IMinipill kanye nezinye izinketho zokulawulwa kokuzalwa okungenayo i-Estrogen

-Delile

• Yini imayini?
• Isebenza kanjani i-minipill?
• Ubani umuntu ofanele ukungenela imephu?
• Ungaqala kanjani ukuthatha iminipill
• Ingabe kunemiphumela engemihle nge-minipill?
• Yiziphi izinzuzo nezingozi?
• Izinzuzo zeMinipill
• Ububi beMinipill
• Ezinye izinketho zokulawula ukuzalwa kwe-progestin-only
• Iprogestin yadutshulwa
• I-progestin shot pros
• I-progestin shot cons
• Ukufakwa kwe-progestin
• I-progestin implant pros
• I-progestin implant cons
• I-progestin IUD
• Izinzuzo ze-Progestin IUD
• Iprogestin IUD cons
• Izinketho zokulawulwa kokuzalwa okungenayo i-Hormone
• Okubalulekile

O, ngenqubo yosayizi owodwa yokulawula ukuzalwa okulula ukuyisebenzisa nokusetshenziswa komphumela oseceleni. Kodwa isayensi ayikayifezi into enjalo.

Kuze kwenzeke, uma ungomunye wabesifazane abaningi abangakwazi ukusebenzisa izindlela zokuvimbela inzalo eziqukethe i-estrogen, unezinye izinketho ezimbalwa.

Izinketho eziningi zokulawulwa kokuzalwa okungenayo i-estrogen ziqukethe i-progestin, okuyinhlobo eyenziwe ngumuntu ye-hormone progesterone.

Kule ndatshana, sizobhekisisa:

• ongakhetha progesin kuphela
• basebenza kanjani
• ubuhle nobubi bento ngayinye

Yini imayini?

IMinipill wuhlobo lokuvimbela inzalo ngomlomo oluqukethe amaphilisi ane-progestin kuphela.

Awekho amaphilisi asephaketheni ane-estrogen. Umthamo we-progestin uyahlukahluka futhi uncike ekwakhiweni okusetshenziswe kwiphilisi lokulawula ukubeletha.

Iphakethe le-minipill linamaphilisi angama-28, wonke aqukethe i-hormone progestin. Ayinawo amaphilisi e-placebo.

Ukukhulisa ukusebenza kahle kweminipill, uzodinga ukuphuza iphilisi ngasikhathi sinye nsuku zonke.

Uma uphuthelwa umthamo - noma ngabe ngamahora ama-3 - kuzodingeka usebenzise indlela eyisipele yokulawula ukubeletha okungenani izinsuku ezimbili ukuze ube sohlangothini oluphephile.

Kukhona iphilisi elisha le-progestin kuphela eligunyazwe yi-FDA elibizwa nge-Slynd. Ingathathwa kungakapheli isikhathi esingamahora angama-24 futhi ingathathwa njenge- “dose elahlekile,” ngokungafani nephilisi lamanje le-progestin kuphela.

Ngoba leli philisi lisha sha, kungenzeka okwamanje kube nolwazi olulinganiselwe nokutholakala. Ukuze ufunde kabanzi ngoSlynd, khuluma nodokotela wakho.

Isebenza kanjani i-minipill?

E-United States, ukukhulelwa komlomo kuphela kwe-progestin kuphela kwaziwa njenge-norethindrone. Ngokusho kweMayo Clinic, i-norethindrone isebenza ngo:

• ukuqina amafinyila wesibeletho sakho nokuncipha ulwelwesi lwesibeletho sakho, okwenza kube nzima ukuthi isidoda neqanda kuhlangane
• ukuvimbela ama-ovari akho ekukhipheni amaqanda

Kubalulekile ukuqonda ukuthi i-progestin-only minipill kungenzeka inganqandeki njalo i-ovulation yakho.

I-American College of Obstetricians and Gynecologists (ACOG) ilinganisela ukuthi cishe amaphesenti angama-40 wabesifazane azogcina ukuvuthwa ngenkathi ethatha i-norethindrone.

