Iipilisi zolawulo lokuzalwa: Ngaba zikulungele?

Umxholo

• Zeziphi iintlobo zeepilisi zokulawula inzala?
• Iipilisi zokudibanisa
• Iipilisi zeprogesin kuphela
• Ukuthatha isigqibo ngohlobo lwepilisi yolawulo lokuzalwa
• Zisebenza njani iipilisi zokulawula inzala?
• Ndizisebenzisa njani iipilisi zokulawula inzala?
• Zisebenza kangakanani iipilisi zokulawula inzala?
• Zithini izibonelelo zeepilisi zokulawula inzala?
• Zeziphi iingxaki zokulawulwa kweepilisi?
• Iziphumo kunye neengozi
• Iingozi
• Thetha nogqirha wakho
• Imibuzo neempendulo
• Q:
• A:

Intshayelelo

Uhlobo lolawulo lokuzalwa olisebenzisayo sisigqibo sakho, kwaye zininzi iindlela onokukhetha kuzo. Ukuba ungumfazi obelana ngesondo, unokucinga ngeepilisi zokulawula ukuzalwa.

Iipilisi zolawulo lokuzalwa, ezibizwa ngokuba zizicwangcisi zomlomo, ngamayeza owathatha ngomlomo ukunqanda ukukhulelwa. Ziyindlela esebenzayo yolawulo lokuzalwa. Fumanisa ukuba basebenza njani kwaye zeziphi na iziphumo ebezingalindelekanga ezinokubangela, kunye nezinye izinto ezinokukunceda uthathe isigqibo sokuba ngaba iipilisi zokulawula inzala zilungile kuwe.

Zeziphi iintlobo zeepilisi zokulawula inzala?

Iipilisi zokudibanisa

Iipilisi zokudibanisa zineendlela zokwenziwa (ezenziwe ngabantu) zehomoni ye-estrogen kunye neprogestin. Uninzi lweepilisi kumjikelo ngamnye ziyasebenza, oko kuthetha ukuba ziqukethe iihomoni. Iipilisi ezisele azisebenzi, oko kuthetha ukuba azinazo iihomoni. Kukho iintlobo ezininzi zeepilisi zokudibanisa:

• Iipilisi zeMonophasic: Ezi zisetyenziswa kwimijikelo yenyanga enye kwaye ipilisi nganye esebenzayo ikunika idosi efanayo yehomoni. Ngexesha leveki yokugqibela yomjikelo, uthatha iipilisi ezingasebenziyo kunye nexesha lakho.
• Iipilisi zeMultiphasic: Ezi zisetyenziswa kwimijikelo yenyanga enye kwaye zibonelela ngamanqanaba ahlukeneyo ehomoni ngexesha lomjikelo. Ngexesha leveki yokugqibela yomjikelo, uthatha iipilisi ezingasebenziyo kunye nexesha lakho.
• Iipilisi zomjikelo owandisiweyo: Ezi zihlala zisetyenziswa kwimijikelo yeeveki ezili-13. Uthatha iipilisi ezisebenzayo iiveki ezili-12, kwaye ngeveki yokugqibela yomjikelo, uthatha iipilisi ezingasebenziyo kunye nexesha lakho. Ngenxa yoko, unethuba lakho amaxesha amathathu okanye amane kuphela ngonyaka.

Imizekelo yeepilisi zokudibanisa igama lophawu ziquka:

• Iazurette
• Beyaz
• Yongeza
• Estrostep Fe
• IKariva
• ULevora
• Loestrin
• Natazia
• Ocella
• I-Ogestrel esezantsi
• IOrtho-Novum
• I-Ortho Tri-Cyclen
• Ulwandle
• Ulwandle
• Velivet
• Yasmin
• Ewe

Iipilisi zeprogesin kuphela

Iipilisi zeprogesin kuphela ziqulethe iprogestin ngaphandle kwe-estrogen. Olu hlobo lwepilisi lukwabizwa ngokuba yiminipill. Iipilisi zeprogesin kuphela zinokuba lukhetho olufanelekileyo kubafazi abangakwaziyo ukuthatha i-estrogen yezempilo okanye ezinye izizathu. Ngezi pilisi zineprogestin kuphela, zonke iipilisi zomjikelo ziyasebenza. Azikho iipilisi ezingasebenziyo, ke unakho okanye ungabinalo ixesha lokuthatha iipilisi zeprogestin kuphela.

