I-Opill iyipilisi lokuqala lokulawula ukukhulelwa elingathengwa ngaphandle kodokotela e-US, ipilisi eline-progestin kuphela ongayithenga ngaphandle kodokotela, kanti izindlela zokulawula ukukhulelwa ezidinga udokotela zihlanganisa izinketho eziningi ezahlukahlukene (amaphilisi ahlanganisa i-estrogen ne-progestin, i-patch, indandatho, ama-IUD, isitshalo, nomjovo). Inzuzo enkulu ye-Opill ukutholakala kwayo ngaphandle kodokotela futhi ingayikho ubungozi obuhlobene ne-estrogen; izindlela zikadokotela zinikeza izinketho eziningi kanye nesiqondiso esivela kudokotela. Akekho noyedwa ongcono kunomunye, okufanele ukhethe kuncike ezidingweni zakho, okuzokusiza ukuthi ukuhlele lokhu kuqhathaniswa.

ISIFINGQEZO ESIFISHANE

  • I-Opill ipilisi le-progestin kuphela elingathengwa ngaphandle kodokotela, alidingi udokotela, alina-estrogen, lithathwa nsuku zonke.
  • Izinzuzo zayo: ukutholakala kalula, futhi igwema ubungozi be-estrogen (kuhle uma ungakwazi ukuthatha i-estrogen).
  • Amalipilisi e-progestin kuphela adinga isikhathi esifanayo nsuku zonke ukuze asebenze kahle.
  • Izinketho zikadokotela zinikeza izinhlobonhlobo eziningi (izindlela ze-estrogen, ama-IUD, isitshalo, umjovo) kanye nengxoxo kadokotela.
  • Ukukhetha okuhle kuncike empilweni yakho, okuthandayo, nokuthi ufuna isiqondiso esingakanani.

Yini i-Opill

Ukuqondiswa okusheshayo ngendlela entsha. I-Opill (i-norgestrel) ipilisi lokulawula ukukhulelwa eline-progestin kuphela, ngezinye izikhathi elibizwa nge-"mini-pill", okuthi i-FDA yagunyaza ukuthengiswa ngaphandle kodokotela, okuyenza ibe yindlela yokuqala yokulawula ukukhulelwa ngomlomo etholakala e-US ngaphandle kodokotela, ngokusho kwe-ACOG. Ungayithenga emakhemisi nasezitolo (nasezitolo eziku-inthanethi) uthathe ipilisi elilodwa nsuku zonke ukuze uvimbele ukukhulelwa. Ngoba liqukethe i-progestin kuphela futhi ayina-estrogen, igwema ubungozi obuqondene ne-estrogen, okuyinzuzo ebalulekile kubantu abaningi (umhlahlandlela wethu wezifo ezingase zibangele yi-Opill ukuthi kukuphi okunye ongakulindela).

Izinzuzo ze-Opill

Lapho i-Opill ikhanya khona, ngobuqotho. Okokuqala, ukutholakala: akukho kudokotela, akukho ukuphola, akukho ukubiza ukuphola, ungqaphela ukulawula ukukhulelwa ngosuku olufanayo lapho unquma khona ukwenza kanjalo, okubaluleke kakhulu kubantu abangenakho ukufinyelela kalula kudokotela. Okwesibili, akukho estrogen: izindlela ezihlanganisiwe (ezine-estrogen) aziphephile kuwo wonke umuntu, futhi izinto eziwavimbela, ukubhema eneminyaka engama-35 noma ngaphezulu, umfutho wegazi ophakeme, umlando wama-clot egazi noma isifo sohlanga, ne-migraine ene-aura, ngokusho kwe-imigomo yokuphepha yokulawula ukukhulelwa ye-CDC, ayisebenzi kumapilisi e-progestin kuphela njenge-Opill. Ngakho-ke kubantu abangenakho noma okungafanele bathathe i-estrogen, i-Opill iyinketho enhle ngempela abangayithola ngaphandle kokudinga udokotela ukuze bahlole umbuzo we-estrogen. Okwesithathu, ubumfihlo nokulunga: ukuyithenga eshalofini kulula futhi kuyimfihlo. Lezi yizinzuzo zangempela, kanti kumuntu ofanele, i-Opill iyinketho enhle kakhulu.

