Estrogen Doses, Progestin Types, uye Zvimwe Zvimwe Zvipo zvePiritsi
Chii chinosanganiswa kuberekwa kupedza mapiritsi (muromo wekudzivirira kubata pamuviri) uye chii chiri kusiyana pakati pehuwandu hwezvakasiyana-siyana zvemishonga? Ndezvipi zvimwe zvekubatsira uye kukanganisa kwezvinhu zvakasiyana-siyana?
Tsanangudzo yeKukanganiswa Kwekuberekwa Kwepiritsi
Kusanganiswa kwekuberekwa kwepiritsi mapiritsi ndeyomumuromo mishonga inobatanidza maitiro eestrogen (ethinyl estradiol) uye progestin , yakafanana nemasikironi epabonde (estrogen uye progesterone) inobudiswa mumuviri wemukadzi.
Kusanganiswa kwekuberekwa kwepiritsi kunogonawo kunzi "combo mapiritsi" kana kuti, "piritsi."
Kusiyana neserogen (yakagadzirirwa kugadzirisa ethinyl estradiol) inowanikwa mumhando dzakasiyana dzemishonga inosanganiswa, kune marudzi akasiyana-siyana eprogestin anogona kushandiswa (yakurukurwa pasi apa.)
Kubata Kusanganiswa Kuberekwa Kudzora Piritsi
Zvose zvinosanganiswa nekuberekwa kwepiritsi zvinowanikwa chete nemishonga. Izvi zvinoreva kuti haugone kutenga chero ipi yeipi mapiritsi pamusoro pekero.
Chiremba wako angangodaro kana kuti haafaniri kutora mutsara wepilvic uye Pap smear kuitira kuti ataure mapiritsi ekuberekwa kwekuzvarwa. Vamwe vanachiremba vacharamba vaine mapiritsi pamusana pekunyatsorapwa kwezvakaitika kare uye ropa rekuyera (sezvo mapiritsi angawedzera kuwedzera kweropa .) Kunyange kana chiremba wako asingatsvaki Pap smear paanorondedzera mapiritsi, zvakakosha kuva nePap smears zvitatu makore pakati pezera remakore makumi maviri nemaviri nekupera kwemwedzi, uye kakawanda kana iwe wakanga uine Pap smear isina kunaka kana chiratidzo che HPV.
Usati waona chiremba wako, tarisa mazano aya ekutaurira chiremba wako nezvekudzivirira kuberekwa uye mibvunzo yaunofanira kubvunza.
Mhando dzekubatanidza Birth Control Pills
Kusanganiswa kwekuberekwa kwemishonga mapiritsi yakarongerwa seye monophasic, biphasic, kana katatu zvichienderana nehuwandu hwemhomoni inogara yakafanana mumavhiki matatu ekutanga ekuenda kumwedzi kana kana ichichinja.
- Mipiritsi inonzi monophasic ine yakaenzana ye estrogen uye progestin mune imwe neimwe yemapiritsi anoshandiswa mumutambo.
- Biphasic mapiritsi anoshandura hutano hwe estrogen uye progestin imwe nguva panguva yemishonga inoshanda, pamwe nehuwandu hweprogestin huchiwedzera muhafu yepiri yemutambo.
- Zvirwere zvepiritsi zvinoshandura mazinga emahomoni katatu munguva yehupenyu, uye ose eesrogen uye progestin level inogona kuchinja.
Kusanganiswa kweKubvumira Kudzora Pakati Pakawanda
Kusanganiswa kwekuberekwa kwemishonga mapiritsi kunowanzouya mumwedzi umwe wekugovera. Mishonga inowanika inowanzowanika mune zvemazuva makumi maviri kana makumi maviri nemasere.
Vose maBhaibheri ane 21 mapiritsi anoshanda. Aya ndiwo mapiritsi anosanganisira mahomoni anodzivirira mukadzi kuti ave nepamuviri.
28-Day Packs
Mune 28-day pack, yekupedzisira mapiritsi manomwe anozivikanwa seuchiyeuchidzo mapiritsi. Haana mahomoni. Iyi mapiritsi anotorwa mukati mevhiki yechina, uye chinangwa chavo ndechokubatsira mukadzi kuchengetedza tsika yake yokutora mapiritsi zuva rimwe nerimwe. Saka, mukadzi achatora mapiritsi zuva rega rega mukati mevhiki 4.
21-Day Packs
Mune mazuva 21-pack, mapiritsi anotorwa kwemavhiki matatu okutanga, uye mukadzi haatore chinhu panguva yechina yevhiki. Anotanga mutsara wepiritsi mazuva masere mushure mokunge purogiramu yapfuura yapera.
