Eyona >> Iziyobisi Vs. Umhlobo >> UKyleena vs. Mirena: Umahluko, ukufana, kwaye kukuphi okungcono kuwe

UKyleena vs. Mirena: Umahluko, ukufana, kwaye kukuphi okungcono kuwe

Iziyobisi Vs. Umhlobo

UKyleena noMirena ngamayeza amabini asetyenziswa kulawulo lokuzalwa okanye ukunyanga ukopha kakhulu. Omabini la mayeza avunyiwe yi-United States yokutya kunye noLawulo lweeDrug (i-FDA) kwaye iqulethe iprogestin ebizwa ngokuba yi-levonorgestrel (LNG).

Ngokungafaniyo neepilisi zokulawula ukuzalwa ezithathwa ngomlomo, uKyleena noMirena bobabini izixhobo ze-intrauterine (IUDs) . I-hormonal IUD sisixhobo esincinci esifakwa kwisibeleko sakho ngumboneleli wakho wokhathalelo lwempilo kwaye ikhuphe ihomoni ye-LNG kancinci ixesha elingaphezulu. Indlela ezisebenza ngayo ezi IUDs ayiqondwa ngokupheleleyo, kodwa kuyacetyiswa ukuba i-LNG ithintele i-ovulation kwaye itshintshe i-mucus yomlomo wesibeleko kunye ne-endometrial lining ukuthintela ukukhulelwa.

Enye iKyleena okanye iMirena IUD inokusetyenziselwa ukuya kuthi ga kwiminyaka emihlanu. I-Bayer HealthCare Pharmaceuticals, Inc. yenza zombini ezi mveliso. (IBayer yenza i-IUD ebizwa ngokuba yiSkyla.)

Nangona omabini la mayeza eziIUDs aqukethe i-LNG, uKyleena noMirena banomahluko. Qhubeka nokufunda ukuze ufunde konke malunga noKyleena noMirena.

Nguwuphi umahluko ophambili phakathi kukaKyleena noMirena?

UKyleena noMirena bobabini zii-IUDs zehomoni eziqulathe iprogestin ebizwa ngokuba yi-levonorgestrel (LNG). Omabini la mayeza afumaneka ngegama lophawu kuphela. I-Kyleena (kyleena coupons) iqulethe idosi esezantsi ye-LNG, njengoko ubona kulwazi lungezantsi.

U-Kyleena ukwahlula kwezinye izixhobo zangaphakathi ngentsimbi yokususa ngombala oluhlaza okwesibhakabhaka kunye nokubonakala kwendandatho yesilivere kwi-ultrasound. Umboneleli wakho wezempilo kufuneka afake uKyleena okanye uMirena (amakhuphoni emirena). IUD ingahlala emzimbeni wakho kangangeminyaka emihlanu. Ngelo xesha, umboneleli wakho wezempilo kufuneka ayisuse. Ukuba unqwenela ukuqhubeka usebenzisa i-IUD, i-IUD entsha inokufakwa kwangoko nje kwakususwa eyangaphambili.

