Ukuthintela ukukhulelwa okungxamisekileyo noKhuseleko: Into ekufuneka uyazi

Umxholo

• Ipilisi yokhuseleko engxamisekileyo
• Malunga IUD yobhedu
• Imiba yokhuseleko kwezi ndlela zombini
• Abasetyhini ekufuneka bephephe ezi ndlela
• ECPs kunye nokukhulelwa
• Iziphumo zobunzima bokusebenza kweECP
• Umngcipheko ngeengxaki zentliziyo
• Iipilisi zolawulo lokuzalwa njengokuthintela ukukhulelwa okungxamisekileyo
• Thetha nogqirha wakho
• Q:
• A:

Intshayelelo

Ukuthintela inzalo kaxakeka yindlela yokuthintela ukukhulelwa emva kokuba neentlobano zesini ezingakhuselekanga, oko kuthetha ukuba isondo ngaphandle kolawulo lokuzalwa okanye nolawulo lokuzalwa olungasebenzi. Ezona ntlobo zimbini ziphambili zokuthintela ukukhulelwa ziipilisi zokuthintela ukukhawulezisa (ECPs) kunye nesixhobo sobhedu se-intrauterine device (IUD).

Njengalo naluphi na unyango lwezonyango, unokuzibuza ukuba ngaba ukukhulelwa ngokukhawuleza kukhuselekile. Funda ukuze ufunde ngokhuseleko lwazo zombini iindlela zokuthintela ukukhulelwa ezingxamisekileyo.

Ipilisi yokhuseleko engxamisekileyo

Ii-ECPs, zikwabizwa ngokuba “ziipilisi zakusasa,” ziipilisi zehomoni. Basebenzisa amanqanaba aphezulu amahomoni afumaneka kwiipilisi zolawulo lokuzalwa ukukhusela ukukhulelwa. Kufuneka zithathwe kwisithuba seentsuku ezintathu okanye ezintlanu zesondo esingakhuselekanga, kuxhomekeke kwimveliso.

Amanqaku afumanekayo e-United States aqukethe i-hormone levonorgestrel okanye i-hormone ulipristal.

I-ECon ye-Levonorgestrel ibandakanya:

• Cwangcisa B inyathelo elinye
• i-levonorgestrel (iSicwangciso B generic B)
• Khetha Okulandelayo Idosi enye
• IAthentia elandelayo
• EContra EZ
• Ukubuyela umva kweSolo
• Uhlobo lwaKhe
• Indlela yam
• Inyathelo elinye le-Opcicon
• Phendula

I-ECP yolipristal yile:

• Ella

Zonke ii-ECP kucingelwa ukuba zikhuseleke kakhulu.

"La ngamayeza akhuselekileyo ngokungaqhelekanga," utshilo uGqirha James Trussell, osebenza kwiYunivesithi yasePrinceton nomphandi kwinkalo yezempilo yokuzala. UGqr. Trussell ukhuthaze ngenkuthalo ukuba kwenziwe ukuthintela inzala ngokukhawuleza.

“Akukho mntu ubhubhileyo unxulunyaniswa nokusebenzisa iipilisi zokuthintela ukukhawulezisa. Kwaye iinzuzo zokukwazi ukukhusela ukukhulelwa emva kokwabelana ngesondo zingaphezulu kwayo nayiphi na ingozi yokuthatha iipilisi. ”

Malunga IUD yobhedu

Ubhedu IUD sisixhobo esincinci, esingenayo i-hormone, esine-T esifakwa ngugqirha kwisibeleko sakho. Inokusebenza njengokuthintela ukukhulelwa okungxamisekileyo kunye nokukhuselwa kwexesha elide lokukhulelwa. Ukusebenza njengokuthintela ukukhulelwa okungxamisekileyo, kufuneka kubekwe kwisithuba seentsuku ezintlanu zesondo esingakhuselekanga. Ugqirha wakho angayisusa i-IUD emva kwexesha lakho elizayo, okanye ungayishiya endaweni ukuze isebenzise ulawulo lokuzalwa ixesha elide ukuya kuthi ga kwiminyaka eli-10.

