Izinketho zokukhulelwa eziphuthumayo

Ukwelashwa Okuphuthumayo

Ukwelashwa kokuphuthumayo okuphuthumayo (owaziwa nangokuthi i-EC okwesikhashana) kuyindlela yokulawula ukuzalwa ongayisebenzisa ukuze unciphise ingozi yokukhulelwa emva kokuba ucansi olungavimbelwe noma ukwehluleka kokukhulelwa . Abanye abantu futhi babhekisela ekukhuleni kokuphuthumayo njengokuthi "ekuseni ngemva kwephilisi," kodwa maduze uzobona ukuthi kunezinye izinhlobo ze-EC. Ukukhulelwa kwezimo eziphuthumayo kuyatholakala eminyakeni engaphezu kwengu-30. Kuyindlela ephephile futhi ephumelelayo yokulawulwa kokuzalwa .

• Umlando Wokukhulelwa Okuphuthumayo e-United States

Yiziphi izinhlobo zokuqapha okuphuthumayo ezitholakalayo?

Eminyakeni embalwa eyedlule, izinketho zakho zokuphuza ukuphuthuma eziphuthumayo ziye zanda kakhulu. Ukwelashwa okuphuthumayo kuyatholakala ngezindlela ezilandelayo:

• Hlela B isinyathelo esisodwa - ipilisi ye-1.5 mg levonorgestrel kuphela
• Ukukhetha Okulandelayo One Dose - okulinganayo generic of Plan B One Step
• I-Fallback Solo - i-generic efana ne-Plan B Isinyathelo esisodwa

• Ingabe Kukhona Ukungqubuzana Phakathi Pill Pred and After?

• Ingabe Ukukhethwa Okulandelayo Kungenye Yokukhulelwa Okuphuthumayo?

• I-My Way - i-generic efana ne-Plan B Enye-Isinyathelo
• I-Opcicon Isinyathelo esisodwa - okulingana okujwayelekile kwePlani B Isinyathelo esisodwa
• Thatha isenzo - okulingana okujwayelekile kwePlani B Isinyathelo esisodwa
• I-EContraEZ - okulingana kohlobo lwePlani B Isinyathelo esisodwa
• I-AfterPill - i-generic efanayo ne-Plan B One-Step, kodwa ingathengwa kuphela ku-intanethi
• I-Ella - i-acetate eyodwa ye-ulipristal, i-30 mg pilill
• Okukhethwa Okulandelayo - okulingana kohlobo lwe-Plan B endala
• Amaphilisi okubeletha ngomlomo - noma amaphilisi okulawula ukuzalwa kuphela (i-norethindrone .35 mg amaphilisi) noma ukuhlanganiswa kokubeletha komlomo
• I-ParaGard IUD - i- IUD yokukhipha ithusi

** Uhlu lwezinye izindlela ezijwayelekile zokuhlela B Isinyathelo esisodwa siqhubeka sikhula. **

Ngubani okufanele asebenzise ukukhulelwa okuphuthumayo?

Ngokuvamile, iningi labesifazane abadinga ukwelashwa okuphuthumayo bangalisebenzisa ngokuphepha-lokhu kusebenza ngisho nakwabesifazane abangekho abafanele ukhetho lokusebenzisa i- hormonal birth control njengendlela yabo esemqoka yokuvimbela ukukhulelwa. Ukukhulelwa okuphuthumayo nakho kungasetshenziswa ngokuphepha ngabasha.

Ungase ufune ukusebenzisa ukukhulelwa kwezimo eziphuthumayo uma:

• Uhlukumeza izinsuku zakho "eziphephile" futhi walala ngocansi ngosuku ongase ukhule ngalo.
• Awuzange usebenzise noma yikuphi ukulawulwa kokuzalwa ngesikhathi socansi.
• Ukhohlwe ukuthatha indlela yakho evamile yokulawula ukuzalwa (isb., Ulahlekelwe amaphilisi okulawula ukuzalwa kokuzalwa, awukhumbuli ukufaka i- NuvaRing yakho, noma awuzange usebenzise isikhala sakho sokulawula ukuzalwa ).
• Ikhondomu yaphuka noma yahlukana phakathi kocansi.
• Umlingani wakho akazange akhiphe ngesikhathi.
• I- diaphragm yakho, ikhanda lomlomo wesibeletho, noma isihlangu sihanjiswe endaweni ngesikhathi socansi noma ukhohlwe ukwengeza u- spermicide .
• Ususe i- Today Sponge maduze kakhulu.
• Uphoqelelwe ukuba ube nobulili obungavimbelwe.

