Main >> Izidakamizwa Vs. Umngani >> I-Yaz vs. Yasmin: Umehluko, ukufana, nokuthi yikuphi okungcono kuwe

I-Yaz vs. Yasmin: Umehluko, ukufana, nokuthi yikuphi okungcono kuwe

Izidakamizwa Vs. Umngani

Uma ungowesifazane oseminyakeni yokuzala ingane, kungenzeka ukuthi uhlangane nezinketho eziningi lapho ubheka ukuvimbela ukukhulelwa. Kunamaphilisi amaningi okuvimbela ukukhulelwa emakethe. Kulawa, i-Yaz ne-Yasmin yizindlela ezimbili zokuvimbela inzalo ezihlanganisiwe (COCs) ezinokufana nokwehluka okuthile. Ngokuya ngomlando wakho wezokwelapha nempilo yakho iyonke, iphilisi elilodwa lokuvimbela inzalo kungaba ngcono kunezinye .

Kokubili i-Yaz ne-Yasmin akhiqizwa yi-Bayer HealthCare Pharmaceuticals futhi aqukethe i-ethinyl estradiol, i-estrogen, ne-drospirenone, uhlobo lokwenziwa kweprogestin. I- inhlanganisela yala mahomoni amabili kuvimbela ukukhiqizwa kweqanda (ukukhishwa kweqanda esibelethweni) ngenkathi kukhiqizwa ushintsho esithweni sangasese nesibeletho. Lezi zinguquko zibandakanya ukwenza amafinyila esitho sangasese sowesifazane abe mkhulu ukuvimbela isidoda ukuthi singene esibelethweni.

Eminye imishanguzo enegama lomkhiqizo equkethe i-ethinyl estradiol ne-drospirenone ifaka i-Gianvi, Syeda, Nikki, ne-Zarah.

Uyini umehluko omkhulu phakathi kukaYaz noJasmin?

I-Yaz (amakhuphoni we-Yaz) iqukethe i-0.02 mg ye-ethinyl estradiol ne-3 mg ye-drospirenone. Kuvunyelwe yi-Food and Drug Administration (FDA) ukuvimbela ukukhulelwa. Ingaphatha nezimpawu zokuxineka nezemizwa ezivela ku-premenstrual dysphoric disorder (PMDD) kanye nezinduna ezilinganiselayo kwabesifazane abaneminyaka eyi-14 nangaphezulu. Ephaketheni le-blister, kunamaphilisi asebenzayo angama-21 namaphilisi ayi-7 angasebenzi, noma ama-placebo.

I-Yasmin (amakhuphoni we-Yasmin) iqukethe i-0.03 mg ye-ethinyl estradiol kanye ne-3 mg ye-drospirenone. Ngokungafani no-Yaz, u-Yasmin ukhonjiswa kuphela ukuvimbela ukukhulelwa. Kwiphakethe elilodwa le-blister, kunamaphilisi asebenzayo angama-24 namaphilisi ama-placebo ama-4.

Umehluko omkhulu phakathi kukaYaz noJasmin
	Ehlobo	Yasmin
Isigaba sezidakamizwa	Ukuvimbela inzalo ngamahomoni Inhlanganisela yokukhulelwa komlomo	Ukuvimbela inzalo ngamahomoni Inhlanganisela yokukhulelwa komlomo
Isimo somkhiqizo / ejwayelekile	Uhlobo olujwayelekile luyatholakala	Uhlobo olujwayelekile luyatholakala
Ngubani igama elijwayelekile?	IDrospirenone ne-ethinyl estradiol	IDrospirenone ne-ethinyl estradiol
Izidakamizwa zingena ngaziphi izinhlobo?	Ithebhulethi yomlomo	Ithebhulethi yomlomo
Uyini umthamo ojwayelekile?	0.02 mg ethinyl estradiol / 3 mg yedrospirenone	0.03 mg ethinyl estradiol / 3 mg yedrospirenone
Yelashwa isikhathi esingakanani?	Umjikelezo wezinsuku ezingama-28	Umjikelezo wezinsuku ezingama-28
Ubani ovame ukusebenzisa umuthi?	Okokuvimbela inzalo: Abesifazane abaneminyaka yobudala yokuzala Ngomqubuko olinganiselayo: Abesifazane okungenani abaneminyaka engu-14 ubudala	Okokuvimbela inzalo: Abesifazane abaneminyaka yobudala yokuzala

Ufuna intengo ehamba phambili ku-Yaz?

