Okufanele Ukwazi Ngezokwakha Izindlela Zokuqeda Ukwelashwa
Kwabesifazane abathile, ukuba nesikhathi njalo ngenyanga kungaphezu kokuphazamiseka. Kwabanye, kungasho isonto lobuhlungu futhi lingahambi kahle. Phakathi kwamaphesenti angu-20 namaphesenti angu-40 abesifazane banenkathi engathandeki. Ukwelapha izimpawu ezifana nokukhanda ikhanda, ukuhlukunyezwa okubuhlungu , ukuphuma kwegazi okukhulu , kanye ne- PMS ngezidakamizwa kanye nokushisa okuhambayo kuyindlela eyodwa yokubhekana nayo. Enye indlela ingase iwugweme ngokuphelele ngokuthatha amaphilisi okulawula ukubeletha .
Ukuthi Izindlela Zokuvimbela Ngomlomo Zisebenza kanjani
Lapho amaphilisi okulawula ukubeletha asungulwa ngawo-1950, athengiswa emaphaketheni amaphilisi angu-21 alawa ma-hormone aqukethe ama-hormone awamisa emithonjeni yemvelo yamathambo negazi emgqeni we-uterine ekulungiseleleni ukukhulelwe. Eminye eyisikhombisa yayiyi-placebos eyayivumela isikhathi eside. Lolu hlelo lwama-21/7 lwalusungulwa ngoba luyigayela kakhulu umjikelezo wemvelo. Ngokuba nesikhathi kanye ngenyanga ngenyanga besifazane ngeke babe nokukhathazeka ukuthi amaphilisi okulawula ukubeletha angaphazamisa izikhathi zabo "ezivamile" ngakho-ke kungenzeka ukuthi bayakwazi ukuwasebenzisa. Ukuba nenkathi yanyanga zonke futhi kwaqinisekisa abesifazane ukuthi iphilisi yokulawula ukubeletha yayenza umsebenzi wayo-ukuvimbela ukukhulelwa. Khumbula, kwakungekho ukuhlolwa kokukhulelwa ekhaya ngaleso sikhathi.
Ukuphuma kwegazi lapho uthola ngesikhathi sokubeletha ukuphuza amaphilisi akuyona ukuphuma esikhathini, okuwukuphela kwegazi kanye nezicubu ezitholela emgodini wesibindi ekulungiseleleni ukukhulelwa.
Uma emva kwe-ovulation akekho amaqanda akhiqiwe ukuze angenele esibelethweni, ubhedu obunene buvaliwe. Inkathi yamanga eyenzeka ngenkathi izakhi zokubeletha ngomlomo ibizwa ngokuthi ukukhipha igazi . Igazi livela esibelethweni, kodwa ngoba ubhedu luhlala lube buthakathaka, ukuphuma kwegazi kulula.
Izikhathi Ezimbalwa, Izinkinga Ezimbalwa
Akukho nengozi ekuvimbeleni ukwanda kombhede we-uterine ngokuthatha amaphilisi okulawula ukuzalwa kuka-21/7. Futhi akukho nengozi ekuthatheni ama-hormone izinsuku ezingaphezu kwezingu-21 ukuze ulahle ukukhishwa kwegazi. Ucwaningo lwango-2004 lwathola ukuthi ukuqeda ukuhoxiswa kokukhipha igazi ngokusetshenziswa okuqhubekayo noma okuqhubekayo kokukhulelwa komlomo kungase kube nezinzuzo zempilo noma zokuphila. Eqinisweni, amashumi eminyaka odokotela bebelokhu bebeka amaphilisi okulawula ukubeletha ukuze basebenzise imijikelezo yanyangazonke yabesifazane ngezizathu ezihlukahlukene: ukusiza ukubhekana nezinkinga zempilo ezihlobene nokuya esikhathini noma izimpawu ezihlobene nesikhathi esithile; ukwenza kube lula ukubhekana nemisebenzi edingekayo emzimbeni; futhi ngisho nokuqinisekisa ukuthi owesifazane ngeke abe nesikhathi sakhe ngenkathi eholidini noma ngesikhathi sokuzalwa kwakhe.
Ingabe kukhona umkhawulo wesikhathi esingakanani owesifazane angaya ngaphandle kwesikhathi? Okungenani izinsuku ezingu-84, ngokucwaninga kwabesifazane abangaphansi kweminyaka engama-40. Ucwaningo oluthile lwathola ukuthi uma kuthathwe izinsuku ezingu-84 zilandelwa izinsuku ezingu-7 ze-placebo-ehlisa inani lezinkathi ngonyaka kusukela ku-13 kuya kwezine- amaphilisi okujikeleza asetshenziswe kahle ukuvimbela ukukhulelwa kanye nokuphephile njengohlelo olujwayelekile lwe-21/7. Esinye isifundo esibheka iphilisi yokulawula yokuzalwa yokuzalwa, i-Seasonale (ethinyl estradiol ne-levonorgestrel), ithola ukuthi imiphumela emibi yalo muthi ijwayelekile kuwo wonke amaphilisi okulawula ukubeletha, ngaphandle kokuphuma kwegazi, okuvame kakhulu Seasonale.
Uma unezinkathi zenyanga zonke ezibangela izimpawu ezinzima awukwazi ukubamba iqhaza emisebenzini oyithokozelayo, iphilisi lokulawula ukuzalwa lokujikeleza lingase libe yindlela elula futhi ephephile yokubhekana nayo. Khuluma nodokotela wakho wamazinyo noma udokotela ovamile. Ungaba ipilisi eyodwa yansuku zonke ngaphandle kokuqeda izikhathi ezibuhlungu, eziphazamisayo.
Imithombo:
Anderson, FD, Gibbons, W, & Portman, D. "Ukuphepha Kwesikhathi Eside Kokuqeda Ukwelashwa Okuvamile (Seasonale): Inhlolovo Yokukhulisa I-Multicenter Open-Label Extension." Journal American of Obstetrics and Gynecology , 2006. 195 (1), 92-96.
Anderson, FD, Hait, H, & The Seasonale-301 Study Group. "Isifundo Esibucayi, Isifundo Esihleliwe Sokuxhunyanwa Kwezindlela Zomlomo Okwengeziwe." Ukwelashwa, 2003. 68 (2), 89-96.
I-Henzl, MR, & Polan, i-ML. "Ukugwema Ukuya esikhathini: Ukubuyekezwa Kwezindaba Zempilo Nezokuphila." Journal of Medicine Reproductive, 2004. 49 (3), 162-174.
I-Lin, i-K & Barnhart, K. "I-Rationalale Clinical for Contraception Without Free". Journal of Health Women , 2007. 16 (8), 1171-1180.