Indlela yokukhetha iipilisi zokulawula ukuzalwa?

Kulungile ukuba ngoku ukhetho olunzulu lwezokhuselo kwaye asiyi kuphinda sihlawule ukuzonwabisa kokukhulelwa rhoqo. Kuhlala kuphela ukukhetha indlela efanelekileyo ngakumbi. Ngokuqhelekileyo, abafazi bayayeka kwiipilisi zokukhulelwa, kodwa njani ukuba bakhethe ngokuchanekileyo phakathi kweendawo zonke zokukhulelwa komlomo?

Indlela yokukhetha ipilisi efanelekileyo?

Mhlawumbi, akukho imfuneko ukukhumbuza ukuba kuyimfuneko ukunika ukhetho kwiipilisi zokukhusela, kuba i-contraceptive yomlomo ithonya imvelaphi ye-hormone yowesifazane, ngoko ke impilo yakhe. Ngoko ke, ukuba ukhethe iipilisi ezinjalo, kufuneka usekelwe kwizikhombisi zomntu ngamnye, kwaye kungekhona ukuba isicatshulwa esifanayo sithathwa yintombazana kwaye "konke kulungile kuye." Kwakhona kukufanelekile ukukhumbula ukufumaneka kweengqinisiso zokukhulelwa komlomo:

• khulelwa;
• imilenze ye-varicose;
• i-cirrhosis yesibindi;
• umonakalo kwimithambo yegazi yengqondo;
• kwengqondo;
• izifo ze-thromboembolic;
• umsebenzi wesibindi ongavamile;
• i-asthma ye-bronchial;
• izihlamba ezibi;
• ukuhluthwa;
• isifo sikashukela;
• ukuxinezeleka okukhulu;
• isifo sikashukela;
• xi nzelelo;
• giperrelidemia;
• isifo senhliziyo yesifo se-rheumatic;
• i-anemia yegciwane-iseli;
• thrombophlebitis;
• isifo esibi;
• ukuphuma kwegazi;
• cholecystitis;
• hyperprolaktemia;
• ukugqithisa (i-III-IV degree).

Ngokuqhelekileyo onke la maxesha athatyathwa yi-gynecologist-endocrinologist, ukuba kuyimfuneko, loo mfazi uthunyelwa uviwo olongezelelweyo, kwaye kuphela ngesiseko sedata efunyenweyo kucetyiswa ukuba yiyiphi imithi yokukhulelwa komlomo ekukhethiweyo. Kodwa asihlala sihlala kugqirha nangona oko kuyimfuneko, kodwa sithini ntoni malunga "nezifo" ezinjalo njengeengcebiso malunga naziphi iipilisi zokukhusela ezizozikhetha. Ewe, oku kuphosakeleyo, kodwa ngokukhawuleza kwenzeka, abasetyhini bakulungele ukwenza ngokungaqhelekanga, bebeka impilo yabo engozini. Ukuba ngesizathu esithile unqwenele ukwenza okufanayo, ngoko ncinane qinisekisa ukuba awukho nongqinisiso yokuthatha loo mayeza. Kwaye kungcono ukuba uqaphele i-phenotype yakho (oku kuya kunceda uqonde ukuba yeyiphi i-hormone ephezulu) kwaye uqwalasele iingcebiso zokuthatha i-contraceptive malunga nobudala bakho.

Ziziphi iipilisi zokukhusela eziza kukhetha?

Okokuqala, makhe sijonge i-phenotypes, kukho ezintathu kuphela-isrogen, progesterone kunye nokulinganisela.

1. Uhlobo lwe-Estrogen. Yimpawu yabasetyhini abaphakathi okanye abaphantsi, kunye nezilwanyana ezincinci ezinokuphuhliswa kakuhle kunye nomfazi wesifazane. Izwi lisoloko lincinci, iwesifazana, isikhumba kunye neenwele zome. Uhlobo lwezintlu ze-Pubic zentlobo yamabhinqa (unxantathu), ukuhamba kwimihla eninzi kunye nexesha elide (ngaphezu kweentsuku ezingama-5), ubude bemijikelezo bungaphezu kweentsuku ezingama-28. I-Mood phambi kweenyanga ezinzulu, eziphawulwe njenge-nagrabanie izilonda ze-mammary, abamhlophe baninzi. Amanqaku kunye nomxholo okwandisiweyo weprogestogen unokusondela - Regividon, Microgenon, Miniziston.
2. Uhlobo lweprogesterone. Abafazi belo hlobo banokukhula ngokukhawuleza, ukubonakala kwenkwenkwezi, ilizwi eliphantsi kunye neengqungquthela ezingapheliyo. Izinwele ze-Pubic kwindoda yesilisa (rhombus), ulusu lunamafutha, luyinkinga, iinwele zinamanqatha. Umjikelezo wesini unomncinci kuneentsuku ezingama-28, umjikelezo wesini uhlala phantsi kweentsuku ezi-5. Imvakalelo ngaphambi kokuya esikhathini ixinezelekile, iintlungu ezisezantsi nasemiseleni yomlenze zinokwenzeka, zincike kwaye zixhomekeke. Ngexesha lokukhulelwa, isisongela, ukuhlanza kunye nokufumana ubunzima obunzima. Kukho ukulungiselela amalungiselelo e-antiandrogenic - uClayra, uJess, Jarina, uJanine, AmaMidiyan, uCloe, Diana, Bepara.
3. Udidi oluxubekileyo. Lawa mabhinqa aphakamileyo obuphakathi, kunye nezwi lentombi kunye nomfanekiso, ophuhlisiwe (amabanga aphakathi), iinwele eziqhelekileyo kunye nesikhumba. Izinwele ze-Pubic kwintlobo yabasetyhini, ukuhamba kwimihla yeentsuku ezingama-28, ukuhamba kwimizuzu ephakathi, iintsuku ezingama-5, i-leucorrhoea ephakathi. Imvakalelo phambi kokuba inyanga zonke ilinganiswe, iimpawu zisoloko zingekho. Kukho na izidakamizwa njenge-Logest, Novinet, Lindineth-20, iMersilon, i-Lyndynet-30, i-Marvelon, i-Regulon, i-Tri-mer, ne-Famodene.

Ukongezelela, kufuneka ukwazi ukuba imithi yesigaba esithathu (i-Tri-Mercy) imiselwe amantombazana amancinci, angama-nulliparous ekupheleni kweminyaka yokuzala. Ukulungiselela amaconpill (Kontinuin, Micronor, Femulen, Ovret, Eksluton) Kunconywa ukuba oomama abakhohlisayo babelethe abafazi nabasetyhini bexesha lokuzala.