I-Estrogen kunye neProgestin (iTransdermal Patch Contraceptives)

Umxholo

• Uhlobo ngalunye lwe-estrogen kunye neeprogesin zokuthintela ukukhulelwa kufuneka zisetyenziswe ngokulandela umkhombandlela othile onikwe kulwazi lomenzi wesigulana. Funda olu lwazi ngononophelo ngaphambi kokuba uqale ukusebenzisa ii-estrogen kunye neprogesin zokuthintela ukukhulelwa kwaye ngalo lonke ixesha ugcwalisa amayeza akho. Buza ugqirha wakho okanye usokhemesti ukuba unayo nayiphi na imibuzo. Le miyalelo ilandelayo inokukunceda ukhumbule izinto ezithile ezibalulekileyo ekufuneka uzenzile xa usebenzisa naluphi na uhlobo lwe-estrogen kunye neprogestin patch contraceptive:
• Ngaphambi kokusebenzisa isicatshulwa sokuthintela ukukhulelwa se-estrogen kunye neprogestin,
• I-estrogen kunye neprogesin yendlela yokucwangcisa enokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko:

Ukutshaya icuba kukonyusa umngcipheko weziphumo ebezingalindelekanga ezivela kwisicwangcisi sokucwangcisa, kubandakanya isifo sentliziyo, amahlwili egazi kunye nemivumbo. Lo mngcipheko uphezulu kwabasetyhini abangaphezulu kweminyaka engama-35 ubudala kunye nabantu abatshayayo kakhulu (i-15 okanye ngaphezulu iisigarethi ngosuku) nakwabasetyhini abanesalathiso sobunzima bomzimba (BMI) be-30 kg / m² okanye nangaphezulu. Ukuba usebenzisa isicwangcisi sokucwangcisa, akufuneki utshaye.

I-Estrogen kunye neprogestin transdermal (patch) izinto zokuthintela ukukhulelwa zisetyenziselwa ukuthintela ukukhulelwa. I-Estrogen (i-ethinyl estradiol) kunye ne-progestin (levonorgestrel okanye i-norelgestromin) ziihomoni ezimbini zesini sabasetyhini. Umdibaniso we-estrogen kunye neprogestin usebenza ngokuthintela ukukhutshwa kweqanda (ukukhutshwa kwamaqanda kwii-ovari) kunye nokutshintsha incindi yomlomo wesibeleko kunye nolwelwesi lwesibeleko.Indawo yokuthintela ukukhulelwa yeyona ndlela isebenzayo yolawulo lokuzalwa, kodwa ayikuthinteli ukusasazeka kwentsholongwane (i-HIV; intsholongwane ebangela ukuba i-immunodeficiency syndrome [i-AIDS] kunye nezinye izifo ezidluliselwa ngeentlobano zesini.

I-transdermal estrogen kunye neprogesin zokuthintela ukukhulelwa ziza njengesiqwengana sokufaka ulusu. Isiziba esinye sisetyenziswa kube kanye ngeveki kangangeeveki ezi-3, silandelwe kwiveki engenasiphelo. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Sebenzisa indawo yokucwangcisa njengokuyalelwa.

Ukuba uqala ukusebenzisa i-Twirla brand estrogen kunye neprogestin patch contraceptive, kuya kufuneka ufake ipatch yakho yokuqala kusuku lokuqala lokuya esikhathini. Ukuba uqala ukusebenzisa i-Xulane brand estrogen kunye neprogestin patch contraceptive, usenokufaka isichibi sakho sokuqala ngosuku lokuqala lokuya exesheni okanye ngeCawa yokuqala emva kokuba ixesha lakho liqala. Ukuba usebenzisa isichibi sakho sokuqala emva kosuku lokuqala lokuya exesheni, kuya kufuneka usebenzise indlela yogcino yolawulo lokuzalwa (njengekhondom kunye / okanye isibulali-amadlozi) kwiintsuku ezisi-7 zokuqala zomjikelo wokuqala. Thetha nogqirha wakho okanye usokhemesti ukufumanisa ukuba nini kumjikelo wakho kufuneka uqale ukusebenzisa isicatshulwa sakho sokucwangcisa.

