Yini i-Ethinyl Estradiol kanye ne-Norgestrel: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Ethinyl estradiol kanye ne-norgestrel yiphilisi lokulawula ukuzala elihlanganisiwe eliqukethe amahomoni amabili abesifazane. Lo muthi usebenza ngokuvimbela ukuvuthwa kwamaqanda futhi kwenze kube nzima ngesidoda ukufinyelela eqandeni, kukunikeza ukuvikeleka okuthembekile kokukhulelwa uma uthathwa ngendlela efanele.

Leli philisi elihlanganisiwe lingolunye lwezinhlobo eziningi eziqokiwe zokuvimbela ukuzala ngamaphilisi. Lisetshenziswe ngokuphepha yizigidi zabesifazane amashumi eminyaka, futhi udokotela wakho angasiza ekunqumeni ukuthi liyisinqumo esifanele yini sezidingo zakho zempilo kanye nendlela yokuphila.

Yini i-Ethinyl Estradiol kanye ne-Norgestrel?

I-Ethinyl estradiol kanye ne-norgestrel yindlela yokuvimbela ukuzala ngomlomo ehlanganisiwe equkethe amahomoni amabili okwenziwa. I-ethinyl estradiol iyindlela ye-estrogen, kuyilapho i-norgestrel iwuhlobo lwe-progestin olulingisa i-hormone yemvelo i-progesterone emzimbeni wakho.

Lawa mahomoni asebenza ndawonye ukuvimbela ukukhulelwa ngezindlela eziningi. Le nhlanganisela ithathwa njengephilisi lokulawula ukuzala elinomthamo ophansi, okusho ukuthi liqukethe amanani amancane amahomoni uma kuqhathaniswa nezindlela ezindala ngenkathi lisagcina ukusebenza kahle.

Lo muthi uza ngesimo samaphilisi futhi uthathwa ngomlomo kanye ngosuku. Izindlela eziningi zilandela umjikelezo wezinsuku ezingama-21 noma ezingama-28, ngamanye amaphilisi aqukethe amahomoni asebenzayo kanti amanye asebenza njengamaphilisi e-placebo ngesonto lakho lokuya esikhathini.

Yini i-Ethinyl Estradiol kanye ne-Norgestrel Esetshenziselwa Yona?

Ukusetshenziswa okuyinhloko kwe-ethinyl estradiol kanye ne-norgestrel ukuvimbela ukukhulelwa. Uma ithathwa ngendlela efanele, leli philisi elihlanganisiwe lingaphezu kuka-99% lisebenza ekuvikeleni ukukhulelwa, okwenza libe ngolunye lwezindlela ezithembeke kakhulu zokuvimbela ukuzala ezibuyisekayo ezitholakalayo.

Ngaphandle kokuvimbela ukuzala, udokotela wakho angase akubhalele lo muthi ukuze uthole ezinye izinzuzo zezempilo. Kungasiza ukulawula imijikelezo yokuya esikhathini engajwayelekile, ukunciphisa ukuphuma kwegazi okukhulu kokuya esikhathini, nokunciphisa imihuzuko yokuya esikhathini ephazamisa imisebenzi yansuku zonke.

Abanye besifazane nabo baba ngcono uma benamathumba ngenkathi bethatha leli philisi elihlanganisiwe. Amahomoni angasiza ukunciphisa ukukhiqizwa kwamafutha esikhumbeni, yize lo mphumela uhluka kumuntu nomuntu futhi akuyona imbangela eyinhloko yokunikezwa komuthi.

Ngaphezu kwalokho, leli philisi lokulawula ukuzala linganciphisa ingozi yakho yokuthuthukisa ama-ovarian cysts futhi linganikeza ukuvikelwa okuthile ezinhlotsheni ezithile zomdlavuza we-ovarian kanye ne-endometrial ngokusetshenziswa kwesikhathi eside.

Isebenza Kanjani I-Ethinyl Estradiol kanye ne-Norgestrel?

Leli philisi elihlanganisiwe lisebenza ngezindlela ezintathu eziyinhloko zokuvimbela ukukhulelwa. Okokuqala futhi okubaluleke kakhulu, livimbela ama-ovari akho ukuthi angakhiphi amaqanda njalo ngenyanga, inqubo ebizwa ngokuthi i-ovulation.

