Pankhani yosankha mapiritsi oletsa kubereka, pali zinthu zambiri zomwe mungachite. Ngakhale kuti mapiritsi ambiri omwe amabereka ana amalowa m'masamba a masiku 28 kapena 21, pali mapiritsi awiri osiyana omwe amaphatikizapo mapiritsi a kubadwa chifukwa amapezeka patsiku la masiku 24. Mapiritsi olerera awa ndi Yaz ndi Beyaz.
- Yaz kwenikweni imakhala ndi mapiritsi a hormone masiku makumi awiri ndi awiri, ndipo imatsatira masiku 4 a mapiritsi a placebo. Kwa amayi omwe amasankha mapiritsi kuti apange chithandizo cha mankhwala , Yaz amavomerezedwa ndi FDA kuti athetse zizindikiro za m'maganizo ndi za thupi za PMDD - zizindikiro zomwe zimakhudza miyoyo ya amayi ambiri. Yaz nayenso amavomerezedwa ndi FDA kuti azitenga nyerere yoyenera (ngati mwakhala mukupita kumwezi ndipo muli ndi zaka 14).
- Beyaz ndi imodzi mwa mapiritsi atsopano pamsika. Monga Yaz, ndi FDA-kuvomerezedwa kuthandiza kuthandiza PMDD mpumulo komanso kuthana ndi mankhwala acne. Chomwe chimapangitsa Beyaz kukhala osiyana ndi mapiritsi 24 a hormone omwe amakhalanso ndi levomefolate calcium (B vitamini / folic acid). Palinso mapiritsi 4 a placebo omwe alibe mahomoni koma ali ndi mazenera. Mankhwalawa amachepetsera chiopsezo chokhala ndi ziwalo zosawerengeka zomwe zimakhala ndi mimba. Izi zingakhale zothandiza mukakhala ndi pakati pamene mukugwiritsa ntchito Beyaz kapena mwamsanga mutasiya kugwiritsa ntchito. Beyaz ikukupatsani inu 0.4 mg ya folic asidi oyamikira tsiku ndi tsiku kwa amayi a msinkhu wobereka.
Phindu lapadera la masiku 24 ndiloti zingakupatseni kusinthasintha kwa ma hormone kusiyana ndi masiku 21 a mapiritsi ogwira ntchito mu bolodi la masiku 21/28. Yaz ndi Beyaz amagwira ntchito ngati mapiritsi ena onse. Komabe, kuphatikizapo kukhala ndi mapiritsi a mapiritsi 24, mapiritsiwa amakhalanso osiyana chifukwa cha mtundu wa progestin omwe ali nawo.
Yaz ndi Beyaz onsewa ali ndi maonekedwe a estrogen / drospirenone .
Pakhala pali nkhawa yakuti mapiritsi a drospirenone angapangitse mwayi wanu wopanga magazi . Chowonadi ndi chakuti mapiritsi onse oletsa kubereka amaika pangozi yopanga magazi. Ndizinenedwa kuti, pogwiritsa ntchito maphunziro a FDA odzipindulitsa omwe adafufuza deta kuchokera kwa amayi opitirira 800,000, bungweli likuwonetsa kuti kugwiritsa ntchito mapiritsi okhala ndi drospirenone (monga Yaz ndi Beyaz) akugwirizana ndi kuwonjezeka kwa 1.5 kuwonjezeka kwa VTE / Kuika magazi kumayambitsa ngozi poyerekezera ndi njira yachithandizo yochezera yachindunji.
Komabe, mukamaona zimenezi, chiopsezo chachikulu cha magazi chimaonedwa kuti n'chochepa, ndipo ngakhale FDA imavomereza kuti kufufuza komwe kulipo sikupereka zotsatira zowonjezera kapena nkhani za zizindikiro zovuta zomwe zingakhale zothandizira kupha magazi zoopsa. Komabe, chifukwa cha ndondomekoyi, a FDA adaitanitsa zofunikira zatsopano zolembera pa mapiritsi a drospirenone.
