Iipilisi zolawulo lokuzalwa-ukudibanisa

Izinto zokucwangcisa ngomlomo zisebenzisa iihomoni ukuthintela ukukhulelwa. Iipilisi zokudibanisa ziqulethe zombini iprogestin kunye ne-estrogen.

Iipilisi zokulawula inzala zikunceda ukuba ungakhulelwa. Xa zithathwa yonke imihla, zezinye zezona ndlela zisebenzayo zokuthintela ukukhulelwa. Kubafazi abaninzi bakhuseleke ngokugqithileyo. Banazo nezinye izibonelelo. Ezinye zezi ziquka:

• Ukuphucula amaxesha abuhlungu, anzima, okanye angaqhelekanga
• Nyanga induna
• Thintela umhlaza wesibeleko

Ukudibanisa iipilisi zolawulo lokuzalwa ziqulathe zombini i-estrogen kunye neprogestin. Olunye udibaniso lweepilisi zolawulo lokuzalwa lukuvumela ukuba ube namaxesha ambalwa ngonyaka. Ezi zibizwa ngokuba ziipilisi eziqhubekayo okanye ezongeziweyo. Buza umboneleli wakho wezempilo malunga nokukhetha iidosi ukunciphisa ubungakanani bemijikelezo yakho yokuya exesheni.

Iipilisi zokulawula inzala ziza kwiiphakheji. Uthatha iipilisi kwipakethi engama-21 kanye ngemini kangangeeveki ezi-3, emva koko awuziseli iipilisi iveki enye. Kungalula ukukhumbula ukuthatha ipilisi enye yonke imihla, ke ezinye iipilisi ziza nepakethi engama-28, ezinye zineepilisi ezisebenzayo (eziqulethe iihomoni) kwaye ezinye zingenahomoni.

Kukho iintlobo ezintlanu zokudibanisa iipilisi zolawulo lokuzalwa. Umboneleli wakho uya kukunceda ukhethe efanelekileyo kuwe. Iindidi ezi-5 zezi:

• Iipilisi zesigaba esinye: Ezi zinenani elifanayo le-estrogen kunye neprogestin kuzo zonke iipilisi ezisebenzayo.
• Iipilisi zesigaba ezibini: Inqanaba lamahomoni kwezi pilisi liyatshintsha kube kanye ngexesha lokuya exesheni.
• Iipilisi zesigaba sesithathu: Rhoqo kwiintsuku ezisi-7 idosi yokutshintsha kwehomoni.
• Iipilisi zesigaba ezine: Idosi yehomoni kwezi pilisi itshintsha amaxesha ama-4 kumjikelo ngamnye.
• Iipilisi zomjikelo eziqhubekayo okanye ezandisiweyo: Ezi zigcina inqanaba lamahomoni phezulu ukuze ube namaxesha ambalwa okanye ungabikho kwaphela.

Unga:

• Thatha ipilisi yakho yokuqala ngosuku lokuqala lwexesha lakho.
• Thatha ipilisi yakho yokuqala ngeCawa emva kokuqala kwexesha lakho. Ukuba wenza oku, kuya kufuneka usebenzise enye indlela yolawulo lokuzalwa (ikhondomu, uvalo, okanye isiponji) kwiintsuku ezisi-7 ezilandelayo. Oku kubizwa ngolawulo lokuzalwa lokugcina.
• Thatha ipilisi yakho yokuqala nangaluphi na usuku kumjikelo wakho, kodwa kuya kufuneka usebenzise enye indlela yolawulo lokuzalwa kwinyanga yokuqala.

Kwiipilisi zomjikelo oqhubekayo okanye owandisiweyo: Thatha ipilisi enye yonke imihla, ngexesha elifanayo yonke imihla.

Thatha ipilisi enye yonke imihla, ngexesha elifanayo lemini. Iipilisi zokulawula inzala zisebenza kuphela ukuba uzisela yonke imihla. Ukuba uphosa usuku, sebenzisa indlela yogcino.

