Ka-hortagga uur-qaadidda ee Afka laga qaato ee Progestin-Only (drospirenone)

Qanacsan

• Kahor intaadan qaadan kiniiniyada ka hortagga uurka ee loo yaqaan 'progestin-only (drospirenone),
• Ka-hortagga uur-qaadidda ee Progestin-only (drospirenone) waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
• Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan, wac takhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo deg-deg ah:
• Calaamadaha xad dhaafka ah waxaa ka mid noqon kara:

Ka hortagga uurka ee loo yaqaan 'Progestin-only (drospirenone)' ayaa loo isticmaalaa in looga hortago uurka. Progestin waa hormoon haween ah. Waxay ku shaqeysaa iyada oo ka hortageysa sii deynta ukunta ugxan sidaha (ugxansidaha) iyo beddelka xabka ilmo-galeenka iyo dahaadhka ilmo-galeenka. Ka-hortagga uur-qaadidda ee afka ilmo-galeenka loo yaqaan 'Progestin-only' oo keliya ayaa ah hab waxtar badan oo ka hortagga uurka ah, laakiin kama hor-tagayaan faafitaanka fayraska difaaca jirka ee dadka (HIV, virus-ka keena cudur-sidaha difaaca jirka ee cudurku ku yar yahay [AIDS]) iyo cudurrada kale ee galmada lagu kala qaado.

Ka-hortagga uur-ku-jirka ee loo yaqaan 'Progestin-only (drospirenone)' ayaa u yimaada sidii kiniinno ay afka ku qaataan hal mar maalintii. Qaado ka-hortagga uurka ee afka waqti isku mid ah 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 yar ama ka yar ama u qaado si ka badan inta dhakhtarku kuu qoray.

Ka-hortagga uur-qaadidda ee loo yaqaan 'Progestin-only (drospirenone)' waxay ku yimaadaan xirmooyin ka kooban 28 kiniin oo leh 2 midab oo kala duwan. Qaado 1 kaniini maalin kasta 28 maalmood oo isku xigta siday u kala horreeyaan baakaddaada. 24-ka kiniin ee ugu horeeya waa cadaan waxaana ku jira maaddada firfircoon (drospirenone).4-ta kiniin ee ugu dambeeya waa cagaar waxayna ku jiraan maado aan firfircooneyn. Bilow baakad cusub maalinta xigta ee aad qaadatid kaniiniga 28aad.

Dhakhtarkaaga ayaa kuu sheegi doona goorta aad bilaabayso qaadashada ka hortagga uurka ee afka laga qaato ee loo yaqaan 'progesin-only (drospirenone)'. U sheeg dhakhtarkaaga haddii aad ka beddelayso nooc kale oo ka hortagga uurka ah (kiniiniyada kale ee ka hortagga uurka, giraanta siilka, balastarka xubinta taranka, maqaar-galaha, cirbadeynta, aaladda uur-ku-jirta (IUD)).

Haddii aad matagto ama aad shubmo 3 ama 4 saacadood gudahood ka dib qaadashada kiniiniga cad (oo ay ku jiraan maaddada firfircoon), u qaado kaniiniga xiga ee ku jira baakadkaaga sida ugu dhakhsaha badan ee suurtogalka ah (doorbidayaan 12 saacadood gudahood ee dawadii hore loo qaatay). Sii wad jadwalkaaga qiyaasta daawada oo dhammee baakaddaada hadda. Markaad bilowdo baakad cusub, waxay noqon doontaa hal maalin ka hor jadwalkaagii hore. Waxaa laga yaabaa inaad u baahato inaad isticmaasho hab gurmad oo ah xakameynta dhalmada haddii aad matagto ama aad shuban qabto wax ka badan 1 maalmood inta aad qaadanayso kiniiniyada cad (oo ay ku jiraan maaddada firfircoon). 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.

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.

Weydii farmashiistahaaga ama dhakhtarkaaga nuqul ka mid ah macluumaadka soo saaraha ee bukaanka.

