Yini i-Norgestrel: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Norgestrel iyihomoni eyenziwe ngendlela yokwenziwa ebizwa ngokuthi i-progestin elingisa i-hormone yemvelo i-progesterone umzimba wakho oyikhiqizayo. Isetshenziswa ikakhulu ekulawuleni ukuzala nasekuphatheni izinkinga ezithile zokuya esikhathini. Lo muthi usebenza ngokuvimbela ukuvuthwa kwamaqanda futhi kwenze kube nzima ngesidoda ukufinyelela eqandeni, kukunikeza ukuvikeleka okuthembekile kokuvimbela inzalo uma kusetshenziswa ngendlela efanele.

Yini i-Norgestrel?

I-Norgestrel iyinguqulo eyenziwe ngumuntu ye-progesterone, enye yama-hormone abalulekile alawula umjikelezo wakho wokuya esikhathini nokukhulelwa. Ingowodwa yohlobo lwemithi ebizwa ngokuthi ama-progestin, okuyizinhlobo ezenziwe ngendlela yokwenziwa yama-hormone emvelo. Uzothola i-norgestrel emaphilisi ahlukahlukene okulawula ukuzala, kungaba yedwa noma ihlanganiswe ne-estrogen.

Lo muthi we-hormone usetshenziswe ngokuphepha amashumi eminyaka ukusiza abesifazane ukuthi bavimbele ukukhulelwa futhi baphathe izinkinga zempilo yokuzala. Iza ngezindlela ezahlukene, okuhlanganisa

INorgestrel isebenza ngokulingisa i-progesterone yomzimba wakho yemvelo futhi idale izinguquko zamahomoni ezivimbela ukukhulelwa. Ithathwa njenge-progestin yokwenziwa enamandla aphakathi nendawo evimbela ngempumelelo ukuvuthwa kwamaqanda uma ithathwa njalo.

Umuthi uvimbela ukukhulelwa ngezindlela ezintathu eziyinhloko. Okokuqala, uvimbela ama-ovari akho ukuthi akhulule amaqanda njalo ngenyanga, okusho ukuthi alikho iqanda elitholakalayo lokuvundiswa. Okwesibili, liqina amafinyila omlomo wesibeletho, okwenza kube nzima kakhulu ukuthi isidoda sihambe futhi sifinyelele kunoma yiliphi iqanda elingase libe khona.

Okwesithathu, i-norgestrel ishintsha umugqa wesibeletho sakho (i-endometrium), okwenza kungabi maningi amathuba okuthi iqanda elivundisiwe lizifake ngempumelelo. Lesi senzo esiphindwe kathathu senza sisebenze kakhulu uma sisetshenziswa ngendlela efanele nangokuqhubekayo.

Kufanele Ngiyithathe Kanjani I-Norgestrel?

Thatha i-norgestrel ngendlela enembile njengoba udokotela wakho ekunqumele ngayo, ngokuvamile kanye ngosuku ngesikhathi esifanayo nsuku zonke. Ukuqina kubalulekile ukuthi lo muthi usebenze ngempumelelo, ngakho zama ukuwuthatha ngesikhathi esifanayo nsuku zonke, kungakhathaliseki ukuthi ekuseni, emini, noma kusihlwa.

Ungayithatha i-norgestrel ngaphandle noma ngaphandle kokudla, kodwa ukuyithatha nokudla kungasiza ukunciphisa ukuphazamiseka kwesisu uma uhlangabezana nesicanucanu. Uma uthatha inguqulo ye-mini-pill, isikhathi sibaluleke kakhulu njengoba unewindi lamahora angu-3 kuphela lokusebenza kahle kakhulu.

Ngamaphilisi ahlanganisiwe aqukethe i-norgestrel, ngokuvamile uzothatha amaphilisi asebenzayo izinsuku ezingama-21, kulandelwe izinsuku eziyi-7 zamaphilisi angasebenzi noma awekho amaphilisi nhlobo. Ngesikhathi saleli sonto, ngokuvamile uzohlangabezana nokuphuma kwegazi okufana nokuya esikhathini.

Uma ushintsha kwenye indlela yokulawula inzalo, udokotela wakho uzokunikeza imiyalelo ethile yokuthi uqale nini i-norgestrel ukuze uqinisekise ukuvikelwa okuqhubekayo. Ungayeki ukuthatha indlela yakho yamanje uze uqale entsha njengoba uqondisiwe.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Norgestrel?

