Kodi ndi zofanana ndi nthawi ya kusamba?
Kuchotsa magazi, omwe amadziwikanso ngati nthawi yamadzimadzi kapena yachinyengo, ndi amayi omwe amawuluka pamwezi pamodzi pogwiritsira ntchito njira yoletsa kubereka , monga pilisi, chigamba, kapena NuvaRing . Pa sabata la placebo la njira zimenezi, amayi amatha kutuluka magazi, omwe nthawi zambiri amawoneka ngati nthawi zonse. Kuchotsa mwadzidzidzi mwezi uliwonse sikuli chinthu chimodzi, komabe, monga kukhala ndi nthawi yeniyeni.
Kodi Kubwezeretsa Kudzachitika N'chiyani?
Ngati mumagwiritsa ntchito mankhwala osokoneza bongo amodzi, muyenera kuyembekezera kuti mwazi wanu umachokera pamene simutenga ma hormoni kuchokera njira yanu yoletsa kubereka . Izi kawirikawiri pa sabata lachinayi la ulendo wanu:
- Ogwiritsira ntchito mapiritsi : Ganizirani kuti magazi anu amachokera pakadutsa sabata 4 (sabata lanu la placebo) ngati mukugwiritsa ntchito mankhwala a mapiritsi a masiku 28.
- Ogwiritsira Ntchito: Muyenera kuyembekezera kuti mwazi wanu umachoka pakatha sabata.
- Ogwiritsira Ntchito NuvaRing: Yembekezerani kuti magazi anu achoke pakapita sabata mutatenga NuvaRing yanu (sabata 4).
- Ogwiritsa Ntchito Mapiritsi Owonjezera : Ngati inu muli ndi mapiritsi afupikitsa masiku makumi asanu ndi atatu (monga Seasonique ), musayembekezere kutuluka kwanu kwa miyezi itatu. Iyenera kubwera nthawi ina pa sabata 13.
- Ogwiritsira Ntchito Pillin-Only Pokha : Zinthu ndi zosiyana pang'ono chifukwa inu mulibe sabata la placebo. Ngati mutayambitsa mapiritsi tsiku loyamba lanu, mutha kuyembekezera kuti mutayika magazi pamwezi nthawi yoyamba ya pakiti yanu yotsatira.
- Kugwiritsa Ntchito Pulogalamu ya Pulogalamu ya Patsiku Lamasiku 21 Ogwiritsa Ntchito : Ena mwa inu mumagwiritsa ntchito mankhwala a mapiritsi omwe ali ndi mapiritsi 21 (monga Loestrin 1/20 kapena Loestrin 1.5 / 30 ), kotero ndi nthawi yanji yomwe muyenera kuyembekezera kuti mutuluka magazi? Eya mapiritsi onse 21 (Masabata 1-3). Kenaka, pamapeto pa sabata 4 pamene simutenga mapiritsi, mukhoza kuyembekezera kuchotsa magazi.
Kodi N'chiyani Chimayambitsa Kuchetsa Kosowetsa?
Kutaya mwazi kumachitika sabata yapitayi yoyendetsa njira yoletsa kubereka chifukwa pali kusintha kwa mlingo wa mankhwala omwe thupi lanu limagwiritsidwa ntchito. Kusakhala ndi mahomoni pamapeto pa sabata 4 kungachititse kuti chiberekero cha chiberekero chanu chichepetse mokwanira kuti magazi athe kuchitika. Ndikofunika kuwonetsa kuti kuchotsa magazi ndi chifukwa cha kusintha kwa ma hormone ndipo si nthawi yeniyeni. Kutuluka magazi kumatha kukhalanso pambuyo pa mankhwala a progesterone.
Ngati Icho Si Chachilendo, Nchifukwa Chiyani Kuleka Kuchotsa?
Mukamagwiritsa ntchito mphamvu ya kubadwa kwa mahomoni, mumakhala "mukuposa" nthawi ya msambo wanu. Mwanjira ina, njirazi zimapangitsa thupi lanu kuganiza kuti liri ndi pakati. Kubwerera pamene Margaret Sanger, Katharine McCormick, John Rock, ndi Gregory Pincus anayamba kupanga mapiritsiwo, amalingalira kuti akazi sangakonde kuti asapange mwezi uliwonse, makamaka popeza amayi nthawi zambiri amadalira nthawi zonse ngati "umboni" sali ndi pakati. Palibe chilengedwe kapena chifukwa chachipatala chokhala ndi nthawi imeneyi. Koma kachiwiri, mapiritsiwa ankaganiza kuti amayi amatha kukhala omasuka kuti azikhala ndi magazi amwezi, ndipo amaganiza kuti popeza mapiritsi amachititsa kuti chilengedwe chichitike, ndiye kuti pangakhale kusatsutsa kwachipatala kugwiritsa ntchito mapiritsi.
