IUDs kunye neefowuni zomlomo zenza lolu luhlu
Iziganeko ezininzi zidlalwa xa uthatha isigqibo sokuba iyiphi indlela yokulawula ukuzalwa kukulungele ukukhusela ukukhulelwa. Impilo yakho yonke, ubudala, ubude bentlobano yesini, inani labalingani bakho, kunye nokuba unqwenela ukuba nezingane kwixesha elizayo kufuneka ziqwalaselwe phambi kokuthatha isigqibo malunga nendlela yokulawula ukuzalwa.
I pilisi
Ipilisi yindlela yokuqala yokukhulelwa kwintlobo yabasetyhini abacinga ngayo xa becinga ukulawulwa kokuzalwa.
Namhlanje ipilisi ifumaneka njengendlela yokukhulelwa komlomo (i-COC) edibeneyo kunye ne-estrogen kunye neprogesin okanye kwiipilisi kuphela ze-progestin (POP).
Ii-COC zisebenza ngokunciphisa i-ovulation kwaye zingenza amaxesha amaninzi. Ngokwe-ingxelo ye-FDA yabathengi , banikezela nomphumo wokukhusela kwisifo se-pelvic (infidmatory disease) (PID) kunye ne-ovarian kunye ne-cancer ye-endometrial. Ezi pilisi zibhekwa zikhuselekileyo kubafazi abaninzi, nangona kunjalo, abafazi abashushu nabangaphezu kweminyaka engama-35 okanye abanembali ebalulekileyo yeentsapho zesifo akufanele basebenzise imithi yokukhulelwa komlomo ngenxa yengozi yokwanda kwezifo zenhliziyo.
Amabhinqa anomlando wezonyango wegazi okanye ama-cancer okanye i-endometrial okanye i-cancer ye-endometrial ayifanele asebenzise i-contraceptive yomlomo. Iziphumo ezichaphazelekayo ezinokuthi zitshintshwe emva kweenyanga ezimbalwa zibandakanya isicupunu, intloko, isisu, inzuzo yesisindo, ukuphaphazeka ngokwempazamo kunye nokudandatheka.
Iipops zisebenza ngokunciphisa nokwandisa umkhuhlane wesibeleko ukukhusela ummi ukuba ungangeni kwiqanda kwaye ngokugcina umbane we-uterine ukususela ekukhuseleni ukukhusela ukufakelwa kweqanda elikhulelweyo.
Ngenxa yokuba ezi pilisi zingenayo i-estrogen ingozi yamacangci egazi ayifani kunye ne-contraceptive yomlomo.
Olu hlobo lwepilisi lokulawula ukuzalwa luyinto efanelekileyo kubafazi abangenako ukuthatha i-estrogen kuba bancelisa okanye ngenxa yeentloko okanye iingxaki zengcinezelo yegazi ezinxulumene ne-estrogen.
Ipilisi yeprogesin kuphela inokubangela ukutshintsha kwexesha, ukufumana ubunzima, nokunyamezela.
Iiprogestins ezingenayo
Ukukhulelwa kunokuthintelwa ukuya kwiinyanga ezintathu ngokujova kweDepo-Provera. I-Depo-Provera ivimbela ukukhulelwa ngokuvimbela i-ovulation, ukuguqula umbhobho wesibeleko ukukhusela ummi ukuba ungene kwiqanda kunye nokutshintsha i-uterine lining ukuze i-egg fertilized iyakwazi ukuvelisa.
Le ndlela iphumelela kakhulu kuba zonke izinto ezifunwa ngumfazi ukuba zibuyele kumniki-nkonzo wakhe wonyango ngenjongo yokudubula rhoqo emva kweenyanga ezintathu. Izinzuzo kunye nemiphumo emibi yeDepo-Provera zifana nezo zepilisi kuphela.
Ii-intrauterine Devices (IUD)
IUD ihlangene nolwazi olubi ngexesha elidlulileyo xa i-Dalkon Shield idibaniswe neziganeko eziphezulu zokusuleleka kwe-pelvic, ukungabikho komntwana kunye nokufa. Nangona kunjalo, ii-IUDs zanamhlanje zinenye yezinga eliphezulu lokungaphumeleli kwindlela yokukhusela.
IUD i-t-shaped device efakwe kwisibeleko ngumqeqeshi wezempilo. Kukho iintlobo ezimbini ze-IUD ezikhoyo, iParagard T 380A, ekhusela ukukhulelwa iminyaka eyi-10, kunye neProgesterone ye-Progesterone T, ekufuneka ithathelwe indawo yonyaka. IUD ikhethekileyo ngokukhethekileyo kwabo bahlala bebudlelwane obude bexesha elide abangaxhomekeke kwimingcipheko enkulu yokugula ngesifo okanye isifo.
