ʻO Estrogen a me Progestin (Transdermal Patch Contraceptives)

Anter

• Pono e hoʻopili ʻia kēlā me kēia inoa o ka estrogen a me nā pā progestin contraceptive ma hope o nā kuhikuhi kikoʻī i hāʻawi ʻia i ka ʻike a ka mea hana no ka mea maʻi. E heluhelu pono i kēia ʻike ma mua o kou hoʻomaka ʻana i ka hoʻohana ʻana i ka estrogen a me ka progestin contraceptive patch a i kēlā me kēia manawa e hoʻopiha hou i kāu kuhikuhi. E noi i kāu kauka a kauka paha inā he nīnau kāu. Hiki i nā ʻaoʻao ākea aʻe ke kōkua iā ʻoe e hoʻomanaʻo i kekahi mau mea nui e hana ai ke noi ʻoe i kekahi ʻano estrogen a me progestin contraceptive patch.
• Ma mua o ka hoʻohana ʻana i ka estrogen a me ka progestin contraceptive patch,
• Hiki i ka estrogen a me ka progestin contraceptive patch ke kumu i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
• Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka:

Hoʻonui ka puhipaka ʻana i ka uahi i ka hopena o nā hopena ʻino mai ka pale pale, me ke kuʻi puʻuwai, ka maʻi koko, a me nā hahau. ʻOi aku ka kiʻekiʻe o kēia makaʻu no nā wahine ma mua o 35 mau makahiki a me nā mea puhipaka kaumaha (15 a ʻoi paha nā uahi paka i kēlā me kēia lā) a i nā wahine nona ka papa kuhikuhi kino (BMI) o 30 kg / m² aʻoi aku paha. Inā ʻoe e hoʻohana i ka pale pale, ʻaʻole ʻoe e puhipaka.

Hoʻohana ʻia ʻo Estrogen a me progestin transdermal (patch) i mea e pale ai i ka hāpai keiki. ʻO Estrogen (ethinyl estradiol) a me progestin (levonorgestrel a i ʻole norelgestromin) ʻelua mau homone wahine. Hana ka hui pū ʻana o ka estrogen a me ka progestin ma ka pale ʻana i ka ovulation (ka hoʻokuʻu ʻia ʻana o nā hua mai nā ovaries) a me ka hoʻololi ʻana i ka mucus cervix a me ka uhi o ka kōpū.ʻO ke kāpili pale he hana maikaʻi loa ia no ka kaohi hānau, akā ʻaʻole ia e pale i ka hoʻolaha ʻana o ka maʻi maʻi kanaka (HIV; ka mea hoʻomaʻi e loaʻa ai ka maʻi maʻi maʻi (AIDS)) a me nā maʻi i hoʻoili kolohe ʻia.

Hele mai ka transdermal estrogen a me nā progestin contraceptive ma ke ʻano he patch e hoʻopili i ka ʻili. Hoʻokomo ʻia hoʻokahi pālaha i hoʻokahi manawa i ka pule no 3 mau pule, a ukali ʻia e ka pule noa-ʻaʻohe patch. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. E hoʻohana pono i ka patch contraceptive e like me ke kuhikuhi.

Inā ʻoe e hoʻomaka nei e hoʻohana i ka estrogen brand Twirla a me ka patch progestin contraceptive, pono ʻoe e hoʻopili i kāu patch mua i ka lā mua o kou manawa menstrual. Inā ʻoe e hoʻomaka nei e hoʻohana i ka Xulane momi estrogen a me ka progestin contraceptive patch, hiki iā ʻoe ke hoʻopili i kāu patch mua i ka lā mua o kou manawa menstrual a i ʻole ka Lāpule mua ma hope o ka hoʻomaka ʻana o kāu wā. Inā ʻoe e hoʻopili i kāu āpau mua ma hope o ka lā mua o kou wā menstrual, pono ʻoe e hoʻohana i kahi hana papaʻa o ka kaohi hānau (e like me ka condom a me / a i ʻole kahi spermicide) no nā lā 7 mua o ka pōʻaiapuni mua. E kamaʻilio me kāu kauka a kauka paha e ʻike i ka wā o kāu pōʻaiapili e hoʻomaka ʻoe e hoʻohana i kāu patch contraceptive.

