Kyleena vs. Mirena: Misiyano, kufanana, uye izvo zviri nani kwauri
Zvinodhaka Vs. ShamwariKuongorora kwezvinodhaka & misiyano mikuru | Conditions kurapwa | Kubudirira | Inishuwarenzi kufukidza uye mutengo kuenzanisa | Zvimwe zvinokanganisa | Kubatana kwezvinodhaka | Yambiro | MIBVUNZO
Kyleena naMirena mazita maviri ezita remishonga anoshandiswa pakubata kubata kana kurapa kubuda ropa kwakanyanya. Yese mishonga inobvumidzwa neUnited States Chikafu neDrug Administration (FDA) uye ine progestin inonzi levonorgestrel (LNG).
Kusiyana nemapiritsi echinyakare ekudzivirira kuberekwa anotorwa nemuromo, Kyleena naMirena vese vari vaviri intrauterine zvishandiso (IUDs) . Hormone IUD chishandiso chidiki chinoiswa muchibereko chako nemupi wako wezvehutano uye chinoburitsa mahormone LNG zvishoma nezvishoma nekufamba kwenguva. Mashandiro anoita maIUD aya haanyatsonzwisisika, asi zvinokurudzirwa kuti LNG inodzivirira kubuda kwemazai uye inoshandura maronda emumuromo wechibereko uye maburi endometrial kudzivirira nhumbu.
Imwe Kyleena kana Mirena IUD inogona kushandiswa kweanosvika makore mashanu. Bayer HealthCare Pharmaceuticals, Inc. inogadzira zvese zvigadzirwa. (Bayer inogadzirawo IUD inonzi Skyla.)
Kunyangwe ese ari maviri emishonga iyi maIUD ane LNG, Kyleena naMirena vane misiyano. Enderera kuverenga kuti udzidze zvese nezvaKyleena naMirena.
Ndeupi mutsauko mukuru pakati paKyleena naMirena?
Kyleena naMirena vese maHOD emahomoni ane progestin inonzi levonorgestrel (LNG). Mishonga yese iri miviri inowanikwa muzita rezita chete. Kyleena (kyleena coupons) ane dosi yakaderera yeLNG, sezvaungaona mune iri ruzivo pazasi.
Kyleena anosiyaniswazve kubva kune mamwe emidziyo ye intrauterine netambo yekubvisa bhuruu-uye kuona kwerin'i yesirivha pane ultrasound. Mutapi wako wezvehutano anofanira kuisa Kyleena kana Mirena (mirena coupons). IUD inogona kugara mumuviri wako kwemakore mashanu. Panguva iyoyo, wako mupi wezvehutano anofanira kuibvisa. Kana iwe uchida kuenderera uchishandisa IUD, IUD nyowani inogona kuiswa mukati nekukurumidza kana yapfuura yabviswa.
| Misiyano mikuru pakati paKyleena naMirena | ||
|---|---|---|
| Kyleena | Mirena | |
| Kirasi yemishonga | Progestins | Progestins |
| Brand / generic chinzvimbo | Brand | Brand |
| Chii chinonzi generic zita? | Levonorgestrel (LNG) intrauterine mudziyo (IUD) kana levonorgestrel-inosunungura intrauterine system | Levonorgestrel (LNG) intrauterine mudziyo (IUD) kana levonorgestrel-inosunungura intrauterine system |
| Ndeapi mafomu (s) ayo mushonga unouya? | Intrauterine chishandiso (IUD) | Intrauterine chishandiso (IUD) |
| Ndeipi muyero wakajairwa? | Yakazara dhayeti ye19.5 mg LNG inosunungurwa pachiyero chingangoita 17.5 mcg / zuva mushure memazuva makumi maviri nemana. Ichi chiyero chinodzikira kusvika pa9.8 mcg / zuva mushure megore rimwe uye 7.4 mcg / zuva mushure memakore mashanu. Kyleena anofanira kubviswa panopera gore rechishanu. Mutapi wezvehutano anogona kuisa chishandiso chitsva kana Kyleena abviswa kana murwere achida kuenderera mberi nekurapwa. | Yese dosi ye52 mg LNG inosunungurwa pachiyero chemakumi maviri emamg / zuva. Ichi chiyero chinodzikira zvishoma nezvishoma kusvika gumi mcg / zuva mushure memakore mashanu. Mutapi wezvehutano anogona kuisa chishandiso chitsva kana Mirena yabviswa kana murwere achishuvira kuenderera mberi nekurapwa. |
| Inguva yakareba sei kurapwa kwacho? | Kusvikira pamakore mashanu; chigadzirwa chitsva chinogona kuiswa nekukasira mushure mekubviswa kwechigadzirwa chekare. | Kusvikira pamakore mashanu; chigadzirwa chitsva chinogona kuiswa nekukasira mushure mekubviswa kwechigadzirwa chekare. |
| Ndiani anowanzoshandisa mushonga? | Vakadzi vanopfuura makore gumi nemasere | Vakadzi vanopfuura makore gumi nemasere |
Unoda mutengo wakanakisa pana Kyleena?
