IMinipill kunye nolunye ukhetho lolawulo lokuzalwa ngaphandle kwe-Estrogen

Umxholo

• Yintoni i-minipill?
• Isebenza njani i-minipill?
• Ngubani umgqatswa olungileyo wale minipill?
• Uqala njani ukuthatha iminipill
• Ngaba zikhona iziphumo ebezingalindelekanga kwiminipill?
• Zeziphi izinto ezilungileyo nezingalunganga?
• Ukulungiselela iMinipill
• Umqeshwa weMinipill
• Olunye ukhetho lolawulo lokuzalwa kuphela kweprogesin
• Iprogestin yadubula
• Iprogestin yadubula
• Iprogestin yadubula
• Ukufakwa kweprogesin
• Iprogestin yokufaka izilwanyana
• Iprogestin yokufakwa koncedo
• Iprogestin IUD
• Iprogestin IUD pros
• Iprogestin IUD Cons
• Iinketho zolawulo lokuzalwa olungenaHormone
• Umgca wezantsi

Owu, ngobukhulu obulingana nayo yonke indlela yolawulo lokuzalwa ekulula ukuyisebenzisa kunye nesiphumo secala simahla.Kodwa inzululwazi ayikayigqibeli into enjalo.

Kude kube kunjalo, ukuba ungomnye wabafazi abaninzi abangakwaziyo ukusebenzisa iindlela zolawulo lokuzalwa eziqukethe i-estrogen, unokhetho oluninzi onokukhetha kulo.

Uninzi lweendlela zokulawulwa kokuzalwa ngaphandle kwe-estrogen ziqulathe iprogestin, eluhlobo olwenziwe ngumntu lwehomoni yeprogesterone.

Kule nqaku, siza kujonga ngakumbi:

• iinketho ezikhoyo zeprogestin kuphela
• zisebenza njani
• iinzuzo kunye neengozi zento nganye

Yintoni i-minipill?

I-minipill luhlobo lwesicwangcisi somlomo esineepilisi ezine-progestin kuphela.

Akukho nanye kwiipilisi ezipakishwe ine-estrogen. Umthamo weprogestin uyahluka kwaye uxhomekeke kulwakhiwo olusetyenziswa kwipilisi yolawulo lokuzalwa.

Iphakheji yeminipill ineepilisi ezingama-28, zonke eziqulathe iprogestin yedlala. Ayinazo naziphi na iipilisi ze-placebo.

Ukwandisa ukusebenza kweminipillill, kuya kufuneka uthathe ipilisi ngexesha elifanayo yonke imihla.

Ukuba uphoswa ithamo-nokuba kungangeyure ezi-3-kuyakufuneka usebenzise indlela yogcino yolawulo lokuzalwa ubuncinci iintsuku ezi-2 ukuze ube kwicala elikhuselekileyo.

Kukho ipilisi ye-progestin kuphela evunyiweyo ye-FDA ebizwa ngokuba yi-Slynd. Ingathathwa kwisithuba seeyure ezingama-24 kwaye ingathathelwa ngqalelo njenge "idosi ephosiweyo," ngokungafaniyo nepilisi yeprogesin kuphela.

Ngenxa yokuba le pilisi intsha, kungangokunje kungabikho ulwazi kunye nokufikelela. Ukuze ufunde okungakumbi ngoSlynd, thetha nogqirha wakho.

Isebenza njani i-minipill?

E-United States, i-progestin-only contraceptive yomlomo yaziwa ngokuba yi-norethindrone. Ngokwe-Mayo Clinic, norethindrone isebenza ngu:

• ukuqina kwencindi yomlomo wesibeleko sakho kunye nokunciphisa umgca wesibeleko sakho, okwenza kube nzima ukuba isidoda neqanda lihlangane
• ukuthintela ii-ovari zakho ekukhutshweni kwamaqanda

Kubalulekile ukuba uqonde ukuba iprogestin-minipill kuphela ayinako ukucinezela i-ovulation yakho.

I-American College ye-Obstetricians kunye ne-Gynecologists (ACOG) iqikelela ukuba malunga neepesenti ezingama-40 zabasetyhini baya kugcina i-ovulating ngelixa bethatha i-norethindrone.

