Okufanele Ukwenze Uma Ulahlekelwa Iphilisi Yakho Yokulawula Ukuzalwa

Ulahlekelwe iphilisi lokulawula ukuzalwa futhi manje uzibuza ... yini okufanele ngiyenze? Ungakhathazeki. Zulazula le miyalelo yesinyathelo ngesinyathelo ukuze wazi ukuthi uzokwenzani ngephilisi yakho yokulawula yokuzalwa engabanjwanga. Kodwa ngaphambi kokwenza, kungase kube usizo ukuqala ukuqonda ukuthi kungani kubalulekile ukuthatha iphilisi yakho nsuku zonke.

Kungani Ungafuni Ukulahlekelwa Amaphilisi Okulawula Ukuzalwa

Uma nje uthatha iphilisi ngesikhathi esisodwa nsuku zonke, unethuba eliphansi lokukhulelwa (amaphesenti angu-0.3 - okusho ukuthi kubo bonke abesifazane abangu-100 abasebenzisa iphilisi ngonyaka, ngaphansi kuka-1 bazokhulelwa).

Kodwa, masibhekane nakho, bangaki bethu abaphelele? Ngiyakuthola, ngikhumbula ukuthi ukuthatha iphilisi ngesikhathi esifanayo nsuku zonke kungaba nzima - kungabi yedwa ngesikhathi esifanayo. Kodwa okuncane kakhulu kunokusebenzisa okuphelele, njengokuphambana neyodwa yamaphilisi akho ngosuku olulodwa noma ukukhohlwa ukuthatha konke, kwehla ukusebenza kwamaphesenti angu-91 (kuwo wonke abesifazane abayi-100 abangasebenzisi iphilisi ngokuphelele ngonyaka, 9 bazokhulelwa) .

Kungani lokhu? Uma ulahlekelwa iphilisi yokulawula ukubeletha noma uthathe ngesikhathi esingalungile, kwandisa amathuba akho ukuthi ngeke kube namahomoni okwanele ohlelweni lwakho ukuvimbela i-ovulation (yilapho iphilisi isebenza ). Ingxenye yengozi ixhomeke lapho ulahlekelwa iphilisi, lapho uthatha iphilisi yakho elandelayo, nokuthi umzimba wakho uzwela kangakanani. Uma ungaphuthelwa ukuthatha iphilisi yakho yokulawula ukuzalwa okungaphezu kwesisodwa epakethe ngalinye lepilisi, le nengozi iyakhula ngokwengeziwe.

Okufanele Ukwenze Uma Ulahlekelwa Amaphilisi Okulawula Ukuzalwa

Izinyathelo ezilandelayo zenzelwe ukuba iziqondiso ezijwayelekile, ngakho-ke ngincoma ngokuqinile ukuthi ufunde imininingwane yephakheji eza nephilisi yakho ukwazi kahle ukuthi ukwenze ngani ngamaphilisi okulawula ukuzalwa.

Futhi, lezi ziqondiso zihloswe ukuba zilandelwe uma usebenzisa iphilisi yokulawula ukuzalwa (eyodwa kokubili i- estrogen ne- progestin ) NOMA uma umshini wakho wephilisi ungumonakalo (okusho ukuthi zonke amaphilisi asebenzayo ephaketheni lakho lamaphilisi anenani elifanayo i-estrogen ne-progestin).

1. Uma ulahlekelwa iphilisi elilodwa, kufanele uthathe okhohliwe (izolo) ngokushesha nje uma uyakhumbula. Kufanele uthathe ipilisi yanamuhla ngesikhathi sakho esivamile. Uma ungaqapheli ukuthi iphilisi elahlekelwe kuze kube yilapho isikhathi sakho sephilisi esivamile, ungathatha nje amaphilisi womabili ngaleso sikhathi.