Khumbula: Lolu hlu luqukethe ezinye zezizathu zokuthi kungani ungakhetha ukusebenzisa ukukhulelwa kwezimo eziphuthumayo.

Kungase kube nezinye izizathu. Uma ukholelwa ukuthi ungase uhlangabezane nokuhluleka kokulawula ukuzalwa nganoma iyiphi indlela , ungase uthande ukucabangela ukusebenzisa okuphuthumayo kokukhulelwa kokubeletha-ukuze uvikeleke kunokudabuka.

Kufanele Uqale Nini Ukwelashwa Okuphuthumayo?

Ukuze unciphise ingozi yokukhulelwa, ukuphulwa kokuphuthumayo okuphuthumayo kufanele kuqalwe ezinsukwini eziyisihlanu (amahora angu-120) emva kocansi olungalondekile. Uma isheshe isetshenziswe, kungcono amathuba okuvimbela ukukhulelwa .

Ngephilisi yekusasa ekuseni I-Plan B One-Step (kanye nezinguqulo zayo ezijwayelekile, i-Next Choice One Dose, Thatha isinyathelo, i-AfterPill, i-My Way, i-Fallback Solo, i-Opcicon One-Step, ne-EContraEZ), udinga kuphela ukugwinya iphilisi elilodwa. Ukukhetha okulandelayo kunamaphilisi amabili. Kufanele usebenzise ekuseni ngemuva kwepilisi ngokushesha ngangokunokwenzeka. Abakhiqizi bacabanga ukuthi kufanele isetshenziswe kungakapheli amahora angu-72 ekuhlulekeni kokubeletha noma ngokobulili obungavimbelwe-kodwa ngokushesha uma uyithatha, kuyoba ngcono nakakhulu. Uma kuthiwa, i-pillow ekuseni ingase isetshenziselwe ukuthatha (ngethemba lokunciphisa amathuba okukhulelwa) izinsuku ezinhlanu emva kokuya ocansini okungavimbelwe.

• Indlela yokusebenzisa i-Plan B Isinyathelo esisodwa, isinqumo esilandelayo esilandelayo, uthathe isenzo, ngemuva kwephilisi, indlela yami, i-Fallback Solo, i-Opcicon One-Step, ne-EContraEZ
• Indlela Yokusebenzisa Okulandelayo Okukhethwayo (Uhlelo Olujwayelekile B)

Ungayitholaphi Ukwelashwa Okuphuthumayo?

Hlela B isinyathelo esisodwa (kanye nezindlela zayo ezijwayelekile) manje zingathengwa ngaphezu kwabantu bonke abaneminyaka yobudala-sibonga icala le- Tummino v. Hamburg .

Ukukhetha Okulandelayo (i-pilisi emibili yePlani B yokukhiqiza) iyatholakala kuma-pharmacy ngaphandle kwemithi yamadoda nabesifazane abaneminyaka engu-17 noma ngaphezulu. Uzodinga ukwethula i-ID evumelekile. Uma uneminyaka engaphansi kwengu-17, kudinga isidakamizo sokuthenga i-Next Choice.

Ezinye izinhlobo zokukhulelwa kwezimo eziphuthumayo zingatholakala kuphela nge-odokotela (njenge-Ella) noma zifakwe ochwepheshe bezokwelapha (njenge-ParaGard IUD), ngakho-ke lezi zinketho ze-EC zidinga ukuqokwa kukadokotela.

• Kokuqaphela : Njenga-Plan B Isinyathelo Esinye, Thatha Isinyathelo, Isinqumo Esilandelayo Esikodwa, I-AfterPill, I-My Way, i-Fallback Solo, i-Opcicon One-Step, ne-EContraEZ nayo ingathengwa ngaphandle kokudingwa noma ukudingwa iminyaka, okusho ukuthi kungenzeka uthenge ngaphezulu kwe-counter kubantu abanoma yisiphi ubudala.

