Pirmella 1/35

Pirmella 1/35

Lub npe: norethindrone thiab ethinyl estradiol
Daim ntawv noj tshuaj: ntsiav tshuaj
Hoob tshuaj: Contraceptives , Kev sib deev hormone ua ke

Tshuaj kho los ntawm Varixcare.cz. Hloov kho zaum kawg ntawm Nov 23, 2020.



Ntawm Nplooj Ntawv no
Nthuav dav

Cov neeg mob yuav tsum tau tawm tswv yim tias cov khoom no tsis tiv thaiv kab mob HIV (AIDS) thiab lwm yam kab mob sib kis.



50 mg adderall xr

COMBINATION ORAL CONTRACEPTIVES

Pirmella ™ 1/35 yog kev sib xyaw ua ke ntawm qhov ncauj uas muaj cov tshuaj progesterone norethindrone thiab cov tshuaj estrogenic sib xyaw ethinyl estradiol.

Pirmella 1/35:



Txhua lub ntsiav tshuaj peach muaj 1 mg ntawm norethindrone thiab 0.035 mg ntawm ethinyl estradiol. Cov khoom xyaw tsis muaj xws li FD & C Daj No. 6, lactose anhydrous, magnesium stearate thiab pregelatinized starch. Txhua lub ntsiav tshuaj ntsuab tsuas muaj cov khoom xyaw inert, raws li hauv qab no: D & C Daj 10, FD & C Blue No. 2, lactose monohydrate, magnesium stearate, microcrystalline cellulose thiab hmoov txhuv nplej siab pregelatinized.

Lub npe tshuaj rau norethindrone yog 17-Hydroxy-19-nor-17α-cev xeeb tub -4-en-20-yn-3-ib, rau ethinyl estradiol yog 19-Nor-17α-pregna-1, 3,5 (10) -trien-20-yne-3, 17-diol. Lawv cov qauv txheej txheem muaj raws li hauv qab no:

Pirmella 1/35 - Chaw Kho Mob Kws Tshuaj

COMBINATION ORAL CONTRACEPTIVES

Kev sib xyaw ua ke ntawm qhov ncauj ua los ntawm kev tshem tawm ntawm gonadotropins. Txawm hais tias lub hauv paus tseem ceeb ntawm qhov kev txiav txim no yog kev txwv tsis pub ovulation, lwm qhov kev hloov pauv suav nrog kev hloov pauv hauv lub tsev menyuam hnoos qeev (uas ua rau muaj kev nyuaj ntawm cov phev nkag mus rau hauv lub tsev menyuam) thiab endometrium (uas txo qhov yuav ua rau kev cog qoob loo).



Kev Qhia thiab Kev Siv rau Pirmella 1/35

Pirmella 1/35 tau qhia rau kev tiv thaiv kev xeeb tub hauv cov poj niam uas xaiv los siv cov khoom no ua txoj hauv kev tiv thaiv kev xeeb tub.

Kev tiv thaiv qhov ncauj tau zoo heev. Table I teev cov kev pheej hmoo cev xeeb tub uas raug rau cov neeg siv cov tshuaj tiv thaiv qhov ncauj thiab lwm txoj hauv kev tiv thaiv kev tiv thaiv. Kev ua tau zoo ntawm cov txheej txheem kev tiv thaiv menyuam yaus, tshwj tsis yog kom tsis muaj menyuam, IUD, thiab NORPLANT® ibQhov system nyob ntawm qhov kev ntseeg tau uas lawv tau siv. Kev siv cov txheej txheem raug thiab ua tau zoo tuaj yeem ua rau qis dua qhov ua tsis tiav.

Tau qhov twg los: Trussel J, Kev tiv thaiv kev xeeb tub. Hauv Hatcher RA, Trussel J, Stewart F, Cates W, Stewart GK, Kowal D, Qhua F, Contraceptive Technology: Seventeenth Revised Edition. New York NY: Irvington Publishers, 1998.

1Ntawmraugkhub niam txiv uas pib siv txoj hauv kev (tsis tas yuav thawj zaug), feem pua ​​uas tau ntsib kev xeeb tub tsis raug thaum thawj xyoo yog tias lawv tsis tso tseg siv lwm qhov laj thawj.

2Ntawm cov khub niam txiv uas pib siv txoj hauv kev (tsis tas yuav thawj zaug) thiab leej twg siv nwszoo kawg nkaus(ob qho tas li thiab raug), feem pua ​​uas tau ntsib kev xeeb tub thaum lub xyoo thawj yog tias lawv tsis tso tseg siv lwm qhov laj thawj.

3Ntawm cov khub niam txiv sim zam kev xeeb tub, feem pua ​​uas tseem siv txoj hauv kev ib xyoos.

4Feem pua ​​tau cev xeeb tub hauv kab (2) thiab (3) yog raws cov ntaub ntawv los ntawm cov pej xeem uas tsis siv tshuaj tiv thaiv kab mob thiab los ntawm cov poj niam uas tsis siv tshuaj tiv thaiv kom cev xeeb tub. Ntawm cov neeg no, kwv yees li 89% cev xeeb tub hauv ib xyoos. Qhov kev kwv yees no tau qis me ntsis (rau 85%) los sawv cev rau feem pua ​​uas yuav xeeb tub hauv ib xyoos ntawm cov poj niam tam sim no vam khom txoj kev thim rov qab yog tias lawv tso tseg txoj kev tiv thaiv tag nrho.

5Ua npuas ncauj, cream, gel, suppositories ntawm qhov chaw mos, thiab zaj duab xis ntawm qhov chaw mos.

6Cov hnoos qeev ntawm ncauj tsev menyuam (ovulation) txoj hauv kev ntxiv los ntawm daim ntawv qhia hnub nyob rau hauv qhov ua ntej ovulatory thiab lub cev kub hauv qab theem tom qab ovulatory.

7Nrog spermicidal cream los yog jelly.

8Tsis muaj spermicides.

9Lub sijhawm kho yog ib koob tshuaj hauv 72 teev tom qab tsis muaj kev tiv thaiv, thiab koob thib ob 12 teev tom qab txhaj thawj zaug. Lub Chaw Tswj Xyuas Khoom Noj thiab Tshuaj tau tshaj tawm cov npe hauv qab no ntawm kev tiv thaiv qhov ncauj kom nyab xeeb thiab siv tau rau kev tiv thaiv xwm txheej kub ntxhov:® ib(1 koob yog 2 ntsiav tshuaj dawb), Alesse® ib(1 koob yog 5 ntsiav tshuaj liab), Nordette® iblub Levlen® ib(1 koob yog 2 ntsiav tshuaj lub teeb txiv kab ntxwv), Lo/Ovral® ib(1 koob yog 4 ntsiav tshuaj dawb), Triphasil® iblos yog Tri-Levlen® ib(1 koob yog 4 ntsiav tshuaj daj).

10Txawm li cas los xij, txhawm rau tiv thaiv kev tiv thaiv cev xeeb tub, lwm txoj hauv kev tiv thaiv kev tiv thaiv yuav tsum tau siv sai li sai tau tom qab lub cev ntas rov los, qhov ntau zaus lossis ntev ntawm kev pub niam mis raug txo qis, lub raj mis pub nkag, lossis tus menyuam mus txog rau lub hlis.

RoojKuv:Feem puantawmPoj niamKev paubibTsis xav tauCev xeeb tubLub sijhawmcovThawjXyoontawmRaugSivthiabcov
ThawjXyoontawmZoo meejSivntawmKev xeeb tubthiabcovFeem puaNtxiv musSivntawmcovXausntawmcovThawjXyoo.UnitedXeev

%ntawmPoj niamKev paub
ibTsis xav tauCev xeeb tub
hauvcovThawjXyoontawmSiv
%ntawmPoj niamNtxiv mus
SivntawmIbXyoo3
Txoj Kev
(1)
RaugSiv1
(2)
Zoo meejSiv2
(3)
(4)
Sijhawm4
85
85

Tshuaj tua kab mob5
26
6
40
Periodic abstinence
25

63
Daim ntawv qhia hnub

9

Txoj kev los ntawm ovulation

3

Sympto-Thermal6

2

Post-ovulation

1

Cap7



Poj niam Parous
40
26
42
Cov Poj Niam Nulliparous
nees nkaum
9
56
Daim txhuam cev



Poj niam Parous
40
nees nkaum
42
Cov Poj Niam Nulliparous
nees nkaum
9
56
Diaphragm7
nees nkaum
6
56
Kev rho nyiaj
19
4

Condom8



Poj niam (Kev muaj tiag® ib)
nees nkaum ib
5
56
Txiv neej
14
3
61
Ntsiav tshuaj
5

71
Progestin Xwb

0.5

Ua ke

0.1

JUD



Progesterone T.
2.0
1.5
81
Tooj T380A
0.8
0.6
78
NLog 20
0.1
0.1
81
Depot Xyuas® ib
0.3
0.3
70
Norplant® ibthiab Norplant-2® ib
0.05
0.05
88
Poj niam tsis muaj menyuam
0.5
0.5
100
Txiv neej kom tsis muaj menyuam
0.15
0.10
100
Hloov los ntawm Hatcher li al, 1998, Ref. # 1.
Cov Tshuaj Tiv Thaiv Thaum Muaj Xwm Ceev: Kev kho mob tau pib ua ntej 72 teev tom qab kev tiv thaiv tsis tau tiv thaiv kev pheej hmoo ntawm cev xeeb tub tsawg kawg 75%.9
Lactational Amenorrhea Method: LAM yog qhov ua tau zoo, ib ntus txoj kev tiv thaiv menyuam yaus.10

Pirmella 1/35 tsis tau kawm txog thiab tsis tau hais qhia siv rau kev tiv thaiv xwm txheej kub ntxhov.

Contraindications

Cov tshuaj tiv thaiv qhov ncauj yuav tsum tsis txhob siv rau cov poj niam uas tam sim no muaj cov xwm txheej hauv qab no:

  • Thrombophlebitis los yog thromboembolic ntshawv siab
  • Yav dhau los keeb kwm ntawm cov hlab ntsha sib sib zog nqus thrombophlebitis los yog thromboembolic ntshawv siab
  • Cerebral vascular lossis kab mob hauv lub plawv (tam sim no lossis keeb kwm)
  • Valvular plawv kab mob nrog teeb meem
  • Mob ntshav siab heev
  • Ntshav qab zib nrog vascular koom tes
  • Mob taub hau nrog cov tsos mob ntawm lub paj hlwb
  • Kev phais loj nrog ntev ua kom tsis muaj zog
  • Paub lossis xav tias mob qog noj ntshav ntawm lub mis
  • Carcinoma ntawm endometrium lossis lwm yam paub lossis xav tias yog estrogen-dependent neoplasia
  • Kev kuaj ntshav tsis zoo ntawm qhov chaw mos
  • Cholestatic jaundice ntawm cev xeeb tub lossis jaundice nrog kev siv tshuaj ua ntej
  • Hepatocellular mob hnyav lossis mob ntev nrog lub siab ua haujlwm tsis zoo
  • Hepatic adenomas lossis carcinomas
  • Paub lossis xav tias cev xeeb tub
  • Hypersensitivity rau ib feem ntawm cov khoom no

Lus ceeb toom

Kev haus luam yeeb ua rau muaj kev pheej hmoo mob plawv loj heev los ntawm kev siv tshuaj tiv thaiv qhov ncauj. Qhov kev pheej hmoo no nce nrog hnub nyoog thiab nrog kev haus luam yeeb hnyav (15 lossis ntau dua luam yeeb hauv ib hnub) thiab tau cim rau cov poj niam hnub nyoog tshaj 35 xyoos. Cov poj niam uas siv cov tshuaj tiv thaiv qhov ncauj yuav tsum raug qhia kom tsis txhob haus luam yeeb.

Muaj cov xim ntxiv nrog rau FD & C Daj No. 6.

Kev siv cov tshuaj tiv thaiv qhov ncauj yog cuam tshuam nrog kev pheej hmoo ntawm ntau yam mob hnyav xws li myocardial infarction, thromboembolism, mob hlab ntsha tawg, mob qog noj ntshav, thiab mob qog noj ntshav, txawm hais tias qhov kev pheej hmoo mob hnyav lossis tuag taus tsawg heev hauv cov poj niam noj qab haus huv yam tsis muaj kev pheej hmoo. Kev pheej hmoo ntawm kev mob morbidity thiab kev tuag nce ntxiv nyob rau hauv muaj lwm qhov kev pheej hmoo hauv qab xws li ntshav siab, hyperlipidemias, rog thiab ntshav qab zib.

Cov kws kho mob sau tshuaj tiv thaiv qhov ncauj yuav tsum paub txog cov ntaub ntawv hauv qab no ntsig txog cov kev pheej hmoo no.

Cov ntaub ntawv muaj nyob hauv pob ntawv ntxig no yog qhov tseem ceeb raws li kev tshawb fawb tau ua hauv cov neeg mob uas tau siv tshuaj tiv thaiv qhov ncauj nrog cov qauv tshuaj estrogens thiab progestogens ntau dua li cov siv niaj hnub no. Cov txiaj ntsig ntawm kev siv lub sij hawm ntev ntawm kev tiv thaiv qhov ncauj nrog qis dua ntawm cov tshuaj estrogens thiab progestogens tseem yuav txiav txim siab.

Thoob plaws hauv daim ntawv lo no, kev tshawb fawb txog kab mob kis tau qhia txog ob hom: kev tshawb fawb yav dhau los lossis kev tswj xyuas rooj plaub thiab kev tshawb fawb yav tom ntej lossis koom nrog. Cov ntaub ntawv tshawb fawb tswj tau ntsuas qhov txheeb ze ntawm kev pheej hmoo ntawm tus kab mob, uas yog, apivntawm qhov tshwm sim ntawm tus kab mob ntawm cov neeg siv tshuaj tiv thaiv qhov ncauj rau ntawm cov neeg tsis siv neeg. Qhov kev pheej hmoo txheeb ze tsis muab cov ntaub ntawv qhia txog kev muaj mob tshwm sim tiag. Cov kev tshawb fawb nyob hauv ib cheeb tsam muab qhov ntsuas ntawm qhov muaj feem pheej hmoo, uas yogsib txawvhauv qhov xwm txheej ntawm kab mob ntawm cov neeg siv tshuaj tiv thaiv qhov ncauj thiab cov tsis siv neeg. Qhov muaj feem pheej hmoo yuav muab cov ntaub ntawv hais txog qhov tshwm sim tshwm sim ntawm tus kab mob hauv cov pej xeem (hloov pauv los ntawm refs. 2 thiab 3 nrog tus sau tso cai). Yog xav paub ntxiv, tus nyeem ntawv raug xa mus rau cov ntawv ntawm cov txheej txheem kev kis mob.

1. THROMBOEMBOLIC DISORDERS THIAB LWM YAM VASCULAR PROBLEMS

a Myocardial infarction

Kev pheej hmoo nce ntxiv ntawm myocardial infarction tau raug ntaus nqi los ntawm kev siv tshuaj tiv thaiv qhov ncauj. Qhov kev pheej hmoo no feem ntau yog cov neeg haus luam yeeb lossis cov poj niam uas muaj lwm yam kev pheej hmoo ua rau mob hlab ntsha tawg xws li ntshav siab, hypercholesterolemia, morbid rog, thiab ntshav qab zib. Qhov kev txheeb ze ze ntawm kev mob plawv nres rau cov neeg siv tshuaj tiv thaiv qhov ncauj tam sim no tau kwv yees li ob txog rau rau.4-10 ibTxoj kev pheej hmoo yog qis heev nyob rau hnub nyoog 30 xyoo.

Kev haus luam yeeb ua ke nrog kev siv tshuaj tiv thaiv qhov ncauj tau pom tias muaj txiaj ntsig zoo rau qhov tshwm sim ntawm myocardial infarctions hauv cov poj niam hauv lawv lub hnub nyoog peb caug lossis laus dua nrog kev haus luam yeeb suav rau feem ntau ntawm cov xwm txheej.kaum ibCov neeg tuag uas cuam tshuam nrog cov kab mob hauv lub cev tau pom tias nce ntxiv hauv cov neeg haus luam yeeb, tshwj xeeb tshaj yog cov hnub nyoog 35 xyoos thiab tshaj saud thiab cov tsis haus luam yeeb ntau dua 40 xyoo ntawm cov poj niam uas siv tshuaj tiv thaiv qhov ncauj.

