Ingabe KULUNGILE Ukuphuthelwa Usuku Lokulawulwa Kokuzalwa?

-Delile

• Izisekelo zokulawulwa kokuzalwa
• Kungani ukungaguquguquki kubalulekile
• Okufanele ukwenze uma ulahlekelwe yiphilisi elihlanganayo
• Thatha iphilisi elilandelayo
• Thatha iphilisi lokugcina lephakethe lakho
• Thatha iphilisi lesipele
• Uma ulahlekelwa yiphilisi le-placebo
• Okufanele ukwenze uma ulahlekelwe yiphilisi le-progestin-only
• Thatha iphilisi elilandelayo
• Thatha iphilisi lokugcina lephakethe lakho
• Thatha iphilisi lesipele
• Lapho kufanele uqale iphakethe lakho elilandelayo
• Ngamaphilisi okuhlanganisa
• Okwe-minipill
• Imiphumela emibi yokulahlekelwa iphilisi
• Ungakwandisa kanjani ukusebenza kokulawulwa kokuzalwa kwakho
• Ukudla okudlela endlini

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Ukubuka konke

Wake wawisa iphilisi lokulawula ukubeletha phansi kusinki? Ingabe uchoboze amaphilisi ambalwa ngaphansi kwesikhwama sakho semali? Abantu kwesinye isikhathi balahlekelwa ngamaphilisi. Uma lokho kwenzeka, kubalulekile ukuba nohlelo lokusebenza ukuqinisekisa ukuthi lokhu akuthinti ukusebenza kokulawulwa kokuzalwa kwakho.

Shayela udokotela wakho uma ulahlekelwa iphilisi lakho. Cela ukuqondiswa ngohlobo oluthile lwephilisi. Ngamunye uhlukile, futhi udokotela wakho angakwazi ukuncoma isu elihle kakhulu kuwe.

Uma uphuza iphilisi ebusuku noma ungakwazi ukuxhumana nehhovisi likadokotela wakho, ungathatha izindaba ezandleni zakho ngalezi zeluleko.

Izisekelo zokulawulwa kokuzalwa

Izinhlobo ezimbili eziyisisekelo zamaphilisi wokulawulwa kokubeletha ngudokotela omncane namaphilisi okuhlanganisa.

Ama-minipill aqukethe kuphela i-progestin, noma i-progesterone yokwenziwa. Amaphilisi okuhlanganisa anenhlanganisela yamahomoni amabili okwenziwa, i-progestin ne-estrogen.

Ukuhlanganiswa kwamaphilisi okulawula ukubeletha kungaba monophasic noma multiphasic. Ngokulawulwa kokuzalwa kokuzalwa okukodwa, okuvame kakhulu, iphilisi ngalinye elisebenzayo ephaketheni linezinga elifanayo lamahomoni. Ngokulawulwa kokuzalwa okune-multiphasic, uthola amazinga ahlukene ama-hormone ngezinsuku ezahlukahlukene.

Amaphilisi okuhlanganisa namaphilisi amancane asebenza ngezindlela ezifanayo. Okokuqala, basebenza ukuvimbela i-ovulation (yize amanye amaphilisi engayeki ukuvuthwa kwe-ovulation ngamaphesenti ayi-100 wesikhathi).

Ukuvuthwa kwenzeka njalo ngenyanga lapho iqanda likhishwa kumaqanda omuntu wesifazane ukuze livundiswe. Uma kungekho iqanda elikhishwayo, mancane amathuba okuthi ukhulelwe.

Amaphilisi okulawula ukubeletha abuye aqine ukwakheka kwamafinyila emlomo wesibeletho sakho, okungavimbela isidoda ukuthi singene esibelethweni sakho. Uma isidoda sifika esibelethweni, iqanda elikhishwa ngesikhathi sokukhulelwa lingavundiswa.

Amanye amaphilisi okulawula ukubeletha abuye anciphise ulwelwesi lwesibeletho ukuvimbela ukufakelwa. Uma iqanda livundiswa ngandlela thile, lolwelwesi oluncane luzokwenza kube nzima ngeqanda elikhulelisiwe ukunamathisela nokukhula.

