Piritsi Yowononga Kwawo Nthawi Zonse Kugonana kwa Makolo Kumalephera
Beyaz ndi mapiritsi ophatikizira ophatikizako omwe, akamatengedwa tsiku lililonse, amatha kuteteza mimba. Piritsi iliyonse ya Beyaz imaperekanso mlingo wa tsiku ndi tsiku. Mankhwalawa amachepetsera chiopsezo chokhala ndi ziwalo zosawerengeka zomwe zimakhala ndi mimba. Mankhwala a beyaz angathandizenso kuthana ndi matenda osokoneza bongo (PMDD) komanso ma acne oyenera.
Phukusi lililonse la Beyaz limakhala ndi mapiritsi 28 a mapiritsi 24, omwe ali ndi 3 mg drospirenone (progesin), 0.02 mg ethinyl estradiol (synthetic estrogen), ndi 0.451 mg levomefolate calcium (vitamini B).
Palinso mapiritsi anayi a malalanje - alibe mahomoni koma ali ndi 0.451 mg tsamba lavomefolate. Chifukwa pali mapiritsi anayi okha a placebo, Beyaz amaonanso kuti ndi mapiritsi oletsa kubereka .
Momwe Ikugwirira Ntchito
Beyaz amagwira ntchito ngati mapiritsi ena oletsa kubadwa . Phukusi lililonse limapereka mlingo wa drospirenone ndi ethinyl estradiol kuti ukhalepo kwa mwezi umodzi (mapiritsi 24 a mapiritsi ndi mapiritsi 4 akumbutso).
Mmene Zimasiyanirana
- Beyaz amapereka mlingo wa tsiku ndi tsiku wa folate supplementation, womwe umalimbikitsidwa kwa amayi m'zaka zawo zobereka. Matupi amachepetsa chiopsezo chokhala ndi ziwalo zochepa zomwe zimachitika panthawi ya Beyaz kapena posachedwa. Ngati mumasankha kugwiritsa ntchito pilisi ngati njira yoberekera, Beyaz ndi mtundu umodzi umene umakupatsani 0.4 mg (400 mcg) ya folic acid yomwe imalimbikitsidwa tsiku ndi tsiku kwa amayi a msinkhu wobereka.
- Beyaz ndi yemwenso a FDA amavomereza kuti azikhala ndi mavitamini ochepa . Zimaganiziridwa kuti drospirenone ku Beyaz amathandiza kuletsa ndi androgens (mahomoni) omwe amayambitsa ziphuphu. Ngati mwasankha mapiritsiwa chifukwa cha kusamalidwa , ayamba kusamba , ndipo ali ndi zaka 14, Beyaz ikhoza kukhala njira yabwino yothandizira kuti muzitha kupaka mankhwala anu oyenera.
- Beyaz nayenso akuvomerezedwa ndi FDA kuti athetse zizindikiro zamaganizo ndi zakuthupi zogwirizana ndi PMDD. Matenda opatsirana am'mimba (PMDD), mawonekedwe amphamvu a PMS, ndi chikhalidwe chomwe chimakhudza kwambiri ubwino wa maganizo ndi chikhalidwe cha anthu atatu kapena asanu pa 100 aliwonse a amayi a msinkhu wobereka. Zizindikiro za PMDD zimachitika nthawi zambiri asanayambe kupita kumsana ndi masiku angapo chiyambireni nthawi. Nthawi zambiri zimakhala zovuta kwambiri kuti zikhudze moyo wanu wa tsiku ndi tsiku. Kwa amayi omwe amasankha Piritsi chifukwa cha kulera, Beyaz angathandize kupereka mpumulo kwa zizindikiro za PMDD . Beyaz sinawonetsedwe kukhala chithandizo chamankhwala kuchipatala choyamba (PMS).
Beyaz vs. Yaz
Beyaz ndi Yaz ndi mapiritsi oyenera kulera. Kusiyana kwakukulu pakati pawo ndikuti Beyazi ili ndi mlingo wa tsiku ndi tsiku wa levomefolate calcium (B vitamini / folic acid). Izi zimapangitsa Beyaz piritsi loletsa kubadwa kwa nthawi zosawerengeka kuti kuchepetsa kubereka sikulephera. Chifukwa chiyani? Ngati mutatenga mimba mukakhala Beyaz, mutha kale kukhala ndi zofunikira m'thupi lanu. Amayi akakhala ndi masewera olimbitsa thupi, amachepetsera chiopsezo kuti mwana wanu akhale ndi vuto la neural tube. Kumbukirani kuti ngati mutenga mimba piritsi, mapiritsi anu sangagwirizane ndi mwana wanu mwanjira iliyonse.