Cov tshuaj tiv thaiv qhov ncauj tuaj yeem ua rau muaj kev cuam tshuam los ntawm kev paub zoo txog kev pheej hmoo, xws li ntshav siab, ntshav qab zib, hyperlipidemias, hnub nyoog thiab rog.13Tshwj xeeb, qee qhov progestogens tau paub los txo HDL cov roj cholesterol thiab ua rau cov piam thaj tsis txaus, thaum cov tshuaj estrogens tuaj yeem tsim lub xeev hyperinsulinism.14-18Cov tshuaj tiv thaiv qhov ncauj tau pom tias nce ntshav siab ntawm cov neeg siv (saib Nqe 9 nyob rau hauvCEEB TOOM). Qhov cuam tshuam zoo ib yam ntawm cov kev pheej hmoo tau cuam tshuam nrog kev pheej hmoo mob plawv. Cov tshuaj tiv thaiv qhov ncauj yuav tsum tau siv nrog ceev faj hauv cov poj niam uas muaj kab mob hauv lub plawv.

b. Thromboembolism

Kev pheej hmoo nce ntxiv ntawm cov kab mob thromboembolic thiab thrombotic cuam tshuam nrog kev siv cov tshuaj tiv thaiv qhov ncauj tau zoo. Cov ntaub ntawv tswj hwm kev tshawb fawb tau pom muaj kev pheej hmoo txheeb ze ntawm cov neeg siv piv rau cov neeg tsis siv tshuaj yog 3 rau thawj ntu ntawm kev mob ntshav qis, 4 txog 11 rau cov hlab ntshav sib sib zog nqus los yog mob hauv lub ntsws, thiab 1.5 txog 6 rau cov poj niam uas muaj kev mob siab rau mob ntshav thromboembolic.2, 3,19-24: kuvCov kev tshawb fawb nyob hauv ib cheeb tsam tau qhia txog qhov kev pheej hmoo txheeb ze kom qis me ntsis, txog 3 rau cov neeg mob tshiab thiab kwv yees li 4.5 rau cov neeg mob tshiab uas xav tau mus pw hauv tsev kho mob.25Kev pheej hmoo ntawm tus kab mob thromboembolic cuam tshuam nrog kev tiv thaiv qhov ncauj tsis cuam tshuam nrog kev siv ntev thiab ploj tom qab siv tshuaj lawm.2

Qhov ob-rau plaub-npaug nce hauv kev txheeb ze kev pheej hmoo ntawm teeb meem thromboembolic tom qab tau ua haujlwm nrog kev siv tshuaj tiv thaiv qhov ncauj.9Qhov txheeb ze muaj feem cuam tshuam ntawm cov hlab ntshav hauv cov poj niam uas muaj tus mob ua ntej yog ob zaug ntawm cov poj niam yam tsis muaj kev kho mob zoo li no.26Yog tias ua tau, kev tiv thaiv qhov ncauj yuav tsum tau txiav tawm yam tsawg kawg plaub lub lis piam ua ntej thiab ob lub lis piam tom qab kev xaiv phais mob ntawm ib yam cuam tshuam nrog kev pheej hmoo ntawm kev mob thromboembolism thiab thaum lub sijhawm thiab tom qab ua kom tsis ruaj khov ntev. Txij li lub sijhawm tom qab yug menyuam tam sim ntawd tseem cuam tshuam nrog kev pheej hmoo ntawm kev mob thromboembolism, kev tiv thaiv qhov ncauj yuav tsum tau pib ua ntej tsis pub dhau plaub lub lis piam tom qab yug hauv cov poj niam uas xaiv tsis pub mis niam.

c. Kab mob cerebrovascular

Cov tshuaj tiv thaiv kab mob hauv qhov ncauj tau pom tias ua rau muaj kev cuam tshuam ntau ntxiv rau cov txheeb ze thiab muaj feem txaus ntshai ntawm cov xwm txheej cerebrovascular (thrombotic thiab hemorrhagic strokes), txawm hais tias, feem ntau, qhov kev pheej hmoo yog qhov loj tshaj ntawm cov laus (> 35 xyoo), cov poj niam muaj ntshav siab uas tseem haus luam yeeb. Kev mob ntshav siab tau pom tias yog qhov ua rau muaj kev pheej hmoo rau ob tus neeg siv thiab tsis siv, rau ob hom kev mob hlab ntsha tawg, thiab kev haus luam yeeb cuam tshuam rau kev pheej hmoo mob stroke.27-29

Hauv txoj kev tshawb fawb loj, qhov txheeb ze muaj feem cuam tshuam ntawm mob hlab ntsha tawg tau pom los ntawm 3 rau cov neeg siv normotensive mus rau 14 rau cov neeg siv ntshav siab.30Qhov txheeb ze muaj feem cuam tshuam txog kev mob hlab ntsha tawg hauv ntshav tau qhia txog 1.2 rau cov neeg tsis haus luam yeeb uas siv tshuaj tiv thaiv qhov ncauj, 2.6 rau cov neeg haus luam yeeb uas tsis siv tshuaj tiv thaiv qhov ncauj, 7.6 rau cov neeg haus luam yeeb uas tau siv tshuaj tiv thaiv qhov ncauj, 1.8 rau cov neeg siv normotensive thiab 25.7 rau cov neeg siv ntshav siab.30Qhov kev pheej hmoo tseem muaj ntxiv rau cov poj niam laus dua.3

d. Kev noj tshuaj ntsig txog kev pheej hmoo ntawm kab mob vascular los ntawm kev tiv thaiv qhov ncauj

Kev koom tes zoo tau raug pom ntawm cov tshuaj estrogen thiab progestogen hauv kev tiv thaiv qhov ncauj thiab qhov kev pheej hmoo ntawm kab mob vascular.31-33: kuvKev poob qis hauv cov ntshav lipoproteins ntom ntom ntom ntom ntom ntom ntom ntom (HDL) tau tshaj tawm nrog ntau tus neeg sawv cev ua haujlwm.14-16Kev poob qis hauv cov ntshav siab ntom ntom lipoproteins tau cuam tshuam nrog kev nce ntxiv ntawm cov kab mob plawv ischemic. Vim tias cov tshuaj estrogens nce HDL cov roj (cholesterol), cov txiaj ntsig tau zoo ntawm kev tiv thaiv qhov ncauj nyob ntawm qhov sib npaug ua tiav ntawm kev siv tshuaj estrogen thiab progestogen thiab kev ua haujlwm ntawm progestogen siv hauv cov tshuaj tiv thaiv kab mob. Cov dej num thiab tus nqi ntawm ob qho tshuaj hormones yuav tsum raug txiav txim siab hauv qhov kev xaiv ntawm kev tiv thaiv qhov ncauj.

Kev txo qis me me rau cov tshuaj estrogen thiab progestogen yog ua raws nrog cov hauv paus ntsiab lus zoo ntawm kev kho mob. Rau ib qho tshwj xeeb ntawm cov tshuaj estrogen/ progestogen, kev noj tshuaj ntau npaum li cas tau teev tseg yuav tsum yog ib qho uas muaj cov tshuaj estrogen tsawg tshaj plaws thiab progestogen uas tau sib xws nrog qhov ua tsis tau zoo tsawg thiab xav tau ntawm tus neeg mob. Cov neeg txais tshiab ntawm cov tshuaj tiv thaiv qhov ncauj yuav tsum tau pib ntawm kev npaj muaj cov tshuaj estrogen qis tshaj uas tau txiav txim siab tsim nyog rau tus neeg mob.

e. Txoj kev pheej hmoo ntawm kev mob vascular

Muaj ob txoj kev tshawb fawb uas tau qhia txog kev pheej hmoo ntawm cov kab mob vascular rau cov neeg siv tas li ntawm kev tiv thaiv qhov ncauj. Hauv txoj kev tshawb fawb hauv Tebchaws Meskas, qhov pheej hmoo ntawm kev tsim cov kab mob myocardial infarction tom qab tsis siv tshuaj tiv thaiv qhov ncauj txuas ntxiv mus yam tsawg 9 xyoo rau cov poj niam 40-49 xyoo uas tau siv tshuaj tiv thaiv qhov ncauj tau tsib lossis ntau xyoo, tab sis qhov kev pheej hmoo nce no tsis tau pom nyob rau lwm qhov pawg hnub nyoog.8Hauv lwm txoj kev tshawb fawb hauv tebchaws Askiv, kev pheej hmoo ntawm kev tsim cov kab mob cerebrovascular txuas ntxiv mus yam tsawg kawg 6 xyoo tom qab tsis siv tshuaj tiv thaiv qhov ncauj, txawm hais tias kev pheej hmoo tsawg heev.3.4Txawm li cas los xij, ob txoj kev tshawb fawb tau ua nrog kev tsim cov tshuaj tiv thaiv qhov ncauj uas muaj 50 micrograms lossis ntau dua ntawm cov tshuaj estrogens.

2. ZOO TSHAJ PLAWS ZOO TSHAJ PLAWS LOS NTAWM KEV TSO CAI

Ib txoj kev tshawb nrhiav tau sau cov ntaub ntawv los ntawm ntau qhov chaw uas tau kwv yees kwv yees tus neeg tuag nrog rau ntau txoj hauv kev tiv thaiv kev tiv thaiv ntawm cov hnub nyoog sib txawv (Table III). Cov kev kwv yees no suav nrog kev pheej hmoo ntawm kev tuag cuam tshuam nrog txoj hauv kev tiv thaiv kev tiv thaiv ntxiv rau qhov kev pheej hmoo ua rau cev xeeb tub thaum muaj kev ua tsis tiav. Txhua txoj hauv kev tiv thaiv menyuam yaus muaj nws cov txiaj ntsig tshwj xeeb thiab txaus ntshai. Txoj kev tshawb fawb xaus lus tias tshwj tsis yog cov neeg siv tshuaj tiv thaiv qhov ncauj 35 thiab laus dua uas haus luam yeeb, thiab 40 thiab laus dua uas tsis haus luam yeeb, kev tuag cuam tshuam nrog txhua txoj hauv kev tswj kev yug menyuam tsawg thiab qis dua uas cuam tshuam nrog kev yug menyuam. Kev soj ntsuam ntawm kev nce hauv kev pheej hmoo ntawm kev tuag nrog lub hnub nyoog rau cov neeg siv tshuaj tiv thaiv qhov ncauj yog ua raws cov ntaub ntawv sau hauv xyoo 1970's.35Kev pom zoo kho mob tam sim no suav nrog kev siv tshuaj qis tshuaj estrogen qis thiab ua tib zoo txiav txim siab txog qhov txaus ntshai. Xyoo 1989, Pawg Kws Saib Xyuas Menyuam Yaus thiab Menyuam Noj Qab Haus Huv Kev Noj Qab Haus Huv tau thov kom tshuaj xyuas kev siv tshuaj tiv thaiv qhov ncauj rau cov poj niam hnub nyoog 40 xyoo thiab tshaj saud. Pawg Neeg Soj Ntsuam tau hais tias txawm hais tias muaj kev pheej hmoo mob plawv tuaj yeem nce ntxiv nrog kev siv tshuaj tiv thaiv qhov ncauj tom qab hnub nyoog 40 xyoo rau cov poj niam tsis haus luam yeeb (txawm tias muaj cov qauv qis dua tshiab), kuj tseem muaj peev xwm txaus ntshai rau kev noj qab haus huv cuam tshuam nrog cev xeeb tub hauv cov poj niam laus thiab lwm txoj kev phais thiab txheej txheem kho mob uas yuav tsim nyog yog tias cov poj niam no tsis muaj txoj hauv kev siv tau thiab siv tau txoj kev tiv thaiv kev xeeb tub. Pawg Neeg Soj Ntsuam pom zoo tias cov txiaj ntsig ntawm kev siv tshuaj tiv thaiv kab mob hauv qhov ncauj tsawg los ntawm cov poj niam noj qab haus huv tsis haus luam yeeb ntau dua 40 tuaj yeem tshaj qhov txaus ntshai.

Tau kawg, cov poj niam laus, zoo li txhua tus poj niam uas noj tshuaj tiv thaiv kab mob hauv qhov ncauj, yuav tsum noj tshuaj tiv thaiv qhov ncauj uas muaj qhov tsawg kawg ntawm cov tshuaj estrogen thiab progestogen uas tau sib xws nrog qhov ua tsis tau zoo tsawg thiab tus neeg mob xav tau.

Hloov los ntawm H.W. Aw, ref. #35.

*
Kev tuag yog cuam tshuam txog kev yug menyuam
& rab riam;
Kev tuag yog txoj hauv kev ntsig txog
Cov ntaub ntawvIII:Ib xyoosZauvNTAWMYug-RELATEDLOS YOGTxoj kev-RELATEDTUAGRAWS LI
NROGTswjNTAWMFERTILITYRAU100,000NONSTERILEPoj niam,YOGFERTILITYTswjTxoj kev
TSO CAITOHnub nyoog
Txoj Kevntawmtswjthiabqhov tshwm sim
kaum tsib-19
nees nkaum-24
25-29
30-3.4
35-39
40-44
Tsis muaj txoj hauv kev tswj kev yug menyuam * 7.0
7.4
9.1
14.8
25.7
28.2
Cov tshuaj tiv thaiv qhov ncauj tsis haus luam yeeb & rab riam;
0.3
0.5
0.9
1.9
13.8
31.6
Qhov ncauj contraceptives haus luam yeeb & rab riam;
2.2
3.4
6.6
13.5
51.1
117.2
JUD & rab riam;
0.8
0.8
1.0
1.0
1.4
1.4
Condom *
1.1
1.6
0.7
0.2
0.3
0.4
Diaphragm/ phev tua kab * 1.9
1.2
1.2
1.3
2.2
2.8
Periodic abstinence *
2.5
1.6
1.6
1.7
2.9
3.6

3. CARCINOMA NTAWM QHOV ROOJ TSHAJ TSHWJ XEEB THIAB KEV ZOO SIAB

Ntau txoj kev tshawb fawb txog kabmob kis tau ua tiav ntawm qhov tshwm sim ntawm lub mis, endometrial, zes qe menyuam thiab mob qog noj ntshav hauv poj niam uas siv tshuaj tiv thaiv qhov ncauj. Txoj kev pheej hmoo ntawm kev kuaj mob qog noj ntshav mis tuaj yeem nce me ntsis ntawm cov neeg siv tam sim no thiab tsis ntev los no ntawm COCs. Txawm li cas los xij, qhov kev pheej hmoo ntau dhau no zoo li yuav poob qis dua lub sijhawm tom qab COC txiav tawm thiab los ntawm 10 xyoo tom qab txiav tawm qhov kev pheej hmoo yuav ploj mus. Qee qhov kev tshawb fawb qhia txog kev pheej hmoo nce nrog lub sijhawm siv thaum lwm qhov kev tshawb fawb tsis tau thiab tsis muaj kev sib raug zoo ib yam tau pom nrog koob tshuaj lossis hom tshuaj steroid. Qee qhov kev tshawb fawb tau pom qhov nce me me hauv kev pheej hmoo rau cov poj niam uas xub siv COCs ua ntej hnub nyoog 20. Cov kev tshawb fawb feem ntau qhia pom tus qauv zoo ib yam ntawm kev pheej hmoo nrog kev siv COC tsis hais poj niam keeb kwm kev xeeb tub lossis nws tsev neeg keeb kwm mob qog noj ntshav.

Cov qog nqaij hlav mis tau kuaj pom nyob rau tam sim no lossis yav dhau los cov neeg siv OC zoo li tsis muaj kev kho mob siab dua li hauv cov neeg tsis siv neeg.

Cov poj niam uas tam sim no muaj lossis tau mob qog noj ntshav lub mis yuav tsum tsis txhob siv tshuaj tiv thaiv kab mob qhov ncauj vim tias mob qog noj ntshav feem ntau yog cov qog ua rau cov tshuaj hormones.

Qee qhov kev tshawb fawb qhia tias kev siv tshuaj tiv thaiv qhov ncauj tau cuam tshuam nrog kev pheej hmoo ntawm kev mob qog noj ntshav hauv tsev menyuam hauv qee tus poj niam.45-48: kuvTxawm li cas los xij, tseem muaj kev sib cav txog qhov uas qhov kev tshawb pom no yuav yog vim kev sib txawv ntawm tus cwj pwm kev sib deev thiab lwm yam.

Txawm hais tias muaj ntau txoj kev tshawb fawb txog kev sib raug zoo ntawm kev siv tshuaj tiv thaiv kab mob hauv lub qhov ncauj thiab mob qog noj ntshav ntawm lub mis thiab ncauj tsev menyuam, tseem tsis tau tsim kev sib raug zoo.

4. HEPATIC NEOPLASIA

Benign hepatic adenomas cuam tshuam nrog kev siv tshuaj tiv thaiv qhov ncauj, txawm hais tias qhov tshwm sim ntawm cov qog benign tsis tshua muaj tshwm sim hauv Tebchaws Meskas. Kev suav tsis txheeb tau kwv yees kwv yees qhov kev pheej hmoo yog nyob ntawm thaj tsam ntawm 3.3 tus neeg/100,000 rau cov neeg siv, qhov kev pheej hmoo uas nce ntxiv tom qab plaub lossis ntau xyoo ntawm kev siv tshwj xeeb nrog kev tiv thaiv qhov ncauj ntawm koob tshuaj ntau dua.49Kev tawg ntawm benign, adenomas lub siab tuaj yeem ua rau tuag los ntawm kev tso ntshav tawm hauv plab.50, 51 ib

Cov kev tshawb fawb los ntawm tebchaws Askiv tau pom tias muaj kev pheej hmoo loj hlob ntawm kab mob siab hepatocellular carcinoma nyob rau lub sijhawm ntev (> 8 xyoo) cov neeg siv tshuaj tiv thaiv qhov ncauj. Txawm li cas los xij, cov qog nqaij hlav no tsis tshua muaj neeg pom nyob hauv Asmeskas thiab qhov ua rau muaj kev pheej hmoo (qhov tshwm sim ntau dhau) ntawm cov qog nqaij hlav hauv siab hauv cov neeg siv tshuaj tiv thaiv qhov ncauj ua rau tsawg dua li ib lab tus neeg siv.

5. KEV QHIA QHOV TSEEB

Muaj cov ntaub ntawv soj ntsuam ntawm tus mob retinal thrombosis cuam tshuam nrog kev siv tshuaj tiv thaiv qhov ncauj. Cov tshuaj tiv thaiv qhov ncauj yuav tsum raug txiav tawm yog tias tsis pom ib nrab lossis ua tsis tiav ntawm qhov muag; pib ntawm proptosis lossis diplopia; papilledema; los yog qhov txhab ntawm cov hlab ntsha retinal. Kev ntsuas ntsuas thiab kho kom tsim nyog yuav tsum tau ua tam sim ntawd.

6. ORAL CONTRACEPTIVE SIV UA NTEJ LOS YOG DURING EARLY PREGNANCY

Kev tshawb fawb txog kab mob kis thoob qhov txhia chaw tau tshaj tawm tias tsis muaj kev pheej hmoo ntawm kev yug menyuam hauv cov poj niam uas tau siv tshuaj tiv thaiv qhov ncauj ua ntej cev xeeb tub.56, 57 ibFeem ntau ntawm cov kev tshawb fawb tsis ntev los no tseem tsis tau qhia txog teratogenic effect, tshwj xeeb yog kom deb li deb li lub plawv tsis xws luag thiab txo qis qhov tsis xws luag muaj kev txhawj xeeb,55.56.58.59thaum noj tsis tau thaum lub sij hawm cev xeeb tub thaum ntxov.

Kev tswj hwm cov tshuaj tiv thaiv qhov ncauj kom ua rau cov ntshav tawm los yuav tsum tsis txhob siv los ua kev sim cev xeeb tub. Cov tshuaj tiv thaiv qhov ncauj yuav tsum tsis txhob siv thaum cev xeeb tub los kho kev hem los yog ib txwm rho menyuam tawm.

