Izinketho zokulawulwa kokuzalwa: Yini ekufanele?

Imfundo Yezempilo

Kwaphela amakhulu eminyaka, abesifazane bebenezinketho ezimbalwa (uma zikhona) zokulawulwa kokuzalwa. Inkulumo yokulawulwa kokuzalwa ayizange isetshenziswe kabanzi kwaze kwaba ngawo-1930. Amaphilisi okulawula ukubeletha atholakalela abesifazane ngawo-1960 lapho phambilini, bekukhona kuphela izindlela zokuvimbela. Ngokokuqala ngqa emlandweni, abesifazane bebengaphatha ukuhlela kwabo imindeni.

Inhlangano yesimanjemanje yokulawulwa kokubeletha yandile yadlula kakhulu iphilisi, izifingo, namakhondomu. Kepha ukukhetha ukulawulwa kokuzalwa kuyisinqumo somuntu ngokujulile, futhi kulula ukuzizwa usindwa yizinketho.

Ekugcineni, isinqumo sokuthi hlobo luni lokulawulwa kokuzalwa okulungele wena luphakathi kwakho nodokotela wakho. Ukulawulwa kwakho kokuzalwa okufanelekile kuncike ezintweni eziningi, kufaka phakathi ukuthi ukulawulwa kokubeletha kwe-hormonal kuyisinqumo esihle yini, unethezeke kangakanani ngezinqubo zokwelashwa ezincane, noma ngabe uyakwazi ukuthatha imishanguzo yomlomo njalo, nokuningi.

Kulo mhlahlandlela, sizohlola izinhlobo ezivame kakhulu zokulawulwa kokuzalwa. Sizophendula imibuzo ngezinhlobo zokulawulwa kokuzalwa ukukusiza wenze isinqumo esinolwazi kakhulu mayelana nokuhlela kwakho umndeni.

Yiziphi izinhlobo ezahlukahlukene zokhetho lokulawulwa kokuzalwa?

Lezi izindlela ezivame kakhulu zokulawulwa kokubeletha.

• Amaphilisi okulawula ukubeletha amaHormonal
• Amadivayisi we-intrauterine (aka IUDs)
• Izimila zokuvimbela inzalo
• Ukudubula kokuzalwa
• Amachashazi okuvimbela inzalo
• Izinketho zezithiyo (isb., Amakhondomu abesilisa, amakhondomu abesifazane, izipanji)

Kubiza malini ukuzalwa?

Izindleko zokulawulwa kokuzalwa ziyahlukahluka ngendlela kepha ngokwesilinganiso, ukulawulwa kokuzalwa kungabiza phakathi kuka- $ 0 no- $ 50 ngenyanga. Ezinye izinketho zokulawulwa kokuzalwa njenge-IUD, zingabiza u- $ 1,300 ngemali yesikhathi esisodwa kepha zizohlala iminyaka eminingana.

Iyiphi indlela ephumelela kunazo zonke yokulawula ukubeletha?

Ngokuvumelana ne Umzali Ohleliwe , izindlela ezimbili ezisebenza kahle kakhulu zokulawula inzalo kufakelwa izinto zokulawula inzalo nama-IUD, angaphezulu kuka-99% ngempumelelo.

Ezinye izindlela zokulawulwa kokuzalwa njengephilisi lokulawula ukuzalwa, ziqhayisa ngezinga elifanayo lokusebenza. Kodwa-ke, iphilisi nezinye izindlela ezisetshenziswa kushejuli azisebenzi kahle uma uhlelo lungagcinwanga ngokuqinile. Ngaleso sizathu, azisebenzi 99% ngokusetshenziswa okujwayelekile.

Yiziphi izinketho zokulawula ukubeletha okungezona ezesisindo?

Kunezinketho eziningi zokulawula ukubeletha okungezona noma eziphansi.

