Ukuthintela inzala okungxamisekileyo

Ukuthintela inzala ngokungxamisekileyo yindlela yolawulo lokuzalwa yokuthintela ukukhulelwa kwabasetyhini. Ingasetyenziswa:

• Emva kokuhlaselwa ngokwesondo okanye ukudlwengulwa
• Xa ikhondom iqhekeka okanye uvalo luphuma ngaphandle kwendawo
• Xa umfazi elibele ukuthatha iipilisi zokulawula inzala
• Xa usabelana ngesondo kwaye ungasebenzisi naluphi na ulawulo lokuzalwa
• Xa nayiphi na indlela yolawulo lokuzalwa ingasetyenziswanga ngokuchanekileyo

Ukuthintela inzala ngokungxamisekileyo kunokwenzeka kuthintele ukukhulelwa ngendlela efanayo neepilisi zokulawula ukuzalwa rhoqo:

• Ngokuthintela okanye ukulibazisa ukukhutshwa kweqanda kwizibeleko zowesifazane
• Ngokuthintela isidoda ekuchumiseni iqanda

Ezi ndlela zimbini onokufumana ngazo ukuthintela ukukhulelwa okungxamisekileyo zezi:

• Sebenzisa iipilisi eziqulathe uhlobo olwenziwe ngumntu (lwendibaniselwano) lwehomoni yeprogesterone ebizwa ngokuba yiprogestins. Le yeyona ndlela iqhelekileyo.
• Ukuba ne-IUD ibekwe ngaphakathi kwesibeleko.

IINKETHO ZOKUKHUSELWA KWAKUNGXAMISEKILE

Iipilisi ezimbini zokuthintela ukukhulelwa zinokuthengwa ngaphandle kommiselo.

• Isicwangciso B Inyathelo elinye yithebhulethi enye.
• Ukukhetha okulandelayo kuthathwa njengeedosi ezi-2. Zombini iipilisi zinokuthathwa ngaxeshanye okanye njengeedosi ezi-2 ezahlukeneyo ngaphandle kweeyure ezili-12.
• Inokuthathwa ukuya kuthi ga kwiintsuku ezi-5 emva kokulalana ngokungakhuselekanga.

I-acipristal acetate (Ella) luhlobo olutsha lwepilisi yokuthintela ukukhulelwa engxamisekileyo. Uya kudinga amayeza avela kumboneleli wezempilo.

• I-Ulipristal ithathwa njengecwecwe elinye.
• Ingathathwa ukuya kwiintsuku ezintlanu emva kokwabelana ngesondo ngokungakhuselekanga.

Iipilisi zolawulo lokuzalwa zingasetyenziswa:

• Thetha nomboneleli wakho malunga nedosi echanekileyo.
• Ngokubanzi, kufuneka uthathe iipilisi zokulawula ukuzalwa ezi-2 ukuya kwezi-5 ngaxeshanye ukuze ukhuseleke ngokufanayo.

Ukubekwa kwe-IUD lolunye ukhetho:

• Kufuneka ifakwe ngumboneleli wakho kwisithuba seentsuku ezi-5 emva kokuba wabelana ngesondo ngokungakhuselekanga. IUD esetyenzisiweyo iqulethe isixa esincinci sobhedu.
• Ugqirha wakho unokuyisusa emva kwexesha elilandelayo. Unokukhetha ukushiya endaweni ukubonelela ngolawulo lokuzalwa oluqhubekayo.

NGOKUGQITHISILEYO NGEEPILISI ZOKUKHUSELA UNGXAKASHO

Abasetyhini bayo nayiphi na iminyaka banokuthenga iSicwangciso-B seNyathelo elinye kunye nokuKhetha okulandelayo kwikhemesti ngaphandle kokuyalelwa okanye ukutyelela umboneleli wezempilo.

Ukuthintela inzalo okungxamisekileyo kusebenza ngcono xa usisebenzisa kwisithuba seeyure ezingama-24 zokulalana. Nangona kunjalo, isenokuthintela ukukhulelwa ukuya kuthi ga kwiintsuku ezi-5 emva kokuba wabelana ngesondo.

Akufanele usebenzise ukuthintela inzala ngexesha likaxakeka ukuba:

• Ucinga ukuba ukhulelwe iintsuku ezininzi.
• Ukopha kwilungu lobufazi ngesizathu esingaziwayo (thetha nomboneleli wakho kuqala).

Ukuthintela inzala okungxamisekileyo kunokubangela iziphumo ebezingalindelekanga. Uninzi luthambile. Banokubandakanya:

• Utshintsho lokopha exesheni
• Ukudinwa
• Intloko ebuhlungu
• Isicaphucaphu nokugabha

Emva kokusebenzisa ukukhulelwa kwexesha lokuxakeka, umjikelo wakho wokuya esikhathini ungaqala kwangoko okanye emva kwexesha kunesiqhelo. Ukuhamba kwakho kokuya esikhathini kunokuba lula okanye kube nzima kunesiqhelo.

• Uninzi lwabasetyhini bafumana ixesha labo elilandelayo kwiintsuku ezisi-7 zomhla ekulindelwe.
• Ukuba awufumani ixesha lakho kwiiveki ezi-3 emva kokuthatha ukukhulelwa ngokukhawuleza, unokukhulelwa. Nxibelelana nomboneleli wakho.

Ngamanye amaxesha, inzalo engxamisekileyo ayisebenzi. Nangona kunjalo, uphando lubonisa ukuba izinto zokuthintela ukungxamiseka azinampembelelo yexesha elide ekukhulelweni nasekukhuleni kosana.

EZINYE IINYANISO EZIBALULEKILEYO

Unokwazi ukusebenzisa izinto zokuthintela ukukhulelwa okungxamisekileyo nokuba awukwazi ukuthatha iipilisi zolawulo lokuzalwa rhoqo. Thetha nomboneleli wakho malunga nokukhetha kwakho.

Ukuthintela inzala kaxakeka akufuneki kusetyenziswe njengendlela yolawulo lokuzalwa yesiqhelo. Ayisebenzi kunye neendidi ezininzi zolawulo lokuzalwa.

Ipilisi yakusasa; Ukukhulelwa emva kokubeleka; Ulawulo lokuzalwa - ungxamiseko; Isicwangciso B; Ukucwangcisela usapho-uthintelo lokuthintela ukukhawulezisa

• Isixhobo sangaphakathi
• Icandelo elisecaleni kwenkqubo yokuzala yabasetyhini
• Izinto zokucwangcisa ezisekwe kwiHormone
• Iindlela zokulawula inzala

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URivlin K, Westhoff C. Ucwangciso losapho. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 13.

UWinikoff B, uGrossman D. Ukuthintela ukukhulelwa. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 225.