Yaz vs. Yasmin: Umahluko, ukufana, kwaye yeyiphi engcono kuwe
Iziyobisi Vs. UmhloboUkujonga ngokubanzi iziyobisi kunye nolwahluko ophambili | Imiqathango iphathwe | Ukusebenza | Ukuhlawulwa kwe-inshurensi kunye nokuthelekiswa kweendleko | Imiphumela | Ukusebenzisana kweziyobisi | Izilumkiso | FAQ
Ukuba ungumfazi oneminyaka yobudala bokuzala, usenokuba uye wadibana nezinto ezininzi onokukhetha kuzo xa ujonge ukuthintela ukukhulelwa. Zininzi iipilisi zokucwangcisa ezenziwa kwintengiso. Kwezi, iYaz kunye neYasmin zizinto ezimbini zokucwangcisa zomlomo ezidityanisiweyo (COCs) ezinokufana nokwahluka. Kuxhomekeka kwimbali yakho yezonyango kunye nakwimpilo yakho iyonke, ipilisi enye yothintelo inokuba ngcono kunabanye .
Zombini i-Yaz kunye ne-Yasmin zenziwe yi-Bayer HealthCare Pharmaceuticals kwaye ziqulathe i-ethinyl estradiol, i-estrogen, kunye ne-drospirenone, indlela yokwenziwa kweprogestin. Inkqubo ye- indibaniselwano yezi hormone zimbini kuthintela i-ovulation (ukukhutshwa kweqanda kwii-ovari) ngelixa uvelisa utshintsho kwilungu lobufazi kunye nesibeleko. Olu tshintsho lubandakanya ukwenza inwebu yelungu lobufazi lijiye ukukhusela isidoda ukuba singene esibelekweni.
Olunye uhlobo lweziyobisi ezinegama le-ethinyl estradiol kunye ne-drospirenone zibandakanya uGianvi, uSyeda, uNikki noZarah.
Nguwuphi umahluko ophambili phakathi kukaYaz noJasmin?
I-Yaz (iYaz coupons) iqulethe i-0.02 mg ye-ethinyl estradiol kunye ne-3 mg yedrospirenone. Iyakwamkelwa yi-Food and Drug Administration (FDA) ukukhusela ukukhulelwa. Inokunyanga uxinzelelo kunye neempawu zemood ezivela kwi-premenstrual dysphoric disorder (PMDD) kunye ne-acne ephakathi kwabafazi abaneminyaka eli-14 ubudala nangaphezulu. Kwipakethi ye-blister, kukho iipilisi ezingama-21 ezisebenzayo kunye ne-7 ezingasebenziyo, okanye i-placebo, iipilisi.
IYasmin (iYasmin coupons) iqulethe i-0.03 mg ye-ethinyl estradiol kunye ne-3 mg yedrospirenone. Ngokungafaniyo no-Yaz, u-Yasmin uboniswa kuphela ukuthintela ukukhulelwa. Kwipakethi enye ye-blister, kukho iipilisi ezingama-24 ezisebenzayo kunye neepilisi ze-placebo ezi-4.
| Umahluko ophambili phakathi kweYaz kunye neYasmin | ||
|---|---|---|
| Ihlobo | Yasmin | |
| Iklasi yeziyobisi | Ukucwangciswa kweHormonal Ukudibanisa izinto zokucwangcisa | Ukucwangciswa kweHormonal Ukudibanisa izinto zokucwangcisa |
| Uhlobo lweBrith / generic | Inguqulelo yesiqhelo iyafumaneka | Inguqulelo yesiqhelo iyafumaneka |
| Ngubani igama eliqhelekileyo? | IDrospirenone kunye ne-ethinyl estradiol | IDrospirenone kunye ne-ethinyl estradiol |
| Zeziphi iifom eza nalo iziyobisi? | Ithebhulethi yomlomo | Ithebhulethi yomlomo |
| Ithini idosi esemgangathweni? | 0.02 mg ethinyl estradiol / 3 mg yedrospirenone | 0.03 mg ethinyl estradiol / 3 mg yedrospirenone |
| Lude kangakanani unyango oluqhelekileyo? | Umjikelo weentsuku ezingama-28 | Umjikelo weentsuku ezingama-28 |
| Ngubani oqhelekileyo usebenzisa amayeza? | Ukuthintela inzala: Abasetyhini abakwiminyaka yokuzala Amabala amdaka: Abafazi ubuneminyaka eli-14 ubudala | Ukuthintela inzala: Abasetyhini abakwiminyaka yokuzala |
Ngaba ufuna elona xabiso lilungileyo kuYaz?