• Ama-IUD wethusi (ungasebenzisi ama-hormone)
• Izindlela zokuvimbela (isb., Amakhondomu abesilisa, amakhondomu abesifazane)
• Ukufakwa kokulawulwa kokuzalwa (isebenzisa iprogestin kuphela, hhayi i-estrogen)
• I-Hormonal IUDs (isebenzisa i-progestin kuphela, hhayi i-estrogen)
• Ukulawulwa kokuzalwa kokuzalwa (isebenzisa iprogestin kuphela, hhayi i-estrogen)

Uma unomlando we-migraine, njengamanje uncelisa, noma unomlando wamahlule egazi, udokotela wakho angakutusa ukuthi uzame indlela yokulawula ukubeletha engeyona eye-hormonal noma ephansi njengaleyo ebhalwe ngenhla.

Iphilisi lokulawula ukubeletha

Iphilisi lokulawula ukubeletha laqala ukunyakaza kwesimanje kokulawulwa kokuzalwa ngawo-1960 futhi lihlala liyindlela ethandwa ngabesifazane namuhla.

Liyini iphilisi lokulawula ukubeletha?

Iphilisi yokulawula inzalo iyindlela yokuvimbela inzalo oyithatha ngomlomo ngasikhathi sinye nsuku zonke. Imikhiqizo ejwayelekile ifaka i-Alesse, Levlen, Ortho Tri-Cyclen, Loestrin, Ortho-Novum, Estrostep, Lessina, Levlite, Aviane, Levora, Lo Ovral, Aranelle, Natazia, Enpresse, Mircette, Apri, Yasmin, Nordette, neYaz.

Asebenza kanjani amaphilisi okuvimbela inzalo?

Ukulawulwa kokuzalwa kusebenza ngokumisa i-ovulation. Ngokumisa i-ovulation, isidoda asikwazi ukufinyelela eqandeni ngoba alikho iqanda elitholakalayo ukuze isidoda sikhule. Amaphilisi okuvimbela inzalo abuye aqine isikhwehlela somlomo wesibeletho, okwenza kube nzima ukuthi isidoda sifinyelele eqandeni.

Asebenza kangakanani amaphilisi okulawula ukubeletha?

Uma isetshenziswa njengokuyalelwa, iphilisi lokulawula ukubeletha lisebenza ngama-99%. Kodwa-ke, uma ungaphuzi iphilisi ngasikhathi sinye nsuku zonke noma weqa izinsuku ngokuphelele, ayisebenzi kangako. Kukonke, ngokusetshenziswa okujwayelekile, iphilisi lokulawula ukubeletha isebenza cishe ngama-91% .

Uwaphuza kanjani amaphilisi okuvimbela inzalo?

Uphuza amaphilisi okuvimbela inzalo ngomlomo (ngomlomo) kanye ngosuku cishe ngesikhathi esifanayo. Isikhathi sosuku asisho lutho, kepha kufanele sivumelane.

Kuthatha isikhathi esingakanani ukuthi amaphilisi okuvimbela inzalo aqale ukusebenza?

Ngokwesilinganiso, iphilisi lokulawula ukubeletha lithatha izinsuku eziyisikhombisa ukuze lisebenze ngokuphelele. Uma uqala iphilisi lokulawula ukubeletha ngosuku lokuqala lokuya esikhathini, noma kunjalo, lingangena ngokushesha. Abakhiqizi bokulawula inzalo bancoma ukuthi usebenzise indlela yesibili yokuvimbela inzalo, njengamakhondomu, ezinsukwini eziyisikhombisa zokuqala.

Amadivayisi we-intrauterine (IUD)

Yize amadivayisi we-intrauterine ebeyindlela yokulawula ukubeletha kusukela ngo-1909, bekungeyona indlela esetshenziswa kakhulu kuze kusungulwe i-copper IUD ngawo-1960. Namuhla, ama-IUD ayindlela esetshenziswa kakhulu yokulawula ukubeletha okusebenza isikhathi eside (LARC).

