Magungunan da ke iya haifar da lalacewar kwaya
Idan kun kasance akan maganin hana haihuwa na hormonal, ciki har da maganin rigakafi (maganin hana haihuwa) , NuvaRing , ko kuma Ortho Evra patch , ya kamata ku sani cewa wasu magunguna da kariya zasu iya ƙara chances na rashin cin zarafi. Wadannan magunguna na iya haifar da kulawar haifuwa ta hormonal ba tare da tasiri ba saboda sun kara yawan metabolism na hormones. Wannan yana nufin cewa hormones za a iya rushe da sauri ta jikinka, saboda haka rage yawan adadin hormones wajibi don karewa cikin ciki.
Ga wadansu magunguna guda 10 da zasu iya rage tasiriyar kulawar haihuwa na hormonal:
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AntibioticsDuk da ƙididdigar da ta gabata cewa da yawa maganin rigakafi na iya tsoma baki tare da tasiri na haihuwa, wanda kadai aka tabbatar da shi ya haifar da matsalolin shine Rifadin / Rimactane (rifampin) wanda ake amfani dasu don magance tarin fuka ko meningitis. Rifampin na iya rage tasiri na NuvaRing da kuma takalma. Idan kun kasance a kan kwayoyin kwantar da hankulan haihuwa, da takalma, ko NuvaRing da likitanku sun rubuta rifampin, zaka buƙaci yin amfani da hanyar tsaftace haihuwa irin su kwaroron roba ko diaphragm.
Kwararka na iya bayar da shawarar madaidaicin hanyar da kake amfani da su a yayin da kake kan wasu nau'o'in maganin rigakafi, kawai don zama lafiya.
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Anti-HIV Protect InhibitorsNevirapine, Nelfinavir, da Norvir (ritonavir) sune kwayoyi masu maganin rigakafi da ake amfani dashi don magance cutar rashin lafiyar mutum (HIV). Idan kana amfani da waɗannan ko wasu maganin magani don maganin cutar HIV ko AIDS, tambayi likitanka idan likitanka na musamman zai rage tasiri na kwakwalwar haihuwa ko sauran haɗarin ɗaɗɗun maganin hormone.
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AnticonvulsantsMagunguna na barbiturate don samar da barci, sarrafa rikici, ko magance rikice-rikice (damuwa) zai iya tsoma baki tare da tasirin kwayar haihuwa. Misalan wadannan magunguna sun hada da:
- Felbatol (felbamate)
- Lamictal (lamotrigine)
- Luminal, Solfoton (phenobarbital)
- Mysoline (primidone)
Wadannan maganin magunguna zasu iya taimakawa tare da sarrafawa (tursasawa) a wasu nau'in epilepsy da kuma kula da cututtuka na tsohuwar jiki. Bugu da ƙari, Topamax (topiramate) na iya zama wajabta don taimakawa wajen hana ciwon kai. Wadannan magunguna na iya rage ƙwayar kwayar cutar, NuvaRing, ko tasiri mai kyau:
- Trileptal (oxcarbazepine)
- Tegretol, Carbatrol, Equetro, Epitol (carbamazepine)
- Dilantin, Phenytek (phenytoin)
- Topamax (topiramate)
Ƙungiyar Lafiya ta Duniya (WHO) ta bada shawarar cewa mata masu daukar masu cin zarafi ba su yi amfani da maganin hana haihuwa ba, amma ban da Depo-Provera (medroxyprogesterone acetate). Yi magana da likita game da hadarin.
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AntidepressantsWasu magunguna da aka tsara don ƙuntatawa zasu iya canza matakan hormone. Magungunan antidepressants na iya rage yawan adadin hormones (estrogen da / ko progestin) suna rarraba a jikinka, wanda zai iya daidaitawa tasirin kwayar. Wannan zai iya bambanta da yawa daga mace zuwa mace, don haka rage yawan adadin hawan mahaifa na iya zama daidai a cikin tasirin kwayar cutar ga wasu mata fiye da wasu. A kan zane-zane, bincike ya nuna cewa estrogen a cikin kwaya zai iya rage tasiri na antidepressant.
Don kauce wa duk wani hulɗa na miyagun ƙwayoyi, ka tabbata ka yi magana da likitanka idan ana kula da kai yanzu tare da takamaiman antidepressant kuma kana amfani da haɗakar hanya ta hanyar haihuwa.