Nws tau pom zoo tias rau ib tus neeg mob uas tau ploj mus ob zaug sib law, cev xeeb tub yuav tsum raug txiav tawm. Yog tias tus neeg mob tsis tau ua raws li lub sijhawm teem tseg, yuav muaj peev xwm cev xeeb tub yuav tsum tau txiav txim siab thaum lub sijhawm thawj zaug tsis tuaj. Kev siv tshuaj tiv thaiv qhov ncauj yuav tsum raug txiav tawm yog tias cev xeeb tub tau lees paub.

7. QHOV TSEEB TSEV KAWM NTAWV

Cov kev tshawb fawb yav dhau los tau tshaj tawm tias muaj kev pheej hmoo txheeb ze txheeb ze ntau ntxiv ntawm kev phais lub zais zis hauv cov neeg siv cov tshuaj tiv thaiv qhov ncauj thiab cov tshuaj estrogens.60, 61Ntau cov kev tshawb fawb tsis ntev los no, txawm li cas los xij, tau qhia tias kev txheeb ze muaj feem yuav tsim tus kab mob gallbladder ntawm cov neeg siv tshuaj tiv thaiv qhov ncauj tuaj yeem tsawg.62-64: kuvKev tshawb pom tsis ntev los no ntawm kev pheej hmoo tsawg kawg tuaj yeem cuam tshuam nrog kev siv cov tshuaj tiv thaiv qhov ncauj uas muaj cov tshuaj qis dua ntawm cov tshuaj estrogens thiab progestogens.

8. CARBOHYDRATE THIAB LIPID METABOLIC EFFECTS

Cov tshuaj tiv thaiv qhov ncauj tau pom tias ua rau txo qis cov piam thaj hauv feem pua ​​ntawm cov neeg siv.17Cov txiaj ntsig no tau pom tias cuam tshuam ncaj qha rau cov tshuaj estrogen.65Progestogens nce insulin secretion thiab tsim cov tshuaj tiv thaiv insulin, cov txiaj ntsig no sib txawv nrog cov neeg sawv cev sib txawv.17, 66 ibTxawm li cas los xij, hauv tus poj niam tsis muaj ntshav qab zib, kev tiv thaiv qhov ncauj zoo li tsis muaj kev cuam tshuam rau yoo ntshav qab zib.67Vim tias cov txiaj ntsig tau qhia pom no, cov poj niam muaj ntshav qab zib thiab ntshav qab zib tshwj xeeb yuav tsum tau ua tib zoo saib xyuas thaum noj tshuaj tiv thaiv qhov ncauj.

Ib feem me me ntawm cov poj niam yuav muaj cov mob hypertriglyceridemia tas mus li thaum noj cov tshuaj. Raws li tau tham ua ntej (saibCEEB TOOM 1a ib thiab 1d ua ), kev hloov pauv hauv cov ntshav triglycerides thiab qib lipoprotein tau qhia hauv cov neeg siv tshuaj tiv thaiv qhov ncauj.

9. QHOV ZOO TSHAJ PLAWS

Cov poj niam uas muaj ntshav siab tseem ceeb yuav tsum tsis txhob pib ntawm kev tiv thaiv hormonal.92Kev nce ntshav siab tau tshaj tawm hauv cov poj niam noj tshuaj tiv thaiv qhov ncauj68thiab qhov nce ntxiv no yuav zoo li qub rau cov neeg siv tshuaj tiv thaiv qhov ncauj laus69thiab nrog ncua sijhawm siv.61Cov ntaub ntawv los ntawm Royal College of General Practitioners12thiab kev sim ntsuas tom qab tau pom tias qhov tshwm sim ntawm kev kub siab nce ntxiv nrog kev ua haujlwm progestational.

Cov poj niam uas muaj keeb kwm mob ntshav siab lossis mob ntsig txog ntshav siab, lossis mob raum70yuav tsum tau txhawb kom siv lwm txoj hauv kev tiv thaiv kev xeeb tub. Yog tias poj niam xaiv los siv cov tshuaj tiv thaiv qhov ncauj, lawv yuav tsum tau saib xyuas zoo thiab yog tias muaj qhov nce siab ntawm cov ntshav siab, yuav tsum tau txiav qhov ncauj tawm. Rau cov poj niam feem ntau, cov ntshav siab yuav rov zoo li qub tom qab siv tshuaj tiv thaiv qhov ncauj, thiab tsis muaj qhov sib txawv ntawm qhov tshwm sim ntawm kev kub siab ntawm cov qub thiab tsis tau siv dua.68-71

10. HEADACHE

Qhov pib lossis ua rau mob taub hau ntau ntxiv lossis txhim kho mob taub hau nrog tus qauv tshiab uas tau rov tshwm sim, tsis tu ncua lossis mob hnyav yuav tsum tau ncua kev tiv thaiv qhov ncauj thiab tshuaj xyuas qhov ua rau.

11. Ua rau cov menyuam tsis taus

Kev tawg ntshav thiab pom qee zaum tau ntsib hauv cov neeg mob ntawm kev tiv thaiv qhov ncauj, tshwj xeeb tshaj yog thaum thawj peb lub hlis ntawm kev siv. Qhov ua rau tsis yog poj niam yuav tsum tau txiav txim siab thiab ntsuas ntsuas ntsuas txaus kom txiav tawm kev ua phem lossis cev xeeb tub thaum muaj ntshav dhau los, ib yam li muaj ntshav los ntawm qhov chaw txawv txav. Yog tias tsis muaj kab mob pathology, lub sijhawm lossis hloov mus rau lwm qhov kev tsim kho yuav daws qhov teeb meem. Thaum muaj amenorrhea, cev xeeb tub yuav tsum raug txiav tawm.

Qee tus poj niam yuav ntsib teeb meem tom qab noj tshuaj los yog oligomenorrhea, tshwj xeeb tshaj yog thaum muaj tus mob zoo li qub.

12. ECTOPIC PREGNANCY

Ectopic ntxiv rau cev xeeb tub hauv plab tuaj yeem tshwm sim hauv kev tiv thaiv kev ua tsis tiav.

Cov kev ceev faj

1. GENERAL

Cov neeg mob yuav tsum tau tawm tswv yim tias cov khoom no tsis tiv thaiv kab mob HIV (AIDS) thiab lwm yam kab mob sib kis.

2. PHYSICAL EXAMINATION THIAB FOLLOW UP

Nws yog kev kho mob zoo rau txhua tus poj niam kom muaj keeb kwm txhua xyoo thiab kuaj lub cev, suav nrog cov poj niam uas siv tshuaj tiv thaiv qhov ncauj. Txawm li cas los xij, kev tshuaj xyuas lub cev yuav raug ncua kom txog thaum tom qab pib siv tshuaj tiv thaiv qhov ncauj yog hais tias tus poj niam thov thiab txiav txim qhov tsim nyog los ntawm kws kho mob. Kev tshuaj xyuas lub cev yuav tsum suav nrog kev qhia tshwj xeeb txog ntshav siab, ob lub mis, lub plab thiab lub plab hauv plab, suav nrog lub ncauj tsev menyuam cytology, thiab kev kuaj sim ntsig txog. Yog tias tsis tau kuaj pom, tsis tu ncua lossis rov muaj qhov txawv txav ntawm qhov chaw mos, yuav tsum tau ua qhov ntsuas kom tsis txhob ua phem. Cov poj niam uas muaj tsev neeg muaj keeb kwm mob qog noj ntshav lossis mob qog noj ntshav yuav tsum tau saib xyuas tshwj xeeb.

3. LIPID DISORDERS

Cov poj niam uas tau raug kho rau hyperlipidemias yuav tsum tau ua tib zoo saib yog tias lawv xaiv los siv tshuaj tiv thaiv qhov ncauj. Qee cov progestogens tuaj yeem nce qib LDL thiab tuaj yeem ua rau tswj hwm hyperlipidemias nyuaj dua.

4. KEV NYUAJ SIAB

Yog tias jaundice tshwm sim hauv ib tus poj niam uas tau txais cov tshuaj no, cov tshuaj yuav tsum raug txiav. Cov tshuaj hormones steroid tuaj yeem ua rau cov metabolism tsis zoo hauv cov neeg mob uas muaj lub siab ua haujlwm tsis zoo.

5. FLUID RETENTION

Cov tshuaj tiv thaiv qhov ncauj tuaj yeem ua rau qee qib ntawm cov kua dej. Lawv yuav tsum tau hais kom ceev faj, thiab tsuas yog ua tib zoo saib xyuas, hauv cov neeg mob uas muaj xwm txheej uas tuaj yeem ua rau hnyav dua los ntawm cov kua dej.

6. KEV TSHAWB FAWB

Cov poj niam uas muaj keeb kwm ntawm kev nyuaj siab yuav tsum tau ua tib zoo saib thiab txiav cov tshuaj yog tias kev nyuaj siab rov qab mus rau qib loj.

7. QHIA LENSES

Cov neeg siv cov iav uas tsim kev hloov pauv lossis hloov pauv hauv lub siab yuav tsum tau tshuaj xyuas los ntawm kws kho qhov muag.

8. DRUG INTERACTIONS

Kev hloov pauv ntawm kev tiv thaiv kev tiv thaiv kab mob cuam tshuam nrog kev sib koom ua ke ntawm lwm cov khoom lag luam:

Kev tiv thaiv kev ua haujlwm tsis zoo yuav raug txo thaum cov tshuaj tiv thaiv hormonal tau koom nrog tshuaj tua kab mob, tshuaj tiv thaiv kab mob, thiab lwm yam tshuaj uas ua rau cov metabolism hauv ntawm cov tshuaj tiv thaiv kab mob tiv thaiv kab mob. Qhov no tuaj yeem ua rau cev xeeb tub tsis tau npaj tseg lossis ua rau muaj ntshav tawm. Piv txwv xws li rifampin, barbiturates, phenylbutazone, phenytoin, carbamazepine, felbamate, oxcarbazepine, topiramate, griseofulvin thiab bosentan. Ntau qhov xwm txheej ntawm kev tiv thaiv tsis ua haujlwm thiab ua kom ntshav dhau tau tshaj tawm hauv cov ntawv sau nrog kev tswj hwm tshuaj tua kab mob ib txhij xws li ampicillin thiab tetracyclines. Txawm li cas los xij, kev tshawb fawb tshuaj pharmacology tshawb nrhiav tshuaj sib cuam tshuam ntawm kev siv tshuaj tiv thaiv qhov ncauj thiab cov tshuaj tua kab mob no tau tshaj tawm cov txiaj ntsig tsis sib xws.

Ntau qhov ntawm cov tshuaj tiv thaiv kab mob HIV protease inhibitors tau kawm nrog kev sib koom ua ke ntawm qhov ncauj ua ke nrog cov tshuaj tiv thaiv kab mob sib kis; kev hloov pauv tseem ceeb (nce thiab txo qis) hauv qib ntshav ntawm cov tshuaj estrogen thiab progestin tau sau tseg hauv qee kis. Kev nyab xeeb thiab ua tau zoo ntawm cov khoom tiv thaiv qhov ncauj tuaj yeem cuam tshuam nrog kev sib koom ua ke ntawm kev tiv thaiv kab mob HIV protease inhibitors. Cov kws saib xyuas kev noj qab haus huv yuav tsum xa mus rau daim ntawv lo ntawm tus neeg tiv thaiv kab mob HIV tiv thaiv kab mob tiv thaiv kab mob ntxiv rau cov ntaub ntawv hais txog kev siv yeeb tshuaj.

Cov khoom lag luam tshuaj ntsuab uas muaj St. John's Wort (hypericum perforatum) tuaj yeem ua rau lub plab zom mov (cytochrome P450) thiab p-glycoprotein thauj khoom thiab tuaj yeem txo qhov ua tau zoo ntawm kev tiv thaiv tshuaj tiv thaiv kab mob. Qhov no kuj yuav ua rau muaj ntshav los ntshav.

Kev siv bosentan thiab norethisterone/ethinyl estradiol ib txhij tuaj yeem ua rau txo qis ntawm cov tshuaj tiv thaiv kabmob no uas ua rau muaj kev pheej hmoo ntawm cev xeeb tub tsis tau npaj tseg thiab tsis tuaj ntshav.

Ua kom nce qib ntshav txuam nrog cov tshuaj sib koom ua ke:

Kev sib koom ua ke ntawm atorvastatin thiab qee yam kev tiv thaiv qhov ncauj uas muaj ethinyl estradiol nce AUC qhov tseem ceeb rau ethinyl estradiol kwv yees li 20%. Ascorbic acid thiab acetaminophen tuaj yeem nce qib ntshav ethinyl estradiol qib, tejzaum nws los ntawm kev txwv tsis pub sib txuas. CYP 3A4 inhibitors xws li itraconazole lossis ketoconazole tuaj yeem ua rau cov ntshav ntshav ntau ntxiv.

Kev hloov pauv hauv qib plasma ntawm cov tshuaj sib koom ua ke:

Kev sib xyaw ua ke nrog cov tshuaj tiv thaiv hormonal uas muaj qee cov tshuaj estrogens (piv txwv li, ethinyl estradiol) tuaj yeem cuam tshuam cov metabolism hauv lwm cov tshuaj. Ua kom cov ntshav ntau ntxiv ntawm cyclosporin, prednisolone, thiab theophylline tau tshaj tawm nrog kev tswj hwm ib txhij ntawm kev tiv thaiv qhov ncauj. Ua kom cov ntshav plasma ntau ntxiv ntawm acetaminophen thiab nce kev tshem tawm ntawm temazepam, salicylic acid, morphine thiab clofibric acid, vim qhov pib ntawm kev sib txuas, tau sau tseg thaum cov tshuaj no tau siv nrog kev tiv thaiv qhov ncauj.

Cov tshuaj tiv thaiv kab mob sib xyaw ua ke tau qhia pom kom txo qis ntshav plasma ntau ntau ntawm lamotrigine thaum sib koom ua ke vim yog pib ntawm lamotrigine glucuronidation. Qhov no yuav txo qis kev tswj qaug dab peg; yog li, kev hloov kho tshuaj ntawm lamotrigine yuav tsim nyog.95

Cov kws saib xyuas kev noj qab haus huv tau qhia kom tseem xa mus rau sau cov ntaub ntawv ntawm cov tshuaj sib koom ua ke rau cov lus pom zoo hais txog kev tswj hwm kev kho ua ke.

9. Kev sib tham nrog kev xeem LABORATORY

Qee qhov kev kuaj ntshav endocrine thiab lub siab ua haujlwm thiab cov ntshav tuaj yeem cuam tshuam los ntawm kev tiv thaiv qhov ncauj:

a Nce prothrombin thiab yam VII, VIII, IX, thiab X; txo antithrombin 3; nce norepinephrine-induced platelet aggregability.

b. Ua kom cov thyroid sib koom ua ke globulin (TBG) ua rau nce ntxiv tag nrho cov thyroid hormone, raws li ntsuas los ntawm cov protein-khi iodine (PBI), T4 los ntawm kab lossis los ntawm radioimmunoassay. Kev pub dawb T3 cob tau txo qis, xav txog TBG siab dua, pub dawb T4 qhov tsis hloov pauv.

c. Lwm cov protein uas khi tau tuaj yeem nce hauv cov ntshav.

d. Kev sib deev-khi globulins tau nce ntxiv thiab ua rau nce qib ntawm tag nrho cov kev sib deev sib deev steroids thiab corticoids; txawm li cas los xij, qib pub dawb lossis kev siv tshuaj lom neeg tseem tsis hloov pauv.

e. Triglycerides tuaj yeem nce ntxiv thiab qib ntawm lwm yam lipid thiab lipoproteins tuaj yeem cuam tshuam.

f. Glucose kam rau ua tuaj yeem txo qis.

g. Ntshav qib folate tej zaum yuav nyuaj siab los ntawm kev kho tshuaj tiv thaiv qhov ncauj. Qhov no yuav yog qhov tseem ceeb ntawm kev kho mob yog tias tus poj niam cev xeeb tub sai tom qab tsis ua qhov kev tiv thaiv qhov ncauj.

10. CARCINOGENESIS

Saib CEEB TOOM Tshooj lus

11. QHOV TSEEB

Cev xeeb tub qeb X.

Saib Kev txiav txim siab thiab CEEB TOOM Tshooj lus.

12. NURSING MOTHERS

Cov tshuaj me me ntawm cov tshuaj tiv thaiv kab mob hauv qhov ncauj tau raug txheeb pom hauv cov mis ntawm niam niam thiab ob peb yam tsis zoo rau tus menyuam tau tshaj tawm, suav nrog jaundice thiab nthuav mis. Ib qho ntxiv, kev sib xyaw ua ke nrog cov tshuaj tiv thaiv kab mob hauv lub sijhawm tom qab yug menyuam tuaj yeem cuam tshuam nrog lactation los ntawm kev txo qis thiab qhov zoo ntawm cov kua mis. Yog ua tau, tus niam laus yuav tsum tau qhia kom tsis txhob siv cov tshuaj tiv thaiv qhov ncauj sib tham tab sis siv lwm hom kev tiv thaiv kom txog thaum nws tau cev xeeb tub tag nrho.

13. PEDIATRIC SIV

Kev nyab xeeb thiab ua tau zoo ntawm Pirmella 1/35 tau tsim los rau cov poj niam uas muaj hnub nyoog deev me nyuam. Kev nyab xeeb thiab ua tau zoo yuav tsum zoo ib yam rau cov hluas tom qab hnub nyoog qis dua 16 xyoos thiab rau cov neeg siv hnub nyoog 16 xyoos thiab laus dua. Kev siv cov khoom lag luam no ua ntej kev ntuav tsis tau qhia.

14. KEV SIB THAM GERIATRIC

Cov khoom no tsis tau kawm hauv cov poj niam laus dua 65 xyoos thiab tsis qhia hauv cov neeg no.

Qhia rau tus neeg mob

Saib Cov Neeg Mob Luam Ntawv Luam tawm hauv qab no

Cov Teeb Meem Tsis Zoo

Kev pheej hmoo nce ntxiv ntawm cov kev phom sij tsis zoo hauv qab no tau cuam tshuam nrog kev siv cov tshuaj tiv thaiv qhov ncauj (Saib CEEB TOOM Tshooj).

