Ukulawulwa kokuzalwa kweHormon kubhekisela kwiindlela zokulawula ukuzalwa eziqukethe iifommoni zokwenziwa. Ezi ntlobo zokukhusela zilinganisa ama- hormone akhona ngokwemvelo akhiqizwa emzimbeni womfazi. Ukulawulwa kokuzalwa kweHormon kufuneka kubekwe ngugqirha wakho.
Kukho iintlobo ezimbini zokulawulwa kwe-hormonal birth:
- Ukuhlanganiswa kolawulo lokuzalwa kweHormonal : Ulawulo lokuzalwa lokudibanisa luneendlela eziqulethe i -estrogen kunye nolunye uhlobo lweprogesin.
- Ulawulo lweProgesin-Uphela lokuLawula : ezi ndlela zindlela zokukhusela eziqulethe iprogesin kwaye zikhetho ezintle ukuba awukwazi ukusebenzisa ulawulo lokuzalwa oluqukethe i-estrogen.
Kutheni Ukhetha Ukulawula Ukuzalwa KwamaHormon?
Iindlela zokulawula ukuzalwa kwe-Hormon zithandwa kakhulu. Unokunqwenela ukusebenzisa i- hormonal contraception ngenxa yokuba:
- Ezi ndlela ziguqulwa (ngaphandle kweDepo Provera ) - oku kuthetha ukuba ukuzala kwakho (okanye ukukwazi ukukhulelwa) ngokukhawuleza kubuya xa uyeka ukuyisebenzisa.
- Ukulawulwa kokuzalwa kweHormon kulula kwaye kulula ukuyisebenzisa .
- Zininzi zezi ndlela zinezinye zezinga lokungaphumeleli phantsi (xa zisetyenziswe ngokuchanekileyo) - ngoko zisebenza kakuhle .
- I-Hormone yokulawulwa kokubeletha inokukunika uncedo oluninzi lwezempilo olungenalo ukhuseleko (kunye nokuncedisa ukunyamezela kokuya esikhathini okanye ukunciphisa intsimbi ).
Iindlela zokuLawula ukuzalwa kweHormonal
Nalu uluhlu lwazo zonke iindlela zokulawula ukuzalwa kwe-hormonal ukuze usebenzise. Ezi zintathu zokuqala zizindlela zokudibanisa, kwaye zonke ezinye uludwe luyi-progestin-kuphela yendlela yokulawula i-hormonal yokuzalwa.
UkuLawulwa koPhuhliso lweePilisi
Iipilisi zokulawula ukuzalwa kufuneka zithathwe imihla ngemihla , ngelo xesha. Ziqukethe i-ethinyl estradiol kunye nenye yezinto ezilandelayo zeprogesin : i-norethindrone, i-norethindrone acetate, i-ethynodiol diacetate, i-levonorgestrel, i-norgestrel, i-desogestrel, i-norgestimate, okanye i-drospirenone. Ngalunye lwale progestin inesiprofayili sayo esekelwe kwiprogesational, isrogenic, kunye ne-androgenic emzimbeni wakho. Kukho kwakhona intsha entsha yokulawula inzala ebizwa ngokuba yiNatazia - le yipilisi kuphela equkethe i-estradiol valerate kunye neprogesin, i-dienogest. Ukudibanisa iipilisi zokulawulwa kokuzalwa kukwahlulwa njenge- monophasic, i-biphasic okanye i-triphasic - oku kusekelwe kwindlela ama-hormone asasazwa ngayo kwiiveki nganye kwiipilisi nganye. Kukho kwakhona kwipilisi yokudibanisa iipilisi.
NuvaRing
I-NuvaRing yintsebenziswano yokukhulelwa kufuneka ifakwe kwisini. Emva kokufakiwe, ngokukhawuleza kukhupha i-ethinyl estradiol kunye neprogesin, neononogestrel. Ufake iNuvaRing uze uyishiye endaweni yeeveki ezintathu. Ngeveki 4, uyayikhupha - yilapho kufuneka ube nexesha lakho lokuhoxisa .
I-Patch
I-patch control control isetyenziswe kwesikhumba. Ikhupha i-ethinyl estradiol kunye neprogesin, i-norelgestromin ngqo ngesikhumba. Udinga ukutshintshwa kwipaki nganye ngeveki (kwiiveki ezintathu). Ngethuba leveki 4, ugcina iqhosha .