Yini i-IUD?

I-IUD (intrauterine device) iyithuluzi elincane elime ngo-T elifakwa esibelethweni yi-OB-GYN. Kunezinhlobo ezimbili zama-IUD: i-progestin IUDs (iMirena, iSkyla, neLiletta) nama-IUDs wethusi (iParaGard).

Isebenza kanjani i-IUD?

I-Copper ne-progestin IUDs zombili zisebenza ngokuvimba amaseli wesidoda ukuba angafiki eqandeni. Amaseli wesidoda awasabeli kahle ethusi, okuvimba ikhono lesidoda ukufinyelela eqandeni. Ama-Progestin IUDs ajiya amafinyila emlomo wesibeletho futhi avimbele ukuphuma kweqanda (njengephilisi lokulawula ukuzalwa).

Iphumelela kangakanani i-IUD?

I-IUD isebenza ngama-99%. Njengoba le divayisi ifakwa ngudokotela, kunengozi encane yokusetshenziswa okungaphelele njengoba kukhona nephilisi lokulawula ukuzalwa noma amakhondomu. Ama-IUD wethusi neprogestin asebenza ngokulinganayo. Kodwa-ke, ama-IUD wethusi ahlukile ekusebenziseni inzalo ephuthumayo lapho efakwa kuze kube yizinsuku ezinhlanu ngemuva kocansi olungavikelekile.

Ihlala isikhathi esingakanani i-IUD?

IUD yethusi ingenye yezindlela zokuvimbela inzalo ezihlala isikhathi eside futhi isebenza kuze kube yiminyaka eyi-12. Ama-Progestin IUDs ahlala phakathi kweminyaka emithathu nesikhombisa ngemuva kokufakwa kuye nge-IUD.

Kubiza malini i-IUD?

I-IUD ingaba mahhala uma ihlanganiswe ngokuphelele ngumshuwalense noma ibiza kuze kufike ku- $ 1,300 ngaphandle kokutholakala komshuwalense wezempilo.

Kuthatha isikhathi esingakanani ukusebenza i-IUD?

IUD yethusi iyasebenza ngokushesha ngemuva kokufakwa njengoba ingathembeli kumahomoni asebenza emzimbeni wakho. Ama-IUD asuselwa kuHormone angathatha kuze kube yisonto ukuthi asebenze ngokugcwele ekuvikeleni ukukhulelwa.

Yini imiphumela emibi yama-IUD?

Imiphumela emibi yama-IUD ibhalwe ngezansi.

• Ubuhlungu ngesikhathi nangemva kokufaka okufakiwe (imvamisa kuncipha uma usesikhathini sakho ngesikhathi sokufakwa futhi uma uthatha ibuprofen imizuzu engama-30 ngaphambi kwenqubo)
• Ukuqobeka nokuqaqamba emuva ezinsukwini ezilandelayo ukufakwa
• Ukuqaphela phakathi kwezikhathi
• Izikhathi ezingajwayelekile ezandayo (noma azikho nhlobo)
• Kwezinye izimo, izinkathi ezisindayo nezinsika zokuya esikhathini (ezivame kakhulu ngama-IUDs ethusi)

Ukufakwa kokulawulwa kokuzalwa

Ukufakwa kokulawulwa kokuzalwa kuyindlela ethandwa kakhulu yokulawula ukubeletha okuthatha isikhathi eside. Isebenza ngokufanayo ne-IUD yehomoni, kodwa ifakwe engalweni kunasesibeletho.

Kuyini ukufakelwa kokulawulwa kokuzalwa?

Ukufakwa kokulawulwa kokuzalwa (i-Nexplanon) kufakelwa okuncane kwepulasitiki okufakwa engalweni yakho ngumhlengikazi noma udokotela ngesikhathi sokuvakasha okufushane kwehhovisi.

Kusebenza kanjani ukufakelwa kokulawulwa kokuzalwa?

