Kungani Wonke Umuntu Ezonda Ngamaphilisi Okulawula Ukuzalwa Njengamanje?

-Delile

• Izinzuzo Zepilisi
• Izithiyo (zeLegit)
• Ukuqeda Ubudlelwano
• Buyekeza kwe-

Sekuyiminyaka engaphezu kwengu-50 leli Philisi ligujwa futhi ligwinywa ngamakhulu ezigidi zabesifazane emhlabeni jikelele. Selokhu yashaya imakethe ngo-1960, leli Philisi selinconyiwe njengendlela yokunikeza abesifazane amandla okuhlela ukukhulelwa kwabo-futhi nempilo yabo.

Kodwa eminyakeni yamuva nje, ukuhlehla kokulawulwa kokuzalwa kuye kwavela. Ezweni lempilo eliklonyelisa konke-okwemvelo konke-kusuka ekudleni kuya ekunakekelweni kwesikhumba-iPilisi kanye namahomoni alo angaphandle abe ngaphansi kwe-godsend nokuningi kobubi obudingekayo, uma kungenjalo isitha esiqondile.

Ku-Instagram naku-intanethi, "abagqugquzeli bezempilo" kanye nochwepheshe bezempilo ngokufanayo bachaza ubuhle bokushiya iPilisi. Izinkinga ezisobala ngePilisi zifaka izingqinamba ezifana ne-libido ephansi, izingqinamba ze-thyroid, ukukhathala kwe-adrenal, izingqinamba zezempilo esiswini, ukukhathazeka kokugaya ukudla, ukushoda kwezakhi, ukushintsha kwemizwelo, nokuningi. (Lapha: Imiphumela Evame Kakhulu Yokulawula Ukuzalwa)

Ngisho namawebhusayithi amakhulu ajoyina izihloko ezisematheni ezinjengokuthi "Kungani Ngijabule, Nginempilo, Futhi Ngilawula Ukulawulwa Kokuzalwa Kwamahomoni." (Leso siqeshana sincoma ukuphuma ePhilisini ngokukhulisa umdlandla wombhali wocansi, ubukhulu bebele, isimo sengqondo, ngisho nokuzethemba kwakhe namakhono akhe okuxhumana nabantu.)

Kungazelelwe, ukungasebenzisi amaphilisi (njengokungadlazi gluten noma ushukela) sekuphenduke inkambiso yezempilo eshisa izikhotha. Kwanele ukwenza umuntu onjengami, oseneminyaka engu-15 ephuza Iphilisi, azibuze ukuthi ngabe ngangizilimaza ngandlela-thile ngokugwinya lelo philisi elincane nsuku zonke. Ngabe ngidinge ukuwuyeka, njengomkhuba omubi?

Ngokusobala, angingedwa ngizibuza. Ngaphezu kwengxenye (amaphesenti angu-55) yabesifazane baseMelika abaya ocansini okwamanje abayisebenzisi indlela yokulawula inzalo, futhi kulabo abakwenzayo, amaphesenti angu-36 athi angathanda indlela engeyona yama-hormone, ngokocwaningo olwenziwe yi-Harris Poll ye-Evofem Biosciences. , Inc. (inkampani ye-biopharmaceuticals ezinikele empilweni yabesifazane). Futhi, aI-cosmopolitan Ucwaningo luthole amaphesenti angama-70 abesifazane abathathe leli Philisi babika ukuthi bayekile ukulithatha, noma bake bacabanga ukulisebenzisa eminyakeni emithathu edlule. Ngakho-ke, ingabe umuthi owake wagujwa waba yinto yesikhathi esidlule?

"Kuwumkhuba othakazelisayo," kusho uNavya Mysore, M.D., udokotela onakekela izingane onguchwepheshe wezempilo yabesifazane e-One Medical, we-Pill backlash. "Angicabangi ukuthi empeleni kuwumkhuba omubi ngoba usunduza abantu ukuthi babheke wonke umsoco wabo, indlela abaphila ngayo, kanye nezinga lengcindezi." Kungaxhunyaniswa nokuthi abesifazane abaningi ngokwengeziwe bakhetha i-IUD engenawo ama-hormone, uyaphawula.

Kepha, ukwenziwa jikelele kanye neziqubulo ezimayelana nemiphumela "emibi" ye-BC akulona iqiniso kumuntu wonke. "Ukulawulwa kokubeletha kufanele kube yinto engathathi hlangothi," esho. "Kufanele kube ukuzikhethela komuntu ngamunye - hhayi into enhle noma embi.

Njenganoma yini enye ejikeleza kwi-inthanethi, sidinga ukuthi sixwaye okuthile okuzwakala kukuhle kakhulu ukuthi kungaba yiqiniso. Okuningi kwalokho okuthunyelwe okukhuthaza inkululeko yokulawula inzalo kungase kuzwakale kuthembisa, kodwa kungase kube nezisusa ezingezinhle, kusho u-Megan Lawley, M.D., uzakwabo wokuhlela umndeni eMnyangweni we-Emory University of Gynecology and Obstetrics.

