{"id":20840,"date":"2019-01-31T22:00:55","date_gmt":"2019-01-31T21:00:55","guid":{"rendered":"http:\/\/intervista.al\/web\/?p=20840"},"modified":"2019-01-31T17:42:42","modified_gmt":"2019-01-31T16:42:42","slug":"te-mirat-dhe-te-keqijat-e-kontraceptiveve%ef%bb%bf","status":"publish","type":"post","link":"https:\/\/intervista.al\/web\/2019\/01\/te-mirat-dhe-te-keqijat-e-kontraceptiveve%ef%bb%bf\/","title":{"rendered":"T\u00eb mirat dhe t\u00eb k\u00ebqijat e kontraceptiv\u00ebve\ufeff"},"content":{"rendered":"\n
\"\"<\/figure>\n\n\n\n


<\/p>\n\n\n\n

– Sa\nkoh\u00eb ka q\u00eb ekziston pilula dhe a ka ndryshuar shum\u00eb ajo gjat\u00eb viteve?<\/strong><\/p>\n\n\n\n

– Pilula \u00ebsht\u00eb eksperimentuar p\u00ebr her\u00eb t\u00eb par\u00eb\nn\u00eb vitin 1955 dhe q\u00eb prej asaj kohe ka ndryshuar shum\u00eb. Laborator\u00ebt kan\u00eb punuar\npa pushim p\u00ebr t\u00eb p\u00ebrmir\u00ebsuar toleranc\u00ebn klinike dhe biologjike ndaj pilul\u00ebs,\nduke ruajtur efikasitetin e saj gati total, q\u00eb p\u00ebrb\u00ebn pik\u00ebn e saj t\u00eb fort\u00eb. P\u00ebrmir\u00ebsimi\ni toleranc\u00ebs b\u00ebhet me dy m\u00ebnyra: Nj\u00eb pak\u00ebsimi t\u00eb konsideruesh\u00ebm t\u00eb sasive t\u00eb\nhormoneve dhe krijimin e progestativ\u00ebve shum\u00eb t\u00eb fuqish\u00ebm, duke b\u00ebr\u00eb t\u00eb mundur\np\u00ebrdorimin e dozave t\u00eb vogla. K\u00ebshtu, q\u00eb prej pilul\u00ebs s\u00eb par\u00eb, Enovidit, doza e\nestrogjeneve \u00ebsht\u00eb pjes\u00ebtuar p\u00ebr shtat\u00eb. P\u00ebrsa i p\u00ebrket progestativ\u00ebve, nj\u00eb\ntablet\u00eb Enovidi p\u00ebrmbante m\u00eb shum\u00eb se gjith\u00eb ato q\u00eb p\u00ebrdoren p\u00ebr nj\u00eb muaj tani.\n<\/p>\n\n\n\n

– \u00c7far\u00eb\np\u00ebrmban nj\u00eb pilul\u00eb?<\/strong><\/p>\n\n\n\n

– \u00c7do tablet\u00eb p\u00ebrmban nj\u00eb estrogjen dhe nj\u00eb\nprogestativ t\u00eb sintetizuar. Estrogjeni \u00ebsht\u00eb gjithmon\u00eb i nj\u00ebjti, etinil-ekstradioli,\ni dozuar me 15-50 mg p\u00ebr pilul\u00eb sipas mark\u00ebs (kjo doz\u00eb \u00ebsht\u00eb treguar n\u00eb \u00e7do\nkuti). Progestativi \u00ebsht\u00eb gjithashtu nj\u00eb derivat i progesteronit, efektet e t\u00eb\ncilit \u201ckopjon\u201d. Natyra dhe doza e progestativit ndryshojn\u00eb n\u00eb var\u00ebsi t\u00eb\nlaboratorit farmaceutik. Pilulat jan\u00eb konceptuar p\u00ebr t\u00eb riprodhuar n\u00eb m\u00ebnyr\u00eb\nartificiale nj\u00eb cikl\u00ebt normale prej 28 dit\u00ebsh. <\/p>\n\n\n\n

– \u00c7far\u00eb\njan\u00eb minipilulat?<\/strong><\/p>\n\n\n\n

– Pilulat e ashtuquajtura \u201ct\u00eb minidozuara\u201d,\nose \u201cminipilula\u201d jan\u00eb pilula q\u00eb p\u00ebrmbajn\u00eb doza t\u00eb vogla estrogjenesh, pra 15-30\nmikrogram\u00eb etinil-ekstradiol. <\/p>\n\n\n\n

– \u00c7far\u00eb\nquajm\u00eb mikropilula?<\/strong><\/p>\n\n\n\n

– Quajm\u00eb \u201cmikropilula\u201d, pilulat q\u00eb p\u00ebrmbajn\u00eb\nvet\u00ebm nj\u00eb progestativ me doza t\u00eb vogla, pa estrogjene. Ky term nuk aplikohet p\u00ebr\npilulat estroprogestative. <\/p>\n\n\n\n

– \u00c7far\u00eb\nquajm\u00eb \u201cklim\u00eb hormonale\u201d t\u00eb nj\u00eb pilule?<\/strong><\/p>\n\n\n\n

– Ekuilbiri mes dy p\u00ebrb\u00ebr\u00ebsve t\u00eb pilul\u00ebs\nkrijon nj\u00eb \u201cklim\u00eb hormonale\u201d q\u00eb varion nga nj\u00eb pilul\u00eb tek tjetra. Ekziston mes\npilulave nj\u00eb lloj hierarkie hormonale q\u00eb njihet nga mjeku.  <\/p>\n\n\n\n

– Cilat\njan\u00eb tipet e ndryshme t\u00eb pilul\u00ebs?<\/strong><\/p>\n\n\n\n

– Sipas doz\u00ebs s\u00eb estrogjeneve dhe variacionet\ne saj n\u00eb funksion t\u00eb ciklit dallojm\u00eb formula t\u00eb ndryshme t\u00eb pilul\u00ebs. Kur\nformula dhe ngjyra e secil\u00ebs tablet\u00eb \u00ebsht\u00eb e nj\u00ebjt\u00eb n\u00eb gjith\u00eb pllak\u00ebz\u00ebn me pilula,\nflitet p\u00ebr pilul\u00eb monofazike. Kur doza shtohet n\u00eb pjes\u00ebn e dyt\u00eb t\u00eb ciklit,\nthuhet q\u00eb \u00ebsht\u00eb pilul\u00eb bifazike. M\u00eb n\u00eb fund, kur n\u00eb pllak\u00ebz\u00ebn e tabletave\nkombinohen tre ngjyra t\u00eb ndryshme, flitet p\u00ebr pilul\u00ebn trifazike. <\/p>\n\n\n\n

– Si t\u00eb\nzgjedhim pilul\u00ebn e duhur?<\/strong><\/p>\n\n\n\n

–<\/strong> Shum\u00eb gra i durojn\u00eb praktikisht t\u00eb gjitha llojet e pilulave, por ka\nedhe disa q\u00eb jan\u00eb t\u00eb detyruara t\u00eb nd\u00ebrrojn\u00eb shum\u00eb her\u00eb p\u00ebr t\u00eb gjetur at\u00eb q\u00eb u p\u00ebrshtatet.\nNdodh rrall\u00eb q\u00eb ato q\u00eb mos tolerojn\u00eb asnj\u00eb lloj dhe t\u00eb gjejn\u00eb nj\u00eb m\u00ebnyr\u00eb tjet\u00ebr\nkontracepsioni. Mjeku juaj njeh ve\u00e7antit\u00eb dhe klim\u00ebn hormonale, si edhe\nndryshimet mes pilulave. Ai do t\u00eb mund t\u2019ju k\u00ebshilloj\u00eb m\u00eb mir\u00eb, duke ju p\u00ebrshtatur\nmorfologjis\u00eb suaj. N\u00eb rastin e intoleranc\u00ebs, ai do t\u2019ju orientoj\u00eb drejt nj\u00eb\npilule me klim\u00eb hormonale, ose doz\u00eb t\u00eb ndryshme. P\u00ebr shembull, ju mund t\u00eb\nndjeni bezdi, apo ndjeheni e fryr\u00eb, nervoze me nj\u00eb pilul\u00eb me klim\u00eb estrogjenesh\ndhe shum\u00eb m\u00eb mir\u00eb me nj\u00eb pilul\u00eb me dozim normal, me klim\u00eb progesteroni ose\nmikse. <\/p>\n\n\n\n

– Cila \u00ebsht\u00eb\nm\u00ebnyra e veprimit t\u00eb pilul\u00ebs?<\/strong><\/p>\n\n\n\n

– Pilula bashkon tre m\u00ebnyra veprimi q\u00eb e b\u00ebjn\u00eb\nat\u00eb nj\u00eb metod\u00eb t\u00eb sigurt kontraceptive n\u00ebse merret n\u00eb m\u00ebnyr\u00eb t\u00eb rregullt:<\/p>\n\n\n\n

a. Ajo bllokon ovulimin dhe funksionimin e\nvezoreve q\u00eb vihen n\u00eb periudh\u00eb \u00e7lodhjeje. Ky \u00ebsht\u00eb mekanizmi thelb\u00ebsor. Hormonet\nq\u00eb p\u00ebrmban pilula z\u00ebvend\u00ebsojn\u00eb hormonet e prodhurara nga vezoret.   <\/p>\n\n\n\n

b. Sekrecionet e qaf\u00ebs s\u00eb mitr\u00ebs b\u00ebhen m\u00eb t\u00eb\ntrasha dhe m\u00eb pak t\u00eb bollshme, duke penguar kalimin e spermatozoideve.\nSekrecionet e qaf\u00ebs s\u00eb mitr\u00ebs jan\u00eb zakonisht nj\u00eb l\u00ebng me ngjyr\u00eb t\u00eb hapur,\nviskoz, me sasi maksimale n\u00eb momentin e ovulimin. Prania e tyre \u00ebsht\u00eb e\nnevojshme p\u00ebr futjen e spermatozoideve. <\/p>\n\n\n\n

c. Endometri (shtresa e indeve q\u00eb vesh mitr\u00ebn\nnga brenda) b\u00ebhet m\u00eb e holl\u00eb dhe e pap\u00ebrshtatshme p\u00ebr vendosjen e vez\u00ebs. <\/p>\n\n\n\n