Bhalisela izilumkiso zamaxabiso e-Yaz kwaye ufumane ukuba amaxabiso atshintsha nini!
Fumana izilumkiso zamaxabiso
Imiqathango ephathwe nguYaz noYasmin
Zombini i-Yaz kunye neYasmin zithintela ukukhulelwa kwabasetyhini. Ukongeza kuthintelo lokuthintela ukukhulelwa, i-Yaz (Yintoni i-Yaz?) Inokunyanga iimpawu zangaphambi kokuya exesheni kwe-dysphoric disorder (PMDD) kwabasetyhini abanqwenela ukusebenzisa ulawulo lokuzalwa. I-Yaz inokunyanga amabala aphakathi kwabafazi abaneminyaka eli-14 ubudala nangaphezulu.
Sebenzisa le theyibhile ilandelayo ukuthelekisa ukusetyenziswa kwezonyango okuvunyiweyo kunye nokusetyenziswa kwelebheli yeYaz kunye neYasmin.
| Imeko | Ihlobo | Yasmin |
| Ukuthintela ukukhulelwa | Ewe | Ewe |
| Ukuphazamiseka kwangaphambi kokuya exesheni (PMDD) | Ewe | Hayi |
| Amabala | Ewe | Hayi |
Ngaba uYaz okanye uYasmin usebenza ngakumbi?
Zombini i-Yaz kunye neYasmin zibonisiwe ukuba ziyasebenza ekuthinteleni ukukhulelwa kwabasetyhini abangazisebenzisiyo ezinye izinto zokuthintela ukukhulelwa.
Kwi isifundo sokuqala Ukuvavanya ukusebenza kwe-Yaz, inqanaba lokukhulelwa yayingu-1 kwabasetyhini abayi-100 ngonyaka. Olu phononongo luvavanye ngaphezulu kwewaka labathathi-nxaxheba abagqibe ngokudibeneyo ngaphezulu kweshumi lamawaka leentsuku ezingama-28. Uphononongo lubandakanya iqela labafazi abahlukeneyo kwaye lahlala unyaka omnye.
Kwizifundo ezivavanya ukusebenza kakuhle kweYasmin (Yintoni iYasmin?), Amanqanaba okukhulelwa ayengaphantsi kwe-1 kwabasetyhini abayi-100 ngonyaka. Nye ukufunda , umzekelo, ubonise izinga lokukhulelwa le-0.407 elibonisa ukusebenza okuphezulu. Zonke izifundo ezinempumelelo zinexesha elifikelela kwiminyaka emi-2 kwaye zibandakanya ngaphezulu kwamawaka amabini abathathi-nxaxheba abagqibe ngokudibeneyo ngaphezulu kwamashumi amathathu amawaka emijikelezo yeentsuku ezingama-28.
Ukufunyanwa kunye nokuthelekiswa kweendleko zeYaz vs Yasmin
I-Yaz ligama lophawu lweziyobisi kwaye linakho okanye alinakugutyungelwa kuxhomekeke kwisicwangciso sakho seinshurensi. Ixabiso eliphakathi lentengiso yegama le-brand Yaz yi- $ 157 yokubonelelwa kweentsuku ezingama-28.
I-Loryna, i-Kyra kunye ne-Nikki zizinto ezifanayo ze-Yaz ezinezithako ezifanayo kwaye zinokubiza malunga ne- $ 85. Ngekhuphoni ye-SingleCare, ungalinciphisa eli xabiso kwaye ulindele ukuhlawula nge- $ 25.