Bhalisela izexwayiso zentengo ye-Yaz bese uthola ukuthi intengo ishintsha nini!

Thola izexwayiso zentengo

Izimo eziphathwe ngu-Yaz no-Yasmin

Bobabili uYaz noJasmin bavimbela ukukhulelwa kwabesifazane. Ngaphezu kokuvimbela inzalo, i-Yaz (Yini i-Yaz?) Ingaphatha izimpawu zesifo se-premenstrual dysphoric disorder (PMDD) kwabesifazane abangathanda ukusebenzisa ukulawulwa kokuzalwa. I-Yaz nayo ingaphatha izinduna ezilinganiselayo kwabesifazane abaneminyaka engu-14 ubudala nangaphezulu.

Sebenzisa ithebula elilandelayo ukuqhathanisa ukusetshenziswa kwezokwelapha okugunyaziwe nokusetshenziswa kwelebula kuka-Yaz no-Yasmin.

Isimo	Ehlobo	Yasmin
Ukuvimbela inzalo	Yebo	Yebo
Isifo se-premenstrual dysphoric (PMDD)	Yebo	Akunjalo
Izinduna	Yebo	Akunjalo

Ngabe i-Yaz noma i-Yasmin isebenza kangcono?

Bobabili uYaz noJasmin bakhonjisiwe ukuthi bayasebenza ekuvimbeleni ukukhulelwa kwabesifazane abangasebenzisi noma iyiphi enye indlela yokuvimbela inzalo.

Phakathi ku isifundo sokuqala ukuvivinya ukusebenza kwe-Yaz, isilinganiso sokukhulelwa sasingu-1 kwabesifazane abayi-100 ngonyaka. Lolu cwaningo luhlolisise ababambiqhaza abangaphezu kwenkulungwane abaphinde bahlanganisa imijikelezo yezinsuku eziyizinkulungwane eziyishumi ezingama-28. Ucwaningo lubandakanya iqembu labesifazane abahlukahlukene futhi luthathe unyaka ongu-1.

Ezifundweni ezihlola ukusebenza kweYasmin (Yini iYasmin?), Amanani okukhulelwa abengaphansi kuka-1 kwabesifazane abayi-100 ngonyaka. Eyodwa funda , isibonelo, ikhombise isilinganiso sokukhulelwa esingu-0.407 esibonisa ukusebenza kahle okuphezulu. Zonke izifundo zokusebenza ngempumelelo zibe nesikhathi esifinyelela eminyakeni emi-2 futhi zafaka ababambiqhaza abangaphezu kwezinkulungwane ezimbili ngokuhlanganyela abaphothule imijikelezo yezinsuku ezingaphezu kwezinkulungwane ezingamashumi amathathu ezingama-28.

Ukuhlanganisa kanye nokuqhathanisa izindleko kwe-Yaz vs. Yasmin

I-Yaz isidakamizwa segama lomkhiqizo futhi kungenzeka noma singambozwa ngokuya ngohlelo lwakho lomshuwalense. Izindleko ezijwayelekile zokuthengisa zegama lomkhiqizo i-Yaz ngu- $ 157 kokuphakelwa kwezinsuku ezingama-28.