“Ngokuvamile ungase uthole ukuthi labo bantu abathi ukuvimbela inzalo kulimaza kakhulu kunokuhle bakhuthaza abantu ukuthi basebenzise imali ekwelapheni impilo noma emikhiqizweni enezinzuzo ezingacacile,” kusho yena, “ngakho qiniseka ukuthi ukhetha imithombo emihle ozoyifundisa. ngokwakho. " Ngamanye amazwi, ungakholelwa yonke into oyifunda ku-'gram!

Izinzuzo Zepilisi

Okokuqala, iPilisi liphephile, kuzo zonke izinhloso nezinhloso futhi ngempumelelo. Wenza umsebenzi omuhle kakhulu wokuphila ngokuvumelana nesithembiso sawo esiyinhloko sokuvimbela ukukhulelwa. Kusebenza ngamaphesenti angama-99 kumcabango, ngokusho kwePlanned Parenthood, yize lelo nani lehlela kumaphesenti angama-91 ngemuva kokubalwa kwephutha lomsebenzisi.

Futhi, Iphilisi linikeza izinzuzo zezempilo. "Ukuvimbela inzalo ngama-hormone kungasiza abesifazane ngezinkinga ezifana nokuya esikhathini esinzima kanye/noma izikhathi ezibuhlungu, ukuvimbela imigraines yokuya esikhathini, nokwelapha izinduna noma i-hirsutism (ukukhula kwezinwele ngokweqile)," kusho uDkt. Lawley. Kuphinde kukhonjiswe ukuthi yehlisa ubungozi bomdlavuza wesibeletho kanye ne-endometrial futhi isiza abesifazane abanezimo ezinjenge-polycystic ovarian syndrome, i-endometriosis, ne-adenomyosis.

Ngokuqondene nezimangalo eziholela emiphumeleni emibi, kusuka ekuzuzeni isisindo kuya ekuguquguqukeni kwemizwelo kuya ekungabikho? Iningi aliwabambi amanzi. "Kwabesifazane abangabhemi abanempilo enhle, Iphilisi alinayo imiphumela emibi yesikhathi eside," kusho uSherry A. Ross, M.D., uchwepheshe wezempilo yabesifazane nombhali wencwadi ethi U-ology: Umhlahlandlela Ocacile Wezempilo Yomzimba Yabesifazane. Isikhathi.

Nansi isivumelwano: Imiphumela engemihle efana nokukhuluphala noma ukushintshashintsha kwemizwa can zenzeka, kepha zingancishiswa ngokuhlolwa kwezinguqulo ezahlukahlukene zePilisi. (Nakhu ukuthi ungakuthola kanjani ukulawulwa kokubeletha okuhle kakhulu.) Futhi, futhi, umzimba wawo wonke umuntu uzophendula ngendlela ehlukile. “Le miphumela engemihle ngokuvamile ingeyesikhashana,” kuchaza uDkt. Ross. "Uma bengahambi ezinyangeni ezimbili kuya kwezintathu, khuluma nodokotela wakho mayelana nokushintshela kolunye uhlobo lwePilisi, ngoba kunezinhlobo eziningi ezahlukene nezinhlanganisela ze-estrogen ne-progesterone kuye ngemiphumela yakho emibi kanye nohlobo lomzimba." Futhi khumbula: "Akuzona zonke izengezo 'zemvelo' eziphephile, noma," kusho uDkt. Mysore. "Banemiphumela engemihle nabo."

Mayelana namahemuhemu okuthi ukuba sePilisi kungakwenza ungazali? "Alikho nhlobo iqiniso ngalokho," kusho uDkt. Mysore. Uma umuntu enokuzala okunempilo, ukuba nePhilisi ngeke kukuvimbele ukuthi ukhulelwe. Futhi ngokumangazayo, alukho ucwaningo lwesayensi olubonisa ukweqa Iphilisi kuzothuthukisa ukuzethemba kwakho noma amakhono okuxhumana nabantu. (Bheka lezi ezinye izinganekwane zokulawula inzalo ezivamile.)

Izithiyo (zeLegit)

Konke okushiwoyo, kunezizathu ezithile zokunikeza iPilisi. Okokuqala, akuwona wonke umuntu olungele ukhetho lokuvimbela inzalo ngamahomoni: "Uma unesifo somfutho wegazi ophakeme, umlando wamahlule egazi, ukushaywa unhlangothi, ungumuntu obhemayo ongaphezu kweminyaka engama-35, noma unekhanda le-migraine eline-aura, wena akufanele athathe izivimbeli nzalo ngomlomo, "kusho uDkt. Ross.Futhi, iphilisi lokulawula ukubeletha ngokuhamba kwesikhathi lingaba nengozi eyengeziwe yomdlavuza webele, noma "kuyingozi encane kakhulu," uyaphawula.