– A\nmund ta p\u00ebrdorin pilul\u00ebn t\u00eb gjith\u00eb grat\u00eb e reja dhe pse duhet t\u00eb konsultohemi\nme mjekun?<\/strong><\/p>\n\n\n\n

– Ekzistojn\u00eb kund\u00ebr-indikime p\u00ebr marrjen e\npilul\u00ebs estroprogestative, edhe t\u00eb minidozuara. Kund\u00ebr- indikimet kan\u00eb lidhje\nme problemet kardiovaskulare, q\u00eb p\u00ebr fat t\u00eb mir\u00eb jan\u00eb t\u00eb rralla tek t\u00eb rinjt\u00eb,\nsi raste flebiti, tromboze pulmonare, hipertensioni arterial, kanceri t\u00eb\ngjirit… Kund\u00ebr-indikime t\u00eb tjera, t\u00eb ashtuquajtura  \u201crelative\u201d, duhen diskutuar rast p\u00ebr rast si\nanomalit\u00eb dhjamore ose pirja e duhanit. P\u00ebr k\u00ebt\u00eb ar\u00ebsye \u00ebsht\u00eb e nevojshme t\u00eb konsultohesh\nme mjekun, q\u00eb duhet t\u00eb b\u00ebj\u00eb nj\u00eb ekzaminim gjinekologjik t\u00eb p\u00ebrgjithsh\u00ebm, p\u00ebrfshi\nedhe matjen e tensionit arterial, t\u00eb pesh\u00ebs dhe gjendjes s\u00eb en\u00ebve t\u00eb gjakut, si\nedhe analizat e gjakut para marrjes s\u00eb pilul\u00ebs. Pasi t\u2019ju ket\u00eb ekzaminuar,\nmjeku juaj mund t\u00eb zgjedh\u00eb mes llojeve t\u00eb ndryshme t\u00eb pilulave. <\/p>\n\n\n\n

– Marrja\ne pilul\u00ebs shton rrezikun kardiovaskular?<\/strong><\/p>\n\n\n\n

– T\u00eb gjitha pilulat p\u00ebrmbajn\u00eb nj\u00eb grup\nhormonesh t\u00eb sintetizuara, nj\u00eb estrogjen dhe nj\u00eb progestativ, q\u00eb mund t\u00eb shtoj\u00eb\nrrezikun e tromboz\u00ebs s\u00eb venave (flebitit) dhe m\u00eb rrall\u00eb, por m\u00eb e r\u00ebnd\u00eb,\ntromboz\u00ebn arteriale (infarktin e miokardit, ose ndonj\u00eb hemoragji cerebrale). K\u00ebto\nrreziqe jan\u00eb shum\u00eb t\u00eb pakta n\u00eb nivelin individual, por duke pasur parasysh\nnumrin e madh t\u00eb grave q\u00eb p\u00ebrdorin sot pilul\u00ebn duhen marr\u00eb n\u00eb konsiderat\u00eb. \u00cbsht\u00eb\nnormale pra q\u00eb mjek\u00ebt jan\u00eb ve\u00e7an\u00ebrisht t\u00eb matur n\u00eb respektimin e m\u00ebnyr\u00ebs s\u00eb p\u00ebrdorimit\ndhe gjith\u00eb kund\u00ebr-indikimet n\u00eb p\u00ebrdorimin e pilul\u00ebs. <\/p>\n\n\n\n

– Pse \u00ebsht\u00eb\ni rreziksh\u00ebm bashkimi pilul\u00eb-duhan?<\/strong><\/p>\n\n\n\n

– Pirja e duhanit p\u00ebrb\u00ebn nj\u00eb faktor rreziku p\u00ebr\nen\u00ebt e gjakut. Bashkimi duhan-pilul\u00eb p\u00ebrb\u00ebn nj\u00eb lidhje t\u00eb rrezikshme t\u00eb dy\nfaktor\u00ebve q\u00eb e shum\u00ebfishojn\u00eb k\u00ebt\u00eb rrezik. P\u00ebr k\u00ebt\u00eb ar\u00ebsye u k\u00ebshillohet vajzave\nt\u00eb reja t\u00eb l\u00ebn\u00eb duhanin para se t\u00eb fillojn\u00eb pilul\u00ebn. Rreziku shtohet me kalimin\ne mosh\u00ebs dhe pirja e duhanit b\u00ebhet nj\u00eb kund\u00ebr-indikim p\u00ebr marrjen e pilul\u00ebs pas\nmosh\u00ebs 35 vje\u00e7are. Pas k\u00ebsaj moshe duhet, pra, t\u00eb hiqni dor\u00eb nga duhani, ose t\u00eb\nzgjidhni nj\u00eb tjet\u00ebr m\u00ebnyr\u00eb kontraceptive, si sterileja, ose nj\u00eb pilul\u00eb krejt\u00ebsisht\nprogestative, por q\u00eb mund t\u00eb ket\u00eb efekte t\u00eb tjer\u00eb t\u00eb bezdisshme, si\n\u00e7rregullimin e cikleve menstruale. <\/p>\n\n\n\n

– Kur\nduhet t\u00eb filloj\u00eb pilula her\u00ebn e par\u00eb?<\/strong><\/p>\n\n\n\n

– Pilula e par\u00eb fillon dit\u00ebn e par\u00eb t\u00eb\nmenstruacioneve t\u00eb ardhshme. <\/p>\n\n\n\n

– Si\nduhet marr\u00eb pilula?<\/strong><\/p>\n\n\n\n

– Shumica e kutive me pilula p\u00ebrmbajn\u00eb 21\ntableta, duhet marr\u00eb pra nj\u00eb pilul\u00eb \u00e7do dit\u00eb, p\u00ebr tre jav\u00eb rrjesht. M\u00eb pas\nduhet t\u00eb ndaloni nj\u00eb jav\u00eb, pik\u00ebrisht at\u00eb jav\u00eb q\u00eb vijn\u00eb menstruacionet dhe t\u00eb\nfilloni me kutin\u00eb tjet\u00ebr, megjith\u00ebse nuk kan\u00eb mbaruar akoma menstruacionet. N\u00ebse\ne keni filluar pllak\u00ebz\u00ebn t\u00eb h\u00ebn\u00ebn, p\u00ebr shembull, duhet ta mbaroni gjithmon\u00eb t\u00eb\ndjel\u00ebn, tre jav\u00eb m\u00eb von\u00eb dhe t\u00eb rifilloni gjithmon\u00eb t\u00eb h\u00ebn\u00ebn, kat\u00ebr jav\u00eb m\u00eb von\u00eb.\nEkzistojn\u00eb edhe pllak\u00ebzat me 28 pilula, ku 4-7 prej tyre jan\u00eb placebo, q\u00eb\nmerren vazhdimisht, gj\u00eb q\u00eb kufizon harres\u00ebn n\u00eb momentin e rimarrjes. Fillimi i\n\u00e7do pllak\u00ebze t\u00eb re do t\u00eb bjer\u00eb gjithashtu t\u00eb nj\u00ebjt\u00ebn dit\u00eb t\u00eb jav\u00ebs. <\/p>\n\n\n\n

– Duke\nfilluar nga cili moment \u00ebsht\u00eb efikase pilula?<\/strong><\/p>\n\n\n\n

– Pilula \u00ebsht\u00eb efikase q\u00eb n\u00eb fillim, q\u00eb kur\nfilloni kutin\u00eb e par\u00eb.<\/p>\n\n\n\n

– \u00cbsht\u00eb\nefikase ajo gjat\u00eb jav\u00ebs s\u00eb nd\u00ebrprerjes?<\/strong><\/p>\n\n\n\n

– Ajo \u00ebsht\u00eb gjithmon\u00eb efikase, edhe gjat\u00eb jav\u00ebs\ns\u00eb nd\u00ebrprerjes.<\/p>\n\n\n\n

–\n\u00c7\u2019ndodh me menstruacionet gjat\u00eb marrjes s\u00eb pilul\u00ebs?<\/strong><\/p>\n\n\n\n

– Marrja e pilul\u00ebs i v\u00eb vezoret n\u00eb periudh\u00eb pauze.\nKur merr pilul\u00ebn, endometri, indet q\u00eb veshin mitr\u00ebn nga brenda dhe q\u00eb largimi i\ntyre shkakton menstruacionet, zhvillohet m\u00eb pak dhe \u00ebsht\u00eb m\u00eb i holl\u00eb se gjat\u00eb\nnj\u00eb cikli natural. Q\u00eb nga pllak\u00ebzat e para me pilula vihet re nj\u00eb pak\u00ebsim i\nmenstruacioneve. Jan\u00eb menstruacione artificiale. Me kalimin e muajve apo\nviteve, k\u00ebto pak\u00ebsohen akoma m\u00eb shum\u00eb.<\/p>\n\n\n\n

– Kur\nmarr pilul\u00ebn menstruacionet e mia jan\u00eb shum\u00eb t\u00eb pakta. \u00cbsht\u00eb normale kjo?<\/strong><\/p>\n\n\n\n

– Tek disa gra dhe me disa pilula, menstruacionet\nmund t\u00eb vijn\u00eb thjesht si njolla gjaku, sidomos n\u00ebse ke koh\u00eb q\u00eb i p\u00ebrdor. Nganj\u00ebher\u00eb\nmund t\u00eb ket\u00eb nj\u00eb munges\u00eb totale t\u00eb tij. N\u00ebse e keni marr\u00eb rregullisht pilul\u00ebn,\nkjo nuk \u00ebsht\u00eb shqet\u00ebsuese, por flisni nj\u00ebher\u00eb me mjekun tuaj. <\/p>\n\n\n\n

– Duhet\nnd\u00ebrprer\u00eb pilula her\u00eb pas here?   <\/strong><\/p>\n\n\n\n

