Kudzora kubereka - inononoka kuburitsa nzira

Dzimwe nzira dzekudzivirira kuberekwa dzine mhando dzakagadzirwa nevanhu dzemahormone. Aya mahormone anowanzo gadzirwa mumazai emukadzi. Aya mahormone anonzi estrogen uye progestin.

Mahormone ese aya anotadzisa mazai emukadzi kuburitsa zai. Kusunungurwa kwezai panguva yekuenda kumwedzi kunonzi ovulation. Vanoita izvi nekuchinja iwo mahormone echisikigo anoitwa nemuviri.

Progestin inobatsira zvakare kudzivirira urume kuti usapinda muchibereko nekuita mucous yakakomberedza muromo wechibereko chemukadzi uye wakakora.

Mapiritsi ekudzivirira kuberekwa ndeimwe nzira yekutambira mahormone aya. Izvo zvinongoshanda chete kana zvichitorwa zuva nezuva, kunyanya panguva imwecheteyo.

Kune dzimwe nzira dzekudzivirira kubata nhumbu. Mahormone akafanana anogona kushandiswa asi anosunungurwa zvishoma nezvishoma nekufamba kwenguva.

PROGESTIN IMPLANTS

Kuiswa kweprogestin itsvimbo diki inoiswa pasi peganda, kazhinji kazhinji mukati meruoko. Tsvimbo inoburitsa shoma yeprogestin zuva nezuva muropa.

Zvinotora inenge mineti kuisa tsvimbo. Maitiro acho anoitwa uchishandisa anesthetic yemuno muhofisi yechiremba. Shamhu inogona kugara panzvimbo kwemakore matatu. Zvisinei, inogona kubviswa chero nguva. Kubvisa kunowanzo kutora maminetsi mashoma.

Mushure mekuisirwa kwaiswa:

• Unogona kuve nekupwanya kwakatenderedza saiti kwevhiki kana kupfuura.
• Iwe unofanirwa kudzivirirwa kubva pakubata pamuviri mukati mevhiki rimwe chete.
• Iwe unogona kushandisa izvi zvinoiswa panguva yekuyamwisa.

Zvirongwa zveProgestin zvinoshanda zvirinani pane mapiritsi ekudzivirira kubereka kudzivirira nhumbu. Vakadzi vashoma kwazvo vanoshandisa izvi zvinoiswa vanogona kubata pamuviri.

Kuenda kwako kumwedzi nguva nenguva kunofanira kudzoka mukati memasvondo matatu kusvika mana mushure mekubviswa kwezvimedu izvi.

PROGESTIN majekiseni

Majekiseni kana mapfuti ane iyo hormone progestin inoshandawo kudzivirira kubata nhumbu. Pfuti imwe chete inoshanda kwemazuva makumi mapfumbamwe. Majekiseni aya anopiwa mumhasuru dzeruoko rwekumusoro kana magaro.

Mhedzisiro mhedzisiro inogona kuitika inosanganisira:

• Shanduko mukuenda kumwedzi kana kuwedzerwa kubuda ropa kana kuona. Inenge hafu yevakadzi vanoshandisa majekiseni aya havana kuenda kumwedzi.
• Zamu unyoro, kurema kuwedzera, kutemwa nemusoro, kana kushushikana.

Majekiseni eProgestin anoshanda zvirinani kupfuura mapiritsi ekudzivirira nhumbu kudzivirira nhumbu. Vakadzi vashoma kwazvo vanoshandisa majekiseni eprogestin vanogona kubata pamuviri.

Dzimwe nguva mhedzisiro yeaya mahormone kupfura inogara kwenguva refu kupfuura mazuva makumi mapfumbamwe. Kana iwe uri kuronga kuve nepamuviri munguva pfupi iri kutevera, iwe ungangoda kufunga nezve yakasarudzika nzira yekudzivirira kuberekwa.

GANDA REMAHARA

Chiganda cheganda chinoiswa papfudzi rako, magaro, kana imwe nzvimbo yemuviri wako. Chikwata chitsva chinoiswa kamwe chete pasvondo kwemavhiki matatu. Wobva waenda 1 vhiki usina chigamba.

Masero eEstrogen akakwirira nechigamba pane nemapiritsi ekudzivirira kubereka kana mhete yechikadzi. Nekuda kweizvi, panogona kuve nenjodzi yakawedzera yekugwamba kweropa mumakumbo kana mumapapu nenzira iyi. Iyo FDA yakaburitsa yambiro nezve chigamba uye yakanyanya njodzi yekuvhara kweropa kuenda kumapapu.

Iyo chigamba chinoburitsa zvishoma nezvishoma esrogen uye progestin muropa rako. Anopa hutano hwako anokurairira nzira iyi.