Esinye isizathu esihle sokuyeka Iphilisi uma unquma ukuthi i-IUD iyisinqumo esingcono kuwe. I-IUD ithola amamaki aphezulu phakathi kwama-ob-gyns njengendlela yokulawula inzalo esebenza kahle kakhulu futhi ephephile futhi inconywe njengenketho "yomugqa wokuqala" yokuvikela ukukhulelwa kubo bonke abesifazane abaneminyaka yobudala yokuzala yi-American College of Obstetricians and Gynecologists. "Kulabo abazwela ama-hormone uma bethathwa ngomlomo, i-IUD inikeza enye indlela esebenzayo," kusho uDkt. Ross. "I-IUD yethusi ayiqukethe ama-hormone kanti ama-IUD akhipha i-progesterone anenani elincane le-progesterone uma kuqhathaniswa nokuvimbela inzalo ngomlomo."

Ukuqeda Ubudlelwano

Yiqiniso, uma uphuma e-contraceptive turkey ebandayo, usengozini yokukhulelwa okungahlelelwe. Abaningi balaba bathonya bezempilo abasuka ePhiliseni bathi bazosebenzisa izinhlelo zokusebenza zokulandela inzalo noma indlela yesigqi ukuvimbela ukukhulelwa. Kungenzeka ukuthi uke wabona nokuthunyelwe okuxhasiwe kohlelo lokusebenza lwemijikelezo yemvelo, enomkhankaso wokukhangisa onamandla.

Yize kuyindlela engeyona iphilisi esebenzayo, kubalulekile ukuthi wazi ukuthi le ndlela inezingozi ezithile futhi, kusho uDkt. Mysore. Njengoba kufanele urekhode mathupha izinga lokushisa lakho njalo ekuseni ngesikhathi esifanayo ncamashi, kungenza umehluko omkhulu ekufundeni uma ngabe uphumule amaminithi ambalwa. Lokho kusho ukuthi ukusebenza kwayo kuqhathaniswa nephilisi, uma kubhekwa ukuthi bobabili basengozini yephutha lomsebenzisi. Ocwaningweni olwenziwe yi-Natural Cycles olulandele abantu besifazane abangu-22,785 phakathi neminyaka emibili yokuya esikhathini, uhlelo lokusebenza lutholakale linesilinganiso sokusebenza esijwayelekile esingamaphesenti angama-93 (okusho ukuthi kubalwe ngephutha lomsebenzisi nezinye izici uma ulandele indlela ngokuphelele ), okuhambisana namaphilisi okulawula ukuzalwa angamahomoni. ISweden Medical Products Agency nayo iqinisekise leli zinga elifanayo lokusebenza embikweni ka-2018. Futhi, ngo-Agasti 2018, i-FDA yavuma Imijikelezo Yemvelo njengohlelo lokusebenza lokuqala lwezokwelapha olungasetshenziswa njengendlela yokuvimbela inzalo ukuvimbela ukukhulelwa. Ngakho-ke uma ucisha iphilisi futhi uhlose ukuhamba ngomzila wemvelo, ukusebenzisa uhlelo lokusebenza olunjengeMijikelezo Yemvelo kusebenza kakhulu kunezindlela zendabuko zokulandela inzalo, ezingamaphesenti angama-76 kuye kuma-88 asebenzayo ngonyaka wokuqala wokusetshenziswa okujwayelekile, ngokwe-American College of Obstetricians and Gynecologists.

Uma umane unesifiso sokubona ukuthi umzimba wakho uphendula kanjani lapho usuka ePhiliseni, uDkt. Mysore uyawusekela umqondo wokuthatha "iholide lokulawula ukubeletha" njalo eminyakeni emithathu kuya kwemihlanu ukuqinisekisa ukuthi imijikelezo yakho ivamile. "Yiyeke izinyanga ezimbalwa ukuze ubone ukuthi isikhathi sakho sibukeka kanjani: Uma kujwayelekile, ungabuyela kuso ukuze uqhubeke nokuvimbela ukukhulelwa," esho. Vele uqiniseke ukuthi usebenzisa indlela yokusekelayo, njengamakhondomu, ngesikhathi sekhefu. (Qaphela: Nansi eminye yemiphumela emibi ongayilindela ngokuphuza amaphilisi okulawula inzalo.)

Ngaphezu kwakho konke, khumbula ukuthi ukuhlala noma ukungasebenzisi Iphilisi kuyisinqumo somuntu ngamunye. "Kunezizathu eziningi zokuthi uvimbe inzalo, njengoba kunezizathu zokuthi abesifazane bakhethe ukungakuvimbi ukukhulelwa," kusho uDkt. Lawley, futhi noma yisiphi isinqumo kufanele siqale ngengxoxo nomhlinzeki wakho wezempilo mayelana nezinto ezibalulekile empilweni yakho.

Buyekeza kwe-