He aha ngā rongoā waha estrogen-me-progestin: Ngā whakamahinga, te inenga, ngā pānga taha me ētahi atu

Ko ngā rongoā waha estrogen-me-progestin he pire whakawhānau kei roto i ngā homoni waihanga e rua i hangaia hei ārai i te hapū. E mahi ana ēnei pire whakakotahi mā te whai i ngā homoni tūturu o tō tinana kia mutu ai te ovulation me te hanga i ētahi atu arai ki te hapū. Ko rātou tētahi o ngā momo whakawhānau ka taea te huri, e whakamahia whānuitia ana, e whai hua ana, e whakawhirinaki ana ki ngā miriona wahine puta noa i te ao mō ngā tekau tau.

He aha ngā rongoā waha estrogen-me-progestin?

He pire ia rā ēnei e whakakotahi ana i ngā putanga waihanga o te estrogen me te progestin, te āhua i hangaia i te taiwhanga o te progesterone. Ko te wāhanga estrogen te tikanga ko te ethinyl estradiol, i te mea ko te progestin tētahi o ngā momo pēnei i te norethindrone, levonorgestrel, rānei, drospirenone rānei.

Ko te nuinga o ngā pire whakakotahi ka tae mai i roto i ngā pākete 21-rā, 28-rā rānei. Kei roto i ngā pākete 21-rā ngā pire homoni kaha, ka whai muri i te okiokinga 7-rā karekau koe e tango pire. Kei roto i ngā pākete 28-rā ngā pire kaha 21 me ngā pire "whakamaumahara" kore kaha e 7, nō reira ka tango koe i tētahi pire ia rā, kāore he okiokinga.

He rerekē ēnei pire i ngā pire progestin-anake nā te mea kei roto i a rātou ngā homoni e rua. Ko tēnei huarahi whakakotahi te tikanga he pai ake te ārai i te hapū, ā, he maha ngā wā ka whakarato i ngā huringa paheketanga e matapae ana.

He aha ngā rongoā waha estrogen-me-progestin e whakamahia ana?

Ko te whakamahi tuatahi ko te ārai i te hapū, ā, tata ki te 91% te whai hua me te whakamahi noa, neke atu rānei i te 99% te whai hua me te whakamahi tino tika. I tua atu i te whakawhānau, he maha ngā wā ka tohua e ngā tākuta ēnei pire mō ētahi atu painga hauora.

Ka āwhina rātou ki te whakahaere i ngā huringa paheketanga kōaro, ka pai ake te matapae i ngā wā paheketanga, ā, he maha ngā wā ka mama ake. He maha ngā wahine e kite ana ka iti ake te kaha o ā rātou kōpiko paheketanga, ā, ka poto ake ētahi wā paheketanga.

Ka tohua hoki enei pire hei rongoa i te hakihaki, ina koa ki nga wahine e hono ana o ratou pakarutanga ki nga rereketanga o te homoni. Ka taea e te wahanga estrogen te awhina i te whakaiti i te hanga hinu o te kiri, e arahi ana ki te kiri marama ake i te wa.

Ka whakamahia e etahi wahine hei whakahaere i nga tohu o te mate polycystic ovary syndrome (PCOS), tae atu ki nga wa rereke me te nui o te tipu o nga makawe. Ka taea hoki e nga pire te whakaiti i te tupono o te mate pukupuku ovarian me te endometrial ina whakamahia mo te wa roa.

Me pehea te mahi a nga rongoa waha estrogen-me-progestin?

E mahi ana enei pire i roto i nga tikanga matua e toru hei aukati i te haputanga. Ko te huarahi tuatahi ko te aukati i te ovulation, ko te tikanga karekau o ou ovaries e tuku he hua manu i ia marama.

Ka tohu nga homoni waihanga i to roro kia mutu te whakaputa i nga homoni taiao e whakaoho ana i te ovulation. Ki te kore e tukuna he hua manu, kaore e taea te whakawhānau, na tenei te tikanga aukati haputanga tino nui.

Hei tautoko, ka matotoru ano nga pire i to hūpē cervical, ka uaua ake te haere o te parāoa i roto i te cervix kia tae atu ki tetahi hua manu ka tukuna pea. Ka hangaia e tenei he arai taapiri ki te whakawhānau.

