Ukuthatha isigqibo phakathi kwepatch yothintelo kunye nepilisi yolawulo lokuzalwa

Umxholo

• Iipilisi zokulawula inzala
• Ipatch yokuthintela ukukhulelwa
• Zithini iziphumo ebezingalindelekanga?
• Imiba yomngcipheko ekufuneka uyiKhumbule
• Ukuthetha nogqirha wakho
• Imbonakalo

Ukuthatha isigqibo sokuba loluphi na ulawulo lokuzalwa olulungele wena

Ukuba usemarikeni yendlela yolawulo lokuzalwa, usenokuba ujonge ipilisi kunye nesiqwengana. Zombini ezi ndlela zisebenzisa iihomoni ukuthintela ukukhulelwa, kodwa indlela ezihambisa ngayo iihormoni yahlukile. Ufaka isicatshulwa kulusu lwakho kanye ngeveki kwaye ulibale ngayo. Kuya kufuneka ukhumbule ukuthatha iipilisi zokuthintela inzala yonke imihla.

Nokuba ukhetha ipilisi okanye isiziba, uya kukhuselwa ngokulinganayo ekukhulelweni. Ngaphambi kokuba uthathe isigqibo, qaphela ukuba yeyiphi indlela eya kuba lula kuwe. Kwakhona, cinga ngeziphumo ebezingalindelekanga kwifom nganye yolawulo lokuzalwa. Kubalulekile ukuthatha izinto ezithile ekuqwalaseleni xa uthatha isigqibo phakathi kwepilisi yolawulo lokuzalwa kunye nepatch.

Iipilisi zokulawula inzala

Abasetyhini basebenzise ipilisi yolawulo lokuzalwa ukusukela ngeminyaka yoo-1960. Ipilisi isebenzisa iihomoni ukuthintela ukukhulelwa. Ipilisi yokudibanisa iqulethe i-estrogen kunye neprogestin. Iminipill iqulethe iprogestin kuphela.

Iipilisi zolawulo lokuzalwa zithintela ukukhulelwa ngokumisa amaqanda akho ekukhutshweni kweqanda inyanga nenyanga. Iihormone ziyayinyibilikisa i-mucus yomlomo wesibeleko, eyenza kube nzima ukuba isidoda sidade siye kwiqanda. Iihormoni zikwatshintsha umgca wesibeleko, ukuze ukuba iqanda lifumane isichumiso, alinakukwazi ukumilisela esibelekweni.

Ipatch yokuthintela ukukhulelwa

Isiziba siqulathe iihomoni ezifanayo nepilisi, i-estrogen kunye neprogestin. Uncamathela kulusu lwakho kwezi ndawo:

• ingalo ephezulu
• iimpundu
• umva
• amazantsi esisu

Emva kokuba isicatshulwa sisekho, sinika idosi engagungqiyo yehomoni kwigazi lakho.

Isiziba sisebenza kanye njengepilisi. Iihormoni zithintela iqanda ekubeni likhutshwe kwaye zitshintshe zombini umchamo wesibeleko kunye nomtya wesibeleko. Kufuneka uyisebenzise kube kanye ngeveki ngokungafaniyo nepilisi, oyithatha yonke imihla. Emva kweeveki ezintathu, okanye iintsuku ezingama-21 zokusebenzisa, ususa isicatshulwa iveki enye.

Enye ingxaki enokwenzeka kukuba isicatshulwa sinokuwa. Oku kunqabile, kwaye kwenzeka ngeepesenti ezingaphantsi kweepesenti ezimbini. Ngokwesiqhelo, isiziba sihlala sincangathi, nokuba uyajuluka ngelixa uzilolonga okanye uhlamba. Ukuba isiziba sakho siyawa, siphinde sisisebenzise ukuba unakho. Okanye, nxiba entsha ngokukhawuleza xa uqaphela ukuba ihambile. Kuya kufuneka usebenzise ifom yogcino yolawulo lokuzalwa ukuba ngaba isicatshulwa siphume ngaphezulu kweeyure ezingama-24.

Zithini iziphumo ebezingalindelekanga?

Zombini iindlela zolawulo lokuzalwa zikhuselekile, kodwa zithwala umngcipheko omncinci weziphumo ebezingalindelekanga. Nazi ezinye zeempembelelo eziqhelekileyo ezibangelwa yipilisi:

• Ukopha phakathi kwamaxesha, kunokwenzeka nge-minipill
• intloko ebuhlungu
• amabele athambileyo
• isicaphucaphu
• ukugabha
• utshintsho lweemvakalelo
• ukutyeba kwakho

Ezi ziphumo bezingalindelekanga zihlala ziphucuka emva kokuba usepilisi iinyanga ezimbalwa.

Isiziba sinokubangela iziphumo ebezingalindelekanga ezifanayo nezo zepilisi, kubandakanya:

• ukubona phakathi kwamaxesha
• ukuthamba kwebele
• intloko ebuhlungu
• isicaphucaphu
• ukugabha
• ukuhamba kweemvakalelo
• ukutyeba kwakho
• Ukuphulukana nomnqweno wesini

Isiziba sinokucaphukisa isikhumba sakho, sibangele ubomvu kunye nokubamba. Kuba isiziba siqulathe idosi ephezulu yehomoni kunepilisi, iziphumo ebezingalindelekanga zinokuba namandla ngakumbi kunepilisi.

