Amaphilisi okwehlisa i-Marvelon

UFatma Elbehery
2023-10-03T03:00:58+00:00
ulwazi oluvamile
UFatma ElbeheryIhlolwe ngu: Mostafa AhmedOkthoba 3, 2023Isibuyekezo sokugcina: ezinyangeni ezi-7 ezedlule

Amaphilisi okwehlisa i-Marvelon

Ukuze kuvikelwe umzimba ekukhulelweni okungafunwa, abesifazane abaningi bathembele emaphilisini okulawula inzalo.
Imakethe yamacereal amaningi igcwele inhlobonhlobo yemikhiqizo, omunye wayo okuwukusanhlamvu kweMarvelon.
Kodwa ingabe amaphilisi e-Marvelon angaba yindlela yokunciphisa umzimba?

Amaphilisi okulawula inzalo e-Marvelon angamaphilisi okulawula inzalo asebenzayo futhi adume ngezithako ezintathu ezisebenzayo ezivikela umzimba ekukhulelweni ngezindlela ezahlukene.
Kodwa-ke, abukho ubufakazi besayensi obusekela umbono wokuthi amaphilisi e-Marvelon angasiza futhi ekunciphiseni isisindo.

Amaphilisi e-Marvelon aqukethe amahomoni abesifazane i-progesterone ne-ethinyl estradiol.
Lezi zingxenye zilawula umjikelezo wokuya esikhathini futhi zivimbela ukukhulelwa.
Kodwa-ke, abukho ubufakazi obuqinisekisayo bokuphakamisa ukuthi lezi zithako zithinta ngokuqondile i-metabolism noma zingasheshisa inqubo yokushiswa kwamafutha.

Lapho kunqunywa amaphilisi okulawula ukuzalwa, izici eziningi kufanele zicatshangelwe kuhlanganise nempilo yonke kanye nokulinganisela kwamahomoni.
Uma unomgomo wokwehlisa isisindo, kungcono ukusebenzisa eminye imithombo efana nokudla okulinganiselayo nokuzivocavoca okuvamile kunokuthembela kumaphilisi okulawula inzalo kuphela.

Kunemiphumela emibi eyaziwayo yamaphilisi e-Marvelon, abesifazane okufanele bayiqaphele.
Le miphumela ingase ihlanganise ikhanda elibuhlungu, isicanucanu, ukuqunjelwa, nokushintsha kwemizwa.
Uma unokuthile okukukhathazayo mayelana nokusebenzisa amaphilisi okulawula inzalo, kungcono ukubonana nodokotela wakho ukuze uthole ulwazi olwengeziwe kanye nesiqondiso.

Yiziphi ukusetshenziswa kweMarvelon?

I-Marvelon umuthi oqukethe inhlanganisela ye-desogestrel ne-ethinyl estradiol njengesithako esisebenzayo, futhi isetshenziswa ezimeni ezimbalwa zezokwelapha Sizokubuyekezela ukusetshenziswa okubaluleke kakhulu kwe-Marvelon.

  1. Ukuvimbela inzalo: I-Marvelon iwuhlobo lwephilisi lokulawula ukuzalwa elinamahomoni futhi libhekwa njengelifanele abesifazane abafuna indlela ephumelelayo yokuvimbela inzalo.
    I-Marvelon isebenza ngokuvimbela owesifazane ekuphumeni kweqanda futhi abangele izinguquko olwelweni lwesibeletho, okwenza lungafaneleki ukuthola iqanda.
  2. Ukwelapha ukuphazamiseka kwama-hormone nokuya esikhathini okungajwayelekile: I-Marvelon iyasebenza ekulawuleni umjikelezo wokuya esikhathini nokunciphisa ukuphazamiseka kwamahomoni.
    Ingasetshenziselwa ukwelapha ukuya esikhathini okungajwayelekile nokunciphisa ubuhlungu obubangelwa yikho.
  3. Ukuthuthukisa izimpawu ezihlobene nomjikelezo wokuya esikhathini: I-Marvelon ingasiza ekudambiseni izimpawu ezingafuneki ezihambisana nomjikelezo wokuya esikhathini, njengekhanda elibuhlungu, ubuhlungu besisu, nesicanucanu.
  4. Ukwelapha i-polycystic ovary disorder: I-Marvelon ingase isetshenziselwe ukwelapha i-polycystic ovary disorder, eyenzeka ngenxa yokwakheka kwezinqwaba ezincane ezigcwele uketshezi kuma-ovari.
    I-Marvelon isebenza ukuvimbela ukwanda kwenani lama-cysts nokunciphisa izimpawu ezihambisana nawo.

