Ingabe kufana nesikhathi sokuya esikhathini njalo?
Ukuyeka ukuphuma kwegazi, okubizwa nangokuthi isikhathi se-hormonal noma isikhathi sokukhohlisa, yiwona wesifazane ophuma njalo ngenyanga uma esebenzisa indlela yokulawula i- hormonal , njengePill, i-patch noma i- NuvaRing . Phakathi nesonto le-placebo lalezi zindlela, abesifazane bazokhipha ukuphuma kwegazi, okuvame ukuzwa isikhathi esifanayo. Ukukhipha ukukhipha inyanga zonke akuyona into efanayo, kepha, njengenkathi yangempela yokuya esikhathini.
Ukuyeka Ukukhipha Ukuphuma Kuvela Kanjani?
Uma usebenzisa inhlanganisela yokuvimbela i-hormonal, kufanele ulindele ukuphuma kwegazi lokuphuma ekufikeni uma ungathathi ama-hormone kusuka endleleni yakho yokulawula ukuzalwa . Lokhu ngokuvamile ngesonto lesine lomjikelezo wakho:
- Abasebenzisi bePill Combination : Lindela ukukhipha ukukhipha ukukhipha okwenzekayo ngesonto 4 (isonto lakho le-placebo) uma usebenzisa umshini wepilisi yezinsuku ezingu-28.
- Abasebenzisi be-Patch: Kufanele ulindele ukukhipha ukukhipha ukuphumula phakathi nesonto ugcine i-patch yakho ishiye (isonto 4).
- Abasebenzisi be-NuvaRing: Lindela ukukhipha ukukhipha ukukhipha okwenzeka phakathi nesonto uma ususa i-NuvaRing yakho (isonto 4).
- Abasebenzisi bePilisi abaNwetshiwe abengeziwe : Uma ungumuntu onamaphilisi omjikelezo wezinsuku ezingu-91 (njenge- Seasonique ), ungalindeli ukukhipha ukuphuma kwezinyanga ezintathu. Kufanele kufike ngesikhathi esithile ngeviki 13.
- Abasebenzisi bePillest-Only Pills : Izinto zihluke kakhulu kuwe ngoba awunayo isonto le-placebo. Uma uqala amaphilisi akho ngosuku lokuqala lwenyanga yakho yangempela, ungalindela ukuhoxiswa kwakho kwenyanga njalo ngesikhathi seviki lokuqala lephakethe lakho elilandelayo.
- Iphakethe lePill Pill Pack Abasebenzisi : Abanye benu sebenzisa ama-pilisi brand aqukethe amaphilisi angu-21 ( njengoLoestrin 1/20 noma i-Loestrin 1.5 / 30 ), ngakho-ke kufanele ulindele ukuphuma kwegazi lokukhipha? Hamba zonke amaphilisi angu-21 (amaviki 1-3). Khona-ke, ngesonto 4 uma ungathathi amaphilisi, ungalindela ukuphuma kwegazi.
Yini Ebangela Ukususwa Kwegazi?
Ukuyeka ukuphuma kwegazi ngokuvamile kwenzeka phakathi nesonto eledlule umjikelezo wakho wokulawula ukuzalwa ngoba kukhona ushintsho emithonjeni ye-hormone umzimba wakho osetshenzisiwe. Ukungenawo amahomoni phakathi nesonto 4 kungabangela ukuba uhlaka lwesisu lwakho lube buthakathaka ngokwanele ukuvumela ukuphuma kwegazi kwenzeke. Kubalulekile ukuveza ukuthi ukuhoxiswa ukukhipha igazi kubangelwa ukushintsha kwamazinga e-hormone futhi akuyona inkathi yangempela. Ukuphuma kwegazi kungase kwenzeke ngemuva kwe-progesterone therapy.
Uma Ingeyona Yingempela, Kungani Ukuyeka Ukukhishwa Kwegazi?
Uma usebenzisa ukulawulwa kwe-hormonal, u "ngaphezu" komjikelezo wakho wokuya esikhathini. Ngendlela, lezi zindlela zenza umzimba wakho ucabange ukuthi ukhulelwe. Emuva lapho uMargaret Sanger, uKatherine McCormick, uJohn Rock, noGregory Pincus beqala ukuba nephilisi, babe nomuzwa wokuthi abesifazane bangase bangathandi umqondo wokungabi nenyanga, ikakhulukazi ngoba abesifazane ngokuvamile bathembela esikhathini sabo esijwayelekile ngokuthi "ubufakazi" awakhulelwe. Asikho isizathu sokuphila noma sezokwelapha sokuba nalesi sikhathi. Kodwa futhi, abathuthukisi bepilisi babecabanga ukuthi abesifazane bazozizwa bekhululekile kakhulu beba negazi lokukhishwa njalo ngenyanga, futhi bacabanga ukuthi njengoba iphilisi lilinganisa umjikelezo wemvelo wesifazane, mhlawumbe bekungeke kube nokuphikisana okungokwenkolo ekusetshenzisweni kwamaphilisi.