  • Thrombophlebitis thiab venous thrombosis nrog lossis tsis muaj embolism
  • Arterial thromboembolism
  • Pulmonary embolism
  • Myocardial infarction
  • Cerebral hemorrhage
  • Cerebral thrombosis
  • Mob ntshav siab
  • Kab mob ntawm lub zais zis
  • Hepatic adenomas lossis cov qog nqaij hlav siab

Muaj pov thawj ntawm kev koom nrog ntawm cov xwm txheej hauv qab no thiab kev siv tshuaj tiv thaiv qhov ncauj:

  • Mesenteric thrombosis
  • Retinal thrombosis

Cov xwm txheej tsis zoo hauv qab no tau tshaj tawm hauv cov neeg mob tau txais kev tiv thaiv qhov ncauj thiab ntseeg tias yog tshuaj-cuam tshuam nrog:

  • Xeev siab
  • Ntuav
  • Cov tsos mob ntawm txoj hnyuv (xws li mob plab thiab tsam plab)
  • Kev los ntshav
  • Spotting
  • Hloov hauv kev coj khaub ncaws
  • Amenorrhea
  • Ib ntus ntxiv lawm ntxiv tom qab txiav kev kho mob
  • Edema
  • Melasma uas tuaj yeem mob ntev
  • Cov mis hloov pauv: rhiab, nthuav dav, zais zis
  • Hloov qhov hnyav (nce lossis txo)
  • Kev hloov pauv ntawm ncauj tsev menyuam thiab tso zis
  • Kev txo qis hauv lactation thaum muab tam sim tom qab yug menyuam
  • Cholestatic jaundice
  • Mob taub hau
  • Kev ua xua, suav nrog pob khaus, urticaria, angioedema
  • Kev nyuaj siab
  • Txo kev ua siab ntev rau cov carbohydrates
  • Kev kis kab mob ntawm qhov chaw mos
  • Kev hloov pauv ntawm lub corneal curvature (nce)
  • Intolerance rau cov iav lo ntsiab muag

Cov kev tsis zoo hauv qab no tau tshaj tawm hauv cov neeg siv cov tshuaj tiv thaiv qhov ncauj thiab kev sib koom ua ke tsis tau lees paub lossis tsis lees paub:

  • Ua ntej cev xeeb tub syndrome
  • Cataracts
  • Kev hloov pauv hauv qab los noj mov
  • Cystitis zoo li syndrome
  • Mob taub hau
  • Nervousness
  • Kiv taub hau
  • Hirsutism
  • Cov plaub hau poob
  • Erythema multiforme
  • Erythema nodosum
  • Hemorrhagic tawg
  • Qhov chaw mos
  • Porphyria
  • Kev ua haujlwm tsis zoo ntawm lub raum
  • Hemolytic uremic syndrome
  • Pob txuv
  • Hloov pauv libido
  • Colitis
  • Budd-Chiari syndrome

Tshaj dhau

Cov mob hnyav tsis tau tshaj tawm tom qab tau noj ntau npaum ntawm cov tshuaj tiv thaiv qhov ncauj los ntawm cov menyuam yaus. Kev siv tshuaj ntau dhau tuaj yeem ua rau xeev siab, thiab tso ntshav tawm tuaj yeem tshwm sim rau poj niam.

Tsis Muaj Kev Tiv Thaiv Kev Noj Qab Nyob Zoo

Cov txiaj ntsig kev noj qab haus huv uas tsis yog kev tiv thaiv kab mob hauv qab no cuam tshuam nrog kev siv tshuaj tiv thaiv kab mob hauv qhov ncauj tau txais kev txhawb nqa los ntawm kev tshawb fawb kab mob sib kis uas feem ntau siv cov tshuaj tiv thaiv qhov ncauj uas muaj cov tshuaj estrogen ntau dua 0.035 mg ntawm ethinyl estradiol lossis 0.05 mg mestranol.73-78

Cov teebmeem ntawm kev coj khaub ncaws:

  • nce kev coj khaub ncaws tsis tu ncua
  • poob ntshav poob thiab poob qis ntawm cov hlau tsis muaj ntshav tsis txaus
  • txo qhov tshwm sim ntawm dysmenorrhea

Cov teebmeem cuam tshuam txog kev txwv tsis pub ovulation:

  • txo qhov xwm txheej ntawm kev ua haujlwm ntawm zes qe menyuam
  • txo qhov xwm txheej ntawm cev xeeb tub ectopic

Lwm yam teebmeem:

  • txo qhov xwm txheej ntawm fibroadenomas thiab kab mob fibrocystic ntawm lub mis
  • tsawg dua qhov tshwm sim ntawm tus kab mob mob plab pelvic
  • txo qhov tshwm sim ntawm kev mob qog noj ntshav endometrial
  • txo qhov tshwm sim ntawm kev mob qog noj ntshav ntawm zes qe menyuam

Pirmella 1/35 Dosage thiab Kev Tswj

Kom ua tiav qhov kev tiv thaiv kev tiv thaiv siab tshaj plaws, Pirmella 1/35 yuav tsum tau ua raws nraim li tau hais tseg thiab nyob rau lub sijhawm tsis pub dhau 24 teev. Pirmella 1/35 muaj nyob hauv hnab nyiaj uas tau npaj ua ntej rau Hnub Sunday Pib. Hnub 1 Pib kuj tseem muaj.

Hnub Sunday Pib

Thaum noj Pirmella 1/35, thawj lub ntsiav tshuaj 'nquag' yuav tsum tau noj rau thawj hnub Sunday tom qab pib coj khaub ncaws. Yog tias lub sijhawm pib hnub Sunday, thawj lub ntsiav tshuaj 'nquag' yuav tsum tau noj hnub ntawd. Noj ib ntsiav tshuaj nquag txhua hnub rau 21 hnub ua raws los ntawm ib qho ntsuab 'ceeb toom' ntsiav tshuaj txhua hnub rau 7 hnub. Tom qab noj 28 ntsiav tshuaj, ib chav kawm tshiab tau pib rau hnub tom ntej (Hnub Sunday). Rau thawj lub voj voog ntawm Hnub Pib Pib txoj cai, lwm txoj hauv kev tiv thaiv kev tiv thaiv yuav tsum tau siv kom txog thaum tom qab thawj 7 hnub sib law liag ntawm kev tswj hwm.

Yog tias tus neeg mob tsis nco ib (1) 'active' ntsiav tshuaj hauv Lub lis piam 1, 2, lossis 3, yuav tsum tau noj cov tshuaj sai li sai tau thaum nws nco qab. Yog tias tus neeg mob plam ob (2) ntsiav tshuaj 'active' hauv Lub Limtiam 1 lossis Lub Limtiam 2, tus neeg mob yuav tsum noj ob (2) ntsiav tshuaj hauv ib hnub uas nws nco tau thiab ob (2) ntsiav tshuaj nyob rau hnub tom ntej; thiab tom qab ntawd txuas ntxiv noj ib (1) ntsiav tshuaj ib hnub kom txog thaum nws ua tiav pob. Tus neeg mob yuav tsum tau qhia kom siv txoj hauv kev thim rov qab ntawm kev tiv thaiv kev yug menyuam xws li hnab looj tes lossis tshuaj tua kab mob yog tias nws tau sib deev hauv xya (7) hnub tom qab tsis muaj tshuaj. Yog tias tus neeg mob plam ob (2) ntsiav tshuaj hauv lub lim tiam thib peb lossis tsis pom peb (3) lossis ntau dua cov tshuaj 'ua haujlwm' ua ke, tus neeg mob yuav tsum noj ib ntsiav tshuaj ib hnub ntxiv txog hnub Sunday. Hnub Sunday tus neeg mob yuav tsum pov tseg cov pob uas seem thiab pib pob tshiab nyob rau tib hnub ntawd. Tus neeg mob yuav tsum tau qhia kom siv txoj hauv kev thim rov qab ntawm kev tiv thaiv kev yug menyuam yog tias nws tau sib deev hauv xya (7) hnub tom qab tsis muaj tshuaj.

Ua kom tiav cov lus qhia txhawm rau pab tswv yim rau tus neeg mob txog kev siv tshuaj ntsiav kom raug yuav pom nyob hauv Xav paub ntau ntxiv txog Tus Neeg Mob ('Yuav Ua Li Cas Thiaj Li Tshuaj ntsiav').

Hnub 1 Pib

Qhov ntau npaum li cas ntawm Pirmella 1/35, rau thawj lub voj voog ntawm kev kho yog ib qho 'nquag' ntsiav tshuaj tau tswj hwm txhua hnub txij li 1st txog rau hnub 21 ntawm kev coj khaub ncaws, suav thawj hnub ntawm kev coj khaub ncaws raws li 'Hnub 1' ua raws ib qho ntsuab 'ceeb toom' ntsiav tshuaj txhua hnub rau 7 hnub. Cov ntsiav tshuaj tau noj yam tsis muaj kev cuam tshuam rau 28 hnub. Tom qab noj 28 ntsiav tshuaj, ib chav kawm tshiab tau pib rau hnub tom ntej.

Yog tias tus neeg mob tsis nco ib (1) 'active' ntsiav tshuaj hauv Lub lis piam 1, 2, lossis 3, yuav tsum tau noj cov tshuaj sai li sai tau thaum nws nco qab. Yog tias tus neeg mob plam ob (2) ntsiav tshuaj 'active' hauv Lub Limtiam 1 lossis Lub Limtiam 2, tus neeg mob yuav tsum noj ob (2) ntsiav tshuaj hauv ib hnub uas nws nco tau thiab ob (2) ntsiav tshuaj nyob rau hnub tom ntej; thiab tom qab ntawd txuas ntxiv noj ib (1) ntsiav tshuaj ib hnub kom txog thaum nws ua tiav pob. Tus neeg mob yuav tsum tau qhia kom siv txoj hauv kev thim rov qab ntawm kev tiv thaiv kev yug menyuam xws li hnab looj tes lossis tshuaj tua kab mob yog tias nws tau sib deev hauv xya (7) hnub tom qab tsis muaj tshuaj. Yog tias tus neeg mob plam ob (2) 'cov tshuaj nquag' hauv lub lim tiam thib peb lossis tsis pom peb (3) lossis ntau dua cov tshuaj 'ua haujlwm' ua ke, tus neeg mob yuav tsum pov tseg cov pob ntxiv thiab pib pob tshiab nyob rau tib hnub ntawd . Tus neeg mob yuav tsum tau qhia kom siv txoj hauv kev thim rov qab ntawm kev tiv thaiv kev yug menyuam yog tias nws tau sib deev hauv xya (7) hnub tom qab tsis muaj tshuaj.

Ua kom tiav cov lus qhia txhawm rau pab txhawb tus neeg mob kev sab laj txog kev siv tshuaj ntsiav kom raug yuav pom nyob hauv Cov Lus Qhia Kom Paub Tus Neeg Mob ('Yuav Ua Li Cas Thiaj Siv Tshuaj' ').

Kev siv Pirmella 1/35 rau kev tiv thaiv menyuam yaus tuaj yeem pib 4 lub lis piam tom qab yug menyuam hauv poj niam uas xaiv tsis pub niam mis. Thaum siv cov ntsiav tshuaj nyob rau lub sijhawm tom qab yug menyuam, yuav tsum muaj kev pheej hmoo ntau ntxiv ntawm cov kab mob thromboembolic cuam tshuam nrog lub sijhawm tom qab yug menyuam yuav tsum tau txiav txim siab. (Saib Kev txiav txim siab thiab CEEB TOOM hais txog kab mob thromboembolic. Saib kujCOV KEV CEEV FAJrau ' Niam laus '). Qhov muaj peev xwm ntawm ovulation thiab kev xeeb tub ua ntej pib siv tshuaj yuav tsum tau txiav txim siab.

(Saib Kev Sib Tham ntawm Dose-Related Risk of Vascular Disease los ntawm Qhov ncauj Contraceptives .)

Cov lus qhia ntxiv

Kev tawg ntshav, pom, thiab amenorrhea feem ntau yog vim li cas rau cov neeg mob tsis siv tshuaj tiv thaiv qhov ncauj. Hauv kev hla ntshav, zoo li txhua qhov xwm txheej los ntshav los ntawm qhov chaw mos, qhov ua rau tsis ua haujlwm yuav tsum nco ntsoov. Hauv kev kuaj mob tsis tu ncua lossis rov qab los ntshav txawv txav los ntawm qhov chaw mos, ntsuas ntsuas txaus qhia kom txiav txim siab cev xeeb tub lossis ua phem. Yog tias tsis muaj kab mob pathology, lub sijhawm lossis hloov mus rau lwm qhov kev tsim kho yuav daws qhov teeb meem. Hloov mus rau kev tiv thaiv qhov ncauj nrog cov tshuaj estrogen ntau dua, thaum muaj peev xwm pab tau kom txo qis kev coj khaub ncaws, yuav tsum tau ua yog tias tsim nyog vim qhov no tuaj yeem ua rau muaj kev pheej hmoo ntawm tus kab mob thromboembolic.

Kev siv cov tshuaj tiv thaiv qhov ncauj thaum lub caij tsis tuaj lawm:

1. Yog tias tus neeg mob tsis tau ua raws li lub sijhawm teem tseg, yuav tsum muaj peev xwm cev xeeb tub tau thaum lub sijhawm thawj zaug tsis tuaj thiab kev siv tshuaj tiv thaiv qhov ncauj yuav tsum raug txiav tawm yog tias cev xeeb tub tau lees paub.

2. Yog tias tus neeg mob tau ua raws li cov txheej txheem tau teev tseg thiab tsis nco qab ob lub sijhawm sib law liag, cev xeeb tub yuav tsum raug txiav tawm.

Pirmella 1/35 Muab Khoom Li Cas

Pirmella 1/35 muaj nyob hauv hnab nyiaj (NDC 68180-893-11) muaj 28 ntsiav tshuaj. Xws li peb lub hnab nyiaj tau ntim rau hauv ib lub thawv (NDC 68180-893-13).

Lub hnab ntim khoom muaj 28 ntsiav tshuaj, raws li hauv qab no:

  • Txhua ntawm 21 txiv duaj xim, puag ncig, tiaj-ntsej muag beveled edged ntsiav tshuaj debossed nrog 'LU' ntawm ib sab thiab 'L25' ntawm lwm sab uas muaj 1 mg norethindrone thiab 0.035 mg ethinyl estradiol.
  • Txhua ntawm 7 lub xim ntsuab, puag ncig, tiaj-ntsej muag beveled edged ntsiav tshuaj debossed nrog 'LU' ntawm ib sab thiab 'L27' ntawm lwm sab uas muaj cov khoom xyaw inert.

Khaws ntawm 25 ° C (77 ° F); kev tso cai mus ncig 15 ° txog 30 ° C (59 ° txog 86 ° F). [saib USP Tswj Chav Kub].

Cov ntaub ntawv

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  22. Vessey MP, Doll R. Kev tshawb fawb txog kev sib raug zoo ntawm kev siv cov tshuaj tiv thaiv qhov ncauj thiab kab mob thromboembolic. Br Med J 1968; 2 (5599): 199-205.
  23. Vessey MP, Doll R. Kev tshawb fawb txog kev sib raug zoo ntawm kev siv cov tshuaj tiv thaiv qhov ncauj thiab kab mob thromboembolic. Ib daim ntawv qhia ntxiv Br Med J 1969; 2 (5658): 651-657.
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  25. Vessey M, Doll R, Peto R, Johnson B, Wiggins P. Kev tshawb fawb tshawb fawb ntev txog poj niam siv ntau txoj hauv kev tiv thaiv kev xeeb tub: ib tsab ntawv ceeb toom ib ntus. J Biosocial Sci 1976; 8: 375-427.
  26. Royal College of General Practitioners: Kev Tiv Thaiv Qhov Ncauj, tiv thaiv ntshav txhaws, thiab leeg leeg leeg. J Royal Coll Gen Xyaum 1978; 28: 393-399.
  27. Pab Pawg Sib Koom Tes rau Kev Kawm ntawm Stroke hauv Cov Ntxhais Hluas: Kev tiv thaiv qhov ncauj thiab ua rau muaj kev pheej hmoo ntawm lub paj hlwb ischemia lossis thrombosis. N Engl J Med 1973; 288: 871-878.
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Manufactured rau:

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Pirmella ™ 1/35

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1 mg / 0.035 mg

Tsuas yog Rx

LUS QHIA ZOO TSHAJ PATIENT PACKAGE INSERT

Cov tshuaj tiv thaiv qhov ncauj, tseem hu ua 'tshuaj tiv thaiv menyuam yaus' lossis 'ntsiav tshuaj,' raug coj los tiv thaiv kev xeeb tub thiab thaum noj kom raug yam tsis muaj tshuaj noj, muaj qhov ua tsis tiav kwv yees li 1% hauv ib xyoos. Qhov ua tsis tiav yog kwv yees li 5% hauv ib xyoos thaum cov poj niam uas tsis suav cov tshuaj suav nrog. Rau feem ntau cov poj niam cov tshuaj tiv thaiv qhov ncauj kuj tsis muaj kev phom sij loj lossis tsis zoo. Txawm li cas los xij, tsis nco qab noj tshuaj ntau heev ua rau muaj feem yuav xeeb tub.

Rau feem coob ntawm cov poj niam, cov tshuaj tiv thaiv qhov ncauj tuaj yeem siv tau yam nyab xeeb. Tab sis muaj qee tus poj niam uas muaj kev pheej hmoo loj ntawm qee yam kab mob loj uas tuaj yeem ua rau tuag taus lossis tuaj yeem ua rau xiam oob qhab ib ntus lossis tas mus li. Cov kev pheej hmoo cuam tshuam nrog kev noj tshuaj tiv thaiv qhov ncauj nce ntxiv yog tias koj:

  • pa luam yeeb
  • muaj ntshav siab, ntshav qab zib, cov roj (cholesterol) siab
  • muaj lossis muaj ntshav txhaws, plawv nres, mob hlab ntsha tawg, mob angina pectoris, mob qog noj ntshav ntawm lub mis lossis lub cev nrog txiv neej pw, jaundice lossis malignant lossis benign daim siab.

Txawm hais tias kev pheej hmoo kab mob plawv tuaj yeem nce ntxiv nrog kev siv tshuaj tiv thaiv qhov ncauj tom qab hnub nyoog 40 xyoo nyob rau hauv kev noj qab haus huv, cov poj niam tsis haus luam yeeb (txawm tias muaj cov qauv qis dua tshiab), kuj tseem muaj peev xwm txaus ntshai rau kev noj qab haus huv cuam tshuam nrog cev xeeb tub hauv poj niam laus.

