Me Yasa Kowa Yake Kiyayya Akan Maganin Haihuwa A Yanzu?
Wadatacce
Fiye da shekaru 50, miliyoyin mata a duk faɗin duniya sun yi bikin-kuma sun haɗiye shi. Tun lokacin da aka shiga kasuwa a shekarar 1960, an yaba da kwayar Pill a matsayin wata hanya ta baiwa mata ikon tsara ciki-da kuma, a zahiri, rayuwarsu.
Amma a cikin 'yan shekarun nan, ana samun koma baya a hana haihuwa. A cikin duniyar lafiya da ke ba da kyauta ga kowane abu na halitta-daga abinci zuwa kula da fata-Pil da ƙwayoyinta na waje sun zama ƙasa da abin bautar gumaka kuma sun fi zama mugun abu, idan ba maƙiyi na zahiri ba.
A kan Instagram da kan yanar gizo, “masu tasiri” da kwararrun masana kiwon lafiya suna bayyana kyawawan halayen kashe kwayar. Matsalolin da ke bayyana tare da Pill sun haɗa da batutuwa kamar ƙananan libido, matsalolin thyroid, gajiyawar adrenal, al'amurran kiwon lafiya na hanji, damuwa na narkewa, rashin abinci mai gina jiki, sauyin yanayi, da sauransu. (Anan: Mafi Tasirin Hanyoyin Kula da Haihuwa)
Ko da manyan gidajen yanar gizo suna shiga tare da kanun labarai kamar "Me ya sa nake farin ciki, lafiya, da jima'i Kashe Kulawar Haihuwar Hormonal." (Wannan takamaiman yanki yana ba da izinin kashe Pill don haɓaka sha'awar marubucin, girman nono, yanayi, har ma da ƙarfin gwiwa da ƙwarewar zamantakewa.)
Kwatsam, tafiya Pill-free (kamar tafiya gluten-free ko sugar-free) ya zama mafi zafi yanayin kiwon lafiya du jour. Ya isa ya sanya wani kamar ni, wanda ke shan maganin tsawon shekaru 15, ya yi tunanin ko ina cutar da kaina ko ta yaya ta hanyar haɗiye wannan ƙaramin kwaya kowace rana. Shin na buƙaci barinsa, kamar mummunar ɗabi'a?
A bayyane, ba ni kadai nake mamaki ba. Fiye da rabi (55 bisa dari) na matan Amurka masu yin jima'i a halin yanzu ba sa amfani da hanyar hana haihuwa, kuma daga cikin waɗanda ke yin hakan, kashi 36 cikin ɗari sun ce za su fi son hanyar da ba ta hormonal ba, a cewar wani binciken da The Harris Poll ya yi wa Evofem Biosciences. , Inc. (kamfanin biopharmaceuticals wanda aka keɓe don lafiyar mata). Plus, aCosmopolitan Binciken ya gano kashi 70 cikin dari na matan da suka sha Pill sun ba da rahoton sun daina shan shi, ko kuma sun yi tunanin barin ta a cikin shekaru uku da suka gabata. Don haka, shin maganin da aka yi bikin sau ɗaya ya zama tarihi?
Navya Mysore, MD, likita ce ta farko da ta kware kan lafiyar mata a One Medical, na Pill backlash ya ce "Wannan lamari ne mai ban sha'awa." "Ba na tsammanin dole ne ya zama mummunan yanayin tunda yana ingiza mutane su kalli abincin su gaba ɗaya, salon rayuwa, da matakan damuwa." Hakanan ana iya danganta shi da gaskiyar cewa mata da yawa suna zaɓar IUD mara amfani da hormone, in ji ta.
Amma, baƙaƙe da taken taken game da “mummunan” tasirin BC ba lallai bane daidai ga kowane mutum. "Kula da haihuwa ya kamata ya zama batun tsaka tsaki," in ji ta. "Yakamata ya zama zaɓin mutum-ba abu mai kyau ko mara kyau ba."
Kamar kowane abu da ke yawo akan intanet, muna buƙatar yin taka tsantsan da wani abu da yayi kyau sosai don zama gaskiya. Yawancin posts ɗin da ke inganta 'yancin hana haihuwa na iya zama abin alfahari, amma za a iya samun munanan dalilai, in ji Megan Lawley, MD, abokiyar tsara iyali a Jami'ar Emory ta Jami'ar Gynecology da Obstetrics.