Ngubani umgqatswa olungileyo wale minipill?

Ngokwe-ACOG, i-minipill lukhetho olufanelekileyo kubantu basetyhini abangakwaziyo ukuthatha iipilisi zokuthintela ukukhulelwa eziqukethe i-estrogen.

Oku kubandakanya abasetyhini abanembali:

• igazi elonyukayo
• I-vein thrombosis enzulu (DVT)
• isifo sentliziyo

Kodwa i-progestin-contraception kuphela ayiyona nto ikhethekileyo kuwo wonke umntu. Unokufuna ukuyiphepha i-minipill ukuba:

• ube nomhlaza webele
• unelupus
• unengxaki yokukhumbula ukuthatha amayeza ngexesha elifanelekileyo

Olunye unyango oluchasene nokuhlutha luye lwaphule iihomoni emzimbeni wakho, oko kuthetha ukuba ipilisi yeprogestin kuphela ayinakho ukusebenza ukuba uthatha iyeza lokuthimba.

Ukuba uye wenziwa utyando lwe-bariatric, thetha nogqirha wakho malunga nemingcipheko yokuthatha izinto zokucwangcisa ngomlomo.

Utyando lwe-Bariatric lunokuchaphazela indlela ezisebenza ngayo kwinkqubo yakho kwaye zinokubenza bangasebenzi kakuhle.

Uqala njani ukuthatha iminipill

Ngaphambi kokuba uqale i-minipill, thetha nogqirha wakho malunga nosuku oza kuqala ngalo.

Ungaqala ukusebenzisa le pilisi ngalo naluphi na usuku lokuya esikhathini, kodwa kuxhomekeke ekubeni ukuphi kumjikelo wakho, kungafuneka usebenzise indlela yolawulo lokuzalwa lweentsuku ezimbalwa.

Ukuba uqala ukuthatha i-minipill ngeentsuku ezintlanu zokuqala zexesha lakho, kuya kufuneka ukhuselwe ngokupheleleyo, kwaye awuyi kufuna naluphi na uthintelo lokuthintela ukukhulelwa.

Ukuba uqala ngalo naluphi na olunye usuku, kuya kufuneka usebenzise indlela yokhuselo eyongezelelweyo kangangeentsuku ezi-2.

Ukuba ixesha lakho linomjikelo omfutshane, kuya kufuneka usebenzise ulongezo lokuzalwa de ube uhlala kwiminipill ubuncinci iintsuku ezi-2.

Ngaba zikhona iziphumo ebezingalindelekanga kwiminipill?

Zonke izinto zokucwangcisa zomlomo zinokuba neziphumo ebezingalindelekanga ezinokubakho, kwaye ziyahluka ngamandla kubantu ukusuka komnye umntu ukuya komnye.

Iklinikhi yaseCleveland inika ingxelo ngeziphumo ebezingalindelekanga ezivela kwipipinjini kuphela:

• ukudakumba
• ukugqabhuka kolusu
• amabele athambileyo
• utshintsho kubunzima bakho
• utshintsho kwizinwele zomzimba
• isicaphucaphu
• intloko ebuhlungu

Zeziphi izinto ezilungileyo nezingalunganga?

Ukulungiselela iMinipill

• Akudingeki ukuba uphazamise isondo ukuze unakekele ulawulo lokuzalwa.
• Unokuthatha le pilisi ukuba i-estrogen ayikhuthazwanga kuwe ngenxa yoxinzelelo lwegazi oluphezulu, i-vein thrombosis enzulu, okanye isifo sentliziyo.
• Amaxesha akho kunye neekram zinokukhanya.
• Ungasebenzisa le ndlela ukuba uncelisa.

Umqeshwa weMinipill

• Kufuneka uqaphele kwaye uchaneke malunga nokuba uthatha nini ipilisi.
• Unokuba nakho ukubona phakathi kwamaxesha.
• Isondo sakho sokuqhuba sinokuncipha.
• Izinwele zomzimba wakho zinokukhula ngokwahlukileyo.

