Amaphilisi okulawula inzalo - inhlanganisela

Izindlela zokuvimbela inzalo ngomlomo zisebenzisa ama-hormone ukuvimbela ukukhulelwa. Inhlanganisela yamaphilisi aqukethe kokubili i-progestin ne-estrogen.

Amaphilisi okuvimbela inzalo akusiza ungakhulelwa. Lapho zithathwa nsuku zonke, zingenye yezindlela eziphumelela kakhulu zokuvimbela inzalo. Kwabesifazane abaningi baphephe ngokweqile. Zinezinye izinzuzo eziningi. Ezinye zazo zifaka:

• Thuthukisa izikhathi ezibuhlungu, ezisindayo, noma ezingajwayelekile
• Phatha izinduna
• Vimbela umdlavuza we-ovari

Amaphilisi okulawula ukuzalwa okuhlanganisiwe aqukethe zombili i-estrogen ne-progestin. Amanye amaphilisi okulawulwa kokuzalwa akuvumela ukuthi ube nezikhathi ezimbalwa unyaka ngamunye. Lawa abizwa ngokuthi amaphilisi aqhubekayo noma anwetshiwe. Buza umhlinzeki wakho wezokunakekelwa kwezempilo mayelana nezinketho zokulinganisa ukuze unciphise imvamisa yemijikelezo yakho yokuya esikhathini.

Amaphilisi okulawula inzalo eza ngamaphakeji. Uphuza amaphilisi ephaketheni lama-21 kanye ngosuku amasonto ama-3, bese ungawaphuzi amaphilisi isonto elilodwa. Kungaba lula ukukhumbula ukuphuza iphilisi eli-1 nsuku zonke, ngakho-ke amanye amaphilisi angena ngamaphilisi ayi-28, amanye anamaphilisi asebenzayo (aqukethe ama-hormone) amanye angenawo ama-hormone.

Kunezinhlobo ezi-5 zamaphilisi wokuhlanganisa inzalo. Umhlinzeki wakho uzokusiza ukhethe okulungele wena. Izinhlobo ezi-5 yilezi:

• Amaphilisi esigaba esisodwa: Lawa anesilinganiso esifanayo se-estrogen ne-progestin kuwo wonke amaphilisi asebenzayo.
• Amaphilisi wesigaba amabili: Izinga lamahomoni kulawa maphilisi liyashintsha kanye phakathi nomjikelezo ngamunye wokuya esikhathini.
• Amaphilisi wesigaba amathathu: Njalo ezinsukwini eziyi-7 umthamo wamahomoni uyashintsha.
• Amaphilisi wesigaba amane: Umthamo wamahomoni kulawa maphilisi ushintsha izikhathi ezi-4 kumjikelezo ngamunye.
• Amaphilisi womjikelezo aqhubekayo noma anwetshiwe: Lokhu kugcina izinga lamahomoni likhuphuke ngakho-ke unezikhathi ezimbalwa noma awunazo nhlobo.

Ungakwazi:

• Thatha iphilisi lakho lokuqala ngosuku lokuqala lokuya esikhathini.
• Thatha iphilisi lakho lokuqala ngeSonto ngemuva kokuqala kwesikhathi sakho. Uma wenza lokhu, udinga ukusebenzisa enye indlela yokulawula ukubeletha (ikhondomu, i-diaphragm, noma isipanji) ezinsukwini eziyi-7 ezilandelayo. Lokhu kubizwa ngokuthi yi-backup control control.
• Thatha iphilisi lakho lokuqala noma yiluphi usuku emjikelezweni wakho, kodwa kuzodingeka usebenzise enye indlela yokulawula inzalo ngenyanga yokuqala.

Ngamaphilisi omjikelezo aqhubekayo noma anwetshiwe: Thatha iphilisi elilodwa nsuku zonke, ngasikhathi sinye usuku ngalunye.

Thatha iphilisi elilodwa nsuku zonke, ngesikhathi esifanayo sosuku. Amaphilisi okuvimbela inzalo asebenza kuphela uma uwaphuza nsuku zonke. Uma uphuthelwa usuku, sebenzisa indlela yokwenza isipele.

