Hap veya i\u011fne \u015feklinde kullan\u0131labilen formlar\u0131 vard\u0131r.<\/p>\n

G\u00fcn\u00fcm\u00fczde s\u0131kl\u0131kla estrojen ve progesteron kombinasyonu kullan\u0131l\u0131r (kombine preparatlar). S\u0131kl\u0131kla 3 hafta s\u00fcreyle g\u00fcnl\u00fck ve 1 hafta s\u00fcreyle ara verilerek kullan\u0131l\u0131rlar. En \u00f6nemli etkileri ov\u00fclasyonu (yumurtlamay\u0131) engellemeleridir.<\/p>\n

Ba\u015far\u0131s\u0131zl\u0131k oran\u0131 d\u00fc\u015f\u00fckt\u00fcr (%1-1,5). Kombine preparatlar en etkili, geri d\u00f6n\u00fc\u015f\u00fc m\u00fcmk\u00fcn olan, korunma y\u00f6ntemidir. Adet kanamas\u0131, adet a\u011fr\u0131s\u0131 azal\u0131r. Endometriyum ve meme kanseri daha nadir g\u00f6r\u00fcl\u00fcr. HDL kolesterol\u00fc artt\u0131r\u0131r.<\/p>\n

Kullan\u0131m\u0131 :<\/b> 1. g\u00fcn veya 5. g\u00fcn ilaca ba\u015flan\u0131r, 21 g\u00fcn s\u00fcresince devam edilir ve kutunun bitiminde 1 hafta ara verilir. Daha sonra yine devam edilir.<\/p>\n

Kanser olu\u015fturmalar\u0131 konusundaki d\u00fc\u015f\u00fcnceler farkl\u0131d\u0131r, baz\u0131 \u00e7al\u0131\u015fmalar art\u0131\u015f g\u00f6sterirken baz\u0131 \u00e7al\u0131\u015fmalar azalma g\u00f6stermi\u015ftir. Akci\u011fer damarlar\u0131nda ve derin toplar damarlarda t\u0131kanma, ilac\u0131 kullanmayanlara g\u00f6re daha s\u0131k g\u00f6zlenir (3-11 kat). Baz\u0131 kad\u0131nlarda bu ila\u00e7lar\u0131n al\u0131m\u0131n\u0131 takiben tansiyonda art\u0131\u015f meydana gelir. Migren ataklar\u0131n\u0131 ve \u015fiddetini artt\u0131rabilir. Sistemik ve kronik hastal\u0131\u011f\u0131 olanlarda kullan\u0131lmamal\u0131d\u0131r.<\/p>\n

\u0130la\u00e7 kesildikten 1-3 ay sonra kanamalar ba\u015flar, ancak kanama d\u00fczensizlikleri olabilir. Do\u011fumdan sonra 6-12 hafta kullan\u0131lmamal\u0131d\u0131r.<\/p>\n

A\u015fa\u011f\u0131daki durumlarda do\u011fum kontrol haplar\u0131 KULLANILMAMALIDIR<\/b><\/p>\n

– tromboflebit ve tromboembolik hastal\u0131k<\/p>\n

– serebral damar hastal\u0131klar\u0131<\/p>\n

– koroner arter hastal\u0131klar\u0131<\/p>\n

– karaci\u011fer fonksiyon testlerinde bozukluk<\/p>\n

– meme kanseri<\/p>\n

– estrojene ba\u011fl\u0131 oldu\u011fu d\u00fc\u015f\u00fcn\u00fclen t\u00fcm\u00f6rler<\/p>\n

– te\u015fhis konulamayan anormal vajinal kanama<\/p>\n

– gebelikte t\u0131kanma sar\u0131l\u0131\u011f\u0131 ge\u00e7irenler<\/p>\n

– do\u011fumsal hiperlipidemi<\/p>\n

– \u015fi\u015fmanl\u0131k<\/p>\n

– sigara i\u00e7en 35 ya\u015f \u00fczerindeki bayanlar kesinlikle kullanmamal\u0131d\u0131rlar,<\/p>\n

bununla birlikte; \u015feker hastalar\u0131, hipertansiyon, miyom, epilepsi, orak h\u00fccreli anemi durumunda hekim karar\u0131 ile ve kontrol alt\u0131nda kullan\u0131labilirler.<\/p>\n

