Yini i-Drospirenone ne-Estetrol: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Drospirenone ne-estetrol yiphilisi lokulawula inzalo elihlanganisiwe elivimbela ukukhulelwa ngokumisa ukuvuthwa kwamaqanda nokwenza kube nzima ngesidoda ukufinyelela eqandeni. Le ndlela entsha yokuvimbela inzalo yomlomo ihlanganisa amahomoni amabili asebenza ngokubambisana ukuhlinzeka ngokuvikeleka kokukhulelwa okuthembekile ngenkathi mhlawumbe inikeza ezinye izinzuzo ezengeziwe uma kuqhathaniswa namafomula amadala okulawula inzalo.

Lo muthi umelela indlela yesimanje yokuvimbela inzalo ngamaphilisi, kusetshenziswa i-estetrol (i-estrogen eyenzeka ngokwemvelo) ehlanganiswe ne-drospirenone (i-progestin eyenziwe). Abesifazane abaningi bathola ukuthi le nhlanganisela iyasebenza futhi iyabekezeleleka kahle, nakuba njengayo yonke imithi, iza nezinto okufanele uzixoxe nodokotela wakho.

Yini i-Drospirenone ne-Estetrol?

I-Drospirenone ne-estetrol yindlela yokuvimbela inzalo yomlomo ehlanganisiwe equkethe amahomoni amabili okwenziwa aklanyelwe ukuvimbela ukukhulelwa. Umuthi usebenza ngokulingisa amaphethini akho emvelo amahomoni ngenkathi enikeza ukuvikeleka kokukhulelwa okuqhubekayo kuyo yonke imijikelezo yakho yokuya esikhathini.

I-Drospirenone iyi-progestin (i-progesterone eyenziwe) esiza ekuvikeleni ukuvuthwa kwamaqanda futhi iqhubeke amafinyela esithweni somlomo wesibeletho. I-Estetrol iyi-estrogen eyenzeka ngokwemvelo eyatholwa okokuqala kwabesifazane abakhulelwe futhi manje isihlanganisiwe ukuze isetshenziswe njengendlela yokuvimbela inzalo. Ngokubambisana, la mahomoni adala umgoqo osebenzayo wokulwa nokukhulelwa ngenkathi mhlawumbe ebangela imiphumela emincane eceleni kunezinye izindlela zokuvimbela inzalo ezindala.

Le nhlanganisela intsha emakethe, emele iminyaka yocwaningo ekuthuthukiseni izindlela zokuvimbela inzalo ezigcina ukusebenza ngenkathi zinciphisa imiphumela engathandeki. Izakhiwo eziyingqayizivele ze-estetrol, ikakhulukazi, zingase zinikeze izinzuzo mayelana nobungozi begazi nokunye okuhambisana ne-estrogen.

Isetshenziselwani i-Drospirenone ne-Estetrol?

Ukusetshenziswa okuyinhloko kwe-drospirenone kanye ne-estetrol ukuvimbela ukukhulelwa kwabesifazane abakhetha ukulawulwa kokukhulelwa ngamaphilisi. Lo muthi wenzelwe ngqo abesifazane abafuna ukulawulwa kokuzala okuthembekile futhi abangathatha izindlela zokulawulwa kokukhulelwa ezihlanganisiwe ngokuphepha.

Ngaphandle kokuvimbela ukukhulelwa, abanye besifazane bangase babe nezinzuzo ezengeziwe ngenkathi bethatha lo muthi. Lokhu kungabandakanya imijikelezo yokuya esikhathini elindelekile, ukuncipha kwemiqondo yokuya esikhathini, futhi mhlawumbe isikhumba esicacile ngenxa yezakhiwo ze-anti-androgenic ze-drospirenone. Kodwa-ke, le miphumela eyengeziwe iyahlukahluka kumuntu nomuntu futhi akufanele ibe yisizathu esiyinhloko sokukhetha le ndlela yokuvimbela ukukhulelwa.

