Yini i-Ethinyl Estradiol kanye ne-Etonogestrel Vaginal Ring: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-ethinyl estradiol kanye ne-etonogestrel vaginal ring iyithuluzi lokuvimbela inzalo eliguquguqukayo, elibonisa ngale, olifaka esithweni sakho sangasese ukuvimbela ukukhulelwa. Leli ringi elincane, elikhipha amahomoni linikeza ukulawulwa kokuzalwa okuqhubekayo amasonto amathathu ngesikhathi. Lihlanganisa amahomoni amabili okwenziwa ngumuntu asebenza ndawonye ukuvimbela ukuvuthwa kwamaqanda futhi adale izithiyo ezengeziwe ekukhulelweni, enikeza ukusebenza kahle okungaphezu kuka-99% uma lisetshenziswa ngendlela efanele.

Yini i-Ethinyl Estradiol kanye ne-Etonogestrel Vaginal Ring?

Leli ringi lesitho sangasese sowesifazane liyithuluzi lokuvimbela inzalo elithambile, eliguquguqukayo elingaba ngamasentimitha amabili ububanzi elikhipha amahomoni ngqo emgudwini wakho wegazi. Leli ringi liqukethe i-ethinyl estradiol, uhlobo olwenziwe ngumuntu lwe-estrogen, kanye ne-etonogestrel, i-hormone ye-progestin eyenziwe ngumuntu. Uli-faka wena esithweni sakho sangasese, lapho lihlala khona amasonto amathathu ngaphambi kokususwa.

Leli ringi lisebenza ngokukhipha kancane la mahomoni odongeni lwakho lwesitho sangasese emgudwini wakho wegazi. Lokhu kunikezwa okungaguquki kwama-hormone kusiza ukugcina amazinga aqhubekayo kuyo yonke inyanga. Ngokungafani namaphilisi ansuku zonke, udinga kuphela ukucabanga ngakho kabili ngenyanga - kanye lapho ulifaka futhi kanye lapho ulisusa.

Isetshenziselwani i-Ethinyl Estradiol kanye ne-Etonogestrel Vaginal Ring?

Ukusetshenziswa okuyinhloko kwale ringi yesitho sangasese sowesifazane ukuvimbela ukukhulelwa kwabesifazane abafuna ukulawulwa kokuzalwa okuthembekile, okubuyisekayo. Yenzelwe abesifazane abakhetha indlela yokuvimbela inzalo esebenza isikhathi eside ngaphandle kokunaka nsuku zonke. Leli ringi linikeza izinzuzo ezifanayo zokuvimbela ukukhulelwa njengamaphilisi okulawula ukuzalwa kodwa ngendlela elula.

Abanye abahlinzeki bezempilo bangase futhi banikeze leli ringi ukusiza ukulawula imijikelezo yokuya esikhathini noma ukunciphisa izimpawu ezihlobene nokuya esikhathini. Kodwa-ke, ukuvimbela ukukhulelwa kuhlala kuyona nto esetshenziswa ngayo. Leli ringi alifanele abesifazane abangakwazi ukusebenzisa izindlela zokuvimbela inzalo ezinama-hormone ngenxa yezimo zempilo ezithile.

Isebenza Kanjani I-Ethinyl Estradiol ne-Etonogestrel Vaginal Ring?

Le ndandatho yokuvimbela ukukhulelwa isebenza ngezindlela eziningi ukuvimbela ukukhulelwa ngempumelelo. Ama-hormone ikakhulukazi amisa ama-ovari akho ukuthi angakhiphi amaqanda njalo ngenyanga, okubizwa ngokuthi i-ovulation. Ngaphandle kwe-ovulation, alikho iqanda elitholakalayo ukuze isidoda silivundise, okuvimbela ukukhulelwa ukuthi kwenzeke.

Ama-hormone aphinda aqinise amafinyila akho esitho sesitho, okudala isithiyo esenza kube nzima ukuthi isidoda sifinyelele kunoma yiliphi iqanda. Ngaphezu kwalokho, anciphisa umugqa wesisu sakho, okwenza kungabi maningi amathuba okuthi iqanda elivundisiwe lizifake. Le nhlanganisela yemiphumela yenza indandatho ibe yindlela ephumelela kakhulu yokuvimbela ukukhulelwa.