Sponge
I siponji isebenza ngokukhupha i-gel spermicidal phezu kwe-vaginal mucus ngelixa isiponji senza umqobo wokubulala okanye ukukhupha umdaka ngaphambi kokuba ufikelele kwisibeleko kwaye ungene kwisibeleko. Isiponingi singeniswa kwiiyure eziliqela ngaphambi kokuba silalane kwaye singashiywa endaweni ukuya kwiiyure eziyi-12 emva kwesondo.
Akufuneki ukuba kuthatyathwe indawo ukuba ubulili buphindwaphindwa. Abasetyhini abayingozi kwi-nonoxynol-9 okanye ababenesifo sokutyhafazeka kwesifo sobutyhefu akufanele basebenzise isiponji.
Isifayili
I-diaphragm ifumaneka ngumgunyiselo kwaye iphakanyiswe ngumqeqeshi wezezempilo ukuze aqiniseke ngokufanelekileyo. I-diaphragm isebenza ngokugubungela umlomo wesibeleko kunye ne-disk-shaped rebber disk ene-flexible rim ukukhusela ummi ukungena kwisibeletho.
I-spermicide isetyenziswe kwisithintelo ngaphambi kokufaka ukubulala umdoda.
Ingqungquthela ingashiywa endaweni yeeyure ezintandathu. Ukuphinda ulalane ngesondo okanye ukulala emva kweeyure ezintandathu, u-spermicide kufuneka afakwe kwisisu ngelixa isalathisi sisendaweni. Izifayili akufanele zishiywe kwiiyure ezingama-24 ngenxa yengozi ye-syndrome yokutshatyalaliswa kwesifo (TSS).
ICapeic Cap
Ingxowa yomlomo wesibeleko ifana nesingqungquthela. Inkobe ye-rubber ethambileyo kunye nomyinge ojikelezileyo kwaye ubukhulu bungamanyaniswa neengcali zonyango, ngokuqinileyo malunga nomlomo wesibeleko. Njengengqungquthela, i-spermicide iyadingeka ngekhanda lomlomo wesibeleko.
Ikhusela ukukhulelwa iiyure ezingama-48 kunye nezenzo ezininzi zesondo ngexesha lo. Ukusetyenziswa ixesha elide (iiyure ezingaphezu kwama-48) kunokunyusa umngcipheko we-TSS kwaye unokuvelisa iphunga elimnandi okanye ukukhupha.
Spermicides yamaVaginal
I-spermicides yama-vaginal iyatholakala kwi-counter ngohlobo lwe-cream, i-jelly, i-foam, ifilimu, i-suppository okanye iipilisi zamanzi. Ezi mveliso ziqulethe ikhemikhali yokubulala imithi. Kukho ingxoxo malunga nokusebenza kokusebenzisa i-spermicides yamanzi kuphela kodwa kucatshangwa ukuba banesilinganiso sokungaphumeleli malunga nama-21 ekhulwini ngonyaka.
Abasetyhini abakhetha le ndlela yokukhulelwa kufuneka baqiniseke ukuba balandele imiyalelo yephakheji ngokukodwa, njengoko imveliso nganye ihlukile. Vumela ukuba imithi yesibindi ihlale kwisisini emva kweeyure ezintandathu ukuya kweyisibhozo emva kwesondo kwaye musa ukuhlamba okanye ukuhlamba isisu ngexesha lexesha ukuqinisekisa ukuba bonke abantu bayabulawa.
Ukuqonda ngokuzala kwakho enye indlela yokunciphisa amathuba okukhulelwa. Ucwangciso lwentsapho lwendalo luphela yindlela eyamkelwe ezinye iicawa kwaye idinga ingqwalaselo eyingozi kunye neqabane elikhuthazayo ukuze liphumelele. Isebenza ngokungalalani ngesondo kwiintsuku apho ukhululeke khona. Ezi ndlela ziqikelela ukuzala komfazi ngokusekelwe ekutshintsheni kwi-mucus yomlomo okanye utshintsho kwiqondo lokushisa komzimba.
Ukurhoxiswa
Ukuphumelela kokuhoxiswa kuxhomekeke kumandla omntu wokurhoxisa ipeni lakhe kwisisu ngaphambi kokuba ahlasele. Le ndlela ayiqinisekisi ukuba isilwanyana esandulelayo esingazange sikhululwe kwisisu kwaye asiyikukhusela kuGawulayo, izifo ezithathelwana ngesondo okanye izifo.
I-Lactational Amenorrhoea Method (LAM)
Abasetyhini abancinciweyo kuphela banokukhuselwa ngokukhulelwa ukuya kwiinyanga ezintandathu emva kokuzalwa xa ixesha lakhe lingabuyi. Le ndlela isebenza kakuhle xa isetyenziswa ngokuchanekileyo.