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

Kahor intaadan qaadan kiniiniyada ka hortagga uurka ee loo yaqaan 'progestin-only (drospirenone),

• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay drospirenone, progesin kale, 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: daawadayaasha loo yaqaan 'angiotensin-converzy enzyme (ACE) inhibitors sida benazepril (Lotensin, in Lotrel), captopril, enalapril (Epaned, Vasotec, in Vaseretic), fosinopril, lisinopril (in Zestoretic), moexipril, perindopril (Prestalia), quinapril (Accupril, Accuretic, Quinaretic), ramipril (Altace) iyo trandolapril (Tarka); xannibaadayaasha 'angiotensin receptor blockers' sida azilsartan (Edarbi, in Edarbyclor), candesartan (Atacand, in Atacand HCT), eprosartan, irbesartan (Avapro, in Avalide), losartan (Cozaar, Hyzaar), olmesartan (Benicar, Azor, in Benicar HCT) , Tribenzor), telmisartan (Micardis, Micardis HCT, Twynsta) iyo valsartan (Diovan, Entresto, Diovan HCT, Exforge, Exforge HCT); daawooyinka antifungal sida itraconazole (Onmel, Sporanox), ketoconazole, iyo voriconazole (Vfend); danaysane (Emend); asbiriin iyo dawooyinka kale ee nonsteroidal anti-bararka (NSAIDs) sida ibuprofen (Advil, Motrin) iyo naproxen (Aleve, Naprosyn); bosentan (Tracleer); boceprevir (Victrelis); carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, kuwa kale); clarithromycin; dawooyinka qaarkood ee HIV oo ay ku jiraan efavirenz (Sustiva, Atripla, in Symfi) iyo indinavir (Crixivan); diuretics ('kaniiniyada biyaha') sida amiloride (Midamor), spironolactone (Aldactone, Carospir, in Aldactzide), iyo triamterene (Dyrenium, in Dyazide, in Maxzide); eplerenone (Inspra); felbamate (Felbatol); griseofulvin (Gris-Peg); heparin; phenobarbital; phenytoin (Dilantin, Phenytek); kaalshiyamta; oxcarbazepine (Trileptal); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane, gudaha Rifamate, Rifater); iyo rufinamide (Banzel). Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca
• u sheeg dhakhtarkaaga waxa ka soo baxa dhirta aad qaadanaysid, gaar ahaan johannesört wort.
• u sheeg dhakhtarkaaga haddii aad qabtid ku filnaanshaha 'adrenal insufficiency' (xaalad aanu jidhku soo saarin wax ku filan maaddooyinka dabiiciga ah qaarkood ee loogu baahan yahay shaqooyinka muhiimka ah sida cadaadiska dhiigga); dhiigbax aan caadi ahayn oo xubinta taranka ah oo aan la garanayn; kansarka beerka, burooyinka beerka, ama noocyada kale ee cudurka beerka; ama cudurka kalyaha. Sidoo kale u sheeg dhakhtarkaaga haddii aad leedahay ama waligaa aad qabtid kansarka naasaha ama kansarka ku dhaca dahaarka ilmo-galeenka, makaanka afkiisa, ama siilka. Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaadan qaadanin ka-hortagga uur-qaadidda ee loo yaqaan progesin-only (drospirenone).
• u sheeg dhakhtarkaaga haddii aad qabto ama aad waligaa xinjiro dhiig ka sameysay lugahaaga, sambabbadaada, ama indhahaaga; istaroog ama mini-stroke; wadne qabad; lafo-beel; sonkorowga; heerarka sare ee potassium ee dhiiga ku jira; ama niyad jab.
• u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelatid inta aad qaadanaysid ka hortagga uurka ee loo yaqaan progesin-only (drospirenone), wac dhakhtarkaaga.
• haddii aad seegto xilliyada aad qaadanayso ka-hortagga uurka ee afka, waxaad uur yeelan kartaa. Haddii aad kiniinigaaga u qaadatay sida ku xusan tilmaamaha oo aad hal seegto, waad 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. Sidoo kale, wac dhakhtarkaaga haddii aad isku aragto astaamaha uurka sida lallabbo, matag, iyo jilicsanaan naas ah, ama haddii aad ka shakisan tahay inaad uur leedahay.
• haddii aad qalliin sameyneyso, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha in aad qaadanayso ka hortagga uurka ee afka laga qaato ee loo yaqaan progesin-only (drospirenone).