Olunye ukhetho lolawulo lokuzalwa kuphela kweprogesin

Ukuba ufuna ulawulo lokuzalwa kwehomoni ngaphandle kwe-estrogen, i-minipill lolunye ukhetho. Kukho ezinye iindlela ezininzi zokulawula ukuzalwa kweprogestin kuphela. Ngamnye usebenza ngokwahlukileyo kwaye uneziphumo ebezingalindelekanga kunye neengozi.

Nalu udibaniso olukhawulezayo lwezinto onokukhetha kuzo.

Iprogestin yadubula

Idepo-Provera yinaliti. Isebenza ngendlela efanayo nepilisi yeprogesin kuphela. Iyajija incindi ejikeleze umlomo wakho wesibeleko ukunqanda isidoda ukuba singafiki eqandeni. Ukongeza, iyeka ii-ovari zakho ekukhutshweni kwamaqanda.

Inaliti nganye ihlala iinyanga ezintathu.

Iprogestin yadubula

• Awunakucinga ngokuthatha ipilisi yolawulo lokuzalwa yonke imihla.
• Abantu abaninzi bacinga ukuba inaliti ayonakalisi kangako kunokusebenzisa i-IUD.
• Ukuba ufumana izithonga ngamathuba acetyiswayo, ingaphezulu kweepesenti ezingama-99 esebenzayo ekuthinteleni ukukhulelwa.

Iprogestin yadubula

• I-FDA ilumkisa ukuba ukusebenzisa iDepo-Provera kunokunyusa umngcipheko:
  • umhlaza webele
  • ukukhulelwa kwe-ectopic (ukukhulelwa ngaphandle kwesibeleko sakho)
  • ukutyeba kwakho
  • ukulahleka kwamathambo
  • amahlwili egazi ezingalweni, emilenzeni, nasemiphungeni
  • iingxaki zesibindi
  • migraine intloko ebuhlungu
  • ukudakumba
  • ukuxhuzula

Ukufakwa kweprogesin

E-United States, ukufakelwa kweprogestin kuthengiswa phantsi kwegama Nexplanon. Ukufakelwa kubandakanya intambo eguqukayo, eguqukayo ugqirha wakho ayifaka nje phantsi kwesikhumba kwingalo yakho ephezulu.

Njenge-minipill kunye neprogesin inaliti, ukufakelwa kukhupha izixa ezincinci zeprogestin kwinkqubo yakho.

Oku kubangela:

• umgca wesibeleko sakho ubhityile
• i-mucus yakho yomlomo wesibeleko ukukhulisa
• amaqanda akho ayeke ukukhupha amaqanda

Nje ukuba kubekwe endaweni, ukufakelwa kusebenza ngokukuko. Ngokwe-implants zinezinga lokusilela leepesenti ze-0.01 ukuya kuthi ga kwiminyaka emithathu.

Iprogestin yokufaka izilwanyana

• Akunyanzelekanga ukuba ucinge ngolawulo lokuzalwa yonke imihla.
• Akunyanzelekanga ukuba uphazamise isondo ukuze unakekele ulawulo lokuzalwa.
• Kusebenza kakhulu.
• Ingasetyenziswa kwangoko emva kokubeleka okanye ukukhupha isisu.
• Kukhuselekile ukusebenzisa ngelixa uncancisa.
• Iyahlehla. Ugqirha wakho angayisusa ukuba ufuna ukukhulelwa.

Iprogestin yokufakwa koncedo

• Ugqirha kufuneka afake into ayifakileyo.
• Kungakho iindleko eziphezulu eziphezulu ukuba le ndlela yokuthintela ukukhulelwa ayigutyungelwanga yi-inshurensi.
• Amaxesha akho kunokuba nzima ukuqikelela. Banokuba nzima ngakumbi okanye bakhanyise, okanye banokuphela baphele.
• Unokufumana ukuphuma kwegazi.
• Unokufumana iziphumo ebezingalindelekanga ezinjengeentloko, ukuphuma kwesikhumba, utshintsho lobunzima, okanye amabele ethenda.
• Ukufakelwa kunokufuduka, okanye kunokuba nzima ukususa xa ilixesha lokususa. Ukuba ngaba imeko iyaphakama, ezinye izigulana zinokufuna iimvavanyo zokucinga ngemifanekiso kwaye, kwiimeko ezinqabileyo, utyando ukususa ukufakelwa.