Saina kuti Kyleena mutengo wekuzivisa uye uone kana mutengo uchinja!
Wana Maonero Ekuzivisa
Mamiriro ezvinhu akarapwa naKyleena naMirena
Kyleena naMirena vese vari vaviri vanoratidzwa kudzivirira kubata nhumbu kusvika kumakore mashanu. Mirena (Chii chinonzi Mirena?) Inoratidzwawo pakurapwa kwekuremerwa kwekuenda kumwedzi. Kyleena (Chii chinonzi Kyleena?) Haana ichi chiratidzo, asi vamwe vanachiremba vanogona kuchinyorera icho-kurebesa kubatsira nenguva dzinorema.
| Mamiriro | Kyleena | Mirena |
| Kudzivirira kubata pamuviri kusvika pamakore mashanu | Ehe | Ehe |
| Kurapa kwekuremerwa kubuda kumwedzi | Kunze-chitaridzi | Ehe |
Kyleena kana Mirena inoshanda zvakanyanya here?
Zvidzidzo hazviwanikwe tichienzanisa Kyleena naMirena. Tichitarisa pamushonga wega wega, Mashoko aKyleena inotaura kuti iyo Kyleena IUD inopfuura 99% inoshanda mukudzivirira nhumbu yegore rega rega rekushandisa. Kwemakore mashanu, iri 98.5% inoshanda.
Mirena inotaura ruzivo rwakafanana - rwunopfuura 99% runoshanda mukudzivirira kubata pamuviri kwegore rega rega rekushandisa, pamwe nepamusoro pe99% inoshanda pamakore mashanu.
Imwe IUD inoshanda senzira inoshanda yekudzivirira nhumbu. Ivo akakodzera kushandiswa kwenguva refu, anosvika makore mashanu kune rimwe IUD. Zvakare, kusiyana nemapiritsi ekudzivirira kuberekwa, haufanire kuyeuka kuinwa zuva rega rega. (Iwe unongotarisa tambo kamwe chete pamwedzi.)
Aya maIUD zvakare anodzora kubata pamuviri, zvichireva kuti kana iyo IUD yabviswa, unogona kubata pamuviri. Vazhinji varwere vanokwanisa kuve nepamuviri mukati memwedzi gumi nemaviri mushure mekubviswa kweIUD. Chete mupi wako wekuchengetedza hutano ndiye anogona kuona kuti ndeupi mushonga uri nani kwauri, uchifunga nhoroondo yako yekurapa.
Unoda mutengo wakanakisa paMirena?
Saina kune Mirena mutengo wekuzivisa uye uone kana mutengo uchinja!
Wana Maonero Ekuzivisa
Kuvhavha uye mutengo kuenzanisa kwaKyleena vs. Mirena
Nekuti mupi wako wezvehutano anopa Kyleena kana Mirena muhofisi, iye achazopa mudziyo. Iwe haugare uchishanyira chemishonga yeKyleena kana Mirena. Naizvozvo, wako mupi wezvehutano anoendesa Kyleena kana Mirena kune yako inishuwarenzi yekurapa.
Mutengo wekunze kwehomwe weimwe Kyleena IUD ingangoita madhora zviuru zviviri. Iwe unogona kubvunza wako mupi wezvehutano kana vachizogamuchira iyo YegaCare koponi, kuunza mutengo pasi kusvika ungangoita $ 960.
Mutengo wekunze kwehomwe weMirena IUD ingangoita madhora mazana mana nemazana mana. Iwe unogona kubvunza wako mupi wezvehutano kana iwe uchikwanisa kushandisa yako ImweCare koponi, uchideredza mutengo kusvika pasi pe $ 1 000.
