I-Ethinyl Estradiol (i-Synthetic Estrogen)

Indlela esebenza ngayo, imbali, kunye nemingcipheko

I-Ethinyl estradiol (EE) yindlela yokwenziwa kwe-estrogen esetyenziswa ngokubanzi kwimithi yokukhusela i-hormonal ehlukeneyo, ngokuqhelekileyo inxulumene neprogesin . Ngenye yeyeza eziqhelekileyo ezisetyenziswayo.

Ukubizwa

Ethinyl / eth • i-nyl / [eth'-nil] i- Estradiol / es • tra • di • ol / [estrədī'ôl] ( Estrogen : / ES • troh • jen / [es'trojən])

Iintlobo zolawulo lokuzalwa ophethe i-Ethinyl Estradiol

Ukulawulwa kokuzalwa kwe-hormonal equkethe i-ethinyl estradiol kubandakanya:

Umsebenzi we-Estrogen

I-Estrogen yi-hormone edlalwa ngama- ovaries . Idlala indima ebalulekileyo ekusebenzeni ngokuqhelekileyo kokuzala isetyhini . I-Estradiol yindlela yokuzalwa yesi-estrogen. Inceda amalungu omzimba wokuzala ukuba aqokelele. Kwakhona kunceda udonga lwakho lwe-uterine ukulungiselela ukufakelwa kweqanda elikhulelweyo.

Indlela i-Estrogen kwiPilisi ishintshile ngayo

Kule minyaka, inani le-estrogen yokwenziwa, i-ethinyl estradiol, ekulawuleni i-hormonal liye lahla kakhulu. Amanqanaba e-estrogen atholakala kwiipilisi zokulawulwa kokuzalwa namhlanje zikhuselekileyo. Xa ipilisi yokulawula yokuzalwa yokuqala, u-Enovid, yafumana imvume ye-FDA ngo-1960, ayizange iqulethe i-ethinyl estradiol. Ukuqulunqwa kuka-Enovid kwakuneprogesin kunye ne-150 micrograms (mcg) ye-mestranol, uhlobo lwe-estrogen oluguqulwa emzimbeni ukuba libe yi-ethinyl estradiol.

Ukukunceda ukubeka le nqanaba le-estrogen ngendlela ebonakalayo, i-50 mcg ye-mestranol ilingana ne-35 mcg ye-ethinyl estradiol. Ngoko umkhwa wokuqala wokulawula iipilisi unomlinganiselo ofana no-105 mcg we-estrogen. Uninzi lweepilisi zolawulo lokuzalwa lokuzalwa namhlanje luqulethe phakathi kwe-20 mcg (iipilisi ezisezantsi) ukuya kwi-30/35 mcg ye-ethinyl estradiol.

Kukho iipilisi eziphezulu eziphezulu eziqulethe ukuya kwi-50 mcg, kwaye kukho iphilisi ephantsi ye-dose, uLo Loestrin Fe ephethe kuphela i-10 mcg ye-ethinyl estradiol.

Ethinyl Estradiol kwiNuvaRing nePatch

I-ethinyl estradiol kwindandatho yesondo kunye ne-patch control patch ifana neepilisi zolawulo lokuzalwa:

Kukho i-Estrogen encinane namhlanje

Ngokubanzi, iipilisi zokulawula iipilisi zokuzalwa namhlanje ziphantsi kwe-third-thirds ye-ethinyl estradiol kuneenguqulelo zangaphambili zepilisi. Amanani e-ethinyl estradiol esezantsi ngoku afumaneka kwi-hormonal birth control angakunika uncedo lwezokhuseleko kunye noluncedo lokukhulelwa , kunye nebhonasi eyongeziweyo yemiphumo engathandekiyo emibi kakhulu.

Indlela Ethinyl Estradiol isebenza ngayo

Ngoko yintoni i-ethinyl estradiol? I-Estrogen inokukunceda ekulawuleni ixesha lakho okanye ukulawula ixesha elibuhlungu . Ngenxa yokuba kunceda ukumisa i-ovulation , le isantigen yokwenziwa ifunyenwe kukunciphisa umngcipheko wakho wesifo somhlaza kunye nomdlavuza we-endometrial .

Ngaphezu koko, kuba i-estrogen inokukwazi ukuvimba ukuhlenga amathambo, i-ethinyl estradiol inokukunceda ukwandisa isisitye samaminerali.

Yintoni Okufanele Uyazi Ngayo Ngokusebenza Kwe-Estrogen

I-Ethinyl estradiol idilizwe ngokukhawuleza emzimbeni. Ngoko, ukusebenza ngokufanelekileyo , iipilisi zokulalisa iipilisi kufuneka zithathwe ngexesha elinye ngosuku . Ukuba akunjalo, i-estrogen inokusetyenziswa ngokukhawuleza ngokukhawuleza, kwaye ukuphumelela kweepilisi kunganciphisa.

Amanye amayeza angabangela ukuba i-enzyme yesibindi iqhube ukuphuka komzimba we-estrogen okanye ukunciphisa ukuphindaphinda kwe-estrogen ekhoyo emzimbeni, ezo zombini zingakhokelela kumanqanaba aphantsi e-ethinyl estradiol kunye namathuba amaninzi okuhluleka kwepilisi .

Iingozi kunye nezilumkiso

Kukho abesetyhini abangenakusebenzisa ulawulo lokuzalwa kwe-hormonal oluqukethe i-ethinyl estradiol. Ukunyuswa kwe-estrogen ephezulu kunokudibaniswa kunye nama- blood clots / venous thromboembolism . Lo mngcipheko ukwanda xa utshaya okanye unemiqathango ethile yonyango. Olunye uphando lubonisa ukuba, ukuze kusebenze, abafazi abakhulu kakhulu banokudinga ukusebenzisa ulawulo lokuzalwa kunye namazinga aphezulu e-ethinyl estradiol. Ngenxa yeziphumo ezinobungozi kunye / okanye iimeko ezithile ezinokunciphisa ukhuseleko lokusebenzisa ulawulo lokuzalwa oluqukethe i-ethinyl estradiol, kubalulekile ukuba uhlale (kwaye ngokunyanisekileyo) uxoxe ngokuphila kwakho, imikhuba, kunye nembali yonyango kunye nodokotela wakho. Oku kuya kukunceda ukuba ubone ukuba uyilungele indlela yolawulo lokuzalwa okuqukethe i-ethinyl estradiol.

Amanye Amagama Ethinyl Estradiol

I-Ethinyl estradiol yaziwa nangokuthi:

Umthombo:

Runnebaum BC, uRabe T, Kiesel L, eds. Ukuqhawula kwabasetyhini: Ukuhlaziywa kunye nemigudu . IJamani: I-Springer-Verlag Berlin kunye neHeidelberg GmbH & Co. K; Disemba 6, 2011.