UKyleena vs. Mirena: Umehluko, ukufana, nokuthi yikuphi okungcono kuwe
Izidakamizwa Vs. UmnganiUkubuka konke kwezidakamizwa nokwehluka okuyinhloko | Izimo zilashwa | Ukusebenza | Ukutholakala komshuwalense nokuqhathaniswa kwezindleko | Okuqhamuka uma udla imishanguzo | Ukusebenzisana kwezidakamizwa | Izexwayiso | Imibuzo evame ukubuzwa
UKyleena noMirena yimithi emibili enegama lomkhiqizo esetshenziselwa ukulawula ukubeletha noma ukwelapha ukopha kakhulu. Yomibili le mithi ivunywa yi-United States Food and Drug Administration (FDA) futhi iqukethe iprogestin ebizwa ngelevonorgestrel (LNG).
Ngokungafani namaphilisi endabuko okulawulwa kokuzalwa okuphuzwa ngomlomo, uKyleena noMirena bobabili amadivayisi we-intrauterine (IUDs) . I-hormonal IUD iyithuluzi elincane elifakwa esibelethweni sakho ngumhlinzeki wakho wezokunakekelwa kwempilo futhi likhipha i-hormone LNG kancane ngokuhamba kwesikhathi. Indlela la ma-IUD asebenza ngayo ayiqondakali ngokuphelele, kodwa kuphakanyiswa ukuthi i-LNG ivimbela ukukhiqizwa kweqanda futhi iguqule amafinyila wesibeletho nolwelwesi lwe-endometriamu ukuvimbela ukukhulelwa.
I-Kyleena eyodwa noma iMirena IUD ingasetshenziswa kuze kube yiminyaka emihlanu. IBayer HealthCare Pharmaceuticals, Inc. yenza yomibili le mikhiqizo. (IBayer nayo yenza i-IUD ebizwa ngeSkyla.)
Yize yomibili le mithi ingama-IUD aqukethe i-LNG, uKyleena noMirena banokuhluka okuthile. Qhubeka ufunde ukuze ufunde konke ngoKyleena noMirena.
Uyini umehluko omkhulu phakathi kukaKyleena noMirena?
UKyleena noMirena bobabili ama-IUDs ane-hormonal aqukethe i-progestin ebizwa nge-levonorgestrel (LNG). Yomibili le mithi itholakala ngegama lomkhiqizo kuphela. IKyleena (amakhuphoni kyleena) iqukethe umthamo ophansi we-LNG, njengoba ubona kulwazi olungezansi.
UKyleena ubuye ahlukaniswe namanye amadivayisi we-intrauterine ngentambo yokususa enemibala eluhlaza okwesibhakabhaka nokubonakala kwendandatho yesiliva ku-ultrasound. Umhlinzeki wakho wezokunakekelwa kwempilo kufanele afake uKyleena noma uMirena (amakhuphoni e-mirena). IUD ingahlala emzimbeni wakho iminyaka emihlanu. Ngaleso sikhathi, umhlinzeki wakho wezokunakekelwa kwempilo kufanele akususe. Uma ufisa ukuqhubeka nokusebenzisa i-IUD, i-IUD entsha ingafakwa ngokushesha lapho esedlule isusiwe.