Xa utshintsha i-patch yakho, soloko usebenzisa i-patch yakho entsha ngosuku olufanayo lweveki (i-Patch Change Day). Faka isichibi esitsha kube kanye ngeveki kangangeeveki ezintathu. Ngexesha leveki yesi-4, susa isiciko esidala kodwa ungasisebenzisi isichibi esitsha, kwaye ulindele ukuqala ukuya exesheni. Ngomhla emva kokuphela kweVeki yesi-4, sebenzisa iphetshana elitsha ukuqala umjikelo weeveki ezi-4 nokuba ixesha lakho lokuya esikhathini alikaqali okanye alikapheli. Akufanele uhambe ngaphezulu kweentsuku ezisi-7 ngaphandle kwesiziba.

Faka isichibi sokuthintela ukukhulelwa kwindawo ecocekileyo, eyomileyo, eqinileyo, esempilweni yolusu kwiimpundu, isisu, ingalo engaphezulu engaphezulu, okanye umzimba ongasentla, kwindawo apho ingayi kugutywa zimpahla eziqinileyo. Musa ukubeka isicatshulwa sokucwangcisa emabeleni okanye kwesikhumba esibomvu, esicasulayo, okanye esisikiweyo. Sukuthambisa izithambiso, iikhrimu, into yokuthambisa, umgubo, okanye ezinye iimveliso ezikwindawo yesikhumba apho kubekwe khona isicwangcisi sokucwangcisa. Isiziba ngasinye esitsha kufuneka sisetyenziswe kwindawo entsha eluswini ukunceda ukunqanda ukucaphuka.

Musa ukusika, ukuhombisa, okanye ukutshintsha isiziba nangayiphi na indlela. Sukusebenzisa iteyiphu eyongezelelweyo, iglu, okanye isongele ukubamba isiziba endaweni.

Uhlobo ngalunye lwe-estrogen kunye neeprogesin zokuthintela ukukhulelwa kufuneka zisetyenziswe ngokulandela umkhombandlela othile onikwe kulwazi lomenzi wesigulana. Funda olu lwazi ngononophelo ngaphambi kokuba uqale ukusebenzisa ii-estrogen kunye neprogesin zokuthintela ukukhulelwa kwaye ngalo lonke ixesha ugcwalisa amayeza akho. Buza ugqirha wakho okanye usokhemesti ukuba unayo nayiphi na imibuzo. Le miyalelo ilandelayo inokukunceda ukhumbule izinto ezithile ezibalulekileyo ekufuneka uzenzile xa usebenzisa naluphi na uhlobo lwe-estrogen kunye neprogestin patch contraceptive:

1. Krazula uvule ingxowa ngeminwe yakho. Sukuyivula isingxobo de ube ukulungele ukufaka isichibi.
2. Susa isiciko kwisingxobo. Lumka ungayisusi i-liner ecacileyo yeplastiki njengoko ususa isiziba.
3. Cima isiqingatha okanye eyona nxalenye inkulu yeplastiki. Gwema ukuthinta umphezulu wencindi.
4. Faka umphezulu wokuncamathela kwesiqwengana eluswini uze ususe elinye icala lesikhuseli seplastiki. Cinezela ngokuqinileyo kwisiqwengana ngentende yesandla sakho kangangemizuzwana eli-10, uqiniseke ukuba imiphetho incamathela kakuhle.
5. Emva kweveki enye, susa isiziba esikhumbeni sakho. Songa isiziba esisetyenzisiweyo kwisiqingatha ukuze sinamathele kuso kwaye siyilahle ukuze ingafikeleleki ebantwaneni nakwizilwanyana zasekhaya. Musa ukugungxula isiziba esisetyenzisiweyo kwindlu yangasese.

