Ama-IUD kanye nama-caps omlomo wesibeletho enza lolu hlu
Kunezici eziningana ezithintekayo lapho unquma ukuthi iyiphi indlela yokulawula ukubeletha okungcono kakhulu ukuvimbela ukukhulelwa. Impilo yakho yonke, ubudala, imvamisa yokulala ngokobulili, inani labalingani bakho, nokuthi ngabe ufisa ukuba nezingane esikhathini esizayo kumele kucatshangelwe ngaphambi kokunquma indlela yokulawula ukuzalwa.
Iphilisi
Iphilisi iyindlela yokuqala yokukhulelwa eyenziwa ngabesifazane abaningi lapho becabangela ukulawulwa kokubeletha.
Namuhla iphilisi iyatholakala njengoba kuhlanganiswe ukuvimbela izisu zomlomo (COC) equkethe kokubili i-estrogen ne-progestin noma ngamaphilisi e- progestin kuphela (POP).
Ama-COC asebenza ngokunciphisa i-ovulation futhi angenza izinkathi zihlale zivame. Ngokusho kombiko we-FDA Consumer , futhi banikeza umphumela wokuzivikela ekubhekaneni nesifo sofuba esiswini (PID) kanye ne-ovarian ne-endometrial kancers. Lezi pilisi zibhekwa ziphephile kwabaningi besifazane, kodwa abesifazane abashaya futhi abangaphezu kuka-35 noma abanomlando womndeni obalulekile wezinhliziyo kufanele bangasebenzisi izisu zomlomo ngenxa yengozi enkulu yezifo zenhliziyo.
Abesifazane abanomlando wezokwelapha wezindwangu zegazi noma amagciwane ebeletha noma e-endometrial futhi akufanele basebenzise ukukhulelwa komlomo okuhlangene. Imiphumela emibi engase ibe khona engase isheshe emva kwezinyanga ezimbalwa ifaka i-nausea, ikhanda lekhanda, isifuba sesisu, inzuzo yesisindo, ukuphapha okungavamile, nokucindezeleka.
Ama-POP asebenza ngokunciphisa nokwandisa umsila womlomo wesibeletho ukuvimbela isidoda ukuba singafinyeleli iqanda futhi ngokugcina uketshezi lwe-uterine ekuqandeni ukuvimbela ukufakwa kweqanda elikhulelwe.
Ngenxa yokuthi lezi pilisi aziqukethe i-estrogen ingozi yezindwangu zegazi ayikho njengalezo zokubeletha zomlomo ezihlangene.
Lolu hlobo lwephilisi lokulawula ukubeletha luyindlela enhle yabesifazane abangakwazi ukuthatha i-estrogen ngoba bancelisa noma ngenxa yezinsizwa noma izinkinga zegazi eziphezulu ezihlobene ne-estrogen.
Iphilisi kuphela ye-progestin ingabangela ushintsho lokuya esikhathini, inzuzo yesisindo, kanye nesifuba sebele.
AmaProgestin angenayo
Ukukhulelwa kungavinjelwa kuze kube izinyanga ezintathu ngokujola kukaDepo-Provera. I-Depo-Provera ivimbela ukukhulelwa ngokuvimbela ukuvunguza, ukushintsha umsila womlomo wesibeletho ukuvimbela isidoda ukuba singafinyeleli iqanda futhi ngokushintsha uhlaka lwe-uterine ukuze iqanda elikhulile lingakwazi ukufaka.
Le ndlela iphumelela kakhulu ngoba konke okudingekayo kowesifazane ukubuyela kumhlinzeki wakhe wokunakekelwa kwezempilo ngokudubula njalo ezinyangeni ezintathu. Izinzuzo nemiphumela emibi kaDepo-Provera kufana nalezo amaphilisi e-progestin kuphela.
I-Intrauterine Devices (IUD)
I-IUD ibhekene nokukhangiswa okungalungile ngesikhathi esidlule lapho i-Dalkon Shield ihlotshaniswa nesifo esiphezulu sokutheleleka kwe-pelvic, ukungabi namuntu, kanye nokufa okunye. Noma kunjalo, i-IUDs yanamuhla inezinga eliphansi kakhulu lokuhluleka kwanoma iyiphi indlela yokukhulelwa.
IUD iwumshini ohlotshaniswa no-T ofakwe esibelethweni nguchwepheshe wezempilo. Kunezinhlobo ezimbili ze-IUD ezitholakalayo, i-Paragard T 380A, evikela ukukhulelwa iminyaka engu-10, ne-Progestasert Progesterone T, okufanele ishintshwe njalo ngonyaka. IUD Iyisinqumo esifanele kulabo abathandana nabo besikhathi eside bodwa abangekho engozini enkulu yezifo ezithathelwana ngocansi noma izifo.
