Enye yemibuzo evame kakhulu abantu ababuza ukuthi bangayithenga yini amaphilisi okulawula ukubeletha okungekho emthethweni. Nakuba kunezinketho eziningi zokulawula ukubeletha ongazithenga phezu kwe-counter , ngeshwa, amaphilisi okulawula ukuzalwa akuyona enye yazo. Kusukela manje, kuphela amaphilisi okulawula ukubeletha okutholakala ngaphezulu kwe-counter okuyi- emergency contraception .
Indlela Yokuthola Amaphilisi Okulawula Ukuzalwa
Udinga imiyalelo kadokotela ukuze uthole amaphilisi okulawula ukubeletha (noma amaphilisi kuphela we-progestin , amaphilisi okuhlanganiswa , noma amaphilisi okujikeleza awandisiwe ). Ukuze ubhale lokhu kadokotela, kuzodingeka ukhulume nodokotela wakho ngomlando wakho wezokwelapha bese uhlolisisa ukucindezelwa kwegazi. Udokotela wakho angadinga ukuhlolwa kwe-pelvic nokuhlolwa kwebele, kepha lokhu akuyona yonke indawo.
Kungani Kukhona Amaphilisi Okulawula Ukuzalwa Okungekho Emthethweni?
Kukhona impikiswano eminingi kule ndaba. Abesifazane abaningi bathi ukuya esikhathini nokuvimbela ukukhulelwa akuzona izifo. Iphilisi lokulawula ukuzalwa akuyona imithi eyingozi. Iningi lemiphumela emibi yepilisi ayinzima kakhulu. Asikho ingozi yokulutha umlutha futhi akunikezi phezulu.
Lokhu kuholela abaningi ukuba bazibuze ukuthi i-US Food and Drug Administration (FDA) ithatha isimo esihle kakhulu kulokhu. Ngokungavumeli amaphilisi okulawula ukubeletha okungekho ngaphezulu, ingabe uhulumeni wenza kube nzima nakakhulu ukuba abesifazane basebenzise iphinde bayisebenzise ?
Futhi, ngokudinga izivivinyo zezokwelapha ukuze uthole iphilisi, kwenza kube nzima kwabesifazane abasebenza amahora amaningi futhi abakwazi ukuthatha isikhathi. Ngakolunye uhlangothi, abanye odokotela bathi uma abesifazane bekwazi ukuthola amaphilisi okulawula ukubeletha, bangasoze bahlola izivivinyo zabo zonyaka.
Imihlahlandlela Yokuthola Iphilisi
Imihlahlandlela yezokwelapha jikelele kanye nocwaningo kubonisa ukuthi ukuvimbela ukwelashwa kwe-hormonal (njengephilisi) kungenziwa kunqunywe ngokuphepha nje ngesisekelo sokuthola umlando wezokwelapha ngokucophelela nokulinganisa kwegazi. Izivivinyo zesisu ne-pelvic, kanye nama- pap smears kanye nokuhlolwa kwesifo socansi , kubalulekile ukuthola nokuvimbela umdlavuza kanye nokuhlelwa komndeni nokunakekelwa kwempilo yokuzala. Ukuhlolwa kwansuku zonke kwe-STD kunconywa ngoba abesifazane abasebenzisa amaphilisi okulawula ukubeletha bancane amathuba okusebenzisa amakhondomu avikela lezi zifo. Uma kuthiwa, ulwazi odokotela abathola kuloluhlolo alubaxoxeli ukuthi owesifazane angakwazi noma angakwazi yini ukusebenzisa amaphilisi okulawula ukubeletha ngokuphepha.
Kubalulekile ukuthi ube nenkulumo eqotho nodokotela wakho ngoba kunabesifazane abathile abangekho abafanelekile kwipilisi. Yingakho kubalulekile ukuthi udokotela wakho enze umlando wezokwelapha ngokuphelele nawe nokuthi uqinisile ngomlando wakho. Ngenxa yokuthi iphilisi ingenza nginciphise ukucindezelwa kwegazi , kufanele futhi ube nokucindezelwa kwegazi njalo ezinyangeni ezimbalwa zokuqala ngemuva kokuqala ukusebenzisa iphilisi.
Ukucela i-pilisi Isivivinyo Ngaphandle kokuhlolwa kwePelvic
Ungaba njengabanye abaningi besifazane lapho-ufuna ukusebenzisa iphilisi, kodwa akusiyo ngoba wesaba ukuhlolwa kwe-pelvic ne-pap smear.
