Izinto Ezi-6 Okufanele Uzazi Ngokudutshulwa Kokuzalwa

-Delile

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Kunezinketho eziningi zokulawulwa kokubeletha ongazithola kunanini ngaphambili. Ungathola amadivayisi we-intrauterine (IUDs), ufake amasongo, usebenzise amakhondomu, uthole okutshaliwe, ushaye ngempama, noma uvule iphilisi. Futhi ukuhlola kwamuva nje okwenziwa i-Guttmacher Institute kwathola ukuthi abesifazane abangamaphesenti angu-99 baye basebenzisa okungenani eyodwa yalezi phakathi neminyaka yabo yokuya ocansini. Kepha kunendlela eyodwa yokulawula ukubeletha abesifazane abaningi abangacabangi ngayo: isibhamu. Amaphesenti ama-4.5 kuphela wabesifazane abakhetha ukusebenzisa izinto zokuvimbela inzalo ezijojwayo, yize zibhalwe njengenye yezindlela ezinokwethenjelwa futhi ezingabizi kakhulu.

Kungakho sikhulume no-Alyssa Dweck, M.D., OBGYN, kanye nombhali I-V ingeyesitho sangasese sowesifazane, ukuze uthole ukwaziswa okwengeziwe mayelana nokuphepha kwayo, ukunethezeka, nokusebenza ngempumelelo. Nazi izinto eziyisithupha okudingeka wazi mayelana nokudutshulwa, ukuze ukwazi ukuthatha isinqumo esihle kakhulu ngomzimba wakho:

Kuyasebenza. Ukudubula kweDepo-Provera kunamaphesenti angama-99 ngempumelelo ekuvimbeleni ukukhulelwa, okusho ukuthi kuhle njengamadivayisi we-intrauterine (IUDs) afana neMirena futhi angcono kunokusebenzisa iphilisi (amaphesenti angama-98 asebenzayo) noma amakhondomu (amaphesenti angama-85 asebenzayo). "Ithembeke kakhulu ngoba ayidingi ukuphathwa nsuku zonke, ngakho-ke mancane amathuba okuphutha kwabantu," kusho uDweck. (I-Psst ... Bheka lezi zinganekwane eziyi-6 ze-IUD, zikhishwe!)

Kuyisikhathi eside (kodwa hhayi unomphela) ukulawulwa kokuzalwa. Udinga ukuthola isibhamu njalo ezinyangeni ezintathu ngokulawulwa kokuzalwa okuqhubekayo, okulingana nohambo olusheshayo oluya kudokotela kane ngonyaka. Kodwa uma unquma ukuthi usukulungele umntwana, ukuzala kwakho kubuyiselwa ngemva kokuba isibhamu siphelile. Qaphela: Kuthatha isilinganiso sezinyanga eziyishumi ngemuva kokudutshulwa kwakho kokugcina ukukhulelwa, isikhathi eside kunezinye izinhlobo zokulawulwa kokubeletha, njengephilisi. Lokhu kwenza kube yisinqumo esihle kwabesifazane abaziyo ukuthi bafuna izingane ngolunye usuku kepha hhayi kungekudala.

Isebenzisa amahomoni. Njengamanje, kunohlobo olulodwa kuphela lokuvimbela inzalo ngomjovo, olubizwa ngeDepo-Provera noma i-DMPA. Kuyi-progestin ejojwayo-indlela yokwenziwa kwe-hormone progesterone yesifazane. "Isebenza ngokuvimbela ukuvuthwa kweqanda nokuvimbela ukuphuma kwamaqanda, ukuqina kwesikhumba somlomo wesibeletho, okwenza kube nzima ukuthi isidoda sikwazi ukufinyelela eqandeni ukuze likhule, nangokusika ulwelwesi lwesibeletho okwenza isibeletho singabi nandawo yokukhulelwa," kusho uDweck.

Kunemithamo emibili. Ungakhetha ukuthola i-104 mg injected ngaphansi kwesikhumba sakho noma i-150 mg injected in your muscle. Olunye ucwaningo luphakamisa ukuthi imizimba yethu imunca umuthi kangcono kusuka emijoweni yemisipha kodwa leyo ndlela ingahle ibe buhlungu kancane. Noma kunjalo, zombili izindlela zinikeza ukuvikeleka okuphumelela ngokwedlulele.

Akufanele wonke umuntu. Ukudubula kungenzeka kungasebenzi kahle kwabesifazane abakhuluphele, kusho uDweck. Futhi ngenxa yokuthi inamahomoni, inemiphumela engemihle efanayo nezinye izinhlobo zokulawulwa kokuzalwa kwamahomoni okuqukethe i-progestin-plus ezinye ezimbalwa. Ngoba uthola i-mega-dose ye-hormone ngesibhamu esisodwa, kungenzeka ukuthi ube nokopha okungajwayelekile noma ulahlekelwe ngokuphelele isikhathi sakho. (Nakuba lokho kungase kube ibhonasi kwabanye!) U-Dweck unezela ukuthi ukulahlekelwa kwamathambo kungenzeka ngokusetshenziswa isikhathi eside. Izindaba ezimnandi, nokho, ukuthi ayiqukethe i-estrogen, ngakho-ke kuhle kubantu besifazane abazwela nge-estrogen.

Kungakwenza ukhuluphale. Esinye sezizathu abesifazane abavame ukusinikeza ngokungasikhethi isibhamu ngamahemuhemu okuthi kukwenza ukhuluphale. Futhi lokhu ukukhathazeka okusemthethweni, kusho u-Dweck, kodwa kuze kube iphuzu. "Ngithola ukuthi abesifazane abaningi bathola cishe amakhilogremu amahlanu ngeDepo," esho, "kodwa lokho akuyona yonke indawo." Ucwaningo lwakamuva olusuka e-Ohio State University lukhombisile ukuthi into eyodwa enquma ukuthi uzuza isisindo kusuka ekudutshulweni izakhi ezincane, noma amavithamini, ekudleni kwakho. Abacwaningi bathola ukuthi abesifazane abadla izithelo eziningi, imifino kanye nezinhlamvu babe mancane amathuba okuthi bakhuluphale ngemva kokudutshulwa, ngisho noma bedla ukudla okungenamsoco. (Zama ukudla okuhle kakhulu kwe-abs flat.)

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