Koj yuav tsum tsis txhob noj cov tshuaj yog tias koj xav tias koj cev xeeb tub lossis muaj ntshav los ntawm qhov chaw tsis tuaj yeem piav qhia.

Kev haus luam yeeb ua rau muaj kev pheej hmoo mob plawv loj heev los ntawm kev siv tshuaj tiv thaiv qhov ncauj. Qhov kev pheej hmoo no nce nrog hnub nyoog thiab nrog kev haus luam yeeb hnyav (15 lossis ntau dua luam yeeb hauv ib hnub) thiab tau cim rau cov poj niam hnub nyoog tshaj 35 xyoos. Cov poj niam uas siv tshuaj tiv thaiv qhov ncauj raug qhia kom tsis txhob haus luam yeeb.

Feem ntau cov kev mob tshwm sim ntawm cov ntsiav tshuaj tsis hnyav. Qhov tshwm sim feem ntau xws li xeev siab, ntuav, los ntshav thaum lub caij coj khaub ncaws, nce phaus ntxiv, mob siab rau lub mis, thiab nyuaj hnav looj tsom iav. Cov kev phiv no, tshwj xeeb yog xeev siab thiab ntuav, tuaj yeem txo qis hauv thawj peb lub hlis ntawm kev siv.

Qhov phom sij loj ntawm cov ntsiav tshuaj tshwm sim tsis tshua muaj tshwm sim, tshwj xeeb tshaj yog tias koj muaj kev noj qab haus huv thiab tseem hluas. Txawm li cas los xij, koj yuav tsum paub tias cov mob hauv qab no tau cuam tshuam nrog lossis ua tsis zoo los ntawm cov tshuaj:

1. Ntshav hauv cov ceg (thrombophlebitis), ntsws (pulmonary embolism), nres lossis tawg ntawm cov hlab ntshav hauv lub hlwb (mob hlab ntsha tawg), txhaws cov hlab ntshav hauv plawv (plawv nres lossis angina pectoris) lossis lwm yam kabmob hauv nruab nrog cev lub cev. Raws li tau hais los saum no, kev haus luam yeeb ua rau muaj kev pheej hmoo ntawm kev mob plawv thiab mob hlab ntsha tawg thiab mob hnyav tom ntej.

2. Hauv qee kis, kev tiv thaiv qhov ncauj tuaj yeem ua rau mob qog noj ntshav tab sis txaus ntshai. Cov qog nqaij hlav hauv lub siab no tuaj yeem ua rau tawg thiab ua rau lub cev tuag taus. Ib qho ntxiv, qee qhov kev tshawb fawb qhia txog kev pheej hmoo pheej hmoo mob qog noj ntshav. Txawm li cas los xij, mob qog noj ntshav tsawg tsawg.

3. Ntshav siab, txawm hais tias ntshav siab feem ntau rov zoo li qub thaum cov ntsiav tshuaj raug tso tseg.

Cov tsos mob cuam tshuam nrog cov kev mob tshwm sim loj no tau tham hauv daim ntawv ntxaws ntxaws uas tau muab rau koj nrog koj cov tshuaj noj.

Qhia rau koj tus kws saib xyuas kev noj qab haus huv yog tias koj pom muaj qhov txawv txav ntawm lub cev thaum noj tshuaj. Ib qho ntxiv, cov tshuaj xws li rifampin, nrog rau qee yam tshuaj tiv thaiv kab mob thiab qee yam tshuaj tua kab mob tuaj yeem txo qis qhov ua haujlwm tiv thaiv qhov ncauj.

Cov tshuaj tiv thaiv qhov ncauj tuaj yeem cuam tshuam nrog lamotrigine (LAMICTAL® ib), tshuaj anticonvulsant siv rau qaug dab peg. Qhov no yuav ua rau muaj kev pheej hmoo ntawm qaug dab peg yog li koj tus kws kho mob yuav xav tau kho qhov koob tshuaj lamotrigine.

Ntau yam kev tshawb fawb muab cov lus ceeb toom tsis sib haum ntawm kev sib raug zoo ntawm mob qog noj ntshav lub mis thiab siv tshuaj tiv thaiv qhov ncauj. Kev siv tshuaj tiv thaiv qhov ncauj tuaj yeem nce me ntsis koj txoj hauv kev kuaj mob qog noj ntshav hauv lub mis, tshwj xeeb yog tom qab siv cov tshuaj tiv thaiv tsis pub muaj menyuam thaum muaj hnub nyoog yau. Tom qab koj tsum tsis txhob siv cov tshuaj tiv thaiv hormonal, qhov muaj feem yuav mob qog noj ntshav lub mis pib rov qab qis. Koj yuav tsum muaj kev kuaj lub mis tsis tu ncua los ntawm kws kho mob thiab tshuaj xyuas koj tus kheej lub mis txhua hli. Qhia rau koj tus kws kho mob yog tias koj muaj keeb kwm tsev neeg mob qog noj ntshav lossis yog tias koj muaj lub hauv siab ntawm lub mis lossis cov duab tsis txawv txav. Cov poj niam uas tam sim no muaj lossis tau mob qog noj ntshav lub mis yuav tsum tsis txhob siv tshuaj tiv thaiv qhov ncauj vim tias mob qog noj ntshav feem ntau yog cov qog ua rau cov tshuaj hormones.

Qee qhov kev tshawb fawb tau pom qhov nce ntawm qhov tshwm sim ntawm kev mob qog noj ntshav ntawm lub ncauj tsev menyuam hauv cov poj niam uas siv tshuaj tiv thaiv qhov ncauj. Txawm li cas los xij, qhov kev tshawb pom no tuaj yeem cuam tshuam nrog lwm yam uas tsis yog siv tshuaj tiv thaiv qhov ncauj. Muaj pov thawj tsis txaus los txiav txim siab qhov ua tau tias cov ntsiav tshuaj tuaj yeem ua rau mob qog noj ntshav.

Noj cov ntsiav tshuaj ua ke muab qee cov txiaj ntsig tseem ceeb uas tsis yog xeeb tub. Cov no suav nrog kev coj khaub ncaws tsawg dua, tsis muaj ntshav qis thiab ntshav tsis txaus, tsawg dua tus kab mob hauv plab, thiab tsawg dua qog noj ntshav ntawm zes qe menyuam thiab hauv ob sab phlu ntawm lub tsev menyuam.

Nco ntsoov tham txog txhua yam mob uas koj muaj nrog koj tus kws kho mob. Koj tus kws kho mob yuav coj mus kuaj mob thiab tsev neeg keeb kwm ua ntej yuav sau tshuaj tiv thaiv qhov ncauj thiab yuav tshuaj xyuas koj. Kev tshuaj xyuas lub cev yuav raug ncua mus rau lwm lub sijhawm yog tias koj thov nws thiab tus kws saib xyuas kev noj qab haus huv ntseeg tias nws yog kev kho mob zoo kom ncua sijhawm nws. Koj yuav tsum rov tshuaj xyuas yam tsawg ib xyoos ib zaug thaum noj tshuaj tiv thaiv qhov ncauj. Koj tus kws muag tshuaj yuav tsum tau muab cov ncauj lus ntxaws txog tus neeg mob daim ntawv lo uas muab cov ntaub ntawv ntxiv rau koj uas koj yuav tsum nyeem thiab tham nrog koj tus kws kho mob.

Cov khoom no (zoo li txhua qhov kev tiv thaiv qhov ncauj) yog npaj los tiv thaiv cev xeeb tub. Nws tsis tiv thaiv kev kis tus kabmob HIV (AIDS) thiab lwm yam kabmob sib deev xws li mob chlamydia, mob qog noj ntshav, mob qog noj ntshav, mob gonorrhea, kab mob siab B, thiab mob syphilis.

YUAV UA LI CAS YUAV TSHUAJ TIV THAIV

TSEEM CEEBPOINTSTONCO NTSOOV

Ua ntejKoj Pib Siv Koj Cov Tshuaj:

1. YUAV TSUM nyeem cov lus qhia no:

Ua ntej koj pib noj koj cov tshuaj.

Txhua lub sijhawm koj tsis paub yuav ua dab tsi.

2. Txoj Cai LUS TSEEM YUAV TSHUAJ TUG TUG TUG YOG TEEB MEEM IB TUG IB TUG IB TUG IB TUG IB TUG IB TUG IB TUG IB TUG IB TUG IB TUG.

Yog tias koj tsis noj tshuaj koj tuaj yeem cev xeeb tub. Qhov no suav nrog pib pob lig.

Qhov ntau cov tshuaj koj plam, qhov feem ntau koj yuav xeeb tub.

3. Ntau tus poj niam muaj qhov pom los yog teeb pom kev, lossis tuaj yeem hnov ​​mob rau lawv lub plab thaum lub sijhawm thawj 1-3 pob ntawm cov tshuaj. Yog koj hnov ​​mob rau koj lub plab, tsis txhob noj tshuaj. Feem ntau qhov teeb meem yuav ploj mus. Yog tias nws tsis ploj mus, nrog koj tus kws kho mob tham.

4. MISSING PILLS YUAV TSUM MUAJ TUS NEEG YUAV TSUM MUAJ LOS NTAWM LUB TEEB MEEM LIGHTING, txawm tias thaum koj ua cov tshuaj no lawm los xij.

Hauv cov hnub koj noj 2 ntsiav tshuaj los kho cov tshuaj uas tsis tau noj, koj kuj tuaj yeem mob me ntsis rau koj lub plab.

5. Yog tias koj muaj VOMITING LOSSIS DIARRHEA, lossis yog tias koj noj qee yam tshuaj, suav nrog qee yam tshuaj tua kab mob, koj cov tshuaj yuav tsis ua haujlwm zoo ib yam. Siv txoj hauv kev thim rov qab (xws li hnab looj tes lossis tshuaj tua kab phev) kom txog thaum koj kuaj nrog koj tus kws kho mob.

6. Yog tias koj muaj teeb meem nco txog noj tshuaj, tham nrog koj tus kws kho mob txog yuav ua li cas thiaj li noj tshuaj tau yooj yim dua lossis siv lwm txoj hauv kev tswj kev yug menyuam.

7. Yog tias koj muaj lus nug lossis tsis txaus siab txog cov ntaub ntawv hauv tsab ntawv no, hu rau koj tus kws kho mob.

Ua ntejKojPibNqisKOJTABSIS

1. Txiav txim seb lub sijhawm twg ntawm hnub koj xav nqa koj cov tshuaj.

Nws yog ib qho tseem ceeb kom coj nws ntawm tib lub sijhawm txhua txhua hnub.

2. ZOO TSHAJ PLAWS PILL PACK.

Cov ntsiav tshuaj muaj 21 ntsiav tshuaj (nrog cov tshuaj hormones) noj rau 3 lub lis piam. Qhov no yog ua raws li 1 lub lis piam ntsuab 'ceeb toom' ntsiav tshuaj (tsis muaj cov tshuaj hormones).

Pirmella 1/35: Muaj 21 ntsiav tshuaj 'txiv duaj' thiab 7 ntsuab 'ceeb toom' tshuaj.

3. TSEV KAWM NTAWV:

1) qhov twg ntawm pob kom pib noj tshuaj,

2) nyob rau hauv dab tsi xaj kom noj cov tshuaj.

4. Nco ntsoov tias koj tau npaj txhij txhua lub sijhawm:

THAUM KIND OF BIRTH CONTROL (xws li hnab looj tes lossis tshuaj tua kab phev) los siv ua txoj hauv kev thim rov qab yog tias koj tsis noj tshuaj.

EXTRA, PULL PILL PACK PACK.

Thaum twgTOPibLUBThawjPACKNTAWMTABSIS

Koj muaj kev xaiv hnub twg los pib noj koj thawj pob tshuaj. Pirmella 1/35 muaj nyob hauv hnab nyiaj uas tau npaj ua ntej rau Hnub Sunday Pib. Hnub 1 Pib kuj tseem muaj. Txiav txim siab nrog koj tus kws kho mob uas yog hnub zoo tshaj rau koj. Xaiv lub sijhawm ntawm hnub uas yuav nco tau yooj yim.

Hnub Sunday pib:

Pirmella 1/35:Noj thawj cov txiv duaj 'nquag' ntsiav tshuaj ntawm lub pobHnub Sunday tom qab koj lub sijhawm pib,txawm tias koj tseem los ntshav. Yog tias koj lub sijhawm pib hnub Sunday, pib pob tib hnub.

Siv lwm txoj kev tiv thaiv kev yug menyuamxws li hnab looj tes los yog tshuaj tua kab phev raws li txoj kev thim rov qab yog tias koj tau sib deev txhua lub sijhawm txij hnub Sunday koj pib koj thawj pob kom txog rau hnub Sunday tom ntej (7 hnub).

Hnub 1 Pib:

Pirmella 1/35:Noj thawj cov txiv duaj 'nquag' ntsiav tshuaj ntawm lub pob thaum lub sijhawmthawj 24 teev ntawm koj lub sijhawm.

Koj yuav tsis tas yuav siv txoj kev thim rov qab ntawm kev tiv thaiv kev yug menyuam, txij li koj tab tom pib noj tshuaj thaum pib ntawm koj lub sijhawm.

YUAV UA LI CASTOUaTUAJLUBHLI

1. TSOIB TUG TSHUAJ TIV THAIV IB TUG ZOO TSHAJ PLAWS HNUB TSEV KAWM NTAWV PACK yog EMPTY.

Tsis txhob hla cov tshuaj txawm tias koj pom lossis pom ntshav los ntawm lub hlis lossis xav tias mob rau koj lub plab (xeev siab). Tsis txhob hla tshuaj txawm tias koj tsis tau sib deev ntau zaus.

2.Thaum koj ua tiav ib lub pob lossis hloov koj hom tshuaj ntsiav:

Pib pob tom ntej ntawm hnub tom qab koj lub ntsiav tshuaj ntsuab 'ceeb toom' kawg. Tsis txhob tos ib hnub ntawm cov pob khoom.

YUAV UA LI CASTOUaYOGKojMISSTABSIS

Pirmella 1/35:

Yog kojMISS 1Peach 'active' ntsiav tshuaj:

1. Coj nws sai li sai tau thaum koj nco qab. Noj cov tshuaj ntxiv tom ntej ntawm koj lub sijhawm. Qhov no txhais tau tias koj tuaj yeem noj 2 ntsiav tshuaj hauv 1 hnub.

2. Koj tsis tas yuav siv txoj kev tiv thaiv kev yug menyuam rov qab yog tias koj tau sib deev.

Yog koj MISS2peach 'active' ntsiav tshuaj uake uakeKEEB KWM 1 LUB HLIS 2ntawm koj pob:

1. Noj 2 ntsiav tshuaj hnub uas koj nco qab thiab 2 ntsiav tshuaj nyob rau hnub tom ntej.

2. Tom qab ntawd noj 1 ntsiav tshuaj ib hnub kom txog thaum koj ua tiav pob.

3. Koj YUAV TSUM PREGNANT yog tias koj tau sib deev hauv7 hnubtom qab koj tsis nco tshuaj. Koj YUAV TSUM siv lwm txoj hauv kev tiv thaiv kev yug menyuam (xws li hnab looj tes lossis tshuaj tua kab phev) ua txoj hauv kev thim rov qab rau 7 hnub ntawd.

Yog kojMISS 2peach 'active' ntsiav tshuaj uake uakeLUB 3RD LUAG:

1a ib.Yog tias koj yog Hnub Sunday Pib:

Khaws noj 1 ntsiav tshuaj txhua hnub txog hnub Sunday. Hnub Sunday, THOOW OUT tas lub pob thiab pib pob tshiab ntawm cov tshuaj tib hnub ntawd.

1b.Yog tias koj yog Hnub Pib 1:

THROW OUT seem ntawm cov ntsiav tshuaj thiab pib pob tshiab nyob rau tib hnub ntawd.

2. Koj yuav tsis muaj koj lub sijhawm nyob rau lub hlis no tab sis qhov kev cia siab no. Txawm li cas los xij, yog tias koj nco koj lub sijhawm 2 lub hlis sib law, hu rau koj tus kws kho mob vim tias koj yuav xeeb tub.

3. Koj YUAV TSUM PREGNANT yog tias koj tau sib deev hauv7 hnubtom qab koj tsis nco tshuaj. Koj YUAV TSUM siv lwm txoj hauv kev tiv thaiv kev yug menyuam (xws li hnab looj tes lossis tshuaj tua kab phev) ua txoj hauv kev thim rov qab rau 7 hnub ntawd.

Yog kojMISS 3 LUB SIJ HAWMpeach 'active' ntsiav tshuaj uake (thaum thawj 3 lub asthiv):

1a ib.Yog tias koj yog Hnub Sunday Pib:

Khaws noj 1 ntsiav tshuaj txhua hnub txog hnub Sunday. Hnub Sunday, THOOW OUT tas lub pob thiab pib pob tshiab ntawm cov tshuaj tib hnub ntawd.

1b.Yog tias koj yog Hnub Pib 1:

THROW OUT seem ntawm cov ntsiav tshuaj thiab pib pob tshiab nyob rau tib hnub ntawd.

2. Koj yuav tsis muaj koj lub sijhawm nyob rau lub hlis no tab sis qhov kev cia siab no. Txawm li cas los xij, yog tias koj nco koj lub sijhawm 2 lub hlis sib law, hu rau koj tus kws kho mob vim tias koj yuav xeeb tub.

3. Koj YUAV TSUM PREGNANT yog tias koj tau sib deev hauv7 hnubtom qab koj tsis nco tshuaj. Koj YUAV TSUM siv lwm txoj hauv kev tiv thaiv kev yug menyuam (xws li hnab looj tes lossis tshuaj tua kab phev) ua txoj hauv kev thim rov qab rau 7 hnub ntawd.

