Iipilisi ezingcono kakhulu zokunciphisa umzimba
Xa kuziwa kwiipilisi zokulawula ukuzalwa, kukho iindidi ezininzi ezikhoyo kwiimarike. Phakathi kwezi ntlobo, ezinye zithathwa ngokuba zisebenza ngakumbi ekunciphiseni umzimba kunabanye. Iipilisi zokulawula ukuzalwa azikho nje ukuthintela ukukhulelwa, zinokuba negalelo ekufezekiseni iinjongo zobuhle kunye nokunciphisa ubunzima.
Phakathi kwezona ntlobo zidumileyo nezisebenzayo zokuthoba umzimba ziipilisi zeMicrolot. Iipilisi ze-Microlot zinezinga eliphezulu lamahomoni anceda ukulawula ubunzima kunye nokunciphisa amafutha omzimba. Thatha ithebhulethi enye yeMicrolot yonke imihla kangangeentsuku ezingama-21 rhoqo kwaye ngokuqhubekayo.
Ukongeza, iipilisi zeMarvelon ziyasebenza ekunciphiseni umzimba. Iipilisi zeMarvelon zinepesenti enkulu yeehomoni ezinokuthi zibe negalelo ekunciphiseni ubunzima. Ukuthatha ipilisi enye yeMarvelon yonke imihla kangangeentsuku ezingama-21 yindlela esebenzayo yokufumana iziphumo ezinqwenelekayo.
Nangona kukho ezinye iipilisi ekuthethwa ngazo zokwandisa ubunzima, kukho ezinye ezingabangeli ubunzima. Iipilisi ze-Noride, umzekelo, iipilisi ze-monohormonal ezine-99% ezisebenzayo ekukhuseleni ukukhulelwa kwaye azibangeli ubunzima. Ezi pilisi zineprogesterone, ekhuselekileyo kwimpilo yabasetyhini.
Ukongeza, iipilisi zeCerazette zikwajongwa njengohlobo olusebenzayo lokunciphisa umzimba. Iipilisi zeCerazette zineprogesterone, ethathwa njengekhuselekile kwimpilo yabasetyhini. Ezi pilisi zinciphisa ubunzima kwaye zibhekwa njengenye yeentlobo ezingcono kakhulu zeepilisi zokulawula ukuzala ngenxa yokunciphisa kunye nokunciphisa umzimba.
Ukubaluleka kweepilisi zokulawula ukuzala kwabasetyhini
Iipilisi zokulawula ukuzalwa zisebenza ngokuthintela ukuphuma kweqanda, njengoko zithintela umzimba womfazi ekuveliseni amaqanda. Ngaloo ndlela, ukunciphisa ithuba lokukhulelwa okungafunwayo. Kwakhona negalelo ekulawuleni ixesha lokuya esikhathini kunye nokunciphisa iimfihlo zegazi ezinxulumene nayo.
Idityanisiwe (i-bi-hormonal) okanye iipilisi zokulawula ukuzalwa kwehomoni enye yindlela ethandwayo nethembekileyo yokuthintela ukuvuthwa kweqanda. Kuyafaneleka ukuba uqaphele ukuba ayichaphazeli ukuncelisa kwaye ayithinteli ukuveliswa kwendalo yobisi.
Ukongezelela ekusebenzeni kwazo ekuthinteleni ukukhulelwa, iipilisi zoqingqo-nzala zibonelela ngezibonelelo ezininzi zempilo. Inceda ukulawula ukopha kwenyanga kunye nokunciphisa ubunzima beentlungu ezinxulumene nokuxinana kunye nokunyanzeliswa kwesibeleko. Ikwasebenza ukulungelelanisa nokulawula iihomoni zomzimba, ezinciphisa iimvakalelo zokudinwa, iintloko ezibuhlungu, kunye nezinye iingxaki ezinxulumene nokutshintsha kwehomoni.
Iipilisi zokulawula ukuzalwa zikwanegalelo ekuphuculeni umgangatho wobomi besondo bowasetyhini. Xa ibhinqa lisazi ukuba likhuselekile yaye akuyomfuneko ukuba lizikhathaze ngokukhulelwa okungafunwayo, linokuphumla lize linandiphe ubuhlobo obusondeleyo.
Ndizenza njani iipilisi zokulawula ukuzala zindenza ndibhitye?
Iingcamango ezininzi kunye neengcebiso ezinokuthi zibe negalelo ekufezekiseni ukulahleka kwesisindo zingafumaneka phakathi kwabasebenzisi basetyhini. Kodwa iipilisi zehomoni zokulawula ukuzalwa zihlala ziphakamisa imibuzo evela kwabasetyhini malunga neziphumo ezinokuba nazo kubunzima.
