8 Nau'i na Progestin a hada hada kwayoyin haihuwa

Abubuwan haɗari sun bambanta ga progestins

Duk hade kwayoyin kwakwalwa na haihuwa sun hada da estrogen (yawanci ethinyl estradiol ) kuma daya daga cikin nau'i takwas na progestin. Ana amfani da kalmar progestin don kowane abu ko kayan mutum wanda yana da kaddarorin da ke kama da kwayar halitta. Ana rarraba masana'antu ta hanyar tsara, wanda ke nuna kawai lokacin da aka gabatar da su a kasuwa kuma ba bambanci a tsarin tsarin sunada ko yadda suke aiki ba.

Don fahimtar yadda za'a iya amfani da progestin, yana da muhimmanci a bayyana ainihin illa da mai yiwuwa ne progestin zai yi akan jikin mace :

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Norethindrone
ADAM HART-DAVIS / SCIENCE PHOTO LIBRARY / Getty Images

Norethindrone wani samfurori ne na farko da ya samo asali a cikin jerin maganganu guda biyu, na biphasic da na uku . Yana da ƙananan ƙwaƙwalwar ƙarancin ɗan adam da ƙananan aikin estrogenic. Yana nuna cewa ya zama ƙasa da inganci fiye da magungunan progestin na biyu (levonorgestrel da norgestrel), amma kuma morerogenic fiye da sababbin progestins, kamar desogestrel. A cikin ƙananan kwayoyin (duk kwayar da take dauke da ƙasa da 50 mcg na ethinyl estradiol), wannan progestin inganta labarun lipid ta hanyar inganta HDL da rage LDL cholesterol.

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Norethindrone Acetate

Abetate na Norethindrone shine progestin na aiki mai zurfi da ƙananan sakamako na estrogenic. Yana da wani progestin na farko. Yana nuna cewa ya zama ƙasa da inganci fiye da masu daukan kwayar halitta na zamani, amma mafi yawan kwayoyin halitta fiye da sababbin progestins, kamar desogestrel. An tsara zanen Estrostep don yin la'akari da halayyar mace ta hanzari ta hanyar samar da karuwar estrogen tare da tsadar ci gaba. Wannan ita ce kawai nau'in triphasic da wannan progestin. Wannan nau'in na iya taimakawa ga mata waɗanda ke fama da cututtukan cututtukan estrogen wadanda ke da alaka da su irin su nausea, migraines , ko riƙewar ruwa tare da sauran haɗarin pill.

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Ethynodiol Diacetate

Ethynodiol diacetate ita ce tsarawa na farko da ake kira progestin na aikin matsakaici na matsakaici. Yana da ƙananan ciwon estrogenic da kuma aikin little androgenic. Ethynodiol diacetate wani abu ne mai banbanci na norethindrone, saboda haka ana iya canzawa cikin jiki a cikin jiki. Kwayoyin maganin haihuwar haihuwa wanda ke dauke da ethynodiol diacetate sun kasance suna haɗuwa tare da karuwa da wuri ko tsakiyar sake zagayowar zub da zubar jini da kuma tsinkaye kamar yadda aka kwatanta da wasu kwayoyin hade. Duk da haka, mafi yawan isoshin estrogen zai iya hana yiwuwar samun zub da jini , saboda haka kwayoyin kwayoyin dake dauke da ƙananan estrogen zasu iya rage wannan sakamako.

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Levonorgestrel

Levonorgestrel na zamani ne na progestin kuma shine mafi yaduwar maganin rigakafi a duniya. Yana da haɓakawa mai zurfi da kuma haɓaka. Levonorgestrel ba daidai ba yana rinjayar magani lipoproteins. Wasu nau'o'in estrogen da ke dauke da wannan progestin suna samuwa. Hukumomin kula da haihuwa na Levonorgestrel an riga an yarda da FDA don maganin hana haihuwa ta gaggawa (kamar shirin B na daya da na gaba ). FDA ta bayyana cewa dukkanin kwayoyin hade tare da wannan progestin suna da lafiya kuma suna da tasiri don maganin hana haihuwa ta gaggawa a karkashin hanyar Yuzpe. FDA ta kuma amince da wasu nau'ikan jigilar motsa jiki guda uku da suka yi amfani da wannan progestin-Seasonale, Seasonique , da kuma Lybrel .