| Umehluko omkhulu phakathi kukaKyleena noMirena | ||
|---|---|---|
| UKyleena | UMirena | |
| Isigaba sezidakamizwa | Ama-progestin | Ama-progestin |
| Isimo somkhiqizo / ejwayelekile | Umkhiqizo | Umkhiqizo |
| Ngubani igama elijwayelekile? | I-Levonorgestrel (LNG) idivayisi ye-intrauterine (IUD) noma i-levonorgestrel ekhipha uhlelo lwe-intrauterine | I-Levonorgestrel (LNG) idivayisi ye-intrauterine (IUD) noma i-levonorgestrel ekhipha uhlelo lwe-intrauterine |
| Izidakamizwa zingena ngaziphi izinhlobo? | Idivayisi ye-intrauterine (IUD) | Idivayisi ye-intrauterine (IUD) |
| Uyini umthamo ojwayelekile? | Umthamo ophelele we-19.5 mg LNG ukhishwa ngesilinganiso esingu-17.5 mcg / ngosuku ngemuva kwezinsuku ezingama-24. Leli zinga lehla laya cishe ku-9.8 mcg / ngosuku ngemuva konyaka owodwa kanye no-7.4 mcg / ngosuku ngemuva kweminyaka emihlanu. UKyleena kumele asuswe ngasekupheleni konyaka wesihlanu. Umhlinzeki wezokunakekelwa kwempilo angafaka idivayisi entsha lapho uKyleena esuswa uma isiguli sifisa ukuqhubeka nokwelashwa. | Inani eliphelele lama-52 mg LNG likhishwa ngesilinganiso esimalunga nama-20 mcg / ngosuku. Leli zinga lehla ngokuqhubekayo liya cishe ku-10 mcg / ngosuku ngemuva kweminyaka emihlanu. Umhlinzeki wezokunakekelwa kwempilo angafaka idivayisi entsha lapho kususwa uMirena uma isiguli sifisa ukwelashwa okuqhubekayo. |
| Yelashwa isikhathi esingakanani? | Kuze kube yiminyaka emi-5; idivayisi entsha ingafakwa ngokushesha ngemuva kokukhishwa kwedivayisi yangaphambilini. | Kuze kube yiminyaka emi-5; idivayisi entsha ingafakwa ngokushesha ngemuva kokukhishwa kwedivayisi yangaphambilini. |
| Ubani ovame ukusebenzisa umuthi? | Abesifazane abangaphezu kweminyaka engu-18 ubudala | Abesifazane abangaphezu kweminyaka engu-18 ubudala |
Ufuna intengo engcono kakhulu kuKyleena?
Bhalisela izexwayiso zentengo kaKyleena bese uthola ukuthi intengo ishintsha nini!
Thola Izaziso Zentengo
Izimo eziphathwe nguKyleena noMirena
UKyleena noMirena bobabili bakhonjisiwe ukuvimbela ukukhulelwa iminyaka engafika kwemihlanu. I-Mirena (Iyini iMirena?) Nayo ikhonjisiwe ekwelapheni ukopha okunzima kokuya esikhathini. UKyleena (Uyini uKyleena?) Akanakho lokhu, kepha abanye odokotela bangahle bakunikeze ukuthi kungabikho ilebula ukusiza ngezikhathi ezinzima.
| Isimo | UKyleena | UMirena |
| Vimbela ukukhulelwa kuze kube yiminyaka emihlanu | Yebo | Yebo |
| Ukwelashwa kokopha okunzima ukuya esikhathini | Ngaphandle kwelebula | Yebo |
Ngabe uKyleena noma uMirena usebenza ngempumelelo kakhulu?
Izifundo azitholakali ngokuqhathanisa uKyleena noMirena. Ukubheka umuthi ngamunye ngamunye, Imininingwane kaKyleena ithi iKyleena IUD ingaphezu kwama-99% ngempumelelo ekuvimbeleni ukukhulelwa unyaka nonyaka wokusetshenziswa. Ngaphezu kweminyaka emihlanu, kusebenza ngempumelelo okungu-98.5%.
UMirena ithi imininingwane efanayo — ingaphezu kwama-99% okusebenza ekuvikeleni ukukhulelwa unyaka nonyaka wokusetshenziswa, kanye nokusebenza okungaphezulu kuka-99% eminyakeni emihlanu.
I-IUD ngayinye isebenza njengendlela ephumelelayo yokuvimbela inzalo. Zifanele ukusetshenziswa kwesikhathi eside, kuze kube yiminyaka emihlanu nge-IUD eyodwa. Futhi, ngokungafani namaphilisi okulawula ukubeletha, akudingeki ukhumbule ukuwaphuza nsuku zonke. (Umane ubheke imicu kanye ngenyanga.)