Ke hoʻololi nei i kāu kāpili, e hoʻopili mau i kāu āpau hou i ka lā like o ka pule (ka Patch Change Day). E noi i kahi pākuʻi hou i hoʻokahi manawa i ka pule no 3 mau pule. I loko o ka pule 4, hemo i ka pale kahiko akā ʻaʻole kau i kahi pāʻina hou, a manaʻo e hoʻomaka i kou wā menstrual. I ka lā ma hope o ka pau ʻana o ka pule 4, e noi i kahi pāʻina hou e hoʻomaka i kahi pōʻaiapuni 4-wiki hou inā ʻaʻole i hoʻomaka kou wā menstrual a i ʻole pau. ʻAʻole ʻoe e hele ma mua o 7 mau lā me ka ʻole o kahi pāʻina.

Hoʻopili i ka pale pale i kahi maemae, maloʻo, paʻa, wahi olakino o ka ʻili ma ka ʻūhā, ʻōpū, lima waho o luna, a i ʻole ka piko o luna, ma kahi kahi e ʻānai ʻole ʻia ai e ka lole paʻa. Mai kau i ka pale pale ma nā umauma a i ʻole ka ʻula i ʻulaʻula, hoʻonāukiuki ʻia, a ʻoki ʻia paha. Mai hoʻopili i nā mea hoʻonaninani, nā kalima, nā hamo, nā pauka, a i ʻole nā ​​huahana kumuhana ʻē aʻe i ka ʻili kahi e waiho ai ka pāʻina pale. Pono e hoʻopili i kēlā me kēia pale i kahi kiko hou ma ka ʻili e pale ai i ka huhū.

Mai ʻoki, hoʻonaninani, a i ʻole hoʻololi i ka pā i kekahi ʻano. Mai hoʻohana i kahi leki keu, kāpili, a i ʻole nā ​​wahī e paʻa ai ka palaka ma kahi.

Pono e hoʻopili ʻia kēlā me kēia inoa o ka estrogen a me nā pā progestin contraceptive ma hope o nā kuhikuhi kikoʻī i hāʻawi ʻia i ka ʻike a ka mea hana no ka mea maʻi. E heluhelu pono i kēia ʻike ma mua o kou hoʻomaka ʻana i ka hoʻohana ʻana i ka estrogen a me ka progestin contraceptive patch a i kēlā me kēia manawa e hoʻopiha hou i kāu kuhikuhi. E noi i kāu kauka a kauka paha inā he nīnau kāu. Hiki i nā ʻaoʻao ākea aʻe ke kōkua iā ʻoe e hoʻomanaʻo i kekahi mau mea nui e hana ai ke noi ʻoe i kekahi ʻano estrogen a me progestin contraceptive patch.

1. Wehe i ka ʻeke me kou mau manamana lima. Mai wehe i ka ʻeke a hiki i kou mākaukau e noi i ka pā.
2. Wehe i ka pale mai ka ʻeke. E makaʻala i ka hemo ʻole o ka laina linika maʻemaʻe i kou hemo ʻana i ka pale.
3. E ihi i ka hapalua a i ʻole ka ʻāpana nui o ka laina linika. Hōʻalo i ka hoʻopā ʻana i ka papapā o ka patch.
4. E noi i ka ʻili paʻa o ka pale i ka ʻili a hemo i ka ʻāpana ʻē aʻe o ka liner ea. E kaomi paʻa i lalo i ka pākuʻi me ka poho o kou lima no 10 kekona, e hōʻoia ana e pili pono nā kihi.
5. Ma hope o hoʻokahi pule, e hemo i ka pale mai kou ʻili. E pelu i ka pale i hoʻohana ʻia i ka hapalua i pili ia iā ia iho a hoʻolilo iā ia i waho o kahi hiki i nā keiki a me nā holoholona. Mai hoʻopili i ka pā i hoʻohana ʻia i lalo o ka lua.

