I-Bonadea - ukwakheka, umthamo, ama-contraindication kanye nemiphumela emibi.

I-Bonadea iyisivimbeli-nzalo esihlanganisiwe somlomo. Ithebhulethi ngayinye iqukethe inani elincane lamahomoni amabili ocansi abesifazane ahlukene. Lezi yi-dienogest (progestin) ne-ethinylestradiol (estrogen). Isidakamizwa sisetshenziselwa ukwelapha izimpawu ze-acne kwabesifazane abafisa ukusebenzisa le ndlela yokuvimbela inzalo ngesikhathi esifanayo. Yiziphi i-contraindication kanye nemiphumela emibi yokwelashwa?

1. Yini iBonadea?

Bonadea ukuvimbela inzalo ngomlomo okuvimbela ukwenzeka kwengcindezi ukukhulelwa. Ibuye isetshenziselwe ukwelapha izimpawu ezithambile kuya kwezimaphakathi. induna kwabesifazane ngemuva kokwehluleka kokwelashwa kwe-topical noma ama-antibiotic omlomo futhi befisa ukuwasebenzisa kanyekanye ukuvimbela inzalo.

Umuthi ukhishwa lapho wethulwa incwadi kadokotela, ayikho imbuyiselo yemali. Intengo yayo icishe ibe ngu-20 zł.

2. Ukwakheka kanye nesenzo somuthi

I-Bonadea iqukethe izithako ezimbili ezisebenzayo. lokhu kuyi-dienogesti-progestogeni-ethinylestradiol (i-estrogen). Njengoba wonke amaphilisi ephaketheni aqukethe umthamo ofanayo, umuthi ubizwa ngokuthi i-monophasic contraceptive ehlangene.

Ithebhulethi ngayinye ehlanganiswe nefilimu iqukethe i-dienogest 2,0 mg kanye ne-ethinyl estradiol 0,03 mg. Ngaphezu kwalokho, izidakamizwa iqukethe lactose monohydrate, corn isitashi, povidone, sodium carboxymethyl isitashi (uhlobo A), magnesium stearate. Ngenxa yokuqukethwe kwayo kwe-hormone ephansi, i-Bonadea ibhekwa njengesivimbeli somlomo somthamo omncane.

Usebenza kanjani umuthi? Izinto eziqukethwe kuyo zinomphumela wokuvimbela inzalo, ezivimbela ukukhiqizwa kwamaqanda futhi kubangele izinguquko ezingathandeki ku-endometrium yombungu, okuvimbela ngokuphumelelayo ukukhulelwa.

3. Umthamo weBonadea

I-Bonadea itholakala ngendlela yamaphilisi ahlanganiswe nefilimu, amakwe ngosuku lwesonto. Isetshenziswa ngomlomo, njalo njengoba iqondiswa udokotela. Uma kunesidingo, amaphilisi angagezwa phansi ngenani elincane lamanzi.

Thatha ithebhulethi eyodwa nsuku zonke ngesikhathi esifanayo izinsuku ezingu-21 ezilandelanayo, bese uyeka ukuphuza amaphilisi izinsuku ezingu-7. Khona-ke, ngokuvamile ezinsukwini ezingu-2-3 ngemva kokuthatha iphilisi lokugcina, kufanele ubone ukuya esikhathini (ukuphuma kwegazi). Iphakethe elilandelayo kufanele liqalwe ngemuva kwekhefu lezinsuku eziyi-7, noma ngabe ukopha kusaqhubeka.

Ngesikhathi sokwelashwa induna ukuthuthukiswa okubonakalayo kwezimpawu ze-acne kuvame ukwenzeka ngemva okungenani kwezinyanga ezi-3 zokusetshenziswa.

4. Izinyathelo zokuphepha

Ngaphambi kokuqala ukwelashwa nge-Bonadea, kokubili okokuqala nangemva kwekhefu, ukuhlolwa kufanele kuthathwe futhi ukukhulelwa kufanele kukhishwe. Ukuhlola kufanele futhi kuphindwe ngesikhathi sokusetshenziswa. Futhi, tshela udokotela wakho ngayo yonke imithi oyiphuzayo noma osanda kuyiphuza, ngisho nemithi etholakala ezitolo.

Kakhulu contraindication ukusebenzisa amaphilisi eBonadea. Lokhu:

• ukungezwani komzimba kwesinye sezinto ezisebenzayo zomuthi (i-estrogen noma i-progestogen) noma kunoma yiziphi ezinye izithako zomuthi,
• umfutho wegazi ophakeme,
• ukopha okungachazwanga esithweni sangasese,
• i-migraine,
• i-thrombosis: yamanje noma idluliselwe,
• ingozi ye-cerebrovascular: yamanje noma edlule,
• izici eziyingozi ze-arterial thrombosis (isifo sikashukela esinezinguquko ze-vascular),
• i-dyslipoproteinemia,
• i-pancreatitis: yamanje noma edlulisiwe,
• ukungasebenzi kahle kwesibindi kanye/noma nezinso,
• izimila zesibindi: okwamanje noma esikhathini esidlule,
• izinsolo zokuba khona noma ukuba khona kwama-neoplasms ayingozi ancike ku-hormone yocansi (isibonelo, umdlavuza wezitho zangasese noma webele),
• ukusetshenziswa kwezidakamizwa ezisetshenziswa ekwelapheni: isithuthwane (isb, i-primidone, i-phenytoin, i-barbiturates, i-carbamazepine, i-oxcarbazepine, i-topiramate, ne-felbamate), isifo sofuba (isb, i-rifampicin, i-rifabutin), ukutheleleka nge-HIV (isb, i-ritonavir, nevirapine), nama-antibiotics (isib. ama-penicillin), i-tetracycline, i-griseofulvin). Iphinde contraindicated ukuthatha amalungiselelo herbal aqukethe wort St. John sika (esetshenziselwa ukwelapha ukucindezeleka).

I-Bonadea ayikwazi ukusetshenziswa ku ukukhulelwa noma lapho kusolakala ukuthi ukhulelwe. Ukuthatha i-Bonadea ngenkathi uncelisa ibele akukhuthazwa.

5. Imiphumela emibi evela ekusetshenzisweni komuthi

Kukhona ingozi yokuthuthukisa lokhu ngenkathi usebenzisa i-Bonadea. okuqhamuka uma udla imishanguzo. Izimpawu ezivamile zihlanganisa isicanucanu, ubuhlungu besisu, ukukhuluphala, ikhanda elibuhlungu, ukucindezeleka, ukushintsha kwemizwelo, ubuhlungu besifuba, ukucinana kwesifuba. Okungavamile: ukuhlanza, isifo sohudo, ukugcina uketshezi, i-migraine, ukwehla kwe-libido, ukukhuliswa kwebele, ukuqubuka, i-urticaria.

Isinqumo sokunquma umuthi senziwa udokotela ngokusekelwe ekuhloleni komuntu ngamunye izici eziyingozi zesiguli, ikakhulukazi ingozi ye-venous thromboembolism.

Ungalindi ukubona udokotela. Thatha ithuba lokubonisana nochwepheshe abavela kulo lonke elasePoland namuhla kwa-abcZdrowie Thola udokotela.