Ko te tikanga tuatoru ko te angiangi i te arai uterine, ka iti ake te tupono o te hua manu kua whakawhānautia ki te whakato. Heoi, e kiia ana he paanga tuarua tenei na te mea ko te whainga tuatahi ko te aukati i te ovulation i te tuatahi.

Me pehea taku tango i nga rongoa waha estrogen-me-progestin?

Me tango e koe tetahi pire i te wa kotahi i ia ra, ahakoa kei te mahi koe i te mahi moepuku. Ko te rite tonu o te wa ka awhina i te pupuri i nga taumata homoni pumau me te whakanui i te whai huatanga.

Ka taea e koe te tango i enei pire me te kore ranei he kai, ahakoa ko te tango me te kai, i te wa moe ranei ka awhina pea mena ka pa ki a koe te nausea. E kitea ana e etahi wahine ko te tango i te ahiahi ka whakaiti i nga raruraru o te puku ka rongo pea ratou.

Mēnā kei te tīmata koe i tētahi pākete hou, tīmata i te rā tuatahi o tō wāhine hei whakamarumaru tonu, rānei tīmata i te Rātapu tuatahi i muri i te tīmatanga o tō wāhine. Mēnā ka tīmata koe i te Rātapu, me whakamahi koe i ētahi atu tikanga ārai hapū mō ngā rā 7 tuatahi.

Whakatūria he whakamaharatanga ia rā i runga i tō waea, kia waiho rānei ō pire ki tētahi wāhi e kite ai koe i a rātou ia rā. Ko te ngaro i ngā pire, inā rā i te wiki tuatahi o tētahi pākete hou, ka whakaiti i te whai huatanga me te whakanui i te tūponotanga o te hapū.

Kia Pēhea te Roa e Whakamahi ai au i ngā Ārai Hapū-a-Waha Estrogen-me-Progestin?

Ka taea e koe te whakamahi i ngā pire ārai hapū whakakotahi mō te roa e hiahia ana koe ki te ārai hapū, ā, kāore he take hauora hei aukati. He maha ngā wāhine e whakamahi ana i a rātou mō ngā tau, tae noa ki ngā tekau tau, kāore he raruraru.

Ko te tikanga, ka tūtohu tō tākuta i ngā arotake ā-tau hei aroturuki i tō hauora me te whakarite kia tika tonu ngā pire mōu. Ka tirohia e rātou tō pēhanga toto, ka kōrero mō ētahi pānga taha, me te arotake i tō tūnga hauora whānui.

Mēnā kei te whakamahere koe ki te hapū, ka taea e koe te whakamutu i te tango i ngā pire i ngā wā katoa. Ko te tikanga, ka hoki mai tō hua ki te noa i roto i te 1-3 marama i muri i te whakamutu, ahakoa ka hapū ētahi wāhine i muri tonu i te whakamutu i ngā pire.

I te wā e pakeke haere ana koe, inā rā i muri i te 35 tau, ka kōrero pea tō tākuta mō te mea he pai tonu ngā pire whakakotahi mōu, inā rā mēnā he take tūpono ōrite ki te kai paipa, ki te pēhanga toto tiketike rānei.

He Aha ngā Pānga Taha o ngā Ārai Hapū-a-Waha Estrogen-me-Progestin?

He pai te whakawhitiwhiti o te nuinga o ngā wāhine i ngā pire ārai hapū whakakotahi, engari ka pā ētahi pānga taha ki ētahi, inā rā i ngā marama tuatahi i te wā e whakatika ana tō tinana ki ngā homoni.