Isikhathi sokwelashwa nge-norgestrel sincike ngokuphelele ezidingweni zakho zomuntu siqu kanye nemigomo yezempilo. Abesifazane abaningi bayayithatha iminyaka eminingi ngaphandle kwezinkinga, kanti abanye bangase bayisebenzise isikhathi esifushane ukuze babhekane nezinkinga ezithile zempilo yokuzala.

Ngenjongo yokulawula inzalo, ungalithatha ngokuphepha i-norgestrel uma nje ufuna ukuvimbela ukukhulelwa futhi ungenazo izizathu zezokwelapha zokuyeka. Abesifazane abaningi abanempilo bangakwazi ukuqhubeka beyisebenzisa kahle eminyakeni yabo yama-40, nakuba udokotela wakho ezokuhlola njalo ukuze aqinisekise ukuthi ihlala iphephile futhi ifanele.

Uma usebenzisa i-norgestrel ukwelapha izifo zokuya esikhathini noma i-endometriosis, udokotela wakho ngokuvamile uzobuyekeza ukwelashwa kwakho njalo emavikini angu-6 kuya kwangu-12. Bazohlola ukuthi ngabe izinzuzo zisaqhubeka yini ukwedlula noma yiziphi izingozi futhi balungise uhlelo lwakho lokwelashwa ngokufanele.

Ungayeki ukuthatha i-norgestrel ngokuzumayo ngaphandle kokubonisana nomhlinzeki wakho wezempilo, ikakhulukazi uma uyithembele ekulawuleni inzalo. Udokotela wakho angakusiza ukuthi ushintshele kwenye indlela uma kudingeka.

Yiziphi Imiphumela Eceleni ye-Norgestrel?

Abesifazane abaningi bayayibekezelela kahle i-norgestrel, kodwa njengayo yonke imithi, ingabangela imiphumela emibi kwabanye abantu. Izindaba ezinhle ukuthi imiphumela eminingi emibi imnene futhi ivame ukuthuthuka njengoba umzimba wakho uzivumela ku-hormone ezinyangeni ezimbalwa zokuqala.

Imiphumela ejwayelekile emibi abesifazane abaningi abayizwayo ihlanganisa:

• Ukuphuma kwegazi okungajwayelekile noma ukubona phakathi nezikhathi
• Ukuba nobumnene noma ukuvuvukala kwamabele
• Isicanucanu esincane, ikakhulukazi uma uqala
• Ukukhathazeka noma izinguquko ezincane zemizwa
• Ushintsho lwesisindo (ngokuvamile amanani amancane)
• Ukukhathala noma isiyezi
• Izinduna noma izinguquko zesikhumba

Lezi zimpawu ngokuvamile ziyancipha ngemva kwezinyanga ezi-2-3 njengoba umzimba wakho uzivumela emuthini. Uma ziqhubeka noma ziba zimbi, khuluma nomhlinzeki wakho wezempilo mayelana nokulungisa ukwelashwa kwakho.

Nakuba kungavamile, abanye besifazane bangase babe nemiphumela emibi kakhulu edinga ukunakekelwa kwezokwelapha ngokushesha:

• Ubuhlungu obukhulu besifuba noma ukuphefumula kanzima
• Ukuqaqamba kwekhanda okungazelelwe noma izinguquko embonweni
• Ubuhlungu obukhulu emlenzeni noma ukuvuvukala
• Ubuhlungu obukhulu besisu
• Izimpawu zokucindezeleka noma izinguquko ezinzima zemizwa
• Ukuphuma kwegazi okungavamile esithweni sowesifazane noma ukukhipha

Xhumana nodokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi zalezi zimpawu. Azivamile kodwa zingabonisa izinkinga ezinzima ezidinga ukwelashwa ngokushesha.

Ubani Ongafanele Athole I-Norgestrel?

I-Norgestrel ayiphephile kuwo wonke umuntu, futhi izimo ezithile zezempilo zingenza kube yingozi noma kungafanele ukuthi uyisebenzise. Udokotela wakho uzobuyekeza umlando wakho wezokwelapha ngokucophelela ngaphambi kokukuyalela lo muthi.

Akufanele uthathe i-norgestrel uma unesinye salezi zimo:

• Okwamanje noma umlando wamagazi emilenzeni, emaphashini, noma kwezinye izitho
• Isifo sesibindi esisebenzayo noma izimila zesibindi
• Ukuphuma kwegazi okungachazeki esithweni sowesifazane
• Ukukhulelwa kwamanje noma okusolwayo
• Umkhuhlane wamabele noma eminye imikhuhlane ezwelayo ngamahomoni
• Umfutho wegazi ophezulu kakhulu
• Ukukhathazeka kwekhanda nge-aura

Udokotela wakho uzophinda acabangele ngokucophelela ukukuyalela i-norgestrel uma unesifo sikashukela, isifo senhliziyo, noma umlando wokucindezeleka. Lezi zimo azikuvimbeli ngokuzenzakalelayo ukuthi ungayisebenzisi, kodwa zidinga ukuqapha okuseduze.