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Norgestrel

Norgestrel (ƙwararrun progestin na biyu) wani cakuda ne mai aiki da mai aiki mai isomer-dextro-norgestrel (aiki) da kuma levonorgestrel (aiki mai zurfi). Norgestrel na da matsayi mai mahimmanci da kuma karfi yayin da yake kasancewa mai girma a aikin androgenic.

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Desogestrel

Desogestrel ne burin progestin na uku tare da babban zaɓin haɓakawa na ƙwarewa, rage yawan ciwon daji da kuma estrogenic. Yana nuna tasirin mummunan tasiri game da metabolism, riba mai nauyi, kuraje, da sauran cututtuka masu mahimmanci na tsofaffi masu girma. Yana nuna tasiri mai kyau a kan lipoproteins kamar yadda aka gani ta wata hanya kadan daga HDL cholesterol. Gwajin gwaji na nuna yiwuwar mummunar cututtuka da ƙananan cututtuka tare da kwayoyin cututtuka na desogestrel wadanda suke da levonorgestrel. Mircette (kwaya mai cin gashin jijiyo / zane-zane mai cin gashin baki) yana samar da lokaci mai tsayi, wanda zai iya taimaka wa matan da ke da migraines, dysmenorrhea , ko wasu matsalolin da ke cikin wannan makon. Aiki mai zurfin isrogen / sauye-sauye mai nauyin nau'in zane-zane na deogestrel, Cyclessa, yana samuwa.

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Norgestimate

Norgestimate, mai tsarawa na uku, yana da haɗin gwiwar haɗin gwiwar yayin da yake nuna wasu ciwon estrogenic kuma yana tsammanin ya zama ƙasa da inrogenic. Har ila yau yana da ƙananan sakamako a kan magani lipoproteins da a kan carbohydrate metabolism. Ƙananan cututtukan cututtukan inrogenic da ƙananan ƙaddara sun haifar da nasarar maganin kuraje. A gaskiya ma, maganin kwayoyin haifuwa da ke dauke da ƙananan ƙwayoyin ne kawai waɗanda FDA ta yarda su taimaka wajen rage ƙwayar cuta. Ortho Tri-Cyclen Lo wani alama ne wanda ke bayar da rashin fahimta da kuma matakin karkara na estrogen. Don haka wannan kwaya zai iya taimakawa wajen rage halayen illa kamar laushi da zubar da jini yayin da bazai haifar da ƙarin tasowa ba (yawanci yana hade da kwayoyin hawan gwanin kwadishan.)

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Drospirenone

Drospirenone ne kawai progestin samu daga 17a-spirolactoneis. Yana taimakawa wajen kawar da ɓarran kwayoyin hormones da ke tsara ruwan da ke jikin jiki da kuma masu amfani da wutar lantarki. Har ila yau, yana da ƙananan aiki na inrogenic. Drospirenone da estrogen suna neman su rage yawan bayyanar cututtuka da suka haɗa da m PMS (karuwar ci abinci, halin kirki, da riƙe da ruwa). Drospirenone na iya haifar da matakan potassium mafi girma, don haka mata da koda, hanta, ko cututtukan ƙwayar cuta kada su yi amfani da ita. Hannun YAZ da Beyaz suna da kwanakin 24 na kwayoyi masu aiki da kwanakin kwayoyi na kwanaki hudu. Wannan haɗuwa na iya haifar da ƙananan haɓakar hormone fiye da magungunan kwaya. YAZ kuma an yarda da FDA don taimakawa wajen magance ciwon dysphoric jini kamar yadda ya kamata tare da maganin ƙwayar cuta a cikin mata masu shekaru 14 da haihuwa.

> Source:

> Progestin (Hanyar magana, Hanyar iyaye, Hanyar hagu). Ƙungiyar Ma'aikatar Medicine ta Amurka. https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0011857/?report=details.