Iyo Minipill uye Mamwe Estrogen-Mahara Ekuzvarwa Ekuzvidzora Sarudzo

Zvemukati

• Chii chinonzi minipill?
• Iyo minipill inoshanda sei?
• Ndiani akakodzera kukwikwidza iyo minipill?
• Ungatanga sei kutora iyo minipill
• Pane zviripo mhedzisiro neiyo minipill?
• Ndezvipi zvakanaka nezvakaipa?
• Minipill zvayakanakira
• Minipill nezvakaipa
• Dzimwe progestin-chete sarudzo dzekuzvarwa pakuberekwa
• Progestin yakapfura
• Progestin yakapfura zvayakanakira
• Progestin yakapfura cons
• Iyo progestin inodyara
• Progestin inosimudzira zvayakanakira
• Progestin inoisa cons
• Iyo progestin IUD
• Progestin IUD inobatsira
• Progestin IUD cons
• Hormone-yemahara yekudzivirira kuberekwa sarudzo
• Chinokosha

Oo, kune imwe-saizi-inokodzera-yese nzira yekudzivirira kuberekwa iri nyore kushandisa uye neparutivi-mhedzisiro yemahara.Asi sainzi haisati yakwana chinhu chakadai.

Kusvikira zvadaro, kana iwe uri mumwe wevakadzi vazhinji vasingakwanise kushandisa nzira dzekudzivirira kuberekwa dzine estrogen, une dzimwe nzira dzakawanda.

Mazhinji eestrogen-yemahara ekudzivirira kuberekwa dzimwe nzira dzine progestin, inova inogadzirwa nevanhu yehomoni progesterone.

Muchikamu chino, tichanyatso tarisa pane:

• zviripo progesin-chete sarudzo
• mashandiro avo
• zvayakanakira nezvayakaipira kune yega yega

Chii chinonzi minipill?

Iyo minipill imhando yemuromo yekudzivirira kubata pamuviri ine mapiritsi ane progestin chete.

Hapana mapiritsi muhomwe ane chero estrogen. Muyero weprogestin unosiyana uye zvinoenderana nekuumbwa kunoshandiswa mupiritsi yekuzvarwa.

Pombi yemaminipill ine mapiritsi makumi maviri nemasere, ese aine hormone progestin. Iyo haina chero mapiritsi e placebo.

Kuti uwedzere kushanda kwepombi, iwe unofanirwa kutora piritsi panguva imwechete mazuva ese.

Kana iwe ukarasikirwa nedhiraiti - kunyangwe nepadiki semaawa matatu - iwe unozofanirwa kushandisa nzira yekuchengetedza yekudzivirira kuberekwa kweanenge mazuva maviri kuti uve parutivi rwakachengeteka.

Kune piritsi nyowani-inogamuchirwa neProgestin-yega FDA inonzi Slynd. Inogona kutorwa mukati memaawa makumi maviri nemana uye isati ichirangarirwa sedosi yakashaikwa, kusiyana nepiritsi yeprogestin-chete.

Nekuti iyi piritsi iri nyowani, panogona kunge paine parinogumira ruzivo uye mukana. Kuti udzidze zvakawanda nezvaSlynd, taura nachiremba wako.

Iyo minipill inoshanda sei?

MuUnited States, progestin-chete yekudzivirira kubata mukanwa inozivikanwa se norethindrone. Sekureva kweMayo Clinic, norethindrone inoshanda na:

• kuomesa hura mumuromo wechibereko uye kuonda kwemukati wechibereko chako, zvichiita kuti zviome kuti mbeu nezai zvisangane
• kudzivirira mazai ako pakuburitsa mazai

Izvo zvakakosha kuti unzwisise kuti iyo progestin-chete minipill inogona kunge isingagare ichidzvinyirira ovulation yako.

IAmerican College of Obstetricians uye Gynecologists (ACOG) inofungidzira kuti vangangoita makumi mana muzana yevakadzi vacharamba vachikura vachitora norethindrone.

Ndiani akakodzera kukwikwidza iyo minipill?

Sekureva kwe ACOG, iyo minipill isarudzo yakanaka kune vakadzi vasingakwanise kunwa mapiritsi ekudzivirira nhumbu ane estrogen.

Izvi zvinosanganisira vakadzi vane nhoroondo ye:

• BP
• yakadzika mutsinga thrombosis (DVT)
• chirwere chemwoyo

Asi dziviriro yeprogestin-chete haisiyo sarudzo yakanakisa yemunhu wese. Ungangoda kudzivirira iyo minipill kana:

• wave nekenza yemazamu
• wanga uine lupus
• une dambudziko rekurangarira kutora mishonga panguva yakakodzera

Mimwe mishonga yekurwisa-kubvuta inoputsa mahormone mumuviri wako, zvinoreva kuti progestin-piritsi chete rinogona kunge risingabatsiri kana ukatora mishonga yekurwisa kubata.

Kana iwe wakave nekuvhiyiwa bariatric, taura nachiremba wako nezve njodzi dzekutora yekudzivirira kubata mukanwa.

