Yini i-Desogestrel kanye ne-Ethinyl Estradiol: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Desogestrel kanye ne-ethinyl estradiol yinhlanganisela yamaphilisi okulawula ukuzala aqukethe amahomoni amabili okwenziwa. Lo muthi usebenza ngokuvimbela ukuvuthwa kwamaqanda futhi kwenze kube nzima ukuthi isidoda sifinyelele eqandeni, sikunikeza ukuvikeleka kokukhulelwa okuthembekile uma uthathwa ngendlela efanele.

Ungase wazi lo muthi ngamagama emikhiqizo afana ne-Desogen, Ortho-Cept, noma i-Apri. Ngesinye semithi yokulawula ukuzala evame ukunqunywa emhlabeni wonke, futhi izigidi zabesifazane ziyisebenzisa ngokuphepha nsuku zonke ukuphatha impilo yabo yokuzala.

Yini i-Desogestrel kanye ne-Ethinyl Estradiol?

Lo muthi uhlanganisa amahomoni amabili okwenziwa alingisa i-estrogen yakho yemvelo kanye ne-progesterone. I-Desogestrel uhlobo lwe-progestin (i-progesterone eyenziwe), kuyilapho i-ethinyl estradiol iyi-estrogen eyenziwe.

Ngokubambisana, la mahomoni asebenza njengeqembu ukuvimbela ukukhulelwa ngezindlela ezintathu eziyinhloko. Zivimbela ama-ovari akho ukuthi angakhiphi amaqanda, aqinise amafinyila omlomo wesibeletho ukuvimbela isidoda, futhi anciphise umugqa wesibeletho ukuze kwenze ukufakelwa kungenzeki.

Lokhu kuthathwa njengepilisi yokulawula ukuzala enomthamo ophansi, okusho ukuthi iqukethe amanani amancane amahomoni uma kuqhathaniswa namafomula amadala. Amazinga aphansi amahomoni asiza ukunciphisa imiphumela emibi ngenkathi kugcinwa ukuvikeleka kokukhulelwa okuhle kakhulu.

Yini i-Desogestrel kanye ne-Ethinyl Estradiol Esetshenziselwa Yona?

Ukusetshenziswa okuyinhloko kwalo muthi ukuvimbela ukukhulelwa uma usebenza ngokocansi. Uma ithathwa ngendlela efanele, isebenza ngaphezu kuka-99% ekuvikeleni ukukhulelwa, okwenza kube enye yezindlela ezithembeke kakhulu zokuvimbela ukuzala ezibuyisekayo ezitholakalayo.

Ngaphandle kokuvimbela ukukhulelwa, udokotela wakho angase anqume lo muthi ukusiza ukulawula izikhathi ezingajwayelekile. Abesifazane abaningi bathola ukuthi imijikelezo yabo iba nokuqagela okwengeziwe futhi izikhathi zabo zibe lula uma besebenzisa le pilisi yokulawula ukuzala.

Abanye abahlinzeki bezempilo bayayibhala futhi ukusiza ukuphatha izinduna ezibangelwa amahomoni, ikakhulukazi kwabesifazane abanezinduna ezibonakala zihlobene nomjikelezo wabo wokuya esikhathini. Amahomoni angasiza ukulinganisa ukukhiqizwa kwamafutha futhi anciphise ukuqubuka kwezinduna.

Ezimweni ezithile, odokotela bangase batusa lo muthi ukusiza ngokuya esikhathini okubuhlungu noma ukuphuma kwegazi eliningi ngesikhathi sokuya esikhathini. Amahomoni angenza ukuya esikhathini kube kufushane, kube lula, futhi kungabi buhlungu kwabesifazane abaningi.

Isebenza Kanjani I-Desogestrel ne-Ethinyl Estradiol?

Lo muthi usebenza ngokukhohlisa umzimba wakho ukuthi ucabange ukuthi usuvele ukhulelwe ngama-hormonal. Amahomoni okwenziwa athumela amasignali ebuchosheni bakho avimbela ukukhululwa kwe-follicle-stimulating hormone (FSH) ne-luteinizing hormone (LH).

