Meriana e Fokotsang Katleho ea Khokahano ea Hao ea Hormone

Lithethefatsi Tse ka Etsang Hore Pilisi e hlōlehe

Haeba u se u le ka li-hormone tsa thibelo ea bokhachane, ho kenyeletsoa lipilisi tsa thibelo ea bokhachane (lipilisi tsa thibelo ea bokhachane) , NuvaRing , kapa Ortho Evra patch , u lokela ho hlokomela hore meriana e itseng le lisebelisuoa li ka eketsa menyetla ea ho hlōleha ha pelehi. Meriana ena e ka 'na ea etsa hore li-hormone li se ke tsa sebetsa hantle hobane li eketsa metabolism ea lihomone. Sena se bolela hore li-hormone li ka 'na tsa robeha ka potlako ka' mele oa hao, kahoo ho fokotsa palo ea lihomone tse hlokahalang bakeng sa tšireletso e nepahetseng ea bokhachane.

Meriana e 10 ke eona e ka fokotsang katleho ea thibelo ea tsoalo ea hao ea hormone:

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Likokoana-hloko

Ho sa tsotellehe tumelo ea khale ea hore lithibela-mafu tse ngata li ka kena-kenana le katleho ea thibelo ea tsoalo ea li-hormone, e le 'ngoe feela e bontšitsoeng hore e baka mathata ke Rifadin / Rimactane (rifampin), e sebelisoang ho phekola lefuba kapa meningitis. Rifampin e ka fokotsa katleho ea NuvaRing le sethala hape. Haeba u le lipilisi tsa thibelo ea bokhachane, patch, kapa NuvaRing le ngaka ea hao e laela rifampin, o tla hloka mokhoa oa ho boloka bokhachane joaloka likhohlopo kapa diaphragm.

Ngaka ea hau e ka 'na ea khothaletsa mokhoa oa ho iphelisa ha o ntse o le mefuta e meng ea lithibela-mafu hape, hore feela u sireletsehe.

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Anti-HIV Protease Inhibitors

Nevirapine, Nelfinavir, le Norvir (ritonavir) ke lithethefatsi tse thibelang likokoana-hloko tse sebelisoang ho phekola tšoaetso ea HIV ea motho ea immunodeficiency. Haeba u sebelisa meriana ena kapa e meng bakeng sa phekolo ea kokoana-hloko ea HIV kapa AIDS, botsa mofani oa hao oa tlhokomelo ea bophelo haeba meriana ea hau e tla fokotseha katleho ea pilisi ea hao ea thibelo ea bokhachane kapa meriana e meng ea li-hormone tsa thibelo ea bokhachane.

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Anticonvulsants

Meriana ea barbiturate bakeng sa ho hlahisa boroko, ho laola matšoenyeho, kapa ho tšoaroa ke mafu (ho ferekanya) ho ka kena-kenana le katleho ea pilisi ea thibelo ea bokhachane. Mehlala ea mefuta ena ea meriana e kenyelletsa:

• Felbatol (felbamate)
• Lamictal (lamotrigine)
• Luminal, Solfoton (phenobarbital)
• Mysoline (primidone)

Meriana e latelang e ka boela ea thusa ka ho laola (ho ferekanya) mefuta e itseng ea lefu la sethoathoa le ho tšoara bohloko bo amanang le methapo. Ho phaella moo, Topamax (topiramate) e ka boela ea laeloa ho thusa ho thibela hlooho ea hlooho ea migraine. Meriana ena e ka boela ea fokotsa pilisi, NuvaRing, kapa katleho ea sekhahla:

• Trileptal (oxcarbazepine)
• Tegretol, Carbatrol, Equetro, Epitol (carbamazepine)
• Dilantin, Phenytek (phenytoin)
• Topamax (topiramate)

Mokhatlo oa Lefatše oa Bophelo (WHO) o khothalletsa basali hore ba nke li-anticonvulsants hore ba se ke ba sebelisa ho etsa thibelo ea bokhachane, ho e-na le Depo-Provera (medroxyprogesterone acetate). Bua le ngaka ea hau ka likotsi.

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Ho tepella maikutlo

Meriana e meng e laetsoeng ho tepella maikutlong e ka fetola maemo a lihomone. Ho imeloa kelellong ho ka fokotsa palo ea li-hormone (estrogen le / kapa progestin) e potolohang 'meleng oa hao, e ka senyang katleho ea pilisi. Sena se ka fapana haholo ho mosali ho mosali, kahoo ho fokotseha ha palo ea li-hormone ho potlakisa ho theoha ho hoholo ha lipilisi ho basali ba bang ho feta ba bang. Ho flip slide, patlisiso e boetse e boletse hore estrogen lipilisi e ka fokotsa katleho ea motho ea nang le bothata ba ho tepella maikutlo.

E le ho qoba ho kopana ha lithethefatsi leha e le efe, etsa bonnete ba hore u bua le ngaka ea hau haeba u ntse u phekoloa ka mokhoa o itseng oa ho imeloa kelellong 'me u boetse u sebelisa mokhoa o mong oa thibelo ea bokhachane.