Lawa ma-IUD nawo ayindlela yokuvimbela inzalo eguqukayo, okusho ukuthi uma i-IUD isusiwe, ungakhulelwa. Iziguli eziningi ziyakwazi ukukhulelwa zingakapheli izinyanga eziyi-12 ngemuva kokususwa kwe-IUD. Umhlinzeki wakho wezokunakekelwa kwempilo kuphela onganquma ukuthi imuphi umuthi ongcono kuwe, ucabangela umlando wakho wezokwelapha.
Ufuna intengo engcono kuMirena?
Bhalisela izexwayiso zamanani eMirena futhi uthole ukuthi intengo ishintsha nini!
Thola Izaziso Zentengo
Ukuhlanganisa kanye nokuqhathanisa izindleko kukaKyleena vs. Mirena
Ngoba umhlinzeki wakho wezokunakekelwa kwempilo ulawula uKyleena noma uMirena ehhovisi, uzohlinzeka ngocingo. Ngeke uvakashele ikhemisi laseKyleena noma iMirena. Ngakho-ke, umhlinzeki wakho wezokunakekelwa kwempilo uzothumela uKyleena noma uMirena kumshuwalense wakho wezokwelapha.
Intengo ephuma ephaketheni leKyleena IUD eyodwa icishe ibe ngu- $ 2,000. Ungabuza umhlinzeki wakho wezokunakekelwa kwezempilo ukuthi bazokwamukela yini isigqebhezana se-SingleCare, behlisela intengo cishe ku- $ 960.
Intengo ephuma ephaketheni leMirena IUD icishe ibe ngu- $ 1,400. Ungabuza umhlinzeki wakho wezokunakekelwa kwezempilo ukuthi ungasebenzisa yini isigqebhezana sakho se-SingleCare, ukunciphisa izindleko zibe ngaphansi kuka- $ 1,000.
Thola ikhadi lesaphulelo le-SingleCare
| UKyleena | UMirena | |
| Ngokuvamile embozwe umshwalense? | Ezokwelapha | Ezokwelapha |
| Imbozwe ngokujwayelekile yi-Medicare Part D? | Akunjalo | Akunjalo |
| Umthamo ojwayelekile | Idivayisi eyodwa | Idivayisi eyodwa |
| I-Medicare copay ejwayelekile | Akunjalo | Akunjalo |
| Izindleko ze-SingleCare | $ 960 + | $ 960 + |
Imiphumela emibi ejwayelekile kaKyleena vs. Mirena
Ngenxa yokuthi uKyleena noMirena baqukethe isithako esisebenzayo esifanayo, i-levonorgestrel, imiphumela emibi iyefana kakhulu. Imiphumela emibi ejwayelekile kaKyleena neMirena ifaka ukuvuvukala kwesitho sangasese sowesifazane, ubuhlungu besisu, amajaqamba okuya esikhathini, isicanucanu, induna , ukungaphatheki kahle kwamabele, nezinguquko emaphethini wokopha esikhathini. Ukuxoshwa kwedivayisi kwenzeke ngamaphesenti amancane eziguli ezivivinyweni zokwelashwa.
Lolu akulona uhlu olugcwele lwemiphumela emibi. Eminye imiphumela emibi kungenzeka. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ukuthola uhlu oluphelele lwemiphumela emibi.
