Chii chinonzi Drospirenone uye Ethinyl Estradiol: Zvinoshandiswa, Mishonga, Mativi Emuviri uye Zvimwe

Drospirenone uye ethinyl estradiol imishonga yekudzivirira pamuviri inosanganisa mahomoni maviri ekugadzira. Mushonga uyu unoshanda nekudzivirira ovulation (kusunungurwa kwemazai kubva kuma ovaries ako) uye kuita kuti zvive zvakaoma kuti sperm isvike kuzai kana kuti zai rakaorera rinamate kuuterus yako.

Musanganiswa uyu ndemumwe wemishonga yekudzivirira pamuviri inonyanya kunyorerwa pasi rose. Vakadzi vazhinji vanoona kuti inoshanda kwete chete pakudzivirira pamuviri, asiwo pakugadzirisa mamwe mamiriro ane hukama nehomoni anogona kukanganisa hupenyu hwavo hwezuva nezuva.

Chii chinonzi Drospirenone uye Ethinyl Estradiol?

Mushonga uyu unosanganisa mahomoni maviri ekugadzira anotevedzera estrogen yako yechisikigo uye progesterone. Ethinyl estradiol imhando yeestrogen, nepo drospirenone iri synthetic progestin (imwe mhando ye progesterone) ine zvimwe zvinhu zvakasiyana zvichienzaniswa nemamwe mapiritsi ekudzivirira pamuviri.

Chinonyanya kuita kuti drospirenone ive yakakosha ndeyekuti inoshanda zvakafanana ne spironolactone, mushonga we diuretic. Izvi zvinoreva kuti zvinogona kubatsira kuderedza kuchengetwa kwemvura uye zvinogona kuve nemhedzisiro ye anti-androgen, iyo inogona kubatsira kune mamwe mamiriro eganda uye kuzvimba.

Musanganiswa uyu unouya muchimiro chepiritsi uye unotorwa nemuromo kamwe pazuva. Mafomula mazhinji anotevera kutenderera kwemazuva makumi maviri nemasere, nemapiritsi makumi maviri nerimwe emahormone anoshanda uye mapiritsi manomwe asina basa, kunyangwe dzimwe shanduro dziine mapiritsi makumi maviri nemana anoshanda uye mana asina basa.

Drospirenone uye Ethinyl Estradiol Zvinoshandiswa Kunei?

Chinhu chikuru chinoshandiswa nemushonga uyu kudzivirira pamuviri, uye unoshanda kupfuura 99% kana ukatorwa nemazvo. Zvisinei, vanachiremba vanowanzo kunyora mushonga uyu kune mamwe mamiriro ane hukama nehomoni anogona kukanganisa zvakanyanya hupenyu hwako.

Vakadzi vazhinji vanowana zororo kubva kumwedzi unorwadza kana usina kuenzana pavanotora musanganiswa uyu. Mahomoni anobatsira kudzora kutenderera kwemwedzi wako, kazhinji achiita kuti mwedzi uve murefu, mupfupi, uye unofungidzika. Izvi zvinogona kubatsira kana wanga uchitambura nekubuda ropa kwakanyanya kana nguva isingafungidzike.

Kune avo vari kutambura nemapundu, kunyanya mapundu emahormone anoputika kutenderera kwemwedzi wako, mushonga uyu unogona kupa kuvandudzwa kukuru. Zvivakwa zve anti-androgen zve drospirenone zvinobatsira kuderedza kugadzirwa kwemafuta uye zvinogona kutungamira kune ganda rakajeka pamusoro pemwedzi mishoma yekushandisa.

Vamwe vakadzi vanowana zororo kubva ku premenstrual dysphoric disorder (PMDD), chimiro chakakomba chePMS chinogona kukonzera kuchinja kwemafungiro, kuora mwoyo, uye kushushikana. Kudzora mahomoni kunogona kubatsira kugadzirisa zviratidzo izvi zvepfungwa zvinowanika mwedzi wako usati watanga.

Mukuwedzera, musanganiswa uyu unogona kubatsira nekuchengetwa kwemvura uye kuzvimba izvo vamwe vakadzi vanowana cyclically. Mhedzisiro ye diuretic-like ye drospirenone inogona kuderedza kuzvimba kusingagutsi uye kuchinja kwehuremu izvo shanduko dzehomoni dzinogona kukonzera.

