Ungasithatha kangaphi isiCwangciso B kunye nezinye iipilisi zokuthintela ukukhulelwa okungxamisekileyo?

Umxholo

• Yintoni umda?
• Lindani, ngokwenene akukho mda umiselweyo kwiipilisi zePlani B?
• Kuthekani ngeepilisi zikaElla?
• Ngaba iipilisi zolawulo lokuzalwa zinokusetyenziswa njengezicwangcisi ezingxamisekileyo?
• Ngaba kufuneka uthathe ipilisi ye-EC kube kanye kuphela xa usiya exesheni?
• Ungathini ukuba uyithatha kabini kwiintsuku ezi-2- iyakwenza ukuba isebenze ngakumbi?
• Ngaba zikhona izinto ezisezantsi zokusebenzisa rhoqo?
• Ukunciphisa ukusebenza xa kuthelekiswa nezinye izinto zokucwangcisa
• Iindleko
• Iziphumo ebezingalindelekanga zexesha elifutshane
• Zeziphi iziphumo ebezingalindelekanga ezinokwenzeka?
• Ziza kuthatha ixesha elingakanani iziphumo ebezingalindelekanga?
• Kwaye uqinisekile ukuba akukho bungozi bexesha elide?
• Umgca wezantsi

Yintoni umda?

Zintathu iintlobo zokuthintela ukukhulelwa okungxamisekileyo (EC) okanye iipilisi “zakusasa”:

• i-levonorgestrel (Isicwangciso B), ipilisi yeprogesin kuphela
• ulipristal acetate (Ella), ipilisi ekhetha iprogesterone receptor modulator, oko kuthetha ukuba ibhloka iprogesterone
• Iipilisi ze-estrogen-progestin (iipilisi zolawulo lokuzalwa)

Ngokuqhelekileyo akukho mda wokuba ungayithatha kangaphi ipilisi ye-Plan B (levonorgestrel) okanye iifom zayo eziqhelekileyo, kodwa oku akusebenzi kwezinye iipilisi ze-EC.

Nantsi into ekufuneka uyazi malunga nokuba ungazithatha kangaphi iipilisi ze-EC, iziphumo ebezingalindelekanga ezinokubakho, ukungaqondi okuqhelekileyo, kunye nokunye.

Lindani, ngokwenene akukho mda umiselweyo kwiipilisi zePlani B?

Ukuchaneka. Ukusetyenziswa rhoqo kwepilisi ye-progestin-only Plan B ayihambelani nayo nayiphi na imiphumela yexesha elide okanye iingxaki.

Nangona kunjalo, akufuneki uthathe iipilisi zeSicwangciso B ukuba uthathe i-Ella (ulipristal acetate) ukusukela kwixesha lakho lokugqibela.

Ngenxa yoku, usenokuzibuza ukuba kutheni iipilisi zePlani B zingacetyiswa njengolawulo lokuzalwa ukuba ngaba zikhuselekile ngokwenene.

Kungenxa yokuba azisebenzi kakuhle kunezinye iindlela zokuthintela ukukhulelwa, njengepilisi okanye iikhondom, ekuthinteleni ukukhulelwa.

Ngamanye amagama, owona mngcipheko ubalulekileyo wokusetyenziswa kweSicwangciso sexesha elide kukukhulelwa.

Ngokwe-2019 yokuphononongwa, abantu abasebenzisa iipilisi ze-EC rhoqo banamathuba angama-20 ukuya kuma-35 epesenti yokukhulelwa kungaphelanga unyaka.

Kuthekani ngeepilisi zikaElla?

Ngokungafaniyo nesiCwangciso B, uElla kufuneka athathwe kube kanye ngexesha lokuya exesheni. Ayaziwa nokuba ikhuselekile okanye iyasebenza ukuthatha le pilisi rhoqo.

Kananjalo akufuneki uthathe ezinye iipilisi zokulawula ukuzala eziqulethe iprogestin ubuncinci iintsuku ezi-5 emva kokuthatha uElla. Iipilisi zakho zolawulo lokuzalwa zinokuphazamisa uElla, kwaye unokukhulelwa.

