Izinkolelo ezivamile mayelana nePilisi nokuLawula

Kunezinkolelo Eziningi NgokwePhilisi Yokulawula Ukuzalwa

Kusukela ekuvunyelweni kwayo ngo-Meyi 9, 1960, iphilisi ibe yinye yemithi efundwa ngokucophelela emlandweni. Nakuba ulwazi lwabesifazane luye lwathuthuka kakhulu kusukela kokusungulwa kwephilisi, izinkolelo eziningi zamaphilisi zikhona.

Ukungayiqondi indlela iphilisi esebenza ngayo nokuyisebenzisa kabi kungaholela ekukhulelwe okungadingeki. Yingakho kubalulekile ukuthi ufunde lokho ongakwenza futhi ubuze imibuzo kadokotela wakho. Ngokuzifundisa ngokwakho, ungenza ukhetho oluhle mayelana nezinkinga zokukhulelwa . Nazi ezinye zezingane ezivamile zamaphilisi nezinkolelo ezingalungile.

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Iphilisi Lenza Uthole Isisindo

Ingabe iphilisi yokulawula ibelethi yenza ube nesisindo? Umbuzo ovamile futhi enye yezinganekwane eziningi kakhulu mayelana nephilisi. Ngenkathi abanye besifazane bebonakala beba nesisindo kumphilisi, ucwaningo alukhombisi ukuhlangana phakathi kokuzuza kwesisindo nokulawulwa kokuzalwa.

I- estrogen emapilisi ingenza abanye besifazane bazizwe bevinjelwe, kodwa lokhu kuvame ukuhamba. I- progestin etholakalayo ephilini ingakhuphula isifiso sakho, okungabangela ukutholakala kwesisindo uma kungenakuphikiswa nokudla nokuzivocavoca. Futhi, abanye besifazane bangathola ukugcinwa kwamanzi. Lo mphumela unganciphisa ngokushintshela iphilisi ephansi.

Ukwengeza, abesifazane baqala ukusebenzisa iphilisi ngesikhathi sokuphila okwenzeka ukuhambisana nezinguquko zesisindo. Lokhu kungase kube nomthelela ekwideni elingelona iqiniso lokubangela isisindo.

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Kumele uthathe ikhefu elivela ephileni ngesikhathi esisodwa

Asikho isizathu sezokwelapha somfazi onempilo ukuphumula ukusebenzisa iphilisi. Iphilisi ingathathwa ngokulandelana uma nje uyidinga ngaphandle kwengozi enkulu. Kodwa-ke, odokotela bayeluleka ukubuyekezwa kwezidingo zokukhulelwa emva kweminyaka engu-15 yokusebenzisa iphilisi noma eneminyaka engama-35.

Iphilisi ingenye yezindlela zokubeletha eziphumelelayo kakhulu, ngakho ukuthatha ikhefu kuyo kungandisa ingozi yokukhulelwa uma usebenza ngokocansi. Eqinisweni, kungenzeka ukuba ukhulelwe ngokushesha ngemuva kokuphuma iphilisi. Ukuthatha ikhefu kungabangela neminye yemiphumela emibi engabonakala uma uqala iphilisi kuqala.

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Iphilisi Alilondekile Futhi Lingabangela Izinkinga Zokuzalwa

Iphilisi lokulawula ukubeletha ingenye yemithi ecwaninga kakhulu futhi ekhethiwe emhlabeni. Ochwepheshe baqinisekisa ukuthi kuyindlela ephephile yokubekezela kokukhulelwa.

Njenganoma yimiphi imithi, ezinye izingozi zempilo zihlobene nokusetshenziswa kwamaphilisi, kodwa imiphumela emibi kakhulu ayifani. Kubalulekile ukuthi uxoxe ngomlando wakho wezempilo kanye nomndeni wakho nodokotela wakho. Kuphela kuphela abangakusiza ukuthi unqume ukuthi kulungile yini kuwe.

Abesifazane abangaba yizigidi eziyikhulu emhlabeni wonke basebenzisa iphilisi. Kwabaningi besifazane, ikhwalithi yabo yokuphila ingcono ngenkathi ethatha iphilisi kunanini. Kungenxa yokuthi iphilisi inikeza izinzuzo zezempilo ngaphezu kokulawulwa kokubeletha. Kunganciphisa izimpawu ze-PMS nokusiza ukulawula umjikelezo wakho wokuya esikhathini, ngakho-ke wazi kahle ukuthi uzoba nini (owaziwa ngokuthi " ukukhishwa kwegazi ").