Drospirenone uye Ethinyl Estradiol Zvinoshanda Sei?

Mishonga iyi inoshanda nemaitiro akawanda kudzivirira pamuviri zvinobudirira. Chiito chekutanga chinosanganisira kudzivisa ovulation nekukanganisa zviratidzo zvehomoni pakati pweuropi hwako nemazai, zvichinyatsoisa hurongwa hwako hwekuzvara mukati mekutonga, kumbomira kwenguva pfupi.

Chikamu che estrogen (ethinyl estradiol) chinobatsira kuchengetedza mazinga emahormone akagadzikana kutenderera kwako kwese. Inoshanda nehurongwa hwemuviri wako hwezvakasikwa kudzivirira kusimuka kwe luteinizing hormone iyo inowanzoita kuti ovulation itange mwedzi wega wega.

Drospirenone, chikamu cheprogestin, chinokora mucus yako yecervical, zvichiita kuti zvive zvakaoma kuti sperm ifambe nemucervix yako uye isvike zai. Izvi zvinogadzira imwe chipingamupinyi chekubereka kunyangwe ovulation ikaitika.

Kubatanidzwa uku kunochinjawo rukoko rwemimba yako (endometrium), zvichiita kuti isakodzere zai rakaorera kuti riiswe. Izvi zvinopa chikamu chechitatu chekudzivirira pamuviri.

Sechinhu chinodzivirira pamuviri, kubatanidzwa uku kunoonekwa sekusimba zvine mwero uye kunoshanda zvakanyanya. Zvivakwa zvakasiyana zve drospirenone zvinoita kuti zvibatsire zvikuru vakadzi vanowana kuchengetwa kwemvura kana acne yehomoni nemamwe maitiro ekudzivirira kubata pamuviri.

Ndingatora sei Drospirenone uye Ethinyl Estradiol?

Tora mushonga uyu sezvakanyorwa nachiremba wako, zviri nani panguva imwe chete zuva rega rega. Kuenderana nenguva kunobatsira kuchengetedza mazinga emahormone akagadzikana uye kunowedzera kushanda zvakanaka kudzivirira kubata pamuviri nezvimwe zvinobatsira.

Unogona kutora mapiritsi aya uine kana pasina chikafu, asi kuatora nechikafu kunogona kubatsira kuderedza chero dumbu rinogumbuka raungawana pakutanga. Vamwe vakadzi vanowana kuti kutora piritsi nechikafu chemanheru kana chikafu chemunguva yekurara kunoshanda zvakanaka kune maitiro avo.

Tanga paki yako yekutanga pazuva rekutanga remwedzi wako kana Svondo rekutanga mushure mekutanga kwemwedzi wako, zvichienderana nemirairo yachiremba wako. Kana iwe ukatanga pane rimwe zuva kunze kwezuva rekutanga remwedzi wako, uchada kushandisa nzira yekudzivirira yekutsigira kwemazuva manomwe ekutanga.

Tevedza kurongeka kwemapiritsi mupaki nekuchenjerera. Mapaki mazhinji ane miseve kana nhamba inoratidza kutevedzana. Tora piritsi rimwe rinoshanda zuva rega rega kwemazuva makumi maviri nerimwe kana makumi maviri nemana (zvichienderana nekuumbwa kwako), wobva watora mapiritsi asina basa ayo aunenge uine kubuda ropa kwakafanana nemwedzi.

Kana iwe uchichinja kubva kune imwe nzira yekudzivirira kubata pamuviri yehomoni, chiremba wako achakupa mirairo chaiyo nezvenguva yekuvimbisa dziviriro inoenderera mberi. Usamira nzira yako iripo kusvikira watanga iyo itsva kunze kwekunge wakanzi zvakasiyana.

Ndingatora Drospirenone uye Ethinyl Estradiol kwenguva yakareba sei?

