Iimpembelelo ezinokuthi zibeKho zeSicwangciso B

Umxholo

• Yintoni isiCwangciso B kwaye sisebenza njani?
• Iziphumo ebezingalindelekanga ezinokubakho zesicwangciso B
• Ufanele umbone nini ugqirha?
• Izinto ezongeziweyo ekufuneka uzigcine engqondweni
• Uphengululo lwe

Akukho namnye izicwangciso ukuthatha iSicwangciso B. Kodwa ke kwezo meko zingalindelekanga apho ufuna ukuthintela inzala ngexesha likaxakeka- nokuba ikhondom ayiphumelelanga, ulibale ukuthatha iipilisi zokuthintela inzala, okanye awusebenzisanga naluphi na uhlobo lokuthintela ukukhulelwa-Cwangcisa B (okanye iijeniki, My Indlela, Thatha inyathelo, kunye noKhetho olulandelayo lwedosi enye) inokubonelela ngoxolo lwengqondo.

Ngenxa yokuba iqulethe idosi egxininiswe kakhulu yeehomoni zokuthintela ukukhulelwa emva Ukwabelana ngesondo sele kwenzekile (ngokungafaniyo nepilisi yolawulo lokuzalwa okanye i-IUD), kukho iziphumo ebezingalindelekanga zesicwangciso B ekufuneka uzazi ngaphambi kokuba uthathe. Nantsi isivumelwano.

Yintoni isiCwangciso B kwaye sisebenza njani?

Isicwangciso B sisebenzisa i-levonorgestrel, i-hormone efanayo efunyenwe kwiipilisi zokulawula ukuzalwa eziphantsi, ichaza u-Savita Ginde, uM.D., igosa eliyintloko lezempilo kwi-Stride Community Health Centre e-Denver, CO, kunye nowayesakuba ngugqirha oyintloko we-Planned Parenthood of the Rocky Mountains. "Luhlobo lweprogesterone [ihomoni yesini] esetyenziswe ngokukhuselekileyo kwiipilisi ezininzi zolawulo lokuzalwa ixesha elide," uyongeza.

Kodwa kukho i-levonorgestrel ephindwe kathathu kwiPlani B xa kuthelekiswa nepilisi yokulawula ukuzalwa rhoqo. Lo mgangatho mkhulu, ugxile "uphazamisa indlela eqhelekileyo yehomoni eyimfuneko ekukhulelweni, ngokulibazisa ukukhutshwa kweqanda esibelekweni, ukumisa ukuchumisa, okanye ukuthintela iqanda elichumileyo ukuba linamathele esibelekweni," utshilo uGqirha Ginde. (Inxulumene: Yintoni i-Ob-Gyns enqwenela ukuba abantu basetyhini bazi malunga nokuchuma kwabo)

Masicace gca apha: Isicwangciso B asiyiyo ipilisi yokuqhomfa. "Isicwangciso B asikwazi ukuthintela ukukhulelwa esele kwenzekile," kusho uFelice Gersh, M.D., i-ob-gyn kunye nomsunguli kunye nomlawuli we-Integrative Medical Group ye-Irvine, e-Irvine, CA. Isicwangciso B sisebenza ikakhulu ngokumisa i-ovulation ukuba ingenzeki, ke ukuba kuthathwe ngokufanelekileyo emva I-ovulation kunye nokubakho kokuchumisa kusekho (oko kuthetha ukuba, kunokwenzeka ukuba iqanda elisandula ukukhutshwa lidibane nesidoda), isiCwangciso B sinokuhluleka ukuthintela ukukhulelwa. (Isikhumbuzo: Isidoda sinokuphola kwaye silinde iqanda malunga neentsuku ezintlanu.)