| UKyleena | UMirena | |||
| Umphumela oseceleni | Kusebenza? | Imvamisa | Kusebenza? | Imvamisa |
| I-Vulvovaginitis (ukuvuvukala kwesitho sangasese sowesifazane) | Yebo | 24% | Yebo | 10.5% |
| I-ovary cyst | Yebo | 22% | Yebo | 7.5% |
| Ubuhlungu besisu noma be-pelvic | Yebo | amashumi amabili nanye% | Yebo | 22.6% |
| Ukuphathwa ikhanda noma i-migraine | Yebo | ishumi nanhlanu% | Yebo | 16.3% |
| Ukuhlungu obusemhlane | Akunjalo | - | Yebo | 7.9% |
| Izinduna | Yebo | ishumi nanhlanu% | Yebo | 6.8% |
| I-Dysmenorrhea (i-cramping yokuya esikhathini) / i-spasm yesibeletho | Yebo | 10% | Yebo | 6.4% |
| I-Amenorrhea (asikho isikhathi) | Yebo | Iyahlukahluka ngobude bokwelashwa | Yebo | Iyahlukahluka ngobude bokwelashwa |
| Ubuhlungu besifuba / ukungakhululeki | Yebo | 10% | Yebo | 8.5% |
| Ukwanda kwegazi | Yebo | 8% | Yebo | 12% |
| Ukukhishwa kwesitho sangasese | Yebo | 4.5% | Yebo | 14.9% |
| Ukuxoshwa kwedivayisi | Yebo | 3.5% | Yebo | <5% |
| Isicanucanu | Yebo | 4.7% | Yebo | <5% |
| Ukucindezeleka | Yebo | 4.4% | Yebo | 6.4% |
Umthombo: DailyMed ( UKyleena ), IDailyMed ( UMirena )
Ukusebenzisana kwezidakamizwa zikaKyleena vs. Mirena
Izifundo zokusebenzisana kwezidakamizwa azange zenziwe noKyleena noma uMirena, zombili eziqukethe i-LNG. Kodwa-ke, izidakamizwa ezakha ama-enzyme acubungula i-LNG zingahle zinciphise amazinga e-LNG, okwenza i-IUD ingasebenzi kahle. Ngakolunye uhlangothi, izidakamizwa ezivimbela ama-enzyme acubungula i-LNG zingakhuphula amazinga e-LNG, okudala imiphumela emibi eminingi. Ngenxa yomphumela wendawo yomuthi (umuthi ukhishelwa emgodini wesibeletho), ukuhlangana kwezidakamizwa kungahle kungasebenzi emtholampilo. Buza umhlinzeki wakho wezokunakekelwa kwezempilo ukuthi ngabe kukhona yini ukuhlangana kwezidakamizwa nemithi oyiphuzayo.
Umkhiqizi wabo bobabili uKyleena noMirena bancoma ukuthi noma imuphi umuthi obekiwe kanye nalawa ma-IUD kufanele uhlolwe ukuthi ungahlangana yini nezidakamizwa ne-LNG.
Lolu akulona uhlu olugcwele lokusebenzisana kwezidakamizwa. Xhumana nomhlinzeki wakho wezokunakekelwa kwezempilo ukuthola iseluleko sezokwelapha.
| Izidakamizwa | Isigaba sezidakamizwa | UKyleena | UMirena |
| ICarbamazepine I-Efavirenz I-Felbamate Griseofulvin INevirapine I-Oxcarbazepine I-Phenobarbital Phenytoin I-Rifabutin I-Rifampin Isibungu iSt I-Topiramate | Izidakamizwa ezinganciphisa izinga le-LNG | Yebo (okungenzeka) | Yebo (okungenzeka) |
| I-Itraconazole Ketoconazole | Izidakamizwa ezingakhuphula izinga le-LNG | Yebo (okungenzeka) | Yebo (okungenzeka) |
Izexwayiso zikaKyleena noMirena
Ngoba bobabili uKyleena noMirena baqukethe isithako esifanayo, i-levonorgestrel, izixwayiso ziyefana.
- I-Kyleena noma i-Mirena akufanele isetshenziswe ezigulini:
- Obani abakhulelwe noma okusolakala ukuthi bakhulelwe
- Ngezinkinga zesibeletho, njenge-fibroids
- Abanesifo esibuhlungu sokuvuvukala kwe-pelvic (PID), umlando we-PID, noma abathinteka ezifweni ze-pelvic
- Nge-uterine noma neoplasia yomlomo wesibeletho (ukukhula)
- Obani abanomdlavuza webele noma omunye umdlavuza ozwela i-progestin (noma umlando)
- Ngokuphuma kwesizalo kwembangela engaziwa
- Ngubani ongelashwa ngezifo zomlomo wesibeletho noma sowesifazane sangasese (kuze kube yilapho isifo silawulwa)
- Ngesifo sesibindi noma isimila
- Okwamanje kufakwe i-IUD
- Obani abazwela kakhulu izithako
- I-Kyleena noma i-Mirena akufanele isetshenziswe njengokuvimbela inzalo okuphuthumayo.
- Isiguli kufanele sihlolwe emasontweni amane kuye kwayisithupha ngemuva kokufakwa kwe-IUD.
