Ngaba iveki yokugqibela yeepilisi zokulawula ukuzalwa iyimfuneko?

Umxholo

• Iimbalasane
  
• Ushwankathelo
• Iziseko zolawulo lokuzalwa
• Zeziphi izibonelelo zokutsiba kwiveki ephelileyo yeepilisi?
• Zeziphi iingxaki zokutsiba iiveki zokugqibela zeepilisi?
• Ngaba zikhona iziphumo ebezingalindelekanga ekufuneka ziqwalaselwe?
• Olunye ukhetho lolawulo lokuzalwa
• Ukuthatha

Iimbalasane

1. Iipilisi ze-Placebo zizibambi-ndawo ezenzelwe ukukunceda uhlale endleleni ngokuthatha ipilisi yonke imihla de kuqale inyanga elandelayo.
2. Ukutsiba iipilisi ze-placebo kunokunciphisa inani lamaxesha onawo okanye ukuwaphelisa ngokupheleleyo.
3. Abanye oogqirha bancomela ukuba ube nexesha lakho ubuncinci kube kanye kwiinyanga ezintathu.

Ushwankathelo

Kubafazi abaninzi, iipilisi zokuthintela inzala zikhuselekile, zithembekile, kwaye kulula ukuzisebenzisa. Omnye wemibuzo exhaphakileyo kukuba ingaba kunyanzelekile na ukuba uthathe iveki yokugqibela yeepilisi zolawulo lokuzalwa kwipakethi yakho yenyanga.

Impendulo yehla ngendlela onokuhlala ngayo kwishedyuli ngaphandle kwiveki ephelileyo yeepilisi. Ezi ziipilisi ze-placebo, kwaye azisetyenziselwa ukuthintela ukukhulelwa. Endaweni yoko, iipilisi zikuvumela ukuba ubenexesha lakho lenyanga ngelixa uhlala umkhondo nepilisi yakho yemihla ngemihla.

Qhubeka ufunda ukuze ufumane okungakumbi.

Iziseko zolawulo lokuzalwa

Iipilisi zolawulo lokuzalwa zisebenza ngokunqanda ii-ovari ekubeni zikhuphe iqanda. Ngokwesiqhelo, iqanda lishiya isibeleko kanye ngenyanga. Iqanda lingena kumbhobho we-fallopian malunga neeyure ezingama-24 okanye njalo. Ukuba ayichumiswanga sisidoda, iqanda liyachithakala kwaye ukuya exesheni kuyaqala.

Iihomoni ezifumaneka kwiipilisi zolawulo lokuzalwa zithintela ii-ovari zakho ekukhutshweni kweqanda. Ziye zitshise nencindi yomlomo wesibeleko, eyenza ukuba kube nzima kwisidoda ukufikelela kwiqanda ukuba umntu uthe wakhululwa ngandlela thile. Iihormoni zinokuwunciphisa umgca wesibeleko, nto leyo eyenza kube nzima ukumiliselwa ukuba kwenzeke ukuba iqanda lifumane isichumiso.

Uninzi lweepilisi zolawulo lokuzalwa ngokudibanisa ziza kwiipakethi zeentsuku ezingama-28. Kukho iipilisi ezisebenzayo ezixabisa iiveki ezintathu ezinedlala okanye iihomoni eziyimfuneko ukuthintela ukukhulelwa.

Iipilisi zeveki ephelileyo zihlala zinee-placebos. Iipilisi zeplacebo zizibambi ndawo ezenzelwe ukukunceda uhlale emgceni ngokuthatha ipilisi enye yonke imihla kude kufike inyanga elandelayo.

Ingcamango kukuba ukuba uhlala kumkhwa wokuthatha ipilisi yonke imihla, uya kuba lula ukulibala xa ufuna ukuthatha into yokwenene. I-placebos ikwavumela ukuba ubenexesha, kodwa ihlala ilula kakhulu kunokuba ibinokungabikho ukuba awuzisebenzisi izinto zokucwangcisa zomlomo.

Nangona uthatha iipilisi ze-placebo, usakhuselekile ekukhulelweni okoko uthathe iipilisi ezisebenzayo njengoko kumiselwe.

Zeziphi izibonelelo zokutsiba kwiveki ephelileyo yeepilisi?

Abanye abantu basetyhini bakhetha ukutsiba i-placebos kwaye baqhubeke nokusela iipilisi ezisebenzayo. Ukwenza njalo ukuphindaphinda umjikelo wepilisi yolawulo lokuzalwa eyandisiweyo okanye eqhubekayo. Oku kunokunciphisa inani lamaxesha onawo okanye ukubaphelisa ngokupheleleyo.

Ukutsiba iipilisi ze-placebo kunokuba nezibonelelo ezininzi. Umzekelo, ukuba uhlala ufumana i-migraines okanye ezinye iimpawu ezingathandekiyo xa uthatha i-placebos, unokufumana ezo mpawu zinyamalale okanye zincitshiswe ngokubonakalayo ukuba uhlala kwiipilisi ezisebenzayo ngeli xesha.

Kwakhona, ukuba ungumfazi othambekele ekufumaneni ixesha elide okanye ukuba unamaxesha rhoqo kunesiqhelo, oku kunokukunceda ulawule ixesha lakho ngcono. Ukuhlala kwiipilisi ezisebenzayo kukuvumela ukuba weqe ixesha lakho kunye neziphumo ebezingalindelekanga.

