Yini iMinipill (Iphilisi Lokulawula Ukuzala Elinoguqulo-kuphela)? Inhloso, Inqubo & Nemiphumela

I-minipill iyiphilisi lokulawula ukuzala eliqukethe kuphela i-progestin, okuyinguqulo yokwenziwa ye-hormone progesterone. Ngokungafani namaphilisi ahlanganisiwe aqukethe kokubili i-estrogen ne-progestin, i-minipill inikeza indlela egxile ku-hormone yokuvimbela ukukhulelwa ngaphandle kwe-estrogen.

Le ndlela yokuvimbela ukukhulelwa isebenza ngokujiya amafinyila omlomo wesibeletho nokunciphisa umugqa wesibeletho, okwenza kube nzima ngesidoda ukufinyelela eqandeni. Kwabesifazane abaningi, ikakhulukazi labo abangakwazi ukuthatha i-estrogen, i-minipill inikeza ukuvimbela ukukhulelwa okuphumelelayo ngephrofayili ye-hormonal ethambile.

Yini i-minipill?

I-minipill iyindlela yokuvimbela ukukhulelwa yansuku zonke yomlomo equkethe kuphela i-hormone progestin. Uthatha iphilisi elilodwa elincane nsuku zonke ngesikhathi esifanayo, ngaphandle kwezinsuku ezingenayo i-hormone noma amaphilisi e-placebo njengoba ungase ukuthole ngokuqeda ukulawula ukuzala.

Lolu hlobo lokulawula ukuzala lusebenza ngendlela ehlukile kumaphilisi ahlanganisiwe ngoba alimisi ukuvuthwa kwamaqanda kuwo wonke umuntu. Esikhundleni salokho, idala izithiyo eziningi ekukhulelweni ngokushintsha amafinyila omlomo wakho wesibeletho kanye nomugqa wesibeletho. I-progestin yenza amafinyila omlomo wakho wesibeletho abe makhulu futhi abe namathambo, okuvimbela isidoda ekubhukudeni ukuze sihlangane neqanda.

I-minipill futhi inciphisa umugqa wakho wesibeletho, okwenza kungabi maningi amathuba okuthi iqanda elivundisiwe lizifake. Kwabanye besifazane, ingase futhi ivimbele ukuvuthwa kwamaqanda, nakuba lokhu kungewona umshini wayo oyinhloko. Le ndlela enezendlalelo eziningi yenza i-minipill ibe cishe ngama-91-99% ephumelelayo uma isetshenziswa ngendlela efanele.

Kungani i-minipill yenziwa?

I-minipill inikezwa ikakhulukazi ukulawula ukuzala, ikakhulukazi kwabesifazane abangakwazi ukuthatha izindlela zokuvimbela ukukhulelwa eziqukethe i-estrogen. Abahlinzeki bezempilo abaningi bayincoma kwabesifazane ababa nemiphumela emibi evela ku-estrogen noma abanezimo zezokwelapha ezenza i-estrogen ingaphephile.

Ungase ube ngumuntu ofanelekayo we-minipill uma uncelisa, ngoba i-estrogen inganciphisa ukukhiqizwa kobisi. Ifomula ye-progestin-only ayiphazamisi ukuncelisa futhi ithathwa njengephephile komama abancelisayo. Lokhu kuyenza ibe yindlela enhle ngesikhathi sangemva kokubeletha lapho ufuna khona ukuvimbela ukukhulelwa okuthembekile.

Abesifazane abanezimo ezithile zezempilo bavame ukuthola i-minipill ifaneleka lapho amaphilisi ahlanganisiwe engaphephile. Lezi zimo zihlanganisa umlando wamagazi, unhlangothi, isifo senhliziyo, noma ama-migraines aqinile ane-aura. I-minipill iphinda isebenze kahle kwabesifazane abaneminyaka engaphezu kwengama-35 ababhemayo, njengoba inhlanganisela yobudala, ukubhema, kanye ne-estrogen ikhuphula izingozi zenhliziyo nemithambo yegazi.

