Amaphilisi okulawula inzalo - i-progestin kuphela

Izindlela zokuvimbela inzalo ngomlomo zisebenzisa ama-hormone ukuvimbela ukukhulelwa. Amaphilisi e-progestin kuphela ane-progestin ye-hormone kuphela. Azinayo i-estrogen kuzo.

Amaphilisi okuvimbela inzalo akusiza ungakhulelwa. Amaphilisi ane-progestin kuphela anezinsuku ezingama-28. Wonke amaphilisi ayasebenza. Ngayinye ine-progestin kuphela, futhi ayikho i-estrogen. Lezi zinhlobo zamaphilisi okulawula ukubeletha kaningi zisetshenziselwa abesifazane abanezizathu zokwelashwa ezibavimbela ekuthatheni inhlanganisela yomlomo yephilisi (amaphilisi aqukethe i-progestin ne-estrogen). Ezinye zezizathu zokuphuza amaphilisi wokulawula ukubeletha we-progestin kuphela afaka:

• Umlando wezinhlungu zekhanda ze-migraine
• Njengamanje ukuncelisa ibele
• Umlando wamahlule egazi

Amaphilisi e-progestin kuphela asebenza kakhulu uma ephuzwe kahle.

Amaphilisi e-progestin kuphela asebenza ngokwenza ukuthi amafinyila wakho aminyene kakhulu ukuthi isidoda singene.

Ungaqala ukuthatha la maphilisi nganoma yisiphi isikhathi kumjikelezo wakho wokuya esikhathini.

Ukuvikelwa ekukhulelweni kuqala ngemuva kwezinsuku ezimbili. Uma wenza ucansi emahoreni angama-48 okuqala ngemuva kwepilisi yakho yokuqala, sebenzisa enye indlela yokulawula ukubeletha (ikhondomu, idayaphragm, noma isipanji). Lokhu kubizwa ngokuthi yi-backup control control.

Kumele uphuze iphilisi le-progestin kuphela ngasikhathi sinye nsuku zonke.

Ungalokothi uphuthelwe usuku lokuphuza amaphilisi akho.

Uma unamaphakethe ama-2 wamaphilisi asele, shayela umhlinzeki wakho wezokunakekelwa kwempilo isikhathi sokuqokwa ukuze uphinde ugcwaliswe. Ngosuku olulandelayo lapho uqeda iphakethe lamaphilisi udinga ukuqala iphakethe elisha.

Ngala maphilisi unga:

• Ungatholi izikhathi
• Ukopha kancane ngaphakathi nangaphandle kwenyanga
• Thola isikhathi sakho esontweni lesine

Uma ungaphuzi iphilisi le-progestin ngesikhathi, i-mucus yakho izoqala ukuncipha futhi ungakhulelwa.

Lapho ubona ukuthi uphuthelwe yiphilisi lakho, liphuze ngokushesha okukhulu. Uma kungamahora ama-3 noma ngaphezulu njengoba bekufanele, sebenzisa indlela yokuvikela ukubeletha ngamahora angama-48 alandelayo ngemuva kokuthatha iphilisi lokugcina. Bese uthatha iphilisi lakho elilandelayo ngesikhathi esijwayelekile. Uma uke waya ocansini ezinsukwini ezi-3 kuya kwezi-5 ezedlule, cabanga ngokucela umhlinzeki wakho ukuthola inzalo ephuthumayo. Uma unemibuzo noma okukhathazayo, shayela umhlinzeki wakho.

Uma uhlanza ngemuva kokuphuza iphilisi, thatha elinye iphilisi ngokushesha okukhulu, bese usebenzisa indlela yokuvikela inzalo ngamahora angama-48 alandelayo.

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

• Kufanele uthole ukuya esikhathini kwakho amasonto ama-4 kuye kwayi-6 ngemuva kokuphuza iphilisi lokugcina. Uma ungasitholi isikhathi sakho kumaviki ayi-8, shayela umhlinzeki wakho.
• Isikhathi sakho singasinda noma sibe lula kunokujwayelekile.
• Ungaba nokubonwa okuncane kwegazi ngaphambi kokuthola isikhathi sakho sokuqala.
• Ungahle ukhulelwe zisuka nje.

Sebenzisa indlela yokwenza isipele yokulawula ukubeletha, njengekhondomu, idiyaphragm, noma isipanji, uma:

• Uphuza iphilisi amahora amathathu noma ngaphezulu ngemuva kokudingeka kwalo.
• Uphuthelwa yiphilisi elilodwa noma ngaphezulu.
• Uyagula, uphonsa, noma unezihlalo ezikhululekile (isifo sohudo). Noma uthatha iphilisi lakho, umzimba wakho kungenzeka ungalitholi. Sebenzisa indlela yokulondoloza inzalo, bese ushayela umhlinzeki wakho.
• Uthatha omunye umuthi ongavimbela iphilisi ukuthi lisebenze. 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:

• 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.

Iphilisi elincane; Iphilisi - i-progestin; Izindlela zokuvimbela inzalo ngomlomo - i-progestin; I-OCP - iprogestin; Ukuvimbela inzalo - i-progestin; I-BCP - iprogestin

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