Bariatric kuvhiyiwa kunogona kukanganisa nzira idzi mune yako system uye zvinogona kuita kuti zvinyanye kushanda.

Ungatanga sei kutora iyo minipill

Usati watanga iyo minipill, taura nachiremba wako nezve iro zuva rekutanga.

Iwe unogona kutanga kushandisa iyi piritsi pane chero zuva rekuenda kwako kumwedzi, asi zvinoenderana nekuti uripi mukutenderera kwako, ungangofanira kushandisa nzira yekudzivirira kuberekwa kwemazuva mashoma.

Kana iwe ukatanga kutora iyo minipill mukati memazuva mashanu ekutanga ekuenda kwako kumwedzi, iwe unofanirwa kuchengetedzwa zvizere, uye hauzodi chero imwe yekudzivirira kubata pamuviri.

Kana iwe ukatanga pane chero rimwe zuva, iwe uchafanirwa kushandisa imwe nzira yekudzivirira kweanenge mazuva maviri.

Kana nguva yako iine pfupi pfupi, iwe unofanirwa kushandisa yekuwedzera yekuzvarwa kudzora kusvikira wave pane iyo minipill kweinenge mazuva maviri.

Pane zviripo mhedzisiro neiyo minipill?

Zvese zvekudzivirira pamuromo zvine mhedzisiro, uye zvinosiyana musimba kubva kumunhu kuenda kumunhu.

Cleveland Clinic inoshuma izvi mhedzisiro kubva kune progestin-chete minipill:

• kuora mwoyo
• kuputika kweganda
• mazamu manyoro
• shanduko mukurema kwako
• shanduko mune bvudzi remuviri
• kusvotwa
• kutemwa nemusoro

Ndezvipi zvakanaka nezvakaipa?

Minipill zvayakanakira

• Haufanire kuvhiringidza bonde kuti utarisire kuberekwa.
• Unogona kutora piritsi iyi kana estrogen isina kukurudzirwa iwe nekuda kweropa rakakwira, yakadzika tsinga thrombosis, kana chirwere chemoyo.
• Nguva yako uye makampu anogona kureruka.
• Unogona kushandisa nzira iyi kana iwe uchiyamwisa.

Minipill nezvakaipa

• Iwe unofanirwa kuve wakangwarira uye wakanangana nezve paunotora piritsi.
• Iwe unogona kuona kuona pakati pezvikamu.
• Bonde rako rekutyaira rinogona kudzikira.
• Bvudzi rako remuviri rinogona kukura zvakasiyana.

Dzimwe progestin-chete sarudzo dzekuzvarwa pakuberekwa

Kana iwe uchida kuberekwa kwehomoni pasina estrogen, iyo minipill ingori imwe sarudzo. Kune mamwe akati wandei mamwe progestin-chete sarudzo dzekuzvarwa pakuberekwa. Imwe neimwe inoshanda zvakasiyana uye ine yakasarudzika mhedzisiro uye njodzi.

Heino kukurumidza kumhanya kwesarudzo dzako.

Progestin yakapfura

Depo-Provera jekiseni. Inoshanda nenzira imwecheteyo seprogestin-chete piritsi. Inosimbisa svumbunuro yakatenderedza chibereko chako chekudzivirira urume kuti usasvika muzai. Uyezve, inomisa mazai ako pakuburitsa mazai.

Jekiseni rega rega rinotora mwedzi mitatu.

Progestin yakapfura zvayakanakira

• Haufanire kufunga nezvekutora piritsi rekudzivirira kuberekwa mazuva ese.
• Vanhu vazhinji vanoona jekiseni risingapfuure pane kushandisa IUD.
• Kana iwe ukawana kupfura panguva dzinokurudzirwa, inopfuura 99 muzana inoshanda mukudzivirira nhumbu.

Progestin yakapfura cons

• Iyo FDA inonyevera kuti kushandisa Depo-Provera kunogona kuwedzera njodzi yako ku:
  • gomarara repazamu
  • ectopic nhumbu (nhumbu kunze kwechibereko chako)
  • kurema kuwedzera
  • kurasikirwa kwehuwandu hwepfupa
  • ropa rinogwamba mumaoko ako, makumbo, kana mapapu
  • matambudziko echiropa
  • migraine misoro
  • kuora mwoyo
  • pfari

Iyo progestin inodyara

MuUnited States, zvigadzirwa zve progestin zvinotengeswa pasi pezita rekuti Nexplanon. Iyo yekumisikidza ine yakaonda, inoshanduka tsvimbo iyo chiremba wako anoisa chete pasi peganda paruoko rwako rwepamusoro.

Kunge minipill uye jekiseni reprogestin, chinhu chinodyarwa chinoburitsa hushoma hweprogestin musystem yako.

Izvi zvinokonzera:

• iyo lining yechibereko chako kutetepa
• rako remuromo wechibereko kuti riwedzere
• mazai ako kuti arege kuburitsa mazai

Kamwe panzvimbo, kuiswa kwacho kunonyanya kushanda. Zvinoenderana neizvo, zvinodyara zvine mwero wekundikana we0.01 muzana chete kusvika kumakore matatu.