Abanye besifazane bakhetha i-minipill ngoba bakhetha inketho ye-hormone ephansi noma bafuna ukugwema imiphumela engemihle ehlobene ne-estrogen. Lokhu kungase kuhlanganise izinguquko zemizwa, ukuba nobumnene emabeleni, noma isicanucanu abanye besifazane ababa naso ngamaphilisi ahlanganisiwe.

Yini inqubo yokuthatha i-minipill?

Ukuthatha i-minipill kuhilela umkhuba olula wansuku zonke, kodwa isikhathi sibaluleke kakhulu kunamaphilisi ahlanganisiwe. Uthatha iphilisi elilodwa nsuku zonke ngesikhathi esifanayo, okungcono phakathi kwefasitela lehora elingu-3. Lokhu kuvumelana kusiza ukugcina amazinga e-hormone aqinile emzimbeni wakho.

Umhlinzeki wakho wezempilo uzokunikeza imiyalelo ethile mayelana nokuthi ungaqala nini iphakethe lakho lokuqala. Ungase uqale ngosuku lokuqala lokuya esikhathini sakho, noma ungaqala nganoma yiluphi usuku ngokuqapha ukukhulelwa amahora okuqala angama-48. Ngokungafani namaphilisi ahlanganisiwe, awekho izinsuku ze-placebo, ngakho uqhubeka nokuthatha amaphilisi asebenzayo nsuku zonke.

Nakhu ukuthi umkhuba wakho wansuku zonke ubukeka kanjani:

1. Thatha iphilisi elilodwa ngesikhathi esifanayo nsuku zonke
2. Qhubeka kulo lonke iphakethe ngaphandle kokuphumula
3. Qala iphakethe lakho elilandelayo ngokushesha ngemva kokuqeda elilodwa lamanje
4. Setha i-alamu yansuku zonke ukukusiza ukuthi ukhumbule
5. Gcina ukuqapha ukukhulelwa okusekelayo kutholakale uma ungaphuthelwa amaphilisi

Uma uphuthelwa iphilisi ngaphezu kwamahora ama-3, uzodinga ukusebenzisa indlela yokuvimbela ukukhulelwa eyisipele amahora angama-48 alandelayo. Lesi sidingo esiqinile sesikhathi sibalulekile ngoba amaphilisi e-progestin-only anesikhathi esifushane sokusebenza kunamaphilisi ahlanganisiwe.

Ungalungiselela kanjani ukuthatha i-minipill?

Ukulungiselela i-minipill kuqala ngengxoxo eqotho nodokotela wakho mayelana nomlando wakho wezokwelapha kanye nemigomo yakho yokuvimbela ukukhulelwa. Uzochaza noma yimiphi imithi oyithathayo, njengoba eminye ingaphazamisa ukusebenza kwe-minipill.

Ngaphambi kokuqala i-minipill, umhlinzeki wakho uzobuyekeza umlando wakho wezempilo ukuze aqinisekise ukuthi kuphephile kuwe. Bazobuza ngamaqhubu egazi angaphambilini, izinkinga zesibindi, ukuphuma kwegazi okungachazeki kwesitho sangasese sowesifazane, noma umlando womdlavuza wamabele. Lezi zimo zingase zithinte ukuthi i-minipill ilungele yini wena.

Uzofuna ukusungula isimiso sansuku zonke esiqhubekayo ngaphambi kokuthi uqale ukuthatha amaphilisi. Khetha isikhathi esisebenzayo ngohlelo lwakho nsuku zonke, njengoba nje usuqede ukuxubha amazinyo akho noma ngekhofi lakho lasekuseni. Abesifazane abaningi bakuthola kuwusizo ukusetha i-alamu yocingo yansuku zonke njengesikhumbuzi.

Gcina izindlela zokuvimbela ukukhulelwa eziyisipele njengamakondomu ngaphambi kokuthi uqale i-minipill. Uzodinga lezi amahora angama-48 okuqala nanoma nini lapho uphuthelwa iphilisi ngaphezu kwamahora ama-3. Ukuba nazo ngomumo kususwa noma yikuphi ukucindezeleka mayelana nokwehluleka kokuvikela.

Ungawafunda kanjani imiphumela yakho ye-minipill?