Ungayisebenzisa futhi ukweqa isikhathi sakho noma ukhethe iphilisi yokujikeleza enwetshiwe eyenzelwe ukunciphisa inani lezikhathi onayo unyaka ngamunye. Lawa maphilisi aphephile ngokuphelele .

Iphilisi ayizange ixhunywe kunoma yiluphi uhlobo lweziphene zokuzalwa, noma ngabe lithathwe ngengozi ngesikhathi sokukhulelwa kokuqala.

Okuningi

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Ukusetshenziswa kwePilisi Yesikhathi Eside Kungakuthinta Ukuzala

Akukho ukuxhumana phakathi kokuthatha iphilisi nokungabi namandla. Ukuzala kungabuya ngokushesha ngemuva kokuyeka iphilisi, yingakho kubalulekile ukuthi ungaphuthelwa o.

Abanye besifazane bangase babhekane nokubambezeleka kokukhulelwa emva kokuyeka ukusebenzisa iphilisi. Lokhu kuyiqiniso ikakhulukazi kwabesifazane ababenezinkathi ezingavamile ngaphambi kokuqala.

Okunye ukudideka phakathi kwephilisi nokungazalwa kungaba khona ngenxa yezizathu zemvelo. Ngokuvamile, abesifazane basebenzisa ukubambezeleka kokubeletha kokubeletha kuze kube sekupheleni kweminyaka engama-30, isikhathi lapho ukuzala kubonakala khona. Futhi, uma uzama ukukhulelwa, ungase ungazi lutho lwezinkinga zemvelo zokuzala. Kungatholakala kuphela ngemva kokuyeka iphilisi.

Okuningi

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Wonke amaphilisi okulawula ukubeletha ayenjalo ngokufanayo

Kunezinhlobo ezahlukene nezinhlobonhlobo zamaphilisi okulawula ukuzalwa. Zingaba namazinga ahlukene amahomoni futhi zingahlinzeka ngezikhathi ezahlukene ngezikhathi ezihlukahlukene kumjikelezo ngamunye wepilisi yepilisi.

Izindlela zokwelapha zomlomo zihlukaniswa ngokuthi:

• Amaphilisi okuhlanganiswa (aqukethe i-estrogen ne-progestin)
• Amaphilisi kuphela (aqukethe i-progestin kodwa ayi-estrogen)

Umshini ngamunye wephilisi ungathinta imakhemikhali yomzimba wesifazane ngokuhlukile. Bangase banikeze izinzuzo ezahlukene kanye / noma imiphumela emibi. Ukuxoxa ngalokhu okukhathazayo nodokotela wakho kuyobasiza bathole iphilisi elikufanele ngqo.

Okuningi

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Ababhemayo nabesifazane abangaphezu kwamandla amaningi Abesifazane abakwazi ukusebenzisa iphilisi

Uma ubhema, kubalulekile ukuthi uthembekile nodokotela wakho ngakho.

Abesifazane ababhemayo banengozi enkulu, ngokuvamile, yokuba nesifo sohlangothi. Kwabesifazane abaneminyaka engama-35 nangaphezulu, ukuhlanganiswa kwepilisi kanye nokubhema kwandisa lo mngcipheko, kanye nethuba lokuthuthukisa ama-blood clots . Ngenxa yalezi zizathu, odokotela abaningi ngeke babeke amaphilisi ahlanganisiwe ababhemayo abangaphezu kuka-35.

Noma kunjalo, amaphilisi ahlangene aphansi kanye namaphilisi e-progestin-kuphela ayatholakala futhi afanelekayo ababhemayo. Nokho, iphilisi yindlela engaphephile yabesifazane ababhema kakhulu.

Abesifazane abakhuluphele ngokweqile noma abakhuluphele bangase babe engozini enkulu yokuhluleka kokubeletha ngomlomo . Lokho akusho ukuthi iphilisi ayikho embuzweni. Odokotela bangazama ukulungisa ukwehlisa amaphilisi ngokunciphisa inani eliphakeme kakhulu.

Gcina engqondweni yakho, ukuthi izici zengozi yengqondo ziyanda ngesisindo. Ezimweni ezithile, lokhu kungenza ipilisi isebenze ngokungaphephile.