Choncho opanga mapiritsi anapanga chisankho chomanga mapiritsi a magazi. Kodi iwo anachita bwanji izi? Iwo adapanga mapiritsi kuti akhale ndi masabata atatu (masiku 21 a mapiritsi othamanga). Kenaka, sabata 4, iwo anali ndi nthawi yopanda mahomoni masiku asanu ndi awiri pogwiritsa ntchito mapiritsi a placebo okha. Mahomoni omwe amatha kuchitika panthawi imeneyi yapiritsi yopanda pirisi / yopanda phala / NuvaRing amachititsa kuti magazi anu achoke.
Nanga Kutaya Kudzala Kumasiyana Bwanji ndi Nthawi Yeniyeni?
Kuchotsa magazi kumakhala kofanana ndi nthawi ya kusamba (ndipo nthawi zambiri kumatchulidwa kukhala pa nthawi yanu). Koma, muyenera kukumbukira kuti sizomwe zimakhala ngati kukhala ndi nthawi yeniyeni.
Kuti timvetse chifukwa chake izi ndi zosiyana, tiyenera kuyang'ana mofulumira mkati mwa thupi lanu kuti timvetse zomwe zimakupangitsani kukhala ndi nthawi. Mwachidule:
- Kusintha kwa kusintha kwa ma hormone kungapangitse kusintha kwa uterine.
- Ngati mahomoni anu samasinthasintha, ndiye kuti chiberekero cha chiberekero chanu sichitha.
- Chifukwa chakuti sali wandiweyani, sikuyenera kuwonongedwa, ndi zomwe zimachitika nthawi zonse.
- Chifukwa chokhacho chachilengedwe cha kusintha kumeneku mu chipinda cha uterine ndicho kukonzekera chiberekero cha mimba yotheka.
Koma, mukamagwiritsa ntchito Piritsi, Patch, kapena NuvaRing, ma hormone a thupi lanu amakhala otsika, ndipo samasula-iwo amakhalabe osasuntha. Kusasinthasintha kwa ma hormone kudzateteza chiberekero chanu. Izi ndi zofunika kuti tiwonetsetse kuti sizingokhala zoonda pamasabata atatu omwe mukugwiritsa ntchito mankhwala opatsirana pogonana, koma akadali ochepa patsiku lachinayi, ndipo adzapitirizabe kukhala wochepa thupi nthawi yonse yomwe mukugwiritsa ntchito njirayi.
- Kuchepa uku kumatanthauza kuti palibe minofu yomwe imamangirira mu uterine.
- Palibe kutsetsereka kwa chipinda chimatanthauza kuti palibe zomangirira zomwe ziyenera kuchotsedwa.
- Palibe kukhetsa kumatanthauza kuti simukusowa kukhala ndi nthawi yokha nthawi.
Momwemonso njirazi zimakulepheretsani kukhala ndi "enieni" mwezi uliwonse. M'malo mwake, mwezi uliwonse umachotsa magazi (kapena "nthawi yowonongeka"). Osati kuwonjezera mahomoni m'dongosolo lanu pamapeto a sabata 4, makamaka amachepetsanso thupi lanu lopanda uterine. Kutuluka uku ndiko kutuluka magazi. Chifukwa chakuti chipinda chako cha uterine sichinakula, kutaya magazi kumakhala kofupikitsa komanso kowala kuposa nthawi zonse.
Kusiya kubwetsa ndi kugonana
Chotsiriza, koma osachepera, mwina mukuganiza kuti kugonana kumatha sabata 4, ndipo ngati mapiritsi, patch, kapena NuvaRing kapena ayi, amapereka chitetezo cha mimba pa sabata la placebo. Yankho ndi "inde"! Ngakhale kuti simutenga ma hormoni pa sabata 4 (kapena sabata 13 kuti mugwiritse ntchito mapiritsi owonjezera) ndipo ngakhale mutakhala ndi magazi ochepa, mavitamini anu okhudzana ndi mahomoni amakuphimbani.
> Chitsime:
> Kaunitz AM. Maphunziro oleza mtima: Njira zowonetsera zolaula (Beyond the Basics). Mu: UpToDate. Eckler K, Martin KA (Mkonzi) 2017.