E hōʻoia i kāu pāʻina i kēlā me kēia lā e ʻike pono ke pili nei. Inā he ʻāpana a hemo paha i haki ka pākuʻi ma lalo o hoʻokahi lā, hoʻāʻo e hoʻopili hou iā ia ma kahi like. Mai hoʻāʻo e hoʻopili hou i kahi pāʻā i paʻa ʻole hou, i pili iā ia iho a i ʻole kahi ʻē aʻe, i hoʻopaʻa ʻia kekahi mea i kona ʻili a i ʻole i hoʻokuʻu a hāʻule paha i mua. E noi i kahi pāʻina hou ma kahi. E noho like kāu Lā Hoʻololi Patch. Inā he ʻāpana a hemo holoʻokoʻa paha ka pāʻina no ka ʻoi aku ma mua o hoʻokahi lā, a i ʻole inā ʻaʻole ʻoe e ʻike i ka lōʻihi o ka hemo ʻana o ka pā, ʻaʻole ʻoe e pale ʻia mai ka hāpai ʻana. Pono ʻoe e hoʻomaka i kahi pōʻaiapuni hou ma ka noi ʻana i kahi pale hou i ka manawa koke; ʻo ka lā āu e noi ai i ka pīpeka hou i lilo i lā hou o Patch Change. E hoʻohana i ka kaohi hānau papaʻa no ka pule mua o ka pōʻaiapuni hou.

Inā hoʻonāukiuki ka ʻili ma lalo o kāu āpau, hiki iā ʻoe ke hemo i ka pale a hoʻopili i kahi āpau hou i kahi ʻokoʻa i ka ʻili. E waiho i ka pale hou ma kahi a hiki i kāu lā hoʻololi hou o Patch. E nānā pono e hemo i ka pale kahiko no ka mea ʻaʻole ʻoe e ʻaʻahu ma mua o hoʻokahi āpau i ka manawa.

E noi i kāu kauka lāʻau a kauka paha no kahi kope o ka ʻike a ka mea hana no ka mea maʻi.

Kau ʻia kēia lāʻau no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.

