Mmene Mungasankhire Piritsi Yoyenera Kubadwa
Ndi mankhwala ambiri ophatikizako ochepetsa kubereka omwe alipo, mumadziwa bwanji zomwe mungagwiritse ntchito? Ambiri ali ogwira ntchito mofananamo, choncho chisankho chabwino kwa inu chidzatsika chomwe sichidzabweretsa zotsatira zochepa (kapena zochepa).
Dokotala yemwe amapereka chithandizo chanu chachangu adzakhala mtsogoleri wanu wamkulu, komabe nthawi zonse ndi kwanzeru kuti mudziwitse momwe mungathere ndi mankhwala aliwonse omwe mumatenga, kotero muzitsogolera popanga chisankho chodziwa bwino za mapiritsi oletsa kubereka ndi abwino kwa inu. funsani kusiyana pakati pa mitundu ya mapiritsi, zotsatira zoopsa za aliyense, ndi zina.
Kufotokozera Mwachangu Pokhudza Kusankha Piritsi Yowononga Ana
Kawirikawiri, kuphatikizapo mankhwala opangidwa ndi mahomoni amatha kupanga maselo otchedwa estrogen (kuchepetsa endometrium ndi kuchepetsa kuperewera kwa malo osayenera) ndi progesin (chifukwa cha zotsatira zake za kulera). Kudziwa kusiyana pakati pa progesin ndi zotsatira za estrogenic, zotsatira za androgenic, ndi progesational selectivity zingakuthandizeni kusankha mapiritsi okhala ndi zotsatira zochepa.
Kuti afotokoze mwachidule momwe kuphatikiza kwa zotsatirazi kungawononge zotsatira zake, tiyeni tiwone mapiritsi oletsa kubereka. Mankhwala ovomerezeka ammimba omwe amakhala ndi zotsatira za androgenic ndi ntchito zotsika za estrogen, mwachitsanzo, zimakhala zovuta kubweretsa tsitsi losafunikira ndi zotsatira za ziphuphu . Kuwonjezera pamenepo, progestin ndi zotsatira zapamwamba za androgenic zimatha kutulutsa kuchepa kwa ubweya, kuyamwa ndi kusinthasintha.
Nkofunika kukumbukira, komabe, amayi ambiri omwe amagwiritsa ntchito mapiritsi omwe ali ndi maphatikizidwe amenewa samaliza kupanga ziphuphu; zotsatirazi zimakhala zovuta kuchitika mwa amayi omwe ali ndi chizoloŵezi chokhala ndi androgenicity.
Mapiritsi oletsa kubadwa omwe ali ndi kachitidwe kakang'ono ka azorrogeni / otsika ndi isrogenic ndi awa:
- Zindikirani
- Estrostep FE
- Levlen
- Loestrin 1.5 / 30
- Loestrin 1/20 Fe
- Ovral
Popeza pali mitundu yosiyanasiyana ya progestin, aliyense amakhala ndi mphamvu yosiyana siyana mwa progesational, estrogenic, ndi zotsatira za androgenic. Zotsatira za zotsatirazi zimadalira kugwirizana kwa mtundu ndi ma progesin ndi estrogen.
Kawirikawiri, kuchepetsa (kapena chiŵerengero) pakati pa estrogen ndi progestin mu mankhwala a piritsi akhoza kuthandizira mavuto omwe mukukumana nawo. Mayi aliyense akhoza kuyankha mosiyana ndi zigawozi. Komanso, mapiritsi omwe mungakhale mukugwiritsa ntchito monophasic / biphasic / triphasic kapena kupititsa patsogolo angathandize kuchepetsa mavuto ena. Chifukwa cha izo, chonde onani kuti zotsatirazi ndizo malangizo akuluakulu , ndipo sangagwiritsidwe ntchito kwa amayi onse.
Kuti akhale ndi luso lapadera, kuti adziwe kuwonjezereka kwa zotsatira zitatuzi, munthu amafunika kuchulukitsa mlingo weniweni wa zigawo zitatu izi (zotsatira) nthawi yowonjezereka ya chigawo chimenecho kuti adziwe mtundu wa mapiritsi oletsa kubereka. monga okhala ndi atrogenic zotsatira, kukhala estrogen chachikulu, kapena progestin kwambiri. Chifukwa cha zovuta zoganizira izi pokhapokha, lingaliro la momwe mapiritsi oletsa kuberekera akugwiritsire ntchito ayenera kukambirana ndi wothandizira zaumoyo wanu. Mungagwiritse ntchito mfundoyi kuti muyambe kukambirana ndi adokotala za mtundu wina wa mapiritsi omwe angakhale abwino kwa inu.
Ndikofunika kupereka mapiritsi omwe mukuyesa mwachilungamo kwa miyezi iwiri kapena itatu. Ngati mwasintha mankhwala anu a mapiritsi , muyenera kupatsanso mayesero a miyezi itatu kapena itatu chifukwa nthawi zambiri zimatenga miyezi ingapo kuti thupi lanu lizigwirizana ndi ma homoni atsopano piritsi lanu loletsa kubereka.
