I-contraceptive Yarina yindlela yokukhulelwa ngomlomo ophantsi komnxeba kunye nomsebenzi onxamnye ne-androgenic kunye ne-antimineralocorticoid, equka i-drospirenone kunye ne-ethinylestradiol. Isiphumo sokukhulelwa kwesi sizathu ngenxa yokusebenzisana kweenkqubo ze-viscosity ukuchithwa kwe-cervical secretion, ukuvinjelwa kwe-ovulation, ukumisa ukulungiswa kwe-endometrium ukuqaliswa kweqanda lomntwana ngenxa yokunciphisa ukunyanzeliswa kwee-cyclic kuyo. Iipilisi ze-Yarin zithintela ukubonakaliswa kwe-PMS, ukuthintela inzuzo yokunciphisa umzimba, ukunciphisa iimpawu ze-acne (acne vulgaris), iinwele ezinqatha kunye nesikhumba.
Yarin: ukwakheka
- izinto ezisebenzayo: i-drospirenone, i-ethinyl estradiol;
- izinto ezincedisayo: isitatshi segesi, i-lactose monohydrate, i-hypromellose, i-stearate ye-magnesium, i-macrogol, i-titanium dioxide, i-talc, i-oxide yensimbi.
I-contraceptive Yarina: imiyalelo
Thatha ithebhulethi eli-1 ngaphakathi kwimihla ngemihla ngexesha elithile, ukugcina umyalelo oboniswe kwisichazo kwiyeza. Umlinganiselo omiselweyo: ithebulethi kanye ngosuku ngosuku lweentsuku ezingama-21. Ukupakishwa okulandelayo kwezibhebhile kufuneka kuqalwe emva kwekhefu leveki, ngexesha lokuphuma igazi (ukucinywa kwegazi). U-Yarina kufuneka athathwe ngomhla we-1-5 wokuphuma kwindoda, i-tablet ephosakeleyo kufuneka ithathwe ngokukhawuleza, mhlawumbi ukunciphisa ukukhuselwa kokukhusela kunokwenzeka. Ngethuba lehudo / ukuhlanza ngaphakathi kweeyure ezingama-2-4 emva kokuba uthathe idilesi ehleliweyo, kucetyiswa ukusebenzisa iindlela ezongezelelweyo zokukhusela. Izaziso zikaRarina ziboniswa emva kokuqala kwexesha lokugqibela, kungaboniswa kwithuba lokuyeka umyeni.
Izimpawu zokusetyenziswa:
- ukukhusela ukukhulelwa okungafunekiyo;
- unyango lwe-seborrhea, i-acne, i-hormone-kuxhomekeke ekugcinweni kwamanzi.
Ukungqinelana:
- i-thrombosis ye-articial / venous, i-myocardial infarction;
- ukuphazamiseka kwe-cerebrovascular, thromboembolism ye-pulmonary artery;
- i-angina pectoris, ukuhlaselwa kwe-ischemic ehamba phambili;
- isifo sesibindi sesifo esingapheliyo / esibi, isifo sikashukela sesifo sikashukela;
- ukungaphumeleli kwintambo, izibilini zesibindi;
- izifo ezixhomekeke kwi-hormone yezigulane zamathumbu / izitho zomzimba;
- ukukhulelwa, i-lactation, ukuphuma kwegazi lomfazi we-etiology engaziwayo;
- ukunganyamezelani komntu / icandelo leziyobisi.
Imiba engozi:
- ukukhubazeka kwenkqubo ye-cardiovascular, intlungu ye-vein thrombosis;
- utywala obunaphakade obungaphantsi kwama-40;
- Ukukhululeka, uxinzelelo lwexinzelelo, i-fibrillation yamagciwane;
- ukukhulelwa kwexesha elide, i-dyslipoproteinemia;
- ukungenelela okubanzi, ukubola kwesilonda, isifo sikaCrohn;
- lupus erythematosus, migraine, thromboembolism.
I-Yarin yokukhulelwa: imiphumela emibi
- ukuxinezeleka, ukuguquka kwemizwelo, ukulahlekelwa / ukuncipha kwe-libido;
- isicongconi, i-migraine, intlungu kwiimfumba ezincinci;
- i-episodic uterine bleeding, i-mammary gland hypertrophy;
- i-erythema ehlukeneyo, ukukhutshwa kwiintlanzi zamathambo.
Ukugqithisa:
iingxaki ezinzulu xa kuthatha isichengiselwano asilungelelwanga, ukubonwa kwebala, ukuhlanza, ukucabisa inambuzane. Ayikho i-antidote ethile, unyango olubonakaliswayo lubonakalisiweyo.
Ulwaphulo-mthetho lwe-Yarin: ukuphononongwa kunye nezifaniso
Isidakamizwa seMonophasic i-Yarina-esinokwethenjelwa, esanamhlanje, esilungeleyo, enika ubuncinane kwimiphumo emibi kunye neengxaki. Umlinganiselo ophantsi we-estrogen awuqumbisi isicathulo, ukuvuvukala, isisu, isisu esinzima. Ngenxa ye-drospirenone ngokumalunga nemvelaphi yokuthatha u-Yarina, ayikho isisindo somzimba kunye nokugcinwa kwamanzi. Iingxoxo: UJess , Dimia .
Ingxelo efanelekileyo:
- ukuphuma kwegazi ngaphakathi;
- Umphumo omhle wokulwa no-androgenic: iimpumpi ziyabhubha, ulusu kunye neenwele ziba zigcoba;
- kunciphisa umngcipheko womhlaza we-ovari kunye nesisu;
- ayinciphisi ukuzala, iqinisekisa i-100% yesithintelo sokukhulelwa.
Ingxelo engalunganga:
- ukwanda kwenyanuko, ukuguqulwa kwenkalo yengqondo;
- ukunyuka kwebele, ukunciphisa umnqweno wesini;
- ayikhuseli ekukhuselweni kwe-HIV, izifo ezithathelwana ngesondo.
Iipilisi zokukhusela i-Yarina: ukuhlolwa koogqirha
Iingcali ziqaphele ukuthembeka kwe-100 ye-Yarin yokulungiselela xa ithathwa ngokuhambelana nenkqubo efanelekileyo. Ukutya komlomo rhoqo kunikeza ukulungiswa komsebenzi wokuya esikhathini, kunciphisa ukubonakaliswa kwe-algodismorrhoea kunye ne-PMS, ngokuphucula kakhulu imeko yesikhumba, ayikuchaphazeli kakubi igazi coagulability. U-Yarina ukhuselekile, ubekezela ngokulula, uzinzisa impilo yebhinqa jikelele. Ngaphambi kokuba uqale ukuthatha ulwaphulo-mthetho, kufuneka ufumane uviwo olupheleleyo, kuquka i-cytology ye-mucus yomlomo wesibeleko kunye nokuhlolwa kwebele, ngaphandle kokukhulelwa. Ukholo oluphezulu lwe-contraceptive ye-Yarina, ukungabikho kwemiphumo engozi kwimimandla yeplavic kunye neprogram yegazi, echazwe ukuba yimpembelelo ye-antiandrogenic kunye ne-antimineralocorticoid yomsebenzi we-drospirenone avumela i-gynecologists ukuba icebise i-do-low dose I-Yarin iziyobisi kumaninzi amaninzi afuna ukukhuselwa ekukhulelweni okungenakulungiswa.