Indandatho ithathwa njenge-contraceptive enamandla aphakathi nendawo. Ikhulula ama-hormone ngokuqhubekayo kodwa ngemithamo ephansi yansuku zonke uma iqhathaniswa namaphilisi amaningi okulawula ukuzala. Lokhu kukhululwa okuqhubekayo kusiza ukugcina amazinga e-hormone aqhubekayo, okunganciphisa imiphumela emibi kwabesifazane abaningi.

Kufanele Ngiyithathe Kanjani I-Ethinyl Estradiol ne-Etonogestrel Vaginal Ring?

Uzofaka indandatho esithweni sakho sangasese ngosuku olufanayo njalo ngenyanga bese uyishiya endaweni izinsuku ezintathu ngqo. Ngemuva kwamasonto amathathu, uyayisusa isonto elilodwa, lapho ngokuvamile uzoba nesikhathi sakho. Bese ufaka indandatho entsha ukuze uqale umjikelezo olandelayo.

Ukuze ufake indandatho, geza izandla zakho kahle bese ucindezela indandatho phakathi kwesithupha sakho nomunwe wakho wenkomba. Yicindezele ngobumnene esithweni sakho sangasese njengoba izohamba kahle. Isikhundla esiqondile asibalulekile inqobo nje uma ihlala endaweni futhi izizwa ikhululekile.

Akudingeki ukuthi uyithathe nokudla noma amanzi ngoba akuyona imithi yomlomo. Indandatho isebenza ngokuqhubekayo uma isifakiwe, ngakho-ke ungadla, uphuze, uzivocavoce, futhi ube nobulili ngokujwayelekile. Abesifazane abaningi kanye nozakwabo abazizwa indandatho ngesikhathi semisebenzi yansuku zonke noma izikhathi eziseduze.

Uma iringi liphuma ngengozi, lihlanze ngamanzi abandayo bese ulifaka emuva kungakapheli amahora amathathu. Uma seliphumile isikhathi esingaphezu kwamahora amathathu, ungase udinge indlela yokuvimbela ukukhulelwa ezinye izinsuku eziyisikhombisa ezilandelayo.

Kufanele Ngilithathe Isikhathi Esingakanani I-Ethinyl Estradiol kanye ne-Etonogestrel Vaginal Ring?

Ungasebenzisa iringi le-vaginal isikhathi eside ngendlela ofuna ngayo ukulawula ukuzala ngempumelelo futhi ungaqali ukuzwa imiphumela engathandeki. Abesifazane abaningi bayayisebenzisa iminyaka eminingi ngaphandle kwezinkinga. Kodwa-ke, umhlinzeki wakho wezempilo uzofuna ukuxhumana nawe njalo, ngokuvamile njalo ezinyangeni eziyisithupha kuya kweziyishumi nambili.

Ngesikhathi sokuhlolwa, umhlinzeki wakho uzoqapha noma yimiphi imiphumela engathandeki futhi aqinisekise ukuthi iringi lisalungile ngesimo sakho sempilo. Bazokwenza nokuhlolwa okuvamile okufana nokuhlolwa komfutho wegazi futhi bangase bancomise ukuhlolwa kwe-pelvic ngezikhathi ezithile. Abanye besifazane bangase badinge ukuqashwa okuvame kakhulu uma benezici ezithile zengozi.

Uma ufuna ukukhulelwa, ungaleka ukusebenzisa iringi nganoma yisiphi isikhathi. Ukuzala ngokuvamile kubuya ngokushesha ngemuva kokuyeka, ngokuvamile kungakapheli inyanga eyodwa kuya kwezimbili. Ngokungafani nezinye izindlela zokuvimbela ukukhulelwa ezisebenza isikhathi eside, akukho isikhathi sokulinda esidingekayo ngaphambi kokuzama ukukhulelwa.

Yiziphi Imiphumela Engathandeki ye-Ethinyl Estradiol kanye ne-Etonogestrel Vaginal Ring?

Abesifazane abaningi bazwa imiphumela emincane engathandeki lapho beqala iringi, futhi lokhu kuvame ukuthuthuka ngemuva kwezinyanga ezimbalwa zokuqala. Umzimba wakho udinga isikhathi sokuzivumelanisa nama-hormone, ngakho imiphumela yokuqala engathandeki akusho ukuthi awukwazi ukusebenzisa le ndlela isikhathi eside.