I-Yasmin ikwaligama elinegama lebrendi kwaye inakho okanye ayinakho ukugqunywa kuxhomekeke kwisicwangciso sakho seinshurensi. I-Yasmin inokubiza malunga ne-150 yeedola kunikezelo lweentsuku ezingama-28. I-Ocella, iSyeda, kunye neZarah zizinto ezifanayo zeYasmin eziqulathe izithako ezifanayo kumandla afanayo. I-Ocella ixabisa malunga ne- $ 72. Ukuba usebenzisa i-singleCare Yasmin coupon, unokugcina ngakumbi eli chiza.
Fumana ikhadi lesaphulelo somntu ongatshatanga
| Ihlobo | Yasmin | |
| Ngokuqhelekileyo i-inshurensi? | Hayi | Hayi |
| Ngokuqhelekileyo igutyungelwe yiMedicare? | Hayi | Hayi |
| Umthamo osemgangathweni | 0.02 mg ethinyl estradiol / 3 mg yedrospirenone Ukubonelelwa kweentsuku ezingama-28 | 0.03 mg ethinyl estradiol / 3 mg yedrospirenone Ukubonelelwa kweentsuku ezingama-28 |
| I-Medicare copay eqhelekileyo | Kuxhomekeke kwisicwangciso sakho seinshurensi | Kuxhomekeke kwisicwangciso sakho seinshurensi |
| Ixabiso elilodwa | $ 25 | $ 47 |
Iziphumo ebezingalindelekanga zeYaz vs Yasmin
U-Yaz kunye no-Yasmin babelana ngeziphumo ebezingalindelekanga ezinje ngeentloko okanye i-migraines, isicaphucaphu, ukugabha, ukuthamba kwebele kunye nokutshintsha kwemood. Ezinye iziphumo ebezingalindelekanga ze-Yaz zibandakanya ukutshintsha ukuya exesheni, ukuba nochuku, ukwehla kwe-libido (ukuqhuba ngokwesondo), kunye nokufumana ubunzima. Ezinye iziphumo ebezingalindelekanga zeYasmin zibandakanya i-premenstrual syndrome (PMS) kunye nentlungu esiswini okanye ukungonwabi.
U-Yaz kunye no-Yasmin banokubangela iziphumo ebezingalindelekanga ezinje nge amahlwili egazi, isifo sentliziyo, kunye nokubetha . Amagqabantshintshi egazi anokubangela ezinye iziganeko ezinzulu njenge-thromboembolisms apho amahlwili afakwa kwisitya segazi. I-Thromboembolisms inokubandakanya i-pulmonary embolism (PE) emiphungeni okanye i-vein thrombosis (DVT) emilenzeni.
Uxinzelelo lwegazi oluphezulu, iingxaki ze-gallbladder, kunye nesifo sesibindi zezinye iziphumo ezinokubakho kwiipilisi zokucwangcisa. Ezi ziphumo zingasongela ubomi. Thetha nogqirha wakho ukuba sele unoxinzelelo oluphezulu lwegazi, iingxaki zokunqanda igazi, okanye imbali yamathumba esibindi ngaphambi kokuqala kolawulo lokuzalwa.
Ngelixa abasetyhini abakwiYaz okanye eYasmin benomngcipheko okhulayo wamahlwili egazi, iingcali zonyango azicebisi ukuba ziyeke ukusetyenziswa kwazo kwangoko. Umngcipheko usezantsi ngoku Ingxelo enye evela kwiCMAJ . Nangona kunjalo, umngcipheko usekho okhokelele kwamanye amazwe afana neFrance ukuba babambe ipilisi.
