Mapiritsi ekudzivirira kuberekwa - mubatanidzwa

Mishonga yekudzivirira yemumuromo inoshandisa mahormone kudzivirira kubata nhumbu. Mishonga yekubatanidza ine zvese progestin uye estrogen.

Mapiritsi ekudzivirira kubata pamuviri anokubatsira kuti usabata pamuviri. Kana ikatorwa zuva nezuva, ndeimwe yedzakanakisa nzira dzekudzivirira nhumbu. Kune vakadzi vazhinji ivo vakachengeteka zvakanyanya. Ivo zvakare vane akati wandei mamwe mabhenefiti. Zvimwe zvacho zvinosanganisira:

• Kuvandudza zvinorwadza, zvinorema, kana zvisina kujairika nguva
• Bata acne
• Dzivirira gomarara remazai

Kusanganiswa kwekuberekwa kwepiritsi mapiritsi ane zvese estrogen uye progestin. Mimwe yekubatanidza yekudzivirira mapiritsi inokutendera kuti uve nenguva shoma gore rega. Aya anonzi anoramba achiwedzera kana kuwedzerwa-kutenderera mapiritsi. Kumbira mupi wako wezvehutano nezve dosing sarudzo kuti udzikise kuwanda kwekuenda kwako kumwedzi.

Mapiritsi ekudzivirira kuberekwa anouya mumapakeji. Iwe unonwa mapiritsi kubva pa21-pack kamwe pazuva pazuva kwevhiki nhatu, saka hautore mapiritsi kwevhiki rimwe chete. Zvinogona kuve nyore kurangarira kunwa piritsi rimwe zuva rega rega, saka mamwe mapiritsi anouya mune makumi maviri nemasere mapiritsi, mamwe aine mapiritsi anoshanda (ane mahormone) uye mamwe asina mahormone.

Kune mhando shanu dzemubatanidzwa wemapiritsi ekudzivirira kuberekwa. Wako mupi achakubatsira iwe kusarudza iyo yakakodzera iwe. Aya marudzi mashanu ndeaya:

• Chikamu chimwe chemapiritsi: Aya ane huwandu hwakaenzana hweestrogen uye progestin mune ese mapiritsi anoshanda.
• Mapaseji maviri echikamu: Iwo mahormone mune aya mapiritsi anochinja kamwe panguva yega yega yekutevera.
• Matatu mapiritsi echikamu: Mazuva ese manomwe muyero wehomoni unoshanduka.
• Matanho echikamu chechina: Chiyero chemahormone mumapiritsi aya chinoshanduka ka4 kutenderera kwega kwega.
• Inoenderera kana kuwedzerwa kutenderera mapiritsi: Izvi zvinoita kuti huwandu hwemahormone hukwire saka iwe une mashoma kana asina nguva.

Unogona:

• Tora piritsi rako rekutanga pazuva rekutanga rekuenda kwako kumwedzi.
• Tora piritsi rako rekutanga paSvondo mushure mekunge nguva yako yatanga. Kana iwe ukaita izvi, iwe unofanirwa kushandisa imwe nzira yekudzivirira kuberekwa (kondomu, diaphragm, kana chipanji) kwemazuva manomwe anotevera. Izvi zvinonzi backup backup control.
• Tora piritsi yako yekutanga chero zuva mune yako kutenderera, asi iwe unozofanirwa kushandisa imwe nzira yekudzivirira kuberekwa kwemwedzi wekutanga.

Zvekuenderera kana kuwedzerwa kutenderera mapiritsi: Tora piritsi rimwe zuva rega rega, panguva imwechete zuva rega rega.

Tora piritsi 1 zuva rega rega, panguva imwechete yezuva. Mapiritsi ekudzivirira kubata pamuviri anoshanda chete kana uchinwa mazuva ese. Kana ukarasikirwa nezuva, shandisa nzira yekuchengetedza.

Ukasuwa 1 kana mamwe mapiritsi, shandisa nzira yekuchengetedza yekudzivirira kuberekwa uye fonera mupiki wako ipapo ipapo. Zvekuita zvinoenderana ne:

• Ipi mhando yepiritsi yauri kutora
• Kwamuri iwe kutenderera kwako
• Mapiritsi mangani awakarasa

Wako mupi achakubatsira iwe kudzoka panguva.

Iwe unogona kusarudza kumira kunwa mapiritsi ekudzivirira kubereka nekuti iwe unoda kubata pamuviri kana kushandura kune imwe nzira yekudzivirira kuberekwa. Hezvino zvimwe zvinhu zvaunotarisira kana iwe ukarega kutora piritsi:

• Iwe unogona kuve nepamuviri ipapo ipapo.
• Iwe unogona kunge uine hunyoro hwekuona ropa usati wawana nguva yako yekutanga.
• Iwe unofanirwa kutora nguva yako 4 kusvika kumavhiki matanhatu mushure mekutora piritsi rako rekupedzisira. Kana iwe ukasawana nguva yako mumavhiki masere, fonera mupiki wako.
• Nguva yako inogona kuremerwa kana kureruka kupfuura zvakajairwa.
• Mhezi yako inogona kudzoka.
• Kwemwedzi wekutanga, unogona kunge uchitemwa nemusoro kana kusanduka kwemamiriro.

Shandisa nzira yekuchengetedza yekuzvarwa, senge kondomu, diaphragm, kana chipanje kana:

• Iwe unosuwa 1 kana akawanda mapiritsi.
• Iwe hausi kutanga piritsi yako yekutanga pazuva rekutanga remwedzi wako.
• Iwe uri kurwara, kurutsa, kana kuva nezvakasununguka zvituru (manyoka). Kunyangwe iwe ukatora piritsi rako, muviri wako unogona kusatora. Shandisa nzira yekuchengetedza yekudzivirira kuberekwa kweiyo yose iyo kutenderera.
• Uri kutora mumwe mushonga uyo unogona kutadzisa piritsi kushanda. Udza waunopa kana wemishonga kana iwe ukatora chero mimwe mishonga, yakadai semishonga inorwisa mabhakitiriya, mushonga wekubata, mushonga wekurapa HIV, kana St. Tsvaga kana izvo zvaunotora zvichikanganisa mashandiro anoita piritsi.

Fonera mupiki wako kana iwe uine chero cheanotevera zviratidzo mushure mekutanga kutora mapiritsi ekuberekwa.

• Une kuzvimba mugumbo rako
• Iwe une kurwadziwa kwegumbo
• Gumbo rako rinonzwa kudziya kune iro rinobata kana rine shanduko muvara rweganda
• Une fivha kana kutonhora
• Iwe unoshaya mweya wekufema uye unorema kufema
• Une kurwadziwa kwepfupa
• Unosota kukosora ropa
• Iwe une musoro unowedzera kuwedzera, kunyanya migraine ine aura

Piritsi - mubatanidzwa; Mishonga yekudzivirira pamuromo - musanganiswa; OCP - mubatanidzwa; Kubata pamuviri - mubatanidzwa; BCP - mubatanidzwa

Allen RH, Kaunitz AM, Hickey M. Hormonal kubata pamuviri. Mune: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. Williams Chinyorwa cheEndocrinology. 13 ed. Philadelphia, PA: Elsevier; 2016: chits.

Glasier A. Kubata pamuviri. Muna: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Vakuru uye Chiremba. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: chitsiko 134.

Isley MM, Katz VL. Kuchengetwa kwepashure kwekubereka uye hutano hurefu kwenguva refu. Mune: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Obstetrics: Yakajairwa uye Dambudziko Pamuviri. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 23.

• Kudzora Kuberekwa