Zeziphi iingxaki zokutsiba iiveki zokugqibela zeepilisi?

Usenokuzibuza ukuba ngaba kukhuselekile na ukuba umzimba wakho uhambe iiveki okanye iinyanga ngaphandle kwexesha. Ixesha lakho ngumzimba nje ophalaza umgca wesibeleko sakho emva kokuvuthwa. Ukuba akukho qanda likhutshiweyo, akukho nto yokuphalaza kwaye awuyi exesheni.

Unokufumana isiqinisekiso ngokuba nexesha, nokuba lililo. Inokukunceda ukuba ulinganise ukuba ukhulelwe okanye awukhulelwe. Abanye abantu basetyhini banokuthi kubonakala ngathi kuyindalo ngakumbi.

Abanye oogqirha bancomela ukuba ube nexesha lakho ubuncinci kube kanye kwiinyanga ezintathu. Zimbalwa izinto zokucwangcisa zomlomo eziyilelwe zona kanye ishedyuli.

Ngeepilisi zolawulo lokuzalwa oluqhubekayo, uthatha ipilisi esebenzayo yonke imihla iiveki ezili-12 kunye ne-placebo yonke imihla kwiveki ye-13. Unokulindela ukuba ube nexesha lakho ngeveki ye-13.

Uninzi lwabasetyhini alunangxaki zempilo ukuba bahlala kwiipilisi zomjikelo ezandisiweyo iinyanga okanye iminyaka. Ugqirha wakho unokuba neemvakalelo ezinamandla ngenye indlela okanye enye ngalo mbandela.

Kuya kufuneka uxoxe ngombandela wokulibazisa ixesha lakho kunye nokuba zeziphi iindlela onokukhetha kuzo xa kufikwa kwiipilisi okanye naluphi na olunye uhlobo lweendlela zolawulo lokuzalwa lwexesha elide.

Ukuba utsiba i-placebos kwaye uthathe iipilisi ezisebenzayo ngokuqhubekayo kangangeenyanga kwaye utshintshe iindlela zakho zolawulo lokuzalwa nangasiphi na isizathu, kungathatha inyanga okanye ezimbini ukuze umzimba uhlengahlengise.

Ukuba uhambe ngaphandle kwexesha lakho ixesha elide, kunokuba nzima ukuba uqaphele ukuba awufumani ixesha lakho ngenxa yokuba ukhulelwe.

Ngaba zikhona iziphumo ebezingalindelekanga ekufuneka ziqwalaselwe?

Ukulawulwa kokuzalwa okuqhubekayo kunokubangela ukuphuma kwegazi okanye ukubonwa phakathi kwamaxesha. Oku kuqhelekile. Oku kwenzeka rhoqo kwiinyanga zokuqala ezimbalwa usepilisi, kwaye emva koko ayinakuphinda yenzeke.

Ngamanye amaxesha kubhekiswa kuyo njengokuqhambuka kwegazi. Akusoloko kucacile ukuba kutheni ukuphuma kwegazi kuqhambuka, kodwa kusenokwenzeka ukuba isibeleko sakho sihlengahlengisa ulwelwesi olucekeceke, okwaziwa ngokuba yi-endometrium.

Kuya kufuneka uthethe nogqirha wakho xa unokubona okanye naziphi na ezinye iimpawu ezikukhathazayo.

Olunye ukhetho lolawulo lokuzalwa

Iipilisi zolawulo lokuzalwa ayisiyiyo kuphela indlela yokumisa amaxesha akho. Isixhobo se-intrauterine (IUD) sisisombululo solawulo lokuzalwa lwexesha elide esinyamezelwa kakuhle ngabafazi abaninzi. IUD sisixhobo esimise okwe-T esinokuthi okanye singanyangwa ngeprogestin.

IUD inokulunca zombini udonga lwesibeleko ukunceda ukuthintela ukumiliselwa kunye nokwandisa umhlana wesibeleko ukugcina isidoda kude neqanda. Kuxhomekeke kuhlobo lwe-IUD oyifumanayo, unokuqaphela ukuba ukuhamba kwakho kwenyanga kunzima okanye kulula kunokuba kwakunjalo ngaphambi kokumiliselwa.

Olunye ukhetho olungena-pilisi luthando lolawulo lokuzalwa, iDepo-Provera. Ngale ndlela, ufumana i-hormone edutyulwa kube kanye kwiinyanga ezintathu. Emva komjikelo wokuqala weenyanga ezintathu, unokuqaphela ixesha elilula okanye ungafumani xesha.

Ukuthatha

Ungatsiba iipilisi ze-placebo ukuba uthatha iipilisi ezisebenzayo njengoko kumiselwe kwaye ungaphoswa ziintsuku rhoqo. Nangona kunjalo, iipilisi zolawulo lokuzalwa azikukhuseli kwizifo ezidluliselwa ngeentlobano zesini (STIs). Kuya kufuneka usebenzise indlela yesithintelo, njengekhondom, ukukhusela kwizifo ezingumvuka wokwabelana ngesondo ngezifo.

Ukusetyenziswa kwexesha elide kweepilisi zolawulo lokuzalwa ngokubanzi kukhuselekile kubafazi abaninzi. Iipilisi zolawulo lokuzalwa azicetyiswa kwabasetyhini aba:

• baneengxaki zokunqanda igazi
• Unembali yokuhlaselwa sisifo sentliziyo
• baneentlobo ezithile zomhlaza
• ngoku ukhulelwe okanye uzama ukukhulelwa