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

Haddii aad seegto 2 ama in ka badan oo ka mid ah kiniiniyada cad (oo ay ku jiraan maaddada firfircoon), laga yaabee inaadan ka badbaadi doonin uur. Waxaa laga yaabaa inaad u baahato inaad isticmaasho hab keyd ah oo xakameyn uur ah 7 maalmood. Haddii aad seegto qiyaasta kiniinnada cagaaran (oo ay ku jiraan maaddooyin aan firfircooneyn), ka bood qiyaasta la seegay oo sii wad jadwalkaaga qiyaasta daawada ee caadiga ah. Kiniinnada ka hortagga uurka ee afka laga qaato ee loo yaqaan 'Progestin-only (drospirenone)' waxay la yimaadaan tilmaamo gaar ah oo ay raacaan haddii aad hal seegto ama in ka badan oo qiyaaso 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 uur-qaadidda ee Progestin-only (drospirenone) waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• lallabbo
• matagid
• finanka
• caadada oo aan caadi ahayn
• dhiig bax ama dhibco inta udhaxeysa caadada caadada
• muddooyin xanuun badan
• madax xanuun
• damqashada naasaha
• miisaanka oo kordha
• rabitaanka galmada oo yaraaday

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan, wac takhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo deg-deg ah:

• madax xanuun daran
• matag daran
• dhibaatooyinka hadalka
• daciifnimo ama kabuubyo gacan ama lug ah
• laab xanuun ama culays laabta ah
• wadno garaac aan caadi ahayn ama degdeg ah
• neefta oo ku qabata
• lug xanuun
• waayitaan qayb ahaan ama dhammaystiran oo aragga ama aragtida isbeddela
• calool xanuun daran
• hurdi maqaarka ama indhaha
• xanuun qeybta kore ee midig ee caloosha
• Niyad jab, gaar ahaan haddii aad sidoo kale dhibaato ku qabtid hurdada, daalka, tamar yaraanta, isbeddelada niyadda kale, ama haddii aad ka fekereyso inaad naftaada wax yeelo
• dhiiga caadada oo si aan caadi aheyn u culus ama waqti dheer qaadanaya
• la'aanta caadada caadada

Ka-hortagga afka ayaa laga yaabaa inay kordhiso halista ah inuu ku dhaco kansarka xubinta taranka dumarka iyo burooyinka beerka. Lama oga in ka hortagga uurka ee progesin-kaliya (drospirenone) sidoo kale ay kordhiyaan halista xaaladahaas. Takhtarkaaga kala hadal halista qaadashada daawadan.

Ka-hortagga uur-qaadidda ee Progestin-only (drospirenone) waxay sababi kartaa 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).

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

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.

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
• matagid
• dhiig baxa siilka

Dhammaan ballamaha la dhig dhakhtarkaaga.

Kahor intaadan sameynin wax shaybaar baaris ah, u sheeg shaqaalaha sheybaarka inaad qaadato ka hortagga uurka ee loo yaqaan progesin-kaliya (drospirenone), maadaama daawadani ay faragalin ku yeelan karto baaritaanada shaybaarka qaarkood.

Haddii aad rabto inaad uur yeelatid, jooji ka-hortagga uur-qaadista progesin-kaliya (drospirenone). Ka-hortagga uur-ku-jirka ah ee loo yaqaan 'Progestin-kaliya' waa inaysan daahin awoodda aad uur leedahay.

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.

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