Iipilisi zeHormonal zokulawula ukuzalwa zisebenza ngama-99% ekuthinteleni ukukhulelwa xa zisetyenziswa ngokuchanekileyo. Ukongezelela, iipilisi zehomoni ngokuqhelekileyo azibangeli ubunzima ngenxa yokuba azinayo i-estrogen.
Ngokuchasene noko, ezinye izifundo ziye zaphawula ukuba abanye abafazi banokuziva benyuka kancinci kwisisindo ngexesha lokuqala lokusebenzisa iipilisi zokulawula ukuzalwa kwehomoni, kodwa olu lwando lubonwa njengento encinci kwaye iyancipha ekuhambeni kwexesha.
Ezinye iziphumo ebezingalindelekanga ezinokwenzeka zeepilisi zokulawula ukuzala kwehomoni ziquka ukuphuculwa kolusu kunye nempilo yeenwele kunye nokuphucula impilo yengqondo yabasetyhini. Nangona kunjalo, ugqirha kufuneka adibane naye ngaphambi kokuba athathe naluphi na uhlobo lweepilisi zokulawula ukuzalwa ukwenzela ukuba kuqinisekiswe ukucetyiswa okuchanekileyo kunye nokubeka iliso kwimeko yempilo.
Ukuze ufezekise izibonelelo ezingcono kwiipilisi zokulawula ukuzalwa kwehomoni kunye nokunceda ekunciphiseni umzimba, sebenzisa rhoqo ubuncinane imizuzu engama-30 yonke imihla. Ukongezelela, kufuneka uphuze amanzi amaninzi kwaye uhlaziye umzimba ngokufanelekileyo, njengoko amanzi edlala indima ebalulekileyo ekuxhaseni imetabolism kunye nokunciphisa ukutya.
Kuya kufuneka kwakhona ucinge ngokucutha inani leekhalori ozisebenzisayo mihla le, ngokutya ukutya okunempilo kunye nokulungelelana kunye nokuhlala kude nokutya okukhawulezayo, iziselo ezibandayo, kunye nokutya okunamafutha aphezulu kunye neswekile.
Ngaba iipilisi zokulawula ukuzala ziyalucoca ulusu?
Uphononongo lwakutsha nje lubonisa ukuba iipilisi zokulawula ukuzalwa zinokuchaphazela umgangatho wolusu kwaye zibuyisele ibhalansi yalo. Ezi pilisi zineehomoni ezinceda ekunciphiseni ukukhuselwa kwe-sebum eluswini, ngaloo ndlela zinciphisa ubungqongqo bamaqhakuva nokunciphisa ukungcola kolusu olunamafutha.
Iipilisi zokulawula ukuzalwa zilawula izinga le-androgen emzimbeni, okuyihomoni evuselela ukukhuselwa kwamafutha kunye namafutha esikhumbeni. Ngokulawula kunye nokunciphisa le hormone, iipilisi zinokuba negalelo ekunciphiseni i-sebum secretion kunye nokucoca ulusu lwamabala.
Nangona kunjalo, kufuneka kuqatshelwe ukuba iipilisi zokulawula ukuzalwa zinokwandisa amathuba okuba ne-melasma, imeko ebonakala ngokubonakala kwamabala amdaka angaqhelekanga kwiindawo ezithile zolusu, ngakumbi kwindawo engaphezulu komlebe ongasentla. Kukholelwa ukuba ukunyuka kwamanqanaba e-hormone emzimbeni ngenxa yokuthatha iipilisi zokulawula ukuzalwa kunokuba sisizathu emva koku.
Ngoko ke, ukugcina ulusu olunempilo ngelixa usebenzisa iipilisi zokulawula ukuzalwa, kuyacetyiswa ukuba ulandele iingcebiso zoogqirha kunye neengcali. Abantu abaneengxaki zolusu banokudibana noogqirha babo ukuze bakhethe uhlobo olufanelekileyo lwepilisi yokulawula ukuzala baze bafumane iingcebiso ezifanelekileyo zokugcina umgangatho wolusu nempilo.
| isiphumo esihle | Impembelelo embi |
|---|---|
| Ukunciphisa ukukhutshwa kwe-sebum kwaye uhlambulule ulusu | Ukunyuka kwamathuba okuvela kwe-melasma |
| Ukunciphisa ubunzima bamaqhakuva kunye namabala | Ukwahluka kwempembelelo phakathi kwabantu |
| Ukuphucula impilo yesikhumba kunye nokubonakala |
Ndazi njani ukuba yeyiphi ipilisi endiyiyo?