Muenzaniso wepiritsi yekirini inouya mu 21-Day pack ndeye Loestrin . Iwapi mapiritsi ane mapiritsi anogona kuva anonyangadza nokuti vakadzi vanofanira kuyeuka kutanga mapiritsi avo matsva pasina chiyeuchidzo mapiritsi.
24-Day Packs
Kune maviri maviri ekubatanidza kuberekwa kwepiritsi marikisi ane mazuva makumi maviri nemaviri anoshingaira uye mapiritsi mana chete e-placebo. Izvi zvinosanganisira:
- Yaz 28 (uye Beyaz ): Rimi regimenti ye Yaz yakasiyana neyo inayo mazuva makumi maviri emapiritsi emapiritsi, inotevera 4 zviyeuchidzo-zuva mapiritsi. Ichi chisarudzo chinogona kupa vanhu vashoma kuchinja kwehomoni kupfuura tsika dzemazuva 21 emapiritsi anoshandiswa kwemazuva makumi mana emasikati. (Ona nyevero, zvisinei, pamusoro paJasmin naJaz 28 pasi.)
- Loestrin 24 Fe: Yakagamuchirwa neDFA muna 2006, iyo maridhi yepiritsi ndiyo yekutanga yemwedzi 24 yeminzwi inobvumirwa muUnited States.
Yakawedzerwa Cycle Pills
Yakawedzerwa gore rinosanganiswa mapiritsi (anozivikanwawo seinopfuurira mapiritsi mapiritsi ) ane mamwe mapiritsi mubhuku rimwe nerimwe. Izvi mapiritsi anogona kukubvumira kuti usanyatsopedza nguva yako kana kuti kuderedza nguva dzenguva yako. Zvidzidzo zvinoratidza kuti kupera kwemapiritsi kwakachengeteka . Izvo zvinogonawo kuva nyore uye kuvandudza hupenyu hwevakadzi vakawanda vanotambura nezvinetso zvine chokuita nemwedzi. Mifananidzo yakakurumbira inosanganisira:
- Seasonale isiri inopfurikidza piritsi inosanganisira ethinyl estradiol / levonorgestrel. Inogona kutorwa ichienderera mberi kwemazuva 91 uye FDA yakagamuchirwa kuti iite zvepabonde nguva dzose muna 2003. Iyi regimen inobvumira vakadzi kuti vave nenguva shomanana yekuenda kumwedzi. Iyi mapiritsi ine mapepa makumi mapfumbamwe nemapiritsi uye mapiritsi manomwe e placebo.
- Seasonique imwe imwe inopfuurira kuenzanisa kusanganiswa kwepiritsi yemapirisi yakagamuchirwa neDFA muna 2006. Seasonique yakafanana neSeasonale mune iyo ethinyl estradiol / levonorgestrel inotorwa nguva dzose kwemazuva 84. NeSeasonique, zvisinei, mazuva manomwe okupedzisira emwedzi mitatu anoenderera mberi ane chido chakanyanya ethinyl estradiol panzvimbo pemapiritsi e placebo.
- LoSeasonique inowanikwawo. Iko kushandiswa kune vashoma eserogen uye progestin kupfuura Seasonique.
- Lybrel ibasa rakaderera rinowedzera kuberekwa kwepiritsi. Inotorwa mazuva makumi matatu nemazana matanhatu egore. Muna Mbudzi 2007, ndiyo yaiva piritsi yekutanga FDA yakagamuchirwa kuti ishandiswe kumira zvachose mwedzi wemwedzi. Vakadzi vazhinji vanoshandisa Lybrel vanonakidzwa kusina nguva yavo asi vagovana zviitiko zvakasiyana-siyana nepiritsi yechikwereti.
Vakadzi vanogona kutarisa mapiritsi emapuranga kuti vagone kuziva kuti mahomoni aripo uye kuti ndeapi maitiro muhupenyu hwose.
Mwedzi
Paunenge uchishandisa kusanganiswa kuberekwa kupirisa mapiritsi, vakadzi vanowanzove vachirega kubuda ropa (a) panguva yevhiki yechina. Mahomoni ari mumishonga inopedza kudzivirira kubata pamuviri mwedzi wese, saka kunyange panguva yechina yevhiki (pasinei kana ari kutora zviyeuchidzo mapiritsi kana pasina mapiritsi zvachose), mukadzi anodzivirirwa paanenge asina pamuviri.