Ngaphandle kwala mahomoni, ama-ovari akho awakhululi amaqanda njalo ngenyanga. Le yindlela eyinhloko iphilisi elivimbela ngayo ukukhulelwa - awekho amaqanda asho ukuthi akukho ithuba lokukhulelwa.

Lo muthi futhi uqina amafinyila emgqeni wakho wesibeletho, udale isithiyo esenza kube nzima kakhulu ukuthi isidoda sihambe futhi sifinyelele kunoma yiliphi iqanda elingase libe khona. Cabanga ngakho njengokudala isango elivikelayo.

Njengendlela yokusekela, amahomoni futhi anciphisa umugqa wesibeletho sakho. Lokhu kwenza kungabi maningi amathuba okuthi iqanda elikhulelwe lizimisele futhi likhule, nakuba lokhu akuvamile ukudingeka njengoba ukuvuthwa kwamaqanda kuvame ukuvinjelwa.

Kufanele Ngiyithathe Kanjani I-Desogestrel ne-Ethinyl Estradiol?

Kufanele uthathe iphilisi elilodwa ngesikhathi esifanayo nsuku zonke, okungcono ngengilazi yamanzi. Ukuyithatha nokudla kungasiza ukunciphisa ukuphazamiseka kwesisu uma uzwa isicanucanu lapho uqala umuthi.

Amaphakethe amaningi aqukethe amaphilisi angama-28 - amaphilisi amahomoni ayi-21 asebenzayo namaphilisi ayi-7 okukhumbuza angasebenzi. Uzothatha iphilisi elilodwa elisebenzayo nsuku zonke izinsuku ezingama-21, bese uthatha amaphilisi angasebenzi ngesonto lakho lokuya esikhathini.

Ukuqina kubalulekile ekusebenzeni kahle. Zama ukuthatha iphilisi lakho phakathi newindi elifanayo lamahora ama-3 nsuku zonke. Ukusetha i-alamu yansuku zonke ocingweni lwakho kungakusiza ukuthi ukhumbule futhi ugcine le nqubo.

Uma uqala nje amaphilisi okulawula ukuzala, qala ukuwathatha ngosuku lokuqala lokuya esikhathini ukuze uvikeleke ngokushesha. Uma uqala nganoma iliphi elinye usuku, sebenzisa ezinye izindlela zokuvimbela ukukhulelwa njengamakondomu izinsuku eziyisikhombisa zokuqala.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Desogestrel kanye ne-Ethinyl Estradiol?

Ungawuthatha ngokuphepha lo muthi uma nje udinga ukuvimbela ukukhulelwa futhi ungaqali ukuzwa imiphumela engathandeki. Abesifazane abaningi basebenzisa amaphilisi okulawula ukuzala iminyaka eminingi noma amashumi eminyaka ngaphandle kwezinkinga.

Udokotela wakho uzofuna ukukubona njalo - ngokuvamile njalo ezinyangeni eziyi-6 kuya kweziyi-12 - ukuze aqaphe impilo yakho futhi aqinisekise ukuthi umuthi usakulungele. Lokhu kuhlolwa kusiza ukubamba noma yiziphi izinkinga ezingase zibe khona ekuqaleni.

Uma uhlela ukukhulelwa, ungenza ukuyeka ukuthatha iphilisi nganoma yisiphi isikhathi. Iningi labesifazane linenzalo ebuyela kwesejwayelekile ezinyangeni ezimbalwa ngemva kokuyeka, nakuba abanye bengase bakhulelwe ngokushesha.

Abanye besifazane bayeka ukuthatha amaphilisi okulawula ukuzala, kodwa lokhu akudingekile ngokwezokwelapha kubantu abaningi. Eqinisweni, ukusetshenziswa okuqhubekayo kuvame ukuba ngcono kunokuqala nokuyeka ngokuphindaphindiwe.

Yiziphi Imiphumela Eceleni ye-Desogestrel kanye ne-Ethinyl Estradiol?