• Ngisebenzisa kanjani i-Pill-After Pill?

• Kumele Ukwazi Amathiphu Ngendlela Ongayithola I-Pulse emva kwePilisi

• Ukuze uvikele isigatshana sokuphela sokunikezwa ku-Plan B Esinye Isinyathelo, i-FDA idinga ukuthi ukubhala kwe-Next Choice One Dose, i-AfterPill, i-Fallback Solo, i-Opcicon One-Step EContraEZ, ne-My Way isimo ukuthi ihloselwe ukusetshenziswa kwabesifazane Uneminyaka engu-17 noma ngaphezulu. Khumbula, kodwa, ukuthi iphilisi ye-levonorgestrel ephuthumayo yokukhulelwa kokubeletha iboniswe ukuthi iphephile kwabesifazane abaneminyaka yonke. Le mfuneko yelebuli ihlobene nezombangazwe kunokuphepha.
• Ngenxa yokuthi umkhiqizi we-Take Action wanikeze i-FDA ngokucwaninga ngokusetshenziswa kwezimo eziphuthumayo nokukhulelwa kwabantwana, lokhu ekuseni ngemuva kwephilisi akudingeki ukuba kulandelwe le mfuneko yokubhalisa.
• Ngisho noma i-Plan B eyodwa-Isinyathelo, Thatha Isinyathelo, I-Choice Elandelayo Yokukhetha, I-Way Way, i-Fallback Solo, i-Opcicon One-Step, ne-EContraEZ yonke iyatholakala ngaphezu kwe-counter, ungase usadinga isidakamizwa (kungakhathaliseki ukuthi uneminyaka yakho) ukuze umshuwalense wakho uhlanganise izindleko zale mithi, ngakho qiniseka ukuthi uhlole imithetho yakho yenqubomgomo yezempilo.

Ngenxa yokuthi i-levonorgestrel esekelwe ekukhuleni kokuphuthuma okuphuthumayo iyasebenza kakhulu uma usebenzisa ngokushesha, zama ukulondoloza isikhathi ngokubiza isitolo sakho sekhemisi / izidakamizwa esikhathini esithile ukuze uqiniseke ukuthi banezinkinga zokukhulelwa eziphuthumayo esitokisini. Futhi, khumbula ukuthi ezinye izitolo zingagcina lezi zindlela ze-EC ekalini lekhemisi, ngakho-ke ikhemisi lingavalwa ngisho noma isitolo sisaphila. Kungaba umqondo omuhle ukuthenga iphakethe linye ekuseni ngemva kwamaphilisi aselekhona ekhaya-ngale ndlela, uma uyidinga, ungayithatha ngokushesha (ngemuva kwakho konke, akekho ohlela ngempela ukuthi "izingozi" zizokwenzeka! ).

• Ukuthi Ungayithola Kanjani Nendlela Yokuthenga Isinyathelo B Esinye Isinyathelo, Thatha Isinyathelo, Indlela Yami, Ukhetho Olulandelayo U-One Dose, I-Fallback Solo, i-Opcicon One-Step, ne-EContraEZ
• Kufanele Ngithenge Isiteji B Isinyathelo Esinye?

Ukwelashwa Okuphuthumayo Kusebenza Kanjani?

Ukwelashwa okuphuthumayo ngokuvamile kune-hormone efanayo (i- progestin ) etholakala kwamanye amaphilisi okulawula ukuzalwa . Indlela eqondile eyenziwa yi-EC, noma kunjalo, ayicacile. Kukholelwa ukuthi ukuvimbela ukukhulelwa okuphuthumayo kungasiza ekunciphiseni ingozi yokukhulelwa ngokuyeka u-ovulation noma ngokuvimbela isidoda ukuba singene eqanda. Ukucwaninga manje kusikisela ukuthi ukuvimbela ukukhulelwa okuphuthumayo kwe-hormonal akuvimbeli iqanda elikhulelwe kusuka ekutheni lifakwe emdongeni wesibeletho. Indlela yokulawulwa kokubeletha okuphuthumayo kusebenza cishe kuncike lapho ukhona kumjikelezo wakho wokuya esikhathini.