TOREMINDER
Yog tias koj tsis nco qab ib yam ntawm 7 tshuaj ntsuab ceeb toom hauv Lub Limtiam 4: THAUM TSEEM TSHUAJ TAB SIS cov tshuaj uas koj tsis nco qab. Khaws noj 1 ntsiav tshuaj txhua hnub kom txog thaum lub pob ntim tas. Koj tsis xav tau txoj hauv kev thim rov qab.
Thaum kawg, yog tias koj tseem tsis paub meej tias yuav ua dab tsi txog cov tshuaj uas koj tau ploj lawm: Siv txoj hauv kev thaub qab txhua lub sijhawm koj muaj kev sib deev. KEEB TSHUAJ TIV THAIV TIV THAIV IB TUG NEEG Ib hnub kom txog thaum koj tuaj yeem ncav cuag koj tus kws kho mob.

Cov lus qhia rau kev siv koj li WALLET

1. Lub WALLET tuaj rau koj teeb tsa Hnub Sunday Pib. Yog tias koj tus kws kho mob tau qhia koj kom pib noj tshuaj thawj hnub SUNDAY tom qab koj lub caij coj khaub ncaws pib, saib cov lus qhia hauv Tus lej 3.

2. Yog tias koj yuav pib noj tshuaj nyob rau ib hnub uas tsis yog hnub sunday, daim ntawv lo daim ntawv qhia hnub tau muab thiab yuav muab tso rau hauv daim ntawv qhia hnub luam tawm ntawm lub hnab nyiaj. Txhawm rau muab daim ntawv tso rau hauv, txheeb xyuas koj hnub pib uas raug, nrhiav hnub ntawd daim ntawv lo tam sim no hauv daim ntawv qhia hnub thiab sau daim ntawv hnub ntawd tshaj daim ntawv teev hnub luam tawm ntawm lub hnab nyiaj.

Pirmella 1/35:Muaj 21 peach 'ua haujlwm' tshuaj thiab 7 ntsuab 'nco' tshuaj.

3. Thawj cov txiv tsawb 'nquag' ntsiav tshuaj koj yuav noj yog qhia los ntawm START thiab kab nrog rau Hnub Hnub Xub dub raws li qhia ntawm lub hnab nyiaj. Yog xav paub ntxiv, saib cov lus qhia hauv daim duab hauv qab no.

4. Nias thawj lub ntsiav tshuaj nrog koj tus ntiv tes xoo lossis tus ntiv tes xoo. Cov ntsiav tshuaj yuav tawm los ntawm lub qhov nyob tom qab ntawm pob.

5. Tom qab koj tau noj tag nrho 21 cov tshuaj, noj ib lub tshuaj ntsuab 'ceeb toom' txhua hnub rau 7 hnub. Lub sijhawm no koj lub sijhawm yuav tsum pib.

6. Tom qab koj tau noj tag nrho cov tshuaj, pib ntim cov tshuaj tshiab txawm tias koj lub sijhawm tseem tsis tau tag.

NTAWV PATIENT LABELING

THOV NCO NTSOOV: Daim ntawv lo no raug kho dua ib ntus raws li cov ntaub ntawv kho mob tseem ceeb tshiab muaj. Yog li, thov tshuaj xyuas daim ntawv lo kom zoo.

Pirmella 1/35 muaj kev sib xyaw ntawm cov tshuaj estrogen thiab progestogen, ob hom poj niam cov tshuaj hormones. Txhua lub ntsiav tshuaj peach muaj 1 mg norethindrone thiab 0.035 mg ethinyl estradiol. Txhua lub ntsiav tshuaj ntsuab muaj cov khoom xyaw inert.

QHIA

Txhua tus poj niam uas txiav txim siab siv tshuaj tiv thaiv qhov ncauj (tshuaj tiv thaiv menyuam yaus lossis ntsiav tshuaj) yuav tsum nkag siab txog cov txiaj ntsig thiab kev pheej hmoo ntawm kev siv daim ntawv pov thawj yug menyuam no. Cov neeg mob daim ntawv lo no yuav muab cov ntaub ntawv ntau rau koj uas koj yuav tsum tau ua rau qhov kev txiav txim siab no thiab tseem yuav pab koj txiav txim siab yog tias koj muaj kev pheej hmoo ntawm kev tsim ib qho kev phom sij loj ntawm cov ntsiav tshuaj. Nws yuav qhia koj yuav siv cov tshuaj kom raug li cas thiaj li yuav muaj txiaj ntsig zoo li sai tau. Txawm li cas los xij, daim ntawv lo no tsis yog hloov pauv rau kev sib tham zoo ntawm koj thiab koj tus kws kho mob. Koj yuav tsum tham txog cov ntaub ntawv muab hauv daim ntawv lo nrog nws, ob qho tib si thaum koj pib siv cov tshuaj thiab thaum koj rov tshuaj xyuas. Koj yuav tsum tau ua raws li koj tus kws kho mob cov lus qhia hais txog kev kuaj mob tas li thaum koj tab tom noj tshuaj.

TSEEM CEEB NTAWV NTAWV TSO CAI NTAWV

Cov tshuaj tiv thaiv qhov ncauj los yog 'tshuaj tiv thaiv kev yug menyuam' lossis 'ntsiav tshuaj' tau siv los tiv thaiv cev xeeb tub thiab muaj txiaj ntsig zoo dua li lwm txoj hauv kev uas tsis yog phais phais ntawm kev yug menyuam. Thaum lawv tau noj kom raug yam tsis muaj tshuaj noj, muaj feem yuav xeeb tub yog kwv yees li 1% (1 cev xeeb tub rau 100 tus poj niam ib xyoos twg ntawm kev siv). Tus nqi ua tsis tiav raug kwv yees li 5% hauv ib xyoos suav nrog cov poj niam uas tsis ib txwm noj cov tshuaj raws nraim li tau hais tseg. Txoj hauv kev muaj peev xwm cev xeeb tub nce ntxiv nrog rau txhua lub tshuaj uas tsis tuaj thaum lub caij coj khaub ncaws.

Hauv kev sib piv, qhov ua tsis tiav rau lwm txoj hauv kev tswj kev yug menyuam thawj xyoo ntawm kev siv yog raws li hauv qab no:

Kev cog:<1%
Txiv neej kom tsis muaj menyuam:<1%
Txhaj tshuaj:<1%
Cervical Cap nrog spermicides: 20 txog 40%
IUD: 1 txog 2%
Condom ib leeg (txiv neej): 14%
Diaphragm nrog spermicides: 20%
Condom ib leeg (poj niam): 21%
Spermicides ib leeg: 26%
Kev ncua sijhawm ib ntus: 25%
Qhov chaw mos daim txhuam cev: 20 txog 40%
Tshem Tawm: 19%
Poj niam kom tsis muaj menyuam:<1%
Tsis muaj txoj hauv kev: 85%

LEEJ TWG YUAV TSUM YUAV TSHUAJ TUG QHOV TSEEB ZOO TSHAJ PLAWS

Kev haus luam yeeb ua rau muaj kev pheej hmoo mob plawv loj heev los ntawm kev siv tshuaj tiv thaiv qhov ncauj. Qhov kev pheej hmoo no nce nrog hnub nyoog thiab nrog kev haus luam yeeb hnyav (15 lossis ntau dua luam yeeb hauv ib hnub) thiab tau cim rau cov poj niam hnub nyoog tshaj 35 xyoos. Cov poj niam uas siv tshuaj tiv thaiv qhov ncauj raug qhia kom tsis txhob haus luam yeeb.

Qee tus poj niam yuav tsum tsis txhob siv cov tshuaj. Piv txwv li, koj yuav tsum tsis txhob noj cov tshuaj yog tias koj muaj cov xwm txheej hauv qab no:

  • Keeb kwm ntawm lub plawv nres lossis mob hlab ntsha tawg
  • Ntshav hauv cov ceg (thrombophlebitis), ntsws (pulmonary embolism), lossis qhov muag
  • Keeb kwm ntawm cov ntshav txhaws hauv cov leeg sib sib zog nqus ntawm koj ob txhais ceg
  • Mob hauv siab (angina pectoris)
  • Paub lossis xav tias mob qog noj ntshav lossis mob qog noj ntshav ntawm lub tsev menyuam, ncauj tsev menyuam lossis chaw mos
  • Cov ntshav hauv qhov ncauj tsis tau piav qhia (txog thaum kuaj pom los ntawm koj tus kws kho mob)
  • Daj daj ntawm qhov muag lossis ntawm daim tawv nqaij (jaundice) thaum cev xeeb tub lossis thaum siv cov ntsiav tshuaj dhau los
  • Mob qog noj ntshav (benign lossis cancerous)
  • Paub lossis xav tias cev xeeb tub
  • Valvular plawv kab mob nrog teeb meem
  • Mob ntshav siab heev
  • Ntshav qab zib nrog vascular koom tes
  • Mob taub hau nrog cov tsos mob ntawm lub paj hlwb
  • Yog tias koj npaj yuav phais nrog lub txaj ntev ntev
  • Hypersensitivity rau ib feem ntawm cov khoom no.

Qhia rau koj tus kws kho mob yog tias koj puas tau muaj ib yam ntawm cov xwm txheej no. Koj tus kws paub txog kev noj qab haus huv tuaj yeem hais qhia txoj hauv kev nyab xeeb ntawm kev tiv thaiv kev yug menyuam.

LWM YAM TSEEM CEEB UA NTEJ YUAV UA LI CAS YUAV TSUM MUAJ KEV KAWM NTAWV

Qhia koj tus kws kho mob yog tias koj muaj lossis tau muaj:

  • Cov qog nqaij hlav hauv lub mis, kab mob fibrocystic ntawm lub mis, xoo hluav taws xob hauv lub mis tsis txawv txav lossis kuaj lub mis
  • Ntshav Qab Zib
  • Ua kom cov roj (cholesterol) siab lossis triglycerides
  • Ntshav siab
  • Migraine lossis lwm yam mob taub hau lossis qaug dab peg
  • Kev nyuaj siab
  • Gallbladder, daim siab, plawv lossis mob raum
  • Keeb kwm ntawm kev tsis txaus los yog lub caij coj khaub ncaws tsis xwm yeem

Cov poj niam uas muaj ib qho ntawm cov xwm txheej no yuav tsum tau tshuaj xyuas ntau zaus los ntawm lawv tus kws kho mob yog tias lawv xaiv siv tshuaj tiv thaiv qhov ncauj.

Tsis tas li, nco ntsoov qhia rau koj tus kws kho mob yog tias koj haus luam yeeb lossis nyob ntawm ib yam tshuaj.

RISK NTAWV NTAWV QHIA QHOV TSEEB TSHIAB

1. Kev pheej hmoo tsim cov ntshav txhaws

Cov ntshav txhaws thiab txhaws ntawm cov hlab ntshav yog ib qho kev phom sij loj tshaj plaws ntawm kev noj tshuaj tiv thaiv qhov ncauj thiab tuaj yeem ua rau tuag lossis xiam oob khab loj. Tshwj xeeb, cov hlab ntshav hauv ob txhais ceg tuaj yeem ua rau thrombophlebitis thiab cov hlab ntshav uas mus rau hauv lub ntsws tuaj yeem ua rau muaj kev thaiv sai sai ntawm lub nkoj nqa ntshav mus rau lub ntsws. Tsis tshua muaj tshwm sim hauv cov hlab ntshav ntawm lub qhov muag thiab tuaj yeem ua rau dig muag, ob lub zeem muag, lossis tsis pom kev.

Yog tias koj noj tshuaj tiv thaiv kab mob hauv qhov ncauj thiab xav tau kev phais mob, yuav tsum tau pw hauv txaj kom mob ntev lossis raug mob lossis nyuam qhuav yug menyuam, koj yuav muaj feem yuav tsim ntshav khov. Koj yuav tsum sab laj nrog koj tus kws tshaj lij kev noj qab haus huv txog kev txwv tsis pub siv tshuaj tiv thaiv qhov ncauj peb mus rau plaub lub lis piam ua ntej phais thiab tsis noj tshuaj tiv thaiv qhov ncauj ob lub lis piam tom qab phais lossis thaum pw so.

Koj yuav tsum tsis txhob noj tshuaj tiv thaiv qhov ncauj sai tom qab yug menyuam. Nws raug nquahu kom tos tsawg kawg plaub lub lis piam tom qab yug menyuam yog tias koj tsis pub niam mis lossis plaub lub lis piam tom qab rho menyuam thib peb lub hlis thib ob. Yog tias koj tab tom pub niam mis, koj yuav tsum tau tos kom txog thaum koj tau yoo koj tus menyuam ua ntej siv cov tshuaj. (Saib ntu ntu ntawmPub misnyob rau hauvGENERAL PRECAUTIONS.)

Txoj kev pheej hmoo ntawm cov kab mob sib kis hauv cov neeg siv cov tshuaj tiv thaiv qhov ncauj tuaj yeem siab dua hauv cov neeg siv cov tshuaj ntsiav siab thiab yuav muaj ntau dua nrog lub sijhawm ntev ntawm kev siv tshuaj tiv thaiv qhov ncauj. Ib qho ntxiv, qee qhov kev pheej hmoo nce no tuaj yeem txuas ntxiv mus rau ntau xyoo tom qab siv tshuaj tiv thaiv qhov ncauj. Txoj kev pheej hmoo ntawm cov ntshav txhaws txawv txav nce nrog lub hnub nyoog hauv ob tus neeg siv thiab tsis siv cov tshuaj tiv thaiv qhov ncauj, tab sis kev pheej hmoo nce ntxiv los ntawm kev tiv thaiv qhov ncauj zoo li muaj nyob rau txhua lub hnub nyoog. Rau cov poj niam hnub nyoog 20 txog 44 xyoos, nws tau kwv yees tias kwv yees li ntawm 1 hauv 2,000 tus siv tshuaj tiv thaiv qhov ncauj yuav tau mus pw hauv tsev kho mob txhua xyoo vim tias tsis muaj ntshav khov. Ntawm cov neeg tsis siv neeg nyob hauv tib pab pawg hnub nyoog, kwv yees li 1 ntawm 20,000 yuav tau mus pw hauv tsev kho mob txhua xyoo. Rau cov neeg siv tshuaj tiv thaiv kab mob qhov ncauj feem ntau, nws tau kwv yees tias hauv cov poj niam hnub nyoog 15 txog 34 xyoos muaj kev pheej hmoo tuag vim muaj kev cuam tshuam txog ntshav ncig yog kwv yees li 1 ntawm 12,000 hauv ib xyoos, rau cov tsis siv neeg tus nqi yog kwv yees li 1 hauv 50,000 hauv ib xyoos. . Hauv pawg hnub nyoog 35 txog 44, kev pheej hmoo kwv yees kwv yees li 1 ntawm 2,500 hauv ib xyoos rau cov neeg siv tshuaj tiv thaiv qhov ncauj thiab kwv yees li 1 ntawm 10,000 hauv ib xyoos rau cov tsis siv neeg.

2. Lub plawv nres thiab mob hlab ntsha tawg

Cov tshuaj tiv thaiv qhov ncauj tuaj yeem ua rau muaj kev pheej hmoo ua rau mob hlab ntsha tawg (nres lossis tawg ntawm cov hlab ntshav hauv lub hlwb) thiab angina pectoris thiab lub plawv nres (thaiv cov hlab ntshav hauv plawv). Ib yam ntawm cov xwm txheej no tuaj yeem ua rau tuag lossis xiam oob khab loj.

Kev haus luam yeeb zoo heev ua rau muaj kev pheej hmoo plawv nres thiab mob hlab ntsha tawg. Tsis tas li ntawd, kev haus luam yeeb thiab siv tshuaj tiv thaiv qhov ncauj ua rau muaj kev pheej hmoo loj hlob thiab tuag ntawm kab mob hauv lub plawv.

3. Kab mob gallbladder

Cov neeg siv cov tshuaj tiv thaiv qhov ncauj tej zaum yuav muaj kev pheej hmoo ntau dua li cov neeg tsis siv cov kab mob gallbladder, txawm hais tias qhov kev pheej hmoo no tuaj yeem cuam tshuam nrog cov tshuaj uas muaj cov tshuaj estrogens ntau.

4. Mob qog noj ntshav

Hauv qee kis, kev tiv thaiv qhov ncauj tuaj yeem ua rau mob qog noj ntshav tab sis txaus ntshai. Cov qog nqaij hlav hauv lub siab no tuaj yeem ua rau tawg thiab ua rau lub cev tuag taus. Ib qho ntxiv, qee qhov kev tshawb fawb qhia txog kev pheej hmoo pheej hmoo mob qog noj ntshav. Txawm li cas los xij, mob qog noj ntshav tsawg tsawg.

5. Mob qog noj ntshav ntawm lub nruab nrog cev thiab lub mis

Ntau yam kev tshawb fawb muab cov lus ceeb toom tsis sib haum ntawm kev sib raug zoo ntawm mob qog noj ntshav lub mis thiab siv tshuaj tiv thaiv qhov ncauj. Kev siv tshuaj tiv thaiv qhov ncauj tuaj yeem nce me ntsis koj txoj hauv kev kuaj mob qog noj ntshav hauv lub mis, tshwj xeeb yog tom qab siv cov tshuaj tiv thaiv tsis pub muaj menyuam thaum muaj hnub nyoog yau. Tom qab koj tsum tsis txhob siv cov tshuaj tiv thaiv hormonal, qhov muaj feem yuav mob qog noj ntshav lub mis pib rov qab qis. Koj yuav tsum muaj kev kuaj lub mis tsis tu ncua los ntawm kws kho mob thiab tshuaj xyuas koj tus kheej lub mis txhua hli. Qhia rau koj tus kws kho mob yog tias koj muaj keeb kwm tsev neeg mob qog noj ntshav lossis yog tias koj muaj lub hauv siab ntawm lub mis lossis cov duab tsis txawv txav. Cov poj niam uas tam sim no muaj lossis tau mob qog noj ntshav lub mis yuav tsum tsis txhob siv tshuaj tiv thaiv qhov ncauj vim tias mob qog noj ntshav feem ntau yog cov qog ua rau cov tshuaj hormones.

Qee qhov kev tshawb fawb tau pom qhov nce ntawm qhov tshwm sim ntawm kev mob qog noj ntshav ntawm lub ncauj tsev menyuam hauv cov poj niam uas siv tshuaj tiv thaiv qhov ncauj. Txawm li cas los xij, qhov kev tshawb pom no tuaj yeem cuam tshuam nrog lwm yam uas tsis yog siv tshuaj tiv thaiv qhov ncauj. Muaj pov thawj tsis txaus los txiav txim siab qhov ua tau tias cov ntsiav tshuaj tuaj yeem ua rau mob qog noj ntshav.

