Iipilisi zokulawula ukuzala zizinto abantu abaninzi abazisebenzisayo ngoku njengendlela yokucwangcisa usapho. Usenokuba nomdla wokwazi ngale nto. Mhlawumbi sele uzisebenzisa ezi pilisi. Okanye mhlawumbi unethemba lokuqalisa. Nangona kunjalo, kubaluleke kakhulu ukwazi ngale nto. Ngoko ke namhlanje siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda, ngokungathi uthetha nomhlobo.
Zithini ezi pilisi zokulawula ukukhulelwa?
Ngamafutshane, iipilisi zokulawula ukukhulelwa ziipilisi ezineehomoni ozisela ngomlomo yonke imihla. Umsebenzi wazo ophambili kukuthintela ukukhulelwa. Yiyo loo nto sizibiza ngokuba "ziipilisi zokucwangcisa usapho." Kuba kufuneka zithathwe yonke imihla, kubafazi abaninzi, zibe yinxalenye yobomi babo bemihla ngemihla.
Ukuba uthatha ipilisi ngokuchanekileyo, yonke imihla, kwaye ngexesha elifanelekileyo , isebenza kakuhle nge-99% ekuthinteleni ukukhulelwa. Kodwa kukho into enye ekufuneka uyikhumbule . Ezi pilisi zithintela ukukhulelwa kuphela. Azikhuseli kwizifo ezidluliselwa ngesondo (ii-STI) njengeekhondom. Ke ngoko, kubalulekile ukusebenzisa indlela eyongezelelweyo yokuthintela ukukhulelwa (njengeekhondom) kunye neepilisi zokulawula ukukhulelwa ukukhusela ezo zifo.
Ziziphi iintlobo eziphambili zeepilisi zokulawula ukukhulelwa?
Kukho iintlobo ezimbini eziphambili zeepilisi zokulawula ukukhulelwa. Zombini ziqulathe iihomoni ezithintela ukukhulelwa.
| Uhlobo lwepilisi | Inkcazo |
|---|---|
| Iipilisi eziDibeneyo | Olu lolona hlobo lusetyenziswa kakhulu. Luqulathe zombini i-estrogen kunye ne-progestin. |
| Iipilisi zeProgestin kuphela | Ezi zikwabizwa ngokuba "ziipilisi ezincinci." Olu hlobo lunokufaneleka ngakumbi koomama abancancisayo, okanye kwabo bangafanelekanga kwiihomoni ze-estrogen kuba babenegazi eliqhekekileyo emilenzeni okanye emiphungeni (venous thromboembolism) okanye istroke ngaphambili. |
Kubalulekile: Ipilisi yokuthintela ukubeleka yasekuseni yinto eyahlukileyo ngokupheleleyo. Isetyenziswa kuphela xa kukho imeko engxamisekileyo emva kokwabelana ngesondo ngendlela engakhuselekanga. Ayisiyopilisi yokuthintela ukubeleka yemihla ngemihla.
Ezi pilisi zithintela njani ukukhulelwa?
Iihomoni ezikwezi pilisi zithintela ukukhulelwa ngeendlela ezintathu eziphambili.
- Ukuyeka ukukhutshwa kweqanda: Ngamafutshane, ukuyeka okanye ukunciphisa ukukhululwa kweqanda kwi-ovary. Ngaphandle kweqanda, akukho nto inokuthi i-sperm ikwazi ukuyichumisa.
- Ukujiya kwe-mucus yomlomo wesibeleko: Iyenza ibe nkulu i-mucus ejikeleze umlomo wesibeleko, ivale indlela yokuba isidoda singene esibelekweni. Kufana nokubeka umqobo endleleni.
- Ukuncitshiswa kwengqimba yesibeleko: Ingqimba yesibeleko iyancitshiswa. Oku kuthetha ukuba nokuba iqanda liqhagamshelwe, aliyi kukwazi ukunamathela eludongeni lwesibeleko lize likhule.
