Iingcebiso zohambo lokuLawula ukuzalwa

by Dawn Stacey, PhD, LMHC

Ukuhamba? Musa ukulibala ukucwangcisa phambili xa kuziwa kulawulo lwakho lokuzalwa . Ukongeza kwiingcebiso zokuhamba ezinikezwe ngezantsi, kufuneka uqwalasele ukupakisha ukukhulelwa kwangokukhawuleza xa ukhuseleko lwakho lokuzalwa lungasebenzi okanye ukuba unesondo esingakhuselekanga xa uhamba. Khumbula, iipilisi zentsasa zingenakufikeleleka kwiindawo ezithile. Kwakhona, gcina zonke izidakamizwa ezimiselweyo (ezifana neepilisi zolawulo lokuzalwa okanye isithsaba sakho) kwisitya sayo sokuqala kunye neelayile ezifundwayo.

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Ukuhamba ngePilisi, i-Patch okanye i-Ring?

Ukuba usebenzisa ipilisi , i- Ortho Evra Patch , okanye i- NuvaRing , ingqiqo efanelekileyo yokuzisa uncedo lwenyanga ezayo - nje xa uphume xa uhamba okanye usebenzise kakubi (kwaye kufuneka uqale ipakethi entsha). Kwimimandla ethile, kunokuba nzima ukuthenga le ndlela. Cwangcisa phambili kunye nepakethe efumanekayo.

Ukuba ixesha lakho liyakwenzeka ngexesha lemihla yokuhamba, unokunqwenela ukuwuqhankqalaza usebenzisa enye yezi ndlela ze-hormonal. Unokufuna ukucwangcisa phambili kwexesha nangona kunjalo ukwenzela ukwenza oku ngempumelelo (unyanzelekile ukuba ufune ukuthenga iipakethe ezongezelelweyo).

Enye into ukugcina engqondweni xa usebenzisa ulawulo lokuzalwa kwe-hormonal kwaye uhamba-kukho imithi ethile enganciphisa ukusebenza kwezi ndlela. Yilungileyo elungileyo ukwazi ukuba zezi ziphi ixesha elidlulayo ekuguyeni kwakho ngexesha lokuhamba kwaye ziyalelwe enye yale myeza. Kwakhona, ukuba uthe wenyamekela "umgudu womhambi," khumbula ukuba ukuhlanza ngokweqile kunye nemithi ye-Aprepitant (esetyenziselwa ukuhlanza okanye i-nudea) inokunciphisa ukusebenza kwepilisi.

Amachiza oPhulo oluPhantsi lweHormonal Ukuphumelela

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Ukuhamba ngesondo noTyhini

Ifoto yamaRay Kachatorian / Getty Izithombe

Abanye abantu banokuba nethambeko lokufumana "intsha" xa behlala eholide kwiindawo zothando. Ukuba nesondo ngaphantsi kwamanzi kwezinye iindawo ezingaqhelekanga kunokufuna ukucwangciswa kwangaphambili kwexesha, kuba i-contraceptive equlethe i- spermicide ayifanelekile ngesondo elwandle, echibini, kwisibhakabhaka esitshatileyo okanye kwindawo yokugeza.

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Letha iCondom

Qinisekisa ukuzisa ikhondom (nangona usebenzisa enye indlela yokulawula ukuzalwa). Iikhondom yindlela kuphela yokulawulwa kokuzalwa ekhusela kwi- STD - nje xa udibana nomntu "opheleleyo". Iikhondom nazo zinokukhusela (kunye neyona nto inokuba ngumlingani wakho) ukusuka kwizifo zokugonywa kwamanzi kunye nezaselunxwemeni ezinokuthi zenzeke ngokubanzi ukususela kwimiba yokuhamba ngokuqhelekileyo kuncinci kunempilo kuneemeko zakho eziqhelekileyo zokuphila.

