Le Ring Entsha Yokuvimbela Ukukhulelwa Ingasetshenziswa Unyaka Wonke

-Delile

• Isebenza kanjani?
• Isetshenziswa kanjani?
• Iphumelela kangakanani?
• Kuthiwani ngemiphumela engemihle?
• Buyekeza kwe-

Ngokokuqala ngqa, i-Food and Drug Administration (i-FDA) ivume indandatho yesitho sangasese sowesifazane esetshenziswayo engabuyiselwa emuva unyaka wonke.

I-Annovera, njengoba ibizwa kanjalo, ingumkhiqizo owenziwe yi-Population Council, engenzi nzuzo ebuye ibe ubuchopho ngemuva kwe-IUD yethusi, izimila zokuvimbela inzalo, nendandatho yesitho sangasese sowesifazane sokukhulelwa yabesifazane abancelisayo, phakathi kweminye imikhiqizo. (Okuhlobene: Kungani Wonke Umuntu Ezonda Amaphilisi Okulawula Ukuzalwa Njengamanje?)

Isebenza kanjani?

I-Annovera isebenza ngokufana nezinye izindandatho zokuvimbela inzalo: Ibekwe ngaphakathi esithweni sangasese lapho ikhipha khona ama-hormone afana ne-progesterone asiza ukuvimbela ukukhulelwa, Izindaba Eziphikisayo imibiko. Okwenza i-Annovera yehluke, nokho, ukuthi isebenzisa inhlanganisela entsha yehomoni ebizwa nge-segesterone acetate esiza ukugcina ukusebenza kweringi ngaphandle kwesiqandisi kuze kube unyaka.

"Izinhlobo eziningi zokuvimbela inzalo-kungakhathaliseki ukuthi zithathwe ngomlomo noma zifakwe-zonke ziqukethe amanani athile nezinhlobo ze-estrogen ne-progesterone," uJessica Vaught, MD, umqondisi wokuhlinzwa okuncane kakhulu esibhedlela i-Winnie Palmer for Women & Babies kanye ne-board-certified ob-gyn. uyatshela Umumo. "Kodwa nakuba uhlobo lwe-estrogen olusetshenziswa ekuvimbeleni ukukhulelwa luhlala lufana (olunye olubizwa ngokuthi i-estradiol), abacwaningi baye bazama izinguqulo ezahlukene ze-progesterone ekulawuleni ukuzalwa iminyaka."

UDkt. Vaught uthi i-segesterone acetate ngokuyisisekelo iyinguqulo entsha ye-progesterone. Ngokuphathelene nokusebenza, kuyefana nezinye izinhlobo ze-progesterone ezisetshenziselwa ukulawula ukubeletha. Kodwa ikhombisa izimfanelo eziyingqayizivele njengokudlula isidingo sesiqandisi kanye nekhono layo lokuphinda isetshenziswe unyaka wonke.

Isetshenziswa kanjani?

Ukuze uqiniseke ukuthi usebenzisa i-Annovera ngendlela okuhloswe ngayo, uMkhandlu Wabantu uyeluleka ukuthi ushiye iringi ngaphakathi kwesitho sakho sangasese amasonto amathathu bese uyisusa eyodwa. Ngesikhathi sokuphumula, iringi kufanele igezwe kahle futhi igcinwe ngaphakathi kwesikhwama esingagcinwa noma yikuphi.

Uma uzibuza ukuthi ngabe lokho kuhlanzekile yini, abesifazane bebelokhu besebenzisa izimila ezifanayo zangasese ezingasetshenziswanga ukuvimbela ukukhulelwa amashumi eminyaka. “Abesifazane asebekhulile bavame ukuba neprolapse, okuyilapho izitho zomzimba zikwazi ukuya phambili noma zehle, okubangela izinkinga zempilo,” kusho uDkt. "Kulezi zimo, ngokuvamile banikezwa izindandatho ze-pessary ezifakwe ngesitho sangasese sowesifazane futhi zisize ukugcina lezo zitho zisendaweni. Lezi zinhlobo zemikhiqizo zifana ne-Annovera ngomqondo wokuthi zenziwe ngezinto ezingabangeli izifo kalula; uvunyelwe ukuwasha nokuwagcina kahle."

Phakathi naleli sonto, uMkhandlu Wabantu uyabaxwayisa abasebenzisi ukuthi bangase babhekane nenkathi ethile noma "ukuphuma kwegazi." Kodwa uma lezo zinsuku eziyisikhombisa seziphelile, ungavele ubeke iringi efanayo futhi, uphinda inqubo kuze kube unyaka, ngaphandle kokuthi uye ekhemisi nyanga zonke ukuze uthole iringi entsha. (FYI, khuluma nodokotela wakho uma ulahlekelwa isikhathi sakho.)

