Lo Msesane Omtsha wokuCwangcisa kwilungu lobufazi ungasetyenziswa unyaka wonke

Umxholo

• Ingaba isebenza kanjani?
• Isetyenziswa njani?
• Isebenza kangakanani?
• Kuthekani ngeziphumo ebezingalindelekanga?
• Uphengululo lwe

Ngethuba lokuqala, Ulawulo lwezoKutya kunye noLawulo lweziyobisi (i-FDA) livume iringi yelungu lobufazi enokuthi iphinde inxitywe unyaka wonke.

I-Annovera, njengoko ibizwa njalo, iyimveliso eyenziwe liBhunga laBantu, engenzi nzuzo ekwangubuchwephesha obusemva kwe-IUD yobhedu, izinto zokuthintela ukukhulelwa, kunye nongqameko lwesibeleko lobufazi bokuncancisa abasetyhini, phakathi kwezinye iimveliso. (Idibeneyo: Kutheni le nto wonke umntu ezithiyile iipilisi zolawulo lokuzalwa ngoku?)

Ingaba isebenza kanjani?

Imisebenzi ye-Annovera ngokufanayo nezinye izangqa zokuthintela ukukhulelwa: Ibekwe ngaphakathi kwilungu lobufazi apho ikhupha khona iihormoni ezinje ngeprogesterone enceda ukuthintela ukukhulelwa, Iindaba eziBuzzfeed iingxelo. Yintoni eyenza i-Annovera yahluke, nangona kunjalo, kukuba isebenzisa umxube omtsha wehomoni obizwa ngokuba yi-segesterone acetate enceda ukugcina ukusebenza kweringi ngaphandle kwefriji ukuya kutsho kunyaka.

"Uninzi lweendlela zokuthintela ukukhulelwa-nokuba zithathwe ngomlomo okanye zifakwe-zonke zinemilinganiselo ethile kunye neentlobo ze-estrogen kunye neprogesterone," uJessica Vaught, MD, umlawuli wotyando oluncinci kwiSibhedlele saseWinnie Palmer sabasetyhini kunye nabantwana kunye nebhodi eqinisekisiweyo ye-ob-gyn. uyabalisa Imilo. "Kodwa ngelixa uhlobo lwe-estrogen olusetyenziswa kuthintelo-nzala luhlala lunye (kungenjalo yaziwa ngokuba yi-estradiol), abaphandi bazamile ngeenguqulelo ezahlukeneyo zeprogesterone kulawulo lokuzalwa iminyaka."

UGqirha Vaught uthi i-segesterone acetate sisiseko esitsha seprogesterone. Ngokusebenza, kuyafana nezinye iintlobo zeprogesterone ezisetyenziswa kulawulo lokuzalwa. Kodwa ibonisa iimpawu ezizodwa ezifana nokudlula imfuneko yesikhenkcisi kunye nokukwazi kwayo ukusetyenziswa kwakhona unyaka wonke.

Isetyenziswa njani?

Ukuqinisekisa ukuba usebenzisa i-Annovera ngendlela ecetywe ngayo, iBhunga labemi beli licebisa ukuba ushiye iringi ngaphakathi kwilungu lobufazi lakho iiveki ezintathu uze uyisuse ibe nye. Ngexesha lokuphumla, iringi kufuneka ihlanjwe ngokufanelekileyo kwaye igcinwe ngaphakathi kwetyala elingagcinwa naphi na.

Ukuba uyazibuza ukuba ngaba kucocekile na oko, abafazi bebesebenzisa izinto ezifanayo zokufakelwa ezingasetyenziselwa ukuthintela ukukhulelwa amashumi eminyaka. Ugqirha Vaught uthi: "Kule meko, bahlala benikwa amakhonkco e-pessary afakwe kwi-vagina kwaye ancede ukugcina loo malungu kwindawo. Ezi ntlobo zeemveliso zifana ne-Annovera ngengqiqo yokuba zenziwe ngezinto ezingabangeli izifo ngokulula, kwaye zifana ne-Annovera. banikwe ukuba bazihlambe kwaye bazigcine ngokufanelekileyo."

Ngelixesha leveki yokuphuma, iBhunga laBantu libaxwayisa abasebenzisi ukuba banokufumana ithuba okanye "ukuphuma kwegazi." Kodwa zakuba ziphelile ezo ntsuku zisixhenxe, ungaphinda uphinde ubuyisele umsesane ofanayo, uphinda inkqubo ukuya kutsho kunyaka, ngaphandle kokuya ekhemesti nyanga zonke ukuze ufumane iringi entsha. (FYI, thetha nogqirha wakho ukuba ulahlekelwe lixesha lakho.)