– N\u00eb munges\u00eb t\u00eb shenjave t\u00eb intoleranc\u00ebs dhe n\u00ebse\nd\u00ebshironi gjithmon\u00eb nj\u00eb m\u00ebnyr\u00eb kontracepsioni, nuk ka ar\u00ebsye mjek\u00ebsore p\u00ebr nd\u00ebrprerjen\ne pilul\u00ebs. Me nj\u00eb fjal\u00eb pilula mund t\u00eb merret vazhdimisht. <\/p>\n\n\n\n

– Sa\nkoh\u00eb m\u00eb par\u00eb duhet nd\u00ebrprer\u00eb pilula n\u00ebse do t\u00eb ngelesh shtatzan\u00eb?<\/strong><\/p>\n\n\n\n

– Veprimi i pilul\u00ebs \u00ebsht\u00eb i kthyesh\u00ebm dhe kjo\npavar\u00ebsisht koh\u00ebzgjatjes s\u00eb p\u00ebrdorimit. Ju mund t\u00eb mbeteni shtatzan\u00eb n\u00eb\nmomentin q\u00eb e nd\u00ebrprisni pilul\u00ebn, por nganj\u00ebher\u00eb thuhet se duhet pritur nga 1-3\nmuaj. <\/p>\n\n\n\n

– N\u00ebse\nmbetesh shtatzan\u00eb menj\u00ebher\u00eb sa l\u00eb pilul\u00ebn, ekziston rreziku i d\u00ebshtimit?<\/strong><\/p>\n\n\n\n

– Asnj\u00eb studim nuk ka treguar nj\u00eb shtim t\u00eb\nanomalive apo d\u00ebshtimeve, apo t\u00eb shtatzanive me shum\u00eb f\u00ebmij\u00eb tek grat\u00eb q\u00eb kan\u00eb\nmbetur shtatzan\u00eb sapo kan\u00eb l\u00ebn\u00eb pilul\u00ebn. Edhe kur nj\u00eb grua mbetet aksidentalisht\nshtatzan\u00eb sepse ka harruar marrjen e pilul\u00ebs, kjo zhvillohet pa probleme. <\/p>\n\n\n\n

– Mund\nt\u00eb t\u00eb b\u00ebj\u00eb sterile marrja e pilul\u00ebs?<\/strong><\/p>\n\n\n\n

– Pilula nuk t\u00eb b\u00ebn sterile. N\u00ebse ishit\npjellore para fillimit t\u00eb saj, ka shum\u00eb mund\u00ebsi t\u00eb jeni edhe pas nd\u00ebrprerjes,\nkur t\u00eb d\u00ebshironi nj\u00eb shtatzani. Duhet t\u00eb dini se ciklet e par\u00eb pas nd\u00ebrprerjes\ns\u00eb menstruacioneve mund t\u00eb jen\u00eb t\u00eb \u00e7rregullt, sidomos n\u00ebse i keni pasur t\u00eb till\u00eb\nedhe m\u00eb par\u00eb dhe \u00ebsht\u00eb krejt\u00ebsisht normale t\u00eb durosh disa muaj para se t\u00eb\nmbetesh shtatzan\u00eb. <\/p>\n\n\n\n

– \u00c7far\u00eb\nduhet b\u00ebr\u00eb n\u00eb rastin e harres\u00ebs s\u00eb pilul\u00ebs?<\/strong><\/p>\n\n\n\n

– Pilula klasike duhet marr\u00eb pak a shum\u00eb n\u00eb t\u00eb\nnj\u00ebjtin moment t\u00eb dit\u00ebs, \u00e7do dit\u00eb. Megjithat\u00eb ka nj\u00eb toleranc\u00eb vonese prej 12\nor\u00ebsh:<\/p>\n\n\n\n

a. N\u00ebse harresa \u00ebsht\u00eb m\u00eb e vog\u00ebl se 12 or\u00eb:\nMerreni tablet\u00ebn e harruar q\u00eb sapo e vini re, pastaj vazhdoni deri n\u00eb fund t\u00eb\npllak\u00ebz\u00ebs me orarin e zakonsh\u00ebm. Nuk ka asnj\u00eb rrezik. <\/p>\n\n\n\n

b. N\u00ebse harresa \u00ebsht\u00eb m\u00eb e madhe se 12 or\u00eb:\nPilula mund t\u00eb ruaj\u00eb nj\u00eb lloj efikasiteti, por at\u00ebher\u00eb ajo nuk \u00ebsht\u00eb m\u00eb e\ngarantuar 100%, si\u00e7 \u00ebsht\u00eb kur e merr rregullisht. N\u00ebse keni harruar nj\u00eb pilul\u00eb\nt\u00eb vetme, rreziku \u00ebsht\u00eb minimal, por jo zero, sidomos n\u00ebse harresa ka ndodhur n\u00eb\nfillim t\u00eb pllak\u00ebz\u00ebs. Pilula e harruar duhet marr\u00eb sapo ta vini re k\u00ebt\u00eb, (mund t\u00eb\nmerrni dy tableta nj\u00ebkoh\u00ebsisht pa problem), pastaj ta vazhdoni normalisht deri\nn\u00eb fund t\u00eb pllak\u00ebz\u00ebs, por duke marr\u00eb masa kontraceptive shtes\u00eb deri n\u00eb\nmenstruacionet e ardhshme. <\/p>\n\n\n\n

– \u00c7far\u00eb ndodh n\u00ebse e harron pilul\u00ebn disa her\u00eb n\u00eb muaj?<\/strong><\/p>\n\n\n\n

– S\u00eb pari, siguria kontraceptive\nnuk \u00ebsht\u00eb m\u00eb e garantuar. Nga ana tjet\u00ebr, n\u00eb rastin e harresave t\u00eb p\u00ebrs\u00ebritura,\nmenstruacionet mund t\u00eb vijn\u00eb nd\u00ebrkoh\u00eb q\u00eb je duke marr\u00eb pilul\u00ebn. <\/p>\n\n\n\n

– \u00c7far\u00eb duhet b\u00ebr\u00eb q\u00eb t\u00eb mos e harrojm\u00eb pilul\u00ebn?<\/strong><\/p>\n\n\n\n

– Duke e marr\u00eb pilul\u00ebn n\u00eb m\u00ebnyr\u00eb\nt\u00eb \u00e7rregullt ose anarkike, ju humbisni efektin e saj thelb\u00ebsor, efikasitetin e\nsaj 100%. Duke marr\u00eb parasysh veprimin e saj t\u00eb trefisht\u00eb kontraceptiv\n(bllokimin e ovulimit, veprimin te sekrecionet dhe tek endometri), pilula juaj\nmund t\u00eb ruaj\u00eb efikasitetin e saj, por nj\u00eb aksident \u00ebsht\u00eb gjithmon\u00eb i mundsh\u00ebm,\nmegjith\u00ebse mund t\u00eb mos ju ket\u00eb ndodhur ende. P\u00ebr t\u00eb kufizuar rrezikun e harres\u00ebs,\nmund t\u00eb zgjidhni orarin dhe vendin m\u00eb t\u00eb rehatsh\u00ebm p\u00ebr t\u2019i mbajtur mend, p\u00ebr\nshembull, n\u00eb komodin\u00ebn e gjumit ose pran\u00eb fur\u00e7\u00ebs s\u00eb dh\u00ebmb\u00ebve n\u00eb tualet.\nGjithashtu, mund t\u00eb vini alarmin n\u00eb nj\u00eb or\u00eb fikse. N\u00ebse mbeteni p\u00ebrs\u00ebri\n\u201charraqe\u201d, m\u00eb mir\u00eb zgjidhni nj\u00eb metod\u00eb tjet\u00ebr kontracepsioni.<\/p>\n\n\n\n

– N\u00ebse gabimisht merren dy pilula n\u00eb t\u00eb nj\u00ebjt\u00ebn dit\u00eb,\n\u00e7far\u00eb ndodh?<\/strong><\/p>\n\n\n\n

– Nuk ndodh asgj\u00eb. Vazhdoni ta\nmerrni rregullisht pilul\u00ebn tuaj deri n\u00eb fund t\u00eb pllak\u00ebz\u00ebs. Pastaj, menstruacionet\ndo t\u00eb vijn\u00eb nj\u00eb dit\u00eb para. Ju do ta ndaloni pilul\u00ebn p\u00ebr shtat\u00eb dit\u00eb, si\nzakonisht dhe pastaj do ta rifilloni at\u00eb. K\u00ebshtu, dita e rifillimit do t\u00eb jet\u00eb\nnj\u00eb dit\u00eb m\u00eb her\u00ebt gjat\u00eb jav\u00ebs. <\/p>\n\n\n\n

– Kur rifillojn\u00eb menstruacionet kur p\u00ebrdor pilu\u00ebn?<\/strong><\/p>\n\n\n\n

– Menstruacionet q\u00eb vijn\u00eb kur\nje duke p\u00ebrdorur pilul\u00ebn, jan\u00eb menstruacione artificiale, fallco. Zakonisht, ato\nvijn\u00eb dy-tre dit\u00eb pas mbarimit t\u00eb pllak\u00ebz\u00ebs, nganj\u00ebher\u00eb pak m\u00eb von\u00eb, por\nthuajse gjithmon\u00eb n\u00eb t\u00eb nj\u00ebjt\u00ebn m\u00ebnyr\u00eb tek e nj\u00ebjta grua, e cila, k\u00ebshtu, mund\nt\u00eb parashikoj\u00eb n\u00eb m\u00ebnyr\u00eb t\u00eb sakt\u00eb se kur do t\u2019i vijn\u00eb menstruacionet. <\/p>\n\n\n\n

– Mund t\u2019i zhvendosim menstruacionet me an\u00eb t\u00eb pilul\u00ebs?<\/strong><\/p>\n\n\n\n

