Ndinoshandisa Yaz, Yasmin, Beyaz kana Safyral - Chii Chandinofanira Kuita?
MUBVUNZO - NDINOSHANDISA MAFUPI EZVIMBA DZOKUPARIDZA YAZI, NDINOFANIRA KUSHANDIRA KUNYIKA YAKAIPA KUNYIKA YEMBA YAKAKADZWA NOKUDZIDZA NOKUDZIDZA NEMIDZIDZO YOKUDZIDZA?
Mumakore achangobva kupfuura, drospirenone-ine zveruzhinji mapiritsi ave achiwedzera kuonekwa. Mishonga yekuberekwa inosanganisira Yaz , Yasmin, Beyaz , uye Safyral. Chimwe chikonzero chekuzivikanwa kwavo kune chokuita nezvimwe zvisingabatsiri zvavanopa.
Kune vakadzi vanosarudza kushandisa mapiritsi ekudzivirira kubata pamuviri (kunze kwekudzivirirwa pamuviri, Yaz naBeyaz vave vari FDA-vakabvumirwa kuti vararame zviratidzo zvekutanga kwechirwere chepachirwere uyewo kubata mushonga unoenzanirana.Beyaz inopawo vakadzi nemari yavo inorayirwa zuva rega rega (0.4mg) ye folic acid.
Chimwe chinhu chinokonzera kuti mapiritsi aya ekuberekwa akazvimiririra ndeyekuti ane progestin drospirenone. Iyi progesin inogona kudzivisa mahomoni ekuyerera anotonga mvura yemuviri yenyu uye electrolytes. Drospirenone inogonawo kutungamirira kumazinga akakwirira e-potassium uye / kana kuti kubatana nemimwe mishonga inowedzera potassium. Panewo kunetseka kuti kushandisa mapiritsi ekuberekwa ane drospirenone kunogona kuwedzera ropa rako rekuvhara mungozi kana richienzaniswa nemapiritsi ekuberekwa ane mapurogiramu akasiyana.
---> Kunze kwekuzvarwa kwekutonga: Yaz and Beyaz
Zvakakosha kuratidza kuti mapiritsi ose ekuberekwa anoisa mungozi yekuvandudza ropa .
Ropa rinoputika mumvura yakadzika mumuviri inonzi " deep vein thrombosis" (DVT). DVT isati iri kuberekwa kutora pill side effect uye inogona kudzivisa ropa kufamba. A pulmonary embolism inogona kuitika ipapo kana ropa rinoputika kubva mumupfu uye rinopinda mumuviri kuenda mumapapu. Izvi zvinogona kutungamirira kurufu.
MHINDURO - HUNOFANIRA KUPANIC. Iwe UNOFANIRA KUTI UYE KUTI UYE KUTAURA:
I-FDA yave ichitsvakurudza kukosha kwekubatana pakati pe drospirenone neropa rekuvhara ropa. Sangano racho rakarongedza pachezvidzidzo zvaro rakabhadhara mari iri kutarisa dheji kubva pavakadzi vanopfuura 800 000. Muna Gumiguru 2011, FDA yakabudisa migumisiro yeyikudzidza uye yakaratidza kunetseka pamusoro pekukwanisa kuwedzera 1 1/2-fold muropa rekuvhara ropa revakadzi vanoshandisa drospirenone mapiritsi.
MuApril 2012 mazano, FDA yakaratidza kuti iyo sangano yakanga yapedzisa kugadziriswa kwayo kwezvinoonekwa nekuongorora kwepidemiologic pamusoro pedspirenone uye neropa rekuvhara ropa. Kubva pakuongororwa uku, FDA yakagumisa kuti drospirenone-ine-birth control mapiritsi inogona kuenzaniswa nehupamhi hwekudzivirira ropa uye yakadanirwa kushandiswa kutsvaga pamapiritsi. Zvisinei, sangano racho rakaratidzawo kuti kutsvakurudza uku hakuna kubereka migumisiro yakajeka kana kuti nhoroondo yehutano hwemamiriro ezvinhu hunogonawo kuunza ropa rekuvhara ropa. Kunyange zvazvo FDA yakaratidza kuti pangava nekubatana pakati pe drospirenone neropa rekuvhara ropa, vakatsanangurawo kuti sangano racho harina chokwadi kuti izvi zvakanyanya kuwedzera ngozi yeropa ndeyechokwadi nemhaka ye drospirenone mumapiritsi aya ekuberekwa.
Chii Chinonzi Drospirenone uye Ropa Kuchengetedza Njodzi Kunoreva Kwandiri?