Umhlinzeki wakho wezempilo angase ancome le nhlanganisela ethile uma uke waba nezinkinga ngamanye amaphilisi okulawula ukuzala noma uma umlando wakho wezokwelapha ubonisa ukuthi ungazuza ezintweni eziyingqayizivele ze-estetrol. Isinqumo kufanele ngaso sonke isikhathi sisekelwe ekuqeqeshweni kwakho kwezempilo komuntu ngamunye kanye nezidingo zokuvimbela ukukhulelwa.

Isebenza Kanjani I-Drospirenone kanye ne-Estetrol?

Lo muthi usebenza ngezindlela eziningi ukuvimbela ukukhulelwa, okwenza kube uhlobo oluphumelela kakhulu lokulawula ukuzala. Inhlanganisela iqondisa izici ezihlukene zesistimu yakho yokuzala ukudala izithiyo eziningana zokulwa nokukhulelwa.

Okokuqala, amahomoni avimbela ama-ovari akho ukuthi akhulule amaqanda njalo ngenyanga (ovulation). Ngaphandle kweqanda elitholakalayo lokuvundiswa, ukukhulelwa ngeke kwenzeke. Umuthi futhi uqina amafinyila emlonyeni wakho wesibeletho, okwenza kube nzima kakhulu ngesidoda ukuthi sihambe futhi sifinyelele kunoma yiliphi iqanda elingase libe khona.

Ngaphezu kwalokho, amahomoni anciphisa ukugqama kwesibeletho sakho (endometrium), okwenza kungenzeki ukuthi iqanda elivundisiwe lingahluma futhi lithuthuke. Lesi senzo esiphindwe kathathu senza umuthi uphumelele ngaphezu kuka-99% uma uthathwa ngendlela efanele nangokuqhubekayo.

Amandla ale mithi abhekwa njengamaphakathi kuya kwanamandla phakathi kwezindlela zokuvimbela inzalo ngamaphilisi. Yenzelwe ukuhlinzeka ngokuvikeleka okuthembekile ngenkathi isebenzisa amazinga e-hormone abesifazane abaningi abakwazi ukuwamukela kahle. Inhlanganisela ethile ye-drospirenone kanye ne-estetrol ingase inikeze indlela enobumnene uma iqhathaniswa namanye amafomula amadala.

Kufanele Ngiyithathe Kanjani I-Drospirenone kanye ne-Estetrol?

Thatha lo muthi njengoba unjalo njengoba uyalelwe ngumhlinzeki wakho wezempilo, ngokuvamile iphilisi elilodwa ngesikhathi esifanayo nsuku zonke. Amafomula amaningi alandela uhlelo lwepilisi elisebenzayo lezinsuku ezingama-24 elilandelwa yizinsuku ezi-4 zamaphilisi angasebenzi, nakuba uhlelo lwakho oluthile lungahluka kuye ngohlobo kanye nezincomo zomnikezeli wakho.

Ungawathatha amaphilisi nokudla noma ngaphandle kokudla, kodwa ukuwathatha nokudla kungasiza ukunciphisa ukuquleka kwesisu uma uzwa isicanucanu. Abesifazane abaningi bakuthola kuwusizo ukuthatha iphilisi labo ngesikhathi esifanayo nsuku zonke, njengasekuseni noma ngaphambi kokulala, ukuze basungule isimiso futhi banciphise ithuba lokweqa imithamo.

Amanzi alungile ngokuphelele ekuthathweni komuthi, futhi awudingi ubisi noma isiphuzo esikhethekile. Uma uzwa ukucasuka kwesisu, ukuthatha iphilisi ngesnakhi esincane noma ukudla kungasiza. Gwema ukuthatha umuthi nejusi le-grapefruit, ngoba lokhu kungaphazamisa indlela umzimba wakho oqhubula ngayo ama-hormone.

Qala iphakethe lakho lokuqala njengoba uqondiswe ngumhlinzeki wakho wezempilo, okungase kube ngosuku lokuqala lokuya esikhathini sakho noma ngeSonto lokuqala ngemva kokuqala kokuya esikhathini sakho. Sebenzisa indlela yokuvimbela inzalo eyisipele (njengamakondomu) izinsuku eziyisikhombisa zokuqala uma ungaqali ngosuku lokuqala lokuya esikhathini sakho.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Drospirenone kanye ne-Estetrol?