Ubani umuntu ofanele ukungenela imephu?

Ngokusho kwe-ACOG, le minipill iyindlela enhle kwabesifazane abangakwazi ukuphuza amaphilisi okuvimbela inzalo aqukethe i-estrogen.

Lokhu kufaka phakathi abesifazane abanomlando we:

• umfutho wegazi ophakeme
• i-vein thrombosis ejulile (i-DVT)
• isifo senhliziyo nemithambo yegazi

Kodwa ukuvimbela inzalo ye-progestin kuphela akuyona inketho engcono kakhulu kuwo wonke umuntu. Ungahle ufune ukugwema i-minipill uma:

• uke waba nomdlavuza webele
• uke waba ne-lupus
• unenkinga yokukhumbula ukuthatha imishanguzo ngesikhathi esifanele

Eminye imishanguzo yokulwa nokuquleka iphula ama-hormone emzimbeni wakho, okusho ukuthi iphilisi le-progestin kuphela lingase lingasebenzi uma uthatha umuthi wokulwa nokuquleka.

Uma ngabe uhlinziwe nge-bariatric, khuluma nodokotela wakho ngezingozi zokuthatha umuthi wokuvimbela inzalo ngomlomo.

Ukuhlinzwa nge-Bariatric kungathinta indlela lokhu kusistimu yakho futhi kungenza kungasebenzi kahle.

Ungaqala kanjani ukuthatha iminipill

Ngaphambi kokuqala imayini, khuluma nodokotela wakho mayelana nosuku ozoqala ngalo.

Ungaqala ukusebenzisa le pilisi nganoma yiluphi usuku lomjikelezo wakho wokuya esikhathini, kepha kuya ngokuthi ukuphi kumjikelezo wakho, kungadingeka ukuthi usebenzise indlela yokulawula ukubeletha izinsuku ezimbalwa.

Uma uqala ukuthatha i-minipill phakathi nezinsuku zokuqala ezingu-5 zesikhathi sakho, kufanele uvikeleke ngokuphelele, futhi ngeke udinge enye indlela yokuvimbela inzalo.

Uma uqala nganoma yiluphi olunye usuku, kuzodingeka usebenzise enye indlela yokuvikela okungenani izinsuku ezi-2.

Uma isikhathi sakho sinomjikelezo omfushane, kufanele usebenzise ukulawulwa kokuzalwa okungeziwe uze ube seminipill okungenani izinsuku ezimbili.

Ingabe kunemiphumela engemihle nge-minipill?

Zonke izindlela zokuvikela ukukhulelwa ezinemiphumela emibi engaba khona, futhi ziyahlukahluka ngamandla kumuntu nomuntu.

Umtholampilo waseCleveland ubika le miphumela emibi evela kwipayipi elincane le-progestin kuphela:

• ukudana
• ukuqhuma kwesikhumba
• amabele amathenda
• izinguquko esisindweni sakho
• izinguquko ezinweleni zomzimba
• isicanucanu
• ikhanda

Yiziphi izinzuzo nezingozi?

Izinzuzo zeMinipill

• Awudingi ukuphazamisa ucansi ukuze unakekele ukulawulwa kokuzalwa.
• Ungaphuza leli philisi uma i-estrogen inganconyelwe wena ngenxa yomfutho wegazi ophakeme, i-vein thrombosis ejulile, noma isifo senhliziyo.
• Izikhathi zakho nezikhwebu zingakhanya.
• Ungasebenzisa le ndlela uma uncelisa.

Ububi beMinipill

• Udinga ukuthi uqaphele futhi unembe mayelana nokuthi udla nini iphilisi.
• Ungahle ubone ukubonwa phakathi kwezikhathi.
• Ukushayela kwakho ucansi kungancipha.
• Izinwele zomzimba wakho zingakhula ngokuhlukile.