Kungani ukungaguquguquki kubalulekile

Amaphilisi okulawula ukubeletha aklanyelwe ukugcina izinga elilinganayo lamahomoni emzimbeni wakho. Ukuphuza amaphilisi nsuku zonke futhi ngasikhathi sinye usuku ngalunye kugcina leli zinga lamahomoni lingaguquguquki.

Uma la mazinga eguquguquka, umzimba wakho ungaqala ukuvuthwa ngokushesha okukhulu. Lokhu kwandisa ingozi yakho yokukhulelwa okungahleliwe.

Uma uthatha amaphilisi ayinhlanganisela, unezinga elinyuke kancane lokuvikelwa kulokhu kudipha kwehomoni, inqobo nje uma uqala ukuthatha amaphilisi akho futhi ngokushesha okukhulu.

Uma uphuza amaphilisi e-progestin kuphela, iwindi lokuvikelwa lincane kakhulu. Leli windi lihlala cishe amahora amathathu.

Okufanele ukwenze uma ulahlekelwe yiphilisi elihlanganayo

Ngokuzayo lapho uzohlangana nesikhathi nodokotela wakho, babuze ukuthi bancoma ukuthi wenzeni uma ulahlekelwa yiphilisi. Udokotela wakho angase asikisele enye yalezi zinketho ezintathu zokuqala:

Thatha iphilisi elilandelayo

Qhubeka nokuhamba ngepakethe yakho, ngokumane uthathe iphilisi elilandelayo elisebenzayo. Izinsuku eziboniswe ephaketheni lamaphilisi kungenzeka zingahambisani nezinsuku oziphuzayo, kodwa qiniseka nje ukuthi awuphuthelwa ukuphuza iphilisi usuku ngalunye. Uzofinyelela ekugcineni kwephakethe lakho kusenesikhathi ngosuku futhi kuzofanele uqale iphakethe lakho elilandelayo kusenesikhathi. Lokhu kushintshwa ngeke kuthinte ukusebenza kwepilisi.

Thatha iphilisi lokugcina lephakethe lakho

Uma usadla amaphilisi asebenzayo (futhi usebenzisa i-monophasic control), thatha iphilisi lokugcina elisebenzayo ephaketheni lakho esikhundleni sephilisi lakho elilahlekile. Lokhu kuqinisekisa ukuthi wonke amaphilisi asele adliwa ngosuku lwawo oluhleliwe njalo. Uzofinyelela ekugcineni kwephakethe lakho bese uqala amaphilisi e-placebo - amaphilisi angasebenzi ekugcineni kwephakethe lakho - kusasele usuku.

Ungaqala iphakethe lakho elilandelayo ngosuku kusenesikhathi, futhi.

QAPHELA: Le ndlela ayisebenzeli ukulawulwa kokuzalwa okune-multiphasic njengoba umthamo ungaphazanyiswa ngokususelwa lapho ukhona ephaketheni ngesikhathi sephilisi elilahlekile.

Thatha iphilisi lesipele

Uma unelinye iphakethe lamaphilisi okulawula ukubeletha eliseduze, thatha elinye lamaphilisi kulelo phakethe ukufaka elinye kulahlekile. Beka lelo phakethe eceleni, bese uligcina lapho kungenzeka ulahlekelwe yiphilisi ngesinye isikhathi.

Uma uthatha iphilisi le-multiphasic, ungaphuza iphilisi elilinganisiwe elilahlekile.

Uma uthatha iphilisi le-monophasic, ungathatha noma yimaphi amaphilisi asebenzayo kuphakethe lakho elisele. Le ndlela ikuvumela ukuthi uhlale uphuza amaphilisi ngezinsuku ezibalwe ephaketheni (iphilisi langoMsombuluko ngoMsombuluko, iphilisi langoLwesibili ngoLwesibili, njll.).

Qiniseka ukuthi ubuka usuku lokuphelelwa yisikhathi kuphakethe lakho lokuphumula, ngoba ungahle ungawasebenzisi wonke amaphilisi asebenzayo ngesikhathi esinconyiwe.

Uma ulahlekelwa yiphilisi le-placebo

Uma ulahlekelwa yiphilisi le-placebo, ungeqa lo mthamo.Ungalinda kuze kube usuku olulandelayo ukuze uthathe umthamo wakho ohleliwe njalo.