Jonga ipaki yakho yonke imihla ukuze uqiniseke ukuba iyancamathela. Ukuba i-patch iye yahlulwa ngokupheleleyo okanye yahlulwa ngokupheleleyo ngaphantsi komhla omnye, zama ukuyifaka kwakhona kwindawo enye kwangoko. Sukuzama ukufaka isicelo kwakhona kwisiqwengana esingasancangathi, esiye sancamathela kuso okanye komnye umphezulu, esinaso nasiphi na isixhobo esincamathele kumphezulu waso okanye esikhululileyo okanye esokuwa ngaphambili. Faka isicatshulwa esitsha endaweni yoko. Usuku lwakho lwePatch Change luya kuhlala lunye. Ukuba isiziba siye sahlulwa ngokupheleleyo okanye sahlulwa ngaphezulu kosuku olunye, okanye ukuba awazi ukuba isiqwenga sele sikhutshiwe, awunakukhuselwa ekukhulelweni. Kuya kufuneka uqale umjikelo omtsha ngokufaka isiziba esitsha kwangoko; Umhla wokufaka kwakho isicatshulwa esitsha kuba lusuku lwakho olutsha lwePatch Change. Sebenzisa ulawulo lokuzalwa olukhuselekileyo kwiveki yokuqala yomjikelo omtsha.

Ukuba ulusu phantsi kwesiqwengana sakho luyacaphuka, ungasusa isiziba uze ufake isiziba esitsha kwindawo eyahlukileyo eluswini. Shiya iqhosha elitsha endaweni yalo kude kube nguSuku lwakho loTshintsho lwePatch rhoqo. Qiniseka ukuba uyasusa isikhewu esidala kuba akufuneki unxibe ngaphezulu kwesinye ngexesha.