Umuthi futhi uqina amafinyila omlomo wesibeletho emnyango wesibeletho sakho. Lokhu kwakha isithiyo esenza kube nzima kakhulu ukuthi isidoda sihambe futhi sifinyelele kunoma yiliphi iqanda elingase libe khona.

Okokugcina, amahomoni ashintsha umugqa wesibeletho sakho, okwenza kungabi maningi amathuba okuthi iqanda elivundisiwe lizifake futhi lithuthuke. Lesi senzo esiphindwe kathathu sinikeza ukuvikelwa kokukhulelwa okuphumelela kakhulu uma uthatha iphilisi ngokuqhubekayo.

Lokhu kuthathwa njengephilisi lokulawula ukuzala elinamandla amaphakathi. Liqukethe amahomoni anele ukuze asebenze kahle kakhulu ngenkathi enciphisa imiphumela emibi eyayivame kakhulu ngamafomula anezilinganiso eziphezulu ezazisetshenziswa esikhathini esidlule.

Kufanele Ngiyithathe Kanjani I-Ethinyl Estradiol kanye ne-Norgestrel?

Thatha lo muthi njengoba unjalo njengoba unqunywe udokotela wakho, okungcono ngesikhathi esifanayo nsuku zonke. Ungayithatha ngaphandle kokudla noma ngaphandle kokudla, kodwa ukuyithatha nokudla noma ubisi kungasiza ukunciphisa isisu uma uhlangabezana nesicanucanu.

Amaphakethe amaningi aqukethe amaphilisi angu-21 asebenzayo alandelwa ngamaphilisi angu-7 angasebenzi, noma amaphilisi angu-28 asebenzayo uma usebenzisa ifomula yomjikelezo owandisiwe. Qala ngepilisi lokuqala ngosuku lokuqala lokuya esikhathini sakho noma ngeSonto lokuqala ngemuva kokuqala kwesikhathi sakho, ngokuya ngemiyalelo kadokotela wakho.

Uma ushintsha usuka kwenye indlela yokulawula inzalo, udokotela wakho uzokunikeza imiyalelo ethile yokuthi ukwenze nini. Kungase kudingeke usebenzise indlela yokuvikela enye njengama-condom izinsuku eziyisikhombisa zokuqala ngenkathi ama-hormone akha emzimbeni wakho.

Gwinya iphilisi ngalinye lonke ngamanzi agcwele ingilazi. Ungalichobozi, ulihlafune, noma uliphule amaphilisi, ngoba lokhu kungathinta indlela ama-hormone akhululwa ngayo emzimbeni wakho.

Kufanele Ngilithathe Isikhathi Esingakanani I-Ethinyl Estradiol kanye ne-Norgestrel?

Ungalithatha ngokuphepha leli philisi lokulawula inzalo uma nje udinga ukulawula inzalo futhi ungaqali ukuba nemiphumela engathandeki. Abesifazane abaningi basebenzisa izindlela zokulawula inzalo ezinama-hormone iminyaka eminingi noma amashumi eminyaka ngaphandle kwezinkinga.

Udokotela wakho ngokuvamile uzoncoma ukuhlolwa njalo njalo emva kwezinyanga eziyi-6 kuya kweziyi-12 ngenkathi usebenzisa lo muthi. Lokhu kuhlolwa kuvumela ukuqapha umfutho wegazi lakho, isisindo, nempilo yonke ukuqinisekisa ukuthi iphilisi liyaqhubeka nokuphepha kuwe.

Uma uhlela ukukhulelwa, ungaleka ukuyeka ukuthatha iphilisi nganoma yisiphi isikhathi. Ukuzala kwakho kuvame ukubuyela ngokushesha ngemuva kokuyeka, ngokuvamile phakathi nenyanga eyodwa kuya kwezintathu, nakuba lokhu kuhluka kumuntu nomuntu.

Abanye besifazane bathatha amakhefu ezindleleni zokulawula inzalo ezinama-hormone ngezizathu zomuntu siqu, kodwa lokhu akudingekile ngokwezokwelapha ngaphandle uma udokotela wakho ekuncoma ngenxa yezinkinga ezithile zempilo.

Yiziphi Imiphumela Eceleni Ye-Ethinyl Estradiol kanye ne-Norgestrel?

