Ngaba kuyafana nexesha eliqhelekileyo lokuya esikhathini?
Ukuphuma kwegazi, eyaziwayo njengexesha le-hormonal okanye ixesha lokukhohlisa, ngowamazi aphuma rhoqo ngenyanga xa usebenzisa i- hormonal control control method , efana nePilisi, i-patch okanye i- NuvaRing . Ngethuba leveki ye-placebo yale ndlela, abafazi baya kuhoxisa ukuphuma kwegazi, okudla ngokusoloko kunjengexesha eliqhelekileyo. Ukukhipha ukukhutshwa kwinyanga nganye akuyona into efanayo, nangona kunjalo, njengokuba unesiqhelo sokuya esikhathini.
Xa Ukurhoxiswa Kwempahla Kuvela Njani?
Ukuba usebenzisa ulwaphulo lwe-hormonal, ufanele ulindele ukuphuma kwegazi lokuza kuvela xa ungathathi nawaphi na amahomoni ukusuka kwindlela yakho yolawulo lokuzalwa . Oku kufuthi ngeveki yesine yomjikelezo wakho:
- Abasebenzisi bePill pilgrims : Lindela ukulahla kwakho ukuhoxiswa okwenzeka ngeveki 4 (iveki yakho ye-placebo) ukuba usebenzisa i-pilday pack pack ye-28.
- Abasebenzisi bePatch: Kufuneka ulindele ukuhoxiswa kwakho kokukrazula ngexesha leveki ugcine iqhosha lakho (iveki 4).
- Abasebenzisi be-NuvaRing: Lindela ukulahla kwakho ukuhoxiswa okwenzeka ngeveki xa uthabatha iNuvaRing yakho (iveki 4).
- AbaSebenzisi bePilisi abaSebenziweyo : Ukuba unomhla wokujikeleza wosuku lwe-91 (njenge- Seasonique ), ungalindelanga ukuhoxiswa kwakho kwegazi kwiinyanga ezintathu. Kufuneka ifike ngexesha elithile ngeveki 13.
- Abasebenzisi bePilini kuphela : Izinto zihluke kakhulu kuwe ekubeni unayo iveki ye-placebo. Ukuba uqala iipilisi zakho ngosuku lokuqala lwenyanga yakho yangempela, unokulindela ukuhoxiswa kwenyanga rhoqo ngexesha leveki yokuqala kwipakethi yakho elandelayo.
- Umhla wokuPhathwa kwePilisi yePilisi AbaSebenzisi : Abanye usebenzisa iimpawu zepilisi eziqulethe iipilisi ezingama-21 ( njengeLoestrin 1/20 okanye i-Loestrin 1.5 / 30 ), ngoko ke kufuneka ulindele ukuphuma kwegazi? Ewe, thabatha zonke iipilisi ezingama-21 (iiiveki 1-3). Emva koko, ngeveki 4 xa ungathathi nawaphi na amapilisi, unokulindela ukuphuma kwegazi.
Yintoni Ebangelwa Ukunyuka Kwegazi?
Ukuphuma kwegazi kudla ngokuqhubekayo ngeveki yokugqibela yojikelezo lwakho lolawulo lokuzalwa ngenxa yokuba kukho utshintsho kwi-hormone dosage eyenziwa ngumzimba wakho. Ukungabi nabani na amahomoni ngeveki 4 kunokubangela ukuba iimbumba zesibindi sakho sibe buthathaka ngokwaneleyo ukuvumela ukuphuma kwamanzi ukuba kwenzeke. Kubalulekile ukubonisa ukuba ukuhoxisa ukuphuma kwegazi kubangelwa utshintsho kumazinga e-hormone kwaye ayikho ixesha eliyinyaniso. Ukuphuma kwegazi kuya kuvela emva kwekhosi yeprogesterone.
Ukuba Akunjalo, Kutheni Ukuyeka Ukuhlawula?
Xa usebenzisa i-hormonal birth control, u "ngaphezu" komjikelezo wakho wokuya esikhathini. Ngendlela, ezi ndlela zenza umzimba wakho ucinge ukuba ukhulelwe. Emuva xa uMargaret Sanger, uKatherine McCormick, uJohn Rock, noGregory Pincus beqala ukuvelisa ipilisi, babevakalelwa kukuba abafazi abanakuyithandi ingcamango yokuba bangenayo inyanga nganye, ngakumbi kuba abafazi baxhomekeke kwixesha eliqhelekileyo lokuba "ubungqina" a khulelwe. Akukho zizathu zezinto eziphilayo okanye zezonyango zokuba neli xesha. Kodwa kwakhona, abaphuhlisi beepilisi babecinga ukuba abafazi baya kuziva bekhululekile kakhulu bebenokupheliswa kwenyanga, kwaye bacinga ukuba ekubeni ipilisi imlinganisa umjikelo wendalo wesifazane, mhlawumbi bekungekho ngaphantsi kwenkolo ukuchasa ukusebenzisa ipilisi.
