Zithini Izindlela Zokuvimbela Ukukhulelwa Nge-Progestin: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

Izindlela zokuvimbela ukukhulelwa nge-progestin ziyizindlela zokulawula inzalo ezisebenzisa amahomoni ezisebenzisa izinguqulo ezenziwe nge-progesterone ukuvimbela ukukhulelwa. Le mithi isebenza ngokushintsha amaphethini akho emvelo amahomoni omzimba ukuze kumiswe ukuvuthwa kwamaqanda futhi kwenze kube nzima ngesidoda ukufinyelela eqandeni.

Ungase wazi lezi zindlela zokuvimbela ukukhulelwa ngamagama afana ne-

Lezi zindlela zokuvimbela inzalo zibaluleke kakhulu kwabesifazane abangakwazi ukusebenzisa izindlela zokuvimbela inzalo ezisebenzisa i-estrogen. Lokhu kuhlanganisa abesifazane abaneminyaka engaphezu kwengama-35 ababhemayo, labo abake baba namahlule egazi, noma abesifazane abanezimo ezithile zenhliziyo.

Omama abancelisa ngokuvamile bakhetha izindlela ezisebenzisa i-progestin kuphela ngoba azithinti ukukhiqizwa kobisi njengoba kwenza izindlela zokuvimbela inzalo eziqhamuka ne-estrogen. Le hormone idlulela obisini ngamanani amancane kakhulu abhekwa njengaphephile ezinganeni.

Zisebenza Kanjani Izindlela Zokuvimbela Inzalo Ze-Progestin?

Izindlela zokuvimbela inzalo ze-progestin zisebenza ngezindlela eziningi ukuvimbela ukukhulelwa, okuzenza zisebenze kahle njengendlela yokuvimbela inzalo enamandla aphakathi nendawo. Indlela yokuqala abasebenza ngayo ukumisa ama-ovari akho ekukhipheni amaqanda ngesikhathi sokuzala.

I-progesterone eyenziwe ngamachiza futhi iqhubeka nokujiya amafinyila emgqeni wakho wesibeletho, idala isithiyo esenza kube nzima kakhulu ukuthi isidoda sihambe futhi sifinyelele kunoma yiliphi iqanda elingase likhishwe. Cabanga ngakho njengokudala isihlangu esivikelayo emnyango wesibeletho sakho.

Ngaphezu kwalokho, i-progestin ishintsha ukugqama kwesibeletho sakho (esibizwa nge-endometrium) ukusenza singafaneleki ukuthi iqanda elivundisiwe lingazifaka. Lokhu kunikeza isendlalelo esengeziwe sokuvikela ekukhulelweni.

Izinhlobo ze-progestin ezijovwayo zisebenza ngendlela efanayo kodwa zinikeza amazinga e-hormone ahlala isikhathi eside ohlelweni lwakho. Lokhu kukhishwa okuqhubekayo kusho ukuthi akudingeki ukhumbule amaphilisi nsuku zonke, yize imiphumela ingathatha isikhathi eside ukuthi ibuyele emuva uma ufuna ukukhulelwa.

Kufanele Ngizithathe Kanjani Izindlela Zokuvimbela Inzalo Ze-Progestin?

Ezindleleni zokuvimbela inzalo ze-progestin ngomlomo, udinga ukuthatha iphilisi elilodwa ngesikhathi esifanayo nsuku zonke ngaphandle kokuphazamisa phakathi kwamaphakethe. Ngokungafani namaphilisi ahlanganisiwe, akukho isonto lokuphumula lesikhathi, okwenza isikhathi sibaluleke kakhulu ekusebenzeni.

Thatha iphilisi yakho ngengilazi yamanzi egcwele, futhi ungalithatha nokudla noma ngaphandle kokudla ngokuya ngokuthanda kwakho. Uma uthambekele ekuzizweni unesiyezi, ukuyithatha nesnakhi esincane noma ukudla kungasiza ukunciphisa isisu esibuhlungu.

