Yintoni iNyango ngoLawulo lokubeleka kunye namahlwili egazi?

Umxholo

• Uphengululo lwe

Inyaniso yokuba iipilisi zokulawula ukuzalwa zinokunyusa umngcipheko wakho wokuphuhlisa amahlule egazi akuzona iindaba. Olu nxibelelwano phakathi kwamanqanaba aphezulu e-estrogen kunye ne-DVT, okanye i-vein thrombosis enzulu-leyo kukujija kwegazi kwimithambo emikhulu-kuye kwaxelwa ukusukela kwi-90s. Ngokuqinisekileyo umngcipheko wakho uphuculwe ukusukela ngoko, akunjalo?

Okothusayo kukuba, akunjalo ncam. "Akuzange kube ngcono kakhulu kwaye enye yeengxaki," kusho uThomas Maldonado, MD, ugqirha we-vascular kunye noprofesa odibeneyo kwiSebe lezoTyando kwi-NYU Langone Medical Centre.

Ngapha koko, olunye uphononongo lufumanise ukuba iindlela ezintsha zokulawula iipilisi (eziqukethe iihomoni zeprogestogen, ezinjenge-drospirenone, i-desogestrel, i-gestodene, kunye ne-cyproterone) ngokwenene zibeka umngcipheko ngaphezulu kweenguqulelo ezindala zepilisi. (Oku kwaxelwa kwakhona ngo-2012.)

Ngelixa amahlwili egazi ehlala eyinto enqabileyo (kwaye abantu abadala bahlala benomngcipheko ophezulu), yingxaki eqhubeka nokubulala abasetyhini abasempilweni minyaka le. (Enyanisweni, yiloo nto kanye eyenzekayo kulo mfana uneminyaka engama-36 ubudala: "Ipilisi yam yokulawula ukuzalwa iphantse yandibulala.")

"Ukuqaqanjiswa kwabantu kusafuneka kuphakanyisiwe, kuba iziteki ziphezulu, kwaye kunokwenziwa into ngalo nto," utshilo uMaldonado. Ke, njengoko inyanga yoKwazisa ngeGqeba leGazi iqukunjelwa, masicalule into oyithethayongokupheleleyo Kuya kufuneka uyazi malunga namahlwili egazi ukuba ukwipilisi.

Kukho izinto ezinobungozi ezicacileyo. Kubalulekile ukuba wonke umntu wasetyhini awuqonde umngcipheko wakhe, utshilo uMaldonado.Uvavanyo lwegazi olulula lunokumisela ukuba unayo imfuza ekwenza ukuba uthambekele kumahlwili egazi. (Ukuya kuma-8 ekhulwini abantu baseMerika banenye yezinto ezininzi ezizuzwe njengelifa ezinokubeka ingozi enkulu.) Kwaye ukuba usePilisi, ezinye izinto ezifana nokungahambi kakuhle (njengexesha elide lokuhamba ngeenqwelo-moya okanye ukukhwela imoto), ukutshaya, ukutyeba, ukuxhwaleka. , kwaye iinkqubo zotyando zezimbalwa zeempembelelo ezininzi ezinokuthi zonyuse amathuba akho okuba negazi, utshilo. (Okulandelayo: Kutheni abasetyhini abafanelekileyo befumana amahlwili egazi.)

Imiphumo inokuba yingozi. I-DVT ligazi eliqhele ukwenzeka kwiimithambo emilenzeni, kwaye kunokubangela iintlungu nokudumba. Ukuba olu hlobo lwehlwili lwaphuka eludongeni lwemithambo lunokuhamba-njengelitye lomsinga kumjelo-luye entliziyweni apho lunokuphazamisa ukuhamba kwegazi kwimiphunga yakho. Oku kwaziwa njenge-pulmonary embolus kwaye inokubulala, kuchaza uMaldonado. Baninzi abangama-600,000 baseMelika abanokuchaphazeleka yi-DVT unyaka nonyaka, kwaye ukuya kuthi ga kwiipesenti ezingama-30 zabantu basweleka kwinyanga nje enye yokufunyaniswa kwesifo, ngokweZiko loLawulo lweNtsholongwane kunye noThintelo.

Ukuxilongwa ngokukhawuleza bubomi okanye ukufa. Ukuba ufumana iintlungu zomlenze okanye zesifuba eziphambili ze-pulmonary embolus-diagnostic-prompt and treatment are important, utsho. Iindaba ezilungileyo kukuba ukuxilongwa kunokwenziwa ngokukhawuleza kunye ne-ultrasounds. Ngokuka Maldonado, nje ukuba iqokobhe limiselwe, i-doc yakho inokukucebisa ukuba uyeke ukuthatha ipilisi yakho kwaye uqale ukuthatha abacoci gazi ubuncinci iinyanga ezimbalwa.

Kodwa umngcipheko uphantsi. Amathuba okuba kukho ihlwili legazi kowasetyhini ongekhoyo kwiipilisi zoqingqo-nzala zintathu kwi-10,000-okanye i-0.03 ekhulwini ngalinye. Umngcipheko wabasetyhini kwiipilisi zokulawula ukuzalwa ukhuphuka ngokuphindwe kathathu ukuya kwi-9 kubasetyhini be-10,000 okanye malunga ne-0.09 ekhulwini, utsho uMaldonado. Ke, ngelixa kuyinyani ukuba umngcipheko wokuphuhlisa i-DVT yabasetyhini kwizicwangcisi zomlomo usezantsi, inkxalabo isabalulekile kuba uninzi lwabasetyhini luyabathatha, utshilo.

AyiyoPilisi kuphela. UMaldonado ucacisa ukuba zonke izinto zokucwangcisa ngomlomo zinxulunyaniswa nomngcipheko owandayo we-DVT kuba ziphazamisa ibhalansi yomzimba wakho osebenza ukukugcina ekuphumeni kwegazi nasekukhuleni ekufeni. Nangona kunjalo, ezinye izinto zokucwangcisa zomlomo ezidibeneyo (eziqukethe i-estrogen kunye neprogestin, iprogesterone yokwenziwa) inomngcipheko omkhulu. Ngaloo ngcamango efanayo, iipatches zokulawula ukuzalwa kunye neendandatho (njenge-NuvaRing) eziqulethe i-combo ye-estrogen kunye ne-progestin inokunyusa umngcipheko wegazi. Ukuba unemingcipheko emininzi yomngcipheko wamahlwili njengoko bekutshiwo ngaphambili, ukuphepha iPilisi kunye nokukhetha i-IUD engeyiyo eyehomoni inokuba yindlela yokuhamba, ucebisa uMaldonado. (Apha, Imibuzo emi-3 yoLawulo lokubeleka oFuneka uyibuze kuGqirha wakho.)

Kukho izinto ezisisiseko onokuzenza ukunciphisa umngcipheko. Ngelixa ungenalo ulawulo kwimfuza yakho okanye kwimbali yosapho, kukho ezinye izinto wena unako ulawulo. Ukuphepha ukutshaya ngelixa usePilisi ngokucacileyo kuyinto enkulu. Ngexesha lokuhlala ixesha elide, kuya kufuneka uqiniseke ukuba uhlala unamanzi, thintela utywala kunye necaffeine ebangela ukomisa, sukuma wolule imilenze, unxibe iikawusi zoxinzelelo.

Uphengululo lwe