Ukuvimbela Inzalo Esiphuthumayo Nokuphepha: Okudingeka Ukwazi

-Delile

• Iphilisi lokuvikela ukukhulelwa eliphuthumayo
• Mayelana ne-IUD yethusi
• Izinkinga zokuphepha kuzo zombili izindlela
• Abesifazane okufanele bagweme lezi zinketho
• Ama-ECP nokukhulelwa
• Imiphumela yesisindo ekusebenzeni kwe-ECP
• Ingozi enezinkinga zenhliziyo
• Amaphilisi okulawula inzalo njengokuvimbela inzalo okuphuthumayo
• Khuluma nodokotela wakho
• Q:
• A:

Isingeniso

Ukuvimbela inzalo okuphuthumayo kuyindlela yokuvimbela ukukhulelwa ngemuva kokwenza ucansi olungavikelekile, okusho ukuthi ucansi ngaphandle kokulawulwa kokuzalwa noma ngokulawulwa kokuzalwa okungasebenzi. Izinhlobo ezimbili eziyinhloko zokuvimbela inzalo eziphuthumayo ngamaphilisi okuvikela ukukhulelwa okuphuthumayo (ECPs) nedivayisi ye-copper intrauterine (IUD).

Njenganoma yikuphi ukwelashwa, ungazibuza ukuthi ngabe ukuvimbela inzalo okuphuthumayo kuphephile yini. Funda ukuze ufunde ngokuphepha kwazo zombili izindlela zokuvimbela inzalo eziphuthumayo.

Iphilisi lokuvikela ukukhulelwa eliphuthumayo

Ama-ECP, abizwa nangokuthi “amaphilisi okusa,” amaphilisi ama-hormone. Basebenzisa amazinga aphakeme ama-hormone atholakala kumaphilisi wokulawula inzalo ukuvimbela ukukhulelwa. Kumele zithathwe zingakapheli izinsuku ezintathu noma ezinhlanu zocansi olungavikelekile, kuya ngomkhiqizo.

Imikhiqizo etholakala e-United States iqukethe i-hormone levonorgestrel noma i-hormone ulipristal.

Ama-ECP e-Levonorgestrel afaka:

• Hlela B Isinyathelo esisodwa
• i-levonorgestrel (uhlelo olujwayelekile B)
• Okulandelayo Okukhethwa Kunye Umthamo
• I-Athentia Okulandelayo
• EContra EZ
• Ukubuyela emuva kuSolo
• Isitayela Sakhe
• Indlela yami
• Isinyathelo esisodwa se-Opcicon
• Sabela

I-ulipristal ECP yile:

• ella

Onke ama-ECP kucatshangwa ukuthi aphephe kakhulu.

“Lezi yizidakamizwa eziphephe ngokweqile,” kusho uDkt. James Trussell, osebenzisana nobuchwepheshe ePrinceton University nomcwaningi emkhakheni wezempilo yokuzala. UDkt. Trussell ukhuthaze ngenkuthalo ukwenza ukuthi izindlela zokuvimbela inzalo eziphuthumayo zitholakale kabanzi.

“Akukho okushonile okuxhunyaniswe nokusebenzisa amaphilisi okuvikela inzalo aphuthumayo. Futhi izinzuzo zokukwazi ukuvimbela ukukhulelwa ngemuva kocansi zidlula noma yiziphi izingozi ezingaba khona zokuphuza amaphilisi. ”

Mayelana ne-IUD yethusi

I-copper IUD iyithuluzi elincane, elingenawo ama-hormone, elimise okwe-T udokotela akufaka esibelethweni sakho. Ingasebenza njengokuvimbela inzalo okuphuthumayo kanye nokuvikelwa kokukhulelwa isikhathi eside. Ukuze isebenze njengokuvimbela inzalo okuphuthumayo, kufanele ibekwe ezinsukwini ezinhlanu emva kocansi olungaphephile. Udokotela wakho angasusa i-IUD ngemuva kwesikhathi sakho esilandelayo, noma ungayishiya endaweni ukuze usebenzise njengokulawulwa kokuzalwa kwesikhathi eside kuze kube yiminyaka eyi-10.

Kucatshangwa ukuthi i-IUD yethusi iphephe kakhulu. Kepha ezimweni ezingavamile, kungadala izinkinga ezinkulu. Isibonelo, i-IUD ingabhoboza udonga lwesibeletho ngenkathi ifakwa. Futhi, i-IUD yethusi inyusa kancane ubungozi besifo sokuvuvukala okhalweni emavikini amathathu okuqala okusetshenziswa.

Futhi, lezi zingozi azivamile. Udokotela wakho angakusiza unqume ukuthi inzuzo yokubeka i-IUD yethusi idlula izingozi ezingaba khona.

Izinkinga zokuphepha kuzo zombili izindlela

Abesifazane okufanele bagweme lezi zinketho

Abanye besifazane kufanele bagweme ukusebenzisa i-IUD yethusi. Isibonelo, abesifazane abakhulelwe akufanele bayisebenzise ngoba iphakamisa ubungozi bokutheleleka. I-copper IUD kufanele futhi igwenywe ngabesifazane abane:

• ukuhlanekezela kwesibeletho
• isifo sokuvuvukala okhalo
• i-endometritis ngemuva kokukhulelwa noma ukukhulelwa kwesisu
• umdlavuza wesibeletho
• umdlavuza wesibeletho
• ukopha esithweni sangasese ngenxa yezizathu ezingaziwa
• Isifo sikaWilson
• ukutheleleka komlomo wesibeletho
• i-IUD endala engakasuswa

Abesifazane abathile kufanele futhi bagweme ukusebenzisa ama-ECP, kufaka phakathi labo abaphikisana nanoma yiziphi izithako noma labo abathatha imishanguzo ethile engenza ama-ECP angasebenzi kahle, njenge-barbiturates ne-St John's wort. Uma uncelisa, akufanele usebenzise i-ella. Kodwa-ke, i-levonorgestrel ECP iphephile ukusetshenziswa ngenkathi uncelisa.

