I-diaphragm iyinkokhelo eguquguqukayo, ene-dome ene-bendable rim. Yenziwe nge-silicone elithambile noma i-latex. Ugoba umdwebo ngesigamu bese uyifaka emgodini. I-diaphragm ihlanganisa umlomo wesibeletho ukusiza ukuvimbela ukukhulelwa.
Umlando
Iziphazamisi zisetshenziswe njengendlela yokulawulwa kokuzalwa kusukela ngo-1830s. Udinga isidakamizo ukuze uthole i-diaphragm. Empeleni zibhekwa njengezimbangela zokuqala zokuvimbela ukubeletha kwabesifazane abafuna ukukwazi ukuzivikela ekukhulelwe okungenalindelekile .
Kule minyaka edlule, kuye kwaba nokuthuthukiswa okuningi ekuklanyeni nasekusebenzeni kwezingxubevange - ngakho-ke basengumuntu ozithandayo wokulawula ukuzalwa kokubeletha kwabesifazane abaningi. Eqinisweni, ngokusetshenziswa okujwayelekile, zingu-88% esebenzayo, futhi ngokusetshenziswa okuphelele, zingu-94% esebenzayo.
Indlela Esebenza ngayo
I-diaphragm yenza njengendlela yokuvimbela ngokomzimba. Ivimbela ukuvulwa kwesibeletho. Ngale ndlela, i-sperm ayikwazi ukufinyelela futhi ifaka iqanda.
Ngaphambi kokuba ufake i-diaphragm yakho, udinga ukuyifaka nge- spermicidal cream noma i-jelly - ngakho-ke, uma kunoma yisiphi isilwane esilungele ukudlula umcibisholo we-diaphragm, bayethemba ukuthi bazobulawa yi- spermicide . I-diaphragm ibanjwe endaweni yakho ngemisipha yakho yangasese.
Ungayisebenzisa kanjani
Uzothola lokho ngomkhuba omncane, i-diaphragm kulula ukuyisebenzisa . Udokotela wakho kufanele akubonise ukuthi ungayifaka kanjani futhi uphume isifenqo sakho. Kufanele uqhubeke usebenza ekhaya kuze kube yilapho uzwa ukhululekile ngokusebenzisa i-diaphragm yakho.
Khumbula:
- Kumele ugcine isikhala sakho endaweni yamahora ayisithupha ngemuva kokugcina ubulili.
- Uma uphinde ulala ocansini, qiniseka ukuthi ufaka ngaphezulu kwe-spermicide ejulile emkhathini wakho.
- Uma ulala ocansini isikhathi esingaphezu kwamahora ayisithupha emva kokufakela i-diaphragm, kudingeka futhi wengeze ngaphezulu kwe-spermicide ejulile emzimbeni wakho.
- Ungashiyi imfucuza yakho endaweni engaphezu kwamahora angu-24.
Izinhlobo
Izifucumfucu ziza ngobukhulu obuhlukahlukene kanye nemiklamo. Lokhu kwandisa amathuba akho okuthola okulungile kuwe. Ngaphandle kwesayizi, kunezinhlobo ezimbili zeziphazamiso:
- Okukhethwa kukho kwendandatho: Lolu hlobo lwe-diaphragm lungafakwa emgodini ophahleni ngaphambi kokuba ufakwe. Uhlobo lwendandatho lensiza lunomgqomo ongcono. Kubuye futhi nomfakisicelo - okwenza kube lula okulula.
- Ukukhetha okukhethwa kukho kwe-arcing noma ye-coil: Lolu hlobo lwe-diaphragm luyumbuthano ogobile uma ucindezelwe. Ungafaka i-arcing noma i-coil spring diaphragm ngeminwe yakho.
Izinzuzo
Kungani kufanele ucabange ukusebenzisa i-diaphragm? I-diaphragm ingakunikeza izinzuzo ezilandelayo:
- I- hormone-mahhala- ngakho ayinayo ithonya kuma-hormone wakho wemvelo.
- Kuyinto eguquguqukayo, ngakho ukuzala kwakho kuyabuya ngokushesha uma uyiphumula.
- I-diaphragm ayinakuvame ukuzwa yilowo osebenza naye.
- Kunemiphumela embalwa kakhulu emibi (izifo zokungena kwamagciwane kanye nokucasula kwesisu kungumphumela ovamile kakhulu).
- Amamama okubeletha angasebenzisa i-diaphragm.
- Isebenza ngokushesha.