Koinei ngā pānga taha tino noa ka pā ki a koe i te wā e urutau ana tō tinana ki ngā taumata homoni hou:

• Te ngawari o te u, te puku rānei
• Te whakapairuaki ngawari, ina koa i ngā wiki tuatahi
• Te mamae o te upoko, te huringa rānei i ngā tauira mamae upoko
• Ngā huringa ā-wairua, te pūhaehae rānei
• Te tūpono i waenga i ngā wā, ina koa i ngā marama tuatahi e 3
• Ngā huringa taumaha, ahakoa te pikinga taumaha nui he mea noa
• Te whakaheke i te hiahia moepuku i ētahi wāhine

He maha ngā wā ka pai ake ēnei tohu i muri i te 2-3 marama e whakamahi ana i te rongoā i te wā e whakatika ana tō tinana. Ki te mau tonu, ki te kino ake rānei, kōrero ki tō tākuta mō te huri ki tētahi atu momo rongoā.

Ahakoa he mea noa, ka pā ki ētahi wāhine ētahi pānga taha nui ake e hiahia ana ki te āwhina hauora. Ko ēnei raruraru onge engari nui ko ngā toto toto, te whiu, te whakaeke ngākau, ngā raruraru ate, me te mate pūkahukahu.

Whakapā atu ki tō tākuta tonu ki te pā ki a koe te mamae nui o te puku, te mamae o te uma, te mamae nui o te upoko, ngā huringa tirohanga, te mamae nui o te waewae me te puku. Ko ēnei pea ngā tohu o ngā raruraru nui e hiahia ana ki te arotake hauora wawe.

Ko wai kāore e tika ana kia tango i ngā rongoā ā-waha estrogen-me-progestin?

Ko ētahi āhuatanga hauora ka kore e haumaru ngā pire whakawhānau whakakotahi, ko te mea nui nā te pikinga o te tūponotanga o ngā toto toto me ngā raruraru ngākau.

Kāore koe e whakamahi i ēnei pire ki te mea he hītori tō ngā toto toto, te whiu, te whakaeke ngākau, ētahi āhuatanga ngākau rānei. Ko ngā wāhine e kore e whakahaerehia te toto tiketike, te mamae upoko migraine me te aura ka tūpono hoki.

Ki te neke ake koe i te 35 tau, me te kai paipa, ka nui ake te tūponotanga o ngā pire whakakotahi ki ngā raruraru ngākau nui. Ka tohutohu pea tō tākuta i ētahi atu tikanga whakawhānau kāore he estrogen.

Ko ngā wāhine e pā ana ki ētahi āhuatanga ate, te toto i te tara kāore i te whakamāramahia, te mōhiotia rānei, te whakapae rānei i te mate pukupuku u, me karo hoki i ngā pire whakakotahi. Ki te mate huka koe me ngā raruraru e pā ana ki ō uaua toto, kāore pea ēnei pire e tika ana.

Hei tāpiri, ki te whāngai ū ana koe, ā, kei raro iho i te 6 wiki i muri i te whānautanga, ka pā te estrogen ki te hanga waiū. Ka tūtohu pea tō tākuta kia tatari koe, kia kōwhiri rānei i tētahi kōwhiringa progestin-anake.

Ngā Ingoa Mōhio o ngā Rongoā-a-waha Estrogen-me-Progestin

He maha ngā momo rongoā whakawhānau ngātahi e wātea ana, he rerekē ngā huinga homoni me ngā hōtaka inenga.

Ngā mōhio rongonui ko Ortho Tri-Cyclen, Yaz, Yasmin, Lo/Ovral, Seasonale, me Alesse. Ko ētahi he monophasic, te tikanga he rite tonu te nui o ngā homoni kei roto i ia pire kaha, ā, ko ētahi he multiphasic me ngā taumata homoni rerekē puta noa i te huringa.

He wātea noa ngā putanga generic, ā, he rite tonu te whai hua ki ngā pire ingoa mōhio. Ka kapi pea e tō inihua ngā kōwhiringa generic i te utu iti ake, e waiho ana hei kōwhiringa whai hua mō te maha o ngā wāhine.

Ka āwhina tō kaiwhakarato hauora i a koe ki te kōwhiri i te hanganga pai rawa atu i runga i tō hītori hauora, i ngā pānga taha ka pā ki a koe, me ō hiahia whaiaro e pā ana ki te roa o te huringa me ngā taumata homoni.

Ngā Kōwhiringa kē mō ngā Rongoā-a-waha Estrogen-me-Progestin

Ki te kore e tika ngā pire ngātahi mōu, he maha ngā tikanga whakawhānau kē e tuku ana i te aukati hapū whai hua me ngā painga me ngā whakaaro rerekē.

