Ukukhetha Phakathi Kwephilisi Lokulawula Ukuzalwa noma iDepo-Provera Shot

-Delile

• Iphilisi lokulawula ukubeletha
• Isilawuli sokubeletha sidubule
• Imiphumela emibi yepilisi kanye nesibhamu
• Izimbangela zemiphumela emibi
• Izici zobungozi okufanele uzigcine engqondweni
• Buhle bephilisi
  
• Nebubi of iphilisi
  
• Buhle bokudutshulwa
  
• Ububi besibhamu
  
• Ukukhuluma nodokotela wakho

Uma kubhekwa lezi zinketho ezimbili zokulawulwa kokuzalwa

Womabili amaphilisi okulawula ukubeletha kanye ne-shot control control izindlela eziphumelela kakhulu futhi eziphephile zokuvimbela ukukhulelwa okungahlelelwe. Lokho kusho ukuthi bobabili bahluke kakhulu futhi badinga ukucatshangelwa ngokungathi sína ngaphambi kokwenza ukhetho.

Hlanganisa impendulo evela kubangani nakumalungu omndeni, cwaninga konke ongakhetha kukho ngokucophelela ngangokunokwenzeka, bese ufinyelela kudokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka. Kubalulekile ukuthi ufike ekukhethweni okuzizwa uphilile futhi ungokwemvelo ngendlela yakho yokuphila.

Uma unquma kamuva ukuthi inketho oyikhethile ayilungile, khumbula ukuthi cishe zonke izinhlobo zokulawulwa kokuzalwa ziyashintshana. Ngamanye amagama, ungazishintsha ngaphandle kokuthinta ukuzala kwakho noma ingozi yakho yokukhulelwa, inqobo nje uma kwenziwa ngokuqondisa kukadokotela.

Iphilisi lokulawula ukubeletha

Amaphilisi okulawula inzalo ayindlela yokuvimbela inzalo ngamahomoni. Abesifazane abaningi basebenzisa amaphilisi okuvimbela inzalo ukuvimbela ukukhulelwa. Iphilisi lingasetshenziselwa ukunciphisa izikhathi ezinzima, ukwelapha izinduna, nokunciphisa izimpawu zezinkinga ezithile zohlelo lokuzala.

Amaphilisi okulawula inzalo eza njengamaphilisi okuhlanganisa kanye namaphilisi amancane we-progestin kuphela. Inhlanganisela yamaphilisi aqukethe izinhlobo ezimbili zamahomoni: i-progestin ne-estrogen. Amaphakethe amaphilisi anenhlanganisela yamaphilisi ngokuvamile aqukethe amasonto amathathu wamaphilisi asebenzayo neviki elilodwa lamaphilisi angasebenzi, noma ama-placebo. Phakathi nesonto lamaphilisi angasebenzi, ungahle ube nesikhathi. Amaphakethe wamaphilisi we-progestin kuphela aqukethe izinsuku ezingama-28 zamaphilisi asebenzayo. Noma engekho amaphilisi angasebenzi, ungahle ube nesikhathi phakathi nesonto lesine lephakethe lakho.

Amaphilisi okulawula inzalo asebenza ngezindlela ezimbili ukuvimbela ukukhulelwa. Okokuqala, ama-hormone asephilisi avimbela ukukhishwa kwamaqanda kuma-ovari akho (ovulation). Uma ungenawo amaqanda, akukho lutho lwesidoda okufanele livundise.

Okwesibili, amahomoni akhulisa ukwakheka kwamafinyila azungeze ukuvulwa komlomo wesibeletho. Uma le nto enamathelayo ikhula ijiyile ngokwanele, isidoda esingena emzimbeni wakho siyomiswa ngaphambi kokusondela eqandeni. Ama-hormone nawo anganciphisa ulwelwesi lwesibeletho. Uma iqanda lifakwa ngandlela thile, lokhu kuqinisekisa ukuthi ngeke likwazi ukunamathela kulayini.