Uma uphuthelwa iphilisi elilodwa noma ngaphezulu, sebenzisa indlela yokusekelayo yokulawula ukuzalwa bese ushayela umhlinzeki wakho khona manjalo. Okufanele ukwenze kuncike ku:

• Hlobo luni lwephilisi oliphuzayo
• Lapho ukhona kumjikelezo wakho
• Mangaki amaphilisi owaphuthile

Umhlinzeki wakho uzokusiza ubuyele esimisweni.

Ungase uthathe isinqumo sokuyeka ukuthatha amaphilisi okulawula ukubeletha ngoba ufuna ukukhulelwa noma ushintshe enye indlela yokulawula ukubeletha. Nazi ezinye izinto ongazilindela uma uyeka ukuthatha iphilisi:

• Ungahle ukhulelwe zisuka nje.
• Ungaba nokubonwa okuncane kwegazi ngaphambi kokuthola isikhathi sakho sokuqala.
• Kufanele uthole isikhathi sakho samasonto amane kuya kwayisithupha ngemuva kokuthatha iphilisi lakho lokugcina. Uma ungasitholi isikhathi sakho kumaviki ayi-8, shayela umhlinzeki wakho.
• Isikhathi sakho singasinda noma sibe lula kunokujwayelekile.
• Induna yakho ingabuya.
• Ngenyanga yokuqala, ungahle uphathwe yikhanda noma ukushintsha kwemizwelo.

Sebenzisa indlela yokusekelayo yokulawula ukubeletha, njengekhondomu, i-diaphragm, noma isiponji uma:

• Uphuthelwa yiphilisi elilodwa noma ngaphezulu.
• Awuqali iphilisi lakho lokuqala ngosuku lokuqala lokuya esikhathini.
• Uyagula, uphonsa, noma unezihlalo ezikhululekile (isifo sohudo). Noma uthatha iphilisi lakho, umzimba wakho kungenzeka ungalitholi. Sebenzisa indlela yokusekelayo yokulawula ukubeletha kuwo wonke lowo mjikelezo.
• Uthatha omunye umuthi ongavimba ukuthi iphilisi lingasebenzi. Tshela umhlinzeki wakho noma usokhemisi uma uthatha noma imuphi omunye umuthi, njengemithi elwa namagciwane, imithi yokubamba, umuthi wokwelapha i-HIV, noma iSt John's wort. Thola ukuthi ngabe lokho okuthathayo kuzophazamisa ukuthi lisebenza kanjani iphilisi.

Shayela umhlinzeki wakho uma unalezi zimpawu ezilandelayo ngemuva kokuqala ukuthatha amaphilisi okulawula ukubeletha:

• Uvuvukele emlenzeni wakho
• Unobuhlungu bomlenze
• Umlenze wakho uzizwa ufudumele lapho uthintwa noma unezinguquko kumbala wesikhumba
• Unomkhuhlane noma amakhaza
• Uphelelwa umoya futhi kunzima ukuphefumula
• Unobuhlungu besifuba
• Ukhwehlela igazi
• Unekhanda eliba libi kakhulu, ikakhulukazi i-migraine ene-aura

Iphilisi - inhlanganisela; Izindlela zokuvimbela inzalo ngomlomo - inhlanganisela; I-OCP - inhlanganisela; Ukuvimbela inzalo - inhlanganisela; BCP - inhlanganisela

U-Allen RH, uKaunitz AM, uHickey M. uHyponal wenzalo. Ku: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2016: isahluko 18.

Glasier A. Ukuvimbela inzalo. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, abahleli. I-Endocrinology: Eyabantu Abadala Neyengane. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 134.

U-Isley MM, uKatz VL. Ukunakekelwa kwangemva kokubeletha nokucatshangelwa kwezempilo kwesikhathi eside. Ku: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Ama-Obstetrics: Ukukhulelwa Okujwayelekile Nenkinga. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 23.

• Ukulawulwa Kokuzalwa