Ipilisi Yokulawula Ukuzalwa Kwalabo Izikhathi Ukulawula Ukuzalwa Kuhluleka
I-Beyaz iyinhlanganisela yokulawula ukuzalwa kokuzalwa ukuthi, uma kuthathwa nsuku zonke, ingasiza ekuvimbeleni ukukhulelwa. Iphilisi ngalinye le-Beyaz linikeza nomthamo wansuku zonke. I-folate ibeka ingozi yokuba neziphambeko ezingavamile ze-neural tube ngesikhathi sokukhulelwa. I-Beyaz yokulawula ukubeletha ingasiza ekuphatheni isifo sokugula esisengaphambili (PMDD) kanye ne-acne yokulinganisela.
I-pack ngayinye yokulawula i-Beyaz iqukethe amaphilisi angu-28 amaphilisi, angu-24, i- drospirenone engu- 3 mg (i-progestin), i-0.02 mg i- ethinyl estradiol (i-estrogen yokwenziwa), ne-0.451 mg i-levomefolate calcium (i-vitamin B).
Kunezibhebhe ezine ezine-orange ezikhanyayo-aziqukethe ama-hormone kodwa une-0.451 mg ye-levomefolate calcium. Ngenxa yokuthi kuneziphilisi ezine ze-placebo kuphela, i-Beyaz nayo ibhekwa njengephilisi yokulawula ibelethi yokubeletha .
Indlela Esebenza ngayo
I-Beyaz isebenza njengamanye amaphilisi okulawula ukuzalwa . Iphakethe ngalinye linikeza umthamo oqinile we drospirenone ne-ethinyl estradiol ukuhlala inyanga eyodwa (amaphilisi ama-hormone angu-24 namaphilisi amane okukhumbuza).
Indlela Ehlukile Ngayo
- I-Beyaz inikeza umthamo wansuku zonke we-folate supplementation, okunconywa ngabesifazane eminyakeni yabo yokuzala. I-folate ibeka ingozi yokuba neziphambeko ezingavamile ze-neural tube ngesikhathi sokukhulelwa okwenzeka ngesikhathi se-Beyaz noma ngokushesha ngemva kokuyeka. Uma ukhetha ukusebenzisa iPilisi njengemithi yokwelapha, i-Beyaz inomusa owodwa owanikeza nge-0.4 mg (400 mcg) ye-folic acid ephakanyisiwe nsuku zonke kwabesifazane abaneminyaka yobudala bokuzala.
- I-Beyaz iphinde ivumeleke i-FDA ukuphatha izigaxa ezilinganisiwe . Kucatshangwa ukuthi i-drospirenone e-Beyaz isiza ukuvimba ama- androgens (ama-hormone) abangela i-acne. Uma ukhethe iphilisi yokukhulelwa kokubeletha , uye waqala ukuba nezinkathi zokuya esikhathini , futhi uneminyaka engu-14 ubudala, i-Beyaz ingase ibe yindlela enhle yokusiza ukwelapha izigaxa zakho ezilinganisiwe.
- U-Beyaz naye u-FDA-avunyelwe ukuphatha izimpawu ezingokomzwelo nezingokomzimba ezihlobene ne-PMDD. Isifo esiphezulu se-premenstrual dysphoric (PMDD), isimo esibi se-PMS, yisimiso esihlasela kabi inhlalakahle engokwengqondo nokuxhumana komphakathi kwamaphesenti amathathu kuya kwanguhlanu kwabesifazane abaneminyaka yobudala bokuzala. Izimpawu ze-PMDD zenzeka njalo ngaphambi kokuya esikhathini nokuya esikhathini ezinsukwini ezimbalwa emva kokuqala kwesikhathi. Zivame ukuqina kakhulu ngokwanele ukuthi zithinte impilo yakho yansuku zonke. Kwabesifazane abakhetha iPilisi ngokukhulelwa kwezingane, iBeyaz ingasiza ekunikezeni ukukhululeka kwezimpawu ze-PMDD . I-Beyaz ayibonwanga ukuthi iyindlela yokwelapha ephumelelayo ye-premenstrual syndrome (PMS).