Oko kwathethi, kuyasebenza ukuba uyithatha ngaphakathi kweentsuku ezintathu zokulala ungakhuselekanga. Umzali oCwangcisiweyo uthi isiCwangciso B kunye nezinto ezenziwayo zehlisa amathuba akho okuba ukhulelwe ngama-75-89 eepesenti ukuba uthatha ngaphakathi kweentsuku ezintathu, ngelixa uGqirha uGersh esithi, "ukuba kuthathwe kwisithuba seeyure ezingama-72 zokuhlangana ngokwesondo, isiCwangciso B siphantse sibe ngama-90. esebenzayo, kwaye iyasebenza ngokukhawuleza xa isetyenziswa."

"Ukuba ujikeleze ixesha le-ovulation, ngokucacileyo ngokukhawuleza ukuba uthatha ipilisi, kungcono!" uthi.

Iziphumo ebezingalindelekanga ezinokubakho zesicwangciso B

Iziphumo ebezingalindelekanga zePlani B zihlala nje zexeshana kwaye zingenabungozi, utshilo uGqirha Ginde — ukuba ngaba unazo naziphi na iziphumo ebezingalindelekanga kwaphela. Kolunye ulingo lwezonyango olujonga iziphumo ebezingalindelekanga zeSicwangciso B kwabasetyhini:

• Ama-26 ekhulwini aye aba notshintsho lokuya exesheni
• Iipesenti ezingama-23 zafumana isicaphucaphu
• Iipesenti ezili-18 zafumana iintlungu zesisu
• Iipesenti ezili-17 zafumana ukudinwa
• Iipesenti ezili-17 zafumana iintloko
• Iipesenti ezili-11 zafumana isiyezi
• Iipesenti ezili-11 zafumana isisa sebele

"Ezi mpawu ziziphumo ezithe ngqo ze-levonorgestrel, kunye nefuthe leziyobisi kwithumbu lesisu, kwingqondo, nasemabeleni," utshilo uGqirha Gersh. "Inokuchaphazela i-hormone receptors ngeendlela ezahlukeneyo, okubangela le miphumo emibi."

Iingxoxo ezikwi-Intanethi zibuyisela oku phezulu: Kumsonto weReddit kwi-r / AskWomen subreddit, uninzi lwabasetyhini alukhankanyi ziphumo zingalunganga kwaphela okanye, ukuba babenazo, bathi bafumana ukopha okuncinci, ukungqubana, isicaphucaphu, okanye ukungahambi kakuhle komjikelo. Abambalwa baqaphele ukuba baziva begula kakhulu (ex: baphose phezulu) okanye babenexesha elinzima okanye elibuhlungu kunesiqhelo. Into ebalulekileyo ekufuneka uyiqaphele: Ukuba ulahla ngaphakathi kweeyure ezimbini zokuthatha iSicwangciso B, kuya kufuneka uthethe nochwephesha wezempilo ukuze ufumanise ukuba ngaba uyayiphinda na idosi, ngokwewebhusayithi yesiCwangciso B.

Isicwangciso B sithatha ixesha elingakanani iziphumo ezingalindelekanga? Ngethamsanqa, ukuba ufumana naziphi na iziphumo ebezingalindelekanga kuzo zonke, kufuneka zihlale nje iintsuku ezimbalwa emva kokuyithatha, ngokweklinikhi yaseMayo.

Nokuba uphi na kumjikelo wakho xa usenza iSicwangciso B, kuya kufuneka ufumane ixesha lakho elilandelayo malunga nexesha eliqhelekileyo, utshilo uGqirha Gersh-nangona inokuba ziintsuku ezimbalwa ngaphambi kwexesha okanye emva kwexesha. Kusenokuba nzima okanye kube khaphukhaphu kunesiqhelo, kwaye akuqhelekanga ukufumana indawo ethile kwiintsuku ezimbalwa emva kokuthatha iPlani B. (Eyeleleneyo: 10 oonobangela abanokubakho bamaxesha angaqhelekanga)

Ufanele umbone nini ugqirha?

Ngelixa iziphumo ebezingalindelekanga zePlani B zingenabungozi, kukho iimeko ezimbalwa apho kungcono ukuba uthethe nogqirha wakho ukuze ubone ukuba yintoni na.

