Oko Ukwenza Xa Ulahlekelwa Philisi Yakho yoLawulo lokuzalwa

Ulahlekelwe ipilisi yokulawula ngokuzalwa kwaye ngoku uyazibuza ... Yintoni endiyenzayo? Ungaxhalabi. Hlaziya le miyalelo yesinyathelo-nge-nyathelo ukuze ukwazi ukuba wenzeni malunga nepilisi yokulawulwa kwakho yokuzalwa. Kodwa ngaphambi kokukwenza, kunokunceda kuqala uqonde ukuba kutheni kubalulekile ukuthatha ipilisi yakho yonke imihla.

Kutheni ungafuni ukuphulukana nePilisi yoLawulo lokuLawula

Ngethuba nje uthabathe i pilisi ngexesha elifanayo imihla ngemihla, unethuba elingaphantsi lokukhulelwa (iipesenti ezingama-0.3 - oku kuthetha ukuba kubo bonke abafazi aba-100 abasebenzisa ipilisi ngonyaka, ngaphantsi kwe-1 baya kukhulelwa).

Kodwa, sijamelane nayo, bangaphi bethu baphelele? Ndiyifumene, ukukhumbula ukuthatha ipilisi ngexesha elifanayo imihla ngemihla kunokuba nzima - kungabi nanye ngexesha elifanayo. Kodwa kungaphantsi kokusetyenziswa okugqibeleleyo, kufana nokuphuma kwesinye seepilisi zakho emva komnye usuku okanye ukulibala ukuzithatha ngokupheleleyo, ukuhlahlela ukusebenza kakuhle ukuya kuma-91 ekhulwini (kwabhinqa ngalinye abangayisebenzisi ipilisi ngokufanelekileyo ngonyaka, 9 baya kukhulelwa) .

Kutheni oku? Xa uphoswa ipilisi yolawulo lokuzalwa okanye uthabathe ngexesha elingafanelekanga, landisa amathuba akho ukuba akuyi kubakho amahomoni okwaneleyo kwindlela yakho yokukhusela i-ovulation (yile ndlela ipilisi esebenza ngayo ). Ingxenye yomngcipheko ixhomekeke xa ulahlekile ipilisi, xa uthathe ipilisi yakho elandelayo, nokuba unomzimba onjani. Ukuba ulahlekelwa ukuthatha ipilisi yokulawula ukuzalwa kwakho ngaphezu kweyodwa kwiipilisi nganye, le mngcipheko uyanda ngakumbi.

Yintoni ongayenza Ukuba ulahlekelwa ziPilisi zoLawulo lokuzalwa

Amanyathelo alandelayo athetha ukuba zikhokelo eziqhelekileyo, ngoko ke ndincoma kakhulu ukuba ufunde ulwazi lwephakeji oluze nepilisi yakho ukuze ukwazi kakuhle ukuba wenzeni malunga neepilisi zokulawula ukuzalwa ezingekho phantsi.

Kwakhona, ezi zikhokelo zenzelwe ukuba zilandelwe ukuba usebenzisa i- pilgrim control pilill (enye kunye ne- estrogen kunye ne- progestin ) NAKHO ukuba uphawu lwakho lwepilisi lu- monophasic (intsingiselo, ukuba zonke iipilisi ezisebenzayo kwiipilisi yakho yeepilisi zinomlinganiselo ofanayo i-estrogen kunye neprogesin).

1. Ukuba ulahlekelwa yipilisi enye, kufuneka uthabathe i-oyiliweyo (izolo) ngokukhawuleza ukuba uyayikhumbula. Kufuneka uthathe ipilisi yanamhlanje ngexesha lakho eliqhelekileyo. Ukuba awuqapheli ukuba ipilisi yalahleka kude kube yipilisi yakho eqhelekileyo, unokuthatha kuphela iipilisi ngelo xesha.

