Estrogen iyo Progestin (Ka-hortagga uurka ee Afka)

Qanacsan

• Kahor qaadashada ka-hortagga uurka ee afka,
• Ka-hortagga uurka ee afka ayaa sababi kara waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
• Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Calaamadaha soo socdaa waa kuwo aan caadi ahayn, laakiin haddii aad isku aragto midkood, isla markiiba wac dhakhtarkaaga:
• Calaamadaha xad dhaafka ah waxaa ka mid noqon kara:

Sigaar cabiddu waxay kordhisaa halista waxyeellooyinka halista ah ee ka-hortagga uurka ee afka, oo ay ku jiraan wadno qabadka, xinjirowga dhiigga, iyo istaroogga. Khatartani waxay ku badan tahay haweenka da'doodu ka weyn tahay 35 sano iyo dadka sigaarka caba (15 ama ka badan sigaar maalintii). Haddii aad qaadato ka hortagga uurka ee afka, waa inaadan sigaar cabbin.

Ka hortagga uurka ee afka (kaniiniyada ka hortagga uurka) ayaa loo isticmaalaa in looga hortago uurka. Estrogen iyo progestin waa laba hormoon oo jinsi haween ah. Isku darka estrogen iyo progestin waxay ka shaqeeyaan iyagoo ka hortagaya ugxansidaha (sii deynta ukunta ugxan sidaha). Waxay sidoo kale badalaan dahaarka ilmo-galeenka (ilmo galeenka) si looga hortago uurku inuu u soo baxo oo ay u beddelaan xabka sanka afkiisa (furitaanka ilmo galeenka) si looga ilaaliyo shahwada (unugyada taranka ragga) inay soo galaan. Ka hortagga afka waa hab wax ku ool ah oo ka hortagga uurka ah, laakiin kama hortagaan faafitaanka fayraska difaaca jirka ee dadka (HIV, virus-ka keena cudurrada difaaca jirka ee la helay [AIDS]) iyo cudurrada kale ee galmada lagu kala qaado.

Qaar ka mid ah noocyada ka hortagga uurka ee afka ayaa sidoo kale loo isticmaalaa in lagu daaweeyo finanka bukaannada qaarkood. Ka-hortagga afka ayaa lagu daaweeyaa fin-ka iyaga oo yareeya xaddiga maaddooyinka dabiiciga ah qaarkood ee sababi kara finanka.

Qaar ka mid ah ka-hortagga uurka ee afka (Beyaz, Yaz) ayaa sidoo kale loo isticmaalaa in lagu yareeyo astaamaha cilladda disphoric premenstrual dysphoric disorder (astaamaha jirka iyo shucuurta ee dhaca ka hor inta aan caadada la gaarin bil kasta) haweenka doorta inay isticmaalaan ka hortagga uurka ee afka si looga hortago uurka.

Ka-hortagga afka waxay ku yimaadaan baakado ka kooban 21, 28, ama 91 kaniini oo afka laga qaato hal mar maalintii, maalin kasta ama ku dhowaad maalin kasta oo wareeg ah. Si looga fogaado lallabbo, u qaado ka-hortagga uurka ee afka cunnada ama caanaha. Qaado ka-hortagga uurka ee afka isku waqti maalin kasta. Si taxaddar leh u raac tilmaamaha ku qoran calaamadaha laguu qoray, oo weydii takhtarkaaga ama farmashiistaha inuu kuu sharxo qayb kasta oo aadan fahmin. U qaado ka-hortagga uurka ee afka sida saxda ah ee lagu faray. Ha ka qaadin wax ka badan ama ka yar, u qaado marar badan, ama ha u qaadan waqti ka badan intii uu dhakhtarku kuu qoray.

Ka-hortagga uurka ee afka ayaa ku soo baxa noocyo badan oo kala duwan. Noocyada kala duwan ee ka-hortagga uur-qaadidda afka waxaa ku jira waxoogaa daawooyin kala duwan ah ama qiyaaso, waxaa loo qaadaa siyaabo kala duwan, waxayna leeyihiin khataro iyo faa'iidooyin kala duwan Hubso inaad ogtahay nooca ka hortagga uurka ee aad isticmaaleyso iyo sida saxda ah ee aad u isticmaaleyso. Weydiiso dhakhtarkaaga ama farmashiistaha nuqul ka mid ah macluumaadka soo saaraha ee bukaanka oo si taxaddar leh u akhri.

Haddii aad leedahay baakad 21-kiniin ah, qaado 1 kaniini maalin kasta 21 maalmood ka dibna midna 7 maalmood. Kadib bilaabi baakad cusub.

