Created at:1/13/2025
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I-Segesterone acetate kanye ne-ethinyl estradiol yindandatho yesitho sangasese sowesifazane eguquguqukayo enikeza ukulawulwa kokuzala amasonto amathathu ngesikhathi. Le nhlanganisela yamahomoni isebenza ngokukhipha izinguqulo zokwenziwa ze-progesterone ne-estrogen ngqo emzimbeni wakho ngodonga lwesitho sangasese sowesifazane.
Indandatho inikeza inketho elula, esebenza isikhathi eside yokuvimbela ukukhulelwa ongazilawula wena. Ngokungafani namaphilisi ansuku zonke, uyayifaka kanye bese uyishiya endaweni izinsuku ezingama-21, bese uyisusa ukuze uthathe ikhefu leviki lonke.
Le ndandatho yesitho sangasese sowesifazane isetshenziswa ikakhulukazi ukuvimbela ukukhulelwa kwabesifazane abangakhulelwa. Yenzelwe labo abafuna ukulawulwa kokuzala okuthembekile ngaphandle kwesimiso sansuku zonke sokukhumbula ukuthatha iphilisi.
Indandatho ilusizo ikakhulukazi kwabesifazane abanobunzima bokukhumbula imithi yansuku zonke noma labo abahlangabezana nesisu esicasukile ngemithi yokuvimbela ukukhulelwa yomlomo. Njengoba amahomoni amuncwa ngqo ngesicubu sesitho sangasese sowesifazane, adlula ngqo ohlelweni lwakho lokugaya ukudla.
Ezinye izinyanga zingase futhi zibhale le nhlanganisela ukusiza ukulawula imijikelezo yokuya esikhathini noma ukunciphisa ukuphuma kwegazi okukhulu kokuya esikhathini. Kodwa-ke, ukuvimbela ukukhulelwa kuhlala kuyindlela yayo esetshenziswa kakhulu.
Le nhlanganisela isebenza ngokuvimbela ukuvuthwa kwamaqanda, okusho ukuthi ama-ovari akho ngeke akhiphe iqanda inyanga ngayinye. I-segesterone acetate (i-progestin yokwenziwa) iyihomoni eyinhloko enesibopho sokumisa ukuvuthwa kwamaqanda.
I-ethinyl estradiol (i-estrogen yokwenziwa) isebenza kanye ne-progestin ukunikeza imiphumela eyengeziwe yokuvimbela ukukhulelwa. Isiza ukujiya amafinyila akho omlomo wesibeletho, okwenza kube nzima ngesidoda ukufinyelela kunoma yiliphi iqanda elingase likhishwe.
Lokhu kuthathwa njengendlela yokuvimbela yokulinganisela uma isetshenziswa ngendlela efanele. Ama-hormone akhululwa ngokuqhubekayo esikhathini samasonto amathathu, egcina amazinga aqhubekayo egazini lakho. Indandatho iletha cishe u-0.15 mg we-segesterone acetate kanye no-0.013 mg we-ethinyl estradiol nsuku zonke.
Uzofaka indandatho eguquguqukayo ngaphakathi esithweni sakho sangasese usebenzisa izandla ezihlanzekile, okufana nokufaka i-tampon. Isikhundla esiqondile asibalulekile uma nje sizizwa kamnandi futhi sihlala endaweni.
Shiya indandatho endaweni izinsuku ezingama-21 ngqo, bese uyisusa izinsuku eziyi-7. Ngesikhathi saleli sonto elingenayo indandatho, ngokuvamile uzoba nokuya esikhathini. Ngemuva kwekhefu lezinsuku eziyi-7, faka indandatho entsha ukuze uqhubeke nokuvikeleka.
Akudingeki ukuthi ukuthathise ukudla noma amanzi ngoba akuyona imithi yomlomo. Kodwa-ke, geza izandla zakho kahle ngaphambi kokufaka nokukhipha. Indandatho ingahlala endaweni ngesikhathi sokugeza, ukubhukuda, kanye nomsebenzi wobulili.
Uma indandatho iphuma ngengozi, yigeze ngamanzi abandayo bese uyifaka ngaphakathi emahoreni amathathu. Uma sekuphele amahora angaphezu kwamathathu ngesikhathi samasonto amabili okuqala okusetshenziswa, ungase udinge ukusekela ukuvimbela izinsuku eziyi-7 ezilandelayo.
Ungasebenzisa le ndandatho yesitho sangasese sowesifazane uma nje udinga ukuvimbela futhi ungaqedi ukuzwa imiphumela emibi. Abesifazane abaningi basebenzisa izindlela zokuvimbela ngama-hormone iminyaka eminingi ngaphandle kwezinkinga.
