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

I-Levonorgestrel kanye ne-ethinyl estradiol yiphilisi lokulawula ukuzala elihlanganisiwe eliqukethe izinhlobo ezimbili zamahomoni. Lo muthi uhlanganisa i-progestin eyenziwe (levonorgestrel) ne-estrogen eyenziwe (ethinyl estradiol) ukuvimbela ukukhulelwa ngempumelelo. Ungase wazi le nhlanganisela ngamagama emikhiqizo afana ne-Seasonique, Aviane, noma i-Alesse, futhi ingenye yezindlela ezivame kakhulu zokulawula ukuzala ngamahomoni emhlabeni wonke.

Yini i-Levonorgestrel kanye ne-Ethinyl Estradiol?

Lo muthi uyinhlanganisela yokuvimbela ukukhulelwa ngomlomo esebenzisa amahomoni amabili enziwe ukuvimbela ukukhulelwa. I-Levonorgestrel iyinguqulo eyenziwe ye-progesterone, kuyilapho i-ethinyl estradiol iyindlela eyenziwe ye-estrogen. Ngokuhlanganyela, la mahomoni asebenza njengeqembu ukuvimbela umzimba wakho ukuthi ungakhiphi amaqanda futhi kwenze kube nzima ngesidoda ukufinyelela kunoma yiliphi iqanda elingase likhishwe.

Umuthi uza ngesimo samaphilisi futhi uthathwa nsuku zonke ngesikhathi esifanayo nsuku zonke. Iningi lezindlela zokwakheka ziqukethe amaphilisi amahomoni angu-21 asebenzayo alandelwa ngamaphilisi angu-7 angasebenzi, nakuba ezinye izinhlobo ezintsha zinikeza amahomoni asebenzayo isikhathi eside. Lokhu kudala umjikelezo wanyanga zonke olingisa iphethini yakho yokuya esikhathini yemvelo ngenkathi inikeza ukuvimbela ukukhulelwa okuthembekile.

Isetshenziselwani i-Levonorgestrel kanye ne-Ethinyl Estradiol?

Ukusetshenziswa okuyinhloko kwalolu hlu lwento ukugwema ukukhulelwa kwabesifazane abathintekayo ngokocansi. Isebenza ngaphezu kuka-99% uma ithathwa ngendlela efanele, okwenza ibe enye yezindlela ezithembeke kakhulu zokuvimbela ukukhulelwa okubuyisekayo ezitholakalayo. Abesifazane abaningi bakhetha le ndlela ngoba ilula, iyabuyiseka, futhi ayidingi senzo ngaphambi nje kokwenza ucansi.

Ngaphandle kokuvimbela ukukhulelwa, udokotela wakho angase akunikeze lo muthi ukusiza ukuphatha izinkinga ezithile zokuya esikhathini. Ungalawula ukuya esikhathini okungajwayelekile, ukunciphisa ukuphuma kwegazi eliningi ngesikhathi sokuya esikhathini, futhi unciphise ukuqaqamba okubuhlungu. Abanye besifazane futhi bakuthola kuwusizo ekuphatheni izimpawu ze-premenstrual syndrome (PMS) noma i-premenstrual dysphoric disorder (PMDD).

Ngaphezu kwalokho, le nhlanganisela ingasiza ngamathumba e-hormonal kwabanye besifazane. Ingxenye ye-estrogen inganciphisa ukukhiqizwa kwama-androgens (ama-hormone esilisa) abamba iqhaza ekuqhumeni kwamathumba. Kodwa-ke, le nzuzo ngokuvamile ithatha izinyanga eziningana ukuthi ibonakale, futhi akubona bonke abantu abazobona ngcono esikhumbeni sabo.

Isebenza Kanjani I-Levonorgestrel ne-Ethinyl Estradiol?

Lo muthi usebenza ngezindlela ezintathu eziyinhloko ukuvimbela ukukhulelwa ngempumelelo. Okokuqala, imisa ama-ovari akho ekukhipheni amaqanda njalo ngenyanga, okusho ukuthi alikho iqanda elitholakalayo ukuze isidoda sizale. Le yindlela eyinhloko iphilisi elivimbela ngayo ukukhulelwa, futhi lisebenza kahle kakhulu uma umuthi uthathwa njalo.