Ungawuthatha ngokuphepha lo muthi uma nje udinga ukuvimbela inzalo futhi ungaqali ukuzwa imiphumela engemihle. Abesifazane abaningi basebenzisa izindlela zokuvimbela inzalo ngamaphilisi iminyaka ngaphandle kwezinkinga, futhi akukho mkhawulo wesikhathi ongahleliwe okudingeka ukuthi uyeke ukuthatha umuthi.

Umhlinzeki wakho wokunakekelwa kwezempilo cishe uzoncoma ukuhlolwa njalo (ngokuvamile njalo emavikini angu-6-12) ukuqapha impilo yakho futhi uqinisekise ukuthi imithi iyaqhubeka ilungele wena. Lokhu kuvakasha kuvumela ukuhlolwa komfutho wegazi, izingxoxo mayelana nanoma yimaphi imiphumela emibi, kanye nokubuyekezwa komlando wakho wezokwelapha okungase kuthinte ukukhetha kwakho ukulawula inzalo.

Ezinye izintokazi zikhetha ukuphumula ekusebenziseni ukulawula inzalo ngamahomoni, nakuba lokhu kungadingeki ngokwezokwelapha ngaphandle kokuthi uhlangabezana nemiphumela emibi noma ufuna ukukhulelwa. Uma unquma ukuyeka, xoxa ngesikhathi kanye nezindlela zokulawula inzalo ezingezinye nomhlinzeki wakho ukuze uqinisekise ukuvikeleka okuqhubekayo uma ungakalungeli ukukhulelwa.

Ukusetshenziswa kwesikhathi eside ngokuvamile kubhekwa njengokuphephile kwabesifazane abaningi, kodwa iphrofayili yakho yezempilo yomuntu ngamunye izonquma ukuthi yini engcono kuwe. Izinto ezinjengobudala, isimo sokubhema, umlando womndeni, nezinye izimo zezempilo konke kunendima ekunqumeni ukuthi ukulawula inzalo ngamahomoni kuhlala isikhathi esingakanani.

Yini Imiphumela Emibi ye-Drospirenone kanye ne-Estetrol?

Njengayo yonke imithi, i-drospirenone kanye ne-estetrol kungabangela imiphumela emibi, nakuba abesifazane abaningi behlangabezana nezinkinga ezimbalwa noma ezingekho ngenkathi beyithatha. Ukuqonda okukulindele kungakusiza ukuthi uqaphele izimpawu zokujwayela ezivamile uma kuqhathaniswa nezinkinga ezidinga ukunakekelwa kwezokwelapha.

Imiphumela emibi evame kakhulu ongase uyithole ezinyangeni zokuqala ihlanganisa isicanucanu, ubuhlungu besifuba, ikhanda, kanye nokopha okungajwayelekile noma ukubona phakathi nezikhathi. Lezi zimpawu zivame ukuthuthuka njengoba umzimba wakho ujwayela amahomoni, ngokuvamile ezinyangeni ezintathu zokuqala zokusetshenziswa.

Nawa amanye imiphumela emibi evame kakhulu abesifazane abangase bayithole:

• Ukugula noma ukuphathwa yisisu, ikakhulukazi emasontweni ambalwa okuqala
• Ukuqaqeka kwamabele noma ukuvuvukala okuncane
• Ukuqaqamba kwekhanda noma izinguquko ezincane zemizwa
• Ukuphuma kwegazi okungajwayelekile noma amachashazi phakathi nezikhathi zokuya esikhathini
• Ushintsho oluncane lwesisindo, nakuba ukukhuluphala okukhulu kungavamile
• Ushintsho esifisweni socansi
• Ukuqubuka okuncane noma ukugcinwa kwamanzi

Iningi lalezi zinto zokwenzeka zesikhashana futhi ziyanyamalala njengoba umzimba wakho ujwayela umuthi. Uma ziqhubeka ngaphezu kwezinyanga ezintathu noma ziba yisicefe, xoxa ngezindlela ezingezinye nodokotela wakho.

Abanye besifazane bangase babe nemiphumela engavamile kodwa ebaluleke kakhulu engadinga ukunakekelwa kwezokwelapha. Nakuba lokhu kungavamile, kubalulekile ukukwazi futhi ukwazi ukuthi ungaxhumana nini nodokotela wakho.

