Indlela Yokukhetha Iphilisi Yokulawula Ukuzalwa Okufanele
Njengoba kunamaphilisi amaningi okulawula ukuzalwa okutholakala, uyazi kanjani ukuthi ungayisebenzisa? Iningi liphumelela ngokulinganayo, ngakho-ke okukhethwa kukho okungcono kakhulu kuzokwehla okungenzeka ukuthi kuveze imiphumela engekho (noma embalwa kakhulu).
Udokotela obeka ukuthi ukubeletha kwakho kuyoba yikho umhlahlandlela wakho omkhulu, kodwa kuhlale kuwukuhlakanipha ukuba ukwazi kabanzi nganoma yisiphi isisindo osithathayo, ngakho-ke kulo mhlahlandlela wokwenza isinqumo esinolwazi mayelana nokuthi iyiphi iphilisi lokulawula ukubeletha engcono kuwe thola ukungafani kwemibono yamaphilisi, imiphumela emibi engaba khona ngayinye, nokuningi.
Incazelo Esheshayo Ngokukhetha Iphilisi Yokulawula Ukuzalwa
Ngokuvamile, izakhi zokuvimbela i-hormonal zine- synthetic estrogen (ukuzinzisa i-endometrium nokunciphisa ukungafunwa okungafunwa) kanye ne- progestin (ngenxa yemiphumela yayo yokukhulelwa). Ukwazi umehluko phakathi kwe-progestins kanye nemiphumela ye-estrogenic, imiphumela ye-androgenic, nokukhethwa kwe-progestational kungakusiza ukhethe iphilisi ngemiphumela emibi kakhulu.
Ukuze uchaze kafushane ukuthi ukuhlanganiswa kwale misebenzi kungabangela kanjani imiphumela emibi, ake sibheke ezinye izipilisi zokulawula ukuzalwa kokuzalwa. Izindlela zokwelapha zomlomo ezivame ukuba nemiphumela ephezulu ye-androgenic kanye nesenzo esincane se-estrogen, isibonelo, kungenzeka ukuthi kubangele ukukhula kwezinwele okungadingeki kanye nemiphumela emibi ye- acne . Ukwengeza, i-progestin enezimo eziphezulu ze-androgenic ingase ivame ukukhiqiza ithenda elincane lesifuba, ukuguqula nokushintsha kwemizwelo.
Kubalulekile ukukhumbula ukuthi, iningi labesifazane abasebenzisa iphilisi nale nhlanganisela abapheli ekuthuthukiseni induna; lo mphumela ohlangothini lungenzeka kakhulu kulabo besifazane abanomkhuba wokuthola i-androgenicity.
Amaphilisi okulawula ukubeletha aqukethe le iphethini yesrogenic / ephansi yesrogenic ihlanganisa:
- Yenza kahle
- Estrostep FE
- Levlen
- Loestrin 1.5 / 30
- Loestrin 1/20 Fe
- I-Ovral
Njengoba kunezinhlobo ezihlukahlukene ze-progestins, ngamunye ngamunye une-potency ehlukile ngokwemigomo ye-progestational, isrogenic, kanye ne-androgenic. Umphumela wale miphumela kuxhomeke ekuhlanganiseni uhlobo kanye namazinga we-progestin ne-estrogen.
Ngokuvamile, ibhalansi (noma isilinganiso) phakathi kwe-estrogen ne-progestin emgqeni wepilisi ingadlala indima emiphumeleni emibi oyizwayo. Owesifazane ngamunye angaphendula ngokuhlukile kulezi zingxenye. Futhi, uhlobo lwephilisi ongase usebenzise i-monophasic / biphasic / triphasic noma umjikelezo owandisiwe lingasiza ukunciphisa imiphumela ethile yecala. Ngenxa yalokho, sicela uqaphele ukuthi okulandelayo yiziqondiso ezijwayelekile , futhi angeke zisebenze kubo bonke abesifazane.
Ukuze ube yizo zobuchwepheshe obuncane, ukuze kunqunywe ukuhlanganiswa okuphelele kwalemiphumela emithathu, umuntu udinga ukwandisa umthamo wangempela walezi zincenye ezintathu (imiphumela) izikhathi zokulinganisa zalesi sigaba ukuze kuhlukaniswe umshini wokulawula iphilisi njengokuba nemiphumela ephezulu ne-androgenic, ngokuba i-estrogen ephakeme, noma i-progestin ephezulu. Njengoba kunenkinga yokucabangela lokhu ngokwakho, isinqumo sokuthi iphilisi lokulawula ukuzalwa okufanele lisetshenziswe kufanele lixoxwe nomhlinzeki wakho wezempilo. Ungasebenzisa lolu lwazi ukuqala ingxoxo nodokotela wakho mayelana nohlobo luni lwepilisi olungase libe ngcono kakhulu kuwe.
Kubuye kubalulekile ukunikeza amaphilisi okwamanje ukuthatha uvivinyo olunembile okungenani izinyanga ezimbili kuya kwezintathu. Uma ushintshile umshini wakho wephilisi , kufanele unikeze izintsha ezinyangeni ezimbili kuya kwezintathu ukuhlolwa ngoba zivame ukuthatha izinyanga ezimbalwa nje ukuze umzimba wakho uvumelane namahomoni amasha kuphilisi yakho yokulawula ukuzalwa.
