Yiziphi Izinhlobo Zokulawulwa Kokubeletha Eziphephile Ukuzisebenzisa Ngesikhathi Uncelisa?

-Delile

• Inketho # 1: IUD
• Inketho # 2: Iphilisi elincane
• Inketho # 3: Izindlela zokuvimbela
• Amakhondomu
• Inketho # 4: Ukufakelwa
• Inketho # 5: Ukudubula kweDepo-Provera
• Inketho # 6: Ukuhlela umndeni ngokwemvelo
• Inketho # 7: inzalo
• Kuthiwani ngephilisi elilandelwa ekuseni?
• Okubalulekile

Ungakuvimbela kanjani ukukhulelwa ngenkathi uncelisa

Kungenzeka ukuthi uzwile ukuthi ukuncelisa ibele kukodwa kuyindlela enhle yokulawula ukubeletha. Lokhu kuyiqiniso ngokwengxenye kuphela.

Ukuncelisa ibele kunciphisa amathuba akho okukhulelwa kuphela uma uncelisa kuphela ibele. Futhi le ndlela inokwethenjelwa kuphela izinyanga eziyisithupha ngemuva kokubeletha ingane yakho. Ukuze kusebenze, kufanele uncelise ingane yakho okungenani njalo emahoreni amane emini, njalo ngamahora ayisithupha ebusuku, futhi unganikeli ngesengezo. Lokhu kusho ukuthi ingane yakho ayidli lutho ngaphandle kobisi lwakho.

Uzokhipha amaqanda kuqala, bese uma ungakhulelwa uba nesikhathi sakho sokuqala cishe amasonto amabili kamuva. Cishe ngeke wazi ukuthi uvuthisa yini, ngakho-ke kunengozi yokukhulelwa lapho uncelisa. Le ndlela ayisebenzi uma isikhathi sakho sesivele sibuyile.

Uma ukhathazekile ngokuvimbela ukukhulelwa ngenkathi uncelisa, kuwumqondo omuhle ukukhuluma nodokotela wakho ngezinketho zakho. Ungahle uthande ukugwema ukulawulwa kokuzalwa okuqukethe i-hormone estrogen. I-Estrogen ixhunyaniswe nokuncipha kobisi komama abancelisayo.

Lokho kusho ukuthi, kusenokuningi ongakhetha kukho kokubili ukuvimbela ukukhulelwa nokukuvikela ezifweni ezithathelwana ngocansi (ama-STI). Qhubeka ufunde ukuze ufunde kabanzi.

Inketho # 1: IUD

Amadivayisi we-intrauterine (IUDs) asebenza ngaphezu kwamaphesenti angama-99, okwenza kube ukulawula ukubeletha okuphumelela kakhulu emakethe. Ama-IUD ayindlela yokuvimbela inzalo esebenza isikhathi eside (LARC). Kunezinhlobo ezimbili ezihlukene zama-IUD atholakalayo, ama-hormonal kanye nama-non-hormonal. Zombili zitholakala ngemithi kadokotela kuphela.

Ama-IUDs ama-Hormonal aqukethe i-progestin, eyindlela yokwenziwa kwe-hormone progesterone. I-hormone iyaqinisa ukuqina kwesibeletho sakho ukuvimbela isidoda ukuthi singafinyeleli esibelethweni sakho.

Izinketho zifaka:

• IMirena: ihlinzeka ngeminyaka emihlanu yokuvikelwa
• ISkyla: inikela ngeminyaka emi-3 yokuvikelwa
• ILiletta: inikela ngeminyaka emi-3 yokuvikelwa
• UKyleena: unikela ngeminyaka emihlanu yokuvikelwa

Umhlinzeki wezokunakekelwa kwempilo ufaka ithoyisi elenziwe ngo-T esibelethweni sakho ukuvimbela ukukhulelwa. Ngoba kufakwa into yangaphandle, ingozi yakho yokutheleleka inkulu. I-IUD akuyona inketho enhle kwabesifazane abanabalingani abaningi bezocansi.