1. Nangona mhlawumbi ungeke ukhulelwe, ungasoloko usebenzisa indlela yokulondoloza ( njengokhetho lokulawula ukuzalwa komzali ) kwiintsuku ezisi-7 ezilandelayo, ukuba uhlale uqaphele.
2. Ukuba ulahlekelwa iipilisi ezimbini kumqolo, kufuneka uthathe iipilisi ezimbini ngokukhawuleza ukuba ukhumbule kunye neepilisi ezimbini ngosuku olulandelayo. Musa ukukhawuleza ukuba kukho ukubonakala kwendawo ethile. Kufuneka usebenzise indlela yokulawula ukukhusela kuze kube yithuba lakho elilandelayo kunye nepilisi yepilisi.
3. Ukuba ulahlekelwa iipilisi ezintathu okanye ngaphezulu ngokulandelelana, kufuneka usebenzise indlela yokulondoloza yokulawula ngokukhawuleza.
4. Olunye uphando lucebise ukuba abafazi abangaphumeleli iipilisi ezintathu abanako ukuvuthisa, kodwa kufuneka nilumke kwaye nithathe amanyathelo okukhusela okukhuselekileyo ukukhusela ukukhulelwa.
5. Xa ulahlekile iipilisi ezintathu okanye ngaphezulu, unga:
   • Qala ipakisha entsha yeepilisi ngeCawa elilandelayo (emva kokulahleka iipilisi), nokuba uqale ukuphuma. Kufanele uqhubeke nokusebenzisa indlela yokulawula yokuzalwa kokuqala kwiintsuku eziyi-14 zokuqala kwepilisi entsha.
   • Thatha iipilisi ezimbini iintsuku ezi-3 ukubuyela kumzila (ngelixa usebenzisa i-back-up control method control method).
   • Khetha ukuyeka ukuthatha intsalela yeepilisi, ukulahla ipakethi, kwaye uqale ipakethi entsha.

Yintoni ongayenza Ukuba Ulahlekelwe iPilisi yokuLawula ukuzalwa kweProgesin kuphela

Iipilisi kuphela , okanye ipilisi ye-mini, ayinayo nayiphi i-estrogen.

Ngenxa yoko, ixesha libaluleke ngakumbi kunokuba kuhlanganiswe iipilisi zokulawula ukuzalwa. I-pilil mini isebenza kakuhle xa uyithatha yonke imihla, ngexesha elifanayo lomhla.

1. Ukuba ungeyure leeyure ezintathu uthatha i-pilisi encinane, kufuneka uthathe ipilisi yakho ephosakeleyo ngokukhawuleza, ubuyele ekubanjeni ngexesha lakho eliqhelekileyo ngosuku olulandelayo, kwaye usebenzisa indlela yokulawula ukukhusela (njengekhondom) kwiintsuku ezimbini ezizayo.
2. Ukuba sele ingaphantsi kweeyure ezintathu, landela imiyalelo efanayo (njenge-# 1 ngasentla), kodwa awuyi kufuna imbuyiselo.
3. Ukuba ulahlekelwa ipilisi yokulawula ngokuzalwa ngokupheleleyo (intsingiselo, ukhohliwe ukuthatha ipilisi yakho mini ngaloo mini kwaye ukhumbule ngosuku olulandelayo), kuya kufuneka usebenzise enye indlela yokulawulwa kokuzalwa kwiveki enye. Thatha ipilisi oyilibele ukuyithatha (xa ukhumbula) kwaye uthathe ipilisi yakho ngaloo mini ngexesha lakho elihlelwe.

Yintoni ongayenza Ukuba ulahlekelwa ukuLawula iipilisi eziBiphasic

Iipilisi zokulawula uzaliso lwe-Biphasic zihlobo lodidi lokulawula iipilisi zokuzalwa. Iqondo lamahomoni kwiipilisi ze-biphasic ngokuqhelekileyo litshintsha ngexesha elinye ngexesha lepilisi yakho. Ngokuqhelekileyo, iipilisi zokulawula i-biphasic ziqulethe inani elifanayo le-estrogen ngosuku ngalunye, kodwa inqanaba leprogesin linyuka malunga nomyinge wepill pil cycle. Ukuba ulahlekelwe la mapilisi okulawula ukuzalwa, yile nto okumele ukwenze.

1. Ukuba uphoswa ipilisi enye kwiiveki 1, 2, okanye 3, thabatha iphilisi yokulawula ukuzalwa ngokukhawuleza xa ukhumbuza, kunye nepilisi yakho elandelayo ngexesha lakho elihleliweyo. Ungathabatha zombini iipilisi ngeli xesha. Ukuze ube yokhuseleko olukhuselekileyo, unokufuna ukusebenzisa ulawulo lokuzalwa emva kweveki enye, kodwa akudingeki.
2. Ukuba uphoswa iipilisi ezimbini kwiVeki 1 okanye kwiVeki 2, kufuneka uthathe iipilisi ezimbini ngosuku osikhumbulayo kunye neepilisi ezimbini ngosuku olulandelayo. Emva koko uqhubeke uthatha ipilisi enye ngosuku uze uqede ipilisi yakho ipakethe. Kufuneka usebenzise kwakhona indlela yokulawula yokuzalwa emva kweentsuku ezisixhenxe ezilandelayo emva kokulahleka ezi pilisi zokulawula.
3. Ukuba ulahlekelwa iipilisi ezimbini kwiVeki 3 okanye ulahlekelwa iipilisi ezintathu ngokulandelana (ngeliphi na iiveki), qhubeka uthabatha iipilisi enye imihla yonke ngeCawa. NgeCawa, kufuneka ulahle ngaphandle kwepilisi yepilisi kwaye uqale ipakethi entsha ngaloo mini. Qinisekisa ukusebenzisa indlela yokulawula ukuzalwa ngokutsha kokulawula kokuzalwa xa ulala ngesibini kwiintsuku ezisixhenxe emva kokulahleka iipilisi zokulawula ukuzalwa.