Ukukhetha iPilisi Yokulawula Ukuzalwa Ngokunciphisa Imiphumela Yaso Eceleni
Ishadi elilandelayo lihlukaniswa ngezihlobo, ngakho-ke angeke lisebenze kubo bonke abesifazane. Uma ukhetha iphilisi yokulawula ukuzalwa, ungakwazi ukunciphisa imiphumela emibi ngokushintshela (noma ekuqaleni ukhetha) umshini wepilisi ophakanyisiwe eshadini elingezansi ngokususelwa kuloluphi umphumela ohlangothini ozama ukuwenciphisa noma ukunciphisa.
| I-Side Effect (Inkinga) | I-Progestin / Estrogen / Imiphumela ye-Androgenic | Zama Ukusebenzisa Lezi Amamakhi Ephilisi ukuze unciphise imiphumela emibi |
|---|---|---|
| I-acne | i-estrogen ephakeme, i-androgen potency ephansi | Demulen 1/50, Brevicon, Mircette, Modicon, Necon, Othro-Cyclen, Ortho-TriCyclen, Yasmin |
| Ukuphuma kwegazi (spotting) | i-estrogen ephakeme, i-progestin potency ephakeme, amandla we-androgen aphansi | Demulen 1/50, Desogen, Ortho-Cept, Ovcon 50, Yasmin, Zovia 1 / 50E, Estrostep FE ** |
| Ukhathazeka kwesisu | i-estrogen ephansi, i-progestin potency ephansi | Bhala ukubuyekeza |
| Ukucindezeleka | progestin potency ephansi | Alesse, Brevicon, Levlite, Modicon, Necon 1/35, Ortho-Cyclen, Othro-TriCyclen, i-Ovcon 35, i-Trilen, i-Triphasil, i-Trivora |
| Ukuvimbela i-Endometriosis noma i-endometriosis | i-estrogen ephansi, i-progestin potency ephakeme, i-androgen potency ephezulu | I-Demulen 1/35, i-Levlen, i-Levora, i-Loestrin 1.5 / 30, i- Loestrin 1/20 Fe, i-LoOvral, i-Nordette, i-Zovia 1 / 35E (isetshenziselwa njalo ngaphandle kwezinsuku zamaphilisi we-placebo noma ngezinsuku ezingu-4 kuphela zamaphilisi we-placebo okuvimbela) |
| Izikhwehlela (hhayi ukuhamba esikhathini) | i-estrogen ephansi, i-progestin potency ephansi | Alesse, Brevicon, Levlite, Modicon, Necon 1/35, Ortho-Cyclen, Othro-TriCyclen , i-Ovcon 35, i-Trilen, i-Triphasil, i-Trivora |
| Ukuzijabulisa noma ukucasula | progestin potency ephansi | Alesse, Levlite, Loestrin 1/20 Fe, Yasmin, Yaz , Beyaz (noma iphilisi ene-estrogen encane kunamanje) |
| Izikhukhula ezinzima kakhulu | i-progestin potency ephezulu | Demulen 1/35, Demulen 1/50, Desogen, Mircette, Loestrin 1.5 / 30, Ortho-Cept, Yasmin, Zovia 1 / 35E, Zovia 1 / 50E |
| Inzuzo yesisindo | i-estrogen ephansi, i-progestin potency ephansi | Alesse, Levlite, Loestrin 1/20 Fe, Yasmin, Yaz, Beyaz (noma iphilisi ene-estrogen encane kunamanje) |
I-Estrostep FE iqukethe i-progestin norethindrone acetate (le progesin ngokuvamile inomqondo ophezulu we-androgen). Ngakho-ke, nakuba i-Estrostep FE ilandela iphethini ephezulu ye-androgenic / ephansi yesrogenic, lo mshini uyiphilisi e-triphasic eyenzelwe ukusiza ukuvimbela ukuphuma kwegazi ngenkathi uzama ukugcina ukuvezwa kwe-hormone ngangokunokwenzeka. I-Estrostep FE yisibonelo esihle sokuthi kungani imininingwane kuleli shidi kufanele ibhekwe ngaphezulu ngokuba imihlahlandlela evamile, futhi ingase ingabambeli njalo kusuka komunye wesifazane kwenye.
Izwi elivela
Khumbula, wonke owesifazane angasabela ngendlela ehlukile ezindleleni ezithile zokulawula ukuzalwa, ngakho-ke lolu lwazi luhloswe ukuba lubukezwe jikelele. Futhi, kubalulekile ukuveza ukuthi isizathu esiyinhloko sokusebenzisa ukulawula ukubeletha kwe-hormonal kungukuvimbela ukukhulelwa (ukuvimbela ukukhulelwa okungalindelekile ). Ukucabangela izinzuzo ezingenakuphikelela zokulawulwa kokuzalwa, kanye nemiphumela emibi engafuneki, kungaba yingxenye yengxoxo onayo nodokotela wakho uma unquma ukuthi iyiphi indlela ye-hormonal engase ifaneleke kakhulu kuwe.
Umthombo:
I-Jelovsek, R. Yiyiphi iphilisi yokubeletha yomlomo engcono kakhulu kimi?