Lapho Ukuvuna Kwakho Kuzobuya, Kuyoze Kube Kude Kangakanani Ukuqonda
Kuzothatha isikhathi esingakanani ukukhulelwa emva kokulawulwa kokuzalwa kuncike ekutheni hlobo luni lokulawulwa kokubeletha owawusebenzisa.
Kulabo abathwala amaphilisi okulawula ukubeletha, umuntu oyedwa kwabayishumi uhola umjikelezo wokuqala emva kokuyeka iphilisi, kanye nokukhulelwa okungenani kwengxenye emva kwezinyanga eziyisithupha. Ngomaki wonyaka owodwa, cishe abayisishiyagalolunye kwabayishumi abakhulelwe. Kodwa-ke, ukhetho lwakho lokubeletha alubalulekile.
Uma unezimpande noma i-hormone IUD, ukuzala kwakho kungathatha isikhathi eside ukubuyela. Uma ngabe ukhona ekulawulweni kokudutshulwa kokuzalwa, kungathatha noma yikuphi kusukela ezinyangeni eziyisithupha kuya eminyakeni emibili ukuzala kwakho ukubuyela.
Ezweni elihle, ukhetho lwakho lokuvimbela ukukhulelwa kufanele luvimbele ukukhulelwa uma ulufuna futhi, uma unquma ukuthi usulungele ukuba nomntwana, awunamthelela ekutheni ukhulelwe uma usuyeke. Uhlobo olunjenge-switch on-off. Flip ukulawula kwakho ukuzalwa kuze "kuqhubeke," futhi ukukhulelwa kufanele kube kungenzeka kude. Shintshela "ekuphumeni," nokukhulelwa, lapha siza!
Izinto ziyinkimbinkimbi kakhulu kunalokho. Nakhu ukuthi isebenza kanjani ngempela.
Ukushesha Kanjani Ungalindela Ukuzala Kwakho Ukubuyisela Ngemuva Kokulawula Ukuzalwa?
Ngokushesha ukuzala kwakho kuzokubuya kuxhomeke kukuphi uhlobo lokulawula kokubeletha owawusebenzisa. Kuye indlela yokukhulelwa, ukubuya kokuzala kwakho kungadinga:
- Ukuqala ukuvunguza futhi
- Ukubuya kwe- mucus yomlomo wesibeletho evundile
- Ukubuyiselwa kwesibindi se- "embryo friendly" uterine
Ngenxa yokuthi i-ovulation ibuyile, lokho akusho ukuthi uhlaka lwakho lwe-endometrial lubuyela emuva evamile noma ukuthi umzimba wakho ukhiqiza umqubu ovuthiwe wesibeletho njengoba kufanele. Ukuthola ukuhlolwa okunamandla kokuvota ekhaya akuqinisekisi ukuthi izinto zibuyela emuva.
Ngokusobala, uma ukhetha ukwelashwa kwakho kuyindlela yokuvimbela, ukuzala kwakho akuthinteki ngokomzimba. Udinga nje ukuyeka ukusebenzisa noma yini oyisebenzisayo. Lokhu kufaka phakathi izinto ezifana namakondomu (owesilisa noma owesifazane), izingxenxathela, i-spermicides, noma isiponji.
( Ukuzala kwakho kungenzeka ukuthi kushintshile ngokuguga , noma kunjalo, kuye ngokuthi usebenzise isikhathi eside kangakanani ukukhulelwa kwemithi.)
Nakhu lapho ungalindela ukuzala kwakho ukubuyela ngemuva kokusebenzisa okungavumelekile kokukhethwa okuthandwayo kokubeletha:
Amaphilisi okulawula ukuzala: Eyaziwa nangokuthi izisu zokubeletha ngomlomo, amaphilisi okulawula ukubeletha aqukethe i-estrogen ne-progestin ndawonye noma i-progestin kuphela. Basebenza ngokuvimbela ukuvuthwa nokuvuthwa kwamakhekhe omlomo wesibeletho.
Ngemuva kokuyeka iphilisi, ukuvuthwa nokuvuthwa kufanele kuqhubeke futhi esikhathini esingangenyanga. Ngezinye izikhathi, kuthatha izinyanga ezintathu ukuzala ukuze ubuyele.
