Tshuaj noj tiv thaiv tsis pub muaj menyuam

Tshuaj noj tiv thaiv tsis pub muaj menyuam (BCPs) muaj cov tshuaj uas neeg tsim muaj 2 yam tshuaj hu ua estrogen thiab progestin. Cov tshuaj hormones no tau tsim nyob hauv poj niam lub zes qe menyuam. BCPs tuaj yeem muaj ob hom tshuaj hormones no, lossis muaj progestin nkaus xwb.

Ob qhov tshuaj tiv thaiv ob leeg tiv thaiv poj niam lub zes qe menyuam tawm lub qe thaum lub sijhawm nws coj khaub ncaws (hu ua ov ov). Lawv ua qhov no los ntawm kev hloov cov theem ntawm cov tshuaj hormones ntuj uas lub cev ua.

Progestins tseem ua rau cov hnoos qeev nyob ib puag ncig tus poj niam lub ncauj tsev menyuam tuab thiab nplaum. Qhov no pab tiv thaiv cov phev los rau hauv lub tsev menyuam.

BCPs tseem tseem hu ua kev tiv thaiv qhov ncauj lossis tsuas yog "ntsiav tshuaj." Tus kws kho mob yuav tsum sau ntawv rau BCPs.

• Feem ntau hom BCP sib xyaw nrog cov tshuaj hormones estrogen thiab progestin. Muaj ntau yam sib txawv ntawm cov hom tshuaj ntsiav no.
• Qhov "Mini-ntsiav tshuaj" yog ib hom BCP uas tsuas yog muaj cov progestin, tsis muaj estrogen. Cov tshuaj no yog ib qho kev xaiv rau cov poj niam uas tsis nyiam cov kev mob tshwm sim los ntawm estrogen lossis cov neeg tsis tuaj yeem siv tshuaj estrogen rau kev kho mob.
• Lawv tuaj yeem siv tau tom qab xa hauv cov poj niam uas tseem noj niam mis.

Txhua tus pojniam uas noj BCPs xav tau kev kuaj mob tsawg kawg ib xyoos ib zaug. Cov pojniam yuav tsum tau kuaj ntshav siab 3 lub hlis tom qab lawv pib noj tshuaj.

BCP tsuas ua haujlwm zoo yog tias tus poj niam nco qab noj nws ntsiav tshuaj txhua hnub yam tsis muaj hnub ploj. Tsuas yog 2 lossis 3 tus poj niam ntawm 100 leej uas noj tshuaj BCPs kom yog rau ib xyoos yuav xeeb tub.

BCPs yuav ua rau muaj kev phiv ntau yam. Cov no suav nrog:

• Hloov ntshav kev coj khaub ncaws, tsis muaj poj niam coj khaub ncaws, tsis los ntshav ntxiv
• Xeev siab, hloov mus ob peb vas, zuj zus ntawm yastes yastaw (feem ntau vim yog estrogens)
• Kev sib tw ntawm lub cev thiab qhov hnyav nce

Tsis tshua muaj tab sis txaus ntshai txaus ntshai los ntawm kev noj tshuaj BCPs suav nrog:

• Cov ntshav txhaws
• Plawv nres
• Ntshav siab
• Mob stroke

BCPs tsis muaj estrogen yog qhov ua rau cov teeb meem no tsawg dua. Txoj kev pheej hmoo yog siab dua rau cov poj niam uas haus luam yeeb lossis muaj keeb kwm ntawm ntshav siab, txhaws tsis txaus, lossis cov qib roj cholesterol tsis zoo. Txawm li cas los xij, cov kev pheej hmoo ntawm kev tsim cov kev mob no qis dua nrog ib hom tshuaj ntsiav dua li nrog cev xeeb tub.

Kev coj khaub ncaws tsis tu ncua yuav rov qab los li 3 mus rau 6 lub hlis tom qab tus poj niam tsum siv txoj kev tswj tsis pub muaj menyuam ntau.

Tshuaj tiv thaiv - tshuaj - cov tshuaj tiv thaiv hormonal; Cov kev tswj tsis pub muaj menyuam; Tshuaj tswj kom tsis muaj menyuam; Cov Tshuaj Tiv Thaiv; BCP; OCP; Kev npaj rau tsev neeg - BCP; Estrogen - BCP; Progestin - BCP

• Tshuaj tua kom txhob muaj me nyuam

Allen RH, Kaunitz AM, Hickey M, Brennan A. Tshuaj Txog Tshuaj Hormonal. Hauv: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Phau Ntawv ntawm EndocrinologyCov. Xab 14th. Philadelphia, PA: Elsevier; 2020: chap 18.

American College ntawm Obstetricians thiab Gynecologists lub website. ACOG Kev Ua Daim Ntawv No 206: Kev siv qhov kev xeeb menyuam hauv lub cev hauv cov poj niam nrog coexisting cov mob. Obstet GynecolCov. 2019; 133 (2): 396-399. PMID: 30681537 pubmed.ncbi.nlm.nih.gov/30681537/.

Harper DM, Wilfling LE, Blanner CF. Pov tseg. Hauv: Rakel RE, Rakel DP, eds. Phau Ntawv Qhia Txog Tshuaj Tsev NeegCov. 9le ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 26.

Rivlin K, Westhoff C. Kev npaj rau tsev neeg. Hauv: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Saib Hluag Tshaj Lij HlawvCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: cha 13.

Winikoff B, Grossman D. Pov Tseg. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 225.