Ukusetha i-alamu yansuku zonke ocingweni lwakho kungakusiza ukuthi ugcine isikhathi esiqhubekayo esibalulekile emaphilisi e-progestin kuphela. Ukulibala ngaphezu kwamahora amathathu ngomthamo wakho kunganciphisa ukusebenza kahle, ngakho ukuqina kubalulekile.

Ngokuvimbela ukukhulelwa kwe-progestin okujovwayo, uzovakashela umhlinzeki wakho wezempilo njalo ngemva kwamasonto angu-12 ukuze uthole umjovo wakho. Umjovo uvame ukunikezwa engalweni yakho engenhla noma ezinqeni, futhi akudingeki ukuthi wenze lutho olukhethekile ukulungiselela ukuqokwa.

Uma ushintsha kwenye indlela yokulawula ukuzala, udokotela wakho uzokweluleka ngesikhathi esingcono sokuqala ukusebenzisa izindlela zokuvimbela ukukhulelwa ze-progestin. Lokhu kuvame ukubandakanya ukuqala ngesikhathi somjikelezo wakho noma ukusebenzisa indlela yokuvimbela ukukhulelwa eyisipele emahoreni okuqala angu-48.

Kufanele Ngizithathe Isikhathi Esingakanani Izindlela Zokuvimbela Ukukhulelwa Ze-Progestin?

Ungazisebenzisa ngokuphepha izindlela zokuvimbela ukukhulelwa ze-progestin uma nje udinga ukulawula ukuzala futhi ungaqali ukuzwa imiphumela engathandeki. Abesifazane abaningi basebenzisa lezi zindlela iminyaka eminingi ngaphandle kwanoma yiziphi izinkinga zempilo.

Ngamaphilisi e-progestin omlomo, asikho isizathu sezokwelapha sokuthatha amakhefu emithi njengoba abanye abantu bekholelwa ukuthi kuyadingeka ngamaphilisi ahlanganisiwe. Ukuthatha amakhefu empeleni kwandisa ingozi yakho yokukhulelwa okungahlosiwe ngaphandle kokuhlinzeka nganoma yiziphi izinzuzo zezempilo.

Izindlela zokuvimbela ukukhulelwa ze-progestin ezijovwayo ngokuvamile zinconywa iminyaka emibili kuphela ngesikhathi esisodwa ngenxa yemiphumela engaba khona ekuminyaneni kwamathambo. Kodwa-ke, uma wena nodokotela wakho ninquma ukuthi izinzuzo zidlula izingozi, ungaqhubeka isikhathi eside ngokuqapha njalo.

Udokotela wakho uzofuna ukuxhumana nawe njalo, ngokuvamile njalo ezinyangeni eziyisithupha kuya ngonyaka, ukuze aqiniseke ukuthi le ndlela isasebenza kahle kuwe. Lokhu kuvakasha kuyithuba elihle lokuxoxa nganoma yikuphi ukukhathazeka noma izinguquko empilweni yakho.

Uma usulungele ukuyeka ukusebenzisa izindlela zokuvimbela inzalo ze-progestin, ungamane uyeke ukuthatha amaphilisi noma weqe umjovo wakho olandelayo. Ukuzala kwakho kuvame ukubuyela ngokushesha, ngokuvamile kungakapheli izinyanga ezimbalwa.

Yiziphi Imiphumela Eceleni Yezindlela Zokuvimbela Inzalo Ze-Progestin?

Abesifazane abaningi bayakwazi ukumelana nezindlela zokuvimbela inzalo ze-progestin, kodwa njengayo yonke imithi, zingabangela imiphumela emibi. Izindaba ezinhle ukuthi imiphumela eminingi emibi ithambile futhi ivame ukuthuthuka ngemva kokuba umzimba wakho ujwayele i-hormone, ngokuvamile kungakapheli izinyanga ezimbalwa zokuqala.

