Ingabe kuphephile ukuphuza utshwala ngenkathi uthatha amaphilisi okuvimbela inzalo?

Imininingwane Yezidakamizwa Ukuxuba

Uma wake wazibuza ukuthi ukuphuza utshwala kuthinta ukuphepha nokusebenza kwamaphilisi akho okulawula ukuzalwa, ungabe usazibuza. Impendulo iqonde ngqo: Akusho, inqobo nje uma uphuza ngokuzibophezela.

Akukho ukuxhumana okuqondile phakathi kwamaphilisi okulawula inzalo notshwala, futhi akukho kunciphiswa kokusebenza kokulawula ukubeletha uma umuntu ephuza utshwala, kusho uSally Rafie, Pharm.D., Umsunguli we Usokhemisi Wokulawula Ukuzalwa , inhlangano enikeza ukwesekwa kosokhemisi abanikeza ukulawulwa kokuzalwa ngqo ezigulini ( lo mkhuba usemthethweni ezifundeni eziyi-10 ).

Ukukhubazeka kungenye indaba

Ungakuvumeli lokho kukukhohlise, noma kunjalo-kuya ngokuthi uphuza kangakanani, ukuphuza utshwala kungathinta ikhono lamaphilisi akho okuvimbela inzalo ukuvimbela ukukhulelwa. Kanjani? Ukuphuza kakhulu utshwala kungaholela ekukhubazekeni nasekukhubazekeni kungaholela ezintweni ezinjengokulala ungaphuzanga iphilisi lakho, ukuphuza iphilisi lakho ngesikhathi esingalungile, noma ukukhohlwa ukuphuza iphilisi lakho ngokuphelele (nazo zonke lezi zinto kuthanda kuthinta ukusebenza kwamaphilisi akho). Ukungasho, ukukhubazeka kungaholela ezindabeni zemvume / zokungavumi futhi ungasebenzisi isivikelo semigoqo, okufanele ngaso sonke isikhathi sisetshenziselwe ukuvikela izifo ezithathelwana ngocansi.

Ukulawulwa kokubeletha kungathathwa nganoma yisiphi isikhathi sosuku. Kumele nje ithathwe ngasikhathi sinye nsuku zonke, kusho uDkt Rafie.

Enye inkinga engaba khona ngokulawulwa kokuzalwa notshwala? Ukuphuza kakhulu (ngemuva kokuphuza iphilisi) uze uqale ukuhlanza.

Uma uthathe i-control yakho emahoreni ambalwa edlule wahlanza, kungenzeka ukuthi uyahlanza umuthi, kuchaza uDkt Rafie. Ngakho-ke lokho kungasho ukuthi ulahlekelwe umthamo.

Lokhu kuyinto enkulu, kusho uDkt. Rafie, ngoba amaphilisi okulawula inzalo kufanele ithathwe ngokungaguquguquki futhi ngasikhathi sinye usuku ngalunye ukuze kugcinwe ukusebenza. Uma isetshenziswe kahle, afinyelela kuma-99% asebenzayo , kodwa empeleni phakathi kuka-5% no-9% wabesifazane abaphuza amaphilisi okuvimbela ukukhulelwa bayakhulelwa unyaka nonyaka (imvamisa, lokhu kungumphumela wemithamo elahlekile noma ukungayithathi kahle). Akukho ngisho eyodwa umthamo uyinkinga engaba khona — kodwa ukulahlekelwa imithamo emibili noma ngaphezulu elandelanayo kubi kakhulu, kudinga inzalo yokuvikela ukukhulelwa kanye nenqubo ethize yokukubuyisela esimweni ngomthamo wakho , kubika iZikhungo Zokulawulwa Kwezifo.

Ngokwengeziwe, uma uphuza utshwala njalo noma ngokweqile futhi ukhulelwa, lokho kungakhuphula ubungozi bemiphumela emibi enganeni.

Phuza ngendlela efanele uma uphuza amaphilisi okuvimbela inzalo

Indlela engcono yokuqinisekisa ukubeletha kanye notshwala akubanga yinkinga? Ukulinganisela, kusho uDkt.James Simon, MD, umqondisi wezokwelapha eWashington, D.C. Ochwepheshe be-IntimMedicine . Ngokusho kweNational Institute on Alcohol Abuse and Alcoholism, ukulinganisela kwabesifazane kuchazwa njengesiphuzo esisodwa ngosuku .

Ukugwema utshwala kuyinto enhle kuwo wonke umuntu, kodwa ngokwesisekelo, utshwala buyingxenye yesiko lethu, kusho uDkt Simon. Ngeke sihlukane notshwala, kepha ukunciphisa inani nobuningi bokusetshenziswa — lokho kungaba yinhloso yami kunoma yimuphi umuntu wesifazane ozongena [emkhubeni wami] efuna ukusebenzisa amaphilisi okuvimbela inzalo.

UDkt Rafie uyavuma, wengeza ngokuthi ukhuthaza iziguli ukuthi zibheke izinga lazo lokuphuza utshwala lapho zikhetha indlela yokulawula inzalo.

Uma isiguli singitshela ukuthi uziphuzela iziphuzo ngezimpelasonto… iphilisi kungenzeka lingabi yindlela enhle asisebenzelayo, kusho uDkt. Rafie. Izindaba ezimnandi zikhona ongakhetha kukho , futhi sizothola ukuthi yini esebenza kahle kakhulu.Ezinye zalezi zinketho zifaka phakathi isichibi , ukufakelwa , indandatho yesitho sangasese sowesifazane , i idivayisi ye-intrauterine (IUD), a wadutshulwa (njenge Ukuhlolwa Kwedepho ), kanye nephilisi lokulawula ukuzalwa kwe-progestin kuphela (i-aka mini pill), Slynd , enikeza iwindi lokulinganisa elithethelela kakhulu ( USlynd uthole imvume ye-FDA ngo-2019 ). Futhi uma kuvela ukuthi iphilisi lendabuko kuseseyindlela engcono kakhulu kuwe, ngaphandle kwemikhuba yakho yokuphuza? UDkt Rafie usikisela ukusebenzisa ama-alamu futhi isikhumbuzi sokuvimbela inzalo izinhlelo zokusebenza ukukusiza unamathele esimisweni.