Ukunquma phakathi kwePatch Yokuvimbela Inzalo kanye nePilisi Yokulawula Ukuzalwa

-Delile

• Amaphilisi Wokuzala
• Isiqephu Sokuvimbela Ukukhulelwa
• Iyini Imiphumela emibi?
• Izici Zengozi Okufanele Uzikhumbule
• Ukukhuluma nodokotela wakho
• Umbono

Ukunquma ukuthi Yikuphi Ukulawulwa Kokuzalwa Kukufanele

Uma usemakethe yendlela yokulawula ukubeletha, kungenzeka ukuthi ubuke iphilisi nesiqeshana. Zombili lezi zindlela zisebenzisa ama-hormone ukuvimbela ukukhulelwa, kepha indlela eletha ngayo ama-hormone yehlukile. Ufaka isichibi esikhunjeni sakho kanye ngesonto bese ukhohlwa ngakho. Kufanele ukhumbule ukuphuza amaphilisi okuvimbela inzalo nsuku zonke.

Noma ngabe ukhetha iphilisi noma isichibi, uzovikelwa ngokulinganayo ekukhulelweni. Ngaphambi kokuthatha isinqumo, cabanga ukuthi iyiphi indlela ezokuvumela kakhulu. Futhi, cabanga ngemiphumela emibi indlela ngayinye yokulawulwa kokubeletha engaba nayo. Kubalulekile ukucabangela izinto ezithile lapho unquma phakathi kwephilisi lokulawula ukuzalwa kanye ne-patch.

Amaphilisi Wokuzala

Abesifazane basebenzise iphilisi lokulawula ukubeletha kusukela ngawo-1960. Iphilisi lisebenzisa ama-hormone ukuvimbela ukukhulelwa. Iphilisi lenhlanganisela liqukethe i-estrogen ne-progestin. I-minipill iqukethe i-progestin kuphela.

Amaphilisi okulawula ukubeletha avimbela ukukhulelwa ngokuvimba amaqanda akho ekukhipheni iqanda inyanga ngayinye. Ama-hormone ayajiya isikhwehlela somlomo wesibeletho, okwenza kube nzima isidoda ukubhukuda siye eqandeni. Ama-hormone abuye aguqule ulwelwesi lwesibeletho, ukuze kuthi uma iqanda likhulelwa, lingakwazi ukufakwa esibelethweni.

Isiqephu Sokuvimbela Ukukhulelwa

Isiqephu siqukethe ama-hormone afanayo nephilisi, i-estrogen ne-progestin. Uyinamathisela esikhunjeni sakho kulezi zindawo:

• ingalo engenhla
• izinqa
• emuva
• isisu esingezansi

Ngemuva kokuthi i-patch isendaweni, ikhipha isilinganiso esizinzile samahomoni egazini lakho.

Isiqephu sisebenza njengephilisi. Ama-hormone avimbela iqanda ukuthi likhishwe futhi aguqula womabili umlomo womlomo wesibeletho nolwelwesi lwesibeletho. Udinga ukukufaka kanye ngesonto ngokungafani nephilisi, oyiphuza nsuku zonke. Ngemuva kokusebenzisa amasonto amathathu, noma izinsuku ezingama-21, ususa isichibi isonto elilodwa.

Enye inkinga engenzeka ukuthi i-patch ingawa. Lokhu akuvamile, futhi kwenzeka ngamapheshi angaphansi kwamaphesenti amabili. Imvamisa, isichibi sihlala sinamathele, noma ngabe uyajuluka ngenkathi uzivocavoca noma ugeza. Uma isichibi sakho siwa, siphinde usisebenzise uma ungakwazi. Noma, faka entsha ngokushesha uma ubona ukuthi ihambile. Ungahle udinge ukusebenzisa ifomu lokusekelayo lokulawulwa kokuzalwa uma i-patch icishiwe amahora angaphezu kwama-24.

Iyini Imiphumela emibi?

Zombili izindlela zokulawula ukubeletha ziphephile, kepha zinengozi encane yemiphumela emibi. Nayi eminye imiphumela emibi ejwayelekile iphilisi engabanga ngayo:

• ukopha phakathi nezikhathi, okungenzeka kakhulu nge-minipill
• ikhanda
• amabele amathenda
• isicanucanu
• ukuhlanza
• ukuguquka kwemizwelo
• ukuzuza kwesisindo

Le miphumela emibi ivame ukuthuthuka ngemuva kokuthi ubusephilisi izinyanga ezimbalwa.

Isiqephu singadala imiphumela emibi efana naleyo yephilisi, kufaka phakathi:

• ukubona phakathi kwezikhathi
• isisa sebele
• ikhanda
• isicanucanu
• ukuhlanza
• ukushintsha kwemizwelo
• ukuzuza kwesisindo
• ukulahlekelwa isifiso sobulili

Isiqephu singaphinde sicasule isikhumba sakho, sibangele ububomvu nokunwaya. Ngoba isichibi siqukethe umthamo ophakeme wamahomoni kunephilisi, imiphumela emibi ingase ibe namandla kakhulu kunephilisi.

