Izindlela Zokukhulelwa Kwama-hormonal and Pill Prevent Pregnancy
Uyazi ukuthi iphilisi isebenza kanjani ukuvimbela ukukhulelwa? Phela, iphilisi ingenye yezindlela ezithandwa kakhulu kuzo zonke izinhlobo ze- hormonal zokulawula ukuzalwa, futhi kuyindlela ephumelela kakhulu yokukhulelwa . Wake wake wazibuza ukuthi yini ngempela iphilisi eyenza, futhi kungani iphumelela kakhulu?
Iphilisi Akufanele Yithole Zonke Ukunakwa
Ukuze siqonde ukuthi iphilisi isebenza kanjani, sidinga ukubuyela emuva, kancane kancane.
Ukuze uqonde ukuthi "iphilisi" isebenza kanjani ukuvimbela ukuthi ungakhulelwe, kubalulekile ukuqaphela ukuthi lolu lwazi lusebenza kuzo zonke izinhlobo zokukhulelwa kwe-hormonal - hhayi nje iphilisi lokulawula ukuzalwa .
Ngokuyinhloko, zonke izisu zokuvimbela ukuvimbela ukukhulelwa zisebenza ngendlela efanayo yokuvimbela ukukhulelwa. Akukwenzi umehluko omkhulu ukuthi indlela yokulawula ukuzalwa kwe-hormone yindlela yokuhlanganiswa (okusho ukuthi iqukethe kokubili i- estrogen ne- progestin ) noma uma kuyindlela kuphela ye- progestin .
Ukungahambisani noMthetho Wokuthi Iphilisi Isebenza Kanjani
Kunomthelela omncane emthethweni jikelele mayelana nokuthi iphilisi isebenza kanjani uma kuziwa kwezinye izisu zokubeletha kuphela ze-progestin. UDepo Provera , Nexplanon , amaphilisi ase-progestin kuphela , i- Mirena IUD , ne-Skyla IUD yonke isebenza ngendlela efanayo nephilisi. Kodwa, iphilisi le-progestin kuphela elivimbela ukuvuthwa kwamaphesenti angama-50 abesifazane. I-Mirena ne-Skyla ingase futhi imise abanye besifazane ukuba bangene e-ovulating, kodwa lokhu akuyona indlela eyinhloko lezi-IUD ezisebenzela ukuvimbela ukukhulelwa.
Ngakho Iphilisi Isebenza Kanjani?
Kunezindlela ezintathu iphilisi esebenzayo ekuvimbeleni ukukhulelwa.
- Indlela eyinhloko iphilisi esebenza ngayo ngokuvimbela umzimba wesifazane ukuba u-ovulating phakathi nomjikelezo wakhe wokuya esikhathini. Ngakho-ke, uma i-ovary ingakhulumi iqanda, khona-ke akukho lutho lapho isidoda singagcwalisa khona. Iphilisi (kanye nokukhulelwa kwe-hormonal) ingenza futhi amashubhu amancane angene kancane ukuhambisa iqanda esibelethweni.
- Ngendlela elandelayo ukuthi iphilisi kanye neminye imisebenzi ye-hormonal contraceptive yukuthi bayasiza ekukhusheni umuthi wakho womlomo wesibeletho (umthamo otholakala emlonyeni wesibeletho / ukuvulwa kwesibeletho). Iphilisi yenza i-mucus yakho inamathele, ngakho-ke lapho isidoda sizama ukungena embelethweni wesibeletho, le-mucus enamahloni yenza kube nzima kakhulu ukuba badonsa-ngakho kunzima kakhulu ukufika nokutshala iqanda.
- Indlela yokugcina ukuthi iphilisi isebenze ukuvimbela ukukhulelwa ihlobene nokubhekwa kwebele. Ukukhulelwa kwe-hormonal kungabangela ushintsho emgqeni wesibeletho. Amahomoni kulezi zindlela anganciphisa noma avimbele ukukhula kwezicubu ze-uterine. Lokhu kunganciphisa amathuba okubekwa ukufakelwa.