Okwesibili, ama-hormone enza amafinyila omlomo wesibeletho abe makhulu futhi abe namathiselayo. Lokhu kwakha umgoqo okwenza kube nzima kakhulu ukuthi isidoda sihambe ngomlomo wesibeletho sakho futhi sifinyelele emashubhu akho e-fallopian. Cabanga ngakho njengokushintsha ukuvumelana kwendlela esuka emanzini iya eju - konke kuhamba kancane kakhulu futhi kunzima kakhulu.

Okwesithathu, umuthi ushintsha umugqa wesibeletho sakho (endometrium) ukuze ungakulungele ukuthi iqanda elikhulelwe lizifake. Lokhu kuthathwa njengendlela yokusekela, ngoba umgomo oyinhloko ukuvimbela ukuvuthwa kwamaqanda nokuzala ukuthi kungenzeki endaweni yokuqala.

Le nhlanganisela ithathwa njenge-contraceptive ye-hormonal enamandla aphakathi nendawo. Inamandla ngokwanele ukuthi isebenze kahle kakhulu kodwa isebenzisa amazinga e-hormone abesifazane abaningi abawathola kahle. Imithamo ethile ilinganiswe ngokucophelela ukuze inikeze ukusebenza kahle okuphezulu ngenkathi kunciphisa imiphumela emibi.

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

Kufanele uthathe lo muthi ngesikhathi esifanayo nsuku zonke ukuze ugcine amazinga e-hormone aqhubekayo emzimbeni wakho. Abantu abaningi bakuthola kulula ukuthatha iphilisi labo ngesikhathi somsebenzi wabo wasekuseni noma ngaphambi nje kokulala. Ukusetha i-alamu yansuku zonke ocingweni lwakho kungakusiza ukuthi ukhumbule, ikakhulukazi uma uqala.

Ungawuthatha lo muthi ngaphandle kokudla noma ngaphandle kokudla, nakuba ukuwuthatha nokudla kungasiza ukunciphisa isicanucanu uma uhlangabezana nalowo mphumela. Uma uvame ukuba nesicanucanu, zama ukuthatha iphilisi lakho ngesnakhi esilula noma ukudla. Ukuphuza ingilazi egcwele yamanzi nephilisi lakho kungasiza futhi ngokumuncwa futhi kunciphise noma yikuphi ukucasuka kwesisu okungenzeka.

Amaphakethe amaningi ephilisi aqukethe amaphilisi angama-28 - amaphilisi angama-21 asebenzayo aqukethe ama-hormone namaphilisi ayi-7 angasebenzi okuyizikhumbuzi. Uthatha iphilisi elilodwa elisebenzayo nsuku zonke izinsuku ezingama-21, bese uthatha amaphilisi angasebenzi izinsuku eziyi-7 lapho ngokuvamile uzoba nesikhathi sakho. Ezinye izindlela zokwakheka zinezinhlelo ezihlukene, njengamaphilisi angama-24 asebenzayo namaphilisi ama-4 angasebenzi, ngakho-ke ngaso sonke isikhathi landela imiyalelo ethile yomkhiqizo wakho othile.

Uma uqala lo muthi okokuqala ngqa, udokotela wakho cishe uzoncoma ukuqala ngosuku lokuqala lokuya esikhathini sakho noma ngeSonto lokuqala ngemuva kokuqala kokuya esikhathini sakho. Lokhu kusiza ukuqinisekisa ukuthi uvikelekile ekukhulelweni ngokushesha. Uma uqala ngezikhathi ezinye, ungase udinge ukusebenzisa ezinye izindlela zokuvimbela ukukhulelwa njengama-condom izinsuku eziyisikhombisa zokuqala.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Levonorgestrel kanye ne-Ethinyl Estradiol?