Beyaz vs. Yaz
U-Beyaz no-Yaz banamaphilisi okulawula ukuzalwa okufanayo . Umehluko omkhulu phakathi kwabo ukuthi iBeyaz iqukethe umthamo wansuku zonke we-levomefolate calcium (B vitamin / folic acid). Lokhu kwenza i-Beyaz iphilisi yokulawula ukubeletha kwalezo zikhathi ezingavamile ukuthi ukulawula kokubeletha kwehluleka. Kungani? Uma ukhulelwa ngenkathi usuka ku-Beyaz, uzobe usuvele unesilinganiso esidingekayo se-folate emzimbeni wakho. Lapho abesifazane besondeza ukuxhaswa, kunciphisa ingozi yokuthi kufanele kunciphise amathuba okuthi ingane yakho izoba nenkinga ye-neural tube. Gcina engqondweni noma uma uthola ukhulelwe ngenkathi uphazamisekile, ukusebenzisa kwakho iphilisi ngeke kulimaze ingane yakho nganoma iyiphi indlela.
Izinzuzo ezingapheliyo
Amaphilisi okulawula ukubeletha njengoBeyaz anganikeza izinzuzo ezengeziwe ngaphandle kokukhulelwa. Lezi zinzuzo zihlanganisa ukwehlisa ingozi ye:
- Umdlavuza we-Ovarian , umdlavuza we- endometrial kanye nomdlavuza we-colorectal
- I-anemia (engabangelwa ngezikhathi ezinzima)
- Izinwele zomzimba ezidlulele
- Ama-cysts angenangqamuzana noma izibindi esiswini
- Ukomile kwama-vaginal nobulili obubuhlungu
- I-osteoporosis
- Ama-cysts athile ama-ovari
- Ukukhulelwa kwe-Ectopic
Izinzuzo
- Uhlakaniphile
- Kungaba lula nokulawula izikhathi futhi kuncishiswe izigumbane zokuya esikhathini
- Inikeza umthamo wansuku zonke we-folic acid
- Ivumela ukuzonda ngokocansi
- Ukubuyiselwa- ukubuyiswa kokuzala emva kokuyeka
- Usiza nge-PMDD futhi ulinganise i-acne
- Iphephile futhi isebenza kahle
Ukuqapha Nge-Drospirenone
I-Drospirenone isiza ukucindezela ukufihla kwama-hormone okulawula amanzi omzimba nama-electrolyte. I-Drospirenone ingabangela amazinga aphezulu we-potassium. Ngenxa yalokhu, u-Beyaz kungenzeka ukuthi awusona umuthi omuhle kakhulu wephilisi uma unesifo, isibindi noma isifo se-adrenal ngoba i-Beyaz ingabangela izinkinga ezinkulu zenhliziyo nezempilo.
I-Beyaz ingase ibe nokuxhumana nezinye izidakamizwa ezandisa i-potassium. Ithebula lomkhiqizo weBeaz ihlanganisa isixwayiso eseluleka odokotela ukuba balandele amazinga e-serum potassium ngenyanga yokuqala uma uphathwa nangomuthi ohambisana nokugcinwa kwe-potassium.