Ma mua o ka hoʻohana ʻana i ka estrogen a me ka progestin contraceptive patch,

• e haʻi i kāu kauka a me kāu kauka lāʻau inā he maʻi ʻoe i nā estrogens, progestins, i nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i ka estrogen a me nā patch contraceptive progestin. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
• e haʻi i kāu kauka inā ʻoe e hoʻohana nei i kahi ʻano o ka ka hānau hānau hormonal, e like me nā pila, nā apo, nā ʻoki a i ʻole nā ​​implants. E haʻi aku kāu kauka iā ʻoe pehea a i ka wā hea ʻoe e haʻalele ai i ka hoʻohana ʻana i kahi ʻano ʻē aʻe o ka kaohi hānau a hoʻomaka i ka hoʻohana ʻana i ka patch contraceptive. Mai hoʻohana i kekahi ʻano ʻē aʻe o ka kaohi hānau hormonal ʻoiai ʻoe e hoʻohana nei i ka pale pale contraceptive.
• E haʻi i kāu kauka inā ʻoe e lawe nei i ka hui o ombitasvir, paritaprevir, a me ritonavir (Technivie) me ka ʻole dasabuvir (i Viekira Pak). E haʻi paha kāu kauka iā ʻoe ʻaʻole e hoʻohana i ka estrogen a me ka progestin contraceptive patch inā ʻoe e lawe i kēia mau lāʻau.
• e haʻi i kāu kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, a me nā mea hoʻopihaʻaiʻai āu e lawe nei. E haʻi pono i kekahi o kēia mau mea: acetaminophen (APAP, Tylenol); anticoagulants ('blood thinners') e like me warfarin (Coumadin); nā antifungals e like me fluconazole (Diflucan), itraconazole (Onmel, Sporanox, Tolsura), ketoconazole, a me voriconazole (Vfend); aprepitant (Emend); ascorbic acid (wikamina C); atorvastatin (Lipitor, ma Caduet); barbiturates e like me phenobarbital; boceprevir (ʻaʻole loaʻa hou ma U.S.); bosentan (Tracleer); clofibrate (ʻaʻole loaʻa hou ma ka US); colesevelam (Welchol); cyclosporine (Gengraf, Neoral, Sandimmune); griseofulvin (Gris-PEG); nā lāʻau no ka maʻi HIV e like me atazanavir (Reyataz, ma Evotaz), darunavir (Prevista, ma Symtuza, ma Prezcobix), etravirine (Intelence), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir (i Kaletra), nelfinavir (Viracept), nevirapine (Viramune), ritonavir (Norvir, ma Kaletra, ma Viekira Pak) a me tipranavir (Aptivus); nā lāʻau no ka hopu ʻana e like me carbamazepine (Carbatrol, Equetro, Tegretol, a me nā mea ʻē aʻe), felbamate (Felbatol), lamotrigine (Lamictal), oxcarbazepine (Oxtellar XR, Trileptal), phenytoin (Dilantin, Phenytek), rufinamide (Banzel), , Topamax, Trokendi, i Qysmia); morphine (Kadian, MS Contin); nā steroid oral e like me dexamethasone (Hemady), methylprednisolone (Medrol), prednisone (Rayos), a me prednisolone (Orapred ODT, Prelone); rifampin (Rifadin, Rimactane, ma Rifamate, ma Rifater); rosuvastatin (Ezallor Sprinkle, Crestor); tizanidine (Zanaflex); telaprevir (ʻaʻole loaʻa hou ma U.S.); temazepam (Restoril); theophylline (Theo-24, Theochron); a me nā lāʻau thyroid e like me levothyroxine (Levo-T, Levoxyl, Synthroid, Tirosint, a me nā mea ʻē aʻe). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. Hiki paha i nā lāʻau lapaʻau ʻē aʻe ke launa pū me ka estrogen a me nā pā progacin contraceptive, no laila e ʻike pono i kāu kauka e pili ana i nā lāʻau a pau āu e lawe nei, a ʻo nā mea hoʻi i ʻike ʻole ʻia ma kēia papa inoa.
• e haʻi i kāu kauka i nā huahana lāʻau āu e lawe nei, keu hoʻi nā huahana i loaʻa iā St. John's wort.
• e haʻi i kāu kauka inā ua ʻoki ʻia ʻoe i kēia manawa a i ʻole inā ʻoe ma kahi moe. E haʻi pū aku i kāu kauka inā loaʻa paha iā ʻoe ka maʻi puʻuwai; he hahau ʻana; kuʻi ke koko i kou mau wāwae, akemāmā, a mau maka paha; thrombophilia (ke ʻano e maʻalahi wale ai ke koko); ʻeha ka umauma ma muli o ka maʻi puʻuwai; ka maʻi ʻaʻai o ka umauma, ka uhi ʻana o ka kōpū, ka maʻi ʻōpū, a me ka ʻōpū; kahe kahe ma waena o nā manawa o ka paina; hepatitis (hāhā o ke ake); melemele o ka ʻili a i ʻole nā ​​maka, keu hoʻi i ka wā e hāpai ana a i ʻole e hoʻohana ana i nā mea pale hormonal; he tumora ate; ʻeha ke poʻo i loaʻa me nā ʻōuli ʻē aʻe e like me ka nāwaliwali a paʻakikī e ʻike a neʻe paha; ke koko kiʻekiʻe; ʻo ka maʻi diabetes ka mea i hoʻopilikia i kou mau puʻupaʻa, nā maka, nā aʻa, a i ʻole nā ​​kīʻaha koko; aiʻole ka maʻi valves puʻuwai. E haʻi paha kāu kauka iā ʻoe ʻaʻole pono ʻoe e hoʻohana i ka pale pale.
• e haʻi i kāu kauka inā hānau ʻoe i kēia manawa a i ʻole he hānau hānau ʻole a hemo paha kāu keiki, inā kaupaona ʻoe i ka 198 lbs a ʻoi paha, a inā ʻauʻau pinepine ʻoe a i ʻole nā ​​manawa lōʻihi (30 mau minuke a ʻoi). E haʻi aku i kāu kauka inā loaʻa i kekahi o kou ʻohana ka maʻi ʻaʻai o ka umauma a inā loaʻa iā ʻoe a i ʻole he mau puʻupuʻu umauma, maʻi fibrocystic o ka umauma (ke ʻano o nā puʻupuʻu a i ʻole nā ​​lehulehu ʻaʻole nā ​​maʻi ʻaʻai i loko o nā umauma), a i ʻole kahi ʻano maʻamau. mammogram (x-ray o nā umauma). E haʻi aku i kāu kauka inā ʻo ʻoe a i ʻole kekahi o kou ʻohana i loaʻa a i ʻole loaʻa i ke koko kiʻekiʻe a me nā momona; mimikō; hānō; migraines a i ʻole nā ​​ʻano ʻeha o ke poʻo; kaumaha; ka hopu ʻana; ʻuʻuku a i ʻole nā ​​manawa menstrual maʻamau; angioedema (kahi ʻano e pilikia ai i ka ale ʻana a me ka hanu ʻana a me ka pehu ʻeha o ka maka, ka ʻāʻī, ke alelo, nā lehelehe, nā maka, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo); aiʻole ke akepaʻa, puʻuwai, gallbladder, a i ʻole nā ​​maʻi pākī.
• e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka wā e hoʻohana ana i ka estrogen a me nā patch progestin contraceptive, e kelepona koke i kāu kauka. Pono ʻoe e manaʻo he hāpai ʻoe a kāhea aku i kāu kauka inā ua hoʻohana pololei ʻoe i ka pale pale a ua hala ʻoe i ʻelua mau manawa i ka lālani, a i ʻole inā ʻaʻole ʻoe i hoʻohana pono i ka patch contraceptive a ua hala ʻoe i hoʻokahi manawa.
• inā ke hana ʻoki nei ʻoe, e like me ke kaha ʻana o nā niho, e haʻi i ke kauka a i ʻole kauka niho paha e hoʻohana nei ʻoe i kahi estrogen a me progestin contraceptive patch. E kamaʻilio me kāu kauka e pili ana i kēia ke hoʻonohonoho ʻia kāu ʻokiʻoki no ka mea makemake paha kāu kauka iā ʻoe e haʻalele i ka hoʻohana ʻana i ka lāʻau pale i nā pule he mau pule ma mua o kou ʻoki ʻana.
• e haʻi i kāu kauka inā ʻoe e komo i nā aniani kuhina. Inā ʻoe e ʻike i nā loli i kāu hihiʻo a i ʻole hiki ke komo i kāu aniani i ka hoʻohana ʻana i ka estrogen a me ka patch progestincontraceptive, e ʻike i ke kauka maka.
• pono ʻoe e ʻike i ka wā e hoʻohana ai ʻoe i ka patch contraceptive, ʻoi aku ka kiʻekiʻe o ka estrogen i kou koko ma mua o ka mea inā ʻoe i hoʻohana i kahi pale oral (pill kaohi hānau), a hoʻonui paha kēia i ka hopena o nā hopena ʻē aʻe e like me kahe koko ma nā wāwae a me nā akemāmā. E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka hoʻohana ʻana i ka patch contraceptive.

