Uma ngabe uthatha iphilisi lokulawula ukuzalwa futhi uthola ukuthi ukhulelwe, ungase uzibuze ukuthi lokhu kungabangela yini ukulimala kwengane futhi uma kukhona ithuba lokuthi kungaholela ekukhulelweni kokubeletha noma ekubelethweni.
Ucwaningo oluningi lubonisa ukuthi akudingeki ukhathazeke. Kunezinhlobo ezithile zokulawulwa kokuzalwa okungabangela izinkinga, kodwa, ikakhulukazi, ukusebenzisa amaphilisi okulawula ukuzalwa noma amanye amadivaysi wokudiliva ama-hormone (njenge- Patch noma i- NuvaRing ) iphephile kakhulu.
I-Pill Control Control kanye Nezifo Zokuzalwa
Ngokusho kwe-US Food and Drug Administration (FDA), abukho ubufakazi bokuthi ukuthatha amaphilisi okulawula ukubeletha noma amaphilisi ase- progestin kuphela ngenkathi ukhulelwe kungalimaza ingane yakho nganoma iyiphi indlela, ngokufaka ingozi yokukhubazeka kokuzalwa noma ukudala ukucindezeleka kokukhulelwa.
Kubalulekile ukuqaphela ukuthi kakade akuzange kube nokucwaninga okuningi kulokhu. Lokhu akubangenxa yokuqapha noma ukungabi nentshisekelo. Ukuziphatha kwezokwelapha ngeke nje kuvumele noma ubani enze ucwaningo olungase lubeke umama noma umntwana ongakazalwa ngendlela eyingozi.
Ngenxa yalokho, iningi lemininingwane lisuselwa ocwaningweni lwe-epidemiological ngokuqhathanisa omama abaye basebenzisa amaphilisi okulawula ukubeletha ngesikhathi sokukhulelwa kokuqala kulabo abangenalo. Kule ndaba, kube khona umehluko omncane kunani lezinkinga zokuzalwa, ukukhulelwa kwesisu, noma ukubeletha phakathi kweqembu ngalinye.
Uma kuthiwa, akukhuthazwa ukuthi uqhubeke uthatha isilawuli sokubeletha uma ukhulelwe.
Ekugcineni, zonke izidakamizwa ozithathayo "kuzothathwa" ingane yakho, futhi. Ngakho uma ucabanga ukuthi ungakhulelwa, thatha ukuhlolwa kokukhulelwa ukwazi ngokuqinisekile. Futhi, uma ungekho isizathu, cabanga ukusebenzisa ezinye izinhlobo zokuvimbela ukukhulelwa (njengamakhondomu noma isiponji ) kuze kube isikhathi esinjalo.
I-CDC iphawula ukuthi i-progestins ethathwe ngesikhathi sokukhulelwa kancane yandisa ingozi ye- hypospadias kubafana (isici sokuzalwa lapho ukuvulwa kwe-urethra kungatholakali ekugcineni kwepenisi).
Izifundo eziholela kulesi siphetho zikhulile futhi ziningi kakhulu zabesifazane abathatha ama-progestin ngenxa yokungabi nabantwana noma ukuvimbela ukulahlekelwa kokukhulelwa hhayi izilinganiso eziphansi ze-progestins ezitholakala kumaphilisi okulawula ukuzalwa namuhla.
Ukulawulwa Kwokuzalwa kanye Nezingqikithi Zokungathathi Ngaphandle
Abanye besifazane bakholelwa ukuthi uma beqhubeka ukuthatha iphilisi yokulawula ukubeletha ngenkathi bekhulelwe, bangase babe nokukhulelwa kwesisu. Lokhu akulona iqiniso, futhi akukaze kube khona nobufakazi obusikisela lokho. I-hormone ephilini isebenza ngokugxila emgqonyeni wesibeletho ukuvimbela isidoda singena esibelethweni, ukuyeka ukuvuthwa kwegazi , nokuvimbela ukuqina kwendwangu ye-uterine ukusekela ukufakelwa. Ayikho yalezi zinto ezenza kube khona ukukhulelwa noma ukubeletha.
Enye inganekwane ukuthi ukusebenzisa ukuphulwa kokuphuthumayo okuphuthumayo (njenge- Plan B One Step noma i- AfterPill ) ngenkathi ukhulelwe kungabangela ukuqeda kokuzenzekelayo kokukhulelwa kwakho. Lokhu futhi akulona iqiniso. Lawa maphilisi awunawo umphumela uma iqanda elikhulelwe lifakwe.
Kukhona imithi ethize engaqeda ukukhulelwa uma kufunwa. Kodwa-ke, lokhu akubhekwa njengokulawulwa kokuzalwa kepha uhlobo lokukhipha isisu . Eyaziwa ngokuthi i- Mifepristone (RU486) , iphilisi lokukhipha isisu liye lagunyazwa yi-FDA e-United States kusukela ngo-2000.
Ingozi ye-IUD kanye nokuHlala kwabantu
Uma une- intrauterine device (IUD) futhi ukhulelwe, kungenzeka kube nezinkinga. Ucwaningo lubonisa ukuthi uma owesifazane ekhetha ukumshiya ngesikhathi sokukhulelwa, ingozi yakhe yokukhulelwa komzimba izokhula ibe ngamaphesenti angaba ngu-40. Ngaphezu kwalokho, kungabangela amathuba okubeletha kwangaphambi kwamaphesenti angaba ngu-500.
Njengoba lezi zingozi zingqondweni, kufanele ushayele udokotela wakho ngokushesha ukuthi u-IUD yakho isuswe uma uthola ukhulelwe futhi unquma ukuqhubeka nokukhulelwa. Ukukhipha i-IUD ngokushesha ngesikhathi esifanele kungabangela kakhulu lezo zingozi.
Izwi elivela
Ukusetshenziswa okungahlosiwe kwamaphilisi okulawula ukubeletha ngesikhathi sokukhulelwa kokuqala kubonakala sengathi kuyingozi kakhulu.
Uma ukhulelwe, xoxani noma yikuphi imithi, izithako, kanye nemikhiqizo engaphezu kuka-counter nodokotela wakho. Kuwukuhlakanipha ukuyeka ukulawula ukubeletha uma uthola ukuthi ukhulelwe.
> Imithombo:
> Charlton B, uMølgaard-Nielsen D, uSvanström H, et al. Ukusetshenziswa komama kokubeletha ngomlomo kanye nobungozi bokukhubazeka eDenmark: okuzoba khona, isifundo seqembu lonke. BMJ . 2016; 352: h6712.
> Waller D, Gallaway M, uRamadhani T, et al. Ukusetshenziswa kwezizalo zokubeletha ngomlomo ekukhulelwe kanye nokukhubazeka okukhulu kokuzalwa kwezinzalo ezinganeni. Epidemiology. 2010; 21 (2): 232-239.
> Ukwelapha Ucwaningo Olubili. Amasevisi Okulawula Nokuvimbela Izifo. https://www.cdc.gov/pregnancy/meds/kudinga /research.html.