Kodwa-ke, abantu kufanele babonane nodokotela ngaphambi kokusebenzisa i-Marvelon nanoma yimuphi omunye umuthi.
Odokotela kufanele bahlole isimo sezempilo esijwayelekile somuntu kanye nomlando womuntu siqu wezokwelapha ngaphambi kokunikeza imithi efanele.
Imiyalo yomthamo kufanele ilandelwe ngokucophelela futhi noma yiziphi izinguquko ekwelashweni kufanele zigwenywe ngaphandle kokubonisana nodokotela wakho.

**Qaphela: Ukusetshenziswa kwe-Marvelon kungase kwehluke kumuntu nomuntu ngokuvumelana nezincomo zikadokotela owelaphayo.**

Yiziphi ukusetshenziswa kweMarvelon?

Ingabe amaphilisi okulawula inzalo e-Marvelon anamandla?

XNUMX.
تعتبر حبوب منع الحمل من الأساليب الشائعة لتنظيم الأسرة ومنع الحمل غير المرغوب فيه.
Phakathi kwalawa maphilisi, amaphilisi e-Marvelon angenye yezinhlobo ezidumile nezisetshenziswa kakhulu.

XNUMX.
حبوب مارفيلون تحتوي على مزيج من هرمونات الاوستروجين والبروجستيرون، وتعمل على منع الحمل عن طريق تثبيط نزول البويضة من المبيض وتغير بيئة الرحم لكي يصعب على الحيوان المنوي الوصول إلى البويضة.

XNUMX.
وفقًا للعديد من الدراسات والأبحاث، فإن حبوب مارفيلون تعتبر فعالة جدًا في منع الحمل، مع نسبة فشل قليلة جدًا تقدر بنسبة ٠.٠٣٪ في حال استخدامها بشكل صحيح.

XNUMX.
بالإضافة إلى منع الحمل، قد توفر حبوب مارفيلون أيضًا فوائد صحية أخرى للمرأة، مثل تنظيم الدورة الشهرية وتقليل حدة الآثار الجانبية للدورة الشهرية مثل آلام الحيض والنفاس العام.

XNUMX.
يجب على المرأة الراغبة في استخدام حبوب مارفيلون استشارة الطبيب أو الصيدلي المختص قبل البدء في استخدامها، حيث يمكنهم تقديم المشورة المناسبة وتحديد ما إذا كانت هذه الحبوب مناسبة لحالتها الصحية الفردية.

XNUMX.
على الرغم من أن حبوب مارفيلون تعتبر آمنة لمعظم النساء، فإنها قد تسبب بعض الآثار الجانبية الطفيفة مثل الغثيان والصداع وتغير في نزيف الدورة الشهرية.
Uma kwenzeka noma yimiphi imiphumela emibi engadingeki, owesifazane kufanele athinte udokotela wakhe ukuze athole isiqondiso esidingekayo.

Ngokuvamile, kungashiwo ukuthi amaphilisi okulawula ukuzalwa e-Marvelon anamandla futhi ayasebenza ekuvimbeleni ukukhulelwa, kodwa kufanele asetshenziswe ngendlela efanele futhi ngaphansi kokuqondisa kukadokotela ukuze kuqinisekiswe ukusebenza kahle okukhulu futhi agweme noma yimiphi imiphumela emibi engadingeki.

Ingabe amaphilisi e-Marvelon aqukethe i-estrogen?

Amaphilisi e-Marvelon ayinketho ethandwayo yokuphatha ukukhulelwa kwabesifazane, futhi anezinzuzo ezimbalwa eziwenza abe yisinqumo esidumile. 
Sizobheka ukwakheka kwamaphilisi e-Marvelon nokuthi aqukethe yini i-estrogen noma cha.