- UKyleena noma uMirena kufanele basuswe uma kwenzeka ukukhulelwa. Kunobungozi obandayo bokukhulelwa kwe-ectopic, okungaholela ekulahlekelweni kokukhulelwa, ukulahleka kokuzala, ukukhipha isisu (okubandakanya nokufa), nokusebenza kanzima ngaphambi kwesikhathi nokubeletha.
- Umhlinzeki wezokunakekelwa kwempilo kufanele asebenzise inqubo eqinile ye-aseptic ukuvikela ukutheleleka ekufakweni kwe-IUD.
- Umhlinzeki wezokunakekelwa kwempilo kufanele acabangele ubungozi besifo sokuvuvukala okhalweni.
- Ukuqothuka kwesibeletho kungenzeka, okunganciphisa ukusebenza kwe-IUD kanye / noma kudinge ukuhlinzwa. Kunobungozi obandayo kwabesifazane ababelethayo nabancelisayo.
- Ukuxoshwa okungaphelele noma okuphelele kungenzeka (kungahle kunganakwa), okuholela ekulahlekelweni kokusebenza.
- UKyleena noma uMirena bangashintsha amaphethini wokopha, okungenzeka kubangele ukungahambi kahle kanye / noma i-amenorrhea.
- Ama-cysts ama-ovari kungenzeka. Linganisela ama-follicles e-ovarian noma ama-cyst ovarian.
- UKyleena angaskenwa kwi-MRI ngaphansi kwezimo ezithile. Uma udinga i-MRI, yazisa umhlinzeki wakho wezokunakekelwa kwempilo kanye nabasebenzi be-radiology / basesibhedlela ukuthi une-IUD.
- Ama-IUD awavikeli kwi-HIV / AIDS noma ezinye izifo ezithathelwana ngocansi.
- Thinta umhlinzeki wakho wezokunakekelwa kwempilo ngokushesha uma uhlangabezana:
- Isifo sohlangothi noma isifo senhliziyo
- Migraine ikhanda
- Umkhuhlane ongachazeki
- Izimpawu zezinkinga zesibindi (isikhumba esiphuzi noma amehlo)
- Ukukhulelwa noma ukukhulelwa okusolwayo
- Ubuhlungu be-pelvic noma besisu
- Ubuhlungu ngesikhathi sokuya ocansini
- Ukuhlolelwa ukuthi une-HIV (kuwe noma kumlingani wakho)
- Ukuvezwa kwezifo ezithathelwana ngocansi
- Ukukhishwa okungavamile kwesitho sangasese sowesifazane
- Izilonda zangasese
- Ukopha okukhulu noma okuhlala isikhathi eside
- Ukungakwazi ukuzwa imicu ye-IUD
Imibuzo ebuzwa njalo mayelana noKyleena vs. Mirena
Uyini uKyleena?
I-Kyleena iyindlela yokulawula ukubeletha esetshenziselwa ukuvimbela ukukhulelwa, equkethe i-progestin ebizwa nge-levonorgestrel. Kuyinto yedivayisi ye-intrauterine (IUD).
Yini uMirena?
IMirena futhi iyi-IUD equkethe i-levonorgestrel. Kuboniswa ukuvimbela ukukhulelwa kanye nokwelapha ukopha okunzima kokuya esikhathini.
Ngabe uKyleena noMirena bayafana?
Bobabili uKyleena noMirena bangama-IUD aqukethe i-levonorgestrel futhi angasetshenziswa kuze kube yiminyaka emihlanu. Umthamo wamahomoni (levonorgestrel) uhlukile. I-Mirena iqukethe inani eliphakeme le-hormone kune-Kyleena. Imiphumela emibi iyafana. Amanye ama-IUDs ama-hormonal afaka phakathi uSkyla noLiletta.
Kungenzeka futhi ukuthi uzwile ngeParagard IUD. IParagard yehlukile kuKyleena noMirena ngoba iyi-IUD yethusi futhi ayiqukethe ama-hormone.
Ngabe uKyleena noma uMirena bangcono?