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Antifungal MagungunaMagungunan magungunan rigakafi na iya rage ƙananan kwayar cutar. Abubuwa biyu masu matsala sun hada da:
- Da na baka tsaya Mycostatin, Nilstat, Nystex (nystatin), wanda aka yi amfani da su bi da yisti cututtuka
- Fulvicin, Grifulvin V, Gris-Peg, Grisactin (griseofulvin), wanda ake amfani da su don magance cututtukan naman fata, gashi, fatar jiki, da kuma kusoshi, kazalika da suturar fata, wasan kwaikwayo, da ƙafafun wasan
Idan kana amfani da daya daga waɗannan magunguna, magana da ma'aikatan lafiyarka game da yiwuwar rage yawan tasirin kwaya, zobe, ko alamar. Kila iya buƙatar yin amfani da hanyar sarrafawa na haihuwa.
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Magunguna masu ciwon sukariWasu magunguna don masu ciwon sukari, ciki har da Actos (pioglitazone) da Avandia (rosiglitazone), na iya yin hulɗa tare da maganin kwayoyin haihuwa . Tabbatar da tattauna waɗannan magunguna daban-daban tare da mai bada sabis na kiwon lafiya don ganin idan zasu shafar amfani da ƙwayar maganin ku.
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Cutar da bala'iTambayi mai kula da lafiyarka idan lafiyarka na rigakafi da zazzagewa zai rage tasirin kwaya. Wasu magunguna da suke amfani dasu da damuwa, tsofaffin ƙwayoyin cuta, ko matsalolin barci, irin su Valium, Diastat (diazepam), ko Maimaitawa (temazepam) na iya haifar da tasiri tare da amfani da haɗin haɗin haɗin haɗari.
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Rawanin jini na jiniTracleer (bosentan) mai amfani ne mai tayarwa da jijiyar endothelin wanda ke amfani da su da wasu nau'i na hawan jini na jini (PAH) - wanda shine cutar hawan jini a cikin tasoshin huhu. An nuna tracleer don rage yawan hormone a cikin jini wanda zai iya sanya ku a cikin haɗari don samun ciki.
Wani damuwa shi ne cewa Tracleer na iya haifar da mummunan lahani na haihuwa idan an ɗauka a lokacin daukar ciki. Wannan shine damuwa da cewa mata suna shan wannan magani dole ne suyi gwajin ciki na ciki kafin su fara shi, da kowane wata yayin kulawa da wannan magani.
Baza a yi amfani da kwayoyin kwakwalwa ba, da bindigogi , da alamu, da kuma implants kadai saboda ba su da amintaccen lokacin amfani da Tracleer. Dole ne ka zaɓi kuma amfani da nau'i biyu na tushen haihuwa a lokaci guda.
Idan kuna da tubal sterilization ko kuna da IUD , waɗannan hanyoyi za a iya amfani da su kadai.
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Abubuwa na KariBugu da ƙari ga magungunan likita, wasu alamu sun nuna alamar tasirin maganin hana haihuwa. Wadannan sun haɗa da:
- Soy isoflavones: abubuwa na halitta wanda aka samo daga shuka na soya da ke da'awa don rage yawan tasirin da ake yi wa mazauna ciki da kuma taimakawa wajen karfafa kasusuwa
- St. John's wort: wani ganye ko abincin abincin da aka inganta domin da ikon iya inganta yanayin tawali'u yanayi
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Magunguna masu shan maganiShirya (wanda ba'a damu), wanda aka yi amfani da su don hana ko magance tashin hankali da zubar da jini zai iya tsoma baki tare da tasirin maganin jiyya . Kodayake ba magani ba, ciwo mai tsari da / ko zawo zai iya rage ƙwayar kwaya. Idan kana fuskantar wadannan bayyanar cututtuka ko ɗaukar Emend, yi amfani da ƙarin hanyar haihuwa ta haihuwa kuma tuntuɓi mai bada sabis na kiwon lafiya don shawara.
Fahimci yadda Ayyukan Shawararku
Idan kana da wasu tambayoyi game da hanyoyin kula da haihuwar haihuwa ko ma'amala tare da wasu magunguna, tuntuɓi mai baka sabis na kiwon lafiya. Za ku rage rashin yiwuwar rashin nasarar haihuwar haihuwa idan kuna da cikakken fahimta game da yadda za ku yi amfani da ƙwayarku.
> Sources:
> Martin KA, Barbieri RL. Bayani na Bayyana Amfani da Harkokin Estrogen-Progestin. Na zamani. Updated 17 ga Agusta, 2016.
> Ƙarin Madauki. Estrogen da Progestin (maganganun maganganu). Ƙungiyar Ma'aikatar Medicine ta Amurka. Updated Satumba 15, 2015.
> Ƙarin Madauki. Bosentan. Ƙungiyar Ma'aikatar Medicine ta Amurka. Updated Maris 15, 2017.
> Lee CR. Harkokin Drug Interactions da Ƙarƙwarar Hormonal. Hanyoyin Lafiya, Gynecology & Jima'i . 2009; 14 (3): 23-26. Doi: 10.1002 / tre.107.