Ukusebenzisa iCondom Xa Unayo i-IUD okanye i-Implant

Ukuthintela i-STD yabasetyhini ngokukhulelwa kwexesha elide

Xa abantu bacinga malunga nokuziphatha ngokwesondo ngokukhuselekileyo , banezinto ezibalulekileyo ezibalulekileyo. Inkxalabo yokuqala kukuba, ubuncinane kwimfundiso, jikelele . Wonke umntu kufuneka aqwalasele ukhuseleko kwizifo ezithathelwana ngesondo . Inkxalabo yesibini iyahluke kwiibini ezitshatileyo. Le nkxalabo kukukhusela ngokukhulelwa.

Ngokuphathelele ukhuseleko lokukhulelwa, ukukhulelwa kwexesha elide lokuphendula ngokukodwa (i-LARC) ngokungathandabuzekiyo kukhetho olufanelekileyo.

Kukho iindlela ezininzi ze-LARC, kodwa ezi zimbini eziphambili zi-IUD kunye nezimpembelelo. IUDs zixhobo ezifakwe ngaphakathi kwendawo yomzimba. Ziyakwazi okanye zingenayo i-hormone, kwaye ziyakushiywa endaweni ukuya kwiminyaka eyi-12. Iziplani zixhobo esincinci, esifana ne-matchstick efana nesibhakabhaka esibekwe phantsi kwesikhumba sengalo. Le divayisi ikhupha izinga eliphantsi lamahomoni ukuya kwiminyaka emithathu.

Isizathu sokuba ii-LARC ziphumelele kukuba abafazi akudingeki bacinge ngabo. IUD okanye ukufakelwa kufakwa, kwaye kunjalo. Ibhinqa likhuselwe ekukhulelwe ixesha elide. Akukho mfuneko yokuthenga izinto. Akukho sidingo sokukhathazeka ngokubona ugqirha . Ngaphambili, ii-LARC zilungile de ziphele. Esi sizathu sokuba kukho umdla okhulayo ekusebenziseni ukunciphisa ukukhulelwa kwentsha. Abafuni ukuba intsha ikhumbule ukuthatha ipilisi, okanye yenza nantoni na enye into. Abaselula bayotyelela ugqirha kwaye sele bekhuselekile ngokuzeleyo ekukhulelwe iminyaka ngeminyaka.

Ukungaphumeleli ukusebenzisa imithi ngokuchanekileyo yenye yezona ngxaki ezinkulu kwi-effective efficacy. Abantu bayakulibala ukuthatha iipilisi zabo. Abasebenzisi i-spermicide kunye neentsimbi. Bayakulibala ukuphuma kwigumbi kwicala lekhondom. IiLARC zikhulu kuba zilungele kakhulu ukusebenzisa kakubi.

Oko abakwenziyo kukukhusela kuma-STD.

Kutheni usebenzise iCondom Ukuba UnokuNyameka ukuPhatha okuPhezulu kwexesha elide

Into efanelekileyo malunga nokusebenzisa i-LARC yenye yezona zinto zingenakwenzeka. Abasetyhini abasebenzisa ii-LARC akudingeki bacinge ngezokhuseleko ezikhuselekileyo zokukhusela ukukhulelwa. Nangona kunjalo, ii-LARC azenzi nto ukukhusela izifo ezithathelwana ngesondo. Akunabikho mqobo kwintsholongwane. Ngoko ke, nabani na usebenzisa i-LARC ngaphandle kobudlelwane bobudlelwane bodwa , ixesha elide apho bobabini baqabane bavavanywe kufuneka bacebise ukuba basebenzise iikhondom ngokunjalo. Ngelishwa, oku akusoloko kwenzeka.

Ukusetyenziswa kweendlela ezimbini, usebenzisa iindlela ezimbini zokukhusela ngexesha elilodwa, akuqhelekanga. Abambalwa abasetyhini basebenzisa zombini iikhondom kunye nee-LARC. Ukusetyenziswa kwekhondom kunye kunye nokukhulelwa komlomo akuqhelekanga. Ngokuqhelekileyo, inkolelo kukuba abafazi basuke bechukumisekile ngokukhulelwa okanye ukukhuselwa kwezifo. Bese bakhetha ulwaphulo-mthetho olufanelekileyo kakhulu kubhajethi kunye neemfuno zabo. Uphando lubonisa ukuba abasebenzisi beendlela zombini banokuthi bahluke ngokulinganayo kunabasebenzisi abodwa. Ngokomzekelo, uphando lwango-2014 lufumene ukuba abasebenzisi beendlela zombini babenokwenzeka ukuba bafumene ukugonya kwe- HPV . Oku kuphakamisa abantu abathile banokusebenza ngokubhekiselele kwimpilo yabo yesondo.