Nansi imiphumela emibi evame kakhulu ongase uyithole:

• Ukuphuma kwegazi okungajwayelekile noma ukubona phakathi nezikhathi
• Ushintsho emjikelezweni wakho wokuya esikhathini, okuhlanganisa izikhathi ezilula noma ezinzima
• Ukuba buhlungu noma ukuvuvukala kwamabele
• Ukukhathazeka kancane
• Ushintsho lwemizwa noma ukuzizwa unemizwa eminingi
• Ukukhuluphala okuncane (ngokuvamile amakhilogremu angu-1-2)
• Izinduna noma izinguquko zesikhumba
• Ukwehla kwesifiso socansi

Le miphumela ejwayelekile ivame ukuzinza njengoba umzimba wakho ujwayela i-hormone yokwenziwa. Abesifazane abaningi bathola ukuthi noma yikuphi ukungakhululeki kokuqala kufanele ukuvikelwa okuthembekile kokuvimbela inzalo.

Kukhona nemiphumela emibi engavamile kodwa ebucayi edinga ukunakekelwa kwezempilo. Nakuba kungavamile, kubalulekile ukwazi lezi zinto ezingenzeka:

• Ubuhlungu obukhulu besisu obungapheli
• Ukuphuma kwegazi okukhulu okumanzisa iphedi noma i-tampon njalo ngehora
• Ukukhathazeka okukhulu nokushintsha kombono
• Izimpawu zokutheleleka ezindaweni zomjovo (zezinhlobo ezinjovwayo)
• Ushintsho olukhulu lwemizwa noma ukucindezeleka
• Ukuphuzi kwesikhumba noma amehlo (i-jaundice)

Uma uhlangabezana nanoma yiziphi lezi zimpawu ezingathi sína, xhumana nomhlinzeki wakho wezempilo ngokushesha. Nakuba lezi zinkinga zingavamile, ukunakekelwa kwezempilo okusheshayo kungavimbela izinkinga ezingathi sína.

Ubani Ongafanele Athole Izindlela Zokuvimbela Inzalo Ze-Progestin?

Nakuba izindlela zokuvimbela inzalo ezinama-progestin ziphephe kakhulu kunamanye amakhambi e-hormonal kwabesifazane abaningi, kusekhona izimo ezithile lapho zingase zingabi yindlela engcono kakhulu. Udokotela wakho uzobuyekeza umlando wakho wezokwelapha ngokucophelela ngaphambi kokukunikeza le mithi.

Akufanele usebenzise izindlela zokuvimbela inzalo ezinama-progestin uma unezimo ezithile zezempilo ezingase zibe zimbi ngenxa yama-hormone okwenziwa. Nawa amazwi amakhulu lapho le mithi inganconwa khona:

• Umdlavuza wamanje noma umlando womdlavuza wamabele
• Ukuphuma kwegazi okungachazeki esithweni sangasese
• Isifo sesibindi esisebenzayo noma izimila zesibindi
• Ukukhulelwa okwaziwayo noma okusolwayo
• Isifo esibi semithambo
• Ukungezwani nezithako ezithile emuthini

Lezi zimo zenza izimo lapho izingozi zokuvimbela inzalo ngama-hormone zidlula izinzuzo. Udokotela wakho angakusiza ukuthi uhlole ezinye izindlela zokuvimbela inzalo eziphumelelayo uma izindlela zokuvimbela inzalo ezinama-progestin zingakulungele.

Ezinye izimo zezempilo zidinga ukuqapha okwengeziwe nokubhekwa eduze uma usebenzisa izindlela zokuvimbela inzalo ezinama-progestin. Abesifazane abanesifo sikashukela, umfutho wegazi ophezulu, noma umlando wokucindezeleka bangase bakwazi ukusebenzisa lezi zindlela kodwa badinga ukuhlolwa kaningi.

Uma usebenzisa imithi ethile, ingase ihlangane nezindlela zokuvimbela inzalo ezinama-progestin futhi ithinte ukusebenza kwazo. Hlala utshela udokotela wakho ngayo yonke imithi, izithasiselo, kanye nemithi yemvelo oyithathayo.

Amagama Emikhiqizo Yezindlela Zokuvimbela Inzalo Ezinama-Progestin

Izindlela zokuvimbela inzalo ezinama-progestin zitholakala ngaphansi kwamagama amaningi emikhiqizo, ngalinye liqukethe izindlela ezihlukene kancane ze-progesterone yokwenziwa. Amaphilisi avamile kakhulu e-progestin-only afaka i-Micronor, Nor-QD, kanye ne-Camila.