I-Sponge
I siponji isebenza ngokukhulula i-gel spermicidal phezu kwe-mucus wesifazane ngenkathi isiponji senza umgoqo wokubulala noma ukuvimbela imithi ngaphambi kokuthi ifinyelele umlomo wesibeletho bese ufaka isibeletho. Isipanji singangeniswa amahora ambalwa ngaphambi kocansi futhi singashiywa endaweni kuze kube amahora angu-12 emva kocansi.
Akudingeki ukuthi kuthathwe indawo uma ubulili buphindwa. Abesifazane abaphikisana ne-nonoxynol-9 noma abaye babhekana nesifo sokudabuka kwesifo sofuzo akufanele basebenzise isiponji.
I-Diaphragm
I-diaphragm iyatholakala ngemithi yesiguli futhi isayizi ochwepheshe bezempilo ukuze kuqinisekiswe ukuthi kufanelekile. I-diaphragm isebenza ngokumboza umlomo wesibeletho nge diski ye-rubber disk ene-dome ene-flexible rim ukuvimbela isidoda ukungena esibelethweni.
I-spermicide isetshenziswa ku-diaphragm ngaphambi kokufaka ukubulala isilisa.
I-diaphragm ingasala endaweni yamahora ayisithupha. Ukuphinga ngokocansi okuphindaphindiwe noma ukulala ngokocansi ngemva kwamahora ayisithupha, isidakamizwa kufanele sifakwe emgodini ngenkathi i-diaphragm isekhona. Ama-diaphragm akufanele ashiywe emahoreni angaphezu kwama-24 ngenxa yengozi ye-syndrome ye-toxic shock (TSS).
I-Cap Cervical
Ikhefu lomlomo wesibeletho lifana nesimiso somswakama. Kuyinto indebe ye-rubber elithambile enezimbambo ezizungezile futhi isayizi ukuze ivumelane nomsebenzi wezezempilo, ngokuqinile eduze komlomo wesibeletho. Njengengxenyana, ukulimaza isidakamizwa kuyadingeka ngekhanda lomlomo wesibeletho.
Ivikela ukukhulelwa amahora angu-48 kanye nokuziphatha okuningi kocansi ngalesi sikhathi. Ukusetshenziswa isikhathi eside (amahora angaphezu kwangu-48) kungandisa ukwanda kwe-TSS futhi kungaveza iphunga elimnandi noma ukukhipha.
Spermicides yamaVaginal
I-spermicides yama-vaginal iyatholakala phezu kwe-counter ngesimo ukhilimu, i-jelly, i-foam, ifilimu, i-suppository yama-vaginal noma amaphilisi. Le mikhiqizo iqukethe amakhemikhali abulala abantu. Kukhona ingxabano mayelana nokuphumelela kokusebenzisa i-spermicides yesisu kuphela kodwa kucatshangwa ukuthi banezinga lokuhluleka cishe ngamaphesenti angama-21 ngonyaka.
Abesifazane abakhetha le ndlela yokukhulelwa kufanele baqiniseke ukuthi balandela izinkomba zephakheji ngokuqondile, njengoba umkhiqizo ngamunye uhlukile. Vumela i-spermicide ukuba ihlale emaseni amahora ayisithupha kuya kweziyisishiyagalolunye emva kokulala komzimba futhi ungabonisi noma uhlanza isiswini phakathi nalesi sikhathi ukuqinisekisa ukuthi zonke izidakamizwa zibulawa.
Ukuqaphela ukuzala kwakho kungenye indlela yokunciphisa amathuba okukhulelwa. Ukuhlelwa kwemindeni yemvelo yindlela kuphela eyamukelwa yizinkolo ezithile futhi idinga ukunakekelwa ngokweqile kanye nombhangqwana okhuthaza kakhulu ukuba uphumelele. Kusebenza ngokungahlanganyeli ngokocansi ezinsukwini lapho ungase ukwazi ukuguqula khona. Lezi zindlela zilinganisela ukuzala kwesifazane ngokusekelwe ekushintsheni emgqonyeni wesibeletho noma izinguquko ekushiseni komzimba.
Ukuhoxiswa
Ukuphumelela kokuhoxiswa kuncike ekutheni umuntu akwazi ukuhoxisa ipeni lakhe ngaphambi kokuba ejaculates. Le ndlela ayiqinisekisi ukuthi isilwane sangaphambi kokujula singakhululwa ngaphakathi kwesiswini futhi asihlinzeki ngokuvikeleka nge-AIDS, izifo ezithathelwana ngocansi noma izifo.
I-Lactational Amenorrhoea Method (LAM)
Abesifazane abancancisayo kuphela bangavikelwa ngokukhulelwa kuze kube izinyanga eziyisithupha emva kokuzalwa uma isikhathi sakhe singabuyelanga. Le ndlela iphumelela kakhulu uma isetshenziswe kahle.
