Iipilisi zokulawula inzala

Iipilisi zolawulo lokuzalwa (BCPs) zineefom ezenziwe ngabantu zehomoni ezimbini ezibizwa ngokuba yi-estrogen kunye neprogestin. Ezi hormone zenziwa ngokwendalo kwii-ovari zowasetyhini. Ii-BCPs zinokuqulatha zombini ezi hormone, okanye zibe neprogesin kuphela.

Zombini iihomoni zithintela i-ovary yowasetyhini ekukhutshweni kweqanda ngexesha lokuya kwakhe exesheni (ekuthiwa yi-ovulation). Benza oku ngokutshintsha amanqanaba ehomoni yendalo eyenziwa ngumzimba.

Iiprogesini zikwenze ukuba i-mucus ijikeleze umlomo wesibeleko sowasetyhini kwaye ubambe. Oku kunceda ukuthintela isidoda ukuba singene esibelekweni.

I-BCP ikwabizwa ngokuba zizicwangcisi zomlomo okanye nje "ipilisi." Umboneleli wezempilo kufuneka amisele ii-BCP.

• Uhlobo oluqhelekileyo lwe-BCP ludibanisa iihomoni i-estrogen kunye neprogestin. Zininzi iindlela ezahlukeneyo zolu hlobo lwepilisi.
• I "mini-pilisi" luhlobo lwe-BCP oluqukethe iprogestin kuphela, akukho estrogen. Ezi pilisi lukhetho kwabasetyhini abangazithandiyo iziphumo ebezingalindelekanga ze-estrogen okanye abangakwaziyo ukuthatha i-estrogen ngezizathu zonyango.
• Zingasetyenziselwa emva kokubeleka kwabasetyhini abancancisayo.

Bonke abantu basetyhini abathatha i-BCPs bafuna ukuhlolwa okungenani kube kanye ngonyaka. Abasetyhini kufuneka kwakhona ukuba uxinzelelo lwegazi luhlolwe kwiinyanga ezintathu emva kokuba beqale ukuthatha ipilisi.

Ii-BCP zisebenza kakuhle kuphela ukuba owasetyhini uyakhumbula ukuthatha ipilisi yakhe yonke imihla ngaphandle kokuphosa usuku. Kuphela ngabasetyhini aba-2 okanye aba-3 kwabali-100 abathatha ii-BCP ngokuchanekileyo unyaka abaza kumitha.

I-BCP inokubangela iziphumo ebezingalindelekanga ezininzi. Oku kubandakanya:

• Utshintsho kwimijikelo yokuya exesheni, akukho mijikelo yokuya exesheni, ukopha okungaphezulu
• Isihlunu, ukutshintsha kwemizwelo, ukuwohloka kwemigraines (ikakhulu ngenxa ye-estrogens)
• Ukuthamba kwebele kunye nokufumana ubunzima

Iingozi kodwa ezinobungozi ekuthatheni i-BCPs zibandakanya:

• Amahlwili egazi
• Ukuhlaselwa yintliziyo
• Igazi elonyukayo
• Ukubetha

Ii-BCP ngaphandle kwe-estrogen kuncinci kakhulu ukubangela ezi ngxaki. Umngcipheko uphezulu kwabasetyhini abatshayayo okanye abanembali yoxinzelelo lwegazi oluphezulu, ukuphazamiseka kwengqumbo, okanye amanqanaba e-cholesterol angenampilo. Nangona kunjalo, umngcipheko wokukhula kwezi ngxaki ungaphantsi kakhulu nangohlobo lweepilisi kunokukhulelwa.

Ukuhamba rhoqo kwimihla yokuya esikhathini kuya kubuya kwisithuba seenyanga ezi-3 ukuya kwezi-6 emva kokuba owasetyhini eyekile ukusebenzisa iindlela ezininzi zolawulo lokuzalwa.

Ukuthintela ukukhulelwa - iipilisi - iindlela zehomoni; Iindlela zokulawula ukuzalwa kwehormonal; Iipilisi zokulawula inzala; Iipilisi zokuthintela ukukhulelwa; I-BCP; I-OCP; Ucwangciso-ntsapho - BCP; Estrogen - BCP; Iprogestin-BCP

• Izinto zokucwangcisa ezisekwe kwiHormone

UAllen RH, uKaunitz AM, uHickey M, uBrennan A.Ukuthintela inzala. Ku: UMelmed S, uAuchus RJ, uGoldfine AB, uKoenig RJ, uRosen CJ, ii-eds. Incwadi ebhaliweyo kaWilliam ye-Endocrinology. Umhla we-14. IPhiladelphia, PA: Elsevier; 2020: isahl 18.

Ikholeji yaseMelika yezithintelo kunye newebhusayithi yamaGynecologists. I-ACOG yokuziqhelanisa neBhulethinombolo engu-206: Ukusetyenziswa kokuthintela ukukhulelwa kwehomoni kubafazi abanezimo zonyango ezihlala kunye. IGynecol ebambekayo. Ngo-2019; 133 (2): 396-399. IINKCUKACHA: 30681537 pubmed.ncbi.nlm.nih.gov/30681537/.

IHarper DM, iWilfling LE, iBlanner CF. Ukuthintela ukukhulelwa. Ku: Rakel RE, Rakel DP, ii-eds. Incwadi yesikhokelo samayeza osapho. Umhla we-9. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 26.

URivlin K, Westhoff C. Ucwangciso losapho. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 13.

UWinikoff B, uGrossman D. Ukuthintela ukukhulelwa. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 225.