Ungawuthatha ngokuphepha lo muthi uma nje udinga ukuvimbela ukukhulelwa futhi ungenazo izinkinga zempilo eziwenza ungaphephile. Abesifazane abaningi bathatha amaphilisi okulawula ukuzala ahlanganisiwe iminyaka noma amashumi eminyaka ngaphandle kwezinkinga. Ngokungafani neminye imithi, asikho isidingo sokuphumula ngezikhathi ezithile ekulawuleni ama-hormone uma kusebenza kahle kuwe.

Udktela wakho uzofuna ukukubona njalo - ngokuvamile njalo emavikini angu-6 kuya kwangu-12 - ukuqapha impilo yakho futhi aqinisekise ukuthi imithi isafaneleka kuwe. Ngesikhathi salezi zivakashi, bazohlola umfutho wegazi lakho, baxoxe nganoma yimaphi imiphumela engemihle oyitholayo, futhi babuyekeze impilo yakho yonke. Lokhu kuqapha okuqhubekayo kusiza ekuqinisekiseni ukuthi imithi ihlala iphephile futhi isebenza kahle esimweni sakho.

Uma uhlela ukukhulelwa, ungaqeda ukuthatha amaphilisi nganoma yisiphi isikhathi. Ukuzala kwakho ngokuvamile kubuyela kokujwayelekile ezinyangeni ezimbalwa ngemva kokuyeka, nakuba ezinye izintokazi ziqala ukuvuthwa kwamaqanda ngokushesha njengamasonto amabili ngemva kwephilisi labo lokugcina. Akukho bufakazi bokuthi ukuthatha amaphilisi okulawula ukuzala isikhathi eside kuthinta ukuzala kwakho kwesikhathi eside.

Ezinye izintokazi zingase zidingeke ukuyeka noma zishintshe imithi ngenxa yemiphumela engemihle noma izinguquko esimweni sabo sempilo. Izimo ezinjengomfutho wegazi ophezulu, izinhlobo ezithile zekhanda, noma izifo zokujiya kwegazi zingase zidinge ukuthi uyeke le mithi. Udktela wakho uzokusiza ukuthi udlulele kwezinye izindlela zokuvimbela inzalo uma kudingeka.

Yini Imiphumela Engemihle ye-Levonorgestrel kanye ne-Ethinyl Estradiol?

Iningi labesifazane liyayibekezelela kahle le mithi, kodwa njengayo yonke imithi, ingabangela imiphumela engemihle. Izindaba ezinhle ukuthi imiphumela eminingi engemihle ithambile futhi ivame ukuthuthuka ngemva kokuthi umzimba wakho ujwayele amahomoni, ngokuvamile ezinyangeni ezintathu zokuqala zokusetshenziswa.

Imiphumela engemihle evamile abesifazane abaningi abayitholayo ihlanganisa isicanucanu, ubuhlungu bebele, nekhanda. Lezi zimpawu zivame ukuba zithambile futhi zithambekele ekunciphiseni njengoba umzimba wakho ujwayela amahomoni. Ungase futhi uqaphele ukubonakala okuthile noma ukuphuma kwegazi phakathi kwemijikelezo, ikakhulukazi ezinyangeni zakho zokuqala zokusetshenziswa.

Nakhu imiphumela engemihle ebikwa kaningi okufanele uyazi ngayo:

• Ukugula kwesisu nokungakhululeki kwesisu okuncane
• Ukuzwela kwamabele noma ukuvuvukala
• Ukukhathazeka kwekhanda noma izinguquko ezincane zemizwa
• Ukuphuma kwegazi okungajwayelekile noma ukubonakala phakathi kwemijikelezo
• Ushintsho lwesibalo somzimba (ngokuvamile amakhilogremu angu-0.5-2.5)
• Ukwehla kwesifiso socansi kwabanye besifazane
• Ushintsho esikhumbeni, okuhlanganisa ukuthuthuka okungenzeka noma ukwanda kwamabala

Le miphumela emibi ejwayelekile ngokuvamile ayiyingozi futhi ivame ukuzixazulula yona. Kodwa-ke, uma ziqhubeka noma ziba yisicefe, khuluma nodokotela wakho mayelana nezixazululo ezingenzeka noma imithi ehlukile.