E kamaʻilio me kāu kauka e pili ana i ka ʻai ʻana i ka huaʻulu a me ka inu ʻana i ka wai momona i ka hoʻohana ʻana i kēia lāʻau.

Inā hoʻopoina ʻoe i ka hoʻopili ʻana i kāu patch ma ka hoʻomaka o kekahi pōʻaiapili patch (Week 1, Day 1), ʻaʻole ʻoe e pale ʻia mai ka hāpai ʻana. E noi i ka pale mua o ka pōʻaiapuni ke hoʻomanaʻo ʻoe. Aia kekahi lā hou ʻo Patch Change a me kahi lā hou 1. E hoʻohana i kahi hana papaʻa o ka kaohi hānau no hoʻokahi pule.

Inā poina iā ʻoe e hoʻololi i kāu pāʻālua ma ka waena o ka pōʻaiapuni patch (Week 2 a i ʻole Week 3) no 1 a i ʻole 2 mau lā, e hoʻopili koke i kahi pāʻina hou a kau i ka pā aʻe ma kāu lā Patch Change Day maʻamau. Inā hoʻopoina ʻoe e hoʻololi i kāu patch ma ka waena o ka pōʻaiapuni ma mua o 2 mau lā, ʻaʻole paha ʻoe e pale ʻia mai ka hāpai ʻana. Kāohi i ka pōʻaiapuni o kēia manawa a hoʻomaka koke i kahi pōʻaiapuni hou ma ka noi ʻana i kahi pāʻina hou. Aia kekahi lā hou ʻo Patch Change a me kahi lā hou 1. E hoʻohana i kahi hana papaʻa o ka kaohi hānau no 1 pule.