Kuhlala kucetyiswa ukuba udibane nogqirha ukuze unqume uhlobo olungcono lwepilisi yokulawula ukuzalwa kumfazi ngamnye. Ukhetho lukagqirha ludla ngokusekelwe kwimeko yempilo yangoku yowesifazane, imbali yezonyango, kunye namayeza awathathayo.
Iingcebiso zoogqirha ngokuqhelekileyo ziquka ukuba amabhinqa akuphephe ukusebenzisa iipilisi ezidityanisiweyo zokulawula ukuzala xa encancisa. Kodwa eyona ndlela isebenzayo yokuthintela ukukhulelwa yipilisi, ukuba isetyenziswe ngokuchanekileyo. Ezi pilisi zithintela amadlozi ukuba angangeni kwilungu lobufazi ngexesha lokwabelana ngesondo.
Iipilisi ezidibeneyo zokulawula ukuzalwa ziqulethe iihomoni ezimbini, i-estrogen kunye neprogestin. Ngokuphathelele “ipilisi encinane,” inencindi yedlala enye kuphela, eyiprogestin. Ipilisi kulula ukuyisebenzisa: uthatha ipilisi enye ngexesha elimisiweyo ngosuku ngalunye de iipilisi ezikuluhlu ziphele, emva koko uyeke ukuthatha iipilisi kwixesha elimiselweyo phambi kokuba uqale kwakhona.
Abasetyhini kufuneka baqwalasele iimfuno zabo zobuqu kwaye bakhethe iipilisi zoqingqo-nzala ezilungele bona. Kukho iintlobo ngeentlobo zeepilisi ezifumanekayo ukukhetha kuzo, kuxhomekeke ekubeni umfazi ufuna ukuya exesheni kangaphi kunye nedosi efanelekileyo yehomoni kuye. Ibhinqa linokudibana nogqirha ukuze limenzele esona sigqibo sifanelekileyo ngokusekelwe kwinkcazelo namava akhe ezonyango.
Kuyaphawuleka ukuba ukusebenzisa iipilisi zokulawula ukuzalwa kunokubangela ezinye iziphumo ebezingalindelekanga. Abanye abasetyhini banokufumana ukuncipha kwe-libido, ukudakumba, okanye isiyezi. Ukuba kukho nayiphi na imiphumo emibi, umfazi kufuneka adibane nodokotela kwaye acinge ngokutshintsha uhlobo lwepilisi yokulawula ukuzalwa. Nantsi ulwazi oluninzi malunga nezizathu zokutshintsha phakathi kweentlobo zeepilisi zokulawula ukuzalwa kumanqaku afanelekileyo ezonyango.
Zithini iziphumo ebezingalindelekanga zeepilisi zoqingqo-nzala?
Esinye isiphumo esixhaphakileyo seepilisi zokulawula ukuzala yintloko. Abanye abantu basetyhini baphathwa yintloko ebuhlungu ngenxa yokuthatha ezi pilisi. Nangona kunjalo, kufuneka kukhunjulwe ukuba uninzi lwezi ziphumo bezingalindelekanga zincinci kwaye zihlala zihamba ngokuhamba kwexesha.
Ukongeza, abanye abantu banokuziva benesicaphucaphu emva kokuthatha iipilisi zokulawula ukuzala. Nangona le mvakalelo isenokungakhululeki, ngokuqhelekileyo ayibangeli umonakalo omkhulu. Abasetyhini abafumana isicaphucaphu esizingileyo kufuneka baqhagamshelane nogqirha wabo ukuze badibane.
Kukwakho nezinye iimpawu ezinokubakho ezinje ngeentlungu zamabele kunye nokudumba, ukutshintsha kweemvakalelo, nokopha okungaqhelekanga. Kufuneka uqaphele kwaye uqhagamshelane nogqirha wakho ukuba kukho naziphi na ezi zimpawu zenzeka kwaye uqinisekise ukuba ukhuselekile kwaye impilo yakho ayichaphazeleki.
Kuyaphawuleka ukuba akukho miphumo emibi okanye yexesha elide yokuthatha iipilisi zokulawula ukuzala. Ngokubanzi, izibonelelo zokuthatha iipilisi zokulawula ukuzala ziyodlula lee naziphi na iziphumo ebezingalindelekanga.