Imiphumela ejwayelekile engathandeki abesifazane abaningi abayizwayo ihlanganisa:

• Ukuba buhlungu kwamabele noma ukuvuvukala
• Ukuba buhlungu ekhanda noma izinguquko ezincane zemizwa
• Ukucasuka, ikakhulukazi ngesikhathi semijikelezo yokuqala
• Ukuphuma kwesitho sangasese noma ukucasuka
• Ushintsho lwesisindo, ngokuvamile oluncane
• Ukuphuma kwegazi phakathi kwemijikelezo

Lezi zinto ezivamile zivame ukushabalala njengoba umzimba wakho ujwayela amahomoni. Abesifazane abaningi bakuthola kulawuleka futhi bakukhetha kunokuphazamiseka kokuthatha amaphilisi nsuku zonke.

Imiphumela emibi engathi sína ayivamile kodwa idinga ukunakekelwa kwezokwelapha ngokushesha. Lezi zimpawu ezingavamile kodwa ezibalulekile zihlanganisa:

• Ubuhlungu obukhulu emlenzeni noma ukuvuvukala (kungenzeka ukuthi kuneqhubu legazi)
• Ubuhlungu besifuba noma ukuphefumula kanzima
• Ikhanda elibuhlungu elibuhlungu noma izinguquko embonweni
• Ubuhlungu obukhulu besisu
• Ukuphuzi kwesikhumba noma amehlo

Amaqhubu egazi yizona zinkinga ezingathi sína ezingase zibe khona, nakuba zingavamile kwabesifazane abanempilo. Ingozi iphakeme kancane kunokungasebenzisi ukulawulwa kokuzala ngamahomoni kodwa iphansi kunezingozi zamaqhubu ahlobene nokukhulelwa.

Ubani Ongafanele Asebenzise I-Ethinyl Estradiol kanye ne-Etonogestrel Vaginal Ring?

Izimo eziningana zezempilo zenza ukuthi indandatho yesitho sangasese sowesifazane ingafaneleki noma ingaba yingozi kwabanye besifazane. Umhlinzeki wakho wezempilo uzobuyekeza umlando wakho wezokwelapha ngokucophelela ngaphambi kokunquma le ndlela yokuvimbela inzalo.

Akufanele usebenzise le ndandatho uma unezinye zalezi zimo:

• Okhona noma umlando wamaqhubu egazi emilenzeni noma emaphashini
• Ukuhlaselwa yinhliziyo, unhlangothi, noma isifo senhliziyo nemithambo yegazi
• Izinkinga ezithile ze-valve yenhliziyo noma ukushaya kwenhliziyo okungajwayelekile
• Umfutho wegazi ophezulu ongabhekiwe kahle
• Isifo sikashukela esinezinkinga ezithinta imithambo yegazi
• Izinhlobo ezithile zokukhathala kakhulu nge-aura
• Isifo sesibindi esisebenzayo noma izimila zesibindi
• Okhona noma umlando womdlavuza wamabele
• Ukuphuma kwegazi okungajwayelekile kwesitho sangasese sowesifazane okungahloliwe
• Ukukhulelwa noma ukusolwa ngokukhulelwa

Iminyaka kanye nezici zokuphila nazo zibalulekile uma kucatshangelwa lokhu kuvimbela inzalo. Abesifazane abaneminyaka engaphezu kwengama-35 ababhemayo banengozi eyengeziwe futhi bangase badinge ezinye izindlela zokulawula ukuzala.

Imithi ethile ingaphazamisa ukusebenza kahle kwendandatho, okuhlanganisa ama-antibiotics athile, imithi elwa nesikhunta, kanye nemithi yokulwa nokuhlaselwa. Hlala utshela umhlinzeki wakho wezempilo ngayo yonke imithi kanye nezithasiselo ozithathayo.

Amagama Omkhiqizo Wendandatho Yesitho Sokuqeda Ukukhulelwa i-Ethinyl Estradiol kanye ne-Etonogestrel

Igama lomkhiqizo elaziwa kakhulu lale ndandatho yokuvimbela ukukhulelwa yi-NuvaRing, okuyiyona nguqulo yokuqala eyavunywa emazweni amaningi. Lo mkhiqizo ubelokhu utholakala iminyaka engaphezu kwamashumi amabili futhi unocwaningo oluningi olusekela ukuphepha kwawo nokusebenza kahle kwawo.

