Kwete. Zvidzidzo zvakadzvanyirira hazvina kuona kuti chigamba chekuronga pamuviri chinokonzera kuwedzera uremu. Mukudzidza mumwe kwemwedzi mitanhatu, vashandisi vechigamba vakawana padyo mapaundi anosvika hafu, uye zvinodarowo zvakanga zviri mvura pane mafuta. Nhamba yuremu inoonekwa pachigamba ndiyo inochinja kuti inoshanda sei.

TL;DR: Zvinokosha zvinotorwa

  • Kuongorora kweCochrane kwezvidzidzo zvakatariswa kwakawana hapana uchapupu hwekubatana pakati pezvinodhaka zvehomoni zvakasanganiswa, kusanganisira chigamba, nekuwandisa kana kuderera uremu.
  • Chidzidzo chemuviri chakayera 0.64 kg (anenge 1.4 lb) yuremu pamusoro pemwedzi mitanhatu, pamwe ne 0.51 L yemvura yemuviri yepamusoro. Zvizhinji zvezvakawedzerwa zvaiita mvura.
  • Xulane's FDA label inonyora "weight increased" muzana 2.7% yevatori vechikamu muzvidzidzo zvokurapa. Mapuratifomu ekuongorora evashandisi anotaura kanokwana kashanu kusvika kashanu neshanu kupfuura mwero uyu.
  • Mvura inouya nokukurumidza uye inoshanduka zuva rega rega. Mafuta anounganidzwa zvishoma nezvishoma uye haana kuonekwa mangwanani.
  • Pa 198 lb (90 kg) kana BMI ye 30 kana kupfuura, chigamba chinogona kushanda zvishoma, uye uku ndiko kubatana kunonyatsokodzera kutaura.

Uchapupu hunoti kwete: chigamba hachisati charatidzwa kuti chinokonzera kuwedzera uremu

Kuti chigamba chekuronga pamuviri chinokonzera kuwedzera uremu here? Kwete maererano neuchapupu hwakadzvanyirirwa. Kuongorora kweCochrane kwezvidzidzo zvakatariswa zvichienzanisa zvinodhaka zvehomoni zvakasanganiswa, kusanganisira chigamba cheganda, nezvinodhaka zvenhema kana kusashandisa chinhu chakaona hapana uchapupu hunotsigira kubatana kwekuwandisa kana kuderera uremu. Zviyero zvekumisa nekuda kwekuwandisa kana kuderera uremu hazvina kusiyana pakati pemapoka. Kusiyana kweavhareji kwakayerwa ingangoita mapaundi mumwedzi mitanhatu, zvinodarowo zvichibva pamvura.

Hezvino zvinoita sezvisingazoudzwa nemapeji mazhinji: Cochrane haana kuratidza kuti chigamba hachina basa kune uremu. Kutaura kwayo chaiko ndekwekuti uchapupu huripo hauna kukwana kuti huonei migumisiro yemishonga yakasanganiswa pamusoro peuremu, asi hapana migumisiro mikuru yakaratidzwa, uye vanyori vakakumbira zvidzidzo zviri mberi nezvinodhaka zvenhema kana zvisina homoni. Hapana uchapupu hwekubatana kwechikonzero inzira yakaderera kupfuura uchapupu hwekuti hapana migumisiro, uye ndiyo imwe yakatendeseka.

Nhamba dzinongori dzidiki. Ruzivo rwekunyoresa rweXulane neFDA, runowanikwa paDailyMed yeNIH, runotaura "weight increased" sekutambudzikana kune 2.7% yevatori vechikamu muzvidzidzo zvokurapa. Chidzidzo chebioelectrical impedance che ethinylestradiol ne norgestrel patch chakawana uremu hwemuviri hwakwira 0.64 kg mushure memwedzi mitanhatu, kusiyana kwe 1.1%. Ndiko kusvika 1.4 lb. Pedyo negirazi guru remvura.

Nhamba yuremu inoonekwa pachigamba ndeye 198 pounds, kwete iyo iri paunorema

Vanhu vanotsvaga Xulane weight gain vanowanzoverenga nhamba isiriyo label. Ortho Evra yakamiswa; zvigamba zviviri zvinotengeswa muUS nhasi ndezve Xulane ne Twirla, chekupedzisira chakagadzirirwa kuderera kwe estrogen. Xulane label inoratidza kuti ndeyevakadzi vane BMI pasi pe 30 kg/m2 chete uye inorambidza pa 30 kana kupfuura nekuda kwekuwedzera njodzi yekuvhara ropa. Inoyambirawo kuti chigamba "chinogona kushanda zvishoma mukuronga kubata pamuviri kuvakadzi vane uremu hunodarika 198 lbs. (90 kg) kana kupfuura." Zvinokurudzirwa neCDC Pakubata Kwakabatana zvinotaura zvakafanana: kugona kunogona kuderera pa BMI ye 30 kana kupfuura, kana uremu hunodarika 90 kg.

