Kutheni uCwangciso B lusenokungasebenzi kuMfazi ophakathi waseMelika

Umxholo

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Abasetyhini abaninzi babhenela kwipilisi yakusasa emva kokuthintela ukukhulelwa xa beyeka ukukhuselwa kubushushu bomzuzwana-okanye ukuba lolunye uhlobo lokuthintela ukukhulelwa lusilela (njengekhondomu eyaphukileyo). Kwaye ubukhulu becala, ipilisi emva kwentsimbi yindlela ekhuselekileyo nenokuthenjwa. Kodwa kukho ukubamba: Isenokungasebenzi ukuba utyebe kakhulu, ngokutsho kophononongo olutsha olupapashwe kwijenali. Ukuthintela ukukhulelwa.

Kwisifundo, abaphandi banike iqela labasetyhini abali-10 abanee-BMIs eziqhelekileyo nezityebileyo eziyi-1.5 milligrams zokuthintela ukukhulelwa okungxamisekileyo okusekwe kwi-levonorgestrel. Emva koko, abaphandi balinganise uxinzelelo lwehomoni kwigazi labasetyhini. Bafumanise ukuba uxinzelelo lusezantsi kakhulu (oko kuthetha ukuba belungasebenzi kakuhle) phakathi kwabathathi-nxaxheba abatyebe kakhulu kunaphakathi kwabo bakuluhlu oluqhelekileyo lwe-BMI. Ke abaphandi banike iqela elityebileyo umjikelo wesibini, ngeli xesha liphindwe kabini idosi. Oko kukhabe amanqanaba oxinzelelo ukuya kuthi ga kubungakanani babathathi-nxaxheba abaqhelekileyo emva kwethamo elinye nje. Umahluko omkhulu kakhulu.

Kodwa oko akuthethi ukuba abasetyhini abanzima kufuneka baphinde kabini idosi yabo ye-EC kwaye bayibize ngosuku. Khange kubekho zifundo zaneleyo zenziweyo okwangoku ukubonisa ukuba ingaba le yindlela yothintelo oluzinzileyo, okanye ukuba inokumisa i-ovulation. (Inxulumene: Ngaba kubi kangakanani ukuthatha iSicwangciso B njengoLawulo lokuZalwa rhoqo?)

Ezi ndaba zivusa inkxalabo malunga nokusebenza ngempumelelo kokuthintela ukukhulelwa, kuba ngo-2014 uphawu lwaseYurophu olubizwa ngokuba yiNorlevo lwaqala ukufaka isilumkiso kwileyibhile yalo yokuba le pilisi ayinakusebenza kubantu basetyhini abangaphezu kweeponti ezili-165 (Umndilili waseMelika ulinganisa iiponti ezili-166, ngokwe I-CDC). Kwaye ngabafazi abangaphezu kweeponti ezili-175? Ayizange isebenze konke konke. Oko kubalulekile kwabo base-US kuba iNorlevo iyafana ngokwamachiza kwinguqulelo enye neepilisi ezimbini zesiCwangciso B sifumana i-stateide. NgokwamaZiko oLawulo lweNtsholongwane kunye noThintelo, umfazi ophakathi e-US unobunzima beepawundi ezili-166. Ngoko ke uninzi lwabasetyhini lunokuchaphazeleka.

Okukwintsusa: Ukutyeba kakhulu kunokugcina i-EC esekwe kwi-levonorgestrel ekuthinteleni ngokufanelekileyo ukukhulelwa. Kwaye ngelixa abaphandi befumana impumelelo ekuphindaphindeni idosi phakathi kwezigulana ezi-onweight, bathi uphando oluthe kratya luyafuneka ngaphambi kokuba bacebise ngale ndlela. Okwangoku, abafazi abane-BMI enkulu kune-25 kufuneka bakhethe i-EC Ella, ekucingelwa ukuba iyasebenza kakhulu kubasetyhini abanesisindo somzimba ophezulu, okanye i-IUD yobhedu, enokufakwa ukuya kwiintsuku ezintlanu emva kokwabelana ngesondo, ngokutsho olunye uphononongo olupapashwe kwi Ukuthintela ukukhulelwa.

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