Unogona kutora mushonga uyu zvakachengeteka kwenguva yaunoda kubata pamuviri kana kurapwa kwezvirwere zvine hukama nehomoni, chero ukasawana chero mhedzisiro inokunetsa kana zvinopesana. Vakadzi vazhinji vanoshandisa mishonga yekudzivirira pamuviri kwemakore pasina matambudziko.

Mupi wako wehutano achada kukuona nguva dzose, kazhinji mwedzi mitanhatu kusvika gumi nembiri, kuti aongorore maitiro ako kumushonga uye aone chero matambudziko ehutano ari kuitika. Kuongororwa uku kwakakosha pakuona kuti mushonga unogara wakachengeteka uye wakakodzera iwe.

Kana iwe uchishandisa mushonga uyu kunyanya kurapa mburwa, unogona kuona kuvandudzwa mukati memwedzi mitatu kusvika mitanhatu, nekuwana zvakanakisa kazhinji mushure memwedzi mitanhatu kusvika gumi nembiri yekushandisa nguva dzose. Kuti utarise kuenda kumwedzi, mabhenefiti anowanzoonekwa mukati memavhiki mashoma ekutanga.

Hapana nguva yakatarwa yekutora mushonga uyu, asi chiremba wako anogona kukurudzira zororo renguva nenguva kana kuongororwa zvakare kana wanga uchitora kwemakore mazhinji. Zvinhu zvakaita sezera, mamiriro ekusvuta, uye kukura kwezvirwere zvitsva zvehutano zvinogona kukanganisa kuti zvakakodzera kwenguva yakareba sei.

Paunenge wagadzirira kumira, kungave kuyedza kubata pamuviri kana nezvimwe zvikonzero, unogona kumira chero nguva. Maitiro ako echisikigo anowanzo dzoka mukati memwedzi mishoma, kunyangwe vamwe vakadzi vachigona kusangana nekusagadzikana kwenguva pfupi sezvo miviri yavo ichigadzirisa.

Ndezvipi Zvinokonzerwa neDrospirenone uye Ethinyl Estradiol?

Vakadzi vazhinji vanotsungirira mushonga uyu zvakanaka, asi semishonga yese yekudzivirira pamuviri, inogona kukonzera mhedzisiro. Kunzwisisa zvekutarisira kunogona kukubatsira kuti unzwe wakagadzirira uye uzive nguva yekubata mupi wako wehutano.

Mhedzisiro yakajairika inowanzoita nyoro uye inowanzoita nani mushure memwedzi mishoma yekutanga sezvo muviri wako uchigadzirisa kune mahomoni. Izvi kazhinji hazvidi kumisa mushonga uye zvinogona kutarisirwa nemaitiro akareruka.

Mhedzisiro yakajairika yaungasangana nayo inosanganisira:

• Kusvotwa, kunyanya mumavhiki mashoma ekutanga kutanga mushonga
• Kutapira mazamu kana kuzvimba zvishoma
• Kutemwa nemusoro, kunyanya kana uchigara uchitemwa nemusoro
• Kuchinja kwemanzwiro, kusanganisira kunzwa uine manzwiro akawanda kana kutsamwa
• Kubuda ropa kusina kufanira kana kuona ropa pakati pemwedzi, kunyanya mumwedzi mishoma yekutanga
• Kuchinja kwehuremu, kunyangwe kuwedzera kukuru kwehuremu hakusi kwakajairika sezvinotendwa nevanhu vazhinji
• Kuchinja mu libido, iyo inogona kuenda kune chero nzira

Izvi zvinowanzoitika zvinowanzoita zvishoma sezvo muviri wako uchigadzirisa kuchinja kwehomoni. Vakadzi vazhinji vanowana kuti mabhenefiti senge ganda rakajeka uye mwedzi yakajairika inopfuura izvi zvishoma zvekugadzirisa.

Zvimwe zvinokuvadza zvakanyanya hazviwanzoitiki asi zvinoda kutariswa kwekurapa nekukurumidza. Nekuti drospirenone ine diuretic-like properties, dzimwe nguva inogona kukanganisa mazinga ako e potassium, kunyangwe izvi zvisingawanzoitiki muvakadzi vane hutano.