Okokuqala nokubalulekile, kufanele sicacise ukuthi i-Marvelon iyiphilisi lokuvimbela inzalo elihlanganisa imithamo emibili yamahomoni, okuyi-estrogen ne-progestin.
I-Estrogen isebenzela ukuvimbela ukuvuthwa kweqanda ngokuvimbela ukukhula kwamaqanda kuma-ovari, kuyilapho i-progestin isebenza ukuze iguqule ulwelwesi lwesibeletho futhi ilwenze lungafaneleki ukuthola iqanda elivundisiwe.

Ngakho, yebo, amaphilisi e-Marvelon aqukethe i-estrogen ngethamo elifanele, okungenye yamahomoni ayinhloko ekwakhiweni kwangaphakathi kwephilisi.
I-Estrogen isetshenziselwa izinjongo eziningana, okuhlanganisa ukuvimbela ukukhulelwa, ukulawula ukopha ngezikhathi ezithile, ukuthuthukisa izimpawu zangaphambi kokuya esikhathini, ukunciphisa amathuba okuba ama-ovarian cysts akheke, nokunciphisa ubunzima bokuvuthwa kweqanda.

Ukuba khona okwanele kwe-estrogen kumaphilisi e-Marvelon kungase kufaneleke kwabesifazane abaningi, kodwa akufanele asetshenziswe abesifazane abanezimo ezithile zempilo ezifana nomfutho wegazi ophakeme, ama-fibroids, noma umlando wamahlule egazi.
Kubalulekile ukuthi abesifazane bakhulume nodokotela wabo ngaphambi kokuqala ukusebenzisa amaphilisi okulawula inzalo ukuze bathole indlela engcono kakhulu abangawakhetha.

Iyini imiphumela emibi yamaphilisi okulawula ukuzalwa e-Marvelon?

Amaphilisi okulawula ukuzalwa e-Marvelon abhekwa njengenye yezindlela ezidume kakhulu nezisebenzayo zokuvimbela inzalo emhlabeni.
Nakuba lisebenza ngempumelelo ekuvimbeleni ukukhulelwa, abesifazane kufanele bazi ngemiphumela engemihle engase ibe khona yokusebenzisa lolu hlobo lwephilisi lokulawula inzalo.
Kulesi sihloko, sizogqamisa eminye yemiphumela emibi evamile yamaphilisi okulawula ukuzalwa e-Marvelon.

  1. Izinguquko emikhubeni yokuya esikhathini: Abanye besifazane bangase baqaphele izinguquko endleleni yabo yokuya esikhathini ngemva kokuqala ukusebenzisa amaphilisi e-Marvelon.
    Ngesikhathi sokuya esikhathini, inani legazi lingase libe lincane, futhi lokhu kungase kubangele ukwanda kobuhlungu bobuhlungu.
    Abanye bangase futhi bazizwe bebambezeleka ukuya esikhathini.
  2. Ukukhuluphala: Abanye besifazane abasebenzisa amaphilisi e-Marvelon bahlushwa ukukhuluphala.
    Lokhu kubangelwa umphumela we-hormonal wephilisi, okuholela ekugcinweni kwamanzi nokwanda kwesifiso sokudla.
    Ngakho-ke, kungcono kakhulu ukugwema ukudla okunzima nokuzivocavoca njalo ukuze ugcine isisindo esifanele.
  3. Umthelela esimweni sengqondo: Abanye besifazane baba nokushintsha kwemizwa ngenkathi bephuza amaphilisi e-Marvelon.
    Bangase bazizwe becindezelekile, bashintshe isifiso sobulili, futhi bacindezeleke ngokwengqondo.
    Isimo semizwa kufanele sihlolwe njalo futhi udokotela wezifo zabesifazane kufanele abuyekezwe uma kuvela izimpawu eziphindaphindayo nezikhathazayo.
  4. Ukwanda kwengozi yamahlule egazi: Ukusetshenziswa kwamaphilisi e-Marvelon kuhlotshaniswa nengozi eyengeziwe yamahlule egazi.
    Ngakho-ke, ukusetshenziswa kwalolu hlobo lwephilisi yokulawula ukuzalwa kufanele kugwenywe uma kukhona umlando womndeni wamahlule noma umlando we-thrombosis.
  5. Umthelela ekukhathazekeni nasekhanda elibuhlungu: Abanye besifazane bangathola imiphumela ecasulayo efana nekhanda elibuhlungu nokwanda kokukhathazeka lapho bephuza amaphilisi e-Marvelon.
    Kungcono ukubonana nodokotela uma izimpawu ziqhubeka noma ziba zimbi kakhulu.

