I-Transdermal estrogen-progestogen contraception (isiqephu sokuvimbela inzalo) ingenye indlela yokuphatha ngomlomo (iphilisi). Lo mshini uhlinzeka ngokuqhubekayo amahomoni e-estrogen-progestogen angena egazini ngemva kokudlula esikhumbeni. Njengoba lisebenza njengephilisi lokuvimbela inzalo, isiqephu sokuvimbela inzalo sinciphisa ingozi yokukhohlwa iphilisi.

“Isiqephu sokuvimbela inzalo siyisigaxa esincane esinganamathela esikhumbeni, kuchaza uDkt. Julia Maruani, udokotela wezifo zabesifazane. Iqukethe i-ethynyl estradiol kanye ne-progestin yokwenziwa (i-norelgestromin), inhlanganisela efana naleyo yephilisi elincane lomlomo elihlanganisiwe. Amahomoni asakazwa ngesikhumba bese edlulela egazini: abe eseba nesenzo kumjikelezo wokuya esikhathini kowesifazane ngokuvimba ukuphuma kweqanda njengephilisi ”.

Isiqephu sokuvimbela inzalo singamasentimitha ambalwa ubude; iyisikwele noma i-oval, inombala wesikhumba noma isobala.

Noma yimuphi owesifazane ongasebenzisa iphilisi elihlanganisiwe angasebenzisa isivimbeli sokukhulelwa.

Ukuze isetshenziswe okokuqala, isiqephu sisetshenziswa esikhumbeni ngosuku lokuqala lokuya esikhathini. “Ishintshwa isonto ngalinye ngosuku olunqunyiwe amasonto ama-3 elandelana, kulandele isonto lokuphumula ngaphandle kwesiqeshana lapho imithetho izoba khona. Isiqephu esilandelayo kufanele sishintshwe ngemva kwezinsuku eziyi-7 zokuphumula, kungakhathaliseki ukuthi isikhathi sakho sesiphelile noma cha ”.

Amathiphu okusebenzisa:

• Ingasetshenziswa esiswini, emahlombe noma emhlane ophansi. Ngakolunye uhlangothi, isiqephu akufanele sibekwe emabeleni noma esikhumbeni esicasuliwe noma esilimele;
• "Ukuze uqinisekise ukuthi unamathela kahle esikhumbeni, shisa i-patch kancane ngaphambi kokufaka isicelo phakathi kwezandla zakho, unamathele esikhumbeni esihlanzekile, esomile ngaphandle kwezinwele, ngaphandle kokhilimu noma amafutha elanga";
• Gwema izindawo zokungqubuzana njengebhande, izintambo zikabhodi ukuze unciphise ubungozi bokuhlukaniswa;
• Shintsha indawo yesicelo masonto onke;
• Kunconywa ukugwema ukuveza indawo ye-patch emithonjeni yokushisa (i-sauna, njll.);
• Ukuze ususe isichibi esisetshenzisiwe, phakamisa inkemba bese uyikhumula ngokushesha.

“Ukusebenza kwesiqephu sokuvimbela inzalo kuyafana namaphilisi aphuzwayo ngaphandle kokukhohlwa, okungukuthi u-99,7%. Kodwa njengoba isichibi sisebenza masonto onke, amathuba okukhohlwa noma ukusisebenzisa kabi ayancipha uma kuqhathaniswa nephilisi okwenza kube ukuvimbela inzalo okuphumelelayo empilweni yangempela ”.

Uma ukhohlwa ukushintsha isichibi ngemva kwezinsuku ezingu-7, umphumela wokuvimbela inzalo uhlala amahora angu-48 futhi owesifazane uhlala evikelekile. Ngale kwamahora angu-48, isichibi asisasebenzi futhi sefana nokukhohlwa iphilisi.

Ukungafani

“Kungase kwehle ukusebenza kahle kwabesifazane abanesisindo esingaphezu kuka-90 kg. Kepha lokho akuphikisani nokusetshenziswa kwayo ngoba ukusebenza kahle kuhlala kuphezulu kakhulu ”.

Okuqhamuka uma udla imishanguzo

I-rash ingase ibonakale ku-patch: kuyadingeka ukuyibeka endaweni ehlukile masonto onke.

Eminye imiphumela emibi iyafana naleyo yephilisi: ukuthamba kwebele, isicanucanu, ikhanda elibuhlungu, ukomisa kwesitho sangasese sowesifazane, ukuncipha kwe-libido.

"Kuyindlela ephumelela kakhulu yokuvimbela inzalo, esebenzayo kulabo abajwayele ukukhohlwa amaphilisi abo okuvumela ukuthuthuka okuphawulekayo ekuthobeleni umthetho".

Izinzuzo zakhe:

• Ingozi yokukhohlwa iphansi uma iqhathaniswa nemithi yokuvimbela inzalo ngomlomo;
• Ukuya esikhathini kuyancipha futhi kuthatha isikhathi esincane;
• Ingase yehlise ubuhlungu besikhathi;
• Ilawula ukopha kokuya esikhathini;
• Yehlisa izimpawu zezinduna.

Ububi bayo:

• Ikhishwa kuphela ngencwadi kadokotela;
• Ngisho noma ingagwinywa, iveza izingozi ezifanayo ze-thromboembolic njengezinye izivimbela-nzalo ze-estrogen-progestogen (i-phlebitis, i-pulmonary embolism);
• Isiqephu singabonakala futhi ngenxa yalokho singahlakaniphi kuneringi yesitho sangasese sowesifazane, isibonelo;
• Kuyindlela yokuvimbela inzalo evimba umjikelezo we-hormonal, i-ovulation, ngoba kuyindlela yayo yokusebenza.

Ipheshi liyavinjelwa kwabesifazane abasengozini yemithambo yegazi njengoba kwenzeka ngephilisi (isibonelo umuntu obhemayo oneminyaka engaphezu kuka-35).

Akufanele isetshenziswe uma unomlando we-venous noma i-arterial thromboembolism, uma unomlando webele noma umdlavuza we-endometrial, noma uma unesifo sesibindi.

Kunconywa ukuyeka ukusebenzisa i-patch uma kwenzeka izimpawu ezingavamile (ubuhlungu bethole, ubuhlungu besifuba, ubunzima bokuphefumula, i-migraine, njll).

Isiqephu singabekwa ngudokotela (udokotela ojwayelekile noma udokotela wezifo zabesifazane) noma umbelethisi. Ibe isikhishwa emakhemisi, ngencwadi kadokotela. Ibhokisi lamapeshi angu-3 libiza cishe u-€ 15. Alibuyiselwa umshwalense wezempilo. “Kukhona ijenerikhi esebenza ngendlela efanayo kodwa izindleko zayo ziphansi.”