I-Loryna, i-Kyra ne-Nikki yizilinganiso ezifanayo ze-Yaz ezinezithako ezifanayo futhi ezingabiza cishe ama- $ 85. Ngesigqebhezana se-SingleCare, unganciphisa lezi zindleko futhi ulindele ukukhokha cishe u- $ 25.

I-Yasmin futhi iyisidakamizwa segama lomkhiqizo futhi kungenzeka noma ingambozwa ngokuya ngohlelo lwakho lomshuwalense. I-Yasmin ingabiza cishe u- $ 150 ngokuthengwa kwezinsuku ezingama-28. I-Ocella, iSyeda, neZarah ukufana okujwayelekile kweYasmin okuqukethe izithako ezifanayo ngamandla afanayo. U-Ocella ubiza cishe u- $ 72. Uma usebenzisa isigqebhezana se-SingleCare Yasmin, ungakwazi ukusindisa okuningi kulo muthi.

Thola ikhadi lesaphulelo sakwaSingleCare

	Ehlobo	Yasmin
Ngokuvamile embozwe umshwalense?	Akunjalo	Akunjalo
Imbozwe ngokujwayelekile yi-Medicare?	Akunjalo	Akunjalo
Umthamo ojwayelekile	0.02 mg ethinyl estradiol / 3 mg yedrospirenone Ukunikezwa kwezinsuku ezingama-28	0.03 mg ethinyl estradiol / 3 mg yedrospirenone Ukunikezwa kwezinsuku ezingama-28
I-Medicare copay ejwayelekile	Kuya ngecebo lakho lomshuwalense	Kuya ngecebo lakho lomshuwalense
Izindleko ze-SingleCare	$ 25	$ 47

Imiphumela emibi ye-Yaz vs. Yasmin

U-Yaz no-Yasmin babelana ngemiphumela efanayo efana nekhanda noma i-migraines, isicanucanu, ukuhlanza, isisa sebele, nokushintsha kwemizwelo. Eminye imiphumela emibi ye-Yaz ifaka phakathi izinguquko zokuya esikhathini, ukucasuka, ukwehla kwe-libido (ukushayela ubulili), nokuzuza kwesisindo. Eminye imiphumela emibi ye-Yasmin ifaka i-premenstrual syndrome (PMS) nobuhlungu besisu noma ukungaphatheki kahle.

U-Yaz no-Yasmin nabo bangadala imiphumela emibi efana ne amahlule egazi, isifo senhliziyo nesifo sohlangothi . Amahlule egazi nawo angadala ezinye izehlakalo ezibucayi ezifana ne-thromboembolisms lapho amahlule afakwa esitsheni segazi. I-Thromboembolisms ingafaka i-pulmonary embolism (PE) emaphashini noma i-vein thrombosis (DVT) emilenzeni.

Umfutho wegazi ophakeme, izinkinga ze-gallbladder, nesifo sesibindi ngeminye imiphumela emibi engahle ivele kumaphilisi okuvimbela inzalo. Le miphumela ingasongela impilo. Khuluma nodokotela wakho uma usuvele unengcindezi ephezulu yegazi, izinkinga zokujiya, noma umlando wezicubu zesibindi ngaphambi kokuqala ukulawulwa kokuzalwa.

Ngenkathi abesifazane abakwiYaz noma iYasmin benengozi eyengeziwe yamahlule egazi, ochwepheshe bezokwelapha abaphakamisi ukuthi bayeke ngokushesha ukusetshenziswa kwabo. Ubungozi busephansi kakhulu ngokusho umbiko owodwa ovela ku-CMAJ . Kodwa-ke, ingozi isekhona okuholele ekutheni amanye amazwe afana neFrance adonse ukumbozwa kwephilisi.

