Mphete Yatsopano Yolerera Yamkazi Ikhoza Kugwiritsidwa Ntchito Chaka chonse

Zamkati

• Zimagwira bwanji?
• Kodi amagwiritsidwa ntchito bwanji?
• Zimagwira ntchito bwanji?
• Nanga bwanji zotsatira zoyipa?
• Onaninso za

Kwa nthawi yoyamba, Food and Drug Administration (FDA) yavomereza mphete ya amayi yolerera yomwe imatha kuvalanso chaka chonse.

Annovera, monga adatchulidwira, ndi chinthu chopangidwa ndi Population Council, chopanda phindu chomwe chimakhalanso ubongo kuseri kwa IUD yamkuwa, zopangira zolerera, ndi mphete yolerera ya amayi oyamwitsa, mwa zina. (Zogwirizana: Chifukwa Chani Aliyense Ali Ndi Chidwi Piritsi La Kulera Pakali Pano?)

Zimagwira bwanji?

Annovera amagwira ntchito mofanana ndi mphete zina zolerera: Zimayikidwa mkati mwa nyini momwe zimatulutsira mahomoni monga progesterone omwe amathandiza kupewa mimba, Nkhani za Buzzfeed malipoti. Chomwe chimapangitsa Annovera kukhala chosiyana, komabe, ndikuti imagwiritsa ntchito kuphatikiza kwamahomoni kwatsopano kotchedwa segesterone acetate komwe kumathandizira kuti mpheteyo ikhale yogwira popanda firiji kwa chaka chimodzi.

"Mitundu yambiri yolera-kaya imamwa pakamwa kapena kuyikidwapo-zonse zimakhala ndi mitundu ndi mitundu ya estrogen ndi progesterone," a Jessica Vaught, MD, director of the lowerasal surgeon at Winnie Palmer Hospital for Women & Babies and board-certified ob-gyn amatiuza Maonekedwe. "Koma ngakhale mtundu wa estrogen womwe umagwiritsidwa ntchito polera nthawi zonse umakhala wofanana (womwe umadziwika kuti estradiol), ofufuza akhala akuyesera mitundu yosiyanasiyana ya progesterone pakulera kwa zaka zambiri."

Dr. Vaught akuti segesterone acetate kwenikweni ndi mtundu watsopano wa progesterone. Pogwiritsa ntchito bwino, ndizofanana ndi mitundu ina ya progesterone yomwe imagwiritsidwa ntchito poletsa kubereka. Koma ili ndi mawonekedwe apadera monga kunyalanyaza kufunika kwa firiji ndi kuthekera kwake kuti agwiritsidwenso ntchito kwa chaka chonse.

Kodi amagwiritsidwa ntchito bwanji?

Kuti muwonetsetse kuti mukugwiritsa ntchito Annovera momwe amafunira, Population Council ikukulangizani kuti musiye mphete mkati mwa nyini yanu kwa milungu itatu kenako ndikuchotsa chimodzi. Nthawi yopuma, mpheteyo iyenera kutsukidwa bwino ndikusungidwa mkathumba komwe kangasungidwe kulikonse.

Ngati mukuganiza ngati zaukhondo, azimayi akhala akugwiritsa ntchito makina amtundu omwewo omwe sagwiritsidwa ntchito polera kwazaka zambiri. “Azimayi okalamba nthawi zambiri amadwala matenda a prolapse, omwe ndi pamene ziwalo zimatha kupita patsogolo kapena kutsika, zomwe zimayambitsa mavuto a thanzi,” akutero Dr. Vaught. "Zikatero, nthawi zambiri amapatsidwa mphete zomwe zimayikidwa kudzera kumaliseche ndikuthandizira kuti ziwalozo zikhale m'malo. Izi ndizofanana ndi Annovera chifukwa zimapangidwa ndi zinthu zomwe sizimayambitsa matenda mosavuta, amaloledwa kuzichapa ndi kuzisunga bwino.

Pakati pa sabata ino, Population Council imachenjeza ogwiritsa ntchito kuti atha kukhala ndi nthawi kapena "kutaya magazi." Koma masiku asanu ndi awiriwo akatha, mutha kungoyikanso mphete yomweyo, kubwereza ndondomekoyi kwa chaka chimodzi, osapita ku pharmacy mwezi uliwonse kuti mukatenge mphete yatsopano. (FYI, lankhulani ndi dokotala ngati mukusowa nthawi yanu.)

