Ipilisi yokuLawula ukuzalwa kwalawo maxesha Ulawulo lokuzalwa luhluleka
I-Beyaz iyi- pilisi yolawulo lokuzalwa yokuzalwa, okokuba, xa kuthathwa imihla ngemihla, kunokukunceda ukukhusela ukukhulelwa. Ipilisi nganye ye-Beyaz inikezela umthamo wemihla ngemihla. I-folate inciphisa umngcipheko wokuba neziphene ezinqabileyo zethubhu ekukhulelwe. Ulawulo lwe-Beyaz lokuzala luyakwazi ukunceda ukuphazamiseka kwesifo esiyingozi (PMDD) kunye ne-acne moderation.
Iipakethe nganye ze-Beyaz zolawulo lokuzalwa ziqukethe iipilisi ezingama-28 ezipilisi-24, nganye iqukethe 3 mg drospirenone (progesin), 0.02 mg ethinyl estradiol (i-estrogen yokwenziwa) kunye ne-0.451 mg yevomefolate calcium (i-vitamin B).
Kukho iipilisi ezine ze-orange eziqhelekileyo-aziqukethe ii-hormone kodwa zine-0.451 mg ye-calvum levomefolate. Ngenxa yokuba kukho iipilisi ezine ze-placebo, i-Beyaz ikwacatshangwa ukuba yipilisi yokulawula yokuzalwa yokujikeleza .
Ingaba isebenza kanjani
I-Beyaz isebenza njengenye iipilisi zokulawula ukuzalwa . Iipakethi nganye zinika i-drospirenone ne-ethinyl estradiol ukuhlala kwinyanga enye (iipilisi ezingama-24 kunye neepilisi ezine ezikhumbuzo).
Indlela eyahlukileyo ngayo
- I-Beyaz inikeza umthamo wemihla ngemihla yokuxhaswa kwe-folate, ekhuthazwa ngabasetyhini kwiminyaka yabo yokuzala. I-folate inciphisa ingozi yokuba neenkolelo ezinqabileyo zethubhu ebusweni ngexesha lokukhulelwa okwenzeka ngexesha lokusetyenziswa kwe-Beyaz okanye kungekudala emva kokuyeka. Ukuba ukhetha ukusebenzisa iPilisi njengento yokukhulelwa, uBeyaz yinto enye enokukunika i-0.4 mg (400 mcg) ye-folic acid ekhuthazwa imihla ngemihla kubasetyhini beminyaka yobudala.
- I-Beyaz iphinde ivunyiwe yi-FDA ukuphatha unyango othethelekileyo . Kucingelwa ukuba i-drospirenone e-Beyaz inceda ukuvimba ii- androgens (i-hormone) ezibangela i-acne. Ukuba ukhethe iPilisi yokukhulelwa , sele uqale ukuhamba esikhathini , kwaye uneminyaka engama-14 ubudala, i-Beyaz inokuba yinto efanelekileyo yokunceda ukuphatha i-acne yakho.
- I-Beyaz iphinde ivunyiwe yi-FDA ukunyanga iimpawu zomzwelo kunye nempilo ezihambelana ne-PMDD. I-Premenstrual dissydric disorder (PMDD), uhlobo olubi lwe-PMS, yimeko echaphazelayo inzululwazi yentlalo kunye nentsebenziswano yentlalo kwimiba emithathu ukuya kweyesihlanu yabasetyhini beminyaka yobudala. Iimpawu ze-PMDD zenzeka rhoqo ngaphambi kokuba iinyanga ziqale kwaye zihambe ezinsukwini ezimbalwa emva kokuqala kwexesha. Ngokuqhelekileyo zinzima ngokwaneleyo ukuchaphazela ubomi bakho bemihla ngemihla. Kuyabasetyhini abakhetha iPilisi yokukhulelwa, uBeza unokunceda ukunika uncedo lweempawu ze-PMDD . I-Beyaz ayizange iboniswe ukuba yonyango olufanelekileyo lwe-premenstrual syndrome (PMS).