1. Nakuba cishe ngeke ukhulelwe, ungasebenzisa njalo indlela yokulondoloza (njengendlela yokulawula kokuzalwa kokubeletha ) ezinsukwini ezingu-7 ezilandelayo, ukuze uqaphele.
2. Uma uphuthelwa amaphilisi amabili ngokulandelana, kufanele uthathe amaphilisi amabili ngokushesha uma ukhumbuza futhi uphilisa ngosuku olulandelayo. Ungaphumi uma ukubonakala okuthile kungase kwenzeke. Kumele futhi usebenzise indlela yokulawula ukubeletha kuze kufike isikhathi sakho esilandelayo kanye nepilisi yepilisi.
3. Uma uphelelwa amaphilisi amathathu noma ngaphezulu ngokulandelana, kufanele usebenzise indlela yokulondoloza yokulawula kokuzalwa ngokushesha.
4. Olunye ucwaningo luye lwasikisela ukuthi abesifazane abangaphuthelwa amaphilisi amathathu cishe ngeke bavuthe, kepha kufanele uqaphele futhi uthathe izinyathelo ezidingekayo zokuvimbela ukukhulelwa.
5. Uma usuphuthelwe amaphilisi amathathu noma amaningi, unga:
   • Qala iphasela elisha lamaphilisi ngeSonto elilandelayo (ngemuva kokulahlekelwa amaphilisi), noma ngabe uqale ukuphuma. Kufanele uqhubeke nokusebenzisa indlela yokulawula yokubeletha eyengeziwe ezinsukwini ezingu-14 zokuqala kwepakethe entsha yamaphilisi.
   • Thatha amaphilisi amabili ngezinsuku ezintathu ukuze ubuyele emuva endleleni (ngenkathi usebenzisa indlela yokulawula ukuzalwa kokuzalwa).
   • Khetha ukumisa ukuthatha okusele kwamaphilisi, ukulahla iphakethe, bese uqala iphakethe elisha.

Okufanele Ukwenze Uma Ulahlekelwa Ipilisi Yokulawula Ukuzalwa Kwesiporolidi

Ipilisi ye-progestin kuphela , noma i-mini-pilisi, ayiqukethe i-estrogen.

Ngenxa yalokhu, isikhathi sibaluleke kakhulu kunamaphilisi okulawula ukuzalwa. I-pilisi encane isebenza kangcono kakhulu uma uyithatha nsuku zonke, ngesikhathi esifanayo sosuku.

1. Uma ungaphezu kwamahora amathathu ukuphuza ukuthatha i-mini-pilil, kufanele uthathe iphilisi yakho ephuthele ngokushesha, ubuyele emuva ekuwathathe ngesikhathi sakho esivamile ngosuku olulandelayo, bese usebenzisa indlela yokulawula ukubeletha (njengekhondomu) ngezinsuku ezimbili ezilandelayo.
2. Uma kungaphansi kwamahora amathathu, landela imiyalo efanayo (njenge # # ngenhla), kodwa ngeke udinga indlela yokubuyisela emuva.
3. Uma uphelelwa iphilisi yakho yokulawula ngokubeletha ngokuphelele (okusho ukuthi ukhohliwe ukuthatha iphilisi yakho ngalolo suku futhi ukhumbule usuku olulandelayo), kuzodingeka usebenzise enye indlela yokulawula ukubeletha isonto elilodwa. Thatha iphilisi oyikhohliwe ukuthatha (uma ukhumbule) bese uthatha iphilisi yakho ngalolosuku ngesikhathi sakho esihleliwe.

Okufanele Ukwenze Uma Ulahlekelwa Ukulawula Amaphilisi Okuyi-Biphasic

Amaphilisi okulawula ukuzalwa kokuzalwa yi- Biphasic ayingxenye yokuhlanganisa iphilisi yokulawula ukuzalwa. Izinga lama-hormone kumaphilisi e-biphasic ngokuvamile lishintsha isikhathi esisodwa phakathi nepilisi yakho yepilisi. Ngokujwayelekile, amaphilisi okulawula ukubeletha kwe-biphasic anesisindo esifanayo se-estrogen usuku ngalunye, kodwa izinga le-progesin landa cishe phakathi komjikelezo wephilisi. Uma ungaphuthelwa lawa maphilisi okulawula ukuzalwa, nansi okumele ukwenze.

1. Uma ungaphuthelwa iphilisi elilodwa kumaviki 1, 2, noma 3, thatha iphilisi yokulawula ukuzalwa okungekho ngokushesha uma ukhumbule, nephilisi lakho elilandelayo ngesikhathi sakho esihleliwe ngaso sonke isikhathi. Ungathatha kokubili amaphilisi ngalesi sikhathi. Ukuze uvikeleke ngokwengeziwe, ungase ufune ukusebenzisa ukulawula kokuzalwa emuva kweviki elilodwa, kodwa akudingeki.
2. Uma uphuthelwa amaphilisi amabili ngeviki 1 noma ngeviki 2, kufanele uthathe amaphilisi amabili ngosuku owakhumbula futhi amabili uphilise ngosuku olulandelayo. Bese uqhubeka uthatha iphilisi elilodwa ngosuku uze uqede iphakethe lakho lepilisi. Kumele futhi usebenzise indlela yokulawula ukuzalwa kokubeletha kwezinsuku eziyisikhombisa ezilandelayo ngemuva kokulahlekelwa lawa maphilisi okulawula ukuzalwa.
3. Uma uphuthelwa amaphilisi amabili ngeviki 3 noma ungaphuthelwa amaphilisi amathathu ngokulandelana (phakathi nanoma yimaphi amasonto), qhubeka uphatha iphilisi elilodwa nsuku zonke kuze kube ngeSonto. NgeSonto, kufanele uphonsa yonke ipaki yepilisi bese uqala iphakethe elisha ngosuku olufanayo. Qinisekisa ukusebenzisa indlela yokuvimbela ukuzalwa kokuzalwa kokulawula kokuzalwa uma ulala ocansini ezinsukwini eziyisikhombisa ngemuva kokulahlekelwa amaphilisi okulawula ukuzalwa.