TSEEM YUAV ROV QAB NTUJ NTUJ NTUJ LOS NTAWM TUS ME NYUAM QHOV TSEEM CEEB LOS YOG TSEEB

Txhua txoj hauv kev tswj kev yug menyuam thiab cev xeeb tub yog cuam tshuam nrog kev pheej hmoo ntawm kev tsim qee yam kab mob uas tuaj yeem ua rau xiam oob qhab lossis tuag taus. Kev kwv yees ntawm tus naj npawb ntawm cov neeg tuag cuam tshuam nrog ntau txoj hauv kev tswj kev yug menyuam thiab cev xeeb tub tau suav thiab tau qhia hauv cov lus hauv qab no.

*
Kev tuag yog cuam tshuam txog kev yug menyuam
& rab riam;
Kev tuag yog txoj hauv kev ntsig txog
Ib xyoosZauvNTAWMYug-RELATEDLOS YOGTxoj kev-RELATEDTUAGRAWS LINROG
TswjNTAWMFERTILITYRAU100,000NONSTERILEPoj niam,YOGFERTILITYTswjTxoj kev
TSO CAITOHnub nyoog
Txoj Kevntawmtswjthiabqhov tshwm sim
kaum tsib-19
nees nkaum-24
25-29
30-3.4
35-39
40-44
Tsis muaj txoj hauv kev tswj kev yug menyuam *
7.0
7.4
9.1
14.8
25.7
28.2
Cov tshuaj tiv thaiv qhov ncauj tsis haus luam yeeb & rab riam;
0.3
0.5
0.9
1.9
13.8
31.6
Qhov ncauj contraceptives haus luam yeeb & rab riam;
2.2
3.4
6.6
13.5
51.1
117.2
JUD & rab riam;
0.8
0.8
1.0
1.0
1.4
1.4
Condom *
1.1
1.6
0.7
0.2
0.3
0.4
Diaphragm/ phev tua kab *
1.9
1.2
1.2
1.3
2.2
2.8
Periodic abstinence *
2.5
1.6
1.6
1.7
2.9
3.6

Hauv cov lus saum toj no, txoj kev pheej hmoo tuag los ntawm ib txoj hauv kev tiv thaiv kev yug menyuam tsawg dua qhov pheej hmoo ntawm kev yug menyuam, tshwj tsis yog cov neeg siv tshuaj tiv thaiv qhov ncauj muaj hnub nyoog tshaj 35 xyoos uas haus luam yeeb thiab siv cov ntsiav tshuaj hnub nyoog tshaj 40 txawm tias lawv tsis haus luam yeeb. Nws tuaj yeem pom hauv lub rooj tias rau cov poj niam hnub nyoog 15 txog 39 xyoos, kev pheej hmoo tuag yog siab tshaj nrog cev xeeb tub (7-26 tus neeg tuag rau 100,000 tus poj niam, nyob ntawm hnub nyoog). Ntawm cov neeg siv cov tshuaj uas tsis haus luam yeeb, kev pheej hmoo tuag ib txwm qis dua qhov cuam tshuam nrog cev xeeb tub rau txhua pawg hnub nyoog, txawm hais tias muaj hnub nyoog tshaj 40 xyoo, qhov kev pheej hmoo nce mus rau 32 tuag rau 100,000 tus poj niam, piv rau 28 cuam tshuam nrog cev xeeb tub ntawm qhov ntawd hnub nyoog. Txawm li cas los xij, rau cov neeg siv ntsiav tshuaj uas haus luam yeeb thiab muaj hnub nyoog tshaj 35 xyoos, kwv yees tias cov neeg tuag ntau dua li lwm txoj hauv kev tswj kev yug menyuam. Yog tias tus poj niam muaj hnub nyoog tshaj 40 xyoo thiab haus luam yeeb, nws kwv yees tias yuav muaj kev tuag ntau dua plaub npaug (117/100,000 tus poj niam) ntau dua li kwv yees kev pheej hmoo cuam tshuam nrog cev xeeb tub (28/100,000 tus poj niam) hauv pawg hnub nyoog ntawd.

Cov lus pom zoo tias cov poj niam muaj hnub nyoog tshaj 40 xyoo uas tsis haus luam yeeb yuav tsum tsis txhob siv cov tshuaj tiv thaiv qhov ncauj yog raws cov ntaub ntawv los ntawm cov laus, cov tshuaj ntau dua. Pawg Neeg Tawm Tswv Yim ntawm FDA tau tham txog qhov teeb meem no xyoo 1989 thiab pom zoo tias cov txiaj ntsig ntawm kev siv tshuaj tiv thaiv qhov ncauj me me los ntawm kev noj qab haus huv, tsis haus luam yeeb poj niam uas muaj hnub nyoog tshaj 40 xyoo tuaj yeem muaj peev xwm ntau dua.

CEEB TOOM SIGNALS

Yog tias ib qho ntawm cov kev tsis zoo tshwm sim thaum koj noj tshuaj tiv thaiv qhov ncauj, hu rau koj tus kws kho mob tam sim:

  • Mob hauv siab ntse, hnoos cov ntshav, lossis ua tsis taus pa sai (qhia tias muaj peev xwm khov tau hauv lub ntsws)
  • Mob hauv lub plab hlaub (qhia tias muaj peev xwm khov tau ntawm txhais ceg)
  • Zuaj mob hauv siab lossis hnyav hauv siab (qhia tias muaj lub plawv nres)
  • Mob taub hau hnyav lossis ntuav, kiv taub hau lossis tsaus muag, cuam tshuam ntawm lub zeem muag lossis hais lus, tsis muaj zog, lossis loog ntawm txhais caj npab lossis txhais ceg (qhia tias muaj mob stroke)
  • Ib nrab lossis tag nrho qhov muag tsis pom kev (qhia tias muaj peev xwm khov hauv qhov muag)
  • Cov qog mis (qhia tias muaj mob qog noj ntshav lossis mob fibrocystic ntawm lub mis; nug koj tus kws kho mob kom qhia koj yuav tshuaj xyuas koj lub mis li cas)
  • Mob hnyav lossis ua rau lub plab mob plab (qhia tias muaj peev xwm ua rau mob qog nqaij hlav hauv lub cev)
  • Nyuaj pw tsaug zog, qaug zog, tsis muaj zog, qaug zog, lossis hloov pauv kev xav (tej zaum qhia tau tias muaj kev nyuaj siab hnyav)
  • Jaundice lossis daj ntawm daim tawv nqaij lossis lub qhov muag, nrog ntau zaus los ntawm kev kub taub hau, qaug zog, tsis qab los noj mov, tso zis tsaus xim, lossis tso quav tso zis (qhia tias muaj teeb meem hauv lub siab)

KEV SIB NTAUS NTAWV NTAWV NTAWV QHOV TSEEB

1. Qhov chaw mos los ntshav

Los ntshav los ntawm qhov chaw tsis xwm yeem los yog pom thaum koj noj cov tshuaj. Los ntshav tsis xwm yeem tuaj yeem sib txawv los ntawm qhov me ntsis staining ntawm lub caij coj khaub ncaws mus rau qhov los ntshav uas yog qhov ntws ntau npaum li lub sijhawm tsis tu ncua. Los ntshav tsis xwm yeem feem ntau tshwm sim thawj ob peb lub hlis ntawm kev siv tshuaj tiv thaiv qhov ncauj, tab sis kuj tseem tuaj yeem tshwm sim tom qab koj tau noj cov tshuaj rau qee lub sijhawm. Kev los ntshav li no yuav yog ib ntus xwb thiab feem ntau tsis qhia tias muaj teeb meem loj li cas. Nws yog ib qho tseem ceeb uas yuav tsum noj tshuaj ntxiv mus raws sijhawm. Yog tias cov ntshav tshwm sim ntau dua ib lub hlis lossis ntev dua li ob peb hnub, nrog koj tus kws kho mob tham.

2. Cov iav lo ntsiab muag

Yog tias koj hnav looj tsom iav thiab pom qhov kev hloov pauv hauv lub zeem muag lossis tsis muaj peev xwm hnav koj cov iav, hu rau koj tus kws kho mob.

3. Kev tuav dej

Cov tshuaj tiv thaiv kab mob hauv qhov ncauj tuaj yeem ua rau edema (khaws dej) nrog cov ntiv tes o lossis pob qij txha thiab tuaj yeem ua rau koj cov ntshav siab. Yog tias koj muaj kev tuav dej, hu rau koj tus kws kho mob.

4. Ntshav qab zib

Cov tawv nqaij ua kom tsaus ntuj tuaj yeem ua tau, tshwj xeeb yog ntawm lub ntsej muag, uas tuaj yeem mob ntxiv.

5. Lwm yam kev phiv

Lwm cov kev mob tshwm sim tuaj yeem suav nrog xeev siab thiab ntuav, hloov pauv hauv qab los noj mov, mob taub hau, tsis meej pem, kiv taub hau, kiv taub hau, poob ntawm cov plaub hau, ua pob liab liab, kis ntawm qhov chaw mos, thiab ua xua.

Yog tias ib qho ntawm cov kev mob tshwm sim no cuam tshuam koj, hu rau koj tus kws kho mob.

GENERAL PRECAUTIONS

1. Lub sij hawm uas ploj lawm thiab siv cov tshuaj tiv thaiv qhov ncauj ua ntej lossis thaum cev xeeb tub thaum ntxov

Tej zaum yuav muaj qee lub sijhawm uas koj tuaj yeem tsis muaj cev xeeb tub tsis tu ncua tom qab koj ua tiav kev noj tshuaj. Yog tias koj tau noj koj cov tshuaj tas li thiab nco ib lub caij coj khaub ncaws, txuas ntxiv noj koj cov tshuaj rau lub hlis tom ntej tab sis nco ntsoov qhia rau koj tus kws kho mob ua ntej ua qhov no. Yog tias koj tsis tau noj cov tshuaj txhua hnub raws li tau qhia thiab tsis muaj lub caij coj khaub ncaws, koj yuav xeeb tub. Yog tias koj plam ob lub caij coj khaub ncaws tsis tu ncua, koj yuav xeeb tub. Nrog koj tus kws kho mob tham tam sim los txiav txim seb koj cev xeeb tub. Tsis txhob noj tshuaj tiv thaiv qhov ncauj txuas ntxiv mus kom txog thaum koj paub tseeb tias koj tsis xeeb tub, tab sis txuas ntxiv siv lwm txoj kev tiv thaiv kev xeeb tub.

Tsis muaj pov thawj pom tseeb tias kev siv tshuaj tiv thaiv qhov ncauj tau cuam tshuam nrog kev nce hauv kev yug menyuam tsis xws luag, thaum noj yam tsis tau npaj thaum cev xeeb tub thaum ntxov. Yav dhau los, ob peb txoj kev tshawb fawb tau tshaj tawm tias kev tiv thaiv qhov ncauj tiv thaiv kab mob tuaj yeem cuam tshuam nrog kev yug me nyuam, tab sis cov kev tshawb pom no tsis tau pom dua hauv cov kev tshawb fawb tsis ntev los no. Txawm li cas los xij, kev tiv thaiv qhov ncauj yuav tsum tsis txhob siv thaum cev xeeb tub. Koj yuav tsum txheeb xyuas nrog koj tus kws kho mob paub txog kev pheej hmoo rau koj tus menyuam hauv plab ntawm cov tshuaj noj thaum cev xeeb tub.

2. Thaum pub mis niam

Yog tias koj tab tom pub niam mis, nrog koj tus kws kho mob tham ua ntej pib tshuaj tiv thaiv qhov ncauj. Qee qhov tshuaj yuav kis mus rau tus menyuam hauv mis. Ob peb qhov tsis zoo rau tus menyuam tau tshaj tawm, suav nrog cov tawv nqaij daj (daj daj) thiab ua rau mis loj tuaj. Ib qho ntxiv, cov tshuaj tiv thaiv qhov ncauj sib xyaw ua ke tuaj yeem txo qis thiab zoo ntawm koj cov mis. Yog ua tau, tsis txhob siv cov tshuaj tiv thaiv qhov ncauj ua ke thaum pub mis niam. Koj yuav tsum siv lwm txoj hauv kev tiv thaiv menyuam txij li kev pub mis niam tsuas yog tiv thaiv ib nrab los ntawm kev xeeb tub thiab qhov kev tiv thaiv ib nrab no txo ​​qis vim tias koj pub mis niam rau lub sijhawm ntev dua. Koj yuav tsum txiav txim siab pib siv cov tshuaj tiv thaiv qhov ncauj tsuas yog tom qab koj tau pub mis rau koj tus menyuam tag.

3. Kuaj kuaj

Yog tias koj tau teem sijhawm rau kev sim kuaj ntshav, qhia rau koj tus kws kho mob tias koj tab tom noj tshuaj tiv thaiv menyuam. Qee qhov kev kuaj ntshav yuav raug cuam tshuam los ntawm cov tshuaj tiv thaiv kev yug menyuam.

4. Tshuaj sib cuam tshuam

Qee cov tshuaj tuaj yeem cuam tshuam nrog cov tshuaj tiv thaiv menyuam kom ua rau lawv tsis muaj txiaj ntsig zoo hauv kev tiv thaiv cev xeeb tub lossis ua rau muaj ntshav nce ntxiv. Cov tshuaj no suav nrog rifampin, tshuaj siv rau qaug dab peg xws li barbiturates (piv txwv li, phenobarbital), topiramate (TOPAMAX)® ib), carbamazepine (Tegretol® ibyog ib hom tshuaj no), phenytoin (Dilantin® ibyog ib hom tshuaj no), phenylbutazone (Butazolidin® ibyog ib lub npe), qee yam tshuaj siv hauv kev kho mob HIV lossis AIDS, thiab tej zaum muaj qee yam tshuaj tua kab mob. Tshuaj rau mob ntshav siab, xws li bosentan (Tracleer® ib). Kev cev xeeb tub thiab kev ua tiav los ntshav tau tshaj tawm los ntawm cov neeg siv cov tshuaj tiv thaiv kev sib deev uas tseem siv qee hom tshuaj ntsuab ntxiv St. John's Wort. Cov tshuaj tiv thaiv hormonal tuaj yeem cuam tshuam nrog lamotrigine (LAMICTAL® ib), tshuaj anticonvulsant siv rau qaug dab peg. Qhov no yuav ua rau muaj kev pheej hmoo ntawm qaug dab peg yog li koj tus kws kho mob yuav xav tau kho qhov koob tshuaj lamotrigine. Tej zaum koj yuav tsum tau siv tshuaj tiv thaiv ntxiv thaum koj noj lwm yam khoom uas tuaj yeem ua rau cov tshuaj tiv thaiv qhov ncauj tsis zoo. Nco ntsoov qhia koj tus kws kho mob yog tias koj tab tom noj lossis pib noj tshuaj thaum noj tshuaj tiv thaiv menyuam.

5. Kab mob sib kis

Cov khoom no (zoo li txhua qhov kev tiv thaiv qhov ncauj) yog npaj los tiv thaiv cev xeeb tub. Nws tsis tiv thaiv kev kis tus kabmob HIV (AIDS) thiab lwm yam kabmob sib deev xws li mob chlamydia, mob qog noj ntshav, mob qog noj ntshav, mob gonorrhea, kab mob siab B, thiab mob syphilis.

YUAV UA LI CAS YUAV TSHUAJ TIV THAIV

TSEEM CEEBPOINTSTONCO NTSOOV

Ua ntejKoj Pib Siv Koj Cov Tshuaj:

1. YUAV TSUM nyeem cov lus qhia no:

Ua ntej koj pib noj koj cov tshuaj.

Txhua lub sijhawm koj tsis paub yuav ua dab tsi.

2. Txoj Cai LUS TSEEM YUAV TSHUAJ TUG TUG TUG YOG TEEB MEEM IB TUG IB TUG IB TUG IB TUG IB TUG IB TUG IB TUG IB TUG IB TUG IB TUG.

Yog tias koj tsis noj tshuaj koj tuaj yeem cev xeeb tub. Qhov no suav nrog pib pob lig.

Qhov ntau cov tshuaj koj plam, qhov feem ntau koj yuav xeeb tub.

3. Ntau tus poj niam muaj qhov pom los yog teeb pom kev, lossis tuaj yeem hnov ​​mob rau lawv lub plab thaum lub sijhawm

Thawj 1-3 Pob Ntawm Tshuaj. Yog koj hnov ​​mob rau koj lub plab, tsis txhob noj tshuaj. Feem ntau qhov teeb meem yuav ploj mus. Yog tias nws tsis ploj mus, nrog koj tus kws kho mob tham.

4. MISSING PILLS YUAV TSUM MUAJ TUS NEEG YUAV TSUM MUAJ LOS NTAWM LUB TEEB MEEM LIGHTING, txawm tias thaum koj ua cov tshuaj no lawm los xij.

Hauv cov hnub koj noj 2 ntsiav tshuaj los kho cov tshuaj uas tsis tau noj, koj kuj tuaj yeem mob me ntsis rau koj lub plab.

5. Yog tias koj muaj VOMITING LOSSIS DIARRHEA, lossis yog tias koj noj qee yam tshuaj, suav nrog qee yam tshuaj tua kab mob, koj cov tshuaj yuav tsis ua haujlwm zoo ib yam. Siv txoj hauv kev thim rov qab (xws li hnab looj tes, lossis tshuaj tua kab mob) kom txog thaum koj kuaj nrog koj tus kws kho mob.

6. Yog tias koj muaj teeb meem nco txog noj tshuaj, tham nrog koj tus kws kho mob txog yuav ua li cas thiaj li noj tshuaj tau yooj yim dua lossis siv lwm txoj hauv kev tswj kev yug menyuam.

7. Yog tias koj muaj lus nug lossis tsis txaus siab txog cov ntaub ntawv hauv tsab ntawv no, hu rau koj tus kws kho mob.

Ua ntejKojPibNqisKOJTABSIS

1. Txiav txim seb lub sijhawm twg ntawm hnub koj xav nqa koj cov tshuaj.

Nws yog ib qho tseem ceeb kom coj nws ntawm tib lub sijhawm txhua txhua hnub.