Buza usokhemesti okanye ugqirha wakho ngekopi yolwazi lomenzi wesigulana.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokusebenzisa isicatshulwa sokuthintela ukukhulelwa se-estrogen kunye neprogestin,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa ii-estrogens, iiprogestins, nawaphi na amanye amayeza, okanye naziphi na izithako ezikwi-estrogen kunye neeprogesin zokuthintela ukukhulelwa. Buza usokhemesti wakho uluhlu lwezithako.
• xelela ugqirha wakho ukuba usebenzisa naluphi na uhlobo lolawulo lokuzalwa kwehomoni, ezinje ngeepilisi, iiringi, inaliti, okanye izinto zokufakelwa. Ugqirha wakho uya kukuxelela ukuba ungayeka njani kwaye nini ukusebenzisa olunye uhlobo lolawulo lokuzalwa kwaye uqalise ukusebenzisa isicatshulwa sokucwangcisa. Sukusebenzisa naluphi na olunye uhlobo lolawulo lokuzalwa kwehomoni ngelixa usebenzisa isicatshulwa sokucwangcisa.
• xelela ugqirha wakho ukuba uthatha indibaniselwano ye-ombitasvir, paritaprevir, kunye ne-ritonavir (Technivie) kunye okanye ngaphandle kwe-dasabuvir (eViekira Pak). Ugqirha wakho uya kukuxelela ukuba ungasebenzisi i-estrogen kunye neprogesin yokukhulelwa xa usebenzisa la mayeza.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhalwanga, iivithamini, kunye nezongezelelo zesondlo ozithathayo. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: acetaminophen (APAP, Tylenol); ii-anticoagulants ('igazi elincinci)' njengewarfarin (Coumadin); izinto zokubulala ezinje nge-fluconazole (Diflucan), itraconazole (Onmel, Sporanox, Tolsura), ketoconazole, kunye ne-voriconazole (Vfend); Aprepitant (Hlomela); ascorbic acid (ivithamin C); atorvastatin (Lipitor, kwiCaduet); i-barbiturates efana ne-phenobarbital; i-boceprevir (ayisekho e-U.S.); i-bosentan (iTracleer); i-clofibrate (ayisekho e-US); icolesevelam (iWelchol); icyclosporine (Gengraf, Neoral, Sandimmune); i-griseofulvin (iGris-PEG); amayeza e-HIV afana ne-atazanavir (Reyataz, e-Evotaz), darunavir (Prevista, eSymtuza, e-Prezcobix), etravirine (Intelence), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir (e Kaletra), nelfinavir (Viracept) nevirapine (Viramune), ritonavir (Norvir, eKaletra, eViekira Pak) kunye netipranavir (Aptivus); amayeza okubanjwa njenge carbamazepine (Carbatrol, Equetro, Tegretol, abanye), felbamate (Felbatol), lamotrigine (Lamictal), oxcarbazepine (Oxtellar XR, Trileptal), phenytoin (Dilantin, Phenytek), rufinamude (Banzel) , ITopamax, iTrokendi, eQysmia); morphine (eKadian, kwi-MS Contin); i-steroids yomlomo efana ne-dexamethasone (Hemady), i-methylprednisolone (iMedrol), i-prednisone (iRayos), kunye ne-prednisolone (i-Orapred ODT, i-Prelone); irifampin (Rifadin, Rimactane, eRifamate, eRifater); rosuvastatin (Ezallor Sprinkle, Crestor); tizanidine (Zanaflex); I-telaprevir (ayisafumaneki e-U.S.); temazepam (Ukubuyisela kwakhona); Inophylline (Theo-24, Theochron); kunye namayeza e-thyroid afana ne-levothyroxine (Levo-T, Levoxyl, Synthroid, Tirosint, nabanye). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga. Amanye amayeza amaninzi anokusebenzisana ne-estrogen kunye neeprogesin zokuthintela ukukhulelwa, ke qiniseka ukuxelela ugqirha wakho ngawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu.
• xelela ugqirha wakho ukuba zeziphi iimveliso zemithi ozithathayo, ngakumbi iimveliso eziqulathe iSt.
• xelela ugqirha wakho ukuba usandula ukwenza utyando okanye ukuba ukwi-bedrest. Xelela ugqirha wakho ukuba ukhe wahlaselwa yintliziyo; ukubetha; amahlwili egazi emilenzeni, emiphungeni, okanye emehlweni; i-thrombophilia (imeko apho igazi liyaqina ngokulula); iintlungu esifubeni ngenxa yesifo sentliziyo; umhlaza wamabele, umgca wesibeleko, umlomo wesibeleko, okanye ubufazi; ukopha kwilungu lobufazi phakathi kokuya exesheni; hepatitis (ukudumba kwesibindi); ukutyheli kolusu okanye kwamehlo, ngakumbi ngelixa ukhulelwe okanye usebenzisa izinto zokucwangcisa zehomoni; ithumba lesibindi; iintloko ezenzeka ngezinye iimpawu ezinje ngobuthathaka okanye ubunzima ukubona okanye ukuhamba; igazi elonyukayo; Isifo seswekile esibangele iingxaki kwizintso zakho, amehlo, imithambo-luvo, okanye imithambo yegazi; okanye isifo sentliziyo. Ugqirha wakho uya kukuxelela ukuba akufuneki usebenzise isicatshulwa sokucwangcisa.
• xelela ugqirha wakho ukuba usandula ukubeleka okanye ukhuphe isisu okanye ukukhupha isisu, ukuba unobunzima be-198 lbs okanye nangaphezulu, kwaye ukuba uyadada rhoqo okanye ixesha elide (imizuzu engama-30 okanye nangaphezulu). Xelela ugqirha wakho ukuba nabani na kusapho lwakho owakhe waba nomhlaza wamabele kwaye ukuba ukhe wanamaqhuma amabele, isifo se-fibrocystic sesifuba (imeko apho amaqhuma okanye ubunzima abungowomhlaza emabeleni), okanye into engaqhelekanga i-mammogram (x-ray yamabele). Xelela ugqirha wakho ukuba wena okanye nabani na kusapho lwakho ukhe waba ne-cholesterol yegazi ephezulu kunye namafutha; isifo seswekile; umbefu; migraines okanye ezinye iintlobo zentloko; ukudakumba; ukuxhuzula; amaxesha amancinci okanye angaqhelekanga okuya exesheni; i-angioedema (imeko ebangela ubunzima bokuginya okanye ukuphefumla kunye nokudumba okubuhlungu kobuso, umqala, ulwimi, imilebe, amehlo, izandla, iinyawo, amaqatha okanye imilenze esezantsi); okanye isibindi, intliziyo, inyongo, okanye isifo sezintso.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa usebenzisa i-estrogen kunye neeprogesin zokuthintela ukukhulelwa, biza ugqirha ngokukhawuleza. Kuya kufuneka ukrokrele ukuba ukhulelwe kwaye ubize ugqirha wakho ukuba uye wasebenzisa isicwangcisi sokucwangcisa ngokuchanekileyo kwaye uphulukene namaxesha amabini ngokulandelelana, okanye ukuba awusebenzisanga isicatshulwa sokucwangcisa ngokuchanekileyo kwaye uphulukene nexesha elinye.
• ukuba uyenziwa uqhaqho, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba usebenzisa isicatshulwa sokuthintela ukukhulelwa se-estrogen kunye neprogestin. Thetha nogqirha wakho malunga noku ngokukhawuleza xa utyando lwakho lucwangcisiwe kuba ugqirha wakho unokufuna ukuba uyeke ukusebenzisa isicatshulwa sokucwangcisa kwiiveki ezimbalwa ngaphambi kotyando lwakho.
• xelela ugqirha wakho ukuba unxiba iilensi zonxibelelwano. Ukuba ubona utshintsho kumbono wakho okanye ukubanakho ukunxiba iilensi ngelixa usebenzisa i-estrogen kunye neprogestincontraceptive patch, jonga ugqirha wamehlo.
• Kuya kufuneka uyazi ukuba xa usebenzisa isicwangcisi sokucwangcisa, inani eliphakathi le-estrogen egazini lakho liya kuba phezulu kunokuba bekuya kuba njalo xa usebenzisa isicwangcisi somlomo (ipilisi yolawulo lokuzalwa), kwaye oku kungonyusa umngcipheko weziphumo ebezingalindelekanga ezinje amahlwili egazi emilenzeni okanye emiphungeni. Thetha nogqirha wakho malunga nemingcipheko yokusebenzisa isicatshulwa sokukhulelwa.