Tsvaga kutariswa kwekurapa nekukurumidza kana iwe ukaona:

• Kurwadziwa kwakanyanya kwemakumbo kana kuzvimba, izvo zvinogona kuratidza ropa
• Kufema kwemhepo kamwe kamwe kana kurwadziwa muchipfuva
• Kutemwa nemusoro kwakanyanya, kunyanya kana kwakasiyana nekutemwa nemusoro kwako kwakajairika
• Kuchinja kwekuona kana kurwadziwa kwakanyanya kwemaziso
• Kurwadziwa kwakanyanya mudumbu
• Zviratidzo zvepamusoro potassium mazinga, senge kusimba kwemhasuru kana kurova kwemoyo kusina kujairika

Izvi zvinokuvadza zvakanyanya hazviwanzoitiki, asi kuziva nezvazvo kunokubatsira kutsvaga kutarisirwa kwakakodzera nekukurumidza kana zvichidikanwa. Mupi wako wehutano achakurukura njodzi dzako dzega uye zvekutarisa zvichibva panhoroondo yako yehutano.

Ndiani Asingafaniri Kutora Drospirenone uye Ethinyl Estradiol?

Mamwe mamiriro ehutano uye njodzi zvinogadzira mushonga uyu usina kuchengeteka kana kusakodzera kune vamwe vakadzi. Mupi wako wehutano achanyatsoongorora nhoroondo yako yekurapa uye mamiriro ako ehutano azvino usati wanyora iyi musanganiswa.

Hamufaniri kutora mushonga uyu kana makambove nemaronda eropa, sitiroko, kana kurwisa kwemoyo. Chikamu che estrogen chinogona kuwedzera njodzi yekuvandudza maronda eropa ane njodzi, kunyanya mumitsipa yakadzika mumakumbo enyu kana mapapu.

Vakadzi vane mamwe marudzi ekenza vanofanira kudzivisa mushonga uyu. Kana muine kana makambove nekenza yemazamu, kenza ye endometrial, kana mamwe makenza anonzwa mahomoni, mahomoni ari mumushonga uyu anogona kumutsa kukura kwekenza.

Matambudziko echiropa anogadzirawo mushonga uyu usina kukodzera. Chiropa chenyu chinogadzirisa mahomoni aya, saka kana muine chirwere chechiropa, cirrhosis, kana tumor yechiropa, muviri wenyu haugone kubata mushonga zvakachengeteka.

Mamwe mamiriro anowanzo kudzivirira kushandiswa kwakachengeteka anosanganisira:

• Kukwira kweropa kusingadzorwi
• Chirwere cheshuga chine matambudziko eitsvo, ziso, kana tsinga
• Chirwere cheitsvo chakakomba kana kukundikana kweitsvo
• Kubuda ropa kwevagina kusingatsanangurwi
• Mamwe marudzi e migraines, kunyanya ayo ane aura
• Kuzvitakura kwazvino kana kwakarongwa

Zera uye mararamiro zvakare zvinokosha zvakanyanya. Kana muri pamusoro pe35 uye muchiputa fodya, musanganiswa uyu haugone kuva wakachengeteka kwamuri nekuda kwekuwedzera njodzi dzemoyo. Chiremba wenyu achakurukura dzimwe nzira dzingave dzakakodzera.

Mishonga yakati wandei inogona kushamwaridzana nemusanganiswa uyu, kusanganisira mamwe maantibiotics, antifungals, uye mishonga yekubata zvirwere. Nguva dzose zivisa mupi wako wehutano nezve mishonga yese, zvinowedzera, uye zvigadzirwa zvechirimwa zvamuri kutora.

Mazita eDrospirenone uye Ethinyl Estradiol Brand

Musanganiswa wehomoni uyu unowanikwa pasi pemazita akati wandei emhando, imwe neimwe iine mafomula akasiyana zvishoma kana zvisina basa zvinosanganiswa. Mhando inozivikanwa zvakanyanya iYaz, iyo ine 3 mg ye drospirenone uye 0.02 mg ye ethinyl estradiol.

Yasmin ndechimwe chimwe chiratidzo chinofarirwa chine huwandu hwakakwira hwe estrogen (0.03 mg) pamwe chete ne 3 mg ye drospirenone. Iyi fomu inowanzo farirwa nevakadzi vanoda simba re estrogen kana vane kubuda ropa ne sarudzo dzine huwandu hushoma.