Iprogestin IUD

Olunye ukhetho sisixhobo se-intrauterine (IUD) esifakwa ngugqirha kwisibeleko sakho. Yenziwe ngeplastikhi, esi sixhobo sincinci, esime okwe-t sikhupha inani elincinci leprogestin, kuthintela ukukhulelwa ukuya kuthi ga kwiminyaka emi-5.

Ngokutsho kwe-ACOG, i-IUD ayiphazamisi ukukhulelwa. Iyayithintela.

Iprogestin IUD pros

• Akunyanzelekanga ukuba ucinge ngolawulo lokuzalwa rhoqo.
• Ngaba iipesenti ezingama-99 zisebenza ekukhuseleni ukukhulelwa.
• Amaxesha akho anokukhanya. Iikramps zinokuba ngcono, nazo.
• IUD ibuyiselwa umva kwaye ayizukuchaphazela ukuzala kwakho okanye yenze kube nzima ukukhulelwa kwixa elizayo.

Iprogestin IUD Cons

• Kunokungonwabisi ukuba kufakwe i-IUD.
• Amaxesha akho kunokuba nzima ukuqikelela.
• Unokuba nakho ukubona okanye ukuphuma kwegazi, ngakumbi ekuqaleni.
• IUD yakho inokuphuma.
• Kwiimeko ezinqabileyo, isibeleko sakho sinokugqobhoza xa kufakwa isixhobo.
• Kwiimeko ezinqabileyo, unokufumana ukukhulelwa kwe-ectopic.

Iinketho zolawulo lokuzalwa olungenaHormone

Ukuba ufuna ukusebenzisa iindlela zolawulo lokuzalwa ezingezizo ezesifo, thetha nogqirha wakho okanye umboneleli wezempilo malunga nezi ndlela:

• iikhondom zamadoda okanye zabasetyhini
• iziponji
• iminqwazi wesibeleko
• uvalo
• IUDs zobhedu
• amadlozi

Uninzi lwezi ndlela alusebenzi kangako ekuthinteleni ukukhulelwa kuneendlela ezibandakanya iihomoni.

Ukubulala iyeza, umzekelo, kusilela malunga neepesenti ezingama-28 zexesha, ke kubalulekile ukuqonda ubungozi njengoko ulinganisa ukhetho lwakho.

Ukuba ufuna ifom esisigxina yolawulo lokuzalwa, thetha nogqirha wakho malunga ne-tubal ligation okanye i-vasectomy.

Umgca wezantsi

Iprogestin-minipill kuphela yenye yeendlela zokulawula ukuzalwa ezingenayo i-estrogen.

Le minipill isebenza ngokucinezela i-ovulation kunye nokutshintsha isibeleko sakho kunye nomlomo wesibeleko ukwenza ukuba kungathandeki ukuba idlozi liza kukwazi ukuchumisa iqanda.

Ukuba ufuna ukusebenzisa ulawulo lokuzalwa kwehomoni ngaphandle kwe-estrogen, unokuzama kwakhona iiprogesin kuphela, ukufakelwa, okanye ii-IUD.

Ukuba ufuna ukusebenzisa indlela yolawulo lokuzalwa engenasiseko sehomoni, unokujonga ukhetho olunje ngeekhondom, idyaphragm, iminqwazi yomlomo wesibeleko, i-IUD yobhedu, iziponji, i-tubal ligation, okanye i-vasectomy.

Kuba zonke iindlela zolawulo lokuzalwa zineziphumo ebezingalindelekanga, thetha nogqirha wakho malunga nohlobo lokuthintela ukukhulelwa olusebenza kakuhle kuwe.

Qiniseka ukuba uxelela ugqirha wakho malunga nayo nayiphi na imeko yezempilo onayo, kunye nazo naziphi na izongezo kunye namayeza owathathayo, njengoko anokunciphisa ukusebenza kokuthintela inzalo.