• Indlela Iphilisi Lasekuseni Lasekuseni Elisebenzayo

Yikuphi Ukwelashwa Okuphuthumayo Akukhona

Ukukhulelwa kokuphuthumayo akuyona into efanayo nokukhipha isisu . Hlela B I-One Step isavame ukudideka ngepilisi yokukhipha isisu (RU486) . Le mithi emibili isebenze izinhloso ezahlukene futhi ayisebenzi ngendlela efanayo.

• I-Pill After After Pill vs. I-Pill Pill

Ukukhulelwa okuphuthumayo akukwazi ukuqeda ukukhulelwa futhi akulimazi ukukhulelwa okukhona. Iziphathimandla zesayensi nezempilo ziyavuma ukuthi ukukhulelwa kwezimo eziphuthumayo kunciphisa ingozi yokukhulelwa futhi kusiza ukuvimbela isidingo sokukhipha isisu. Lokhu kuthiwa, ngoba kusasaziwa uma u-Ella ebangela ukuthi yiziphi izingozi kumntwana osakhulayo, akufanele uthathe u-Ella uma usola ukuthi usukhulelwe-uthatha ukuhlolwa kokukhulelwa ehhovisi lakho kadokotela ngaphambi kokuthola le kadokotela.

• Ukuze uthole ulwazi oluthe xaxa mayelana nemibono yezokwelapha nezombuso mayelana nokuphulwa kokuphuthumayo: Isimpikiswano Sokukhulelwa Kokuphuthumayo

Imiphumela emibi yokukhulelwa okuphuthumayo

Imiphumela emibi ingase ihluke kuye ngokuthi uhlobo oluphuthumayo lokukhulelwa kokubeletha oyisebenzisayo. Kufanele uxoxe nganoma yimiphi imiphumela emibi kakhulu nodokotela wakho . Lokhu kuyiqiniso ikakhulukazi uma ugcina ukuhlanza ngemuva kokuthatha i-EC njengoba udokotela wakho engakuleka uma kufanele uthathe elinye umthamo. Uma uhlangabezana nanoma yiziphi izimpawu zokukhulelwa ngemuva kokusebenzisa ukukhulelwa okuphuthumayo, kubalulekile futhi ukuxhumana nodokotela wakho. Ezinye izimpawu ezivame ukukhulelwa zihlanganisa:

• Isikhathi sokuya esikhathini esingekho
• amabele amancane noma akhulisiwe
• isiyaluyalu
• ukuvuthwa njalo
• ukukhathala okungachaziwe
• ikhanda

Ingabe Ukwelashwa Okuphuthumayo Kuphumelelayo?

Ngokuvamile, ukukhulelwa kwezimo eziphuthumayo kuhloswe ukuba kube indlela yokulawula ukuzalwa kokuzalwa. Akusebenzi ngendlela ephumelelayo njengendlela efanele yokusebenzisa ezinye izindlela zokulawula ukubeletha . Futhi, ukukhulelwa kokuphuthumayo okuphuthumayo akuqhubeki ukuvimbela ukukhulelwa phakathi nomjikelezo wakho wokuya esikhathini, ngakho-ke ezinye izindlela zokulawula ukubeletha kufanele zisetshenziswe ngemuva kokusebenzisa i-EC.

Izici ezimbili eziyinhloko zithinta ukuphumelela kokubeletha kokuphuthumayo:

• Isilinganiso sesikhathi esivele senzeke ngenxa yesigameko sokuhluleka kocansi nokuvimbela ukuvimbela ukuzalwa.
• Iphuzu emjikelezweni wakho lapho ulala ocansini.

Uma usheshe usebenzise ukukhulelwa kwezimo eziphuthumayo ngemuva kocansi olungalondekile, kuyoba ngempumelelo kakhulu. Kodwa, kungase kube usizo ukwazi ukuthi osondelene nawe ukuvotela (emva kokuya ocansini okungavumelekile noma ukuhluleka kokulawula ukuzalwa), ukukhulelwa kokuphuthumayo okuphuthumayo okungekho ngaphansi kuyoba khona.

Zonke izindlela zokuphuza ngokwezokwelapha eziphuthumayo zinciphisa ingozi yokukhulelwa ngamaphesenti angama-75 kuya kwangu-99 uma iqala phakathi kwamahora angu-72. Lokhu kusho ukuthi phakathi kwabesifazane abangu-100 abasebenzisa noma iyiphi indlela ye-EC, phakathi komunye kuya ku-25 uzokhulelwa.