Ukusebenza kwe-minipill kuvela ekwazi kwakho ukuvimbela ukukhulelwa uma ithathwa ngendlela efanele. Ngokungafani neminye imithi edinga ukuhlolwa kwegazi ukuze kuqashwe,

Umjikelezo wakho wokuya esikhathini cishe uzoshintsha emthini omncane, futhi lezi zinguquko ziyizinkomba ezijwayelekile zendlela umzimba wakho osabela ngayo. Ungase uhlangabezane nezikhathi ezilula, ukuphuma kwegazi okungajwayelekile, noma ungabi nazikhathi nhlobo. Abanye besifazane baba nokuchitheka kwegazi phakathi nezikhathi zabo, ikakhulukazi ezinyangeni ezimbalwa zokuqala.

Landelela amaphethini akho okuphuma kwegazi ekhalendeni noma kuhlelo lokusebenza ukuze uqonde ukusabela komzimba wakho. Ukuphuma kwegazi okungajwayelekile kuvame ukuthuthuka ngemva kwezinyanga ezi-3-6 njengoba umzimba wakho ujwayela i-hormone. Uma ukuphuma kwegazi kuba nzima noma kukhathaza, xhumana nomhlinzeki wakho wezempilo.

Ungazisingatha kanjani imiphumela emibi yemithi emincane?

Imiphumela eminingi emibi yemithi emincane ithambile futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela i-hormone. Imiphumela emibi evame kakhulu ihlanganisa ukuphuma kwegazi okungajwayelekile, ububele bebele, ikhanda, kanye nezinguquko zemizwa. Lokhu kuvame ukuncipha ngemva kwezinyanga ezimbalwa zokuqala zokusetshenziswa.

Uma uhlangabezana nokuphuma kwegazi okungajwayelekile, okuyimiphumela emibi evame kakhulu, zama ukubekezela ngesikhathi sokujwayela. Umzimba wakho udinga isikhathi sokujwayela amazinga e-progestin aqhubekayo. Ukugcina idayari yokuya esikhathini kungakusiza wena nomhlinzeki wakho ukuthi nilandelele amaphethini futhi nithole ukuthi ngabe ukuphuma kwegazi kuyajwayeleka yini.

Ngobubele bebele noma ikhanda, izidambisi zokucasuka ezingathengiswa ngaphandle kwemvume kadokotela zingahlinzeka ngempumuzo. Qiniseka ukuthi ibhodi lakho lilungile, njengoba izinguquko zamabele ezivela kuma-hormone zingathinta usayizi wakho. Uma ikhanda liqhubeka noma liba libi kakhulu, xoxa ngalokhu nomhlinzeki wakho wezempilo.

Abanye besifazane baqaphela izinguquko zemizwa noma ukwehla kwe-libido emthini omncane. Le miphumela iyahlukahluka kakhulu phakathi kwabantu ngabanye, futhi okusebenzela umuntu oyedwa kungase kungasebenzi komunye. Uma izinguquko zemizwa zizwa zibalulekile noma zikhathaza, unganqikazi ukukhuluma nomhlinzeki wakho ngezindlela ezingezinye.

Iyiphi inketho engcono kakhulu yomuthi omncane?

Umuthi omncane ongcono kakhulu kuwe uncike kuphrofayili yakho yezempilo, indlela yokuphila, kanye nendlela umzimba wakho osabela ngayo ku-progestin. Kukhona amabhrendi amaningi atholakalayo, futhi ngenkathi wonke equkethe i-progestin, uhlobo oluthile kanye nomthamo kungahluka kancane.

Umhlinzeki wakho wezempilo uzocabangela izinto ezinjengomlando wakho wezokwelapha, imithi yamanje, kanye nesimo sokuncelisa uma encoma uhlobo oluthile. Abanye besifazane benza ngcono ngamafomula athile, yize ngeke wazi ukuthi yini esebenza kahle kuze uzame.

Amaminipili avame ukunconywa afaka amabhrendi afana neCamila, Errin, kanye neNora-BE. Lawa aqukethe i-norethindrone, i-progestin efundwe kahle esetshenziswe ngokuphepha amashumi eminyaka. Izinketho ezintsha njengeSlynd ziqukethe i-drospirenone futhi zinikeza iwindi elide kancane lamaphilisi aphuthelwe.