Udkt wakho cishe uzofuna ukukubona njalo ezinyangeni eziyi-6 kuya kweziyi-12 ukuze ahlolisise umfutho wegazi lakho nempilo yakho yonke. Bazophinde baxoxe ngokuthi le ndlela isasebenza yini kahle ngendlela yakho yokuphila nezidingo zempilo.
Uma uhlela ukukhulelwa, ungasusa ukusebenzisa indandatho nganoma yisiphi isikhathi. Ukuzala ngokuvamile kubuyela ngokushesha ngemuva kokuyeka, ngokuvamile ngaphakathi kwenyanga yokuqala ngemuva kokususwa.
Abesifazane abaningi ababi naziphumo ezingemihle noma ezimbalwa ngale ndandatho yesitho sangasese. Uma imiphumela emibi yenzeka, ivame ukuba mncane futhi ingase ithuthuke ngemva kwezinyanga ezimbalwa zokusetshenziswa.
Imiphumela emibi evame kakhulu ongase uyithole ihlanganisa:
Le miphumela emibi ngokuvamile iba ngaphansi kokuqashelwa njengoba umzimba wakho ujwayela amahomoni phakathi nezinyanga ezi-2-3.
Imiphumela emibi engathi sína kodwa engavamile ingabandakanya amahlule egazi, isifo sohlangothi, noma ukuhlaselwa yinhliziyo. Nakuba lezi zinkinga zingavamile, ikakhulukazi kwabesifazane abasha abanempilo, kubalulekile ukuqaphela izimpawu zokuxwayisa njengobuhlungu obukhulu emlenzeni, ubuhlungu besifuba, ukucabana kwekhanda okukhulu, noma izinguquko embonweni.
Xhumana nomhlinzeki wakho wezempilo ngokushesha uma uhlangabezana nezimpawu ezinzima ezingazelelwe, ukuphuma kwegazi okuqhubekayo okukhulu, noma izimpawu zokutheleleka njengomkhuhlane obuhlungu besinqe.
Le ndandatho yesitho sangasese ayiphephile kuwo wonke umuntu. Udokotela wakho uzobuyekeza umlando wakho wezokwelapha ukuze anqume ukuthi ilungele yini wena.
Akufanele usebenzise le ndandatho uma unezimo ezithile zempilo ezenyusa ingozi yakho yezinkinga ezingathi sína:
Abesifazane abangaphezu kweminyaka engama-35 ababhemayo babhekene nengozi enkulu yama-clot egazi futhi kufanele baxoxe ngezindlela zokuvimbela ezinye nodokotela wabo.
Uma unesifo sikashukela, i-cholesterol ephezulu, noma umlando womndeni wamagazi, udokotela wakho uzohlola ngokucophelela izinzuzo nezingozi ngaphambi kokukuchazela le ndlela.
Lo muthi uyatholakala ngaphansi kwegama lomkhiqizo elithi Annovera. Yindandatho yokuqala futhi okwamanje eyodwa yomlomo wesitho sangasese esingasetshenziswa unyaka wonke.
Ngokungafani nezinye izindandatho zomlomo wesitho sangasese ezidinga ukushintshwa njalo ngenyanga, i-Annovera yakhelwe ukuthi isetshenziswe izikhathi eziyi-13 (cishe unyaka owodwa). Usebenzisa indandatho efanayo izinsuku ezingama-21, bese uyigcina ngokuphepha izinsuku eziyi-7 ngaphambi kokuyifaka futhi.
Uma le ndandatho yomlomo wesitho sangasese ingakulungele, ezinye izinketho zokuvimbela inzalo eziphumelelayo ziyatholakala. Udokotela wakho angakusiza ukuthi ukhethe indlela engcono kakhulu ngokusekelwe empilweni yakho, indlela yokuphila, nezintandokazi zakho.
Ezinye izinketho zama-hormone zihlanganisa amaphilisi okulawula ukuzala, iziqeshana, imijovo, kanye nokufakelwa. Ngayinye inezinzuzo ezihlukene mayelana nokulula, imiphumela emibi, nokusebenza kahle.
Ezinye izindlela ezingezona ezama-hormone zihlanganisa ama-IUD ethusi, izindlela zokuvimbela njengama-diaphragms, nezindlela zokuqwashisa ngokuzala. Lezi zinketho aziqukethe ama-hormone kodwa zingadinga ukubamba iqhaza okusebenzayo emsebenzini wakho wokuvimbela inzalo.
Zombili izindandatho zomlomo wesitho sangasese zisebenza kahle kakhulu ekuvikeleni ukukhulelwa, kodwa zinezinye izinto eziyinhloko ezihlukile. Inzuzo enkulu ye-segesterone acetate kanye ne-ethinyl estradiol (Annovera) ukuthi ungasebenzisa indandatho efanayo unyaka wonke.
