Ikhonkco phakathi kobuthathaka kunye nokuhluleka kokuLawula ukuzalwa
Into ebaluleke kakhulu ekukhuseleni ukukhulelwa okungalindelekanga kukusetyenziswa kokukhulelwa okukhuselekileyo nokusebenzayo ngabasetyhini abangathandi ukukhulelwa. Kodwa phantse isiqingatha sabo bonke ukukhulelwa okungafunekiyo kwenzeka kwiibhinqa ezibika ukusetyenziswa kokukhulelwa kweenyanga ngexesha leenyanga abazithathileyo.
Enye yemibandela enokuba negalelo ekuphumelelweni kokulawulwa kokuzalwa ngumlinganiselo wesifazana.
Abasetyhini abangaboniyo abanako ukuqonda ukuba ubunzima babo bungabonakalisa ukuphumelela kwendlela yabo yokukhulelwa .
Ukunyuka kwamatyala kuye kwanda ngaphezu kwamashumi amabini adlulileyo kwaye kuqhubeka kukukhathazeka ngempilo karhulumente eMelika nasehlabathini lonke. Ubutyebi buchazwa njenge-index mass mass (BMI) engama-30 okanye ngaphezulu, kanti umntu ogqithiseleyo unama-BMI angama-25 ukuya ku-29.9. I-BMI ibalwa ukusuka kwisisindo somntu kunye nokuphakama kwayo kwaye inikezela isalathisi esilungeleyo sokunyusa umzimba kunye neemeko zesisindo ezinokubangela iingxaki zempilo.
Ngelishwa, uphando lwezocalulo aluzange lubandakanye amabhinqa anqinileyo kunye nokugqithisa kakhulu kwiimvavanyo zeclini. Oku kuye kwabangela umzimba onqamlekileyo weenkcukacha ngokubhekiselele ekusebenzeni kokukhusela kunye nokukhuselwa kwabasetyhini abagqithisileyo nabakhuluphele. Oku kubi, ukuba kunokwenzeka ukuba ukukhulelwa kwangaphambili kubaluleke nakakhulu kubafazi abasetyhini banikezelwa ingozi ephezulu yokuxhalabisa okunxulumene nokukhulelwa.
Ukufumana ukuqonda ngakumbi indlela ukuphuculwa kwemithwalo yokukhusela kunokunciphisa ngokunyanya, ndiphande i-article kwi- UpToDate- inkcazelo ekhompyutheni ethembekileyo esebenzisa oogqirha abaninzi kunye nezigulane:
Iinkqubo ezininzi ezinokuxilongwa kwezinto ezichaphazelekayo zichaphazelekayo, kwaye ezi zigugu kwisimo se-metabolism zinokuchaphazela ukuphumelela kokukhulelwa komzimba.Ukuba utshintsho kwi-metabolism luxhomekeke kunokuba lukhulu kunomzimba (oko kukuthi, i-body mass index [BMI]), isisindo sinokubaluleka ngakumbi I-BMI ekunqumeni ukuhlukahluka kokusebenza kokukhulelwa komzimba. Ubunzima obuninzi obuhambelanayo kunye nokunyuka komlinganiselo wokunciphisa umzimba. Ngokukodwa, ukuhlanjululwa kwezilwanyana ezinobungozi ngokukhawuleza, njenge-steroid yokukhulelwa, kwanda ngokunyuka komzimba. Abafazi abancinciweyo kunye namanqanaba e-serum angenako ukugcina umthamo wokukhulelwa komzimba. Ngaphezulu koko, abafazi abagqithisileyo banomthamo omkhulu wegazi ojikelezayo kunabesifazane abasetyhini abaqhelekileyo, oku kungabangela ukuhlengahlengiswa okukhulu kwenzululwazi ye-contraceptive steroids, ngoko ke ukunciphisa ukusebenza komzimba. i-steroids ixutywa yi-adipose tissue, ngoko ke abafazi abane-adipo i-se ingaba ne-steroid encinane ifumaneka ukujikeleza.
Ngokusekelwe kwimiphumo engabangela ukunyanya kakhulu kwi-pharmacokinetics ye-steroids yokukhulelwa, kuyalinga ukucebisa ngokuphindaphinda kabini umthamo wokukhulelwa owenziwe ngabafazi abakhululeyo. Nangona kunjalo, iziphumo ezibi kunye neengozi ziyakwandisa. Ngokomzekelo, umthamo ophezulu we-estrogen oqulethe ukukhulelwa komzimba uya kukwandisa umngcipheko we-thrombosis eneengxaki ezinzulu kwaye kuya kubandakanywa umngcipheko osuvele ukhona kubafazi abasweleyo. "
Ngoko, oko kuthetha ukuthini? Masiphule le ngcaciso ebalulekileyo.