Umahluko ophambili phakathi kukaKyleena noMirena
	UKyleena	UMirena
Iklasi yeziyobisi	Iprogestins	Iprogestins
Uhlobo lweBrith / generic	Igama lebrand	Igama lebrand
Ngubani igama eliqhelekileyo?	I-Levonorgestrel (LNG) isixhobo se-intrauterine (IUD) okanye i-levonorgestrel-ekhulula inkqubo ye-intrauterine	I-Levonorgestrel (LNG) isixhobo se-intrauterine (IUD) okanye i-levonorgestrel-ekhulula inkqubo ye-intrauterine
Zeziphi iifom eza nalo iziyobisi?	Isixhobo se-intrauterine (IUD)	Isixhobo se-intrauterine (IUD)
Ithini idosi esemgangathweni?	Itotali iyonke ye-19.5 mg LNG ikhutshwa ngenqanaba elimalunga ne-17.5 mcg / ngosuku emva kweentsuku ezingama-24. Eli nqanaba liyehla ukuya malunga ne-9.8 mcg / ngosuku emva konyaka omnye kunye ne-7.4 mcg / ngosuku emva kweminyaka emihlanu. UKyleena kufuneka asuswe ukuphela konyaka wesihlanu. Umboneleli wezempilo unokufaka isixhobo esitsha xa uKyleena esusiwe ukuba isigulana sifuna ukuqhubeka nonyango.	Itotali iyonke ye-52 mg LNG ikhutshwa kwinqanaba elimalunga ne-20 mcg / ngosuku. Eli nqanaba liyancipha ngokuqhubekayo ukuya kwi-10 mcg / ngosuku emva kweminyaka emihlanu. Umboneleli wezempilo unokufaka isixhobo esitsha xa iMirena isuswe ukuba isigulana sifuna unyango oluqhubekayo.
Lude kangakanani unyango oluqhelekileyo?	Ukuya kuthi ga kwiminyaka emi-5; isixhobo esitsha sinokufakwa kwangoko emva kokuba isixhobo sangaphambili sisusiwe.	Ukuya kuthi ga kwiminyaka emi-5; isixhobo esitsha sinokufakwa kwangoko emva kokuba isixhobo sangaphambili sisusiwe.
Ngubani oqhelekileyo usebenzisa amayeza?	Abafazi abangaphezu kweminyaka eli-18 ubudala	Abafazi abangaphezu kweminyaka eli-18 ubudala

Ngaba ufuna elona xabiso libalaseleyo kuKyleena?

Bhalisela izilumkiso zamaxabiso kaKyleena kwaye ufumane ukuba amaxabiso atshintsha nini!

Fumana izaziso zamaxabiso

Iimeko eziphathwe nguKyleena noMirena

UKyleena noMirena bobabini baboniswe ukuthintela ukukhulelwa ukuya kuthi ga kwiminyaka emihlanu. IMirena (Yintoni iMirena?) Ikwaboniswa kunyango lokopha okunzima okuya exesheni. UKyleena (yintoni uKyleena?) Akanalo olu bonakaliso, kodwa abanye oogqirha banokumisela ukuba angabikho kwilebula ukunceda ngamaxesha anzima.

Imeko	UKyleena	UMirena
Thintela ukukhulelwa ukuya kuthi ga kwiminyaka emihlanu	Ewe	Ewe
Unyango lokopha okunzima ukuya exesheni	Ngaphandle kwelebheli	Ewe

Ngaba uKyleena okanye uMirena usebenza ngakumbi?

Izifundo azifumaneki ngokuthelekisa uKyleena noMirena. Ukujonga ichiza ngalinye ngokwahlukeneyo, Ulwazi lukaKyleena Ithi i-Kyleena IUD ingaphezulu kwe-99% esebenzayo ekuthinteleni ukukhulelwa kunyaka ngamnye wokusetyenziswa. Ngaphezulu kweminyaka emihlanu, yi-98.5% esebenzayo.

UMirena ichaza ulwazi olufanayo-ingaphezulu kwe-99% esebenzayo ekuthinteleni ukukhulelwa kunyaka ngamnye wokusetyenziswa, kunye nangaphezulu kwe-99% esebenzayo kwiminyaka emihlanu.

IUD nganye isebenza njengendlela esebenzayo yokuthintela ukukhulelwa. Zilungele ukusetyenziswa kwexesha elide, ukuya kuthi ga kwiminyaka emihlanu kwi-IUD enye. Kwakhona, ngokungafaniyo neepilisi zokulawula ukuzalwa, awunakukhumbula ukuzithatha yonke imihla. (Jonga nje imisonto kanye ngenyanga.)

Ezi IUDs zikwacwangcisiwe ukubuyisela inzalo, oko kuthetha ukuba xa kususwa i-IUD, unokukhulelwa. Uninzi lwezigulana ziyakwazi ukukhulelwa kwiinyanga ezili-12 emva kokususwa kwe-IUD. Ngumboneleli wakho wezempilo kuphela onokumisela ukuba leliphi iyeza elilunge ngakumbi kuwe, kuthathelwa ingqalelo imbali yakho yezonyango.

