Amaphilisi okuvimbela ukukhulelwa ahlanganisiwe
Mayelana nalokhu kuhlolwa
Amaphilisi okuvimbela ukukhulelwa ahlanganisiwe, abizwa nangokuthi iphilisi, yizidakamizwa zokulwa nokukhulelwa eziqukethe i-estrogen ne-progestin. Izidakamizwa zokulwa nokukhulelwa yimithi esetshenziswa ukuvimbela ukukhulelwa. Zingaba nezinzuzo ezengeziwe. Amaphilisi okuvimbela ukukhulelwa ahlanganisiwe akugcini ekukhuleni kwegqolo. Lokhu kusho ukuthi amaphilisi agcina ama-ovari akho engakhululi i-egg. Baphazamisa futhi ukhulu lwe-mucus ekungangeni kwesisu, okuthiwa yi-cervix, kanye nokugqoka kwesisu, okuthiwa yi-endometrium. Lezi zinguquko zivimbela isperm ekujoyinweni kwegqolo.
Kungani kwenziwa
Amapilisi okuhlanganisiwe okuvimba ukukhulelwa yindlela ethembekile yokuvimbela ukukhulelwa elula ukuyishiya. Ukukhulelwa kungabuya cishe ngokushesha nje uma uyeka ukuthatha amapilisi. Kanye nokuvimbela ukukhulelwa, ezinye izinzuzo zale mapilisi zihlanganisa: Ubungozi obuncane bomdlavuza we-ovari kanye nokugqwala kwesisu, ukukhulelwa ngaphandle kwesisu, i-ovarian cysts, kanye nesifo sebele esingesiye umdlavuza Ukuthuthukiswa kokhubeka kanye nezinwele ezininzi ebusweni nasezimweni Ubuhlungu obuncane beminyaka, obubizwa ngokuthi yi-dysmenorrhea Ukunciphisa ukukhiqizwa kwe-androgen okubangelwa yi-polycystic ovary syndrome Ukunciphisa ukuphuma kwegazi okukhulu okungokweminyaka okuvela kwi-uterine fibroids nezinye izimbangela, kanye nokuncipha kwe-anemia yokushoda kwama-iron ehlobene nokulahlekelwa igazi Ukwelashwa kwe-premenstrual syndrome (PMS) Izikhathi ezimfushane, ezilula ngesikhathi esilindelekile noma, ngezinhlobo ezithile zamaphilisi okuhlanganisa, izikhathi ezimbalwa ngonyaka Ukulawula kangcono umjikelezo wanyanga zonke kanye nokuncipha kwe-hot flashes ngesikhathi umzimba uqala ukuguqukela ekuqedeni, okuthiwa yi-perimenopause Amapilisi okuhlanganisa okuvimba ukukhulelwa avela ekuhlanganiseni okuhlukene kwamapilisi asebenzayo nengasebenzi, okuhlanganisa: Iphakheji evamile. Uhlobo olulodwa oluvamile lunepilisi ezingama-21 ezisebenzayo nepilisi eziyisikhombisa ezingasebenzi. Amapilisi angasebenzi awanawo ama-hormone. Izinhlobo ezinamapilisi angama-24 asebenzayo nepilisi ezine ezingasebenzi, ezibizwa ngokuthi yi-shortened pill-free interval, nazo ziyatholakala. Amanye amapilisi amasha angaba nepilisi ezimbili ezingasebenzi kuphela. Uthatha iphilisi nsuku zonke bese uqala iphakheji entsha uma uqeda eyadala. Iphakheji ngokuvamile inezinsuku ezingama-28 zamaphilisi. Ukuphuma kwegazi kungase kwenzeke inyanga ngayinye ngesikhathi othatha kulo amapilisi angasebenzi aphezu kwezinto eziphethwe yi-pack ngayinye. Iphakheji yesikhathi eside. Lezi zikrini ngokuvamile zinepilisi ezingama-84 ezisebenzayo nepilisi eziyisikhombisa ezingasebenzi. Ukuphuma kwegazi ngokuvamile kwenzeka izikhathi ezine ngonyaka ngezinsuku eziyisikhombisa othatha kulo amapilisi angasebenzi. Iphakheji yokudla okuqhubekayo. Iphilisi yosuku lwe-365 nayo iyatholakala. Uthatha le philisi nsuku zonke ngesikhathi esifanayo. Kwabanye