Nangona kunjalo, nokuba abo basebenzise iindlela ezimbini abanako ukuzisebenzisa ngokuchanekileyo ngokuchanekileyo. Isampuli yesizwe sama-18-44 ubudala ubudala afumane ukuba i-40% yeziganeko zentlobano zesini zibandakanya ukusetyenziswa kwekhondom. Iipesenti ezilishumi elinesibini zazo zizindlela ezimbini. Ngelishwa, xa kuqhutywe iimviwo, abaphandi bafumanisa ukuba ababini abasebenzisi beendlela abazange bakwazi ukusebenzisa iikhondom ngokuchanekileyo. Babesoloko bethatha ikhondom ngokukhawuleza okanye bayifake ngasekupheleni. Ukongezwa koko, bambalwa abasebenzisi bendlela abasebenzisa iikhondom ngokufanayo. Kunoko, babesebenzisa kuphela iziqendu zesondo.

Abaselula basebenzisa i-LARC

Ukungabikho kokusetyenziswa kwembini kunokuba ngumbandela omkhulu kumantombazana amantombazana.

Amantombazana aselula asele athile amazinga aphezulu okufumana i-STD. Oku kuthetha ukuba kubalulekile ukuqwalasela isithintelo se-STD xa ubacebisa malunga nokukhulelwa. Ukuthintela ukukhulelwa kwentsha kuyinjongo ebalulekileyo. Nangona kunjalo, kukho amanye amaqela akhathazeke ukuba ukukhuthaza ukusetyenziswa kwe-LARC kunokunyusa ingozi ye-STD. Ezi nkxalabo zisekelwe kakuhle.

Ngo-2016, uphando olushicilelwe kwi-JAMA Pediatrics lubonise ukuba abatsha abasebenzisa i-LARC babengama-60 ekhulwini abangenakukwazi ukusebenzisa iikhondom kunabantwana abasebenzisa ukukhulelwa komlomo. Ukusetyenziswa kweekondom phakathi kwabasebenzisi be-LARC kwakunjalo nakumantombazana asebenzisa ukukhulelwa kwexesha elide njengoDepo Provera, isiqendu kunye neendandatho. Oku kuphakamisa ukuba zonke "zibeke kwaye zilibale" iindlela ezifanayo zinciphisa ukusebenzisa iikhondom. Oku akumangalisi ngokwenene. Ukusebenzisa indlela yangexesha elide kuthetha ukuba ngamanye amaxesha intetho yesondo ekhuselekileyo - kunye nengcamango-inokuya kwi-burner yangemuva.

Ezinye zezi zinto zinokuthenjwa ukuba zibhekiswe kwiindlela zokufundisa. Intsha kunye nabantu abadala kufuneka kukhunjuzwe ukuba ukukhulelwa akuyona yingozi yodwa yesondo. Iikhondom zinika ukhuselo kuma-STD. Bakhuthaza ukuba banxibelelwano olongezelelweyo phakathi kwamaqabane. Yinto enokuyenza ngobomi besondo obuphilileyo bobabini nangokwenyama.

Imithombo:
Higgins JA, Smith NK, Sanders SA, Schick V, Herbenick D, Reece M, Dodge B, Fortenberry JD. Ukusetyenziswa kweendlela ezimbini kwiNgcaciso yokuThabana kokuSigxina: Umeli weSizwe, Uhlalutyo lweNqanaba loLwahlulo lwabantu baseMelika nabasetyhini. Ukukhulelwa. 2014 Oct; 90 (4): 399-406. i-doi: 10.1016 / j.ukungaqondiyo.2014.06.003.

Umbumbi J, uSoren K. Ulwaphulo oluPhezulu lokuSebenza oluPhindayo kunye nokusetyenziswa kweComso: Sifuna umyalezo olungcono. JAMA Pediatr. Ishicilelwe kwi-intanethi ngo-Matshi 14, 2016. ityala: 10.1001 / jamapediatrics.2016.0141.

Steiner RJ, Liddon N, Swartzendruber AL, Rasberry CN, i-JM yokuthengisa. Ukusetyenziswa koNyango oluPhezulu lokuSebenza kunye nokusetyenziswa kweComm JAMA Pediatr. Ishicilelwe kwi-intanethi ngo-Matshi 14, 2016. ityala: 10.1001 / i-jamapediatrics.2016.0007.

UVanderpool RC, Williams CM, uKlawitter AR, uEddens K. Ukusetyenziswa kweDual Indlela yokuLawula kunye ne-HPV Ukugonywa phakathi kwe-US. Abasetyhini abadala nabaselula. Imibuzo yezeMpilo yabasetyhini. 2014 Sep-Oct; 24 (5): 543-50. i-doi: 10.1016 / j.whi.2014.05.003.