Progestin Hormones muPiritsi Yokubatanidza
Zvose zvinosanganiswa mapiritsi ane estrogen (kazhinji ethinyl estradiol) uye rudzi rwehuwandu hweprogesin yakagadzirirwa kutevedzera hormone inonzi progesterone. Izvi zvinosanganisira:
- Desogestrel
- Ethynodiol Diacetate
- Levonorgestrel
- Norethindrone
- Norethindrone Acetate
- Norgestimate
- Norgestrel
- Drospirenone
Unogona kuda kudzidza zvakawanda pamusoro pebasa reprogestin mupiritsi uye nei mamwe maitiro eprogestin angasangana nezvido zvako zviri nani pane imwe.
Yambiro Pamusoro paJasmin naJaz 28
Kusiyana nemamwe ekubatanidza kuberekwa mapiritsi, Yasmin a Yaz 28 ane progestin drospirenone iyo inogona kuwedzera potasium, uye kuwedzera uku mu potassium kunogona kukonzera kukanganisika kwemoyo-kana zvimwe zvinetso. Aya mapiritsi angasave nzira yakarurama kwauri kana iwe wakambove nemafuta, chiropa, kana adrenal gland chirwere . Panewo kumwe kunetseka kuti drospirenone inogona kuwedzera njodzi yeropa .
Estrogen Dosages muPIll
Ethinyl estradiol ndiyo iyo yakagadziriswa isrogen inowanikwa mumuromo wekubata pamuviri. Iyo yakakosha yakawanda yeserogen mupiritsi (iyo yakakosha nhamba ye micrograms ye ethinyl estradiol) inoreva kuwanda kwemigumisiro yesrogen pamuviri wako (zvose zvakanaka uye zvakaipa.)
Pasi-Dose Mamwe mapiritsi
Dhi-dose inosanganiswa mapiritsi ine yepasi yakawanda yeestrogen (20 mcg) uye imwe yemhando dzeprogestin. Mazita emagetsi emhando iyi yemapiritsi anosanganisira:
- Alesse
- Aviane-28
- Levlite
- Loestrin 1/20
- Mircette
Nguva Dzose-Dose Mamwe mapiritsi
Nguva dzose mapiritsi ane mapeji 30 kusvika ku 35 mecg estrogen uye imwe yemhando dze progestin. Mazita emagetsi emhando iyi yemapiritsi anosanganisira:
- Brevicon
- Demulen 1/35
- Desogen
- Femcon Fe
- Levlen
- Lo / Ovral
- Modicon
- Nordette
- Levora
- Loestrin
- Low-Ogestrel
- Necon 1/35
- Norinyl 1/35
- Ortho-Cept
- Ortho-Cyclen
- Ortho-Novum 1/35
- Ortho Tri-Cyclen Lo
- Ovcon 35
- Seasonale
- Yasmin
- Zovia 1 / 35E
Phasic Mishonga Pills
Phasic pamwe mapiritsi ane kuchinja mazinga eestrogen uye progestin yakagadzirirwa kunyanya kufanana nematombo emadhemoni panguva yekuenda kwemukadzi. Mazita emagetsi emhando iyi yemapiritsi anosanganisira:
- Ortho Tri-Cyclen Lo
- Jenest-28
- Ortho Tri-Cyclen
- Cyclessa
- Triphasil
- Tri-Levlen
- Ortho-Novum 10/11
- Trivora
- Tri-Norinyl
- Estrostep Fe
- Ortho-Novum 7/7/7
High-Pose Mikana Pills
High-dose pamwe mapiritsi ane mamiriyoni 50 emcg ye estrogen pamwe neprogestin. Mazita emagetsi emhando iyi yemapiritsi anosanganisira:
- Ortho-Novum 1/50
- Ovral
- Dzorera 1/50
- Ogestrel
- Ovcon 50
Zvinokonzerwa Piritsi Nezvinangwa Zvimwe
Chinangwa chikuru chekuberekwa kwepiritsi mapepa, ndeyechokwadi, kudzivirira kubata pamuviri. Asi pane mamwe marongerwo uye masanganiswa ehomoni anokwanisa kutakura imwe pembe, uye kubatsira kune zvimwe zvinetso zvakare. Mune mamwe mazwi, pane zvimwe zvisingabatsiri zvepiritsi inopesana pakati pemagetsi.
Mimwe yemamiriro ayo mapiritsi anogona kubatsira (uye dzimwe nguva anobvumirwawo pamwe) anosanganisira acne , premenstrual dysphoric disorder , endometriosis , uye nguva dzinorwadza . Mukuwedzera, mapiritsi anogona kubatsira kuderedza ngozi yako yeukenza, urovhesi, ikoni uye yeropa rinokonzerwa neropa, kunyange kune huwandu hwehutano hwekenza yemapapu muvanhu vanofuta uye mazamu uye makondombera emuchechi mumashandisi anowanikwa piritsi (yakawedzera njodzi inoita seinoenda mukati pemakore mashanu ekumira mapiritsi.)