Iminyaka nayo ingaba yinto okufanele icatshangelwe. Abesifazane abaneminyaka engaphezu kwengama-35 ababhemayo banengozi eyengeziwe yemiphumela emibi yenhliziyo nemithambo yegazi futhi bangase badinge ezinye izindlela zokulawula inzalo.

Amagama Omkhiqizo we-Norgestrel

I-Norgestrel itholakala ngaphansi kwamagama amaningi omkhiqizo, kokubili njengesithako esisodwa kanye nokuhlanganiswa ne-estrogen. Ungase ukubone kukalelwe njenge-Ovrette, equkethe i-norgestrel kuphela, noma njengengxenye yamaphilisi okulawula inzalo.

Amaphilisi ajwayelekile ahlanganisa i-norgestrel ahlanganisa i-Lo/Ovral, Ovral, kanye ne-Cryselle, ehlanganisa i-norgestrel ne-ethinyl estradiol. Uhlobo oluthile udokotela wakho alukhethayo luya ngokuthi yini oyidingayo kanye nemithamo yamahomoni ekusebenzelayo.

Izinhlobo ezivamile nazo ziyatholakala futhi zisebenza ngempumelelo njengezinketho ezinamagama. Umuthi wakho wemithi angakusiza ukuthi uqonde ukuthi iyiphi inguqulo oyitholayo futhi uqinisekise ukuthi uthola ifomula efanayo njalo uma ugcwalisa umuthi wakho.

Ezinye izindlela ze-Norgestrel

Uma i-norgestrel ingakulungele, ziningi ezinye izindlela zokulawula ukuzala kanye nokulawula amahomoni ezitholakalayo. Udokotela wakho angakusiza ukuthi uthole enye indlela engcono kakhulu ngokusekelwe ezidingweni zakho ezithile kanye nephrofayili yakho yezempilo.

Ezinye izinketho ze-progestin-only zihlanganisa:

• Desogestrel (Cerazette)
• Norethindrone (Camila, Errin)
• Drospirenone (Slynd)
• Levonorgestrel (Plan B, Mirena IUD)

Uma ungasebenzisa izindlela eziqukethe i-estrogen, amaphilisi ahlanganisiwe ane-progestins ehlukene angasebenza kangcono kuwe. Izinketho ezingezona amahomoni njenge-copper IUDs, ama-diaphragms, noma amakhondomu anikeza ukulawula ukuzala okusebenzayo ngaphandle kwamahomoni.

Izindlela ezisebenza isikhathi eside njenge-hormonal IUDs noma izitshalo zinikeza iminyaka yokuvikela ngomthwalo omncane wansuku zonke. Umhlinzeki wakho wezempilo angaxoxa ngazo zonke izinketho ukuze athole okuhambisana nendlela yakho yokuphila nezidingo zakho zezempilo.

Ingabe i-Norgestrel ingcono kune-Levonorgestrel?

Kokubili i-norgestrel ne-levonorgestrel bangama-progestins asebenzayo, kodwa banezinto ezimbalwa ezibalulekile ezingenza enye ikufaneleke kakhulu kunenye. I-Levonorgestrel empeleni iyisithako esisebenzayo se-norgestrel, okuyenza ibe namandla aphindwe kabili.

I-Norgestrel iqukethe kokubili izinhlobo zamahomoni ezisebenzayo (levonorgestrel) nezingasebenzi, kuyilapho i-levonorgestrel iqukethe uhlobo olusebenzayo kuphela. Lokhu kusho ukuthi udinga umthamo ophezulu we-norgestrel ukuze uzuze umphumela ofanayo ne-levonorgestrel.

I-Levonorgestrel isetshenziswa kakhulu emaphilisi okulawula inzalo anamuhla kanye nokuvimbela ngokuphuthumayo ngenxa yamandla ayo aphezulu kanye nemiphumela emincane engaba khona. Kodwa-ke, abanye besifazane bayakwazi ukubekezelela i-norgestrel kangcono, ikakhulukazi uma bezwela kuma-progestins aqinile.

Udokotela wakho uzocabangela umlando wakho wezokwelapha, iphrofayili yemiphumela emibi, kanye nokuphendula komuntu ngamunye ukusiza ukunquma ukuthi iyiphi inketho esebenza kahle kuwe. Akukho noyedwa ovamile ukuthi "ungcono" - kuncike esimweni sakho esiyingqayizivele nokuthi umzimba wakho usabela kanjani emuthini ngamunye.

