Ukunciphisa Ukulawulwa Kwokuzalwa Kwimivuzo Yecala

Indlela yokukhetha iPilisi yoLwazi lokuLawula

Xa uninzi lwamanyathelo okulawula ukuzaliswa kweepilisi ezikhoyo, ungayazi njani ukuba usebenzise? Uninzi lusebenza ngokulinganayo, ngoko ke ukhetho oluhle kuwe luya kuhlahla ukuba luyakwazi ukuvelisa akukho (okanye imbalwa kakhulu).

Ugqirha oyalela ukuba ukhuseleko lwakho luya kuba sisikhokelo sakho esiphezulu, kodwa kusoloko uqikelele ukuba ube nolwazi olunokwenzeka malunga naluphina isilwanyana osithathayo, ngako-ke kwesi sikhokelo ukwenza isinqumo esicacisiweyo malunga nokuba yiphi ipilisi yokulawula ukuzalwa okulungileyo kuwe fumana ukuhlaziywa kweentlukwano phakathi kweentlobo zeepilisi, iimiphumo ezichaphazelekayo ngamnye, nangaphezulu.

Inkcazelo ngokukhawuleza malunga nokukhetha iPilisi yoLawulo lokuzalwa

Ngokubanzi, i- contraceptive ye-hormonal yokudibanisa iqukethe i -estrogen yokwenziwa (ukuzinzisa i-endometrium nokunciphisa ukungafunwa okungafunekiyo) kunye neprogesin (kwimiphumo yalo yokukhulelwa). Ukwazi ukungafani phakathi kweprogesin kunye nemiphumo ye-estrogenic, iziphumo ze-androgenic, kunye nokukhethwa kweprogestational kunokukunceda ukhethe ipilisi eneempembelelo ezincinci.

Ukucacisa ngokufutshane indlela ukudibanisa le mi sebenzi kungabangela ngayo imiphumo emibi, makhe sijonge kwiipilisi ezithile zokulawula ukuzalwa. Izithintelo zokukhulelwa komlomo ezithatha ukuba nemiphumo ephezulu ye-androgenic kunye nomsebenzi ophantsi we-estrogen, umzekelo, kunokwenzeka ukuba kubangele ukukhula kweenwele ezingafunekiyo kunye nemiphumo emibi. Ukongezelela, i-progestin eneempembelelo eziphezulu kunye ne-androgenic ingavame ukuvelisa i-tender tender, i-bloating and mood changes.

Kubalulekile ukuba ukhumbule, nangona kunjalo, ukuba ininzi yabasetyhini basebenzisa ipilisi ngale nhlanganisela ayigqiba ukuhlakulela induna; le mpembelelo yecala iyakwenzeka kakhulu kula mabhinqa abanomdla wokwenza i-androgenicity.

Iipilisi zokulawula ukuzala eziqulethe iphethini yesrogenic / ephansi yesrogenic ziquka:

Ekubeni kukho iintlobo ezahlukeneyo zeprogestins, ngamnye unokufumana amandla ahlukeneyo ngokwemiqathango yeprogestational, isrogenic, kunye ne-androgenic. Umphumo wale miphumo kuxhomekeke ekuhlanganiseni uhlobo kunye namanqanaba eprogestin kunye ne-estrogen.

Ngokuqhelekileyo, ibhalansi (okanye i-ratio) phakathi kwe-estrogen kunye neprogesin kwi-brand brand yepilisi inokudlala indima kwimiphumo emibi echaphazelekayo. Ibhinqa ngalinye lingasabela ngokungafaniyo nala macandelo. Kwakhona, uhlobo lwepilisi onokusebenzisa i-monophasic / biphasic / triphasic okanye umjikelezo owandisiweyo lunokunceda ukunciphisa imiphumo ethile. Ngenxa yoko, nceda uqaphele ukuba ezi zilandelayo zikhokelo eziqhelekileyo , kwaye akuvumelekanga ukuba zisebenze kubo bonke abafazi.

Ukuba yinkqubo encinane yobuchwepheshe, ukuze kuqinisekiswe ukuhlanganiswa ngokupheleleyo kwezi ziphumo ezintathu, umntu kufuneka awandise umthamo wangempela wezinto ezi zintathu (iziphumo) ngamaxesha obunzima bokuthi loo nto icwangciswe ukuze kulungiswe ukulawulwa kolawulo lwepilisi njengeempembelelo eziphezulu kunye ne-orrogenic, kuba yi-estrogen ephezulu, okanye i-progestin ephezulu. Ngenxa yobunzima bokuqikelela oku ngokwakho, isigqibo sokuba yeyiphi ipilisi yokulawula ukuzalwa kufuneka ixoxwe kunye nomboneleli wakho wezempilo. Ungayisebenzisa le ngcaciso ukuqalisa ingxoxo nodokotela wakho malunga neyiphi ipilisi enokuthi ibe yinto enhle kuwe.

Kwakhona kubalulekile ukunika iipilisi okwangoku uthabatha uvavanyo olulungileyo lweenyanga ezimbini ukuya kweenyanga ezintathu. Ukuba utshintshile uphawu lwakho lwepilisi , kufuneka ubenze i-new trial yeenyanga ezimbini ukuya kweyesithathu kuba kuthatha iinyanga ezimbalwa nje ukuba umzimba wakho ulungelelanise amahomoni amasha kwiipilisi zakho zokulawula.