AmaHormonal IUD nawo angenza izikhathi zakho zibe lula. Abanye besifazane bangayeka ukubhekana nezikhathi ngokuphelele.

IParagard yiyona kuphela i-IUD engeyona eye-hormonal etholakalayo. IParagard isebenzisa inani elincane lethusi ukuphazamisa ukuhamba kwesidoda. Lokhu kungavimbela ukukhulelwa kweqanda nokufakwa. IParagard inikela ngeminyaka eyi-10 yokuvikelwa. Kodwa-ke, le IUD kungenzeka ingabi eyakho uma ujwayele ukuba nesikhathi esinzima noma uhlangabezane nesigaxa esinamandla. Abesifazane abaningi abasebenzisa i-IUD yethusi babika isikhathi eside, izikhathi ezinzima.

Ungaba ne-IUD efakwe ngokushesha ngemuva kokubeletha, kepha kuwumqondo omuhle ukubuza udokotela wakho ukuthi ngabe le kuyindlela yakho engcono kakhulu. Odokotela abaningi bafuna ukulinda uze uphole futhi uyeke ukuphuma kwegazi ngemuva kokubeletha emasontweni amabili kuya kwayisithupha. Ngaphandle kwalokho, i-IUD ingahle isuswe uma ibekwa maduzane futhi ubungozi bokutheleleka bukhulu.

Imiphumela emibi ifaka ukucinana ngemuva kokufakwa, ukuphuma kwegazi ngokungajwayelekile noma okusindayo, nokubona phakathi kwezikhathi. Le miphumela emibi ivame ukudamba ezinyangeni eziyisithupha zokuqala kokufakwa.

Uma uthatha isinqumo sokuthi ungathanda ukukhulelwa futhi, ungasusa i-IUD yakho bese uqala ukuzama ngokushesha.

Inketho # 2: Iphilisi elincane

Amaphilisi okulawula ukubeletha wendabuko aqukethe ingxube yamahomoni i-estrogen ne-progestin. Abanye besifazane bangathola ubisi oluncishisiwe, futhi ngenxa yalokho isikhathi esifushane sokuncelisa, lapho usebenzisa amaphilisi okuhlanganisa. Kucatshangwa ukuthi i-estrogen ingaba yimpande yalokhu.

Uma ungathanda ukusebenzisa umuthi wokuvimbela inzalo ngomlomo, iphilisi elincane liyindlela. Leli philisi liqukethe i-progestin kuphela, ngakho-ke kubhekwa njengokuvikeleka komama abancelisayo. Iphilisi livame ukutholakala kuphela ngodokotela, kepha lingatholwa ngaphezu kwe-counter (OTC) kwezinye izifundazwe.

Ngoba iphilisi ngalinye elisephaketheni lamaphilisi angama-28 liqukethe i-progestin, cishe ngeke ube nesikhathi senyanga. Ungathola ukubonwa noma ukuphuma kwegazi okungajwayelekile ngenkathi umzimba wakho ulungisa.

Njengezinye izinto eziningi zokuvimbela inzalo eziqukethe i-progestin, ungaqala ukuthatha iphilisi elincane phakathi kwamasonto ayisithupha kuya kwayisishiyagalombili ngemuva kokubeletha ingane yakho. Kusebenza phakathi kwamaphesenti angama-87 no-99.7 ngempumelelo ekuvimbeleni ukukhulelwa.

Ungaba nempumelelo enhle ngale ndlela yokulawula ukubeletha uma ukhumbula ukuphuza iphilisi nsuku zonke futhi ngasikhathi sinye usuku ngalunye ukugcina amazinga wakho we-hormone ezinzile.

Ngenkathi ukwiphilisi elincane, ungathola noma yini kusuka ekhanda nokuphuma kwegazi ngokungajwayelekile kuye ekushayweni kocansi okuncishisiwe nama-cysts ama-ovari.

Uma uthatha isinqumo sokuthi ufuna ukukhulelwa futhi ngemuva kokuphuza iphilisi, khuluma nodokotela wakho. Kwabanye besifazane, ukuzala kungabuya ngokushesha ngemuva kokumisa iphilisi noma kungathatha izinyanga ezimbalwa ukubuya.