"Kwa zaka zoposa 60, Bungwe la Population Council lakhala patsogolo pa ntchito zapadziko lonse lapansi zopanga njira zatsopano zakulera zomwe zimakwaniritsa zosowa za amayi," adatero pulezidenti wa Population Council Julia Bunting m'mawu ake. "Kukhala ndi njira imodzi yolerera yomwe imapereka chaka chathunthu chachitetezo pansi pa kuyang'anira kwa azimayi kungakhale kosintha masewera."

Zimagwira ntchito bwanji?

Zachidziwikire, Annovera ndiwothandiza pang'ono kuposa njira zina zakulera pamsika. Mayesero azachipatala adawonetsa kuti ndi 97.3% yothandiza kupewa mimba kwa azimayi azaka zapakati pa 18 mpaka 40 omwe adagwiritsa ntchito mphete mozungulira msambo 13. Izi zimamasulira pafupifupi azimayi awiri kapena anayi mwa amayi 100 omwe mwina amatenga pakati mchaka choyamba amagwiritsa ntchito Annovera.

Kuti timvetse izi, pa amayi 100 aliwonse amayi 100 omwe amagwiritsa ntchito makondomu amakhala ndi mimba 18 kapena kupitirira apo; 6 mpaka 12 pa 100 yokhala ndi Mapiritsi, zigamba, kapena ma diaphragms; ndi ochepera 1 pa 100 pachaka ya IUD kapena yolera yotseketsa, malinga ndi Centers for Disease Control and Prevention (CDC).

Kuphatikiza apo, ena mwa amayi omwe adayesedwawo adanenanso kuti Annovera anali wosavuta, wosavuta kugwiritsa ntchito, komanso womasuka tsiku ndi tsiku moyo-ngakhale pakugonana, malinga ndi FDA.

Izi zikunenedwa, a FDA amachenjeza kuti monga njira zina zambiri zakulera, Annovera samateteza ku HIV kapena matenda aliwonse opatsirana pogonana.

Ndizofunikiranso kudziwa kuti Annovera sanayesedwe mwa amayi omwe ali ndi index ya misa ya thupi (BMI) yoposa 29 ndipo sayenera kugwiritsidwa ntchito ngati muli ndi mbiri ya khansa ya m'mawere, zotupa zosiyanasiyana, kapena kutuluka magazi kwachilendo, pakati pazachipatala. mikhalidwe. Mpheteyi idzabweranso m'bokosi lomwe limachenjeza za kuchuluka kwa chiwopsezo chamtima mukamagwiritsa ntchito posuta. Mosakayikira, si za aliyense. (Zogwirizana: Njira 5 Zolera Zitha Kulephera)

Nanga bwanji zotsatira zoyipa?

Mutha kuyembekezera zovuta zofananira ndi mitundu ina yoletsa kubereka. Lipoti la FDA linaphatikizapo zizindikiro monga kupweteka kwa mutu, nseru, matenda a yisiti, kupweteka kwa m'mimba, kutuluka magazi kosalongosoka, ndi kupweteka m'mawere. (Zowonjezera: Zowopsa Kwambiri Zoyang'anira Kubadwa)

Annovera sadzakhala pamsika mpaka 2019 kapena 2020, ndipo ngakhale palibe amene akudziwa kuti mankhwala angakuwonongereni ndalama, adzagulitsidwa pamtengo wotsika kuzipatala zakulera zomwe zimathandizira anthu omwe amapeza ndalama zochepa. "Ubwino wokhala ndi chinthu chonga ichi kukhala chokwera mtengo ndi chachikulu," akutero Dr. Vaught. "Kukhala ndi njira yolerera yomwe imapezeka kwambiri komanso yosafuna kupita pafupipafupi ku malo ogulitsa mankhwala kapena ku ofesi ya dokotala kumatha kulola amayi ambiri kudziyimira pawokha ndikuwongolera matupi awo." (Yogwirizana: Kampani Ino Ili Kuyesera Kupanga Njira Zolerera Kuti Zizipezeka Padziko Lonse Lapansi)

Ngati mukuganiza kuti Annovera akhoza kukhala njira yolerera kwa inu, kumbukirani kukaonana ndi dokotala poyamba ikadzapezeka. Posankha njira yolerera, ndikofunikira kuyesa zonse zomwe mungasankhe musanasankhe mtundu womwe ungakuthandizeni kwambiri.

Onaninso za