Ukukhetha phakathi kwepilisi yolawulo lokuzalwa okanye iDepo-Provera Shot

Umxholo

• Ipilisi yolawulo lokuzalwa
• Ulawulo lokuzalwa ludubule
• Iziphumo ebezingalindelekanga zepilisi kunye nokudubula
• Oonobangela beziphumo ebezingalindelekanga
• Imiba yomngcipheko ekufuneka uyigcine engqondweni
• Iinkonzo zepilisi
  
• Bendlela ipilisi
  
• Iinkonzo zokudubula
  
• Bendlela ukudubula
  
• Ukuthetha nogqirha wakho

Ukujonga ezi ndlela zimbini zolawulo lokuzalwa

Zombini iipilisi zolawulo lokuzalwa kunye nothintelo lolawulo lokuzalwa zizindlela ezisebenzayo nezikhuselekileyo zokuthintela ukukhulelwa okungacwangciswanga. Oko kwathethi, bobabini bahluke kakhulu kwaye bafuna ingqwalaselo enzulu ngaphambi kokwenza ukhetho.

Qokelela ingxelo evela kubahlobo nakumalungu osapho, uphando ngazo zonke iindlela onokukhetha kuzo ngokucokisekileyo kangangoko unako, kwaye ufikelele kugqirha wakho nangayiphi na imibuzo okanye inkxalabo. Kubalulekile ukuba uze kukhetho oluziva usempilweni kwaye luyindalo kwindlela ophila ngayo.

Ukuba uthatha isigqibo kamva ukuba ukhetho olukhethileyo alulunganga, khumbula ukuba phantse zonke iindlela zolawulo lokuzalwa ziyatshintshana. Ngamanye amagama, ungazitshintsha ngaphandle kokuchaphazela ukuzala kwakho okanye umngcipheko wokukhulelwa, okoko nje kusenziwa ngugqirha.

Ipilisi yolawulo lokuzalwa

Iipilisi zolawulo lokuzalwa ziindlela zokucwangcisa zehomoni. Abasetyhini abaninzi basebenzisa iipilisi zokuthintela ukukhulelwa. Ipilisi inokusetyenziselwa ukunciphisa amaxesha anzima, ukunyanga amabala, kunye nokunciphisa iimpawu ezithile zenkqubo yokuzala.

Iipilisi zokulawula inzala ziza njengeepilisi zokudibanisa kunye neeprogesin kuphela. Iipilisi zokudibanisa zineentlobo ezimbini zehomoni: iprogestin kunye ne-estrogen. Iipilisi zeepilisi kunye neepilisi zokudibanisa zihlala zineeveki ezintathu zeepilisi ezisebenzayo kunye neveki enye yokungasebenzi, okanye i-placebo, iipilisi. Ngeveki yeepilisi ezingasebenziyo, unokuba nexesha. Iipakethe zepilisi yeprogesin kuphela zihlala zinentsuku ezingama-28 zeepilisi ezisebenzayo. Nangona kungekho naziphi na iipilisi ezingasebenziyo, usenokuba nexesha kwiveki yesine yepakethi yakho.

Iipilisi zolawulo lokuzalwa zisebenza ngeendlela ezimbini zokuthintela ukukhulelwa. Okokuqala, iihomoni ezikwipilisi zikhusela ukukhutshwa kwamaqanda kwii-ovari zakho (ovulation). Ukuba awunawo nawaphi na amaqanda, akukho nto yesidoda yokufaka isichumiso.

Okwesibini, iihormoni zonyusa ukwakheka kwencindi ejikeleze ukuvulwa komlomo wesibeleko. Ukuba le nto incangathi ikhula ityebile ngokwaneleyo, amadlozi angena emzimbeni wakho aya kumiswa ngaphambi kokuba asondele kwiqanda. Iihomoni nazo zinokucoca ulwelo lwesibeleko. Ukuba iqanda lithe lavundiswa ngandlela ithile, oku kuya kuqinisekisa ukuba ngekhe likwazi ukuncamathisela kuludwe.