Haddii aad haysatid baakad 28-kiniin ah, qaado 1 kaniini maalin kasta 28 maalmood oo isku xigta siday u kala horreeyaan baakaddaada. Bilow baakad cusub maalinta xigta ee aad qaadatid kaniiniga 28aad. Kiniiniyada ku jira xirmooyinka ugu badan 28-kiniin ayaa laga yaabaa inay leeyihiin midabbo kala duwan. Qaar badan oo ka mid ah baakadaha 28-kiniin ah waxay leeyihiin kiniinno midab gaar ah leh oo ay ku jiraan xaddiyo kala duwan oo ah estrogen iyo progestin, laakiin sidoo kale waxa laga yaabaa inay leeyihiin kiniinno kale oo midab leh oo ku jira maaddooyin aan firfircooneyn ama dheeri ah folate.

Haddii aad haysato xirmo kiniin ah oo 91 maalmood ah, qaado 1 kaniini maalin kasta 91 maalmood. Baakaddaadu waxay ka koobnaan doontaa saddex saxan oo kiniin ah. Ka bilaw kaniiniga ugu horeeya saxaarada koowaad oo sii wad qaadashada 1 kaniini maalin walba sida ugu qoran baakadka ilaa aad ka wada qaadaneysid dhamaan kiniiniyada kujira dhamaan baakadaha. Kiniiniyada ugu dambeeya waa midab kala duwan. Kiniiniyadaani waxaa ku jiri kara walax aan firfircooneyn, ama waxaa ku jiri kara qadar aad u hooseeya oo ah estrogen. Bilow baakadkaaga cusub maalinta aad qaadatid kiniinkaaga 91aad.

Dhakhtarkaaga ayaa kuu sheegi doona goorta aad bilaabayso qaadashada ka hortagga uurka ee afkaaga. Ka-hortagga uurka ee afka ayaa badanaa la bilaabaa maalinta koowaad ama shanaad ee caadadaada ama Axadda ugu horreysa ka dib ama ay dhiig-baxu bilaabmo. Dhakhtarkaaga ayaa waliba kuu sheegi doona inaad u baahan tahay inaad isticmaasho hab kale oo xakameynta dhalmada ah inta u dhexeysa 7 ilaa 9 maalmood ee ugu horreysa ee aad qaadanayso ka-hortagga uurka ee afkaaga oo kaa caawin doonta inaad doorato qaab. Raac tilmaamahan si taxaddar leh.

Waxaad u badan tahay inaad la kulmi doonto dhiig bax oo la mid ah xilliga caadada inta aad qaadaneysid kaniiniyada aan firfircooneyn ama kaniiniyada hooseeya ee estrogen ama inta lagu jiro usbuuca aadan qaadanin ka hortagga uurka ee afkaaga. Haddii aad qaadanaysid nooca baakadda ay ku jiraan oo keliya kiniinno firfircoon, ma la kulmi doontid wax dhiig bax ah oo jadwal ah, laakiin waxaad la kulmi kartaa dhiig-bax lama filaan ah iyo dhibco, gaar ahaan bilowga daaweyntaada. Hubso inaad bilowdo qaadashada baakadkaaga cusub jadwalka xitaa haddii aad weli dhiig-baxeyso.

Waxaa laga yaabaa inaad u baahato inaad isticmaasho hab gurmad oo ah xakameynta dhalmada haddii aad matagto ama aad shubanayso inta aad qaadanayso ka hortagga uurka ee afka. Kala hadal dhakhtarkaaga arrintan kahor intaadan bilaabin inaad qaadatid ka-hortagga uurka ee afka si aad ugu diyaar garowdo habka keydinta ee ka-hortagga uurka haddii ay dhacdo in loo baahdo. Haddii aad hunqaacdo ama aad yeesho shuban inta aad qaadanayso ka hortagga uurka ee afka, wac dhakhtarkaaga si aad u ogaato muddada ay tahay inaad isticmaasho habka gurmadka.

Haddii aad dhawaan dhashay, sug ilaa 4 toddobaad ka dib dhalmada si aad u bilowdo qaadashada ka hortagga uurka ee afka. Haddii aad ilmo iska soo ridday ama dhicis ka dhacday, kala hadal dhakhtarkaaga goorta ay tahay inaad bilowdo qaadashada ka hortagga uurka ee afka.

Ka-hortagga uur-qaadidda afku waxay shaqeyn doontaa oo keliya illaa inta si joogto ah loo qaato. Sii wad inaad qaadato ka-hortagga uurka ee afka maalin kasta xiitaa haddii dhibic kaa muuqato ama dhiig-baxayo, calool kacsan tahay, ama aadan u maleynin inaad uur qaadi doontid. Ha u joojin qaadashada ka hortagga uurka ee afka adiga oo aan la hadlin dhakhtarkaaga.