Chikamu: label nehutungamiri hwehurumende hazvitenderane. Zvinokwanisika zveUS Medical Eligibility Criteria zveCDC zvinoshandisa uremu husina mwero seCategory 1 kana 2 ye zvinodhaka zvehomoni zvakasanganiswa, zvinoreva kuti kazhinji hakusi kurambidzwa, uye zvinotaura kuti kuyera uremu kana BMI hakudiwi kuti uone kugona. Njodzi yekuvhara ropa paukama hwakakwirira inobva kure nekuyerwa: CDC inotaura kuti vashandisi vezvinodhaka zvehomoni zvakasanganiswa vane uremu husina mwero vane ka 5 kusvika 8 kupfuura njodzi ye VTE yevashandisi vezvinodhaka zvehomoni zvakasanganiswa vane uremu husina mwero, uye kuti zvidzidzo zvakaenzaniswa zvechigamba zvinorondedzerwa nemhando dzakasiyana hazvina kuonekwa. Sarudzo iyi ndeye chiremba anoziva nhoroondo yako, kwete yekudziviswa kwakanyorwa paCarton.

Usati wasvika kuunganidzwa ikoko, nharembozha yekubatsira utano yakadai se August AI inogona kukubatsira kushandura kunetseka kusinganzwisisike pamusoro pemapaundi kuita mibvunzo yakajeka pamusoro pekugona nekugona kwekuvhara ropa paukama hwako. Inokugadzirira kubatana. Haisi iyo inopa danho.

Zvizhinji zvezviri pachiyero mwedzi wekutanga mvura, kwete mafuta

Kuunganidzwa kwemvura pachigamba kunotsanangura zvakawanda zvezvinonzi nevanhu kuwedzera uremu. Mune chidzidzo chimwe chete che impedance, huwandu hwemvura yemuviri hwakwira 0.51 L pamusoro pemwedzi mitanhatu, kuwedzera kwe 1.7%, pamwe ne 0.64 kg yuremu. Pidha remvura rinodarika pint rinokonzera zvinodarowo zvezvakawedzerwa.

Estrogen inokurudzira kuunganidzwa kwe sodium nemvura. Pakushanda izvozvo zvinoreva kuzvimba nechigamba chekuronga pamuviri, bhandi rembatya rinova rakaomarara madekwana, zvigunwe kana makumbo akazvimba, uye chiyero chinoverenga zvakasiyana mangwanani maviri akateedzana.

Kuongorora pachako kwakatwasuka. Mvura inouya nekukurumidza, inoshanduka kubva pazuva kusvika pazuva, uye inoonekwa sekuzvimba. Kuwedzera kwemafuta kunounganidza zvishoma nezvishoma pamusoro pemwedzi uye haambooneki mangwanani. Mapaundi matatu pakukwirira neChipiri uye maviri pasi neChina ndiko kuunganidzwa kwemvura pachigamba, kwete zvinyama.

Kuendeswa kwemvura kunowanzoshanduka pamusoro pemaviri kana matatu ekutanga madenderedzwa. Imwe tsanangudzo yakatendeseka panguva iyoyo: hwindyo yemwedzi mitatu inorondedzerwa kune ese makemikari ekuronga pamuviri, kwete kuyerwa zvakananga kune chigamba. Uye kupikisa kwaungave urikubata? Chigamba chinopa yakakwira general estrogen exposure kudarika mapiritsi mazhinji akasanganiswa, uye data yezvidzidzo ichiri kuratidza hapana migumisiro yakakura yuremu.

Kana uchida kuziva muenzaniso wako pachako pane kungofungidzira, nharembozha yekubatsira utano yakadai se August AI inogona kukubatsira kurekodha uremu, kuzvimba uye zuva redenderedzwa saka unouya ne rekodhi pane ndangariro. Ndiko kuwedzera kune kuchengetwa, kwete kutsiva kwayo.