Lapho Izindlela Zokulawula Ukukhulelwa Zidinga Udokotela Zinemkhawulo

Uhlangothi olunye, luhlinzekwe ngokwethembeka. Izindlela zokulawula ukukhulelwa ezidinga udokotela zinikeza izinketho eziningi nesiqondiso esiningi, okubalulekile kwabanye abantu. Izinhlobonhlobo: izindlela zikadokotela zihlanganisa amaphilisi e-estrogen-progestin ahlanganisiwe (amanye abantu awathanda ukuze athole izikhathi ezijwayelekile, ezingalindelekile nokulawula isiyingi), i-patch nendandatho, nezindlela ezisebenza isikhathi eside, ama-IUD nesitshalo, ezingadingi ukukhumbula lutho nsuku zonke, kanye nomjovo. Uma ufuna indlela yokuthi "uyibeke uyilibale" noma izinzuzo zesiqintingo ze-estrogen, lezo zidinga udokotela kuphela. Ukuqina kwesikhathi: amaphilisi e-progestin kuphela afana ne-Opill adinga ukuthathwa njalo ngesikhathi esifanayo nsuku zonke ukuze asebenze kahle, ngokungabi namagcini amancane kune-pilisi eyahlanganisiwe, ngakho-ke uma ukuzinza kwansuku zonke kukunzima kuwe, indlela yokwelashwa engasebenza isikhathi eside ingase ikulungele kangcono. Isiqondiso: udokotela (ngokomzimba noma nge-telehealth) angakusiza ukhethe phakathi kwezindlela eziningi ngokusekelwe empilweni yakho, okuthandayo, nemigomo yakho, okwaziswa abanye abantu, ikakhulukazi uma bengaqinisekile ukuthi yini efanele. Ngakho-ke ukunakekelwa kudokotela kunqoba ngokukhetha nengxoxo.

Ungakukhetha Kanjani (Nokuthi Ungathola Kanjani Izinketho Zikadokotela)

Ukuhlanganisa konke, nansi indlela yokucabanga ngakho. I-Opill iyinketho eqinile uma ufuna ukutholakala kalula ngaphandle kodokotela, ungakwazi noma ukhetha ukungathathi i-estrogen, futhi ungathatha ipilisi njalo ngesikhathi esifanayo nsuku zonke. Izindlela zokulawula ukukhulelwa ezidinga udokotela zingcono uma ufuna izinhlobonhlobo eziningi, ukhetha indlela yokwelashwa esebenza isikhathi eside (IUD, isitshalo) noma indlela equkethe i-estrogen yokulawula isiqintingo, noma ufuna usizo lukadokotela ekukhetheni. Abantu abaningi baqala ngokufanele nge-Opill ngenxa yokutholakala kwayo bese beguqula kamuva uma ingafaneleki, noma okuphambene nalokho. Uma ufuna izinketho zikadokotela, ukuphola kwe-telehealth okungu-R39 ne-insizakalo yokulawula ukukhulelwa ku-inthanethi ye-August ingahlola umlando wakho futhi ikunikeze indlela efanele ngalolo suku, futhi umhlahlandlela ophelele wokuthola izindlela zokulawula ukukhulelwa ku-inthanethi uchaza ezinye izindlela. Akukho mpendulo eyodwa elungile, kuphela okufanelayo.

Imibuzo Evame Ukubuzwa

Yini umehluko omkhulu phakathi kwe-Opill nezindlela zokulawula ukukhulelwa ezidinga udokotela?
I-Opill ipilisi le-progestin kuphela elingathengwa ngaphandle kodokotela (akudingi udokotela, akubona u-estrogen), kuyilapho izindlela zokulawula ukukhulelwa ezidinga udokotela zihlanganisa izinketho eziningi, amaphilisi ahlanganisiwe e-estrogen, i-patch, indandatho, ama-IUD, isitshalo, umjovo, ngokwelulekwa kudokotela. I-Opill inqoba ekufinyeleleni; izindlela zikadokotela zinqoba ngokwezinhlobonhlobo nasekwelulekeni. Okungcono kuncike ezidingweni zakho.