– Po, mund t\u00eb zhvendoset data e\nmenstruacioneve p\u00ebr arsye personale, kur do t\u00eb shkosh me pushime, kur ke nj\u00eb\nprovim ose gar\u00eb sportive. N\u00ebse keni nj\u00eb pllak\u00ebz ku t\u00eb gjitha tabletat jan\u00eb me t\u00eb\nnj\u00ebjt\u00ebn ngjyr\u00eb, pra, identike, mund t\u00eb flisni me mjekun p\u00ebr ta ndaluar disa dit\u00eb\npara fundit t\u00eb pllak\u00ebz\u00ebs, ose ta vazhdoni disa dit\u00eb m\u00eb pas, duke marr\u00eb nga nj\u00eb\npllak\u00ebz tjet\u00ebr (t\u00eb cil\u00ebn nuk do ta p\u00ebrdorni m\u00eb) dhe t\u00eb zhvendosni k\u00ebshtu dat\u00ebn\ne menstruacioneve. Duhet t\u00eb rifilloni nj\u00eb pllak\u00ebz t\u00eb re nj\u00eb jav\u00eb pas ndalimit e\nk\u00ebshtu, dita e rifillimit do t\u00eb ndryshoj\u00eb. Nganj\u00ebher\u00eb mund t\u00eb merren edhe dy\npllak\u00ebza rresht (pa ndalim), por kjo sjell nj\u00eb ndjesi bezdie dhe njolla t\u00eb vogla\ngjaku. <\/p>\n\n\n\n

– Mund t\u00eb vazhdohet pilula edhe pas mosh\u00ebs 40 vje\u00e7are?<\/strong><\/p>\n\n\n\n

– N\u00ebse e d\u00ebshironi dhe e duroni,\nmund ta vazhdoni kontracepsionin tuaj oral me pilul\u00eb edhe pas mosh\u00ebs 40\nvje\u00e7are, bile deri 50 vje\u00e7e, n\u00ebse g\u00ebzoni sh\u00ebndet t\u00eb mir\u00eb, nuk pini duhan, keni\nnj\u00eb tension arterial normal dhe nj\u00eb bilanc biologjik normal. Pas mosh\u00ebs 40 vje\u00e7are,\nrehatia intime q\u00eb sjell pilula me ciklet e saj shum\u00eb t\u00eb rregullta dhe\nmenstruacionet e pakta e pa dhimbje, vler\u00ebsohen shpesh nga grat\u00eb q\u00eb nganj\u00ebher\u00eb\nk\u00ebrkojn\u00eb ta vazhdojn\u00eb edhe n\u00eb munges\u00eb t\u00eb mar\u00ebdh\u00ebnieve seksuale. <\/p>\n\n\n\n

– Duhet ndaluar pilula gjat\u00eb nj\u00eb operacioni?<\/strong><\/p>\n\n\n\n

– Pilula shton rrezikun e\ntromboz\u00ebs venoze. N\u00eb p\u00ebrgjith\u00ebsi, kirurg\u00ebt dhe anestezist\u00ebt preferojn\u00eb nd\u00ebrprerjen\ne saj gjat\u00eb nj\u00eb nd\u00ebrhyrjeje kirurgjikale, sidomos n\u00ebse operacioni \u00ebsht\u00eb me\nrrezik m\u00eb t\u00eb lart\u00eb p\u00ebr flebit dhe\/ose sjell nj\u00eb q\u00ebndrim m\u00eb t\u00eb gjat\u00eb n\u00eb shtrat. <\/p>\n\n\n\n

– N\u00ebse kalohet nga pilula te sterileja, do t\u00eb ndryshojn\u00eb\nmenstruacionet?<\/strong><\/p>\n\n\n\n

– Me pilul\u00ebn ju do t\u00eb keni menstruacione\nfallco, shum\u00eb t\u00eb rregullta, pak t\u00eb bollshme dhe zakonisht, pa dhimbje, por p\u00ebr\nk\u00ebt\u00eb, duhet marr\u00eb pilula \u00e7do dit\u00eb rregullisht. Sterileja nuk e bllokon\naktivitetin e vezoreve si pilula. Do t\u00eb rifilloj\u00eb cikli juaj normal, por ai\nmund t\u00eb jet\u00eb m\u00eb pak i rregullt sesa kur p\u00ebrdorni pilul\u00ebn dhe menstruacionet\nmund t\u00eb shoq\u00ebrohen me dhimbje. Nga ana tjet\u00ebr, me sterilen\u00eb, menstruacionet n\u00eb\np\u00ebrgjith\u00ebsi shtohen n\u00eb koh\u00ebzgjatje dhe sasi. Ato mund t\u00eb paraprihen dhe ndiqen\nnga shum\u00eb dit\u00eb me \u201cnjolla\u201d, gj\u00eb q\u00eb k\u00ebrkon p\u00ebrdorimin e pecetave higjienike. Kur\nmenstruacionet zgjasin shum\u00eb, grat\u00eb lodhen dhe acarohen. Tani, nj\u00eb sterile e\ntoleruar mir\u00eb, \u00ebsht\u00eb ajo q\u00eb harron q\u00eb e ke v\u00ebn\u00eb dhe t\u00eb jep nj\u00eb ndjesi lirie,\nduke mos pasur detyrimin e bezdissh\u00ebm t\u00eb marrjes s\u00eb p\u00ebrditshme t\u00eb pilul\u00ebs.<\/p>\n\n\n\n

– Cilat jan\u00eb avantazhet e pilul\u00ebs?<\/strong><\/p>\n\n\n\n

Avantazhet e saj e b\u00ebjn\u00eb t\u00eb z\u00ebr\u00eb\nvendin e par\u00eb nd\u00ebr metodat kontraceptive n\u00eb vendet e zhvilluara. <\/p>\n\n\n\n

a. Nj\u00eb efikasitet 100% (me\nkusht q\u00eb t\u00eb merret n\u00eb rregull). Disa ila\u00e7e (q\u00eb jepen shum\u00eb rrall\u00eb), mund t\u00eb\nulin efikasitetin e saj. <\/p>\n\n\n\n

b. Cikle t\u00eb rregullta. N\u00ebse p\u00ebrdorni\npilul\u00ebn, menstruacionet do t\u00eb vijn\u00eb shum\u00eb n\u00eb rregull, bile \u00ebsht\u00eb e mundur, si\u00e7\ne shpjeguam m\u00eb par\u00eb, t\u00eb ndryshojm\u00eb dat\u00ebn e menstruacioneve kur kemi ndonj\u00eb\nnevoj\u00eb. <\/p>\n\n\n\n

c. Menstruacione pa dhimbje, m\u00eb\nt\u00eb shkurtra dhe m\u00eb pak t\u00eb bollshme. Gati t\u00eb gjitha dismenorret\u00eb zhduken nga\npilula; marrin fund dhimbjet e barkut dhe mesit, ng\u00ebr\u00e7et, etj. Gjithashtu, marrin\nfund menstruacionet e gjata ose hemorragjike, q\u00eb mund t\u2019ju lodhin dhe kufizojn\u00eb\naktivitetet shoq\u00ebrore. Edhe pa aktivitet seksual, shum\u00eb gra e vazhdojn\u00eb pilul\u00ebn,\nsepse ndjehen rehat me t\u00eb.<\/p>\n\n\n\n

d. Nj\u00eb p\u00ebrmir\u00ebsim t\u00eb l\u00ebkur\u00ebs\ndhe aknes, ve\u00e7an\u00ebrisht e vler\u00ebsuar nga grat\u00eb e reja. P\u00ebr k\u00ebt\u00eb q\u00ebllim, duhet p\u00ebrdorur\nnj\u00eb lloj i ve\u00e7ant\u00eb pilule q\u00eb p\u00ebrmban disa progestativ\u00eb me efekte pozitive p\u00ebr l\u00ebkur\u00ebn.\n<\/p>\n\n\n\n

e. Nj\u00eb pak\u00ebsim i rrezikut t\u00eb kancerit\nt\u00eb endometrit dhe vezoreve. Duke evituar trashjen e endometrit, q\u00eb p\u00ebrb\u00ebn\nfaktorin kryesor t\u00eb rrezikut t\u00eb kancerit t\u00eb endometrit, pilula e kombinuar pjes\u00ebton\np\u00ebr dy rrezikun e k\u00ebtyre kancereve.<\/p>\n\n\n\n

– Cilat jan\u00eb shkaqet hormonale t\u00eb aknes?<\/strong><\/p>\n\n\n\n

– Akneja, q\u00eb shoq\u00ebrohet shpesh\nme l\u00ebkur\u00eb t\u00eb yndyrshme, shkaktohet n\u00eb shumic\u00ebn e rasteve nga veprimi i hormoneve,\nsi\u00e7 e d\u00ebshmon shfaqja e saj n\u00eb adoleshenc\u00eb dhe acarimi n\u00eb periudh\u00ebn para\nmenstruacioneve. N\u00eb momentin e pubertetit dhe n\u00eb vitet q\u00eb e ndjekin, prodhimi i\nhormoneve mashkullore, androgjeneve, nga vezoret dhe gj\u00ebndrat mbiveshkore, mund\nt\u00eb shkaktoj\u00eb prodhimin e yndyr\u00ebs nga l\u00ebkura dhe akne. Nuk ekziston nj\u00eb prodhim\nanormal i hormoneve mashkullore, por nj\u00eb mbindjeshm\u00ebri e qelizave t\u00eb prodhimit\nt\u00eb yndyr\u00ebs ndaj androgjeneve te disa vajza. <\/p>\n\n\n\n

– Pilula mund t\u00eb p\u00ebrmir\u00ebsoj\u00eb l\u00ebkur\u00ebn dhe aknen?<\/strong><\/p>\n\n\n\n