Nexplanon
I-Nexplanon yi-insgesin kuphela yokufaka ulawulo lokuzalwa oluqulethe i-68 mg ye-progestin, ne-etonogestrel. Le ntonga enye ifakwe kwisandla sakho esiphezulu apho iprogesin ikhutshwa ngokukhawuleza. Ukufakelwa kwakhona kuqulethe i-radiopaque (oku kubonakala lula kwi x-ray ukuqinisekisa ukuba intonga ibeke ngokufanelekileyo). Kucatshangelwa ukuba yindlela ekhulayo yokuthatha isantya (LARC) -kude i-Nexplanon ifakiwe, inikeza ukhuselo lokukhulelwa kuze kube yiminyaka emithathu.
UDepo Provera noDepo-subQ Provera 104 Injection
UDepo Provera kunye neDepo-subQ Provera 104 yi- injection ye-hormonal contraceptive injections . Bobabini i-ppo shots zifana-nganye injini ikhupha i-progestin, i-medroxyprogesterone i-acetate. Kumele ufumane injoyi ye-Depo Provera rhoqo kwiiveki ezi-11 ukuya kuma-13 (i-Depo-subQ-Provera i-injection ezingama-104 kufuneka zenzeke rhoqo kwiiveki ezi-12-14). Ukuba usebenzisa i-Depo Provera, ngokuqinisekileyo kufuneka ube neengxube ezi-4 ngonyaka. Njengazo zonke iindlela zokulawula i-hormonal, uDepo Provera unemiphumo emibi . Abasetyhini abaninzi bayeke ukusebenzisa iDepo Provera ngenxa yemiphumo emibi (njengegazi okanye ngokungapheliyo ). Ayikho indlela yokwazi ngaphambi kokuba uqale uDepo Provera ukuba uya kuba naziphi na ezi ziphumo zecala. Iindaba ezilungileyo malunga neDepo Provera-i-FDA-yamkelwe ukunyanga i-endometriosis .
Mirena IUD
I-Mirena luhlobo lwe- IUD . UMirena ukhulula iprogesin, i-levonorgestrel (20 mcg ngosuku). I-Mirena ifakwe kwisibeleko sakho ngugqirha. Emva kokufakiwe, inokushiywa endaweni iminyaka emi-5. Yonke into ofuna ukuyikhumbula ukuyenza ukujonga i-Mirena IUD intambo - oku kuya kukuxelela ukuba i-Mirena yakho isendaweni. Ngenxa yokuba i-progestin, i-Mirena iyasebenza ngakumbi kuneParaGard IUD . Ngaphandle kokusetyenziswa njengendlela yokukhulelwa, uMirena uye wavunyelwa yi-FDA ukunceda ukuphatha ixesha elinzima . Ungakwazi kwakhona ukuba iMirena IUD yakho isuswe naliphi na ixesha ngaphambi kokuba ixesha lemizuzu emi-5 liphelile.
I-Mini-pilisi
Iipilisi ze-mini yiprogram yeprogesin kuphela yecill pilill control. Ziyaziwa ukuba zenze iziphumo ezingaphantsi kweepilisi ezidibeneyo. Ngenxa yokuba ayinalo i-estrogen, i-pilisi encinane yindlela yokulawula ukuzalwa okulungileyo kumama omtsha abancancisayo. Iipilisi ze-mini zifika kwiipakethi zeentsuku ezingama-28 - kufuneka ukhumbule ukuthatha enye yeepilisi imihla ngemihla nganye umjikelezo weepilisi ezine-iveki nganye.
Skyla IUD
I-Skyla yaziwa ngokuba yi-Mini IUD. Emva kokufakiwe, i-Skyla ikhupha i-progestin levonorgestrel (14 mcg ngosuku) - I-Skyla ihlala iminyaka emithathu. I-Skyla IUD ithathwa njengendlela enkulu yokulawula ukuzalwa kwe-hormonal kubaselula kunye nabasetyhini abangazange bazalwe . I-Skyla IUD (kwaye ityhubhu isetyenziswe ukuyifaka) incinci kuneMirena neParaGard. Oku kwenza i-Skyla ibe lula kwaye ayibuhlungu kakhulu ukufaka. Njengawo nayiphi na iUD, ungaphinde ususe Skyla nanini na.