Umehluko Phakathi Kwama-Monophasic, Biphasic, kanye Namaphilisi E-Triphasic
Amaphilisi okulawula ukuzalwa ayingxenye yokukhulelwa ngomlomo ehlanganisa i- ethinyl estradiol ne-progestin. Ngisho noma wonke amaphilisi okulawula ukubeletha anesifo se-estrogen, angahluka ngendlela e-estrogen engaba nayo. Amaphilisi okulawula ukuzalwa ahluke kakhulu komunye nomunye ngenxa yemali kanye nohlobo lwe-progestin elisekhondeni ngalinye lamaphilisi.
Ukuhlanganiswa kwesilinganiso se-estrogen kanye nohlobo kanye nenani le-progestin elitholakala ekuhlanganyeleni amaphilisi okulawula ukubeletha kungabangela nemiphumela ehlukile ye- progestational, estrogenic, kanye ne-androgenic . Ayikho "best" yokulawula i-pilisi brand brand. Ayikho uhlobo lomuthi wephilisi lokulawula ukuzalwa noma uhlobo lwephilisi oluphuma kuzo zonke ezinye. Amanye ama-pilice brand angasiza ekunciphiseni imiphumela ethile yecala . Kodwa wonke amaphilisi okulawula ukubeletha asebenza ngendlela efanayo ekuvikeleni ukukhulelwa-uma nje amaphilisi asetshenziselwa njalo futhi ngendlela efanele .
Amaphilisi Wokuvimbela Ukuzalwa Kwama-Multiphasic vs. Monophasic Birth Control
Amaphilisi okulawula ukuzalwa ahlukaniswa njenge-monophasic, i-biphasic, noma i-triphasic kuye ngokuthi izinga lama-hormone lihlala yini phakathi kwamasonto amathathu okuqala omjikelezo wakho wokuya esikhathini noma uma lishintsha. Khumbula ukuthi amaphakethe wezinsuku ezingu-28, amaphilisi wesonto lesine ngokuvamile amaphilisi we-placebo (futhi awunawo ama-hormone).
Amaphilisi okulawula ukubeletha amaningi awakhiwa ngawo-1980. Amaphilisi okulawula ukubeletha ama-Phasic anama-hormone ahlukene-ahloselwe ukuthathwa ngezikhathi ezithile kulo lonke ikhefu lepilisi. Lezi pilisi zaqala ukusiza ukunciphisa imiphumela emibi yamaphilisi okulawula ukuzalwa kokuzalwa. Uma kuqhathaniswa namaphilisi okuhlanganiswa kwe-monophasic, amanye amaphilisi okulawula ukubeletha amaningi anganciphisa inani elilodwa lamahomoni ongayithola emphakathini ngamunye wepilisi. Zibuye zenzelwe ukuba ngokwemvelo zilingise umjikelezo womzimba wakho wokuya esikhathini.
Amaphilisi Okulawula Ukuzalwa KwamaMonophasic
Amaphilisi okulawula ukuzalwa kwama-monophasic anesisindo esifanayo se-estrogen ne-progestin emgodini ngamunye osebenzayo epakethe lepilisi. Amazinga e-hormone kuphilisi ngalinye ahlale ehleliwe, ngakho amaphilisi okulawula ukuzalwa kokuzalwa angase angabi nemiphumela emincane yokwenza imiphumela emibi engabangela ukushintsha kwamahomoni. Amaphilisi okulawula ukuzalwa kokubeletha ahlukaniswa ngezinga lawo le-estrogen:
- Amaphilisi e-dose aphansi anenani elincane le-estrogen-ngokuvamile ama-microgram angu-20. Kodwa kukhona umshini wokulawula iphilisi Lo Loestrin Fe . Lona kuphela iphilisi lokulawula ukuzala eliqukethe ama-micrograms angu-10 kuphela e-estrogen, ngakho-ke iyathandwa kakhulu.
- Amaphilisi avamile njalo anezinhlamvu ezincane ezingu-30 kuya ku-35 ze-estrogen.
- Amaphilisi aphezulu ayenamaphilisi ama-50 e-estrogen.
Amaphilisi okulawula ukuzalwa kwama-monophas asebenza kanye namaphilisi amaningi ahlukahlukene. I-estrogen ephansi, amaphilisi a-monophasic angabangela ukuqhuma okuncane noma ukusabalala kwebele kodwa kungabangela ukubonakala okuningi. Abaningi besifazane bathola ukuthi i-philisi yokulawula i-pilophiyamu yokuzalwa yilapho ikhetha ukukhetha okuhle.
Amaphilisi Wokulawula Ukuzalwa Kwama-Biphasic
Amaphilisi okulawula ukubeletha kwe-Biphasic ashintsha izinga lama-hormone ngesikhathi esisodwa phakathi kwepilisi yepilisi. Amaphilisi okulawula ukubeletha kwe-Biphasic anikela ngesilinganiso esifanayo se-estrogen usuku ngalunye, kodwa izinga le-progestin landa cishe phakathi komjikelezo wephilisi.
Phakathi nengxenye yokuqala yomjikelezo, isilinganiso se-progestin / estrogen ngokuvamile siyancipha. Phakathi nengxenye yesibili yomjikelezo, isilinganiso se-progestin / estrogen sivame ukuphakama. Izinsuku zokuqala eziyisikhombisa kuya kwezingu-10 zinegunya elilodwa (futhi ngokuvamile umbala owodwa), kanti amaphilisi alandelayo kuya kwangu-14 awamanye amandla (nomunye umbala). Izinsuku eziyisikhombisa zokugcina (uma zifakiwe) zingamaphilisi e-placebo futhi aziqukethe ama-hormone.
Amaphilisi Okulawula Ukuzalwa Owesithathu
Amaphilisi okulawula ukubeletha kathathu aqukethe ama-hormone amathathu ahlukene ukuze inhlanganisela ye-hormone ishintshe cishe zonke izinsuku eziyisikhombisa kulo lonke iphasela. Kuye ngomkhiqizo wepilisi, inani le-estrogen lingashintsha kanye nenani le-progestin. Ngokuthengwa kwenyanga eyodwa, amaphilisi okulawula ukuzalwa kokuzalwa angase abe nokwanda kancane kwe-estrogen, futhi amanye amaphilisi angase akhulise umthamo we-progestin.
Kuphilisi ngalinye ukupaka amaphilisi ambalwa okuqala ngamandla amanye (nombala owodwa). Isigaba esilandelayo samaphilisi singenye amandla (nomunye umbala). Isigaba sokugcina samaphilisi siphinde sishintshe amandla futhi sibe nombala ohlukile. Amaphilisi ayisikhombisa okugcina (uma afakiwe) yi amaphilisi e-placebo, ngakho awaqukethe ama-hormone.
> Umthombo:
> Christin-Maitre S. Umlando wemithi yokwelapha ngomlomo kanye nokusetshenziswa kwawo emhlabeni wonke. Umkhuba omuhle nokucwaninga. I-Endocrinology Clinic & Metabolism . 2013 Feb 28; 27 (1): 3-12.