Tora iyo SingleCare kadhi rekudzikisa
| Kyleena | Mirena | |
| Kazhinji yakafukidzwa neinishuwarenzi? | Chiremba | Chiremba |
| Inowanzo kufukidzwa neMedare Chikamu D? | N / A. | N / A. |
| Standard muyero | Chimwe chigadzirwa | Chimwe chigadzirwa |
| Chaizvoizvo Medicare copay | N / A. | N / A. |
| SingleCare mutengo | $ 960 + | $ 960 + |
Zvakajairika mhedzisiro mhedzisiro yaKyleena vs. Mirena
Nekuti Kyleena neMirena vane chinhu chimwe chete chinoshanda, levonorgestrel, mhedzisiro yakafanana. Mhedzisiro inowanzoitika yeKyleena neMirena inosanganisira kuzvimba kwemukadzi, kurwadziwa mudumbu, kurwadza kwekuenda kumwedzi, kuda kurutsa, acne , kusagadzikana kwemazamu, uye shanduko mukutevera kubuda ropa. Kudzingwa kwechigadzirwa kwakaitika mune mashoma muzana evarwere mumakiriniki ekuedzwa.
Iyi haisi rondedzero izere yemhedzisiro. Mimwe mhedzisiro yakaipa inogona kuitika. Bvunza wako mupi wezvehutano kuti uwane izere rondedzero yemhedzisiro
| Kyleena | Mirena | |||
| Side maitiro | Zvinoshanda? | Kakawanda | Zvinoshanda? | Kakawanda |
| Vulvovaginitis (kusangana nekutsi kwemukadzi) | Ehe | 24% | Ehe | 10.5% |
| Ovarian cyst | Ehe | 22% | Ehe | 7.5% |
| Dumbu kana kurwadziwa kwepamuviri | Ehe | makumi maviri nerimwe% | Ehe | 22.6% |
| Kutemwa nemusoro kana migraine | Ehe | gumi neshanu% | Ehe | 16.3% |
| Kutambudzika shure | Kwete | - | Ehe | 7.9% |
| Acne | Ehe | gumi neshanu% | Ehe | 6.8% |
| Dysmenorrhea (kumwedzi kupwanya) / uterine spasm | Ehe | 10% | Ehe | 6.4% |
| Amenorrhea (hapana nguva) | Ehe | Zvinoshanduka nehurefu hwekurapwa | Ehe | Zvinoshanduka nehurefu hwekurapwa |
| Kurwadziwa kwepamuviri / kusagadzikana | Ehe | 10% | Ehe | 8.5% |
| Kuwedzera kubuda ropa | Ehe | 8% | Ehe | 12% |
| Kusununguka | Ehe | 4.5% | Ehe | 14.9% |
| Kudzinga mudziyo | Ehe | 3.5% | Ehe | <5% |
| Nausea | Ehe | 4.7% | Ehe | <5% |
| Kushungurudzika | Ehe | 4.4% | Ehe | 6.4% |
Kwayaka: DailyMed ( Kyleena ), Zuva Nezuva ( Mirena )
Kubatana kwezvinodhaka kwaKyleena vs. Mirena
Zvidzidzo zvekudyidzana kwezvinodhaka hazvina kuitwa naKyleena kana Mirena, ayo ese ane LNG. Zvisinei, zvinodhaka zvinokonzera ma enzyme anogadzira LNG anogona kudzikira mazinga eLNG, zvichiita kuti IUD isanyanya kushanda. Kune rimwe divi, mishonga inodzivirira ma enzymes anogadzirisa LNG anogona kuwedzera mazinga eLNG, zvichikonzera mamwe maratidziro. Nekuda kwemhedzisiro yemushonga (mushonga unosunungurwa muchibereko chechibereko), kudyidzana kwemushonga kunogona kunge kusiri kwehutano. Kumbira mupi wako wezvehutano kana paine kudyidzana kwemishonga nemishonga yaunotora.
Mugadziri wevaKyleena naMirena vanokurudzira kuti chero mushonga unorayirwa pamwe chete neimwe yeIUDs uongororwe kuti ungapindirana sei nemishonga neLNG.
Iri harisi runyorwa ruzere rwekubatana kwezvinodhaka. Bvunza wako mupi wezvehutano nezvezvehutano.
| Zvinodhaka | Kirasi yemishonga | Kyleena | Mirena |
| Carbamazepine Efavirenz Felbamate Griseofulvin Nevirapine Oxcarbazepine Phenobarbital Phenytoin Rifabutin Rifampin Wort St. Topiramate | Zvinodhaka zvinogona kudzikisa huwandu hweLNG | Hongu (zvinogona) | Hongu (zvinogona) |
| Itraconazole Ketoconazole | Zvinodhaka zvinogona kuwedzera mwero weLNG | Hongu (zvinogona) | Hongu (zvinogona) |
Yambiro dzaKyleena naMirena
Nekuti zvese Kyleena neMirena zvine chinhu chimwe chete, levonorgestrel, yambiro yakafanana.