I-NuvaRing idinga indandatho entsha njalo ngenyanga, engabiza kakhulu ngokuhamba kwesikhathi futhi idinga ukuvakashelwa kwamakhemisi kaningi. Kodwa-ke, i-NuvaRing isitholakale isikhathi eside futhi inemininingwane yocwaningo oluningi.
Zombili zombili zinamazinga okusebenza afanayo kanye namaphrofayili emiphumela engemihle. Ukukhetha phakathi kwazo kuvame ukuncika ekuthandeni komuntu siqu, izindleko, kanye nesincomo sikadokotela wakho esisekelwe kuphrofayili yakho yezempilo.
Abesifazane abanesifo sikashukela esilawulwa kahle bangasebenzisa le ndandatho yesitho sangasese ngaphandle kobungozi, kodwa idinga ukuqashwa ngokucophelela. Amahomoni angase athinte kancane amazinga kashukela egazini kwabanye besifazane.
Udokotela wakho uzodinga ukuhlola ukuphathwa kwakho isifo sikashukela kanye nempilo yakho yonke ngaphambi kokukuyala le ndlela. Bangase bancomise ukuhlolwa okuvame kakhulu ukuqapha ushukela wakho wegazi futhi baqaphele noma yiziphi izinkinga. Uma unezinkinga ezihlobene nesifo sikashukela ezithinta imithambo yakho yegazi, amehlo, noma izinso, ezinye izindlela zokuvimbela zingase ziphephe.
Akunakwenzeka ukuthi uzodlula ngengozi ngale ndandatho yesitho sangasese ngoba yakhelwe ukuthi ikhiphe amahomoni ngesilinganiso esilawulwayo. Kodwa-ke, uma ngengozi ufaka izindandatho ezimbili ngasikhathi sinye, susa eyodwa ngokushesha.
Uma uhlangabezana nesicanucanu esibi, ukuhlanza, noma ukopha okungavamile ngemva kokusebenzisa izindandatho eziningi, xhumana nomhlinzeki wakho wezempilo. Ungazami ukuthi "ulungise" isikhathi esiphuthelwe ngokusebenzisa izindandatho ezengeziwe, ngoba lokhu ngeke kuthuthukise ukusebenza futhi kungandisa imiphumela engemihle.
Njengoba le iyindandatho ekhishwa ngokuqhubekayo, awukwazi ngempela "ukuphuthelwa umthamo" ngomqondo wendabuko. Kodwa-ke, uma indandatho yakho iphuma ngengozi, isikhathi sokufakwa kabusha sibalulekile ekugcineni ukusebenza kokuvimbela.
Uma iringi liphume ngaphansi kwamahora angu-3, limane liligeze ngamanzi abandayo bese ulifaka futhi. Uma liphume isikhathi esingaphezu kwamahora angu-3 ngesonto loku-1 noma lesi-2, lilifake futhi kodwa sebenzisa indlela yokuvimbela ukukhulelwa eyengeziwe izinsuku eziyi-7 ezilandelayo. Uma lokhu kwenzeka ngesonto lesi-3, ungalifaka futhi unwebe umjikelezo lowo, noma uqale isonto lakho elingenaringi ngaphambi kwesikhathi.
Ungayeka ukusebenzisa leli ringi lesitho sangasese nganoma yisiphi isikhathi, kodwa isikhathi sibalulekile ngokuya ngemigomo yakho. Uma ufuna ukugwema ukukhulelwa, qiniseka ukuthi unezinye izindlela zokuvimbela ukukhulelwa ngaphambi kokulikhumula.
Uma uzama ukukhulelwa, ungalikhipha iringi nganoma yisiphi isikhathi emjikelezweni wakho. Inkomo ngokuvamile ibuyela ngokushesha, ngokuvamile ngaphakathi kwenyanga yokuqala ngemva kokuyeka. Uma uyeka ngenxa yemiphumela emibi, khuluma nodokotela wakho mayelana nezinketho zokuvimbela ukukhulelwa ezingase zikusebenzele kangcono.
Le ndlela yokuhlanganisa amahomoni ngokuvamile ayinconyelwe abesifazane abancelisayo, ikakhulukazi ezinyangeni eziyisithupha zokuqala ngemva kokubeletha. Ingxenye ye-estrogen inganciphisa ukukhiqizwa kobisi futhi ingase ithinte izinga lobisi lwebele.
Uma uncelisa, udokotela wakho cishe uzoncoma izindlela ze-progestin kuphela, njenge-mini-pill, i-IUD ye-hormonal, noma i-implant. Lezi zinketho aziqukethe i-estrogen futhi zibhekwa njengeziphephe kakhulu ngesikhathi sokuncelisa ngenkathi zisaqhubeka nokuhlinzeka ngokuvikelwa okuhle kakhulu kokuvimbela ukukhulelwa.