Ka-hortagga afka ayaa sidoo kale mararka qaarkood loo isticmaalaa in lagu daaweeyo caadada culus ama aan caadiga ahayn iyo endometriosis (xaalad nooca nooca cadka ah ee safka ilmagaleenka ilmagaleenka ku soo baxo qaybaha kale ee jirka oo sababa xanuun, caadooyin culus ama aan caadi ahayn [xilliyada), iyo calaamadaha kale). Kala hadal dhakhtarkaaga khataraha aad u leedahay isticmaalka dawadan xaaladaada.

Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor qaadashada ka-hortagga uurka ee afka,

• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay estrogen, progestin, ama daawooyin kale.
• u sheeg dhakhtarkaaga iyo farmashiistaha dawooyinka dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, iyo nafaqada nafaqada ee aad qaadanayso. Hubso inaad sheegto mid ka mid ah kuwan soo socda: acetaminophen (APAP, Tylenol); antibiyootikada sida ampicillin (Principen), clarithromycin (Biaxin), erythromycin (EES, E-Mycin, Erythrocin), isoniazid (INH, Nydrazid), metronidazole (Flagyl), minocycline (Dynacin, Minocin), rifabutin (Mycobutin), rifampin Rifadin, Rimactane), tetracycline (Sumycin), iyo troleandomycin (TAO) (oo aan laga heli karin Mareykanka); daawooyinka xinjirowga lidka ku ah ('khafiifiyeyaasha dhiigga') sida warfarin (Coumadin); antifungals sida griseofulvin (Fulvicin, Grifulvin, Grisactin), fluconazole (Diflucan), itraconazole (Sporanox), iyo ketoconazole (Nizoral); atorvastatin (Lipitor); clofibrate (Atromid-S); cyclosporine (Neoral, Sandimmune); bosentan (Tracleer); cimetidine (Tagamet); danazol (Danocrine); delavirdine (Qoraa); diltiazem (Cardizem, Dilacor, Tiazac); fluoxetine (Prozac, Sarafem, oo ku taal Symbyax); Kahortagayaasha 'protease HIV' sida indinavir (Crixivan) iyo ritonavir (Norvir); dawooyinka qalalaasaha sida carbamazepine (Tegretol), felbamate (Felbatol), lamotrigine (Lamictal), oxcarbazepine (Trileptal), phenobarbital (Luminal, Solfoton), phenytoin (Dilantin), primidone (Mysoline), iyo topiramate (Topamamate) modafinil (Provigil); morphine (Kadian, MS Contin, MSIR, kuwa kale); nefazodone; rifampin (Rimactane, Rifadin, Rifater); dawooyinka afka laga qaato sida dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), prednisone (Deltasone), iyo prednisolone (Prelone); temazepam (Soocelin); theophylline (Theobid, Theo-Dur); daawada tayroodhka sida levothyroxine (Levothroid, Levoxyl, Synthroid); verapamil (Calan, Covera, Isoptin, Verelan); fitamiin C; iyo zafirlukast (Accolate). Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
• haddii aad qaadanayso dawooyinka ka hortagga uurka ee afka laga qaato ee ka kooban drosperinone (Beyaz, Gianvi, Loryna, Ocella, Safyral, Syeda, Yasmin, Yaz, and Zarah) u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad qaadanayso mid ka mid ah daawooyinka kor ku xusan ama mid ka mid ah kuwan soo socda: angiotensin-converting enzyme (ACE) inhibitors sida benazepril (Lotensin), enalapril (Vasotec), iyo lisinopril (Prinivil, Zestril); angiotensin II antagonists sida irbesartan (Avapro), losartan (Cozaar), iyo valsartan (Diovan); asbiriin iyo dawooyinka kale ee nonsteroidal anti-bararka (NSAIDs) sida ibuprofen (Advil, Motrin) iyo naproxen (Aleve, Naprosyn); diuretics ('kaniiniyada biyaha') sida amiloride (Midamor), spironolactone (Aldactone), iyo triamterene (Dyrenium); eplerenone (Inspra); heparin; ama kaalshiyamka. Kahor qaadashada Beyaz ama Safyral, sidoo kale u sheeg dhakhtarkaaga ama farmashiistaha haddii aad qaadanaysid cholestyramine (Locholest, Prevalite, Questran), folate supplement, methotrexate (Trexall), pyrimethamine (Daraprim), sulfasalazine (Azulfidine), ama valproic acid (Depakene, Stavzor)
• u sheeg dhakhtarkaaga waxa ka soo baxa dhirta aad qaadanaysid, gaar ahaan johannesört wort.