Ukuqinisekisa ukhuseleko lokusebenzisa iipilisi zokulawula ukuzalwa kunye nokunciphisa imiphumo emibi, kuyacetyiswa ukuba udibane nodokotela oyingcali ngaphambi kokuba uqale ukuzisebenzisa. Ugqirha unokuvavanya imeko yezempilo jikelele yowesifazane, anqume umthamo ofanelekileyo, kwaye abeke iliso kwimiphumo emibi ngexesha lokusetyenziswa.
Zeziphi ezona ntlobo zilula zeepilisi zoqingqo-nzala esiswini?
- Ukukhetha iipilisi ezifanelekileyo zokulawula ukuzala: Ibhinqa lifanele lidibane nogqirha wabafazi ukuze likhethe uhlobo olufanelekileyo lwepilisi yokulawula ukuzala. Iipilisi zeCerazette zibhekwa njengenye yeentlobo ezaziwa ngokuba luhlobo olulula kakhulu kwisisu, njengoko luqulethe isithako esinye kuphela, esiyiprogesterone.
- Ukuthatha iipilisi ngokutya: Kucetyiswa ukuba uthathe iipilisi zokulawula ukuzala ngexesha lokutya, ukwenzela ukunciphisa umphumo kwisisu. Ukuzithatha kunye nokutya kusenokunceda ukunciphisa isicaphucaphu esinxulumene nokuthatha ezi pilisi.
- Ukuthotyelwa kwedosi echaziweyo: Kuyimfuneko ukuba ibhinqa lilandele umthamo ochaziweyo weepilisi zokulawula ukuzalwa njengoko kucetyiswa ngugqirha. Kufuneka ugweme ukudlula idosi echaziweyo okanye ukutsiba nayiphi na idosi, njengoko ezi zinto zinokunyusa isiphumo esibi esiswini.
- Ukuzama ezinye iindlela zokuthintela ukukhawula: Ukuba iziphumo ebezingalindelekanga ezingemnandanga ziyaqhubeka zisenzeka ngeepilisi zoqingqo-nzala, ibhinqa linokucinga ngokuzama ezinye iindlela zoqingqo-nzala ezingabangeli ezi ziphumo, njenge-IUD yobhedu.
Ziqala nini ukusebenza iipilisi zokulawula ukuzala emzimbeni?
Ukuba iipilisi ziqulethe i-estrogen kunye neprogesterone, kunokuthatha iintsuku ezi-7 ukuba zisebenze ngokupheleleyo. Kodwa ukuba iipilisi ziqulethe i-progestin kuphela, umphumo wabo ekukhuseleni ukukhulelwa uqala ngokukhawuleza, ukuba ziqaliswe ngeentsuku ze-1-5 zomjikelezo wokuya esikhathini.
Ukuba uziva ugabha okanye urhudo olunzima kwiiyure ze-3 emva kokuthatha iipilisi zokulawula ukuzala, umzimba awukwazi ukufunxa amahomoni ngokufanelekileyo, ngoko kufuneka uqhubeke uthatha iipilisi ngokwedosi yemihla ngemihla ekhuthazwayo.
Abasetyhini kufuneka bakhumbule ukuba ukuqala kwesenzo seepilisi zokulawula ukuzala kuyahluka ngokuxhomekeka kuhlobo kunye nokubunjwa. Iipilisi zokulawula ukuzalwa ziqala ukusebenza emzimbeni emva kokuba amanqanaba ehomoni ephakama kwinqanaba lokuba i-ovulation ingenzeki. Ngokuqinisekileyo, oku akuyi kwenzeka ukususela ngosuku lokuqala lokusebenzisa iipilisi.
Xa uyeka ukusebenzisa iipilisi zokulawula ukuzalwa, umphumo wabo emzimbeni uqhubeka ixesha elithile elixhomekeke kuhlobo lwepilisi. Isiphumo salo sinokuhlala inyanga okanye ngaphezulu.
Kusenokuthatha ixesha ukuze isiphumo esipheleleyo seepilisi ezine-estrogen neprogesterone sisebenze. Kwimeko yokusebenzisa iipilisi ezine<em>progestin kuphela, ziqalisa ukusebenza ngoko nangoko ukuba uqalisa ukuzithatha ngeentsuku zokuqala zokuya exesheni.
Ngaba iipilisi zokulawula ukuzala zibangela ukudumba kwesisu?
Iipilisi zokulawula ukuzalwa zilinganisa amahomoni emzimbeni ukuthintela ukukhulelwa. Nangona kunjalo, enye yeziphumo ebezingalindelekanga zezi pilisi kukudumba kwesisu. Oku kuqunjelwa kudla ngokubangwa kukwanda kokuqunjelwa ngerhasi kwindlela yokwetyisa.