Mapindu Osamvera
Mapiritsi oletsa kubadwa monga Beyaz angapereke zina zowonjezera kupitirira kubereka. Zopindulitsa izi zikuphatikizapo kuchepetsa chiopsezo cha:
- Khansara ya ovarian, khansara ya endometrial ndi khansa yoyipa
- Matenda a m'thupi (omwe angabwere chifukwa cha nthawi yayitali)
- Kuwonjezera tsitsi
- Zosakanikirana kapena zovuta m'mimba
- Madzi owuma ndi kugonana kowawa
- Osteoporosis
- Ena ovarian cysts
- Ectopic pregnancy
Phindu
- Ndi wochenjera
- Kuwunikira ndi kulamulira nthawi ndi kuchepetsa kusamba kwa msambo
- Amapereka mlingo wa tsiku ndi tsiku wa folic acid
- Chiloleza kugonana kwadzidzidzi
- Kubwezeretsedwa- kubwereranso kubereka pambuyo atasiya
- Amathandizira ndi PMDD ndi masewera olimbitsa thupi
- Otetezeka komanso ogwira mtima
Chenjerani ndi Drospirenone
Drospirenone imathandiza kuchepetsa kutsekemera kwa mahomoni omwe amayendetsa madzi a thupi ndi electrolytes. Drospirenone ingayambitse potassium apamwamba. Chifukwa cha izi, Beyaz sangakhale mankhwala abwino kwambiri a piritsi ngati ali ndi impso, chiwindi kapena adrenal matenda chifukwa Beyaz amatha kuwononga mavuto a mtima ndi thanzi.
Beyaz ikhozanso kuthandizana ndi mankhwala ena omwe amachititsa kuti potaziyamu iwonjezeke. Chizindikiro cha Beyaz chikuphatikizapo chenjezo lomwe limalangiza madokotala kuti ayang'ane mayendedwe a seramu m'mwezi woyamba ngati mukuchitsidwanso ndi mankhwala aliwonse okhudzana ndi kusungidwa kwa potaziyamu.
Izi zingagwiritsidwe ntchito ngati muli pakali pano, mankhwala a nthawi yaitali pogwiritsa ntchito mankhwala awa:
- NSAIDs (ibuprofen [Motrin, Advil], naproxen [Aleve ndi ena] akamatengedwa nthawi yaitali ndi tsiku ndi tsiku kuti athetse matenda a nyamakazi kapena mavuto ena)
- Potaziyamu-sparing diuretics (spironolactone ndi ena)
- Potaziyamu supplementation ACE inhibitors (Capoten, Vasotec, Zestril ndi ena)
- Angiotensin-II omwe amamenyana nawo (Cozaar, Diovan, Avapro ndi ena)
- Heparin
- Aldosterone antagonists
Zotsatira Zotsatira
Pali zochitika zochepa za zotsatira za Beyaz. Zotsatira zake zimatha kutha miyezi iwiri kapena itatu kamodzi thupi lanu likagwiritsidwa ntchito kwa mahomoni. Zowopsa kwambiri za Beyaz ndi izi:
- Kukhumudwa
- Nausea ndi / kapena kusanza
- Chikondi cha m'mimba
- Kulemera kwalemera
- Kusamba kwa msinkhu
- Maonekedwe amasintha
- Mutu
- Kutopa
- Kuchepetsa libido
Ndani Angagwiritse Ntchito?
Njira yowonetsera kubereka nthawi zambiri imakhala yotetezeka kwa amayi ambiri omwe ali ndi thanzi labwino. Ndikofunika kuti mukambirane mbiri yanu yachipatala ndi dokotala musanayambe kugwiritsa ntchito Beyaz.
Kawirikawiri, mavuto aakulu samapezeka kawirikawiri ndi kugwiritsa ntchito njira zowononga pobereka . Azimayi ena amatha kugwiritsa ntchito Beyaz ngakhale ndi zifukwa zina zoopsa pokhapokha ngati apitirize kuyang'anitsitsa kuchipatala. Akazi omwe ali ndi mbiri ya kuvutika maganizo sangathe kupitiriza kutenga Beyaz ngati kusokonezeka kwawo kumawopsya.
Popeza njirayi imafuna kuti mutenge mapiritsi anu nthawi imodzi, sikungakhale njira yoyenera ngati mukuvutika kukumbukira kuti mutenge.
Akazi omwe amagwiritsa ntchito mapiritsi osakaniza , monga Beyaz, akhoza kukhala ndi mwayi wapamwamba kwambiri wopezera zochitika zina zachipatala kusiyana ndi osasintha. Izi ziphatikizapo:
- Kuthamanga kwa magazi (komwe kumabwereranso pamene mapiritsi achotsedwa)
- Matenda a Gallbladder
- Ziphuphu za chiwindi
Vuto lalikulu limene lingabwere kuchokera kwa Beyaz ndi magazi m'mitima, mapapo, ubongo, kapena miyendo. Akazi omwe amagwiritsa ntchito Beyaz omwe ali pa mpumulo wopuma kapena kuponyedwa amakhala ndi mwayi wapamwamba wopanga magazi. A FDA akutsutsa malangizowo angapo okhudza magazi omwe ali ndi mapiritsi a drospirenone ndipo amafuna kuikapo mankhwala apadera pazinthuzi.