• u sheeg dhakhtarkaaga haddii aad qabto ama aad waligaa xinjiro dhiig ka sameysay lugahaaga, sambabbadaada, ama indhahaaga; thrombophilia (xaalad dhiiggu si dhib yar ku xinjiroobo); cudurka halbowlayaasha wadnaha (xididdada dhiigga ee xidha wadnaha) cudurka maskaxda ku dhaca (xiritaanka ama daciifinta xididdada dhiigga ee maskaxda gudaheeda ama u horseeda maskaxda); istaroog ama mini-stroke; garaaca wadnaha oo aan joogto ahayn; cudurka wadnaha; wadne qabad; xabad xanuun; sonkorow saameyn ku yeeshay wareeggaaga; madax xanuun ay la socdaan calaamado kale sida isbeddellada aragga, daciifnimo, iyo wareer; dhiig kar; kansarka naasaha; kansarka ku dhaca xuubka ilmo-galeenka, makaanka afkiisa, ama siilka; kansarka beerka, burooyinka beerka, ama noocyada kale ee cudurka beerka; hurdi maqaarka ama indhaha ah inta lagu guda jiro uurka ama intaad isticmaaleyso ka hortagga uurka hormoonka (kaniiniyada ka hortagga uurka, dhejisyo, faraantiyo, maqaar saar, ama irbado); dhiigbax aan caadi ahayn oo xubinta taranka ah oo aan la garanayn; ku filnaansho la'aanta 'adrenal insufficiency' (xaalad uusan jidhku soo saarin ku filan walxaha dabiiciga ah qaarkood ee loogu baahan yahay shaqooyinka muhiimka ah sida cadaadiska dhiigga); ama cudurka kalyaha. Sidoo kale u sheeg dhakhtarkaaga haddii aad dhawaan qalliin sameysay ama aad awoodi kari weyday inaad dhaqaaqdo sababa jira awgood. Dhakhtarkaaga ayaa kuu sheegi kara inaadan qaadan noocyada ka hortagga uurka ee afka ama inaad qaadan weydo nooc kasta oo ka hortagga uurka ah haddii aad leedahay ama aad qabtid mid ka mid ah xaaladahaas.
• Sidoo kale u sheeg dhakhtarkaaga haddii qof qoyskaaga ka mid ahi uu ku dhacay kansarka naasaha, haddii aad miisaan culus tahay, iyo haddii aad qabto ama aad waligaa dhibaato ka haysato naasahaaga sida burooyinka, raajada naasaha oo aan caadi ahayn (raajada naaska), ama cudurka naasaha ee fibrocystic ( barar, naaso jilicsan iyo / ama burooyinka naasaha ee aan kansar lahayn); kolestaroolka dhiigga sareeya ama dufanka; sonkorowga; neefta; sunta (dhiig karka inta lagu jiro uurka); wadne qabad; xabad xanuun; suuxdinta; madax xanuunka dhanjafka; niyad jab; cudurka xameetida; cagaarshow (maqaarka ama indhaha oo hurdi noqda); iyo culeyska xad dhaafka ah iyo dheecaanka oo haayo (dibbiro) inta lagu jiro wareegga caadada.
• ha qaadanin ka-hortagga uurka ee afka haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelato inta aad qaadanaysid ka hortagga uurka ee afka, wac dhakhtarkaaga isla markiiba.
• haddii aad seegto xilliyada aad qaadanayso ka-hortagga uurka ee afka, waxaad uur yeelan kartaa. Haddii aad isticmaaleyso xirmo 91-kiniin ah oo aad hal seegto, wac dhakhtarkaaga. Haddii aad isticmaaleyso nooc kale oo baakad ah sida ku xusan tilmaamaha oo aad hal seegto, waxaad sii wadan kartaa qaadashada kaniiniyadaada. Si kastaba ha noqotee, haddii aadan kiniinnadaada u qaadan sidii lagu faray oo aad hal seegto ama haddii aad kiniinnadaadii u qaadatay sidii lagu faray oo aad laba caado maqnaato, wac takhtarkaaga oo isticmaal hab kale oo ka-hortagga uurka illaa iyo inta baaritaanka uurka lagaa qaadayo. Haddii aad isticmaaleyso baakad 28-kiniin ah oo ay ku jiraan kaliya kiniinno firfircoon, ma rajeyn doontid inaad caado yeelato si joogto ah, markaa way adkaan doontaa in la ogaado inaad uur leedahay iyo in kale. Haddii aad isticmaaleyso nooca ka hortagga uurka, wac dhakhtarkaaga oo baaritaanka uurka haddii aad isku aragtid astaamo uur sida lallabbo, matag, iyo jilicsanaan naas ah, ama haddii aad ka shakisan tahay inaad uur leedahay.
• haddii aad qalliin samaynayso, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad qaadanayso dawooyinka ka hortagga uurka ee afka laga qaato.
• waa inaad ogaataa in ka-hortagga uurka ee afka laga qaato ay sababi karaan madow madow oo maqaarka ah, gaar ahaan wejiga. Haddii aad la kulantay isbeddelo midabka maqaarkaaga ah inta lagu gudajiray uurka ama intii aad qaadanaysay ka-hortagga uur-qaadidda ee afka hore, waa inaad iska ilaalisaa soo-gaadhista qorraxda dhabta ah ama macmalka ah inta aad qaadanayso ka-hortagga uurka. Xidho dharka difaaca, muraayadaha indhaha, iyo shaashadda qorraxda.
• u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad xidhato muraayadaha indhaha. Haddii aad aragto isbeddello xagga aragtida ah ama karti u lahaanshaha xirashada muraayadaha indhahaaga markaad qaadanayso ka-hortagga uurka ee afka, u tag takhtarka indhaha.