Njengayo yonke imithi, leli philisi lokulawula inzalo lingabangela imiphumela emibi, nakuba abesifazane abaningi bengabi nezinkinga eziningi noma ezingekho. Umzimba wakho uvame ukuzivumelanisa nama-hormone ezinyangeni ezimbalwa zokuqala zokusetshenziswa.

Nawa imiphumela emibi evame kakhulu ongase uyithole njengoba umzimba wakho uzivumelanisa nomuthi:

• Ukugula, ikakhulukazi emasontweni ambalwa okuqala
• Ukuqaqamba kwamabele noma ukuvuvukala
• Ukuqaqamba kwekhanda noma isiyezi esincane
• Ushintsho lwemizwa noma ukuzizwa unemizwa eminingi
• Ukopha phakathi kwemijikelezo yokuqala yezinyanga ezimbalwa
• Ushintsho lwesisindo, ngokuvamile oluncane
• Ukwehla kwentshisekelo yocansi

Le miphumela ejwayelekile ivamise ukuthuthuka njengoba umzimba wakho ujwayela amahomoni. Uma ziqhubeka noma ziba yinkinga ngemva kwezinyanga ezintathu, khuluma nodokotela wakho mayelana nokulungisa umuthi wakho.

Nakuba kungavamile, abanye besifazane bahlangabezana nemiphumela emibi kakhulu edinga ukunakekelwa kwezokwelapha. Lezi zimpawu ezingavamile kodwa ezibalulekile zihlanganisa:

• Ukuqaqamba kwemilenze okukhulu noma ukuvuvukala okungase kubonise amahlule egazi
• Ukuqaqamba esifubeni noma ukuphefumula kanzima
• Ukuqaqamba kwekhanda okukhulu okuzizwa kuhluke ekuqaqambeni kwekhanda lakho elivamile
• Ushintsho lombono noma izinkinga zamehlo
• Ukuqaqamba okukhulu kwesisu
• Ukuphuzi kwesikhumba noma amehlo

Xhumana nodokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi zalezi zimpawu ezinzima. Nakuba kungavamile, zingabonisa izinkinga ezingaba khona ezingadinga ukuhlolwa kwezokwelapha okusheshayo.

Ubani Ongafanele Athathe I-Ethinyl Estradiol ne-Norgestrel?

Le pilisi yokulawula ukuzala ayiphephile kuwo wonke umuntu, futhi udokotela wakho uzobuyekeza umlando wakho wezokwelapha ngaphambi kokuyinika. Izimo ezithile zezempilo zikhuphula ingozi yezinkinga ezinzima ezivela ekulawuleni ukuzala ngamahomoni.

Akufanele uthathe lo muthi uma unesinye salezi zimo:

• Okwamanje noma umlando wamahule egazi emilenzeni, emaphashini, noma kwezinye izingxenye zomzimba wakho
• Umlando wokushaywa unhlangothi noma ukuhlaselwa yinhliziyo
• Ulwazi noma ukusolwa ngomdlavuza wamabele noma eminye imidlavuza ezwelayo kumahomoni
• Isifo sesibindi noma izimila zesibindi
• Ukuphuma kwegazi okungachazeki kwelilunga lobulili
• Ukuqaqamba kwekhanda kwe-migraine nge-aura
• Umfutho wegazi ophezulu ongagadiwe

Udktela wakho uzophinda aqaphele mayelana nokunikeza lo muthi uma uneminyaka engaphezu kwengama-35 futhi ubhema ugwayi, njengoba le nhlanganisela ikhuphula kakhulu ingozi yakho yamaqhubu egazi nezinkinga zenhliziyo nemithambo yegazi.

Ngaphezu kwalokho, imithi ethile ingaphazamisa ukusebenza kahle kwamaphilisi okulawula ukuzala. Hlala utshela udktela wakho ngayo yonke imithi, izithasiselo, nemikhiqizo yezitshalo oyithathayo ukuze ugweme ukuxhumana okungaba yingozi.

Amagama e-Brand ye-Ethinyl Estradiol kanye ne-Norgestrel

Le nhlanganisela yamahomoni iyatholakala ngaphansi kwamagama amaningi e-brand, ngalinye liqukethe izithako ezifanayo ezisebenzayo kodwa mhlawumbe izithako ezingasebenzi ezihlukene noma ukupakishwa kwamaphilisi okuhlukile. Amagama ajwayelekile e-brand afaka i-Lo/Ovral, i-Cryselle, ne-Low-Ogestrel.

