Ukulawulwa kokuzalwa kwama-hormones kubhekisela ezindleleni zokulawula ukuzalwa okuqukethe ama-hormone ama-synthetic. Lezi zindlela zokuvimbela imithi zilinganisa amahomoni akhona ngokwemvelo akhiqizwa emzimbeni wesifazane. Ukulawulwa kokuzalwa kwama-hormone kufanele kubekwe udokotela wakho.
Kunezinhlobo ezimbili zokulawulwa kwama-hormonal:
- Ukuhlanganiswa Ukulawulwa Kwama-hormonal Control : ukuhlanganiswa kokuzalwa kokubeletha kuyizindlela eziqukethe isisgen e- synthetic kanye nohlobo oluthile lwe-progestin.
- Ukulawulwa Kwokuzalwa Kwesandulela Ngculaza : lezi zindlela zindlela zokubeletha eziqukethe kuphela i-progestin futhi zikhethwa kahle uma ungakwazi ukusebenzisa ukulawula kokuzalwa okuqukethe i-estrogen.
Kungani Kufanele Ukhethe Ukulawula Ukuzalwa KwamaHormon?
Izindlela zokulawula ukuzalwa kwezibeletho zivame ukuthandwa kakhulu. Ungase ufise ukusebenzisa ukukhulelwa kwe-hormonal ngoba:
- Lezi zindlela ziguquguquka (ngaphandle kukaDepo Provera ) - lokhu kusho ukuthi ukuzala kwakho (noma ikhono lokukhulelwa) kubuya ngokushesha uma uyeka ukuyisebenzisa.
- Ukulawulwa kokuzalwa kwama-Hormone kulula futhi kulula ukuyisebenzisa .
- Eziningi zalezi zindlela zinezinga elincane kakhulu lokuhluleka (uma lisetshenziswe kahle) - ngakho liphumelela kakhulu.
- I-hormone yokubeletha i-hormone ingakunikeza izinzuzo eziningi zezempilo ezingenalo ukukhulelwa kanye (njengokusiza ngezikhwama ezinzima zokuya esikhathini noma ukunciphisa induna ).
Izindlela Zokulawula Ukuzalwa KwamaHormonal
Nasi uhlu lwazo zonke izindlela zokulawula ukubeletha kwe-hormonal ongayisebenzisa. Izintathu zokuqala ziyindlela yokuhlanganiswa, kanti lonke uhlu luyi-progestin-kuphela yokulawula kokuzalwa kwama-hormonal.
Amaphilisi Okulalelwa KwamaHlathi Wokuzalwa
Amaphilisi okulawula ukuzalwa kokuzalwa kumele athathwe nsuku zonke , ngesikhathi esifanayo. Zine-ethinyl estradiol kanye nenye yezinhlobo ezilandelayo ze- progestin : i-norethindrone, i-norethindrone acetate, i-ethynodiol diacetate, i-levonorgestrel, i-norgestrel, i-desogestrel, i-norgestimate, noma i-drospirenone. Ngayinye yalezi progestins inephrofayili yayo ngokusekelwe emiphumeleni yayo ye- progestational, isrogenic, kanye ne-androgenic emzimbeni wakho. Kukhona iphilisi entsha yokulawula ukuzalwa okubizwa ngokuthi i- Natazia - lena kuphela iphilisi equkethe i-estradiol valerate kanye ne-progestin, i-dienogest. Amaphilisi okulawula ukuzalwa aphinde ahlukaniswe njenge- monophasic, i-biphasic noma i-triphasic - lokhu kusekelwe ekutheni ama-hormone asakazwa kanjani emasontweni emiphaketheni ngayinye yepilisi. Kukhona amaphilisi enhlanganisela ejikelezayo .
NuvaRing
I-NuvaRing iyinhlanganisela yokukhulelwa okumele ifakwe ngaphakathi kwesifazane. Uma efakiwe, kancane kancane kukhishwa i-ethinyl estradiol kanye ne-progestin, ne-etonogestrel. Ufaka iNuvaRing bese uyishiya endaweni yamaviki amathathu. Ngeviki 4, uyayikhipha - yilapho kufanele ube nesikhathi sakho sokuhoxiswa .
I-Patch
Isiqephu sokulawula sokuzalwa sisetshenziswa esikhumbeni. Ikhulula i-ethinyl estradiol ne-progestin, i-norelgestromin ngokuqondile ngesikhumba. Udinga ukuthatha indawo ye-patch njalo ngesonto (amasonto amathathu). Ngeviki 4, ugcina i-patch ishiyiwe .