Ngoko abaphuhlisi beepilisi benza isigqibo sokwakha ukukhishwa kwegazi kwipilisi. Benza njani oku? Ewe, benza iipilisi ukuba zibe neeveki ezi-3 (iintsuku ezingama-21 zomsebenzi, iipilisi zamapilisi). Emva koko, ngeveki yesi-4, bafaka i-hormone-free interval yeentsuku ezisixhenxe ngokusebenzisa iipilisi ze-placebo kuphela. Ukuhla kwe-hormone eyenzekayo ngeli xesha le-pill-free / patch-free / interval NuvaRing liphumela ekuphumeni kwakho kwegazi.
Ngako-ke Ukuyeka Ukugqithisa Ukugqithisa Kwenzeka njani kwixesha eliqhelekileyo?
Ukuphuma kwegazi kuyinto efana nexesha lokuya esikhathini (kwaye lidla ngokuba lixesha lakho). Kodwa, kufuneka ukhumbule ukuba akuyona into efanayo nokuba nexesha lokwenyuka.
Ukuqonda ukuba kutheni le nto ihluke, kufuneka sithathe ukujonga ngokukhawuleza ngaphakathi komzimba wakho ukuze siqonde oko kukubangela ukuba ube nexesha. Ngamazwi alula:
- Ukutshintshiselwa (utshintsho) kumanqanaba e-hormone kunokubangela utshintsho kwi-uterine yakho.
- Ukuba amazinga akho e-hormone aguquguquki, ke umgca wesibeletho sakho awuyi kutshaya.
- Ngenxa yokuba ayinyanzelekanga, akufuneki ukucinywa, okwenzekayo ngexesha lexesha eliqhelekileyo.
- Isizathu esisodwa sezinto eziphilayo kulezi zinguqu kwi-uterine yakho yembumba kukulungiselela isisu ngenxa yokukhulelwa.
Kodwa, xa usebenzisa iPill, i-Patch, okanye i-NuvaRing, amazinga e-hormone yomzimba wakho ahlala ephantsi, kwaye awangagcini-ahlala ehleli kakuhle. Ukungabi ne-hormone ukuguqulwa kuya kugcina i-uterus yakho igxile. Oku kubalulekile ukuphawula, akugcini nje ukuhlala uncinci kwiiveki ezintathu usebenzisa i-hormone contraceptive, isabuncinci ngeveki 4, kwaye iya kuqhubeka ihlala igxininise kuyo yonke ixesha usebenzisa le ndlela.
- Olu lugqabileyo lithetha ukuba akukho zicubu ezakhayo kwilinki yakho.
- Akukho ukunyuka kwimbane kuthetha ukuba akukho zakhiwo ezifunekayo ukucinywa.
- Akukho kuphalala kuthetha ukuba akudingeki ukuba ube nexesha eliqhelekileyo lokuya esikhathini.
Yiyo ndlela le ndlela i-hormonal ikunqanda ukuba ube ne "yinyani" yenyanga. Endaweni yoko, inyanga nganye uhoxisa ukuphuma kwegazi (okanye ixesha "lokukhohlisa"). Ukungongeza ii-hormone kwiinkqubo zakho ngeveki 4, ngokukhawuleza kunciphisa i-uterine yakho yelinki egciniweyo ngokwaneleyo ukudala ukuphuma kwamanzi. Ukuphuma kwegazi kukuphuma kwegazi lakho. Ngenxa yokuba umbane wakho we-uterine awunagxininiswa, ukuyeka ukuphuma kwegazi kubonakala kube mfutshane kwaye kukhanya ngaphezu kwexesha eliqhelekileyo.
Ukurhoxiswa kweBleeding kunye noSondo
Ekugqibeleni, kodwa ngokuqinisekileyo, ungase uzibuze ngokulala ngesonto 4, nokuba ingaba iipilisi, i-patch, okanye i-NuvaRing isaqhubeka nokukhusela ukukhulelwa ngexesha leveki ye-placebo. Impendulo ngu "ewe"! Nangona ungathathi nawaphi na amahomoni ngeveki 4 (okanye ngeveki ye-13 kubasebenzisi beepilisi ezongezelelweyo) kunye nokuba ngaba ulahla ukuphuma kwegazi, ulawulo lwakho lokuzalwa kwe-hormonal lufake.
> Umthombo:
> Kaunitz AM. Imfundo yesineke: Izindlela zeHormonal zokulawulwa kokuzalwa (ngaphaya kweZiseko). Ku: UkuPhakamisa. Eckler K, uMartin KA (Umhla.) 2017.