Ungakusebenzisa yini ukulawula ukubeletha kwe-hormonal ngenkathi uncelisa?

Imfundo Yezempilo Izindaba Zomama

Lokhu kuyingxenye yochungechunge lokuncelisa ibele ukweseka iNyanga Kazwelonke Yoncelisayo (Agasti). Thola ukumbozwa okuphelele lapha .

Ngemuva kokuthi owesifazane abelethe, ukuthola omunye umntwana kungaba yinto yokugcina engqondweni yakhe. Abanye omama abahlengikazi bakholelwa ukuthi bangakwazi ukuvimbela ngempumelelo ukukhulelwa ngokumane baqhubeke nokuncelisa izingane zabo. Kepha ngokungafani nenkolelo evamile, kungenzeka ukuyithola ukhulelwe ngenkathi uncelisa -Yingakho kufanele ucabange ukuthi ungakuvimbela kanjani ukukhulelwa ngaphambi kokuqala kabusha ukuya ocansini.

Abanye besifazane bathembele ezindleleni zokuvimbela ukukhulelwa, njengamakhondomu noma izifingo. Abanye bangakhetha i-Intrauterine Device (IUD) yethusi. Kepha enye yezinketho ezithandwa kakhulu ekuvimbeleni ukukhulelwa kusengukulawulwa kokuzalwa kwamahomoni.

Ukuthatha ukulawulwa kokuzalwa kwe-hormonal ngenkathi uncelisa

Izinhlobo eziningi zezindlela zokuvimbela inzalo zamahomoni ziphephile ukuthi omama abangabahlengikazi bazithathe, ngokusho ILa Leche League . Inani elincane le-hormone yokwenziwa lizofaka ubisi lwakho lwebele bese ludluliselwa enganeni yakho, kepha ngeke kulimaze ingane. Kodwa-ke, kunobunye ubufakazi bokuthi izingane ezincane kakhulu, ezingaphansi kwamasonto ayisithupha ubudala, kungenzeka zingakwazi ukuhlanganisa ama-hormone, ngakho-ke odokotela bavame ukuncoma ukuthi bangaqali ukulawulwa kokuzalwa kwamahomoni okungenani amasonto ayisithupha ngemuva kokuzalwa.

Ukulawulwa kokuzalwa kwehormonal ingeza ngezindlela ezahlukahlukene:

• Izindlela zokuvimbela inzalo ezihlanganisiwe: Lokhu abantu abaningi bakubiza ngokuthi iphilisi. Kuyinhlanganisela yamahomoni i-estrogen ne-progestin, futhi abesifazane kumele bakuthathe nsuku zonke ngasikhathi sinye.
• Iphilisi le-Progestin kuphela: Lokhu kwaziwa nangokuthi iphilisi elincane, iphilisi labahlengikazi, noma i-POP. Ngokungafani nephilisi elihlanganisiwe, i-POP ine-hormone eyodwa kuphela, i-progestin. Abanye besifazane basebenzisa leli philisi ngenkathi bencelisa ukuze bagweme ukulahlekelwa ubisi, njengoba i-estrogen yaziwa ngokunciphisa ukunikezwa kwabanye besifazane. Amaphilisi e-progestin kuphela mancane amathuba okuthi anciphise ukutholakala kobisi, kepha abanye besifazane bayazwela kule mikhiqizo, futhi.
• Ukufakelwa: Ukufakelwa yinduku encane efakwa udokotela wakho ngaphansi kwesikhumba sakho engalweni engaphezulu. Induku iqukethe iprogestin ekhishwa kancane emzimbeni wakho phakathi neminyaka emithathu.
• Ukujova noma ukudubula: Lo ngumjovo we-hormone progestin ezinqeni noma engalweni njalo ezinyangeni ezintathu. Inikezwa ngudokotela. Ngokuvamile, abesifazane kufanele bavivinye iphilisi kuphela le-progestin kuphela ukuthola ukuthi ngabe le hormone inethonya yini ekunikezelweni kwabo ubisi.
• Isiqephu: Abesifazane bangagqoka isichibi sokulawula inzalo esiswini sabo esingezansi, ezinqeni, noma emzimbeni ongaphezulu. (Ungayifaki emabeleni akho.) Ikhipha kancane kancane ama-hormone estrogen ne-progestin egazini lakho. Ufaka isichibi esisha kanye ngesonto amasonto amathathu, bese uhamba ungenaso isichibi ngeviki lesine. Yilapho uzothola khona isikhathi sakho.
• Indandatho yokukhulelwa kwesitho sangasese sowesifazane: Le yindandatho oyifaka ngaphakathi esithweni sakho sangasese, futhi idedela ama-hormone progestin ne-estrogen egazini lakho. Ufaka iringi amasonto amathathu, bese uyayikhiphela isonto lokuya esikhathini kwakho.

Ingabe ukulawulwa kokuzalwa kwamahomoni kuthinta ukunikezwa kobisi?

Abanye besifazane abancelisayo babekezelela ukukhulelwa kwe-hormonal ngaphandle kwenkinga. Kepha kwesinye isikhathi, i-estrogen kule mikhiqizo ingadala ukuthi ubisi lwakho lome.

Abantu abathile bazwela kakhulu kuma-hormone kunabanye abantu, kusho uRachael Martin, umhlengikazi obhalisiwe eBowie, eMaryland. Kwabanye, ngisho nephilisi elincane linganciphisa ukutholakala kobisi ngenkathi abanye bengaboni ukuthinteka kokuhlinzekwa kwabo ngisho nokudutshulwa kweDepo.

Ingcuphe yokuncishiswa kokutholakala kobisi ibaluleke kakhulu kwabesifazane abancelisa ingane engaphezulu kwezinyanga eziyisithupha noma izingane zabo ezingancelisi ibele kuphela. Uma usuvele ubhekene nokunikezwa ubisi oluncane, ukulawulwa kokuzalwa kwamahomoni kungayandisa leyo nkinga.

Ngakho-ke lokhu kusho ukuthini kuwe? Uma ungumama ongumhlengikazi futhi ufuna ukuzama ukuvimbela ukuzalwa kwe-hormonal, khuluma nomhlinzeki wakho. Odokotela abaningi bazoncoma ukuthi uzame iphilisi elincane, ngoba mancane amathuba okuthi kuthinte ukunikezwa kwakho ubisi.

OKUSHIWO: Ungakwazi yini ukuthatha incwadi kadokotela yokwandisa ukutholakala kobisi?

Omama kufanele baxoxe ngezindlela ezingcono kakhulu zokulawula ukubeletha nomhlinzeki wabo, kusho uKelly Kendall, umhlengikazi obhalisiwe kanye nomeluleki we-lactation eCrofton, eMaryland. Kepha ngokuvamile izinketho ze-progesterone kuphela zinethuba eliphansi kakhulu lokuthinta ukunikezwa kobisi.

Ungamangali uma umzimba wakho usabela ngendlela ehlukile kwabanye. Wonke umuntu wesifazane uhlukile, futhi umzimba wakho uzosabela kuma-hormone ngendlela yawo. Uma ukulawulwa kokuzalwa kwakho kubangela noma yimiphi imiphumela emibi ekhathazayo, kufaka phakathi ukunikezwa ngobisi oluncane, buza umhlinzeki wakho mayelana nezinketho zakho. Njengoba ukwazi ukubona ohlwini olungenhla, kunezinhlobo eziningi zokuvimbela inzalo ezitholakalayo, futhi eyodwa yazo ingakulungela.