Ngaphezu kweminyaka engama-60, iBhunga labemi belihamba phambili kwiinzame zehlabathi zokuphuhlisa iindlela ezintsha zokucwangcisa usapho ezihlangabezana neemfuno zabasetyhini," utshilo umongameli weBhunga loLuntu uJulia Bunting kwingxelo. "Ukuba nenkqubo eyodwa yothintelo lokukhulelwa ebonelela ngonyaka opheleleyo wokhuselo ngelixa uphantsi kolawulo lwabasetyhini kunokuba ngumdlalo otshintshayo."

Isebenza kangakanani?

Kuyavela, iAnnovera isebenze kancinci kunezinye iindlela zokuthintela ukukhulelwa kwintengiso. Ulingo lwezonyango lubonise ukuba luyi-97.3 yeepesenti esebenzayo ekuthinteleni ukukhulelwa kwabasetyhini abaneminyaka eyi-18 ukuya kwe-40 abasebenzisa iringi kwi-13 ye-menstrual cycles. Oku kuguqulela malunga ne-2 ukuya kwi-4 kwabasetyhini abali-100 abathi UCanzibe bakhulelwe kunyaka wokuqala basebenzisa i-Annovera.

Ukubeka oko ngokwembono, kukho abakhulelweyo abali-18 okanye ngaphezulu ngonyaka kwi-100 labasetyhini abasebenzisa iikhondom okanye indlela yokurhoxa; 6 ukuya kwi-12 kwi-100 ngePilisi, iipatches, okanye i-diaphragms; nangaphantsi kwe-1 kwi-100 ngonyaka ye-IUDs okanye inzalo, ngokweZiko loLawulo lweZifo noKhuseleko (CDC).

Ngaphaya koko, abanye babafazi kwityala baxela ukuba u-Annovera wayelungile, ekulula ukuyisebenzisa, kwaye ekhululekile kubomi bemihla ngemihla-nokuba sex, ngokwe-FDA.

Oko bekutshiwo, i-FDA iyalumkisa ukuba njengazo zonke ezinye iindlela zokuthintela ukukhulelwa, iAnnovera ayikhuseli kwi-HIV okanye nakwezinye izifo okanye izifo ezosulela ngokwabelana ngesondo.

Kukwafanelekile ukuba uqaphele ukuba u-Annovera akazange avavanywe kubasetyhini abane-index mass body (BMI) engaphezu kwama-29 kwaye akufanelekanga ukuba isetyenziswe ukuba unembali yomhlaza wamabele, amathumba ahlukeneyo, okanye ukopha okungaqhelekanga kwesibeleko, phakathi kwezinye izifo. iimeko. Iringi iza kuza nakwibhokisi elumkisa ngokwanda komngcipheko wentliziyo xa usetyenziswa xa utshaya. Akufuneki ukuthetha, ayingomntu wonke. (Idibeneyo: 5 Iindlela zokuLawulwa kokuzalwa zingaphumelela)

Kuthekani ngeziphumo ebezingalindelekanga?

Unokulindela iziphumo ebezingalindelekanga ezifanayo kwezinye iindlela zokulawulwa kokuzalwa kwehomoni. Ingxelo ye-FDA yayiquka iimpawu ezinjengeentloko, isicaphucaphu, usulelo lwegwele, iintlungu zesisu, ukopha ngokungaqhelekanga kunye nokuthamba kwebele. (Okungakumbi: Iziphumo eziPhakathi zoLawulo lokuzalwa)

I-Annovera ayizukubakho emarikeni kude kube ngu-2019 okanye ngo-2020, kwaye nangona ungaxelwa ukuba uya kuxabisa ntoni na umyalelo kagqirha, uya kuthengiswa ngexabiso elithotyiweyo kwiikliniki zocwangciso-ntsapho ezinceda abantu abafumana umvuzo ophantsi. "Izibonelelo zokuba nemveliso enje zifikeleleke kakhulu," utshilo uGqirha Vaught. "Ukuba nohlobo lokuthintela ukukhulelwa olufikelelekayo kwaye alufuni ukutyelela rhoqo kwikhemesti okanye kwiofisi kagqirha kunokuvumela abafazi abaninzi ukuzimela kunye nokulawula imizimba yabo." (Eyeleleneyo: Le Nkampani izama ukwenza ulawulo lokubeleka lufikeleleke ngakumbi kwihlabathi liphela)

Ukuba ucinga ukuba u-Annovera unokuba kukukhulelwa kwakho, khumbula ukubonisana nogqirha wakho kuqala xa sele ufumaneka. Xa ukhetha indlela yolawulo lokuzalwa, kubalulekile ukulinganisa zonke iinketho zakho ngaphambi kokuthatha isigqibo sokuba loluphi uhlobo olusebenzela wena.

Uphengululo lwe