– Pilula mund t\u00eb luftoj\u00eb kund\u00ebr\nefekteve t\u00eb hormoneve mashkullore me tre m\u00ebnyra: Duke frenuar prodhimin e\nandrogjeneve, duke kufizuar sasin\u00eb e testosteronit aktiv dhe duke bllokuar receptor\u00ebt\ne androgjeneve, me nj\u00eb progestativ anti-androgjenik. Pilulat e dikurshme me\nprogestativ\u00ebt e vjet\u00ebr, mund t\u00eb provokonin apo r\u00ebndonin aknen. Progestativ\u00ebt e\nrinj, nuk e kan\u00eb k\u00ebt\u00eb efekt negativ. Ekziston nj\u00eb pilul\u00eb q\u00eb ka marr\u00eb em\u00ebrtimin\n\u201ctrajtuese e aknes\u201d nga autoritetet sh\u00ebndet\u00ebsore. Ajo p\u00ebrmban nj\u00eb progestativ t\u00eb\nve\u00e7ant\u00eb, q\u00eb i pengon androgjenet t\u00eb veprojn\u00eb te qelizat q\u00eb prodhojn\u00eb yndyr\u00ebn.\nKjo pilul\u00eb, ka hyr\u00eb gjer\u00ebsisht n\u00eb treg. Koh\u00ebt e fundit ka dal\u00eb edhe nj\u00eb tjet\u00ebr\npilul\u00eb, q\u00eb p\u00ebrmban nj\u00eb progestativ t\u00eb quajtur norgestimat, q\u00eb ka marr\u00eb etiket\u00ebn\nsh\u00ebndet\u00ebsore \u201ctrajtim i aknes\u201d.<\/p>\n\n\n\n

– Pse duhen respektuar mir\u00eb kund\u00ebr-indikimet e pilul\u00ebs?<\/strong><\/p>\n\n\n\n

– Rreziku vaskular i pilul\u00ebs\n(si flebitit, ose tromboz\u00ebs venoze, etj.) \u00ebsht\u00eb shum\u00eb i pak\u00ebt, por ekziston n\u00eb\nt\u00eb gjitha pilulat, edhe ato t\u00eb minidozuara. K\u00ebrkuesit jan\u00eb munduar ta pak\u00ebsojn\u00eb\nk\u00ebt\u00eb rrezik, duke reduktuar dozat hormonale dhe duke p\u00ebrdorur progestativ\u00eb t\u00eb\nrinj. Ky rrezik prek sidomos grat\u00eb q\u00eb kan\u00eb faktor\u00eb t\u00eb tjer\u00eb rreziku, q\u00eb pilula\ni thekson. Kjo \u00ebsht\u00eb arsyeja pse duhen respektuar me skrupulozitet kund\u00ebr-indikimet\nvaskulare dhe metabolike t\u00eb pilul\u00ebs. Nganj\u00ebher\u00eb pilula mund t\u00eb nxjerr\u00eb n\u00eb pah\nnj\u00eb rrezik t\u00eb fshehur. N\u00ebse pas fillimit t\u00eb saj shfaqet hipertensioni arterial,\nduhet zgjedhur nj\u00eb m\u00ebnyr\u00eb tjet\u00ebr kontracepsioni. Po ashtu edhe p\u00ebr migrenat apo\ndhimbjet e forta e t\u00eb pazakonta t\u00eb kok\u00ebs. Edhe duhani p\u00ebrfaq\u00ebson nj\u00eb faktor\nrreziku p\u00ebr en\u00ebt e gjakut, q\u00eb shtohet me p\u00ebrdorimin e pilul\u00ebs. <\/p>\n\n\n\n

– A \u00ebsht\u00eb e rrezikshme pilula p\u00ebr shfaqjen e kancerit n\u00eb\ngjoks?<\/strong><\/p>\n\n\n\n

– Sipas studimeve t\u00eb shumta,\n\u00ebsht\u00eb v\u00ebn\u00eb re nj\u00eb rritje e leht\u00eb e p\u00ebrqindjes s\u00eb rrezikut te grat\u00eb q\u00eb p\u00ebrdornin\npilul\u00ebn. Kjo rritje \u00ebsht\u00eb kalimtare dhe zhduket dhjet\u00eb vjet pasi \u00ebsht\u00eb l\u00ebn\u00eb\npilula. Survejimi klinik m\u00eb i rregullt i femrave q\u00eb p\u00ebrdorin pilul\u00ebn mund t\u00eb\nluaj\u00eb nj\u00eb rol t\u00eb r\u00ebnd\u00ebsish\u00ebm n\u00eb shtimin e numrit t\u00eb kancereve t\u00eb diagnostikuara.\nMegjithat\u00eb, t\u00eb dh\u00ebnat e publikuara nuk jan\u00eb t\u00eb natyr\u00ebs q\u00eb t\u00eb vihet n\u00eb diskutim\np\u00ebrdorimi i kontraceptiv\u00ebve oral\u00eb, efektet pozitive t\u00eb t\u00eb cilave, sipas\nautoriteteve sh\u00ebndet\u00ebsore, jan\u00eb m\u00eb t\u00eb shumta n\u00eb num\u00ebr sesa ato negative. Pastaj,\nne e kemi par\u00eb se pilula ul rrezikun e kancerit t\u00eb mitr\u00ebs dhe vezoreve.<\/p>\n\n\n\n

– P\u00ebr \u00e7far\u00eb kritikohet pilula?<\/strong><\/p>\n\n\n\n

– Pilul\u00ebn e kan\u00eb kritikuar\nshpesh se bllokon ciklet fiziologjike. Ajo nuk mbron kund\u00ebr s\u00ebmundjeve\nseksualisht t\u00eb transmetueshme, si prezervativi, por \u00e7do grua mund t\u00eb p\u00ebrdor\u00eb nj\u00eb\nmbrojtje shtes\u00eb kalimtare, n\u00eb rast marr\u00ebdh\u00ebnieje \u201ct\u00eb dyshimt\u00eb\u201d. N\u00eb realitet, e\nkritikojn\u00eb edhe sepse je e detyruar ta marr\u00ebsh \u00e7do dit\u00eb. Shpesh, pas shum\u00eb vjet\u00ebsh,\ngrat\u00eb lodhen nga kjo marrje e p\u00ebrditshme dhe i drejtohen nj\u00eb m\u00ebnyre tjet\u00ebr\nkontraceptive.<\/p>\n\n\n\n

– A mund t\u00eb ket\u00eb pilula efekte dyt\u00ebsore?<\/strong><\/p>\n\n\n\n

– Ato jan\u00eb t\u00eb kufizuara dhe\nshum\u00eb m\u00eb t\u00eb pakta n\u00eb num\u00ebr me brezat e rinj t\u00eb pilulave ose ato t\u00eb minidozuara,\nmegjith\u00ebse k\u00ebto t\u00eb fundit nuk b\u00ebjn\u00eb p\u00ebr t\u00eb gjitha grat\u00eb. <\/p>\n\n\n\n

– Pse gjat\u00eb marrjes s\u00eb pilul\u00ebs mund t\u00eb ndodh\u00eb dalja e\nnjollave t\u00eb vogla t\u00eb gjakut mes menstruacioneve?<\/strong><\/p>\n\n\n\n

– S\u00eb pari, ju duhet t\u00eb\nverifikoni n\u00ebse nuk keni harruar t\u00eb merrni nj\u00eb tablet\u00eb. Kjo \u00ebsht\u00eb e mjaftueshme\np\u00ebr t\u00eb patur njolla gjaku, edhe sikur pilula t\u00eb jet\u00eb e minidozuar. N\u00ebse harroni\ndy pilula rresht, dalja e gjakut \u00ebsht\u00eb e zakonshme. N\u00eb fillim t\u00eb marrjes s\u00eb\npilul\u00ebs, muajin e par\u00eb apo t\u00eb dyt\u00eb, gjakrrjedhjet e pakta jan\u00eb normale dhe jo t\u00eb\nr\u00ebnda, n\u00ebse p\u00ebrdorni minipilul\u00eb. N\u00eb vazhdim, gjith\u00e7ka normalizohet. N\u00ebse jo,\nduhet t\u00eb konsultoheni me mjekun p\u00ebr t\u00eb nd\u00ebrruar pilul\u00ebn. Disa gra nuk e\ntolerojn\u00eb minipilul\u00ebn, prandaj duhet t\u00eb rikthehen te pilula normale. <\/p>\n\n\n\n

– A shton n\u00eb pesh\u00eb kur p\u00ebrdor pilul\u00ebn?<\/strong><\/p>\n\n\n\n

– Shtimi n\u00eb pesh\u00eb p\u00ebrb\u00ebn shqet\u00ebsimin kryesor, nganj\u00ebher\u00eb edhe fiksimin e gati t\u00eb gjitha grave q\u00eb p\u00ebrdorin pilul\u00ebn apo ndjekin ndonj\u00eb terapi tjet\u00ebr hormonale. Doktor\u00ebt e din\u00eb, prandaj jan\u00eb t\u00eb kujdessh\u00ebm. Normalisht, nj\u00eb pilul\u00eb e dozuar mir\u00eb nuk duhet t\u00eb shkaktoj\u00eb shtim n\u00eb pesh\u00eb. Megjithat\u00eb, p\u00ebr t\u2019ju ruajtur nga ky efekt negativ, sidomos n\u00ebse keni tendenc\u00eb p\u00ebr t\u2019u sh\u00ebndoshur, duhet t\u00eb jeni vigjilente n\u00eb t\u00eb ngr\u00ebn\u00eb gjat\u00eb muajve t\u00eb par\u00eb dhe t\u00eb vrojtoni m\u00ebnyr\u00ebn si reagon organizmi juaj. \u00cbsht\u00eb mir\u00eb t\u00eb evitohen n\u00eb ve\u00e7anti sheqernat e \u00ebmb\u00eblsirave dhe t\u00eb kufizohen brum\u00ebrat. <\/p>\n\n\n\n

\u00c7far\u00eb shqet\u00ebsimesh jep\npilula?<\/strong><\/p>\n\n\n\n

– Mund t\u00eb shkaktoj\u00eb pilula tension apo fryrje gjoksi?<\/strong><\/p>\n\n\n\n

– N\u00ebse nj\u00eb gj\u00eb e till\u00eb ndodh, kjo do t\u00eb thot\u00eb se pilula nuk \u00ebsht\u00eb e\np\u00ebrshtatshme p\u00ebr ju. Gjoksi \u00ebsht\u00eb nj\u00eb organ q\u00eb tregon n\u00ebse trupi juaj e pranon\napo jo k\u00ebt\u00eb lloj pilule. N\u00ebse keni probleme t\u00eb tilla, pilula q\u00eb po merrni ka m\u00eb\nshum\u00eb estrogjen nga \u00e7\u2019mund t\u00eb pranoj\u00eb trupi juaj, ndaj duhet t\u00eb k\u00ebrkoni nj\u00eb\npilul\u00eb progestative. <\/p>\n\n\n\n