Yintoni ongayenza Ukuba Ulahlekelwe iPilisi yokuLawula iPilisi

Iipilisi zokulawula ukuzalwa kokuzalwa (njenge- Ortho Tri-Cyclen Lo ) zinamanani amathathu ahlukeneyo amahomoni-ngoko ukuhlanganiswa kwe-hormone kuya kuguqula rhoqo malunga neentsuku ezisixhenxe kwipilisi yepilisi. Ngokuxhomekeke kwi-brand brand, inani le-estrogen lingatshintsha kunye nenani leprogesin. Oku kwenza ukuba iipilisi zokulawulwa kokuzalwa ezingekho phantsi kulucelomngeni.

I pilisi ayinakusebenza ngokufanelekileyo xa ulahlekelwa ukuhlanganiswa kwamathamo athile anikezelwe ngamaphuzu ahlukeneyo kwiipilisi (ikakhulukazi ekuqaleni kweveki 1 okanye ekupheleni kweveki 3). Ngoko, umngcipheko wokukhulelwa ukwandisa ngepilisi yokulawula nganye yokuzalwa.

Kukho imveliso emininzi yeepilisi zokulawula ukuzalwa kokuzalwa, ngoko kubaluleke kakhulu ukuba uhlolisise imiyalelo ezayo kunye nekhaneli yakho xa ulahlekelwa iipilisi zokulawula ukuzalwa. Oko kuthethwa, oku kulandelayo isikhokelo esilandelayo esilandelayo (esisebenza kwiimpawu ezininzi zeepilisi).

1. Ukuba uphoswa ipilisi enye kwiiveki 1, 2, okanye 3, zithatha ngokukhawuleza xa ukhumbuza. Thatha ipilisi yakho elandelayo ngexesha lakho eliqhelekileyo. Oku kuthetha ukuba ungathabatha iipilisi ezimbini ngosuku olunye, kodwa akudingeki ukuba usebenzise indlela yokulawula yokuzalwa emva kokulala ngesondo.
2. Ukuba ulahlekelwa iipilisi ezimbini ngokulandelelana ngeveki 1 OKANYE Iveki 2 yepakethi yakho, thabatha iipilisi ezimbini ngosuku owakhumbulayo kunye neepilisi ezimbini ngosuku olulandelayo. Emva koko, thabatha ipilisi enye ngosuku uze uqede ipakethe. Gcina ukhumbule ukuba unokukhulelwa kwiintsuku ezisixhenxe emva kokuphosakela iipilisi, ngoko kufuneka usebenzise enye indlela yokulawula ukuzalwa (njengamakhondom, i- spermicide , okanye i- sponge ) njengento yokubuyela emva kweentsuku ezisixhenxe.
3. Ukuba uphoswa iipilisi ezimbini ngokulandelelana kwiveki 3:
   • Ukuba ungumhla wokuqala we-Day : Phonsa yonke ipakethe yepilisi uze uqale ipakethi entsha ngaloo mini.
   • Ukuba uqala ngeCawa : Qhubeka uthatha ipilisi enye imihla ngemihla kwiCawa. NgeCawa, ukuphosa ngaphandle kwepakethe uze uqale ipakisha entsha yeepilisi ngaloo mini.

   Sebenzisa indlela yolawulo lokuzalwa ngokutsha emva kweentsuku ezisixhenxe emva kokuqala iipilisi entsha yepilisi. Ngeke ube nexesha lokurhoxisa kule nyanga-kodwa kulindeleke. Kodwa, ukuba uphoswa ixesha lakho kwiinyanga ezimbini ngokulandelelana, biza ugqirha wakho kuba unokukhulelwa.