Ukuba uphoswa iipilisi ezi-1 nangaphezulu, sebenzisa indlela yogcino yolawulo lokuzalwa kwaye ubize umnikezeli wakho kwangoko. Into ekufuneka uyenzile ixhomekeke:

• Loluphi uhlobo lwepilisi oluthathayo
• Apho ukhoyo kumjikelo wakho
• Zingaphi iipilisi oziphosileyo

Umboneleli wakho uya kukunceda ubuyele kwishedyuli.

Unokuthatha isigqibo sokuyeka ukuthatha iipilisi zokulawula ukuzalwa kuba ufuna ukukhulelwa okanye utshintshe enye indlela yolawulo lokuzalwa. Nazi izinto onokuzilindela xa uyeka ukuthatha ipilisi:

• Unokukhulelwa kwangoko.
• Unokuba nokubonakala kancinci kwegazi ngaphambi kokuba ufumane ixesha lakho lokuqala.
• Kuya kufuneka ufumane ixesha lakho kwiiveki ezi-4 ukuya kwezi-6 emva kokuba uthathe ipilisi yakho yokugqibela. Ukuba awufumani ixesha lakho kwiiveki ezi-8, tsalela umnikezeli wakho.
• Ixesha lakho linokuba nzima okanye lilula kunesiqhelo.
• I-acne yakho ingabuya.
• Kwinyanga yokuqala, unokuba nentloko okanye uguquko.

Sebenzisa indlela yogcino yolawulo lokuzalwa, enjengekhondom, uvalo, okanye isiponji ukuba:

• Uphoswa ipilisi enye nangaphezulu.
• Awuqali ipilisi yakho yokuqala ngosuku lokuqala lwexesha lakho.
• Uyagula, uphalaze, okanye unezihlalo ezivulekileyo (urhudo). Nokuba uthatha ipilisi yakho, umzimba wakho awunako ukufunxa. Sebenzisa indlela yogcino yolawulo lokuzalwa kuwo wonke loo mjikelo.
• Uthatha elinye iyeza elinokugcina ipilisi ingasebenzi. Xelela umboneleli wakho okanye usokhemesti ukuba uthatha nawaphi na amanye amayeza, anje ngee-antibiotics, amayeza okuhlutha, amayeza okunyanga i-HIV, okanye iSt. Fumanisa ukuba ngaba into oyithathayo iza kuphazamisa indlela esebenza ngayo ipilisi.

Fowunela umnikezeli wakho ukuba unazo naziphi na kwezi mpawu zilandelayo emva kokuqala ukuthatha iipilisi zokulawula ukuzalwa:

• Udumbile emlenzeni
• Unentlungu emlenzeni
• Umlenze wakho uziva ufudumele ngaphandle kwebala okanye utshintshe umbala wesikhumba
• Unomkhuhlane okanye ubanda
• Unomoya omfutshane kwaye kunzima ukuphefumla
• Unentlungu esifubeni
• Ukhohlela igazi
• Unentloko ebuhlungu ngakumbi, ngakumbi i-migraine ene-aura

Ipilisi - indibaniselwano; Izinto zokucwangcisa zomlomo - indibaniselwano; OCP - indibaniselwano; Ukuthintela ukukhulelwa - indibaniselwano; BCP - indibaniselwano

UAllen RH, uKaunitz AM, uHickey M.Ukuthintela inzala. Ku: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, ii-eds. Incwadi ebhaliweyo kaWilliam ye-Endocrinology. Umhla we-13. IPhiladelphia, PA: Elsevier; 2016: isahl 18.

UGlasier A. Ukuthintela inzala. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, ii-eds. Endocrinology: Abantu abadala kunye nabantwana. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 134.

Isley MM, Katz VL. Unonophelo lwasemva kokubeleka kunye nokuqwalaselwa kwezempilo kwexesha elide. Ku: Gabbe SG, Niebyl JR, Simpson JL, et al, ii-eds. I-Obstetrics: Ukukhulelwa okuqhelekileyo kunye neengxaki. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 23.

• Ukulawula inzala