Imiphumela emibi engathi sína ayivamile kodwa idinga ukunakekelwa kwezempilo ngokushesha. Lokhu kufaka phakathi ukukhathazeka kwekhanda okukhulu okuhlukile ekukhathazekeni kwakho kwekhanda okuvamile, ubuhlungu besifuba, ukuphefumula kanzima, noma ubuhlungu emlenzeni obukhulu. Lezi zimpawu zingabonisa amahlule egazi, okuyizinkinga ezingavamile kodwa ezingathi sína.

Izimpawu ezidinga ukunakekelwa kwezempilo ngokushesha zihlanganisa ukukhathazeka kwekhanda okukhulu kungazelelwe, izinguquko embonweni, ubuhlungu besifuba, ubunzima bokuphefumula, noma ubuhlungu obukhulu besisu. Ngaphezu kwalokho, uma uhlangabezana nezimpawu zokucindezeleka ezizwa zikhulu kakhulu noma imicabango yokuzilimaza, finyelela kumhlinzeki wakho wezempilo noma izinsiza eziphuthumayo ngokushesha.

Ubani Ongafanele Athatha i-Levonorgestrel kanye ne-Ethinyl Estradiol?

Lo muthi awuphephile kuwo wonke umuntu, futhi izimo ezithile zezempilo zenza kungafaneleki ukusebenzisa amaphilisi okulawula inzalo ahlanganisiwe. Udokotela wakho uzobuyekeza umlando wakho wezokwelapha ngokucophelela ngaphambi kokukuyalela lo muthi ukuze aqinisekise ukuthi uphephile kuwe.

Abesifazane abanomlando wamahule egazi, unhlangothi, noma ukuhlaselwa yinhliziyo akufanele bathathe lo muthi. Ingxenye ye-estrogen ingandisa ingozi yama-clot egazi, ikakhulukazi kwabesifazane asebenobungozi. Lokhu kufaka phakathi izimo ezinjenge-deep vein thrombosis, i-pulmonary embolism, noma izifo zokujiya kwegazi ezizuzwe ngomlando.

Ukubhema kukhuphula kakhulu izingozi ezihambisana naleli khambi, ikakhulukazi kwabesifazane abaneminyaka engaphezu kwengama-35. Uma ubhema futhi uneminyaka engaphezu kwengama-35, udokotela wakho cishe uzoncoma olunye uhlobo lokuvimbela inzalo. Inhlanganisela yokubhema, iminyaka, kanye ne-estrogen idala ingozi enkulu yezinkinga zenhliziyo nemithambo yegazi.

Ezinye izimo eziningi zenza le mithi ingafaneleki, futhi udokotela wakho uzodinga ukwazi ngalezi ngaphambi kokuyinikeza:

• Umdlavuza wamanje noma umlando womdlavuza webele noma eminye imidlavuza ezwelayo kumahomoni
• Isifo sesibindi noma izimila zesibindi
• Ukuphuma kwegazi okungachazeki kwesitho sangasese sowesifazane
• Umfutho wegazi ophezulu kakhulu
• Isifo sikashukela esinezinkinga zemithambo yegazi
• Ikhanda elibuhlungu le-migraine eline-aura
• Ukukhulelwa noma ukusolwa ngokukhulelwa

Uma unezinye zalezi zimo, ungakhathazeki - ziningi ezinye izindlela zokuvimbela inzalo ezisebenzayo ezitholakalayo. Udokotela wakho angakusiza ukuthi uthole indlela ephephile futhi esebenzayo esimweni sakho esithile.