Ilaa dhakhtarkaagu kuu sheego mooyee, sii wad cuntadaada caadiga ah.

Haddii aad seegto qiyaasta ka hortagga uurka ee afkaaga, laga yaabee inaadan ka badbaadin uur. Waxaa laga yaabaa inaad u baahato inaad isticmaasho hab keyd ah oo xakameynta dhalmada ah 7 ilaa 9 maalmood ama ilaa dhamaadka wareegga. Nooc kasta oo ka-hortagga uur-qaadidda afka ah wuxuu la yimaadaa tilmaamo gaar ah oo la raaco haddii aad seegto hal ama in ka badan oo qaadasho ah. Si taxaddar leh u akhri tilmaamaha macluumaadka soo-saaraha ee bukaanka la yimid ka-hortagga uurka ee afkaaga. Haddii aad wax su'aalo ah qabtid, wac takhtarkaaga ama farmashiistahaaga. Sii wad inaad u qaadatid kaniiniyadaada sida jadwalka ah oo aad u isticmaasho hab keydsan oo ah xakameynta dhalmada illaa su'aalahaaga laga jawaabayo.

Ka-hortagga uurka ee afka ayaa sababi kara waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• lallabbo
• matagid
• calool xanuun ama dibbiro
• shuban
• calool istaag
• cirridka (bararka unugyada ciridka)
• rabitaanka cuntada oo kordhay ama yaraaday
• miisaanka oo kordha ama miisaan lumis
• balastar maqaarka bunni ama madow
• finanka
• koritaanka timaha ee meelo aan caadi ahayn
• dhiig bax ama dhibco inta udhaxeysa caadada caadada
• isbeddelada socodka caadada
• caadooyin xanuun leh ama seegay
• damqashada naasaha, ballaadhinta, ama dheecaanka
• barar, casaan, cuncun, gubasho, ama cuncun siilka
• dheecaanka siilka cad

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Calaamadaha soo socdaa waa kuwo aan caadi ahayn, laakiin haddii aad isku aragto midkood, isla markiiba wac dhakhtarkaaga:

• madax xanuun daran
• matag daran
• dhibaatooyinka hadalka
• dawakhaad ama suuxdin
• daciifnimo ama kabuubyo gacan ama lug ah
• jajabiso xabad xanuun ama culays laabta ah
• qufacaya dhiigga
• neefta oo ku qabata
• lug xanuun
• aragga qayb ahaan ama dhammaystiran
• aragti labalaab ah
• indhaha oo bullanaya
• calool xanuun daran
• hurdi maqaarka ama indhaha
• cunto xumo
• daal aad u daran, daciifnimo, ama tabar la'aan
• qandho
• kaadi midab madow
• saxaro midab khafiif ah leh
• barar gacmaha, cagaha, anqawyada, ama lugaha hoose
• Niyad jab, gaar ahaan haddii aad sidoo kale dhibaato ku qabtid hurdada, daalka, tamar yaraanta, ama isbeddelada kale ee niyadda
• dhiig bax aan caadi ahayn
• finan
• dhiiga caadada oo si aan caadi aheyn u culus ama soconaya in kabadan 7 maalmood oo xiriir ah

Ka-hortagga afka ayaa laga yaabaa inay kordhiso fursadda inaad ku soo baxdo burooyinka beerka. Burooyinkani ma aha nooc ka mid ah kansarka, laakiin way jabi karaan waxayna sababi karaan dhiig-bax halis ah gudaha jirka. Ka-hortagga uurka ee afka ayaa sidoo kale kordhin kara fursadda ah inaad ku dhacdo kansarka naasaha ama beerka, ama wadno-qabad, istaroog, ama xinjirowga dhiigga oo halis ah. Takhtarkaaga kala hadal halista isticmaalka ka-hortagga uurka ee afka.