Lokhu kuzosebenza uma ukhona nsuku zonke, ukwelashwa kwesikhathi eside usebenzisa noma yimiphi yale mithi:
- Ama-NSAID (ibuprofen [Motrin, Advil], naproxen [i-Aleve nabanye] lapho kuthathwa isikhathi eside futhi nsuku zonke ukwelashwa kwesifo samathambo noma ezinye izinkinga)
- I-potassium-sparing diuretics (i-spironolactone nabanye)
- I-Potassium supplementation ACE inhibitors (i-Capoten, i-Vasotec, i-Zestril nabanye)
- Abaphikisi be-Angiotensin-II (Cozaar, Diovan, Avapro nabanye)
- I-Heparin
- Abaphikisi be-Aldosterone
Okuqhamuka uma udla imishanguzo
Kukhona ukubonakala okuphansi kwemiphumela emibi ye-Beyaz. Imiphumela emibi iyovame ukuhamba ngemva kwezinyanga ezimbili ukuya kwezintathu uma umzimba wakho ususebenzise amahomoni. Imiphumela emibi kakhulu ye-Beyaz yilezi:
- Ukuthukuthela
- I-nausea kanye / noma ukuhlanza
- Ububele besisu
- Inzuzo yesisindo
- Izinga lokungena esikhathini
- Imodi iyashintsha
- Izinsizwa
- Ukukhathala
- Kunciphise libido
Ubani Ongayisebenzisa
Le ndlela yokulawula ukubeletha ngokuvamile iyindlela ephephile yabesifazane abaningi abanempilo. Kubalulekile ukuthi uxoxe ngomlando wakho wezokwelapha ophelele nodokotela wakho ngaphambi kokusebenzisa u-Beyaz.
Ngokuvamile, izinkinga ezimbi aziveli kaningi ngokusetshenziswa kokulawula ukuzalwa kwe-hormonal . Abanye besifazane basengasebenzisa iBeaz ngisho nezici ezithile zobungozi uma nje behlala ngaphansi kokuqondiswa kwezempilo. Abesifazane abanomlando wokucindezeleka bangakwazi ukuqhubeka bathathe u-Beyaz uma ukucindezeleka kwabo kudlulela.
Njengoba le ndlela idinga ukuba uthathe iphilisi yakho ngesikhathi esifanayo nsuku zonke, kungenzeka ukuthi akuyona inketho efanele uma unenkinga yokukhumbula ukuyithatha.
Abesifazane abasebenzisa amaphilisi okuhlanganiswa , njengeBeyaz, bangase babe nethuba elincane lokuthuthukisa izimo ezithile zezokwelapha kunabanqabeli. Lokhu kungafaka:
- Umfutho wegazi ophezulu (obuyela emuva evamile uma iphilisi ivaliwe)
- Isifo se-Gallbladder
- Izidumbu zesibindi
Inkinga enkulu engase ivele kusetshenziswa iBeyz i-clots yegazi enhliziyweni, emaphashini, ebuchosheni, noma emilenzeni. Abesifazane abasebenzisa i-Beyaz abavame ukulala noma ukuphonswa bangase babe nethuba eliphakeme lokuthuthukisa i-clot yegazi. I- FDA ihambise iziphakamiso eziningana mayelana nama-clots egazi ngamaphilisi e-drospirenone futhi idinga ukulayishwa okukhethekile kule mikhiqizo.
Ngubani Okungafanele Awusebenzise?
Ngokusho kukaBayer, "Ungasebenzisi i-Beyaz uma ubhema ugwayi futhi uneminyaka engaphezu kweminyaka engama-35 ubudala. Ukubhema kuyandisa ingozi yemiphumela emibi yengqondo (izinhliziyo nezinkinga zamanzi ezithwala igazi) kusuka kumaphilisi okulawula ukuzalwa, kuhlanganise nokufa kwe-heart attack, i-clots yegazi noma ukushaywa yingozi. Le nengozi iyanda ngokukhula kanye nenani likagwayi oyibhema. "
Ngokuvamile, i-Beyaz ayinconywa kwabesifazane abanakho:
- Ukucindezelwa kwegazi okungalawuleki
- Umlando wesifo sesibindi noma ukukhula kwesibindi, isifo sezinso noma isifo se-adrenal
- Ungenayo i- uterine egazi engavamile
- Umlando wezindwangu zegazi emilenzeni yakho (imfucuza ye-vein thrombosis), amaphaphu (embolism pulmonary embolism), noma amehlo (i-retinal thrombosis)
- Uke waba nomdlavuza webele noma noma imuphi umdlavuza ozwela amahomoni wesifazane
- I-Migraine ikhanda le-aura
- Ukuhlaselwa kwenhliziyo, ukushaywa noma umlando wezinkinga ezinkulu ze-valve yenhliziyo noma ukulinganisa kwenhliziyo okungavamile okungabangela ukuba ama-clots egazi akha enhliziyweni
- Unenkinga ezuze ngefa lakho okwenza ukuthi ivalwe ngaphezu kokuvamile
- Unesifo sikashukela ngezinso, iso, isisindo, noma umonakalo wesikhala segazi
- Zikhulelwe
Ungayithenga kanjani
Ngokuvamile uzodinga ukuhlolwa kwezokwelapha, isheke lokucindezelwa kwegazi futhi mhlawumbe ukuhlolwa kwe-pelvic udokotela ukuthola imvume yeBeyaz. Khona-ke ungaba nemithi yakho ye-Beyaz egcwaliswe ekhemisi yendawo.
