Ungalithatha Kaningi Kangakanani Uhlelo B kanye Namanye Amaphilisi Wokuvimbela Ukukhulelwa Aphuthumayo?

-Delile

• Uyini umkhawulo?
• Linda, awukho ngempela umkhawulo obekiwe wamaphilisi e-Plan B?
• Kuthiwani ngamaphilisi ka-Ella?
• Ngabe amaphilisi okulawula ukubeletha angasetshenziswa njengezindlela zokuvimbela inzalo eziphuthumayo?
• Ingabe kufanele uphuze iphilisi kanye kuphela ngomjikelezo wokuya esikhathini?
• Kuthiwani uma uyithatha kabili ezinsukwini ezi-2 - ingabe izokwenza iphumelele ngokwengeziwe?
• Ingabe kukhona ukwehla kokusebenzisa okuvamile?
• Ukunciphisa ukusebenza uma kuqhathaniswa nezinye izinto zokuvimbela inzalo
• Izindleko
• Imiphumela emibi yesikhashana
• Yimiphi imiphumela emibi engenzeka?
• Imiphumela emibi izothatha isikhathi esingakanani?
• Futhi uqinisekile ukuthi azikho izingozi zesikhathi eside?
• Okubalulekile

Uyini umkhawulo?

Kunezinhlobo ezintathu zamaphilisi okuvikela ukukhulelwa okuphuthumayo (EC) noma “ekuseni emva”:

• i-levonorgestrel (Uhlelo B), iphilisi le-progestin kuphela
• i-ulipristal acetate (Ella), iphilisi eliyi-progesterone receptor modulator ekhethiwe, okusho ukuthi ivimba iprogesterone
• amaphilisi e-estrogen-progestin (amaphilisi okulawula ukuzalwa)

Ngokuvamile awukho umkhawulo wokuthi ungaliphuza kangaki iphilisi lePlan B (levonorgestrel) noma amafomu alo ejwayelekile, kodwa lokhu akusebenzi kwamanye amaphilisi e-EC.

Nakhu okudingeka ukwazi mayelana nokuthi ungawaphuza kaningi kangakanani amaphilisi e-EC, imiphumela emibi engaba khona, imiqondo ejwayelekile eyiphutha, nokuningi.

Linda, awukho ngempela umkhawulo obekiwe wamaphilisi e-Plan B?

Ilungile. Ukusetshenziswa kaningi kwamaphilisi e-Progestin-only Plan B akuhlotshaniswa nanoma yimiphi imiphumela emibi yesikhathi eside noma izinkinga.

Kodwa-ke, akufanele uthathe amaphilisi e-Plan B uma uthathe i-Ella (ulipristal acetate) kusukela esikhathini sakho sokugcina.

Njengoba kunikezwe lokhu, ungahle uzibuze ukuthi kungani amaphilisi oHlelo B enganconywa njengokulawulwa kokuzalwa uma ngabe ephephile ngempela.

Kungenxa yokuthi azisebenzi kahle kunezinye izindlela zokuvimbela inzalo, njengephilisi noma amakhondomu, ekuvimbeleni ukukhulelwa.

Ngamanye amagama, ingozi ebaluleke kakhulu yokusetshenziswa koHlelo B lwesikhathi eside empeleni ukukhulelwa.

Ngokuya ngokubuyekezwa kuka-2019, abantu abasebenzisa amaphilisi e-EC njalo banamathuba angamaphesenti angama-20 kuye kwangama-35 okukhulelwa kungakapheli unyaka.

Kuthiwani ngamaphilisi ka-Ella?

Ngokungafani nePlani B, u-Ella kufanele athathwe kanye kuphela ngesikhathi somjikelezo wokuya esikhathini. Akwaziwa ukuthi kuphephile noma kuyasebenza yini ukuthatha leli philisi kaningi.