"Sau da yawa za ku iya gano cewa mutanen da ke jayayya cewa maganin hana haihuwa yana da lahani fiye da mai kyau suna ƙarfafa mutane su kashe kuɗi akan jiyya ko samfurori waɗanda ba su da fa'ida," in ji ta, "don haka tabbatar da cewa kuna zabar hanyoyin da za ku iya ilmantarwa. kanka. " A takaice, kada ku yarda da duk abin da kuka karanta akan 'gram!
Amfanin Kwaya
Da farko dai, Pill ɗin yana cikin aminci, ga dukkan alamu kuma tasiri. Yana yin kyakkyawan aiki don cika babban alƙawarin sa na hana ɗaukar ciki. Yana da tasiri cikin kashi 99 cikin ɗari, a cewar Planned Parenthood, kodayake wannan lambar ta faɗi zuwa kashi 91 bayan lissafin kuskuren mai amfani.
Bugu da ƙari, Pill yana ba da fa'idodin kiwon lafiya. "Hanyoyin hana haihuwa na Hormonal na iya taimaka wa mata da batutuwa kamar lokutan nauyi da/ko lokuta masu raɗaɗi, hana ƙaurawar haila, da magance kuraje ko hirsutism (haɓaka gashi da yawa)," in ji Dokta Lawley. Hakanan an nuna shi don rage haɗarin cutar sankarar mahaifa da endometrial kuma yana taimaka wa mata da yanayi kamar su ciwon ƙwayar mahaifa na polycystic, endometriosis, da adenomyosis.
Dangane da ikirarin cewa yana haifar da illa mai ban tsoro, daga samun nauyi zuwa sauyin yanayi zuwa rashin haihuwa? Yawancin ba sa riƙe ruwa. Sherry A. Ross, MD, masanin lafiyar mata kuma marubucin She-ology: Jagorar Ma'anar Lafiya ta Mata. Lokaci.
Anan ga yarjejeniyar: Abubuwan da ke haifar da lahani kamar karuwar nauyi ko sauyin yanayi iya faruwa, amma ana iya rage su ta hanyar gwaji tare da nau'ikan kwaya daban-daban. (Ga yadda ake samun mafi kyawun tsarin haihuwa a gare ku.) Kuma, kuma, jikin kowane mutum zai amsa daban. "Wadannan illolin yawanci na ɗan lokaci ne," in ji Dokta Ross. "Idan ba su tafi ba a cikin watanni biyu zuwa uku, magana da likitan ku game da canza zuwa wani nau'in Pill, saboda akwai nau'o'in nau'i daban-daban da haɗuwa da estrogen da progesterone dangane da illar ku da nau'in jiki." Kuma ku tuna: "Ba duk abubuwan 'na halitta' ba ne masu lafiya, ko dai," Dr. Mysore ya nuna. "Su ma suna da nasu illar."
Amma game da jita-jita cewa kasancewa a kan Kwaya zai iya sa ku zama marasa haihuwa? Dr. Mysore ya ce "Babu gaskiya a kan hakan." Idan wani yana da lafiya haihuwa, kasancewa a kan Pill ba zai hana ku yin ciki ba. Kuma ba abin mamaki bane, babu wani binciken kimiyya na sifili wanda ke nuna tsallake Pill zai haɓaka ƙarfin gwiwa ko ƙwarewar zamantakewa. (Duba waɗannan sauran tatsuniyoyin hana haihuwa.)
Abubuwan da suka shafi (Legit)
Duk abin da ya ce, akwai wasu dalilai na wucewa akan Kwaya. Don masu farawa, ba kowa bane ɗan takara mai kyau don hana hana haihuwa: “Idan kuna da cutar hawan jini, tarihin ɓarkewar jini, bugun jini, ku masu shan sigari ne sama da shekaru 35, ko kuna da ciwon kai na ƙaura tare da aura, ku kada a sha maganin hana haihuwa ta baki," in ji Dr. Ross.Bugu da kari, kwayar hana haihuwa a tsawon lokaci na iya kara haɗarin kamuwa da cutar sankarar nono, kodayake “ƙaramin haɗari ne,” in ji ta.