I-LAM isebenza ngokukhusela iqanda ekukhutshweni kwi-ovary yakho. Emva kokuba uqale ukondla umntwana wakho ngaphandle kobisi lobisi okanye xa ixesha lakho libuya, kufuneka ukhethe enye indlela yokulawula ukuzalwa.
Inzalo yokutyanda
Xa uqinisekile ukuba iintsuku zakho zokukhulelwa ziphelile, inzalo yinto enokuthi ithathelwe ingqalelo. Nabani na umlingani angakhetha ukhetho lokutyalwa-tubal ligation yowesifazane, okanye i-vasectomy yindoda.
Kubalulekile ukuba ungayicingi nje le ndlela yesikhashana yokukhulelwa komzimba onokutshintshwa xa ungatshintsha ingqondo yakho. Ukuguqulwa kwamathambo kuyindlela enkulu yokuhlinzwa eyenziwa ngempumelelo.
UkuNyango oluPhezulu
Ukukhulelwa kwexesha eliphuculweyo kusebenza ngokukhusela ukukhulelwa phakathi kweeyure ezimbalwa okanye iintsuku zokulala ngesondo esingakhuselekanga. Izindlela ezisetyenziselwa ukukhulelwa ngokukhawuleza zibandakanya ukukhulelwa komlomo ngokudibeneyo, iipilisi kuphela zeepersin, kunye nokufakwa kwe-IUD.
Xa Ukukhulelwa Okungahleliwe Kuvela
Xa iindlela zolawulo lokubeletha zenziwa ngokuthembeka, ezininzi iinkqubo zokukhulelwa komzimba ziphumelela ngokumalunga nokukhulelwa okungalindelekanga. Nangona kunjalo, ngamanye amaxesha ezinye izinto ziza kudlalwa kwaye ukukhulelwa komzimba kuyaphumeleli.
Ukuba ufumene ubhekene nokukhulelwa okungenakulungiswa uza kufuneka wenze isigqibo malunga nendlela oya kuqhuba ngayo. Ngaba ukhetha ukukhipha isisu, ukwamkelwa okanye umzali? Yisigqibo asinakuyenza wena kunye nento oyakufuneka uhlale nayo yonke imihla yobomi bakho. Qiniseka ukuba ukhetha oko kukuziva kukulungele wena, kwaye ungazivumeli ukuba uphelelwe yimvakalelo yabanye.
Umyalezo obalulekileyo malunga neCondom
Iikondom kufuneka zisetyenziswe rhoqo, ngaphezu kweyiphi na indlela yokulawula ukuzalwa, nabani na ongekho kwixesha elide lolwalamano olulodwa. Ukunyamekela kufuneka kuthathwe ukuba ungasebenzisi ii-lubricants-based oil (i-petroleum jelly, i-lotions, okanye i-oil oil) kunye ne-latex okanye i-lambskin ikhondom, njengoko ziyakunciphisa loo nto.
Abesifazane namhlanje banokukhetha ukusebenzisa ikhondom yesintu okanye ukusebenzisa ikhondom yabasetyhini. Ikhondomu yeReality® ivunyiwe yi-FDA kwaye ifanelwe efanayo nekhondom yabesilisa.
Isiphelo sokuvalwa sineendandatho ezitshintshileyo ezifakwe kwisisini, ukuya kwiiyure ezisibhozo ngaphambi kokulala ngokwesondo, ngelixa umva ovulekile uhlala ngaphandle kwecala. Ikhondom yebhinqa ayifanele isetyenziswe ngexesha elifanayo iqabane lakho lisetyenziselwa ikhondom yesilisa.
Iikhondom, nokuba ziyindoda okanye ibhinqa, zenzelwe ukusetyenziswa kwexesha elinye kwaye akufanele ziphinde zisebenzise kwakhona. Ukuba iindleko zekhondom ziyinkinga kuwe, tyelela ikliniki yakho yocwangciso lwentsapho. Uninzi lweekliniki zokucwangcisa iintsapho ziya kukunika unomdla amaninzi amakhondom njengoko ufuna.
Musa ukukhohliswa
Mhlawumbi uvile ukuba awukwazi ukukhulelwa ngexesha lakho okanye ukuba awunayo i-orgasm okanye xa iqabane lakho likhupha ngaphambi kokuba u-ejaculation. Oku akunjalo! Mhlawumbi umntu uxelele ukuba i-douching iya kuhlamba isidoda ngaphambi kokukhulelwa. Akunakwenzeka nje ukuba i-douching ingasebenzi ukukhusela ukukhulelwa, inokubangela ukuba isifo se-pelvic sigxile kwaye sandisa ingozi yezinye ii-STD kunye nezifo.
Musa ukukhohliswa-kuphela i-100 yeepesenti yokusebenza ukukhusela ukukhulelwa.