Akufanele futhi uthathe amanye amaphilisi okulawula ukubeletha aqukethe i-progestin okungenani izinsuku ezingama-5 ngemuva kokuthatha u-Ella. Amaphilisi akho okuvimbela inzalo angaphazamisa u-Ella, futhi ungakhulelwa.

U-Ella utholakala kuphela ngemithi kadokotela evela kumhlinzeki wezokunakekelwa kwempilo. Kusebenza kangcono ekuvikeleni ukukhulelwa kunamanye amaphilisi e-EC.

Yize kufanele uthathe uHlelo B ngokushesha okukhulu ngaphakathi kwamahora angama-72 wokuya ocansini ngaphandle kwekhondomu noma enye indlela yokuvimbela, ungamthatha u-Ella ngokushesha okukhulu ngaphakathi kwamahora ayi-120 (izinsuku ezinhlanu).

Akufanele uthathe iPlan B noma i-Ella ngasikhathi sinye noma zingakapheli izinsuku ezi-5 zomunye nomunye, ngoba zingaphikisana futhi zingasebenzi.

Ngabe amaphilisi okulawula ukubeletha angasetshenziswa njengezindlela zokuvimbela inzalo eziphuthumayo?

Yebo, yize le ndlela ingasebenzi njengePulani B noma i-Ella. Kungadala imiphumela emibi eminingi efana nesicanucanu nokuhlanza, futhi.

Amaphilisi amaningi okulawula ukubeletha aqukethe i-estrogen ne-progestin, futhi angathathwa ngemithamo ephezulu kunokujwayelekile njengokuvimbela inzalo okuphuthumayo.

Ukwenza lokhu, thatha umthamo owodwa ngokushesha kuze kube yizinsuku ezi-5 ngemuva kokuya ocansini ngaphandle kwekhondomu noma enye indlela yokuvimbela. Thatha umthamo wesibili ngemuva kwamahora ayi-12.

Inani lamaphilisi odinga ukuwaphuza ngedosi ngayinye lincike ohlotsheni lwephilisi lokulawula ukubeletha.

Ingabe kufanele uphuze iphilisi kanye kuphela ngomjikelezo wokuya esikhathini?

I-Ella (ulipristal acetate) kufanele ithathwe kanye kuphela ngesikhathi sokuya esikhathini.

Amaphilisi e-Plan B (levonorgestrel) angaphuzwa kaningi ngangokunokwenzeka ngesikhathi sokuya esikhathini. Kodwa akufanele uthathe amaphilisi e-Plan B uma uthathe u-Ella kusukela esikhathini sakho sokugcina.

Ukungahambi kahle esikhathini kuba yimiphumela emibi kakhulu yamaphilisi e-EC.

Ngokuya ngokuthi iyiphi iphilisi ye-EC oyithathayo nokuthi uyithatha nini, lokhu okungahambi kahle kungafaka:

• umjikelezo omfushane
• isikhathi eside
• ukubona phakathi kwezikhathi

Kuthiwani uma uyithatha kabili ezinsukwini ezi-2 - ingabe izokwenza iphumelele ngokwengeziwe?

Ukuthatha imithamo eyengeziwe yephilisi ye-EC ngeke kuyenze iphumelele ngokwengeziwe.

Uma usuvele uthathe umthamo odingekayo, awudingi ukuthatha umthamo owengeziwe ngosuku olufanayo noma ngosuku olulandelayo.

Kodwa-ke, uma wenza ucansi ngaphandle kwekhondomu noma enye indlela yokuvimbela izinsuku ezimbili zilandelana, kufanele uthathe i-Plan B zombili izikhathi ukunciphisa ubungozi bokukhulelwa ecaleni ngalinye, ngaphandle kokuthi uthathe u-Ella kusukela esikhathini sakho sokugcina.

Ingabe kukhona ukwehla kokusebenzisa okuvamile?

Kunokubi okuthile kokusebenzisa i-EC njalo.