Nei vanhu vazhinji vachitaura kuwedzera uremu nechigamba chekuronga pamuviri apo zvidzidzo zvichiti hapana

Kuwedzera uremu nechigamba chekuronga pamuviri kunoonekwa kazhinji mumaongororo evashandisi pane muzvidzidzo, uye saizi yemupata ndicho chinhu. PaThe Lowdown, 23% yevatsoropodzi ve 131 Evra vakataura kuwedzera uremu, uku 50% vachitaura kusachinja uye 5% vachitaura kuderera. Kuverengwa kweDrugs.com kunosvika 11.8%. Nhamba yezvidzidzo zvekurapa paXulane's FDA label i 2.7%. Zviviri zvekutanga i data yekuongorora yakataurwa nevashandisi, kwete uchapupu hwekurapa.

Kuzvinyorera kunowanzova kwakakwirira nekuda kwezvikonzero zviri pachena. Hapana boka rekutonga, saka hapana chinokubatsira kuti uremu hwako dai huchaita sei zvisinei. Ndangariro inochinja zvaunofunga kuti wairema sei. Kunzi kunoitika kunoenda pane chinhu chawakapedzisira kushandura, uye kutanga kwekugara pamuviri kunowanzova chinhu chekupedzisira. Vanhu vane kunyunyuta vanopa maongororo; vanhu vasina chekutaura havazi. Uye uremu hunoshanduka hunowedzera nekufamba kwenguva pasinei nekugara pamuviri.

Ndiyo tsoka imwe chete yekuzvidza chiratidzo chekushanduka kwemwedzi wapera apo kunetseka kunogona kukonzera zviratidzo chaizvo zvine muviri zvisina chekuita nazvo. Mushonga hauna kunaka. CDC inotaura kuti kunyange kuyerwa kwuremu hakudiwi kuti uone kugona, kurekodha uremu hwekutanga kunogona kubatsira kugadzirisa kunetseka pamusoro pekuchinja nekufamba kwenguva. Nyora nhamba pasi pazuva rekutanga.

Kuwedzera uremu kamwe kamwe nekuzvimba kwetsoka hakusi kudivi rekutambudzikana: chinhu cheyambiro

Fonera 911 kana enda kuchipatara nekukurumidza kana:**

  • Une musoro wakasimba kamwe kamwe, kuvhiringidzika, kuoma kutaura kana kuchinja kwemaonero (kugona sitiroko)
  • Une marwadzo muchipfuva, kurema pachipfuva kana kufema kwakakasharara kamwe kamwe (kugona kuvhara mu mapapu, kana kurwadziwa nemoyo)
  • Une marwadzo makuru etsoka, kuzvimba, kudziya kana kutsvuka, kunyanya mukapakati metsonzumo (kugona kuvhara ropa mutsinga, kana thrombosis)
  • Une marwadzo makuru mudumbu kana mudumbu
  • Ganda rako kana maziso akachena anobva ave yero
  • Une dzungu kana kufenda kamwe kamwe

Ronga kushanya mukati mevhiki rinouya kana:** uremu hwako huchiramba huchikwira zvakajeka kupfuura madenderedzwa matatu ekutanga, kuzvimba hakusi kwapera, kana matambudziko akakomba kana anoramba aripo. MedlinePlus inonyora kuwedzera uremu pakati pezviratidzo zvekutaura nachiremba kana zvakakomba kana zvisingapere, zvakachengetwa zvakasununguka kubva pane rondedzero yayo yekuyambira yekukurumidzira.

Taura nachiremba usati watanga kana:** BMI yako iri 30 kana kupfuura kana uremu hwako 198 lb (90 kg) kana kupfuura, unoputa uye uri pamusoro pe35, unopinda migraine ne aura, kana une nhoroondo yemhuri kana yepachivande yekuvhara ropa kana high blood pressure.

Kune chikamu chepakati, $39 online urgent care inokubatanidza nechiremba ane rezinesi muUS anogona kuongorora kuzvimba kunoramba kuri kana shanduko yuremu isingapere uye achagadzirisa kana zvakakodzera; chiremba ndiye anoona zvinokodzera. Iva wakajeka pamusoro pechipimo: kushanya kwevhidhiyo hakugoni kubvisa kuvhara ropa kana sitiroko. Izvo zvinoda kuongororwa kwechisimba uye imaging. Kurwadziwa kwakajairika kune zvikonzero zvakajairika, uye kurwadziwa kamwe kamwe metsonzumo pasina kukuvara kana kuzvimba kunowanzo kuve kwakajairika, asi kurwadziwa metsonzumo nekuzvimba, kudziya kana kutsvuka paunenge uri pachigamba ndiko kukurumidzira, zvachose.

