Ukulawulwa kokuzalwa - izindlela zokukhipha kancane

Izindlela ezithile zokulawulwa kokuzalwa ziqukethe izinhlobo ezenziwe ngamahomoni ezenziwe ngabantu. La mahomoni enziwa ngokujwayelekile kumaqanda esifazane. Lawa mahomoni abizwa nge-estrogen ne-progestin.

Womabili la mahomoni avimbela amaqanda esifazane ekukhipheni iqanda. Ukukhululwa kweqanda ngesikhathi sokuya esikhathini kubizwa ngokuthi yi-ovulation. Benza lokhu ngokushintsha amazinga ama-hormone emvelo owenziwa ngumzimba.

Iprogestin ibuye isize ukuvimbela isidoda ukuba singene esibelethweni ngokwenza amafinyila azungeze umlomo wesibeletho sowesifazane abe manzi futhi anamathele.

Amaphilisi okulawula inzalo angenye yezindlela zokwamukela la mahomoni. Zisebenza kuphela uma zithathwa nsuku zonke, okungcono ngesikhathi esifanayo.

Kunezinye izindlela zokuvimbela ukukhulelwa. Ama-hormone afanayo angasetshenziswa kepha akhululwa kancane ngokuhamba kwesikhathi.

IZIMPAHLA ZAMAPROGESTIN

Ukufakwa kwe-progestin yinduku encane efakwa ngaphansi kwesikhumba, imvamisa ingaphakathi kwengalo. Induku idedela inani elincane le-progestin nsuku zonke egazini.

Kuthatha cishe umzuzu ukufaka induku. Inqubo yenziwa kusetshenziswa i-anesthetic yendawo ehhovisi likadokotela. Induku ingahlala endaweni iminyaka emithathu. Noma kunjalo, ingasuswa noma kunini. Ukususwa kuvame ukuthatha imizuzu embalwa kuphela.

Ngemuva kokuthi ukufakwa kufakiwe:

• Ungahle ube nokulimala okuzungeze isayithi isonto noma ngaphezulu.
• Kufanele uvikeleke ekukhulelweni kungakapheli isonto elilodwa.
• Ungasebenzisa lokhu kufakelwa ngenkathi uncelisa.

Izimila ze-Progestin zisebenza kangcono kunamaphilisi okulawula ukubeletha ukuvimbela ukukhulelwa. Bambalwa kakhulu abesifazane abasebenzisa lokhu kufakelwa kungenzeka bakhulelwe.

Imijikelezo yakho yokuya esikhathini ejwayelekile kufanele ibuye kungakapheli amasonto amathathu kuye kwayi-4 ngemuva kokususwa kwalezi zimila.

UKUFAKWA KWAMAPROGESTINI

Imijovo noma amashothi aqukethe i-hormone progestin nawo asebenza ukuvimbela ukukhulelwa. Isibhamu esisodwa sisebenza kuze kube yizinsuku ezingama-90. Le mijovo inikezwa emisipheni yengalo engenhla noma ezinqeni.

Imiphumela emibi engase ivele ihlanganisa:

• Izinguquko kumjikelezo wokuya esikhathini noma ukopha okwengeziwe noma ukubona. Cishe uhhafu wabesifazane abasebenzisa lemijovo abanayo imijikelezo yokuya esikhathini.
• Ubumnene besifuba, ukukhuluphala, ukuphathwa ikhanda noma ukucindezeleka.

Imijovo yeProgestin isebenza kangcono kunamaphilisi okulawula inzalo ukuvimbela ukukhulelwa. Bambalwa kakhulu abesifazane abasebenzisa imijovo ye-progestin okungenzeka ukuthi bakhulelwe.

Kwesinye isikhathi imiphumela yalezi zibhamu ze-hormone ihlala isikhathi eside kunezinsuku ezingama-90. Uma uhlela ukukhulelwa kungekudala, ungahle uthande ukucabanga ngendlela ehlukile yokulawula ukubeletha.

ISIKHUMBA SESIKHUMBA

Isiqephu sesikhumba sibekwe ehlombe lakho, ezinqeni, noma kwenye indawo yomzimba wakho. Isiqephu esisha sisetshenziswa kanye ngesonto amasonto ama-3. Ngemuva kwalokho uhamba iviki elingu-1 ngaphandle kwesiqeshana.

Amazinga e-Estrogen aphakeme ngesichibi kunamaphilisi wokulawula ukubeletha noma iringi yesitho sangasese sowesifazane. Ngenxa yalokhu, kungahle kube nengozi eyengeziwe yamahlule egazi emilenzeni noma emaphashini ngale ndlela. I-FDA ikhiphe isexwayiso mayelana ne-patch kanye nobungozi obukhulu be-clot yegazi eya ephashini.