Okuningi

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Isikhathi Esibucayi Ukulahlekelwa Iphilisi kuphakathi kwePakethe

Le ngqungquthela ibonisa umqondo wokuthi isikhathi esivundile kunazo zonke besifazane sisezinsukwini eziyisishiyagalombili kuya ku-19 zomjikelezo ojwayelekile. Kodwa-ke, uma usebenzisa iphilisi, awunayo umjikelezo ojwayelekile wokuya esikhathini. Njengoba ungavuni, asikho isikhathi lapho ukhula khona.

Uma usebenzisa "ipulazi" lezinsuku ezingu-28 (iviki 4) lokuhlanganiswa kwepilisi lokulawula iphilisi, kudingeka uthathe izinsuku ezingu-7 ezilandelanayo zamaphilisi asebenzayo ukuze uvimbele ukuvota. Ungase ulahleke izinsuku ezingu-7 zokugcina zamapilisi ngaphandle kokufaka ingozi yokukhulelwa noma ukukhulelwa. Yilokho okwenzeka ngesikhathi seviki le-placebo / isikhumbuzo sepilisi lomjikelezo: akukho-ovulation akusho i-egg ukuze umuthi ugcwalise futhi akukho nhlobo yokukhulelwa.

Isonto lokuqala (isonto 1) lokuthatha amaphilisi yilona elibucayi kakhulu. Kuyingozi kakhulu ukungaphuthelwa amaphilisi phakathi kwepakethe (amasonto 2 no-3).

Isikhathi esingaphephile kakhulu sokukhohlwa iphilisi ekuqaleni kwepakethe noma ekugcineni. Uma ukhohlwa ukuqala iphakethe lakho elilandelayo ngesikhathi, lidlulisela iviki elingenalutho / i-placebo ngesonto elidlulile izinsuku ezingu-7.

Abesifazane abangaphuthelwa amaphilisi ngasekupheleni kwepakethe yabo bangase bacabange ngephutha ukuthi akukhathaleki ngoba sebezoba nesikhathi sabo. Amaphilisi aphuthele ekupheleni kwesonto 4 angasho ukuthi awuzange uthathe amaphilisi adingekayo ukuqoqa ama hormone anele futhi ayeke ukuvota phakathi nenyanga ezayo.

Okuningi

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Ukusetshenziswa Kuphela kwePilisi kungokwenzalo

Izinketho zamapilisi zanamuhla akuyona neze iphilisi lomama wakho! Iphilisi (kanye nezinye izinketho ze-hormone njenge -Patch , i- Mirena IUD , i- Depo Provera , ne- NuvaRing ) inganikeza izinzuzo zezempilo ngaphezu kokuvimbela ukukhulelwa. Abanye besifazane basebenzisa iphilisi kuphela ngalezi zinzuzo ezingezona zokukhulelwa.

Izibonelo zezinzuzo zempilo yepilisi zifaka:

• Izikhathi ezivamile futhi ikhono lokulawula isikhathi sesikhathi sakho.
• Ukuyeka ubuhlungu be-ovulation
• Ukunciphisa izitho zomzimba
• Ukunciphisa ingozi ye-anemia engabangelwa ukuba nezinkathi ezinzima .
• Ukunciphisa izimpawu ze-PMDD

Ukwengeza, ukusebenzisa iphilisi kunganikeza ukuvikelwa okulandelayo:

• Ubuningi obuseduze nobuso bomzimba
• Ukukhulelwa kwe-Ectopic
• I-acne
• Ukukhula kwesifuba okungewona umdlavuza
• Ama-cysts e-ovarian nomdlavuza
• Isifo sokuvuvukala sama-pelvic
• I-osteoporosis
• Ukuya esikhathini sokugaya

Okuningi

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Abesifazane abangaphezu kuka-35 abakwazi ukusebenzisa iphilisi nezinsizwa zidinga imvume

Abesifazane abanempilo abanegazi elivamile, abanengozi yokuhlaselwa inhliziyo noma isifo sohlangothi, futhi abangabhemi bangase basebenzise amaphilisi amancane aphansi kuze kube yilapho beya esikhathini. Iphilisi ingase ibe usizo ikakhulukazi kwabesifazane be- perimenopausal ema-40s abaphakathi nesikhathi sokugcina ababa nezinkathi ezinzima noma ezingavamile.

