5 Izinketho Zokuhlinza Ngokuzithandela Okungcono Nokungapheli
Kunezici eziningana ezingahle zonakalise ukuphumelela kokulawulwa kwakho kokuzalwa. Enye yalezi isisindo. Ukweqisa ngokweqile noma okukhuluphele kungabangela umzimba wakho ukuba usebenzise izidakamizwa ngokushesha kakhulu kunokujwayelekile, uwasuse ngokushesha kusuka ohlelweni lwakho futhi wehlise inani lemithi esebenzayo egazini lakho.
Lokhu kunganciphisa inzuzo yokuvikelwa kwezizalo ezithile zokuvimbela i-hormonal kuhlanganise nephilisi , i- Nexplanon , ne -patch . Ukuze uqinisekise lokhu kungenzeki, kunezinto ezimbalwa ongayenza.
I-Tubal Ligation
I-tubal ligation yindlela ehlala njalo yokulawulwa kokuzalwa. Ngokuvamile okubizwa ngokuthi "kokuba nezilimo eziyizigaxa zakho ziboshelwe," yinkqubo yokuhlinzekwa eyenzelwe ukuvala amashubhu okulala. Uma izibhubhu zivaliwe, isidoda ngeke sikwazi ukufinyelela iqanda. Ingenye yezindlela eziningi zokuhlinza inzalo .
Yize kungekho bufakazi bokuthi isisindo sakho siyokwenqabela ukusebenza kwe-tubal ligation, ukuhlinzeka ngokwayo ngokuvamile kunzima ukwenza. Kulesi sibalo sabantu besifazane, ukuhlinzeka ngokuvamile kuthatha isikhathi eside, kudinga ukuncibilika kwe-anesthesia ngaphezulu, futhi kuyathandana nokucindezeleka kokuthunyelwe.
Ukuze unciphise ingozi, odokotela bazovame ukuncoma i- laparotomy encane engavamile (ukuhlinzwa okulula) uma ukhuluphele noma ukhuluphele kakhulu.
Qinisekisa
Enye indlela yokuzala inzalo yinkambiso yokuHlola (ebizwa nangokuthi inzalo ebizwa ngokuthi i-hysteroscopic inzalo). Le ndlela yokulawula ukubeletha okuhlala njalo ihilela "ukuxhuma" amashubhu okuqeda ukukhulelwa.
Lokhu kuyindlela yokulawula ukubeletha okuphumelelayo yabesifazane abakhuluphele nabakhulu ngokweqile njengoba kungenziwa ngaphandle kwe-anesthesia ejwayelekile futhi ayidingi ukungena emgodini wesisu. Nge-Essure, iziphethu ezimbili ezincane zensimbi (eyaziwa ngokuthi ukufakelwa okuncane) zifakwa kukhobhu ngayinye yezintambo. Uma sezifakiwe, izimpande ze-coil zizokwenza ukuthuthukiswa kwezicubu ezibomvu ekugcineni zivimbela amashubhu
I-Intrauterine Devices (IUDs)
Amadivayisi we-intrauterine (iUDs) afana ne- ParaGard ye- copper IUD ne- Skyla levonorgestrel-ukukhulula i-IUD yizindlela eziphumelelayo kakhulu zokulawulwa kokuzalwa kwabesifazane abakhuluphele.
Ukuphela kwengqinamba yangempela kungase kube ukufaka kwangempela kwedivayisi. Uma ukhuluphele, ngezinye izikhathi kungase kube nzima ukuthola umlomo wesibeletho noma unqume ubukhulu nesiqondiso sesisu sakho. Udokotela wakho angakwazi ukunqoba lokhu ngokusebenzisa i-ultrasound neminye imishini ekhethekile ukusiza ukufaka i-IUD ukungena.
Ucwaningo lubonisa ukuthi ama-IUD angase abe izindlela eziphephile kakhulu futhi eziphumelelayo kakhulu zokulawulwa kokuzalwa kwabesifazane abakhuluphele. IUDs ingasiza ekunciphiseni umdlavuza we-endometrial engozini kanye ne- hyperplasia , izimo lapho abesifazane abakhuluphele besengozini kakhulu.
I-Depo-subQ Provera 104
Kukhona inguqulo entsha yomdlalo wokuqala weDepo Provera owaziwa ngokuthi uDepo-subQ Provera 104 . Leli fomu elingelaphakade lokulawulwa kokuzalwa linama-hormone angama-31 angaphansi kwe-version yangaphambilini, futhi ngenxa yalokho, umphumela ophansi wemiphumela emibi.
Iphinde igwetshwe ngaphansi kwesikhumba ngokuphambene nomzimba. Ama-Shots ahanjiswa ngekota, noma onke amaviki angu-12 kuya kwangu-14.
I-Depo-subQ Provera 104 iboniswe ukuthi iphumelela kubafazi abakhuluphele ngezifundo ezimbili ezahlukene. Kodwa-ke, into ebaluleke kakhulu ukuthi umuthi uyaziwa ukuthi uzuze isisindo , ukucabangela okukhulu uma usuvele ulwa nokulawula isisindo.
Okunye ukucatshangelwa ukuthi kungathatha isilinganiso sezinyanga eziyisishiyagalolunye nesishiyagalombili ukubuyisela ngokugcwele ukuzala uma ukwelashwa kumiswa. Kubesifazane abanzima kakhulu, kungathatha isikhathi eside kakhulu.
Izindlela Zokulawula Ukuzalwa Kwezingqinamba
Indlela yokuvimbela ukubeletha kuyisisetshenziswa esivimbela umzimba ukuba singangeni ekuvuleni kwesibeletho. Yize lezi zindlela zokubeletha zingathembeka kakhulu, zidinga ukusetshenziswa ngendlela efanele. Ukuhluleka kuvame ukuhlotshaniswa nokusetshenziswa okungalungile noma okungahambisani nalokho kunenkinga ngomkhiqizo uqobo.
Izinketho zokuvimbela ukubeletha zibandakanya amakhondomu abesilisa , amakhondomu abesilisa , ama- spermicides , isiponji , izingxube , nekhanda lomlomo wesibeletho .
Ungakwazi ukwandisa ukuphumelela ngokusebenzisa indlela yokuvimbela kabili, njengokusebenzisa ikhondomu nge-spermicide noma i-diaphragm enekhondomu. Uma ungaqiniseki ukuthi ungayisebenzisa kanjani umkhiqizo, khuluma nodokotela wakho noma ubuze umuthi wakho wemithi.
> Imithombo:
> Batur, P .; Bowersox, N .; noMcNamara. M. "Ukukhulelwa: Ukuphumelela, Izingozi, Amanani Okuqhubekayo, Nokusetshenziswa Kwabesifazane Abakhulu Abasengozini." I-Journal ye-Health's Women's. 2016; 25 (8): 853-856. I-DOI: 10.1089 / jwh.2016.5942.
> Reifsnider, E .; I-Mendias, M .; Davila, Y. et al. "Ukubeletha nomama othobekile." J Am Assoc Umhlengikazi Pract. 2013; 25 (5): 223-233. I-DOI: 10.1111 / 1745-7599.12011.