abantu, izikhathi ziyayeka ngokuphelele. Kwabanye, izikhathi ziyaba khanyayo kakhulu. Awuthathi amapilisi angasebenzi. Ngokuncipha noma ukuyeka izikhathi, amapilisi okuqhubekayo nokuqhubekayo angaba nezinye izinzuzo. Lokhu kungafaka: Ukuvimbela nokuphatha ukuphuma kwegazi okukhulu okuhlobene ne-uterine fibroids. Ukuvimbela i-migraines yeminyaka. Ukuncipha komphumela wokulimaza umjikelezo wanyanga ungaba nawo ezimweni ezithile, okuhlanganisa nokubamba. Ukunciphisa ubuhlungu obuhambisana ne-endometriosis. Amapilisi okuhlanganisa okuvimba ukukhulelwa awulona ukhetho oluhle kubo bonke. Umhlinzeki wakho wezempilo angase aphakamise ukuthi usebenzise enye indlela yokuvimbela ukukhulelwa uma: Usesinyangeni sokuqala sokuncelisa noma emasontweni ambalwa okuqala ngemva kokubeletha. Uneminyaka engaphezu kwengu-35 futhi ukhwehlela. Une-high blood pressure engalawulwa kahle. Unembali ye-blood clots, kufaka phakathi ezinyaweni zakho - okuthiwa yi-deep vein thrombosis - noma emaphashini akho - okuthiwa yi-pulmonary embolism. Unembali yesifo sesiqhumo noma sesiswini. Unembali yomdlavuza webele. Une-migraine ene-aura. Unezinhlungu ezihlobene nesifo sikashukela, njengokulimaza isibindi, ukukhubazeka kwamehlo noma izinkinga ngomsebenzi wezinzwa. Unezinye izifo zesibindi ne-gallbladder. Unegazi elingachazeki lesisu. Uzogcinwa embhedeni isikhathi eside ngemva kokuhlinzwa noma ukulimala noma ngesikhathi sesifo esinzima.
Indlela yokulungiselela
Kumele ucele iresiphi yamaphilisi okuvimbela ukukhulelwa ahlanganisiwe kunikeziwe wezokunakekelwa kwempilo. Unikezi wakho uqapha uxinzelelo lwakho lwegazi, ahlole isisindo sakho, futhi akhulume nawe ngempilo yakho nanoma yimiphi imithi oyithathayo. Unikezi wakho ubuza futhi ngezinkathazo zakho nokuthi yini oyifunayo ekuvimbeleni ukukhulelwa ukuze akusize uthole iphilisi elihlanganisiwe lokuvimbela ukukhulelwa elifanele kuwe. Abanikezi bezempilo bavame ukuncoma amaphilisi anezinga eliphansi lama-hormone azosiza ekuvimbeleni ukukhulelwa, akunikeze izinzuzo ezibalulekile ngaphandle kokuvimbela ukukhulelwa futhi abangeli imiphumela emibi eminingi. Nakuba inani le-estrogen kumaphilisi ahlanganisiwe lingaba liphansi njenge-10 micrograms (mcg) ye-ethinyl estradiol, amaphilisi amaningi aqukethe cishe i-20 kuya ku-35 mcg. Amaphilisi anezilinganiso eziphansi angabangela ukuphuza igazi okukhulu kunamaphilisi ane-estrogen eningi. Amanye ama-contraceptives amile ahlanganisiwe aqukethe ezinye izinhlobo ze-estrogen. Amaphilisi ahlanganisiwe ahlukaniswe ngokusekelwe ekutheni inani lama-hormone lihlala lifanayo noma liyahluka: Monophasic. Iphilisi ngalinye elihlelekile liqukethe inani elifanayo le-estrogen ne-progestin. Biphasic. Amaphilisi asebenzayo aqukethe izinhlobo ezimbili ze-estrogen ne-progestin. Triphasic. Amaphilisi asebenzayo aqukethe izinhlobo ezintathu ze-estrogen ne-progestin. Kwezinye izinhlobo, okuqukethwe kwe-progestin kuya kukhula; kwezinye, inani le-progestin lihlala lizinzile futhi okuqukethwe kwe-estrogen kuya kukhula.