Imizekelo yeepilisi zeprogestin kuphela zibandakanya:

• UCamila
• U-Errin
• UHeather
• Jencycla
• Okanye-QD
• IOrtho Micronor

Ukuthatha isigqibo ngohlobo lwepilisi yolawulo lokuzalwa

Ayizizo zonke iintlobo zepilisi ezifanelekileyo kumfazi ngamnye. Thetha nogqirha wakho malunga nokuba yeyiphi indlela yeepilisi enokukusebenzela. Izinto ezinokuchaphazela ukhetho lwakho zibandakanya:

• iimpawu zakho zokuya exesheni
• ingaba uyancancisa
• impilo yakho yentliziyo
• ezinye iimeko zempilo ezingapheliyo onokuba nazo
• amanye amayeza onokuwathatha

Zisebenza njani iipilisi zokulawula inzala?

Iipilisi zokudibanisa zisebenza ngeendlela ezimbini. Okokuqala, bathintela umzimba wakho ekubeni ungatshi. Oku kuthetha ukuba ii-ovari zakho azizukukhupha iqanda inyanga nenyanga. Okwesibini, ezi pilisi zibangela ukuba umzimba wakho uwutshise umqala wakho wesibeleko. Le ncindi inamanzi ajikeleze umlomo wakho wesibeleko onceda isidoda ukuba siye esibelekweni sakho ukuze sichume iqanda. I-mucus eqinisiweyo inceda ukuthintela isidoda ukuba singafikeleli esibelekweni.

Iipilisi zeprogesin kuphela zisebenza ngeendlela ezahlukeneyo. Ngokuyintloko, basebenza ngokujija incindi yakho yomlomo wesibeleko kunye nokucoca i-endometrium yakho. I-endometrium yakho ngumtya wesibeleko sakho apho ukufakelwa kweqanda emva kokuchumisa. Ukuba olu lindi lucekeceke, kunzima ukuba iqanda lifakwe kulo, nto leyo eya kuthintela ukukhulelwa ekukhuleni. Ukongeza, iipilisi zeprogesin kuphela ezinokuthintela i-ovulation.

Ndizisebenzisa njani iipilisi zokulawula inzala?

Iipilisi zokudibanisa ziza kwiifom ezahlukeneyo. Oku kubandakanya iipakethe zenyanga, ezilandela iintsuku ezingama-21, iintsuku ezingama-24, okanye iintsuku ezingama-28. Iirejimeni ezandisiweyo zinokulandela umjikelo weentsuku ezingama-91. Kuzo zonke ezi fomathi, uthatha ipilisi enye ngosuku ngalunye ngexesha elinye losuku.

Iipilisi zeprogestin kuphela, kwelinye icala, zingena kuphela ngama-28. Njengakwiipilisi ezidityanisiweyo, uthatha ipilisi enye ngexesha elinye yonke imihla.

Zisebenza kangakanani iipilisi zokulawula inzala?

Ukuba zithathwe ngokuchanekileyo, iipilisi zolawulo lokuzalwa ziluncedo kakhulu ekuthinteleni ukukhulelwa. Ngokwe-CDC, zombini ipilisi yokudibanisa kunye nepilisi yeprogesin kuphela inamazinga okusilela ekusebenziseni okuqhelekileyo. Oko kuthetha ukuba kwabasetyhini abali-100 abasebenzisa ipilisi, abasi-9 bangakhulelwa.

