Ukusebenzisa i-Progestin-Ukuzalwa Kwokuphela Kwokulawula

Ukubuyekezwa kwezinketho zokuvimbela ukukhulelwa okungezona-Estrogen

Ukulawulwa kokuzalwa kwamahomoni kusetshenziswa abesifazane ukuvimbela ukukhulelwa. Ngokuvamile kuhilela ukusetshenziswa okuhlangene kwe-synthetic progesterone (progestin) ne- estrogen . Nakuba ama-hormone amabili ndawonye abhekwa njengendlela ephumelelayo, kunabesifazane abathile abanomzwelo wokwenza i-estrogen yokwenziwa futhi abakwazi ukukuthatha. Ngenxa yalokho, izinketho ze-progestin kuphela zikhona.

Abesifazane Abangase Bazuze Ekulawulweni Kwe-Progestin-Ukuphela Kwokuzalwa

Ukulawulwa kokuzalwa kwe-Progesin kuphela kubhekwa njengendlela ephephile yabesifazane abasengozini yesifo senhliziyo noma isifo sohlangothi. I-Estrogen, ngokuphambene, iyaziwa ukwandisa ingozi yempilo, ikakhulukazi:

• ababhemayo abangaphezu kweminyaka engu-35
• abesifazane abanomfutho wegazi ophezulu
• abesifazane abanomlando wezindwangu zegazi

Abanye besifazane bangase bazuze ekulawulweni kokuzalwa kwe-progestin kuphela, kubandakanya omama okuncelisa ingane (njengoba i-progesin ngeke ithinte ukukhiqizwa ubisi noma ingalimaza ingane), abesifazane abakhuluphele noma abakhuluphele , noma abesifazane abangakaze babelethe.

Ngisho ngokwayo, izinketho zeprogenin kuphela ziphakathi kwamaphesenti angu-87 no-99 okusebenzayo ekuvikeleni ukukhulelwa.

Imiphumela Ejwayelekile Yomthetho We-Progestin-Ukuphela Kwokuzalwa

Zonke izinhlobo zokulawulwa kokuzalwa kwe-progestin kuphela zihlanganyela nemiphumela emibi ejwayelekile, ezinye zazo zizoxazulula ngokuhamba kwesikhathi. Zingafaka:

• isiyezi
• ikhanda
• ukuvimbela kwesisu
• ukukhishwa kwesisu
• ukuphaphaza noma ukuphaphaza kwamagciwane okungavamile
• i-amenorrhea (ayikho isikhathi)
• isikhathi eside
• ukulahlekelwa kwe-libido
• Khulisa noma wehle ngo-acne
• ukukhathazeka nokwesaba
• ukuqhuma kwesikhumba noma izikhwama zesikhumba ezimnyama
• ukulahlekelwa kwamathambo
• ukunciphisa noma ukwandisa ebusweni bomzimba noma / noma emzimbeni
• isifuba sebele

Kukhona okwamanje izinhlobo eziyisithupha zezindlela zokulawula ukuzalwa kweprogesin kuphela ezikhona e-United States:

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Amaphilisi Okulawulwa Kwama-Progestin-kuphela

Njengamagama abo, amaphilisi okulawula okuzalwa kuphela (okubizwa nangokuthi i-mini-pilill noma i-POPs) ayinalo i-estrogen. Zitholakala emaphaketheni ezinsuku ezingu-28 ozithatha nsuku zonke phakathi nomjikelezo weviki ezine. Zonke amaphilisi angu-28 aqukethe i-progestin; azikho amaphilisi we-placebo.

I-pilisi encane ifika ngokuklama okulodwa e-US okuthiwa i- norethindrone .

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Depo-Provera

I-Depo-Provera ingumjovo wokulawula ukubeletha ohambisa kancane kancane i-progestin medroxyprogesterone acetate emzimbeni wakho, uhlinzeke ukuvikelwa ekukhulelwe kusuka emavikini angu-11 kuya kwangu-14. Uma ukhetha ukusebenzisa i- Depo-Provera , uzodinga izijovo ezine ngonyaka ngamunye.

I-Depo-Provera injections inikeza inzuzo eyengeziwe yokunciphisa ubuhlungu obuhlobene ne-endometriosis .

