Mapiritsi Olera: Kodi Ndi Oyenera Kwa Inu?

Zamkati

• Kodi mitundu yamapiritsi olera ndi otani?
• Mapiritsi osakaniza
• Mapiritsi a progestin okha
• Kusankha mtundu wa mapiritsi olera
• Kodi mapiritsi oletsa kulera amagwira ntchito motani?
• Kodi ndingagwiritse ntchito bwanji mapiritsi olera?
• Kodi mapiritsi a kulera ndi othandiza motani?
• Kodi phindu la mapiritsi olera ndi otani?
• Kodi kuipa kwa mapiritsi olera ndi kotani?
• Zotsatira zoyipa ndi zoopsa
• Zowopsa
• Lankhulani ndi dokotala wanu
• Mafunso ndi mayankho
• Funso:
• Yankho:

Chiyambi

Mtundu wakulera komwe mumagwiritsa ntchito ndichosankha chanu, ndipo pali zosankha zambiri zomwe mungasankhe. Ngati ndinu mkazi wogonana, mungaganizire mapiritsi olera.

Mapiritsi oletsa kubereka, omwe amatchedwanso njira yakulera yakumwa, ndi mankhwala omwe mumamwa pakamwa popewa kutenga pakati. Ndi njira yothandiza yolerera. Pezani momwe amagwirira ntchito komanso zovuta zomwe angayambitse, komanso zina zokuthandizani kusankha ngati mapiritsi oletsa kubereka ndi chisankho chabwino kwa inu.

Kodi mitundu yamapiritsi olera ndi otani?

Mapiritsi osakaniza

Mapiritsi ophatikizana ali ndi mitundu (yopangidwa ndi anthu) yama mahomoni a estrogen ndi progestin. Mapiritsi ambiri ozungulira aliwonse amagwiranso ntchito, zomwe zikutanthauza kuti ali ndi mahomoni. Mapiritsi otsalawo sagwira ntchito, zomwe zikutanthauza kuti mulibe mahomoni. Pali mitundu ingapo ya mapiritsi osakaniza:

• Mapiritsi a Monophasic: Awa amagwiritsidwa ntchito m'mwezi umodzi ndipo mapiritsi aliwonse amakupatsani gawo limodzi la mahomoni. Sabata lotsiriza lazungulira, mumamwa mapiritsi osagwira ntchito ndikumasamba.
• Mapiritsi a Multiphasic: Awa amagwiritsidwa ntchito m'mwezi umodzi ndipo amapereka mahomoni osiyanasiyana munthawiyo. Sabata lotsiriza lazungulira, mumamwa mapiritsi osagwira ntchito ndikumasamba.
• Mapiritsi owonjezera: Awa amagwiritsidwa ntchito m'masabata 13. Mumamwa mapiritsi okangalika kwa masabata 12, ndipo sabata yomaliza yozungulira, mumamwa mapiritsi osagwira ntchito ndikukhala ndi nthawi. Zotsatira zake, mumakhala ndi nthawi yanu katatu kapena kanayi pachaka.

Zitsanzo zamapiritsi osakaniza omwe ali ndi dzina ndi awa:

• Azurette
• Beyaz
• Limbikitsani
• Mphatso Fe
• Kariva
• Levora
• Loestrin
• Natazia
• Ocella
• Ogestrel Wotsika
• Ortho-Novum
• Ortho Tri-Cyclen
• Nyanja
• Nyanja
• Velivet
• Yasmin
• Yaz

Mapiritsi a progestin okha

Mapiritsi a progestin okha amakhala ndi progestin yopanda estrogen. Mapiritsi amtunduwu amatchedwanso minipill. Mapiritsi okhawo a progestin atha kukhala chisankho chabwino kwa azimayi omwe sangamwe estrogen pazifukwa zina kapena zina. Ndi mapiritsi okhawo a progestin, mapiritsi onse azungulira amagwira ntchito. Palibe mapiritsi osagwira ntchito, kotero mutha kukhala kapena osakhala ndi nthawi mukumwa mapiritsi a progestin okha.

Zitsanzo za mapiritsi okhawo a progestin ndi awa:

• Camila
• Errin
• Heather
• Jencycla
• Ngakhale-QD
• Ortho Micronor

Kusankha mtundu wa mapiritsi olera

Sikuti mapiritsi amtundu uliwonse ndi abwino kwa mayi aliyense. Lankhulani ndi dokotala wanu za mapiritsi omwe angagwire ntchito bwino kwa inu. Zinthu zomwe zingakhudze kusankha kwanu ndi izi:

• zizindikiro zanu zosamba
• kaya mukuyamwitsa
• thanzi lanu lamtima
• Matenda ena okhalitsa omwe mungakhale nawo
• mankhwala ena omwe mungamwe

Kodi mapiritsi oletsa kulera amagwira ntchito motani?