Ukuze zisebenze ngokupheleleyo, iipilisi zeprogestin kufuneka zenziwe kwisithuba seeyure ezintathu ezifanayo yonke imihla.

Kukho ukuguquguquka okungakumbi kunye neepilisi zokudibanisa. Ngokubanzi, kuya kufuneka uzame ukuthatha iipilisi zokudibanisa ngaxeshanye suku ngalunye, kodwa ungazithatha ngaphakathi kwefestile yeeyure ezili-12 zemihla ngemihla kwaye ukhuselekile ekukhulelweni.

Amanye amayeza angenza ukuba naluphi na uhlobo lwepilisi lusebenze kancinci. Oku kubandakanya:

• i-rifampin (i-antibiotic)
• amayeza athile e-HIV afana ne-lopinavir kunye ne-saquinavir
• amayeza athile okulwa i-carbamazepine kunye ne-topiramate
• Wort yaseSt

Ipilisi nayo isenokungasebenzi kakuhle xa unorhudo okanye ukugabha. Ukuba unesifo esiswini, jonga ugqirha wakho ukuze ubone ukuba usemngciphekweni wokukhulelwa. Sebenzisa indlela yogcino yokucwangcisa de ube uyazi ukuba kukhuselekile ukuba ungenzi njalo.

Zithini izibonelelo zeepilisi zokulawula inzala?

Iipilisi zokulawula inzala zinezibonelelo ezininzi:

• Ziyakukhusela 24/7. Awunakukhathazeka malunga nolawulo lokuzalwa ngexesha lokusondelana.
• Ziyasebenza. Ziyakhusela ekukhulelweni ngcono kunolunye uninzi lolawulo lokuzalwa.
• Banceda ukulawula umjikelo wakho wokuya esikhathini. Oku kunokuba luncedo kubafazi abanamaxesha angaqhelekanga okanye anzima.
• Ziye zibuyekezwe ngokupheleleyo. Oku kuthetha ukuba xa uyeka ukubathatha umjikelo wakho uza kubuyela esiqhelweni kwaye unokukhulelwa kamva.

Kukho izibonelelo ngokuxhomekeka kuhlobo lwepilisi. Ukudibanisa iipilisi kunokubonelela ngokukhusela ngokuchasene:

• induna
• ukukhulelwa kwe-ectopic
• amathambo anciphayo
• ukukhula okungekho komhlaza webele
• umhlaza we-endometrium kunye ne-ovari
• ianemia
• amaxesha anzima
• isisu esibuhlungu kakhulu sokuya exesheni

Iipilisi zeprogesin kuphela zinezinye izibonelelo ngokunjalo, njengokukhuseleka kwabasetyhini aba:

• ayikwazi ukunyamezela unyango lwe-estrogen
• bayatshaya
• badala kwiminyaka engama-35
• Unembali yamahlwili egazi
• ndifuna ukuncancisa

Zeziphi iingxaki zokulawulwa kweepilisi?

Iipilisi zolawulo lokuzalwa azikhuseli kwizifo ezidluliselwa ngeentlobano zesini. Ukuqinisekisa ukuba ukhuselekile kwezi zifo, kufuneka usebenzise iikhondom ukongeza kwipilisi yakho yemihla ngemihla.

Kwakhona, kufuneka ukhumbule ukuthatha ipilisi yakho yonke imihla. Kwaye kufuneka uqiniseke ukuba uhlala unepakethi entsha ekulungele ukuhamba xa ugqiba ipakethi. Ukuba ulahlekelwa yipilisi okanye ukulibaziseka ukuqala ipakethe entsha emva kokugqiba umjikelo, umngcipheko wokukhulelwa ukwanda.