- Kyleena kana Mirena haifanire kushandiswa mune varwere:
- Ndivanaani vane nhumbu kana vanofungidzirwa kuti vane nhumbu
- Nematambudziko echibereko, senge fibroids
- Ndivanaani vane chirwere chepachirwere chinopisa (PID), nhoroondo yePID, kana avo vanogona kutapukirwa nehutachiona.
- Uine uterine kana cervical neoplasia (kukura)
- Ndivanaani vane kenza yemazamu kana imwe kenza inonzwisisika yeprogestin (kana nhoroondo)
- Uine uterine kubuda ropa kwechikonzero chisingazivikanwe
- Ndivanaani vasina kurapwa kurapwa kwechibereko kana kwechikadzi (kusvikira hutachiona hwadzorwa)
- Nechiropa chirwere kana bundu
- Ndiani parizvino ane IUD yakaiswa
- Ndivanaani vane hypersensitive kune izvo zvigadzirwa
- Kyleena kana Mirena haifanire kushandiswa senzira yekudzivirira kubata pamuviri nechimbichimbi.
- Murwere anofanira kuongororwa masvondo mana kusvika matanhatu mushure mekuiswa kweIUD.
- Kyleena kana Mirena vanofanirwa kubviswa kana nhumbu ikaitika. Kune njodzi yakawandisa ye ectopic nhumbu, iyo inogona kutungamira mukurasikirwa nepamuviri, kurasikirwa nekubereka, septic abortion (kusanganisira kufa), uye nguva isati yakwana yekubereka uye kuendesa.
- Anopa hutano anofanira kushandisa yakasimba aseptic nzira yekudzivirira hutachiona pakuiswa kweIUD.
- Mubatsiri wezvehutano anofanirwa kufunga nezve njodzi dzekuputika kwechirwere.
- Uterine perforation inogona kuitika, iyo inogona kudzikisira kushanda kweIUD uye / kana kuda kuvhiyiwa. Kune njodzi yakawedzera mumashure mekusununguka uye nekuyamwisa vakadzi.
- Kusarura kwakakwana kana kwakakwana kunogona kuitika (zvinogona kunge kusingaonekwe), izvo zvinotungamira mukurasikirwa nekubudirira.
- Kyleena kana Mirena vanogona kuchinja maitiro ekubuda ropa, pamwe zvichikonzera kusagadzikana uye / kana amenorrhea.
- Ovarian cysts inogona kuitika. Ongorora yakawedzera ovarian follicles kana ovarian cysts.
- Kyleena anogona kuongororwa muMRI pasi pemamwe mamiriro. Kana iwe uchida MRI, zivisa wako mupi wezvehutano uye radiology / vashandi vemuzvipatara kuti iwe une IUD.
- IUDs haidziviriri kubva kuHIV / AIDS kana zvimwe zvirwere zvepabonde.
- Bata wako mupi wezvehutano nekukurumidza kana iwe uchinge wawana:
- Sitiroko kana chirwere chemwoyo
- Migraine misoro
- Fivha isingatsanangurike
- Zviratidzo zvezvinetso zveropa (yero ganda kana maziso)
- Kubata kana kufungidzirwa kubata pamuviri
- Pelvic kana kurwadziwa mumimba
- Marwadzo panguva yekusangana
- Bvunzo yeHIV (mauri kana mumwe wako)
- Kuratidzirwa kuzvirwere zvepabonde
- Kusina kujairika kusangana nekutsi kwemukadzi kubuda
- Maronda epamuviri
- Kubuda ropa kwakanyanya kana kunogara kwenguva refu
- Kutadza kunzwa iyo IUD tambo
Inowanzo bvunzwa mibvunzo nezve Kyleena vs. Mirena
Chii chinonzi Kyleena?
Kyleena inzira yekudzivirira kuberekwa inoshandiswa kudzivirira kubata pamuviri, iyo ine progestin inonzi levonorgestrel. Iyo intrauterine chishandiso (IUD).
Chii chinonzi Mirena?
Mirena zvakare iri IUD ine levonorgestrel. Inotaridzirwa kudzivirira kubata pamuviri pamwe nekubata ropa rinorema rekuenda kumwedzi.