Mapiritsi osakaniza amagwira ntchito m'njira ziwiri. Choyamba, amateteza thupi lanu kuti lisatuluke. Izi zikutanthauza kuti thumba lanu losunga mazira silimatulutsa dzira mwezi uliwonse. Chachiwiri, mapiritsiwa amachititsa kuti thupi lanu likulitse ntchofu ya khomo lachiberekero. Mamunawa amakhala ndimadzimadzi kuzungulira khomo lanu la chiberekero lomwe limathandiza umuna kupita kuberekero lanu kuti lithe kupanga dzira. Mamina okhathamira amathandiza kuti umuna usafikire chiberekero.

Mapiritsi a progestin okha amagwiranso ntchito m'njira zingapo. Makamaka, amagwira ntchito yolimbitsa ntchofu ya khomo lachiberekero ndikuchepetsa endometrium yanu. Endometrium yanu ndiyo gawo la chiberekero chanu pomwe dzira limadzala pambuyo pa umuna. Ngati ulusiwu ndi wocheperako, zimakhala zovuta kuti dzira lizikhalamo, zomwe zingalepheretse kutenga pakati. Kuphatikiza apo, mapiritsi a progestin okha amatha kuteteza ovulation.

Kodi ndingagwiritse ntchito bwanji mapiritsi olera?

Mapiritsi osakaniza amabwera m'njira zosiyanasiyana. Izi zikuphatikiza mapaketi amwezi uliwonse, omwe amatsata masiku 21, masiku 24, kapena masiku 28. Zowonjezera zitha kutsatira masiku 91 masiku. Mwa mawonekedwe onsewa, mumamwa piritsi limodzi tsiku lililonse nthawi yomweyo.

Mapiritsi a progestin okha, komano, amangobwera m'mapaketi a 28. Mofanana ndi mapiritsi osakaniza, mumamwa piritsi limodzi nthawi imodzi tsiku lililonse.

Kodi mapiritsi a kulera ndi othandiza motani?

Ngati atamwa moyenera, mapiritsi oletsa kubereka ndi othandiza kwambiri popewa kutenga pakati. Malinga ndi CDC, mapiritsi onse ophatikizira ndi mapiritsi a progestin okha amalephera kugwiritsidwa ntchito moyenera. Izi zikutanthauza kuti mwa amayi 100 omwe amagwiritsa ntchito mapiritsiwo, 9 amatha kutenga pakati.

Kuti agwire bwino ntchito, mapiritsi a progestin ayenera kumwa nthawi yayitali ngati maola atatu tsiku lililonse.

Pali kusinthasintha pang'ono pokha ndi mapiritsi osakaniza. Mwambiri, muyenera kuyesa kumwa mapiritsi osakaniza nthawi imodzi tsiku lililonse, koma mutha kuwamwa tsiku lomwelo la ola limodzi la maora 12 ndikukhalabe ndi chitetezo cha mimba.

Mankhwala ena amachititsa mapiritsi amtundu uliwonse kukhala osagwira ntchito. Izi zikuphatikiza:

• rifampin (maantibayotiki)
• mankhwala ena a HIV monga lopinavir ndi saquinavir
• mankhwala ena ochepetsa mphamvu monga carbamazepine ndi topiramate
• Wort wa St.

Mapiritsiwa amathanso kukhala osagwira ntchito ngati mukutsekula m'mimba kapena kusanza. Ngati mwakhala mukudwala m'mimba, funsani dokotala wanu kuti muwone ngati muli pachiwopsezo chokhala ndi pakati. Gwiritsani ntchito njira yobwezeretsa kulera mpaka mutadziwa kuti ndi bwino kutero.

Kodi phindu la mapiritsi olera ndi otani?

Mapiritsi oletsa kubereka ali ndi maubwino angapo:

• Amakutetezani 24/7. Simuyenera kuda nkhawa zakulera panthawi yachikondi.
• Zimathandiza. Amatetezera ku mimba kuposa njira zina zambiri zakulera.
• Amathandizira kuwongolera msambo wanu. Izi zitha kukhala zothandiza kwa azimayi omwe ali ndi nthawi yosakhazikika kapena yolemetsa.
• Amasinthidwa kwathunthu. Izi zikutanthauza kuti mukasiya kuwatenga mayendedwe anu abwerera mwakale ndipo mutha kutenga pakati pambuyo pake.

