Ukuthola Izishubhu Zakho Kuboshwe Kucishe Kuthandwe Njengepilisi

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Abesifazane banokufinyelela ezindleleni eziningi zokuvimbela inzalo kunangaphambili: amaphilisi, ama-IUD, amakhondomu-khetha wena. (Yebo, sifisa sengathi ngabe ibingekho le ngxoxo yezombangazwe ephikisanayo emizimbeni yabesifazane, kodwa leyo ingeyenye indaba.)

Njengoba kunezinketho eziningi ezifinyeleleka kalula (ingasaphathwa eyokubuyiselwa emuva kalula) lapho, ungashaqeka ukuthola ukuthi ngaphezu kwekota yabo bonke abesifazane abakhetha ukusebenzisa uhlobo oluthile lokuvikela ukukhulelwa bafuna inzalo yabesifazane-i-AKA "ibopha amashubhu abo" -kubhala embikweni wakamuva kakhulu ovela kuzikhungo Zokulawulwa Nokuvikelwa Kwezifo. (Nansi Indlela Yokutholela Inketho Yokulawula Ukuzalwa Engcono Kakhulu.)

Umbiko udiliza izindlela ezithandwayo zokuvimbela inzalo phakathi kwabesifazane abakhetha ukusebenzisa uhlobo oluthile lokulawula ukubeletha (okungaba ngamaphesenti angama-62 abesifazane phakathi kweminyaka eyi-15 nengama-44 phakathi kuka-2011 no-2013, lapho idatha iqoqwa). Futhi inzalo yabesifazane okwamanje isetshenziswa ngamaphesenti angama-25 wabesifazane abasebenzisa uhlobo oluthile lokulawulwa kokuzalwa, noma amaphesenti ayi-15 enani labantu. (I-Psst... Ungaweli lezi zinganekwane ze-IUD!)

Lokho kwenza ukuthi amashubhu akho aboshelwe uhlobo lwesibili oludume kakhulu lokulawula ukuzalwa, amakhondomu ecilongo, amadivaysi afakelwe njenge-IUD, namashothi okulawula ukuzalwa. Hawu. Uma lokho bekungasile ngokwanele, indlela engabuyiselwa emuva iyisibili esiseduze kakhulu kwiphilisi elidumile. Sikhuluma ngaphansi kwephesenti elilodwa lephesenti.

Lokhu akuyona inkambiso entsha, noma kunjalo. Inani labesifazane abakhetha inqubo yaphakade lisalokhu linjalo kusukela maphakathi nawo-1990, ngokusho kwedatha yomlando evela ku-CDC.

"Iqiniso elisobala elidinga ukucatshangelwa liwukuhlala unomphela kwe-tubal ligation," kusho u-Alyssa Dweck, M.D., umsizi kaprofesa wezemithi nokubelethisa eMount Sinai School of Medicine. "Kubalulekile ukuthi abesifazane bazi ukuthi lokhu kwenziwa ngenhloso yokuthi abafuni neze izingane."

Ukuthola amashubhu akho aboshwe imisindo ilula impela, kepha inqubo yangempela ayisiwo umnsalo omuhle igama elingawuphakamisa. Ezingxenyeni eziningi zamashubhu, udokotela uzongena ngokuhlinzwa futhi asike, ashise, noma abambe amashubhu e-Fallopian avaleke, okuyinto, njengoba ungase ucabange, engenakuhlehliswa. Yize le nqubo ijwayelekile, iwumnyakazo onzima impela.

Uma ubheka ukuhlala ngokuphelele kwale ndlela yokuvimbela ukukhulelwa, ungacabanga ukuthi abesifazane abathuthukisa i-tubal ligation endaweni yesibili ezilinganisweni zokuvimbela ukukhulelwa bazoba semaphethelweni amadala we-spectrum futhi benze izingane. Ngokwe-Anecdotally, uDweck uthi lokho kunjalo kakhulu enkambisweni yakhe, kepha umbiko weCDC utshela indaba ehluke kancane.

Ngokuya ngemininingwane yabo, abesifazane asebekhulile yibona bantu abaningi abakhetha ukuboshwa amashubhu abo. Kodwa-ke, abesifazane abayizinkulungwane zeminyaka baseyingxenye ebalulekile yalesi sibalo.

Ngakho-ke uma abaningi bethu sebevele bekwenza, ingabe ukubopha amashubhu akho kuyinto okufanele uyicabangele uma ungabafuni abantwana?

"Ngokuvamile ngiyoba manqikanqika ukunikeza le nqubo kwabesifazane abasebancane abangenazo izingane ngaphandle kokucabanga kancane ngoba awazi ukuthi ikusasa lingaba yini," kusho uDweck.

Njengoba kunikezwe uhla olwandayo lwezindlela zokulawula ukubeletha ezitholakalayo, ukukhetha indlela ehlala njalo, njengoba kusho uDweck, akuyona into ongayithatha kancane. Yiba nezingxoxo ezimbalwa ne-gyno yakho ukuze wenze uhlelo lokuthi ufuna ukubhekana kanjani nokukhulelwa (noma ukungabi khona kwakho) ngokuhamba kwesikhathi.

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