Izindleko nomshwalense kungenzeka zithonye ukuthi iyiphi inketho esebenza kahle esimweni sakho. Izinhlobo ezivamile zivame ukuba ngentengo ephansi futhi zisebenza ngempumelelo njengamaphilisi anegama lomkhiqizo. Umuthi wakho wemithi angakusiza ukuthi uqonde izinketho zakho kanye nanoma iyiphi imininingwane yezindleko.

Yiziphi izici eziyingozi zezinkinga ze-minipill?

Ngenkathi i-minipill ivikelekile ngokujwayelekile, izici ezithile zingakhuphula ingozi yakho yezinkinga noma zikwenze ungakulungele. Ukuqonda lezi zici eziyingozi kukusiza kanye nomhlinzeki wakho ukuthi nenze isinqumo esingcono kakhulu sempilo yakho.

Umlando wamanje noma wangaphambilini womdlavuza webele uyisici esiyingozi esibaluleke kakhulu, njengoba i-progestin ingase ivuselele izinhlobo ezithile zamaseli omdlavuza webele. Uma unomlando womuntu siqu womdlavuza webele, udokotela wakho we-oncologist kanye nodokotela wezifo zabesifazane kuzodingeka ukuthi bahlole izingozi nezinzuzo ngokucophelela.

Nazi izici eziyingozi okufanele zixoxwe nomhlinzeki wakho:

• Umlando womuntu siqu womdlavuza webele noma izigaxa ezingabazisayo ebeleni
• Ukuphuma kwegazi okungachazeki kwesitho sangasese sowesifazane okungahloliwe
• Isifo sesibindi esisebenzayo noma izimila zesibindi
• Ukuthatha imithi ethinta amazinga e-hormone
• Ubunzima bokugcina isimiso sansuku zonke esiqhubekayo

Eminye imithi ingenza i-minipill ingasebenzi kahle, okuhlanganisa imithi ethile yokulwa nokuthuthumela, imithi yesifo sofuba, neminye imithi ye-HIV. Hlala utshela umhlinzeki wakho wezempilo ngayo yonke imithi nezithasiselo ozithathayo.

Ingabe kungcono ukuba ne-minipill noma iphilisi elihlanganisiwe?

Ukukhetha phakathi kwe-minipill nephilisi elihlanganisiwe kuncike ezidingweni zakho zempilo, indlela yokuphila, nokuthi umzimba wakho usabela kanjani kumahomoni. Akukho kokukhetha okukodwa okungcono ngoba ngalinye linokuhle nokucatshangelwayo.

I-minipill ingase ibe ngcono kuwe uma ungenakuthatha i-estrogen, uncelisa, noma ukhetha inketho enama-hormone aphansi. Ilungele futhi uma uneminyaka engaphezu kwengama-35 futhi ubhema, unomlando wamagazi, noma uhlangabezana nemiphumela engemihle ehlobene ne-estrogen njengokushintsha kwemizwa okukhulu noma ama-migraines.

Amaphilisi ahlanganisiwe angasebenza kangcono uma ufuna izikhathi eziqagelwayo, unzima ukukhumbula ukuthatha amaphilisi ngesikhathi esifanayo nsuku zonke, noma ufuna izinzuzo ezengeziwe ezinikezwa yi-estrogen. Amaphilisi ahlanganisiwe avame ukwenza izikhathi zibe lula futhi zibe njalo.

I-minipill idinga isikhathi esiqondile - kufanele uyithathe phakathi kwefasitela le-3-hour nsuku zonke. Amaphilisi ahlanganisiwe anikeza ukuguquguquka okwengeziwe, anamahora afinyelela kwangu-12 okuzungeza amafomula amaningi. Cabangela indlela yakho yokuphila kanye nekhono lokugcina isimiso esiqinile lapho wenza lokhu kukhetha.

Yiziphi izinkinga ezingaba khona ze-minipill?

