5 Iindlela zokuPhepha zokuPhepha eziPhezulu zokuNgcono kunye noNcedo lokuThuthukiswa koNyango
Kukho imiba emininzi enokuthi ingonakalise ukusebenza kolawulo lwakho lokuzalwa. Enye yezi zi bunzima. Ukugqithisa okanye ukugqithisa kunokubangela ukuba umzimba wakho ulungelelanise izidakamizwa ngokukhawuleza kunokuba ziqhelekileyo, uzicime ngokukhawuleza ukusuka kwinkqubo yakho kwaye unciphise inani leziyobisi ezisetyenziswayo kwigazi lakho.
Oku kunokunciphisa inzuzo ekhuselekileyo yokukhusela i-hormone ye-hormone kuquka nepilisi , i- Nexplanon kunye ne -patch . Ukuqinisekisa ukuba oku kwenzekayo, kukho izinto ezimbalwa onokuzenza.
Tubal Ligation
I-Tubal ligation yindlela yokuhlala ngokusisigxina yolawulo lokuzalwa. Ngokuqhelekileyo ekubhekiswe kuthi "ukuba nezibhanki zakho zibophelelwe," yinkqubo yokucwangcisa eyenzelwe ukuvala izibhabhane ze-fallopian. Emva kokuba izibhabhu zitywinwe, i-sperm ayikwazi ukufikelela kwiqanda. Ngomnye wamasu amaninzi okugulisa .
Nangona kungekho ubungqina bokuba ubunzima bakho buya kuphazamisa ukusebenza kwe-tubal ligation, utyando ngokwaso luvame kunzima ukwenza. Kulo manani labasetyhini, utyando ludla ngokuthatha ixesha elide, ludinga i-anesthesia engaphezulu, kwaye luyakwazi ukuxhomekeka kwiinkqubo zokubambisana.
Ukunciphisa umngcipheko, oogqirha baya kuncoma ukuba i- laparotomy encinci (inqununu yokuhlinzwa) xa ukhuluphele okanye ukhuluphele.
IsiCwangciso
Enye indlela yokutyalwa kwentsholongwane yinkqubo yokuHlola (ekwabizwa ngokuba yinto yokuzalisa inzalo). Indlela yokulawulwa kokuzalwa ngokusisigxina ibandakanya "ukuxhuma" iibhulo zokuguqula ukukhulelwa.
Le ndlela yindlela yokulawula ukuzalwa ngokuphumelelayo yabesifazane abagqithisileyo nabakhulu kunokuba banokuyenza ngaphandle kwe-anesthesia jikelele kwaye ayifuni ukungena kwisigxina esiswini. Ngomthombo, ezimbini iimithombo zensimbi ezincinci (ezibizwa ngokuba yi-micro-inserts) zifakwe kwiphubhu nganye. Emva kokufakelwa, ukufakelwa kwekhoyili kuya kubangela ukuphuhliswa kweethambo ezibomvu ekugqibeleni zivimbela iibhubhu
Izixhobo ze-Intrauterine (iUDs)
Izixhobo ze-intrauterine (iUDs) ezifana ne- ParaGard ithusi ye-IUD kunye ne- Skyla levonorgestrel-ukukhupha i-IUD yindlela efanelekileyo kakhulu yokulawulwa kokuzalwa kwabasetyhini abakhulu.
Inkcenkceshelo yonyani yodwa inokuba yinto yokufakelwa kweso sixhobo. Ukuba unzima kakhulu, ngamanye amaxesha kunzima ukufumana umlomo wesibeleko okanye ufumane ubungakanani kunye nesalathisi sakho sesisu. Ugqirha wakho unokusinqoba oku ngokusebenzisa i-ultrasound nezinye izixhobo ezizodwa ukukunceda ukukhokelela i-IUD ngokufaka.
Uphando lukwabonisa ukuba i-IUD ingaba yindlela ekhuselekileyo kunye neyona ndlela iphumelelayo yokulawulwa kokuzalwa kwabasetyhini abasweleyo. IUDs inokunceda ekunciphiseni umdlavuza we-endometrial kunye ne- hyperplasia , iimeko apho abantu besetyhini abaswele kakhulu.
Depo-subQ Provera 104
Kukho inguqulelo entsha ye-Depo Provera edotywayo ebizwa ngokuba yiDepo-subQ Provera 104 . Ifom engekho isigxina yokulawulwa kokuzalwa ine-hormone engama-31 engaphantsi kwenguqu yangaphambili kwaye, ngenxa yoko, iziganeko eziphantsi kweempembelelo ezimbi.
Ijojowe ngaphantsi kwesikhumba ngokuchasene ne-muscle. Amashishini athunyelwa ngekota, okanye iiveki ezi-12 ukuya kwe-14.
I-Depo-subQ IPprovera 104 yaboniswa ukuba isebenzayo kubasetyhini abagqithisileyo kwizifundo ezimbini ezahlukeneyo. Nangona kunjalo, enye eyona nto ingundoqo kukuba le nkunkuma iyaziwa ukuba ibangele ukunyusa ubunzima , ingqwalasela enkulu ukuba sele unzima ukulawula ukulawula.
Olunye uqikelelo kukuba lunokuthatha umyinge weenyanga ezilisithoba kunye neenyanga ezili-10 ukubuyisela ngokupheleleyo ukuzala emva kokuba unyango lugqityiwe. Kwindoda enzima kakhulu, kunokuthatha ixesha elide.
Iindlela zokuLawula ulwalamanzi
Indlela yokulawulwa kokuzalwa kwendlela yokukhusela isistim esivimbela ngokwenyama isidoda ukungena ekuvukeni kwesibeleko. Nangona le mithwalo yokukhusela ingathembeka kakhulu, kufuneka isetyenziswe ngokuchanekileyo. Ukungaphumeleli kudla ngokudibanisa nokusetyenziswa kakubi okanye okungahambelaniyo kunokuba ingxaki kunye nemveliso ngokwayo.
Izinyathelo zokulawula ukuzalwa ziquka iikondom zamadoda , iikhondom zamabhinqa , i- spermicides , isiponji , isithintelo kunye nekhanda lomlomo wesibeleko .
Unokwandisa ukwandisa ukusetyenziswa ngokusebenzisa indlela yokukhawulela emibini, efana nokusebenzisa ikhondom kunye ne-spermicide okanye i-diaphragm enekhondom. Ukuba ungaqinisekanga ukuba ungayisebenzisa njani imveliso, uthetha nogqirha wakho okanye ubuze i-pharmist yakho.
> Imithombo:
> Batur, P .; Bowersox, N; noMcNamara. UMnu "Ukukhulelwa: Uphuculo, iiNngcipheko, iiRhafu zokuqhubeka, kunye nokuSebenza kwabasetyhini abasemngciphekweni." Umbhalo weMpilo yabasetyhini. 2016; 25 (8): 853-856. INGXELO: 10.1089 / jwh.2016.5942.
> Reifsnider, E .; Mendias, M .; Davila, Y. et al. "Ulwaphulo kunye nomfazi ogqithiseleyo." J Am Assoc Umhlengikazi Pract. 2013; 25 (5): 223-233. INGXELO: 10.1111 / 1745-7599.12011.