Amagama Omkhiqizo we-Levonorgestrel kanye ne-Ethinyl Estradiol

Le nhlanganisela yamahomoni itholakala ngaphansi kwamagama amaningi ahlukene omkhiqizo, ngalinye linemithamo ehlukile yamahomoni noma amashejuli amaphilisi. Ezinye zezinhlobo ezivame kakhulu zifaka i-Seasonique, i-Aviane, i-Alesse, kanye ne-Nordette. Ikhemisi lakho lingase futhi lithwale izinguqulo ezivamile, eziqulathe izithako ezifanayo ezisebenzayo kodwa zibiza kancane.

Izinhlobo ezahlukene zingase zibe nezithako ezingasebenzi ezihlukene noma imibala yamaphilisi, kodwa zonke zisebenza ngendlela efanayo. Ezinye izinhlobo zenzelwe imijikelezo enwetshiwe, okusho ukuthi unezikhathi ezimbalwa ngonyaka, kanti ezinye zilandela umjikelezo wosuku olungama-28. Udokotela wakho uzokhetha uhlobo oluthile kanye nokwakheka okungcono kakhulu ngezidingo zakho nezintandokazi zakho.

Uma ikhemisi lakho likushintshela kwenye i-brand noma inguqulo ejwayelekile, ungakhathazeki - lokhu kujwayelekile futhi kuphephile. Kodwa-ke, uma uqaphela noma yiziphi izinguquko emiphumeleni engemihle noma ukusebenza ngemva kokushintsha ama-brand, yazisa udokotela wakho. Ngezinye izikhathi umehluko omncane ezithakweni ezingasebenzi ngqo ungathinta indlela abantu abasabela ngayo emuthini.

Ezinye Izindlela Zokuthola I-Levonorgestrel kanye ne-Ethinyl Estradiol

Uma lo muthi ungasebenzi kahle kuwe, ziningi ezinye izinketho zokuvimbela ezisebenzayo ezitholakalayo. Amaphilisi aqukethe i-progestin kuphela (ama-mini-pills) angase alunge uma ungenakho ukuthatha i-estrogen ngenxa yezinkinga zempilo. Lawa maphilisi aqukethe i-progesterone yokwenziwa kuphela futhi aphephile kwabesifazane ababhemayo noma abanezimo ezithile zezokwelapha.

Izindlela zokuvimbela ezisebenza isikhathi eside eziguqukayo njenge-IUDs noma ama-implants zinikeza ukuvikeleka okuhle ngaphandle kwamaphilisi ansuku zonke. Ama-IUDs e-hormonal akhipha amanani amancane e-progestin ngokuqondile esibelethweni sakho, kuyilapho ama-IUDs ethusi enikeza ukuvimbela ngaphandle kwama-hormone iminyaka engama-10. I-implant yokuvimbela iya engalweni yakho futhi inikeza ukuvikeleka iminyaka emithathu.

Izindlela zokuvimbela ezinjenge-condoms, ama-diaphragms, noma ama-cervical caps zinikeza izinketho ezingenayo i-hormone ngomvuzo owengeziwe wokuvikelwa kwe-STI. Izindlela zokuvimbela ezinjenge-Depo-Provera zinikeza izinyanga ezintathu zokuvikelwa ngomjovo ngamunye, nakuba zingase zibe nemiphumela ehlukile kunamaphilisi.

Udokotela wakho angakusiza ukuthi ulinganise izinzuzo nobubi benketho ngayinye ngokusekelwe endleleni yakho yokuphila, umlando wakho wezempilo, nezintandokazi zakho. Khumbula ukuthi indlela engcono kakhulu yokuvimbela yileyo ozoyisebenzisa njalo futhi ngendlela efanele.

Ingabe i-Levonorgestrel kanye ne-Ethinyl Estradiol Ingcono Kunezinye Izindlela Zokulawula Ukuzala?

Le nhlanganisela akudingeki ukuthi ingcono noma imbi kunezinye izidakamizwa zokulawula ukuzala - imane nje iyindlela eyodwa phakathi kwezinketho eziningi eziphumelelayo. Zonke izidakamizwa zokulawula ukuzala ezihlanganisiwe zisebenza ngendlela efanayo futhi zinamazinga okuphumelela afanayo uma zisetshenziswa ngendlela efanele. Iphilisi elingcono kakhulu kuwe lincike ekutheni umzimba wakho usabela kanjani ezinhlanganisweni ezihlukene zamahomoni kanye nemithamo.

