Kusiyana pakati peMonophasic, Biphasic, uye Triphasic Pills
Kusanganiswa kwekuberekwa kwepiritsi mapiritsi ndeyomuromo wekudzivirira kubata pamuviri unobatanidza ethinyl estradiol uye progestin. Kunyangwe zvazvo kusanganiswa kwekuberekwa kwepiritsi yepiritsi kune estrogen, vanogona kusiyanisa mune zvekuti estrogen yakawanda sei. Kusanganiswa kwekuberekwa kwemishonga mapiritsi kwakasiyanawo kune mumwe nemumwe nekuda kwehuwandu uye rudzi rweprogestin iyo iri mumutambo wepiritsi imwe neimwe.
Kubatanidzwa kwehuwandu hweesrogen uye rudzi uye chiyero cheprogestin chinowanikwa mukubatana nekuberekwa kwepiritsi zvinogona kukonzera zvakasiyana progestational, estrogenic, uye androgenic migumisiro . Hapana "yakanakisisa" yekuberekwa kwepiritsi chekiti. Hapana chekudzivirira kwepiritsi pirina kana piritsi yakasiyana nemamwe ose. Mamwe mapiritsi emapiritsi anogona kubatsira kuderedza mamwe madhara . Asi zvose kusanganiswa kwekuberekwa kwepiritsi zvakanyatsoshanda mukudzivirira kubata pamuviri-chero bedzi mapiritsi anoshandiswa nguva dzose uye zvakarurama .
Multiphasic vs. Monophasic Birth Control Pills
Kusanganiswa kwekuberekwa kwemishonga mapiritsi inoshandiswa se monophasic, biphasic, kana katatu zvichienderana nehuwandu hwemhomoni inoramba yakakodzana mumavhiki matatu ekutanga ekuenda kumwedzi kana kana ichichinja. Ramba uchifunga kuti kwemazuva makumi mana-mapiritsi mapiritsi, mapiritsi evhiki yechina anowanzotora mapiritsi (uye haana mahomoni).
Kuwedzera kwemapiritsi ekuberekwa kwevakawanda kwakagadzirwa muma1980. Phasic kuzvirwisa mapiritsi ane maitiro akawanda ehomoni-yakagadzirirwa kutorwa panguva dzakasiyana-siyana munguva yepiritsi imwe neimwe. Iwapi mapiritsi akave akaumbwa kuti abatsire kuderedza midzi yemigumisiro yemamapiritsi ekuzvidzivirira kwevana. Kana uchienzaniswa nemamwe mapiritsi ekubatanidza mapiritsi, mamwe mapiritsi ekuberekwa kwepabonde akawanda anogona kuderedza huwandu hwehomoni yose yaungagamuchira mumapiritsi ega ega. Izvo zvakagadzirirwawo kuti zvive zvakajeka kuenzanisa muviri wako kuenda kumwedzi.
Monophasic Birth Control Pills
Mipiritsi yekuzvarwa inoberekwa nemamapirisi ine uwandu hweesrogen uye progestin mune imwe piritsi inoshandiswa mumapiritsi epakati. Iyo mahomoni mupiritsi imwe neimwe inogara yakasimba, saka mapiritsi ekuzvidzivirira ari oga asingakwanisi kubvisa zvinokonzera zvinogona kuguma nekuchinja kwehomoni. Mipiritsi yekudzivirira kuberekwa kweMonophasic inorongwa neweserogen yavo yepamusoro:
- Mishonga yakaderera mapiritsi ine zvishoma zvishoma zve estrogen-kazhinji micrograms 20. Asi pane piritsi yekuberekwa kwepiritsi Lo Loestrin Fe . Iyi ndiyo chete mapiritsi ekuberekwa ane mapiritsi ane ma microgram gumi chete eestrogen, saka iri kunyarara kuve yakakurumbira.
- Nguva dzose mapiritsi ane mapurogiramu makumi matatu kusvika ku35 esrogen.
- High-dose mapiritsi ane anenge 50 micrograms yeestrogen.
Mipiritsi yekuberekwa kweMonophasic inoshanda pamwe chete nemapiritsi akawanda. Low estrogen, monophasic mapiritsi angakonzera kudonha kuderera kana kuti kunyorova kwemazamu asi zvinogona kukonzera kuwedzera kuonekwa . Vazhinji vakadzi vanoona kuti kunyorwa kwepiritsi yemapiritsi kunobatsira kuva chokutanga chakanaka.
Biphasic Birth Control Pills
Biphasic birth control mapiritsi inoshandura huwandu hwehomoni imwe nguva panguva yemapiritsi. Biphasic birth control mapiritsi inopa yakaenzana ye estrogen zuva rega rega, asi huwandu hweprogestin hunowedzera kusvika hafu kusvika pamapiritsi.
Pakati pehafu yekutanga yemhepo, progestin / estrogen ratio inowanzopera. Pakati pechikamu chechipiri chekufamba, progestin / estrogen ratio inowedzera kuva yakakwirira. Mazuva manomwe kusvika kune gumi ekutanga ane simba rimwe (uye kazhinji ruvara rumwe), uye mapiritsi 11 kusvika ku14 anotevera ane rimwe simba (uye rimwe ruvara). Mazuva manomwe ekupedzisira (kana akabatanidzwa) ndiwo mapiritsi e placebo uye haana mahomoni.
Kurwisana neKubata Kudzora Piritsi
Kurwara kwepabonde kunobata vana vatatu mahomoni zvakasiyana-siyana kuitira kuti kusanganiswa kwehomoni kushandure anenge mazuva manomwe oga oga mupiritsi. Zvichienderana nechitarisiko chepiritsi, kuwanda kweesrogen kunogona kuchinja pamwe nekuwanda kweprogestin. Mune mwedzi mumwe chete, mapiritsi ekuberekwa kwechitatu ekuberekwa angave nekuwedzera zvishoma muestrogen, uye mamwe mapiritsi anogonawo kuwedzera muwandu we progestin.
Mupiritsi imwe neimwe inotakura mapiritsi mashomanana mapi enye simba (uye rimwe ruvara). Chikamu chinotevera chemapiritsi ndeimwe simba (uye rumwe ruvara). Chikamu chekupedzisira chemapiritsi chinoshandurawo simba uye iine ruvara rwakasiyana. Iyo mapepa manomwe ekupedzisira (kana akabatanidzwa) ndiwo mapiritsi e placebo, saka haana mahomoni.
> Kwakabva:
> Christin-Maitre S. Nhoroondo yeminzwi ekudzivirira kubata pamuviri uye kushandiswa kwavo pasi pose. Nzira yakanakisisa & tsvakurudzo. Clinical Endocrinology & Metabolism . 2013 Feb 28; 27 (1): 3-12.