Imithelela Engaba Khona Yohlelo B

-Delile

• Luyini uHlelo B futhi lusebenza kanjani?
• Imiphumela emibi engaba khona yoHlelo B
• Kufanele Umbone Nini Udokotela?
• Izici ezingeziwe okufanele zigcinwe engqondweni
• Buyekeza kwe-

Ekekho neyodwa amacebo ukuthatha i-Plan B. Kodwa kulezo zimo ezingalindelekile lapho udinga ukuvimbela inzalo okuphuthumayo—kungakhathaliseki ukuthi ikhondomu yehlulekile, ukhohlwe ukuphuza amaphilisi akho okulawula inzalo, noma umane nje awuzange usebenzise noma yiluphi uhlobo lokuvimbela inzalo—Plan B (noma amajenerikhi, My I-Way, Thatha Isinyathelo, ne-Next Choice One Dose) inganikeza ukuthula kwengqondo.

Ngoba iqukethe umthamo ogxile kakhulu wamahomoni ukuvimba ukukhulelwa ngemuva ucansi seluvele lwenzekile (ngokungafani nephilisi lokulawula inzalo noma i-IUD), kunemiphumela engemihle ye-Plan B okufanele uyiqaphele ngaphambi kokuthi uyiphuze. Nansi isivumelwano.

Luyini uHlelo B futhi lusebenza kanjani?

I-Plan B isebenzisa i-levonorgestrel, i-hormone efanayo etholakala kumaphilisi okulawula ukuzalwa aphansi, kuchaza u-Savita Ginde, M.D., isikhulu sezempilo esiyinhloko e-Stride Community Health Centre e-Denver, CO, kanye nowayeyisikhulu sezokwelapha esiyinhloko se-Planned Parenthood of the Rocky Mountains. “Iwuhlobo lweprogesterone [ihomoni yocansi] esetshenziswe ngokuphepha kumaphilisi amaningi okulawula inzalo isikhathi eside,” uyanezela.

Kodwa kune-levonorgestrel ephindwe kathathu kuHlelo B uma kuqhathaniswa nephilisi lokulawula ukubeletha elijwayelekile. Lo muthi omkhulu, ogxilisiwe "uphazamisa izindlela ezijwayelekile zamahomoni ezidinga ukukhulelwa, ngokubambezela ukukhishwa kweqanda esibelethweni, ukumisa ukukhulelwa, noma ukuvimbela iqanda elikhulelwe ukuba linamathele esibelethweni," kusho uDkt. Ginde. (Okuhlobene: Yini u-Ob-Gyns Afisa Abesifazane Babekwazi Ngokuzala Kwabo)

Ake sicace kakhulu lapha: Uhlelo B alulona iphilisi lokukhipha isisu. "Uhlelo B alukwazi ukuvimbela ukukhulelwa osekwenzekile," kusho u-Felice Gersh, M.D., i-ob-gyn nomsunguli nomqondisi we-Integrative Medical Group of Irvine, e-Irvine, CA. Uhlelo B lusebenza ikakhulukazi ngokumisa i-ovulation ukuthi ingenzeki, ngakho-ke uma ithathwe kahle ngemuva i-ovulation kanye nethuba lokuvundiswa lisekhona (okusho ukuthi, maningi amathuba okuthi lelo qanda elisanda kukhululwa lihlangane nesidoda), Uhlelo B lungase lwehluleke ukuvimbela ukukhulelwa. (Isikhumbuzi: Isidoda singaphola bese silinda iqanda cishe izinsuku ezinhlanu.)

Sesikushilo lokho, kusebenza kahle kakhulu uma ukuthatha zingakapheli izinsuku ezintathu uye ocansini olungavikelekile. IPlanched Parenthood ithi uHlelo B nemithi yalo ejwayelekile yehlisa amathuba akho okukhulelwa ngamaphesenti angama-75-89 uma uwuthatha kungakapheli izinsuku ezintathu, kuyilapho uDkt. Iphesenti lisebenza ngempumelelo, futhi liphumelela kakhulu uma lisetshenziswa ngokushesha. "

"Uma uzungeze isikhathi se-ovulation, kusobala ukuthi ngokushesha lapho usuphuza iphilisi, kungcono!" uthi.

Imiphumela emibi engaba khona yoHlelo B

Imiphumela emibi yoHlelo B ngokuvamile ingeyesikhashana futhi ayinangozi, kusho uDkt. Ginde — uma unemiphumela engemihle nakancane. Ocwaningweni olulodwa lomtholampilo olubheka imiphumela emibi yoHlelo B kwabesifazane:

• Amaphesenti angu-26 aba nezinguquko zokuya esikhathini
• Amaphesenti angama-23 aba nesicanucanu
• Amaphesenti angu-18 abhekana nobuhlungu besisu
• Amaphesenti ayi-17 abhekane nokukhathala
• U-17% wabhekana nekhanda
• amaphesenti angu-11 aba nesiyezi
• Amaphesenti ayi-11 abone ukuthamba kwamabele

"Lezi zimpawu ziwumphumela oqondile we-levonorgestrel, nomphumela wezidakamizwa emgodini wamathumbu, ebuchosheni nasemabeleni," kusho uDkt Gersh. "Kungathinta ama-hormone receptors ngezindlela ezihlukahlukene, okuholela kule miphumela emibi."

