Futhi ebizwa ngokuthi 'I-miniPill' noma i-POPs
Iphilisi yokulawula i-progestin-kuphela, eyaziwa nangokuthi i-minipill, uhlobo lokwelapha ngomlomo (i-pilules yokulawula i-birth control). Iphilisi ngalinye le-progestin kuphela liqukethe inani elincane le-progestin (okuyindlela ifomu yokwenziwa kwe-hormone progesterone). Lawa maphilisi awunayo i- estrogen .
Ukuphakama kwePill Pill Pack Pack kuphela
I-MiniPill kuphela ifika emphakathini wezinsuku ezingu-28.
Zonke amaphilisi angu-28 aqukethe i-progestin (ayikho amaphilisi we-placebo). Uthatha iphilisi elilodwa nsuku zonke umjikelezo weviki 4 (iphakethe). Ngale ndlela, uthola umthamo we-hormone. Lokhu kusho ukuthi uzoba nesikhathi sakho ngenkathi usathatha amaphilisi "asebenzayo". Uma uqala iphilisi yakho ye-progestin kuphela ngosuku lokuqala lokuhamba kwakho (futhi ngokuvamile unomjikelezo wezinsuku ezingu-28), cishe uzothola isikhathi sakho phakathi neviki lokuqala lephakethe lakho elilandelayo. Kodwa abesifazane abangaba ngu-50% abasebenzisa i-minipill bayodonsa njalo, ngakho-ke angeke kube khona indlela yokubikezela ukuthi isikhathi sakho singenzeka nini. Amaphilisi okulawula ukubeletha kuphela alawulwa yi-progestin awalawuli umjikelezo wakho ngendlela efanayo namaphilisi okuhlanganisa.
Amaphilisi Okulawulwa Kwama-Progestin-Ukuphela Kwamanye Amaphilisi Okuhlanganiswa
Ngisho noma izinhlobo zombili zamaphilisi zibhekwa njengezokwelapha kokubeletha kwe-hormonal , kukhona ukungezwani phakathi kwalaba ababili okufanele bazi ukuthi:
- Inani le-progestin emiphilisi e-progestin kuphela ephansi kune-progestin dose ngokuhlanganisa amaphilisi okulawula ukuzalwa .
- Amaphilisi okulawula ukubeletha kuphela ahamba phambili asebenza kancane kancane kunepilisi ehlangene.
- I-MiniPill ivame ukudala imiphumela emincane kunokuba ihlanganiswe ukuvimbela ukukhulelwa .
- Abanye besifazane bathi amaphilisi okulawula ukubeletha kuphela asetshenziswa kakhulu kunamaphilisi ahlangene. Lokhu kungenxa yokuthi amaphilisi ase-progesin kuphela kufanele athathwe ngesikhathi esifanayo nosuku ngalunye. Ngenxa yokuthi amaphilisi okulawula ukuzalwa ahlanganiswa ne-progestin no-estrogen, une-flexible xaxa uma ungathathi iphilisi yakho ngesikhathi esifanayo.
Indlela Esebenza ngayo
Amaphilisi okulawula ukubeletha kuphela okuvimbela ukukhulelwa ngokushintsha ukuvumelana kwemisipha yakho yomlomo wesibeletho. I-progestin iqinisa umcucu wakho, futhi lokhu kwenza kube nzima kakhulu ukuba isidoda sibheke. I-minipill ingase isebenze ngokunciphisa uhlaka lwesibindi sakho. Lokhu kungenza kube lula ukuthi ukufakelwa kwenzeke kwenzeke. Amaphilisi e-Progestin kuphela angakuvimbela futhi ukuba u- ovulating (lokhu kuyinkinga cishe ingxenye yesibili yabesifazane abasebenzisa).
Ubani Okufanele Awasebenzise?
Ngenxa yokuthi ama-minipills awaqukethe i-estrogen, ingaba yinto ehlukile yabesifazane abangenakusebenzisa ukukhulelwa kwe-hormonal inhlanganisela. Lokhu kufaka:
- Ababhemayo ababhemayo abangaphezu kweminyaka engu-35.
- Abesifazane abanomlando wezindwangu zegazi.
- Abesifazane abanomfutho wegazi ophakeme.
- Abesifazane abathola izinhlungu zekhanda elibi kakhulu.
Amaphilisi okulawula ukubeletha kuphela angase anqunywe ngamama okuncelisayo ngoba i-progestin ngeke ithinte kabi ukukhiqizwa ubisi noma ingalimaza ingane yakho ngesikhathi sokunakekela. Empeleni, ucwaningo luye lwabonisa ukuthi i-minipill ingasiza ngempela ukwandisa inani lobisi olukhiqizwayo.
Izinhlobo zePillestin-Kuphela amaphilisi
Kukhona ukwakheka okukodwa kuphela (okudayiswa ngaphansi kwamagama ahlukene) amaphilisi we-progestin-kuphela atholakala e-United States:
- I-Norethindrone (.35 mg)
Ukuphumelela
Ngenxa yokuthi i-minipill iqukethe i-progestin encane kunale pilisi yokulawula ukuzalwa, umphumela we-progestin emgqonyeni wakho wesibeletho uhlala amahora angu-24 kuphela. Yingakho kubalulekile ukuthatha amaphilisi ase-progestin kuphela ngesikhathi esifanayo nsuku zonke. Lokho kuthiwa, iphilisi yokulawula i-progestin-kuphela yindlela yokukhulelwa ephumelelayo kakhulu. I-minipill ingu-91% -99.7% esebenzayo. Lokhu kusho ukuthi ngokusetshenziswa okujwayelekile, abesifazane abangu-9 kwabangu-100 kuphela abazokhulelwa phakathi nonyaka wokuqala wokusetshenziswa. Ngokusetshenziswa okuphelele, ngaphansi kuka-1 kuzokhulelwa.
> Umthombo:
> I-Trussell J. "Ukuhluleka kokukhulelwa eMelika." Ukwelashwa. 2011; 83 (5): 397-404. Finyelela ngokubhalisa kwangasese.