Ezinye izinketho zokulawula ukuzalwa kwe-progestin-only

Uma ufuna ukulawulwa kokuzalwa kwe-hormonal ngaphandle kwe-estrogen, i-minipill inketho eyodwa nje. Kunezinye izinketho eziningi zokulawula ukuzalwa kwe-progestin kuphela. Ngamunye usebenza ngokuhlukile futhi unemiphumela engemihle kanye nezingozi.

Nayi i-rundown esheshayo yezinketho zakho.

Iprogestin yadutshulwa

IDepo-Provera ingumjovo. Isebenza ngendlela efanayo nepilisi ye-progestin-only.Kujiya amafinyila azungeze umlomo wakho wesibeletho ukuvimbela isidoda ukuthi sifinyelele eqandeni. Ngokwengeziwe, kumisa ama-ovari akho ekukhipheni amaqanda.

Umjovo ngamunye uhlala cishe izinyanga ezintathu.

I-progestin shot pros

• Akudingeki ucabange ngokuthatha iphilisi lokulawula ukubeletha nsuku zonke.
• Abantu abaningi bacabanga ukuthi umjovo awunamandla kangako kunokusebenzisa i-IUD.
• Uma uthola isibhamu ngezikhathi ezinconyiwe, sisebenza ngaphezu kwamaphesenti angama-99 ekuvimbeleni ukukhulelwa.

I-progestin shot cons

• I-FDA iyaxwayisa ukuthi ukusebenzisa iDepo-Provera kungakhuphula ubungozi bakho:
  • umdlavuza webele
  • ukukhulelwa kwe-ectopic (ukukhulelwa ngaphandle kwesibeletho sakho)
  • ukuzuza kwesisindo
  • ukulahleka kwesisindo samathambo
  • amahlule egazini ezandleni zakho, emilenzeni, noma emaphashini
  • izinkinga zesibindi
  • ikhanda le-migraine
  • ukudana
  • isithuthwane

Ukufakwa kwe-progestin

E-United States, izimila ze-progestin ziyamakethwa ngaphansi kwegama elithi Nexplanon. Ukufakwa kuqukethe induku encane, eguquguqukayo efakwa udokotela wakho ngaphansi kwesikhumba engalweni yakho ephezulu.

Njengomjovo we-minipill nowe-progestin, okutshalwayo kukhipha amanani amancane we-progestin ohlelweni lwakho.

Lokhu kubangela:

• ulwelwesi lwesibeletho sakho lube mncane
• isikhwehlela sakho somlomo wesibeletho ukushuba
• amaqanda akho ukuyeka ukukhipha amaqanda

Uma usendaweni, ukufakelwa kusebenza kahle kakhulu. Ngokusho kwe-implants inezinga lokwehluleka lamaphesenti ayi-0.01 kuphela kuze kube yiminyaka emithathu.

I-progestin implant pros

• Akudingeki ucabange ngokulawulwa kokuzalwa nsuku zonke.
• Awudingi ukuphazamisa ucansi ukuze unakekele ukulawulwa kokuzalwa.
• Kusebenza kahle kakhulu.
• Ingasetshenziswa ngokushesha ngemuva kokubeletha noma ukukhipha isisu.
• Kuphephile ukuyisebenzisa ngenkathi uncelisa.
• Kuyabuyiselwa emuva. Udokotela wakho angayisusa uma ufuna ukukhulelwa.

I-progestin implant cons

• Udokotela udinga ukufaka okufakelwayo.
• Kungaba nezindleko eziphezulu kakhulu uma le ndlela yokuvimbela inzalo ingamboziwe ngumshuwalense.
• Izikhathi zakho zingase zibe nzima ukubikezela. Bangaba nzima kakhulu noma babe lula, noma bangahamba ngokuphelele.
• Ungase uzwe ukuphuma kwegazi.
• Ungaba nemiphumela engemihle njengokuphathwa yikhanda, ukuphuma kwesikhumba, ukushintsha kwesisindo, noma amabele wethenda.
• Ukufakwa kungathutha, noma kungaba nzima ukukukhipha uma sekuyisikhathi sokususa. Uma kuvela noma isiphi isimo, ezinye iziguli zingadinga ukuhlolwa kwe-imaging futhi, ezimweni ezingavamile, ukuhlinzwa ukuze kususwe okufakelwayo.

