The Minipill ndi Njira Zina Zoletsera Kulera Kwa Estrogen

Zamkati

• Kodi minipill ndi chiyani?
• Kodi minipill imagwira ntchito bwanji?
• Ndani ali woyenera pa minipill?
• Momwe mungayambire kutenga minipill
• Kodi pali zovuta zina ndi minipill?
• Ubwino wake ndi chiyani?
• Ubwino wa minipill
• Wolemba Minipill
• Njira zina zoletsera progestin zokhazokha
• Progestin inawombera
• Progestin anawombera ubwino
• Progestin adawombera
• Kuika progestin
• Progestin kuyika zabwino
• Progestin imayika zoyipa
• Progestin IUD
• Progestin IUD imathandizira
• Zovuta za Progestin IUD
• Zosankha zolerera zopanda mahomoni
• Mfundo yofunika

O, njira yolerera yonse yomwe ndi yosavuta kugwiritsa ntchito komanso yopanda zotsatirapo.Koma sayansi siinakwaniritse chinthu choterocho.

Mpaka zitatero, ngati ndinu m'modzi mwa azimayi ambiri omwe sangathe kugwiritsa ntchito njira zolerera zomwe zili ndi estrogen, muli ndi njira zina zingapo.

Njira zambiri za kulera zopanda estrogen zili ndi progestin, yomwe ndi mtundu wa mahomoni a progesterone.

Munkhaniyi, tiwona izi:

• zosankha zokhazokha za progestin
• momwe amagwirira ntchito
• zabwino ndi zoyipa za aliyense

Kodi minipill ndi chiyani?

Ma minipill ndi mtundu wa njira yolerera yomwe imakhala ndi mapiritsi omwe ali ndi progestin okha.

Palibe mapiritsi omwe anali m'paketi ali ndi estrogen. Mlingo wa progestin umasiyanasiyana ndipo umadalira kapangidwe kamene kamagwiritsidwa ntchito papiritsi yolera.

Phukusi la minipill limakhala ndi mapiritsi 28, onse omwe amakhala ndi progestin ya mahomoni. Ilibe mapiritsi a placebo.

Kuti mukulitse mphamvu ya minipill, muyenera kumwa mapiritsi nthawi yomweyo tsiku lililonse.

Ngati mwaphonya mlingo - ngakhale pochepera maola atatu - muyenera kugwiritsa ntchito njira yobwezeretsera kulera kwa masiku osachepera 2 kuti mukhale otetezeka.

Pali piritsi yatsopano yovomerezeka ya FDA yokha yotchedwa Slynd. Ikhoza kumwedwa mkati mwa nthawi ya maola 24 ndipo osatengedwa ngati "mlingo wosowa," mosiyana ndi piritsi lokhalo la progestin lokha.

Chifukwa mapiritsiwa ndi atsopano, pakadali pano zitha kukhala zochepa komanso mwayi wopezeka. Kuti mudziwe zambiri za Slynd, lankhulani ndi dokotala wanu.

Kodi minipill imagwira ntchito bwanji?

Ku United States, njira yolelera pakamwa yokhayo yomwe imadziwika kuti progestin imadziwika kuti norethindrone. Malinga ndi Chipatala cha Mayo, norethindrone imagwira ntchito ndi:

• kukulitsa ntchofu m'chiberekero chanu ndikuchepetsera chiberekero chanu, zomwe zimapangitsa kuti umuna ndi dzira zisakumane
• kuteteza mazira anu kuti amasule mazira

Ndikofunika kumvetsetsa kuti progestin-yekha minipill sangateteze ovulation nthawi zonse.

American College of Obstetricians and Gynecologists (ACOG) akuti pafupifupi azimayi 40 pa 100 aliwonse azitulutsa mazira akumwa norethindrone.

Ndani ali woyenera pa minipill?

Malinga ndi ACOG, minipill ndi njira yabwino kwa azimayi omwe sangamwe mapiritsi olera omwe ali ndi estrogen.

Izi zikuphatikiza azimayi omwe ali ndi mbiri ya:

• kuthamanga kwa magazi
• mitsempha yakuya kwambiri (DVT)
• matenda amtima

Koma kulera kokha kwa progestin sindiko kusankha kwabwino kwa aliyense. Mungafune kupewa minipill ngati:

• mwakhala ndi khansa ya m'mawere
• mwakhala ndi lupus
• mumakhala ndi vuto lokumbukira kumwa mankhwala panthawi yoyenera

Mankhwala ena oletsa kulanda amawononga mahomoni mthupi lanu, zomwe zikutanthauza kuti mapiritsi okhawo a progestin sangakhale othandiza ngati mutenga mankhwala oletsa kulanda.

Ngati mwachitidwapo opaleshoni ya bariatric, kambiranani ndi dokotala wanu za kuopsa kogwiritsa ntchito njira yolerera yakumwa.