Ngā pire progestin-anake, e kīia ana ko ngā mini-pire, kei roto anake te progesterone waihanga me te kore estrogen. He pai ēnei mō ngā wāhine e kore e taea te tango estrogen nā te āhua o te hauora, te whāngai ū rānei.

Ngā tikanga whakawhānau huri noa e roa ana te mahi ko ngā pūrere-a-roto (IUDs) me ngā whakato. E whakarato ana ēnei tikanga i ngā tau o te whakamarumaru me te iti o te tiaki i ia rā, ā, he tino watea pea mō ngā wāhine e uaua ana ki te tango pire i ia rā.

Ngā tikanga arai pēnei i ngā kānekeneke, ngā diaphragm, me ngā potae cervical e tuku ana i ngā kōwhiringa kore homoni, ahakoa me whakamahi tonu i ia tūtakitanga tāngata. E whakarato ana hoki ēnei tikanga i te whakamarumaru i ngā mate ka pā mai i te moepuku.

He rite tonu te whakakotahitanga o ngā homoni e whakaratohia ana e ngā pātahi homoni, ngā mowhiti, me ngā werohanga, engari he rerekē ngā tikanga tuku, he mea e kitea ana e ētahi wahine he pai ake i ngā pire o ia rā.

He Pai Ake Ngā Rongoā-a-Waha Estrogen-me-Progestin i Ngā Pire Progestin-Anake?

He tino whai hua ngā momo pire e rua ki te ārai i te hapūtanga, engari he painga ētahi o ngā pire whakakotahi mō te whakahaere i te huringa me ētahi atu painga hauora.

Ko te tikanga, ka whai huringa paheketanga e mōhiotia ana e ngā pire whakakotahi, me ngā wā iti ake, poto ake. He whai hua hoki rātou ki te rongoā i te hakihaki, ā, ka taea te whakamāmā i te nui o te toto paheketanga.

Heoi anō, he haumaru ake ngā pire progestin-anake mō ngā wahine e pā ana ki ētahi āhuatanga hauora, tae atu ki te hunga e kore e taea te tango estrogen. Ko rātou hoki te kōwhiringa pai mō ngā wahine e whāngai ana i te ū, nā te mea kāore rātou e pā ki te hanga miraka.

Me tino tika te wā mō ngā pire progestin-anake, me tango i roto i te wā 3-haora i ia rā. He iti ake te ngāwari o ngā pire whakakotahi me te wā 12-haora mō te nuinga o ngā hanganga.

Ka āwhina tō tākuta hauora i a koe ki te whakatau i ēnei āhuatanga i runga i tō hītori hauora, tō oranga, me ō hiahia whaiaro kia whakatau ko tēhea kōwhiringa te mea pai mōu.

Ngā Pātai Auau Mō Ngā Rongoā-a-Waha Estrogen-me-Progestin

He Haumaru Ngā Rongoā-a-Waha Estrogen-me-Progestin mō Ngā Wahine e mate huka ana?

Ka taea e ngā wahine e pai ana te whakahaere i te mate huka me te kore raruraru te whakamahi i ngā pire whakakotahi hei whakahaere whānau. Heoi anō, me mātakitaki tata tō tākuta i a koe nā te mea ka pā iti ēnei homoni ki ngā taumata huka toto.

Mēnā he raruraru e pā ana ki te mate huka e pā ana ki ō uaua toto, te ngākau, ngā whatukuhu, rānei, ngā pire whakakotahi ka piki ake pea tō tūponotanga ki ngā raruraru ngākau. I ēnei wā, ka tūtohu pea tō tākuta i ngā tikanga progestin-anake, i ētahi atu rānei e kore e pā ana ki ngā homoni.

He mea nui te aroturuki i te huka toto, te pēhanga toto, me te hauora whānui i te wā e whakamahi ana i ngā rongoā aukati hapū me te mate huka. Ka taea e tō rōpū hauora te āwhina i a koe ki te whakahaere i ngā āhuatanga e rua.