Wani dalili mai kyau na barin Kwaya shine idan kun yanke shawarar IUD shine mafi kyawun zaɓi a gare ku. IUD tana samun manyan alamomi tsakanin ob-gyns a matsayin ingantacciyar hanya kuma ingantacciyar hanyar kula da haihuwa kuma an ba da shawarar a matsayin zaɓi na "layi na farko" don hana haihuwa ga duk matan shekarun haihuwa ta Kwalejin Obstetricians da Gynecologists. Dokta Ross ya ce "Ga wadanda ke kula da sinadarin hormones lokacin da aka sha su da baki, IUD tana ba da wata madaidaiciyar hanya," in ji Dokta Ross. "IUD na jan ƙarfe ba shi da sinadarin hormones kuma IUDs masu sakin progesterone suna da ƙarancin progesterone idan aka kwatanta da maganin hana haihuwa."
Ƙarshen Dangantakar
Tabbas, idan kun tashi daga hana haifuwa turkey sanyi, kuna haɗarin ciki mara shiri. Yawancin waɗannan masu tasiri na lafiya waɗanda ke fita daga Kwayar sun ce za su yi amfani da aikace-aikacen bin diddigin haihuwa ko kuma hanyar raye-raye don hana juna biyu. Wataƙila kun taɓa ganin saƙonni da aka tallafa don aikace -aikacen Halitta na Halitta, wanda ke da kamfen na talla mai tasiri.
Duk da yake zaɓin da ba na kwaya ba ne, yana da kyau a lura cewa wannan hanyar tana da wasu haɗari kuma, in ji Dokta Mysore. Tunda dole ne ka yi rikodin zafin jikinka da hannu kowace safiya a daidai lokaci guda, zai iya yin babban bambanci a cikin karatun idan kun kasance ko da ƴan mintuna kaɗan. Wancan ya ce, tasirin sa kwatankwacin kwaya ce, ganin cewa duka biyun suna cikin haɗarin kuskuren mai amfani. A cikin binciken da Natural Cycles ya bi wanda ya biyo bayan mata 22,785 a cikin shekaru biyu na hawan haila, an gano app ɗin yana da ƙimar tasiri na yau da kullun na kashi 93 (ma'ana yana lissafin kuskuren mai amfani da wasu dalilai vs. idan kun bi hanyar daidai ), wanda yake daidai da magungunan hana haihuwa na hormonal. Hukumar Kula da Kayayyakin Magunguna ta Sweden ta kuma tabbatar da wannan ƙimar tasiri iri ɗaya a cikin rahoton 2018. Kuma, a watan Agusta 2018, FDA ta amince da Cycles na Halitta a matsayin aikace -aikacen likitanci na wayar hannu na farko wanda za'a iya amfani dashi azaman hanyar hana haihuwa don hana ɗaukar ciki. Don haka idan kuna barin kwaya kuma kuna da niyyar tafiya hanya ta dabi'a, yin amfani da ƙa'ida kamar Cycles na Halitta ya fi tasiri fiye da hanyoyin bin diddigin haihuwa, waɗanda kusan kashi 76 zuwa 88 cikin ɗari ne ke tasiri a shekarar farko ta amfani da al'ada, a cewar Kwalejin Kwararru da Likitocin Mata na Amurka.
Idan kawai kuna son ganin yadda jikinku zai yi maganin barin kwaya, Dokta Mysore yana goyan bayan ra'ayin ɗaukar “hutun hana haihuwa” kowane shekara uku zuwa biyar don tabbatar da cewa hawan keke na yau da kullun ne. "Ku rabu da shi na tsawon watanni biyu don ganin yadda al'adarku ta kasance: Idan ya kasance na yau da kullum, za ku iya dawowa don ci gaba da hana ciki," in ji ta. Kawai tabbatar cewa kuna amfani da hanyar madadin, kamar kwaroron roba, yayin hutu. (Heads up: Ga wasu daga cikin illolin da zaku iya tsammanin daga barin magungunan hana haihuwa.)
Fiye da duka, ku tuna cewa ci gaba da ci ko kashe Kwayayen zaɓin mutum ne. "Akwai dalilai da yawa na kasancewa kan rigakafin hana haihuwa, kamar dai yadda akwai dalilan da mata suka zabi kada su kasance kan rigakafin hana haihuwa," in ji Dokta Lawley, kuma duk wani shawara ya kamata ya fara da tattaunawa da mai ba da lafiya game da abubuwan da suka fi muhimmanci a lafiyar ku.