Ngokuya ngePlanned Parenthood, uma ithathwa njengokuyalelwa, amaphilisi okulawula ukubeletha asebenza ngamaphesenti angama-99 ekuvikeleni ukukhulelwa. Kodwa-ke, iningi labesifazane lenza lokho okubizwa ngokuthi "ukusetshenziswa okujwayelekile." Ukusetshenziswa okujwayelekile kulandisa ngowesifazane olahlekelwe yiphilisi noma amabili, ukufika sekwedlule isikhathi ngephakethe elisha, noma esinye isigameko esimvimbela ukuthi angaphuzi iphilisi nsuku zonke ngasikhathi sinye. Ngokusetshenziswa okujwayelekile, amaphilisi okulawula ukubeletha asebenza ngamaphesenti angama-91.

Isilawuli sokubeletha sidubule

I-shot control, iDepo-Provera, ingumjovo wehomoni ovimbela ukukhulelwa okungahleliwe izinyanga ezintathu ngasikhathi. I-hormone kulokhu kudutshulwa i-progestin.

Isibhamu sokulawulwa kokuzalwa sisebenza ngokufana nephilisi lokulawula ukuzalwa. Kuvimbela ukuvuthwa kweqanda futhi kwandisa ukwakheka kwamafinyila lapho kuvuleka khona umlomo wesibeletho.

Ngokuya ngePlanned Parenthood, uma uyithola njengokuyalelwa, isibhamu sisebenza ngamaphesenti angama-99. Ukuqinisekisa ukusebenza kahle, abesifazane kufanele badutshulwe njalo ezinyangeni ezintathu njengoba kuyalelwe. Uma udutshulwe ngesikhathi ngaphandle kokuphuza, kunethuba elilodwa koku-100 lokuthi uzokhulelwa phakathi nonyaka onikeziwe.

Kwabesifazane abangasithathi isibhamu njengoba kunqunyiwe - okuvame ukubizwa ngokusetshenziswa okujwayelekile - isilinganiso sokusebenza kahle sifinyelela kumaphesenti angama-94. Ukuthola umjovo njalo emavikini ayi-12 kubalulekile ekugcineni ukuvikelwa kwakho ekukhulelweni.

Isilawuli sokubeletha, njengamaphilisi okulawula inzalo, asivikeli kuma-STD. Kusafanele usebenzise indlela yokuvikela ukuvikela ama-STD.

Ngemuva kokudutshulwa kwakho kokugcina, ungahle ungabuyeli ekuzaleni kwakho okujwayelekile futhi ukwazi ukukhulelwa izinyanga eziyishumi. Uma ufuna kuphela indlela yesikhashana yokulawula ukubeletha futhi ufisa ukukhulelwa maduze, isibhamu kungenzeka singakulungeli.

Imiphumela emibi yepilisi kanye nesibhamu

Womabili amaphilisi okulawula ukubeletha kanye neDepo-Provera shot aphephe kakhulu kubantu besifazane abaningi ongawasebenzisa. Njenganoma imuphi umuthi, lezi zinhlobo zokulawulwa kokubeletha zinemiphumela emzimbeni wakho. Ezinye zalezi zihloselwe. Kodwa-ke, eminye yale miphumela emibi engafuneki.

Ngamaphilisi okulawula ukubeletha, imiphumela emibi ingafaka:

• ukuphuma kwegazi, noma ukopha ngezinsuku zamaphilisi asebenzayo
• isisa sebele
• ukuzwela kwebele
• ukuvuvukala kwamabele
• isicanucanu
• ukuhlanza

Iningi lalemiphumela engemihle izokwehla phakathi kwezinyanga ezimbili kuya kwezingu-3 zokuqala ngemuva kokuqala ukusebenzisa amaphilisi.

Izimbangela zemiphumela emibi

Womabili amaphilisi okulawula ukubeletha kanye nesibhamu sokulawula ukubeletha siletha isilinganiso esengeziwe samahomoni emzimbeni wakho. Noma nini lapho ama-hormone akho eguqulwa ngamabomu, ungalindela ukuhlangabezana nemiphumela emibi noma izimpawu ezihlobene nokushintsha.