Kyleena naMirena vakafanana here?
Kyleena naMirena vese maIUD ane levonorgestrel uye anogona kushandiswa kweanosvika makore mashanu. Muyero wehomoni (levonorgestrel) wakasiyana. Mirena ine huwandu hwakawanda hwehormone kupfuura Kyleena. Migumisiro yakafanana yakafanana. Mamwe mahormone IUD anosanganisira Skyla uye Liletta.
Iwe unogona kunge wakanzwawo nezveParagard IUD. Paragard yakasiyana naKyleena naMirena nekuti imhangura IUD uye haina mahormone.
Kyleena kana Mirena vari nani here?
Ose Kyleena naMirena anoshanda kwazvo, anopfuura 99% anoshanda mukudzivirira kubata pamuviri kwegore rega rega rekushandisa. Kyleena ane 98.5% anoshanda mushure memakore mashanu, uye Mirena inopfuura 99% inoshanda mushure memakore mashanu. Mubatsiri wako wehutano anogona kukubatsira kuti uone kana Kyleena kana Mirena zviri nani kwauri.
Ndinogona here kushandisa Kyleena kana Mirena ndichiri nepamuviri?
Fonera wako mupi wezvehutano ipapo ipapo kana uine Kyleena kana Mirena mudziyo uye funga kuti unogona kunge uine pamuviri. IUD inogona kukonzera ectopic nhumbu (nhumbu kunze kwechibereko), yakakomba yekurapa emergency. Kana iwe uine mudziyo wakaiswa uye ukava nepamuviri, uye iyo nhumbu iri muchibereko, hutachiona hwakakomba, kupererwa nemimba, kubereka nguva isati yakwana, uye kunyange kufa kunogona kuitika. Mubatsiri wako wehutano anogona kuyedza kubvisa iyo IUD, iyo inogona kukonzeresa kuenda nepamuviri. Hazvizivikanwe kana maLNG IUDs anogona kukonzera mhedzisiro yenguva refu pane fetus kana iyo IUD ichigara munzvimbo panguva yekuzvitakura. Nyanzvi yako yehutano inogona kukutungamira pane yakachengeteka nzira yekuita.
Ndinogona here kushandisa Kyleena kana Mirena nedoro?
Kyleena kana Mirena havana kudyidzana nedoro. IUD inogona kunge iri nzira yakasarudzika yekudzivirira kuberekwa kune murwere anonwa doro.
Kyleena anorwadza zvishoma kupfuura Mirena?
Kuiswa kweIUD (kungave Kyleena kana Mirena) kunogona kukonzera marwadzo, kubuda ropa, dzungu, uye kusagadzikana. Iwe unofanirwa kunzwa zviri nani mukati memaminitsi makumi matatu mushure mekuiswa. Kana iwe usinganzwe zvirinani panguva ino, mupi wako wezvehutano anozoda kukuongorora kuti uone kuti chishandiso chakaiswa nemazvo. Kyleena idiki zvishoma muhukuru kupfuura Mirena, saka vamwe varwere vanorega kupinza zvirinani.
Ndeipi IUD ndiyo yakanyanya kunaka?
IUDs ari yakakurumbira uye inoshanda nzira yekudzivirira . Mubatsiri wako wehutano anogona kukubatsira kuronga kuburikidza nesarudzo dzekuzvarwa uye kuona kana IUD yakakunakira iwe, uye kana zvirizvo, ndeipi iri nani, uchifunga nhoroondo yako yekurapa.
Kyleena anokonzera bvudzi kumeso here?
Kyleena anogona kukonzera acne kana ganda rakakora . Ruzivo rwemugadziri haruratidze bvudzi kumeso sechikamu chemukati. Bvunza wako mupi wezvehutano kuti uwane rumwe ruzivo.
Kyleena anomisa nguva here?
Kyleena anogona kukonzeresa kubuda ropa. Vamwe varwere vanogona kunge vakatowedzera kubuda ropa pakutanga. Vamwe varwere vane kuona zvakare, kana kureruka nguva. Vamwe varwere vane amenorrhea (kusavapo kwenguva). Mumakiriniki ekuedzwa, vangangoita gumi nevaviri muzana vevarwere paKyleena vaive ne amenorrhea mushure megore rimwe. Mushure memakore matatu, vangangoita makumi maviri muzana vaive ne amenorrhea, uye mushure memakore mashanu, vangangoita 23% vaive ne amenorrhea.