2. ZOO TSHAJ PLAWS PILL PACK.

Cov ntsiav tshuaj muaj 21 ntsiav tshuaj (nrog cov tshuaj hormones) noj rau 3 lub lis piam. Qhov no yog ua raws li 1 lub lis piam ntsuab 'ceeb toom' ntsiav tshuaj (tsis muaj cov tshuaj hormones).

Pirmella 1/35:Muaj 21 peach 'ua haujlwm' tshuaj thiab 7 ntsuab 'nco' tshuaj.

3. TSEV KAWM NTAWV:

1) qhov twg ntawm pob kom pib noj tshuaj,

2) nyob rau hauv dab tsi xaj kom noj cov tshuaj.

NCO NTSOOV NTAWV PILL PACK THIAB NTAWV YUAV TSUM PAUB TXOG QHOV TSEEB HAUV QHOV TSEEB HAUJ LWM HAUV PACKAGE hauv BRIEF SUMMARY PATIENT PACKAGE INSERT.

4. Nco ntsoov tias koj tau npaj txhij txhua lub sijhawm:

THAUM KIND OF BIRTH CONTROL (xws li hnab looj tes lossis tshuaj tua kab phev) los siv ua txoj hauv kev thim rov qab yog tias koj tsis noj tshuaj.

EXTRA, PULL PILL PACK PACK.

Thaum twgTOPibLUBThawjPACKNTAWMTABSIS

Koj muaj kev xaiv hnub twg los pib noj koj thawj pob tshuaj. Pirmella 1/35 muaj nyob hauv hnab nyiaj uas tau npaj ua ntej rau Hnub Sunday Pib. Hnub 1 Pib kuj tseem muaj. Txiav txim siab nrog koj tus kws kho mob uas yog hnub zoo tshaj rau koj. Xaiv lub sijhawm ntawm hnub uas yuav nco tau yooj yim.

Hnub Sunday pib:

Pirmella 1/35:

Noj thawj cov txiv duaj 'nquag' ntsiav tshuaj ntawm lub pobHnub Sunday tom qab koj lub sijhawm pib,txawm tias koj tseem los ntshav. Yog tias koj lub sijhawm pib hnub Sunday, pib pob tib hnub.

Siv lwm txoj kev yugtswj xws li hnab looj tes lossis tshuaj tua kab phev raws li txoj kev thim rov qab yog tias koj muaj kev sib deev txhua lub sijhawm txij hnub Sunday koj pib koj thawj pob kom txog rau hnub Sunday tom ntej (7 hnub).

Hnub 1 Pib:

Pirmella 1/35:

Noj thawj cov txiv peach 'nquag' ntsiav tshuaj ntawm thawj pob thaum lub sijhawmthawj 24 teev ntawm koj lub sijhawm.

Koj yuav tsis tas yuav siv txoj kev thim rov qab ntawm kev tiv thaiv kev yug menyuam, txij li koj tab tom pib noj tshuaj thaum pib ntawm koj lub sijhawm.

YUAV UA LI CASTOUaTUAJLUBHLI

1Siv ib lub tshuaj nyob rau tib lub sij hawm txhua txhua hnub kom txog thaum lub pob ntawv tsis muaj dab tsi.

Tsis txhob hla cov tshuaj txawm tias koj pom lossis pom ntshav los ntawm lub hlis lossis xav tias mob rau koj lub plab (xeev siab).

Tsis txhob hla tshuaj txawm tias koj tsis tau sib deev ntau zaus.

2.Thaum koj ua tiav ib lub pob lossis hloov koj hom tshuaj ntsiav:

Pib pob tom ntej ntawm hnub tom qab koj lub ntsiav tshuaj ntsuab 'ceeb toom' kawg. Tsis txhob tos ib hnub ntawm cov pob khoom.

YUAV UA LI CASTOUaYOGKojMISSTABSIS

Pirmella 1/35:

Yog kojMISS 1Peach 'active' ntsiav tshuaj:

1. Coj nws sai li sai tau thaum koj nco qab. Noj cov tshuaj ntxiv tom ntej ntawm koj lub sijhawm. Qhov no txhais tau tias koj tuaj yeem noj 2 ntsiav tshuaj hauv 1 hnub.

2. Koj tsis tas yuav siv txoj kev tiv thaiv kev yug menyuam rov qab yog tias koj tau sib deev.

Yog kojMISS 2peach 'active' ntsiav tshuaj uake uakeKEEB KWM 1 LUB HLIS 2ntawm koj pob:

1. Noj 2 ntsiav tshuaj hnub uas koj nco qab thiab 2 ntsiav tshuaj nyob rau hnub tom ntej.

2. Tom qab ntawd noj 1 ntsiav tshuaj ib hnub kom txog thaum koj ua tiav pob.

3. Koj YUAV TSUM PREGNANT yog tias koj tau sib deev hauv7 hnubtom qab koj tsis nco tshuaj. Koj YUAV TSUM siv lwm txoj hauv kev tiv thaiv kev yug menyuam (xws li hnab looj tes lossis tshuaj tua kab phev) ua txoj hauv kev thim rov qab rau 7 hnub ntawd.

Yog kojMISS 2peach 'active' ntsiav tshuaj uake uakeLUB 3RD LUAG:

1a ib.Yog tias koj yog Hnub Sunday Pib:

Khaws noj 1 ntsiav tshuaj txhua hnub txog hnub Sunday. Hnub Sunday, THOOW OUT tas lub pob thiab pib pob tshiab ntawm cov tshuaj tib hnub ntawd.

1b.Yog tias koj yog Hnub Pib 1:

THROW OUT seem ntawm cov ntsiav tshuaj thiab pib pob tshiab nyob rau tib hnub ntawd.

2. Koj yuav tsis muaj koj lub sijhawm nyob rau lub hlis no tab sis qhov kev cia siab no. Txawm li cas los xij, yog tias koj nco koj lub sijhawm 2 lub hlis sib law, hu rau koj tus kws kho mob vim tias koj yuav xeeb tub.

3. Koj YUAV TSUM PREGNANT yog tias koj tau sib deev hauv7 hnubtom qab koj tsis nco tshuaj. Koj YUAV TSUM siv lwm txoj hauv kev tiv thaiv kev yug menyuam (xws li hnab looj tes lossis tshuaj tua kab phev) ua txoj hauv kev thim rov qab rau 7 hnub ntawd.

Yog kojMISS 3 LUB SIJ HAWMpeach 'active' ntsiav tshuaj uake (thaum thawj 3 lub asthiv):

1a ib.Yog tias koj yog Hnub Sunday Pib:

Khaws noj 1 ntsiav tshuaj txhua hnub txog hnub Sunday. Hnub Sunday, THOOW OUT tas lub pob thiab pib pob tshiab ntawm cov tshuaj tib hnub ntawd.

1b.Yog tias koj yog Hnub Pib 1:

THROW OUT seem ntawm cov ntsiav tshuaj thiab pib pob tshiab nyob rau tib hnub ntawd.

2. Koj yuav tsis muaj koj lub sijhawm nyob rau lub hlis no tab sis qhov kev cia siab no. Txawm li cas los xij, yog tias koj nco koj lub sijhawm 2 lub hlis sib law, hu rau koj tus kws kho mob vim tias koj yuav xeeb tub.

3. Koj YUAV TSUM PREGNANT yog tias koj tau sib deev hauv7 hnubtom qab koj tsis nco tshuaj. Koj YUAV TSUM siv lwm txoj hauv kev tiv thaiv kev yug menyuam (xws li hnab looj tes lossis tshuaj tua kab phev) ua txoj hauv kev thim rov qab rau 7 hnub ntawd.

TOREMINDER
Yog tias koj tsis nco qab ib yam ntawm 7 tshuaj ntsuab ceeb toom hauv Lub Limtiam 4: THAUM TSEEM TSHUAJ TAB SIS cov tshuaj uas koj tsis nco qab. Khaws noj 1 ntsiav tshuaj txhua hnub kom txog thaum lub pob ntim tas. Koj tsis xav tau txoj hauv kev thim rov qab.
Kawg,YOGKojYOGTAB SISTSISXAUSYUAV UA LI CASTOUaHAIS TXOGLUBTABSISKojMuajTUAJ YEEM:
Siv BACK-UP METHOD txhua lub sijhawm koj muaj kev sib deev.
KEEB TSHUAJ TIV THAIV TIV THAIV IB TUG NEEG Ib hnub kom txog thaum koj tuaj yeem ncav cuag koj tus kws kho mob.

PREGNANCY YUAV UA LI CAS YUAV TSHUAJ TSHUAJ TSEEB

Ua ke ntawm Qhov ncauj Contraceptives

Qhov tshwm sim ntawm cov ntsiav tshuaj tsis ua rau cev xeeb tub yog kwv yees li ib feem pua ​​(piv txwv li, ib cev xeeb tub rau 100 tus poj niam hauv ib xyoos) yog noj txhua hnub raws li tau hais tseg, tab sis feem ntau qhov ua tsis tiav yog 5%. Yog tias qhov ua tsis tiav tshwm sim, qhov kev pheej hmoo rau tus me nyuam hauv plab yog qhov tsawg.

PREGNANCY Tom qab Ntej Cov Tshuaj

Tej zaum yuav muaj qee lub sijhawm qeeb hauv kev xeeb tub tom qab koj tsis siv tshuaj tiv thaiv qhov ncauj, tshwj xeeb tshaj yog tias koj muaj kev coj khaub ncaws tsis xwm yeem ua ntej koj siv tshuaj tiv thaiv qhov ncauj. Nws yuav pom zoo kom ncua kev xeeb tub kom txog thaum koj pib cev ntas tsis tu ncua ib zaug koj tau tso tseg noj tshuaj thiab xav xeeb tub.

Tsis pom tias muaj kev nce ntxiv hauv kev yug me nyuam hauv plab thaum cev xeeb tub tshwm sim sai tom qab siv tshuaj.

QHOV TSEEB

Cov mob hnyav tsis tau tshaj tawm tom qab noj ntau npaum ntawm cov tshuaj tiv thaiv qhov ncauj los ntawm cov menyuam yaus. Kev siv tshuaj ntau dhau yuav ua rau xeev siab thiab tso ntshav tawm hauv poj niam. Yog tias siv tshuaj ntau dhau, hu rau koj tus kws kho mob lossis kws muag tshuaj.

LWM YAM NTAWV

Koj tus kws kho mob yuav coj mus kuaj mob thiab tsev neeg keeb kwm ua ntej yuav sau tshuaj tiv thaiv qhov ncauj thiab yuav tshuaj xyuas koj.

Kev tshuaj xyuas lub cev yuav raug ncua mus rau lwm lub sijhawm yog tias koj thov nws thiab tus kws saib xyuas kev noj qab haus huv ntseeg tias nws yog kev kho mob zoo kom ncua sijhawm nws. Koj yuav tsum rov tshuaj xyuas yam tsawg ib xyoos ib zaug. Nco ntsoov qhia koj tus kws kho mob yog tias muaj tsev neeg keeb kwm ntawm ib qho ntawm cov xwm txheej uas tau teev tseg yav dhau los hauv daim ntawv no. Nco ntsoov khaws txhua lub sijhawm teem nrog koj tus kws tshaj lij saib xyuas kev noj qab haus huv, vim qhov no yog lub sijhawm los txiav txim siab yog tias muaj cov cim qhia ntxov ntawm kev phiv los ntawm kev siv tshuaj tiv thaiv qhov ncauj.

Tsis txhob siv tshuaj rau lwm yam mob uas tsis yog qhov uas nws tau sau tseg. Cov tshuaj no tau sau tseg tshwj xeeb rau koj; tsis txhob muab rau lwm tus uas tej zaum xav tau cov tshuaj tiv thaiv menyuam.

Kev noj qab haus huv tau txais txiaj ntsig los ntawm kev tswj hwm kev noj qab haus huv

Ntxiv rau kev tiv thaiv kev xeeb tub, kev siv cov tshuaj tiv thaiv qhov ncauj sib xyaw ua ke tuaj yeem muab cov txiaj ntsig zoo. Lawv yog:

  • kev coj khaub ncaws tuaj yeem dhau los ua ntu zus
  • cov ntshav ntws thaum lub cev ntas tuaj yeem sib zog thiab cov hlau tsawg tuaj yeem ploj. Yog li ntawd, ntshav tsis txaus los ntawm cov hlau tsis muaj peev xwm tshwm sim tsawg dua.
  • mob lossis lwm yam tsos mob thaum lub cev ntas yuav raug tsawg dua
  • ectopic (tubal) cev xeeb tub yuav tshwm sim tsawg zaus
  • cov hlwv uas tsis muaj qog nqaij hlav lossis qog hauv lub mis yuav tshwm sim tsawg zaus
  • kab mob hauv plab hauv plab yuav tshwm sim tsawg dua
  • kev siv tshuaj tiv thaiv qhov ncauj tuaj yeem muab qee qhov kev tiv thaiv tiv thaiv kev tsim ob hom mob qog noj ntshav: mob qog noj ntshav ntawm zes qe menyuam thiab mob qog noj ntshav ntawm lub tsev menyuam.

Yog tias koj xav tau cov ntaub ntawv ntau ntxiv txog cov tshuaj tiv thaiv menyuam, nug koj tus kws kho mob. Lawv muaj daim ntawv qhia txuj ci zoo dua hu ua Professional Labeling, uas koj yuav xav nyeem. Cov ntawv tshaj lij tshaj lij kuj tseem luam tawm hauv phau ntawv muaj npeCov Kws Kho Mob Lub Rooj Siv, muaj nyob hauv ntau lub khw muag ntawv thiab cov tsev qiv ntawv pej xeem.

Pirmella ™ 1/35 yog lub cim lag luam ntawm Lupine Pharmaceuticals, Inc.

Lwm lub npe uas tau teev tseg yog cov cim lag luam ntawm lawv tus tswv thiab tsis yog lub cim lag luam ntawm Lupine Pharmaceuticals, Inc.

Manufactured rau:

Lupine Pharmaceuticals, Inc.

Qhov chaw: Baltimore, Maryland 21202

Tebchaws Meskas

Tsim los ntawm:

Lupine Txwv

Pithampur (MP) - 454 775

INDIA

Tej zaum 2013 ID#: 232911

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

Pirmella ™ 1/35

(norethindrone thiab ethinyl estradiol ntsiav tshuaj USP)

1 mg / 0.035 mg

NDC 68180-893-11

Hnab Ntawv Hnab Ntawv: 28 Ntsiav Tshuaj

Pirmella ™ 1/35

(norethindrone thiab ethinyl estradiol ntsiav tshuaj USP)

1 mg / 0.035 mg

Tsuas yog Rx

NDC 68180-893-13

Carton Label: 3 Hnab ntawm 28 Ntsiav Tshuaj

Pirmella 1/35
norethindrone thiab ethinyl estradiol cov khoom siv
Khoom Qhia
Yam Khoom HLOOV KEV POV THAWJ DRUG LABEL Yam Khoom (Qhov Chaw) NDC: 68180-893
Ntim
# Khoom Code Cov lus piav qhia pob
1 NDC: 68180-893-13 3 BLISTER PACK hauv 1 CARTON
1 NDC: 68180-893-11 1 KIT hauv 1 BLISTER PACK
Ntau Yam
Tshooj # Pob Quantity Tag Nrho Cov Khoom
Tshooj 1 nees nkaum ib
Tshooj 2 7
Tshooj 1 ntawm 2
NORETHINDRONE THIAB ETHINYL ESTRADIOL
norethindrone thiab ethinyl estradiol ntsiav tshuaj
Khoom Qhia
Txoj Kev Tswj QAUV Teem caij DEA
Cov khoom xyaw nquag/nquag muaj nuj nqis
Lub Npe Lub Npe Lub hauv paus ntawm Kev Muaj Zog Lub zog
ETHINYL ESTRADIOL (ETHINYL ESTRADIOL) ETHINYL ESTRADIOL 0,035 mg yog
NORETHINDRONE (NORETHINDRONE) NORETHINDRONE 1 mg ua
Cov khoom xyaw tsis haum
Lub Npe Lub Npe Lub zog
ANHYDROUS LACTOSE
FD & C YELLOW NO. 6
MAGNESIUM STEARATE
STARCH, PREGELATINIZED CORN
Yam Khoom
Xim PINK (Txiv duaj) Cov qhab nia tsis muaj qhab nia
Zoo ROUND (puag ncig) Loj 6 hli
Tsw Txoj Cai Luam Tawm Lwj; l25
Muaj
Cov Lus Qhia Txog Kev Lag Luam
Qeb Qeb Naj Npawb Daim Ntawv Thov lossis Monograph Citation Hnub Pib Ua Lag Luam Hnub Kawg Ua Lag Luam
Koj YOG 2015512 06/21/2013
Tshooj 2 ntawm 2
INERT
ntsiav tshuaj inert
Khoom Qhia
Txoj Kev Tswj QAUV Teem caij DEA
Cov khoom xyaw tsis haum
Lub Npe Lub Npe Lub zog
CELLULOSE, MICROCRYSTALLINE
D & C YELLOW NO. 10
FD&C BLUE NO. 2
LACTOSE MONOHYDRATE Cov
MAGNESIUM STEARATE
STARCH, PREGELATINIZED CORN
Yam Khoom
Xim GREEN (Ntsuab) Cov qhab nia tsis muaj qhab nia
Zoo ROUND (Hloov) Loj 6 hli
Tsw Txoj Cai Luam Tawm Lwj; l27
Muaj
Cov Lus Qhia Txog Kev Lag Luam
Qeb Qeb Naj Npawb Daim Ntawv Thov lossis Monograph Citation Hnub Pib Ua Lag Luam Hnub Kawg Ua Lag Luam
Koj YOG 2015512 06/21/2013
Cov Lus Qhia Txog Kev Lag Luam
Qeb Qeb Naj Npawb Daim Ntawv Thov lossis Monograph Citation Hnub Pib Ua Lag Luam Hnub Kawg Ua Lag Luam
Koj YOG 2015512 06/21/2013
Daim ntawv lo -Lupine Pharmaceuticals, Inc. (089153071)
Lupine Pharmaceuticals, Inc.

Kev Tsis Pom Zoo Kho Mob