Ndingayisebenzisa iPilisi ukuba Ndibe noxinzelelo oluPhezulu?
Bangaphi Abasetyhini basebenzisa iPilisi?
I pilisi yindlela yokulawula inzala eyodwa esetyenziswe ngabasetyhini abaneminyaka eyi-15-44. Abesine kwabahlanu abafazi abanamava abasebenzisa ngesondo baye basebenzisa ipilisi yokulawula ukuzala - i-26% yabasetyhini kweli nqanaba elidala banakho uxinzelelo lwegazi oluphezulu. Ngaba kukho nayiphi na inxulumano phakathi kwepilisi kunye noxinzelelo lwegazi oluphezulu?
Iipilisi zoLawulo lokuzalwa kunye noxinzelelo lwegazi oluphezulu
Iipilisi zokulawula ukuzala ziqukethe amahomoni anokwenziwa.
Ukuhlanganiswa kokulawula iipilisi kwenziwa kwi- estrogen kunye neprogesin . I -pilisi ye-mini yindlela yokukhulelwa kweprogesin kuphela . La mahomoni yeso sizathu sokuba ipilisi isebenza ukukhusela ukukhulelwa - kodwa ngelanga, banokunyusa ingozi yokunyuka kwengcinezelo yegazi. Ukuba usebenzisa ipilisi kwaye uneminyaka engaphezulu kwama-35, ukhuluphele, kunye / okanye umsi, unokuba ngumngcipheko ongakumbi. Iipilisi zokulawula ukuzalwa zingakwandisa kwixinzelelo lwegazi ukusuka kwangoko kube yingozi. Xa usebenzisa i pilisi, usenokuba nokwanda kancinci kwengozi yokuphuhlisa i- blood clot . Ngamanye amaxesha, ukuba uxinzelelo lwegazi luba lukhulu kakhulu ngelixa usebenzisa i pilisi, unokufuna ukutshintshela kwindlela yokulawula entsha.
Izinto eziphezulu zobungozi begazi
Umngcipheko wokunyuka kwengcinezelo yegazi ukwanda ngexesha lakho. Xa abafazi beyeka ukuthatha ipilisi, uxinzelelo lwegazi luhlala luphantsi. Kodwa uphando oluthile luthi iipilisi zokulawula ukuzalwa zingabangela ukwanda kwincinci ye-diastolic encinci (kodwa iphawulekayo) kwaye oku kuya kuqhubeka kumabhinqa asele badala aphelelwe ipilisi iminyaka.
Umngcipheko wokoqobo wokuphuhlisa uxinzelelo lwegazi ngelixa usebenzisa iipilisi zokulawula ukuzalwa akukwaziwa. Kucingelwa ukuba i-estrogen kwipilisi ingakhokelela ukukhululwa kwamanye amahomoni angenza ukuba uxinzelelo lwegazi luqhume. Iprogestin sele ifumaneke ukuchaphazela uxinzelelo lwegazi - kodwa kubonakala ngathi landa ukwanda kwengcinezelo yegazi kwisantya esifanayo.
Siyazi ukuba kukho izinto ezinobungozi ezinokuthi zenze ukuba kunokwenzeka ukuba ukusetyenziswa kweepilisi zokulawula ukuzala kuza kwandisa uxinzelelo lwegazi. Ezi zinto zibeka ingozi:
- Imbali yengcinezelo yegazi xa ukhulelwe.
- Imbali yentsapho yengcinezelo yegazi ephezulu (ingakumbi kwiintsapho zamabhinqa).
- Imbali yeengxaki zentliziyo okanye imiba yegazi.
Ndingayisebenzisa iPilisi ukuba Ndibe noxinzelelo oluPhezulu?
Impendulo yalo mbuzo nguwe ewe no. Ngaphambi kokuba uqale ukusebenzisa ipilisi, ugqirha wakho kufuneka aqhube imbali yonyango yonyango kunye neentsapho (oku kufuneka kufake ukubeka ingqalelo kwizinto ezinobungozi bomzimba). Kubaluleke kakhulu ukuba uthembeke kunye nogqirha wakho ngeli xesha. Kufuneka kwakhona ube neengcinezelo zegazi lakho-oku kuza kuseka umlinganiselo wesiseko.
Xa usuqala ukusebenzisa ipilisi, kufuneka ube neengcinezelo zegazi zakho rhoqo. Ukuba uxinzelelo lwegazi luqala ukunyuka ngelixa usebenzisa ipilisi, oku akuthethi ukuba uthethe ukuthabatha i pilisi. Ukuba uxinzelelo lwegazi lungalawulwa ngempumelelo (mhlawumbi ngokutya kunye nokusetyenziswa okanye unyango), ugqirha wakho uya kukuvumela ukuba uqhubeke nokusetyenziswa kweepilisi.
Ukuba ubonakala uhlakulela uxinzelelo lwegazi emva kokuba uqale ipilisi, okokuqala ugqirha unokugqiba isigqibo sokuba nje uqaphele uxinzelelo lwegazi rhoqo.
Ngokusekelwe kwiimpawu zakho (ukuba unayo nayiphi na enye), ezinye izinto ezinobungozi, kunye neziphumo zokuhlolwa kwegazi lakho, ugqirha wakho unoku:
- Ngaba uqhubeka njengesiqhelo - kwaye ukugcina kwipilisi yokulawula inzala efanayo.
- Nquma ukutshintsha umyalelo wakho kwi-brand yepilisi equlethe (okanye uhlobo oluphantsi) okanye iprogesin okanye uphawu lwepilisi olungenayo i-estrogen.
- Ngaba uyeke ukusebenzisa ipilisi uze uguqule kwindlela eyahlukeneyo yolawulo lokuzalwa .
Ukuba unomdla malunga nokusetyenziswa kweepilisi kunye nokunyuswa kwengcinezelo yegazi, unokuxubusha ingozi yokuhlala ulawulo lokuzalwa kwe-hormone kunye nodokotela wakho. Akukho mgaqo othi ufanele uqhubeke usebenzisa ipilisi.
Ulawulo lokuzalwa ngoxinzelelo lwegazi oluphezulu
Ukuba unquma ukuba ufuna ukuyeka ukuthatha ipilisi ngenxa yokunyuka kwengcinezelo yegazi, kukho ezinye iindlela zokulawula ukuzalwa onokuzisebenzisa ngokuphepha.
- Unokukhetha nayiphi na indlela engaphezulu . Ezi zibandakanya: iikhondom , i- spermicide , isiponji kunye neikhondom zamabhinqa .
- Kukho iinkqubo zonyango ongayenza . Ezi zibandakanya: i- IUD (njenge- ParaGard engenakho i -hormone) okanye i- diaphragm . Ugqirha wakho unokuthi ulungile kunye nawe usebenzisa indlela yeprogesin kuphela efana ne- Mirena IUD , i- Skyla IUD , i- Nexplanon , okanye i- Depo Provera .
- Ukuba uyazi ukuba usuqedile ukuba nezingane (okanye awufuni ukuba nawaphi na abantwana), ungabheka ngokukhuselekileyo iindlela zokuhlala njenge- tubal ligation okanye i- Essure .
Imithombo:
Beevers, G., Lip, G., & O'Brien, E. (2010). ABC wexinzelelo (umhla wesi-5). Malden, MA: Blackwell Publishing.