U-Ella ufumaneka kuphela ngugqirha ovela kumboneleli wezempilo. Kusebenza ngakumbi ekukhuseleni ukukhulelwa kunezinye iipilisi ze-EC.

Ngelixa kufuneka uthathe iSicwangciso B ngokukhawuleza kwiiyure ezingama-72 zokulalana ngaphandle kwekhondom okanye enye indlela yothintelo, ungamthatha uElla ngokukhawuleza kwiiyure ezingama-120 (iintsuku ezintlanu).

Akufanele uthathe iSicwangciso B okanye u-Ella ngaxeshanye okanye ngaphakathi kweentsuku ezi-5 zomnye nomnye, kuba zinokuphikisana kwaye zingasebenzi.

Ngaba iipilisi zolawulo lokuzalwa zinokusetyenziswa njengezicwangcisi ezingxamisekileyo?

Ewe, nangona le ndlela ingasebenzi njengePlani B okanye uElla. Inokubangela iziphumo ebezingalindelekanga ezininzi ezinjengokugabha kunye nokugabha.

Iipilisi ezininzi zolawulo lokuzalwa ziqulathe i-estrogen kunye neprogestin, kwaye zinokuthathwa kumayeza aphezulu kunesiqhelo njengokuthintela ukukhawulezisa.

Ukwenza oku, thabatha idosi enye ngokukhawuleza ukuya kwiintsuku ezi-5 emva kokuba ubelane ngesondo ngaphandle kwekhondom okanye enye indlela yokuthintela. Thatha idosi yesibini kwiiyure ezili-12 kamva.

Inani leepilisi ekufuneka ulithathe ngedosi nganye lixhomekeke kuhlobo lwepilisi yolawulo lokuzalwa.

Ngaba kufuneka uthathe ipilisi ye-EC kube kanye kuphela xa usiya exesheni?

U-Ella (ulipristal acetate) kufuneka athathwe kanye ngexesha lokuya esikhathini.

Isicwangciso B (i-levonorgestrel) iipilisi zinokuthathwa amaxesha ngamaxesha njengoko kufuneka kumjikelo wokuya esikhathini. Kodwa akufuneki uthathe iipilisi zePlani B ukuba uthathe uElla ukusukela kwixesha lakho lokugqibela.

Ukungahambi kakuhle kwexesha lokuya exesheni yeyona nto ixhaphakileyo kwiipilisi ze-EC.

Kuxhomekeke ekubeni yeyiphi ipilisi ye-EC oyithathayo kwaye uyithatha nini, ezi zitenxo zinokubandakanya:

• umjikelo omfutshane
• ixesha elide
• ukubona phakathi kwamaxesha

Ungathini ukuba uyithatha kabini kwiintsuku ezi-2- iyakwenza ukuba isebenze ngakumbi?

Ukuthatha iidosi ezongezelelweyo zepilisi ye-EC ngekhe kuyenze isebenze ngakumbi.

Ukuba sele uthathe idosi efunekayo, awudingi ukuthatha idosi eyongezelelweyo kwangolo suku okanye ngemini elandelayo.

Nangona kunjalo, ukuba ulala ngesondo ngaphandle kwekhondom okanye enye indlela yokuthintela iintsuku ezi-2 zilandelelana, kuya kufuneka uthathe iSicwangciso B amaxesha omabini ukunciphisa umngcipheko wokukhulelwa kwimeko nganye, ngaphandle kokuba uthathe uElla ukusukela kwixesha lakho lokugqibela.

Ngaba zikhona izinto ezisezantsi zokusebenzisa rhoqo?

Kukho izinto ezingalunganga ekusebenziseni i-EC rhoqo.

Ukunciphisa ukusebenza xa kuthelekiswa nezinye izinto zokucwangcisa

Iipilisi ze-EC azisebenzi kakuhle ekuthinteleni ukukhulelwa kunezinye iindlela zolawulo lokuzalwa.