Daraasadaha qaarkood waxay muujinayaan in haweenka qaata ka-hortagga uur-qaadidda ee afka laga qaato ee ay ku jiraan drosperinone (Beyaz, Gianvi, Loryna, Ocella, Safyral, Syeda, Yasmin, Yaz, and Zarah) ay u badan tahay inay yeeshaan xidid dhiig xidid muruqa ah (xaalad halis ah ama nolol halis ku jirta kaas oo xinjirowga dhiigga ku sameysma xididdada, badiyaa lugaha oo laga yaabo inuu jidhka u maro una gudbo sambabaha) marka loo eego haweenka qaata ka hortagga uurka ee aan ku jirin drosperinone. Si kastaba ha noqotee, daraasadaha kale ma muujinayaan khatartan sii kordheysa. Kahor intaadan bilaabin qaadashada ka-hortagga uurka ee afka, kala hadal dhakhtarkaaga khatarta aad ku yeelan karto xinjirowga dhiigga iyo nooca ka-hortagga uurka ee afka ama habka kale ee ka-hortagga uurka ayaa noqon kara xulashada kuugu fiican.

Ka-hortagga uurka ee afka ayaa sababi kara waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad qaadanaysid dawadan.

Haddii aad isku aragto waxyeellooyin daran, adiga ama dhakhtarkaaga ayaa warbixin u diri kara Barnaamijka Ka Warbixinta Dhacdooyinka Xun ee Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Safety/MedWatch) ama taleefan ( 1-800-332-1088).

Daawadan ku hayso baakadka ay soo gashay, si adag u xir, iyo meel aysan carruurtu gaarin. Ku keydi heerkulka qolka oo ka fog kuleylka iyo qoyaanka badan (ha ku jirin musqusha).

Daawooyinka aan loo baahnayn waa in lagu tuuraa siyaabo gaar ah si loo hubiyo in xayawaanka, carruurta, iyo dadka kaleba aysan cuni karin. Si kastaba ha noqotee, waa inaadan ku daadinin daawadan musqusha hoosteeda. Taabadalkeed, sida ugufiican ee dawada looga takhalusi karaa waa iyada oo loo maro barnaamijka dib u celinta daawada. La hadal farmashiistahaaga ama la xiriir waaxda qashinka / dib u warshadaynta si aad wax uga ogaato barnaamijyada dib-u-celinta ee bulshadaada. Ka eeg bogga internetka ee 'FDA ee Amni-Qaadashada Daawooyinka (http://goo.gl/c4Rm4p) si aad u hesho macluumaad dheeraad ah haddii aadan marin u helin barnaamijka dib-u-celinta.

Waa muhiim inaad ka ilaaliso dhammaan daawooyinka meel aan la arkeynin oo aysan gaari karin carruurta maaddaama weelal badan (sida kuwa toddobaadlaha kiniiniga ka fiirsada iyo kuwa loogu talagalay dhibcaha isha, kareemada, dhejiyeyaasha, iyo kuwa neefta ku siiya) uma adkeysana carruurta, carruurta yaryarna si fudud ayey ku furi karaan. Si aad uga ilaaliso carruurta yaryar sunta, marwalba xiro daboolka badbaadada isla markaana isla markiiba dhig dawada meel aamin ah - mid kor iyo fog kana fog aragooda oo gaadha. http://www.upandaway.org

Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.

Calaamadaha xad dhaafka ah waxaa ka mid noqon kara:

• lallabbo
• dhiig baxa siilka

Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Waa inaad sameysid baaritaan jireed oo dhameystiran sanad walba, oo ay kujiraan cabirka cadaadiska dhiigga, baaritaanka naasaha iyo miskaha, iyo baaritaanka Pap. Raac tilmaamaha dhakhtarkaaga ee baaritaanka naasahaaga; si dhakhso leh u soo sheeg wixii buruq ah.

Kahor intaadan sameynin wax shaybaar baaris ah, usheeg shaqaalaha sheybaarka inaad qaadato dawooyinka kahortaga ee afka.

Haddii aad rabto inaad joojiso qaadashada ka-hortagga uurka ee uurka oo aad uur yeelato, dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaad isticmaasho hab kale oo ka-hortagga uurka illaa aad ka bilaabeysid caadada caadada mar labaad. Waxay kugu qaadan kartaa waqti dheer inaad uur yeelato ka dib markaad joojiso qaadashada ka hortagga uurka ee afka, gaar ahaan haddii aadan waligaa ilmo dhalan ama haddii aad yeelatay si aan caadi ahayn, aan caadi ahayn, ama maqnaanshaha gebi ahaanba caadada kahor qaadashada ka hortagga uurka ee afka. Hase yeeshe, waa suuragal in aad uur yeelato maalmo gudahood marka aad joojiso ka hortagga uurka qaarkood. Haddii aad rabto inaad joojiso qaadashada ka hortagga uurka ee afka laakiin aadan rabin inaad uur yeelato, waa inaad bilowdaa isticmaalka nooc kale oo ka hortag uur ah isla marka aad joojiso qaadashada ka hortagga uurka. Kala hadal wixii su'aalo ah ee aad kala yeelan karto dhakhtarkaaga.

