Izinto ezi-6 ekufuneka uyazi ngoThintelo loBelekiso
Umxholo
Kukho iindlela ezininzi zokulawula inzala ezikhoyo kuwe kunangaphambili. Unokufumana izixhobo ze-intrauterine (IUDs), ufake amakhonkco, usebenzise iikhondom, ufumane ukufakelwa, ubethe isiziba, okanye upheke ipilisi. Yaye uhlolisiso lwakutshanje olwenziwa yiGuttmacher Institute lufumanise ukuba amabhinqa angama-99 ekhulwini aye asebenzisa ubuncinane elinye lawona ebudeni beminyaka yawo yokuba neentlobano zesini. Kodwa kukho enye indlela yokulawula ukuzalwa engacingi ngayo abafazi abaninzi: ukudubula. Kuphela yi-4.5 pesenti yabasetyhini abakhetha ukusebenzisa izicwangcisi ezitofwayo, nangona zidweliswe njengenye yeendlela ezithembekileyo nezingabizi kakhulu.
Kungenxa yoko le nto sithethile no-Alyssa Dweck, MD, OBGYN, kunye nombhali-mbhali U-V ngowelungu lobufazi, ukufumana eyona scoop yayo kukhuseleko, intuthuzelo, kunye nokusebenza. Nazi izinto ezintandathu ekufuneka uzazile malunga nokudubula, ukuze uthathe isigqibo esifanelekileyo ngomzimba wakho:
Iyasebenza. I-Depo-Provera shot i-99 yepesenti esebenzayo ekukhuseleni ukukhulelwa, oku kuthetha ukuba ilungile njengezixhobo ze-intrauterine (IUDs) njenge-Mirena kwaye ingcono kunokusebenzisa ipilisi (i-98 yepesenti esebenzayo) okanye iikhondom (i-85 ekhulwini esebenzayo). Ithembeke kakhulu kuba ayifuni kulawulo lwemihla ngemihla, ke mancinci amathuba okuba neempazamo zomntu, utshilo uDweck. (Psst...Jonga ezi ntsomi zi-6 ze-IUD, ziqhunyiwe!)
Ixesha elide (kodwa alisisigxina) kulawulo lokuzalwa. Kuya kufuneka udubule rhoqo emva kweenyanga ezintathu kulawulo oluqhubekayo lokuzalwa, olulinganisa uhambo olukhawulezileyo ukuya kugqirha amatyeli amane ngonyaka. Kodwa ukuba uthatha isigqibo sokuba ukulungele umntwana, ukuzala kwakho kuya kubuyiselwa emva kokuba umpu uphelile. Qaphela: Kuthatha umyinge weenyanga ezili-10 emva kokudubula kwakho kokugqibela ukukhulelwa, ixesha elide kunezinye iintlobo zehomoni zolawulo lokuzalwa, njengepilisi. Oku kuyenza ibe lukhetho olufanelekileyo kubafazi abazi ukuba bafuna abantwana ngenye imini kodwa hayi kungekudala.
Isebenzisa iihomoni. Okwangoku, kukho uhlobo olunye kuphela lokucwangcisa ngenaliti, olubizwa ngokuba yiDepo-Provera okanye i-DMPA. Yiprogestin etofwayo-indlela yokwenziwa yehomoni yabasetyhini iprogesterone. "Isebenza ngokuthintela ukukhutshwa kweqanda kunye nokuthintela ukukhutshwa kweqanda, ukutyeba kwencindi yomlomo wesibeleko, eyenza ukuba kube nzima kwisidoda ukufikelela kwiqanda lokuchumisa, nangokunciphisa umgca wesibeleko okwenza ukuba isibeleko singabinakho ukukhulelwa," utshilo uDweck.
Zimbini iidosi. Unokukhetha ukufumana i-104 mg injected phantsi kwesikhumba sakho okanye i-150 mg injected in your muscle. Olunye uphando lucebisa ukuba imizimba yethu ifunxa amayeza ngcono kwiinaliti ze-intramuscular kodwa loo ndlela inokuba buhlungu ngakumbi. Nangona kunjalo, zombini ezi ndlela zibonelela ngokhuseleko olusebenzayo.
Ayinguye wonke umntu. Ukudubula kunokuba kungasebenzi kakuhle kubafazi abatyebe kakhulu, utshilo uDweck. Kwaye ngenxa yokuba inehomoni, ineempembelelo ezifanayo ezinokubakho njengezinye iintlobo zolawulo lokuzalwa kwehomoni oluqukethe iprogestin-kunye nezinye ezimbalwa. Ngenxa yokuba ufumana i-mega-dose ye-hormone kwimpu enye, kunokwenzeka ukuba uphume ngokungaqhelekanga okanye ulahlekelwe lilonke ixesha lakho. (Nangona oko kunokuba yibhonasi kwabanye!) UDweck wongeza ukuba ukulahleka kwethambo kunokwenzeka ngokusetyenziswa kwexesha elide. Iindaba ezimnandi, nangona kunjalo, zezokuba ayinayo i-estrogen, ngoko ilungile kubasetyhini abangevayo nge-estrogen.
Inokukwenza utyebe. Esinye sezizathu zokuba abafazi badla ngokunikezela ngokungakhethi ukudubula ngamarhe okuba wenza ukuba utyebe. Kwaye oku kukhathazeka ngokusemthethweni, utsho uDweck, kodwa ukuya kwinqanaba kuphela. "Ndifumanise ukuba uninzi lwabasetyhini bafumana malunga neepawundi ezintlanu ngeDepo," utshilo, "kodwa ayisiyiyo yonke indawo." Uphononongo lwakutsha nje oluvela kwiYunivesithi yaseOhio State lubonise ukuba inye into emisela ukuba uzuza ubunzima kule meko kukutya okuncinci, okanye iivithamini. Abaphandi bafumanise ukuba abasetyhini abatya iziqhamo ezininzi, ii-veggie, kunye neenkozo ezipheleleyo abanamathuba okuba batyebe emva kokudutyulwa, nokuba batya ukutya okungenamsoco ngokunjalo. (Zama okona kutya kulungileyo kwi-flat abs.)