Nkhani ina yomwe imayenderana ndi Yaz ndi Beyaz ikugwirizanitsa ndi mapangidwe apamwamba a potassium. Drospirenone ikhoza kugonjetsa mahomoni omwe amachititsa kuti thupi lanu likhale ndi madzi komanso magulu a electrolyte. Chifukwa chaichi, ndikofunikira kuti mukhale owona mtima pamene mukuyankhula ndi dokotala wanu mbiri yakale. Chifukwa mapiritsi okhala ndi drospirenone angagwirizane ndi mankhwala ena omwe amachulukitsa potassium - monga mankhwala ena a kuthamanga kwa magazi kapena mtima, mankhwala odana ndi kutupa (monga Ibuprofen), ndi mapiritsi ena a madzi (diuretics), dokotala wanu ayenera kudziwa ngati inu akugwiritsa ntchito mankhwalawa musanayambe kukuuzani Yaz kapena Beyaz.
Ndipotu, mankhwala omwe akugulitsa Yaz ndi Beyaz akuphatikizapo chenjezo lomwe limalangiza madokotala omwe amapereka mapiritsiwa kuti ayang'ane mapiritsi a seramu m'mwezi woyamba ngati mukuchitiranso mankhwala aliwonse okhudzana ndi kusungidwa kwa potaziyamu.
Chifukwa chakuti mankhwala awiriwa ochepetsetsa ana omwe adalandirapo chidwi kwambiri ponena za kuopsa kwa magazi, zikuwoneka kuti madokotala sangakhale osamala kwambiri ndi machenjezo a potaziyamu. Kafukufuku akusonyeza kuti pafupifupi 17.6% azimayi amagwiritsa ntchito mapiritsi a drospirenone ndi mankhwala osokoneza potaziyamu, ndipo 29 peresenti ya izi zikugwiritsidwa ntchito nthawi zambiri amayamba mkati mwa mwezi woyamba mapiritsi oletsa kubereka .
Madokotala angakhale akunyalanyaza kuthekera kwa mgwirizano uwu chifukwa cha yemwe akulemba zomwe. Zikuwoneka kuti amayi 18 peresenti ali ndi mankhwala awo owonjezera a potassium omwe amawagwiritsa ntchito ndi mabanja awo kapena madokotala a m'kati ndi Yaz / Beyaz omwe akulamulidwa ndi OB / GYN awo.
Kafukufuku amavumbula kuti:
- Amayi 9,5% amapatsidwa mankhwala onse (Yaz / Beyaz ndi mankhwala owonjezera potaziyamu) ndi OB / GYN awo
- 8.4% adayikidwa mankhwala onsewa ndi ntchito zawo zapakhomo kapena madokotala.
- Amayi 17% akugwiritsa ntchito mankhwala owonjezera potaziyamu musanayambe Yaz / Beyaz.
- Amayi 83% akugwiritsa ntchito Yaz / Beyaz asanayambe mankhwala opangira potaziyamu.
Tengani Uthenga wa Kumudzi: Yaz ndi Beyaz akhoza kukhala mankhwala osakaniza ena a mapiritsi kwa amayi ambiri. Chifukwa cha zochitika zawo za masiku 24, mukhoza kukhala ndi kusintha kwakukulu kwa mahomoni (ndikutonthozedwa ndi zizindikiro zomwe zingagwirizanitsidwe ndi izi). Kuwonjezera apo, mapiritsi oletsa kubereka amapereka ubwino wosabereka womwe umakopa amayi ambiri. Ngati mutha kugwiritsa ntchito Yaz kapena Beyaz, muyenera kufufuza zotsatirazi kuti musakumane ndi chiopsezo chanu cha magazi. Pomaliza, muyenera kudziwa momwe mapiritsiwa angapangitsire mapeji a potassium. Chifukwa pali umboni wosonyeza kuti si madokotala onse omwe amadziwa kuti kulimbikitsana pakati pa Yaz / Beyaz ndi mankhwala opangira potaziyamu (kapena kufunika koyesa ndi / kapena kuyang'anira ma pulogalamu ya serum potassium), ndizofunika kuti muwuze dokotala ngati muli akugwiritsa ntchito imodzi mwa mankhwalawa asanayambe winayo.
Zotsatira:
Kalasi ya Amerika Yotsutsa Amayi ndi Amuna a Gynecologists. "Kuopsa kwa matendawa amachititsa kuti anthu azigwiritsa ntchito mapiritsi oletsa kulera." Maganizo a Komiti No. 540. Obstet Gynecol 2012 (Watsimikiziridwa 2014); 120: 1239-42. Idapezeka kudzera mwachinsinsi.
McAdams, M, Staffa, JA, & Dal Pan, GJ. "Kulumikizana kofanana kwa ethinyl estradiol / drospirenone komanso mankhwala osokoneza bongo." Kulera, 2007 76 (4) , 278-281. Idapezeka kudzera mwachinsinsi.