Ezinye iindlela ezisebenzayo zolawulo lokuzalwa zibandakanya:

• Ukufakwa kwehomoni
• ihomoni yehomoni
• IUD yobhedu
• ukudubula
• ipilisi
• isiziba
• iringi
• uvalo
• ikhondom okanye enye indlela yesithintelo

Iindleko

Idosi enye yesiCwangciso B okanye iifom zayo eziqhelekileyo zibiza phakathi kwe- $ 25 kunye ne- $ 60.

Idosi enye kaElla ixabisa malunga ne- $ 50 okanye nangaphezulu. Okwangoku ayifumaneki ngendlela eqhelekileyo.

Oko kungaphezulu kwezinye iindlela zokucwangcisa, kubandakanya ipilisi kunye neekhondom.

Iziphumo ebezingalindelekanga zexesha elifutshane

Iipilisi ze-EC zinokubangela iziphumo ebezingalindelekanga kunezinye iindlela zolawulo lokuzalwa. Icandelo elingezantsi lidwelisa iziphumo ebezingalindelekanga eziqhelekileyo.

Zeziphi iziphumo ebezingalindelekanga ezinokwenzeka?

Iziphumo zexesha elifutshane zibandakanya:

• isicaphucaphu
• ukugabha
• intloko ebuhlungu
• ukudinwa
• isiyezi
• iintlungu emazantsi esisu okanye iicramps
• amabele athambileyo
• ukubona phakathi kwamaxesha
• ukuya exesheni ngokungaqhelekanga okanye nzima

Ngokubanzi, iipilisi zePlani B kunye ne-Ella zineziphumo ebezingalindelekanga ezimbalwa kuneepilisi ze-EC eziqulathe zombini iprogestin ne-estrogen.

Ukuba ukhathazekile malunga neziphumo ebezingalindelekanga, buza umboneleli wakho wezempilo okanye usokhemesti ngepilisi yeprogestin kuphela.

Ziza kuthatha ixesha elingakanani iziphumo ebezingalindelekanga?

Iziphumo ezinjengeentloko kunye nesicaphucaphu kufuneka ziphele ngaphakathi kweentsuku ezimbalwa.

Ixesha lakho elilandelayo linokulibaziseka ukuya kuthi ga kwiveki, okanye kunokuba nzima kunesiqhelo. Olu tshintsho kufuneka luchaphazele ixesha emva kokuba uthathe ipilisi ye-EC.

Ukuba awufumani ixesha lakho kwiveki apho bekulindelwe, kuya kufuneka uthathe uvavanyo lokukhulelwa.

Kwaye uqinisekile ukuba akukho bungozi bexesha elide?

Akukho bungozi bexesha elide obunxulunyaniswa nokusebenzisa ipilisi ye-EC.

Iipilisi ze-EC sukuyenza kubangela ukungachumi. Le yinto eqhelekileyo yokungaqondi.

Iipilisi ze-EC zisebenza ngokulibazisa okanye ukuthintela i-ovulation, inqanaba kumjikelo wokuya exesheni xa iqanda likhutshwa kwii-ovari.

Uphando lwangoku lubonisa ngamandla ukuba lakuba iqanda lidityaniswe nedlozi, iipilisi ze-EC azisasebenzi.

Ukongeza, azisebenzi xa iqanda lifakwe kwisibeleko.

Ke, ukuba sele ukhulelwe, ngekhe basebenze. Iipilisi ze-EC azifani nepilisi yokuqhomfa.

Umgca wezantsi

Azikho iingxaki zexesha elide ezinxulumene nokuthatha iipilisi ze-EC. Iziphumo eziqhelekileyo zexesha elifutshane zibandakanya isicaphucaphu, iintloko kunye nokudinwa.

Ukuba unemibuzo malunga nepilisi emva kwentsasa okanye inzalo, thetha nomboneleli wakho wezempilo okanye usokhemesti wasekhaya.