Ubhedu IUD kucingelwa ukuba lukhuseleke kakhulu. Kodwa kwiimeko ezinqabileyo, kunokubangela iingxaki ezinzulu. Umzekelo, i-IUD inokugqobhoza udonga lwesibeleko ngelixa lifakwa. Kwakhona, i-IUD yobhedu inyusa kancinci umngcipheko wesifo sokudumba kwepelevic kwiiveki ezintathu zokuqala zokusetyenziswa.

Kwakhona, le mngcipheko inqabile. Ugqirha wakho unokukunceda uthathe isigqibo sokuba ngaba isibonelelo sokubeka ithusi lobhedu singaphezulu komngcipheko onokubakho.

Imiba yokhuseleko kwezi ndlela zombini

Abasetyhini ekufuneka bephephe ezi ndlela

Abanye abantu basetyhini kufuneka bakuphephe ukusebenzisa i-IUD yobhedu. Umzekelo, abasetyhini abakhulelweyo akufuneki bayisebenzise kuba inyusa umngcipheko wosulelo. Ubhedu IUD kufuneka kwakhona luthintelwe ngabafazi abane:

• Ukugqwethwa kwesibeleko
• isifo sentloko
• endometritis emva kokukhulelwa okanye ukuphuma kwesisu
• umhlaza wesibeleko
• umhlaza womlomo wesibeleko
• ukopha kwilungu lobufazi ngenxa yezizathu ezingaziwayo
• Isifo sikaWilson
• usulelo lomlomo wesibeleko
• IUD endala engakhange isuswe

Abanye abantu basetyhini kufuneka bakuphephe ukusebenzisa ii-ECPs, kubandakanya nezo ziphikisana nazo naziphi na izithako okanye abo bathatha amayeza athile anokwenza ii-ECPs zingasebenzi kakuhle, ezinje ngeebarbiturates kunye neSt. Ukuba uncelisa, akufanele usebenzise i-ella. Nangona kunjalo, i-levonorgestrel ECP ikhuselekile ekusebenziseni ngelixa uncancisa.

ECPs kunye nokukhulelwa

Ii-ECPs zenzelwe ukuthintela ukukhulelwa, hayi ukuphela kwayo. Iziphumo ze-ella ekukhulelweni azaziwa, ke ngenxa yokhuseleko, akufuneki uyisebenzise ukuba sele ukhulelwe. Ii-ECPs eziqukethe i-levonorgestrel ayisebenzi ngexesha lokukhulelwa kwaye ayizukuchaphazela ukukhulelwa.

Iziphumo zobunzima bokusebenza kweECP

Zonke iipilisi zokuthintela ukukhulelwa ezingxamisekileyo, nokuba zithini na, zibonakala zingasebenzi kakhulu kubafazi abatyebe kakhulu. Kuvavanyo lweklinikhi lwabasetyhini abasebenzisa ii-ECPs, abasetyhini abanesalathiso sobunzima bomzimba abangama-30 okanye nangaphezulu bakhulelwa ngaphezu kokuphindwe kathathu rhoqo njengabafazi abangatyebangayo. I-acipristal acetate (ella) inokusebenza ngakumbi kubafazi abangaphezu komzimba okanye abatyebe ngakumbi kunee-ECPs ezine-levonorgestrel.

Oko kwathiwa, olona khetho lufanelekileyo lokuthintela ukukhulelwa kwabasetyhini abagqithisileyo okanye abatyebe kakhulu yi-IUD yobhedu.Ukusebenza kwe-IUD yobhedu esetyenziswe njengothintelo lokuthintela ukukhulelwa kungaphezulu kwama-99% kwabasetyhini nabuphi na ubunzima.