Imiphumela engemihle yamaphilisi e-Marvelon ingase yehluke kumuntu ngamunye, futhi ingase ingabonakali nhlobo kwabanye.
Kodwa kubalulekile ukuqapha umzimba wakho futhi ukhulume nodokotela wakho nganoma yiziphi izinguquko ezenzeka ngenkathi usebenzisa lolu hlobo lwephilisi lokulawula ukuzalwa.
Uma uhlangabezana nanoma yikuphi ukungakhululeki noma mayelana nemiphumela engemihle, udokotela wakho angase asikisele ukushintsha uhlobo lwakho lokuvimbela inzalo noma umthamo ukuze uqinisekise ukunethezeka kwakho nokuphepha kukonke.

Yiziphi contraindications ngokusetshenziswa Marvelon?

I-Marvelon Kuwumuthi oqukethe isithako esisebenzayo esibizwa nge-“desogestrel”.
Lo muthi usetshenziselwa ukuvimbela ukukhulelwa futhi unconywa kwabesifazane abangafuni ukukhulelwa isikhathi esithile.
Kodwa-ke, kukhona ukuphikisana nokusetshenziswa kweMarvelon abesifazane okufanele bakucabangele ngaphambi kokusebenzisa lo muthi.
Owesifazane kufanele akhulume nodokotela ngaphambi kokuqala ukusebenzisa ukuze aqiniseke ukuthi kuyisinqumo esifanele kuye.
Ngezansi uhlu lwezinye ze-contraindication ezingase zenzeke:

1.
تاريخ الجلطات الدموية:

Uma unomlando wangaphambilini wamahlule egazi emithanjeni yakho yegazi, i-Marvelon ingase ingaphephile kuwe.
Ukuhluleka kwesimiso sokujikeleza kwegazi kuyinkimbinkimbi engavamile yokusebenzisa lo muthi futhi kungase kwandise ingozi yamahlule egazi.

2.
التاريخ الشخصي لأورام الثدي:

Uma unomlando womuntu siqu wamathumba ebele, ukusebenzisa i-Marvelon kungase kube nemiphumela engemihle.
Kukhona ingozi yokwanda kwengozi yezimila zamabele eziyingozi.

3.
أمراض الكبد:

Uma unesifo sesibindi esinzima noma esingamahlalakhona, i-Marvelon kungenzeka ingaphephile ukuyisebenzisa.
Lo muthi ungathinta ukusebenza kwesibindi futhi ukwandise ingozi yokuthuthukisa izinkinga zesibindi.

4.
ukukhulelwa:

I-Marvelon akufanele isetshenziswe ngesikhathi sokukhulelwa.
Lo muthi uhloselwe abesifazane abangafuni ukukhulelwa, kodwa akuyona indlela yokukhulelwa futhi ayigcini ukukhulelwa.

5.
Ukuncelisa Ibele:

Uma uncelisa ingane encane, i-Marvelon ingase ingakufanelekeli.
Ukusetshenziswa kwalo muthi kungathinta izinga lokukhiqizwa kobisi kanye nekhwalithi yalo.

Kubalulekile ukuqaphela ukuthi kunezinhlobonhlobo zokuphikisana ezingathinta ukusetshenziswa kweMarvelon.
Ngakho-ke, kungcono ukubonana nodokotela ngaphambi kokusebenzisa le mithi futhi uqaphele umlando wakho wesifo kanye nezimo zempilo ngayinye.

Yiziphi contraindications ngokusetshenziswa Marvelon?