Ingabe i-Opill iyasebenza njengamaphilisi kadokotela?
Amalipilisi e-progestin kuphela afana ne-Opill ayasebenza lapho ethathwa ngendlela efanele, njalo ngesikhathi esifanayo nsuku zonke, okubalulekile ukuze asebenze kahle. Amalipilisi ahlanganisiwe akudokotela anomphumelelo ofanayo ojwayelekile, futhi izindlela ezisebenza isikhathi eside (ama-IUD, isitshalo) ziyasebenza kakhulu ngoba azincikile ekusetshenzisweni kwansuku zonke. Ukuzinza kubaluleke kakhulu emaphilisi.

Ngingakwazi ukuthola i-Opill ngaphandle kodokotela?
Yebo, yiso isici sayo esihlukile, i-Opill iyatholakala ngaphandle kwedokotela emakhemisi, ezitolo, nasezitolo eziku-inthanethi ngaphandle kodokotela, ukuphola, noma umkhawulo weminyaka. Ungaqala ngayo ngosuku olufanayo lapho unquma khona ukwenza kanjalo, okususa isithiyo sangempela ekufinyeleleni ekulawulweni kokukhulelwa kwabantu abaningi.

Kungani ngingakhetha i-Opill kunamalipilisi kadokotela?
Ukutholakala kalula ngaphandle kodokotela, uma ungakwazi noma ukhetha ukungathathi i-estrogen (i-Opill ayinayo, igwema ubungozi be-estrogen), futhi uma ungathatha ipilisi njalo nsuku zonke. Kufaneleka kahle kubantu abafuna ukuqala ukulawula ukukhulelwa ngaphandle kokuphola kudokotela futhi abadingi izindlela zokulawula ukukhulelwa ezine-estrogen.

Kungani ngingakhetha izindlela zokulawula ukukhulelwa ezidinga udokotela esikhundleni salokho?
Ezinkethweni eziningi, izindlela zokulawula ukukhulelwa ezihlanganisiwe ze-estrogen (abanye abazithanda kakhulu ukuze balawule isiyingi sabo), ama-IUD esebenza isikhathi eside noma isitshalo (akukho pilisi yansuku zonke okufanele uyikhumbule), noma umjovo, nokusiza kudokotela ekukhetheni okufanelekile. Uma ukuphatha isikhathi samalipilisi nsuku zonke kukunzima kuwe, indlela yokwelashwa esebenza isikhathi eside ingase ikulungele kangcono.

Ingabe i-Opill iqukethe i-estrogen?
Cha, i-Opill i-progestin kuphela, yingakho igwema ubungozi obuqondene ne-estrogen futhi ayidingi ukuhlolwa izindlela eziqukethe i-estrogen (ezintweni ezifana nokubhema uneminyaka engama-35+, umfutho wegazi ophakeme, noma umlando wama-clot). Lokho kuyenza ibe yinketho enhle kubantu abangakwazi ukuthatha i-estrogen.

Ngingakwazi ukushintsha phakathi kwe-Opill nezindlela zikadokotela?
Yebo, abantu abaningi baqala ngokufanele ngeyodwa bese beguqula uma ingafaneleki. Uma ukuphathwa isikhathi nsuku zonke kwe-Opill kunzima, indlela yokwelashwa esebenza isikhathi eside ingase ikulungele kangcono; uma ufuna ukugwema ukuphola kudokotela, i-Opill inikeza ukufinyelela. Udokotela angasiza ngezinguquko. Akukho ukuvalelwa.

Ngingathola kanjani izindlela zokulawula ukukhulelwa ezidinga udokotela uma ngizifuna?
Nge-telehealth (ukuphola okungu-R39 kungakuhlola futhi kukuphe isikhathi esifanayo lapho kufanele khona), udokotela wezempilo yabesifazane, noma ngezinye izikhathi i-urgent care. Izindlela eziqukethe i-estrogen zidinga ukuhlolwa kwezempilo nomfutho wegazi kuqala, futhi izindlela ezisebenza isikhathi eside (ama-IUD, isitshalo) zidinga ukufakwa ngokomzimba.