4. Ukuba ulahlekelwa iipilisi ezintathu okanye ngaphezulu ngokulandelelana (ngeeveki zokuqala ezi-3):

   • Ukuba ungumhla wokuqala we-Day : Phonsa yonke ipakethe yepilisi uze uqale ipakethi entsha ngaloo mini.
   • Ukuba uqala ngeCawa : Qhubeka uthatha ipilisi enye imihla ngemihla kwiCawa. Phonsa yonke ipakethi yakho ngeCawa, kwaye uqale ipakisha entsha yeepilisi ngaloo mini.

   Ekubeni unako ukukhulelwa kwiveki ezayo, sebenzisa indlela yokulawula ukuzalwa emva kweveki emva kokuqala ipakisha yakho entsha yepilisi. Ungeke ube nexesha lakho kule nyanga-kodwa, kwakhona, oku kuqhelekileyo. Ukuba ulahlekelwa ixesha lakho kwiinyanga ezimbini elandeni, biza ugqirha wakho.

Kuthiwani Ukuba Ndilahle I pilisi Ngeveki 4?

Uninzi lweepilisi zolawulo lokuzalwa luya kuba ne-placebo iipilisi-iipilisi ezingenayo i-hormone. Isakhelo sexesha le-placebo sichaphazeleka phakathi kweepilisi, kodwa ngokuqhelekileyo zonke okanye inxalenye yeveki yesi-4 ininzi yeepilisi kunye neveki ye-13 yeepilisi ezijikelezayo .

Ukuba uphoswa iipilisi zokulawula ukuzalwa ngexesha leveki ye-placebo, akukho nto unokukhathazeka ngayo. Nengcinga efanelekileyo, nangona kunjalo, ukuba uqhubeke uwathatha (nokuba uyayikhohlwa enye), ngoko uhlale umkhondo uze uqalise ipakisha yakho elandelayo yepilisi ngexesha. UKUPHATHWA kulo mgaqo kuhambelana neepilisi kuphela zeepilisi. Zonke iipilisi zokulawula ukuzalwa kule mikhakha ziqulethe i-hormone, ngoko akukho zipilisi ze-placebo.

Indlela Yokugwema Ukungabikho Kokulawulwa Kwezilwanyana Iipilisi

Kufuneka uhlale uzama ukuthatha ipilisi yokulawula ngokuzalwa ngexesha elinye, yonke imihla. Ngona ngeempelaveki. Kude naseholide. Kodwa kukho igumbi elincinci . Ukungaphumeleli kwipilisi yakho ngeyure enye ukuya kwiiyure ezimbini kubonisa ukukhulelwa okuncinane kunokuba ulahlekelwa ipilisi ngeeyure ezilishumi elinesihlanu. Unokuba nomzimba onobubele, ngokokuba ixesha elincinci lanele ukuba umzimba wakho uphephe , kwaye unokukhulelwa.

Ngoko ungakuphepha njani iipilisi zokulahla kokuzalwa?

• Yenza ipilisi ibe yingxenye rhoqo yentsasa yakho okanye ngokuhlwa.
• Abanye besetyhini bathi kulula ukukhumbula ukuba bathathe ipilisi ekuseni ngoba bakhathele ebusuku, kwaye banakho ukulibala.
• Sebenzisa i- app control control okanye i-alamu eyenzelwe ukukhumbuza ukuba uthathe ipilisi yakho.
• Gcina ipilisi yakho kwindawo apho uqinisekisiwe ukuyibona yonke imihla (efana ne-brush yakho okanye ifowuni).

Omnye wePointer Final

Nangona kulungile ukuthabatha iipilisi ezimbini ngexesha xa uqaphela ukuba ulahlekelwe ukulawulwa kwakho kokuzalwa, isisu sakho singavumelani nalo mkhuba. Akuqhelekanga ukuba ube nexhala, unentlungu yesisu, okanye uhlanza emva kokuthatha iipilisi ezimbini.

Unokuzama ukukhusela oku ngokuthi uthathe imishanguzo yokunciphisa isisulu ngaphambi kokuthatha iipilisi ezongezelelweyo. Ukuba uphelisa ukuphosa emva kokuthatha iipilisi zokulawula ukuzalwa kwakho, into engcono kukubiza ugqirha okanye ikhemisi ukuba ufuna ukuba wenze ntoni emva koko kwaye unokukhuselwa njani xa ungakhulelwa.

> Umthombo:

> Bastianelli C, Farris M, Bruno Vecchio RC, Rosato E, Guida M, uBenagiano G. "Ukufunda ngokubambisana kokunamathela kwimimiselo yokukhulelwa komlomo." Endocrinology yeGynecological . 2016; 33 (2): 168-172.