UMadelaine Petsch ufuna ukukunceda uzive uqinisekile ngokubuza imibuzo malunga nolawulo lwakho lokuzalwa

Umxholo

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Ngobuninzi beendlela zolawulo lokuzalwa ezikhoyo phaya, inani lokukhetha lilodwa linokubonakala linzima. Iinketho zokulawulwa kokuzalwa kweHormonal kunokuba nzima kakhulu ukuhamba njengoko ufumanisa ukuba loluphi uhlobo olunokuba lulungele imeko yakho.

Ukunceda ukuxhobisa abantu ukuba baphande iinketho zabo kwaye bazive bekhululekile ukuqala incoko kunye nogqirha wabo malunga nokuthintela ukukhulelwa, Riverdale Inkwenkwezi uMadelaine Petsch ubambisene noAbbVie kunye noLo Loestrin Fe, ipilisi yolawulo lokuzalwa enedosi esezantsi, ngokuba "Ngaba UkwiLo?" iphulo.

Ibonisa amabali e-anecdotal asuka ebantwini babelana ngezizathu zabo zokusebenzisa ulawulo lokuzalwa (ukusuka kucwangciso-ntsapho ukuya kuphuhliso lomsebenzi), eli phulo lijolise ekuqinisekiseni ukuba le ncoko ayisiyiyo kuphela kodwa ikwabonisa ixabiso lokuthatha ubunini bempilo yakho.

"Zininzi izizathu ezinokubangela ukuba umfazi akhusele ukukhulelwa, kwaye kunokuba nzima ukuthetha ngalo," utshilo uPetsch kwividiyo yeli phulo. "Kodwa unxibelelwano lubalulekile ukuze wenze isigqibo esifanelekileyo xa ufuna ukhetho lolawulo lokuzalwa. Ndifuna ukukhuthaza ukuba wenze olo phando kwaye ube nale ncoko nomboneleli wakho wezempilo kuba ulwazi lunamandla." (Nantsi indlela yokufumana olona lawulo lokuzalwa lungcono kuwe.)

Ngaba ungaqinisekanga ngenene ukuba ungaqala njani incoko? ULakeisha Richardson, MD, i-ob-gyn eGreenville, eMississippi kunye nomcebisi we-AbbVie, wabelane ngemibuzo embalwa esisiseko ukuba iqhutywe ngugqirha wakho xa ukhetha indlela yokulawula ukuzalwa:

• Ngaba ndinazo naziphi na izinto ezinobungozi ezonyusa umngcipheko wam weengxaki ukuba ndisebenzisa ulawulo lokuzalwa?
• Zeziphi iziphumo ebezingalindelekanga endinokuzilindela ngeendlela ezahlukeneyo zolawulo lokuzalwa? Kwaye kufuneka ndenze ntoni xa ndifumana iziphumo ebezingalindelekanga?
• Ngaba iintlobo ezithile zolawulo lokuzalwa zingaphazamisa nawaphi na amayeza am ngoku okanye izifo zonyango?
• Ndingayiqala nini indlela entsha yokulawula ukuzala?
• Ukuba ndithatha ipilisi yokulawula ukuzala, ngaba kufuneka ndiyisele ngexesha elinye yonke imihla?
• Ngaba ikhona into endifanele ukuyenza okanye ndingamele ndiyenze ngelixa ndisebenzisa ulawulo lokuzalwa?

Xa kuziwa kulawulo lokuzalwa kwehomoni, ngakumbi, idosi yehomoni sisihloko esibalulekileyo sokugubungela nogqirha wakho ngokunjalo. Idosi yeHormone ixhomekeke, ngokuyinxenye, kwinjongo yolawulo lwakho lokuzalwa, utshilo uRachel High, DO, ob-gyn eAustin, eTexas. Abanye abantu basebenzisa ulawulo lwe-hormonal ekuthinteleni ukukhulelwa; abanye bayisebenzisa ukunceda ukulawula ixesha labo kunye neempawu zangaphambi kokuya exesheni; abanye bayisebenzisa ukunceda ukunyanga iintlungu zangasese, amabala, kwanemigraines. Ukuthetha nge eyakho Iinjongo ezithile zokusebenzisa ulawulo lokuzalwa zinokukunceda wena nogqirha wakho ukuba unciphise idosi efanelekileyo yehomoni kuwe, ucacisa uGqirha High.