Kutanga Piritsi
Kana iwe uchingotanga mapiritsi, zvinogona kubatsira kuverenga pane zvimwe zvezvinhu zvinokosha zvaunoda kuziva kuti kushandisa mapiritsi zvakabudirira . Iwe unogonawo kuva nemibvunzo pamusoro pokuti mapiritsi anoshanda sei .
Paunotora mapiritsi, zvinokoshawo kuti uzive kuti mishonga inogona kuderedza kupora kwepiritsi . Semuenzaniso, vanhu vazhinji havazivi kuti kutora mishonga inorwisa mabhakitiriya yehutachiona hwechirwere kunogona kuderedza zvakanyanya kupedza kwepiritsi-uye kuwedzera mukana wekuti iwe uve nepamuviri.
Kuchinja Purogiramu Yenyu Yokudzivirira
Kune mishonga yakawanda yakasiyana-siyana yaunosarudza, asi zvakakosha kutaura nachiremba wako nezvekuti ungashandura sei mapiritsi ekudzivirira kuberekwa kana ukadaro.
Kuenzaniswa kweMakakatani mapiritsi kuProgesin-Ndiyo mapiritsi chete
Iko kusanganiswa kwekuberekwa kwepiritsi kunopfurikidza zvakanyanya kupfuura progestin-chete mapiritsi . Asi vamwe miviri yevakadzi havaiti zvakanaka kune estrogen muine mapiritsi. Kune avo vane zvinetso izvi, zvakadai sekuwedzera kwemazipa eropa pamushonga wepiritsi, proillin-chete piritsi inogona kunge yakanaka.
Pasi Payo Pamusanganiswa Kuberekwa Kudzora Piritsi
Mukupfuura nepakati pemashoko ari pamusoro apa, pamwe wakacherechedza kuti pane zvakawanda zvinoshandiswa pakufunga pakusarudza piritsi yakanaka iwe pachako. Mhando yeestrogen mumapiritsi yakafanana (ethinyl estradiol) asi muyero unogona kusiyana. Estrogen inogona kuva nemigumisiro yakanaka uye yakaipa mumutumbi, uye chirongwa chakanaka kwauri chichabva pane zvaunoda uye nhoroondo yako yezvechiremba.
Kusiyana neserogen, kune marudzi akasiyana-siyana eprogestins anogona kushandiswa. Chimwe nechimwe chezvinhu izvi chingava nezvose zvinobatsira (zvakadai sekudzivirira kwechigunha) kana njodzi (yakadai sedambudziko rekuvhara ropa) uye zvakakosha kutaurira chiremba wako pamusoro pekuti progestin inogona kukubatsira iwe somunhu.
Runako rwekuve nekubatanidzwa kwakasiyana-siyana kwemishonga ndeyekuti kune zvimwe zvakawanda zvingasarudzwa kusarudza kubva kana imwe yerudzi inotungamirira kumigumisiro. Panguva imwe chete, zvakakosha kutaurira chiremba wako nezvekuti ungashandura sei mapiritsi ekudzivirira kuberekwa kana ukadaro.
Piritsi inoshanda zvikuru kana yakashandiswa zvakanaka, uye inokwanisa kunyange kuuraya tsanangudzo shiri mbiri nedombo rimwechete kune vamwe vanhu vane premenstrual syndrome, acne, menstrual migraines, nezvimwe zvinhu. Izvozvo zvakati, inonyanya kubudirira mune zvose izvi zvinogona kushandiswa zvakanyatsonaka kuitira kuti mapiritsi arege kushaya uye kana iwe uchitaura nachiremba wako nokukurumidza nezvemamwe matambudziko kana kushungurudzika.
> Sources:
> Cunningham, F. Gary., Uye John Whitridge Williams. Williams Obstetrics. New York: McGraw-Hill Dzidzo yeMari, 2014. Print.
> Iversen, L., Sivasubramaniam. S., Lee, A., Fielding, S., naP. Hannaford. Lifetime Cancer Risk uye Yakasanganiswa Nhengo Dzakadzika Mumuviri: The Royal College of General Practitioners 'Oral Contraception Study. American Journal of Obstetrics uye Gynecology . 2017. 216 (6): 580.e1-580.e9.
> Kluft, C., Zimmerman, Y., Mawet, M. et al. Kukanganiswa kweHemstatic Effects ne Drospirenone-Based Based Oral Contraceptives Iine Estetrol VS. Ethinyl Estradiol. Kubata pamuviri . 2017. 95 (2): 140-147.