Ukuqonda iCause kunye nokwazi Ukutshintsha nini
Ukutshatyalaliswa, okanye ukuphuma kwegazi, ngumphumo wesiganeko oqhelekileyo weemithi ezithile zokulawulwa kokuzalwa kwama-hormonal. Nangona ukuphuma kwamanzi kuya kunciphisa ubunzima phakathi kweenyanga ezintathu ukuya kwezine, kukho ezinye zazo ezazingenayo.
Ngaphandle kwezilwanyana ngokwazo, ukuphawula kuhambelana nokulandelelana okungahambelaniyo. Enyanisweni, uphando luye lwabonisa ukuba ukuya kuma-33 ekhulwini abo baphoswa enye okanye ngaphezulu iipilisi nganye ngomjikelezo baya kuba nokuphuma kwegazi.
Ukutshaya, kungenangqondo, kudibanisa kuphela kule mpawu.
I-Spotting ingaba yingozi kunezo zithatha ipilisi, ingakumbi ukuba ukuphuma kwegazi kubonakala kungaphuculanga. Kwezinye iimeko, kunokufumana inzuzo ekutshintsheni unyango ukuba ufumane kuphela izilwanyana nge-balance hormonal yakho.
Ulwahlulo kwiipilisi zoLawulo lokuzalwa
Ukuthatha isigqibo malunga nomxholo othile wokulawula iipilisi yokuzalwa kunokuba yinkqubo yesilingo kunye nephutha. Iziyobisi zihlala zihluka ngokuqulunqa kunye nomlinganiselo wesithako esisebenzayo esisetyenziswayo. Iipilisi zokudibanisa, uhlobo oluqhelekileyo oluchanekileyo, zizo ezo zibini ze- estrogen kunye neentlobo ezisibhozo ezihlukeneyo ze-progestin .
Ngokuxhomekeke kwitshati, ezinye iipilisi zinokulingana ne-micrograms ezingama-35 ze-estrogen ngelixa ezinye zinama-microgram. Ezi zintlupheko zihlala zenza umehluko omkhulu kwimiphumo emibi umntu anokufumana.
Oku kufana neprogesin . Ezi zintlobo ze-progesterone zihlukaniswa ngokubanzi njengezizwe (isizukulwana sokuqala), i-gonanes (isizukulwana sesibini) kunye ne-spironolactone (uhlobo olutsha lweprogesin).
Ngokuxhomekeka kohlobo kunye nenani leprogesin elisetyenzisiweyo-kunye nesilinganiso se-estrogen-iimiphumo ezibi zingase zibe ziphantsi okanye zibe nefuthe elibi kumgangatho wobomi bomfazi.
Iingxaki zokuPhatha
Iipilisi zokulawula ukuzalwa zichazwe ngokubanzi ngezenzo zamachiza. Eli nyathelo lingahluka kodwa lubandakanya ezintathu, iziphumo ezinxulumene phakathi:
- Imiphumo yeProgesational eyanciphisa ukuphuma kwindoda kunye nokukhusela i-ovulation
- Iimpembelelo ze-Androgenic ezibangelwa ukuveliswa ngokweqile kwamahomoni angamadoda angabangela ukulahleka kweenwele, i-acne, kunye neenwele ezingaphezulu (i- hirsutism )
- Iimpembelelo ze-Estrogenic ezijolise ukulwa neempembelelo ze-androgenic ngelixa zizinzisa isisu
Ngokubanzi, ukubonela kunokwenzeka ukuba kwenzeke xa indlela yokulawula yokuzalwa osebenzisayo incinci okanye ayi-estrogen. Kodwa amayeza e-estrogen kuphela ayilindele ukuba kuya kuba khona ukuphuma kwegazi.
Nje ngokuba lunempembelelo uhlobo lweprogesin elisetyenziswayo. Kwizigaba zintathu ze-progestin, i-gonanes inentsebenzo enkulu kunazo zonke, ibenze ibe bhetele ngakumbi xa ukubonakala kubonakala kunzima. Kodwa, kwakhona, oku akunjalo ngaso sonke isikhathi.
Yintoni ebaluleke ngakumbi ibhalansi phakathi kwe-estrogen kunye neprogesin. Ekugqibeleni, injongo yonyango kukugcina umlinganiso phakathi kwe-estrogenic kunye nefuthe leprogramle yepilisi ngelixa iphosa nayiphina imiphumo echaphazelekayo kunye ne-androgen. Ukuba omnye okanye omnye ulahliwe, iingxaki ziyakwenzeka.
Ngoko ke, nangona isilwanyana senziwe nge-ethynodiol diacetate, iprogesin ehambelana nokunyuka kwebala, i-doses ephezulu ye-estrogen ingakwazi ukuphikisana nale mpawu.
Okukhethiweyo Okukhethiweyo
Njengomthetho wesithupha, inhlanganisela yokulawula iipilisi yokuzala okuqulethe izinga eliphezulu le-estrogen, i-progestin potency, kunye nefuthe le-androgen ephantsi akunakwenzeka ukuba kubonakale. Phakathi kweempawu ezihambelanayo nale projekthi zi:
- Ukudinga 1/50
- Desogen
- IOrtho-Cept
- IOvcon 50
- Yasmin
- Zovia 1 / 50E
- Loestrin 1/20
I-Estrostep FE yenye enye impawu ezinokunciphisa okanye ukuyeka ukuphuma kwegazi. Le pilisi ayilandelanga iphrofayili efanayo njengoko abanye bavame ukuba ne-orrogenic / low-estrogenic. Kunoko, njengepilisi ye-triphasic, unyango luhanjiswa kwizigaba ezintathu ezahlukeneyo ngokuhambelana nomjikelezo wendalo wesifazane.
Iveki nganye yee-tablet ze-Estrostep FE ziqulethe i-hormone ehlukeneyo, ngeveki yokugqibela engenayo i-hormone. Ngolu unyango olulandelayo ngokomyalelo ochanekileyo, umngcipheko wokubalalisa ungancitshiswa kakhulu.
Ukuba ukuphuma kwegazi kuye kwaba yingxaki enkulu, xela ugqirha wakho malunga nale ndlela.
ILizwi
Nangona i-spotting inokubandezeleka, iyakuthi isombulule ngokwazo njengoko umzimba uqala ukulungelelanisa nemiphumo yeziyobisi. Ngenxa yoko, oogqirha baya kuncoma ukuba uhlale kumachiza akho okwangoku ubuncinane kwiinyanga ezintathu ukuze ubone ukuba iziphumo zempembelelo ziya kuphucula.
Ngeli xesha, zama ukuhlala uhambelana ngokupheleleyo neyeza lakho, uthathe ipilisi yakho yonke imihla ngaphandle kwehlulekile. Ukuba kukho nayiphi na imiphumo engathintekiyo, thetha nogqirha wakho kodwa uzame ukuyeka unyango de ugqirha wakho akuxelele ukuba kulungile.
> Imithombo:
> IHolo, K .; UOcconnell White, K .; Qamba kwakhona, N. et al. "Ukufunda Ukusetyenziswa koNyango woNyango: Ukuhlaziywa kweMilinganiselo yokuHlola." J Wom Health. 2010; 19 (12): 2203-2210.
> Stewart. M. noNtsundu, K. "Ukukhetha ipilisi yokukhulelwa komlomo." Aus Prescrip. 2015; 38 (1): 6-11.