Kubonakala sengathi ukubambisana kwezokwelapha jikelele kusekela ushintsho ekusebenzeni. Ucwaningo lubonisa ukuthi amaphilisi okulawula ukubeletha angabelwa ngokuphepha ngokusekelwe ngokucophelela komlando wakho wezokwelapha kanye nesilinganiso segazi. Kwabaningi besifazane, akudingeki ukuhlolwa okungaphezulu. Iziqondiso zamanje ezidalwe yi-World Health Organization (WHO) kanye ne-American College of Obstetricians kanye namaGynecologists (i-ACOG) iphinde ikhombise ukuthi amaphilisi okulawula ukubeletha angenziwa ngokuphepha ngaphandle kokuhlolwa kwe-pelvic.
Uma udokotela wakho egcizelela ukuthi kufanele ube nokuhlolwa kwesifuba ne-pelvic ukuze akunikeze umuthi wakho wemithi, chaza ukukhathazeka kwakho kanye / noma ukwesaba, futhi ucele ukuthi ungawenzile lezi zivivinyo.
Ungaphinda ushayele futhi uthole udokotela ohlukile olandela imihlahlandlela evela ku-WHO ne-ACOG yokumisela amaphilisi okulawula ukuzalwa. Ukubelethwa kobuzali kungase kube yindlela ongayisebenzisa njengomhlinzeki wezempilo ongadingi ukuhlolwa kwe-pelvic ukuze uthole ukulawulwa kokuzalwa kwe-hormonal.
Kungani Kufanele Ubone Udokotela Wakho Amaphilisi Okuzalwa
Iphilisi iyindlela yokulawula ukuzalwa ngokuphumelelayo , eqondayo, futhi elula. Ikuvumela ukuthi ube nokulawula ukuzala kwakho, ukuphatha isikhathi sakho nokuvimbela ukukhulelwa, futhi ukusetshenziswa kwayo cishe kuholela ekukhipha izisu ezimbalwa. Kunezinye izimpikiswano ezinhle ezisekela ukuthenga amaphilisi okulawula ukuzalwa kokubeletha (ngaphandle kwesidingo semithi kadokotela). Kodwa njengoba kunabesifazane abathile abangeke basebenzise iphilisi, kunezizathu zokuthi kungani kubalulekile ukuthi ubone udokotela ukuze usebenzise iphilisi.
Ngisho noma izivivinyo zesifuba nesifuba, ama-pap smears, nokuhlolwa kwe-STD kungase kungakhululeki (futhi akuyona neze into ebhekene nabesifazane abafisa ukuyenza), yingxenye ebalulekile yokunakekela impilo yakho jikelele. Lokhu kuhlolwa kungase kungabi ngempumelelo ekunqumeni ukuthi ungumuntu omele ukhetho yini noma cha, kodwa kubalulekile ekutholeni ngokushesha izifo ezisongela ukuphila.
Izwi elivela
Cabangela izinketho zokulawula ukuzalwa kwakho bese ukhetha okuzosebenza kangcono kuwe. Kodwa ungakugwema ukubona udokotela wakho ukuze ahlole isisindo sakho somfazi kahle ngoba angase angakhululekile. Lokhu futhi kuyithuba lokuxoxa ngezinketho zakho nodokotela wakho ngasese bese uthole umuthi uma ngabe yilokho okhethayo ukuthi kungcono kakhulu.
Imithombo:
> I-American College yezidakamizwa namaGynecologists. Ukufinyelela Okungekho Emthethweni Ukuthola Izindlela Zokuvimbela Ngomlomo. I-Committee Opinion No. 544. I-Obstetrics & Gynecology . 2012; 120 (6): 1527-1531. doi: 10.1097 / 01.aog.0000423818.85283.bd.
> I-Pill Control Pills FAQ: Izinzuzo, Izingozi kanye nezinketho. I-Mayo Clinic. http://www.mayoclinic.org/healthy-lifestyle/birth-control/in-depth/birth-control-pill/art-20045136.
> Tepper NK, Marchbanks PA, Curtis KM. Izincomo Zezenzo Ezikhethiwe zase-US zokusetshenziswa kokukhulelwa, 2013. I-Journal ye-Health's Women's . 2014; 23 (2): 108-111. doi: 10.1089 / jwh.2013.4556.