Imiphumela engavamile kodwa ebucayi kakhulu ihlanganisa:

• Ukuqaqamba kwekhanda okukhulu noma okuqhubekayo, ikakhulukazi nezinguquko embonweni
• Ubuhlungu besifuba noma ukuphefumula kanzima
• Ubuhlungu emlenzeni obukhulu noma ukuvuvukala (kungenzeka ukuba khona kwegazi)
• Ubuhlungu obukhulu besisu
• Ushintsho olukhulu lwemizwa noma ukucindezeleka
• Ukuphuzi kwesikhumba noma amehlo (i-jaundice)
• Ukungezwani komzimba okukhulu

Lezi zimpawu zidinga ukunakekelwa kwezokwelapha ngokushesha, njengoba zingase zibonise izinkinga ezinzima. Nakuba kungavamile, amahlule egazi yiwona ayingozi enkulu engase ihambisane nezindlela zokuvimbela inzalo ezihlanganisiwe, nakuba ingozi nge-estetrol ingase ibe ngaphansi kunezinye izindlela ezindala.

Ubani Ongafanele Athathe I-Drospirenone ne-Estetrol?

Lo muthi awulungelwe wonke umuntu, futhi izimo ezithile zezempilo zenza kungaphephile ukusebenzisa izindlela zokuvimbela inzalo ezihlanganisiwe. Udokotela wakho uzobuyekeza umlando wakho wezokwelapha ngokucophelela ukuze anqume ukuthi lo muthi ukufanele yini.

Akufanele usebenzise lo muthi uma unomlando wama-blood clots, isitroko, ukuhlaselwa yinhliziyo, noma izimo ezithile zenhliziyo. Ingxenye ye-estrogen ingakhuphula ingozi yokuqina kwegazi, okwenza lo muthi ube yingozi kubantu abanezimo ezinjalo. Ngaphezu kwalokho, uma unomfutho wegazi ophezulu ongagadiwe, lo muthi ungenza lesi simo sibe sibi kakhulu.

Abesifazane abanezinhlobo ezithile zekhanda elibuhlungu nabo kufanele bagweme lo muthi. Uma uhlangabezana nama-migraines ane-aura (ukuphazamiseka okubonakalayo, ukuba ndikindiki, noma ezinye izimpawu ze-neurological), izindlela zokuvimbela inzalo ezihlanganisiwe zingakhuphula ingozi yakho yesitroko. Kodwa-ke, abesifazane abane-migraines ngaphandle kwe-aura bangase bakwazi ukusebenzisa lo muthi ngaphansi kokuqondiswa kwezokwelapha.

Ezinye izimo ezenza lo muthi ungafaneleki zihlanganisa:

• Isifo sesibindi esisebenzayo noma imithombo yesibindi
• Izinhlobo ezithile zomdlavuza, ikakhulukazi umdlavuza wamabele noma eminye imidlavuza ezwelayo kumahomoni
• Ukuphuma kwegazi okungachazeki emithanjeni
• Ukukhulelwa noma ukusolwa ngokukhulelwa
• Ukubhema uma uneminyaka engaphezu kwengama-35
• Izifo ezithile eziwufuzo zokuqina kwegazi
• Izinkinga ezinzima zezinso noma amaglandla e-adrenal

Iminyaka kanye nezici zokuphila nazo ziyabaluleka. Abesifazane abaneminyaka engaphezu kwengama-35 ababhemayo babhekana nezingozi eziphakeme kakhulu zama-blood clots kanye nezinkinga zenhliziyo nemithambo yegazi. Umhlinzeki wakho wezempilo uzohlola lezi zici ngokumelene nezinzuzo zokuvimbela inzalo ngamahomoni ukuze anqume inketho ephephe kakhulu kuwe.

Amagama e-Drospirenone kanye ne-Estetrol Brand

Le nhlanganisela yomuthi itholakala ngaphansi kwamagama athile ebhrendi, i-Nextstellis iyona engajwayelekile ukunconywa emazweni amaningi. Igama lebhrendi lingahluka ngokuya ngendawo yakho kanye nefomula ethile enconywa ngumhlinzeki wakho wezempilo.