Izingxoxo eziku-inthanethi zibuyisela lokhu phezulu: Ku-Reddit ngentambo ku-r / AskWomen subreddit, abesifazane abaningi kabazange basho lutho ngemiphumela emibi noma, uma benayo, bathi bathola ukopha okuncane, ukuqunjelwa, isicanucanu, noma ukungahambi kahle komjikelezo. Abambalwa baqaphele ukuthi bazizwa begula kakhulu (isb: baphonsa phezulu) noma baba nezikhathi ezinzima noma ezibuhlungu kakhulu kunokujwayelekile. Okuthile okubalulekile okumele ukuqaphele: Uma ulahla kungakapheli amahora amabili uthatha i-Plan B, kufanele ukhulume nochwepheshe bakho bezempilo ukuze uthole ukuthi kufanele yini uphinde umthamo, ngokusho kwewebhusayithi ye-Plan B.

Imiphumela emibi yeplani B ihlala isikhathi esingakanani? Ngenhlanhla, uma uthola noma yimiphi imiphumela emibi, kufanele ihlale izinsuku ezimbalwa kuphela ngemuva kokuyithatha, ngokusho kweMayo Clinic.

Akunandaba ukuthi ukuphi kumjikelezo wakho lapho uthatha iPlan B, kusamele uthole isikhathi sakho esilandelayo cishe ngesikhathi esijwayelekile, kusho uDkt. Gersh — yize kungaba yizinsuku ezimbalwa ngaphambi kwesikhathi noma sekwephuzile. Kungase futhi kube nzima noma kubelula kunokuvamile, futhi akukhona okungajwayelekile ukuba ube namabala ezinsukwini ezimbalwa ngemva kokuthatha i-Plan B. (Okuhlobene: 10 Izimbangela Ezingaba Khona Zezikhathi Ezingavamile)

Kufanele Umbone Nini Udokotela?

Nakuba imiphumela emibi ye-Plan B ingeyona ingozi, kunezimo ezimbalwa lapho kungcono kakhulu ukukhuluma nodokotela wakho ukuze ubone ukuthi yini eqhubekayo.

UDkt. Gersh uthi: “Uma uphuma igazi isikhathi esingaphezu kwesonto — kungaba ukubona noma ukusinda — kufanele ubone udokotela. "Ubuhlungu obukhulu be-pelvic budinga ukuvakashelwa nodokotela. Uma ubuhlungu bukhula emasontweni amathathu kuya kwamahlanu ngemva kokuthatha i-Plan B, kungase kubonise ukukhulelwa kwe-tubal," uhlobo lokukhulelwa kwe-ectopic lapho iqanda elivundisiwe linamathela endleleni eya esibelethweni.

Futhi uma isikhathi sakho sesedlule isikhathi esingaphezu kwamasonto amabili ngemuva kokuthatha uHlelo B, kufanele wenze isivivinyo sokukhulelwa ukuthola ukuthi kungenzeka ukhulelwe yini. (Nakhu okudingeka ukwazi mayelana nokunemba kokuhlolwa kokukhulelwa nokuthi kufanele ukuthathe nini.)

Izici ezingeziwe okufanele zigcinwe engqondweni

Ukuthatha Uhlelo B ngokuvamile kubhekwa njengokuphephile, ngisho noma unesimo esifana ne-polycystic ovarian syndrome (PCOS) noma i-uterine fibroids, kusho uDkt. Ginde.

Kunokukhathazeka okuthile ngokusebenza kwayo kwabesifazane abanesisindo esingaphezu kwamakhilogremu angu-175, noma kunjalo. "Eminyakeni embalwa eyedlule, izifundo ezimbili zakhombisa ukuthi ngemuva kokuthatha iPlan B, abesifazane abane-BMI engaphezu kwengu-30 babenehhafu yezinga lePlan B egazini labo uma kuqhathaniswa nabesifazane abane-BMI ejwayelekile," uyachaza. Ngemuva kokuthi i-FDA ibuyekeze idatha, nokho, bathola ukuthi abukho ubufakazi obanele bokuphoqa i-Plan B ukuthi iguqule ukuphepha kwayo noma ukulebula kokusebenza ngempumelelo. (Nalu olunye ulwazi ngesihloko esiyinkimbinkimbi sokuthi ngabe uHlelo B lusebenzela abantu abanemizimba emikhulu noma cha.)

UDkt. Gersh futhi uncoma ukuthi abesifazane abanomlando we-migraines, ukudangala, i-pulmonary embolism, i-heart attack, isifo sohlangothi, noma umfutho wegazi ophakeme ongalawuleki babonane nodokotela wabo ngaphambi kokukuthatha ngoba lezi zimo zonke zinamandla okuba nezinkinga zehomoni. Ngokufanelekile, uzoba nale ngxoxo uma kungenzeka, isikhathi eside ngaphambi kokuthi idingeke. (Ngenhlanhla, uma udinga ukukhuluma nomhlinzeki nge-ASAP, i-telemedicine ingasiza.)

Kodwa khumbula: Kubizwa ngokuvimbela inzalo okuphuthumayo ngesizathu. Ngisho noma ungatholi imiphumela emibi ye-Plan B, "ungathembeli kuyo njengendlela yakho yokulawula inzalo," kusho uDkt. Ginde. (Bheka: Kubi Kangakanani ukusebenzisa uHlelo B njengokulawulwa kokuzalwa?) "Lawa maphilisi awasebenzi kahle kunezinye izindlela zokulawula ukubeletha okujwayelekile nokujwayelekile, futhi uma uzithola uwasebenzisa kaningi, kufanele ukhulume umhlinzeki wakho mayelana nezinhlobo eziningi (ezisebenza kangcono) zokulawula inzalo ezingasetshenziswa ngokuthembekile njalo."

Buyekeza kwe-