UMadelaine Petsch Ufuna Ukukusiza Uzizwe Uqiniseka Ngokubuza Imibuzo Ngokulawulwa Kwakho Kokuzalwa
-Delile
Ngenqwaba yezindlela zokulawula ukubeletha laphaya, inani lokuzikhethela lilodwa lingabonakala likhulu kakhulu. Izinketho zokulawula ukuzalwa kwe-hormonal zingaba nzima kakhulu ukudlula lapho uthola ukuthi yiluphi uhlobo olungase lube ngcono kakhulu esimweni sakho ngasinye.
Ukusiza ukunika abantu amandla okucwaninga izinketho zabo futhi bazizwe bekhululekile ukuqala izingxoxo nodokotela wabo mayelana nokuvimbela inzalo, Riverdale isihlabani uMadelaine Petsch ubambisene no-AbbVie kanye no-Lo Loestrin Fe, iphilisi lokulawula inzalo elinedosi ephansi, kwethi "Are You In The Lo?" umkhankaso.
Ihambisana nezindaba ezingasoze zabuna ezivela kubantu ababelana ngezizathu zabo zokusebenzisa ukulawula inzalo (kusukela ekuhleleni umndeni kuya ekuthuthukisweni komsebenzi), umkhankaso awuhlosile nje ukwenza lezi zingxoxo zibe zejwayelekile kodwa futhi ubonise ukubaluleka kokuba ubunikazi bempilo yakho.
"Kunezizathu eziningi umuntu wesifazane angaba nazo zokuvimbela ukukhulelwa, futhi kungenzeka kungabi lula ngaso sonke isikhathi ukukhuluma ngazo," kusho uPetsch kwividiyo yomkhankaso. "Kodwa ukuxhumana kubalulekile ukuze uthathe isinqumo unolwazi lapho ufuna indlela yokulawula inzalo. Ngifuna ukukukhuthaza ukuthi wenze lolo cwaningo futhi ube naleyo ngxoxo nomhlinzeki wakho wezokunakekelwa kwempilo ngoba ulwazi lunamandla." (Nakhu ukuthi ungakuthola kanjani ukulawula okuhle kokuzalwa kwakho.)
Awuqinisekile ukuthi uzoqala kanjani leyo ngxoxo? ILakeisha Richardson, MD, i-ob-gyn eGreenville, eMississippi nomxhumanisi we-AbbVie, yabelana ngemibuzo embalwa eyisisekelo ezogijinywa ngudokotela wakho lapho ukhetha indlela yokulawula ukuzalwa:
- Ngabe nginezinto ezinobungozi ezandisa ubungozi bami bezinkinga uma ngisebenzisa ukulawulwa kokubeletha?
- Yimiphi imiphumela emibi okufanele ngiyilindele ngezinhlobo ezahlukene zokulawula inzalo? Futhi yini okufanele ngiyenze uma ngiba nemiphumela engemihle?
- Ngabe izinhlobo ezithile zokulawulwa kokuzalwa zizophazamisa noma yimiphi imishanguzo yami yamanje noma ukugula okwelashwa?
- Ngingaqala ngokushesha kanjani indlela entsha yokulawula ukubeletha?
- Uma ngithatha iphilisi lokulawula inzalo, ingabe kufanele ngiliphuze ngesikhathi esifanayo nsuku zonke?
- Ingabe kukhona okufanele ngikwenze noma okungafanele ngikwenze ngenkathi ngisebenzisa ukulawulwa kokuzalwa?
Uma kukhulunywa ngokulawulwa kokuzalwa kwamahomoni, ikakhulukazi, umthamo wamahomoni uyisihloko esibalulekile okufanele usimboze nodokotela wakho. Umthamo wehomoni uncike, ngokwengxenye, ngenhloso yokulawulwa kwakho kokuzalwa, kusho uRachel High, DO, ob-gyn e-Austin, eTexas. Abanye abantu basebenzisa ukulawulwa kokuzalwa kwamahomoni ukuvimbela ukukhulelwa; abanye bayisebenzisela ukusiza ukulawula isikhathi sabo kanye nezimpawu zangaphambi kokuya esikhathini; abanye bayisebenzisela ukusiza ukwelapha ubuhlungu be-pelvic, induna, kanye ne-migraines. Ukukhuluma mayelana eyakho izinhloso eziqondile zokusebenzisa ukulawulwa kokuzalwa zingakusiza wena nodokotela wakho ukuba ninciphise umthamo we-hormone ofanele kuwe, kuchaza uDkt.