Ngoba amaphilisi e-placebo aqukethe ama-hormone, ukushoda elilodwa ngeke kwandise amathuba akho okukhulelwa.

Okufanele ukwenze uma ulahlekelwe yiphilisi le-progestin-only

Awunalo igumbi lokuzulazula eliningi uma ulahlekelwa iphilisi le-progestin kuphela. Udinga ukuthatha eyodwa emahoreni ambalwa wesikhathi sakho sedosi esihleliwe, noma ukusebenza kwamaphilisi akho okulawula ukuzalwa kungahle kwehle.

Ngokuzayo lapho uzohlangana nesikhathi nodokotela wakho, babuze ukuthi basikisela ukuthi wenzeni uma kungenzeka ulahlekelwe yiphilisi.

Ungenza futhi okunye kokulandelayo:

Thatha iphilisi elilandelayo

Thatha iphilisi lakusasa esikhundleni salokho, bese uqhubeka nalo lonke iphakethe. Yize usuku othatha ngalo umuthi seluzoba usuku lokuphumula kusukela ezinsukwini ezihleliwe zephilisi, lokhu kuzogcina izinga lakho le-hormone lihlala njalo.

Thatha iphilisi lokugcina lephakethe lakho

Uma ufuna ukugcina amaphilisi akho ehambisana nezinsuku ezifanele zesonto, ungaphuza iphilisi lokugcina ephaketheni lakho esikhundleni sephilisi elilahlekile. Bese uthatha okusele kwepakethe njengoba bekuhleliwe ekuqaleni.

Uzofinyelela ekugcineni kwephakethe lakho ngokushesha, kodwa ungaqala iphakethe lakho elilandelayo ngokushesha ngemuva kwalokho.

Thatha iphilisi lesipele

Faka iphilisi lanamuhla ngephilisi elivela ephaketheni elingavulwa. Lokhu kuzogcina amaphilisi akho emgqeni wensalela yepakethe yakho, futhi uzoqala iphakethe lakho elilandelayo ngesikhathi.

Gcina leli phakethe lamaphilisi elengeziwe ulisebenzise bese ulibeka eceleni uma kwenzeka ulahlekelwa elinye iphilisi ngokuzayo. Khumbula usuku lokuphelelwa yisikhathi kupakethe lakho lokuphumula. Ufuna ukuqiniseka ukuthi amaphilisi akho okwenza isipele asasebenza.

Lapho kufanele uqale iphakethe lakho elilandelayo

Ukuthi udla amaphilisi okuhlanganisa noma iminiphu emincane izonquma ukuthi uqala nini iphakethe lakho elilandelayo.

Ngamaphilisi okuhlanganisa

Uma uthatha iphilisi elihlanganayo, impendulo incike ekutheni ulibuyise kanjani iphilisi olilahlile.

Uma uthathe iphilisi lokugcina elisebenzayo ephaketheni lakho ukumiselela lelo olilahlekile noma weqa phambili ephaketheni lakho ngosuku olulodwa, uzoqala amaphilisi wakho we-placebo ngosuku kusenesikhathi. Lokho kusho ukuthi uzofinyelela nasekuqaleni kwepakethe entsha ngosuku ngaphambi kwesikhathi. Kufanele uqale ukuthatha iphakethe elilandelayo ngosuku ngaphambi kwesikhathi ukuze ugcine ukusebenza kahle kokulawulwa kokubeletha.

Uma uthathe iphilisi kusuka kwelinye iphakethe, kufanele ube ohlelweni lwakho oluvamile lwephilisi. Uma kunjalo, uzoqala ukuthatha iphakethe lakho elilandelayo ngosuku olufanayo ubungeke ulahlekelwe yiphilisi. Thatha amaphilisi akho e-placebo, bese uqala ngokushesha iphakethe elilandelayo.

Okwe-minipill

Uma uthatha amapayipi amancane we-progestin-only, qala iphakethe elilandelayo ngokushesha nje lapho uqeda le oyisebenzisayo njengamanje.

Amaphilisi e-progestin kuphela aletha ama-hormone ngayo yonke iphilisi elilodwa. Awuwatholi amaphilisi e-placebo anamaphakethe we-progestin-only pill, ngakho-ke ungaqala iphakethe lakho elilandelayo lamaphilisi ngokushesha lapho ufika ekugcineni kwephakethe lakho.