Ngokwe-Planned Parenthood, xa ithathwa ngokomyalelo, iipilisi zokulawula ukuzalwa zingama-99 eepesenti ezisebenzayo ekuthinteleni ukukhulelwa. Nangona kunjalo, uninzi lwabasetyhini benza oko kubizwa ngokuba "kukusetyenziswa kwesiqhelo." Ukusetyenziswa okuqhelekileyo kweeakhawunti zowasetyhini olahlekileyo ipilisi okanye ezimbini, ukubambezeleka kancinci ngepakethi entsha, okanye esinye isiganeko esimthintelayo ekuthatheni ipilisi yonke imihla ngaxeshanye. Ngokusetyenziswa kwesiqhelo, iipilisi zokulawula ukuzalwa ziipesenti ezingama-91 ezisebenzayo.

Ulawulo lokuzalwa ludubule

Ulawulo lokuzalwa ludubule, iDepo-Provera, inaliti yehomoni ethintela ukukhulelwa okungacwangciswanga kangangeenyanga ezintathu ngexesha. Ihommone kule projekthi yiprogestin.

Ulawulo lokuzalwa lokudubula lusebenza ngokufanayo kwipilisi yolawulo lokuzalwa. Ithintela i-ovulation kwaye inyuse i-mucus buildup ejikeleze ukuvulwa komlomo wesibeleko.

NgokokuCwangciswa koMzali, xa usamkela njengokuyalelwa, ifoto isebenza ngokukuko ngeepesenti ezingama-99. Ukuqinisekisa ukusebenza ngokukuko, abantu basetyhini kufuneka badutyulwe rhoqo kwiinyanga ezintathu njengoko kuyalelwe. Ukuba udubule ngexesha ungakhange ufike emva kwexesha, kukho ithuba eli-1 kwali-100 lokuba uya kukhulelwa ngexesha lonyaka onikiweyo.

Kubafazi abangayithathiyo ifoto ngendlela ebekiweyo- ihlala ibizwa ngokuba yindlela esetyenziswayo ngayo - inqanaba lesantya sokusebenza lihle liye kufikelela kuma-94 epesenti. Ukufumana inaliti rhoqo kwiiveki ezili-12 kubalulekile ukugcina ukhuseleko lwakho ekukhulelweni.

Ulawulo lokuzalwa ludubule, njengeepilisi zokulawula ukuzalwa, alukhuseli kwii-STD. Kuya kufuneka usebenzise indlela yokhuseleko ekuncedeni ukuthintela ii-STD.

Emva kokudubula kwakho kokugqibela, ngekhe ubuyele ekuzaleni kwakho rhoqo kwaye ube nakho ukukhulelwa ukuya kuthi ga kwiinyanga ezili-10. Ukuba ufuna kuphela indlela yolawulo lokuzalwa okwethutyana kwaye unqwenela ukukhulelwa kungekudala, umpu usenokungakulungeli.

Iziphumo ebezingalindelekanga zepilisi kunye nokudubula

Zombini iipilisi zolawulo lokuzalwa kunye neDepo-Provera zikhuselekile kakhulu kubafazi abaninzi. Njengalo naliphi na iyeza, ezi ndlela zolawulo lokuzalwa zinesiphumo emzimbeni wakho. Ezinye zazo zenzelwe. Nangona kunjalo, ezinye zezi ziziphumo ebezingalindelekanga.

Kwiipilisi zolawulo lokuzalwa, iziphumo ebezingalindelekanga zinokubandakanya:

• ukuphuma kwegazi, okanye ukopha ngeentsuku zeepilisi
• ukuthamba kwebele
• ubuntununtunu ebeleni
• ukudumba kwamabele
• isicaphucaphu
• ukugabha

Uninzi lweziphumo ebezingalindelekanga ziya kuncipha kwiinyanga zokuqala ezi-2 ukuya kwezi-3 emva kokuba uqale ukuthatha iipilisi.

Oonobangela beziphumo ebezingalindelekanga

Zombini iipilisi zolawulo lokuzalwa kunye nothintelo lolawulo lokuzalwa zizisa ukwanda kweedosi emzimbeni wakho. Nangaliphi na ixesha iihormone ziguqulwe ngenjongo, unokulindela ukufumana ezinye iziphumo ebezingalindelekanga okanye iimpawu ezinxulumene notshintsho.