Ukwelashwa kwe-Hormonal kanye nephilisi ingasebenza kunoma iyiphi noma zonke lezi zindlela ukuvimbela ukukhulelwa. Ukuze kuphumelele kakhulu, lezi zindlela kumele zisetshenziswe ngokuqhubekayo nangendlela efanele. Ukukhulelwa kwe-hormonal (njengeqembu) kunamaphesenti angu-92 futhi amaphesenti angu-99.9 asebenza kahle. Lokhu kusho ukuthi kubo bonke abesifazane abangu-100 abasebenzisa ukukhulelwa kwe-hormonal, 8 bazokhulelwa (ngokusetshenziswa okujwayelekile) ngaphakathi konyaka wokuqala futhi abangaphansi kuka-1 bazokhulelwa ukusetshenziswa okuphelele.
Ingabe Iphilisi Isebenza Ngeviki Le-Placebo?
Lokhu kudibanisa abesifazane abaningi. Okokuqala, yikuphi ngisho nesonto le-placebo?
Inini? Iviki le-placebo yisikhathi lapho iphilisi yakho ibuye iqukethe amaphilisi e-"placebo" (amaphilisi ashukela) angaqukethe amahomoni noma inombolo encane yamahomoni (angaphansi kwesamba kulo lonke iphakheji.) Kungase kube yisikhathi sakho ukujikeleza uma ungathathi amaphilisi. Akuzona zonke izindlela ze-hormonal ezineviki le-placebo.
- Ngokwepakethe yezinsuku ezingu-28 ezivamile zamaphilisi okulawula ukuzalwa, isonto lesine yiviki le-placebo.
- Ukuze uthole amaphilisi amaningi okujikeleza (ukulawulwa kokuzalwa okuqhubekayo) ngephakethe lezinsuku ezingu-91 njenge- Seasonique noLoSeasonique , isonto lesi-13 liviki le-placebo.
- Ukuze uthole iphakethe lezinsuku ezingu-21, njengoLoestrin , isonto lesine yiviki le-placebo (azikho amaphilisi okumele athathe kuleli sonto).
- Iphakethe lezinsuku ezingu-24/4, njenge- Yaz noma iBeyaz , izinsuku ezine zokugcina yisikhathi se-placebo.
- Ku- NuvaRing , uthatha i-NuvaRing ngemuva kwesonto 3 futhi ungenzi lutho ngesonto 4 (okuyiviki le-placebo).
- Nge- Ortho-Evra Patch , ubeka amasonto amasha ama-patch 1, 2, no-3. Awusisebenzisi isonto eliphakathi kwe-4 (okuyinto isonto le-placebo).
Zonke lezi zindlela zokulawula ukubeletha zingakwazi ukuvimbela ukukhulelwa ngesikhathi sesonto / isikhathi se-placebo. Futhi cishe cishe uzoba "nesikhathi" sakho (i- blood withdrawal ) ngalesi sikhathi.
Ngakho, yebo, iphilisi isasebenza ngalesi sonto, yize ungathathi ama-hormone asebenzayo. Lokhu kusho ukuthi usuvikelekile ekukhulelwe uma ukhetha ukulala ngokocansi ngesikhathi sesonto / isikhathi se-placebo. Asikho isidingo sokusebenzisa indlela yokulawula ukubeletha uma ulala ocansini ngalesi sikhathi.
Ngaphansi kwePill Control Pill Works
Okubalulekile ukuthi iphilisi, kanye nezinye izinhlobo ze-hormonal contraceptive umsebenzi ngendlela engaphezu kweyodwa. Bangakwazi ukuvimbela owesifazane ukuba avele ovulantini, angaholela emgqonyeni womlomo wesibeletho ovimbela umuthi wesilisa ngomlomo wesibeletho, futhi angashintsha ukwelulwa kwesibeletho ngendlela evimbela ukufakelwa uma ukukhulelwa kwenzeka.
Iphilisi iyaqhubeka nokusebenza ngenyanga, ngisho nalapho uthatha amaphilisi we-placebo ukuze izinhlobo ezingeziwe zokuvimbela ukukhulelwa zingadingeki. Lokhu kusho ukuthi iphilisi ayinciphisi ingozi yezifo ezithathelwana ngocansi , kanti amakhondomu angase abe umbono omuhle wokusebenzisa ucansi oluphephile.
> Umthombo:
> Cunningham, F. Gary., NoJohn Whitridge Williams. Williams Obstetrics. ENew York: McGraw-Hill Medical Medical, 2014. Phrinta.