Izinhlobo ezivamile manje sezitholakala ezindaweni eziningi, ngokuvamile ngezindleko eziphansi kune-brand name. Lezi zindandatho ezivamile ziqukethe amahomoni afanayo ngemithamo efanayo futhi zisebenza ngokufana nenguqulo yegama lomkhiqizo. Umuthi wakho wemithi angakusiza ukuthi uqonde ukuthi yini etholakalayo endaweni yakho nokuthi umshwalense wakho uhlanganisani.

Ezinye Izindlela Zokuvimbela Ukukhulelwa i-Ethinyl Estradiol kanye ne-Etonogestrel Vaginal Ring

Ezinye izindlela zokuvimbela ukukhulelwa zinikeza ukusebenza kahle okufanayo uma indandatho yesitho somzimba ingakulungele. Amaphilisi okulawula ukuzala aqukethe amahomoni afanayo anikeza ukuvimbela ukukhulelwa okufanayo kodwa adinga ukunakwa kwansuku zonke. Isiqeshana sokuvimbela ukukhulelwa sinikeza enye inketho yamasonto onke eletha amahomoni ngesikhumba sakho.

Izindlela zokuvimbela ukukhulelwa ezisebenza isikhathi eside njengamadivayisi angaphakathi kwesisu (IUDs) zinikeza ngisho nokulula okwengeziwe, okuhlala iminyaka emithathu kuya kweyishumi kuye ngohlobo. Ezinye ze-IUD zikhipha amahomoni kanti ezinye azinawo amahomoni, zikunikeza izinketho ngokusekelwe kokuncamelayo nezidingo zakho zezempilo.

Kwabesifazane abangakwazi ukusebenzisa izindlela zama-hormonal, izindlela zokuvimbela ezifana nama-diaphragms, ama-cervical caps, noma amakhondomu anikeza ukuvimbela ukukhulelwa okusebenzayo. Izindlela zokuqwashisa ngokuzala nazo zingasebenza kahle kwabesifazane abazimisele ukulandelela imijikelezo yabo ngokucophelela.

Ingabe Indandatho Yesitho Sokuqeda Ukukhulelwa i-Ethinyl Estradiol kanye ne-Etonogestrel Ingcono Kunephilisi Lokulawula Ukuzala?

Indandatho yesitho sangasese sowesifazane inikeza izinzuzo eziningi ngaphezu kwamaphilisi okulawula ukuzala kwabesifazane abaningi. Kudingeka kuphela ukuyikhumbula kabili ngenyanga esikhundleni sansuku zonke, okungathuthukisa ukusebenza kahle ngokunciphisa amaphutha omsebenzisi. Ukukhishwa kwamahomoni okuqhubekayo kungase futhi kubangele imiphumela emincane uma kuqhathaniswa nokuguquguquka kwama-hormone nsuku zonke okuvela emaphilisi.

Kodwa-ke, abanye besifazane bakhetha amaphilisi ngoba bajwayelekile futhi bazizwa belawula kakhulu ukulawula ukuzala kwabo. Amaphilisi futhi anikeza ukuguquguquka okwengeziwe uma ufuna ukweqa izikhathi noma ukulungisa isikhathi. Ukukhetha kuvame ukwehla ekuthandeni komuntu siqu, indlela yokuphila, nokuthi ukubekezelela kahle kangakanani indlela ngayinye.

Zombili izindlela zinezilinganiso zokusebenza kahle ezifanayo uma zisetshenziswa ngokuphelele, kodwa indandatho ingase isebenze kahle ekusetshenzisweni okuvamile ngoba kunzima ukuyikhohlwa. Umhlinzeki wakho wezempilo angakusiza ukuthi ulinganise izinzuzo nobubi ngokuya ngesimo sakho esithile nezintandokazi zakho.

Imibuzo Evame Ukubuzwa Mayelana Nendandatho Yesitho Sangasese Sowesifazane ye-Ethinyl Estradiol kanye ne-Etonogestrel

Ingabe indandatho yesitho sangasese sowesifazane iphephile kwabesifazane abanesifo sikashukela?