Abesifazane abaningi ababi nemiphumela eminingi noma abanayo ngalo muthi, kodwa umzimba wakho ungase udinge izinyanga ezimbalwa ukuze ujwayele amahomoni. Imiphumela ejwayelekile eceleni ivame ukuba mnene futhi ivame ukuthuthuka ngemva kwezinyanga ezi-2-3 zokusetshenziswa.

Imiphumela eceleni ebikwa kaningi ihlanganisa isicanucanu esincane, ubuhlungu bebele, ikhanda, kanye nezinguquko zemizwa. Lezi zimpawu zivame ukuzwakala zifana nezimpawu zokuqala zokukhulelwa futhi ngokuvamile ziyancipha njengoba umzimba wakho ujwayela.

Ungase futhi uqaphele izinguquko emjikelezweni wakho wokuya esikhathini, okuhlanganisa izikhathi ezilula, ukubona phakathi kwezikhathi, noma izikhathi ezingajwayelekile ezingekho. Lezi zinguquko zivamile futhi azilimazi empilweni yakho.

Abanye besifazane bazwa izinguquko ezincane zesisindo, izinguquko zesikhumba, noma izinguquko zesifiso sobulili. Le miphumela iyahlukahluka kakhulu kumuntu nomuntu futhi ivame ukuthuthuka ngokuhamba kwesikhathi noma ngokushintshela kwenye ifomula.

Imiphumela emibi engathí sina ayivamile kodwa idinga ukunakekelwa kwezokwelapha ngokushesha. Lokhu kufaka phakathi ubuhlungu obukhulu besifuba, ukuphefumula okungazelelwe, ikhanda elibuhlungu kakhulu, izinguquko zombono, noma izimpawu zamaqhubu egazi njengobuhlungu emlenzeni nokuvuvukala.

Ngokuvamile, abanye besifazane bangase babe nomfutho wegazi ophezulu, izinkinga zesibindi, noma izinkinga ze-gallbladder. Udokotela wakho uzoqapha lezi zimo ngesikhathi sokuhlolwa kwakho okuvamile.

Ubani Ongafanele Athatha I-Desogestrel kanye ne-Ethinyl Estradiol?

Lo muthi awuphephile kuwo wonke umuntu, ikakhulukazi abesifazane abanezimo ezithile zezokwelapha noma izici eziyingozi. Udokotela wakho uzobukeza ngokucophelela umlando wakho wezempilo ngaphambi kokukuyalela le pilisi yokulawula inzalo.

Abesifazane abanomlando wamaqhubu egazi, unhlangothi, isifo senhliziyo, noma iminye iminyango yomdlavuza akufanele bathathe lo muthi. Ingxenye ye-estrogen ingakhuphula ingozi yamaqhubu egazi, ikakhulukazi kwabesifazane asebenazo izici eziyingozi eziphakeme.

Uma ubhema futhi uneminyaka engaphezu kwengama-35 ubudala, lo muthi ukwandisa kakhulu ingozi yakho yezinkinga ezingathi sína zenhliziyo nemithambo yegazi. Udokotela wakho cishe uzoncoma izindlela zokulawula inzalo ezingahambisani nama-hormone esikhundleni salokho.

Abesifazane abanomfutho wegazi ophezulu ongagadiwe, isifo sikashukela esinokuhlushwa, noma isifo sesibindi esibi kufanele bagweme lo muthi. Lezi zimo zingase zibe zimbi ngama-hormone amaphilisi okulawula inzalo.

Uma une-migraines ene-aura, ukuphuma kwegazi okungachazeki kwesitho sangasese sowesifazane, noma iminyango yomdlavuza eyaziwayo ezwelayo kuma-hormone, udokotela wakho uzoncoma izindlela zokuvimbela ezingcono eziphephe kakhulu esimweni sakho esithile.