U-Depo-Provera unesixwayiso sebhokisi elimnyama elixwayisa ngokulahlekelwa kwethambo okungenzeka nokuthi ingozi yokwandisa i- osteoporosis. Ngenxa yalesi sizathu, uDepo-Provera akufanele neze isetshenziswe iminyaka engaphezu kwemibili futhi kufanele igwenywe ngokuphelele ezinganeni.

Imiphumela emibi evamile ihlanganisa ukuzuza kwesisindo, ukuphaphazeka okungavamile, ukuphawula, nokusuka isikhathi eside. Uma usukile, kungathatha isikhathi esingaphezulu konyaka noma ngaphezulu ukuze uqale u-ovulating futhi .

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I-Mirena IUD

I- Mirena IUD iyisici esincane se-intrauterine (IUD) esiqhubeka ngokukhipha inani elincane le-progestin ngaphezu kweminyaka emihlanu. Ngenxa yokuthi i-Mirena iqukethe i-progestin, kubonakala sengathi iphumelela kakhulu kuneParaGard IUD . I-Mirena IUD nayo yamukelwa ukusiza ukuphatha izinkathi ezinzima .

I-Mirena IUD ifakwe ngudokotela wakho futhi inezintambo ezisebenzayo ezikuvumela ukuba uhlole ukuthi idivayisi isendaweni. Njengawo wonke amadivaysi e-intrauterine, izinkinga zingase zihlanganise ukukhishwa kwesisu, ukutheleleka, nokuxoshwa ngengozi.

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I-Skyla Progestin-IUD kuphela

I-Skyla enye inketho ye-progestin kuphela ye-IUD. Kuyinto encane kakhulu kune-Mirena ne-ParaGard futhi ngokujwayelekile kube lula kudokotela ukufaka. Uma efakwe, i-Skyla ikhipha kancane ifomu le-progestin (elibizwa nge-levonorgestrel) ngaphezu kwesikhathi seminyaka emithathu.

Izinkinga zokusetshenziswa zifana ne-Mirena IUD, engabandakanya ukubola kwe-uterine, ukutheleleka nokuxoshwa.

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I-Nexplanon

I-Nexplanon yinguqulo entsha ye- Implanon ukufakwa kwesihlahla esinqunyiwe.Lokhu kudivayisi yokulawulwa kokuzalwa kwe-progesin kuphela iqukethe i-68mg ye-progestin etonogestrel futhi iqukethe ukufakelwa kwepulasitiki okuguquguqukayo ngobukhulu bomdlalo.

I-Nexplanon ifakwa ngaphansi kwesikhumba sesandla futhi ingahlinzeka iminyaka emithathu yokuvikelwa kokukhulelwa.

I-Nexplanon i-radiopaque, okusho ukuthi ingabonakala ku-X-ray. Lokhu kusiza udokotela wakho ukuthi abone ukuthi ifakwe kahle. Ukufakela kudinga ukuhlinzekwa kwezidakamizwa zendawo futhi ngokuvamile kuthatha imizuzu embalwa.

Ngemuva kokufakelwa, ungase uzwe ukulimala, ubuhlungu, ukuhlambalaza, ukuvutha, ukuphazamiseka, ukuphuma kwegazi, ukulimala, noma ukutheleleka endaweni yokufaka indawo.

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I-Noristerat Injection

Umjovo we-noristerat wuhlelo lokulethwa kwezidingo zokubeletha oluqukethe i-progestin norethisterone enanthate. Ayitholakali e-US kodwa isetshenziswa kakhulu e-United Kingdom, e-Europe, e-Afrika nase-Central America.

Umjovo we-noristerat uklanyelwe ukuba ube yindlela yokulawula ukuzalwa kwesikhathi esifushane. Abesifazane bavame ukuyikhetha emva kokugonywa ngokumelene ner rubella noma ngenkathi balinde ukuvotela komlingani wabo ukuze kuphumelele. Umjovo we-noristerat uzoqhubeka ukhulule i-progestin ohlelweni lwakho kuze kube amasonto ayisishiyagalombili.

> Umthombo

• > Shoupe. D. (umhleli). Ukwelashwa. Oxford, UK: Wiley-Blackwell; 2011; I-ISBN: 978-1-4443-3351-0.