Iindlela ezikhuselekileyo zokuSebenzisa uLuhlu lokuZalwa ukuDlula ixesha lakho

Umxholo

• Iziseko zeepilisi zokulawula ukuzalwa
• Ukhuseleko lokutsiba ixesha lakho
• Kutheni ungafuna ukutsiba ixesha lakho
• Iinkonzo kunye neengxaki zokutsiba ixesha lakho
• Izinto eziluncedo
• Ukungancedi
• Indlela yokutsiba ixesha lakho kunye neepilisi zolawulo lokuzalwa
• Ukuthatha kuphela iipilisi zokudibanisa ezisebenzayo
• Ukuthatha iipilisi zomjikelo owandisiweyo okanye oqhubekayo
• Ezinye iindlela zokutsiba ixesha lakho
• Ukuthatha

Ushwankathelo

Abasetyhini abaninzi bakhetha ukutsiba ixesha labo ngolawulo lokuzalwa. Kukho izizathu ezahlukeneyo zokwenza oko. Abanye abantu basetyhini bafuna ukunqanda iintlungu zokuya exesheni. Abanye bayenzela lula.

Funda ukuba bathini oogqirha malunga nokhuseleko lokutsiba sexesheni.

Iziseko zeepilisi zokulawula ukuzalwa

Xa uginya iipilisi zokulawula ukuzalwa, ufunxa i-hormone enye okanye ngaphezulu. Oku kunokuba yindibaniselwano ye-estrogen kunye neprogestin, okanye iprogestin nje, kuxhomekeke kuhlobo lolawulo lokuzalwa oluthathayo. Ezi hormone zisebenza ukukhusela ukukhulelwa ngeendlela ezintathu ezahlukeneyo.

Kuqala, bayasebenza ukukhusela ii-ovari zakho kwi-ovating, okanye ukukhulula iqanda inyanga nenyanga.

Ziye zenze nencindi yomlomo wesibeleko, eyenza kube nzima ukuba isidoda sifikelele kwiqanda ukuba ubani uyakhululwa. Iihormoni zinokucoca ulwelo lwesibeleko, naso. Oku kuthetha ukuba ukuba iqanda liyafumana isichumiso, kuya kuba nzima ukuba lincamathisele kuludwe lwesibeleko kwaye lukhule.

Iipilisi zolawulo lokuzalwa zingaphezulu kweepesenti ezingama-99 xa zisetyenziswe ngokuchanekileyo. Oku kuthetha ukuthatha ipilisi ngexesha elifanayo yonke imihla. Ukuba uphoswa usuku okanye ulibele ukuthatha ipilisi yakho, ukusebenza kunokuncipha. Ngokusetyenziswa kwesiqhelo, inqanaba lokusilela limalunga.

Iindidi ngeendidi zeepilisi zolawulo lokuzalwa ziyafumaneka.

Ezinye ziyafana neepilisi zeepilisi ezaqala ukubakho ngo-1960. Zaziquka iintsuku ezingama-21 zeepilisi ezineehomoni ezisebenzayo kunye ne-placebo ezisixhenxe okanye iipilisi ezingasebenziyo. Xa uthatha ipilisi engasebenziyo, ivumela ukopha okulinganisa ukuba sexesheni okuqhelekileyo.

Kukho iipakethe ezivumela iintsuku ezingama-24 zeepilisi ezisebenzayo kunye nexesha elifutshane lokuya esikhathini.

Umjikelo owandisiweyo okanye iirejimeni eziqhubekayo zineepilisi ezisebenzayo zeenyanga ezimbalwa. Banokunciphisa inani lamaxesha onawo okanye baphelise ixesha lakho ngokupheleleyo.

Ukhuseleko lokutsiba ixesha lakho

Kukho izizathu zokuba kutheni ungafuna ukutsiba ixesha lakho.

Kukhuselekile ukwenza njalo ukuba ukwipilisi zolawulo lokuzalwa. Nangona kunjalo, kungcono ujonge ugqirha wakho kuqala. Uya kufuna ukuqinisekisa ukuba akukho sizathu sonyango sokuba uqhubeke neshedyuli yakho yangoku yokuya exesheni.

Ukuthatha iipilisi zolawulo lokuzalwa ukunciphisa okanye ukuphelisa ixesha lakho kukhuselekile njengokuzithatha ngendlela eqhelekileyo, utshilo uGerardo Bustillo, MD, OB-GYN, e-Orange Coast Memorial eFountain Valley, California.

Ukuya exesheni akuyomfuneko ngokwasemzimbeni. Ngokubanzi, abasetyhini namhlanje banamaxesha amaninzi okuya exesheni ngaphezulu kobomi babo xa kuthelekiswa nabasetyhini bezizukulwana ezidlulileyo, utshilo uBustillo. Kukho izizathu ezimbalwa zoku, kubandakanya oku kulandelayo:

• Abasetyhini abaninzi namhlanje baqala ukuba sexesheni besebancinci.
• Abasetyhini namhlanje banokukhulelwa okumbalwa ngokomndilili.
• Abafazi namhlanje abancancisi ixesha elide.
• Abafazi namhlanje badla ngokufikelela exesheni kamva ebomini.