Izinkinga ezinzima ezivela ku-minipill azivamile, kodwa kubalulekile ukwazi ukuthi yini okufanele uyibheke. Izinkinga ezivame kakhulu zihlobene namaphethini okopha angajwayelekile kanye nethuba elingavamile lokukhulelwa uma amaphilisi ephuthelwa noma ethathwa ngendlela engafanele.

Ukuphuma kwegazi okungajwayelekile yinkinga evame kakhulu, ethinta cishe ama-70% abasebenzisi be-minipill ekuqaleni. Nakuba kungelona ingozi, kungaba nzima futhi kukhathaze. Abesifazane abaningi babona ukuthuthuka ngemva kwezinyanga ezi-3-6, kodwa abanye baqhubeka nokuzwa ukuphuma kwegazi okungalindelekile ngaso sonke isikhathi sokusetshenziswa.

Ukukhulelwa ngenkathi usebenzisa i-minipill akuvamile kodwa kungenzeka, ikakhulukazi uma uphuthelwa amaphilisi noma uwathatha ngokungahambisani. Uma usola ukukhulelwa, thatha ukuhlolwa bese uthintana nomhlinzeki wakho wezempilo. I-minipill ayikhuphuli ingozi yokukhubazeka kokuzalwa uma kwenzeka ukukhulelwa.

Izinkinga ezingavamile kakhulu zihlanganisa ama-ovarian cysts, angase avelane ngoba ukuvuthwa kwamaqanda akuhlali kucindezelwe. Lawa ngokuvamile ama-cysts asebenzayo azixazulula ngokwawo. Izinkinga ezinzima njengama-blood clots akuvamile kakhulu ngamaphilisi e-progestin-only, ngokungafani namaphilisi ahlanganisiwe.

Abanye besifazane bahlangabezana nezinguquko eziqhubekayo zemizwa noma ukucindezeleka ngenkathi besebenzisa i-minipill. Uma uqaphela izinguquko ezinkulu empilweni yakho yengqondo, xoxa ngalokhu nomhlinzeki wakho ngokushesha. Inhlalakahle yakho engokomzwelo ibaluleke njengokuvimbela ukukhulelwa.

Kufanele ngibone nini udokotela mayelana ne-minipill?

Kufanele uthinte umhlinzeki wakho wezempilo uma uhlangabezana nezimpawu ezikhathazayo noma unemibuzo mayelana nokusetshenziswa kwakho kwe-minipill. Izinkinga eziningi zincane futhi zixazululwa kalula, kodwa ezinye izimo zidinga ukunakekelwa kwezokwelapha ngokushesha.

Shayela umhlinzeki wakho uma uphuthelwa amaphilisi amabili noma ngaphezulu alandelanayo, ngoba lokhu kunciphisa kakhulu ukusebenza kahle. Uzodinga isiqondiso sokuvimbela ukukhulelwa okuyisipele nokuthi ngabe uzoqhubeka yini nephakethe lakho lamanje noma uqale elisha.

Nazi izimo ezidinga ukuthi uthinte umhlinzeki wakho wezempilo:

• Ukuphuma kwegazi okukhulu okumanzisa iphedi noma i-tampon njalo ngehora amahora amaningana
• Ubuhlungu obukhulu besisu obungabonisa i-ovarian cyst
• Izimpawu zokukhulelwa njengokuphuthelwa izikhathi, isicanucanu, noma ukuzwela kwamabele
• Ushintsho oluqhubekayo lwemizwa noma ukucindezeleka
• Ikhanda elibuhlungu elibuhlungu noma izinguquko embonweni
• Ukuphuma okungavamile kwesitho sangasese sowesifazane noma ubuhlungu besinqeni

Hlela ukuhlolwa njalo nodokotela wakho ukuze uqaphele ukuthi wenza kanjani emthini omncane. Odokotela abaningi batusa ukuvakashelwa minyaka yonke, kodwa ungase udinge ukuqokwa kaningi ekuqaleni ukuze ubhekane nanoma yiziphi izinkathazo noma imiphumela emibi.

Imibuzo evame ukubuzwa mayelana nomuthi omncane

Umbuzo 1. Ingabe umuthi omncane muhle ku-PCOS?