Ukunciphisa ukusebenza uma kuqhathaniswa nezinye izinto zokuvimbela inzalo

Amaphilisi e-EC awasebenzi kahle ekuvimbeleni ukukhulelwa kunezinye izindlela zokulawula ukubeletha.

Ezinye izindlela eziphumelelayo zokulawulwa kokuzalwa zifaka:

• ukufakelwa kwe-hormonal
• i-hormonal IUD
• ithusi IUD
• isibhamu
• iphilisi
• isichibi
• indandatho
• a diaphragm
• ikhondomu noma enye indlela yokuvimba

Izindleko

Umthamo owodwa wePulani B noma amafomu awo ejwayelekile ngokuvamile ubiza phakathi kuka- $ 25 no- $ 60.

Umthamo owodwa ka-Ella ubiza cishe u- $ 50 noma ngaphezulu. Okwamanje ayitholakali ngendlela ejwayelekile.

Lokho kungaphezu kwezinye izinhlobo eziningi zokuvimbela inzalo, kufaka phakathi iphilisi namakhondomu.

Imiphumela emibi yesikhashana

Amaphilisi e-EC maningi amathuba okudala imiphumela emibi kunezinye izindlela zokulawula ukubeletha. Isigaba esingezansi sibala imiphumela emibi ejwayelekile.

Yimiphi imiphumela emibi engenzeka?

Imiphumela emibi yesikhashana ifaka:

• isicanucanu
• ukuhlanza
• ikhanda
• ukukhathala
• isiyezi
• ubuhlungu besisu obuphansi noma amajaqamba
• amabele amathenda
• ukubona phakathi kwezikhathi
• ukuya esikhathini okungajwayelekile noma okunzima

Ngokuvamile, amaphilisi e-Plan B ne-Ella anemiphumela emibi embalwa kunamaphilisi e-EC aqukethe kokubili i-progestin ne-estrogen.

Uma ukhathazekile ngemiphumela emibi, cela umhlinzeki wakho wezokunakekelwa kwempilo noma usokhemisi iphilisi le-progestin kuphela.

Imiphumela emibi izothatha isikhathi esingakanani?

Imiphumela emibi efana nekhanda kanye nesicanucanu kufanele iphele ezinsukwini ezimbalwa.

Isikhathi sakho esilandelayo singabambezeleka kuze kube yisonto, noma singasinda kunokujwayelekile. Lezi zinguquko kufanele zithinte kuphela isikhathi ngemuva kokuthatha iphilisi le-EC.

Uma ungasitholi isikhathi sakho kungakapheli isonto lapho bekulindelwe, kufanele wenze ukuhlolwa kokukhulelwa.

Futhi uqinisekile ukuthi azikho izingozi zesikhathi eside?

Azikho izingozi zesikhathi eside ezihambisana nokusebenzisa iphilisi le-EC.

Amaphilisi e-EC ungenzi kubangele ukungazali. Lokhu ukucabanga okungajwayelekile okuvamile.

Amaphilisi e-EC asebenza ngokubambezela noma ngokuvimbela i-ovulation, isigaba somjikelezo wokuya esikhathini lapho iqanda likhishwa kuma-ovari.

Ucwaningo lwamanje luphakamisa ngokuqinile ukuthi uma iqanda selikhulelwe, amaphilisi e-EC akasasebenzi.

Ngaphezu kwalokho, azisebenzi lapho iqanda selifakwe esibelethweni.

Ngakho-ke, uma usuvele ukhulelwe, ngeke zisebenze. Amaphilisi e-EC awafani nephilisi yokukhipha isisu.

Okubalulekile

Azikho izinkinga zesikhathi eside ezaziwayo ezihlobene nokuphuza amaphilisi e-EC. Imiphumela emibi ejwayelekile yesikhashana ifaka isicanucanu, ukuphathwa ikhanda nokukhathala.

Uma unemibuzo mayelana nephilisi elilandelwa ekuseni noma ukuvimbela ukukhulelwa, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo noma usokhemisi wendawo.