Isiqephu sikhipha kancane kancane i-estrogen ne-progestin egazini lakho. Umhlinzeki wakho wezokunakekelwa kwempilo uzokunikeza le ndlela.

Isiqephu sisebenza kangcono kunamaphilisi okulawula ukubeletha ukuvimbela ukukhulelwa. Bambalwa kakhulu abesifazane abasebenzisa isichibi okungenzeka ukuthi bakhulelwe.

Isiqephu sesikhumba siqukethe i-estrogen. Kanye nengozi ephezulu yamahlule egazi, kunengozi engajwayelekile yomfutho wegazi ophakeme, isifo senhliziyo, nohlangothi. Ukubhema kwandisa lezi zingozi nakakhulu.

INDANDATHO YESILWANE

Iringi yesitho sangasese sowesifazane iyithuluzi eliguquguqukayo. Le ringi icishe ibe ngamasentimitha ama-5 ububanzi futhi ibekwa esithweni sangasese. Ikhipha ama-hormone progestin ne-estrogen.

• Umhlinzeki wakho uzonquma le ndlela, kepha wena uzofaka iringi ngokwakho.
• Izohlala esithweni sangasese amasonto amathathu. Ekupheleni kwesonto lesithathu, uzokhipha iringi isonto elilodwa. UNGAYISUSI iringi kuze kuphele amasonto ama-3.

Imiphumela emibi eringini ingafaka:

• I-nausea kanye nobumnene besifuba, okungaphansi kakhulu kunamaphilisi okulawula ukubeletha noma amabala.
• Ukukhishwa kwesitho sangasese sowesifazane noma i-vaginitis.
• Ukuphuma kwegazi nokuqhamuka (kungahle kwenzeke kaningi kunamaphilisi wokulawula inzalo).

Iringi yesitho sangasese sowesifazane iqukethe i-estrogen. Ngenxa yalokhu, kunengozi engajwayelekile yomfutho wegazi ophakeme, amahlule egazi, isifo senhliziyo nesifo sohlangothi. Ukubhema kwandisa lezi zingozi ngokwengeziwe.

Iringi yesitho sangasese sowesifazane ikhipha kancane i-estrogen ne-progestin egazini lakho.

Iringi yesitho sangasese sowesifazane isebenza kangcono kunamaphilisi okulawula inzalo ukuvimbela ukukhulelwa. Bambalwa kakhulu abesifazane abasebenzisa iringi yesitho sangasese sowesifazane okungenzeka ukuthi bakhulelwe.

IUDS EZIKHIPHA IHORMONE

Idivayisi ye-intrauterine (IUD) iyithuluzi elincane elenziwe ngo-T elisetshenziselwe ukulawula inzalo. Ifakwa esibelethweni. Ama-IUD avimbela isidoda ekuvundiseni iqanda.

Uhlobo olusha lwe-IUD olubizwa ngeMirena lukhipha isilinganiso esincane sehomoni esibelethweni usuku ngalunye isikhathi seminyaka emi-3 kuye kwemihlanu. Lokhu kwandisa ukusebenza kwedivayisi njengendlela yokulawula ukuzalwa. Futhi kunezinzuzo ezingeziwe zokunciphisa noma ukumisa ukuhamba kokuya esikhathini. Kungasiza ukuvikela umdlavuza (umdlavuza we-endometrial) kwabesifazane abasengozini yokuthola lesi sifo.

Unokukhetha ukuthi hlobo luni lwe-IUD okufanele ube nalo. Khuluma nomhlinzeki wakho mayelana nokuthi yiluphi uhlobo olungakulungela kakhulu.

Ukuvimbela inzalo - izindlela zehomoni ezikhipha kancane; Ukufakwa kwe-progestin; Imijovo ye-progestin; Isikhumba sesikhumba; Indandatho yesitho sangasese sowesifazane

• Izindlela zokuvimbela inzalo

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.Ukulawulwa kokuzalwa kwamahomoni okuhlanganisiwe: iphilisi, isichibi, nendandatho, i-FAQ 185. www.acog.org/womens-health/faqs/combined-hormonal-birth-control-pill-patch-ring. Kubuyekezwe uMashi 2018. Kufinyelelwe ngoJuni 22, 2020.

I-American College of Obstetricians kanye newebhusayithi yamaGynecologists. Ukuvimbela inzalo okusebenza isikhathi eside (LARC): IUD nokufaka, i-FAQ184. www.acog.org/womens-health/faqs/long-acting-reversible-contraception-iud-and-implant. Kubuyekezwe uMeyi 2020. Kufinyelelwe ngoJuni 22, 2020.

UCurtis KM, uJatlaoui TC, uTepper NK, et al. Izincomo zomkhuba ezikhethiwe zase-U.S. Incoma i-MMWR Rep. 2016; 65 (4): 1-66. I-PMID: 27467319 pubmed.ncbi.nlm.nih.gov/27467319/.