Abanye besifazane benza ngcono ngemithamo ephezulu noma ephansi ye-estrogen, kanti abanye badinga izinhlobo ezahlukene ze-progestin. Udokotela wakho angase azame izinhlanganisela ezihlukene ukuze athole okusebenzela wena. Le nqubo yokuthola okulungile evamile futhi ikhombisa ukuthi umhlinzeki wakho wezempilo uqokomisa ukunakekelwa kwakho.

Uma kuqhathaniswa namaphilisi e-progestin-only, amaphilisi ahlanganisiwe njengaleli athambekele ekunikezeni izikhathi eziqagelwayo kanye nokulawulwa okungcono komjikelezo. Kodwa-ke, amaphilisi e-progestin-only aphephe kakhulu kwabesifazane abanezimo ezithile zempilo. Ukukhetha phakathi kwalezi zinketho kuncike kuphrofayili yakho yezempilo kanye nezintandokazi zakho.

Imibuzo Evame Ukubuzwa Mayelana ne-Levonorgestrel kanye ne-Ethinyl Estradiol

Ingabe i-Levonorgestrel kanye ne-Ethinyl Estradiol iphephile kwabesifazane abanesifo sikashukela?

Abesifazane abanesifo sikashukela bangavame ukusebenzisa lo muthi ngokuphepha, kodwa kudinga ukuqapha ngokucophelela ngumhlinzeki wakho wezempilo. Amahomoni angathinta kancane amazinga kashukela egazini, ngakho-ke udokotela wakho uzofuna ukuhlola ukulawulwa kwakho isifo sikashukela kaningi uma uqala umuthi. Uma unesifo sikashukela esinokuhlushwa okuthinta imithambo yakho yegazi, amehlo, izinso, noma imizwa, lo muthi kungenzeka unganconyelwa.

Udokotela wakho uzocabangela ukuthi isifo sikashukela sakho silawulwa kahle kangakanani, ukuthi usunesikhathi esingakanani unaso, nokuthi ngabe unazo yini izinkinga. Abesifazane abaningi abanesifo sikashukela esilawulwa kahle basebenzisa amaphilisi okulawula ukuzala ahlanganisiwe ngaphandle kwezinkinga. Kodwa-ke, uzodinga ukuqokwa okulandelayo njalo ukuze uqinisekise ukuthi ushukela wakho wegazi uhlala uzinzile.

Ngingenzani uma ngiphuthelwa ukusebenzisa i-Levonorgestrel kanye ne-Ethinyl Estradiol eningi kakhulu?

Uma ngabe uthatha amaphilisi amaningi ngengozi ngosuku olulodwa, ungangeni ekuqeqeshweni - lokhu ngokuvamile akuyingozi. Ungase uzwe isicanucanu, ukuhlanza, noma ukopha okungalindelekile, kodwa lezi zimpawu zivame ukuba mnene futhi zesikhashana. Thatha iphilisi lakho elilandelayo ngesikhathi esijwayelekile futhi uqhubeke neshejuli yakho ejwayelekile.

Uma ngabe uthathe amaphilisi amaningi engeziwe noma uzizwa ungaphilile kakhulu, xhumana nomhlinzeki wakho wezempilo noma isikhungo sokulawula ubuthi ukuze uthole isiqondiso. Bangakuncoma ukuthi yini ongayilindela nokuthi ngabe udinga yini ukunakekelwa kwezempilo. Ezimweni eziningi, ukuthatha amaphilisi ambalwa engeziwe ngeke kubangele ukulimala okukhulu, kodwa ngaso sonke isikhathi kungcono ukuthola iseluleko esivela ochwepheshe.

Kufanele ngenzeni uma ngiphuthelwa umthamo we-Levonorgestrel kanye ne-Ethinyl Estradiol?