Izinhlobo ze-Generic nazo ziyatholakala kabanzi futhi ziqukethe amahomoni afanayo asebenzayo njengezinketho zegama le-brand. Umkhemisi wakho angakusiza ukuthi uqonde umehluko phakathi kwezinhlobo ezihlukahlukene nokuthi ukushintsha phakathi kwama-brand kungase kukuthole yini.

Ezinye izindlela zokuqamba ziza ngezitayela zokupakisha ezihlukene, njengamaphakethe ezinsuku ezingama-21, amaphakethe ezinsuku ezingama-28, noma ngisho nezinketho zomjikelezo owandisiwe wezinsuku ezingama-91. Udktela wakho uzokusiza ukuthi ukhethe ukwakheka okuhambisana nendlela yakho yokuphila nezintandokazi zakho.

Ezinye izindlela ze-Ethinyl Estradiol kanye ne-Norgestrel

Uma le nhlanganisela ethile yamaphilisi ingasebenzi kahle kuwe, ezinye izinketho eziningi zokulawula ukuzala ziyatholakala. Amanye amaphilisi ahlanganisiwe asebenzisa izinhlobo ezihlukene noma amanani amahomoni angase alingane kangcono nomzimba wakho.

Amaphilisi e-Progestin-only, abizwa nangokuthi ama-mini-pill, awanawo i-estrogen futhi angase abe ngcono uma ungenakuthatha i-estrogen ngenxa yezinkinga zempilo noma imiphumela emibi. Lezi zivame ukunconywa kwabesifazane abancelisa noma abanezimo ezithile zezokwelapha.

Ezinye izinketho ze-hormonal ezingezona zamaphilisi zifaka isiqeshana sokulawula ukuzala, indandatho yesitho sangasese sowesifazane, noma ama-IUD e-hormonal. Lezi zindlela ziletha amahomoni ngendlela ehlukile futhi zingase zibangele imiphumela emibi embalwa kwabesifazane abathile ngenkathi zinikeza ukusebenza kahle okufanayo.

Ezinye izindlela ezingahambisani nama-hormone zihlanganisa ama-IUD e-copper, amakhondomu, ama-diaphragm, nezindlela zokuqwashisa ngokuzala. Udokotela wakho angakusiza ukuthi uhlole lezi zinketho uma ukukhulelwa ngama-hormone kungakulungele.

Ingabe i-Ethinyl Estradiol ne-Norgestrel ingcono kunezinye izidakamizwa zokulawula ukuzala?

Noma ngabe le pilisi ehlanganisiwe ingcono kunezinye kuncike ezidingweni zakho zempilo, ukubekezelelana nemiphumela emibi, nezintandokazi zakho. Zonke izidakamizwa zokulawula ukuzala ezihlanganisiwe zisebenza ngendlela efanayo ekuvikeleni ukukhulelwa uma zithathwa ngendlela efanele.

Le nhlanganisela ethile isetshenziswe iminyaka eminingi eneprofayili yokuphepha esungulwe kahle. Abanye besifazane bayayithanda ngoba ivame ukubangela imiphumela emibi engahlobene nemizwa uma iqhathaniswa namaphilisi aqukethe ezinye izinhlobo ze-progestin.

Noma kunjalo, amafomula amasha angase anikeze izinzuzo kwabanye besifazane, njengokunciphisa ukuqunjelwa, isikhumba esicacile, noma izikhathi ezilula. Udokotela wakho angakusiza ukuthi uhlole izinzuzo kanye nokubi okungenzeka kwezinketho ezahlukene.

Iphilisi elithi

Njalo xoxa ngokuphathwa kwesifo sakho sikashukela nodokotela wakho ngaphambi kokuqala noma yimuphi umuthi omusha, okuhlanganisa amaphilisi okulawula inzalo. Bangakusiza ukuthi uqaphele noma yiziphi izinguquko kumaphethini akho kashukela egazini.

Kufanele Ngenzeni Uma Ngithatha Ngengozi I-Ethinyl Estradiol ne-Norgestrel Eningi Kakhulu?

Uma ngengozi uthatha iphilisi elilodwa noma amabili engeziwe, akunakwenzeka ukuthi uzobhekana nezinkinga ezinkulu. Ungase uzizwe unesiyezi noma ube nokuchitheka okuthile, kodwa lezi zimpawu zivame ukuxazululeka ngokushesha ngaphandle kokwelashwa.