Iziphumo ebezingalindelekanga ezimandundu ezivela kuzo zombini iipilisi kunye nepatch zinqabile, kodwa zinokubandakanya ukubetha kwentliziyo, ukubetha kunye nokugungxwa kwegazi kwezi:

• imilenze
• Intliziyo
• imiphunga
• ingqondo

Imiba yomngcipheko ekufuneka uyiKhumbule

Iipilisi ezithile zolawulo lokuzalwa ziqukethe uhlobo olwahlukileyo lweprogestin ebizwa ngokuba yidrospirenone. Ezi pilisi zibandakanya:

• Ewe
• Yasmin
• Ocella
• Syeda
• UZarah

Olu hlobo lweprogestin lunokwandisa umngcipheko wamahlwili egazi ngaphezu kwesiqhelo. Inokuphakamisa nenqanaba le potassium egazini lakho, elinokuba yingozi entliziyweni yakho.

Ngenxa yokuba isiqwenga sinikezela ngeepesenti ezingama-60 ngaphezulu kwepilisi, yonyusa umngcipheko weziphumo ebezingalindelekanga ezifana nokuqina kwegazi, isifo sentliziyo kunye nokubetha. Ngokubanzi, nangona kunjalo, ithuba lakho lokuba nesinye seziphumo ebezingalindelekanga lisezantsi.

Kuzo zombini iindlela zolawulo lokuzalwa, umngcipheko weziphumo ebezingalindelekanga ezibi uphezulu kubafazi:

• baneminyaka engama-35 okanye ngaphezulu
• uxinzelelo lwegazi oluphezulu, icholesterol ephezulu, okanye isifo seswekile esingalawulwayo
• ndikhe ndanesifo sentliziyo
• umsi
• batyebe kakhulu
• Unembali yamahlwili egazi
• ebhedini ixesha elide ngenxa yokugula okanye uqhaqho
• Unembali yesifuba, isibindi, okanye umhlaza wesibeleko
• fumana migraines nge aura

Ukuba enye okanye ngaphezulu kwezi ziyasebenza kuwe, ugqirha wakho unokucebisa ukuba usebenzise enye indlela yolawulo lokuzalwa.

Kubaluleke kakhulu ukuba ungatshayi ukuba uthatha isiziba okanye ipilisi. Ukutshaya kwandisa umngcipheko wokuba negazi eliyingozi.

Lumka xa uthatha amayeza athile kuba anokwenza ukuba iipilisi zakho zolawulo lokuzalwa okanye zisebenzise ukungasebenzi kakuhle. La mayeza aquka:

• i-rifampin, eyintsholongwane
• i-griseofulvin, eyi-antitifungal
• Amayeza e-HIV
• amayeza okuthomalalisa
• Wort yaseSt

Ukuthetha nogqirha wakho

Ukuba awuqinisekanga ukuba yeyiphi indlela ongathanda ukuyizama, ugqirha wakho unokuba sisixhobo esihle. Kuya kufuneka bakwazi ukuchaza ukhetho lwakho kwaye baphendule nayiphi na imibuzo onokuba unayo.

Kukho izinto ezimbalwa onokufuna ukuzijonga ngaphambi kokukhetha indlela yolawulo lokuzalwa:

• Ngaba uyafuna ukujongana nokugcinwa rhoqo, okanye ngaba unokukhetha into yexesha elide?
• Zeziphi iingozi zempilo ezinxulunyaniswa nale ndlela?
• Ngaba uza kuhlawula epokothweni, okanye ngaba oku kuya kuhlawulwa yi-inshurensi?

Emva kokuba wenze isigqibo sakho, qiniseka ukuba unamathela kule ndlela kwiinyanga ezimbalwa ukuze umzimba wakho uhlengahlengise. Ukuba ufumanisa ukuba le ndlela ayisiyiyo le ubuyilindele, zininzi ezinye iindlela ezikhoyo.

Imbonakalo

Zombini iipaki kunye nepilisi zisebenza ngokulinganayo ekukhuseleni ukukhulelwa. Amathuba akho okuba ukhulelwe axhomekeke kwindlela oyilandela ngokusondeleyo ngayo imikhomba-ndlela. Xa abantu basetyhini bethatha ipilisi okanye befaka isiciko njengoko kuyalelwe, bambalwa kunabasetyhini abali-100 abaza kukhulelwa kuwo nawuphi na unyaka. Xa bengasoloko besebenzisa ezi ndlela zokulawula ukuzalwa njengoko kuyalelwe, abasetyhini abalithoba kwabali-100 bayakhulelwa.

Thetha ngeendlela zakho zokulawula ukuzalwa kunye nogqirha wakho. Funda ngazo zonke izibonelelo kunye neengozi ezinokubakho xa usenza ukhetho lwakho. Khetha ulawulo lokuzalwa oluya kuba lolona lufanelekileyo kuwe kwaye lube neziphumo ebezingalindelekanga ezimbalwa.