Ungayisebenzisa kanjani
Landela iseluleko sodokotela wakho mayelana nokuthi uzoqala nini futhi uqiniseke ukuthi ufunda ulwazi oluphelele oluhlinzeka ngephakethe lakho lepilisi. Khetha isikhathi ozothatha iphilisi yakho nsuku zonke. Kunezinketho ezimbili zokuqala:
- Usuku 1 Qala: thatha iphilisi lokuqala lepakethe phakathi namahora angu-24 okuqala kokuqala kwesikhathi sakho. Ngeke kudingeke usebenzise indlela yokubuyisela ukubeletha kwe-counter -up yokuvuselelwa kokuzalwa kokulawula kokuzalwa.
- NgeSonto Qala: thatha iphilisi lokuqala lepakethi ngeSonto ngemuva kokuthi isikhathi sakho siqale, noma ngabe usaphuma. Uma isikhathi sakho siqala ngeSonto, qala iphakethe ngosuku olufanayo. Sebenzisa indlela yokubuyisela emuva (njengekhondomu ne- spermicide ) uze uthathe amaphilisi angu-7.
Izindleko
I-Beyaz ifika emaphaketheni nyangazonke angahle akhokhe noma yikuphi phakathi kuka-$ 15 kuya ku-80 (kanye nezindleko zokuhlolwa kwezokwelapha noma isheke segazi ukuze uthole imithi). Okwamanje ayikho enye i-Beyaz ejwayelekile etholakalayo. Emiphakathini eminingi, i-Medicaid ihlanganisa izindleko zalendlela yokukhulelwa. Kufanele uhlole inqubomgomo yakho yomshuwalense wezempilo njengokwesekwa kwemithi eminingi yokuxhunywa kwe-hormone kufanele ihlanganiswe ngaphandle kwezindleko ezingaphandle kwezingubo zomshuwalense.
I-Bayer iphinde inikeze uhlelo lwekhadi lokulondoloza i-Beyaz. Ngemuva kokuthi ubhalisele lolu hlelo, uzokhokha u-$ 0 co-pay ku-Beyaz uma u-insured. Uma ungenayo umshuwalense, uzothola kuze kufike ku-$ 100 kuleso siguli se-Beyaz ngasinye.
Ukuphumelela
Amaphilisi e-Beyaz asebenza kahle ngo-92-99.7p. Lokhu kusho ukuthi ngokusetshenziswa okujwayelekile, kuphela abesifazane abangu-8 kwabangu-100 bazokhulelwa phakathi nonyaka wokuqala wokusetshenziswa. Ngokusetshenziswa okuphelele, ngaphansi kuka-1 kuzokhulelwa.
Imithi ethile inganciphisa nokusebenza kahle kwezibeletha zokubeletha kwe-hormone njengoBeyaz.
Ukuvikelwa kwe-STD
Le ndlela ayihlinzeki ngokuvikela izifo ezithathelwana ngocansi .
Umthombo:
I-Fruzzetti F. Beyaz ®: Ukwelashwa ngomlomo okuqinisekisiwe nge-folate. Impilo Yabesifazane . 2012; 8 (1): 13-19.