Umngcipheko ngeengxaki zentliziyo

Abanye oogqirha babafazi banokubaxelela ukuba bangasebenzisi iipilisi zokuthintela inzala kuba basemngciphekweni wokubethwa sistroke, isifo sentliziyo, amahlwili egazi, okanye ezinye iingxaki zentliziyo. Nangona kunjalo, ukusebenzisa i-ECP kwahlukile ekusebenziseni iipilisi zokulawula ukuzalwa. Ukusetyenziswa kwangexesha elinye kweepilisi zokuthintela ukukhawula azinawo umngcipheko ofanayo nokuthatha izinto zokucwangcisa ngomlomo yonke imihla.

Ukuba umboneleli wakho wezempilo uthe kufuneka uphephe ngokupheleleyo i-estrogen, usenokusebenzisa enye ye-ECP okanye i-IUD yobhedu. Nangona kunjalo, kuya kufuneka uthethe nogqirha wakho malunga nokuba zeziphi iindlela zokucwangcisa ezikhuselekileyo kuwe.

Iipilisi zolawulo lokuzalwa njengokuthintela ukukhulelwa okungxamisekileyo

Iipilisi zokulawula ukuzalwa rhoqo eziqukethe i-levonorgestrel kunye ne-estrogen zinokusetyenziswa njengokuthintela ukukhawulezisa. Ngale ndlela, kuya kufuneka uthathe inani elithile lezi pilisi kwakamsinya emva kokuba wabelana ngesondo ngokungakhuselekanga. Qiniseka ukuba uthetha nogqirha wakho ukuze ufumane imvume kunye nemiyalelo ethile ngaphambi kokusebenzisa le ndlela.

Thetha nogqirha wakho

Ukuthintela inzala kaxakeka kuza njengeendidi ezimbini zeepilisi zehomoni, ezifumaneka phantsi kwamagama eebranti ezahlukeneyo, nanjengesixhobo se-intrauterine nonhormonal (IUD). Abasetyhini abaneemeko ezithile zempilo abanakukwazi ukusebenzisa ezi ndlela. Nangona kunjalo, izinto zokuthintela ukungxamiseka zihlala zikhuselekile kubafazi abaninzi.

Ukuba usenemibuzo malunga nokukhulelwa okungxamisekileyo, thetha nogqirha wakho. Imibuzo onokufuna ukuyibuza ingaquka:

• Luhlobo luni lokuthintela inzalo olungxamisekileyo ocinga ukuba lungasebenza ngcono kum?
• Ngaba ndinazo naziphi na iimeko zempilo ezinokuthi zenze ukukhulelwa okungxamisekileyo okungakhuselekanga kum?
• Ngaba ndithatha nawaphi na amachiza anokusebenzisana ne-ECPs?
• Loluphi uhlobo lolawulo lwexesha elide onokundicebisa ngalo?

Q:

Zithini iziphumo ebezingalindelekanga zokuthintela ukukhulelwa?

A:

Zombini ezi ndlela zokuthintela ukukhulelwa okungxamisekileyo zihlala zinemiphumo emibi. Iziphumo eziqhelekileyo ezichaphazelekayo ze-IUD zethusi zintlungu esiswini sakho kunye nexesha elingavumelekanga, kuquka ukunyuka kwegazi.

Iziphumo ebezingalindelekanga eziqhelekileyo ze-ECPs zibandakanya ukubonwa kweentsuku ezimbalwa emva kokusetyenziswa, kunye nexesha elingaqhelekanga kwinyanga ezayo okanye ezimbini. Abanye abantu basetyhini banokuba nesicaphucaphu kunye nokugabha emva kokuthatha ii-ECPs. Ukuba uhlanza kungekudala emva kokuthatha i-ECP, tsalela ugqirha wakho. Kuya kufuneka uthathe elinye idosi. Ukuba unayo nayiphi na eminye imiphumo echaphazelekayo, biza ugqirha wakho.