Iyo chigamba chinoshanda zvirinani kupfuura mapiritsi ekudzivirira kubata pamuviri kudzivirira nhumbu. Vakadzi vashoma kwazvo vanoshandisa chigamba vanogona kubata pamuviri.

Chigamba cheganda chine estrogen. Pamwe pamwe nenjodzi yakakwira yekugwamba kweropa, kune njodzi isingawanzoitika yekukwira kweropa, chirwere chemwoyo, uye sitiroko. Kusvuta kunowedzera idzi njodzi zvakanyanya.

MHOSVA YEMAHARA

Mhete yechikadzi chinhu chinosanduka. Iyi rin'i inenge yakaita masendimita mashanu (5 cm) paupamhi uye inoiswa mukati memukadzi. Inoburitsa mahormone progestin uye estrogen.

• Wako mupi achapa nzira iyi, asi iwe unozoisa mhete iwe pachako.
• Ichagara mumukadzi kwemavhiki matatu. Pakupera kwevhiki rechitatu, iwe unenge waburitsa rin'i kunze kwevhiki rimwe. Usabvisa rin'i kusvika kupera kwemasvondo matatu.

Zvimwe zvinokanganisa neringi zvinogona kusanganisira:

• Nausea uye zamu nyoro, izvo zvisina kunyanyisa kuomarara pane nemapiritsi ekudzivirira kubereka kana zvigamba.
• Vaginal kubuda kana vaginitis.
• Kubuda kweropa uye kuona (kunogona kuitika kakawanda kupfuura nemapiritsi ekuberekwa).

Mhete yechikadzi ine estrogen. Nekuda kweizvozvo, pane njodzi isingawanzoitika yekukwira kweropa, kugwamba kweropa, chirwere chemwoyo, uye sitiroko. Kusvuta kunowedzera idzi njodzi zvakanyanya.

Mhete yechikadzi inoburitsa zvishoma nezvishoma esrogen uye progestin muropa rako.

Ringi yemukadzi inoshanda zviri nani pane mapiritsi ekudzivirira kubata pamuviri kudzivirira kubata pamuviri. Vakadzi vashoma kwazvo vanoshandisa rin'i yemukadzi vanogona kubata nhumbu.

HOMONI-Inosunungura maIUD

Chidimbu chemukati (IUD) chiumbwa chidiki chepurasitiki chakaita saT chinoshandiswa pakuronga kubereka. Inoiswa muchibereko. IUDs inodzivirira urume kubva pakuisa zai mazai.

Mhando nyowani yeIUD inonzi Mirena inoburitsa yakaderera dhomoni muchibereko zuva rega rega kwenguva yemakore matatu kusvika mashanu. Izvi zvinowedzera kushanda kwechigadzirwa senzira yekudzivirira kuberekwa. Iyo zvakare ine mabhenefiti akawedzerwa ekuderedza kana kumisa kuyerera kwekuenda kumwedzi. Zvinogona kubatsira kudzivirira kubva kune cancer (endometrial cancer) mune vakadzi vari panjodzi yekuvandudza chirwere.

Iwe une sarudzo dzerudzii rweIUD kuve naro. Taura nemupi wako nezve mhando ipi ingave yakanakira iwe.

Kubata pamuviri - kunonoka-kuburitsa mahormone nzira; Progestin implants; Progestin majekiseni; Chiganda cheganda; Mhete yechikadzi

• Nzira dzekudzivirira kuberekwa

Allen RH, Kaunitz AM, Hickey M, Brennan A. Hormonal kubata pamuviri. Mune: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Chinyorwa cheEndocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020: chits. 18.

American College yeVadzvinyiriri uye Gynecologists webhusaiti.Yakasanganiswa mahormone ekuberekwa: piritsi, chigamba uye mhete, FAQ 185. www.acog.org/womens-health/faqs/combined-hormonal-birth-control-pill-patch-ring. Yakagadziridzwa Kurume 2018. Yakasvika June 22, 2020.

American College yeVadzvinyiriri uye Gynecologists webhusaiti. Yakareba-inoshanda inodzoserwa kubata pamuviri (LARC): IUD uye kudyara, FAQ184. www.acog.org/womens-health/faqs/long-acting-reversible-contraception-iud-and-implant. Yakagadziridzwa Chivabvu 2020. Yakasvika June 22, 2020.

Curtis KM, Jatlaoui TC, Tepper NK, et al. US yakasarudza maitiro ekurudzira ekudzivirira kubata pamuviri, 2016. MMWR Inokurudzira Rep. 2016; 65 (4): 1-66. PMID: 27467319 pubmed.ncbi.nlm.nih.gov/27467319/.