Abesifazane abanesifo sikashukela esilawulwa kahle ngaphandle kwezinkinga bangasebenzisa indandatho yesitho sangasese sowesifazane ngokuphepha. Kodwa-ke, isifo sikashukela esithinta imithambo yegazi noma esingalawulwa kahle singenza izindlela zokuvimbela ukukhulelwa ngamahomoni zibe yingozi. Umhlinzeki wakho wezempilo uzodinga ukuhlola ukuphathwa kwakho okuthile kwesifo sikashukela kanye nanoma yiziphi izinkinga ngaphambi kokuncoma indandatho. Ukuqapha njalo kubaluleke nakakhulu uma unesifo sikashukela futhi usebenzisa izindlela zokuvimbela ukukhulelwa ngamahomoni.

Kufanele ngenzeni uma ngisebenzisa ngokungahlosiwe i-ethinyl estradiol ne-etonogestrel eningi kakhulu?

Akunakwenzeka ukuthi "udlule ngemithamo" endandeni yesitho sangasese ngoba yakhelwe ukukhipha amahomoni ngesilinganiso esilawulwayo. Kodwa-ke, uma ngengozi ufaka izindandana ezimbili noma ukhohlwa ukukhipha eyodwa ngaphambi kokufaka enye, khipha indandana eyengeziwe ngokushesha. Ungase uhlangabezane nemiphumela engemihle eyengeziwe efana nesicanucanu, ubuhlungu bebele, noma ukuphuma kwegazi okungajwayelekile, kodwa izinkinga ezingathi sína azivamile. Xhumana nomhlinzeki wakho wezempilo uma unokukhathazeka noma izimpawu ezingavamile.

Kufanele ngenzeni uma ngiphuthelwa ukufaka indandana yami yesitho sangasese?

Uma sekwedlule isikhathi sokukhipha indandana yakho (ngaphezu kwamasonto amathathu), yikhiphe ngokushesha bese ufaka entsha ngemuva kweviki lakho elijwayelekile elingenandandana. Uma sekwedlule isikhathi sokufaka indandana entsha ngemuva kweviki elingenandandana, yifake ngokushesha lapho ukhumbula. Uma sekwedlule izinsuku ezingaphezu kwezingu-3, sebenzisa indlela yokuvimbela ukukhulelwa eyisipele izinsuku eziyi-7 ezilandelayo. Ungaqhubeki isikhathi esingaphezu kweviki elilodwa ngaphandle kwendandana endaweni, ngoba ukukhulelwa kuba nokwenzeka.

Ngingayeka nini ukusebenzisa indandana yesitho sangasese?

Ungayeka ukusebenzisa indandana nganoma yisiphi isikhathi lapho ungasafuni ukuvimbela ukukhulelwa ngamahloni. Vele uyikhiphe futhi ungafaki entsha. Umjikelezo wakho wokuya esikhathini ovamile uvame ukubuyela phakathi nenyanga eyodwa kuya kwezintathu ngemuva kokuyeka. Uma ushintshela kwenye indlela yokuvimbela ukukhulelwa, umhlinzeki wakho wezempilo uzokuqondisa ngesikhathi ukuqinisekisa ukuvikelwa okuqhubekayo kokukhulelwa. Akunasidingo sokunciphisa kancane ukusetshenziswa noma ukuyeka amahomoni.

Ngingakwazi yini ukuzivocavoca nokubhukuda ngenkathi ngigqoke indandana yesitho sangasese?

Yebo, ungahlanganyela kuyo yonke imisebenzi ejwayelekile ehlanganisa ukuzivocavoca, ukubhukuda, nemidlalo ngenkathi ugqoke indandana. Indandana yakhelwe ukuhlala endaweni ngesikhathi somsebenzi womzimba futhi ngeke ithintwe amanzi, ukushisa, noma ukunyakaza. Ngokuvamile, ukuzivocavoca okunamandla kungase kubangele indandana ukuthi ihambe noma iphume, kodwa lokhu akuvamile. Uma iphuma, yigeze ngamanzi abandayo bese uyifaka ngaphakathi emahoreni amathathu ukuze iqhubeke isebenza.