UGersh uthi: "Ukuba uphuma igazi ixesha elingaphezu kweveki-nokuba ubonile okanye unzima kakhulu-kufuneka uye kwagqirha." "Intlungu ebuhlungu ye-pelvic nayo ifuna ukutyelela ugqirha. Ukuba intlungu ikhula kwiiveki ezintathu ukuya ezintlanu emva kokuthatha iSicwangciso B, ingabonisa ukukhulelwa kwe-tubal, "uhlobo lokukhulelwa kwe-ectopic xa iqanda elichumayo libambelela endleleni eya kwisibeleko.

Kwaye ukuba ixesha lakho lingaphaya kweeveki ezimbini emva kokuthatha iSicwangciso B, kuya kufuneka wenze uvavanyo lokukhulelwa ukumisela ukuba unokukhulelwa. (Nantsi into ekufuneka uyazi malunga nokuchaneka kovavanyo lokukhulelwa kunye nokuba ungayithatha nini.)

Izinto ezongeziweyo ekufuneka uzigcine engqondweni

Ukuthatha iSicwangciso B ngokubanzi kuthathwa njengokukhuselekileyo, nokuba unemeko efana ne-polycystic ovarian syndrome (i-PCOS) okanye i-uterine fibroids, utshilo uGqirha Ginde.

Kukho inkxalabo malunga nokusebenza kwayo kwabasetyhini abanobunzima obungaphezulu kwe-175 pounds, nangona kunjalo. "Kwiminyaka emininzi edlulileyo, izifundo ezimbini zibonise ukuba emva kokuthatha i-Plan B, abafazi abane-BMI ngaphezu kwe-30 babenesiqingatha senqanaba le-Plan B egazini labo xa kuthelekiswa nabasetyhini abane-BMI eqhelekileyo," uyachaza. Emva kokuba i-FDA iphonononge idatha, nangona kunjalo, bafumanisa ukuba kwakungekho bungqina baneleyo bokunyanzela iSicwangciso B ukuba sitshintshe ukhuseleko lwabo okanye ukusebenza kweelebheli. (Nalu ulwazi oluthe kratya ngesihloko esintsonkothileyo sokuba ingaba isiCwangciso B sisebenzela abantu abanemizimba emikhulu okanye hayi.)

UGersh ukwacebisa ukuba abasetyhini abanembali ye-migraines, uxinzelelo, ukubola kwemiphunga, ukubetha kwentliziyo kwangaphambili, ukubetha, okanye uxinzelelo lwegazi olungalawulekiyo babonane nogqirha wabo ngaphambi kokuyithatha kuba zonke ezi meko zinokubakho kubunzima behomoni. Ngokufanelekileyo, uya kuba nale ncoko ukuba kunokwenzeka, kudala ngaphambi kokuba ifuneke. (Ngethamsanqa, ukuba ufuna ukuthetha nomboneleli nge-ASAP, i-telemedicine inokunceda.)

Kodwa khumbula: Kubizwa ngokuba kukukhulelwa okungxamisekileyo ngesizathu. Nokuba awufumani ziphumo zibi zePlani B, "musa ukuxhomekeka kuyo njengendlela yakho yolawulo lokuzalwa," utshilo uGqirha Ginde. (Bona: Kubi Kangakanani Ukusebenzisa i-Plan B njengoLawulo lokubeleka?) “Ezi pilisi azisebenzi kangako kunezinye iindlela zolawulo-nzala oluqhelekileyo nolwesiqhelo, kwaye ukuba uzifumana uzisebenzisa ngaphezu kwamaxesha aliqela, kufuneka uthethe naye. umboneleli wakho malunga neendlela ezininzi (ezisebenzayo) zolawulo lokuzalwa ezinokuthi zisetyenziswe ngokuthembekileyo rhoqo. "

Uphengululo lwe