| Ihlobo | Yasmin | |||
| Imiphumela | Iyasebenza? | Rhoqo | Iyasebenza? | Rhoqo |
| Intloko / migraine | Ewe | 7% | Ewe | Shumi elinanye% |
| Izitenxo zokuya exesheni | Ewe | 5% -25% | Hayi | - |
| Isihlunu / ukugabha | Ewe | 4% -16% | Ewe | 5% |
| Intlungu yesifuba / ukuthamba | Ewe | 4% | Ewe | 8% |
| Imood iyatshintsha | Ewe | Mbini% | Ewe | Mbini% |
| Ukucaphuka | Ewe | 3% | Hayi | - |
| Ukuncipha kwe-libido | Ewe | 3% | Hayi | - |
| Ukutyeba kwakho | Ewe | 3% | Hayi | - |
| Isifo esandulela ukuya exesheni | Hayi | - | Ewe | 13% |
| Intlungu yesisu | Hayi | - | Ewe | Mbini% |
Umthombo: DailyMed (Ihlobo) , Yonke imihla (Yasmin)
Ukudibana kweziyobisi kweYaz vs. Yasmin
U-Yaz kunye no-Yasmin bayasebenzisana neentlobo ezifanayo zamachiza. Iimveliso zamayeza okanye iziyobisi ezichaphazela ii-enzyme zesibindi, ngakumbi i-CYP3A4 enzyme, inokuba nefuthe kwiipilisi zokucwangcisa. Iziyobisi ezinje nge-phenytoin kunye ne-carbamazepine zenza i-CYP3A4 enzyme kunye nokunciphisa ukusebenza kweepilisi zokulawula ukuzalwa. Izithinteli ze-CYP3A4 enzyme enje nge ketoconazole kunye ne-diltiazem zinokunyusa inqanaba le-Yaz okanye i-Yasmin emzimbeni.
Amanye amayeza asetyenziselwa ukunyanga i-HIV anokuchaphazela amanqanaba e-estrogen kunye neprogestin emzimbeni. La manqanaba anokutshintsha ukuba isebenza njani ipilisi yokuthintela ukukhulelwa. Nangona i-antibiotics Kuxelwe ukuba zichaphazele izinto zokucwangcisa zomlomo , kusaxoxwa malunga nokuba ingaba amayeza okubulala iintsholongwane anegalelo elibonakalayo kwizicwangcisi zomlomo. Uninzi lweengcali zokhathalelo lwempilo zisacebisa ukusebenzisa indlela yogcino yogcino yogcino ukuba umiselwe isibulala-zintsholongwane.
| Iziyobisi | Ihlobo | Yasmin |
| I-CYP3A4 inducers (phenytoin, carbamazepine, topiramate, rifampin, oxcarbazepine, iSt John's Wort, njl. | Ewe | Ewe |
| CYP3A4 inhibitors (ketoconazole, fluconazole, voriconazole, verapamil, macrolides, diltiazem, njl. | Ewe | Ewe |
| Amayeza e-HIV afana ne-protease inhibitors (atazanavir, ritonavir, njl. Njl.) Kunye ne-non-nucleoside reverse transcriptase inhibitors (nevirapine, efavirenz kunye ne-etravirine, njl. | Ewe | Ewe |
| Amayeza okubulala iintsholongwane | Ewe | Ewe |
Izilumkiso ze-Yaz vs Yasmin
Kuba bobabini uYaz noYasmin baqulathe i-drospirenone, beza ne umngcipheko ophezulu wamahlwili egazi ezinokukhokelela kwiziganeko zentliziyo kunye nokuhlaselwa sisifo sentliziyo. Abasetyhini abangaphezulu kweminyaka engama-35 ubudala abatshayayo akufuneki basebenzise uYaz okanye uYasmin. Ukutshaya iisigarethi kubonise ukwandisa umngcipheko wamahlwili egazi kunye neziphumo ezibi xa usebenzisa izinto zokucwangcisa zomlomo ezidibeneyo.
I-Yaz kunye neYasmin ziqulathe i-drospirenone, enokuthi inyuse amanqanaba e-potassium emzimbeni. Ezi pilisi zinokwandisa umngcipheko wehyperkalemia, okanye ngaphezulu kwepotassium. Ke ngoko, amanqanaba e-potassium kufuneka abekwe esweni kwabasetyhini abathatha namanye amayeza anokunyusa i-potassium.
