Ukuba uthabathe iipilisi zokulawula ukuzalwa kwaye ufumanisa ukuba ukhulelwe, unokuba uzibuze ukuba ngaba oku kungabangela ukuba umntwana abe nengozi kwaye ukuba kukho ithuba lokuba kungabikho ukukhulelwa komntwana okanye ukuzala.
Uninzi uphando lubonisa ukuba akudingeki ukhathazeke. Kukho iintlobo zokulawulwa kokuzalwa ezingabangela iingxaki, kodwa, inxalenye enkulu, ukusebenzisa iipilisi zokulawula ukuzalwa okanye ezinye izixhobo zokuhambisa i-hormone (njengePatch okanye iNuvaRing ) ikhuselekile.
Iipilisi zoLawulo lokuzalwa kunye nokuPhelelwa koMntwana
Ngokutsho kwe-US Food and Drug Administration (FDA), akukho bungqina bokuba kuthatha iipilisi zokulawula ukuzalwa kunye neepestin-kuphela iimpilisi ngelixa ukhulelwe lizakwenzakalisa umntwana wakho ngandlela-thile, mhlawumbi ngokunyusa umngcipheko weziphene zokuzalwa okanye ukukhuphaza ukukhulelwa.
Kubalulekile ukuba uqaphele ukuba akukho phando oluninzi kulo mbandela. Oku akubangelwa yongamela okanye ukungabikho komdla. Iimfundiso zonyango aziyi kuvumela umntu ukuba enze uphando olunokubeka umama okanye umntwana ongakazalwa engozini.
Ngaloo ndlela, ininzi yedata ivela kwi-epidemiology yophando ngokumalinganisa oomama abasebenzise iipilisi zokulawula ukuzalwa ngexesha lokukhulelwa kwangaphambili kwabo bangenayo. Kule nkalo, kubekho umlinganiselo omncinci kwimiba yeziphoso zokuzalwa, ukutshatyalaliswa kwemiphumo, okanye ukuzala phakathi kweqela.
Xa kuthethwa oko, akukhuthazwa ukuba uqhubeke nokuthatha ulawulo lokuzalwa ukuba wena ukhulelwe.
Ekugqibeleni, zonke izilwanyana ozithathayo ziya "kuthathwa" ngumntwana wakho, ngokunjalo. Ngoko ukuba ucinga ukuba unokukhulelwa , thatha uvavanyo lokukhulelwa ukwazi ngokuqinisekileyo. Kwaye, ukuba awukwazi naluphi na isizathu, qwalasela ukusebenzisa ezinye iindlela zokukhulelwa kwezilwanyana (njengamakhondom okanye isiponji ) kude kube nexesha elinjalo.
I-CDC iyaphawula ukuba i-progestins ezithathiweyo ekukhulelweni kokuqala kancinci yandisa umngcipheko we- hypospadias kumakhwenkwe (isifo sokuzalwa apho ukuvulwa kwe-urethra kungekho kwintonga ye-penis).
Izifundo ezikhokelela kule sigqibo zikhulile kwaye zibaninzi kubafazi besenza i-progestins yokungabikho kwintsholongwane okanye ukuthintela ukulahleka kokukhulelwa kwaye kungekhona amanani aphantsi angama-progestins abonwayo kwiipilisi zokulawula izizukulwana namhlanje.
Ulawulo lokuzalwa kunye neengqungquthela zokuThathalaliswa
Abanye besetyhini bakholelwa ukuba ukuba bayaqhubeka nokuthatha ipilisi yokulawula xa bekhulelwe, banokuba nekhefu. Oku akuyinyani, kwaye akuzange kubekho ubungqina obubonisa ukuba. Amahomoni kwipilisi asebenza ngokuxhuma kumbindi wesibeleko ukukhusela isidoda esangena kwisibeletho, ukuyeka u- ovulation , nokuthintela ukunyuka kwembombo ye-uterine ukuxhasa ukufakelwa. Akukho nanye kwezi zinto kuncedisa ekutshatyalalisweni okanye ekuzaleni.
Enye inkolelo kukuba ukusebenzisa i- precipitation contraception ( njengePlani B Isinyathelo esinye - nanye okanye i- AfterPillPill ) xa ukhulelwe kungabangela ukupheliswa ngokukhawuleza kokukhulelwa kwakho. Oku akunjalo kwakhona. Ezi pilisi ayinasiphumo emva kokuba iqanda elikhulelweyo lifakwe.
Kukho amayeza athile angagqiba ukukhulelwa xa kunqwenela. Nangona kunjalo, ezi zinto zithathwa njengengxaki yokuzalwa kodwa uhlobo lokukhupha isisu . Eyaziwayo njengeMifepristone (RU486) , ipilisi yokukhipha isisombululo se-FDA e-United States ukususela ngo-2000.
IUD kunye neNgcambu yokuHlala komtshato
Ukuba unesistim ye- intrauterine (IUD) kwaye ukhulelwe, kunokubakho iingxaki. Uphando lucebisa ukuba ukuba ibhinqa likhetha ukumshiya i-HEUD ngexesha lokukhulelwa, ingozi yokukhulelwa komzimba iya kunyuka ibe ngama-40 ekhulwini. Ngaphezu koko, inokuphakamisa amathuba okuzalwa kwangaphambi kwama-500 ekhulwini.
Ngale mingcipheko engqondweni, kufuneka ugqirha ugqirha wakho ngokukhawuleza ukuba ususwe i-IUD yakho xa ufumana ukhulelwe kwaye unqume ukuqhubeka nokukhulelwa. Ukususa i-IUD ekuqaleni kwindlela efanelekileyo ngexesha elinokuthi kunokutshintsha kakhulu loo mngcipheko.
ILizwi
Ukusetyenziswa okungafunekiyo kwamapilisi okulawula ukuzalwa ngexesha lokukhulelwa kwangaphambili kubonakala kunobungozi obuphantsi.
Ukuba ukhulelwe, xubusha nayiphi na imishanguzo, isongezelelo, kunye nemveliso ye-counter-counter-counter kunye nogqirha wakho. Kuqiqile ukuyeka ukulawula ukuzalwa xa ufumanisa ukuba ukhulelwe.
> Imithombo:
> Charlton B, uMølgaard-Nielsen D, uSvanström H, et al. Ukusetyenziswa koomama kokukhulelwa komlomo kunye nomngcipheko weziphene zokuzalwa eDenmark: okuza kuba ngabafundi belizwe lonke. BMJ . 2016; 352: h6712.
> I-Waller D, i-Gallaway M, i-Ramadhani T, et al. Ukusetyenziswa kwemithi yokukhulelwa komlomo ekukhulelweni kunye neziphene ezinzulu zokuzalwa kwizityalo. Epidemiology. 2010; 21 (2): 232-239.
> Ukunyangwa koPhando ezimbini. Amacandelo okuLawula nokuKhuselwa kwezifo. https: //www.cdc.gov/pregnancy/meds/kukhathazeka/research.html.