Enye yeyona mibuzo eqhelekileyo abantu bayayibuza ukuba ingaba bayayithengisa iipilisi zokulawula ukuzalwa ngokutsha. Nangona kukho ukukhetha okuphezulu kokulawula kokuzalwa onokukuthenga phezu kwe-counter-counter , ngelishwa, iipilisi zolawulo lokuzalwa akuyona enye yazo. Njengamanje, kuphela iipilisi zokulawulwa kokuzalwa kwe-counter-counter-contra- contraception .
Indlela yokufumana iipilisi zolawulo lokuzalwa
Udinga imiyalelo yesigqirha yokufumana iipilisi zokulawula ukuzalwa (mhlawumbi iipilisi kuphela zeepilisi , iipilisi ezidibeneyo , okanye iipilisi zomjikelezo ezongezelelweyo ). Ukuze ubhale lo myalelo, uza kufuneka uxoxe nodokotela wakho ngembali yakho yezobugqirha kwaye ufumane ingcinezelo yegazi. Ugqirha wakho angadinga ukuhlolwa kwe-pelvic kunye nokuhlolwa kwebele, kodwa oku akusiyo yonke indawo.
Kutheni kungekho Mithetho yePilisi yokuLawula ukuzalwa?
Kukho ingxoxo eninzi kule sihloko. Abasetyhini abaninzi bathi ukuya esikhathini nokukhusela ukukhulelwa akusisifo. I pilisi yolawulo lokuzalwa ayiyilanga eliyingozi. Uninzi lweziphumo zepilisi azibi kakhulu. Akukho mngcipheko wokulahla kwaye abanakukuphakamisa.
Oku kukukhokelela abaninzi ukuba bazibuze ukuba i-US Food and Drug Administration (FDA) ithatha isigqibo esiphezulu kulo mbandela. Ngokungavumeli ukuba iipilisi zokulawulwa kokuzalwa kokuzalwa, ngaba urhulumente wenza kube nzima kubafazi ukuba bafumane kwaye basebenzise ipilisi ?
Kwakhona, ngokufuna iimviwo zezokwelapha ukuze ufumane ipilisi, yenza kube nzima kubafazi abasebenza iiyure ezinde kwaye abanako ukuthatha ixesha. Ngakolunye uhlangothi, abanye oogqirha bathi ukuba abafazi bafumana iipilisi zokulawula ukuzalwa kwee-counter-counter, abayi kuze bangene kwiimviwo zabo zonyaka.
Izikhokelo zendlela yokufumana iPilisi
Izikhokelo zonyango jikelele kunye nophando zibonisa ukuba ukukhulelwa kwe-hormonal (njengepilisi) kunokunyulwa ngokukhuselekileyo nje ngesiseko sokufumana imbali yezonyango ngokunyanisekileyo kunye nomlinganiselo wexinzelelo lwegazi. Izivivinyo zesifuba kunye ne-pelvic, kunye ne- pap smears kunye nesifo sokudluliswa kwesifo ngesondo , kubalulekile ukufumanisa nokukhusela umhlaza kunye nokucwangcisa intsapho kunye nokunakekelwa kwempilo yokuzala. Ukucetyiswa kwe-STD rhoqo iyanconywa kuba abafazi abasebenzisa iipilisi zokulawula ukuzalwa abanakho amathuba okusebenzisa iikhondom ezikhuselekileyo kwezi zifo. Oko kuthethwa, ulwazi olungogqirha luvela kule miviwo ungabaxeleli ukuba umfazi unako okanye awukwazi ukusebenzisa ngokufanelekileyo ukhuseleko lokuzalwa.
Kubalulekile ukuba ube nencoko ethembekile kunye nogqirha wakho kuba kukho abesetyhini abangenalo abaviwa abafanelekileyo kwi pilisi. Yingakho kubalulekile ukuba ugqirha wakho unembali yonyango epheleleyo kunye nawe kwaye uyinyaniso malunga nembali yakho. Ngenxa yokuba ipilisi inokunciphisa uxinzelelo lwegazi , kufuneka ube neengcinezelo zegazi rhoqo rhoqo kwiinyanga ezimbalwa zokuqala emva kokuba uqale ukusebenzisa ipilisi.
Ukucela iPilisi Isiqinisekiso ngaphandle kovavanyo lwePelvic
Unokuba njengabanye abafazi ngaphandle-ufuna ukusebenzisa ipilisi, kodwa ayenjalo ngenxa yokuba uyika ukuba uvavanyo lwe-pelvic kunye ne-pap smear.
