Ukusebenzisa i-Progestin-kuphela yoLawulo lokuzalwa

Ukuhlaziywa koNyango lwe-Non-Estrogen Contraception Options

Ukulawulwa kokuzalwa kweHormon kusetyenziswa ngabasetyhini ukukhusela ukukhulelwa. Ngokuqhelekileyo kubandakanya ukusetyenziswa okuhlangeneyo kweprogesterone (progestin) kunye ne- estrogen . Nangona ama-hormone amabini ahlanganiselwe acingisise ngakumbi, kukho abesetyhini abanomdla wokwenza i-estrogen kwaye abanako ukuthatha. Ngenxa yoko, ukhetho lweprogestin kuphela lufumaneka.

Abasetyhini abanokuzuza kwiProgesin-Only Birth Control

Ukulawulwa kokuzalwa kweprogesin kuphela kukwacingwa njengendlela ekhuselekileyo yabasetyhini abasengozini yesifo senhliziyo okanye isifo. I-Estrogen, ngokuchaseneyo, iyaziwa ngokunyusa ingozi ye-cardiovascular, ingakumbi kwi:

• ababhemayo abangaphezu kweminyaka engama-35
• abafazi abaneengcinezelo zegazi
• mabhinqa anembali yamacandelo egazi

Abanye besetyhini banokuzuza kwi-progesin kuphela yokulawulwa kokuzalwa, kuquka nabamncelisayo (njengokuba iprogesin ayinakuchaphazela umveliso wobisi okanye ukulimaza umntwana), abafazi abangaphezu komzimba okanye abagqithiseleyo , okanye abafazi abangazange bazalwe.

Kwanjalo, ukhetho lweprogesin kuphela luphakathi kwama-87 ne-99 ekhulwini ekusebenzeni ukukhusela ukukhulelwa.

Iimpembelelo eziqhelekileyo zolawulo lweProgesin-kuphela lokuLawula

Zonke iifom zokulawulwa kokuzalwa kwe-progesin kuphela zikwabelana ngeziphumo eziqhelekileyo ezichaphazelekayo, ezinye zazo ziza kulungiswa ngexesha elide. Zingaquka:

• ukungcola
• intloko
• isisu esiswini
• ukutshatyalaliswa kwesisu
• ukuphaphaza okanye ukuphuma kwamanzi ngokwesisu
• i-amenorrhea (ayikho ixesha)
• ixesha elide
• ukulahleka kwe-libido
• Ukwandisa okanye ukuncipha kwi-acne
• ukuxhalaba nokukhathazeka
• ukugqithisa kwesikhumba okanye iindawo ezinqabileyo zesikhumba
• ukuxinwa kwesithambo
• kuncipha okanye kwandiswe kwizinwele zobuso kunye / okanye zomzimba
• isisu

Kukho iintlobo ezintandathu zeendlela zokulawula ukuzalwa kweprogesin kuphela ezifumaneka eUnited States:

1 -

Iipilisi zokuLawula ukuzalwa kweProgesin kuphela

Njengoko ngegama labo, iipilisi zokulawulwa kokuzalwa kweprogesin kuphela (ezibizwa ngokuba yi-mini pilisi okanye i-POPs) aziquki nayiphi i-estrogen. Zifumaneka kwiipakethi zeentsuku ezingama-28 ozithatha imihla ngemihla ngexesha lomjikelezo weeveki ezine. Zonke iipilisi ezingama-28 ziqukethe iprogesin; ayikho iipilisi ze placebo.

Iipilisi ze-mini ziza kuphela kwi-formulation eyodwa e-US ebizwa ngokuba yi- norethindrone .

2 -

Depo-Provera

I-Depo-Provera ngumjovo wolawulo lokuzalwa ohambisa kancane kancane i-progesin medroxyprogesterone i-acetate emzimbeni wakho, ukukhusela ukukhulelwa kwiiveki ezi-11 ukuya kwezi-14. Ukuba ukhetha ukusebenzisa i- Depo-Provera , uya kufuna ii-injections ezine ngonyaka.

Ii-injection zeDepo-Provera zinika inzuzo eyongeziweyo yokunciphisa intlungu ehlobene ne-endometriosis .