Progestin inosimudzira zvayakanakira

• Iwe haufanire kufunga nezve kudzora kuberekwa mazuva ese.
• Haufanire kuvhiringidza bonde kuti utarisire kuberekwa.
• Inonyanya kushanda.
• Inogona kushandiswa nekukurumidza mushure mekubereka kana kubvisa nhumbu.
• Zvakachengeteka kushandisa paunenge uchiyamwisa.
• Inodzoserwa. Chiremba wako anogona kuibvisa kana iwe uchida kubata pamuviri.

Progestin inoisa cons

• Chiremba anoda kuisa iyo implant.
• Panogona kunge paine mari yepamusoro yepamusoro kana iyi nzira yekudzivirira isina kuvharwa neinishuwarenzi.
• Nguva dzako dzinogona kuve dzakaoma kufungidzira. Vanogona kuva vanorema kana kureruka, kana kuti vanogona kuenda zvachose.
• Unogona kusangana nekubuda ropa.
• Unogona kusangana nemhedzisiro senge kutemwa nemusoro, kuputika kweganda, huremu shanduko, kana mazamu manyoro.
• Iyo yekudyara inogona kufamba, kana zvingave zvakaoma kubvisa kana yave nguva yekubvisa. Kana chero mamiriro ezvinhu akamuka, vamwe varwere vangangoda bvunzo dzekufungidzira uye, mune zvisingawanzoitika nguva, kuvhiyiwa kubvisa kuiswa.

Iyo progestin IUD

Imwe sarudzo ndeye intrauterine chishandiso (IUD) icho chinoiswa nachiremba wako muchibereko chako. Yakagadzirwa nepurasitiki, ichi chidiki, t-chimiro chishandiso chinoburitsa hushoma hweprogestin, ichidzivirira nhumbu kweanosvika makore mashanu.

Sekureva kwe ACOG, IUD haina kukanganisa kubata pamuviri. Inozvidzivirira.

Progestin IUD inobatsira

• Iwe haufanire kufunga nezve kudzora kubara kazhinji.
• Iko 99 muzana inoshanda mukudzivirira kubata pamuviri.
• Nguva dzako dzinogona kureruka. Cramps inogona kuve nani, futi.
• IUD inodzoserwa uye haizokanganisa kubereka kwako kana kuita kuti zviome kubata nhumbu mune ramangwana.

Progestin IUD cons

• Zvinogona kusagadzikana kuti iUD iiswe.
• Nguva dzako dzinogona kunge dzakaoma kufungidzira.
• Iwe unogona kuona kuona kana kubuda kubuda ropa, kunyanya pakutanga.
• YAKO IUD inogona kubuda.
• Muzviitiko zvisingawanzoitika, chibereko chako chinogona kubayiwa kana mudziyo waiswa.
• Mune zvisingawanzoitika zviitiko, iwe unogona kusangana ne ectopic nhumbu.

Hormone-yemahara yekudzivirira kuberekwa sarudzo

Kana iwe uchida kushandisa nonhormonal nzira dzekudzivirira kuberekwa, taura nachiremba wako kana mupi wezvehutano nezve izvi sarudzo:

• makondomu echirume kana echikadzi
• chipanji
• remuromo ngowani
• diaphragms
• mhangura IUDs
• urume

Dzakawanda dzenzira idzi hadzishandi mukudzivirira kubata pamuviri pane nzira dzinosanganisira mahormone.

Spermicide, semuenzaniso, inokundikana ingangoita 28 muzana yenguva, saka zvakakosha kuti unzwisise njodzi dzacho paunenge uchiyera zvaunogona kusarudza.

Kana iwe uchida fomu yekusingaperi yekuzvarwa, taura nachiremba wako nezve tubal ligation kana vasectomy.

Chinokosha

Iyo progestin-chete minipill ndeimwe yenzira dzinoverengeka dzekudzivirira kuberekwa dzisina estrogen.

Iyo minipill inoshanda nekudzvinyirira ovulation uye nekuchinja chibereko chako nemuromo wechibereko kuti zviite sezvisingaiti kuti urume hunokwanisa kukwirisa zai.

Kana iwe uchida kushandisa kuberekwa kwehomoni pasina estrogen, iwe unogona zvakare kuyedza progestin-chete kupfura, kuisa, kana maIUD.

Kana iwe uchida kushandisa iyo isina mahormone-yekuzvarwa nzira yekudzora, unogona kutsvaga sarudzo senge makondomu, diaphragm, cervical caps, yendarira IUD, chipanji, tubal ligation, kana vasectomy.

Sezvo nzira dzese dzekudzivirira kubereka dziine mhedzisiro, taura nachiremba wako nezverudzi rwekudzivirira nhumbu inoshanda zvakanyanya kwauri.

Ive neshuwa yekuudza chiremba wako kuziva nezve chero mamiriro ehutano aunawo, pamwe nechero zvinowedzera uye mishonga yaunotora, sezvo ivo vachigona kudzikamisa kushanda kwekudzivirira kwako kubata.