Me pēhea te mahi mēnā ka whakamahi au i te nui rawa o ngā rongoā aukati hapū waha estrogen-me-progestin?

E kore e pā kino te tango i ngā pire anō, engari ka pōuri pea koe, ka mamae ō u, ka kore rānei e tika te rere o te toto. Kaua e ngana ki te ruaki i a koe anō, kāore tēnei e whai hua, ā, ka raru pea koe.

Whakapā atu ki tō kaiwhakarato hauora, ki te mana whakahaere paitini rānei mō te tohutohu, ina koa kua tango koe i ētahi pire anō. Ka taea e rātou te tohutohu i a koe mō te aha e tūmanako ana, mehemea rānei e hiahia ana koe ki te āwhina hauora.

Haere tonu ki te tango i ō pire i te wā e whakaritea ana, ki te kore e kī mai tō tākuta. Kāore te tango i ngā pire anō e whai wāhi atu ki te aukati i te hapū, ā, ka piki pea ngā pānga taha.

Me pēhea te mahi mēnā ka ngaro au i te horopeta o ngā rongoā aukati hapū waha estrogen-me-progestin?

Mēnā ka ngaro koe i tētahi pire, tangohia i te wā e mahara ana koe, ahakoa me tango koe i ngā pire e rua i te rā kotahi. Kāore koe e hiahia ki te aukati hapū anō, ā, kei te whai hua tonu tō whakamarumaru.

Mēnā ka ngaro koe i ngā pire e rua i te rarangi i ngā wiki tuatahi e rua, tangohia ngā pire e rua mō ngā rā e rua e whai ake nei, kātahi ka haere tonu i tō hōtaka. Whakamahia te aukati hapū anō mō ngā rā 7 e whai ake nei i te mea kua iti pea tō whakamarumaru.

Ko te ngaro i ngā pire e rua i te wiki tuatoru, te ngaro rānei i ngā pire e toru, neke atu rānei i ngā wā katoa, e hiahia ana kia nui ake te whakahaere. Whakapā atu ki tō kaiwhakarato hauora mō te tohutohu motuhake, i te mea ka hiahia pea koe ki te tīmata i tētahi pākete hou me te whakamahi i te aukati hapū anō.

Āhea ka mutu ai au i te tango i ngā rongoā aukati hapū waha estrogen-me-progestin?

Ka taea e koe te whakamutu i te tango i nga pire whakawhānau i nga wa katoa, engari he pai ake te whakaoti i to paati o naianei kia kore ai e puta te toto kore. Kare koe e hiahia ki te whakaiti i te horopeta i te mea ka urutau noa to tinana ki nga huringa homoni.

Mena kei te whakamutu koe ki te hapu, ka taea e koe te timata ki te ngana ki te hapu tonu. Ko te tikanga ka hoki mai to hua i roto i te 1-3 marama, ahakoa ka hapu etahi wahine tonu.

Mena kei te huri koe ki tetahi atu tikanga whakawhānau, korerohia te wa ki to kaiwhakarato hauora kia mau tonu te whakamarumaru mai i te haputanga. Ko etahi tikanga e hiahia ana kia whakamahia ngatahi kia pai ai te whakawhiti.

Ka taea e au te tango i nga rongoa waha Estrogen-me-Progestin i te wa e whakangote ana?

Ko nga pire whakawhānau whakakotahi kaore i te taunakitia i te wa o nga marama tuatahi e 6 o te whakangote na te mea ka taea e te estrogen te whakaiti i te hanga miraka. Ka pa tenei ki te kai o to peepi me to angitu whakangote.

I muri i nga marama e 6, ka pai te whakaputanga o to miraka, ka kai to peepi i nga kai totoka, ka waiho pea nga pire whakakotahi hei whiringa. Heoi, he maha nga kaiwhakarato hauora e pai ana ki nga tikanga progestin-anake i te wa e whakangote ana.

Korero ki to taakuta mo nga whiringa whakawhānau pai i te wa e whakangote ana. Ka taea e ratou te awhina i a koe ki te whiriwhiri i tetahi tikanga e tiaki ana i te haputanga me te kore e pokanoa ki to kaha ki te ngote i to peepi.