Izindlela zokuLawula iHormonal kunye nePilisi ekukhuseleni ukukhulelwa
Ngaba uyazi ukuba ipilisi isebenza njani ukukhusela ukukhulelwa? Emva koko, iipilisi yenye yeyona ndlela ixhaphakileyo kuzo zonke iindlela ze- hormonal zokulawulwa kokuzalwa, kwaye yindlela efanelekileyo kakhulu yokukhulelwa . Ngaba uye wakha wazibuza ngokucacileyo oko iphilisi eyenzayo, kwaye kutheni iphumelele kangaka?
IPilisi akufanele ifumaneke konke ukunakwa
Ukuze uqonde indlela ipilisi esebenza ngayo, kufuneka sibuyele emuva, nje kancane.
Ukuqonda ngokwenene indlela "ipilisi" isebenza ngayo ukunqanda ukuba ukhulelwe, kubalulekile ukuqaphela ukuba le ngcaciso isebenza kuzo zonke iintlobo zokukhulelwa kwe-hormonal - kungekhona nje iipilisi zokulawula.
Ngokona nxalenye, zonke izicwangciso zokukhulelwa kwe-hormonal zisebenza ngendlela efanayo yokukhusela ukukhulelwa. Ayenzi umahluko omkhulu ukuba indlela yokulawula ukuzalwa kwe-hormone yindlela yokudibanisa (ithetha ukuba iqukethe i- estrogen kunye neprogesin ) okanye ukuba iyindlela kuphela yeprogesin .
Uthintelo kuMgaqo malunga nendlela iPilisi eSebenza ngayo
Kukho umbandela omncinci kumgaqo jikelele malunga nendlela ipilisi esebenza ngayo xa kuziwa kwezinye izicwangciso zokukhulelwa kweprogesin kuphela. I-Depo Provera , i- Nexplanon , iipilisi kuphela ze-progestin , i- Mirena IUD , kunye ne-Skyla IUD yonke isebenza ngendlela efanayo nepilisi. Kodwa, ipilisi yeprogesin kuphela ikhusela i- ovulation malunga nama-50 ekhulwini kwabasetyhini. I-Mirena kunye ne-Skyla inokumisa abanye besetyhini kwi-ovulating, kodwa oku akuyona ndlela eyona ndlela i-IUDs isebenza ngayo ukukhusela ukukhulelwa.
Ngako iPilisi isebenza njani?
Kukho iindlela ezintathu i pilisi esebenzayo ukukhusela ukukhulelwa.
- Indlela eyona ndlela ipilisi isebenza ngayo ngokuthintela umzimba womfazi ukususa i-ovulating ngexesha lokuhamba kwakhe kwenyanga. Ngoko ke, ukuba i-ovary ayiyikukhupha iqanda, akukho nto ikhona apho ukuba imbewu ikhule. I pilisi (kunye nokukhulelwa kwe-hormonal) inokwenza ukuba izibonda ezingenakukwazi ukuhambisa iqanda kwi-uterus.
- Indlela elandelayo apho ipilisi kunye nomnye umsebenzi wokukhulelwa kwe-hormone kukuba banceda ukukhupha umkhuhlane wakho wesibeleko (umlambo ofunyenwe kumlomo wesibeleko / ukuvulwa kwesibeletho). I pilisi yenza u-muscus unamathele, ngoko ke xa i-sperm izama ukufikelela kwisibeleko, le-mucus enamaqhosha yenza kube nzima ukuba bahambi-ngoko kunzima ukufikelela nokuqhelisa iqanda.
- Indlela yokugqibela yokuba ipilisi isebenze ukukhusela ukukhulelwa kuhambelana nendawo yokulala. Iiproductive zeHormonal zinokubangela utshintsho kwimbumba yesisu. Amahomoni kulezi ndlela azincipha okanye aphephe ukukhula kwezicubu ze-uterine. Oku kunokunciphisa amathuba okubekwa ukuveliswa.