I-ring Vaginal (NuvaRing) kanye ne-patch control control (i-Ortho Evra): Ngenxa yokuthi izindandatho zamasondo nezindwangu zamapayipi ziyingqayizivele (uma kuqhathaniswa namaphilisi okulawula ukubeletha ngomlomo,) akusikho ucwaningo olunesikhathi eside olukhona. Noma kunjalo, basebenza ngokufanayo nasezincekwini zokubeletha ngomlomo. Umehluko omkhulu wukuthi amahomoni athathwa kanjani (ngomlomo vs. trans-dermally vs. vaginally.)
Njengawo amaphilisi okulawula ukubeletha, ukuzala kwakho kufanele kubuyele ezinyangeni ezilodwa kuya kwezintathu ngemuva kokusebenzisa ukuyeka.
Izimpande zokulawula ukuzala (njenge-Implanon neNexplanon) : Izimpande zokulawula ukubeletha, njenge-Implanon ne-Nexplanon, zisebenza ngokukhulula i-hormone progestin. Ukufakelwa kuyinduku yepulasitiki encane encane, eguquguqukayo futhi efana ne-matchstick ekhishwa kancane kancane futhi ikhipha i-hormone. Udokotela wakho uyifaka engeni eliphezulu.
Uma ufakiwe, izimpande zokulawula ukubeletha zingavimbela ukukhulelwa kuze kube yiminyaka emithathu, kodwa ungayisusa nganoma isiphi isikhathi. Ngamanye amazwi, ungase uthathe ukuthi ususwe ngemva kwezinyanga ezimbalwa.
Isici sesikhathi eside salokhu kulawulwa kokuzalwa sisebenza kuphela uma usigcina endaweni.
Kumelwe ubone udokotela wakho ukuthi isisetshenziswa sisusiwe. Ngemva kokususwa kwayo, ukuzala kufanele ubuyele esikhathini esingenyanga eyodwa.
Kukhona ingozi ukuthi ukufakelwa kuyoba nzima noma akunakwenzeka ukususa uma ukufaka kwenziwe ngendlela engafanele noma kushintshwe ngemuva kokufaka. Ngenkathi ukukhipha izinkinga kwenzeka ngaphansi kwama-2 amaphesenti wesikhathi, uma kwenzeka lokhu, imiphumela yokufakelwa izoqhubeka ize iphume.
IUD : Ama-IUDs, noma ama-intrauterine, amadivaysi amancane a-T afakwe ngaphakathi kwesibeletho ukuvimbela ukukhulelwa. Kunezinhlobo ezimbili eziyisisekelo, ama-IUDs we-copper (ParaGuard) nama-IUDs ama-hormonal (iMirena noma i-Skyla).
Ama-IUDs e-Copper asebenza ngokuphulukisa isidoda kude nama-tubespian tubes, okuvimbela ukukhulelwa. Ama-IUDs angama-hormonal asebenza ngokuqinisa umsila womlomo wesibeletho, ukunciphisa i-endometrium, futhi mhlawumbe ukuvimbela ukuvuthwa.
Nakuba ama-IUD abhekwa njengendlela yokukhulelwa yesikhathi eside-i-IUD ye-copper ingaba khona iminyaka engaba ngu-10, kanti i-IUDs ye-hormonal iminyaka emithathu kuya kwemihlanu-zombili izinhlobo ze-IUD zingasuswa nganoma isiphi isikhathi ngudokotela wakho. (Ungaze uzame ukususa owodwa!)
Uma usususiwe, ukuzala kwakho kumele kubuyele ngaphakathi kwenyanga. Ngemva kokususwa kwe-IUD hormonal, kungathatha izinyanga ezimbalwa ukuze umjikelezo wakho ulawule.
Ukulawulwa kokubeletha kudutshulwa (Depo-Provera) : UDepo-Provera yindlela yokukhulelwa eyenza zonke ezinye izinketho zokulawula ukubeletha idumela elibi. Akuyona inketho enhle kunoma ubani ofuna ukukhulelwa maduzane.
