Yini iDili yokulawulwa kokuzalwa kanye namahlule egazi?

-Delile

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Iqiniso lokuthi amaphilisi okulawula ukubeletha angakhuphula ubungozi bokuthola amahlule egazi akuyona izindaba. Lesi sixhumanisi phakathi kwamazinga e-estrogen aphakeme kanye ne-DVT, noma i-deep vein thrombosis-lokho ukujiya kwegazi emithanjeni emikhulu-kubikwe kusukela ngeminyaka yawo-90s. Ngakho ngokuqinisekile ubungozi bakho buthuthukile kusukela lapho, akunjalo?

Kuyashaqisa ukuthi akunjalo. "Akuzange kube ngcono kangako futhi lokho kungenye yezinkinga," kusho uThomas Maldonado, M.D., udokotela ohlinzayo wemithambo kanye noprofesa ohlangene eMnyangweni Wezokuhlinza e-NYU Langone Medical Center.

Eqinisweni, olunye ucwaningo luthole ukuthi izinhlobo ezintsha zamaphilisi okulawula ukubeletha (aqukethe ama-hormone e-progestogen, njenge-drospirenone, i-desogestrel, i-gestodene, ne-cyproterone) empeleni zibeka engcupheni ngaphezu kwezinguqulo ezindala zepilisi. (Lokhu kwabikwa futhi ngo-2012.)

Nakuba amahlule egazi ehlala eyivelakancane uma kuqhathaniswa (futhi abantu abadala bavame ukuba sengozini enkulu), yinkinga eqhubeka ibulala abesifazane abasha nabanempilo minyaka yonke. (Eqinisweni, yilokho kanye okwenzeka cishe kulo muntu oneminyaka engu-36 ubudala: "Iphilisi lami Lokulawula Ukuzalwa Licishe Lingibulala.")

“Kusamele kuqwashiswe abantu, ngoba izingqinamba ziphezulu, kukhona okungenziwa ngakho,” kusho uMaldonado. Ngakho-ke, njengoba kusongwa inyanga yokuqwashisa ngegazieally Udinga ukwazi ngamahlule egazi uma ukule Philisi.

Kunezici ezicacile zengozi. Kubalulekile ukuthi wonke umuntu wesifazane aqonde ingozi yakhe, kusho uMaldonado.Ukuhlolwa kwegazi okulula kunganquma ukuthi unalo yini isakhi sofuzo esikwenza ube sengozini yamahlule egazi. (Amaphesenti afika kwayisishiyagalombili abantu baseMelika anezici ezimbalwa ezizuzwe njengefa ezingababeka engcupheni enkulu.) Futhi uma ukule Philisi, ezinye izinto ezinjengokungakwazi ukuhamba (njengezikhathi zezindiza ezinde noma ukugibela izimoto), ukubhema, ukukhuluphala ngokweqile, ukuhlukumezeka , futhi izinqubo zokuhlinza zingamathonya ambalwa nje kwabaningi angandisa amathuba okuthuthukisa ihlule legazi, uthi. (Okulandelayo: Kungani Abesifazane Abafanelekile Bethola Amahlule Egazi.)

Imiphumela ingaba yingozi. I-DVT iyi-clot yegazi evame ukwakheka emithanjeni emilenzeni, futhi ingadala ubuhlungu nokuvuvukala. Uma lolu hlobo lwehlwili luqhamuka odongeni lwemithambo lungahamba-njengetshe elisemfudlaneni-luye enhliziyweni lapho lungaphazamisa ukugeleza kwegazi kuye emaphashini akho. Lokhu kwaziwa njengembumba yamaphaphu futhi kungabulala, kuchaza uMaldonado. Abantu abaningi baseMelika abangama-600,000 bangathinteka yi-DVT unyaka nonyaka, futhi kuze kube ngamaphesenti angama-30 abantu bafa kungakapheli inyanga eyodwa yokuxilongwa, ngokusho kweCenters for Disease Control and Prevention.

Ukuxilongwa ngokushesha kuwukuphila noma ukufa. Uma uhlangabezana nezimpawu ezibuhlungu zomlenze noma zesifuba zokuxilongwa nokwelashwa okusheshayo kwamaphaphu kubalulekile, usho kanjalo. Izindaba ezinhle ukuthi ukuxilongwa kungenziwa ngokushesha kakhulu nge-ultrasounds. Ngokusho kukaMaldonado, lapho ihlule selitholakele, i-doc yakho kungenzeka ikuncome ukuthi uyeke ukuthatha iPilisi lakho bese uqala ukuthatha izinciphisi zegazi okungenani izinyanga ezimbalwa.

Kodwa ingozi iphansi kakhulu. Amathuba okuba nehlule legazi kowesifazane ongekho kumaphilisi okulawula ukuzalwa angamathathu kuwo wonke amaphesenti angu-10,000-noma angu-0.03. Ingozi yabesifazane kumaphilisi okulawula ukubeletha inyuka ngokuphindwe kathathu kuya kayisishiyagalolunye kubo bonke abesifazane abayi-10 000 noma cishe amaphesenti ayi-0.09, kusho uMaldonado. Ngakho-ke, yize kuyiqiniso ukuthi ingozi yokuthuthukisa i-DVT yabesifazane kumuthi wokuvimbela inzalo ngomlomo iphansi, ukukhathazeka kusabalulekile ngoba abesifazane abaningi bayazithatha, usho kanjalo.

Akuyona iPilisi kuphela. UMaldonado uchaza ukuthi zonke izivimbela-nzalo ezithathwa ngomlomo zihlotshaniswa nengozi ethile eyandayo ye-DVT njengoba ziphazamisa ukulinganisela komzimba wakho okuthambile okusebenza ukukugcina ungopha futhi ujiye uze ufe. Kodwa-ke, ezinye izindlela zokuvimbela inzalo ezihlanganisiwe (eziqukethe i-estrogen ne-progestin, i-progesterone yokwenziwa) zinobungozi obuphakeme kakhulu. Ngalowo mqondo ofanayo, iziqeshana zokulawula ukubeletha nezindandatho (njengeNuvaRing) nazo eziqukethe i-combo ye-estrogen ne-progestin nazo zingandisa ubungozi bamahlule egazi. Uma unezici eziningi zobungozi zamahlule njengoba kushiwo ngaphambili, ukugwema iPilisi nokukhetha i-IUD engeyona eye-hormonal kungaba yindlela ozohamba ngayo, kuphakamisa uMaldonado. (Lapha, 3 Imibuzo Yokulawulwa Kokuzalwa Okufanele Uyibuze Udokotela Wakho.)

Kunezinto eziyisisekelo ongazenza ukunciphisa ubungozi bakho. Ngenkathi ungenakho ukulawula phezu kofuzo lwakho noma umlando womndeni, kukhona ezinye izinto wena can ukulawula. Ukugwema ukubhema ngenkathi usebenzisa Iphilisi kuyingozi enkulu. Phakathi nohambo olude lokuhlala, kufanele futhi uqiniseke ukuthi uhlala umanzi, ugweme utshwala ne-caffeine ebangela ukuphelelwa amandla kwamanzi, sukuma futhi welule imilenze yakho, futhi ugqoke amasokisi okucindezela.

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