Ngaba ufuna elona xabiso lilungileyo eMirena?

Bhalisela izilumkiso zamaxabiso eMirena kwaye ufumane ukuba amaxabiso atshintsha nini!

Fumana izaziso zamaxabiso

Ukufunyanwa kunye nokuthelekiswa kweendleko zikaKyleena vs Mirena

Ngenxa yokuba umboneleli wakho wezempilo ulawula uKyleena okanye uMirena eofisini, uya kubonelela ngesixhobo. Ngeke u tyelele ikhemesti eKyleena okanye eMirena. Ke ngoko, umboneleli wakho wezempilo uya kungenisa uKyleena okanye uMirena kwi-inshurensi yakho yezonyango.

Ixabiso elingaphandle kwepokotho leKyleena IUD enye limalunga ne- $ 2,000. Ungabuza umboneleli wakho wokhathalelo lwempilo ukuba bayakwamkela isigqebhezana se-SingleCare, bezisa ixabiso elimalunga ne- $ 960.

Ixabiso elingaphandle kwepokotho le-Mirena IUD limalunga ne- $ 1,400. Unokucela umboneleli wakho wezempilo ukuba ungasebenzisa ikhuphoni yakho ye-SingleCare, ukunciphisa iindleko zibe ngaphantsi kwe- $ 1,000.

Fumana ikhadi lesaphulelo esisodwa

	UKyleena	UMirena
Ngokuqhelekileyo i-inshurensi?	Ezonyango	Ezonyango
Ngokuqhelekileyo ihlanganiswe yiCandelo le-Medicare?	N / A	N / A
Umthamo osemgangathweni	Isixhobo esinye	Isixhobo esinye
I-Medicare copay eqhelekileyo	N / A	N / A
Ixabiso elilodwa	$ 960 +	$ 960 +

Iziphumo eziqhelekileyo ezichaphazela uKyleena vs Mirena

Ngenxa yokuba uKyleena noMirena banesithako esinye esisebenzayo, i-levonorgestrel, iziphumo ebezingalindelekanga ziyafana. Iziphumo eziqhelekileyo ezichaphazela uKyleena kunye neMirena zibandakanya ukudumba kwelungu lobufazi, iintlungu zesisu, ukuba sexesheni, isicaphucaphu, induna , ukungonwabi ebeleni, kunye notshintsho kwiipateni zokopha exesheni. Ukugxothwa kwesixhobo kwenzeka kwipesenti encinci yezigulana kuvavanyo lweklinikhi.

Olu aluluhlu olupheleleyo lweziphumo ebezingalindelekanga. Ezinye iziphumo ezibi zinokwenzeka. Nxibelelana nomboneleli wakho wezempilo ukuze ufumane uluhlu olupheleleyo lweziphumo ebezingalindelekanga.

	UKyleena	UMirena
Imiphumela	Iyasebenza?	Rhoqo	Iyasebenza?	Rhoqo
IVulvovaginitis (ukudumba kwilungu lobufazi)	Ewe	24%	Ewe	10.5%
Umhlaza wesibeleko	Ewe	22%	Ewe	7.5%
Intlungu yesisu okanye isisu	Ewe	amashumi amabini ananye%	Ewe	22.6%
Intloko okanye i-migraine	Ewe	Shumi elinantlanu%	Ewe	16.3%
Umqolo obuhlungu	Hayi	-	Ewe	7.9%
Amabala	Ewe	Shumi elinantlanu%	Ewe	6.8%
Idysmenorrhea (ukubamba sexesheni) / spasm wesibeleko	Ewe	10%	Ewe	6.4%
Amenorrhea (akukho xesha)	Ewe	Iyahluka ngokobude bonyango	Ewe	Iyahluka ngokobude bonyango
Iintlungu zebele / ukungonwabi	Ewe	10%	Ewe	8.5%
Ukonyuka kokopha	Ewe	8%	Ewe	12%
Ukukhutshwa komzimba	Ewe	4.5%	Ewe	14.9%
Ukugxothwa kwesixhobo	Ewe	3.5%	Ewe	<5%
Isicaphucaphu	Ewe	4.7%	Ewe	<5%
Uxinzelelo	Ewe	4.4%	Ewe	6.4%