Ezindleleni zokuvimbela inzalo ezinama-progestin ezijovwayo, i-Depo-Provera igama lomkhiqizo elaziwa kakhulu. Lo mjovo uqukethe i-medroxyprogesterone acetate futhi unikeza izinyanga ezintathu zokuvikelwa kokuvimbela inzalo ngomjovo ngamunye.

Kukhona futhi i-Depo-subQ Provera, okuyinguqulo enomthamo ophansi womjovo ongazifundela ukuwenza ekhaya. Le nketho inikeza ukusebenza okufanayo kokuvimbela ukukhulelwa ngenaliti encane kanye nemithi embalwa.

Izinhlobo ezivamile zamaphilisi e-progestin-only nazo ziyatholakala futhi zisebenza ngempumelelo njengezinketho zegama lomkhiqizo. Ikhemisi lakho lingakusiza ukuthi uqonde ukuthi yiziphi izinketho ezivamile ezingase zitholakale futhi zishibhile.

Ezinye izindlela zokuvimbela ukukhulelwa nge-Progestin

Uma izindlela zokuvimbela ukukhulelwa nge-progestin zingakulungele, kunezindlela eziningi zokulawula inzalo eziphumelelayo okufanele uzicabangele. Izinketho ezingenawo ama-hormone zihlanganisa ama-IUD ethusi, izindlela zokuvimbela ezifana namakhondomu nama-diaphragm, nezindlela zokuqwashisa ngokuzala.

I-IUD yethusi inikeza ukulawula inzalo kwesikhathi eside ngaphandle kwama-hormone futhi ingahlala iminyaka engama-10. Iyaguquleka ngokushesha futhi ayidingi ukunakekelwa kwansuku zonke njengamaphilisi.

Uma ungawasebenzisa i-estrogen, amaphilisi okulawula inzalo ahlanganisiwe anikeza izinzuzo ezengeziwe njengokuya esikhathini okuqagelwayo futhi ngokuvamile isikhumba esicacile. Lawa maphilisi athambekele ekubangeni ukopha okungajwayelekile kancane kunezindlela ze-progestin-only.

Ezinye izinketho zama-hormone zihlanganisa isiqeshana sokuvimbela ukukhulelwa, indandatho yesitho sangasese sowesifazane, noma ama-IUD e-hormonal. Indlela ngayinye inezinzuzo zayo kanye nezinto okufanele zicatshangelwe, ngakho ukuxoxa ngendlela yakho yokuphila nezintandokazi nodokotela wakho kungakusiza ukuthi ukhethe inketho engcono kakhulu.

Ukunqunywa unomphela kuyindlela enye yabesifazane abaqiniseka ukuthi abafuni ukukhulelwa esikhathini esizayo. Lokhu kuhlanganisa i-tubal ligation yabesifazane noma i-vasectomy yozakwethu besilisa.

Ingabe izindlela zokuvimbela ukukhulelwa nge-Progestin zingcono kunephilisi zokulawula inzalo ezihlanganisiwe?

Noma ngabe izindlela zokuvimbela ukukhulelwa nge-progestin zingcono kunephilisi ezihlanganisiwe kuncike esimweni sakho sempilo kanye nezintandokazi zakho. Zombili izindlela ziphumelela kakhulu ekuvikeleni ukukhulelwa uma zisetshenziswa ngendlela efanele.

Izindlela zokuvimbela inzalo ezineprogestin kuphela zinezinto ezithile ezinhle, ikakhulukazi kwabesifazane abangakwazi ukuthatha i-estrogen. Ziphephile kwabesifazane abaneminyaka engaphezu kwengama-35 ababhemayo, labo abanomfutho wegazi ophezulu, noma abesifazane abanomlando wamagazi.

Amaphilisi ahlanganisiwe avame ukuhlinzeka ngemijikelezo yokuya esikhathini elindeleke kakhulu futhi angasiza ngamabala kangcono kunezinketho ze-progestin kuphela. Futhi bavame ukubangela ukopha okuncane uma umzimba wakho usuzijwayeze.