Kuchita opaleshoni ya bariatric kumatha kukhudza momwe izi zilili m'dongosolo lanu ndipo kumawapangitsa kukhala ocheperako.

Momwe mungayambire kutenga minipill

Musanayambe minipill, lankhulani ndi dokotala wanu za tsiku loyambira.

Mutha kuyamba kugwiritsa ntchito mapiritsiwa tsiku lililonse pakusamba kwanu, koma kutengera komwe mukupita, mungafunike kugwiritsa ntchito njira yoberekera kwa masiku angapo.

Mukayamba kumwa minipill m'masiku 5 oyambirira a nthawi yanu, muyenera kutetezedwa kwathunthu, ndipo simudzafunika njira zina zakulera.

Mukayamba tsiku lina lililonse, muyenera kugwiritsa ntchito njira yowonjezera yotetezera kwa masiku osachepera 2.

Ngati nthawi yanu ili ndi nthawi yayifupi, muyenera kugwiritsa ntchito njira zowonjezera zakulera mpaka mutakhala pa minipill kwa masiku osachepera 2.

Kodi pali zovuta zina ndi minipill?

Njira zonse zakulera zakumwa zimatha kukhala ndi zotsatirapo zoyipa, ndipo zimasiyana mosiyanasiyana mwamphamvu ndi munthu.

Cleveland Clinic inanena zotsatirazi kuchokera ku progestin-only minipill:

• kukhumudwa
• kutuluka khungu
• mabere ofewa
• kusintha kwa kulemera kwanu
• kusintha kwa tsitsi la thupi
• nseru
• kupweteka mutu

Ubwino wake ndi chiyani?

Ubwino wa minipill

• Simuyenera kusokoneza kugonana kuti musamalire zakulera.
• Mutha kumwa piritsi iyi ngati estrogen sichikulimbikitsidwa kwa inu chifukwa cha kuthamanga kwa magazi, mitsempha yakuya ya thrombosis, kapena matenda amtima.
• Nthawi zanu ndi ziphuphu zimatha kuchepa.
• Mutha kugwiritsa ntchito njirayi ngati mukuyamwitsa.

Wolemba Minipill

• Muyenera kukhala tcheru komanso kudziwa nthawi yomwe mumamwa mapiritsi.
• Mutha kuwona pakati pa nthawi.
• Kugonana kwanu kumatha kutsika.
• Tsitsi lanu la thupi limatha kukula mosiyanasiyana.

Njira zina zoletsera progestin zokhazokha

Ngati mukufuna kubadwa kwa mahomoni opanda estrogen, minipill ndi njira imodzi. Pali mitundu ingapo yolerera yotengera progestin. Iliyonse imagwira ntchito mosiyana ndipo imakhala ndi zovuta zina komanso zowopsa.

Nayi rundown mwachangu pazomwe mungasankhe.

Progestin inawombera

Depo-Provera ndi jakisoni. Imagwira chimodzimodzi ndi mapiritsi okhawo a progestin. Zimakulitsa mamina ozungulira chiberekero chanu kuti mbeu isafikire dzira. Kuphatikiza apo, imayimitsa thumba losunga mazira kuti lisatulutse mazira.

Jakisoni aliyense amatha miyezi itatu.

Progestin anawombera ubwino

• Simuyenera kuganizira zakumwa mapiritsi tsiku lililonse.
• Anthu ambiri amaganiza kuti jakisoni ndi wowopsa kuposa kugwiritsa ntchito IUD.
• Ngati mumalandira kuwombera pafupipafupi, ndiwothandiza kwambiri pa 99% popewa kutenga pakati.

Progestin adawombera

• A FDA amachenjeza kuti kugwiritsa ntchito Depo-Provera kumatha kuwonjezera chiopsezo chanu:
  • khansa ya m'mawere
  • ectopic pregnancy (mimba kunja kwa chiberekero chanu)
  • kunenepa
  • kuchepa kwa mafupa
  • magazi agundana m'manja mwanu, miyendo, kapena mapapo
  • mavuto a chiwindi
  • migraine mutu
  • kukhumudwa
  • kugwidwa

Kuika progestin

Ku United States, zopangira za progestin zimagulitsidwa pansi pa dzina Nexplanon. Choikacho chimakhala ndi ndodo yochepetsetsa, yosinthasintha yomwe dokotala wanu amaika pansi pa khungu pakhungu lanu lakumtunda.

Monga minipill ndi jakisoni wa progestin, chinthu chokhazikitsidwa chimatulutsa progestin yaying'ono m'dongosolo lanu.

Izi zimayambitsa:

• m'mbali mwa chiberekero chako kuchepa
• ntchofu yanu yoberekera kuti idye
• thumba losunga mazira anu kuti asiye kutulutsa mazira

Kukhazikitsa, ndikofunika kwambiri. Malingana ndi, zokhazokha zimalephera peresenti ya 0.01 yokha mpaka zaka zitatu.