Ukukhetha iPilisi YokuLawula Ukuzalwa ngokunciphisa Iimiphumo Zaso Zecala

Isatetyhi esilandelayo isigaba esichaphazelekayo, ngoko kungenakusebenza kuwo onke amabhinqa. Xa ukhetha ukudibanisa iipilisi yokulawula ukuzalwa, unokukwazi ukunciphisa imiphumo emibi ngokutshintshela (okanye ekuqaleni ukhetha) ityiliti yepilisi ephakanyisiwe kwishati esezantsi esekelwe kwicala eliphilileyo ozama ukunciphisa okanye ukunciphisa.

I-Effect Side (Ingxaki) Progestin / Estrogen / Iimpembelelo zeAndrogenic Zama Ukusebenzisa la maPilisi ePilisi ukuze unciphise umphumo wecala
Acne i-estrogen ephezulu, kunye ne-androgen potency Ukudinga 1/50, Brevicon, Mircette, Modicon, Necon, Othro-Cyclen, Ortho-TriCyclen, Yasmin
Ukuphuluka kwegazi (spotting) i-estrogen ephezulu, i-progestin potency ephezulu, kunye ne-androgen potency I-Demulen 1/50, Desogen, i-Ortho-Cept, iOvcon 50, Yasmin, i-Zovia 1 / 50E, i-Estrostep FE **
Ukhathazeka kwesisu i-estrogen esezantsi, i-progesin ephantsi I-Alesse, i-Levlite
Ukuxinezeleka progesin ephantsi I-Alesse, Brevicon, i-Levlite, i-Modicon, iNecon 1/35, i-Ortho-Cyclen, i-Othro-TriCyclen, i-Ovcon 35, i-Tri-Lev, i-Triphasil, i-Trivora
Endometriosis okanye i-endometriosis yokuthintela i-estrogen esezantsi, i-progestin potency ephezulu, kunye ne-androgen potency I-Demulen 1/35, i-Levlen, i-Levora, i-Loestrin 1.5 / 30, i-Loestrin i-1/20 Fe, i-LoOvral, i-Nordette, i-Zovia 1 / 35E (isetyenziswe ngokuqhubekayo ngaphandle kweentsuku zeepilisi ze-placebo okanye ezineentsuku ezi-4 kuphela zeepilisi ze-placebo zokukhusela)
Intloko (kungekhona ukuhamba kwelanga) i-estrogen esezantsi, i-progesin ephantsi I-Alesse, Brevicon, i-Levlite, i-Modicon, iNecon 1/35, i-Ortho-Cyclen, i- Othro-TriCyclen , i-Ovcon 35, i-Tri-Lev, i-Triphasil, i-Trivora
Ukunyameka okanye ukucasula progesin ephantsi Alesse, Levlite, Loestrin 1/20 Fe, Yasmin, Yaz , Beyaz (okanye nayiphina ipilisi ene-estrogen encinci kunoko ngoku)
Iimfampu ezinomzimba ezinzulu progestin Ukudumisa 1/35, iDemulen 1/50, Desogen, iMircette, Loestrin 1.5 / 30, i-Ortho-Cept, Yasmin, i-Zovia 1 / 35E, i-Zovia 1 / 50E
Ukutyeba kwakho i-estrogen esezantsi, i-progesin ephantsi Alesse, Levlite, Loestrin 1/20 Fe, Yasmin, Yaz, Beyaz (okanye nayiphina ipilisi ene-estrogen encinci kunoko ngoku)

I-Estrostep FE iqulethe i-progestin norethindrone acetate (le progestin ibonisa ukuba ne-androgen ephezulu). Ngoko ke, nangona i-Estrostep FE ilandela enye indlela ephezulu ye-androgenic / e-estrogenic, le ncwadana ipilisi ye-triphasic eyenzelwe ngokwenene ukukhusela ukuphuma kwegazi ngelixa uzama ukugcina ukukhanya kwe-hormone ngezantsi kunokwenzeka. I-Estrostep FE ngumzekelo omhle wokuba kutheni ulwazi kule shredithi lufanele lujongwe ngakumbi ngokwemiqathango epheleleyo, kwaye ingasoloko ibambelela kwelinye iqela ukuya kwelinye.

ILizwi

Khumbula, ngamnye umfazi angasabela ngendlela eyahlukeneyo kwiindlela ezithile zokulawula ukuzalwa, ngoko ke le ngcaciso ichazwe ukuba ibe yiphononongo jikelele. Kwakhona kubalulekile ukubonisa ukuba isizathu esona sizathu sokusebenzisa ukulawula ukuzalwa kwe-hormonal (contraception) (ukukhusela ukukhulelwa okungalindelekanga ). Ukuqwalasela iingeniso ezingabonakaliyo zokulawulwa kokuzalwa, kunye nemiphumo engathandekiyo, kungaba yinxalenye yengxoxo enayo kunye nogqirha wakho xa ugqiba ukuba yeyiphi indlela ye-hormonal efanelekileyo.

Umthombo:

Jelovsek, R. Yiyiphi Ipilisi yokuLawula ngomlomo eyona nto ilungile kum?