Iihomoni ezikwiipilisi zolawulo lokuzalwa zihanjiswa ngokuthe ngcembe yonke imihla. Inqanaba lamahomoni kwiipilisi aliphezulu kakhulu. Oogqirha kunye nabaphandi basebenze amashumi eminyaka ukufumana iidosi ezisezantsi ezisebenzayo, kunye nokukhululeka kwabasetyhini. Ukudutyulwa kweDepo-Provera, nangona kunjalo, kuhambisa idosi ephezulu yamahomoni kwangoko. Ngenxa yeso sizathu, unokufumana iziphumo ebezingalindelekanga ezinkulu emva kokudubula.

Imiba yomngcipheko ekufuneka uyigcine engqondweni

Nangona iipilisi zokulawula ukuzalwa kunye nokulawulwa kokuzalwa kukhuselekile kakhulu kuninzi lwabasetyhini, oogqirha abanako ukuwanika kuwo onke amabhinqa afuna isicwangciso sokulawula ukuzalwa.

Akufanele uthathe iipilisi zokulawula ukuzalwa ukuba:

• unesifo sokuhlanjwa kwegazi okanye imbali yamahlwili egazi
• amava e-migraine ane-aura
• Unembali yokuhlaselwa sisifo sentliziyo okanye ingxaki enzulu yentliziyo
• batshaya kwaye bangaphezulu kweminyaka yobudala engama-35
• Ufumene ukuba une-lupus
• unesifo seswekile esingalawulekiyo okanye unemeko engaphezu kweminyaka engama-20

Akufanele usebenzise ulawulo lokuzalwa xa:

• Unomdlavuza webele
• thatha i-aminoglutethimide, eliyeza lisetyenziselwa ukunyanga i-Cushing's syndrome
• Ukucuthwa kwamathambo okanye ubuqaqawuli bamathambo

Iinkonzo zepilisi

1. Iziphumo zakho ebezingalindelekanga azinzulu kunokuba kunjalo ngokudutyulwa.
2. Unokukhulelwa kwakamsinya emva kokuba uyekile ukuyithatha.

Bendlela ipilisi

1. Kuya kufuneka uyithathe yonke imihla.
2. Ngokusetyenziswa kwesiqhelo, ayisebenzi kancinci kunefoto.

Iinkonzo zokudubula

• Kuya kufuneka uyithathe rhoqo emva kweenyanga ezintathu.
• Ngokusetyenziswa kwesiqhelo, iyasebenza kancinci kunepilisi.

Bendlela ukudubula

• Iziphumo zakho zecala zinamandla ngakumbi kunepilisi.
• Kuthatha ixesha ukuba ube nakho ukukhulelwa emva kokuba uyekile ukuwamkela.

Ukuthetha nogqirha wakho

Xa ulungele ukwenza isigqibo malunga nolawulo lokuzalwa, qhagamshelana nogqirha wakho. Ngokudibeneyo, nina nobabini ninokulinganisa iinketho zakho kwaye ulawule naziphi na iindlela zolawulo lokuzalwa ezingahambelani neemfuno zakho okanye indlela ophila ngayo. Emva koko, unokugxila kwingxoxo yakho kwizinto ozithandayo.

Nantsi eminye imibuzo ekufuneka uyiqwalasele:

• Ngaba uceba ukuba nabantwana? Ukuba uyakwenza oko, kungekudala kangakanani?
• Ngaba unokufaka ipilisi yemihla ngemihla kwishedyuli yakho? Ngaba uyakulibala?
• Ngaba le ndlela ikhuselekile xa unikwe iprofayili yezempilo kunye nembali yosapho?
• Ngaba ujonge ezinye izibonelelo, njengamaxesha ambalwa?
• Ngaba uya kuhlawula epokothweni, okanye ngaba oku kugutyungelwe yi-inshurensi?

Akunyanzelekanga ukuba wenze ukhetho ngoko nangoko. Hlanganisa ulwazi oluninzi njengoko ulufuna.

Xa ulungele, xelela ugqirha wakho ukuba ucinga ukuba kuya kuba yintoni engcono. Ukuba bayavuma, unokufumana iphepha likagqirha kwaye uqalise ukusebenzisa ulawulo lokuzalwa kwangoko. Ukuba uqala ukuthatha ifom yolawulo lokuzalwa kwaye uthathe isigqibo sokuba ayisiyakho, thetha nogqirha wakho. Bazise ukuba wenzani kwaye awuthandi. Ngale ndlela, nina nobabini ninokujonga enye indlela enokuthi ilunge ngakumbi kwiimfuno zakho.