– Po t\u00eb p\u00ebrziera?<\/strong><\/p>\n\n\n\n

– K\u00ebto probleme me tretjen shkaktohen nga puna q\u00eb b\u00ebn m\u00ebl\u00e7ia p\u00ebr t\u00eb\nzb\u00ebrthyer p\u00ebrb\u00ebr\u00ebsit e pilul\u00ebs, por t\u00eb p\u00ebrzierat jan\u00eb m\u00eb pak t\u00eb shpeshta q\u00ebkur\nka dal\u00eb n\u00eb treg minipilula. <\/p>\n\n\n\n

– Mund t\u00eb kesh r\u00ebndim k\u00ebmb\u00ebsh nga pilula?<\/strong><\/p>\n\n\n\n

– Te grat\u00eb e predispozuara, pilula mund t\u00eb theksoj\u00eb shqet\u00ebsimet me en\u00ebt e\ngjakut, ose t\u00eb nxjerr\u00eb n\u00eb pah nj\u00eb tendenc\u00eb t\u00eb fshehur t\u00eb trupit n\u00eb lidhje me k\u00ebt\u00eb\nproblem. Megjithat\u00eb, fenomeni i r\u00ebndimit t\u00eb k\u00ebmb\u00ebve zbulohet para marrjes s\u00eb\npilul\u00ebs dhe varet nga k\u00ebta faktor\u00eb t\u00eb r\u00ebnd\u00ebsish\u00ebm: Predispozita familjare,\nshtatzania dhe profesione q\u00eb imponojn\u00eb nj\u00eb q\u00ebndrim t\u00eb gjat\u00eb n\u00eb k\u00ebmb\u00eb. Duhet p\u00ebrdorur\najo p\u00ebr disa cikle, para se t\u2019ia hedh\u00ebsh fajin pilul\u00ebs dhe t\u00eb zgjedh\u00ebsh nj\u00eb\nformul\u00eb tjet\u00ebr kontraceptive. Marrja e nj\u00eb ila\u00e7i tonik p\u00ebr venat ose mbajtja e \u00e7orapeve\nspecifike, mund t\u00eb sjell\u00eb nj\u00eb leht\u00ebsim. <\/p>\n\n\n\n

– P\u00ebr \u00e7far\u00eb kritikohet\npilula?<\/strong><\/p>\n\n\n\n

– Pilul\u00ebn e kan\u00eb kritikuar shpesh sepse bllokon ciklet fiziologjike. Ajo\nnuk mbron kund\u00ebr s\u00ebmundjeve seksualisht t\u00eb transmetueshme, si prezervativi, por\n\u00e7do grua mund t\u00eb p\u00ebrdor\u00eb nj\u00eb mbrojtje shtes\u00eb kalimtare, n\u00eb rast marr\u00ebdh\u00ebnieje\n\u201ct\u00eb dyshimt\u00eb\u201d. N\u00eb realitet, e kritikojn\u00eb edhe sepse je e detyruar ta marr\u00ebsh\n\u00e7do dit\u00eb. Shpesh, pas shum\u00eb vjet\u00ebsh, grat\u00eb lodhen nga kjo marrje e p\u00ebrditshme\ndhe i drejtohen nj\u00eb m\u00ebnyre tjet\u00ebr kontraceptive.<\/p>\n\n\n\n

– A mund t\u00eb ket\u00eb pilula\nefekte dyt\u00ebsore?<\/strong><\/p>\n\n\n\n

– Ato jan\u00eb t\u00eb kufizuara dhe shum\u00eb m\u00eb t\u00eb pakta n\u00eb num\u00ebr me brezat e rinj t\u00eb\npilulave ose ato t\u00eb minidozuara, megjith\u00ebse k\u00ebto t\u00eb fundit nuk b\u00ebjn\u00eb p\u00ebr t\u00eb\ngjitha grat\u00eb. <\/p>\n\n\n\n

– Pse gjat\u00eb marrjes s\u00eb\npilul\u00ebs mund t\u00eb ndodh\u00eb dalja e njollave t\u00eb vogla t\u00eb gjakut mes menstruacioneve?<\/strong><\/p>\n\n\n\n

– S\u00eb pari, ju duhet t\u00eb verifikoni n\u00ebse nuk keni harruar t\u00eb merrni nj\u00eb\ntablet\u00eb. Kjo \u00ebsht\u00eb e mjaftueshme p\u00ebr t\u00eb patur njolla gjaku, edhe sikur pilula\nt\u00eb jet\u00eb e minidozuar. N\u00ebse harroni dy pilula rresht, dalja e gjakut \u00ebsht\u00eb e\nzakonshme. N\u00eb fillim t\u00eb marrjes s\u00eb pilul\u00ebs, muajin e par\u00eb apo t\u00eb dyt\u00eb,\ngjakrrjedhjet e pakta jan\u00eb normale dhe jo t\u00eb r\u00ebnda, n\u00ebse p\u00ebrdorni minipilul\u00eb.\nN\u00eb vazhdim, gjith\u00e7ka normalizohet. N\u00ebse jo, duhet t\u00eb konsultoheni me mjekun p\u00ebr\nt\u00eb nd\u00ebrruar pilul\u00ebn. Disa gra nuk e tolerojn\u00eb minipilul\u00ebn, prandaj duhet t\u00eb\nrikthehen te pilula normale. <\/p>\n\n\n\n

– A shton n\u00eb pesh\u00eb kur\np\u00ebrdor pilul\u00ebn?<\/strong><\/p>\n\n\n\n

– Shtimi n\u00eb pesh\u00eb p\u00ebrb\u00ebn shqet\u00ebsimin kryesor, nganj\u00ebher\u00eb edhe fiksimin e\ngati t\u00eb gjitha grave q\u00eb p\u00ebrdorin pilul\u00ebn apo ndjekin ndonj\u00eb terapi tjet\u00ebr\nhormonale. Doktor\u00ebt e din\u00eb, prandaj jan\u00eb t\u00eb kujdessh\u00ebm. Normalisht, nj\u00eb pilul\u00eb\ne dozuar mir\u00eb nuk duhet t\u00eb shkaktoj\u00eb shtim n\u00eb pesh\u00eb. Megjithat\u00eb, p\u00ebr t\u2019ju\nruajtur nga ky efekt negativ, sidomos n\u00ebse keni tendenc\u00eb p\u00ebr t\u2019u sh\u00ebndoshur, duhet\nt\u00eb jeni vigjilente n\u00eb t\u00eb ngr\u00ebn\u00eb gjat\u00eb muajve t\u00eb par\u00eb dhe t\u00eb vrojtoni m\u00ebnyr\u00ebn si\nreagon organizmi juaj. \u00cbsht\u00eb mir\u00eb t\u00eb evitohen n\u00eb ve\u00e7anti sheqernat e\n\u00ebmb\u00eblsirave dhe t\u00eb kufizohen brum\u00ebrat. <\/p>\n\n\n\n

– Pse nuk ekziston ende nj\u00eb pilul\u00eb p\u00ebr burrat?<\/strong><\/p>\n\n\n\n

– Me q\u00ebllim q\u00eb burri dhe gruaja t\u00eb ndajn\u00eb p\u00ebrgjegj\u00ebsin\u00eb e kontracepsionit,\njan\u00eb b\u00ebr\u00eb p\u00ebrpjekje p\u00ebr t\u00eb zbuluar edhe nj\u00eb puilul\u00eb p\u00ebr burrat, por kjo ka\nhasur n\u00eb disa probleme mjek\u00ebsore. Nd\u00ebrkoh\u00eb q\u00eb te gruaja mjafton t\u00eb bllokohet\novulimi nj\u00eb her\u00eb n\u00eb muaj, n\u00eb nj\u00eb moment t\u00eb caktuar t\u00eb ciklit, te burri testet\nprodhojn\u00eb vazhdimisht dhjet\u00ebra miliona spermatozoid\u00eb n\u00eb dit\u00eb. P\u00ebr t\u00eb arritur nj\u00eb\nefekt kontraceptiv, duhet bllokuar ky prodhim, derisa sasia e spermatozoideve t\u00eb\nprodhuar t\u00eb jet\u00eb e pamjaftueshme p\u00ebr t\u00eb pllenuar vez\u00ebn. Por, n\u00eb fakt, kjo sasi \u00ebsht\u00eb\nshum\u00eb e pakt\u00eb. Pastaj, nj\u00eb metod\u00eb kontraceptive duhet t\u00eb jet\u00eb e rikthyeshme,\nduhet q\u00eb, kur burri t\u00eb ndaloj\u00eb pilul\u00ebn, sperma e tij t\u00eb jet\u00eb prap\u00eb pjellore dhe\npa spermatozoide anormale. N\u00eb fund, pilula p\u00ebr burra nuk duhet t\u00eb ndikoj\u00eb as n\u00eb\nd\u00ebshir\u00ebn, as n\u00eb burr\u00ebrin\u00eb e tyre. Gjith\u00eb kjo \u00ebsht\u00eb e v\u00ebshtir\u00eb p\u00ebr t\u2019u realizuar\nnga pik\u00ebpamja mjek\u00ebsore. Nga ana tjet\u00ebr, p\u00ebrpjekjet p\u00ebr kontracepsionin\nhormonal mashkullor q\u00eb jan\u00eb nd\u00ebrmarr\u00eb, nuk jan\u00eb b\u00ebr\u00eb me tableta, por me\ninjeksione hormonesh q\u00eb duheshin rinovuar \u00e7do 2-3 muaj, gj\u00eb q\u00eb p\u00ebrfaq\u00ebson nj\u00eb\nmetod\u00eb m\u00eb pak t\u00eb pranuar se tabletat dhe e gjykuar si shtr\u00ebnguese nga p\u00ebrdoruesit.\n<\/p>\n\n\n\n

– Cilat jan\u00eb mekanizmat frenues jomjek\u00ebsor\u00eb ndaj\nkontracepsionit hormonal mashkullor?<\/strong><\/p>\n\n\n\n