Amagama Omkhiqizo we-Desogestrel kanye ne-Ethinyl Estradiol

Le mithi ehlanganisiwe itholakala ngaphansi kwamagama amaningi emakethe, nakuba izithako ezisebenzayo zihlala zinjalo. Amagama ajwayelekile emakethe afaka i-Desogen, Ortho-Cept, Apri, kanye ne-Reclipsen.

Ungase futhi uyithole ngaphansi kwamagama afana ne-Caziant, Cesia, Cyclessa, noma i-Velivet, kuye ngokuthi iyiphi ifomula ethile kanye nohlelo lokulinganisa. Ezinye izinhlobo zemithi zinikeza amazinga ahlukene ama-hormone inyanga yonke (amaphilisi e-triphasic).

Izinhlobo zemithi ejwayelekile zitholakala kabanzi futhi ziqukethe izithako ezisebenzayo ezifanayo nezinhlobo zemithi enegama emakethe. Zivame ukuba zibize kancane futhi zisebenza kahle ekunqandeni ukukhulelwa.

Ukupakishwa kanye nezithako ezingasebenzi kungahluka phakathi kwezinhlobo zemithi, kodwa ama-hormone anqanda ukukhulelwa ahlala njalo. Ikhemisi lakho livame ukushintsha izinhlobo zemithi ejwayelekile ukusiza ukonga imali.

Ezinye izindlela ze-Desogestrel kanye ne-Ethinyl Estradiol

Uma le mithi ingasebenzi kahle kuwe, ezinye izinketho eziningi zokulawula inzalo ziyatholakala. Amanye amaphilisi ahlanganisiwe anezinhlobo ezahlukene zama-hormone angase abangele imiphumela emibi embalwa ngenkathi enikeza ukuvimbela ukukhulelwa okufanayo.

Amaphilisi e-Progestin kuphela (amaphilisi amancane) angase abe ngcono uma ungenakho ukuthatha i-estrogen ngenxa yezimo zempilo noma imiphumela emibi. Lawa maphilisi aqukethe kuphela i-progesterone eyenziwe futhi aphephile kwabesifazane abaningi abangakwazi ukusebenzisa amaphilisi ahlanganisiwe.

Izinketho ezisebenza isikhathi eside njengomjovo wokulawula inzalo, ukufakelwa, noma i-IUD zinikeza ukuvimbela ukukhulelwa okuhle ngaphandle kwamaphilisi ansuku zonke. Lezi zindlela zingasiza ikakhulukazi uma unzima ukukhumbula ukuthatha imithi yansuku zonke.

Izinketho ezingena-hormone zifaka ama-IUD ethusi, ama-diaphragm, nezindlela zokuvimbela ezifana namakhondomu. Lezi zinqumo azithinti ama-hormone akho kodwa zisanikeza ukuvimbela ukukhulelwa okusebenzayo uma zisetshenziswa ngendlela efanele.

Ingabe i-Desogestrel kanye ne-Ethinyl Estradiol ingcono kunezinye izinhlobo zamaphilisi okulawula inzalo?

Lo muthi usebenza kahle kakhulu futhi uthandwa kakhulu ngabesifazane abaningi, kodwa akukho iphilisi elilodwa lokulawula inzalo elithi "elihle kakhulu" kuwo wonke umuntu. Ukukhetha okufanele kuncike ezingeni lakho lezempilo, indlela yokuphila, nokuthi umzimba wakho usabela kanjani kumahomoni ahlukene.

Uma kuqhathaniswa namaphilisi amadala okulawula inzalo, le nhlanganisela isebenzisa imithamo ephansi yamahomoni, okusho ukuthi imvamisa imiphumela emincane. Ingxenye ye-desogestrel nayo ithathwa njengengenzeki ukuthi ibangele imiphumela ye-androgenic efana namabala noma ukukhula kwezinwele okweqile.

Abanye besifazane bathola ukuthi le fomula ibangela ukuqunjelwa okuncane, izinguquko zemizwa, noma ukuzuza isisindo uma kuqhathaniswa namanye amaphilisi. Kodwa-ke, izimpendulo zomuntu ngamunye ziyahlukahluka kakhulu, futhi okusebenzela umuntu oyedwa kungase kungasebenzi komunye.