Imiphumela emibi ebangwa yiphilisi kanye ne-patch ayivelakancane, kepha ingafaka ukumelwa yinhliziyo, isifo sohlangothi kanye namahlule egazi ku:

• imilenze
• inhliziyo
• amaphaphu
• ubuchopho

Izici Zengozi Okufanele Uzikhumbule

Amanye amaphilisi okulawula ukubeletha aqukethe uhlobo oluhlukile lwe-progestin olubizwa nge-drospirenone. Lawa maphilisi afaka:

• Yaz
• Yasmin
• Ocella
• Syeda
• Zarah

Lolu hlobo lwe-progestin lungakhuphula ubungozi bamahlule egazi ngaphezu kokujwayelekile. Kungakhuphula futhi nezinga le-potassium egazini lakho, okungaba yingozi enhliziyweni yakho.

Ngoba i-patch iletha i-estrogen engaphezulu kwamaphesenti angama-60 kunepilisi, inyusa ubungozi bemiphumela emibi efana namahlule egazi, isifo senhliziyo, nohlangothi. Sekukonke, nokho, ithuba lakho lokuba nomunye wale miphumela emibi lisephansi.

Kuzo zombili izindlela zokulawula ukubeletha, ubungozi bemiphumela emibi kakhulu bukhulu kwabesifazane abalandelayo:

• baneminyaka engama-35 noma ngaphezulu
• ube nomfutho wegazi ophakeme, i-cholesterol ephezulu, noma isifo sikashukela esingalawulwa
• ngihlaselwe yisifo senhliziyo
• intuthu
• zikhuluphele ngokweqile
• unomlando wamahlule egazi
• kade elele embhedeni ngenxa yokugula noma ukuhlinzwa
• unomlando wesifo somdlavuza webele, wesibindi noma wesibeletho
• thola i-migraines nge-aura

Uma okukodwa noma ngaphezulu kwalokhu kusebenza kuwe, udokotela wakho angase asikisele ukusebenzisa enye indlela yokulawula ukubeletha.

Kubaluleke kakhulu ukuthi ungabhemi uma uthatha isichibi noma iphilisi. Ukubhema kwandisa ingozi yokuba namahlwili egazi ayingozi.

Qaphela lapho uphuza imishanguzo ethile ngoba ingenza iphilisi lokulawula ukuzalwa noma i-patch ingasebenzi kahle. Le mithi ihlanganisa:

• i-rifampin, eyi-antibiotic
• i-griseofulvin, okuyi-antifungal
• Imithi ye-HIV
• imishanguzo yokulwa nezidakamizwa
• Isibungu iSt

Ukukhuluma nodokotela wakho

Uma ungaqiniseki ukuthi iyiphi indlela ongathanda ukuyisebenzisa, udokotela wakho angaba ngumthombo omkhulu. Kufanele bakwazi ukuchaza izinketho zakho bese bephendula noma yimiphi imibuzo ongaba nayo.

Kunezinto ezimbalwa ongafuna ukuzibheka ngaphambi kokukhetha indlela yokulawula ukubeletha:

• Ngabe ufuna ukubhekana nokugcinwa okujwayelekile, noma ngabe ungaba nokuthile kwesikhathi eside?
• Yiziphi izingozi zezempilo ezihambisana nale ndlela?
• Ngabe uzobe ukhokha ephaketheni, noma ngabe lokhu kuzofakwa umshwalense?

Ngemuva kokuthatha isinqumo sakho, qiniseka ukunamathela kule ndlela izinyanga ezimbalwa ukuze umzimba wakho ukwazi ukuzivumelanisa. Uma uthola ukuthi le ndlela akuyona into obuyilindele, kunezinye izinketho eziningi ezitholakalayo.

Umbono

Kokubili isichibi nepilisi kusebenza ngokulinganayo ekuvikeleni ukukhulelwa. Amathuba akho okukhulelwa ancike ekutheni ulandela kangakanani izinkomba. Lapho abesifazane bephuza iphilisi noma befaka isichibi njengokuyalelwa, bangaphansi kwabesifazane kwabayikhulu abazokhulelwa kunoma yimuphi unyaka onikeziwe. Lapho bengazisebenzisi njalo lezi zindlela zokuvimbela inzalo njengoba kuyalelwe, abesifazane abayisishiyagalolunye kwabayi-100 bayakhulelwa.

Khuluma ngezinketho zakho zokulawula ukuzalwa nodokotela wakho. Funda ngazo zonke izinzuzo nezingozi ezingaba khona lapho ukhetha. Khetha ukulawulwa kokuzalwa okuzoba okukulungele kakhulu kuwe futhi kube nemiphumela emibi kakhulu.