Iipilisi zolawulo lokuzalwa- iprogestin kuphela

Izinto zokucwangcisa ngomlomo zisebenzisa iihomoni ukuthintela ukukhulelwa. Iipilisi zeprogesin kuphela zinehomoni yeprogestin kuphela. Abanazo i-estrogen kuzo.

Iipilisi zokulawula inzala zikunceda ukuba ungakhulelwa. Iipilisi ezine-progestin kuphela ziza kwiipakethi zeentsuku ezingama-28. Zonke iipilisi ziyasebenza. Nganye ine-progestin kuphela, kwaye akukho estrogen. Ezi ntlobo zeepilisi zolawulo lokuzalwa zihlala zisetyenziselwa abantu basetyhini abanezizathu zonyango ezibathintelayo ekuthatheni ipilisi yokuthintela ukukhulelwa yomlomo (iipilisi ezine-progestin ne-estrogen). Ezinye zezizathu zokuthatha iipilisi zolawulo lokuzalwa kuphela kweprogestin zibandakanya:

• Imbali yentloko ye-migraine
• Okwangoku ukuncancisa
• Imbali yamahlwili egazi

Iipilisi zeprogesin kuphela zisebenza kakuhle ukuba zithathwe ngokuchanekileyo.

Iipilisi zeprogesin kuphela ezisebenza ngokwenza ukuba i-mucus yakho inyinyithele kakhulu ukuba isidoda sihambe.

Ungaqala ukuthatha ezi pilisi ngalo naliphi na ixesha kumjikelo wokuya esikhathini.

Ukukhuselwa kokukhulelwa kuqala emva kweentsuku ezimbini. Ukuba ulala ngesondo kwiiyure ezingama-48 zokuqala emva kwepilisi yakho yokuqala, sebenzisa enye indlela yolawulo lokuzalwa (ikhondomu, uvalo, okanye isiponji). Oku kubizwa ngolawulo lokuzalwa lokugcina.

Kuya kufuneka uthathe ipilisi ye-progestin kuphela ngexesha elinye yonke imihla.

Ungaze uphuthe usuku lokuthatha iipilisi.

Xa uneepakethe ezi-2 zeepilisi ezishiyekileyo, tsalela umniki-nkonzo wakho wezempilo ixesha lokuzaliswa. Ngosuku olulandelayo emva kokugqiba ipakethe yeepilisi kufuneka uqale ipakethe entsha.

Ngezi pilisi unga:

• Ungafumani xesha
• Ukopha kancinci kwaye ucime kwinyanga leyo
• Fumana ixesha lakho kwiveki yesine

Ukuba awuyithathi ipilisi yeprogestin ngexesha, i-mucus yakho iya kuqala ukuncipha kwaye unokukhulelwa.

Xa uqaphela ukuba uyiphosile ipilisi yakho, yithathe ngokukhawuleza okukhulu. Ukuba ziiyure ezi-3 okanye ngaphezulu ukusukela oko bekufanelekile, sebenzisa indlela yolawulo lokuzalwa ngokulungiselela iiyure ezingama-48 ezilandelayo emva kokuthatha ipilisi yokugqibela. Emva koko thatha ipilisi yakho elandelayo ngexesha eliqhelekileyo. Ukuba uye wabelana ngesondo kwiintsuku ezi-3 ukuya kwezi-5 zokugqibela, cinga ngokubuza umboneleli wakho ngothintelo lokuthintela ukukhawulezisa. Ukuba unayo nayiphi na imibuzo okanye inkxalabo, tsalela umnikezeli wakho.

Ukuba uyagabha emva kokuba uthathe ipilisi, thatha enye ipilisi ngokukhawuleza okukhulu, kwaye usebenzise indlela yogcino lwenzala kwiiyure ezingama-48 ezizayo.

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

• 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.
• Unokuba nokubonakala kancinci kwegazi ngaphambi kokuba ufumane ixesha lakho lokuqala.
• Unokukhulelwa kwangoko.

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

• Uthatha ipilisi iiyure ezingama-3 okanye nangaphezulu emva kokuba kufanelekile.
• Uphoswa ipilisi enye nangaphezulu.
• Uyagula, uphalaze, okanye unezihlalo ezivulekileyo (urhudo). Nokuba uthatha ipilisi yakho, umzimba wakho awunako ukufunxa. Sebenzisa indlela yogcino yolawulo lokuzalwa, kwaye ubize umnikezeli wakho.
• Uthatha elinye iyeza elinokuthintela ipilisi ekusebenzeni. 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:

• Udumbile emlenzeni.
• Unentlungu emlenzeni.
• Umlenze wakho uziva ufudumele ngaphandle kwebala okanye utshintshe umbala wolusu.
• Unomkhuhlane okanye ubanda.
• Unomoya omfutshane kwaye kunzima ukuphefumla.
• Unentlungu esifubeni.
• Ukhohlela igazi.

Ipilisi encinci; Ipilisi - iprogestin; Izinto zokucwangcisa ngomlomo - iprogestin; I-OCP - iprogestin; Ukuthintela ukukhulelwa - iprogestin; BCP - iprogestin

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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