Mapiritsi oletsa kubereka

Mapiritsi oletsa kubereka (BCPs) ali ndi mitundu yopangidwa ndi anthu ya mahomoni awiri otchedwa estrogen ndi progestin. Mahomoni amenewa amapangidwa mwachibadwa m'mimba mwa mayi. Ma BCP amatha kukhala ndi mahomoni onsewa, kapena amakhala ndi progestin okha.

Mahomoni onsewa amalepheretsa ovary ya mayi kutulutsa dzira panthawi yomwe akusamba (yotchedwa ovulation). Amachita izi posintha kuchuluka kwa mahomoni achilengedwe omwe thupi limapanga.

Ma progestin amapangitsanso ntchofu kuzungulira khomo lachiberekero la mkazi lakuda komanso lokakamira. Izi zimathandiza kuti umuna usalowe muchiberekero.

Ma BCP amatchedwanso njira zakulera zam'kamwa kapena "mapiritsi" okha. Wothandizira zaumoyo ayenera kulemba BCPs.

• Mtundu wofala kwambiri wa BCP umaphatikiza mahomoni a estrogen ndi progestin. Pali mitundu yosiyanasiyana ya mapiritsi amtunduwu.
• "Mini-pilisi" ndi mtundu wa BCP womwe umangokhala ndi progestin, wopanda estrogen. Mapiritsiwa ndi njira kwa azimayi omwe sakonda zoyipa za estrogen kapena omwe sangamwe estrogen pazifukwa zamankhwala.
• Zitha kugwiritsidwanso ntchito akabereka amayi omwe akuyamwitsa.

Amayi onse omwe amatenga ma BCP amafunika kukayezetsa kamodzi pachaka. Amayi ayeneranso kuyezetsa magazi awo pakatha miyezi itatu atayamba kumwa mapiritsi.

Ma BCP amangogwira ntchito bwino ngati mayi amakumbukira kumwa mapiritsi ake tsiku lililonse osaphonya tsiku. Amayi awiri kapena atatu okha mwa 100 omwe amamwa ma BCP molondola kwa chaka chimodzi ndi omwe adzakhale ndi pakati.

BCPs imatha kubweretsa zovuta zambiri. Izi zikuphatikiza:

• Kusintha kwa kusamba, kusamba kwa msambo, kutaya magazi kowonjezera
• Nseru, kusintha kwa malingaliro, kuwonjezeka kwa migraines (makamaka chifukwa cha ma estrogens)
• Chikondi cha m'mawere ndi kunenepa

Zowopsa koma zowopsa kutenga BCPs ndi monga:

• Kuundana kwamagazi
• Matenda amtima
• Kuthamanga kwa magazi
• Sitiroko

Ma BCP opanda estrogen samatha kubweretsa mavutowa. Chiwopsezo chimakhala chachikulu kwa azimayi omwe amasuta kapena amakhala ndi vuto lakuthamanga magazi, kusokonekera kwa magazi, kapena kuchuluka kwama cholesterol. Komabe, kuopsa kokhala ndi mavutowa kumakhala kotsika kwambiri ndi mtundu uliwonse wa mapiritsi kuposa kukhala ndi pakati.

Kusamba kwa nthawi zonse kumabwerera mkati mwa miyezi 3 mpaka 6 mkazi atasiya kugwiritsa ntchito njira zambiri zakulera.

Kulera - mapiritsi - njira mahomoni; Njira zopewera mahomoni; Mapiritsi oletsa kubereka; Mapiritsi kulera; Zamgululi OCP; Kulera - BCP; Estrogen - BCP; Progestin - BCP

• Njira zolerera zopangira mahomoni

Allen RH, Kaunitz AM, Hickey M, Brennan A. Njira yolerera ya mahomoni. Mu: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, olemba. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: chap.

American College of Obstetricians ndi tsamba la Gynecologists. Chidziwitso cha ACOG Bulletin Na. 206: Kugwiritsa ntchito njira yolerera ya mahomoni mwa amayi omwe ali ndi matenda omwe akhalapo. Gynecol Woletsa. 2019; 133 (2): 396-399. (Adasankhidwa) PMID: 30681537 pubed.ncbi.nlm.nih.gov/30681537/.

Harper DM, Wilfling LE, Blanner CF. (Adasankhidwa) Kulera. Mu: Rakel RE, Rakel DP, olemba. Buku Lophunzitsira La Banja. 9th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 26.

Rivlin K, Westhoff C. Kulera. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 13.

Winikoff B, Grossman D. Kulera. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 225.