Iziphumo kunye neengozi

Ngelixa iipilisi zolawulo lokuzalwa zikhuselekile kuninzi lwabasetyhini, ziza neziphumo ebezingalindelekanga kunye neengozi. Wonke umntu wasetyhini uphendula ngokwahlukileyo kwiihomoni kwiipilisi zolawulo lokuzalwa. Abanye abantu basetyhini baneziphumo ebezingalindelekanga, ezinje:

• ukwehla kwesondo
• isicaphucaphu
• ukopha phakathi kwexesha
• ukuthamba kwebele

Ukuba uneziphumo ebezingalindelekanga, baya kuphucula emva kweenyanga ezimbalwa zokusebenzisa ipilisi. Ukuba abaphucuki, thetha nogqirha wakho. Basenokucebisa ukuba utshintshele kuhlobo oluthile lweepilisi zolawulo lokuzalwa.

Iingozi

Umngcipheko omkhulu wokusebenzisa iipilisi zokulawula ukuzalwa, ngakumbi iipilisi zokudibanisa, ngumngcipheko okhulayo wamagazi. Oku kungakhokelela ku:

• i-vein thrombosis enzulu
• ukuhlaselwa yintliziyo
• ukubetha
• Ukunyanzelwa kwemiphunga

Ngokubanzi, umngcipheko we-clot yegazi ekusebenziseni nayiphi na uhlobo lwepilisi yolawulo lokuzalwa iphantsi. Ngokwe-American Congress ye-Obstetricians kunye ne-Gynecologists, kwabasetyhini abayi-10 000, abangaphantsi kwe-10 baya kuba negazi emva kokuthatha ipilisi yokudibanisa unyaka. Lo mngcipheko usezantsi kunengozi yokuphuhliswa kwegazi ngexesha lokukhulelwa nangoko emva kokubeleka.

Nangona kunjalo, umngcipheko we-clot yegazi ukusuka kwipilisi iphezulu kubafazi abathile. Oku kubandakanya abasetyhini:

• batyebe kakhulu
• ukuba noxinzelelo lwegazi
• baphumla ebhedini ixesha elide

Ukuba naziphi na kwezi zinto zisebenza kuwe, thetha nogqirha wakho malunga nomngcipheko wokusebenzisa ipilisi yolawulo lokuzalwa.

Thetha nogqirha wakho

Zininzi iindlela zokulawula ukuzalwa ezikhoyo namhlanje, kwaye ipilisi yolawulo lokuzalwa yeyona nto ibalaseleyo. Kodwa ukhetho olukhethileyo lokuzalwa kwakho luxhomekeke kwizinto ezininzi. Ukufumana ukhetho olusebenzela wena, thetha nogqirha wakho. Qiniseka ukuba ubuza nayiphi na imibuzo onayo. Oku kunokubandakanya:

• Loluphi uhlobo lwepilisi yolawulo lokuzalwa enokuba ngcono kum?
• Ngaba ndithatha nawaphi na amayeza anokubangela iingxaki nge pilisi yolawulo lokuzalwa?
• Ngaba ndisemngciphekweni omkhulu wokuba namahlwili egazi asuka kwipilisi?
• Ndingenza ntoni xa ndilibale ukuthatha ipilisi?
• Zeziphi ezinye iindlela zolawulo lokuzalwa ekufuneka ndizithathele ingqalelo?

Imibuzo neempendulo

Q:

Zeziphi ezinye iindlela zolawulo lokuzalwa ezikhoyo?

A:

Iipilisi zolawulo lokuzalwa yenye yeendlela ezininzi zokuthintela ukukhulelwa. Olunye ukhetho luqala kwiindlela zexesha elide ezinje nge-intrauterine device (IUD) ukuya kukhetho lwexesha elifutshane njengesiponji sokucwangcisa. Ukufumana malunga neendlela ezininzi kunye nokusebenza kwazo, indleko, kunye neenzuzo kunye neengxaki, funda malunga nendlela yolawulo lokuzalwa ekulungeleyo.