Kwabomama abancelisayo, izindlela ze-progestin kuphela ziyindlela engcono ngoba azithinti ukukhiqizwa kobisi. Amaphilisi ahlanganisiwe anganciphisa ukuhlinzekwa kobisi, yingakho bengathenjiswa ngesikhathi sokuncelisa.

Ukukhetha phakathi kwalezi zindlela kuza ngempela emlandweni wakho wezempilo othile, indlela yokuphila, nezintandokazi zakho. Umhlinzeki wakho wezempilo angakusiza ukuthi ulinganise izinzuzo nobubi benketho ngayinye.

Imibuzo Evame Ukubuzwa Mayelana Nezivimbela-nzalo ze-Progestin

Ingabe izivimbela-nzalo ze-Progestin ziphephile kwabesifazane abanesifo sikashukela?

Izivimbela-nzalo ze-Progestin zingaphepha kwabesifazane abanesifo sikashukela, kodwa zidinga ukuqashwa okuseduze kunakwabesifazane abangenaso isifo sikashukela. I-progesterone eyenziwe ngamanye ingathinta kancane amazinga kashukela egazini, nakuba lo mphumela uvame ukuba mncane.

Udokotela wakho uzofuna ukuhlola ukulawulwa kukashukela wakho egazini kaningi uma uqala lezi zivimbela-nzalo. Abesifazane abaningi abanesifo sikashukela esilawulwa kahle bangasebenzisa izindlela ze-progestin ngaphandle kwezinkinga ezinkulu.

Abesifazane abanezinkinga ezihlobene nesifo sikashukela njengesifo sezinso noma i-diabetic retinopathy badinga ukuhlolwa okucophelelayo. I-endocrinologist yakho kanye nodokotela wakho wezifo zabesifazane kufanele basebenzisane ukunquma ukuthi ukukhulelwa ngamaphilisi kufanelekile yini esimweni sakho.

Ngingenzani uma ngisebenzisa ngengozi izivimbela-nzalo ze-Progestin eziningi kakhulu?

Uma ngabe uthatha iphilisi le-progestin elengeziwe ngengozi, ungesabi - lokhu akuvamile ukubangela izinkinga ezinkulu. Ungase uzwe isicanucanu, ubuhlungu emabeleni, noma ukuphuma kwegazi okungajwayelekile, kodwa lezi zimpawu ngokuvamile ziyazixazulula zodwa.

Qhubeka nokuthatha iphilisi lakho lansuku zonke ngesikhathi esijwayelekile, ngisho noma uthathe elinye elengeziwe ngaphambili. Ukuthatha amaphilisi amabili ngosuku olulodwa ngeke kunikeze ukuvikelwa okwengeziwe kokuvimbela inzalo, ngakho-ke akukho okuzuzwayo emaphutheni.

Uma uthathe amaphilisi amaningi engeziwe noma uzizwa ungazizwa kahle, xhumana nomhlinzeki wakho wezempilo ukuze uthole isiqondiso. Bangakwazi ukukweluleka ukuthi ngabe kukhona yini ukuqapha okwengeziwe noma ukwelashwa okudingekayo.

Ezinhlotsheni ezinjenge-injectable, ukweqisa akwenzeki ngoba umhlinzeki wezempilo ulawula imijovo. Kodwa-ke, uma uthola umjovo ngaphambi kwesikhathi esihleliwe, yazisa umhlinzeki wakho ukuze akwazi ukulungisa isikhathi sokuqokwa kwakho esizayo.

Kufanele Ngenzeni Uma Ngedlula Umthamo Wokuvimbela Inzalo ye-Progestin?

Uma udlula iphilisi le-progestin kuphela, lithathe ngokushesha lapho ukhumbula, ngisho noma lokho kusho ukuthatha amaphilisi amabili ngosuku olulodwa. Isikhathi sibaluleke kakhulu ngamaphilisi e-progestin kuphela kunamaphilisi ahlanganisiwe.

Uma usheshe ngaphezu kwamahora amathathu ukuthatha iphilisi lakho, sebenzisa ukuvimbela inzalo okusekelayo njengama-condom amahora angama-48 alandelayo. Lokhu kuvikelwa okwengeziwe kusiza ukuqinisekisa ukuthi usavikelekile ekukhulelweni.