Mamwe mazita echiratidzo anosanganisira Beyaz, iyo inowedzera folate supplement kune yakajairika Yaz formulation, uye Safyral, iyo inobatanidza Yasmin formulation ne folate. Aya ma versions akagadzirirwa vakadzi vanogona kubata pamuviri uye vanogona kubatsirwa nekuwedzera folic acid.

Generic versions zviripo zvakare uye zvine zvakafanana zvinoshanda sezviri mumazita echiratidzo. Izvi zvinowanzo shandiswa zvakanyanya uye zvinoshanda zvakanyanya, kunyangwe vamwe vakadzi vachiona misiyano mumigumisiro nekuda kwezvinhu zvakasiyana zvisingashande.

Inishuwarenzi yako uye mhinduro yako pachako kune akasiyana mafomu anogona kukanganisa kuti chiremba wako anokurudzira chii. Ese ma versions anoshanda kuburikidza nemaitiro akafanana uye anopa kushanda kwakafanana kwekuita.

Drospirenone uye Ethinyl Estradiol Alternatives

Kana iyi musanganiswa isiri yako, dzimwe nzira dzakawanda dzekudzivirira kubata pamuviri dziripo. Mupi wako wehutano anogona kukubatsira kuwana imwe nzira inokodzera hutano hwako, mararamiro, uye zvaunofarira.

Mamwe mapiritsi ekudzivirira kubata pamuviri anoshandisa akasiyana mhando dze progestin, senge norgestimate, levonorgestrel, kana desogestrel. Izvi zvinogona kunge zviri nani sarudzo kana iwe uine migumisiro kubva ku drospirenone kana uine njodzi dzinokanganisa iyi musanganiswa.

Progestin-chete mapiritsi (anowanzo kunzi mini-mapiritsi) haana estrogen uye anogona kukodzera kana iwe usingakwanise kutora estrogen nekuda kwenjodzi yeropa, migraines, kana zvimwe zvinopesana. Izvi zvinoda nguva chaiyo asi zvinogona kushanda kune vakadzi vazhinji.

Maitiro ekudzivirira pamuviri anogara kwenguva refu anopa dzimwe nzira dzakanaka dzisingade kutarisirwa zuva nezuva. IUD inoburitsa mahomoni inoburitsa progestin shoma zvakananga muchibereko chako, nepo copper IUD inopa nzira yekudzivirira pamuviri isina mahomoni kwemakore gumi.

Dzimwe nzira dzine mahomoni dzinosanganisira chigamba chekudzivirira pamuviri, mhete yemukati memukadzi, kana jekiseni. Imwe neimwe ine zvainobatsira nezvayakaipira maererano nekureruka, mhedzisiro, uye kushanda zvakanaka.

Nzira dzekudzivirira dzisina mahomoni dzakadai semakondomu, diaphragms, kana macervical caps zvakare dzimwe nzira, kunyangwe dzisingashande zvakanyanya se nzira dzine mahomoni uye dzinoda kushandiswa nechiito chimwe nechimwe chekuita zvepabonde.

Drospirenone uye Ethinyl Estradiol Zviri Nani Kupfuura Mapiritsi Ekuita Zvekudzivirira Pamuviri Here?

Kana iyi musanganiswa iri

Panyaya yekudzivirira pamuviri, musanganiswa uyu unoshanda zvakaenzana semamwe mapiritsi ekuvharisa pamuviri emazuva ano kana akatorwa nemazvo. Sarudzo pakati pemhando dzakasiyana dzinowanzobva pakuti unotsungirira sei mhedzisiro yacho uye kana iwe uchigamuchira mamwe mabhenefiti ezvimwe zvirwere.

Mupi wako wehutano anogona kukubatsira kuyera zvakanakira nezvakaipira zvichienderana nenhoroondo yako yehutano, zviratidzo zvazvino, uye zvaunofarira. Zvinoshanda zvakanyanya kune shamwari yako kana nhengo yemhuri zvingasava sarudzo yakanaka kwauri.