Ukusebenza kahle kokuvimbela ukukhulelwa kuhle kakhulu futhi kufana namanye amaphilisi okulawula inzalo ahlanganisiwe uma ethathwa ngendlela efanele. Umehluko omkhulu phakathi kwamaphilisi uvamise ukubandakanya imiphumela emibi nokuthi ukubekezelela kanjani ukuhlanganiswa kwamahomoni athile.

Imibuzo Evame Ukubuzwa Mayelana ne-Desogestrel kanye ne-Ethinyl Estradiol

Ingabe i-Desogestrel kanye ne-Ethinyl Estradiol iphephile ku-Diabetes?

Abesifazane abanesifo sikashukela esilawulwa kahle bangavame ukusebenzisa lo muthi ngokuphepha, kodwa kudinga ukuqapha ngokucophelela ngumhlinzeki wakho wezempilo. Amahomoni angase athinte kancane amazinga kashukela egazini, nakuba lokhu kuvamile ukulawuleka.

Uma unezinkinga ze-diabetes ezithinta amehlo akho, izinso, noma imithambo yegazi, udokotela wakho angase ancome amaphilisi e-progestin-only noma izindlela ezingahambisani namahomoni esikhundleni salokho. Lezi zinkinga zikhuphula ingozi yama-clots egazi uma ihlanganiswe ne-estrogen.

Udokotela wakho uzofuna ukuqapha amazinga akho kashukela egazini eduze lapho uqala lo muthi. Bangase futhi bahlole umfutho wegazi lakho nezinye izinto eziyingozi zenhliziyo nemithambo yegazi kaningi.

Ngingenzani Uma Ngithatha i-Desogestrel kanye ne-Ethinyl Estradiol ngokungahlosiwe ngaphezulu?

Ukuphuza iphilisi elilodwa elengeziwe ngengozi ngokuvamile akuyingozi, yize ungase uhlangabezane nesicanucanu, ukuhlanza, noma ukuphuma kwegazi okungajwayelekile. Xhumana nomhlinzeki wakho wezempilo ukuze uthole isiqondiso sokuthi uzothatha nini umthamo wakho olandelayo ovamile.

Uma uthathe amaphilisi engeziwe amaningi noma iphakethe lonke, funa ukunakekelwa kwezempilo ngokushesha. Ngenkathi imiphumela emibi yokweqisa idlulele ayivamile, ungase uhlangabezane nesicanucanu esibi kakhulu, ukuhlanza, noma ukuphuma kwegazi okungajwayelekile.

Ungazami ukuze

Ungayeki ukuthatha imithi ngokuphazima kweso ngenxa yemiphumela emincane engemihle ngaphandle kokukhuluma nodokotela wakho kuqala. Imiphumela eminingi emibi iyathuthuka ngemva kwezinyanga ezimbalwa, futhi ukuyeka kungazelelwe kungabangela ukuguquguquka kwamahomoni.

Ngingayithatha i-Desogestrel kanye ne-Ethinyl Estradiol ngenkathi ngincelisa?

Lo muthi akukhuthazwa ngenkathi uncelisa, ikakhulukazi ezinyangeni eziyisithupha zokuqala ngemva kokubeletha. Ingxenye ye-estrogen inganciphisa ukukhiqizwa kobisi futhi ingase ithinte ikhwalithi yobisi lwebele.

Amaphilisi aqukethe i-progestin kuphela (amaphilisi amancane) ayindlela ekhethwayo yamahomoni omama abancelisayo. Lawa maphilisi awawuthinti ukukhiqizwa kobisi futhi aphephile kumama nengane.

Uma udinga ukuqala ukulawula inzalo ngenkathi uncelisa, xoxa ngezinketho ezingcono kakhulu nomhlinzeki wakho wezempilo. Izindlela ezingezona zamahomoni njenge-copper IUDs nazo ziyizinketho ezinhle kakhulu ngesikhathi sokuncelisa.