	Ehlobo	Yasmin
Imiphumela emibi	Kusebenza?	Imvamisa	Kusebenza?	Imvamisa
Ukuphathwa ikhanda / i-migraine	Yebo	7%	Yebo	ishumi nanye%
Ukungahambi kahle esikhathini	Yebo	5% -25%	Akunjalo	-
Isicanucanu / ukuhlanza	Yebo	4% -16%	Yebo	5%
Ubuhlungu besifuba / isisa	Yebo	4%	Yebo	8%
Ukushintsha kwemizwelo	Yebo	amaphesenti amabili	Yebo	amaphesenti amabili
Ukuthukuthela	Yebo	3%	Akunjalo	-
Kwehlisiwe i-libido	Yebo	3%	Akunjalo	-
Ukuzuza kwesisindo	Yebo	3%	Akunjalo	-
Isifo sangaphambi kokuya esikhathini	Akunjalo	-	Yebo	13%
Ubuhlungu besisu	Akunjalo	-	Yebo	amaphesenti amabili

Umthombo: I-DailyMed (Ehlobo) , I-DailyMed (Yasmin)

Ukusebenzisana kwezidakamizwa kwe-Yaz vs. Yasmin

UYaz noYasmin baxhumana nezinhlobo ezifanayo zemithi. Imikhiqizo noma amakhambi athinta ama-enzyme wesibindi, ikakhulukazi i-CYP3A4 enzyme, angaba nomthelela kumaphilisi okuvimbela inzalo. Izidakamizwa ezifana ne-phenytoin ne-carbamazepine zenza i-CYP3A4 enzyme futhi yehlise ukusebenza kwamaphilisi wokulawula ukubeletha. Ama-inhibitor we-CYP3A4 enzyme efana ne-ketoconazole ne-diltiazem angakhuphula izinga le-Yaz noma i-Yasmin emzimbeni.

Eminye imithi esetshenziselwa ukwelapha i-HIV nayo ingathinta amazinga e-estrogen ne-progestin emzimbeni. La mazinga angashintsha ukuthi lisebenza kanjani iphilisi lokuvimbela inzalo. Yize ama-antibiotic kubikwe ukuthi kuthinta izindlela zokuvimbela inzalo ngomlomo , kusaphikiswana ngokuthi ngabe ama-antibiotic anomthelela omkhulu yini ezithweni zokuvimbela inzalo ngomlomo. Ochwepheshe abaningi bezokunakekelwa kwezempilo basancoma ukusebenzisa indlela yokuvikela ukukhulelwa uma unqunyelwe i-antibiotic.

Izidakamizwa	Ehlobo	Yasmin
Ama-inducers we-CYP3A4 (phenytoin, carbamazepine, topiramate, rifampin, oxcarbazepine, iSt John's Wort, njll.)	Yebo	Yebo
I-CYP3A4 inhibitors (ketoconazole, fluconazole, voriconazole, verapamil, macrolides, diltiazem, njll.)	Yebo	Yebo
Imithi ye-HIV efana ne-protease inhibitors (atazanavir, ritonavir, njll.) Kanye ne-non-nucleoside reverse transcriptase inhibitors (nevirapine, efavirenz ne-etravirine, njll.)	Yebo	Yebo
Imithi elwa namagciwane	Yebo	Yebo

Izexwayiso ze-Yaz vs. Yasmin

Ngoba bobabili i-Yaz ne-Yasmin baqukethe i-drospirenone, beza ne-a ingozi ephezulu yamahlule egazi okungaholela ezenzakalweni zenhliziyo ezifana nokuhlaselwa yisifo senhliziyo nokushaywa unhlangothi. Abesifazane abangaphezu kweminyaka engama-35 ababhemayo akufanele basebenzise i-Yaz noma i-Yasmin. Ukubhema ugwayi kukhonjisiwe ukukhulisa ubungozi bamahlule egazi nemiphumela emibi lapho usebenzisa izindlela zokuvimbela inzalo ezihlanganisiwe.

I-Yaz ne-Yasmin ziqukethe i-drospirenone, engakhuphula amazinga e-potassium emzimbeni. Lawa maphilisi angakhuphula ubungozi be-hyperkalemia, noma ephakeme kune-potassium ejwayelekile. Ngakho-ke, amazinga e-potassium kufanele abhekwe kwabesifazane abathatha neminye imishanguzo engakhuphula i-potassium.