Umthombo: DailyMed ( UKyleena ), Yonke imihla ( UMirena )

Ukusebenzisana kweziyobisi kukaKyleena vs Mirena

Izifundo zokunxibelelana neziyobisi azikhange zenziwe neKyleena okanye iMirena, eziqulathe zombini i-LNG. Nangona kunjalo, iziyobisi ezenza i-enzymes eqhuba i-LNG inokunciphisa amanqanaba e-LNG, isenza i-IUD ingasebenzi kakuhle. Kwelinye icala, amayeza athintela ii-enzymes ezisebenzisa i-LNG anokunyusa amanqanaba e-LNG, abangele iziphumo ebezingalindelekanga. Ngenxa yempembelelo yendawo yamayeza (iyeza likhutshwa kwisibeleko), ukuhlangana kweziyobisi akunakuba kufanelekile eklinikhi. Buza umboneleli wakho wezononophelo lwempilo ukuba ngaba kukho naluphi na unxibelelwano lweziyobisi kunye namayeza owasebenzisayo.

Umvelisi wabo bobabini uKyleena noMirena bacebisa ukuba nasiphi na isiyobisi esichazwe kunye nenye yezi IUDs kufuneka sijongwe ukuba asinako na ukusebenzisana kweziyobisi ne-LNG.

Olu ayilo luhlu lupheleleyo lokunxibelelana kweziyobisi. Qhagamshelana nomboneleli wakho wezempilo malunga neengcebiso zonyango.

Iziyobisi	Iklasi yeziyobisi	UKyleena	UMirena
ICarbamazepine Iifayile Felbamate Griseofulvin INevirapine I-Oxcarbazepine IPhenobarbital IPhenytoin Rifabutin Rifampin Wort yaseSt Ipiramidi ephezulu	Iziyobisi ezinokuhla kwinqanaba le-LNG	Ewe (kunokwenzeka)	Ewe (kunokwenzeka)
Itraconazole Ketoconazole	Iziyobisi ezinokunyusa inqanaba le-LNG	Ewe (kunokwenzeka)	Ewe (kunokwenzeka)

Izilumkiso zikaKyleena noMirena

Ngenxa yokuba bobabini uKyleena noMirena banesithako esinye, i-levonorgestrel, izilumkiso ziyafana.

