Ulawulo lokuzalwa-iindlela zokukhululwa kancinci

Ezinye iindlela zolawulo lokuzalwa ziqulathe iintlobo ezenziwe ngabantu zehomoni. Ezi hormone zihlala zenziwa kwii-ovari zowasetyhini. Ezi hormone zibizwa ngokuba yi-estrogen kunye neprogestin.

Zombini ezi hormone zikhusela amaqanda esifazane ekukhululeni iqanda. Ukukhutshwa kweqanda ngexesha lokuya exesheni kuthiwa yi-ovulation. Benza oku ngokutshintsha amanqanaba ehomoni yendalo eyenziwa ngumzimba.

Iprogestin ikwanceda ukuthintela isidoda ukuba singene esibelekweni ngokwenza i-mucous ejikeleze umlomo wesibeleko sowasetyhini kwaye uqineke.

Iipilisi zolawulo lokuzalwa yenye yeendlela zokufumana ezi hormone. Zisebenza kuphela ukuba zithathwa yonke imihla, ngokukhethekileyo malunga nexesha elifanayo.

Kukho ezinye iindlela zokuthintela ukukhulelwa. Iihormoni ezifanayo zinokusetyenziswa kodwa zikhutshwa kancinci emva kwexesha.

IZICWANGCISO ZENKQUBO

Ukufakwa kweprogestin yintonga encinci efakwe phantsi kolusu, ihlala iphakathi engalweni. Intonga ikhupha intwana yeprogestin yonke imihla kwigazi.

Ithatha malunga nomzuzu ukufaka intonga. Inkqubo yenziwa kusetyenziswa i-anesthetic yendawo kwiofisi kagqirha. Intonga ingahlala endaweni iminyaka emi-3. Nangona kunjalo, inokususwa nangaliphi na ixesha. Ukususwa kuhlala kuthatha imizuzu embalwa.

Emva kokuba kufakelwe ukufakelwa:

• Unokuba nokugruzuka ujikeleze indawo kangange veki okanye nangaphezulu.
• Kuya kufuneka ukhuselwe ekukhulelweni kwiveki e-1.
• Ungazisebenzisa ezi zinto zifakelwayo ngelixa uncancisa.

Iiprogestin implants zisebenza ngcono kuneepilisi zokuthintela ukukhulelwa. Bambalwa kakhulu abasetyhini abasebenzisa oku kufakelwa kunokwenzeka ukuba bakhulelwe.

Ukuhamba kwakho kwimihla ngemihla kufuneka kubuyele kwiiveki ezi-3 ukuya kwezi-4 emva kokuba ezi zinto zifakelwe.

UKUFAKWA KWENKQUBO YENKQUBO

Inaliti okanye iifoto eziqulethe iprogestin yehomoni ziyasebenza ukukhusela ukukhulelwa. Udubulo olunye lusebenza ukuya kwiintsuku ezingama-90. Ezi zitofu zinikwa izihlunu zengalo ephezulu okanye iimpundu.

Iziphumo ezinokubakho zibandakanya:

• Utshintsho kwimijikelezo yokuya esikhathini okanye ukopha okungaphezulu okanye ukubonwa. Malunga nesiqingatha sabasetyhini abasebenzisa ezi zinaliti abanakho ukuya exesheni.
• Ukuthamba kwebele, ukuzuza ubunzima, intloko ebuhlungu, okanye uxinzelelo.

Inaliti yeprogestin isebenza ngcono kuneepilisi zokuthintela ukukhulelwa. Bambalwa kakhulu abasetyhini abasebenzisa inaliti yeprogestin kunokwenzeka ukuba bakhulelwe.

Ngamanye amaxesha iimpembelelo zezi shoti zehomoni zihlala ixesha elide kuneentsuku ezingama-90. Ukuba ucwangcisa ukukhulelwa kungekudala, unokufuna ukuqaphela indlela eyahlukileyo yolawulo lokuzalwa.

UPHAWU LOLusu

Isiziba sesikhumba sibekwe egxalabeni lakho, ezinqeni, okanye kwenye indawo yomzimba wakho. Isiziba esitsha sifakwa kube kanye ngeveki kangangeeveki ezi-3. Emva koko uya kwiveki e-1 ngaphandle kwesiqwengana.

Amanqanaba e-Estrogen aphezulu kunye nepatch kunokuba neepilisi zokulawula ukuzalwa okanye iringi yelungu lobufazi. Ngenxa yoku, kunokubakho umngcipheko owandayo wamahlwili egazi emilenzeni okanye emiphungeni ngale ndlela. I-FDA ikhuphe isilumkiso malunga nepatch kunye nomngcipheko ophezulu wegazi elihamba lisiya emphungeni.

Isiziba sikhupha kancinci i-estrogen kunye neprogestin egazini lakho. Umboneleli wakho wezempilo uya kukuyalela le ndlela.

