Amaphilisi okuvimbela inzalo

Amaphilisi okulawula inzalo (BCPs) aqukethe izinhlobo ezenziwe ngamahomoni ama-2 abizwa nge-estrogen ne-progestin. La mahomoni enziwa ngokwemvelo kumaqanda esifazane. Ama-BCP angaqukatha womabili la mahomoni, noma abe ne-progestin kuphela.

Womabili la mahomoni avimbela i-ovary yowesifazane ekukhipheni iqanda ngesikhathi sokuya esikhathini (okubizwa nge-ovulation). Benza lokhu ngokushintsha amazinga ama-hormone emvelo owenziwa ngumzimba.

Ama-progestin enza futhi ukuthi amafinyila azungeze umlomo wesibeletho sowesifazane awugqinsi futhi anamathele. Lokhu kusiza ukuvimbela isidoda ukuthi singene esibelethweni.

Ama-BCP abizwa nangokuthi izivikeli nzalo zomlomo noma nje "iphilisi." Umhlinzeki wezokunakekelwa kwempilo kufanele anikeze ama-BCP.

• Uhlobo oluvame kakhulu lwe-BCP luhlanganisa ama-hormone i-estrogen ne-progestin. Kunezinhlobo eziningi ezahlukahlukene zalolu hlobo lwephilisi.
• "Iphilisi elincane" uhlobo lwe-BCP oluqukethe i-progestin kuphela, ayikho i-estrogen. Lawa maphilisi ayindlela yabesifazane abangayithandi imiphumela emibi ye-estrogen noma abangakwazi ukuthatha i-estrogen ngezizathu zokwelashwa.
• Zingasetshenziswa futhi ngemuva kokubeletha kwabesifazane abancelisayo.

Bonke abesifazane abathatha ama-BCP badinga ukuhlolwa okungenani kanye ngonyaka. Abesifazane kufanele futhi ukuthi bahlolwe umfutho wegazi ezinyangeni ezintathu ngemuva kokuqala ukuphuza iphilisi.

Ama-BCP asebenza kahle kuphela uma owesifazane ekhumbula ukuphuza iphilisi lakhe nsuku zonke ngaphandle kokuphuthelwa usuku. Abesifazane ababili noma abathathu kuphela kwabayi-100 abathatha ama-BCP ngendlela efanelekile ngonyaka abazokhulelwa.

Ama-BCP angadala imiphumela emibi eminingi. Lokhu kufaka phakathi:

• Izinguquko kumjikelezo wokuya esikhathini, akukho imijikelezo yokuya esikhathini, ukopha okwengeziwe
• I-nausea, ukushintsha kwemizwelo, ukuwohloka kwemigraines (ikakhulukazi ngenxa yama-estrogens)
• Ubumnene bamabele nokuzuza kwesisindo

Izingozi ezijwayelekile kepha eziyingozi ekuthatheni ama-BCP zifaka:

• Amahlule egazi
• Isifo senhliziyo
• Umfutho wegazi ophezulu
• Unhlangothi

Ama-BCP ngaphandle kwe-estrogen mancane kakhulu amathuba okuthi abangele lezi zinkinga. Ingozi iphezulu kwabesifazane ababhemayo noma abanomlando we-high blood pressure, i-clotting disorders, noma amazinga we-cholesterol angenampilo. Kodwa-ke, izingozi zokuthuthukisa lezi zinkinga ziphansi kakhulu nganoma yiluphi uhlobo lwephilisi kunokukhulelwa.

Imijikelezo ejwayelekile yokuya esikhathini izobuya ezinyangeni ezi-3 kuya kwezi-6 ngemuva kokuthi owesifazane eyeke ukusebenzisa izindlela eziningi zokulawula ukubeletha kwamahomoni.

Ukuvimbela inzalo - amaphilisi - izindlela zehomoni; Izindlela zokulawula ukubeletha kwehormonal; Amaphilisi okulawula inzalo; Amaphilisi okuvimbela inzalo; I-BCP; I-OCP; Ukuhlela umndeni - BCP; I-Estrogen - BCP; I-Progestin - BCP

• Izindlela zokuvimbela inzalo ezisekelwe kuHormone

U-Allen RH, uKaunitz AM, uHickey M, uBrennan A.Ukuvimbela inzalo kweHormonal. Ku: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2020: isahluko 18.

I-American College of Obstetricians kanye newebhusayithi yamaGynecologists. I-ACOG Practice Bulletin No. 206: Ukusetshenziswa kokukhulelwa kwe-hormonal kwabesifazane abanezimo zezempilo ezihlalisanayo. Isikhubekiso seGynecol. 2019; 133 (2): 396-399. I-PMID: 30681537 pubmed.ncbi.nlm.nih.gov/30681537/.

UHarper DM, uWilfling LE, uBlanner CF. Ukuvimbela inzalo. Ku: Rakel RE, Rakel DP, ama-eds. Incwadi Yezokwelapha Yomndeni. Umhlaka 9. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 26.

URivlin K, Westhoff C. Ukuhlela umndeni. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 13.

UWinikoff B, uGrossman D. Ukuvimbela inzalo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 225.