Imibuzo Evame Ukubuzwa Mayelana ne-Norgestrel

Ingabe i-Norgestrel iphephile ekunceliseni?

Yebo, i-norgestrel ngokuvamile ithathwa njengephephile ukuyisebenzisa ngenkathi uncelisa, okwenza kube yinketho enhle komama abasha abafuna ukulawula inzalo okuthembekile. Ngokungafani namaphilisi ahlanganisiwe aqukethe i-estrogen, amaphilisi e-progestin-only afana ne-norgestrel ngokuvamile awathinti ukukhiqizwa kobisi noma ikhwalithi.

Ngokuvamile ungaqala ukuthatha i-norgestrel ngamasonto angaba ngu-6 ngemva kokuzala, noma ngokushesha uma unganancelisi. Inani elincane le-hormone elidlulela obisini lwebele aliyingozi enganeni yakho futhi ngeke lithinte ukukhula kwayo noma ukuthuthuka kwayo.

Ngingenzani uma ngithatha i-Norgestrel eningi ngengozi?

Ukuthatha i-norgestrel eningi ngengozi ngokuvamile akuyona ingozi, kodwa kufanele uxhumane nomhlinzeki wakho wezempilo noma ukulawulwa kwezinto ezinobuthi ukuze uthole isiqondiso. Ukweqisa kungase kubangele isicanucanu, ukuhlanza, noma ukuphuma kwegazi okungajwayelekile, kodwa izinkinga ezinzima azivamile.

Ungazami ukuthi "ukwenza" ukweqisa ngokweqa imithamo kamuva - lokhu kunganciphisa ukusebenza komuthi. Kunalokho, qhubeka uthatha umthamo wakho ovamile njengoba kuhlelelwe futhi ufune iseluleko sezokwelapha mayelana nokuphatha noma yiziphi izimpawu ozibonayo.

Ngingenzani uma ngiphuthelwa umthamo we-Norgestrel?

Uma uphuthelwa umthamo we-norgestrel, yithathe ngokushesha lapho ukhumbula, ngisho noma lokho kusho ukuthatha amaphilisi amabili ngosuku olulodwa. Imiyalo ethile incike ohlotsheni lwe-norgestrel oluluthathayo nokuthi sekunesikhathi esingakanani kusukela kumthamo wakho ophuthelwe.

Ngamaphilisi e-progestin-only, unewindi lamahora angu-3 kuphela ukuze usebenze kahle. Uma ungaphezu kwamahora angu-3 sekwephuzile, thatha iphilisi eliphuthelwe ngokushesha futhi usebenzise indlela yokuvimbela ukukhulelwa eyisipele amahora angu-48 alandelayo. Ngamaphilisi ahlanganisiwe, ngokuvamile unewindi lamahora angu-12 ngaphambi kokuba ukusebenza kwehle.

Ngingayeka nini ukuthatha i-Norgestrel?

Ungayeka ukuthatha i-norgestrel nganoma yisiphi isikhathi, kodwa kungcono ukuxoxa ngalesi sinqumo nodokotela wakho. Uma uyisebenzisela ukulawula ukuzala, qiniseka ukuthi unendlela ehlukile esilungile ngaphambi kokuyeka ukuvimbela ukukhulelwa okungahlosiwe.

Ukuvunda kwakho ngokuvamile kubuya ngokushesha ngemva kokuyeka i-norgestrel, ngokuvamile phakathi kwamasonto ambalwa kuya ezinyangeni ezimbalwa. Uma ubuyisebenzisela ukuphatha izimpawu zokuya esikhathini, lezo zinkinga zingase zibuye uma uyeka ukuthatha umuthi.

Ingabe i-Norgestrel ingabangela ukukhuluphala?

Abanye besifazane babhekana nezinguquko ezincane zesisindo ngenkathi bethatha i-norgestrel, kodwa ukukhuluphala okukhulu akujwayelekile. Ucwaningo lubonisa ukuthi abesifazane abaningi bazuza ngaphansi kwamaphawundi angu-5 ngonyaka wokusebenzisa, futhi abanye bangase banciphise isisindo.

Uma uqaphela izinguquko ezinkulu zesisindo, khuluma nodokotela wakho. Bangasiza ekutholeni ukuthi ngabe kuhlobene yini nomuthi noma ezinye izinto, futhi baxoxe ngezindlela ezingezinye uma kudingeka. Ukugcina ukudla okunempilo nokuzivocavoca njalo kungasiza ekuphatheni noma yikuphi ukukhathazeka okuhlobene nesisindo.