Ukukhulelwa kwe-hormonal kwaye ipilisi inokusebenza nayiphi na okanye zonke ezi ndlela zokukhusela ukukhulelwa. Ukuze kube ngempumelelo, ezi ndlela kufuneka zisetyenziswe ngokufanelekileyo nangokuchanekileyo. I-contraceptive ye-Hormonal (njengeqela) liphakathi kwama-92 ekhulwini kunye ne-99.9 ekhulwini. Oku kuthetha ukuba kuwo onke amabhinqa angama-100 abasebenzisa ukukhulelwa kwe-hormonal, 8 baya kukhulelwa (ngokusetyenziswa ngokuqhelekileyo) kunyaka wokuqala kwaye ngaphantsi kwe-1 baya kukhulelwa ukusebenzisa ngokugqibeleleyo.
Ngaba iPilisi isebenza kwiveki yePabobo?
Oku kudibanisa ininzi yabasetyhini. Okokuqala, yintoni na iveki ye-placebo?
Inini lonto? Iveki ye-placebo yithuba apho iipilisi yakho iqukethe "i-placebo" iipilisi (iipilisi zeshukela) ezingenayo i-hormone okanye inani elincinci lamahomoni (ngaphantsi kwesibalo kwipakethe yonke.) Kungaba yithuba lakho umjikelo xa ungathathi nawaphi na amapilisi. Azikho zonke iindlela ze-hormonal ezineveki ye-placebo.
- Ngenxa yepakethi yeentsuku ezingama-28 zokudibanisa iipilisi zokulawula ukuzalwa, isonto lesine yiveki ye-placebo.
- Ukusetyenziswa kweepilisi ezongeziweyo (ukulawulwa kokuzalwa okuqhubekayo) kunye neepakethi ezingama-91 njenge- Seasonique kunye neLoSeasonique , ngeveki 13 yiveki ye-placebo.
- Kwipakethi yeentsuku ezingama-21, njengoLoestrin , ngeveki yesine yiveki ye-placebo (akukho ziipilisi ezithatha kule veki).
- Iipakethi zeentsuku ezingama-24/4, ezifana ne- Yaz okanye i- Beyaz , iintsuku ezine zokugqibela zixesha le-placebo.
- Nge- NuvaRing , uthabatha iNuvaRing emva kweveki 3 kwaye ungenzi nto ngeveki 4 (yintoni iveki ye-placebo).
- Kwi- Ortho-Evra Patch , ubeka kwiiveki ezitsha 1, 2, no-3. Awusebenzisi isicelo seveki yesi-4 (esiyiveki ye-placebo).
Zonke ezi ndlela zokulawula ukuzalwa zingakwazi ukukhusela ukukhulelwa ngexesha leveki / ixesha le-placebo. Kwaye uya kuba ne "ixesha" lakho (i- blood withdrawal ) ngeli xesha.
Ngoko, ewe, ipilisi isasebenza ngeli veki, nangona ungathathi nawaphi na amahomoni asebenzayo. Oku kuthetha ukuba usakhuselekile ukuba ungakhulelwa ukuba ukhetha ukulala ngesondo / ixesha. Akudingeki ukuba usebenzise indlela yokulawula ukuzalwa kokulala xa ulala ngesini ngeli xesha.
Ngaphantsi kwimiSebenzi yokuLawula iPilisi
Umgca wenyani kukuba ipilisi, kunye nezinye iindidi zomsebenzi wokukhulelwa kwe-hormonal ngendlela engaphezu kweyodwa. Banokuthintela ibhinqa kwi-ovulating, inokukhokelela kumbindi womlomo wesibeleko okhusela umgca wesilisa ngomlomo wesibeleko, kwaye banokutshintsha ingxube yesibindi ngendlela evimbela ukufakelwa xa ukuchumisa kwenzeka.
I pilisi iyaqhubeka isebenza ngenyanga leyo, nangona uthabathe iipilisi ze-placebo ukwenzela ukuba iifomu ezongezelelweyo zokukhulelwa zingabalulekanga. Oko kwathiwa, iipilisi ayinciphisi umngcipheko wezifo ezithathelwana ngesondo , kwaye iikhondom zisenokuba yinto efanelekileyo yokuziphatha ngokwesondo.
> Umthombo:
> Cunningham, F. Gary, noJohn Whitridge Williams. Williams Obstetrics. ENew York: iMicrora-Hill Hill Medical, 2014. Print.