Panguva ino, hapana chikonzero chekutya kana iwe ikozvino uchishandisa piritsi yekuberekwa kwekuberekwa ine drospirenone. I FDA inokurudzira kuti:
- Iwe haufaniri kurega kutora mapiritsi ako usingatauri nachiremba wako .
- Kana iwe uine zvinetso kana mibvunzo, unofanira kutaurirana izvi nachiremba wako zvakare.
- Kana uri kufunga nezvekuchinja nzira dzokudzivirira kubata pamuviri (kana kuti unoda kutanga kushandisa kushandiswa kwekuberekwa ), zvinokosha kuti iwe utaure nachiremba wako pamusoro pehutachiona hwehutachiona hwako usati wasarudza nzira yekuberekwa kwayo yekushandisa.
Dhiyabhorosi zvakare akarayira vanachiremba kuti vaongorore njodzi nemigumisiro ye drospirenone-ine zvekuzvidzivirira mapiritsi nemishonga yemukadzi yekugadzira ropa rekare asati agadzirisa mapiritsi aya.
Kana iwe ukashandisa piritsi ye drospirenone yekuberekwa kwakafanana naJaz, Yasmin, Beyaz kana Safyral, unofanira kunge uchiziva zvinotevera:
- Kana iwe wakarongwa kuti uite chirwere chikuru, iwe unofanirwa kurega kushandisa drospirenone-ine zera yekudzivirira mapiritsi mapepa masere mana musati maita basa uye kumirira vhiki mbiri mushure mokutanga kuvashandisa zvakare.
- Izvo zvingavawo zvinobatsira kuti iwe unokwanisa kuziva zviratidzo zvekuvhara ropa . Izvi zvinogona kusanganisira kurwadziwa kwepfupa, chirwere chinoramba chiripo kana kurwadziwa kwemaoko (pamwe nekugona kuvhara, kupisa uye kubwinya) uye / kana kupererwa kwepakarepo kamwe. Kana iwe ukazviwana uine chimwe chezviratidzo izvi, iwe unofanira kunge wakadana pakarepo chiremba wako.
- Kana iwe uri pamubhedha wezororo kana kuti wakakanda kana uchange uchifamba marefu marefu (4 kana maawa akawanda), unogona kuva neruzivo rwepamusoro yeropa clot ngozi.
- Kana iwe utsi, wava nemakore anopfuura makumi matatu uye unoshandisa chero kubatanidza kuberekwa kwepiritsi, pangozi yekutarisana nematambudziko epfungwa, sekuvhara ropa, inowedzera.
Zvimwe Zvimwe Zvikonzero Nei Unofanirwa Kuongorora Kaviri Nechiremba Wako:
Nokuda kwekuwedzera kwekuwedzera kweropa rekuvhara ropa, inogonawo kuva nguva yakanaka yokuti iwe uite kaviri-chengeta nachiremba wako kuti kubatana kwepiritsi yekuberekwa ine ethinyl estradiol uye drospirenone ndiyo nzira yakanakisisa kwauri. Nemhaka yokuti drospirenone inogona kuwedzera mazinga e potassium kana kupindira nemishonga inowedzera potasium, chiremba wako anofanira kutarisa serum potassium yako mumwedzi wokutanga wekushandiswa kana iwe uri kubatwawo nemishonga inobatanidza potassium kuchengetedza. Iyi mishonga inogona kusanganisira:
- Potassium supplementation ACE inhibitors (Vasotec, Capoten, Zestril nevamwe)
- Aldosterone antagonists
- Potassium-sparing diuretics (spironolactone nevamwe)
- Heparin
- NSAIDs (ibuprofen [Motrin, Advil], naproxen [Aleve nevamwe] pavanotora nguva refu uye zuva nezuva kurapa arthritis kana mamwe matambudziko)
- Angiotensin-II vanopikisana nevamwe (Avapro, Cozaar, Diovan nevamwe)
Uyezve, kana iwe uri kushandisa iyeyo Yaz, Yasmin, Beyaz kana Safyral uye mune chero ipi zvayo mamiriro ezvinhu anotevera, ungada kutaura nechiremba wako kuti ave nechokwadi chokuti iyi ndiyo yakachengeteka yekudzivirira kuberekwa kwako iwe:
- Kusadzora kutenderera kweropa
- Nhoroondo yeropa dzemakumbo mumakumbo ako, mapapu kana maziso
- Nhoroondo yehutachiona, chirwere chepfungwa kana chirwere chechiropa
- Iva nechirwere cheshuga neminyo, ziso, nerve kana ropa inoparadza
- Aive nehutano hwemwoyo, kurohwa kana nhoroondo yezvinetso zvakakomba zvepfungwa dzemwoyo kana mwoyo rhythm kusagadzikana kunogona kukonzera kuvhara kweropa mukati memoyo
DHOSPIRENONE NOKUDZISWA KWECHIDZIDZO CHECHOKWADI - BOTTOM LINE:
Pasi rose, kana vakadzi vane gumi ne10 (vasina pamuviri uye vasingashandisi mapiritsi ekuberekwa) vanoteverwa kwegore rimwe, pakati pe1 ne5 yevakadzi ava vachakudziridza ropa. Kunyangwe iwe unogona kunge uri pangozi yakawanda yekuvhara ropa kana uchitora drospirenone kuberekwa kwepiritsi, ndinoda kukuyeuchidza zvakare kuti kushandiswa kupi zvako kunobatsira kuti uise panjodzi yekuwedzera ropa.