Beyaz vs. Yaz
U-Beyaz no-Yaz bafana neepilisi zokulawula ukuzalwa. Umehluko omkhulu phakathi kwabo kukuba iBeyaz iqulethe i-dose yansuku zonke ye-levomefolate calcium (i-vitamin B / i-folic acid). Oku kwenza uBezaz ipilisi yokulawula ukuzalwa kwezihlandlo ezinqabileyo ukuba ukulawulwa kokubeleka kwehluleka. Ngoba? Ukuba ukhulelwe ngeli xesha u-Beyaz, uya kuba sele unesidingo esifanelekileyo somntu wakho emzimbeni wakho. Xa abesifazana bexhamle ukuxhaswa, kunciphisa umngcipheko wokuba unciphise amathuba okuba umntwana wakho abe nephunga le-tube ye-neural. Gcina ingqondweni nangona ukuba xa ukhulelwa ngexesha lakho kwi pilisi, ukusebenzisa kwakho iipilisi akuyi kukulimaza umntwana wakho nganoma iyiphi indlela.
Izibonelelo ezingenakuqonda
Iipilisi zokulawula ukuzalwa njengoBeza zinganikela ngeenzuzo ezongezelelweyo ngaphaya kwexesha lokukhulelwa. Ezi nzuzo ziquka ukunciphisa umngcipheko:
- Umhlaza we-Ovarian , umdlavuza we-endometrial kunye nomhlaza omninzi
- I-anemia (enokubangela ukuvela kwixesha elibi)
- Izinwele zomzimba ezingaphezulu
- Ama-cysts okanye amaqabunga angenakunqanda
- Ubume obunzima kunye nesondo esibuhlungu
- Osteoporosis
- Amanye ama-cyst ovarian
- Ukukhulelwa kwe-Ectopic
Inzuzo
- Uyingqondi
- Unokubamba umbane kwaye ulawule amaxesha kwaye unciphise iincampu zokuya esikhathini
- Unika umlinganiselo wansuku zonke we-folic acid
- Ivumela ukutshatyalaliswa ngokwesondo
- Ukubuyiselwa kwembuyekezo emva kokuyeka
- Unceda nge-PMDD kunye ne-acne moderation
- Ukhuselekile kwaye usebenza
Ukuqaphela NgeDrospirenone
I-Drospirenone inceda ukunqanda ukufihla kwe-hormone elawula amanzi kunye ne-electrolytes. I-Drospirenone ingabangela amazinga aphezulu e-potassium. Ngenxa yoko, i-Beyaz isenokungabi yinto ekhethekileyo yepilisi kuwe xa unesifo, isibindi okanye isifo se-adrenal kuba iBeyaz ingabangela ingxaki enzulu nengxaki zempilo.
I-Beyaz inokudibana kunye nezinye iziyobisi ezandisa i-potassium. Ithebula lemveliso yeBeaz iquka isilumkiso esicetyisa oogqirha ukuba balandele amanqanaba e-serum potassium kwinyanga yokuqala ukuba uphathwa naso nasiphi na isilwanyana esinokugcinwa kwe-potassium.