– Ekzistojn\u00eb pengesa psikologjike dhe shoq\u00ebrore-kulturore ndaj k\u00ebsaj forme\nt\u00eb kontracepsionit mashkullor. Marr\u00ebdh\u00ebnia me kontracepsionin dhe perceptimi i\nrreziqeve nuk \u00ebsht\u00eb i nj\u00ebjt\u00eb si te burri dhe te gruaja, sepse, n\u00eb rast d\u00ebshtimi,\n\u00ebsht\u00eb gjithmon\u00eb gruaja ajo q\u00eb \u00ebsht\u00eb e ekspozuar ndaj nj\u00eb shtatzanie t\u00eb pad\u00ebshiruar\ndhe q\u00eb duhet t\u00eb b\u00ebj\u00eb abort. Nga ana tjet\u00ebr, gruaja duhet t\u00eb ket\u00eb vet\u00ebm nj\u00eb\npartner dhe duhet t\u2019i besoj\u00eb atij p\u00ebr kontracepsionin. Disa burra do t\u00eb jen\u00eb m\u00eb\nt\u00eb prirur p\u00ebr t\u00eb harruar pilul\u00ebn dhe t\u00eb jan\u00eb pak t\u00eb disiplinuar ndaj nj\u00eb\nmarrjeje t\u00eb rregullt t\u00eb saj. N\u00eb fund, edhe mjetet e investuara n\u00eb k\u00ebto studime,\njan\u00eb t\u00eb kufizuara. <\/p>\n\n\n\n

M\u00ebnyrat m\u00eb t\u00eb reja kontraceptive<\/strong><\/p>\n\n\n\n

– \u00c7far\u00eb \u00ebsht\u00eb mikropilula progestative?<\/strong><\/p>\n\n\n\n

– Mikropilula progestative p\u00ebrmban doza shum\u00eb t\u00eb pakta t\u00eb substancave\nprogestative. Ajo duhet marr\u00eb \u00e7do dit\u00eb, n\u00eb m\u00ebnyr\u00eb t\u00eb vazhdueshme, pa ndalim, me\nnj\u00eb disiplin\u00eb t\u00eb madhe. <\/p>\n\n\n\n

– Si vepron mikropilula progestative?<\/strong><\/p>\n\n\n\n

– Ajo vepron te sekrecionet e qaf\u00ebs s\u00eb mitr\u00ebs q\u00eb b\u00ebhet e pap\u00ebrshkueshme\nndaj spermatozoid\u00ebve dhe, duke ndryshuar endometrin, q\u00eb nuk autorizon m\u00eb\nvendosjen e vez\u00ebs. Megjithat\u00eb, ajo nuk e ndalon ovulimin. <\/p>\n\n\n\n

– Ndryshe nga pilula estro-progestative, ajo mund\nt\u2019u jepet ajo grave q\u00eb kan\u00eb p\u00ebsuar nj\u00eb flebit?<\/strong><\/p>\n\n\n\n

– Po. Mikropilula progestative nuk ka kund\u00ebr-indikime kardiovaskulare dhe\nmund t\u2019u jepet edhe grave q\u00eb kan\u00eb kaluar flebit. <\/p>\n\n\n\n

– Cilat jan\u00eb efektet e d\u00ebmshme t\u00eb mikropilul\u00ebs\nprogestative?<\/strong><\/p>\n\n\n\n

– Duke mos bllokuar ovulimin, mikropilula progestative mund t\u00eb favorizoj\u00eb\nkrijimin e kisteve n\u00eb vezore dhe nuk t\u00eb mbron nga shtatzanit\u00eb jasht\u00eb mitr\u00ebs.\nShum\u00eb shpesh, ajo shkakton \u00e7rregullime menstruale (njolla t\u00eb vogla gjaku t\u00eb nd\u00ebrmjetme),\nose p\u00ebrkundrazi, nj\u00eb amenorre (munges\u00eb mendstruacionesh) q\u00eb mund t\u00eb zgjas\u00eb shum\u00eb.\n<\/p>\n\n\n\n

– \u00c7far\u00eb jan\u00eb progestativ\u00ebt me doza t\u00eb m\u00ebdha?<\/strong><\/p>\n\n\n\n

– Progestativ\u00ebt me doza t\u00eb m\u00ebdha, t\u00eb p\u00ebrdorur tre jav\u00eb n\u00eb kat\u00ebr, ashtu si\nedhe pilula estro-progestative, bllokojn\u00eb ovulimin, plus veprimit n\u00eb\nsekrecionet e qaf\u00ebs s\u00eb mitr\u00ebs dhe n\u00eb endomet\u00ebr. Ato mund t\u00eb p\u00ebrb\u00ebjn\u00eb nj\u00eb\nzgjidhje interesante, sidomos n\u00eb paramenopauz\u00eb ose kur ekziston nj\u00eb mastoz\u00eb ose\nmit\u00ebr me fibromioma. Formulat e reja kan\u00eb b\u00ebr\u00eb t\u00eb mundur nj\u00eb toleranc\u00eb m\u00eb t\u00eb\nmir\u00eb klinike, por p\u00ebrs\u00ebri ekziston rreziku i \u00e7rregullimeve menstruale.<\/p>\n\n\n\n

– \u00c7far\u00eb jan\u00eb injeksionet me progestativ\u00eb vonues?<\/strong><\/p>\n\n\n\n

– Kontracepsioni progestativ vonues me injeksione intramuskulare \u00e7do 2-3\nmuaj, \u00ebsht\u00eb nj\u00eb metod\u00eb q\u00eb p\u00ebrdoret vet\u00ebm n\u00eb raste t\u00eb jasht\u00ebzakonshme. P\u00ebrdorimi\ni tij \u00ebsht\u00eb rralluar, me daljen e implantit kontraceptiv.<\/p>\n\n\n\n

– \u00c7far\u00eb \u00ebsht\u00eb implanti kontraceptiv?<\/strong><\/p>\n\n\n\n

– Implanti kontraceptiv, ose si\u00e7 quhet nga disa shoq\u00ebri farmaceutike,\nIMPLANON, ka form\u00ebn e nj\u00eb shkopi t\u00eb vog\u00ebl, 4 cm i gjat\u00eb dhe me diamet\u00ebr 2 mm,\nsi nj\u00eb kunj shkrep\u00ebse i holl\u00eb, q\u00eb l\u00ebshon vazhdimisht nj\u00eb doz\u00eb t\u00eb vog\u00ebl\nprogestativi. <\/p>\n\n\n\n

– Si b\u00ebhet vendosja e implantit?<\/strong><\/p>\n\n\n\n

– Ajo b\u00ebhet me anestezi lokale, vendoset p\u00ebr disa minuta dhe \u00ebsht\u00eb mjaft e\nthjesht\u00eb p\u00ebr nj\u00eb mjek q\u00eb ka ndjekur nj\u00eb formim t\u00eb shkurt\u00ebr paraprak. Implanti\nvendoset n\u00ebn l\u00ebkur\u00eb, n\u00ebn nivelin e pjes\u00ebs s\u00eb brendshme t\u00eb krahut, mbi b\u00ebrryl.<\/p>\n\n\n\n

– Si vepron implanti?<\/strong><\/p>\n\n\n\n

– Implanti \u00ebsht\u00eb po aq efektiv sa edhe pilula dhe vepron duke bllokuar\novulimin e duke shtuar viskozitetin e sekrecioneve t\u00eb qaf\u00ebs s\u00eb mitr\u00ebs. Ai \u00ebsht\u00eb\nefikas p\u00ebr tre vjet. <\/p>\n\n\n\n

– Cilat jan\u00eb avantazhet e implantit?<\/strong><\/p>\n\n\n\n

– Me t\u00eb nuk ke nevoj\u00eb t\u00eb shqet\u00ebsohesh m\u00eb p\u00ebr kontracepsionin p\u00ebr tre vjet\nrresht. <\/p>\n\n\n\n

– Cilat jan\u00eb efektet e tij negative?<\/strong><\/p>\n\n\n\n

– Gruaja q\u00eb v\u00eb implantin, nuk ka m\u00eb menstruacione t\u00eb rregullta, por t\u00eb \u00e7rregullta,\nq\u00eb mund t\u00eb jen\u00eb shum\u00eb t\u00eb ndryshme, n\u00eb var\u00ebsi t\u00eb grave: T\u00eb shpeshta apo t\u00eb\nrralla, n\u00eb koh\u00ebzgjatje dhe sasi t\u00eb ndryshme. Shpesh, ndodh nj\u00eb munges\u00eb\nmenstruacionesh. Nganj\u00ebher\u00eb, mund t\u00eb shkaktohen probleme me l\u00ebkur\u00ebn, si p\u00ebr\nshembull, akne. <\/p>\n\n\n\n

– Kujt mund t\u2019i interesoj\u00eb implanti?<\/strong><\/p>\n\n\n\n

– A mund t\u2019u interesoj\u00eb grave q\u00eb d\u00ebshirojn\u00eb nj\u00eb kontracepsion pa shtr\u00ebngim,\nq\u00eb nuk duan sterile ose kan\u00eb kund\u00ebr-indikime ndaj estrogjeneve. <\/p>\n\n\n\n

Sa efikase \u00ebsht\u00eb pilula e s\u00eb nes\u00ebrmes?<\/strong><\/p>\n\n\n\n

– \u00c7far\u00eb \u00ebsht\u00eb kontracepsioni urgjenc\u00eb?<\/strong><\/p>\n\n\n\n

– Kontracepsioni urgjenc\u00eb p\u00ebrfshin metoda kontraceptive t\u00eb destinuara p\u00ebr t\u00eb\nevituar nj\u00eb shtatzani, pas nj\u00eb raporti jo t\u00eb mbrojtur. P\u00ebr k\u00ebt\u00eb ekziston nj\u00eb\nprodukt hormonal, e ashtuquajtura \u201cpilula e s\u00eb nes\u00ebrmes\u201d. V\u00ebnia e nj\u00eb sterileje\nprej bakri p\u00ebrdoret shum\u00eb m\u00eb rrall\u00eb. <\/p>\n\n\n\n