Uma uphuthelwa iphilisi elilodwa elisebenzayo, lithathe ngokushesha lapho ukhumbula, noma ngabe lokho kusho ukuthatha amaphilisi amabili ngosuku olulodwa. Ukuvikeleka kwakho kokuvimbela inzalo kufanele kuqhubeke kusebenza, futhi awudingi ukuvikelwa okwengeziwe. Qhubeka nokuthatha amaphilisi akho asele ngesikhathi esijwayelekile.

Uma uphuthelwa amaphilisi amabili noma ngaphezulu asebenzayo, thatha iphilisi elisanda kuphuthelwa ngokushesha lapho ukhumbula bese ulahla amanye amaphilisi aphuthelwe. Sebenzisa ukuvikelwa okwengeziwe njengama-condom izinsuku eziyisikhombisa ezilandelayo. Uma uphuthelwe amaphilisi ngesonto lokuqala lephakethe lakho futhi waba nobulili obungavikelekile, cabanga ngokuvimbela inzalo esheshayo.

Ukuphuthelwa amaphilisi ngesonto lesithathu lephakethe lakho kudinga ukunakekelwa okukhethekile. Kufanele weqe amaphilisi angasebenzi bese uqala iphakethe elisha ngokushesha ngemuva kokuqeda amaphilisi asebenzayo avela ephaketheni lakho lamanje. Lokhu kuvimbela isikhathi esingenayo i-hormone ukuthi singabi side kakhulu futhi singalimazi ukuvikelwa kwakho.

Ngingayeka nini ukuthatha i-Levonorgestrel kanye ne-Ethinyl Estradiol?

Ungayeka ukuthatha lo muthi 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. Ukuzala kwakho kuvame ukubuyela emuva ezinyangeni ezimbalwa, nakuba ezinye izintokazi zikhipha amaqanda emasontweni ambalwa.

Uma uyeka ngenxa yemiphumela emibi, xoxa nodokotela wakho kuqala ngezinketho ezingezinye. Bangase batusa ukuzama ifomula ehlukile noma ukushintshela kwenye indlela yokuvimbela ukukhulelwa. Ungayeki ngokuphazima kweso ngaphandle kokuba nenye indlela yokuvimbela ukukhulelwa uma ufuna ukugwema ukukhulelwa.

Uma uyeka ukuthatha amaphilisi, ungase uhlangabezane nezinye izinguquko zesikhashana njengoba umzimba wakho uzijwayeza emijikelezweni yawo yamahomoni emvelo. Lokhu kungabandakanya izikhathi ezingajwayelekile izinyanga ezimbalwa, izinguquko emoyeni, noma izinguquko esikhumbeni. Lokhu kulungiswa kuvamile futhi kuvame ukuzixazulula ngokwazo.

Ngingathatha i-Levonorgestrel ne-Ethinyl Estradiol ngenkathi ngincelisa?

Lo muthi ngokuvamile awunconyelwe omama abancelisayo, ikakhulukazi ezinyangeni eziyisithupha zokuqala ngemva kokubeletha. Ingxenye ye-estrogen inganciphisa ukukhiqizwa kobisi futhi ingadlulela obisini ngamanani amancane. Odokotela abaningi batusa ukulinda kuze kube yilapho ukuncelisa sekusungulwe kahle ngaphambi kokucabangela amaphilisi okulawula ukuzala.

Uma uncelisa futhi udinga ukuvimbela ukukhulelwa, amaphilisi e-progestin-only (ama-mini-pills) ngokuvamile ayindlela engcono. Lokhu akuthinti ukukhiqizwa kobisi futhi kuthathwa njengokuphephile ngesikhathi sokuncelisa. Ezinye izinketho zihlanganisa ama-IUD, ama-implants, noma izindlela zokuvimbela ezingaphazamisi ukuncelisa nhlobo.

Uma usulungele ukuyeka ukuncelisa noma unciphise kakhulu ukuncelisa, ungaxoxa ngokushintshela kumaphilisi ahlanganisiwe nodokotela wakho. Bazokusiza ukhethe isikhathi esingcono kakhulu nendlela yesimo sakho ngasinye.