I-LAM isebenza ngokuvimbela amaqanda ukuba akhishwe ku-ovary yakho. Uma usuqala ukondla ingane yakho ngaphandle kokubilisa ubisi noma uma isikhathi sakho siphindela, kudingeka ukhethe enye indlela yokulawula ukuzalwa.
Inzalo yokuhlinza
Uma uqiniseka ukuthi izinsuku zakho zokukhulelwa ziphelile, inzalo iyindlela ongayicabangela ngayo. Omunye umlingani angakhetha ukuhlinzekwa kwe-stallization-tubal ligation yowesifazane, noma i-vasectomy yowesilisa.
Kubalulekile ukuthi ungacabangi ukuthi lokhu kuyindlela yesikhashana yokuvimbela ukuvimbela ukuvimbela ukuvimbela ukuvimbela ukuvimbela ukuvimbela ukuvimbela ukukhulelwa. Ukuguqula inzalo kuyindlela enkulu yokuhlinza okuvame ukuphumelela.
Ukwelashwa Okuphuthumayo
Ukwelashwa kokuphuthumayo okuphuthumayo kusebenza ngokuvimbela ukukhulelwa phakathi namahora ambalwa noma izinsuku zezocansi ezingavimbelwe. Izindlela ezisetshenziselwa ukukhulelwa kwezimo eziphuthumayo zibandakanya ukukhulelwa komlomo okuhlangene, amaphilisi kuphela we-progestin, nokufakwa kwe-IUD.
Lapho Ukukhulelwa Okungahlelekile Kuvele
Lapho izindlela zokulawula ukubeletha zenziwa ngokwethembeka, izindlela eziningi zokuvimbela ukukhulelwa ziyasebenza kakhulu ngokukhulelwa okungahlelelwe. Kodwa-ke, ngezinye izikhathi ezinye izici ziqala ukudlala nokukhulelwa ngokweqile.
Uma uzithola ubhekene nokukhulelwa okungahleliwe kuzodingeka wenze isinqumo mayelana nokuthi uzoqhubeka kanjani. Ingabe uzokhipha isisu, ukwamukelwa noma ukubeletha? Kuyisinqumo esingabikho muntu ongakwenzela wena nesinye okuzodingeka uhlale nayo yonke impilo yakho. Qinisekisa ukukhetha okukuzwayo okulungile kuwe, futhi ungazivumeli ukuba uthonywe imizwa yabanye.
Umyalezo Obalulekile Ngamakhompiyutha
Amakhondomu kufanele asetshenziswe ngaso sonke isikhathi, ngaphezu kwanoma yiziphi ezinye izindlela zokulawula ukuzalwa, noma ubani ongekho ebuhlotsheni obude bomshado. Ukunakekelwa kufanele kuthathwe ukuthi ungasebenzisi amatshe okugcoba ngamafutha (i-petroleum jelly, lotions, noma i-oil oil) ne-latex noma ama-kanskin amakhondomu, ngoba angenza buthaka lokho.
Abesifazane namuhla banelungelo lokusebenzisa ikhondomu yesilisa yendabuko noma ukusebenzisa ikhondomu yabesifazane. Ikhondomu yeReality® ivunyiwe yi-FDA futhi ihlotshaniswa nekhondomu yabesilisa.
Ukuphela okuvaliwe kunendandatho eguquguqukayo efakwe ngaphakathi kwesifazane, amahora angaba ngu-8 ngaphambi kocansi, kanti ukuphela okuvulekile kuhlale kungaphandle kwebesifazane. Ikhondomu yabesifazane akufanele isetshenziswe ngesikhathi esisodwa umlingani wakho esebenzisa ikhondomu yabesilisa.
Amakhondomu, kungakhathaliseki ukuthi owesilisa noma owesifazane, ahloselwe ukusetshenziswa kwesikhathi esisodwa futhi akufanele aphinde asetshenziswe. Uma izindleko zamakhondomu ziyinkinga kuwe, vakashela umtholampilo wokuhlela umndeni wakho. Imitholampilo eminingi yokuhlela umndeni iyokunika injabulo amaningi ikhondomu njengoba udinga.
Ungakhohliswa
Mhlawumbe uzwile ukuthi awukwazi ukukhulelwa ngesikhathi sakho noma uma ungenayo i-orgasm noma uma umlingani wakho ephuma ngaphambi kokukhipha. Lokhu akulona iqiniso! Mhlawumbe othile utshele ukuthi i-douching iyohlanza isidoda ngaphambi kokukhulelwa. Akukona nje ukuthi i-douching ayisebenzisi ukuvimbela ukukhulelwa, ingaholela nasezifweni zokuvuvukala komzimba futhi ukwandise ingozi yezinye izifo ze-STD kanye nezifo.
Ungakhohliswa-yiyona kuphela indlela ephumelelayo yokuvimbela ukukhulelwa ukuvimbela ukukhulelwa.