Ungazisebenzisa njani iipilisi ngokuchanekileyo?
Le yeyona nxalenye ibalulekileyo. Kufuneka ulandele imiyalelo enikwe ngugqirha wakho ngokuchanekileyo. Funda imiyalelo ekwikhadi lepilisi ngononophelo. Kukho iintlobo ezahlukeneyo zamakhadi epilisi.
- Iphakheji yeentsuku ezingama-28: Le iqulethe iipilisi ezingama-21 "ezisebenzayo" eziqulethe iihomoni kunye neepilisi ezisi-7 "ezingasebenziyo" (i-placebo) ezingenazo iihomoni. Ngeveki othatha ngayo iipilisi ezingasebenziyo, uya kuba nokopha. Oku akusiyo ixesha lokuya exesheni, kodwa yindlela umzimba wakho osabela ngayo ekuyekeni iihomoni.
- Iphakheji yeentsuku ezingama-21: Le phakheji ineepilisi ezisebenzayo ezingama-21 kuphela. Nje ukuba iipilisi ezingama-21 zigqityiwe, awuzithathi iipilisi kangangeentsuku ezisi-7. Kulapho ke ixesha lakho lokuya exesheni liza kuqala khona. Emva kweentsuku ezisi-7, kufuneka uqale iphakheji entsha.
- Iipakethi zeDosi eyongeziweyo: Ezinye iipakethi ziqulethe iipilisi zeentsuku ezingama-91 okanye ezingama-365. Ezi zinokunceda ukunciphisa amaxesha okuya exesheni kwakho. Ungathetha nogqirha wakho ngale nto ukuze ufumane ulwazi oluthe kratya.
Khumbula ngokukodwa: Ukuba usebenzisa ipilisi ye-progestin kuphela (ipilisi encinci), kubaluleke kakhulu ukusela ipilisi ngexesha elifanayo yonke imihla (kwiiyure ezi-3). Umzekelo, ukuba usela ipilisi ngo-7 kusasa namhlanje kwaye uyisele ngo-10:30 kusasa ngomso (ufike emva kwexesha kwiiyure ezi-3.5), usenokuba sengozini yokukhulelwa.
Wenza ntoni ukuba ulibele ukusela ipilisi?
Oku kwenzeka kubantu abaninzi. Musa ukukhathazeka.
Into eqhelekileyo omawuyenze kukuthatha ipilisi oyiphosileyo kwangoko xa ukhumbula . Emva koko, thatha ipilisi elandelayo ngexesha elifanayo ngaloo mini (oku kuthetha ukuba kusenokufuneka uthathe iipilisi ezimbini ngosuku).
Emva koko, kwiintsuku ezisi-7 ezilandelayoKukhuselekile ukusebenzisa olunye uhlobo lokuthintela ukukhulelwa, njengekhondom. Ukuba uphoswa yipilisi kangangeentsuku ezimbalwa, qiniseka ukuba uthetha nogqirha wakho .
Zithini iingenelo zeepilisi zokulawula ukukhulelwa?
Ukongeza ekuthinteleni ukukhulelwa, ezi pilisi zinezinye izibonelelo ezininzi zempilo.
Iingenelo ezinxulumene nokuthintela ukukhulelwa
- Ukulungela: Kufuneka usele ipilisi enye kuphela imihla ngemihla.
- Ukusebenza kakuhle: Isebenza nge-99% ukuba isetyenziswa ngokuchanekileyo.
- Akukho kuphazamiseka kobomi besondo: Akukho mfuneko yokukhangela iindlela zokulawula inzala ngexesha elifunekayo.
- Ukukwazi ukukhulelwa kwakhona emva kokuyeka: Ukuzala kubuyela esiqhelweni ngokukhawuleza emva kokuyeka ukusebenzisa ipilisi.
Ezinye izibonelelo zempilo
Abantu abaninzi abasebenzisa iipilisi zokulawula ukukhulelwa nabo bafumana ezi zibonelelo:
- Ukuya exesheni rhoqo kwaye ukopha kancinci.
