Ndi chiyani chomwe chingagwire ntchito yoletsa kubadwa ndi magazi kuundana?

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Zowona kuti mapiritsi oletsa kubereka angapangitse chiopsezo chanu chokhala ndi magazi si nkhani. Kulumikizana kumeneku pakati pa milingo yayikulu ya estrogen ndi DVT, kapena thrombosis yakuya-ndiyo magazi yotseka m'mitsempha yayikulu-yakhala ikudziwika kuyambira zaka za m'ma 90. Ndiye ndithudi chiopsezo chanu chakhala bwino kuyambira pamenepo, chabwino?

Chodabwitsa, sizomwe zili choncho. "Sizinakhale bwino kwambiri ndipo ndilo limodzi mwa mavuto," akutero Thomas Maldonado, MD, dokotala wa opaleshoni ya mitsempha ndi pulofesa wothandizira ku Dipatimenti ya Opaleshoni ku NYU Langone Medical Center.

Ndipotu, kafukufuku wina anapeza kuti mitundu yatsopano ya mapiritsi oletsa kubereka (omwe ali ndi mahomoni a progestogen, monga drospirenone, desogestrel, gestodene, ndi cyproterone) amawonjezera chiopsezo kuposa Mapiritsi akale. (Izi zidatinso mu 2012.)

Ngakhale kuundana kwamagazi kumakhalabe kochitika kawirikawiri (ndipo achikulire amakhala pachiwopsezo chachikulu), ndi vuto lomwe limapitiliza kupha azimayi achichepere komanso athanzi chaka chilichonse. (M'malo mwake, ndizo zomwe zidachitika kwa mwana wazaka 36 uyu: "Piritsi Yanga Yakubadwa Ili Pafupi Yakundipha.")

"Kudziwitsabe kumafunikira kukulitsidwa, chifukwa mitengoyo ndiyokwera, ndipo china chake chitha kuchitidwa," atero a Maldonado. Chifukwa chake, mwezi wa Kudziwitsa za Kutsekeka kwa Magazi ukutha, tiyeni tifotokoze zomwe mukunenaeally muyenera kudziwa zam'magazi ngati muli pa Piritsi.

Pali zifukwa zomveka zoopsa. Ndikofunikira kuti mayi aliyense amvetsetse chiopsezo chake, atero a Maldonado.Kuyezetsa magazi kosavuta kungathe kudziwa ngati muli ndi jini yomwe imakupangitsani kuti mukhale ndi magazi. (Kufikira 8 peresenti ya anthu aku America ali ndi chimodzi mwazinthu zingapo zobadwa nazo zomwe zingawaike pachiwopsezo chachikulu.) Ndipo ngati muli pa Piritsi, zinthu zina monga kusayenda (monga paulendo wautali kapena kukwera magalimoto), kusuta, kunenepa kwambiri, kupsinjika , ndipo njira zopangira opaleshoni ndizochepa chabe mwa zinthu zambiri zomwe zingapangitse kuti mukhale ndi mwayi wokhala ndi magazi, akutero. (Chotsatira: Chifukwa Chomwe Akazi Oyenera Amavala Magazi.)

Zotsatira zake zimakhala zakupha. DVT ndi magazi omwe amaundana m'mitsempha ya miyendo, ndipo amatha kupweteka ndi kutupa. Ngati chovalachi chimachoka pakhoma lamtsempha chimatha kuyenda ngati mwala mumtsinje-kupita pamtima pomwe chingasokoneze magazi kulowa m'mapapu anu. Izi zimadziwika kuti pulmonary embolus ndipo zimatha kupha, akufotokoza Maldonado. Anthu okwana 600,000 aku America atha kukhudzidwa ndi DVT chaka chilichonse, ndipo mpaka 30 peresenti ya anthu amamwalira mwezi umodzi wokha atapezeka, malinga ndi Centers for Disease Control and Prevention.

Kuzindikira msanga ndi moyo kapena imfa. Ngati mukumva kupweteka kwa mwendo kapena pachifuwa-zazikuluzikulu za m'mapapo mwanga-kuzindikira ndi chithandizo ndikofunikira, akutero. Nkhani yabwino ndiyakuti matenda amatha kuchitidwa mwachangu kwambiri ndi ultrasound. Malinga ndi Maldonado, magazi atangodziwika, doc yanu ingakulimbikitseni kuti musiye kumwa mapiritsi anu ndikuyamba kumwa magazi kwa miyezi ingapo.

Koma chiopsezo chake ndi chochepa. Kuthekera kwa magazi kwa amayi omwe sali pamapiritsi olerera ndi atatu pa 10,000 kapena 0.03 peresenti. Chiwopsezo cha amayi pamapiritsi oletsa kubereka chimachulukitsa katatu mpaka pafupifupi 9 pa azimayi 10,000 alionse kapena pafupifupi 0,09%, akutero Maldonado. Kotero, ngakhale ziri zoona kuti chiopsezo chokhala ndi DVT kwa amayi pa njira zolerera zapakamwa ndizochepa, nkhawa idakali yaikulu chifukwa chakuti amayi ambiri amamwa, akutero.

Sikuti ndi Piritsi lokha. Maldonado akufotokoza kuti njira zonse zakulera zam'kamwa zimalumikizidwa ndi chiopsezo chowonjezeka cha DVT popeza zimasokoneza kulimba kwa thupi lanu komwe kumakutetezani kuti musatuluke magazi ndikufa. Komabe, njira zina zophatikizira zakumwa (zomwe zili ndi estrogen ndi progestin, progesterone yopanga) zimakhala ndi chiopsezo chachikulu. Mwa lingaliro lomwelo, zigamba zolerera ndi mphete (monga NuvaRing) zomwe zimakhalanso ndi combo ya estrogen ndi progestin zitha kuonjezeranso chiwopsezo cha magazi. Ngati muli ndi ziwopsezo zingapo za kuundana monga tanenera kale, kupewa mapiritsi ndikusankha IUD yopanda mahomoni ikhoza kukhala njira yopita, akutero Maldonado. (Apa, Mafunso 3 Oletsa Kubadwa Amene Muyenera Kuwafunsa Dokotala Wanu.)

Pali zinthu zofunika kwambiri zomwe mungachite kuti muchepetse chiopsezo chanu. Ngakhale mulibe mphamvu pa chibadwa chanu kapena mbiri ya banja lanu, pali zinthu zina zomwe inu angathe kulamulira. Kupewa kusuta uli pa Piritsi mwachidziwikire ndi vuto lalikulu. Mukakhala pamaulendo ataliatali, muyeneranso kukhala osungunuka madzi, kupewa mowa ndi tiyi kapena khofi zomwe zimayambitsa kusowa kwa madzi m'thupi, dzukani ndikutambasula miyendo yanu, ndi kuvala masokosi opanikizika.

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