Omama abaningi babona ukwehla kobisi lwabo kuncipha nganoma yikuphi ukulawulwa kokuzalwa kwamahomoni. Ukuze unqobe lokho, uncelise kaningi bese upompa ngemuva kokuncelisa amasonto ambalwa okuqala kupilisi elincane. Uma ukunikezwa kwakho ubisi lwebele kuqhubeka nokwehla, shayela umxhumanisi we-lactation ukuthola izeluleko zokukhuphula ukunikezwa kwakho futhi.

Inketho # 3: Izindlela zokuvimbela

Njengoba igama lisho, indlela yokuvimbela ivimbela isidoda ukuba singene esibelethweni futhi sivundise iqanda. Kunezindlela ezahlukahlukene ongakhetha kuzo futhi zonke ziyi-OTC.

Ingxenye engcono kakhulu? Ungaqala ukusebenzisa izindlela zokuvimbela ngokushesha nje lapho ususuliwe ocansini ngemuva kokuzalwa kwengane yakho. Lezi zindlela aziqukethe noma yimaphi ama-hormone angaphazamisa ubisi lwakho.

Amakhondomu

Amakhondomu asebenza ngokuvimba isidoda ukuba singene esithweni sangasese.

Ziza ngezindlela ezahlukahlukene, kufaka phakathi:

• owesilisa nowesifazane
• i-latex ne-non-latex
• okungagcotshwanga nokuthanjisiwe
• ukubulala isidoda

Amakhondomu futhi awukuphela kwendlela yokulawula inzalo esiza ukuvikela kuma-STI.

Uma esetshenziswa “ngokuphelele,” amakhondomu asebenza cishe ngamaphesenti angama-98. Lokhu kusho ukusebenzisa ikhondomu njalo, kusukela ekuqaleni kuze kube sekugcineni. Ngamanye amagama, akukho ukuxhumana kobulili ngaphambi kokufakwa kwekhondomu. Ukusetshenziswa okuphelele futhi kucabanga ukuthi ikhondomu ayiphuli noma ishelele ngesikhathi sokuya ocansini.

Ngokusetshenziswa “okujwayelekile,” lelo nani lehlisela kuma-82% asebenzayo. Lokhu kubangela konke okubi okungenzeka ngesikhathi sokuya ocansini.

Ukuze uvikeleke ngokwengeziwe, sebenzisa amakhondomu ngezinye izindlela zokulawula ukubeletha, njenge-spermicide, iphilisi elincane, noma ukuhlela umndeni ngokwemvelo.

Inketho # 4: Ukufakelwa

Ukufakwa kwe-contraceptive Nexplanon ukuphela kwe-LARC etholakalayo. Iphinde futhi isebenze ngaphezu kwamaphesenti angama-99 futhi itholakala kuphela ngemithi kadokotela.

Leli thuluzi elincane elimise okwezinduku licishe lilingane nodondolo lukamentshisi. Udokotela wakho uzofaka ukufakelwa ngaphansi kwesikhumba engalweni yakho ephezulu. Uma usendaweni, ukufakelwa kungasiza ukuvimbela ukukhulelwa kuze kube yiminyaka emine.

Ukufakwa kuqukethe i-hormone progestin. Le hormone isiza ukuvimbela ama-ovari akho ekukhipheni amaqanda. Kuyasiza nokuqinisa umfinyela wesibeletho sakho, ukuvimbela isidoda ukuthi sifinyelele eqandeni.

Ungafaka ukufakwa ngokushesha ngemuva kokubeletha. Ungase futhi ususwe uma ukhetha ukukhulelwa futhi.

