Izindlela zokuvimbela inzalo eziphuthumayo

Ukuvimbela inzalo okuphuthumayo kuyindlela yokulawula inzalo yokuvimbela ukukhulelwa kwabesifazane. Ingasetshenziswa:

• Ngemuva kokuhlukunyezwa ngokocansi noma ukudlwengulwa
• Lapho ikhondomu iphuka noma uvalo lushelela endaweni yalo
• Lapho umuntu wesifazane ekhohlwa ukuphuza amaphilisi okuvimbela inzalo
• Uma uya ocansini futhi ungasebenzisi noma iyiphi indlela yokulawula inzalo
• Lapho noma iyiphi indlela yokulawula inzalo ingasetshenziswa kahle

Ukuvimbela inzalo okuphuthumayo kungenzeka kuvimbele ukukhulelwa ngendlela efanayo namaphilisi wokulawula ukubeletha avamile:

• Ngokuvimbela noma ukubambezela ukukhishwa kweqanda kumaqanda esifazane
• Ngokuvimbela isidoda ekuvundiseni iqanda

Izindlela ezimbili ongathola ngazo inzalo ephuthumayo yilezi:

• Kusetshenziswa amaphilisi aqukethe uhlobo olwenziwe ngumuntu (lokwenziwa) lwehomoni progesterone ebizwa ngama-progestins. Le yindlela ejwayelekile kakhulu.
• Ukuba ne-IUD efakwe ngaphakathi kwesibeletho.

IZINKETHO ZOKUVIKELA UKUVIKELA ESIPHUTHUMAYO

Amaphilisi okubeletha okuphuthumayo amabili aphuthumayo angathengwa ngaphandle kwencwadi kadokotela.

• Uhlelo B Isinyathelo esisodwa yithebhulethi eyodwa.
• Ukukhetha Okulandelayo kuthathwa njengemithamo emi-2. Womabili la maphilisi angaphuzwa ngasikhathi sinye noma njengemithamo emi-2 ehlukene phakathi kwamahora ayi-12.
• Kuphakathi kokuthi kungathathwa kuze kube yizinsuku ezi-5 emva kocansi olungavikelekile.

I-Ulipristal acetate (Ella) uhlobo olusha lwephilisi lokuvikela ukukhulelwa eliphuthumayo. Uzodinga incwadi kadokotela evela kumhlinzeki wezempilo.

• I-Ulipristal ithathwa njengethebhulethi eyodwa.
• Kungathathwa kuze kufike ezinsukwini ezi-5 ngemuva kocansi olungavikelekile.

Amaphilisi okulawula ukubeletha angasetshenziswa futhi:

• Khuluma nomhlinzeki wakho mayelana nomthamo ofanele.
• Ngokuvamile, kufanele uphuze amaphilisi okulawula ukubeletha amabili kuya kwayisihlanu ngasikhathi sinye ukuze uvikeleke ngokufanayo.

Ukubekwa kwe-IUD kungenye indlela:

• Kumele ifakwe ngumhlinzeki wakho zingakapheli izinsuku ezi-5 zokuya ocansini olungaphephile. IUD esetshenziswayo iqukethe inani elincane lethusi.
• Udokotela wakho angayisusa ngemuva kwesikhathi sakho esilandelayo. Ungase futhi ukhethe ukushiya endaweni ukuze unikeze ukulawulwa kokuzalwa okuqhubekayo.

OKWENGEZIWE MAYELANA NEZIMPILO ZOKUVIKELA EZIPHUTHUMAYO

Abesifazane banoma yibuphi ubudala bangathenga i-Plan B One-Step and Next Choice ekhemisi ngaphandle kwencwadi kadokotela noma bavakashele umhlinzeki wezempilo.

Izindlela zokuvimbela inzalo eziphuthumayo zisebenza kahle kakhulu uma uzisebenzisa kungakapheli amahora angama-24 wenze ucansi. Kodwa-ke, kusengavimbela ukukhulelwa kuze kube yizinsuku ezi-5 ngemuva kokuqala ukuya ocansini.

Akufanele usebenzise izindlela zokuvimbela inzalo eziphuthumayo uma:

• Ucabanga ukuthi ukhulelwe izinsuku eziningana.
• Unokopha esithweni sangasese sangasese ngesizathu esingaziwa (khuluma nomhlinzeki wakho kuqala).

Ukuvimbela inzalo okuphuthumayo kungadala imiphumela emibi. Iningi limnene. Zingafaka:

• Izinguquko ekuphumeni kokuya esikhathini
• Ukukhathala
• Ubuhlungu bekhanda
• Isicanucanu nokuhlanza

Ngemuva kokusebenzisa inzalo ephuthumayo, umjikelezo wakho olandelayo wokuya esikhathini ungaqala ngaphambi kwesikhathi noma ngemuva kwesikhathi kunokujwayelekile. Ukuhamba kwakho kokuya esikhathini kungaba lula noma kusindwe kunokujwayelekile.

• Abesifazane abaningi bathola isikhathi sabo esilandelayo kungakapheli izinsuku eziyi-7 zosuku olulindelekile.
• Uma ungasitholi isikhathi sakho kungakapheli amasonto ama-3 ngemuva kokuthatha inzalo ephuthumayo, ungahle ukhulelwe. Xhumana nomhlinzeki wakho.

Kwesinye isikhathi, ukuvimbela inzalo okuphuthumayo akusebenzi. Kodwa-ke, ucwaningo luphakamisa ukuthi izindlela zokuvimbela inzalo eziphuthumayo azinamphumela wesikhathi eside ekukhulelweni noma ekukhuleni kwengane.

AMANYE AMAQINISO ABALULEKILE

Ungakwazi ukusebenzisa izindlela zokuvimbela inzalo eziphuthumayo ngisho noma ungeke ukwazi ukuphuza amaphilisi okulawula ukubeletha njalo. Khuluma nomhlinzeki wakho ngezinketho zakho.

Ukuvimbela inzalo okuphuthumayo akufanele kusetshenziswe njengendlela ejwayelekile yokulawula ukubeletha. Akusebenzi kanye nezinhlobo eziningi zokulawulwa kokuzalwa.

Iphilisi lasekuseni; Ukuvimbela inzalo ngemuva kokubeletha; Ukulawulwa kokuzalwa - okuphuthumayo; Uhlelo B; Ukuhlela umndeni - ukuvimbela inzalo okuphuthumayo

• Idivayisi ye-intrauterine
• Ukubukwa kwesigaba sohlelo lwesifazane lokuzala
• Izindlela zokuvimbela inzalo ezisekelwe kuHormone
• Izindlela zokuvimbela inzalo

U-Allen RH, uKaunitz AM, uHickey M, uBrennan A.Ukuvimbela inzalo kweHormonal. Ku: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2020: isahluko 18.

URivlin K, Westhoff C. Ukuhlela umndeni. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 13.

UWinikoff B, uGrossman D. Ukuvimbela inzalo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 225.