Ngokulawulwa kokulawulwa kokuzalwa, isidakamizwa se-medroxyprogesterone acetate (ngezinye izikhathi sigcizelelwe njenge-DMPA) sijova sibe sisisipha. Isidakamizwa sihlala emisipha futhi sithumela kancane kancane, sivimbela ukuvuthwa nokuvuthwa komsila wesibeletho.
Kungathatha izinyanga eziphakathi kuka-6 no-12 ukuze kubuyele ukuzala ngemuva kokudubula. Nakuba amaphesenti angu-50 abesifazane azokhulelwa ezinyangeni ezingu-10 zokujola kokugcina, abanye besifazane ngeke babuyele emuva kwezinyanga ezingu-18.
Ungakulindela Kanjani Ngokushesha Ukuba Ukhulelwe Ngemuva kokuyeka Ukulawula Ukuzalwa?
Lo umbuzo ohlukile ... ngoba nje ukuzala kwakho kubuyile akusho ukukhulelwa kuzokwenzeka ngokushesha.
Lokhu kungaba okuhlangenwe nakho okungavamile kumuntu oye wachitha iminyaka evikela ukukhulelwa. Ungase ucabange ukuthi ngaphandle kokulawulwa kokubeletha, uzobe usukhulelwe ngokushesha-kodwa lokho akukona ngokuphelele.
Uma usuqeda ukuvimbela ukubeletha, ungase ucabange ngenyanga yokuqala evundile, noma ungase udingeke uzame kuze kube unyaka. Lokhu kufana nalabo abangazange basebenzise noma yikuphi ukulawulwa kokuzalwa.
Esinye sezifundo ezinkulu kakhulu mayelana nokukhulelwa kwamazinga emva kokulawulwa kokubeletha kwakuyi-The European Active Surveillance Study on Contraceptive Oral (EURAS-OC). Lolu cwaningo lulandele abesifazane abangaphezu kuka-59,000 abasebenzisa izisu zokubeletha ngomlomo futhi bafaka iqhaza kusuka emazweni angu-7 ahlukene aseYurophu.
Kulaba bantu abangu-59,000, abangaba ngu-2 000 banquma ukuyeka ukuvimbela ukukhulelwa futhi bakhulelwe ngemva kokuqedela isifundo. Laba besifazane basebenzisa imithi yokwelapha iminyaka eyisikhombisa.
Bathola ukuthi ...
- Amaphesenti angu-21.1 athola umjikelezo owodwa okhulelwe ngemuva kokuyeka ukulawula ukuzalwa
- Amaphesenti angu-79.4 akhulelwe engakapheli unyaka wokuyeka
- Kuze kube neminyaka engu-35, iminyaka yobudala besifazane yayingathinti kakhulu ekuzaleni kwayo
- Izinga lokukhulelwa lalingaphansi kwabesifazane abangaphezu kwezingu-35 nakubashushu
Le miphumela ifana nalokho ozokubona kubesifazane abangakaze basebenzise ukulawula kokubeletha.
Ngamanye amazwi, izisu zokubeletha ngomlomo zazingenasici esincane ekuzaleni kwabo.
Ucwaningo oluthile alutholanga kuphela ukuthi ukuzala kwakungathinteki kabi ngokusetshenziswa kokulawula ukubeletha, kodwa, empeleni, kuthuthukiswe kangcono emva kokusebenzisa isikhathi eside.
Lesi sifundo sasihlanganisa nabesifazane abangu-8 497 abavela eNingizimu-West England. Ucwaningo lwacabangela ezinye izinto ezingathinta ukulimala (njengendlela yokukhetha indlela yokuphila, isisindo nokunye okunye), ngakho babone kangcono ukuthi ukulawulwa kokubeletha kusetshenziswe kanjani amazinga okukhulelwa okuthintekayo. Baqeda ukungabi nabantwana ngenxa yezizathu ezithile ezivela ekufundeni kwabo.