Abakhiqizi abahlukene bangase bakhiqize izinguqulo zalolu hlobo ngokuhluka okuncane ezithakweni ezingasebenzi noma ekupakisheni amaphilisi. Nokho, izithako ezisebenzayo (drospirenone kanye ne-estetrol) zihlala zinjalo kungakhathaliseki igama lomkhiqizo. Umkhemisi wakho angakunikeza ulwazi mayelana nezilinganiso ezivamile uma zitholakala.

Njalo sebenzisa uhlobo lomkhiqizo noma oluvamile olubhalwe ngudokotela wakho, ngoba ukushintsha phakathi kwezinhlobo ezihlukene ngaphandle kwesiqondiso sezokwelapha kungathinta ukusebenza komuthi. Uma udinga ukushintsha imikhiqizo ngenxa yezinkinga zomshuwalense noma ukutholakala, xoxa ngalokhu nodokotela wakho kuqala.

Ezinye Izindlela Zokusebenzisa I-Drospirenone kanye ne-Estetrol

Ziningi ezinye izindlela zokuvimbela inzalo uma i-drospirenone kanye ne-estetrol ingakulungele. Udokotela wakho angakusiza ukuthi uhlole izindlela ezihlukene ngokusekelwe emlandweni wakho wezempilo, indlela yakho yokuphila, nezintandokazi zakho.

Ezinye izindlela zokuvimbela inzalo ngamaphilisi zisebenzisa izinhlanganisela ezihlukene zamahomoni ezingase zikusebenzele kangcono. Lokhu kufaka phakathi amaphilisi anezinhlobo ezihlukene ze-estrogen (njenge-ethinyl estradiol) noma ama-progestin ahlukene. Abanye besifazane bathola ukuthi izinhlanganisela ezithile zibangela imiphumela emincane noma zisebenza kangcono ngamakhemikhali omzimba wabo.

Ezinye izindlela ezingezona zamaphilisi zihlanganisa isiqeshana sokuvimbela inzalo, indandatho yesitho sangasese sowesifazane, noma ama-IUD anamahomoni. Lezi zindlela ziletha amahomoni ngendlela ehlukile futhi zingase zibe lula kwabesifazane abahlushwa ukuphuza amaphilisi nsuku zonke. Isiqeshana nendandatho zisebenzisa amahomoni afana namaphilisi kodwa zidinga ukunakekelwa okungavamile.

Uma ungenakuzisebenzisa izindlela ezinamahomoni, izindlela eziphumelelayo ezingezona zamahomoni zihlanganisa i-IUD yethusi nezindlela zokuvimbela ezinjengama-diaphragm uma zisetshenziswa ngendlela efanele. Lezi zindlela ezinye zinikeza ukuvimbela okuhle kokukhulelwa ngaphandle kwemiphumela emibi yamahomoni.

Ingabe i-Drospirenone kanye ne-Estetrol Ingcono Kunezinye Izindlela Zokuvimbela Inzalo Ngamaphilisi?

Noma lo muthi "ungcono" kunezinye izidakamizwa zokulawula ukuzala kuncike ezidingweni zakho ngazinye nokuthi umzimba wakho usabela kanjani kumahomoni ahlukene. Le nhlanganisela inikeza ezinye izinzuzo eziyingqayizivele, kodwa okusebenza kahle kakhulu kuyahlukahluka kumuntu nomuntu.

Ingxenye ye-estetrol ingase inikeze izinzuzo ngaphezu kwama-estrogen endabuko asetshenziswa emaphilisi okulawula ukuzala amadala. Ucwaningo luphakamisa ukuthi lungase lube nengozi ephansi yama-gazi kanye nomthelela omncane ekusebenzeni kwesibindi uma kuqhathaniswa ne-ethinyl estradiol, i-estrogen esetshenziswa ezinye izidakamizwa eziningi ezihlanganisiwe. Lokhu kungakwenza kube ukukhetha okuphephe kakhulu kwabanye besifazane.