Imiphumela emibi yokulahlekelwa iphilisi

Uma ulahlekelwe yiphilisi futhi weqa ukuyithatha ngokuphelele, ungahle uthole ukuphuma kwegazi. Uma usuqale phansi ukusebenzisa amaphilisi akho wansuku zonke wokulawula ukubeletha, ukopha kufanele kuphele.

Uma uthatha amaphilisi okuhlanganisa, kufanele usebenzise uhlobo oluthile lokuvikela ukwenza isipele uma weqa amaphilisi amabili noma ngaphezulu, noma uma kube ngaphezu kwamahora angama-48 selokhu kwafanele uphuze iphilisi lakho. Kufanele usebenzise le ndlela yokwenza isipele ezinsukwini eziyisikhombisa ezilandelayo. Uma ushintsha iphilisi elahlekile ufake elinye iphilisi, futhi ungaphuthelwa empeleni ukuthatha iphilisi, ngeke udinge ukuvikela inzalo.

Uma uthatha amaphilisi we-progestin kuphela bese weqa iphilisi lakho elilahlekile, ingozi yakho yokukhulelwa izokwanda. Sebenzisa indlela eyisipele yokulawula ukubeletha okungenani amahora angama-48 ngemuva kokuthi uqalise kabusha ukusebenzisa amaphilisi nsuku zonke.

Thenga Manje: Thenga amakhondomu.

Ungakwandisa kanjani ukusebenza kokulawulwa kokuzalwa kwakho

Le mikhuba emihle ingakusiza ugweme ukukhulelwa okungahleliwe noma imiphumela emibi engaba khona ebangelwa ukulawulwa kokuzalwa:

• Thatha iphilisi nsuku zonke ngasikhathi sinye. Setha isikhumbuzi efonini yakho, noma khetha isikhathi sosuku ongasikhumbula kalula, njengesidlo sasekuseni. Kufanele uphuze iphilisi lakho nsuku zonke ukuze usebenze kahle kakhulu.
• Nciphisa ukusetshenziswa kotshwala. Utshwala abuthinti ukusebenza kwephilisi, kodwa kungathinta ikhono lakho lokukhumbula ukulithatha. Uma uphuza iphilisi lakho bese uphonsa ngaphakathi kwamahora ambalwa, kungaba kusuka ekuguleni noma ekuphuzeni utshwala, kungadingeka ukuthi uphinde uthathe elinye iphilisi.
• Bheka ukuxhumana. Eminye imishanguzo kadokotela kanye ne-over-the-counter (OTC) izithako zemithi zingathinta ukusebenza kokulawulwa kokuzalwa kwakho. Ngaphambi kokuba uqale ukuthatha iphilisi noma omunye umuthi, buza udokotela noma usokhemisi ukuthi kuphephile yini ukuthi uwahlanganise lawa amabili.

Ukudla okudlela endlini

Uma ulahlekelwa yiphilisi, ungayilungisa kalula inkinga ngokushayela usokhemisi wakho noma ihhovisi likadokotela futhi uthole izeluleko, udlulele phambili kwiphilisi elilandelayo ephaketheni lakho, noma esikhundleni sephilisi elilahlekile ngephilisi elivela ephaketheni elisha.

Esikhundleni sokulinda kuze kube yilapho ulahlekelwe yiphilisi ukuthola ukuthi wenzeni, sebenza ngokuqinile. Buza udokotela wakho manje ukuthi kufanele ukwenze kanjani ukulahlekelwa yiphilisi ukuze wazi ukuthi yini okufanele uyenze uma kwenzeka.

Uma ulahlekelwa amaphilisi njalo noma uzithola weqa amaphilisi njalo, ungahle uthande ukuxoxa ngokushintshela kunketho entsha yokulawula ukuzalwa. Okungadingi ukugcinwa nsuku zonke kungakulungela kangcono wena nendlela yakho yokuphila.

Izinketho zokulawulwa kokuzalwa njengendandatho yangasese, i-patch, noma i-intrauterine device (IUD) ingakusiza ugcine ukuvikelwa ekukhulelweni okungahleliwe ngaphandle kokuphuza iphilisi lansuku zonke.