Ukwelashwa kwe-hormones kungaphezu kokulawulwa kokuzalwa kuphela.
Ngokuqinisekile, ziphumelela kakhulu ekuvikeleni ukukhulelwa kunezindlela zokuvimbela njengekhondomu, ikhanda lomlomo wesibeletho noma isiponji sokukhulelwa. Lokhu kungenxa yokuthi akudingeki ukhumbule ukuwasebenzisa njalo uma ucansi.
Yiqiniso, kufanele njalo usebenzise amakhondomu uma ulala ucansi noma ukunciphisa ukutholakala kwezifo ezithathelwana ngocansi .
Kodwa, ukukhulelwa kwe-hormonal kunezinzuzo ezengeziwe ukuthi ezinye izinhlobo zokulawulwa kokuzalwa azikho. Ngenxa yendlela abasebenza ngayo ekuvimbeleni ukukhulelwa, futhi kubangele ukuthi ukwelulwa kwesibeletho sibe mncane.
Lapho u-lining uline-thinner, iveza i-prostaglandin encane. Ama-prostaglandin amakhemikhali emvelo akhiqizwa yimbangela yesisu noma i-endometrium eyenza imisipha nemisipha yegazi yesisu kubangele ukudala ukubola kwe-uterine ngesikhathi sakho. Lapho le lining is thinner unegazi kancane futhi cramping kancane.
- I-thinning uterine yembatho = i-prostaglandins encane = izikhathi ezinzima kakhulu.
- I-thinning uterine lining = ukugeleza okuncane = ukugeleza kokuya esikhathini
Ngamanye amazwi, ukukhulelwa kwe-hormonal ehlangene kuyindlela ephumelela kakhulu yokuphatha izinkinga ezihlukahlukene zezinkinga zokubeletha ezibangelwa ukwanda kokuya esikhathini noma ukuphuma kwamagciwane okungavamile.
Kunezinhlobo ezahlukene zezinzalo zokubeletha kwe-hormonal.
Zingahlukaniswa ngezigaba ezimbili eziyinhloko:
- Ukukhulelwa kwe-hormonal
- I-progesin kuphela yokuvimbela imithi.
Izinkinga zokuvimbela amaHormon ezihlanganisiwe
Ukuvimbela ukukhulelwa kwe-hormone yilabo abene-estrogen kanye ne-progesterone. Basebenza ngokucindezela ukuvuthwa. Ngokwenza umzimba wakho ube nama-hormone angaguquki lolu hlobo lokukhulelwa luphazamisa umjikelezo ojwayelekile wokuya esikhathini othembela ekuguquleni amazinga e-hormone ukudala ukuvota.
Uma i-ovulation ingenzeki ukwelulwa kwesibeletho akutholaki njengokujwayelekile. I-thinner lining ithetha ukuphuma kwegazi kancane futhi ubuhlungu obuncane. Kukhona iviki lamahhala elingenalutho elakhiwe kwisimiso sokulanda kwezindlela zokwelapha ezihlanganisiwe ze-hormonal. Phakathi naleli sonto, uzoba negazi lokuhoxiswa okuvame ukukhanya kakhulu futhi okubuhlungu kakhulu kunenkathi yakho evamile. Izinhlobo zezinzalo zokubeletha ezihlangene okwamanje ezitholakalayo e-US ziyi:
- Iphilisi ye-oral oral
- Indandatho yesisu yokubeletha
- Isiqeshana sokukhulelwa .
Nakuba uhlelo lokudiliza i-hormone luhlukile ngalezi zindlela ezintathu zisebenza ngendlela efanayo yokunciphisa ubuhlungu bokuya esikhathini nokuphuma kwegazi.
Ukukhulelwa Okukuphela Kweprogesin
Kunezinhlobo eziningana ezehlukene zezizalo zokubeletha kuphela ze-progestin. Iningi lalezi zindlela ziyovimbela ukuvuthwa isikhathi esiningi, kodwa futhi isebenza ngokugcoba umgqa wesibeletho. Njengoba zingenayo i-estrogen, iningi lalezi zindlela ziyokwenza ucwecwe kakhulu ukuze ungabi naso ukuphuma kwegazi. Nakuba kulabo besifazane abathile, lapho uhlaka luthinta kakhulu luzoqala ukugeleza okungavamile. Lesi yisisusa esiyinhloko esenza abesifazane abaningi bayeke ukukhulelwa kwe-progesin kuphela. Ukukhulelwa kwe-progesin kuphela kuvela ngamafomu ahlukene:
- Ipilisi kuphela ye-Progestin (i-POP) noma i- "mini pilill" igcizelela ukuvuthwa isikhathi esiningi. Ngokuyinhloko isebenza ngokugcoba uhlaka futhi kuguqule umcengezi wesibeletho. Kubaluleke kakhulu ukuthi uthathe le pilisi ngesikhathi esifanayo nsuku zonke uma usebenzisa ukulawula ukuzalwa.
- I-Depo-Provera iyinzalo yokuvimbela injectable. Inikezwa njalo ezinyangeni ezintathu. Iqeda ukuvuthwa kwegazi futhi igwebise uketshezi kwesibeletho.
- I-Nexplanon iyisisu sokukhulelwa. Uhlala ngaphansi kwesikhumba sengalo yakho futhi kancane kancane kukhishwa ama-hormone e-progestin iminyaka emithathu. Isebenza kokubili ngokunciphisa i-ovulation nokunciphisa uhlaka lwesibindi.
- I-Mirena / i-Skyla yizingcingo ze-intrauterine eziqukethe ne-progesterone. Khipha kancane kancane i-progesterone ngaphakathi kwesibeletho iminyaka engu-5 no-2 ngokulandelana. Lawa ma-IUD awavimbeli ukuvuthwa kodwa asebenza ngokuyinhloko ngokugcoba uhlaka lwesisu ukuze ukufakelwa kungenzeke.
Ukukhetha ukuthi yikuphi ukukhulelwa kwe-hormonal okungcono kakhulu ukulawula izimpawu zakho zokuhlukumeza esikhathini noma ukuphuma kwamagciwane okungavamile kusekelwe ku:
- Isizathu sokuphuma kwegazi
- Umlando wakho wezokwelapha
- Okuthandayo
Sicela ukhulume nomhlinzeki wakho wezempilo ukuze bakwazi ukukusiza ukunquma ukuthi iyiphi indlela engcono kuwe.