I-Kyleena okanye iMirena akufuneki isetyenziswe kwizigulana:
- Ngubani okhulelweyo okanye okrokrelwayo ukuba ukhulelwe
- Ngeengxaki zesibeleko, ezinje nge-fibroids
- Ngubani onesifo esibuhlungu se-pelvic (PID), imbali ye-PID, okanye ngubani onokufumana izifo zentsholongwane
- Nge-uterine okanye neoplasia yomlomo wesibeleko (ukukhula)
- Ngubani onomdlavuza webele okanye omnye umhlaza onomdla we-progestin (okanye imbali)
- Ukopha kwesibeleko kwesizathu esingaziwayo
- Ngoobani abangakhange banyange usulelo lwesibeleko okanye lobufazi (kude kube kulawulwe usulelo)
- Xa isifo sesibindi okanye ithumba
- Okwangoku kufakwe i-IUD
- Ngoobani abanovelwano kwizithako
I-Kyleena okanye iMirena akufuneki isetyenziswe njengothintelo olungxamisekileyo lokuthintela ukukhulelwa.
Isigulana kufuneka kuvavanywe iiveki ezine ukuya kwezintandathu emva kokufakwa kwe-IUD.
UKyleena okanye uMirena kufuneka basuswe xa kukho ukukhulelwa. Kukho umngcipheko okhulayo wokukhulelwa kwe-ectopic, enokuthi ikhokelele ekulahlekelweni kokukhulelwa, ukulahleka kokuzala, ukukhupha isisu (kubandakanya ukufa), kunye nokusebenza kwangaphambi kwexesha kunye nokuhanjiswa.
Umboneleli wezempilo kufuneka asebenzise ubuchule obungqongqo be-aseptic ukuthintela usulelo kufakelo lwe-IUD.
Umboneleli wezempilo kufuneka athathele ingqalelo ubungozi besifo sokudumba kwamathambo.
Ukuhlatywa kwesibeleko kunokwenzeka, okunokunciphisa ukusebenza kwe-IUD kunye / okanye kufuna utyando. Kukho umngcipheko okhulayo emva kokubeleka kunye nokuncancisa abasetyhini.
Ukugxothwa okungagqibelelanga okanye okupheleleyo kunokubakho (kunokuba kungabonwa), nto leyo ekhokelela ekuphulukaneni nokusebenza.
UKyleena okanye uMirena banokutshintsha iipateni zokopha, ezinokubangela isitenxo kunye / okanye i-amenorrhea.
Ama-cysts e-Ovarian angenzeka. Vavanya iifollic ezandisiweyo ze-ovari okanye ii-ovarian cysts.
I-Kyleena inokukhangelwa kwi-MRI phantsi kweemeko ezithile. Ukuba ufuna i-MRI, yazisa umboneleli wakho wezempilo kunye neradiology / abasebenzi basesibhedlele ukuba une-IUD.
Ii-IUDs azikhuseli kwi-HIV / AIDS okanye ezinye izifo ezidluliselwa ngeentlobano zesini.
Qhagamshelana nomboneleli wakho wezempilo ngokukhawuleza ukuba unamava:
- Ukubetha kwentliziyo okanye ukubetha kwentliziyo
- Intloko ye-Migraine
- Umkhuhlane ongachazwanga
- Iimpawu zeengxaki zesibindi (isikhumba esimthubi okanye amehlo)
- Ukukhulelwa okanye ukukhulelwa okukrokrelwayo
- Iintlungu zepelvic okanye zesisu
- Intlungu ngexesha lokwabelana ngesondo
- Uvavanyo lwe-HIV (kuwe okanye kwiqabane lakho)
- Ukubonakaliswa kwizifo ezithathelwana ngesondo
- Ukukhutshwa okungaqhelekanga kwilungu lobufazi
- Izilonda zangasese
- Ukopha okumandla okanye okuhlala ixesha elide
- Ukungakwazi ukuziva imisonto ye-IUD

Imibuzo ebuzwa rhoqo malunga noKyleena vs Mirena

Yintoni uKyleena?

I-Kyleena yindlela yolawulo lokuzalwa esetyenziselwa ukuthintela ukukhulelwa, equlathe iprogestin ebizwa ngokuba yi-levonorgestrel. Isixhobo se-intrauterine (IUD).

Yintoni iMirena?

IMirena ikwayi-IUD equlathe i-levonorgestrel. Kuboniswa ekukhuseleni ukukhulelwa kunye nokunyanga ukuphuma kwegazi okunzima.

Ngaba uKyleena noMirena bayafana?

Zombini uKyleena neMirena zii-IUDs eziqulathe i-levonorgestrel kwaye inokusetyenziswa ukuya kuthi ga kwiminyaka emihlanu. Idosi yehomoni (levonorgestrel) yahlukile. I-Mirena iqulethe inani eliphezulu le-hormone kuneKyleena. Iziphumo ziyafana. Ezinye ii-IUDs zehomoni zibandakanya iSkyla kunye neLiletta.

Usenokuba ukhe weva ngeParagard IUD. IParagard yahlukile kuKyleena naseMirena kuba iyi-IUD yobhedu kwaye ayiqulathanga iihomoni.

Ngaba uKyleena okanye uMirena bangcono?