Ka-hortagga afka ayaa laga yaabaa inay yareyso xaddiga folate ee jirkaaga. Folate wuxuu muhiim u yahay horumarka cunug caafimaad qaba, sidaa darteed waa inaad la hadashaa dhakhtarkaaga haddii aad rabto inaad uur yeelato isla markaaba ka dib markaad joojiso qaadashada ka hortagga uurka ee afka. Dhakhtarkaagu wuxuu kugula talin karaa inaad qaadato folate folate ama ka hortaga uurka ee afka laga qaato oo ay kujirto folate folate (Beyaz, Safyral).

Ha u ogolaan qof kale inuu qaato daawadaada. Weydii farmashiistahaaga wixii su'aalo ah ee aad ka qabto dib u soo celinta daawada laguu qoray.

Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh. Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.

• Abriil^® (ay ku jiraan Desogestrel, Ethinyl Estradiol)
• Aranelle^® (ay kujiraan Ethinyl Estradiol, Norethindrone)
• Aviane^® (oo ay kujiraan Ethinyl Estradiol, Levonorgestrel)
• Azurette^® (oo ay ku jiraan Desogestrel, Ethinyl Estradiol)
• Balziva^® (ay kujiraan Ethinyl Estradiol, Norethindrone)
• Beyaz^® (ay ku jiraan Drospirenone, Ethinyl Estradiol, Levomefolate)
• Brevicon^® (ay kujirto Ethinyl Estradiol, Norethindrone)
• Camrese^® (oo ay kujiraan Ethinyl Estradiol, Levonorgestrel)
• Camrese Lo^® (oo ay kujiraan Ethinyl Estradiol, Levonorgestrel)
• Cesia^® (oo ay ku jiraan Desogestrel, Ethinyl Estradiol)
• Cryselle^® (oo ay kujirto Ethinyl Estradiol, Norgestrel)
• Wareegyo^® (ay ku jiraan Desogestrel, Ethinyl Estradiol)
• Demulen^® (oo ay kujirto Ethynodiol, Ethinyl Estradiol)
• Desogen^® (ay ku jiraan Desogestrel, Ethinyl Estradiol)
• Enpresse^® (oo ay kujiraan Ethinyl Estradiol, Levonorgestrel)
• Estrostep^® Fe (oo ka kooban Ethinyl Estradiol, Norethindrone)
• Femcon^® Fe (oo ka kooban Ethinyl Estradiol, Norethindrone)
• Gianvi^® (oo ay kujiraan Drospirenone, Ethinyl Estradiol)
• Jolessa^® (oo ay kujiraan Ethinyl Estradiol, Levonorgestrel)
• Junel^® (ay kujiraan Ethinyl Estradiol, Norethindrone)
• Junel^® Fe (oo ka kooban Ethinyl Estradiol, Norethindrone)
• Kariva^® (ay ku jiraan Desogestrel, Ethinyl Estradiol)
• Kelnor^® (oo ay kujirto Ethynodiol, Ethinyl Estradiol)
• Leena^® (ay kujirto Ethinyl Estradiol, Norethindrone)
• Lessina^® (oo ay kujiraan Ethinyl Estradiol, Levonorgestrel)
• Levlen^® (oo ay kujiraan Ethinyl Estradiol, Levonorgestrel)
• Levlite^® (oo ay kujiraan Ethinyl Estradiol, Levonorgestrel)
• Levora^® (oo ay kujiraan Ethinyl Estradiol, Levonorgestrel)
• Lo / Ovral^® (ay kujirto Ethinyl Estradiol, Norgestrel)
• Loestrin^® (ay kujiraan Ethinyl Estradiol, Norethindrone)
• Loestrin^® Fe (oo ka kooban Ethinyl Estradiol, Norethindrone)
• Loryna^® (oo ay kujiraan Drospirenone, Ethinyl Estradiol)
• LoSeasonique^® (oo ay kujiraan Ethinyl Estradiol, Levonorgestrel)
• Low-Ogestrel^® (ay kujirto Ethinyl Estradiol, Norgestrel)
• Lutera^® (oo ay kujiraan Ethinyl Estradiol, Levonorgestrel)
• Lybrel^® (oo ay kujiraan Ethinyl Estradiol, Levonorgestrel)
• Microgestin^® (ay kujirto Ethinyl Estradiol, Norethindrone)