• Ukusebenza Kwenqubo Yokuvimbela Inqubo Ephuthumayo Yonke

Kubiza Kakhulu Kangakanani Ukukhulelwa Okuphuthumayo?

Izindleko zokukhulelwa kwezimo eziphuthumayo zihluka kakhulu futhi zixhomeke endleleni ye-EC. Imali engenayo ingaba kusuka ku-$ 25- $ 65 we-Plan B One-Step kanye nezinye izindlela zayo-Okukhethwa Okulandelayo, Ukukhetha Okulandelayo Kokukhetha, I-Way Way, i-Fallback Solo, i-Opcicon One-Step, i-EContraEZ, i-AfterPill, ne-Action isetshenziswa kakhulu Amaphesenti angu-10 kuya kwezingu-20 aphansi kune-Planed One-Steped branded. I-Ella ingadala noma yikuphi phakathi kuka-$ 55 kuya ku-$ 75, futhi ingadla kuze kube ngu- $ 500 ukuthola i-ParaGard IUD.

Ukuvikelwa kwe-STD

Ayikho indlela ephuthumayo yokuvimbela ukukhulelwa komzimba ekuhlinzekeni ukuvikela kuma- STD Abesifazane abadinga ukwelashwa okuphuthumayo bangase babe engozini enkulu yalezi zifo. Abesifazane abasengozini enkulu yibo aba:

• baye baba nobulili obuvikelekile nabalingani abanegciwane
• izisulu zokuhlaselwa ngokocansi
• abasebenzisa izidakamizwa ze-IV noma abe nomlingani owenzayo

Ukuhamba ngemva kwepilisi kungase kube ukhetho oluphephile kulabo besifazane engozini enkulu ye-STD, esikhundleni se-IUD. Lokhu kungenxa yokuthi ama-bacteria avela ekutheleleni okukhipha isifo sangasese angeniswa ngaphakathi kwesibeletho ngesikhathi sokufaka iUD . Uma lokhu kushiywe kungalashwa, kungaholela esibhedlela sokuvuvukala.

Izwi elivela

Cishe isigamu (amaphesenti angu-45) okukhulelwa kwezigidi ezingu-6.1 e-United States unyaka ngamunye awulindelekile. Eziningi zalezi zikhulelwe zibangelwa ukungasebenzisi isisindo sokubeletha noma ukwehluleka kokukhulelwa. Ukwelashwa kokuphuthumayo okuphuthumayo kukunikeza ithuba lokugcina lokuvimbela ukukhulelwa. Kuyindlela ephephile futhi ephumelelayo uma kwenzeka "isikhathi se-oops" senzeke kuwe. Siyaqonda ukuthi ungase uhlazeke ngokuthenga okuphuthumayo kokukhulelwa kokubeletha, kodwa ungavumeli imizwelo yakho ifuze isinqumo sakho. Kuyinto elula kakhulu ukuthenga nokusebenzisa ukukhulelwa kokuphuthumayo okuphuthumayo. Uma ungenaso isiqiniseko sokuthi ungasebenzisa noma ungasebenzisi i-EC noma ngabe ungayisebenzisi, khumbula nje lesi simiso sesithupha: Uma kukhona ithuba lokuthi ukukhulelwa kungenzeka ngenxa yokuthi unesifo sokuvimbela ukukhulelwa noma ubulili obuvikelekile, hamba ukuthola ukubeletha okuphuthumayo futhi uyithathe ngokushesha ngangokunokwenzeka.

_Imithombo:

_{Noé G, Croxatto HB, uSalvatierra AM, et al. Ukuphumelela kokubeletha kokubeletha okuphuthumayo nge-levonorgestrel enikezwe ngaphambi noma ngemva kokuvuthwa. Ukwelashwa . 2011; 84 (5): 486-492. i-doi: 10.1016 / i-contraception.2011.03.006.}

_{I-Prine L. Emergency contraception, izinkolelo namaqiniso. Imitholampilo ye-Obstetrics and Gynecology eNyakatho Melika. 2007; 34 (1): 127-136. doi: 10.1016 / j.ogc.2007.01.004.}