"Ukwehliswa kwansuku zonke kwe-estradiol [uhlobo lwe-estrogen], ngokwesibonelo, kungahle kufaneleke kumuntu osebenzisa kuphela amaphilisi okuvimbela ukukhulelwa; noma kunjalo, amanani aphansi kungenzeka angawaneli ukusiza ngezinkinga zokuya esikhathini noma izinhlungu," kusho uDkt. . "Ukuchaza izinto ezikukhathazayo ngempilo yakho kungakusiza wena kanye no-ob-gyn wakho ukuba nifinyelele esinqumweni esihlanganyelwe sokuthi iliphi ithamo elingcono kakhulu lokubhekana nokukukhathazayo, njengoba kungenzeka ukuthi ninezinkinga eziningi zabesifazane ngaphandle kokufuna ukuvimbela inzalo." (Okuhlobene: Ubhalansisa Kanjani Amahomoni Angaphandle Kwe-Whack)
"Amazinga e-Estrogen athinta imizimba yabantu ngokuhlukile, ngakho-ke abantu kufanele basebenzise inketho ebafanele nabahlinzeki babo bezempilo," kunezela uDkt. Richardson. "Uma ngabe uke wazama iphilisi le-estrogen ephezulu phambilini (futhi wawungajabule ngalo), inketho ye-estrogen ephansi efana neLo Loestrin Fe ingaba yindlela eyodwa ongazama ngayo ngokulandelayo uma ungumuntu ofanelekile." (Vele uqiniseke ukuthi wena nodokotela wakho niyayazi imiphumela emibi yokulawulwa kokuzalwa ngaphambi kokuqala indlela entsha.)
Vele, lezi zingxoxo kungenzeka zithole ubuntu obungaphezulu komthamo wehomoni, zingene ezihlokweni ezifana nomlando wezempilo yomndeni kanye nempilo yezocansi (hhayi eyokuzala kuphela) njengoba uthola ukuthi iyiphi indlela yokulawula ukubeletha enengqondo kakhulu kuwe. Uma imininingwane ye-nitty-gritty yalezi zingxoxo ikwenza uzizwe ungakhululekile ngezinye izikhathi, uPetsch angalandisa.
"Ngesikhathi ngisemncane, nganginamahloni [ngokukhuluma ngempilo yami yezocansi nokuzala]," kusho umlingisi oneminyaka engu-25 ubudala Umumo. "Nganginamahloni okukhuluma nabantu ngakho. Ngangizizwa ngingenangqondo kakhulu ukuya ku-ob-gyn. Nganginomuzwa wokuthi kwakuyinto exakile nehlazo ngempela le, kodwa akunamahloni ukuba nesitho sangasese sowesifazane. Kuyinto into enhle futhi enhle ukuzwa ngaleyo ndlela. "
U-Petsch uncoma abazali bakhe ngokumkhulisela ekhaya "lapho kungekho ngxoxo engekho etafuleni," uyabelana. "Umama wangikhuthaza ukuba ngibe nalezi zingxoxo, futhi wanginikeza ulwazi oluningi nocwaningo mayelana nempilo yokuzala kanye nezinketho zokulawula inzalo. Kodwa angicabangi ukuthi lokho kuvamile kakhulu; yingakho ngicabanga ukuthi kubaluleke kakhulu ukuqala lezi zingxoxo. "
Manje, u-Petsch uthemba ukuthi ngokusebenzisa inkundla yakhe ukukhulisa "Ingabe Uku-Lo?" umkhankaso, angakhuthaza abantu abaningi ukuthi babambe iqhaza elibonakalayo, elifundisekile ezinqumweni zabo zempilo yokuzala.
"Ngesikhathi ngisemncane futhi ngangibheka [izindlela zokulawula inzalo], ukube ngangibonile umuntu engangibheka ukuthi angakhuluma ngakho, kwakuzovusa intshisekelo kimi yokwenza ucwaningo," kusho uPetsch. "Lapho ingxoxo ivuleka ngokwengeziwe, abantu bangafunda ngokwengeziwe, futhi bangalawula ngokwengeziwe."