Bathole ukuthi emva kokuyeka ukulawula kokuzalwa sebenzisa:
- Amaphesenti angu-74 alaba besifazane abelethwe ezinyangeni ezingaphansi kwezinyanga eziyisithupha
- Amaphesenti angu-14 athatha izinyanga ezingu-6 no-12 ukukhulelwa
- Amaphesenti angu-12 aphethwe kuphela emva konyaka
Elinye iphepha lokucwaninga libuyekeze izifundo eziningi ezenziwa phakathi kuka-1960 no-2007, futhi zibheke izinga lokukhulelwa ngemuva kokukhulelwa.
Babheka izinga lokukhulelwa ngemva kwezinyanga ezingu-12 zokuzama. Amazinga ahlukahluka amelela ukufundwa okuphansi nokuphakeme okufundwayo.
- Amaphesenti angama-72 kuya kwangu-94 ayekhulelwe ngonyaka owodwa ngemuva kokuyeka amaphilisi okulawula ukuzalwa
- Amaphesenti angu-71 kuya kwangu-92 emva kokukhishwa kwe-IUD
- Amaphesenti angu-70 kuya kwangu-95 emva kokulawulwa kokuzalwa kwe-progesterone kuphela
- Amaphesenti angu-91 emva kokusebenzisa ikhondomu
- Amaphesenti angu-92 emva kokuhlelwa komndeni kwemvelo
Kuthiwani Uma Ungenakuthola Ukukhulelwa Ngemuva Kokulawula Ukuzalwa?
Kukhona ingozi encane kakhulu yokuthi umzimba wakho uzodinga usizo lweqa ukuqala kokuzala kwakhe emva kokulawulwa kokubeletha, ikakhulukazi uma imijikelezo yakho ingavamile ngaphambi kokuba uqale.
Kungenzeka futhi ukuthi ngeke ukwazi ukukhulelwa ngenxa yezizathu ngokuphelele ezingahlobene nokusetshenziswa kokulawula kokuzalwa. Khumbula ukuthi amaphesenti angama-12 emibhangqwana ayobhekana nokuphelelwa amandla, okukhona okubangelwa izimbangela ezihlukahlukene.
Kufanele ubone udokotela wakho uma:
- Awutholi isikhathi sakho emuva ezinyangeni ezintathu.
- Imijikelezo yakho ayijwayelekile noma unezinye izimpawu ezibuhlungu .
- Uneminyaka engaphezu kwengu-35 futhi uzama ukukhulelwa izinyanga eziyisithupha.
- Uneminyaka engaphansi kuka-35 futhi ulokhu uzama ukukhulelwa izinyanga ezingu 12 ezingaphumeleli.
Izwi elivela ku-Verywell
Abaningi besifazane bazokhulelwa zingakapheli izinyanga eziyisithupha ngemuva kokuyeka ukulawula ukubeletha. Nokho, kwezinye izimo, kungathatha isikhathi eside. Uma unzima ukukhulelwe emva kokulashwa, khuluma nodokotela wakho. Noma yini oyenzayo, uma uqala ukubhekana nokubhekene nokungasebenzi, zama ukuzishaya icala. Izinkinga zokuzala akuzona iphutha lakho, futhi akunakwenzeka ukuthi kube ngumphumela wokukhetha kokukhulelwa kwakho.
> Imithombo:
> Barnhart KT1, Schreiber CA. "Buyela ekuzaleni kokulandela ukuyeka ukukhulelwa komlomo. " Fertil Steril . 2009 Mar; 91 (3): 659-63. doi: 10.1016 / j.fertnstert.2009.01.003.
> Cronin M1, Schellschmidt I, Dinger J. "Isilinganiso sokukhulelwa emva kokusebenzisa i-drospirenone nezinye izivimbela zomlomo eziphathelene nesandulela ngculaza. "I- Obstet Gynecol . 2009 Sep; 114 (3): 616-22. i-doi: 10.1097 / AOG.0b013e3181b46f54.
> Farrow A1, Hull MG, Northstone K, Taylor H, Ford WC, Golding J. "Ukusetshenziswa isikhathi eside kokubeletha ngomlomo ngaphambi kokukhulelwa okuhleliwe kuhlotshaniswa nokunciphisa ingozi yokukhulelwa kokulibala. " Uhlehlisiwe . 2002 Oct; 17 (10): 2754-61.