Oko Kufuneka Ukwazi NgezoNyango Zokuqhawula Ngexesha Elide
Kwabesifazana abathile, ukuba nexesha eliyinyanga nganye lincinci ngaphezu kokuphazamiseka. Kwabanye, kunokuthetha iveki yentlungu kwaye ingakhathazeki. Phakathi kwama-20 ekhulwini kunye nama-40 ekhulwini kwabasetyhini abanamathuba amanandi. Ukunyanga iimpawu ezinjengeentloko, ukutyumfa okubuhlungu , ukuphuma kwegazi , kunye ne- PMS kunye neziyobisi kunye nokufudumala kweepayipi enye indlela yokujongana nayo. Enye indlela ingabakho ukuwaphepha ngokupheleleyo ngokuthatha iipilisi zokulawula ukuzala .
Indlela yokuLawula umlomo
Xa iipilisi zokulawulwa kokuzalwa zaqaliswa ngawo-1950, zaye zithengiswa kwiiphakheji ezingama-30 ezipilisi ezingama-21 ezi zinto ziqulethe i-hormone ezibeka umgca kwi-buildup yendalo kunye negazi kwi-uterine bining in the preparation for pregnancy. Ezinye ezisixhenxe ziindawo zokuhlala eziye zavumela ixesha elide leveki. I-regimen yesi-21/7 yaqulunqwa kuba yayisondeza ngokukodwa umjikelezo wesiqhelo. Ukuba nexesha elilodwa kwinyanga abafazi bebengenakukwazi ukukhathazeka ukuba iipilisi zolawulo lokuzalwa ziza kuphazamisa ixesha "eziqhelekileyo" kwaye ngoko kuya kuba lula ukuzisebenzisa. Ukuba neenyanga nganye kwaqinisekisa nabesifazane ukuba iphilisi yokulawula ibele yayenza umsebenzi wayo-ukukhusela ukukhulelwa. Khumbula, akukho mvavanyo yokukhulelwa ekhaya emva koko.
Ukuphuma kwegazi xa ufumana ukulawula ukubeleka iipilisi akuyiyo ukuphuma kwindoda, okuphalazwa kwegazi kunye nezicubu eziqokelela kwi-uterine yangaphakathi ekulungiseleleni ukukhulelwa.
Ukuba emva kokuvuthwa kungekho liqanda elixutywe ukuba lingene kwi-uterus, i-lining egxinyiweyo iyahlulwa. Ixesha elibuxoki eliqhutyelwayo ngexesha lokukhulelwa komlomo kuthiwa ukuyeka ukuphuma kwegazi . Igazi livela kwisibeleko, kodwa ngenxa yokuba umbane uhlala ucace, ukuphuma kwegazi kukhanya.
Iiperidi ezimbalwa, iingxaki ezimbalwa
Akukho mngcipheko wokuthintela ukunyuka kwembombo ye-uterine ngokuthatha iipilisi zokulawula ukuzalwa kwama-21/7. Akunakho nengozi ekuthatheni amahomoni kwiintsuku ezingaphezulu kweentsuku ezingama-21 ukwenzela ukuba unqamle ukuhoxiswa kwegazi. Uphononongo olwenziwe ngo-2004 lufumanise ukuba ukuphelisa ukuhoxiswa kwegazi ngokusetyenziswa ngokubanzi okanye okuqhubekayo kokukhulelwa komlomo kungabanceda impilo okanye impilo. Enyanisweni, amashumi eminyaka oogqirha baye baqulunqa iipilisi zokulawula ukuzalwa ukuze baxhase iintshukumo zenyanga ngeenyanga ngezizathu ezihlukahlukeneyo: ukunceda ukulawula iingxaki zempilo ezinxulumene nesini okanye iimpawu ezinxulumene nexesha elibi; ukwenzela kube lula ukulawula imisebenzi emfuno emzimbeni; kwaye kwanokuqinisekisa ukuba umfazi akayi kuba nexesha lakhe ngelixa ekhefu okanye ngexesha lokuzalwa kwakhe.
Ingaba kukho umda wokuba umfazi ungaphi ixesha elingakanani? Ubuncinane iintsuku ezingama-84, ngokucwaninga kwabasetyhini abangaphantsi kwe-40. Uphando oluthile lufumene ukuba xa kuthathwa iintsuku ezingama-84 zilandelelwe iintsuku ezingama-7 ze-placebo-ezinciphisa inani lamaxesha ngonyaka ukusuka kwi-13 ukuya kwezine- iipilisi zomjikelezo ezongezelelweyo ziphumelele ukuthintela ukukhulelwa kunye nje ngokukhuselekileyo njenge-regimen yesi-21/7. Olunye uhlolisiso olujongene nompilisi wokulawula ukuzalwa ojikelezayo, i-Seasonale (ethinyl estradiol kunye nevonorgestrel), yafumanisa ukuba iziphumo ezimbi zala mayeza zifana nazo zonke iipilisi zokulawula ukuzalwa, ngaphandle kwegazi eliqhelekileyo Seasonale.
Ukuba unamaxesha asemthethweni obangela iimpawu ezinzima unganakho ukuthatha inxaxheba kwimisebenzi oyithandayo, umpilisi wokulawula ukuzalwa ngokubanzi unokuba yindlela elula nekhuselekileyo yokujongana nayo. Thetha nomzimba wakho wesifo somzimba okanye umqeqeshi oqhelekileyo. Unokuba yipilisi enye yemihla ngemihla ekupheliseni ixesha elibuhlungu, eliphazamisayo.
Imithombo:
Anderson, FD, Gibbons, W, & Portman, D. "Ukhuseleko lwexesha elide loCophelo oluPhezulu lweNzululwazi (Seasonale): I-2-year-long Multicenter-Label Extension Trial. I-American Journal ye-Obstetrics ne-Gynecology , ngo-2006. 195 (1), 92-96.
Anderson, FD, Hait, H, & Seasonale-301 Iqela lokuFunda. "I-Multicenter, i-Randomized Study of Cycle Extended Oral Contraceptive." Ukukhulelwa, 2003. 68 (2), 89-96.
Henzl, MR, & Polan, ML. "Ukuphepha isisu: Ukuhlaziywa kweMpilo kunye neNkcazo yokuPhila." I-Journal of Medicine Reproductive, 2004. 49 (3), 162-174.
Lin, K & Barnhart, K. "I-Clinical Rationale ye-Contraception Free Free". Umbhalo WezeMpilo Yabasetyhini , 2007. 16 (8), 1171-1180.