Ama-ECP nokukhulelwa

Ama-ECP enzelwe ukuvimbela ukukhulelwa, hhayi ukuphela kwawo. Imiphumela ye-ella ekukhulelweni ayaziwa, ngakho-ke ukuphepha, akufanele uyisebenzise uma usuvele ukhulelwe. Ama-ECP aqukethe i-levonorgestrel awasebenzi ngesikhathi sokukhulelwa futhi ngeke athinte ukukhulelwa.

Imiphumela yesisindo ekusebenzeni kwe-ECP

Onke amaphilisi okuvikela ukukhulelwa okuphuthumayo, kungakhathalekile ukuthi hlobo luni, abukeka engasebenzi kangako kubantu besifazane abakhuluphele. Ekuvivinyweni komtholampilo kwabesifazane abasebenzisa ama-ECP, abesifazane abanenkomba yomzimba engu-30 noma ngaphezulu bakhulelwa izikhathi ezingaphezu kwesithathu kaningi njengabesifazane abangakhuluphele. I-Ulipristal acetate (ella) ingasebenza kakhulu kwabesifazane abakhuluphele ngokweqile noma abakhuluphele kunama-ECP aqukethe i-levonorgestrel.

Lokho kusho ukuthi, ukukhetha okuhle kakhulu kokuvimbela inzalo okuphuthumayo kwabesifazane abakhuluphele ngokweqile noma abakhuluphele kakhulu yi-IUD yethusi. Ukusebenza kwe-IUD yethusi esetshenziswa njengokuvimbela inzalo okuphuthumayo kukhulu kune-99% yabesifazane banoma yisiphi isisindo.

Ingozi enezinkinga zenhliziyo

Kungenzeka ukuthi abanye odokotela besifazane babatshele ukuthi bangasebenzisi amaphilisi okuvimbela inzalo ngoba basengozini yokushaywa unhlangothi, isifo senhliziyo, amahlule egazi, noma ezinye izinkinga zenhliziyo. Kodwa-ke, ukusebenzisa i-ECP kuhlukile ekusebenziseni amaphilisi okulawula ukubeletha. Ukusetshenziswa kanye kwamaphilisi okuvimbela inzalo aphuthumayo akunazingozi ezifanayo nokuthatha izinto zokuvimbela inzalo ngomlomo nsuku zonke.

Uma umhlinzeki wakho wezokunakekelwa kwezempilo ethe kufanele ugweme ngokuphelele i-estrogen, ungahle usebenzise enye yama-ECP noma i-IUD yethusi. Kodwa-ke, kufanele ukhulume nodokotela wakho mayelana nokuthi yiziphi izindlela zokuvimbela inzalo eziphephile kuwe.

Amaphilisi okulawula inzalo njengokuvimbela inzalo okuphuthumayo

Amaphilisi okulawula ukubeletha ajwayelekile aqukethe i-levonorgestrel kanye ne-estrogen angasetshenziswa njengokuvimbela inzalo okuphuthumayo. Ngale ndlela, kuzodingeka uthathe inani elithile lala maphilisi ngemuva nje kokwenza ucansi olungaphephile. Qiniseka ukuthi ukhuluma nodokotela wakho ukuze uthole imvume yabo nemiyalo ethile ngaphambi kokusebenzisa le ndlela.

Khuluma nodokotela wakho

Ukuvimbela inzalo okuphuthumayo kuza njengezinhlobo ezimbili zamaphilisi ama-hormonal, atholakala ngaphansi kwamagama emikhiqizo ehlukahlukene, nanjengedivayisi engasebenziyo ye-intrauterine (IUD). Abesifazane abanezimo ezithile zempilo kungenzeka bangakwazi ukusebenzisa lezi zindlela. Kodwa-ke, izindlela zokuvimbela inzalo eziphuthumayo ngokuvamile ziphephile kwabesifazane abaningi.

Uma usenemibuzo mayelana nokuvimbela inzalo okuphuthumayo, khuluma nodokotela wakho. Imibuzo ongafuna ukuyibuza ingafaka:

• Uhlobo luni lokuvimbela inzalo oluphuthumayo ocabanga ukuthi luzongisebenzela kangcono?
• Ngabe nginezimo zempilo ezingenza ukuthi ukuvimbela inzalo okuphuthumayo kungaphephi kimi?
• Ngabe ngithatha noma yimiphi imishanguzo engaxhumana nama-ECP?
• Hlobo luni lokulawulwa kokuzalwa isikhathi eside ongangiphakamisela lona?

Q:

Iyini imiphumela emibi yokuvimbela inzalo ephuthumayo?

A:

Zombili lezi zinhlobo zokuvimbela inzalo eziphuthumayo ngokuvamile zinemiphumela engemihle emincane. Imiphumela emibi kakhulu ye-IUD yethusi ubuhlungu esiswini sakho nezikhathi ezingajwayelekile, kufaka phakathi ukwanda kwegazi.

Imiphumela emibi ejwayelekile yama-ECP ifaka phakathi ukubona izinsuku ezimbalwa ngemuva kokusetshenziswa, nesikhathi esingajwayelekile ngenyanga ezayo noma ezimbili. Abanye besifazane bangaba nesicanucanu nokuhlanza ngemuva kokuthatha ama-ECP. Uma uhlanza ngemuva nje kokuthatha i-ECP, shayela udokotela wakho. Ungadinga ukuthatha omunye umthamo. Uma uneminye imiphumela emibi ekukhathazayo, shayela udokotela wakho.