Ukulawulwa Kokuzalwa Kwezikhombandlela

Izindlela zokubhalisa zokubeletha zihlanganisa ama-hormone anqunyiwe ngemithi, izithiyo noma amadivayisi. Kunezinketho eziningi zokulawulwa kokubeletha okutholakala kubesifazane, kanti iningi liqukethe uhlobo oluthile lwe-hormone (noma i-estrogen ne-progestin noma i-progestin nje). Izinqumo eziningana ze-hormonal ngisho nokunikeza ezinye izinhlelo zokulethwa (mhlawumbe ngomlomo, isikhumba, umjovo, njll). Yonke imithi yokuvimbela ukuvimbela imithi idinga owesifazane ukuvakashela umhlinzeki wezempilo . Ngokujwayelekile, izinketho zokulawulwa kokubeletha zivame ukusebenza kangcono futhi zidinga izinga elithile lokuqondiswa kwezokwelapha. Ezinye izinzuzo zalezi zindlela ukuthi zivamile futhi zilula ukuyisebenzisa futhi ziguquguquke, ukuze ukwazi ukukhulelwa emva kokuziyeka.

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Iphilisi
Iphilisi. Isithombe sihlonishwa ngu R. Pelton

Iphilisi igama elivamile lokukhulelwa komlomo. Yenye yezindlela eziphephile, ezisebenzayo, nezithandwayo zokulawula ukuzalwa. Iphilisi yenziwe ngama-hormone ahlanganiswayo okwenzeka ngokwemvelo emzimbeni wesifazane - progestin ne-estrogen. Enye yezindlela iphilisi esebenza ngayo ngokumisa isenzo se-hormone esenza ukuthi i-ovulation ivele. Iphilisi ifika ngamafomu amabili: amaphilisi okuhlanganiswa kanye namaphilisi e- progestin kuphela . Iphilisi kumele ithathwe nsuku zonke ukuze iqhubeke namazinga e-hormone adingekayo ukuvimbela ukuvuthwa.

Okuningi

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I-Depo Provera Shot
Peter Dazeley / Getty Images

I-Depo Provera edutshulwa, eyaziwa nangokuthi i-DMPA, iyindlela ejova ye-progestin (i-medroxyprogesterone acetate), ngakho kubhekwa njengendlela yokwelapha kuphela (ayikho isrogen). Kudutshulwa kufanele kunikezwe njalo ezinyangeni ezintathu (amasonto angu-12) futhi kuzohlinzeka kuphela ukuvikelwa kokukhulelwa okuphelele kwalowo mzuzu. Kunezinguqulo ezimbili ezitholakalayo - i-Depo Provera idutshulwa kanye nejoyi le-Depo-subQ Provera. I-Depo-subQ Provera 104 injection nayo i-FDA ivunyelwe ukwelashwa kobuhlungu obuhlobene ne-endometriosis .

Okuningi

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I-NuvaRing
BSIP / Getty Izithombe

Indandatho yinkimbinkimbi encane, eguquguqukayo engaba amasentimitha amabili ububanzi. Uyifaka esiswini sakho kanye ngenyanga bese usishiya endaweni yamaviki amathathu. Khona-ke, uyithatha isonto elisele. Indandatho ifihla ubuciko be-estrogen ne-progesin ukuvikela ekukhuleleni inyanga eyodwa. Isebenza njengenye indlela yokuhlanganiswa kwe-hormonal. Le ndlela ingase ibe yinkinga kakhulu kunezinye izinketho zemithi (ngenxa yokusebenzisa kabi, ukungena esikhundleni, nokungahlali lapho kufanele khona).

Okuningi

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I-Ortho Evra Patch
I-Ortho Evra Patch. I-Getty Images / Abasebenzi

I-Ortho Evra Patch iyisigxobo esincane, se-beige, seplastiki futhi sinamathele esikhunjeni sesisu, izintambo, ingalo yangaphandle, ihlombe, noma i-upper torso kanye ngesonto, amaviki amathathu ulandelana. Isebenza kahle uma ishintshwe ngosuku olufanayo lwesonto lamasonto amathathu, futhi ayisetshenziswanga ngesonto lesine. I-patch ikhulula isantigen yokwenziwa kanye ne-progestin enikeza ukuvikeleka masonto onke ngokukhulelwa. Le ndlela ingase iphinde ibe ngaphansi kwesiphambeko somsebenzisi ikakhulukazi uma i-patch ivuleka noma iwa noma ingashintshwa isonto ngalinye.

Okuningi

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Iziphazamiso
jenjen42 / Getty Izithombe

I-diaphragm i-latex noma i-silicone, indebe enemifino ene-flexible rim futhi ayiqukethe ama-hormone. Ufakwe ngokuphepha emkhathini bese uba yisithiyo esihlanganisa umlomo wesibeletho. Ngaphambi kokufaka, i-diaphragm kanye neendandatho zalo kufanele zihlanganiswe ne- spermicidal jelly noma ukhilimu. Kufakwa ngaphambi kokuya ocansini futhi kudinga ukushiywa khona amahora angu-6 ukuya kwangu-8 ngemuva kokukhipha. Ukwelashwa okungeziwe kufanele kufakwe ngaphambi kwesinye isenzo sobulili. Udokotela kumele alinganise isisindo somfazi ukuze anqume uhlobo olulungile nobukhulu be-diaphragm. I-diaphragm ivimba ukuvulwa kwesibeletho ngenkathi i-spermicide ivimbela ukunyakaza kwesidoda.