Mibvunzo Inowanzo Bvunzwa

Ndichawedzera uremu huingani pachigamba?

Kazhinji hakuna kukwana kuti uzive. Vanhu pavanobvunza kuti chigamba chekuronga pamuviri chinokonzera kuwedzera uremu here, vanoda nhamba. Tarisira shanduko yakajairika zuva nezuva yemunhu wese, mapaundi mashoma achikwira kana kudzika zvichienderana nemunyu, huwandu hwechikafu uye chikamu chedenderedzwa, pamwe chete nemapaundi anenge rimwe kusvika maviri emvura mumwedzi wekutanga. Mvura iyoyo haina mafuta uye haiongeki pamwedzi.

Kuwedzera uremu nechigamba chekuronga pamuviri kunopera mushure mekunge wamisa kushandisa here?

Hongu. Chero mvura yaiiswa nechigamba inobva mukati mevhiki mashoma mushure mekunge yabviswa, uye chiyero chinowanzodzokera kwaakanga atanga. Kana ukachinja kune imwe nzira yakasanganiswa, tarisira shanduko yemvura yakafanana yekudzokorora uchiri kugadzirisa. Kana uremu hwako huchiramba huchikwira mushure mekunge chigamba chapera, chimwe chinhu kunze kwekuronga pamuviri ndicho chiri kuchikonzera uye chinoda kufereferwa.

Kuti chigamba chinogona kuita kuti zamu rako rive rakazara kana rakaoma here?

Hongu. Estrogen inowedzera mvura muzvinyama zve zamu uye inogona kuita kuti zamu rive rakazara, rakaoma kana rine marwadzo, zvinowanzova mumwedzi yekutanga. Icho chiito chemuviri nemvura pane kuwedzera kwemafuta, izvo zvinoita kuti chioneke mukati mezuva uye chisapere pasina chiyero chichichinja zvachose. Kurwadziwa kunoramba kuripo, bundu idzva kana kuchinjika kune rumwe rutivi kunoruramiswa nekuongororwa kwechisimba.

Kuti Twirla inokonzeresa kushoma kuwedzera uremu kudarika Xulane here?

Kwete. Hapana chidzidzo chepamhiri-pasi chakaratidza kusiyana kweuremu pakati pavo. Twirla yakagadzirirwa kupa kuderera kwe estrogen exposure kudarika Xulane, izvo zvinogona kuve zvakakosha kune zvimwe zvikonzero zvakakodzera kukurukura nachiremba, asi kuderera kwe exposure hakusati kwaratidzwa kuchinja migumisiro yuremu. Kusarudza pakati pezviviri paukama hweuremu zvinoreva kusarudza pa uchapupu husingatombovipo.

Kuti kune here kuronga pamuviri kunonzi kunokonzera kuwedzera uremu?

Hongu. Depo-Provera, jekiseni depot medroxyprogesterone acetate, ndiyo yakasarudzika, ine kuwedzera uremu kunosimbiswa kakawanda kuti vanachiremba vanokwidza nhando isati yagadziriswa pane kuzvirasa, uye ndicho chikonzero chaicho nei uchapupu hwayo husingafanirwe kushandiswa kutsigira chero chinhu pamusoro pechigamba kana imwe nzira yehomoni yakasanganiswa.

Chinhu chepasi pachigamba newe uremu

Saka, kuti chigamba chekuronga pamuviri chinokonzera kuwedzera uremu here? Zvidzidzo zvakadzvanyirirwa hazvina kuona kubatana kwechikonzero, uye imwe yakayerwa avhareji, ingangoita 1.4 lb pamusoro pemwedzi mitanhatu, yakanga ichibva pamvura. Kubatana kweuremu kunokodzera kutaura ndiko kuti chigamba chichakuchengetedza here paukama hwako, kwete kuti chichawedzera mapaundi here. Reka uremu hwekutanga nhasi, upe mwedzi miviri kusvika mitatu, uye ungaite BMI 30 ne 198 lb marudzi nachiremba usati wasarudza chero chinhu.

Disclaimer: Chinyorwa ichi chinongove chekudzidzisa chete uye hachisi chikamu chekuraira kwezvokurapa. Nguva dzose taura nachiremba ane hunyanzvi kuti uwane sarudzo dzekuzivisa nekuporeswa. Kana uri kusangana nedambudziko rekurapa, fonera 911 kana enda kuchipatara chepedyo nekukurumidza.