Yize izinkinga ngeNexplanon zingavamile, kufanele utshele udokotela wakho uma une:

• ubuhlungu bengalo obungasuki
• izimpawu zokutheleleka, njengomkhuhlane noma amakhaza
• ukuphuma kwegazi esithweni sangasese ngokweqile

Inketho # 5: Ukudubula kweDepo-Provera

Ukudutshulwa kweDepo-Provera kuyindlela ehlala isikhathi eside yokulawulwa kokuzalwa komuthi. Isebenzisa i-hormone progestin ukuvimbela ukukhulelwa. Isibhamu sinikela ngezinyanga ezintathu zokuvikelwa ngasikhathi, ngakho-ke uma ungagcini ama-aphoyintimenti akho wokulandelela ngekota, ngeke uvikeleke.

Isibhamu sisebenza cishe ngamaphesenti angama-97. Abesifazane abathola imijovo yabo ngesikhathi njalo emavikini ayi-12 basebenza ngezinga eliphakeme kunabesifazane abaphuthelwa ukudutshulwa noma abaphelelwe yisikhathi.

Imiphumela emibi ifaka phakathi ubuhlungu besisu ekuphathweni ikhanda ukuze uzuze isisindo. Abanye besifazane nabo bathola ukulahleka kwesisindo samathambo ngenkathi besebenzisa le ndlela yokulawula ukuzalwa.

Uma ufuna ukuba nezingane eziningi ngokuzayo, kubalulekile ukuthi wazi ukuthi kungathatha izinyanga eziyi-10 noma ngaphezulu ukuze ukuzala kwakho kubuye ngemuva kokuyeka ukusetshenziswa.

Inketho # 6: Ukuhlela umndeni ngokwemvelo

Indlela yokuhlela umndeni ngokwemvelo ibizwa nangokuthi indlela yokuqwashisa ngokuzala. Ayinayo i-hormone, kepha idinga ukunakwa ngemininingwane ethile.

Kunezindlela eziningi ezahlukahlukene zokusondela kwi-NFP, kepha kwehla ukunaka kakhulu izimpawu zomzimba wakho.

Isibonelo, uzofuna ukunaka isigqi semvelo somzimba wakho nokuthi umjikelezo wakho mude kangakanani.Kwabesifazane abaningi, lobu ubude buphakathi kwezinsuku ezingama-26 nezingama-32. Ngaphandle kwalokho, uzofuna ukubuka amafinyila wesibeletho aphuma esithweni sakho sangasese.

Ungase futhi uthande ukuthatha ukushisa komzimba wakho osisekelo njalo ekuseni usebenzisa i-thermometer ekhethekile. Lokhu kungakusiza ukuthi ubheke ama-spikes noma ama-dips ekushiseni, okusiza ukukhombisa ukukhiqizwa kweqanda.

Kodwa-ke, kungaba nzima ukubikezela ukuthi ukuzala kwakho kubuya nini emva kokuzalwa. Iningi labesifazane abelethile abahlangabezani nesikhathi ngaphambi kokuba baqale ukuvuthwa futhi. Imijikelezo yokuqala eya esikhathini ongahle ube nayo ingafani futhi yehlukile kunalokho oyijwayele.

Uma le kuyindlela oyikhethayo, kufanele uthathe isinqumo sokufunda nokukhuthala ngokuqapha amafinyila, ikhalenda, izimpawu namazinga okushisa. Ukusebenza kwezindlela zokuhlela zemvelo kungamaphesenti angama-76 noma ngaphansi uma ungayenzi le ndlela ngokungaguquguquki.

Lokhu akuyona inketho enhle kwabesifazane abahlale beba nezikhathi ezingajwayelekile. Futhi, umjikelezo wakho ungahle ungalindelekile ngenkathi uncelisa. Ngalesi sizathu, ungahle uthande ukucabanga ukusebenzisa indlela yokwenza isipele, njengamakhondomu, ikepisi lomlomo wesibeletho, noma i-diaphragm.

Inketho # 7: inzalo

Uma ungafuni ukuba nenye ingane, inzalo ingaba yindlela enhle kuwe. Ukuvala inzalo yowesifazane kwaziwa ngamagama amaningi, kufaka phakathi inzalo ye-tubal, i-tubal ligation, noma "ukubopha amashubhu akho." Lokhu kuyindlela yokulawula inzalo unomphela lapho kunqunywa khona noma kuvinjelwe amashubhu obeletho ukuvimbela ukukhulelwa.