Okufanele Ukwenze Uma Ulahlekelwa Iphilisi Yokulawula Ukuzalwa Kwesithathu

Amaphilisi okulawula ukubeletha kathathu (njenge- Ortho Tri-Cyclen Lo ) anezilinganiso ezintathu zama-hormone-ngakho-ke inhlanganisela ye-hormone iyoshintsha njalo ngezinsuku eziyisikhombisa kulo lonke iphasela lepilisi. Kuye ngomkhiqizo wepilisi, inani le-estrogen lingashintsha kanye nenani le-progestin. Lokhu kwenza amaphilisi okulawulwa kokuzalwa alahlekelwe kancane.

Iphilisi angeke ibe yimpumelelo uma ungaphuthelwa inhlanganisela ethile yokulinganisa enikezwe ngamaphuzu ahlukene kuwo wonke amaphakheji ephilisi (ikakhulukazi ekuqaleni kweviki 1 noma ekupheleni kweviki 3). Ngakho-ke, ingozi yokukhulelwa iyakhula ngephilisi lokulawula lokuzalwa ngalinye elingekho.

Kunezinhlobo eziningana zamaphilisi okulawula ukuzalwa kokuzalwa, ngakho-ke kubaluleke kakhulu ukuthi uhlole imiyalo ezayo nomkhiqizo wakho uma ulahlekelwa amaphilisi okulawula ukubeletha. Lokho okushiwo, lokhu okulandelayo kuyisiqondiso esilandelayo sokulandela (esisebenza emakethe amaningi amathathu wephilisi).

1. Uma ungaphuthelwa iphilisi elilodwa phakathi kwamaviki 1, 2, noma 3, thatha ngokushesha uma ukhumbule. Thatha iphilisi yakho elandelayo ngesikhathi sakho esivamile. Lokhu kusho ukuthi ungathatha amaphilisi amabili ngosuku olulodwa, kodwa akudingeki usebenzise indlela yokulawula ukuzalwa kokuzalwa uma ulala ucansi.
2. Uma uphuthelwa amaphilisi amabili elandeni phakathi neviki 1 NOMA Iviki 2 ephaketheni lakho, thatha amaphilisi amabili ngosuku owakhumbula futhi amabili uphilise ngosuku olulandelayo. Bese uthatha iphilisi elilodwa ngosuku uze uqede iphakethe. Khumbula ukuthi ungakhulelwa ezinsukwini eziyisikhombisa ngemuva kokuphuza amaphilisi, ngakho-ke kufanele usebenzise enye indlela yokulawula ukuzalwa (njengamakhondomu, i- spermicide , noma isiponji ) njengokwesekela emuva kwezinsuku eziyisikhombisa.
3. Uma uphonsa amaphilisi amabili ngokulandelana ngeviki 3:
   • Uma ungumQala wokuqala we-Day : Phonsa yonke ipaki yepilisi bese uqala iphakethe elisha ngosuku olufanayo.
   • Uma uyi-Sunday Starter : Qhubeka uthatha iphilisi elilodwa nsuku zonke kuze kube ngeSonto. NgeSonto, phonsa lonke iphakethe bese uqala iphakethe elisha lamaphilisi ngosuku olufanayo.

   Sebenzisa indlela yokulawula ukuzalwa kokuzalwa kwezinsuku eziyisikhombisa emva kokuqala iphakethe lakho elisha lepilisi. Ungase ungabi nesikhathi sakho sokuhoxiswa kule nyanga-kodwa kulindeleke. Kodwa, uma ulahlekelwa isikhathi sakho izinyanga ezimbili ulandelana, shayela udokotela wakho ngoba ungakhulelwa.

4. Uma uphelelwa amaphilisi amathathu noma ngaphezulu ngokulandelana (phakathi kwamasonto amathathu okuqala):

   • Uma ungumQala wokuqala we-Day : Phonsa yonke ipaki yepilisi bese uqala iphakethe elisha ngosuku olufanayo.
   • Uma uyi-Sunday Starter : Qhubeka uthatha iphilisi elilodwa nsuku zonke kuze kube ngeSonto. Phonsa lonke iphakethe lakho ngeSonto, bese uqala iphakethe elisha lamaphilisi ngosuku olufanayo.