"Iidosi eziphantsi zemihla ngemihla ye-estradiol [uhlobo lwe-estrogen], umzekelo, lunokuba lufanelekile kumntu osebenzisa kuphela iipilisi zokuthintela ukukhulelwa; nangona kunjalo, iidosi eziphantsi zingenako ngokwaneleyo ukunceda kwiingxaki zokuya esikhathini okanye intlungu, "kusho uDkt High. . "Ukuchaza iinkxalabo zakho zempilo kunokukunceda wena kunye ne-ob-gyn nize kwisigqibo ekwabelwana ngaso sokuba yeyiphi idosi ekulungele ukujongana neenkxalabo zakho, njengoko kunokwenzeka ukuba unemicimbi emininzi yamanina ngaphandle kokufuna ukuthintela ukukhulelwa." (Eyeleleneyo: Uzilinganisa njani iiHormones eziNgaphandle kwe-Whack)

"Amanqanaba e-Estrogen achaphazela imizimba yabantu ngokungafaniyo, ngoko abantu kufuneka basebenze ngokhetho olufanelekileyo kubo kunye nababoneleli bezempilo," wongezelela uDkt Richardson. "Ukuba sele uzame ipilisi ye-estrogen ephezulu ngaphambili (kwaye khange wonwabe ngayo), ukhetho olunezantsi lwe-estrogen olunje ngeLo Loestrin Fe isenokuba lolunye ukhetho lokuzama ngokulandelayo ukuba ungumgqatswa ofanelekileyo." (Qiniseka nje ukuba wena nogqirha wakho niyazazi iziphumo zolawulo lokuzalwa ngaphambi kokuqala indlela entsha.)

Ewe kunjalo, ezi ncoko zinokufumana indlela yobuqu ngakumbi kunedosi yehomoni, ukuhlangana kwizihloko ezinjengembali yempilo yosapho kunye nesondo (hayi nje ukuzala) impilo njengoko ufumanisa ukuba yeyiphi indlela yokulawula ukwenza eyona ngqiqo kuwe. Ukuba iinkcukacha ze-nitty-gritty zezi ncoko zikwenza uzive ungonwabanga ngamanye amaxesha, uPetsch unokuxela.

"Xa ndandisemncinci, ndandineentloni [ndithetha ngempilo yam yesondo kunye nokuzala], utshilo umdlali oneminyaka eyi-25. Ubume. "Ndandiba neentloni ukuthetha nabantu ngayo. Ndandidla ngokuziva ndingonwabanga ukuya kwi-ob-gyn. Ndandicinga ukuba yile nto iyothusayo kwaye ihlazo, kodwa ayihlazisi ukuba nelungu lobufazi. intle kwaye intle indlela oziva ngayo. "

U-Petsch ubonga abazali bakhe ngokumkhulisela kwikhaya "apho kungekho ncoko iphuma etafileni," uyabelana. "Umama wandikhuthaza ukuba ndibe nezi ngxoxo, kwaye wandinika ulwazi oluninzi kunye nophando malunga nempilo yokuzala kunye neendlela zokulawula ukuzalwa. Kodwa andicingi ukuba yinto eqhelekileyo kakhulu; yiyo loo nto ndicinga ukuba kubaluleke kakhulu ukuqalisa ezi ngxoxo. "

Ngoku, uPetsch unethemba lokuba ngokusebenzisa iqonga lakhe ukukhulisa "Ngaba ukuLo?" Umkhankaso, unokukhuthaza abantu abaninzi ukuba bathathe inxaxheba ebonakalayo, efundileyo kwizigqibo zabo zempilo yokuzala.

"Xa ndisemncinci kwaye ndijonge [ukhetho lokulawula ukuzalwa], ukuba ndibone umntu endijonge ukuba athethe ngayo, bekuya kubangela umdla kum ukuba ndenze uphando," kusho uPetsch. "Okukhona incoko ivuleleka, kokukhona abantu abafundileyo ngakumbi, kwaye banokulawula ngakumbi."

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