I-tubal ligation ayithinti umjikelezo wakho wokuya esikhathini. Abanye besifazane bakhetha ukuthi le nqubo igcwaliswe ngemuva kokubeletha kwesitho sangasese sowesifazane noma ngesikhathi sokuhlinzwa. Izingozi ngale nqubo ziyefana nanoma yikuphi okunye ukuhlinzwa okukhulu kwesisu, kufaka phakathi ukusabela ku-anesthesia, ukutheleleka, kanye nobuhlungu be-pelvic noma besisu.

Udokotela wakho noma umxhumanisi we-lactation ungumthombo wakho ongcono kakhulu wokunquma ukuthi ungabuyela nini ngokuphepha ebuhlengikazi ngemuva kokuhlinzwa nokuthatha imishanguzo, njengamaphilisi ezinhlungu.

Ukuvala inzalo nge-nonsurgical kungenzeka, yize kungathatha izinyanga ezintathu ukuthi kusebenze. I-Tubal ligation isebenza ngokushesha.

Yize ukuguqula i-tubal ligation kungenzeka, amathuba aphansi kakhulu. Kufanele uhlole kuphela inzalo uma uqiniseke ngokuphelele ukuthi awufuni ukuzala futhi.

Kuthiwani ngephilisi elilandelwa ekuseni?

Uma uzithola usesimweni lapho ucabanga ukuthi ukulawulwa kokuzalwa kwakho kwehlulekile, kuphephile ukusebenzisa iphilisi lokusa ekuseni ngenkathi uncelisa. Leli philisi kufanele lisetshenziswe njengendawo yokugcina futhi hhayi njengendlela ejwayelekile yokulawula ukubeletha. Iyatholakala i-OTC noma ngezindleko ezincishisiwe ngudokotela.

Kunezinhlobo ezimbili zephilisi elilandelwa ekuseni: elilodwa eliqukethe inhlanganisela ye-estrogen ne-progestin nenye ene-progestin kuphela.

Amaphilisi e-progestin kuphela asebenza ngamaphesenti angama-88, kodwa awasebenzi kanye namaphilisi okuhlanganisa, asebenza ngamaphesenti angama-75.

Ezinye izinketho zamaphilisi e-progestin kuphela zifaka:

• Hlela B Isinyathelo esisodwa
• Thatha Isinyathelo
• Okulandelayo Okukhethwa Kunye Umthamo
• Indlela yami

Iphilisi lenhlanganisela lisebenza cishe ngamaphesenti angama-75.

Yize kukhethwa amaphilisi e-progestin-only, ukuthatha iphilisi elihlanganayo akufanele kube nomthelela wesikhathi eside ekunikezeni kwakho ubisi. Ungahlangabezana nokudipha okwesikhashana, kepha kufanele kubuyele kokujwayelekile.

Okubalulekile

Ukuzala kwakho kungabuya noma kunini ngemuva kokubeletha ingane yakho, noma ngabe ubeletha. Ukuncelisa ibele kukodwa kunciphisa kancane ithuba lokukhulelwa ezinyangeni eziyisithupha zokuqala futhi kuphela uma ukondla kuphela okungenani njalo emahoreni amane kuya kwayisithupha.

Kunezinketho eziningi zokulawulwa kokuzalwa ongaxoxa ngazo nodokotela wakho. Ukukhetha ukuthi yikuphi okulungele wena kuyisinqumo somuntu siqu. Ngokuvamile, omama abancelisayo kufanele bagweme ukulawulwa kokuzalwa okuqukethe i-estrogen, ngoba kungathinta ukunikezwa kwakho ubisi.

Uma unemibuzo eminingi mayelana nokuzala kwakho ngenkathi uncelisa nezindlela zokulawulwa kokubeletha okuphephile, cabanga ukwenza i-aphoyintimenti nodokotela wakho noma umxhumanisi we-lactation. Ukugcina ukuncelisa ibele kubalulekile futhi ufuna ukwenza ukhetho lokulawula ukubeletha olungaphazamisi.