Kuyini ukusebenzisana kwezidakamizwa kweMarvelon?

Ukusebenzisana kwezidakamizwa ze-Immunosuppressive:
Ukuthatha i-Marvelon ngezidakamizwa ezivimbela ukuzivikela komzimba, njenge-corticosteroids, kungase kwandise ingozi yakho yokutheleleka futhi kunciphise ikhono lomzimba wakho lokulwa nazo.
Ukuqapha kufanele kusetshenziswe lapho usebenzisa le mithi ndawonye futhi kufanele kunikezwe izeluleko zezokwelapha ezifanele.

Ukusebenzisana kwezidakamizwa ze-Anticoagulant:
Ukuthatha i-Marvelon ngemithi ye-anticoagulant efana ne-warfarin kungandisa ingozi yokopha.
Ukuhlolwa kwe-blood coagulation kufanele kuqashwe njalo futhi imithamo yezidakamizwa ilungiswe ngokufanele.

Ukusebenzelana kwemithi yokwehlisa umfutho wegazi:
Ukuthatha i-Marvelon ngemithi ye-antihypertensive kungase kwehlise ukusebenza kwayo futhi kwandise ingozi yomfutho wegazi ophansi ngokungavamile.
Ukuqapha kufanele kusetshenziswe lapho le mithi isetshenziswa ndawonye futhi umfutho wegazi uqashwe njalo.

Ukusebenzisana kwezidakamizwa ze-Antidepressant:
Ukuthatha i-Marvelon ngemithi eqeda ukucindezeleka njenge-citalopram kungase kwenyuse ingozi yemiphumela engemihle efana nesiyezi nokukhathala.
Kuyadingeka ukuqapha ngokucophelela izimpawu futhi wazise udokotela nganoma yiziphi izinguquko.

Ukuxhumana kwezidakamizwa ze-antacid:
I-Marvelon ingase yehlise ukumuncwa kwemithi ye-antacid efana ne-omeprazole futhi ithinte ukusebenza kwayo.
Kunconywa ukuba ugweme ukuwathatha ndawonye noma uthintane nodokotela wakho.

Ukusebenzisana kwezidakamizwa ze-Antidiabetic:
I-Marvelon ingase ihlanganyele nemithi ethile ye-antidiabetic efana ne-metformin futhi ibangele ukwanda koshukela egazini.
Amazinga kashukela kufanele aqashwe njalo futhi imithamo ilungiswe ngokufanele.

Isikhumbuzi esibalulekile:
Lokhu okunye kokusebenzelana okungenzeka phakathi kwe-Marvelon neminye imithi.
Ungase ube nokunye ukusebenzelana okungenzeka noma udinga iziphakamiso ezikhethekile zesimo sakho ngasinye.
Kubalulekile ukuthi uxhumane nodokotela wakho noma usokhemisi ngaphambi kokuthatha noma imuphi umuthi omusha eduze kwe-Marvelon ukuze uthole izinkomba ezilungile zomthamo futhi ugweme noma yikuphi ukusebenzisana kwezidakamizwa okungafunwa.

Yiziphi izinhlobo zemithi ye-Marvelon?

Kunezindlela ezahlukahlukene zeMarvelon ongakhetha kuzo.
Lo muthi ungenye yezinketho eziningi ezitholakalayo kwabesifazane abafuna ukulawula inzalo.
I-Marvelon iqukethe inhlanganisela yamahomoni amabili abesifazane, i-ethinylestrogens ne-gestodene.

Nakhu okuhlukile okutholakalayo kwe-Marvelon:

  1. Amathebulethi: I-Marvelon ivamise ukuza ngethebhulethi.
    Ithebhulethi eyodwa ithathwa ngosuku lokuqala lokuya esikhathini, futhi amaphilisi asele athathwa njalo izinsuku ezingu-21.
    Ngemva kwalokho, thatha ikhefu lezinsuku ezingu-7 ngaphambi kokuqala umucu omusha wamaphilisi.
  2. Amanye amafomu: Abanye odokotela bangase batuse ezinye izinhlobo ze-Marvelon, ezifana namaphilisi ane-coated soft noma amaphilisi amise okwejwayelekile.