Ukufakelwa kokulawulwa kokuzalwa kusebenza ngokuvimbela ukukhiqizwa kweqanda futhi kukhulise isikhwehlela somlomo wesibeletho esigcina isidoda singabhukudi siye eqandeni.

Kusebenza kanjani ukufakelwa kokulawulwa kokuzalwa?

Ukufakwa kokulawulwa kokuzalwa (njenge-IUD) kusebenza ngama-99%. Ngokungafani namakhondomu noma iphilisi lokulawula ukubeletha, cishe alikho igumbi lephutha lomsebenzisi, elenza ukufakwa kokulawulwa kokuzalwa kusebenza ngokulinganayo kumcabango nasekusebenzeni.

Kuthatha isikhathi esingakanani ukufakwa kokulawulwa kokuzalwa?

Ngokwewebhusayithi yeNexplanon, ukufakelwa kokulawulwa kokuzalwa kusebenza iminyaka emithathu . Kodwa-ke, ingasuswa uma uthatha isinqumo sokukhulelwa kungakapheli iminyaka emithathu kufakiwe.

Kubiza malini ukufaka inzalo?

Ukufakwa kokulawulwa kokubeletha kungabiza okuncane njenge- $ 0 uma kumbozwe ngokuphelele ngumshuwalense. Kungabiza kuze kufike ku- $ 1,300 uma ingamboziwe. Ukususwa kokufakwa kokulawulwa kokuzalwa kungabiza kusuka ku- $ 0 kuye phezulu ku- $ 300 kuye ngokutholakala komshuwalense.

Kuthatha isikhathi esingakanani ukufaka ukufakwa kokulawulwa kokuzalwa?

Ukufakwa kokulawulwa kokuzalwa kuthatha cishe izinsuku eziyisikhombisa ukuze kusebenze ngokuphelele. Kodwa-ke, uma ukufakwa kufakwa ezinsukwini ezinhlanu zokuqala zesikhathi sakho, kungasebenza ekuvimbeleni ukukhulelwa ngokushesha.

Yimiphi imiphumela emibi yokufakwa kokulawulwa kokuzalwa?

Ukufakwa kokulawulwa kokuzalwa kunemiphumela emibi ethile okufanele icatshangwe.

• Izinkathi ezilula noma ezisindayo
• Akukho ukopha nhlobo ngesikhathi sakho
• Ukuqaphela phakathi kwezikhathi
• Isikhathi esingalindelekile phakathi kwezikhathi
• Ukushintsha kwemizwelo
• Ukuzuza kwesisindo esincane
• Izinduna
• Ukucindezeleka
• Ukuphathwa ikhanda
• Ubuhlungu besikhashana endaweni yokufaka

Ukulawulwa kokuzalwa kudutshulwe

Isibhamu sokulawulwa kokuzalwa saqala ukwethulwa ngasekupheleni kweminyaka yama-1950 futhi sasitholakala njengezilawuli zokubeletha e-United States kwaze kwaba ngu-1992. Njengesidakamizwa, sinokusetshenziswa okuningi okubandakanya ukunciphisa izimpawu zokunqamuka kokuya esikhathini.

Ngabe kudutshulwana kanjani?

I-shot control (aka Depo-Provera) ngumjovo onikezwa njalo ezinyangeni ezintathu ukuvimbela ukukhulelwa. Isibhamu singanikezwa uchwepheshe wezokwelapha noma, kwezinye izimo, singaphathwa ekhaya. IDepo-SubQ ilawulwa ngaphansi kwesikhumba (ngaphansi kwesikhumba) kunasemisipheni (ngaphakathi).

Kusebenza kanjani uhlelo lokulawula ukuzalwa?