Ukudlula amaphilisi amaningi kwandisa ingozi yakho yokukhulelwa ngokuphawulekayo ngezindlela ze-progestin kuphela. Uma udlule amaphilisi amabili noma ngaphezulu, xhumana nomhlinzeki wakho wezempilo ukuze uthole isiqondiso esithile sokuthi ungaluqala nini kabusha ukusebenza okujwayelekile.

Nge-progestin e-injectable, uma usheshe ngomjovo wakho ohleliwe, ungase udinge ukusebenzisa ukuvimbela inzalo okusekelayo kuze kube yilapho umhlinzeki wakho ekwazi ukukunika umjovo futhi aqinisekise ukuthi uvikelekile.

Ngingayeka nini ukuthatha izivimbela inzalo ze-Progestin?

Ungayeka ukuthatha izindlela zokuvimbela inzalo ze-progestin nganoma yisiphi isikhathi, nakuba kungcono ukuxoxa ngalesi sinqumo nodokotela wakho kuqala. Ngokungafani neminye imithi, akudingeki ukuthi unciphise umthamo kancane kancane - ungamane uyeke ukuthatha amaphilisi.

Ukwanda kwakho kokuzala kuvame ukubuyela ngokushesha ngemva kokuyeka amaphilisi e-progestin-only, ngokuvamile kungakapheli amasonto ambalwa. Abanye besifazane bayachuma emjikelezweni wabo wokuqala ngemva kokuyeka, ngakho sebenzisa ezinye izindlela zokuvimbela inzalo ngokushesha uma ungafuni ukukhulelwa.

I-progestin ejovwayo ingathatha isikhathi eside ukuthi isuswe emzimbeni wakho, futhi ukuzala kungathatha izinyanga eziningana kuya ngonyaka ukuthi kubuyele kokujwayelekile. Lokhu kubuyela okubambezelekile ekuzaleni kujwayelekile futhi akubonisi noma yimiphi imiphumela ehlala njalo.

Uma uyeka ngenxa yemiphumela emibi, khuluma nomhlinzeki wakho ngezindlela ezingezinye zokuvimbela inzalo. Ziningi izinketho ezitholakalayo, futhi ukuthola okufanele umzimba wakho nendlela yokuphila kubalulekile.

Ngingakhulelwa Ngokushesha Ngemva Kokuyeka Izindlela Zokuvimbela Inzalo Ze-Progestin?

Yebo, kungenzeka ukhulelwe ngokushesha ngemva kokuyeka amaphilisi e-progestin-only, ngezinye izikhathi kungakapheli inyanga yokuqala. Lokhu kubuyela ngokushesha ekuzaleni empeleni kuyisibonakaliso esihle sokuthi imithi ayizange ibangele noma yimiphi imiphumela ehlala njalo ohlelweni lwakho lokuzala.

I-progestin ejovwayo isebenza ngendlela ehlukile, futhi ukuzala kuvame ukuthatha isikhathi eside ukuthi kubuyele - ngokuvamile noma yikuphi kusuka ezinyangeni ezi-3 kuya kweziyi-18 ngemva komjovo wakho wokugcina. Lokhu kubambezeleka kujwayelekile futhi kulindelekile, hhayi uphawu lwanoma yiziphi izinkinga.

Uma uhlela ukukhulelwa, cabangela ukuqala amavithamini e-prenatal ane-folic acid ngaphambi kokuyeka izindlela zakho zokuvimbela inzalo. Lokhu kunikeza umzimba wakho izakhamzimba ezidingayo ukuze usekele ukukhulelwa okunempilo kusukela ekuqaleni.

Ama-hormone avela ezindleleni zokuvimbela inzalo ze-progestin awabangeli ukukhubazeka kokuzalwa, ngakho-ke uma ukhulelwa ngokushesha ngemva kokuyeka, akukho ingozi eyengeziwe enganeni yakho. Nokho, ukuqinisekisa ukukhulelwa kusenesikhathi kusiza ukuqinisekisa ukuthi uthola ukunakekelwa okufanele kwe-prenatal.