Kokubili uKyleena noMirena basebenza kahle, bangaphezu kwama-99% ngempumelelo ekuvimbeleni ukukhulelwa unyaka nonyaka wokusetshenziswa. UKyleena usebenza ngempumelelo engu-98.5% ngemuva kweminyaka emihlanu, kanti iMirena ingaphezulu kuka-99% ngemuva kweminyaka emihlanu. Umhlinzeki wakho wezokunakekelwa kwempilo angakusiza unqume ukuthi uKyleena noma uMirena ungcono yini kuwe.
Ngingasebenzisa uKyleena noma uMirena ngenkathi ngikhulelwe?
Shayela umhlinzeki wakho wezempilo ngokushesha uma unedivayisi kaKyleena noma iMirena bese ucabanga ukuthi kungenzeka ukhulelwe. I-IUD ingadala ukukhulelwa kwe-ectopic (ukukhulelwa ngaphandle kwesibeletho), isimo esiphuthumayo sezokwelapha. Uma ufake into okhulelwe futhi ukhulelwa, futhi ukukhulelwa kusesibelethweni, ukutheleleka okunzima, ukukhulelwa kwesisu, ukubeletha ngaphambi kwesikhathi, ngisho nokufa kungenzeka. Umhlinzeki wakho wezokunakekelwa kwempilo angazama ukususa i-IUD, engadala ukukhulelwa kwesisu. Akukaziwa ukuthi ama-LNG IUDs angadala yini imiphumela yesikhathi eside embungwini uma i-IUD ihlala endaweni ngesikhathi sokukhulelwa. Uchwepheshe wakho wezokunakekelwa kwempilo angakuqondisa enkambweni ephephe kunazo zonke yesenzo.
Ngingasebenzisa uKyleena noma uMirena ngotshwala?
UKyleena noma uMirena abanakho ukuxhumana notshwala. I-IUD empeleni ingaba yi- indlela ethandwayo yokulawulwa kokuzalwa isiguli esiphuza utshwala.
Ngabe uKyleena ubuhlungu kancono kuneMirena?
Ukufakwa kwe-IUD (kungaba uKyleena noma uMirena) kungadala ubuhlungu, ukuphuma kwegazi, isiyezi nokungakhululeki. Kufanele uzizwe ungcono cishe imizuzu engama-30 ngemuva kokubekwa. Uma ungazizwa ungcono ngalesi sikhathi, umhlinzeki wakho wezokunakekelwa kwempilo uzodinga ukukuhlola ukuze aqinisekise ukuthi idivayisi ibibekwe kahle. UKyleena mncane ngosayizi omncane kuneMirena, ngakho ezinye iziguli zikubekezelela ukufakwa kangcono.
Iyiphi i-IUD ehamba phambili?
Ama-IUD angama- indlela ethandwayo nephumelelayo yokuvimbela inzalo . Umhlinzeki wakho wezokunakekelwa kwezempilo angakusiza ukuthi uhlele izinketho zokulawulwa kokuzalwa futhi unqume ukuthi ngabe i-IUD ikulungele yini, futhi uma kunjalo, yikuphi okuhle kakhulu, kucatshangelwa umlando wakho wezokwelapha.
Ngabe uKyleena ubanga izinwele ebusweni?
UKyleena angadala induna noma isikhumba esinamafutha . Imininingwane yomkhiqizi ayibhalisi izinwele zobuso njengomphumela oseceleni. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ukuthola eminye imininingwane.
Ngabe uKyleena umisa izikhathi?
UKyleena angadala ukopha okungavamile. Ezinye iziguli kungenzeka ukuthi zanda ukopha ekuqaleni. Ezinye iziguli zinezikhathi zokubona, noma zokukhanya. Ezinye iziguli zinayo amenorrhea (ukungabikho kwezikhathi). Ezivivinyweni zokwelashwa, cishe iziguli eziyi-12% kuKyleena zine-amenorrhea ngemuva konyaka owodwa. Ngemuva kweminyaka emithathu, cishe ama-20% abene-amenorrhea, futhi ngemuva kweminyaka emihlanu, cishe ama-23% abene-amenorrhea.