Kusankha Pulogalamu ya Kugonjetsa Kwachidule Pochepetsa Mipingo Yake
Tchati chotsatira ndichiwerengero chofanana, kotero icho sichikugwiranso ntchito kwa wamkazi aliyense. Pogwiritsa ntchito mapiritsi oletsa kubereka, mungathe kuchepetsa zotsatira zake mwa kusintha (kapena kuyamba kukatola) chizindikiro cha mapilitsi chomwe chili m'munsimu chithunzi chotsatira chomwe mukuyesa kuchepetsa kapena kuchepetsa.
| Zotsatira Zachimake (Vuto) | Progestin / Estrogen / Zotsatira za Androgenic | Yesetsani kugwiritsa ntchito Mankhwala a Piritsi kuti achepetseni zotsatira zoyipa |
|---|---|---|
| Zikodzo | estrogen apamwamba, pansi ndi androgen potency | Afunseni 1/50, Brevicon, Mircette, Modicon, Necon, Othro-Cyclen, Ortho-TriCyclen, Yasmin |
| Kutuluka kwa magazi (spotting) | estrogen yapamwamba, apamwamba progestin potency, pansi ndi androgen potency | Afunseni 1/50, Desogen, Ortho-Cept, Ovcon 50, Yasmin, Zovia 1 / 50E, Estrostep FE ** |
| Kupweteka kwa m'mimba | m'munsi mwa estrogen, pansi pa progestin potency | Alesse, Levlite |
| Kusokonezeka maganizo | zochepa zapansi | Alesse, Brevicon, Levlite, Modicon, Necon 1/35, Ortho-Cyclen, Othro-TriCyclen, Ovcon 35, Tri-Levlen, Triphasil, Trivora |
| Kuteteza kwa Endometriosis kapena endometriosis | downrojeni estrogen, apamwamba progestin potency, apamwamba ndi androgen potency | Kufunsira 1/35, Levlen, Levora, Loestrin 1.5 / 30, Loestrin 1/20 Fe, LoOvral, Nordette, Zovia 1 / 35E (amagwiritsidwa ntchito mosalekeza masiku onse a mapiritsi a placebo kapena masiku 4 okha a mapiritsi a placebo pofuna kupewa) |
| Mutu (osati kusamba migraines) | m'munsi mwa estrogen, pansi pa progestin potency | Alesse, Brevicon, Levlite, Modicon, Necon 1/35, Ortho-Cyclen, Othro-TriCyclen , Ovcon 35, Tri-Levlen, Triphasil, Trivora |
| Kusasangalatsa kapena kukwiya | zochepa zapansi | Alesse, Levlite, Loestrin 1/20 Fe, Yasmin, Yaz , Beyaz (kapena mapiritsi omwe ali ndi mayitrogeni ochepa kuposa pano) |
| Kusamba kwambiri kumapweteketsa | apamwamba progestin potency | Afunseni 1/35, Demulen 1/50, Desogen, Mircette, Loestrin 1.5 / 30, Ortho-Keti, Yasmin, Zovia 1 / 35E, Zovia 1 / 50E |
| Kulemera kwalemera | m'munsi mwa estrogen, pansi pa progestin potency | Alesse, Levlite, Loestrin 1/20 Fe, Yasmin, Yaz, Beyaz (kapena mapiritsi omwe ali ndi mayitrogeni ochepa kuposa pano) |
Estrostep FE ili ndi progestin norethindrone acetate (izi zimakhala ndi mphamvu yambiri ya androgen). Choncho, ngakhale Estrostep FE ikutsatiranso zapamwamba kwambiri za androgenic / low estrogenic pattern, chizindikirochi ndi piritsi ya triphasic yomwe idakonzedwa kuti iteteze kutuluka kwa magazi pamene kuyesa kuteteza kutentha kwa mavitamini. Estrostep FE ndi chitsanzo chabwino chomwe chidziwitso chomwe chili mu tchatichi chiyenera kuwonedwa mofanana ndi zomwe zikutsogolera, ndipo sizingagwiritsidwe ntchito nthawi zonse kuchokera kwa mkazi mmodzi kupita kwa wina.
Mawu Ochokera
Kumbukirani kuti mkazi aliyense akhoza kuchita mosiyana ndi njira zina zowonetsera, choncho chidziwitsochi chiyenera kukhala mwachidule. Komanso, ndikofunika kufotokoza kuti chifukwa chachikulu chogwiritsira ntchito mphamvu ya kubereka ndikumathandiza kubereka (kuteteza mimba yosakonzekera ). Poganizira njira zomwe zingakhale zosavomerezeka zokhudzana ndi kulera, komanso zotsatira zosafunika, zingakhale mbali ya zokambirana zomwe muli nazo ndi dokotala mukamadziŵa njira yabwino yomwe mungapangidwire.
Chitsime:
Jelovsek, R. Kodi Ndi Pulogalamu Yotani Yopereka Mankhwala Ovomerezeka Kwambiri Ndi Yabwino Kwambiri?