"Sekuyiminyaka engaphezu kwengu-60, iPopulation Council ibihamba phambili emizamweni yomhlaba wonke yokwakha izindlela ezintsha zokuhlela umndeni ezihlangabezana nezidingo zabesifazane," kusho umongameli wePopulation Council uJulia Bunting esitatimendeni. "Ukuba nohlelo olulodwa lokuvimbela inzalo oluhlinzeka unyaka wonke wokuvikela ngenkathi ungaphansi kwesandla sowesifazane kungaba wushintsho kumdlalo."

Iphumelela kangakanani?

Kuyavela ukuthi, i-Annovera isebenza ngempumelelo ethe xaxa kunezinye izinhlobo zokuvimbela inzalo emakethe. Izivivinyo zemitholampilo zibonise ukuthi iphumelele ngamaphesenti angama-97.3 ekuvimbeleni ukukhulelwa kwabesifazane abaneminyaka engu-18 kuya kwengama-40 abasebenzisa iringi emijikelezweni eyi-13 yokuya esikhathini. Lokhu kuhumusha cishe kwababili kuya kwabane kwabesifazane abayi-100 abathi kungenzeka bakhulelwe ngonyaka wokuqala basebenzisa i-Annovera.

Ukubeka lokho ngombono, kunokukhulelwa okungu-18 noma ngaphezulu ngonyaka kwabesifazane abayi-100 abasebenzisa amakhondomu noma indlela yokuhoxa; 6 kuya ku-12 kwayi-100 ngePilisi, amachashazi, noma izifingo; futhi ngaphansi kuka-1 nge-100 ngonyaka kuma-IUD noma inzalo, ngokusho kweCenters for Disease Control and Prevention (CDC).

Ngaphezu kwalokho, abanye besifazane ovivinyweni babike ukuthi i-Annovera yayilula, kulula ukuyisebenzisa, futhi inethezekile ekuphileni kwansuku zonke-ngisho nangesikhathi socansi, ngokusho kwe-FDA.

Uma kushiwo lokho, i-FDA iyaxwayisa ukuthi njengezinye izindlela eziningi zokuvimbela inzalo, i-Annovera ayivimbeli i-HIV noma ezinye izifo noma izifo ezithathelwana ngocansi.

Futhi kufanele wazi ukuthi i-Annovera ayizange ihlolwe kwabesifazane abanenkomba yomzimba (BMI) enkulu kunama-29 futhi akufanele isetshenziswe uma unomlando womdlavuza webele, izicubu ezahlukahlukene, noma ukopha okungavamile kwesibeletho, phakathi kokunye ukwelashwa izimo. Iringi nayo izofika ebhokisini exwayisa ngokwanda kwengozi yenhliziyo nemithambo yegazi lapho isetshenziswa ngenkathi ibhema. Akudingekile ukusho, akusiwona wonke umuntu. (Okuhlobene: Izindlela Ezi-5 Zokulawula Ukuzalwa Ezingahluleka)

Kuthiwani ngemiphumela engemihle?

Ungalindela imiphumela emibi efanayo kwezinye izinhlobo zokulawulwa kokuzalwa kwamahomoni. Umbiko we-FDA ubufaka izimpawu ezifana nokuphathwa yikhanda, isicanucanu, ukutheleleka ngemvubelo, ubuhlungu besisu, ukopha okungahambi kahle, kanye nobumnene bebele. (Okwengeziwe: Imiphumela Emibi Kakhulu Yokulawula Ukuzalwa)

I-Annovera ngeke ibe semakethe kuze kube u-2019 noma ngo-2020, futhi nakuba ungasho ukuthi incwadi kadokotela izokubiza malini, izothengiswa ngenani elehlisiwe emitholampilo yokuhlela umndeni ehlinzeka abantu abahola kancane. “Izinzuzo zokuba nomkhiqizo ofana nalo okwazi ukuthengeka zinkulu,” kusho uDkt. Vaught. "Ukuba nohlobo lokuvimbela inzalo olufinyeleleka kalula futhi olungadingi ukuvakashelwa njalo ekhemisi noma ehhovisi likadokotela kungavumela abesifazane abaningi ukuba bazimele futhi balawule imizimba yabo." (Okuhlobene: Le Nkampani Izama Ukwenza Ukulawulwa Kwezalo Kufinyeleleke Kakhulu Emhlabeni Wonke)

Uma ucabanga ukuthi u-Annovera kungaba yindlela yokuvimbela inzalo yakho, khumbula ukuxhumana nodokotela wakho kuqala lapho kutholakala. Uma ukhetha indlela yokulawula ukubeletha, kubalulekile ukukala zonke izinketho zakho ngaphambi kokunquma ukuthi yiluphi uhlobo olusebenza kangcono kuwe.

Buyekeza kwe-