Nakuba ama- postpartum exhaustion amazinga angenalutho owake wakubona, futhi cishe awukwazi ukucabanga ukuthi unamandla okuphinde ulale ocansini , kufanele usacabangele izinketho zakho zokulawula ukuzalwa. Kunezinhlobo ezintathu zezindlela zokulawula ukubeletha okuvela kuwo umama wokuncelisa ibele: i-nonhormonal, i-progestin kuphela, nalabo abane-estrogen.
Kodwa-ke, uma kungenzeka, kufanele wenze konke okusemandleni akho ukugwema ukusebenzisa imithi yokwelapha equkethe i-estrogen.
Nansi ukuphazamiseka:
I-Nonhormonal Method
- Amakhondomu : Amakhondomu awunawo umthelela kumama wokuncelisa ingane noma ingane, futhi yiyona ndlela yokukhetha ukulawula ukubeletha okungenayo i-nonhormonal. Noma kunjalo, omama abancancisayo bavame ukuba namazinga a-estrogen aphansi kakhulu . Amazinga aphansi e-estrogen angabangela ukomama kwamasinini ngakho amakhondomu angase athukuthelele isiswini. Ukulwa nanoma yikuphi ukungahambi kahle, ungasebenzisa ukugcoba okwengeziwe.
- I-Diaphragm : Ukusetshenziswa kwe-diaphragm akusho umphumela kumama webele noma ingane. Kuyindlela ephumelelayo kanye nenketho enhle yabesifazane besondla.
- I-Spermicide : I-Spermicide ayithinti ukubeletha, umama wokuncelisa, noma umntwana. Noma kunjalo, kubalulekile ukuphawula ukuthi inani elincanyana le-spermicide lingangena emzimbeni wakho wegazi. Izinga lokulandelela i-spermicide egazini lingadlula ubisi lwakho lwebele , kepha akukho mphumela owaziwayo enganeni.
- I-Nonhormonal Intrauterine Device (IUD) : IUD nonhormonal, noma i-IUD ye-copper, yaziwa nangokuthi i-ParaGard. Njengoba le ndlela yokukhulelwa ingenayo ama-hormone, kuyindlela ephephile futhi ephumelelayo yokusebenzisa ngenkathi ubeletha.
- Ukuhlelwa Kwemvelo (NFP) (okubizwa nangokuthi ukuyeka ukuziphindaphinda): I-NFP ayinayo imiphumela ekunceliseni futhi ingaba ukhetho oluphumelelayo kakhulu. Kodwa-ke, kuthatha isikhathi ukufunda, futhi kungase kube nzima ukuthola izibonakaliso zokuzala ngenkathi usalusisa .
- I-Vasectomy (ebizwa nangokuthi inzalo yokuzithandela ngokuzithandela): Lokhu akunamthelela ekunceliseni futhi kuyaphumelela ku-100%.
- I-Tubal Ligation (ebizwa nangokuthi inzalo yowesifazane ngokuzithandela): I-Tubal ligation nayo yaziwa ngokuba ne-tubes yakho eboshelwe. Kuyi-100% esebenza kahle. Ngenkathi i-tubal ligation engathinti ngokuncelisayo ukondla, kuyindlela yokuhlinzwa ngakho ingaphazamisa ukubeletha ngaleyo ndlela. Njengoba inqubo yangempela idinga i-anesthesia, uzobe usususana nengane yakho okwesikhashana, futhi i-anesthesia nayo ingadlula ubisi lwakho lwebele. I-anesthesia ebisi lwebele ingenza umntwana wakho alale futhi kunzima ukunakekelwa.
- Indlela ye-Lactational Amenorrhea (LAM) : Kufanele uqaphele kakhulu ngale ndlela yokukhulelwa. Ukuze usebenzise lokhu, kufanele uncelise ingane yakho kuphela , awukwazi ukuphuma ngegazi lesisu noma ukuphawula ngemva kokuphela kwe- lochia , futhi ingane yakho kufanele ibe ngaphansi kwezinyanga eziyisithupha ubudala.
Izindlela ze-Progestin-Zodwa
Izindlela zokulawula ukuzalwa zodwa zine-hormone progestin (progesterone). Uma unquma ukusebenzisa uhlobo lwe-hormonal yokuvimbela ukukhulelwa, izinketho ze-progestin kuphela zikhethwa. A
Kungakhathaliseki ukuthi ukhetha i-mini-pilill, i -jectjectables, implants, noma i-Mirena IUD, leli fomu lokulawulwa kokuzalwa liphumelela kakhulu futhi liyakwandisa ivolumu yobisi lwebele.
Kodwa, njengoba kukhona ama-hormone kulezi zindlela, kancane kancane kula ma hormone ayodlulela ebisi lakho lesifuba. Izindaba ezinhle ukuthi izifundo zibonise ukuthi inani elincane elidlulela kumntwana alilimazi.
Izindlela Ezihlobene Ne-Estrogen
Iphilisi elihlanganisiwe liqukethe kokubili isrogen ne-progestin. Amaphilisi okuhlanganiswa asebenze kahle kakhulu ngokulawulwa kokubeletha, kodwa i-estrogen ngaphakathi kwabo ingabangela ukunciphisa ekunikezeni kwakho ubisi lwebele .
Njengama-progestin-kuphela izindlela, la mahomoni angadlulela ubisi lwakho lwebele. Inani elincane lama-hormone adlulayo angeke alimaze ingane yakho, kepha ukwehla kwesibisi sakho samabele kungase kubangele izinkinga ebuhlotsheni bakho bokuncelisa.
Uma ukulawula kokubeletha okuqukethe i-estrogen kuyindlela yakho kuphela, udokotela wakho angase anikeze umthamo ophansi kakhulu. Qinisekisa ukuthi uvumele udokotela wakho azi ukuthi uncelisa, bese uqapha ukunikezwa ubisi lwakho nokukhula komntanakho .
Umthombo:
Riordan J. Auerbach KG. Ukuncelisa ukubeletha nokusebenzisana kwabantu . UJones noBartlett Abashicileli, ngo-2009.
Ihlelwe nguDonna Murray