Progestin kuyika zabwino

• Simuyenera kuganizira zakulera tsiku lililonse.
• Simuyenera kusokoneza kugonana kuti musamalire zakulera.
• Ndizothandiza kwambiri.
• Itha kugwiritsidwa ntchito atangobereka kumene kapena kuchotsa mimba.
• Ndizotetezeka kugwiritsa ntchito mukamayamwitsa.
• Zimasinthidwa. Dokotala wanu akhoza kuchotsa ngati mukufuna kutenga pakati.

Progestin imayika zoyipa

• Dokotala amafunika kuyika choikacho.
• Pakhoza kukhala mtengo wokwera kwambiri ngati njira yolerera iyi siyophatikizidwa ndi inshuwaransi.
• Nthawi zanu zimakhala zovuta kuneneratu. Amatha kukhala olemera kapena opepuka, kapena amatha kupita kwathunthu.
• Mutha kutuluka magazi.
• Mutha kukhala ndi zovuta monga kupweteka mutu, kuphulika kwa khungu, kusintha kwa kunenepa, kapena mabere achifundo.
• Choikacho chitha kusamuka, kapena kungakhale kovuta kuchotsa ikafika nthawi yochotsa. Ngati izi zitachitika, odwala ena angafunike kuyesedwa kwa kujambula ndipo, nthawi zambiri, amachitidwa opaleshoni kuti achotse choyikacho.

Progestin IUD

Njira ina ndi chida cha intrauterine (IUD) chomwe dokotala amalowetsa m'mimba mwanu. Chopangidwa ndi pulasitiki, kachipangizo kakang'ono kameneka kofanana ndi t kamatulutsa progestin yaying'ono, yopewera kutenga pakati mpaka zaka 5.

Malinga ndi ACOG, IUD siyimitsa pathupi. Zimalepheretsa.

Progestin IUD imathandizira

• Simuyenera kuganizira zakulera nthawi zambiri.
• Ndi 99% yothandiza popewa kutenga pakati.
• Nthawi yanu ikhoza kukhala yowala. Zokhumudwitsa zitha kukhala bwinonso.
• IUD imasinthidwa ndipo sikungakhudze chonde chanu kapena kukupangitsani kukhala kovuta kutenga pakati mtsogolo.

Zovuta za Progestin IUD

• Zimakhala zosasangalatsa kuyika IUD.
• Nthawi yanu ikhoza kukhala yovuta kuneneratu.
• Mutha kuwona kutuluka magazi, makamaka koyambirira.
• IUD yanu imatha kutuluka.
• Nthawi zambiri, chiberekero chanu chimatha kuboola chida chija chikayikidwa.
• Nthawi zambiri, mutha kukhala ndi ectopic pregnancy.

Zosankha zolerera zopanda mahomoni

Ngati mukufuna kugwiritsa ntchito njira zopewera kubereka, lankhulani ndi dokotala kapena wothandizira zaumoyo pazomwe mungachite:

• makondomu amuna kapena akazi
• masiponji
• zisoti za chiberekero
• zakulera
• ma IUD amkuwa
• spermicides

Zambiri mwa njirazi sizothandiza popewera mimba kuposa njira zomwe zimakhudza mahomoni.

Mwachitsanzo, mankhwala obayira umuna, amalephera pafupifupi 28% ya nthawiyo, motero ndikofunikira kumvetsetsa zoopsa zake mukamayesa zomwe mungasankhe.

Ngati mukufuna njira yolera yokhazikika, lankhulani ndi dokotala wanu za tubal ligation kapena vasectomy.

Mfundo yofunika

Pinigesini yekhayo ndi imodzi mwanjira zingapo zolerera zomwe mulibe estrogen.

Mphero imagwira ntchito poletsa ovulation ndikusintha chiberekero ndi khomo pachibelekeropo kuti ziwonekere kuti umuna ungathe kutulutsa dzira.

Ngati mukufuna kugwiritsa ntchito njira yoletsa mahomoni popanda estrogen, mungayesenso kuwombera ma progestin okha, ma implants, kapena ma IUD.

Ngati mukufuna kugwiritsa ntchito njira yolera yopanda mahomoni, mutha kuyang'ana njira zina monga kondomu, chifundira, zisoti zachibelekero, IUD yamkuwa, masiponji, tubal ligation, kapena vasectomy.

Popeza njira zonse zakulera zimakhala ndi zovuta zina, lankhulani ndi dokotala wanu za mtundu wa njira zolerera zomwe zimakuthandizani kwambiri.

Onetsetsani kuti mwadziwitsa dokotala wanu zaumoyo womwe muli nawo, komanso zowonjezera zilizonse ndi mankhwala omwe mumamwa, chifukwa amatha kuchepetsa mphamvu yolera yanu.