Iipilisi zokulawula ukuzala ziyindlela eqhelekileyo yokucwangcisa usapho . Kodwa ngaba uyaziqonda ngokwenene? Namhlanje, siza kuthetha ngohlobo lwepilisi olusetyenziswa kakhulu, olwenziwe ziintlobo ezimbini zeehomoni, ezibizwa ngokuba 'ziipilisi ezidibeneyo '. Ukuba usebenzisa ezi, okanye ucinga ngokuzisebenzisa, eli nqaku liza kuba luncedo kakhulu kuwe.

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Zithini ezi pilisi zidibeneyo?

Ngamafutshane, le yipilisi yokulawula ukuzalwa equlethe indibaniselwano yeehomoni ezimbini. Ezi homoni zimbini yi -estrogen kunye ne-progestin. Ezi zenzelwe ngokwendalo ukulinganisa iihomoni ezifumaneka ngokwendalo emizimbeni yethu. Ezi pilisi zisetyenziselwa ukuthintela ukukhulelwa okungafunekiyo. Njengoko igama lisitsho, le yipilisi encinci oyithathayo ngexesha elifanayo yonke imihla.

Eyona nto ibalulekileyo kukuba ungasebenzisa ezi pilisi zokulawula ukuzalwa kuphela xa ugqirha ekunike umyalelo. Ugqirha uya kukhetha uhlobo lwepilisi olufaneleyo kuwe ngokwemeko yakho yempilo.

Zisebenza njani ezi pilisi emzimbeni?

Xa usela le pilisi, iihomoni i-estrogen kunye ne-progestin zikhutshwa egazini lakho. Ezi homoni zimbini zisebenza kunye ukuthintela ukukhulelwa ngeendlela ezintathu eziphambili. Cinga ngayo njengenethi yokhuseleko.

Iyayimisa i-ovulation : Ngamafutshane, ezi pilisi ziyayithintela i-ovari yakho ekukhupheni iqanda inyanga nenyanga. Ekubeni kungekho qanda, isidoda asinalo ithuba lokulichumisa.
Yenza umhluzi womlomo wesibeleko ube mkhulu:I-mucus kwindawo yomlomo wesibeleko iba nkulu kwaye inamathele, ivale indlela yokuba isidoda singene esibelekweni.
Ukucutha ulwelo lwesibeleko: Ezi pilisi zicutha ulwelo lwesibeleko. Ngoko ke, nokuba iqanda liqhagamshelwe ngandlel’ ithile, alinalo ithuba lokumiliselwa nokukhula eludongeni lwesibeleko.

Zisebenza kangakanani ezi pilisi?

Ngokomyinge, ezi pilisi zokulawula ukukhulelwa zisebenza kakuhle nge-93% ekuthinteleni ukukhulelwa. Kodwa ungacinga ukuba azisebenzi kakuhle kuneendlela ezifana ne -IUD .

Eyona sizathu siphambili soku kukuba kukho iimpazamo ezincinci ezinokwenziwa xa usebenzisa ezi pilisi. Oko kukuthi, ukukhumbula ukuthatha ipilisi ngexesha elinye yonke imihla. Ngamanye amaxesha ungalibala ukuthatha ipilisi. Xa ulibele, ukhuseleko olunikwa yipilisi luyancitshiswa.

Nangona kunjalo, ukuba uthatha ipilisi ngexesha elifanelekileyo (ukusetyenziswa ngokugqibeleleyo), ngaphandle kokutsiba usuku olunye, le ndlela ingasebenza ukuya kuthi ga kwi-99%.

Ngaba kukho iintlobo ezahlukeneyo zeepilisi ezidityanisiweyo?

Ewe, kukho neentlobo ezahlukeneyo zezi pilisi. Ezi zahluka kakhulu ngokusekwe kwindlela amanqanaba ehomoni kwiipilisi ezikwikhadi lepilisi atshintsha ngayo.

Uhlobo lwepilisi	Inkcazo
Isigaba esinye (i-monophasic)	Ipilisi nganye esebenzayo kwikhadi lepilisi inenani elifanayo leehomoni.
Izigaba ezibini (ezimbini)	Amanqanaba eehomoni ayatshintsha kube kanye ngexesha lomjikelo weepilisi.
Isigaba esithathu (i-triphasic)	Amanqanaba eehomoni anokutshintsha kabini okanye kathathu ngexesha lomjikelo weepilisi.

Utshintsho oluxhomekeke kwinani leepilisi ezikwikhadi

Ngokwesiqhelo, ikhadi lepilisi liza neepilisi zeentsuku ezingama-21 okanye ezingama-28.

Ikhadi leepilisi zeentsuku ezingama-28: Eli lineepilisi ezisebenzayo ezineehomoni iintsuku ezingama-21. Ezi zisixhenxe eziseleyo ziipilisi ze-placebo , ezingenazo iihomoni. Ezi ziintsuku ezisi-7 oza kuba sexesheni ngazo. Le ndlela kulula ukuyigcina umkhwa wokusela ipilisi yonke imihla.
Iphakheji yeepilisi zeentsuku ezingama-21: Le phakheji ineepilisi ezisebenzayo ezingama-21 kuphela ezineehomoni. Wakugqiba ukuzithatha, awuzithathi iipilisi kangangeentsuku ezisi-7. Emva koko, ngomhla wesi-8, uqala iphakheji entsha.