– Pse duhet p\u00ebrdorur pilula e s\u00eb nes\u00ebrmes?<\/strong><\/p>\n\n\n\n

– Ajo p\u00ebrdoret pas nj\u00eb raporti seksual t\u00eb pambrojtur ose kur ke ndonj\u00eb\nproblem kontracepsioni, sepse 2\/3 e shtatzanive t\u00eb pad\u00ebshiruara ndodhin te grat\u00eb\nq\u00eb kan\u00eb p\u00ebrdorur ndonj\u00eb mjet kontraceptiv. Megjithat\u00eb, pilula e s\u00eb nes\u00ebrmes nuk\nmund t\u00eb z\u00ebvend\u00ebsoj\u00eb nj\u00eb metod\u00eb kontraceptive t\u00eb zakonshme.<\/p>\n\n\n\n

– Kur merret pilula e s\u00eb nes\u00ebrmes?<\/strong><\/p>\n\n\n\n

– Ajo merret vet\u00ebm n\u00eb raste t\u00eb rralla, t\u00eb rezervuara n\u00eb situata t\u00eb ve\u00e7anta:<\/p>\n\n\n\n

a. Nj\u00eb harres\u00eb pilule.<\/p>\n\n\n\n

b. Nj\u00eb aksident me prezervativin. <\/p>\n\n\n\n

c. Kur partneri nuk \u00ebsht\u00eb t\u00ebrhequr n\u00eb koh\u00eb. <\/p>\n\n\n\n

d. Nj\u00eb marr\u00ebdh\u00ebnie seksuale e paparashikuar. P\u00ebr fat t\u00eb keq, edhe n\u00eb raste\np\u00ebrdhunimi. <\/p>\n\n\n\n

e. Nj\u00eb raport pa kontracepsion (sepse sjelljet tona nuk jan\u00eb gjithmon\u00eb\nracionale, por shpesh emocionale, sepse besonim se ishim n\u00eb periudh\u00eb\njopjellore, sepse jan\u00eb pushimet, sepse k\u00ebshtu ndodhi, etj.).<\/p>\n\n\n\n

– Si funksionon pilula e s\u00eb nes\u00ebrmes?<\/strong><\/p>\n\n\n\n

– Ajo ka p\u00ebr q\u00ebllim bllokimin e ovulimit ose pengon vendosjen e vez\u00ebs n\u00eb\nmit\u00ebr. Nuk \u00ebsht\u00eb efikase pasi ka filluar tashm\u00eb shtatzania. <\/p>\n\n\n\n

– Si merret pilula e s\u00eb nes\u00ebrmes?<\/strong><\/p>\n\n\n\n

– Pilula e s\u00eb nes\u00ebrmes paraqitet n\u00eb form\u00ebn e nj\u00eb tablete t\u00eb vetme t\u00eb nj\u00eb\nhormoni progestativ, q\u00eb quhet levonogestrel. Duhet marr\u00eb sa m\u00eb shpejt t\u00eb jet\u00eb e\nmundur pas nj\u00eb raporti t\u00eb pambrojtur, maksimumi 72 or\u00eb pas tij, dometh\u00ebn\u00eb,\nbrenda tre dit\u00ebve nga raporti. <\/p>\n\n\n\n

– \u00cbsht\u00eb efikase kjo pilul\u00eb?<\/strong><\/p>\n\n\n\n

– Kjo pilul\u00eb nuk \u00ebsht\u00eb efikase n\u00eb mas\u00ebn 100%, por sa m\u00eb shpejt ta p\u00ebrdorni,\naq m\u00eb mir\u00eb \u00ebsht\u00eb. N\u00ebse e pini brenda 24 or\u00ebve, efikasiteti i saj \u00ebsht\u00eb n\u00eb mas\u00ebn\n95% dhe shkon n\u00eb 60%, n\u00ebse e p\u00ebrdor n\u00eb dit\u00ebn e tret\u00eb. <\/p>\n\n\n\n

– Pas marrjes s\u00eb pilul\u00ebs, jemi t\u00eb mbrojtur deri n\u00eb\nciklin e ardhsh\u00ebm?<\/strong><\/p>\n\n\n\n

– Jo dhe kujdes! Pilula nuk t\u00eb mbron nga raportet, pas marrjes s\u00eb saj. M\u00eb\npas duhen marr\u00eb masat, si p\u00ebr shembull p\u00ebrdorimi i prezervativ\u00ebve, deri n\u00eb\nardhjen e ciklit. <\/p>\n\n\n\n

– Nuk p\u00ebrb\u00ebn rrezik p\u00ebrdorimi i saj?<\/strong><\/p>\n\n\n\n

– Jo. Asnj\u00eb aksident i r\u00ebnd\u00eb nuk \u00ebsht\u00eb sinjalizuar pas marrjes s\u00eb pilul\u00ebs s\u00eb\nt\u00eb nes\u00ebrmes. P\u00ebr k\u00ebt\u00eb arsye, ajo shitet lirisht n\u00eb farmaci. Megjithat\u00eb, ajo\nmund t\u00eb ket\u00eb nganj\u00ebher\u00eb efekte dyt\u00ebsore, si t\u00eb p\u00ebrziera ose dhimbje koke,\nbarku, apo njolla gjaku, por k\u00ebto zhduken shpejt. <\/p>\n\n\n\n

– Kur vijn\u00eb menstracionet, pas marrjes s\u00eb pilul\u00ebs\ns\u00eb t\u00eb nes\u00ebrmes?<\/strong><\/p>\n\n\n\n

– M\u00eb shpesh, ato vijn\u00eb n\u00eb dat\u00ebn normale, por mund t\u00eb ket\u00eb nj\u00eb l\u00ebvizje prej\ndisa dit\u00ebsh. Sidoqoft\u00eb, n\u00eb rast vonese m\u00eb shum\u00eb se pes\u00eb dit\u00eb, k\u00ebshillohet b\u00ebrja\ne nj\u00eb testi shtatzanie. <\/p>\n\n\n\n

– N\u00ebse nj\u00eb grua mbetet shtatz\u00ebn\u00eb, megjith\u00ebse e ka\nmarr\u00eb pilul\u00ebn dhe do q\u00eb ta mbaj\u00eb f\u00ebmij\u00ebn, \u00e7far\u00eb ndodh?<\/strong><\/p>\n\n\n\n

– Asgj\u00eb n\u00eb ve\u00e7anti. N\u00ebse shtatzania ka filluar, pilula nuk e nd\u00ebrpret dot.\nN\u00ebse doni ta mbani f\u00ebmij\u00ebn, studimet kan\u00eb treguar se nuk ka rreziqe p\u00ebr\nkeqformime t\u00eb tij.<\/p>\n\n\n\n

– Nj\u00eb grua q\u00eb ka raporte t\u00eb rralla dhe larg nj\u00ebra-tjetr\u00ebs,\nmund ta p\u00ebrdor\u00eb pilul\u00ebn e s\u00eb nes\u00ebrmes si mjet kontracepsioni t\u00eb zakonsh\u00ebm, p\u00ebr\nt\u00eb evituar marrjen e pilul\u00ebs \u00e7do dit\u00eb?<\/strong><\/p>\n\n\n\n

– Pilula duhet t\u00eb mbetet nj\u00eb metod\u00eb kontracepsioni q\u00eb p\u00ebrdoret vet\u00ebm n\u00eb\nraste t\u00eb jasht\u00ebzakonshme. P\u00ebrdorimi i saj i p\u00ebrs\u00ebritur \u00ebsht\u00eb m\u00eb pak efikas se\nnj\u00eb metod\u00eb klasike dhe mund t\u00eb shkaktoj\u00eb efekte dyt\u00ebsore, si p\u00ebr shembull nj\u00eb \u00e7rregullim\nt\u00eb cikleve. <\/p>\n\n\n\n

– Mund t\u00eb p\u00ebrdoret sterileja n\u00eb raste urgjente?<\/strong><\/p>\n\n\n\n

– Deri n\u00eb pes\u00eb dit\u00eb pas dat\u00ebs s\u00eb vler\u00ebsuar t\u00eb ovulimit \u00ebsht\u00eb e mundur t\u00eb\nvihet nj\u00eb sterile bakri, p\u00ebr t\u00eb ndaluar vendosjen e vez\u00ebs n\u00eb endomet\u00ebr. Megjith\u00ebse\nsterileja \u00ebsht\u00eb m\u00eb efikase se pilula e s\u00eb nes\u00ebrmes, ajo \u00ebsht\u00eb m\u00eb e v\u00ebshtir\u00eb p\u00ebr\nt\u2019u v\u00ebn\u00eb (vihet nga mjeku pas nj\u00eb konsultimi gjinekologjik) dhe p\u00ebrdoret m\u00eb\nrrall\u00eb. Pastaj, vendosja e steriles\u00eb mund t\u00eb rezultoj\u00eb teknikisht e v\u00ebshtir\u00eb\ndhe e dhimbshme te vajzat e reja q\u00eb nuk kan\u00eb f\u00ebmij\u00eb. <\/p>\n","protected":false},"excerpt":{"rendered":"

– Sa koh\u00eb ka q\u00eb ekziston pilula dhe a ka ndryshuar shum\u00eb ajo gjat\u00eb viteve? – Pilula \u00ebsht\u00eb eksperimentuar p\u00ebr her\u00eb t\u00eb par\u00eb n\u00eb vitin 1955 dhe q\u00eb prej asaj kohe ka ndryshuar shum\u00eb. Laborator\u00ebt kan\u00eb punuar pa pushim p\u00ebr t\u00eb p\u00ebrmir\u00ebsuar toleranc\u00ebn klinike dhe biologjike ndaj pilul\u00ebs, duke ruajtur efikasitetin e saj gati total, […]<\/p>\n","protected":false},"author":5,"featured_media":20841,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[49],"tags":[],"class_list":["post-20840","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-shendet"],"_links":{"self":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/20840","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/comments?post=20840"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/20840\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media\/20841"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=20840"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=20840"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=20840"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}