\u0130\u011fne \u015feklindeki do\u011fum kontrol haplar\u0131 (medroksiprogesteron asetat) y\u0131lda 2-4 kez kullan\u0131larak koruma sa\u011flarlar. Uzun s\u00fcreli kanamalar, uzun s\u00fcreli adet g\u00f6rmeme, kestikten sonra uzun s\u00fcre yumurtas\u0131z kanama g\u00f6r\u00fclebilir. Kansere neden oldu\u011fu iddialar\u0131 vard\u0131r.<\/p>\n

Norplant denilen ve deri alt\u0131na yerle\u015ftirilen do\u011fum kontrol ila\u00e7lar\u0131 \u00fczerinde yo\u011fun olarak \u00e7al\u0131\u015f\u0131lmaktad\u0131r.<\/p>\n

Do\u011fum kontrol hap\u0131 kullan\u0131ld\u0131\u011f\u0131 s\u00fcrece yumurtlama ve adet olmaz, bu nedenle adeti geciktirmek i\u00e7in hap kullan\u0131labilir.<\/p>\n

E\u011fer ki\u015fi, bir g\u00fcn hap almay\u0131 unutursa ertesi g\u00fcn iki adet birden almal\u0131d\u0131r, ancak bu s\u0131k s\u0131k yap\u0131l\u0131rsa ara kanamalar meydana gelebilir.<\/p>\n

Cinsel ili\u015fki sonras\u0131nda hamilelik engellenmek isteniyorsa: 30 mg konjuge estrojen veya 5 mg etinil estradiol 5 g\u00fcn s\u00fcreyle kullan\u0131lmaktad\u0131r. Yine ayn\u0131 ama\u00e7la 12 saat ara ile iki kez 4 tablet (toplam 8 tablet) al\u0131n\u0131r. Bulant\u0131 kusma \u00e7ok s\u0131k g\u00f6r\u00fclen bir yan etkidir v e\u00f6nerilen bir y\u00f6ntem de\u011fildir. Yine cinsel ili\u015fkiden sonraki 12-24 saat i\u00e7inde spiral tak\u0131larak hamilelik \u00f6nlenebilir.<\/p>\n

Kaynak : Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Bilgisi, 4. Bask\u0131. T\u00fcrkiye Klinikleri Yay\u0131nevi.<\/p>\n","protected":false},"excerpt":{"rendered":"

Hap veya i\u011fne \u015feklinde kullan\u0131labilen formlar\u0131 vard\u0131r. G\u00fcn\u00fcm\u00fczde s\u0131kl\u0131kla estrojen ve progesteron kombinasyonu kullan\u0131l\u0131r (kombine preparatlar). S\u0131kl\u0131kla 3 hafta s\u00fcreyle g\u00fcnl\u00fck ve 1 hafta s\u00fcreyle ara verilerek kullan\u0131l\u0131rlar. En \u00f6nemli etkileri ov\u00fclasyonu (yumurtlamay\u0131) engellemeleridir. Ba\u015far\u0131s\u0131zl\u0131k oran\u0131 d\u00fc\u015f\u00fckt\u00fcr (%1-1,5). Kombine preparatlar en etkili, geri d\u00f6n\u00fc\u015f\u00fc m\u00fcmk\u00fcn olan, korunma y\u00f6ntemidir. Adet kanamas\u0131, adet a\u011fr\u0131s\u0131 azal\u0131r. Endometriyum ve …<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0},"categories":[1152],"tags":[3618,3610,3611,3615,3613,3609,3617,2145,3612,3616,3620,3619,3622,3621,1981,3614,841],"_links":{"self":[{"href":"https:\/\/www.hanimefendi.com\/wp-json\/wp\/v2\/posts\/5790"}],"collection":[{"href":"https:\/\/www.hanimefendi.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hanimefendi.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hanimefendi.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hanimefendi.com\/wp-json\/wp\/v2\/comments?post=5790"}],"version-history":[{"count":2,"href":"https:\/\/www.hanimefendi.com\/wp-json\/wp\/v2\/posts\/5790\/revisions"}],"predecessor-version":[{"id":7853,"href":"https:\/\/www.hanimefendi.com\/wp-json\/wp\/v2\/posts\/5790\/revisions\/7853"}],"wp:attachment":[{"href":"https:\/\/www.hanimefendi.com\/wp-json\/wp\/v2\/media?parent=5790"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hanimefendi.com\/wp-json\/wp\/v2\/categories?post=5790"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hanimefendi.com\/wp-json\/wp\/v2\/tags?post=5790"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}