Oku kuya kusebenza ukuba ukhona kwimihla ngemihla, unyango lwexesha elide usebenzisa naluphi na olu mayeza:
- I-NSAID (ibuprofen [Motrin, Advil], naproxen [iAleve nabanye] xa kuthathwa ixesha elide kunye nosuku unyango lwe-arthritis okanye ezinye iingxaki)
- I-potassium-sparing diuretics (i-spironolactone nabanye)
- I-potassium yongezwa nge-ACE inhibitors (iCototen, iVasotec, iZestril nabanye)
- I-Angiotensin-II i-receptor antagonists (Cozaar, Diovan, Avapro nabanye)
- Heparin
- Aldosterone
Imiphumela
Kukho ukubonakala okuphantsi kweempembelelo zeBez. Imiphumo emibi iya kuhamba emva kweenyanga ezimbini ukuya kweyesithathu xa umzimba wakho usebenzise i-hormone. Imiphumo echaphazelekayo ye-Beyaz yile:
- Ukutshatyalaliswa
- Isihlunu kunye / okanye ukuhlanza
- Ubeleko lwesisu
- Ukutyeba kwakho
- Izitenxo zokusesikweni
- Umoya utshintsha
- Intloko
- Ukukhathala
- Ukunciphisa libido
Ngubani Ongayisebenzisa
Le ndlela yolawulo lokuzalwa ngokuqhelekileyo yindlela ekhuselekileyo kubafazi abaninzi abasempilweni. Kubalulekile ukuba uxoxe ngembali yakho yonyango ngokupheleleyo kunye nogqirha wakho ngaphambi kokuba usebenzise iBez.
Ngokuqhelekileyo, iingxaki ezinzulu azikho rhoqo ngokusetyenziswa kolawulo lokuzalwa kwe-hormonal . Abanye besetyhini basenokusebenzisa i-Beyaz kunye neemeko ezithile zobungozi nje ngokuba zihlala phantsi kolawulo lwezempilo olufutshane. Abasetyhini abanembali yokudakumba abanakho ukuqhubeka nokuthatha uBeza xa ukudakumba kwabo kudlulayo.
Ekubeni le ndlela ifuna ukuba uthathe ipilisi yakho ngexesha elifanayo imihla ngemihla, kusenokuba yinto efanelekileyo ukuba unengxaki yokukhumbula ukuyithatha.
Abasetyhini abasebenzisa iipilisi ezidibeneyo , njengeBheyaz, banokuba nethuba elincinci lokuphucula iziganeko ezithile zonyango kunabasebenzi abangenanto. Ezi ziquka:
- Uxinzelelo lwegazi oluphezulu (olubuyela kwindawo eqhelekileyo xa i pilisi imisiwe)
- Isifo seGallbladder
- Izibilini zesibindi
Ingxaki ebalulekileyo enokuvela kwi-Beyaz isebenzisa i-clots yegazi entliziyweni, emaphaphu, ebuchosheni, okanye emilenzeni. Abasetyhini basebenzisa i-Beyaz abavalelwe ekuphumuleni kombhede okanye ukuphosa banokuba nethuba eliphezulu lokuphuhlisa i-blood clot. I- FDA inika iingcebiso ezininzi malunga neengcambu zegazi kunye neepilisi ze-drospirenone kwaye zidinga ukubethelwa okuthe ngqo kwezi mveliso.
Ngubani ongafanelanga ukuyisebenzisa
Ngokutsho kweBayer, "Ungasebenzisi i-Beyaz ukuba utshaya ugwayi kwaye uneminyaka engaphezulu kweminyaka engama-35 ubudala. Ukutshaya kwandisa umngcipheko weengxaki eziphambili zeengqondo (intliziyo kunye neengxaki zeengxaki zegazi) ukusuka kwiipilisi zokulawula ukuzalwa, kubandakanywa nokufa kwesifo senhliziyo, ukuphazamiseka. Lo mngcipheko ukhuphuka ngobudala kunye nenani lababhegi otshaya. "
Ngokuqhelekileyo, i-Beyaz ayikhuthazwa ngabasetyhini abanakho:
- Uxinzelelo oluphezulu lwegazi
- Imbali yesifo sesibindi okanye ukukhula kwesibindi, isifo sesifo okanye isifo se-adrenal
- Ngaba ungaziqhelanga ukuphuma kwintsholongwane
- Imbali yamacangci egazi emilenzeni yakho (intlanzi ye-vein thrombosis), imiphunga (i-pulmonary embolism), okanye amehlo (i-retinal thrombosis)
- Wayeke waba nomdlavuza wesifuba okanye nayiphi na umdlavuza ovelele kwiihomoni zamabhinqa
- Intloko ye-Migraine ne-aura
- Ngaba unesifo senhliziyo, isifo okanye umlando weengxaki zentliziyo ye-valve okanye intliziyo yengqungquthela engafanelekiyo eyenza ukuba iimbumba zegazi zenzeke entliziyweni
- Yiba neengxaki ezizuze ilifa ngegazi lakho elenza livalwe ngaphezu kweqhelekileyo
- Unesifo sikashukela ngeentso, iso, imbilini, okanye umonakalo wempahla yegazi
- Ba khulelwe
Ukuyithenga njani
Ngokuqhelekileyo kufuneka uhlolwe ngonyango, uvavanyo lwengcinezelo lwegazi kunye nokuba uvavanyo lwe- pelvic ngugqirha ukufumana imithi ye-Beyaz. Ngoko unokwenza uxwebhu lwe-Beyaz lwakho lugcwaliswe kwikhemisi yendawo.