Ngozi yeprombobolism inobata (deep vein thrombosis uye / kana pulmonary embolism) kuvakadzi vanoshandisa chero rudzi rwemhando yekubatanidza kuberekwa kwechimbichimbi isingakoshi uye inofungidzirwa kuva 3 kusvika 9 pavakadzi 10 000 (gore negore). Iyi ngozi inopfuura yakanyanya mugore rokutanga rekushandiswa (zvikurukuru mumwedzi 6 yekutanga). Dambudziko guru rehurombo hwepromboembolism rinoratidzika kuva mushure mako iwe kutanga utanga kutora mapiritsi akabatanidza kana kutangazve piritsi imwechete kana imwe marangi (kana yave inopfuura mavhiki mana kubvira wapedza kushandisa piritsi).
Iwe uye chiremba wako unofanira kuongorora njodzi dzekuvhara ropa (nezvimwewo migumisiro ) zvinopesana nezvinobatsira zvepiritsi (zvose pakudzivirira kubata pamuviri uye kusingabatsiri ).
Zvose izvo zvinotaurwa, zvakakosha kuti uchengetedze ropa rekuvhara ropa iri muhutano: iyo yose yakawanda panjodzi yekudzidzira ropa clot yakaderera zvikuru. Kunyangwe iwe uine ropa rakanyanya kuvhara ropa kana iwe ukashandisa mapiritsi (zvichienderana nekusashandisa hutachiona hwepabonde ), iyi njodzi ichiri pasi kudarika ropa rekuvhara ropa rinosangana nekuzvitakura kana mushure mokuberekwa:
- Ropa rekuvhara mungozi yevakadzi vezera rekuberekwa vasingashandisi mapiritsi (1-5 mamiriyoni evanhukadzi 10 000)
- Ropa rinovhara panjodzi panguva yekushandisa kusanganiswa kuberekwa kupirisa mapiritsi (matambudziko 5-7 pavakadzi 10 000)
- Ropa rekuvhara ropa paunenge uchitora mapiritsi ne drospirenone (matambudziko 9-12 pavakadzi 10 000)
- Ropa rekuvhara ropa risati raita pamuviri (rinowedzera kusvika 29 pavakadzi 10 000)
- Ropa rinovhara panjodzi panguva yekupedzisira / 12 mashure mushure mekusununguka (inonzi yakakwirira kupfuura 40-65 pavakadzi 10 000).
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.
FDA. [4-10-2012] "Kuvandudza Mibvunzo Yomukati neMhinduro - Kuramba kuripo kwekuchengetedzwa kwehutano hwepamuviri yekurapa mapiritsi ane drospirenone uye inogona kuwedzera mungozi yeropa." Yakapinda 1/27/15.
FDA. [10-27-2011] "FDA Mishonga Yokuchengetedzwa Kwemishonga Kukurukurirana: Kuvandudzwa kwemashoko pamusoro pekudzidza kweDWA-kubhadhara mari pamusana wekuvhara ropa mumadzimai anotora mapiritsi ekuberekwa ane drospirenone." Yakapinda 1/27/15.
James AH. "Kuberekwa-kunobatanidzwa nepfungwa." Hematol 2009; 277-85. Inowanikwa kuburikidza nehurumende yekunyoresa.
PubMed Health. "Media hype ropa clot ngozi yekuberekwa kuzvirwisa mapiritsi." US National Library of Medicine / National Institutes of Health. 03 Feb 2014. Yakapiwa 1/27/14.