Amene Saliyenera Kuligwiritsa Ntchito
Malinga ndi Bayer, "Musagwiritse ntchito Beyaz ngati mumasuta fodya ndipo muli ndi zaka zoposa 35. Kusuta kumapangitsa kuti mukhale ndi mavuto aakulu a mtima (mavuto a mtima ndi magazi) kuchokera ku mapiritsi oletsa kubereka, kuphatikizapo imfa kuchokera ku matenda a mtima, kuvula magazi kapena kupwetekedwa mtima kumeneku kumawonjezeka ndi ukalamba komanso nambala ya fodya imene mumasuta. "
Kawirikawiri, Beyaz sakuvomerezeka kwa amayi omwe ali:
- Kuletsa kuthamanga kwa magazi
- Mbiri ya matenda a chiwindi kapena kukula kwa chiwindi, matenda a impso kapena matenda a adrenal
- Musathenso kuzindikira kuti magazi amayamba kutuluka magazi
- Mbiri yamagazi a magazi m'milingo yanu (m'mitsempha ya thrombosis), mapapo (pulmonary embolism), kapena maso (retinal thrombosis)
- Anakhalapo ndi khansa ya m'mawere kapena khansara iliyonse yomwe imakhala yovuta kwa mahomoni aakazi
- Mutu wa mutu wa Migraine ndi aura
- Anali ndi vuto la mtima, kupwetekedwa mtima kapena mbiri ya mavuto aakulu a valve kapena mtima wamtundu wosadziwika womwe ungayambitse magazi mu mtima
- Khalani ndi vuto lobadwa ndi magazi anu omwe amachititsa kuti likhale losakwanira
- Khalani ndi shuga ndi impso, maso, mitsempha, kapena kuwonongeka kwa mitsempha ya magazi
- Ali ndi pakati
Mmene Mungagule Izo
Kawirikawiri muyenera kukhala ndi kafukufuku wamankhwala, kufufuza kwa magazi komanso mwina kuyezetsa magazi ndi dokotala kuti mupeze mankhwala a Beyaz. Mungathe kukhala ndi mankhwala anu a Beyaz odzaza mankhwala am'deralo.
Mmene Mungagwiritsire Ntchito
Tsatirani uphungu wa dokotala wanu kuti mudziwe liti kuti muyambe ndi kutsimikiza kuti muwerenge nkhani zonse zomwe zimabwera ndi mapiritsi anu. Sankhani nthawi yoti mutenge mapiritsi anu tsiku lililonse. Pali njira ziwiri zoyambira:
- Tsiku 1 Yambani: Tengani mapiritsi oyambirira a pakiti mkati mwa maola 24 oyambirira pa nthawi yanu. Simusowa kugwiritsa ntchito njira yowathandiza kubereka.
- Lamlungu Yambani: Tengani mapiritsi oyambirira a pakiti pa Lamlungu mutatha nthawi yanu, ngakhale mutasiya magazi. Ngati nthawi yanu ikuyamba Lamlungu, yambani phukusi tsiku lomwelo. Gwiritsani ntchito njira yobweretsera (monga kondomu ndi spermicide ) mpaka mutatenga mapiritsi 7.
Ndalama
Beyaz amabwera mu mapepala a mwezi uliwonse omwe angayambe kulipira pakati pa $ 15 mpaka $ 80 (kuphatikizapo kufunika kokambirana kafukufuku wamankhwala kapena kufufuza kwa magazi kuti mutenge mankhwala). Pakalipano palibe njira yowonjezera ya Beyaz yomwe ilipo. M'midzi yambiri, Medicaid imaphatikizapo mtengo wa njira iyi ya kulera. Muyenera kufufuza chithandizo cha inshuwalansi chanu payekha monga momwe chithandizo cha kulumikizana kwa mahomoni ogwiritsira ntchito mankhwala okhudzana ndi mahomoni oyenera kuphatikizapo ndalama zogwiritsira ntchito mankhwala osokoneza bongo.
Bayer akupereka pulogalamu ya khadi yosungirako Beyaz. Mutatha kulemba pulogalamuyi, mudzalipira $ 0 ndalama za Beyaz ngati muli ndi inshuwalansi. Ngati mulibe inshuwalansi, mudzalandira ndalama zokwana madola 100 pazomwe zilizonse za Beyaz.
Mphamvu
Mapiritsi a Beyaz ndi 92-99.7peresenti ogwira ntchito. Izi zikutanthauza kuti pogwiritsira ntchito, amayi 8 mwa amayi 100 alionse adzatenga pakati pa chaka choyamba cha ntchito. Ndi ntchito yabwino, osachepera 1 adzakhala ndi pakati.
Mankhwala ena amachepetsanso mphamvu zowononga mimba monga Beyaz.
Chitetezo cha STD
Njira imeneyi sichiteteza ku matenda opatsirana pogonana .
Chitsime:
Fruzzetti F. Beyaz ®: Kugonana koyamwa kumalimbana ndi zochitika. Women's Health . 2012; 8 (1): 13-19.