I-progestin IUD

Okunye ongakwenza yidivayisi ye-intrauterine (IUD) efakwa udokotela wakho esibelethweni sakho. Yenziwe ngepulasitiki, le divayisi encane emise okwe-t ikhipha inani elincane le-progestin, evimbela ukukhulelwa iminyaka engafika kwemihlanu.

Ngokusho kwe-ACOG, i-IUD ayiphazamisi ukukhulelwa. Kuyakuvimbela.

Izinzuzo ze-Progestin IUD

• Akudingeki ucabange ngokulawulwa kokuzalwa kaningi.
• Kusebenza ngamaphesenti angama-99 ekuvimbeleni ukukhulelwa.
• Izikhathi zakho zingase zibe lula. Ama-cramps angaba ngcono, futhi.
• I-IUD iyabuyiselwa emuva futhi ngeke ithinte ukuzala kwakho noma yenze kube nzima ukukhulelwa ngokuzayo.

Iprogestin IUD cons

• Kungakhathaza ukufakwa kwe-IUD.
• Izikhathi zakho zingase zibe nzima ukubikezela.
• Ungaba nokubona ukuphuma kwegazi, ikakhulukazi ekuqaleni.
• IUD yakho ingaphuma.
• Ezimweni ezingavamile, isibeletho sakho singabhobozwa lapho kufakwa idivayisi.
• Ezimweni ezingavamile, ungathola ukukhulelwa kwe-ectopic.

Izinketho zokulawulwa kokuzalwa okungenayo i-Hormone

Uma ufuna ukusebenzisa izindlela zokulawula ukuzalwa ezingezona eze-hormone, khuluma nodokotela wakho noma umhlinzeki wezokunakekelwa kwempilo ngalezi zinketho:

• amakhondomu abesilisa noma abesifazane
• izipanji
• izigqoko zomlomo wesibeletho
• izifinyezo
• IUDs zethusi
• ama-spermicides

Eziningi zalezi zindlela azisebenzi kahle ekuvikeleni ukukhulelwa kunezindlela ezibandakanya ama-hormone.

I-spermicide, isibonelo, yehluleka cishe amaphesenti angama-28 wesikhathi, ngakho-ke kubalulekile ukuqonda izingozi njengoba ulinganisa izinketho zakho.

Uma udinga ifomu elihlala njalo lokulawula ukubeletha, khuluma nodokotela wakho mayelana ne-tubal ligation noma i-vasectomy.

Okubalulekile

I-minipill ye-progestin-kuphela ingenye yezindlela eziningi zokulawula inzalo ezingenayo i-estrogen.

Ummbila usebenza ngokucindezela i-ovulation nokushintsha isibeletho sakho nomlomo wesibeletho ukwenza kungabonakali ukuthi isidoda sizokwazi ukuvundisa iqanda.

Uma ufuna ukusebenzisa ukulawulwa kokuzalwa kwe-hormonal ngaphandle kwe-estrogen, ungazama futhi ama-progestin-only shots, implants, noma i-IUDs.

Uma ufuna ukusebenzisa indlela yokulawula ukubeletha engenawo ama-hormone, ungahlola izinketho ezinjengamakhondomu, i-diaphragm, izigqoko zomlomo wesibeletho, i-IUD yethusi, izipanji, i-tubal ligation, noma i-vasectomy.

Njengoba zonke izindlela zokulawula ukubeletha zinemiphumela engemihle, khuluma nodokotela wakho ngohlobo lokuvimbela inzalo olusebenza kangcono kuwe.

Qiniseka ukuthi utshela udokotela wakho ukuthi wazi nganoma yiziphi izimo zempilo onazo, kanye nanoma iziphi izithasiselo nemithi oyiphuzayo, ngoba inganciphisa ukusebenza kokuvimbela inzalo yakho.