   Njengoba ungakhulelwa ngesonto elizayo, sebenzisa indlela yokulawula ukuzalwa kokuzalwa kweviki ngemuva kokuqala iphakethe lakho elisha lepilisi. Ungase ungabi nesikhathi sakho kule nyanga-kodwa, futhi, lokhu kuvamile. Uma ungaphuthelwa isikhathi sakho izinyanga ezimbili ngokulandelana, shayela udokotela wakho.

Kuthiwani Uma Ngingaphuthelwa Iphilisi Phakathi Neviki 4?

Iningi lamaphilisi okulawula ukubeletha uyoba namaphilisi e-placebo-amaphilisi angenayo ama-hormone. Isakhiwo se-placebo isikhathi sihluka phakathi kwamaphilisi, kepha ngokuvamile noma konke okuyingxenye yeviki 4 lamaphilisi amanhlanganisela amaningi kanye neviki 13 ngamaphilisi omjikelezo enwetshiwe .

Uma ungaphuthelwa amaphilisi okulawula ukubeletha phakathi nesonto le-placebo, awunakho ukukhathazeka ngakho. Kodwa-ke, umqondo omuhle ukuqhubeka uwathatha (ngisho noma ukhohlwa owodwa), ngakho-ke uhlale endleleni bese uqala iphakethe lakho elilandelayo lepilisi ngesikhathi. I-EXCEPTION kule mithetho ihlobene namaphilisi we-progestin kuphela. Zonke amaphilisi okulawula ukubeletha kula maphakethe aqukethe ama-hormone, ngakho awekho amaphilisi we-placebo.

Indlela Yokugwema Ukulahlekelwa Amaphilisi Okulawula Ukuzalwa

Kufanele uzame njalo ukuthatha iphilisi yakho yokulawula ukuzalwa ngesikhathi esifanayo, nsuku zonke. Ngisho nangezimpelasonto. Ngisho naseholidini. Kodwa kukhona igumbi elincane elincane . Ukulahlekelwa isikhathi sakho sephilisi ngamahora amabili kuya kwezingu-2 kubonisa ingozi encane yokukhulelwa kunokuba uma ungaphuthelwa iphilisi ngamahora ayishumi nanhlanu. Ungase ube nomzimba ozwela kakhulu, ngakho-ke isikhathi esincane sanele umzimba wakho ukuba uvuthwe , futhi ungakhulelwa.

Ngakho ungakugwema kanjani ukugwema amaphilisi okulawula ukuzalwa?

• Yenza iphilisi ibe yingxenye ejwayelekile yesimiso sakho sekuseni noma kusihlwa.
• Abanye besifazane bathi kulula ukukhumbula ukuthatha iphilisi ekuseni ngoba bakhathele ebusuku, futhi kungenzeka ukuthi bakhohlwe.
• Sebenzisa izinhlelo zokusebenza zokulawula ukubeletha noma i-alamu eyenzelwe ngokuqondile ukukukhumbuza ukuthatha iphilisi yakho.
• Gcina iphakethe lakho lamaphilisi endaweni lapho uqinisekisiwe ukuyibuka nsuku zonke (njengokwesebuhleni noma izinsiza).

I-Pointer eyodwa yokugcina

Nakuba kulungile ukuthatha amaphilisi amabili ngesikhathi lapho uqaphela ukuthi ulahlekelwe ukulawulwa kwakho kokuzalwa, isisu sakho singavumelani nalomkhuba. Kuyinto engavamile ukuba nesineke, ubuhlungu besisu, noma ngisho nokuhlanza ngemva kokuthatha amaphilisi amabili.

Ungazama ukuvimbela lokhu ngokuthatha imithi yokulwa nesicanshu ngaphambi kokuthatha amaphilisi angeziwe. Uma wenza ukuphela kokuphonswa emva kokuthatha amaphilisi okulawula ukuzalwa okulahlekile, umqondo omuhle ukubiza udokotela wakho noma ikhemisi ukuthola ukuthi yini okufanele ukwenze ngokulandelayo nokuthi ungakuvikela kanjani kangcono uma ukhulelwe.

> Umthombo:

> Bastianelli C, Farris M, Bruno Vecchio RC, Rosato E, Guida M, Benagiano G. "Ucwaningo lokubheka ukunamathela emiphakathini yokuvimbela ukubeletha ngomlomo." I-Endocrinology ye-Gynecological . 2016; 33 (2): 168-172.