Thetha nogqirha wakho malunga nokutya igrapefruit kunye nokusela ijusi yegrapefruit ngelixa usebenzisa eli yeza.

Ukuba uyalibala ukufaka ipatch yakho ekuqaleni kwawo nawuphi na umjikelo wepatch (Iveki yoku-1, uSuku loku-1), awunakukhuselwa ekukhulelweni. Faka indawo yokuqala kumjikelo omtsha ngokukhawuleza nje ukuba ukhumbule. Ngoku kukho uSuku loTshintsho lwePatch entsha kunye noMhla omtsha 1. Sebenzisa indlela yogcino yolawulo lokuzalwa kwiveki enye.

Ukuba uyalibala ukutshintsha isiziba sakho embindini womjikelo wepaki (iVeki yesi-2 okanye iVeki yesi-3) kangangeentsuku ezi-1 okanye ezi-2, faka isichibi esitsha kwangoko kwaye ufake isichibi esilandelayo kuMhla woTshintsho lwePatch oqhelekileyo. Ukuba ulibale ukutshintsha indawo yakho embindini womjikelo ngaphezulu kweentsuku ezi-2, awunakukhuselwa ekukhulelweni. Misa umjikelo wangoku kwaye uqalise umjikelo omtsha kwangoko ngokufaka isiziba esitsha. Ngoku kukho uSuku loTshintsho lwePatch entsha kunye noMhla omtsha 1. Sebenzisa indlela yogcino yolawulo lokuzalwa kwiveki e-1.

Ukuba uyalibala ukususa isiziba sakho ekupheleni komjikelo wepatch (iVeki yesi-4), susa msinyane nje ukuba ukhumbule. Qala umjikelo olandelayo kuMhla woTshintsho lwePatch yesiqhelo, usuku olulandelayo emva komhla wama-28.