Zombini uKyleena neMirena zisebenza kakhulu, ngaphezulu kwe-99% esebenzayo ekuthinteleni ukukhulelwa kunyaka ngamnye wokusetyenziswa. I-Kyleena ingama-98.5% esebenzayo emva kweminyaka emihlanu, kwaye iMirena ingaphezulu kwama-99% emva kweminyaka emihlanu. Umboneleli wakho wezempilo unokukunceda ubone ukuba uKyleena okanye uMirena ulunge kuwe.

Ndingayisebenzisa uKyleena okanye iMirena ngelixa ndikhulelwe?

Shayela umboneleli wakho wezempilo ngokukhawuleza ukuba unayo iKyleena okanye iMirena kwaye ucinge ukuba unokukhulelwa. I-IUD inokubangela ukukhulelwa kwe-ectopic (ukukhulelwa ngaphandle kwesibeleko), imeko engxamisekileyo yezonyango. Ukuba unesixhobo esifakelweyo kwaye ukhulelwe, kwaye ukukhulelwa kusesibelekweni, usulelo olukhulu, ukuphuma kwesisu, ukuhanjiswa kwangoko, kunye nokufa kunokwenzeka. Umboneleli wakho wezempilo unokuzama ukususa i-IUD, enokubangela ukuphuphuma kwesisu. Ayaziwa ukuba ii-LNG IUDs zinokubangela iziphumo zexesha elide kwimveku ukuba ngaba i-IUD ihlala isendaweni ngexesha lokukhulelwa. Umsebenzi wakho wezononophelo lwempilo unokukukhokelela kweyona ndlela ikhuselekileyo yokusebenza.

Ndingabusebenzisa uKyleena okanye uMirena ngotywala?

UKyleena okanye uMirena abanonxibelelwano notywala. IUD inokuba yiyo indlela ekhethiweyo yolawulo lokuzalwa yesigulana esela utywala.

Ngaba uKyleena ubuhlungu kancinci kuneMirena?

Ukufakwa kwe-IUD (nokuba nguKyleena okanye uMirena) kunokubangela iintlungu, ukuphuma kwegazi, isiyezi kunye nokungonwabi. Kuya kufuneka uzive ungcono malunga nemizuzu engama-30 emva kokubekwa. Ukuba awuziva ungcono ngeli xesha, umboneleli wakho wezononophelo lwempilo uyakufuna ukukuvavanya ukuqinisekisa ukuba isixhobo sibekwe ngokuchanekileyo. UKyleena mncinci kancinci ngobukhulu kuneMirena, ngoko ke ezinye izigulana zikunyamezela ukufakwa ngcono.

Yeyiphi eyona IUD ilungileyo?

Ii-IUD zi indlela ethandwayo nesebenzayo yokuthintela ukukhulelwa . Umboneleli wakho wokhathalelo lwempilo unokukunceda ukuba uhlele ngokhetho lolawulo lokuzalwa kwaye unqume ukuba ngaba i-IUD ikulungele, kwaye ukuba kunjalo, yeyiphi eyona ilungileyo, ithathela ingqalelo imbali yakho yezonyango.

Ngaba uKyleena ubangela iinwele zobuso?

UKyleena unokubangela induna okanye ulusu olunamafutha . Ulwazi lomenzi aludwelisi iinwele zobuso njengeziphumo ebezingalindelekanga. Qhagamshelana nomboneleli wakho wezempilo ukuze ufumane iinkcukacha ezingaphezulu.

Ngaba uKyleena uyeka amaxesha?

UKyleena unokubangela ukopha ngokungaqhelekanga. Ezinye izigulana zisenokuba nokonyuka kokopha ekuqaleni. Ezinye izigulana zinendawo yokubona, okanye ixesha elilula. Abanye abaguli banayo amenorrhea (ukungabikho kwamaxesha). Kwezilingo zeklinikhi, malunga neepesenti ezili-12 zezigulana eKyleena zine-amenorrhea emva konyaka omnye. Emva kweminyaka emithathu, malunga ne-20% yayine-amenorrhea, kwaye emva kweminyaka emihlanu, malunga ne-23% yayine-amenorrhea.