Abasetyhini abanembali yonyango edlulileyo yomhlaza wamabele, uxinzelelo lwegazi oluphezulu, iingxaki zesibindi okanye izintso, isifo seswekile, kunye ne-cholesterol ephezulu kufuneka babonane nogqirha ngaphambi kokuqala i-Yaz okanye i-Yasmin. Ukuthatha izinto zokucwangcisa zomlomo ngokudibeneyo kunokwenza mandundu ezi ngxaki okanye kwandise umngcipheko weziphumo ebezingalindelekanga ezibi.
I-Yaz okanye i-Yasmin akufuneki isetyenziswe kubafazi abakhulelweyo okanye abo bafazi abarhanela ukuba bakhulelwe. Ukuba ukrokrela ukuba ukhulelwe ngelixa uthatha izinto zokucwangcisa ngomlomo, kuya kufuneka uyeke ukuzisebenzisa.
Imibuzo ebuzwa rhoqo malunga neYaz vs Yasmin
Yintoni uYaz?
I-Yaz yindibaniselwano yomlomo (COC) yeepilisi. Iqulethe i-0.02 mg ye-ethinyl estradiol kunye ne-3 mg ye-drospirenone. I-Yaz ayinqandi nje kuphela ukukhulelwa kodwa inyanga nengxaki yangaphambi kokuya exesheni (PMDD) kunye ne-acne kubafazi abaneminyaka eli-14 nangaphezulu.
Yintoni uYasmin?
I-Yasmin iyafana ne-Yaz kwaye inezithako ezifanayo. Nangona kunjalo, iqulethe i-0.03 mg ye-ethinyl estradiol kunye ne-3 mg yedrospirenone. I-Yasmin isetyenziselwa kuphela ukuthintela ukukhulelwa kwabasetyhini abaneminyaka yobudala bokuzala.
Ngaba uYaz noYasmin bayafana?
I-Yaz kunye neYasmin ziqulathe i-ethinyl estradiol kunye nedrospirenone. Kodwa azikho ichiza elifanayo. I-Yasmin iqulethe ixabiso elincinci elincinci le-ethinyl estradiol xa kuthelekiswa ne-Yaz. Banokusetyenziswa okwahlukileyo kunye neziphumo ebezingalindelekanga.
Ngaba uYaz okanye uYasmin bangcono?
I-Yas kunye neYasmin zombini ziyasebenza ekukhuseleni ukukhulelwa. Ngokusekwe kwizifundo zokusebenza ngempumelelo, kuphela malunga ne-1 kwabasetyhini abayi-100 ngonyaka abakhulelweyo xa bethatha i-Yaz okanye i-Yasmin. Nangona kunjalo, abanye abantu basetyhini banokukhetha enye ngaphezulu kwenye ngokusekwe kwiziphumo ebezingalindelekile abanokuzifumana.
Ngaba i-Yaz ibangela ukutyeba kobunzima?
Ewe. I-Yaz inokubangela ukutyeba kobunzima kwabanye abantu basetyhini. Ngokusekwe kuvavanyo kwabasetyhini abanesifo sokuphamba kwangaphambi kokuya exesheni (PMDD), malunga neepesenti ezi-2.5 zabo bathatha i-Yaz bafumana ubunzima. Eli cala linokwanela abanye abantu basetyhini ukuba bakhethe iipilisi zokucwangcisa ezahlukileyo.
Ngaba iYasmin ibangela ukutyeba?
Ukutyeba ayiboniswanga njengesiphumo secala esiqhelekileyo seYasmin. Nangona utshintsho lobunzima lunokuba sisiphumo esisecaleni seepilisi zokulawula ukuzalwa ngokubanzi, ngekhe uzuze ubunzima ngeYasmin. Dibana nogqirha wakho ukuba ukhe wanengxaki yobunzima ngaphambili.