Inā poina iā ʻoe ke hemo i kāu pāʻālua ma ka hopena o ka pōʻaiapuni patch (Week 4), wehe ia ke hoʻomanaʻo koke ʻoe. E hoʻomaka i ke kaʻapuni aʻe ma ka lā maʻamau o Patch Change, i ka lā ma hope o ka lā 28.

Hiki i ka estrogen a me ka progestin contraceptive patch ke kumu i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

• ka huhū, ka ʻulaʻula, a me ka lapuwale ma kahi āu i noi ai i ka pā
• palupalu ka umauma, hoʻonui ʻana, a i ʻole ka hoʻokuʻu ʻana
• nausea
• ka luaʻi
• ʻōpū a ʻōpū paha ka ʻōpū
• loaʻa kaupaona
• loli i ka makemake
• huehue
• poho lauoho
• kahe kahe a kiko paha ma waena o nā manawa menstrual
• nā hoʻololi i ke kahe o ka menstrual
• ʻeha a hala paha i nā wā
• ʻumeʻuha ʻaʻā a i ʻole ukiuki
• hoʻokuʻu hoʻokuʻu keʻokeʻo

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka:

• ʻehaʻeha kūpikipiki loa, luaʻi, puʻupuʻu, a maʻule paha
• pilikia pilikia hikiwawe
• nāwaliwali a i ʻole ka helu ʻana o ka lima a me ka wāwae
• pohihihi hapa o ka hihiʻo o ka hihiʻo
• ʻike pālua a hoʻololi paha i ka hihiʻo
• maka ʻōpuʻu
• ʻehaʻeha umauma
• kaumaha o ka umauma
• kahe ana ke koko
• pokole o ka hanu
• ʻeha ma ka hope o ka wāwae lalo
• ʻeha ka ʻōpū nui
• nā pilikia o ka hiamoe, nā loli o ke ʻano, a me nā hōʻailona ʻē aʻe o ke kaumaha
• melemele o ka ʻili a i ʻole nā ​​maka; lilo o ka makemake ʻole; mimi ʻeleʻele; luhi loa; nāwaliwali; a i ʻole nā ​​ʻōniʻoniʻo ʻōpū māmā
• ʻeleʻele ʻili o ka ʻili ma ka lae, papalina, lehelehe luna, a me / a i ʻole ka auwae
• ka pehu o nā maka, ka maka, ke elelo, ka ʻāʻī, ka lima, ka wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo

Hiki i ka estrogen a me ka progestin contraceptive patch ke hoʻonui i ka makaʻu o ka hoʻomōhala ʻana i ka maʻi endometrial a me ka umauma, ka maʻi o ka gallbladder, nā tumors ate, ka puʻuwai puʻuwai, ka hahau ʻana, a me nā maʻi koko E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka hoʻohana ʻana i kēia lāʻau.

Hiki i ka Ethinyl estradiol a me ka patch contraceptive norelgestromin ke kumu i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau i ka hoʻohana ʻana i kēia lāʻau.

Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).

E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua.

Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, ​​nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.

He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org

Inā loaʻa ka overdose, hemo i nā āpau āpau i hoʻopili ʻia a kāhea i kāu kikowaena lāʻau make kūloko ma 1-800-222-1222. Inā ua hāʻule ka mea i hōʻeha a ʻaʻole hanu paha, e kāhea i nā lawelawe kūloko kūloko ma 911.

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. Pono ʻoe e nānā i ke kino holoʻokoʻa i kēlā me kēia makahiki, me nā ana o ke koko a me nā hoʻokolohua umauma a pelvic. E hāhai i nā kuhikuhi a kāu kauka no ka nānā ʻana i kou umauma; e hōʻike koke i nā puʻupuʻu.

Ma mua o kāu loaʻa ʻana o nā hoʻokolohua hoʻokolohua, e haʻi i nā limahana o ka hale hana e hoʻohana ʻoe i kahi estrogen a me progestin contraceptive patch, no ka mea hiki i kēia lāʻau ke hoʻopilikia i kekahi mau hoʻokolohua hoʻokolohua.

Mai ʻae i kekahi e hoʻohana i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.

He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā ​​mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.

• Xulane^® (i loaʻa ʻo Ethinyl Estradiol, Norelgestromin)
• ʻO Twirla^® (i loaʻa ʻo Ethinyl Estradiol, Levonorgestrel)

• kāʻei kapu hānau