Ukuthatha amaphilisi amaningi engeziwe ngesikhathi esisodwa kungabangela isicanucanu esikhulu nokuhlanza. Uma lokhu kwenzeka, xhumana nodokotela wakho noma usokhemisi ukuze uthole isiqondiso sokuthi ngabe udinga ukunakekelwa kwezempilo nokuthi ungabuyela kanjani esimisweni sakho esijwayelekile.

Ungazami ukuthi "ulungise" amaphilisi engeziwe ngokususa imithamo, ngoba lokhu kunganciphisa ukusebenza komuthi ekuvikeleni ukukhulelwa. Kunalokho, qhubeka nesimiso sakho esijwayelekile futhi usebenzise indlela yokuvimbela yokusekela uma kunconywe umhlinzeki wakho wezempilo.

Kufanele Ngenzeni Uma Ngiphuthelwa Umthamo We-Ethinyl Estradiol ne-Norgestrel?

Uma uphuthelwa iphilisi elilodwa elisebenzayo, lithathe ngokushesha lapho ukhumbula, ngisho noma lokhu kusho ukuthatha amaphilisi amabili ngosuku olufanayo. Awudingi indlela yokuvimbela yokusekela, futhi ukuvikelwa kwakho ekukhulelweni kufanele kuqhubeke kusebenza.

Ukuphuthelwa amaphilisi amabili kulandelana kudinga ukuphathwa okucophelelayo. Thatha amaphilisi amabili ngosuku olukhumbulayo namaphilisi amabili ngosuku olulandelayo, bese uqhubeka nesimiso sakho esijwayelekile. Sebenzisa indlela yokuvimbela yokusekela njengama-condom izinsuku eziyisikhombisa ezilandelayo.

Uma uphuthelwa amaphilisi amathathu noma ngaphezulu, xhumana nodokotela wakho ukuze uthole imiyalelo ethile. Ungase udinge ukuqala iphakethe elisha futhi usebenzise indlela yokuvimbela yokusekela isikhathi eside ukuze uqinisekise ukuvikelwa ekukhulelweni.

Ngingayeka nini ukuthatha i-Ethinyl Estradiol ne-Norgestrel?

Ungayeka ukuthatha le pilisi yokuvimbela inzalo nganoma yisiphi isikhathi, kodwa kungcono ukuqeda iphakethe lakho lamanje ukuze ugweme ukuphuma kwegazi okungajwayelekile. Uma uyeka ngoba ufuna ukukhulelwa, ungaqala ukuzama ukukhulelwa ngokushesha ngemva kokuyeka.

Abanye besifazane bahlangabezana nezinguquko zesikhashana emjikelezweni wabo wokuya esikhathini ngemva kokuyeka iphilisi. Izikhathi zakho zingase zingajwayelekile izinyanga ezimbalwa njengoba umzimba wakho uzijwayeza ukukhiqiza amahomoni awo ngokwemvelo.

Uma uyeka ngenxa yezinye izizathu ngaphandle kokuhlela ukukhulelwa, qiniseka ukuthi unenye indlela yokuvimbela inzalo esilungile. Ukuvikelwa kokukhulelwa kwepilisi kuphela ngokushesha lapho uyeka ukuyithatha.

Ngingakwazi Ukuthatha I-Ethinyl Estradiol kanye ne-Norgestrel Ngesikhathi Ngincelisa?

Le pilisi ehlanganisiwe ayinconywa ngokujwayelekile ngenkathi uncelisa, ikakhulukazi ezinyangeni eziyisithupha zokuqala. Ingxenye ye-estrogen inganciphisa ukukhiqizwa kobisi, okungase kuthinte ukudla kwengane yakho.

Amaphilisi e-progestin kuphela avame ukukhethwa omama abancelisayo ngoba awuthinti ukunikezwa kobisi. Lawa maphilisi amancane anikeza ukuvimbela inzalo okuphumelelayo ngenkathi ekuvumela ukuthi uqhubeke nokuncelisa ngempumelelo.

Uma udinga ukuvimbela inzalo ngenkathi uncelisa, xoxa ngazo zonke izinketho zakho nodokotela wakho. Bangakusiza ukuthi ukhethe indlela evikela ekukhulelweni ngenkathi isekela izinhloso zakho zokuncelisa.