Njengezinye izinhlobo zokulawulwa kokubeletha kwe-hormonal, isibhamu sokulawulwa kokuzalwa sisebenza ngokuvimbela ukuvuthwa kwe-ovulation kanye nokuqina kwesikhumba somlomo wesibeletho ukuze isidoda singakwazi ukubhukuda sibe ngamaqanda. Isibhamu singanikezwa njalo emavikini ayishumi kuye kwali-15 kuya ngohlelo lwakho. Kodwa-ke, abakhiqizi bancoma ukuthi badutshulwe njalo emavikini ayi-12 ngoba isibhamu asisebenzi kangako uma ulinda ngaphezu kwamasonto ayi-15 phakathi kwesibhamu.

Kudutshulwa kanjani ukusebenza kokulawulwa kokuzalwa?

Uma ilawulwa ngohlelo oluphelele, isibhamu sokulawula ukubeletha sisebenza ngempumelelo engama-99%. Kodwa-ke, ngoba isibhamu asihlali silawulwa ngesikhathi, ukusebenza okulingene yi-94%.

Kudutshulwa isikhathi esingakanani?

Isibhamu sokulawula inzalo sithatha izinyanga ezintathu. Kodwa-ke, kungathatha izinyanga eziyi-10 ngaphandle kokudutshulwa ukukhulelwa. Kuthatha isikhathi ukuthi ama-hormone ashiye umzimba wakho.

Kubiza malini ukulawulwa kokuzalwa?

Ukudubula kokulawula ukubeletha kungabiza noma yikuphi kusuka ku- $ 0 uma kumbozwe ngokuphelele ngumshuwalense kuya ku- $ 150 ngokudubula ngakunye.

Kuthatha isikhathi esingakanani ukudutshulwa kokulawula ukubeletha ukusebenza?

Ngemuva kokudutshulwa kwakho kokuqala kokuzalwa, kungathatha izinsuku eziyisikhombisa ngaphambi kokudubula. Kodwa-ke, uma uhlela ukudubula kwakho ezinsukwini ezinhlanu zokuqala zesikhathi sakho, kungasebenza ngokushesha. Isibhamu sokulawulwa kokuzalwa sithatha izinyanga ngemuva kokuthola isibhamu. Eqinisweni, kungathatha izinyanga eziyishumi ngemuva kokudutshulwa kwakho kokugcina ngaphambi kokuthi ukhulelwe njengoba amahomoni ethatha isikhathi ukuphuma kusistimu yakho.

Isiqephu sokulawula inzalo

Isiqephu sokuvimbela inzalo singenye yezindlela ezintsha zokulawulwa kokubeletha. Kwafika emakethe ngonyaka we-2002 futhi kuyathandwa phakathi kwabesifazane abangafuni ukuphuza iphilisi lansuku zonke futhi abangafuni ukulawulwa kokubeletha okubuyela emuva okuthatha isikhathi eside.

Siyini isichibi sokulawula inzalo?

Isiqephu sokulawula ukuzalwa yisitika osigqoka emzimbeni wakho njengesichibi se-nicotine. Kuvame ukugqokwa engalweni, emuva emuva, noma esiswini. Isiqephu sidinga ukuguqulwa kanye ngesonto. Umkhiqizo ovame kakhulu yiXulane.

Sisebenza kanjani isichibi sokulawulwa kokuzalwa?

Isiqephu, njengezinye izinhlobo zokulawulwa kokubeletha kwamahomoni, sivimbela ukukhulelwa ngokuvimba umzimba wakho ekuvuthweni nasekuqiniseni isikhwehlela somlomo wesibeletho esigcina isidoda singahlangani neqanda.

Sisebenza kanjani isichibi sokuzalwa?

Lapho isichibi sisetshenziswa ngemiyalo ngayinye, sisebenza ngempumelelo engama-99%. Ekusebenziseni okuvamile, okunegumbi elithile lephutha, kusebenza cishe ngama-91%. Iphutha elivame kakhulu elenziwa lapho kusetshenziswa isichibi akusishintshi njalo.

Sisebenza isikhathi esingakanani isichibi sokulawula ukuzalwa?