Iikhondom zivame ukufumaneka phantse yonke indawo, kodwa khumbula ingqalelo ukuba ukhetho kunye nomgangatho onokuthi lunqunywe. Oku kunokwenzeka ukuba kwenzeka ukuba ukhetha uhlobo oluthile lwekhondom / iimpawu. Ngoko ke, ukuba usebenzisa i- polyurethane okanye i- polyisoprene ikhondom (mhlawumbi ngenxa yexinzelelo lwe-latex) okanye iikhondom ezikhethekileyo, njengamakhulu amakhulu , phakamisa ibhokisi eyongezelelweyo (okanye ezimbini okanye ezintathu!) Kwi-suitcase yakho.

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Khumbula ukuthatha iPilisi

Thatha i pilisi. Ifoto ngokukhawuleza kaP. Eaton

Uphando lubonisa ukuba malunga ne-43% yabasebenzisi beepilisi kwi-20s yabo bathi ukuthatha ipilisi ibeka idamper kwiholide yabo. Omnye wabasebenzisi abahlanu kwiipilisi bathi baye baphoswa iipilisi ngelixa behamba. Kwaye enye ikota yala mabhinqa ibika ukuba oku kwachaphazela kakubi uhambo lwabo. Olunye uphando lubonise ukuba phantse bonke abafazi abasebenzisa ipilisi xa behamba kunye neqabane bavuma ukuba ukukhulelwa kweso sibele bekuhlala kusengqondweni yabo.

Kwakhona: i-4% yabasebenzisi beepilisi babike ukuba abazange bakwazi ukuthatha ipilisi yabo ngenxa yempahla yabo elahlekileyo.

Ukuze i pilisi isebenze kakhulu, kufuneka uyenze ngexesha elifanayo ngosuku ngalunye. Oku kubaluleke kakhulu ukugcina engqondweni xa uhamba kwindawo enendawo eyahlukeneyo kunokuba uhlala phi.

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Ukuba usebenzisa i-Depo-Provera

Ukusebenzisa iDepo Provera. Ifoto ibhalwe kwakhona kunye neMvume evela ku-E. Scott

Xa uceba imihla yakho yeeholide, khumbula ukuba ii-injection zakho zeDepo Provera kufuneka zinikezelwe nganye kwiiveki ezili-12. Ngokuqhelekileyo, uya kukhuselwa nje kuphela xa ufumana iDepo ibetha kathathu ngonyaka (nganye iiveki 11-13). Ukuba uya kubakho xa udutshulwa yakho, kulungile ukufumana iprato ngeveki kusasa okanye ukuya kwiveki emva kokuba udutshulwa olulandelayo lufanelekile. Ezinye izifundo zithi ungalinda kwiiveki ezine, kodwa i-Pfizer, umenzi weDepo Provera , icebisa ukuba ungagxinyi umda osele evekini enye, kuba abafazi baye bakhulelwa ngokwenza njalo. I-Pfizer icetyisa ukusebenzisa indlela yokubuyisela emuva xa uphoswa ipopu okanye ukuba ngaphezulu kweeveki ezingama-13 zidlulile ukususela kwi-injection yakho yokugqibela.

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IiGetaways zoLuntu okanye iiNtsha zoTyala zoThabano

Xoxa ngolawulo lokuzalwa. Ifoto ngokukhawuleza ye-B. Levy

NGAPHAMBI kokuba uhambe neqabane lakho elitsha, kubalulekile ukuxoxa ngokukhetha ukulawula ukuzalwa . Xoxa ngama-STD kunye neembali zesondo. Ekubeni ezinye iindlela zokulawula ukuzala (ezifana nokukhulelwa kwe-hormonal ) zifuna ukutyelelwa koogqirha kwaye zingathatha ixesha ngaphambi kokuba ziphumelele, kuya kufuneka wenze izigqibo malunga nokusetyenziswa kwe-contraception kakuhle ngaphambi kwemihla yakho yokuhamba.

Ukuba unomlingane omtsha odibana naye, qho qha gamshelana nokukhulelwa ngaphambi kokulala ngesondo. Ukuba ubanjwe ekushiseni komzuzwana, unokunyanzeliswa into into ozozisola ngayo kamva. Ngaphandle kokuba ufuna umntwana njengesikhumbuzo esivela kulolu hambo lwothando, xubusha ukulawulwa kokuzalwa kwangaphambili.