Umthamo omncane ungasiza kwabanye besifazane abane-PCOS, kodwa ngokuvamile akuyona indlela yokuqala yokwelapha. Kungasiza ukulawula izikhathi futhi kunciphise ezinye izimpawu ze-PCOS, nakuba kungabhekeli ukumelana ne-insulin noma amazinga e-androgen amaningi njengamaphilisi ahlanganisiwe.

Abesifazane abane-PCOS bavame ukuzuza kakhulu emaphilisi ahlanganisiwe aqukethe kokubili i-estrogen ne-progestin, njengoba lokhu kungasiza ukunciphisa amahomoni amaningi esilisa. Kodwa-ke, uma ungeke ukwazi ukuthatha i-estrogen noma ukhetha inketho ye-progestin-only, umuthi omncane ungase usahlinzeka ngezinzuzo ezithile zezikhathi ezingajwayelekile.

Umbuzo 2. Ingabe umuthi omncane ubangela ukukhuluphala?

Abesifazane abaningi abakhuluphali emthini omncane, nakuba izimpendulo zomuntu ngamunye zihluka. Izifundo ezinkulu zibonisa ukuthi ukukhuluphala okumaphakathi kufana nalokho abesifazane abakuzwayo ngokwemvelo ngokuhamba kwesikhathi, kunokuba kubangelwe iphilisi ngokwalo.

Abanye besifazane baqaphela izinguquko ekudleni noma ukugcinwa kwamanzi, ikakhulukazi ezinyangeni ezimbalwa zokuqala. Uma ukhathazekile ngezinguquko zesibalo, gxila ekugcineni imikhuba yokudla enempilo nokuzivocavoca njalo. Landelela noma yiziphi izinguquko futhi uxoxe ngazo nodokotela wakho uma zibalulekile.

Umbuzo 3. Ngingakhulelwa ngokushesha ngemva kokuyeka umuthi omncane?

Yebo, inzalo ivame ukubuyela ngokushesha ngemva kokuyeka umuthi omncane, ngokuvamile kungakapheli amasonto ambalwa. Ngokungafani nezinye izindlela zokuvimbela inzalo ngamahomoni, umuthi omncane awubangeli ukubambezeleka okukhulu ekubuyeleni enzalweni.

Uma uhlela ukukhulelwa, ungaqala ukuzama ngokushesha ngemva kokuyeka umuthi omncane. Kodwa-ke, kungase kuthathe izinyanga ezimbalwa ukuthi umjikelezo wakho wokuya esikhathini wemvelo ulawulwe, okungenza kube nzima ukuqagela i-ovulation ekuqaleni.

Q.4 Ingabe kuphephile ukuthatha iminipill ngenkathi uncansela?

Iminipill ithathwa njengephephile futhi isebenza ngesikhathi sokuncelisa. Ngokungafani namaphilisi ahlanganisiwe, amaphilisi aqukethe i-progestin kuphela awanciphisi ukukhiqizwa kobisi futhi awuthinti ikhwalithi yobisi lwebele.

Unga-qala iminipill ngokushesha ngemva kwamasonto angu-6 ngemva kokubeletha, ngisho ngenkathi uncelisa ngokukhethekile. Inani elincane le-progestin elidlulela obisini lwebele lithathwa njengeliphephile ezinganeni futhi alithinti ukukhula kwazo noma ukuthuthuka kwazo.

Q.5 Kwenzekani uma ngiphuthelwa iminipill?

Uma uphuthelwa iminipill ngaphezu kwamahora angu-3, thatha iphilisi eliphuthelwe ngokushesha lapho ukhumbula, bese uqhubeka neshejuli yakho ejwayelekile. Sebenzisa indlela yokuvimbela ukukhulelwa eyisipele emahoreni angu-48 alandelayo ukuze uqinisekise ukuvikeleka.

Iwindi lesikhathi liqinile nge-minipill kunezinhlanganisela zamaphilisi ngoba amazinga e-progestin ehlisa ngokushesha ohlelweni lwakho. Uma uvame ukuba nenkinga ngesikhathi, khuluma nomhlinzeki wakho ngezinketho ezinye zokuvimbela ukukhulelwa ezingase zisebenze kangcono ngendlela yakho yokuphila.