Kusiyana pakati pa mapulogalamu a Monophasic, Biphasic, ndi Triphasic
Kuphatikizira mapiritsi oletsa kubereka ndi mankhwala okhudzana ndi kulera omwe amachititsa ethinyl estradiol ndi progestin. Ngakhale kuti mapiritsi onse ophatikizirana amakhala ndi estrogen, amatha kusiyana ndi momwe aliri estrogen ali nawo. Mapiritsi ophatikizako ophatikizira amasiyana mosiyana ndi wina ndi mzake chifukwa cha kuchuluka kwake ndi mtundu wa progestin womwe uli pamagulu onse a mapiritsi.
Kuphatikiza kwa kuchuluka kwa estrogen ndi mtundu ndi kuchuluka kwa progestin zomwe zimapezeka kuphatikizapo mapiritsi oletsa kubereka zingayambitsenso progesational, estrogenic, ndi androgenic zotsatira . Palibenso "zabwino" zowonetsera mapiritsi. Palibe mankhwala a mapiritsi oletsa kubereka kapena mapiritsi omwe amachokera kwa ena onse. Mankhwala ena a mapiritsi angathandize kuchepetsa zotsatira zina . Koma mapiritsi onse ophatikizako amathandizanso kuchepetsa kutenga mimba-malinga ngati mapiritsi amagwiritsidwa ntchito moyenera komanso molondola .
Mipirisi yambiri yokhudzana ndi kulera ana
Mapiritsi oletsa kubereka amagawidwa ngati osagwirizana, osaphatikizana, kapena atatu osadalira, malinga ndi momwe mahomoni amachitira chimodzimodzi pamasabata atatu oyambirira a kusamba kapena ngati akusintha. Kumbukirani kuti mapiritsi a masiku 28 amanyamula mapiritsi a sabata lachinayi amakhala mapiritsi a placebo (ndipo alibe mahomoni).
Mipiritsi yambiri yobereka yobereka inayamba m'ma 1980. Mapiritsi oletsa kubereka amakhala ndi mahomoni osiyana-omwe amayenera kutengedwa pa nthawi iliyonse pa mapiritsi onse. Mapiritsiwa adakonzedwa kuti athandizidwe kuchepetsa mavuto omwe amabwera chifukwa chogonjera mapiritsi. Poyerekeza ndi mapiritsi osakanikirana amodzi, mapiritsi ena ochepetsa kubadwa amatha kuchepetsa mlingo wokwanira wa mahomoni omwe mungalandire pa mapiritsi onse. Iwo apangidwanso kuti mwachibadwa amatsanzira kusamba kwa thupi lanu.
Mapiritsi olepheretsa kubadwa kwa amayi okhaokha
Mapiritsi oletsa kubadwa kwa amayi omwe ali ndi ma ARV amakhala ofanana ndi estrogen ndi progesin mu mapiritsi aliwonse omwe amagwira ntchito piritsi. Mapiritsi a mapiritsi pamapiritsi onse amakhala osasinthasintha, choncho mapiritsi oletsa kubereka amatha kuchepetsa mavuto omwe angabwere chifukwa cha kusintha kwa mahomoni. Mapiritsi oletsa kubadwa kwa amayi omwe amatha kubereka amagawidwa ndi mlingo wawo wa estrogen:
- Mapiritsi a dose otsika ali ndi ochepa kwambiri a estrogen-kawirikawiri ma micrograms 20. Koma pali Lo Loestrin Fe . Ndiwo mapiritsi oletsa kubadwa omwe ali ndi micrograms khumi zokha za estrogen, kotero zimakhala zotchuka kwambiri.
- Mapiritsi a nthawi zonse amakhala ndi micrograms 30 mpaka 35 estrogen.
- Mapiritsi apamwamba ali ndi pafupifupi micrograms 50 za estrogen.
Mapiritsi oletsa kulera ana amathandiza kwambiri komanso mapiritsi ambiri. Low estrogen, mapiritsi a monophasic angayambitse kupweteka pang'ono kapena kupweteka kwa m'mawere koma angapangitse kuti awonongeke kwambiri . Azimayi ambiri amapeza kuti mankhwala osokoneza bongo amathandiza kuti akhale osankhidwa bwino.
Mapiritsi a Biphasic Birth Control
Mapiritsi a biphasic oletsa kubereka amasintha mlingo wa mahomoni nthawi ina pa mapiritsi. Mapiritsi a biphasic oletsa kubereka amapereka yeserogen tsiku lililonse, koma msinkhu wa progesin ukuwonjezeka pafupifupi theka la mapiritsi.
Pa theka loyamba la kayendetsedwe kake, chiŵerengero cha progestin / estrogen nthawi zambiri chimachepa. Pakati pa theka lachiwirili, progestin / estrogen chiŵerengero chimakhala chokwera. Masiku oyambirira 7 mpaka 10 ali ndi mphamvu imodzi (ndipo kawirikawiri mtundu umodzi), ndipo mapiritsi 11 mpaka 14 otsatira ali ndi mphamvu yina (ndi mtundu wina). Masiku asanu ndi awiri otsiriza (kuphatikizapo) ndi mapiritsi a placebo ndipo alibe mahomoni.
Mapiritsi Omwe Amadziletsa Obadwa Amayi
Mapiritsi oletsa kulera odwala amatha kukhala ndi ma hormoni atatu osiyanasiyana kotero kuti kusakaniza kwa ma hormone kusinthika pafupi masiku asanu ndi awiri mphindi yonse pa mapiritsi. Malingana ndi chizindikiro cha mapiritsi, kuchuluka kwa estrogen kungasinthe komanso kuchuluka kwa progesin. Pakatha mwezi umodzi, mapiritsi oletsa kubereka amatha kuchepa pang'ono pa estrogen, ndipo mapiritsi ena amatha kuwonjezera mlingo wa progestin.
Pamapiritsi onse amanyamula mapiritsi ochepa omwe ali ndi mphamvu imodzi (ndi mtundu umodzi). Gawo lotsatira la mapiritsi ndi mphamvu ina (ndi mtundu wina). Gawo lomaliza la mapiritsi limasintha mphamvu ndipo ndilosiyana. Mapiritsi asanu ndi awiri otsiriza (kuphatikizapo) ndi mapiritsi a placebo, kotero iwo alibe mahomoni.
> Chitsime:
> Christin-Maitre S. Mbiri ya mankhwala osokoneza bongo komanso ntchito zawo padziko lonse. Kuchita bwino ndi kufufuza. Clinical Endocrinology & Metabolism . 2013 Feb 28; 27 (1): 3-12.