Ngokuka-Lisa Dabney, MD, unjingalwazi oncedisayo kwezokubelekisa, i-gynecology, kunye nesayensi yenzala e-Icahn School of Medicine kwiNtaba yeSinayi, ixesha lenyanga elivumela iipilisi zokuthintela inzala ukuba zinento yokwenza nentengiso kunayo nantoni na.

"Xa iipilisi zolawulo lokuzalwa zaziphuma okokuqala, zazenzelwe ukuba abantu basetyhini bafumane ixesha labo rhoqo kwiiveki ezine njengexesha 'lendalo', utshilo. "Eli xesha lokuphumla limiselwe ngokwenqanaba leepilisi kwaye labekwa ngaloo ndlela ukuze abantu basetyhini bazamkele ngokulula."

Kutheni ungafuna ukutsiba ixesha lakho

Unokufuna ukuqwalasela ukhetho lolawulo lokuzalwa olukuvumela ukuba unciphise okanye ulinciphise ixesha lakho lenyanga ukuba unayo enye yezi zinto zilandelayo:

• ukucofa kabuhlungu
• ukuphuma kwegazi okunzima
• endometriosis
• amathumba e-fibroid
• ukuhamba kweemvakalelo
• isisu esibuhlungu sokuya exesheni
• ukuphazamiseka kwegazi, njengesifo se-von Willebrand okanye i-hemophilia

Iinkonzo kunye neengxaki zokutsiba ixesha lakho

Zininzi izinto ezinokubakho zokutsiba ixesha lakho, kodwa kukwakho nezinto ezisezantsi.

Izinto eziluncedo

Ngokuka-Bustillo, ukuvuthwa rhoqo kunye nokuya exesheni kunokunyusa umngcipheko wezifo ezifana ne-endometriosis kunye nomhlaza we-ovari.

Ukutsiba ixesha lakho kunokunciphisa isixa esichithwe kwiimveliso zempilo yabasetyhini.

Ukungancedi

Ukuphuma kwegazi kwenzeka ngokungaqhelekanga. Nangona kunjalo, kwenzeka kuphela kwiinyanga zokuqala zokuqala kwirejimeni yolawulo lokuzalwa ngaphandle kwexesha.

Nangona ukuphuma kwegazi ngokubanzi kuncipha ngokuhamba kwexesha, uya kufuna ukuthetha nogqirha wakho ukuba kubonakala ngathi kuya kusiba mandundu okanye ngakumbi rhoqo emva kokuba uqalise ukhetho lwexesha lokuzalwa. Ukuba oku kuyenzeka, qiniseka ukuba wenza oku kulandelayo:

• Landela yonke imikhombandlela evela kugqirha okanye kwikhemesti. Ukungabikho kwepilisi kwenza ukuba ukuphuma kwegazi kuphumelele.
• Landa umkhondo nakuphi na ukopha okufumanayo. Oku kunokukunceda ubone ukuba kwenzeka ngakumbi okanye ngaphantsi rhoqo kuneenyanga ezidlulileyo.
• Jonga iindlela ezinokukunceda uyeke ukutshaya ukuba uyatshaya. Ukophuka kwegazi kuqheleke kakhulu kwabasetyhini abatshayayo kunabasetyhini abangatshayiyo.
• Funda imiqondiso yokukhulelwa kwasekuqaleni ukuze wazi ukuba ungalufuna nini uvavanyo lokukhulelwa. Amaxesha ancitshisiweyo angenza kube nzima ngakumbi ukuxelela ukuba ukhulelwe.

Indlela yokutsiba ixesha lakho kunye neepilisi zolawulo lokuzalwa

Zimbini iindlela eziphambili zokutsiba ixesha lakho kunye neepilisi zolawulo lokuzalwa.

Ukuthatha kuphela iipilisi zokudibanisa ezisebenzayo

Ukuba usebenzisa ipakethe yokudibanisa iipilisi, kufuneka uthathe kuphela iipilisi ezisebenzayo kungekho zikhefu phakathi. Kuya kufuneka uthethe nogqirha wakho okanye usokhemesti ukuze bakubonise ukuba zeziphi iipilisi ezisebenzayo kwaye zeziphi iipilisi ze-placebo. Uya kufuna ukulahla i-placebos.

Ukuba uthatha iipilisi ezisebenzayo ngokuqhubekayo, awuyi kufumana thuba de uziyeke.

Ukuba uyayeka ukuthatha iipilisi ezisebenzayo, usenokufumana ukopha "ukuphuma", okufana nexesha lakho. UDabney ucebisa ukuba uvumele oku ukuba kwenzeke kube kanye kwiinyanga ezintathu ukuya kwezine.