• Microgestin^® Fe (oo ka kooban Ethinyl Estradiol, Norethindrone)
• Muraayada^® (oo ay ku jiraan Desogestrel, Ethinyl Estradiol)
• Modicon^® (ay kujirto Ethinyl Estradiol, Norethindrone)
• MonoNessa^® (oo ay kujirto Ethinyl Estradiol, Norgestimate)
• Natazia^® (oo ay kujiraan estradiol valerate iyo dienogest)
• Necon^® 0.5 / 35 (oo ay kujirto Ethinyl Estradiol, Norethindrone)
• Necon^® 1/50 (oo ay ku jiraan Mestranol, Norethindrone)
• Nordette^® (oo ay kujiraan Ethinyl Estradiol, Levonorgestrel)
• Norinyl^® 1 + 35 (oo ay kujirto Ethinyl Estradiol, Norethindrone)
• Norinyl^® 1 + 50 (oo ay kujirto Mestranol, Norethindrone)
• Nortrel^® (ay kujirto Ethinyl Estradiol, Norethindrone)
• Ocella^® (oo ay kujiraan Drospirenone, Ethinyl Estradiol)
• Ogestrel^® (ay kujirto Ethinyl Estradiol, Norgestrel)
• Ortho Tri-Cyclen^® (oo ay kujirto Ethinyl Estradiol, Norgestimate)
• Ortho Tri-Cyclen^® Lo (oo ay ku jiraan Ethinyl Estradiol, Norgestimate)
• Ortho-Cept^® (oo ay ku jiraan Desogestrel, Ethinyl Estradiol)
• Ortho-Cyclen^® (oo ay kujirto Ethinyl Estradiol, Norgestimate)
• Ortho-Novum^® 1/35 (oo ka kooban Ethinyl Estradiol, Norethindrone)
• Ortho-Novum^® 1/50 [DSC] (ay ku jirto Mestranol, Norethindrone)
• Ovcon^® (ay kujirto Ethinyl Estradiol, Norethindrone)
• Portia^® (oo ay kujiraan Ethinyl Estradiol, Levonorgestrel)
• Previfem^® [DSC] (oo ay kujirto Ethinyl Estradiol, Norgestimate)
• Quasense^® (oo ay kujiraan Ethinyl Estradiol, Levonorgestrel)
• Reclipsen^® (oo ay ku jiraan Desogestrel, Ethinyl Estradiol)
• Safyral^® (oo ay kujiraan Drospirenone, Ethinyl Estradiol, Levomefolate)
• Xilli Ciyaareed^® (oo ay kujiraan Ethinyl Estradiol, Levonorgestrel)
• Xilli Ciyaareed^® (oo ay kujiraan Ethinyl Estradiol, Levonorgestrel)
• Solia^® (ay ku jiraan Desogestrel, Ethinyl Estradiol)
• Sprintec^® (oo ay kujirto Ethinyl Estradiol, Norgestimate)
• Sronyx^® (oo ay kujiraan Ethinyl Estradiol, Levonorgestrel)
• Syeda^® (oo ay kujiraan Drospirenone, Ethinyl Estradiol)
• Tilia^® Fe (oo ka kooban Ethinyl Estradiol, Norethindrone)
• Tri-Legest^® Fe (oo ka kooban Ethinyl Estradiol, Norethindrone)
• TriNessa^® (oo ay kujirto Ethinyl Estradiol, Norgestimate)
• Tri-Norinyl^® (ay kujiraan Ethinyl Estradiol, Norethindrone)
• Triphasil^® (oo ay kujiraan Ethinyl Estradiol, Levonorgestrel)
• Tri-Previfem^® [DSC] (oo ay kujirto Ethinyl Estradiol, Norgestimate)
• Tri-Sprintec^® (oo ay kujirto Ethinyl Estradiol, Norgestimate)
• Trivora^® (oo ay kujiraan Ethinyl Estradiol, Levonorgestrel)
• Velivet^® (ay ku jiraan Desogestrel, Ethinyl Estradiol)
• Yasmiin^® (oo ay kujiraan Drospirenone, Ethinyl Estradiol)
• Yaz^® (oo ay kujiraan Drospirenone, Ethinyl Estradiol)
• Zarah^® (oo ay kujiraan Drospirenone, Ethinyl Estradiol)
• Zenchent^® (ay kujiraan Ethinyl Estradiol, Norethindrone)
• Zeosa^® Fe (oo ka kooban Ethinyl Estradiol, Norethindrone)
• Zovia^® (oo ay kujirto Ethynodiol, Ethinyl Estradiol)

• Kiniiniyada ka hortagga uurka