I-Drospirenone, ingxenye ye-progestin, inezakhiwo eziphikisana ne-androgenic ezingasiza ngamabala futhi ayibangeli ukuqunjelwa noma ukukhuluphala okuhambisana namanye ama-progestin. Abanye besifazane bathola ukuthi le nhlanganisela ibangela izinguquko ezimbalwa zemizwa noma ububele besifuba uma kuqhathaniswa nezinye izindlela.

Noma kunjalo, okusha akusho ngaso sonke isikhathi ukuthi kungcono kuwo wonke umuntu. Abanye besifazane benza kahle kakhulu ezinqumweni zokulawula ukuzala ezindala, ezisungulwe kahle futhi kungenzeka bangadingi ukushintsha. Iphilisi lokulawula ukuzala elithi "elilungile" yilolo elivimbela ukukhulelwa ngempumelelo ngenkathi libangela imiphumela emibi embalwa ekhathazayo emzimbeni wakho othile.

Ukucatshangelwa kwezindleko nakho kubalulekile. Imithi emisha efana nale nhlanganisela ingase ibize kakhulu kunezingxenye ezivamile zamaphilisi amadala, futhi umshwalense uyahluka. Umhlinzeki wakho wezempilo angakusiza ukuthi ulinganise izinzuzo ezingaba khona ngokumelene nokucatshangelwa okusebenzayo njengezindleko nokutholakala.

Imibuzo Evame Ukubuzwa Mayelana ne-Drospirenone kanye ne-Estetrol

Ingabe i-Drospirenone kanye ne-Estetrol iphephile Kwabesifazane Abanomfutho Wegazi Ophezulu?

Lo muthi kungenzeka awufaneleki kwabesifazane abanomfutho wegazi ophezulu ongagadiwe, njengoba ingxenye ye-estrogen ingase ikhuphule umfutho wegazi ngokuqhubekayo. Kodwa-ke, abesifazane abanomfutho wegazi ophezulu olawulwa kahle, olula basengakwazi ukusebenzisa lo muthi ngaphansi kokugadwa kwezokwelapha okuseduze.

Umhlinzeki wakho wokunakekelwa kwezempilo uzodinga ukuqapha umfutho wegazi lakho njalo uma unomlando wokucindezela kwegazi eliphezulu. Bangase batusa ukuhlolwa okuvamile ekuqaleni ukuqinisekisa ukuthi umuthi awubangeli ukwanda okuyinkinga kumfutho wakho wegazi. Uma umfutho wakho wegazi uba nzima ukuwulawula ngenkathi usebenzisa lo muthi, kungase kudingeke ushintshele endleleni yokusebenzisa i-progestin kuphela noma enye indlela engasebenzisi ama-hormone.

Kufanele Ngenzeni Uma Ngenze Iphutha Ngathatha I-Drospirenone ne-Estetrol Eningi?

Ukuthatha iphilisi elilodwa noma amabili engeziwe ngengozi akunakwenzeka ukuthi kubangele ingozi enkulu, kodwa ungase uhlangabezane nokwanda kwesicanucanu, ukuhlanza, noma ukuphuma kwegazi. Xhumana nomhlinzeki wakho wokunakekelwa kwezempilo noma usokhemisi ukuze uthole isiqondiso sokuthi ungabuyela kanjani esimisweni sakho esijwayelekile ngokuphepha.

Uma uthathe okuningi kakhulu kunomthamo wakho obekiwe, xhumana nomhlinzeki wakho wokunakekelwa kwezempilo ngokushesha noma shayela isikhungo sokulawula ubuthi. Ngenkathi imiphumela emibi yokweqisa imithamo ingavamile ngamaphilisi okulawula ukuzala, ukuthatha amaphilisi amaningi ngesikhathi esisodwa kungase kubangele imiphumela emibi ekhomba kakhulu edinga ukunakekelwa kwezokwelapha. Ungazami ukuthi "ulungise" amaphilisi engeziwe ngokususa imithamo kamuva, ngoba lokhu kunganciphisa ukusebenza komuthi.

Kufanele Ngenzeni Uma Ngingaphuthelwa Umthamo We-Drospirenone ne-Estetrol?