I-Depo-Provera inesixwayiso sebhokisi ebomnyama esilumkisa malunga nokulahleka kwethambo kunye nokwanda komngcipheko we- osteoporosis. Ngenxa yalesi sizathu, iDepo-Provera akufanele isetyenziswe iminyaka engaphezu kwembini kwaye kufuneka igwenywe ngokupheleleyo kulutsha.

Iziphumo eziqhelekileyo zibandakanya inzuzo yesisindo, ukuphuma kwegazi ngokungapheliyo, ukuphawula, kunye nokuphuma ixesha elide. Emva kokuma, kungathatha unyaka okanye ngaphezulu ukuze uqale u-ovulating kwakhona .

3 -

Mirena IUD

I- Mirena IUD yinkqubo encinci ye-intrauterine (IUD) eqhubeka ikhupha inani elincinane leprogesin ngaphezu kweminyaka emihlanu. Ngenxa yokuba i-Mirena iqukethe i-progestin, ibonakala iyasebenza ngakumbi kuneParaGard IUD . I-Mirena IUD iye yavunywa kwakhona ukunceda ukuphatha ixesha elinzima .

I-Mirena IUD ifakwe ngugqirha wakho kwaye ineemichilo ezivumela ukuba uhlole ukuba isixhobo sisesekho. Njengazo zonke izixhobo ze-intrauterine, iingxaki zingabandakanya ukugqithiselwa kwi-uterus, ukusuleleka, kunye nokuxoshwa ngengozi.

4 -

I-Skyla Progestin-kuphela IUD

I-Skyla yinye inketho ye-progestin-kuphela ye-IUD. Yincinci encinane kuneMirena neParaGard kwaye ngokuqhelekileyo kulula ukuba ugqirha ukuba afake. Emva kokufakiwe, i-Skyla ikhupha ngokukhawuleza ifomu yeprogesin (ebizwa nge-levonorgestrel) ngaphezu kwexesha leminyaka emithathu.

Iingxaki zokusetyenziswa zifana ne-Mirena IUD, ezinokubandakanya i-uterine perforation, intsholongwane kunye nokuxoshwa.

5 -

Nexplanon

I-Nexplanon yinguqulo entsha ye- Implanon yokufakelwa phantsi kwe-subdermal. Lo yi-progestin-kuphela yecandelo lolawulo lokuzalwa lokuzalwa eliqukethe i-68mg ye-progestin etonogestrel kwaye iqukethe iplastiki eguquguqukayo ngokufakela ngobukhulu be-match.

I-nexplanon ifakwe phantsi kwesikhumba sengalo kwaye inokubonelela kwiminyaka emithathu yokukhusela.

I-Explanon i-radiopaque, ithetha ukuba inokubonakala kwi-X-ray. Oku kunceda ugqirha ukuba abone ukuba sele ifakwe ngokufanelekileyo. Ukufakela kufuna i-anesthetic yasekhaya kwaye ngokuqhelekileyo ithatha imizuzu embalwa.

Emva kokufakela, unokufumana ukutyumza, intlungu, ukuvutha, ukutshisa, ukuphazamiseka, ukuphuma kwintsholongwane, ukutshatyalaliswa, okanye ukusuleleka kwisayithi yokufakelwa.

6 -

I-Noristerat Injection

Ijoyi yokulinda yinkqubo yokuhanjiswa kweendlela zokuzalwa eziqukethe i-progestin norethisterone enanthate. Ayitholakali e-US kodwa isetyenziswa ngokuqhelekileyo e-United Kingdom, eYurophu, e-Afrika nase-Central America.

Ijoza yokulinda yenzelwe ukuba yindlela yokulawula ukuzalwa kwexesha elifutshane. Abasetyhini bayayikhetha emva kokugonywa kwi-rubella okanye ngelixa balindele ukuba i- vasectomy yabo iqabane liphumelele. Umjovo wokulinda uza kuqhubeka ukhulule iprogesin kwisistim sakho ukuya kwiiveki ezisibhozo.

> Umthombo

• > Shoupe. D. (umhleli). Ukukhulelwa. Oxford, UK: Wiley-Blackwell; 2011; ISBN: 978-1-4443-3351-0.