Palinso phindu kutengera mtundu wa mapiritsi. Mapiritsi ophatikizana amathanso kukupatsani chitetezo ku:

• ziphuphu
• ectopic mimba
• mafupa owonda
• zotupa zopanda khansa
• khansa ya endometrial ndi yamchiberekero
• kuchepa kwa magazi m'thupi
• nthawi zolemetsa
• kupweteka kwa msambo

Mapiritsi a progestin okha ali ndi maubwino ena, monga kukhala otetezeka kwa amayi omwe:

• sangathe kulekerera mankhwala a estrogen
• ndi osuta
• ali okulirapo kuposa zaka 35
• khala ndi mbiri yamagazi
• ndikufuna kuyamwitsa

Kodi kuipa kwa mapiritsi olera ndi kotani?

Mapiritsi oletsa kubereka sateteza kumatenda opatsirana pogonana. Kuti muwonetsetse kuti mukutetezedwa kumatendawa, muyenera kugwiritsa ntchito kondomu kuwonjezera pa mapiritsi anu atsiku ndi tsiku.

Komanso, muyenera kukumbukira kumwa mapiritsi anu tsiku lililonse. Ndipo muyenera kuwonetsetsa kuti nthawi zonse mumakhala ndi paketi yatsopano mukamamaliza paketi. Ngati mwaphonya mapiritsi kapena kuchedwa kuyamba paketi yatsopano mukamaliza kumaliza, chiopsezo chanu chokhala ndi pakati chimakula.

Zotsatira zoyipa ndi zoopsa

Ngakhale mapiritsi oletsa kubereka ali otetezeka kwa amayi ambiri, amadza ndi zovuta zina komanso zoopsa. Mkazi aliyense amachita mosiyana ndi mahomoni m'mapiritsi olera. Amayi ena amakhala ndi zovuta zina, monga:

• kuchepa pagalimoto
• nseru
• Kutaya magazi pakati pa nthawi
• chikondi cha m'mawere

Ngati muli ndi zotsatirazi, atha kusintha pambuyo pa miyezi ingapo akugwiritsa ntchito mapiritsi. Ngati sakusintha, lankhulani ndi dokotala wanu. Angakuuzeni kuti musinthe mapiritsi ena oletsa kubereka.

Zowopsa

Chiwopsezo chachikulu chogwiritsa ntchito mapiritsi a kulera, makamaka mapiritsi osakaniza, ndi chiopsezo chowonjezeka chamagazi. Izi zitha kubweretsa ku:

• thrombosis yakuya kwambiri
• matenda amtima
• sitiroko
• embolism ya m'mapapo mwanga

Ponseponse, chiwopsezo cha magazi kugwiritsira ntchito mtundu uliwonse wa mapiritsi oletsa kubereka ndi ochepa. Malinga ndi American Congress of Obstetricians and Gynecologists, mwa azimayi 10,000, ochepera 10 amayamba kudwala magazi atamwa mapiritsi osakaniza kwa chaka chimodzi. Vutoli ndilotsikirabe poyerekeza ndi chiopsezo chokhala ndi magazi m'mimba panthawi yapakati komanso atangobereka kumene.

Komabe, chiopsezo chokhala ndi magazi m'mapiritsi ndichokwera kwa azimayi ena. Izi zikuphatikiza azimayi omwe:

• onenepa kwambiri
• khalani ndi kuthamanga kwa magazi
• ali pa bedi kupumula kwakanthawi

Ngati zina mwazinthuzi zikukukhudzani, kambiranani ndi dokotala wanu za kuopsa kogwiritsa ntchito mapiritsi oletsa kubereka.

Lankhulani ndi dokotala wanu

Zosankha zambiri zakulera zilipo lero, ndipo mapiritsi oletsa kubereka ndiabwino kwambiri. Koma njira yabwino kwambiri yolerera kwa inu imadalira pazinthu zambiri. Kuti mupeze njira yomwe ingakuthandizeni, lankhulani ndi dokotala wanu. Onetsetsani kufunsa mafunso aliwonse omwe muli nawo. Izi zingaphatikizepo:

• Ndi mapiritsi ati oletsa kubereka omwe angakhale abwino kwa ine?
• Kodi ndikumwa mankhwala aliwonse omwe angayambitse mapiritsi olera?
• Kodi ndili pachiwopsezo chachikulu chotenga magazi piritsi?
• Ndiyenera kuchita chiyani ndikaiwala kumwa mapiritsi?
• Ndi njira ziti zina zolerera zomwe ndiyenera kuganizira?

Mafunso ndi mayankho

Funso:

Ndi njira ziti zina zolerera zomwe zilipo?

Yankho:

Mapiritsi oletsa kubala ndi imodzi mwazinthu zambiri zakulera. Zosankha zina zimachokera ku njira zazitali monga chida cha intrauterine (IUD) mpaka zosankha zazifupi monga siponji yolera. Kuti mudziwe za njira zambiri izi ndi mphamvu zake, mtengo wake, ndi zabwino zake ndi zoyipa zake, werengani za njira yolerera yomwe ili yoyenera kwa inu.