Ukuqonda Imbangela Nokukwazi Ukushintsha Nini
Ukusakaza, noma ukuphuma ngokuphuma kwegazi, kuwumphumela ovamile ohlangene wemithi ethile yokulawulwa kokuzalwa kwama-hormonal. Ngenkathi ukuphuma kwegazi kuzokwenyuka ngokweqile phakathi kwezinyanga ezintathu kuya kwezine, kunezinye zazo ezingase ziqhubeke.
Ngaphandle kwezidakamizwa ngokwazo, ukuphawula kuhlotshaniswa nokulinganisa okungavumelani. Empeleni, ucwaningo luye lwabonisa ukuthi amaphesenti angama-33 alabo abangaphuthelwa amaphilisi owodwa noma ngaphezulu umjikelezo ngamunye uzobhekana nokuphuma kwegazi.
Ukubhema, okungahambi kahle, kuyanezela kulokhu.
Ukwehlukanisa kungadala abantu abaphatha iphilisi, ikakhulukazi uma ukuphuma kwegazi kungabonakali kuthuthuka. Kwezinye izimo, kungase kube nezinzuzo ekushintsheni ukwelashwa uma kuphela ukuthola isidakamizwa ngokulinganisela kwe-hormonal efanele kuwe.
Umehluko Emiphilisi Yokulawula Ukuzalwa
Ukunquma phezu komkhiqizo othize wephilisi lokulawula ukuzalwa kungaba inqubo yesilingo nesiphambeko. Izidakamizwa zivame ukuhluka ngokubunjwa kanye nenani lesithako esisebenzayo esetshenziswayo. Amaphilisi okuhlanganiswa, uhlobo oluvame ukushiwo, yilokho i-pair yesrogen enezinhlobo eziyisishiyagalombili ze-progestins .
Ngokuya nge-brand, amanye amaphilisi angase abe nezincane ezincane ezingama-35 ze-estrogen kanti ezinye zinamakholomu angu-50. Lezi zinguquko ngokuvamile zingenza umehluko omkhulu emiphumeleni emibi umuntu angase abe nakho.
Okufanayo kusebenza ku- progestin . Lezi zinhlobo zokwenziwa kwe-progesterone zihlukaniswa ngokubanzi njengezizwe (isizukulwane sokuqala), i-gonanes (isizukulwane sesibili), ne-spironolactone (uhlobo olusha kakhulu lwe-progestin).
Ngokuya ngohlobo kanye nenani le-progestin elisetshenziswe-kanye nesilinganiso se-estrogen-imiphumela emibi ingase ibe yinto encane noma ithinte ngokungathí sina ikhwalithi yokuphila yowesifazane.
Izimbangela Zokufaka I-Spotting
Amaphilisi okulawula ukuzalwa ahlongozwa kakhulu ngesenzo sabo sezidakamizwa. Lesi senzo singashintsha kodwa sihilela imiphumela emithathu ehlobene phakathi:
- Imiphumela ye-Progestational eyanciphisa ukuphuma kwesikhashana nokuvimbela ukuvota
- Imiphumela ye-Androgenic ebangelwa ukwenziwa ngokweqile kwamahomoni angamadoda angabangela ukulahleka kwezinwele, izigqoko, nezinwele ezibucayi (i- hirsutism )
- Imiphumela e-Estrogenic ehlose ukulwa nemiphumela ye-androgenic ngenkathi iqinisa isisu
Ngokubanzi, ukubonakala kungase kwenzeke lapho indlela yokulawula ukuzalwa okusebenzisa ngayo ine-estrogen encane noma ayikho. Kodwa izilonda ze-estrogen kuphela azibikezeli ukuthi ukuphuma kwegazi kuzokwenzeka yini.
Njengomthelela omkhulu uhlobo lwe progesin elisetshenzisiwe. Ezingxenyeni ezintathu ze-progestin, i-gonanes inomthelela wokuba nomthelela omkhulu kunayo yonke, okwenza ibe ngcono nakakhulu uma ukubukeka kubunzima kakhulu. Kodwa, futhi, lokhu akunjalo njalo.
Okubaluleke kakhulu ibhalansi phakathi kwe-estrogen ne-progestin. Ekugcineni, inhloso yokwelashwa ukugcina ukulingana phakathi kwemiphumela ye-estrogenic kanye ne-progestational yepilisi ngenkathi ihlanza noma yikuphi ukulimala okuhlobene nokuhlukunyezwa kwe-androgen. Uma omunye noma omunye elahliwe, izinkinga zingenzeka.
Ngakho-ke, ngisho noma isidakamizwa senziwa nge-ethynodiol diacetate, i-progestin ehambisana nokubona indawo eyengeziwe, ukulinganisa okuphezulu kwe-estrogen kungaphikisana ngokuphumelelayo nalomphumela.
Izinketho ezinhle zokwelashwa
Njengomthetho wesithupha, iphilisi lokulawula ukuzalwa lokuzalwa eliqukethe izinga eliphakeme le-estrogen, i-progestin potency ephezulu, nomphumela we-androgen ophansi cishe awubangela ukubonakala. Phakathi kwezinto ezihambisana kakhulu nale phrofayela yizo:
- Demulen 1/50
- Desogen
- I-Ortho-Cept
- I-Ovcon 50
- Yasmin
- I-Zovia 1 / 50E
- Loestrin 1/20
I-Estrostep FE ingenye yezimpawu ezingahle zinciphise noma zimise ukuphuma kwegazi. Le pilisi ayilandeli iphrofayili efanayo nabanye njengoba ijwayele ukuba ne-etrogenic / low estrogenic effect. Esikhundleni salokho, njengephilisi ye-triphasic, ukwelashwa kunikezwa ngezigaba ezintathu ezahlukene ngokuhambisana nomjikelezo wemvelo wesifazane.
Iviki ngalinye lamaphilisi e-Estrostep FE aqukethe ama-hormone ahlukene, ngesonto lokugcina elingenayo i-hormone. Ngokwelashwa okulandelayo ngendlela echazwe, ingozi yokubona indawo ingancishiswa kakhulu.
Uma ukuphuma kwegazi sekuyinkinga enkulu, khuluma nodokotela wakho mayelana nalezi zinketho.
Izwi elivela
Ngenkathi ukubukeka kungase kuphazamise, kuzohlale kuxazululwa ngokwakho njengoba umzimba uqala ukuvumelanisa nemiphumela yomuthi. Ngenxa yalokhu, odokotela bazongcoma ukuthi uhlale emithini yakho yamanje okungenani izinyanga ezintathu ukuze ubone ukuthi imiphumela emibi izoba ngcono yini.
Phakathi nalesi sikhathi, zama ukuhlala uhambisana ngokugcwele nokwelapha kwakho, uthathe iphilisi yakho nsuku zonke ngaphandle kwehluleka. Uma ngabe kukhona imiphumela emibi, ungakhulumi nodokotela wakho kodwa zama ukuyeka ukwelashwa uze udokotela wakho akutshele ukuthi kulungile.
> Imithombo:
> Hall, K .; U-O'Connell White, K .; Qamba kabusha, N. et al. "Ukufunda Ukusetshenziswa Kokubeletha Ngomlomo: Ukubuyekezwa Kwendlela Yokulinganisa." J Wom Health. 2010; 19 (12): 2203-2210.
> Stewart. UM. noBlack, K. "Ukukhetha iphilisi yokubeletha yomlomo ehlangene." I-Aus Prescrip. 2015; 38 (1): 6-11.