Kubonakala ngathi ukuvumelana ngokubanzi kwezokwelapha kusekela utshintsho kwizenzo. Uphando lubonisa ukuba iipilisi zolawulo lokuzalwa ziyakunikwa ngokuphepha ngokusekelwe ngokuphonononga ngokucophelela kwimbali yakho yezonyango kunye nomlinganiselo wexinzelelo lwegazi. Kwabaninzi abasetyhini, akukho mfuneko yoviwo. Izikhokelo zangoku ezenziwe nguMbutho WezeMpilo Wehlabathi (WHO) kunye ne-American College of Obstetricians kunye ne-Gynecologists (ACOG) zibonisa ukuba iipilisi zokulawula ukuzalwa zingakunikwa ngokuphepha ngaphandle kokuhlolwa kwe-pelvic.
Ukuba ugqirha wakho ugxininisa ukuba ufanele ube novavanyo lwebele kunye ne-pelvic ukwenzela ukukunika umyalelo wecilisi, uchaze iinkxalabo zakho kunye / okanye ukwesaba, kwaye ucele ukuba ungazenzi le miviwo.
Unakho ukubiza ngeenxa zonke uze ufumane ugqirha ohlukeneyo olandela izikhokelo ezivela kwi-WHO kunye ne-ACOG ngokumisela iipilisi zokulawula ukuzalwa. Umzali oCwangcisiweyo unokuba ngumkhethe wokusebenzisa njengomboneleli wezempilo ongenakudinga ukuhlolwa kwe-pelvic ukufumana ulawulo lokuzalwa kwe-hormonal.
Isizathu sokuba Ufanele ubone iDokotela yakho yokuLawula iipilisi
I pilisi yindlela efanelekileyo yokulawula ukuzalwa. Ikuvumela ukuba ube nokulawula ukuzala kwakho, ukulawula ixesha lakho nokukhusela ukukhulelwa, kwaye ukusetyenziswa kwayo mhlawumbi kubangele ukukhupha okuncane . Kukho iingxoxo ezintle ezixhasa ukuthengwa kweepilisi zokulawulwa kokuzalwa kwamanxeba (ngaphandle kwesidingo semithi). Kodwa ekubeni kukho abesetyhini abangenakusebenzisa ipilisi, kukho izizathu zokuba kubalulekile ukuba ubone ugqirha ukuze usebenzise ipilisi.
Nangona uvavanyo lweplovic kunye neengxube zebele, i-pap smears, kunye nokuhlolwa kwe-STD kungenakonwaba (kwaye ngokuqinisekileyo akukho nto ininzi abafazi abajonge phambili ukuyenza), inxalenye ebalulekileyo yonyango lwakho jikelele. Ezi ziboniso zingenakusebenza ekunqumeni ukuba awukho umviwa ofanelekileyo kwipilisi, kodwa zibalulekile ekufumaneni okokuqala izifo ezisongela ubomi.
ILizwi
Cinga ngokukhethwa kolawulo lwakho lokuzalwa kwaye ukhethe lowo oza kusebenza ngokusemandleni akho. Kodwa ungakugwebi ukubona ugqirha wakho ukuba ahlole umfazi wakho ngokuqhelekileyo ngenxa yokuba angenakukhathazeka. Le yithuba elifanelekileyo lokuxoxa ngeendlela ozikhethayo kunye nodokotela wakho ngasese uze ufumane umyalelo ukuba ngaba oko kuyigqibo.
Imithombo:
> Ikholeji yase-American College of Obstetricians and Gynecologists. Ukufikelela kwi-Counter-Counter Access to Oral Contraceptives. Iingxelo zeKomiti No. 544. I-Obstetrics & Gynecology . 2012; 120 (6): 1527-1531. i-doi: 10.1097 / 01.aog.0000423818.85283.bd.
> Iipilisi zePilisi yokuLawula ukuzalwa: IiNzuzo, iingozi kunye neeNqweno. Clinical Mayo. http://www.mayoclinic.org/healthy-festyle/birth-control/in-depth/birth-control-pill/art-20045136.
> Tepper NK, Matsbanks PA, Curtis KM. Iziphakamiso ezikhethiweyo ze-US zokuSebenza ngokuNyango, ngo-2013. Umbhalo weMpilo yabasetyhini . 2014; 23 (2): 108-111. i-doi: 10.1089 / jwh.2013.4556.