Indlela yokuSebenzisa ngayo
Landela ingcebiso ngogqirha wakho malunga nokuba uqale nini kwaye uqinisekise ukuba ufunda ulwazi olupheleleyo oluza neqela lakho lepilisi. Khetha ixesha oza kuthatha i pilisi yakho ngosuku. Kukho iindlela ezimbini zokuqala:
- Usuku 1 Qala: thatha ipilisi yokuqala yepakethi ngeeyure ezingama-24 zokuqala kwexesha lakho. Awudingi ukusebenzisa i - back-up control back-up indlela yokulawula ukuzalwa.
- NgeCawa Qala: thatha ipilisi yokuqala yepakethi ngeCawa emva kokuba ixesha lakho liqalise, nokuba usaphila. Ukuba ixesha lakho liqala ngeCawa, qalisa ipakethi ngaloo mini. Sebenzisa indlela yokubuyisela (njengekhondom kunye nesidoda ) uze uthathe iipilisi ezingama-7.
Iindleko
I-Beyaz iza kwiipakethi zenyanga zonke ezinokuthi zilahleke phakathi kwe-$ 15 ukuya kwii-80 zama-80 (kunye neendleko zokuba uviwo lwezonyango okanye ukutshutshiswa kwegazi ukuze ufumane umyalelo). Okwangoku akukho nhlobo i-Beyaz yendalo ekhoyo. Kwiindawo ezininzi, iMedicaid ihlanganisa iindleko zale ndlela yokukhusela. Kufuneka ukhangele ipolisi yomshuwalense wakho wenkxaso-mali njengamaphepha amaninzi okudibanisa i-hormone kufuneka ihlanganiswe ngaphandle kweendleko zokuphuma ngaphandle kwe- inshorensi.
I-Bayer iphinda inikezele ngekhadi lokulondoloza iBez. Emva kokuba ubhalisele kule nkqubo, uza kuhlawula i-$ 0 yokuhlawula i-cookie ye-Beyaz ukuba unesiqinisekiso. Ukuba awunayo i-inshurensi, uya kufumana i-$ 100 kwi-prescription nganye ye-Beyaz.
Impumelelo
Iipilisi ze-Beyaz zi-92-99.7penti. Oku kuthetha ukuba ngokusetyenziswa okuqhelekileyo, ngaba-8 kuphela kwabasetyhini abayi-100 baya kukhulelwa kunyaka wokuqala wokusetyenziswa. Ngokusetyenziswa okugqibeleleyo, ngaphantsi kwe-1 kuya kukhulelwa.
Amanye amachiza anganciphisa nokuphumelela kokukhulelwa kwe- hormonal njenge-Beyaz.
Khuselo lwe STD
Le ndlela ayinikeli ukhuselo kwizifo ezithathelwana ngesondo .
Umthombo:
I-Fruzzetti F. Beyaz ®: Ukukhulelwa komlomo okuqiniswe ngolu hlobo. ZeMpilo zeNtombi . 2012; 8 (1): 13-19.