhadhara mari yakadzidza iyo yakaongorora dhamusi kubva kune vakadzi vanodarika 800 000, iyo sangano rinoratidza kuti kushandiswa kwemapiritsi ane drospirenone (saJaz neBeyaz) akabatanidzwa kune inenge 1.5-fold inowedzera kuwedzera muVTE / Ropa rekuvhara ropa rinogona kuenzaniswa kana richienzaniswa nehutachiwana hutano hwekudzivirira pamuviri.
Asi, kana iwe uchitaura izvi nenzira yakajeka, hutachiona hwehutachiona hwehutta hunenge huchiri kuonekwa sehuwandu, uye kunyange FDA inobvuma kuti iyo tsvakurudzo inowanikwa haibvumi migumisiro yakafanana kana nhoroondo yehutano hunhu hunove hungave huchiita kuti ropa rive ngozi. Zvisinei, nekuda kwekuongororwa uku, FDA yakadana kuti zvinyorwa zvitsva zvinoshandiswa pane drospirenone-ine mapiritsi.
Imwe nyaya yakakomberedza Yaz uye Beyaz kushandiswa kune chokuita nepamusoro yepamusoro ye potassium mazinga. Drospirenone inogona kutora mahomoni anodzora mvura yemuviri uye electrolyte-mazinga. Nokuda kweizvi, zvakakosha zvikuru kuti iwe wakatendeseka zvachose kana uchitaura nachiremba wako pamusoro pehutano hwako. Nokuti mapiritsi ane drospirenone anogona kuwirirana nemimwe mishonga inowedzera potasium - yakadai seimwe mishonga yepamusoro yeropa yepamusoro kana yemamiriro emwoyo, anti-inflammatory drugs (kufanana neIbuprofen), uye mamwe mapiritsi emvura (diuretics), chiremba wako anoda kuziva kana iwe vari kutotanga kushandisa marudzi aya emishonga vasati vasarudza iwe Yaz kana Beyaz.
Zvechokwadi, zvakagadzirwa mazita eJaz naBeyaz zvinosanganisira nyevero inokurudzira vanachiremba vanorayira madhiragi aya kuti vaone serum potassium mizinga mumwedzi wokutanga kana iwe uri kubatwawo nemishonga inobatanidza potassium kuchengetedza.
Nemhaka yokuti mabhii maviri ekudzivirira kuberekwa mapiritsi akawana ruzivo rwakawanda pamusoro pedambudziko rekuvhara ropa, rinoratidzika kuti vanachiremba vangave vasina kubhadhara zvakakwana mazamu aya e potassium. Kutsvakurudza kunoratidza kuti iyo inenge 17.6% yevakadzi vanoshandisa zvose drospirenone-ine mapiritsi uye potassium inobatanidza mishonga, uye 29 muzana yeiyi inowanikwa mumashandi inowanzoitika mukati memwedzi kutanga kwepiritsi yekuberekwa .
Vanachiremba vangangodaro vachikanganisa mukana wekubatana uku nekuda kwekuti ndiani ari kutsanangura izvo. Zvinoratidzika kuti vakadzi 18 kubva muzana vane potasium-inowedzera mishonga inorayirwa nemhuri yekudzidzira kana mishonga yemukati mukati mavo uye Yaz / Beyaz yavo inorayirwa neO / GYN yavo.
Kutsvakurudza kunoratidzawo kuti:
- 9.5% yevakadzi inorayirirwa mishonga yose (Yaz / Beyaz uye mishonga yekusimudza potaziyamu) neO / GYN dzavo
- 8.4% vakagadzirirwa zvose mishonga nemhuri yavo tsika kana mukati moutano chiremba.
- 17% yevakadzi vari kushandisa mushonga-inowedzera mishonga vasati vatanga Yaz / Beyaz.
- 83% yevakadzi vari kushandisa Yaz / Beyaz vasati vatanga mishonga yekusimudza potaziyamu.
Tora Home Message: Yaz naBeyaz vanogona kunge vakakura mazita emapiritsi emadzimai akawanda. Nemhaka yehupenyu hwavo hwemazuva makumi maviri nemaviri (24-day dosing schedule), iwe unogona kuwana huwandu hushoma hwekushanduka kwehomoni (uye unonunurwa zviratidzo zvingave zvakabatana neizvi). Uyezve, mapiritsi aya ekuberekwa anopa maitiro asingabatsiri mazano anowanikwa kunevakadzi vakawanda. Kana iwe uchizoshandisa Yaz kana Beyaz, iwe unofanira kuongorora zvikomborero zvinopesana neropa rako rekuvhara ropa. Pakupedzisira, unofanirwa kuziva kuti mapiritsi aya anogona sei kuwedzera potasium mazinga. Nokuti pane humwe uchapupu hunoratidza kuti havasi vanachiremba vose vanoziva nezvekukwanisa kuwirirana pakati peJaz / Beyaz nemishonga yekusimudza potaasium (kana kuti kudiwa kuedza uye / kana kutarisa serum potassium mazinga), zvakakosha kuti uudze chiremba wako kana iwe vari kushandisa imwe yemishonga iyi isati yatanga imwe.
Sources:
American College yezvipfeko uye Gynecologists. "Nengozi yevangous thromboembolism pakati pevashandisi ve drospirenone-ine muromo wemapiritsi ekudzivirira kubata pamuviri." Komiti yeChishanu Nha. 540. Obstet Gynecol 2012 (Yakasimbiswa muna 2014); 120: 1239-42. Inowanikwa kuburikidza nehurumende yekunyoresa.
McAdams, M, Staffa, JA, & Dal Pan, GJ. "Izvo zvinogadziriswa zve ethinyl estradiol / drospirenone uye zvingangodaro zvinosangana nemishonga." Kubata pamuviri, 2007 76 (4) , 278-281. Inowanikwa kuburikidza nehurumende yekunyoresa.