Mibvunzo Inowanzo Bvunzwa Pamusoro peDrospirenone uye Ethinyl Estradiol

Drospirenone uye Ethinyl Estradiol Zvakachengeteka Kune Vakadzi vane PCOS?

Musanganiswa uyu unogona kuve unobatsira kune vakadzi vazhinji vane PCOS (polycystic ovary syndrome). Zvivakwa zve anti-androgen zve drospirenone zvinobatsira kurwisa mahomoni evarume akakwira anowanzoitika muPCOS, zvichigona kuvandudza zviratidzo zvakaita semapundu, kukura kwebvudzi rakawandisa, uye nguva dzisina kujairika.

Zvisinei, vakadzi vane PCOS vanowanzoita mamwe mamiriro akaita se insulin resistance kana high blood pressure anoda kufungwa. Chiremba wako achaongorora mufananidzo wako wehutano hwakakwana, kusanganisira uremu hwako, blood pressure, uye njodzi yeshuga, asati agadzirisa kana mushonga uyu wakakodzera kwauri.

Ndoita Sei Kana Ndikashandisa Drospirenone uye Ethinyl Estradiol zvakanyanya netsaona?

Kana ukatora piritsi rimwe chete netsaona, usavhunduka. Kutora piritsi rimwe kana maviri ekuwedzera hazviite kuti zvikonzere kukuvadza kwakakomba, kunyangwe iwe ungave uine kusvotwa, kurutsa, kana kubuda ropa kusina kujairika.

Bata mupi wako wehutano kana nzvimbo yekudzora chepfu kuti uwane gwara, kunyanya kana wakatora mapiritsi akati wandei ekuwedzera. Vanogona kukupa zano zvekutarisira uye kana uchida kutarisirwa kwekurapa. Ramba uchitora mapiritsi ako enguva dzose sezvakatarwa kunze kwekunge wakanzi zvimwe.

Ndoita Sei Kana Ndikarasikirwa neDose yeDrospirenone uye Ethinyl Estradiol?

Kana ukakanganwa piritsi rimwe rinoshanda, torai pakarepo pamunorangarira, kunyange zvazvireva kutora mapiritsi maviri pazuva rimwe. Hamudi dziviriro yekutsigira kana mukanonoka maawa asingasviki makumi maviri nemana.

Kana mukakanganwa mapiritsi maviri akatevedzana anoshanda, torai mapiritsi maviri nhasi nemapiritsi maviri mangwana, wobva wenderera mberi nechirongwa chenyu chetsika. Shandisai dziviriro yekutsigira kwemazuva manomwe anotevera. Kana mukakanganwa mapiritsi matatu kana kupfuura, fungai kutanga pakiti itsva uye shandisai dziviriro yekutsigira kwevhiki yekutanga.

Ndingamira Rini Kutora Drospirenone uye Ethinyl Estradiol?

Munogona kumira kutora mushonga uyu chero nguva, asi zvakanaka kupedza pakiti yenyu iripo kudzivirira kubuda ropa kusina kujairika. Kana muchimira kuyedza kubata pamuviri, munogona kutanga kuyedza nekukasira, sezvo kubereka vana kunowanzo dzoka nekukurumidza mushure mekumira.

Kana muchimira nekuda kwemigumisiro kana zvimwe zvinokunetsa, kurukuriranai nguva yacho nemupi wenyu wehutano. Vanogona kuda kukutarirai panguva yekuchinja kana kukubatsirai kutanga nzira imwe isati yamira iyi.

Ndingatora Drospirenone uye Ethinyl Estradiol Ndichiyamwisa Here?

Mubatanidzwa uyu hauna kukurudzirwa panguva yekuyamwisa, kunyanya mumwedzi mitanhatu yekutanga. Chikamu che estrogen chinogona kuderedza kugadzirwa kwemukaka uye chinogona kupinda mumukaka wemazamu mumari shoma.

Kana muchiyamwisa uye muchida dziviriro, chiremba wenyu anogona kukurudzirai sarudzo dze progestin-chete dzakachengeteka panguva yekuyamwisa. Kana musisiri kuyamwisa kana kuti mukaka wenyu wagadzirwa zvakanaka, munogona kukurukura kana mubatanidzwa uyu ungakukodzera.