Abesifazane abanomlando wezokwelapha owedlule womdlavuza webele, umfutho wegazi ophakeme, izinkinga zesibindi noma izinso, isifo sikashukela, kanye ne-cholesterol ephezulu kufanele babonane nodokotela ngaphambi kokuqala i-Yaz noma i-Yasmin. Ukuthatha izinto zokuvimbela inzalo ezihlanganisiwe kungazenza zibe zimbi lezi zinkinga noma kukhuphule ubungozi bemiphumela emibi kakhulu.

I-Yaz noma i-Yasmin akufanele isetshenziswe kwabesifazane abakhulelwe noma kulabo besifazane abasola ukuthi bakhulelwe. Uma usola ukuthi ukhulelwe ngenkathi uthatha izinto zokuvimbela inzalo ngomlomo, kufanele uyeke ukuzisebenzisa.

Imibuzo ebuzwa njalo nge-Yaz vs. Yasmin

Yini uYaz?

I-Yaz iyinhlanganisela yephilisi lokuvimbela inzalo (COC). Iqukethe i-0.02 mg ye-ethinyl estradiol ne-3 mg ye-drospirenone. I-Yaz ayigcini nje ngokuvimbela ukukhulelwa kepha futhi iphatha i-premenstrual dysphoric disorder (PMDD) kanye nezinduna kwabesifazane abaneminyaka eyi-14 nangaphezulu.

Yini uYasmin?

I-Yasmin iyefana ne-Yaz futhi iqukethe izithako ezifanayo. Kodwa-ke, iqukethe i-0.03 mg ye-ethinyl estradiol ne-3 mg ye-drospirenone. I-Yasmin isetshenziselwa kuphela ukuvimbela ukukhulelwa kwabesifazane abaneminyaka yobudala bokuzala.

Ngabe uYaz noJasmin bayafana?

I-Yaz ne-Yasmin ziqukethe i-ethinyl estradiol ne-drospirenone. Kepha awawona umuthi ofanayo. I-Yasmin iqukethe inani eliphakeme kancane le-ethinyl estradiol ngokuqhathaniswa ne-Yaz. Futhi zinokusetshenziswa okuhlukile nemiphumela engemihle.

Ngabe uYaz noma uYasmin bangcono?

I-Yas ne-Yasmin bobabili bayasebenza ekuvimbeleni ukukhulelwa. Ngokuya ngezifundo ezisebenza ngempumelelo, cishe kuphela abesifazane abayi-1 kwabayi-100 ngonyaka abakhulelwayo lapho bethatha i-Yaz noma i-Yasmin. Kodwa-ke, abanye besifazane bangakhetha enye phezu komunye ngokuya ngemiphumela emibi abangayithola.

Ngabe i-Yaz ibangela ukuzuza kwesisindo?

Yebo. I-Yaz ingadala ukuzuza kwesisindo kwabanye besifazane. Ngokususelwa esivivinyweni sabesifazane abane-premenstrual dysphoric disorder (PMDD), cishe ama-2.5% alabo abathatha i-Yaz bathola isisindo. Lo mphumela ohlangothini unganele kwabanye besifazane ukuthi bakhethe iphilisi lokuvimbela ukukhulelwa elehlukile.

Ngabe iYasmin ibangela ukuzuza kwesisindo?

Ukuzuza kwesisindo akuboniswanga ukuthi kungumphumela ojwayelekile we-Yasmin. Yize izinguquko zesisindo kungaba umphumela ohlangothini wamaphilisi wokulawula ukubeletha ngokujwayelekile, kungenzeka ukuthi ngeke uzuze isisindo noJasmin. Xhumana nodokotela wakho uma uke waba nezinkinga zesisindo esikhathini esedlule.