Isiziba sisebenza ngcono kuneepilisi zokulawula ukuzalwa ukunqanda ukukhulelwa. Bambalwa kakhulu abasetyhini abasebenzisa i-patch abanokuthi bakhulelwe.

Isikhumba sine-estrogen. Kunye nomngcipheko ophezulu wamahlwili egazi, kukho umngcipheko onqabileyo woxinzelelo lwegazi, isifo sentliziyo kunye nokubetha. Ukutshaya kwandisa le mngcipheko ngakumbi.

Iringi yobufazi

Iringi yelungu lobufazi sisixhobo esiguquguqukayo. Le ringi imalunga neesentimitha ezi-5 ububanzi kwaye ibekwe kwilungu lobufazi. Ikhupha iihormone progestin kunye ne-estrogen.

• Umboneleli wakho uya kukuyalela le ndlela, kodwa uya kufaka isangqa ngokwakho.
• Izakuhlala kwilungu lobufazi iiveki ezintathu. Ekupheleni kweveki yesithathu, uya kuyikhupha iringi iveki enye. SUKUYISUSE iringi kude kube sekupheleni kweeveki ezintathu.

Iziphumo ebezingalindelekanga zeringi zingaquka:

• I-nausea kunye ne-breast tenderness, engaphantsi kakhulu kuneepilisi zokulawula ukuzalwa okanye iipatches.
• Ukukhutshwa kwelungu lobufazi okanye lobufazi.
• Ukuphuma kwegazi kunye nokubona (kunokwenzeka kaninzi kunepilisi yolawulo lokuzalwa).

Iringi yelungu lobufazi iqulethe estrogen. Ngenxa yoko, kukho umngcipheko onqabileyo woxinzelelo lwegazi oluphezulu, amahlwili egazi, isifo sentliziyo kunye nokubetha. Ukutshaya kwandisa le mngcipheko ngakumbi.

Iringi yelungu lobufazi ikhupha kancinci i-estrogen kunye neprogestin egazini lakho.

Iringi yelungu lobufazi isebenza ngcono kuneepilisi zokuthintela ukukhulelwa. Bambalwa kakhulu abasetyhini abasebenzisa iringi yelungu lobufazi kunokwenzeka ukuba bakhulelwe.

IUDI EZIKHUMBULA IHORMONE

Isixhobo sangaphakathi se-intrauterine (IUD) sisixhobo esincinci esenziwe nge-T esisetyenziselwa ulawulo lokuzalwa. Ifakwa kwisibeleko. Ii-IUD zithintela amadlozi ekubeni achumise iqanda.

Uhlobo olutsha lwe-IUD olubizwa ngokuba yi-Mirena lukhupha idosi ephantsi yehomoni esibelekweni suku ngalunye kangangesithuba seminyaka emi-3 ukuya kwemi-5. Oku kwandisa ukusebenza kwesixhobo njengendlela yolawulo lokuzalwa. Kwakhona inezibonelelo ezongeziweyo zokunciphisa okanye zokumisa ukuhamba kwenyanga. Inokukunceda ukukhusela kumhlaza (umhlaza we-endometrium) kwabasetyhini abasemngciphekweni wokukhula kwesi sifo.

Unokukhetha ukuba loluphi uhlobo lwe-IUD ekufuneka ubenalo. Thetha nomboneleli wakho malunga nokuba loluphi uhlobo olulungele wena.

Ukuthintela ukukhulelwa-iindlela ezikhutshwa kancinci-zehomoni; Ukufakelwa kweprogestin; Inaliti yeprogestin; Isikhumba patch; Isangqa sangasese

• Iindlela zokulawula inzala

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

Ikholeji yaseMelika yezithintelo kunye newebhusayithi yamaGynecologists.Ukudityaniswa kolawulo lokuzalwa kwehomoni: ipilisi, isiziba, kunye nomsesane, i-FAQ 185. www.acog.org/womens-health/faqs/combined-hormonal-birth-control-pill-patch-ring. Ukuhlaziywa ngo-Matshi 2018. Ifikeleleke ngoJuni 22, 2020.

Ikholeji yaseMelika yezithintelo kunye newebhusayithi yamaGynecologists. Ukuthintela inzala okubuyela umva (LARC): IUD kunye nokufaka, i-FAQ184. www.acog.org/womens-health/faqs/long-acting- reversible-contraception-iud-and-implant. Ukuhlaziywa ngoMeyi 2020. Kufikeleleke ngoJuni 22, 2020.

UCurtis KM, uJatlaoui TC, uTepper NK, et al. Izindululo ezikhethiweyo zase-US zokusebenzisa izinto zokuthintela ukukhulelwa, ngo-2016. Ingcebiso kaMMWR. Ngo-2016; 65 (4): 1-66. IINKCUKACHA: 27467319 pubmed.ncbi.nlm.nih.gov/27467319/.