Ngakho abakhiqizi bepilisi benza isinqumo sokwakha ukuhoxiswa kwegazi emgodini. Benza kanjani lokhu? Bawakhele iphilisi ukuthi babe namaviki amathathu (izinsuku ezingu-21 zamaphilisi asebenzayo, ama-hormone). Khona-ke, ngeviki 4, bafaka isikhala esingenasifo se-hormone ezinsukwini eziyisikhombisa ngokusebenzisa amaphilisi kuphela we-placebo. Ukuncipha kwe-hormone okwenzeka ngesikhathi salesi sikhathi sokuphumula ngaphandle kwepilisi / esingenalutho / NuvaRing kubangelwa ukuphuma kwegazi lokukhipha.
Ngakho Ukuyeka Ukukhipha Kwegazi Kuhluke Kanjani Esikhathini Esivamile?
Ukuyeka ukuphuma kwegazi kufana nesikhathi sakho sokuya esikhathini (futhi kuvame ukubhekwa njengokwesikhathi sakho). Kodwa, udinga ukukhumbula ukuthi akuyona into efanayo nokuba nesimiso sangempela sokuya esikhathini.
Ukuze uqonde ukuthi kungani lezi zihlukile, kudingeka sibheke ngokushesha ngaphakathi emzimbeni wakho ukuze siqonde ukuthi yini ebangela ukuba ube nesikhathi. Emibhalweni yangempela elula:
- Ukungaguquki (izinguquko) kumazinga e-hormone kungabangela ushintsho emgqeni wakho we-uterine.
- Uma amazinga e-hormone akho engashintshi, khona-ke ubuningi bombelemba wakho ngeke busuke.
- Ngenxa yokuthi ayizinene, akudingeki ukuba ichithe, yilokho okwenzeka phakathi nesikhathi esijwayelekile.
- Isizathu esiwukuphela kwezinto eziphilayo zalezi zinguquko emgqeni wakho wesibindi ulungiselela isisu ngenxa yokukhulelwa okungenzeka.
Kodwa, uma usebenzisa i-Pill, i-Patch, noma i-NuvaRing, amazinga omzimba wakho we-hormone ahlala ephansi, futhi angagcini-empeleni ahlale eqinile. Ukungabi nama-hormone ukuguquguquka kuzokugcina ubeletho lwakho lube luncane. Lokhu kubalulekile ukukhomba, akugcini nje ukuhlala unomzimba amasonto amathathu osebenzisa i-hormone contraceptive, kusengumuntu omncane phakathi nesonto 4, futhi uzoqhubeka uhlala umncane kakhulu uma usebenzisa le ndlela.
- Lokhu mncintiswano kusho ukuthi ayikho izicubu ezakhayo emgqonyeni wakho wesibindi.
- Akukho ukuqina kwemboni kusho ukuthi ayikho ukwakheka okudingeka kukhishwe.
- Akukho ukuchitha kusho ukuthi awudingi ukuba nesikhathi sokuya esikhathini.
Yile ndlela lezi zindlela ze-hormonal ezikuvimbela ekubeni "nesikhathi" sanyanga zonke. Esikhundleni salokho, inyanga ngayinye uhoxisa ukuphuma (noma "isikhathi sokukhohlisa"). Ukungeneli ama-hormone kusistimu yakho ngesonto 4, ngokuyisisekelo kunciphisa uketshezi oluncane lwe-uterine yakho ngokwanele ukudala ukuphuma kwegazi. Lokhu kuphuma kungukuphuma kwegazi lakho. Ngenxa yokuthi uketshezi lwakho lwe-uterine alukhuni, ukuphuma kwegazi kuyenzeka kube mfushane futhi kulula kunesikhathi esijwayelekile.
Ukuhoxiswa Ukuklashwa kanye nocansi
Okokugcina, kodwa ngokungenani okungenani, ungase uzibuze ngokulala ngesonto 4, nokuthi ngabe iphilisi, i-patch, noma i-NuvaRing isalokhu inikeza ukuvikelwa kokukhulelwa phakathi nesonto le-placebo. Impendulo ngu "yebo"! Ngisho noma ungathathi ama-hormone ngesonto 4 (noma isonto lama-13 labasebenzisi abasebenzisa amapilisi enwetshiwe) futhi noma ngabe unegazi lokuhoxiswa, ukulawulwa kwakho kokuzalwa kwe-hormone sekukufihlile.
> Umthombo:
> Kaunitz AM. Imfundo yeziguli: Izindlela zeHormonal zokulawulwa kokuzalwa (Ngaphandle kwezinto eziyisisekelo). Ku: UpToDate. U-Eckler K, uMartin KA (Umhl.) 2017.