Iipilisi zokulawula ukuzalwa zingabangela ukwanda kweegesi kwinkqubo yokugaya kwaye ugweme ukuphelisa. Ngoko ke oku kunokubangela ukuqunjelwa kunye nokuziva kubhobhoza kwisisu. Nangona ezi zimpawu zihlala zethutyana kwaye ziphucula emva kwexeshana.
Ukongezelela, utshintsho lwamahomoni olunxulumene neepilisi zokulawula ukuzala yenye into enokukhokelela ekuqhumeni. Xa umzimba ubonakaliswe kwi-estrogen efunyenwe kwiipilisi zokulawula ukuzalwa, ukugcinwa kwamanzi kunokwenzeka emzimbeni, kubangele ukuqunjelwa kwisisu kunye neendawo ezikufutshane.
Ngapha koko, iipilisi zokulawula ukuzalwa zinokunyusa umdla kwabanye abantu, nto leyo ekhokelela ekutyeni ukutya okuninzi. Oku kunyuka kokutya kunokukhokelela ekufumaneni ubunzima kunye ne-flatulence.
Ngaba iipilisi ze-Yasmin zikwenza unciphise umzimba?
Iipilisi zokulawula ukuzalwa ze-Yasmin luhlobo lwepilisi yokuthintela ukukhulelwa equlethe i-estrogen kunye neprogesterone. Kuthathwa njengelinye lamayeza akhuselekileyo nasebenzayo asetyenziswa ngabasetyhini kulawulo lokuzalwa.
Nangona abanye abantu basetyhini bekholelwa ukuba iipilisi ze-Yasmin zinegalelo kwinkqubo yokubhitya, inyaniso yahlukile. Enyanisweni, iipilisi zokulawula ukuzalwa ngokubanzi kunokukhokelela ekuzuzeni ubunzima. Oku kwenzeka ngenxa yemiphumo yehomoni emzimbeni onokunyusa ukutya kwaye kubangele ukugcinwa kwamanzi.
Iipilisi zokulawula ukuzalwa akufanele zisetyenziswe ngenjongo yokunciphisa umzimba okanye ukunciphisa umzimba. Ngokuchasene noko, ukusetyenziswa kwayo kubangela ubunzima kwabanye abafazi. Ukuba usukelo lwakho kukunciphisa umzimba, kungcono udibane nogqirha ukuze ufumane ukutya kunye nenkqubo yokuzivocavoca efanelekileyo kwimeko yakho yempilo.
Ngokubanzi, iipilisi zokulawula ukuzalwa ze-Yasmin zithathwa njengekhuselekile ukuba zisetyenziswe, kodwa ezinye iziphumo ezincinci ezinokuthi zenzeke ezifana nentloko, isicaphucaphu, kunye nokuncipha kweemvakalelo. Ukongezelela, kunokunyusa umngcipheko wegazi kubasetyhini abathile, ngoko ugqirha kufuneka adibane naye ngaphambi kokuyisebenzisa.
Ngaba iGenera iipilisi zokubhitya?
Iipilisi zeGenera zezinye zeentlobo zokuthintela ukukhulelwa, kwaye zisetyenziswa rhoqo ukuqinisekisa ukuthintela ukukhulelwa ngokulawula amahomoni anoxanduva lwalo.
Kwimeko yokuncelisa, kufuneka ugweme ukuthatha iipilisi zeGenera, kwaye endaweni yoko ungasebenzisa olunye uhlobo olukhuselekileyo oluqulethe ihomoni enye kuphela, kungekhona ezimbini, ukwenzela ukuba oku kungachaphazeli ukukhutshwa kobisi.
Abanye abantu basetyhini banokubona ukunyuka okuncinci kubunzima babo xa besebenzisa iipilisi zeGenera, ngenxa yokwanda kolwelo emzimbeni. Nangona kunjalo, i-Gynera ayifanele isetyenziswe ukufumana ubunzima.
Akukho luhlelo lukhethekileyo lweepilisi zeGenera njengeepilisi zokunciphisa umzimba. Nangona ziqulethe i-estrogen, enokuthi ichaphazele ubunzima kwezinye iimeko, ukuphumelela kwabo ekulahlekeni kwesisindo akuzange kubonakaliswe. Umphumo wayo uyahluka ukusuka komnye umntu ukuya komnye.
Kukho imiqondiso yokuba kufuneka kulumke xa usebenzisa iGenera ukuba umntu uthwaxwa zizifo zamabele. Kufuneka kwakhona kuphetshwe kwiimeko zesifo senhliziyo, uxinzelelo lwegazi oluphezulu, kunye nemithambo ye-varicose kunye nezifo ze-arterial.