Uma uphuthelwa iphilisi elilodwa, lithathe ngokushesha lapho ukhumbula, ngisho noma lokho kusho ukuthatha amaphilisi amabili ngosuku olufanayo. Awudingi ukusebenzisa ezinye izindlela zokuvimbela ukukhulelwa uma uphuthelwe iphilisi elilodwa nje, kodwa zama ukubuyela esimisweni sakho esijwayelekile ngokushesha ngangokunokwenzeka.

Ukuphuthelwa amaphilisi amabili noma ngaphezulu kudinga ukunaka okwengeziwe. Thatha iphilisi eliphuthelwe elisanda kwenzeka ngokushesha lapho ukhumbula bese uqhubeka nesimiso sakho esijwayelekile, kodwa sebenzisa ezinye izindlela zokuvimbela ukukhulelwa (njengamakondomu) izinsuku eziyisikhombisa ezilandelayo. Uma uphuthelwe amaphilisi ngesonto lokuqala lephakethe lakho futhi waba nobulili obungavikelekile, cabangela ukusebenzisa izindlela zokuvimbela ukukhulelwa eziphuthumayo bese uthintana nomhlinzeki wakho wokunakekelwa kwezempilo ukuze uthole isiqondiso.

Uma ukhohlwa njalo amaphilisi, xoxa ngezindlela zokuvimbela inzalo ezingezinye nodokotela wakho. Izinketho ezinjenge-patch, indandatho, noma i-IUD zingase zifaneleke kakhulu ngendlela yakho yokuphila futhi zinikeze ukuvikeleka okuthembeke kakhulu.

Ngingayeka nini ukuthatha i-Drospirenone ne-Estetrol?

Ungayeka ukuthatha lo muthi nganoma yisiphi isikhathi, kodwa kuhle ukuxoxa ngesinqumo sakho nodokotela wakho kuqala. Bangakusiza ukuthi uhlele ushintsho futhi baqinisekise ukuthi unokuvimbela inzalo okuhlukile uma ungalungeli ukukhulelwa.

Uma uyeka ngoba ufuna ukukhulelwa, ungaqala ukuzama ukukhulelwa ngokushesha ngemva kokuyeka amaphilisi. Ukuzala kwakho kuvame ukubuyela ngokushesha, ngokuvamile kungakapheli izinyanga ezimbalwa. Uma uyeka ngenxa yezinye izizathu kodwa usadinga ukuvimbela inzalo, yiba nendlela yakho ehlukile ilungile ngaphambi kokuyeka ukuthatha amaphilisi.

Abanye besifazane baba nezinguquko zesikhashana emjikelezweni wabo wokuya esikhathini ngemva kokuyeka ukuvimbela inzalo ngamaphilisi. Lokhu kuvamile, futhi umjikelezo wakho wemvelo kufanele ubuyele kungakapheli izinyanga ezimbalwa. Uma ungenayo ukuya esikhathini kungakapheli izinyanga ezintathu ngemva kokuyeka, xhumana nodokotela wakho ukuze akhiphe ukukhulelwa noma ezinye izinkinga.

Ngingathatha i-Drospirenone ne-Estetrol ngenkathi ngincelisa?

Lo muthi ngokuvamile awunconyelwe ngesikhathi sokuncelisa, ikakhulukazi ezinyangeni eziyisithupha zokuqala ngemva kokuzalwa. Ingxenye ye-estrogen inganciphisa ukukhiqizwa kobisi futhi ingase ithinte izinga lobisi lwebele, okungase kuthinte ukudla kwengane yakho.

Uma uncelisa futhi udinga ukuvimbela inzalo ngamaphilisi, izindlela ze-progestin kuphela njenge-mini-pill, i-IUD ye-hormonal, noma i-implant yokuvimbela inzalo ngokuvamile ziyizinqumo eziphephile. Lezi zindlela aziqukethe i-estrogen futhi mancane amathuba okuphazamisa ukuncelisa.

Umhlinzeki wakho wezempilo angakusiza ukuthi ukhethe indlela engcono kakhulu yokuvimbela inzalo ngokusekelwe emigomweni yakho yokuncelisa kanye nohlelo lwesikhathi. Uma uhlela ukuyeka ukuncelisa maduze, ungase ukwazi ukushintshela kule mithi ehlanganisiwe uma usuqede ukulunyula ingane yakho.