Imithi kadokotela yindlela kuphela yokuthola iphilisi. Ngokuvamile, udokotela akadingi imvume yomzali yokwenza iphilisi kumuntu osemusha, nakuba lokhu kungahluka ngemithetho kahulumeni. Intombazane kuzodingeka ibonise udokotela ukuthi uyaqonda izingozi nezinzuzo zalesi sinqumo.

Ukusetshenziswa kwephilisi kuye kwafakazelwa ukuthi kokubili kuphephile futhi kuphumelelayo kumasha, njengoba kunjalo ama- IUD kanye nezimpande . Noma kunjalo, ukuqala iphilisi kuyisinqumo esikhulu, ngakho-ke intsha ingase ifune ukuxoxa ngayo nomzali noma omdala omethembayo.

Okuningi

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Iphilisi Ibangela Izinhlobo Ezihlukahlukene Ze-Cancer

Lena inkolelo evamile engelona iqiniso ngokuphelele kwabaningi besifazane. Ngokuvamile, ukusebenzisa iphilisi akukwandisi ingozi yomdlavuza wakho jikelele.

Iphilisi ingaba nomthelela ekuvikeleni kwezinye izinhlobo zegciwane. Kwabesifazane abasengozini yomdlavuza, iphilisi inganciphisa ingozi ye-ovarian, i-endometrial, ne-cancer ye-colorectal. Ucwaningo luhlala lunomkhawulo kwabesifazane abanengozi enkulu yomdlavuza ngenxa yomlando womndeni.

Olunye ucwaningo lukhombisa izingozi ezincane zezinye kansa, kuhlanganise namabele, isifo somlomo wesibeletho nesibindi sebindi.

Izingozi zomdlavuza wesibeletho zixhomeke ezintweni eziningi ezihlobene nama-hormone, hhayi nje ukulawulwa kokuzalwa. Uma uqala ukuya esikhathini futhi uneminyaka yakho ekunqumeni kokuya esikhathini, kanye nobudala bokukhulelwa kwakho kokuqala noma ukungabi nezingane kungakwandisa wonke amahomoni, angakhuphula ingozi yomdlavuza webele.

Ingozi yomdlavuza wesibeletho ephakeme iye yahlotshaniswa nokusetshenziswa kwesikhathi eside kwemithi yokukhulelwa. Nokho, ngemva kokuyeka iphilisi, izingozi ngokuvamile ziyancipha ngokuhamba kwesikhathi.

Imiphumela emibi engozini yomdlavuza wesibindi ayifani kahle. Izifundo ezibheke kulokhu kuhlangana nephilisi ziyaphikisana.

Izwi elivela

Njengoba sibonisile, eziningi zezinganekwane ezihlobene nephilisi yokulawula ukuzalwa akusebenzi kuwo wonke owesifazane. Ngamunye wethu uhlukile futhi nguwe kuphela kanye nodokotela wakho onganquma ukuthi iphilisi (nokuthi iyiphi iphilisi) noma ikuphi ilungile. Qinisekisa ukubuza udokotela wakho noma yimuphi umbuzo onayo futhi uxoxe ngokukhathazeka kwakho.

> Imithombo:

> I-American College yezidakamizwa namaGynecologists. Imibuzo ejwayelekile ukubuzwa. Ukulawulwa KwamaHormonal Birth Control: Iphilisi, i-Patch ne-Ring. FAQ185. 2014.

> Davidson BA, Moorman PG. Ukuhlolwa Kwengozi-Inzuzo YePilisi Yokwelapha Yomlomo Ohlanganisiwe Ngabesifazane abanomlando womndeni wesifo somdlavuza wesifazane. Umbono wobuchwepheshe obokuphepha kwezidakamizwa . 2014; 13 (10): 1375-82. i-doi: 10.1517 / 14840338.2014.951327.

> Gallo MF, et al. Ukuvimbela Inhlanganisela: Imiphumela ye-Weight. I-Cochrane Database Database ebuyekeziwe. 2014; (1): i-CD003987. i-doi: 10.1002 / 14651858.CD003987.pub5.

> National Cancer Institute. Izindlela Zokuvimbela Umlomo Neengozi Zomdlavuza. 2012.

> Wiegratz I, Thaler CJ. Ukwelashwa Kwama-Hormonal - Yimuphi Uhlobo, Uyini, Futhi Ubani? I-Deutsches Arzteblatt International . 2011; 108 (28-29): 495-506. doi: 10.3238 / arztebl.2011.0495.