I-Nexplanon
I-Nexplanon iyi-progestin-kuphela yokulawulwa kokuzalwa kokufaka okuqukethe u-68 mg we-progestin, ne-etonogestrel. Le ndoda eyodwa ingeniswe engxenyeni yakho engaphezulu lapho i-progestin ikhishwa kancane kancane. I-implant ibuye iqukethe i-radiopaque (lokhu kungabonakala kalula kwi-x-ray ukuze kuqinisekiswe ukuthi induku ibeke kahle). Kucatshangwa ukuthi kuyindlela yokuvimbela ukukhulelwa isikhathi eside (i-LARC) esebenza isikhathi eside, lapho i-Nexplanon ingeniswa khona, inikeza ukuvikelwa kokukhulelwa iminyaka engaba ngu-3.
UDepo Provera noDepo-subQ Provera 104 Injection
UDepo Provera noDepo-subQ Provera 104 yizijovo zokuvimbela ukuvimbela ukubeletha . Zombili izibhamu ze-depo zifanayo - umjovo ngamunye ukhulula kancane kancane i-progestin, i-medroxyprogesterone acetate. Kumelwe uthole ijoka le-Depo Provera njalo emavikini angu-11 kuya kwangu-13 (ama-Depo-subQ-Provera ama-injection angu-104 kufanele ayenze njalo emavikini angu-12-14). Uma usebenzisa i-Depo Provera, ngokuyisisekelo kudingeka ube nemigomo engu-4 njalo ngonyaka. Njengazo zonke izindlela zokulawula ukubeletha kwe-hormonal, uDepo Provera unemiphumela emibi . Abesifazane abaningi bayeka ukusebenzisa uDepo Provera ngenxa yemiphumela emibi (njengokungena okungajwayelekile noma okuqhubekayo ). Ayikho indlela yokwazi ngaphambi kokuqala u-Depo Provera uma uzoba nemiphumela emibi. Izindaba ezinhle mayelana noDepo Provera - kuye kwavunyelwa i-FDA ukusiza ukuphatha i-endometriosis .
I-Mirena IUD
I-Mirena uhlobo lwe- IUD . I-Mirena ikhipha i-progestin, i-levonorgestrel (20 mcg ngosuku). I-Mirena ifakwa esibelethweni sakho udokotela. Uma ifakiwe, ingasala endaweni engu-5. Konke okudingeka ukhumbule ukukwenza ukuhlola izintambo ze-Mirena IUD - lokhu kuzokutshela ukuthi i-Mirena yakho isekhona. Ngenxa yokuthi i-progestin, i-Mirena iyasebenza kangcono kune- ParaGard IUD . Ngaphandle kokuba isetshenziswe njengezokwelapha, i-Mirena iye yavunyelwa i-FDA ukusiza ukuphatha izinkathi ezinzima . Ungakwazi futhi ukuthi i-Mirena IUD yakho isuswe nganoma isiphi isikhathi ngaphambi kokuthi isikhathi sesikhathi seminyaka engu-5 siphelile.
I-Mini-Pill
I-mini-pilill iyi-progestin kuphela kuphela yephilisi yokulawula ukuzalwa. Ziyaziwa ukuthi zenza imiphumela emincane kunamaphilisi okuhlanganiswa. Ngenxa yokuthi ayinalo i-estrogen, i-mini-pilisi iyindlela yokulawula ukubeletha okuhle kumama omusha abancancisayo. I-mini-pilisi ifika emasakeni angu-28-udinga ukukhumbula ukuthi uthathe elinye lala maphilisi nsuku zonke emjikelezweni wephilisi lesonto ngalinye.
I-Skyla IUD
I-Skyla ibizwa nangokuthi i-Mini IUD. Uma efakiwe, i-Skyla ikhulula i-progestin levonorgestrel (14 mcg ngosuku) - I-Skyla ihlala iminyaka engu-3. I-Skyla IUD ibhekwa njengendlela enkulu yokulawulwa kokuzalwa kwe-hormonal kwabasha kanye nabesifazane abangakaze babelethe . I-Skyla IUD (kanye nethubhu esetshenziselwa ukuyifaka) incane kuneMirena neParaGard. Lokhu kwenza Skyla kancane kancane futhi buhlungu kakhulu ukufaka. Njenganoma iyiphi i-IUD, ungaphinde ususe i-Skyla noma kunini.