Iinkqubo ze-Metabolic ziinkqubo zezinto eziphilayo ukuba iseli ephilayo okanye inyama isebenzise ukunika amandla afanelekileyo ebomini nasekukhuleni. I-Metabolism ibhekisela kwiimpendulo zamakhemikhali kwiiseli zomzimba eziguqula uphethiloli ekudleni zibe ngamandla ethu umzimba kufuneka asebenze. Abantu abanesisindo esiphezulu (ngenxa yamanqatha amaninzi omzimba) kubonakala benamanani aphezulu emilinganiselo. Ukusetyenziswa kwezilwanyana ezinobungozi, njengemithi yokukhusela i-hormonal, zixhaswa yinkqubo yokugaya kunye nokufikelela esibindi phambi komzimba wonke. Isibindi sichaza isilwanyana, ukwenzela ukuba ukuxinwa kweziyobisi kuncitshiswe kakhulu ngelixa lingena kwinkqubo yejikelezayo. Abafazi abangaphezu kwamandla amaninzi banakho ukuba banamathuba amaninzi okuba ne-enzyme kwisibindi esiya kuphula ii hormone ngokukhawuleza. Ngenxa yoko, kuba kukho iisisulu ezininzi apho igazi kufuneka lijikeleze, amazinga e-hormone ajikelezayo angancipha. Le mali ayinakuquka iindawo eziphakamileyo ngokwaneleyo ukubonelela ukukhusela ukukhulelwa (oko kukuthi, ukukhusela i-ovulation, ukunqanda umkhuhlane wesibeleko, okanye utyumle i-uterine bining).
Kwakhona, isiqingatha sobomi beziyobisi (ngokukodwa, kuthatha ixesha elingakanani isigxina sazo kupheliswa kwigazi) kunokuthi kube mfutshane kubafazi abangaphezu kwamandla amaninzi kuba i-metabolized quicker - ke, akunakho ukwanela i-hormone yokukhulelwa emzimbeni ukuba abe nempembelelo yokukhulelwa.
Enye into enxulumene nokujikeleza kwegazi. Ukuze kusebenze, i-hormone yokukhulelwa kufuneka ijikeleze ngegazi lomfazi. Ukuba ibhinqa inomzimba omkhulu, kunokuba kunzima ukuhambisa ukujikeleza okwaneleyo ukuba kwenzeke, ngenxa yamanani aphezulu egazi ejikeleza imizimba. Ngenxa yamanqanaba e-hormone aphantsi kwi-contraceptive, umthamo omkhulu wegazi unokuba lunciphise i-hormone kwaye ubenze baphumelele.
Ukuyinkcenkceshela imeko, i- estrogen kunye neprogesin zigcinwa kwiisitifiketi ze-adipose. Amanqatha amaninzi atyhini, inkulu amathuba yokuba ama-hormone aya kubanjiswa kwioli kunokuba avele ngegazi.
Ngenxa yendlela umzimba wesifazane ogqithiseleyo ungagcina, ukusabalalisa, ukuxubusha nokuphelisa i-contraceptive ye-hormone, kukho abo bathi ukuphumelela kokukhusela kungagcinwa ukuba inani le-hormonal kwi-contraceptive liphindwe kabini. Oku kubangela ingxaki, nangona kunjalo, ngenxa yeziphumo ezimbi . Kubandakanywa amazinga aphezulu e-estrogen kwimithi yokukhulelwa komzimba inganyusa umngcipheko wokuphuhlisa imiphumo emibi efana ne- thrombosis enegazi ( intambo yegazi), isifo, ukunyamezela kwegazi okanye ukuhlaselwa yintliziyo.
Ngoko xa kuziwa ngokumalunga nokusebenza kokulawula ukuzalwa, kubalulekile ukuba uqhathanise ingozi yokukhulelwa okungafunekiyo malunga neenzuzo kunye neentsilelo ezinxulumene nendlela ethile yokukhusela. Ngokubanzi, iindlela, apho ukuhluleka kokukhulelwa komzimba kunokwenzeka ukuba kubakho abafazi abagqithisileyo kunabesifazana besisindo esifanelekileyo , kubandakanya: ukukhulelwa komlomo , iqhosha lokukhusela , kunye ne- Implanon / Nexplanon .
Kubafazi abagqithisileyo, ii-IUD kunye nokutyalwa kwentsholongwane yokugqithisa ingaba yindlela efanelekileyo yokukhulelwa. Nangona kunjalo, ngenxa yokwanda komzimba, le nkqubo ingaba nzima ukugqiba.
Ezinye iindlela ezingakhange zichaphazeleke ngesisindo ziyi-sterioscopic inzalo (i- Essure ) kunye neendlela zokukhawulela ezifana neikhondom , iikhondom zamabhinqa , i-sponge , i- diaphragms kunye neefowuni zomlomo wesibeleko .
Ufuna ukufunda ngaphezulu? Jonga isihloko seToDate , " Ukwelulekwa kokukhulelwa kwabasetyhini," ukwenzela ngolwazi olongezelelweyo ngolwazi lwezonyango ekucebiseni abafazi abanamava ngokukhetha kwabo kokukhulelwa kunye nokuhlola ukuba ubunzima bunokubangela njani ukungaphumeleli kokukhulelwa.
Umthombo:
Edelman, Alison no Kaneshiro, Bliss. "Ukwelulekwa kocalulo kwabasetyhini abasweleyo." Isemgangathweno. Kufumaneka: Meyi 2011