Okulindelekile
Ukuqala ukusebenzisa i-contraceptive yomlomo ehlanganisiwe, xoxa nodokotela wakho mayelana nosuku lokuqala: Indlela yokusheshisa. Ungathatha iphilisi yokuqala ephaketheni ngokushesha. Indlela yokuqala ngo-Sunday. Uthatha iphilisi yakho yokuqala ngo-Sunday wokuqala ngemva kokuba isikhathi sakho siqale. Indlela yokuqala ngosuku lokuqala. Uthatha iphilisi yakho yokuqala ngosuku lokuqala lesikhathi sakho esilandelayo. Ngezindlela zokusheshisa noma ze-Sunday, sebenzisa indlela yokuvimbela ukukhulelwa eyongeziwe, njenge-condom, izinsuku eziyisikhombisa zokuqala othatha amaphilisi okuvimbela ukukhulelwa ahlanganisiwe. Ngenkambiso yosuku lokuqala, akukho ndlela eyongeziwe yokuvimbela ukukhulelwa edingekayo. Ukusebenzisa amaphilisi okuvimbela ukukhulelwa ahlanganisiwe: Khetha isikhathi sokuthatha iphilisi nsuku zonke. Ama-contraceptives omhlangano adinga ukuthathwa nsuku zonke ukuze abe nomphumela. Ukulandela umkhuba kungakugcina ungaphoswa yiphilisi futhi kukusize uthathe iphilisi ngesikhathi esifanayo nsuku zonke. Isibonelo, cabanga ukuthatha iphilisi yakho lapho ugeza amazinyo ekuseni. Landela imiyalo yodokotela wakho ngokucophelela. Amaphilisi okuvimbela ukukhulelwa asebenza kuphela uma uwasebenzisa kahle, ngakho qiniseka ukuthi uyayiqonda imiyalo. Ngenxa yokuthi kunezinhlobo eziningi zama-contraceptives omhlangano, xoxa nodokotela wakho mayelana nemiyalo ethile yamaphilisi akho. Uma usebenzisa uhlobo oluvamile lwamapilisi okuvimbela ukukhulelwa ahlanganisiwe futhi ufuna ukuba nezinsuku ezijwayelekile, uzothatha wonke amaphilisi ephaketheni lakho - asebenzayo nangezona - bese uqala iphakheji entsha ngosuku ngemva kokuba uqedele eyakho. Uma ufuna ukugwema izinsuku zenyanga, izinketho zokunisela okuqhubekayo noma okwandisiwe zunciphisa inani lezinsuku ngonyaka. Buza udokotela wakho mayelana nendlela yokuthatha amaphilisi nokuthi ungathatha amaphakheji amaningi kangakanani ephilisi ezisebenzayo ngokulandelana. Yazi ukuthi yini okufanele uyenze uma uphuthelwa amaphilisi. Uma uphuthelwa iphilisi eyodwa esebenzayo, yithathe ngokushesha nje uma ukhumbula - ngisho noma kusho ukuthatha amaphilisi amabili asebenzayo ngosuku olufanayo. Thatha okusele ephaketheni njengokujwayelekile. Sebenzisa indlela eyongeziwe yokuvimbela ukukhulelwa izinsuku eziyisikhombisa uma uphuthelwe iphilisi yakho ngamahora angaphezu kwe-12. Uma uphuthelwa amaphilisi amaningi kunomunye osebenzayo, thatha iphilisi yokugcina oyiphosile ngokushesha. Thatha okusele ephaketheni njengokujwayelekile. Sebenzisa indlela eyongeziwe yokuvimbela ukukhulelwa izinsuku eziyisikhombisa. Uma ubune-sex engavikelekile, ungacabanga ngokuvimbela ukukhulelwa okusheshayo. Yazi ukuthi yini okufanele uyenze uma ulahlekelwa noma uphuthelwa amaphilisi ngenxa yokugabha. Uma ugabha phakathi namahora amabili ngemva kokuthatha iphilisi yokuvimbela ukukhulelwa ehlanganisiwe noma une-vomiting no-diarrhea okunzima izinsuku ezimbili noma ngaphezulu futhi awukwazi ukuthatha amaphilisi, landela imiyalo ngendlela efanayo uma uphuthelwe iphilisi eyodwa noma ngaphezulu. Ungathathi iziphumulo phakathi kwamaphakheji. Hlala uqaphele iphakheji yakho elandelayo ngaphambi kokuba uqedele eyakho. Xoxa nodokotela wakho ukuze unqume ukuthi amaphilisi okuvimbela ukukhulelwa ahlanganisiwe akulungele yini wena. Xoxa nodokotela wakho uma unezinye izinkinga noma uma ufuna ukushintshela kwenye indlela yokuvimbela ukukhulelwa.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.