Ama-hormone asemaphilisi okulawula ukubeletha alethwa kancane kancane nsuku zonke. Izinga lamahomoni emaphilisi aliphakeme kakhulu. Odokotela nabacwaningi basebenze amashumi eminyaka ukuthola amanani aphansi kakhulu asebenzayo, futhi anethezekile, kwabesifazane. Ukudubula kweDepo-Provera, noma kunjalo, kuveza umthamo omkhulu wamahomoni ngasikhathi sinye. Ngaleso sizathu, ungahle ube nemiphumela emibi kakhulu ngemuva kokudutshulwa.

Izici zobungozi okufanele uzigcine engqondweni

Yize amaphilisi okulawula ukubeletha kanye nesibhamu sokulawula inzalo kuphephe kakhulu kwabesifazane abaningi, odokotela kungenzeka bangabaniki bonke abesifazane abafuna uhlelo lokulawula ukubeletha.

Akufanele uphuze amaphilisi okulawula ukubeletha uma:

• banesifo esilimele njengefa lokuvala igazi noma umlando wamahlule egazi
• ukuzwa ikhanda le-migraine nge-aura
• unomlando wokuhlaselwa yisifo senhliziyo noma inkinga enkulu yenhliziyo
• bayabhema futhi bangaphezu kweminyaka engama-35
• kutholakale ukuthi une-lupus
• ube nesifo sikashukela esingalawuleki noma ube nalesi simo iminyaka engaphezu kwengu-20

Akufanele usebenzise isibhamu sokulawula ukubeletha uma:

• ube nomdlavuza webele noma ube nawo
• thatha i-aminoglutethimide, okuwumuthi kadokotela osetshenziselwa ukwelapha i-Cushing’s syndrome
• ukuncipha kwamathambo noma ukuthamba kwamathambo

Buhle bephilisi

1. Imiphumela yakho emibi ayinamandla kangako kunesibhamu.
2. Ungakhulelwa ngokushesha ngemuva kokuyeka ukuyithatha.

Nebubi of iphilisi

1. Kufanele uthathe nsuku zonke.
2. Ngokusetshenziswa okujwayelekile, kusebenza kancane kancane kunokudutshulwa.

Buhle bokudutshulwa

• Kumele uthathe kuphela njalo ezinyangeni ezintathu.
• Ngokusetshenziswa okujwayelekile, kusebenza kancane kunephilisi.

Ububi besibhamu

• Imiphumela yakho emibi kakhulu kunephilisi.
• Kuthatha isikhashana ukuthi ukwazi ukukhulelwa ngemuva kokuyeka ukukuthola.

Ukukhuluma nodokotela wakho

Lapho usukulungele ukwenza isinqumo mayelana nokulawulwa kokuzalwa, thintana nodokotela wakho. Ngokubambisana, nobabili ningalinganisa izinketho zenu futhi ninqume noma yiziphi izindlela zokulawula ukubeletha ezingahambisani nezidingo zenu noma indlela eniphila ngayo. Ngemuva kwalokho, ungagxilisa ingxoxo yakho kuzinketho ezikhanga kakhulu kuwe.

Nayi eminye imibuzo okufanele uyicabangele:

• Uhlela ukuba nezingane? Uma wenza kanjalo, kungekudala kangakanani?
• Ungakwazi yini ukufaka iphilisi lansuku zonke ohlelweni lwakho? Uzokhohlwa?
• Ingabe le ndlela iphephile uma unikezwa iphrofayili yakho yezempilo nomlando womndeni?
• Ingabe ufuna ezinye izinzuzo, njengezikhathi ezimbalwa?
• Ngabe uzobe ukhokha ephaketheni, noma ngabe lokhu kumbozwe umshwalense?

Akudingeki ukuthi ukhethe ngokushesha. Hlanganisa imininingwane eminingi ngendlela ozizwa uyidinga ngayo.

Uma usukulungele, tshela udokotela wakho ukuthi yini ocabanga ukuthi ingcono kakhulu. Uma bevuma, ungathola incwadi kadokotela bese uqala ukusebenzisa ukuvimbela ukuzalwa zisuka nje. Uma uqala ukuthatha ifomu lokulawulwa kokubeletha bese unquma ukuthi akulona elakho, khuluma nodokotela wakho. Bazise ukuthi wenzani futhi awuthandi ini. Ngaleyo ndlela, nobabili ningabheka enye indlela engazifanela kangcono izidingo zenu.