Isiqephu sihlala izinsuku eziyisikhombisa futhi sidinga ukuguqulwa kanye ngesonto, kuhle ngesikhathi esifanayo.

Ibiza malini ipeshi yokulawula ukuzalwa?

Uma imbozwe ngokuphelele umshwalense wakho, isichibi singakhululeka. Noma kunjalo, kubiza cishe u- $ 150 ngokugcwaliswa kabusha kadokotela ngaphandle komshwalense.

Kuthatha isikhathi esingakanani ukuthi isichibi sokulawula ukubeletha sisebenze?

Uma uqala ukusebenzisa isichibi ezinsukwini ezinhlanu zokuqala kwesikhathi sakho, kuqala ukusebenza ngokushesha. Uma uqala ukuyisebenzisa nganoma iyiphi enye indawo emjikelezweni wakho, isichibi singathatha izinsuku eziyisikhombisa ukuqala ukusebenza. Ngalezi zinsuku eziyisikhombisa, umenzi uncoma ukuthi usebenzise indlela yesibili yokulawula ukubeletha, njengamakhondomu.

Izinketho zesithiyo

Izinketho zezithiyo zingenye yezindlela ezindala kakhulu zokulawulwa kokuzalwa. Amakhondomu abesilisa awuhlobo oluthandwa kakhulu lokuvimbela ukubeletha, kepha abesifazane bangazithathela imishanguzo yabo yokuvikela ukukhulelwa ezandleni zabo ngamakhondomu abesifazane kanye nama-diaphragms. Yize ama-diaphragms nawo eyindlela yokulawula ukubeletha, awavikeli kuma-STD. Ikhondomu yabesilisa nabesifazane ukuphela kwezindlela zokulawula ukubeletha kulolu hlu ezivikela kuma-STD.

Asebenza kanjani amakhondomu abesilisa?

Amakhondomu abesilisa asebenza ngokunikeza umgoqo phakathi kwesidoda sowesilisa neqanda lowesifazane. Zigqokelwe ngaphandle ethangeni futhi ziyizikhwama ezincane, ezinwebekayo ezivimbela isidoda ukuthi singene.

Asebenza kangakanani amakhondomu abesilisa?

Uma isetshenziswe kahle, ikhondomu yabesilisa isebenza ngempumelelo engama-98% ekuvimbeleni ukukhulelwa. Ngokuvamile, amakhondomu asebenza cishe ngama-85%. Amakhondomu asebenza kangcono uma esetshenziswa njengoba imiyalo iyalela futhi ifakelwe usayizi ofanele wenduku.

Ikhondomu yabesifazane isebenza kanjani?

Ikhondomu yabesifazane isebenza ngokwenza njengomgoqo phakathi kwesidoda neqanda ngesikhathi socansi. Ngokungafani nekhondomu yabesilisa, egqokwa ethangeni, ikhondomu yabesifazane ingena ngaphakathi esithweni sangasese sowesifazane.

Asebenza kangakanani amakhondomu abesifazane?

Ngokuvumelana ne Umzali Ohleliwe , amakhondomu abesifazane (aka ngaphakathi) asebenza ngama-95% uma esetshenziswa kahle, kepha asebenza cishe ngama-79% ngokusetshenziswa okujwayelekile.

Thola indlela esebenza kangcono kuwe

Kunezinketho eziningi zokulawulwa kokuzalwa ngesizathu: Ayikho indlela eyodwa efanelekile kuwo wonke umuntu. Abesifazane abaningi bazama izinhlobo ezahlukahlukene zokuvimbela inzalo ngaphambi kokuthola indlela esebenza kangcono kubo nasemizimbeni yabo.

Manje njengoba wazi umehluko phakathi kwezinhlobo ezithandwa kakhulu zokulawulwa kokubeletha, khuluma nodokotela wakho mayelana nokuthi yini ekufanele kakhulu.