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Ukuhamba kunye nexesha lakho

Ukuhamba kunye nexesha lakho. Ifoto Nancy R. Cohen / Getty Izithombe

Ukuhamba kungabangela umjikelezo wesisu. Imimandla ehlukeneyo yexesha, ukudinwa, kunye nokuxinezeleka kwengqondo kunokubangela ukuphuma ngegazi . Yilungiselele ngokupakisha iimveliso zonyango (ngoko ubenokufikeleleka kalula). Kwi-flip ecaleni, ukuzivocavoca ngokweqile (ukusuka emehlweni, ukubhukuda, njl.) Kunye noxinzelelo kungabangela ixesha elilahlekileyo. Oku kunokuphelisa iipatheni zokuzala xa uthembela kwintsapho yendalo .

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Ulawulo lokuzalwa kooHormon kunye nohambo olude

Uhambo olude. Ifoto Ilya Terentyev / Vetta / Getty Izithombe

Ukuhamba kwexesha elide kuye kwaxhunyaniswa kunye neengxaki zokufa ezibangelwa yingozi (DVT) okanye i- pulmary embolism (PE). Ukuba usebenzisa ukuqhathaniswa kwe-hormonal contraception , ungase ube ngumngcipheko ophezulu wokuphuhlisa i-clots yegazi, ngoko unokufuna ukuba uthathe amanyathelo okucwangcisa xa izicwangciso zakho zokuhamba zibandakanya ukuhlala zihleli ixesha elide. Izinto ezinobungozi zingagwenywa lula ngokuqinisekisa ukuba ulula imilenze yakho ngezikhathi kwaye ngokuhlala u-hydrated (qiniseka ukusela amanzi - kungekhona nje ikhofi okanye i-soda).

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Ukugcina Ulawulo Lwakho Lokuzalwa

Ezinye izithintelo zokukhusela, njengamakhondom, ziyakwazi ukufudumala, ngoko kugcina iikhondom kwindawo epholile kunye eyomileyo xa uhamba. Akufanele bavezwe ngokushisa, ukukhanya, umoya, okanye ilanga ixesha elide. Oku kuthetha ukuba ikhondom ayifanele igcinwe kwigumbi leglavu okanye ithathwe kwisikhwama okanye esikhwameni sangemva (ngaphandle kokuba kucwangciselwe ukusebenzisa loo mini). Qinisekisa ukuba ufunde ukufakwa kwephakheji kwendlela yakho ekhethiweyo ukufumanisa ukushisa afuna ukugcinwa kuyo.

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Ukuba usebenzisa Ulwalamano lokuzalwa kweBharrier

Ekubeni iimveliso ezininzi ezinokuthi zifumaneke zingabikho kwamanye amazwe, ukuba uthembele kule miqobo yokukhulelwa, qiniseka ukuba uvelise i-spermicidal creams, ifilimu, i-foams, i-jellies, kunye / okanye i-suppositories. Kuyafana nokuba usebenzisa isiponji . Kungcono ukuzisa okungaphezulu kunokuba ungadinga kunokuba ungakwazi ukuwafumana ngexesha lokuhamba kwakho.

Abasebenzisi be-Diaphragm - eli phupha lokuhamba lokulawula lokuzalwa lisebenza nawe! Qinisekisa ukuba uthabathe ngokwaneleyo u-spermicide ukuyisebenzisa kunye nefowuni xa ude. Ukuba ne-diaphragm kunye nawe akuyi kwenza umehluko ukuba awukwazi ukufumana indawo yokuthenga i-spermicide okufuneka ukuyisebenzise nayo!

_Imithombo:

_{Indlela i-Depo-Provera isebenza ngayo: Ukuchitha ixesha .} _{Pfizer, Inc. 2004.}

_{ICedars Sinai Centre Centre.} _{"Iiphysiotherapists Nika iingcebiso malunga nokukhusela i-vein deep".} _{I-Blood Centre Centre, ngo-Ephreli 2007.}

_{AmaMols, M. "43% yabasetyhini bafumana ukuthatha ipilisi ngomthwalo ngelixa bekhefu."} _{Iindaba Zonyango Namuhla, ngoJulayi 10, 2005.}

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