- I-diaphragm ingafakwa kalula esikhwameni sakho.
- Kunganciphisa ingozi yokubamba izifo ezithile ezithathelwana ngocansi - nakuba kufanele usasebenzise enye indlela yokuzivikela kuma-STD (njengezimakhondomu).
- Izifucumfucu zingavimbela ezinye izinhlobo zezinguquko ezinqanda emgodini wesibeletho (kodwa olunye ucwaningo luyadingeka ukwazi okwengeziwe ngalokhu).
- Ingafakwa amahora ngaphambi kwesikhathi, ngakho ayiphazamisi umsebenzi wobulili.
Ubani Ongayisebenzisa
Abaningi besifazane bangasebenzisa i-diaphragm. Kodwa-ke, umfutho we-diaphragm ngeke ube ngowakho uma ungakhululekile ukuthinta ubulili bakho noma uma unesifo sofuba kuze kube se-latex noma se-spermicide (abanye besifazane abanomthelela omuhle ku-spermicide bathola ukuthi ukushintsha umuthi we-spermicide kungasiza).
Izimo ezingeziwe ezingahle zisebenzise ukusetshenziswa kwe-diaphragm zifaka:
- Ukubeletha phakathi kwamasonto ayisithupha edlule.
- Umlando wezifo ezithathelwanayo zamagciwane .
- Ukuhlinzwa kwamuva komlomo wesibeletho.
- I-uterus eguging noma izivimbelo zangasese.
- Ukukhipha isisu sakamuva (emva kwe-trimester yokuqala).
- Umlando we- syndrome wokudabuka kwe- toxic .
- Iphutha le-muscle tone tone.
Ungayithola kanjani eyodwa
Uma ufuna ukusebenzisa i-diaphragm, udinga ukulungele omunye udokotela wakho. Uma lokhu kwenzeka, udokotela wakho angakunikeza imithi. Ama-diaphragms angathengwa ekhemisi. Izindleko zokufakelwa kwe-diaphragm kanye ne-diaphragm yangempela kuzohluka ngokusekelwe kumshwalense wakho.
Khumbula ukuthi kungase kudingeke ukuthi ulungiswe isifenqo esisha uma unayo:
- Ukuhlinza ngamathumbu noma kwe-pelvic.
- Ukukhulelwa okugcwele.
- Ukukhulelwa kwesisu noma ukukhipha isisu (emva kwamasonto angu-14 kokukhulelwa).
- Ukuguqulwa kwezingu-20% kwesisindo - noma uma uzuzile noma ulahlekelwe amapremu angaphezulu kuka-10
Kufanele futhi ulungele isifenqo esisha uma ngabe okwamanje uneminyaka emibili noma ngaphezulu ubudala.
Ukuvikelwa kwe-STD
Kunobunye ubufakazi bokuthi ukusetshenziswa kwe-diaphragm kungakuvikela kwezinye izifo ezithathelwana ngocansi. Ucwaningo lubonise ukuthi uma kuqhathaniswa nabesifazane abasebenzisa ukulawulwa kokuzalwa , labo abasebenzisa i-diaphragm banethuba eliphansi elingama-65% lokuthola i- gonorrhea ne- trichomoniasis . Ukuvama kwe- chlamydia kuncishiswe nakubasebenzisi be-diaphragm. Kungenzeka ukuthi umlomo wesibeletho yisayithi lokutheleleka kwe-gonorrhea kanye ne-chlamydia (futhi isifenqemeni sihlanganisa umlomo wesibeletho) - futhi ngenxa yokuthi izidakamizwa zingabhubhisa i-trichomoniasis parasite. Hlola ukubona ukuthi i-spermicide oyisebenzisayo nge-diaphragm yakho iqukethe i- nonoxynol-9 . Ukusetshenziswa njalo kwe-nonoxynol-9 kungabangela umonakalo kumzimba wakho wesisu. Lokhu ukucasuka kungakubeka engozini enkulu yokuthola i-STD noma ukutheleleka. Kuhle kakhulu ukuthi ungathembeki ku-diaphragm yakho ukuze ikuvikele ekubhekaneni nezifo ezithathelwana ngokobulili.
Umthombo:
Klein DA, Arnold JJ, Reese ES. "Ukunikezwa kokukhulelwa kwezingane: Izincomo eziyinhloko ezivela ku-CDC." I-American Family Physician . 2015 Meyi 1; 91 (9): 625-633. Kufinyelelwe ngokubhalisa kwangasese.