Okuningi

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Idivayisi ye-ParaGard Intrauterine (IUD)
Peter Dazeley / Getty Images

IUD iyingxenye encane yeplastiki efana ne-T. I-ParaGard (I-Copper T 380A) yiyona kuphela i-IUD engeyona i-hormonal etholakala e-US. Le-IUD inesibindi (esenza njenge-spermicide) ibumbene kuyo. IUD icasula uhlaka lwesibindi, okwenza kube nzima ukufakelwa. Iphinde isebenze njengegazi elimangalisa, amangqamuzana egazi amhlophe agibela esibelethweni esivuthayo futhi angasiza ekubhubhiseni isidoda. IUD ifakwe esibelethweni ngudokotela futhi inezintambo ezimbili ze-filament ezihlala phansi emgodini. Owesifazane angazizwa izintambo ukuze aqiniseke ukuthi i-IUD isaqhubeka. I-ParaGard ingashiywa endaweni iminyaka eyi-10.

Okuningi

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I-Mirena Intrauterine Device (IUD)

I-Mirena IUD iyingxenye encane ye-plastiki ene-T. Iqhubeka ngokukhulula inani elincane le-progestin. Ngenxa ye-progestin, iphumelela kangcono kuneParaGard. Ngaphandle kokushintsha uketshezi lwesisu, i-Mirena iphinde ikhulise umsila womlomo wesibeletho (ukukhonza njengesivimbela umdlwane), futhi kwezinye izimo, ingase igweme ukuvutha. I-Mirena ifakwa esibelethweni ngudokotela futhi inezintambo ezihlala phansi emgodini wesibeletho zibe sesiswini. Izintambo zingavumela ukuthi owesifazane ahlole ukuthi i-IUD isendaweni futhi udokotela angayisebenzisa ukuze asuse i -IUD. I-Mirena iyasebenza iminyaka emihlanu. I-Mirena nayo yilabo kuphela i-FDA evunyelwe ukuvimbela ukuvimbela ukuphuma esikhathini .

Okuningi

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Idivayisi ye-Skyla Intrauterine (IUD)

I-Skyla yi-IUD entsha esitholakalayo. Ibizwa ngokuthi "udadewabo omncane waseMirena" noma "i-mini IUD" ngoba incane kuneMirena. Uma efakwe, i-Sklya inikeza ukuvikelwa kokukhulelwa kuze kube yiminyaka emithathu. I-Skyla iqukethe u-13.5 mg we-progestin, i-levonorgestrel. Usuku ngalunye, kukhishwe i-hormone engaba ngu-14. Lesi silinganiso sinciphisa kancane kancane ku-5 mcg ngosuku emva kweminyaka emithathu

Okuningi

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I-Nexplanon
Peter Dazeley / Getty Images

I-Nexplanon isizukulwane esilandelayo se-Implanon. Lokhu kuhlanganiswa kokuzala kokubeletha kuphela kwe-progesin kwenziwa nge-softmer, i-polymer yezokwelapha. Ukungena esikhunjeni sezingalo ezingaphezulu kudinga ukuhlinzekwa kwezinzwa zendawo futhi kuthatha imizuzu embalwa kuphela. I-Nexplanon i-radiopaque, ngakho-ke lokhu kusho ukuthi ukufakelwa kungabonakala ku-ray ray. Ibuye ibe nomfakisicelo olayishwe ngaphambilini owenziwe ukwehlisa amathuba okufaka amaphutha. I-Nexplanon inhle iminyaka emithathu yokuvikelwa futhi ingasuswa nganoma yisiphi isikhathi phakathi naleso sikhatsi seminyaka emithathu. Uma efakwe kahle, i-Nexplanon inekhwalithi yokuphumelela engu-99.9% eyenza yona ibe yindlela ephumelela kakhulu yokusebenza ngokweqile, esebenzayo.

Okuningi

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Amakhanda we-Cervical
I-Dorling Kindersley / Getty Images

Isikhwama somlomo wesibeletho (njenge-FemCap) si-silicone noma i-latex cup. Kufana nesifenqemane kodwa kwenziwa ukuba ifanelane nomlomo wesibeletho. Ngokungafani ne-diaphragm, i-cap yomlomo ingasala endaweni yamahora angaba ngu-24 ngaphandle kwe-spermicide eyengeziwe. Isebenzisa i-spermicidal ukhilimu / i-jelly kodwa isamba esincane. Kudingeka ishiywe endaweni yamahora angu-6-8 emva kokujula futhi kufanele ifakwe udokotela. Le divayisi ivimbela ukuvulwa komlomo wesibeletho ngenkathi i-spermicide ivimbela ukunyakaza kwesidoda. I-Shield yeLea (idivayisi efanayo) nayo iyindebe ye-silicone kodwa ine-valve emoyeni kanye ne-loop yokusiza ekususweni.