Kumvetsetsa Chifukwa ndi Kudziwa Nthawi Yomwe Mungasinthe
Kupatsirana, kapena kupatsirana mwazi, ndi zotsatira zofala za mankhwala ena oletsa kubadwa kwa mahomoni. Pamene kutuluka kwa magazi kumachepetsanso mwamphamvu mkati mwa miyezi itatu kapena inayi, pali ena mwa iwo omwe amawonekeratu angapitirize.
Pambuyo pa mankhwala okhaokha, kuwona kumagwirizanitsidwa ndi vuto losavomerezeka. Ndipotu, kafukufuku wasonyeza kuti mpaka 33 peresenti ya iwo amene amasowa imodzi kapena mapiritsi ambiri patsiku amatha kutuluka magazi.
Kusuta, kosasangalatsa, kumangowonjezera.
Kuwongolera kungakhale koopsa kwa iwo omwe amadwala mapiritsi, makamaka ngati kutuluka kwa magazi sikukuwoneka bwino. Nthawi zina, pangakhale ubwino kusintha kusintha mankhwala ngati mutapeza mankhwala osakaniza bwino.
Kusiyanasiyana kwa mapiritsi a birth Birth
Kusankha pa mtundu weniweni wa mapiritsi oletsa kubereka kungakhale njira yoyesera. Mankhwalawa amatha kusinthasintha mofanana ndi kuchuluka kwa mankhwala ogwiritsidwa ntchito. Mapiritsi ophatikizana, omwe amagwiritsidwa ntchito kwambiri, ndiwo awiri omwe ali estrogen ndi imodzi mwa mitundu eyiti ya ma progesin .
Malingana ndi chizindikiro, mapiritsi ena amakhala ndi micrograms 35 za estrogen pamene ena ali ndi micrograms 50. Kusiyanasiyana kumeneku kungapangitse kusiyana kwakukulu ku zotsatira zake zomwe munthu angakhale nazo.
Izi zimagwirizana ndi progestin . Mitundu imeneyi ya progesterone imatchulidwa kwambiri monga mbadwo woyamba, gonanes (wachiwiri m'badwo), ndi spironolactone (mawonekedwe atsopano a progestin).
Malinga ndi mtundu komanso kuchuluka kwa progesin yogwiritsidwa ntchito-komanso mlingo wa estrogen-zotsatira zake zingakhale zochepa kapenanso zisokoneze kwambiri moyo wa mkazi.
Zifukwa za Kuwonetsa
Mapiritsi oletsa kubadwa amadziwika kwambiri ndi mankhwala awo. Zotsatirazi zingasinthe koma zimakhudza zotsatira zitatu, zokhudzana ndi zokhudzana ndi zofanana:
- Zomwe zimayambitsa matendawa zimachepetsa kutuluka kwa msambo komanso zimapewa kutaya magazi
- Androgenic zotsatira za kuchuluka kwa mahomoni amphongo omwe angayambitse tsitsi, ziphuphu, ndi ubweya wambiri ( hirsutism )
- Zotsatira za Estrogenic zomwe zimayesetsa kuthana ndi zotsatira za androgenic pamene zimakhazikitsa chiberekero
Kawirikawiri, kupezeka kumakhala kovuta kwambiri pamene njira yoletsa kubereka imakhala ndi yaying'ono kapena ayi. Koma mayendedwe a estrogen okha sakudziwa ngati magazi adzachitika.
Zimakhudza kwambiri mtundu wa progesin . Pa magulu atatu a progesin, gonanes amakhala ndi vuto lalikulu kwambiri, kuwapangitsa iwo kukhala oyenerera ngati kuwona ndiwopweteka kwambiri. Koma, kachiwiri, izi siziri choncho nthawi zonse.
Chofunika kwambiri ndi kusiyana pakati pa estrogen ndi progestin. Pamapeto pake, cholinga cha mankhwala ndikuteteza pakati pa estrogenic ndi progestational zotsatira za mapiritsi pamene mukuwongolera zotsatira zovuta zokhudzana ndi androgen. Ngati wina kapena wina atayidwa, mavuto akhoza kuchitika.
Choncho, ngakhale mankhwalawa atapangidwa ndi ethynodiol diacetate, progesin yowonjezereka ndi malo owonjezera, mayendedwe apamwamba a estrogen akhoza kuthana ndi zotsatira zake.
Njira Zabwino Zothandizira
Monga lamulo la thumb, mapiritsi ophatikizira ophatikizira omwe ali ndi mlingo wapamwamba wa estrogen, apamwamba progestin potency, ndi atrogen zotsatira zochepa sangawonongeke malo. Zina mwazogwirizana kwambiri ndi mbiriyi ndi:
- Afunseni 1/50
- Desogen
- Ortho-Citi
- Ovcon 50
- Yasmin
- Zovia 1 / 50E
- Loestrin 1/20
Estrostep FE ndi mtundu wina umene ungachepetse kapena kuimitsa kupuma kwa magazi. Piritsi ili silitsatire mbiri yofanana ndi ina pamene imawoneka kuti ndi yapamwamba kwambiri ndi isrogenic effect. Mmalo mwake, monga mapiritsi atatu, chithandizo chimaperekedwa mu magawo atatu osiyana kwambiri mogwirizana ndi chilengedwe cha mkazi.
Mlungu uliwonse wa mapiritsi a Estrostep FE ali ndi mahomoni osiyanasiyana, ndipo sabata lomaliza mulibe homoni. Mwa mankhwala otsatirawa mu dongosolo lolamulidwa, chiopsezo chodziwidwa chikhoza kuchepetsedwa kwambiri.
Ngati kutuluka kwa magazi kwakhala vuto lalikulu, kambiranani ndi dokotala wanu za njirazi.
Mawu Ochokera
Ngakhale kudula kungakhale kovuta, nthawi zambiri kumadzisintha yekha pamene thupi liyamba kusintha kusintha kwa mankhwalawa. Chifukwa cha izi, madokotala nthawi zambiri amalimbikitsa kuti mupitirizebe kumwa mankhwala anu kwa miyezi itatu kuti muwone ngati zotsatira zake zidzasintha.
Panthawiyi, yesetsani kukhalabe ogwirizana ndi mankhwala anu, mutenge mapiritsi anu tsiku lililonse osalephera. Ngati zotsatira zina zimakhala zosasunthika, lankhulani ndi dokotala koma yesetsani kusiya mankhwala mpaka dokotala atakuuzani kuti ndi zabwino.
> Zotsatira:
> Hall, K ;; O'Connell White, K .; Sintha, N. et al. "Kuphunzira Kugwiritsa Ntchito Mankhwala Ovomerezeka Mwamwayi: Kuwongolera Kuyendera Njira." J Wom Health. 2010; 19 (12): 2203-2210.
> Stewart. M. ndi Black, K. "Kusankha pulogalamu yothandizira pulogalamu yachithandizo yothandizira pakamwa." Aus Prescrip. 2015; 38 (1): 6-11.