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Meriana ea Boiketsetso

Meriana e khahlanong le fung e ka boela ea theola katleho ea pilisi. Mefuta e 'meli e nang le bothata e akaretsa:

• Ho emisoa ha molomo Mycostatin, Nilstat, Nystex (nystatin), e sebelisoang ho phekola tšoaetso ea tomoso
• Fulvicin, Grifulvin V, Gris-Peg, Grisactin (griseofulvin), e sebelisetsoang ho tšoara maloetse a fungus a letlalo, moriri, sekoti le lipekere, hammoho le li-ringworm, jock itch, le leoto la moatlelete

Haeba u sebelisa e 'ngoe ea mefuta ena ea meriana, buisana le mofani oa hao oa tlhokomelo ea bophelo ka monyetla oa ho fokotsa katleho ea pilisi, lesela kapa patch. U ka 'na ua hloka ho sebelisa mokhoa oa thibelo ea bokhachane.

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Meriana ea lefu la tsoekere

Meriana e meng ea lefu la tsoekere, ho akarelletsa Actos (pioglitazone) le Avandia (rosiglitazone), e ka sebelisana le lipilisi tsa thibelo ea bokhachane . Etsa bonnete ba hore u buisane ka mefuta ena ea meriana le mofani oa tlhokomelo ea bophelo ho bona hore na li tla ama tšebeliso ea lithibela-mafu tsa hau.

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Matšoao a ho Ts'oenyeha

Botsa mofani oa hao oa tlhokomelo ea bophelo haeba meriana ea hau e khahlanong le matšoenyeho e tla fokotsa katleho ea pilisi. Meriana e meng e sebelisetsoang ho tšoara matšoenyeho, matšoafo a mesifa kapa mathata a ho robala, a kang Valium, Diastat (diazepam), kapa Restoril (temazepam) e ka 'na ea kena-kenana le katleho ea tšebeliso ea likhokahano.

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Phekolo ea meriana ea mali ea mali

Tracleer (bosentan) ke mohanyetsi oa bobeli oa endothelin ea sebelisetsoang ho tšoara batho ba nang le mefuta e itseng ea pulmonary arterial hypertension (PAH) -e leng khatello e phahameng ea mali lijaneng tsa matšoafo. Ho se ho bontšitsoe hore tracleer e fokotsa li-hormone tse ling tsa mali tse ka u kotsing ea ho ima.

Ntho e 'ngoe e amehileng ke hore Tracleer e ka baka bokooa bo tebileng ba ho tsoaloa ha ho nkoa nakong ea bokhachane. Taba ena e amehile haholo ka hore basali ba noang meriana ena ba lokela ho ba le teko ea bokhachane bo bobe pele ba e qala, hammoho le khoeli ka 'ngoe nakong ea phekolo le lithethefatsi ena.

Lipilisi tsa thibelo ea bokhachane, li-shots , li-patches le li-implant ha lia lokela ho sebelisoa li le bang hobane li sa tšepahale ha li sebelisa Tracleer. U tlameha ho khetha le ho sebelisa mefuta e 'meli ea tšireletso ea bokhachane ka nako e le' ngoe.

Haeba o na le sterilization ea tubal kapa u na le lisebelisoa, mekhoa ena e ka sebelisoa e le mong.

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Lisebelisoa tsa tlhaho

Ntle le meriana ea ngaka, lisebelisuoa tse itseng li 'nile tsa bontšoa ho fokotsa katleho ea thibelo ea bokhachane ea hormone. Tsena li kenyelletsa:

• Soy isoflavones: dintho tsa tlhaho tse fumanoang semela sa soya tse bolelang hore li fokotsa matla a ho phatloha ho amanang le ho khaotsa ho tsuba le ho thusa ho boloka masapo a matla
• Setho sa St. John's: setlama kapa phepo ea lijo tse khothalletsoang ho khona ho ntlafatsa mehopolo e tepeletseng maikutlo

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Meriana ea Anti-Nausea

Ho hlahisa (aprepitant), e sebelisetsoang ho thibela kapa ho tšoara leqeba le ho hlatsa ho ka boela ha kena-kenana le katleho ea thobalano ea molomo . Le hoja e se meriana, ho hlatsa ka tsela e feteletseng le / kapa letšollo le hona ho ka fokotsa katleho ea pilisi. Haeba u e-na le matšoao ana kapa u noa, sebelisa mokhoa o mong oa thibelo ea bokhachane 'me u ikopanye le mofani oa tlhokomelo ea bophelo bakeng sa keletso.

Utloisisa Kamoo Khokahano ea Hao e Sebetsang Kateng

Haeba u na le lipotso mabapi le mekhoa ea thibelo ea bokhachane kapa ho sebelisana le meriana e meng, ikopanye le mofani oa tlhokomelo ea bophelo. U tla fokotsa monyetla oa ho hlōleha ha thibelo ea bokhachane haeba u e-na le kutloisiso e nepahetseng le ka botlalo ea hore na u ka sebelisa thibelo ea bokhachane joang.

> Mehloli:

> Martin KA, Barbieri RL. Tlhaloso ea Tlhahlobo ea Estrogen-Tlhahlobo ea Bophelo ba Progesin. E maemong. E ntlafalitsoe ka la 17 August, 2016.

> Medline Plus. Estrogen le Progestin (Likamano tsa thobalano). Laebrari ea Sechaba ea Meriana ea US. E fetotsoe ka la 15 September, 2015.

> Medline Plus. Bosentan. Laebrari ea Sechaba ea Meriana ea US. E hlalositsoe ka la 15 March, 2017.

> Lee CR. Litšebelisano le lithethefatsi le thibelo ea bokhachane ea Hormonal. Mekhoa ea Urology, Gynecology & Sexual Health . 2009; 14 (3): 23-26. doi: 10.1002 / tre107.