UDabney uthi ezinye iipilisi zolawulo lokuzalwa zinomngcipheko ophezulu wokopha okungaqhelekanga kunezinye. Kuya kufuneka ujonge nogqirha wakho ukuba ufuna ukuqala ukutsiba ixesha lakho. Banokucebisa ukuba utshintshe uhlobo lwepilisi oyithathayo.

Uyakufuna kwakhona ukukhangela umboneleli wakho weinshurensi ukuze uqiniseke ukuba baya kugubungela iipilisi ezininzi ngexesha elingaphantsi, kuba uza kuhamba iipakethe zeepilisi ngokukhawuleza.

Akufanele ube ngaphandle kolawulo lokuzalwa ixesha elide kuneentsuku ezisi-7, okanye uya kuphulukana nokusebenza kokuthintela ukukhulelwa.

Ukuthatha iipilisi zomjikelo owandisiweyo okanye oqhubekayo

Umjikelo owandisiweyo okanye iipilisi zerejimeni eziqhubekayo zenzelwe ukutsiba okanye ukuphelisa ixesha lakho. Ezi pilisi zilandelayo zidibanisa amayeza e-levonorgestrel kunye ne-ethinyl estradiol:

• I-Seasonale, i-Jolessa, kunye ne-Quasense baneeveki ezili-12 zeepilisi ezisebenzayo ezilandelwa yiveki enye yeepilisi ezingasebenziyo. Ezi zinto zenzelwe ukuvumela ixesha elinye kwiinyanga ezintathu.
• I-Seasonique kunye neCamrese baneeveki ezili-12 zeepilisi ezisebenzayo ezilandelwa yiveki yeepilisi enedosi ephantsi kakhulu ye-estrogen. Ezi zinto zenzelwe ukuvumela ixesha elinye kwiinyanga ezintathu.
• Iquartette ineeveki ezili-12 zeepilisi ezisebenzayo ezilandelwa yiveki yeepilisi enye enedosi esezantsi ye-estrogen. Ezi zinto zenzelwe ukuvumela ixesha elinye kwiinyanga ezintathu.
• I-Amethyst inayo zonke iipilisi ezisebenzayo eziyilelwe ukuphelisa ixesha lakho lonyaka wonke.

Imiqulu yeepilisi ze-Seasonique kunye neCamrese azinazo iipilisi ze-placebo. Banikezela ngeveki enye yeepilisi ngeedosi ezisezantsi kakhulu ze-estrogen. Ezi pilisi zinokunceda ukunciphisa ukopha, ukuqunjelwa, kunye nezinye iziphumo ezinokubangelwa yiveki yeepilisi ngaphandle kwamahomoni.

Ezinye iindlela zokutsiba ixesha lakho

Ukuthatha iipilisi zolawulo lokuzalwa ayisiyiyo kuphela indlela yokutsiba ixesha lakho. Ezinye iindlela zibandakanya iprogestin-ekhulula isixhobo se-intrauterine (IUD), inaliti yeprogestin (iDepo-Provera), ukufakelwa kweprogesin (Nexplanon), kunye nokudityaniswa kweNuvaRing okanye iziqwengana zokuthintela ukukhulelwa.

"I-Mirena IUD isebenza ngokungcono kuneepilisi ukunciphisa ukopha ngokubanzi," utshilo uDabney. Abasetyhini abaninzi kwi-Mirena IUD bafumana ixesha elilula kakhulu okanye bangabikho kwaxesha. ”

Ukuba awuqinisekanga malunga nepilisi, thetha nogqirha wakho ngezinye iindlela onokukhetha kuzo. Qinisekisa ukuba uthetha nogqirha wakho ngaphambi kokusebenzisa isicatshulwa solawulo lokuzalwa ukutsiba ixesha lakho. Xa kuthelekiswa neepilisi zolawulo lokuzalwa, isiziba sinokwanda kancinci kwengozi yokunqanda igazi. Nangona kunjalo, isichibi sikwindlela efanayo efanayo njengeepilisi zokudibanisa.

Ukuthatha

Akukho khetho lolawulo lokuzalwa lilungele wonke umntu wasetyhini. Dibana nogqirha wakho ukuxoxa ukuba loluphi ukhetho olunokuba lolona lulungileyo emzimbeni wakho nakwindlela ophila ngayo. Kuya kufuneka udibane nogqirha wakho ukuba sele uthatha iipilisi zokulawula ukuzalwa kodwa ufuna ukuqala ukutsiba ixesha lakho.

Ukuthetha nogqirha wakho kuya kukunceda uqiniseke ukuba akukho nto ilahlekileyo kwaye uncede ukunqanda ukuphelelwa kukukhuselwa kokukhulelwa. Ukuva ngalo lonke ukhetho lwakho lokuzalwa kungakunceda wenze isigqibo esifundisiweyo malunga nokuba yeyiphi eyona ilungele wena.