Ukongeza, kukho iipilisi eziza rhoqo emva kweenyanga ezimbalwa (iipakethi eziNciphisiweyo) okanye ezimisa ukuya exesheni unyaka wonke (iipakethi eziqhubekayo). Ugqirha wakho uza kukhetha leyo ikulungeleyo ngokusekelwe kwindlela ophila ngayo kunye nembali yakho yempilo .

Zithini iingenelo kunye neengxaki zezi pilisi?

Iingcali	Iingxaki
Ikhuselekile kubantu abaninzi. Inciphisa iintlungu ezigqithisileyo kunye nokopha kakhulu ngexesha lokuya exesheni. Ilawula umjikelo wokuya exesheni. Izifundo zibonise ukuba iyanciphisa umngcipheko womhlaza wesibeleko kunye nomhlaza wesibeleko. Inciphisa amaqhakuva kwaye iqaqambisa ulusu. Ukuzala kuyabuya kwangoko xa iipilisi ziyekile.	Kufuneka ukhumbule ukusela ngexesha elifanayo yonke imihla. Umngcipheko wokuqhekeka kwegazi (i-Deep Vein Thrombosis – DVT) unokwanda kancinci (ingakumbi kubantu abatshayayo kunye nabo bangaphezulu kweminyaka engama-35). Oomama abancancisayo banokufumana ukwehla kwemveliso yobisi. Kubaluleke kakhulu: Akukho khuselo kwizifo ezidluliselwa ngesondo (ii-STI). Kufuneka kusetyenziswe ikhondom.

Zithini iziphumo ebezingalindelekanga ezinokubakho?

Abanye abantu banokufumana iziphumo ebezingalindelekanga ezincinci ekuqaleni. Ezi azisoloko zibangela ukuba bakhathazeke.

Intloko ebuhlungu
Isicaphucaphu
Intlungu yebele okanye ukuthamba
Ukuzalisa isisu
Ukopha kancinci ngexesha lokuya exesheni (ukubona amabala)

Ezi ziphumo bezingalindelekanga zihlala ziphela emva kweenyanga ezimbini ukuya kwezintathu njengoko umzimba wakho uqhelana neehomoni. Kodwa ukuba ziyaqhubeka, thetha nogqirha wakho. Angakunika uhlobo olwahlukileyo lwepilisi. Ayingomzimba womntu wonke ofanayo. Ngoko ke kungcono ukubonana nogqirha kuqala, kunokuba uthathe iipilisi ngokusekelwe koko kuthethwa ngabanye.

Wenza ntoni ukuba ulibele ukusela ipilisi?

Kulungile ukulibala iiyure ezimbalwa, thatha ipilisi ngokukhawuleza nje ukuba uyakhumbula. Kodwa ukuba uphoswe lusuku, funda imiyalelo eza nepilisi yakho. Kwakhona, kukhuselekile ukusebenzisa olunye uhlobo lokuthintela ukukhulelwa (njengekhondom) ubuncinane kwiintsuku ezisi-7 ezizayo. Ukuba unamathandabuzo, buza ugqirha wakho.

Iimeko apho kufuneka ubone ugqirha ngoko nangoko

Ukuba ufumana naziphi na ezi mpawu zilandelayo ngelixa usebenzisa iipilisi zokuthintela ukukhulelwa, musa ukuzityeshela. Funa ingcebiso kagqirha ngoko nangoko.

Iimpawu zesilumkiso ekufuneka uziqaphele

🔴 Intloko entsha okanye ebuhlungu ngakumbi, utshintsho lombono
🔴 Intlungu ebuhlungu yesisu okanye ukuhlanza
🔴 Intlungu esifubeni okanye ubunzima bokuphefumla
🔴 I-Jaundice – ukutyheli kolusu okanye amehlo
🔴 Intlungu okanye ukudumba kwemilenze

Iipilisi zokulawula ukuzala ezixutyiweyo ziyindlela ethandwayo nesebenzayo yokucwangcisa usapho. Kodwa kubalulekile ukuba nolwazi olufanelekileyo ngazo kwaye uzisebenzise ngokweengcebiso zonyango.

Umyalezo Wokuya Ekhaya

Iipilisi ezidityanisiweyo luhlobo lweepilisi zokulawula ukuzalwa eziqulethe zombini iihomoni i-estrogen kunye ne-progestin.
Ezi zisebenza kakhulu (ukuya kuthi ga kwi-99%) ekuthinteleni ukukhulelwa ukuba zisetyenziswa ngexesha elifanayo yonke imihla.
Ezi zinezibonelelo ezininzi, ezinje ngokunciphisa iintlungu zokuya exesheni kunye nokukhanyisa ulusu.
Qiniseka ukuba ucela icebiso kugqirha ukuze akukhethele uhlobo olufanelekileyo lwepilisi. Musa ukuthenga iipilisi ngokusekelwe kwinto ethethwa ngabahlobo bakho okanye ubuze kwikhemesti.
Ezi pilisi aziboneleli ngokhuseleko kwizifo ezidluliselwa ngesondo (ii-STI). Sebenzisa iikhondom rhoqo.