I-estrogen kunye neprogesin yendlela yokucwangcisa enokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• ukucaphuka, ubomvu, okanye ukukhawuleza kwindawo apho ubeke khona isicatshulwa
• ukuthamba kwebele, ukwanda, okanye ukukhupha
• isicaphucaphu
• ukugabha
• isisu esiswini okanye ukudumba
• ukutyeba kwakho
• ukutshintsha ukutya
• induna
• ukulahleka kweenwele
• ukopha okanye ukubona phakathi kokuya exesheni
• utshintsho ekuhambeni kwexesha
• amaxesha abuhlungu okanye aphosiweyo
• ukurhawuzelelwa lilungu lobufazi okanye ukucaphuka
• ukukhutshwa okumhlophe kwilungu lobufazi

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko:

• intloko ebukhali ngesiquphe, ukugabha, isiyezi, okanye isiqaqa
• iingxaki zokuthetha ngesiquphe
• ubuthathaka okanye ukuba ndindisholo kwengalo okanye umlenze
• ukulahleka kombono ngesiquphe okanye ngokupheleleyo
• umbono kabini okanye utshintsho kumbono
• Amehlo aqumbileyo
• ukutyumza iintlungu zesifuba
• ubunzima besifuba
• ukhohlela igazi
• ukuqhawukelwa ngumphefumlo
• intlungu emva komlenze ongezantsi
• iintlungu ezinzima zesisu
• iingxaki zokulala, ukutshintsha kwemood, kunye nezinye iimpawu zoxinzelelo
• ubumthubi besikhumba okanye amehlo; ukuphelelwa ngumdla wokutya; umchamo omnyama; ukudinwa kakhulu; ubuthathaka; okanye ukuhamba kwesisu okukhanyayo
• amabala amnyama esikhumba ebunzi, izidlele, imilebe ephezulu, kunye / okanye isilevu
• ukudumba kwamehlo, ubuso, ulwimi, umqala, izandla, iinyawo, amaqatha okanye imilenze esezantsi

Isicwangcisi sokuthintela ukukhulelwa se-estrogen kunye neprogestin sinokunyusa umngcipheko wokuba nomhlaza we-endometrium kunye nomhlaza webele, isifo se-gallbladder, izicubu zesibindi, isifo sentliziyo, ukubetha, kunye namahlwili egazi. Thetha nogqirha wakho malunga neengozi zokusebenzisa eli yeza.

I-Ethinyl estradiol kunye ne-norelgestromin patch yokucwangcisa inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unayo nayiphi na ingxaki engaqhelekanga ngelixa usebenzisa eli yeza.

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela).

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Kwimeko yokugqithisa libanda, susa zonke iipatches ezisetyenzisiweyo kwaye ubize iziko lakho lolawulo lwetyhefu kwindawo yoku-1-800-222-1222. Ukuba ixhoba liye lawa okanye aliphefumli, tsalela umnxeba iinkonzo zongxamiseko zengingqi kwi911.

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Kuya kufuneka ube novavanyo lomzimba olupheleleyo minyaka le, kubandakanya imilinganiselo yoxinzelelo lwegazi kunye novavanyo lwebele kunye nolusu. Landela izikhokelo zikagqirha wakho zokuvavanya amabele akho; Xela onke amaqhuma ngokukhawuleza.

Phambi kokuba uvavanywe elebhu, xelela abasebenzi ukuba usebenzisa isicatshulwa sokuthintela ukukhulelwa se-estrogen kunye neprogestin, kuba eli yeza linokuphazamisa ezinye iimvavanyo zaselebhu.

Musa ukuvumela omnye umntu asebenzise amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

• Xulane^® (iqulethe i-Ethinyl Estradiol, Norelgestromin)
• Twirla^® (iqulethe i-Ethinyl Estradiol, i-Levonorgestrel)

• indawo yokuzalwa