- Ukunciphisa iintlungu zokuya exesheni kunye ne-migraines.
- Ukuthintela i-anemia ngenxa yokuncipha kokulahleka kwegazi.
- Ukunciphisa iimpawu zeemeko ezifana nePremenstrual Syndrome (PMS) kunye nePremenstrual Dysphoric Disorder (PMDD).
- Isetyenziswa njengonyango lwezifo ezifana nePolycystic Ovary Syndrome (PCOS), i-Endometriosis, kunye ne-Uterine Fibroids.
- Ukulawula i-acne kunye nokukhula kweenwele okungafunekiyo (i-hirsutism) .
- Ukunciphisa umngcipheko womhlaza wesibeleko, wesibeleko kunye nomhlaza wamathumbu amakhulu.
Masifunde nangemiphumo emibi kunye neengozi.
Iziphumo ebezingalindelekanga ezincinci
Abanye abantu banokufumana iziphumo ebezingalindelekanga ezincinci kwiinyanga zokuqala zokusela ipilisi. Kodwa ungakhathazeki, uninzi lwazo ziya kuphela ngokuhamba kwexesha.
- Isicaphucaphu
- Intloko ebuhlungu
- Intlungu yebele okanye ukudumba
- Ukucaphuka okanye ukutshintsha kweemvakalelo
- Ukopha kancinci ngexesha lokuya exesheni (ukubona amabala)
Ukuba ezi mpawu ziyaqhubeka okanye zikubangela ukungakhululeki, xelela ugqirha wakho. Usenokukwazi ukutshintshela kolunye uhlobo lwepilisi.
Ngaba ndiza kutyeba? Hayi. Lo ngumbuzo obuzwa ngabantu abaninzi. Izifundo zibonakalise ukuba iipilisi zokulawula ukukhulelwa azibangeli ukwanda okanye ukwehla kobunzima.
Iingozi ezinzulu kodwa ezingaqhelekanga kakhulu
Iipilisi zokulawula ukukhulelwa zisetyenziswa ngokukhuselekileyo zizigidi zabasetyhini kwihlabathi liphela. Nangona kunjalo, inani elincinci kakhulu labantu, ingakumbi abo bathatha iipilisi ezidibeneyo ezine-estrogen, banomngcipheko omncinci wokufumana ezi ngxaki zilandelayo:
- Ukuqhekeka kwegazi kwimithambo yegazi (iDeep Vein Thrombosis - DVT)
- Ukubethelwa kweMiphunga
- Igazi elonyukayo
- Ukuhlaselwa yintliziyo
- Istroke
Ezi ngozi ziyanda kubantu abatshayayo, abatyebe kakhulu, okanye abanembali yesifo kusapho lwabo. Ngaphambi kokuba uqale ukuthatha ipilisi, ugqirha wakho uza kuxoxa ngembali yakho epheleleyo yempilo aze akucebise uhlobo lwepilisi olukhuselekileyo kuwe.
Umyalezo Wokuya Ekhaya
- Iipilisi zokulawula ukukhulelwa ziyindlela esebenzayo kakhulu yokuthintela ukukhulelwa, kodwa kuphela xa zisetyenziswa ngokuchanekileyo yonke imihla.
- Ezi pilisi aziboneleli ngokhuseleko kwizifo ezidluliselwa ngesondo (ii-STI). Ngenxa yoko, kunyanzelekile ukusebenzisa indlela efana nekhondom.
- Qiniseka ukuba ucela iingcebiso zonyango ukuze ukhethe ipilisi efanelekileyo kuwe. Iya kuxhomekeka kwimeko yakho yempilo.
- Kuqhelekile ukuba nemiphumo emibi emincinci ekuqaleni. Ukuba iyaqhubeka, thetha nogqirha wakho.
- Musa ukoyika ukuba ulibele ukusela ipilisi, kodwa qaphela into omawuyenze. Ukuba unamathandabuzo, buza ugqirha wakho.
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