Kungani uHlelo B kungenzeka lungasebenzi kumuntu wesifazane ojwayelekile waseMelika

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Abesifazane abaningi baphendukela kwiphilisi lokusa-ekuseni ukuvimbela ukukhulelwa lapho beyeka ukuvikelwa lapho kushisa okwamanje - noma uma enye indlela yokuvimbela inzalo ihluleka (njengekhondomu ephukile). Futhi ingxenye enkulu, iphilisi elilandelwa ekuseni liyindlela ephephile nethembekile. Kepha kukhona ukubamba: Kungahle kungasebenzi uma ukhuluphele ngokweqile, ngokusho kocwaningo olusha olushicilelwe kumagazini Ukuvimbela inzalo.

Ocwaningweni, abacwaningi banikeze iqembu labesifazane abali-10 abane-BMIs ejwayelekile futhi ekhuluphele kakhulu eyi-1.5 milligrams ye-levonorgestrel-based contraception. Ngemuva kwalokho, abacwaningi balinganisa ukugxila kwehomoni emithonjeni yegazi labesifazane. Bathole ukuhlushwa kuphansi kakhulu (okusho ukuthi bekungasebenzi kahle) phakathi kwabahlanganyeli abakhuluphele kunalabo abasebangeni elijwayelekile le-BMI. Ngakho-ke abacwaningi banikeze iqembu labakhuluphele umzuliswano wesibili, kulokhu ngomthamo ophindwe kabili. Lokho kwehlise amazinga okugxilisa ingqondo afinyelela kulokho ababambiqhaza abanesisindo esijwayelekile ababenakho ngemva komthamo owodwa nje. Umehluko omuhle kakhulu.

Kodwa lokho akusho ukuthi abesifazane abasinda kakhulu kufanele baphinde kabili umthamo wabo we-EC futhi bayibize ngosuku. Azikho izifundo ezanele ezenziwe okwamanje ukufakazela ukuthi leyo yindlela yokuvimbela esimeme yini, noma uma ingase imise ukuphuma kweqanda. (Okuhlobene: Kubi Kangakanani Ukuthatha Uhlelo B Njengokulawula Ukuzalwa Okuvamile?)

Lezi zindaba zivusa ukukhathazeka mayelana nempumelelo yokuvimbela inzalo ezimeni eziphuthumayo, njengoba ngo-2014 uhlobo lwase-Europe olubizwa nge-Norlevo lwaqala ukufaka isexwayiso kulebula yalo ukuthi iphilisi lingase lingasebenzi kwabesifazane abangaphezu kwamakhilogremu angu-165 (owesifazane ovamile waseMelika unesisindo esingamakhilogremu angu-166, ngokusho kwe I-CDC). Futhi kwabesifazane abangaphezu kwamakhilogremu ayi-175? Akuzange kusebenze nhlobo. Lokho kubalulekile kithina esise-U.S ngoba iNorlevo ifana ngokwamakhemikhali nenguqulo eyodwa namaphilisi amabili oHlelo B esithola i-stateide. Ngokusho kweCenters for Disease Control and Prevention, owesifazane ojwayelekile e-U.S. unesisindo esingamakhilogremu angu-166. Ngakho-ke abesifazane abaningi bangathinteka.

Ngezansi: Ukukhuluphala ngokweqile kungagcina i-EC esuselwe e-levonorgestrel ekuvimbeleni ngempumelelo ukukhulelwa. Futhi ngenkathi abacwaningi bethola impumelelo ekuphindaphindeni umthamo phakathi kweziguli ezikhuluphele, bathi ucwaningo olwengeziwe luyadingeka ngaphambi kokuba bancome ngokuphelele leyo ndlela. Okwamanje, abesifazane abane-BMI engaphezu kuka-25 kufanele bakhethe i-EC Ella, okucatshangwa ukuthi iphumelela kakhulu kwabesifazane abanesisindo somzimba esiphezulu, noma i-IUD yethusi, engafakwa ezinsukwini ezinhlanu ngemva kocansi, ngokusho kombiko. olunye ucwaningo olushicilelwe ku- Ukuvimbela inzalo.

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