Kufanele kuqashelwe ukuthi kufanele kukhulunywe nodokotela ngaphambi kokuthatha noma yimiphi imithi, kuhlanganise ne-Marvelon.
Umthamo namafomu afanele ancike esimweni sempilo yomuntu ngamunye kanye nezimo zomuntu siqu.
Kungase kuthathe isikhathi ukufeza ibhalansi efanelekile yamahomoni emzimbeni, ngakho-ke kufanele uqhubeke uthintana nodokotela wakho ukuze uqaphe ukuthuthukiswa.

Ngaphezu kwalokho, kungase kube nezinye izindlela ezingasetshenziswa esikhundleni se-Marvelon nezinye iziphakamiso zokulawula ukuzalwa okufanele zicatshangelwe.
Kungcono ukukhuluma nodokotela wakho ukuze uthole imininingwane egcwele mayelana nezinketho ezitholakalayo futhi ubuze mayelana namathuba kanye nezingozi ezingaba khona zenketho ngayinye.

Ungakhohlwa ukulandela imihlahlandlela yezempilo ejwayelekile, ukunamathela kumithamo ebekiwe, futhi uxhumane nodokotela wakho mayelana nanoma yiziphi izinguquko ezenzeka empilweni yakho ngenkathi uthatha i-Marvelon nanoma yimuphi omunye umuthi.

Yiziphi izinhlobo zemithi ye-Marvelon?

Yiziphi izimo zokugcina ze-Marvelon?

I-Marvelon umuthi osetshenziselwa ukwelapha izifo ezithathelwanayo kanye ne-hepatitis C, futhi iqukethe isithako esisebenzayo esaziwa nge-mitaprilax.
Kumele igcinwe ezimeni ezijwayelekile ukuze igcine izinga layo namandla.

  1. izinga lokushisa:
    I-Marvelon kufanele igcinwe ezingeni lokushisa eliphakathi kuka-20-25°C (68-77°F).
    Izinga lokushisa akufanele lidlule ku-30°C (86°F), futhi lingehli ngaphansi kuka-15°C (59°F).
    Kufanele kugwenywe ezindaweni lapho izinga lokushisa liguquguquka ngokwedlulele noma ngaphansi kwethonya lelanga eliqondile.
  2. Umswakamo:
    Kungcono ukugcina i-Marvelon endaweni eyomile ekude nomswakama ophezulu.
    Kufanele ugweme ukuyibeka kunoma yiluphi uhlobo lomswakama, okuhlanganisa umhwamuko wamanzi namanzi awuketshezi.
  3. Ukuvikela ukukhanya:
    I-Marvelon kufanele ifakwe ephaketheni layo lokuqala futhi ivikelwe ekukhanyeni okuqondile, njengoba ukukhanya okunamandla kungase kuthinte kabi ikhwalithi nokusebenza komuthi.
    Kutuswa ukuyibeka endaweni emnyama njengekhabethe noma ekhabetheni.
  4. Isitoreji esiphephile:
    I-Marvelon kufanele igcinwe endaweni lapho izingane nezilwane ezifuywayo ingenakufinyeleleka kuyo, futhi iqinisekise ukuthi ayifinyeleli ezandleni zalabo abangebona ochwepheshe.
    Kungase kube ngcono ukuyigcina endaweni evikelekile enokhiye.
  5. Usuku lokuphelelwa isikhathi:
    I-Marvelon akufanele isetshenziswe ngemva kosuku lokuphelelwa yisikhathi.
    Idethi yokuphelelwa yisikhathi ingatholakala ephaketheni lemithi nasohlwini olunamathelayo oluluhlaza kukepisi yephakheji.

    Uma lezi zimo zithotshelwa futhi umuthi ugcinwe ngendlela efanele, ukusebenza kwe-Marvelon kungase kuthenjelwe kukho futhi ikhwalithi yayo igcinwe isikhathi eside.
    Kuhlale kunconywa ukuthi ubuyekeze izikhombisi-ndlela ezifakwe nemithi yakho futhi uthintane nosokhemisi wakho uma unemibuzo noma izinto ezikukhathazayo.

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