Ingabe ukulawulwa kokuzalwa kukwenza ukhuluphale?

Imfundo Yezempilo

Iningi labantu lizizwile izindaba ezimayelana nabesifazane abaqale ukusebenzisa indlela yokulawula ukubeletha kuphela ukubuka izinombolo esikalini ziqala ukukhuphuka kancane kancane. Eqinisweni, ezinye abesifazane baze bagweme ukuthatha ukulawulwa kokuzalwa kwamahomoni ngoba bakholelwa emithi yomlomo (njenge amaphilisi okuvimbela inzalo ), amadivayisi we-intrauterine (IUDs), isibhamu , futhi okufakelwa kungadala ukuzuza kwesisindo.

Izindaba ezimnandi, ngokusho kodokotela, ukuthi ukuvimbela ukuzala kwesisindo akuyona into engenakugwemeka-noma ejwayelekile.

Ingabe ukulawulwa kokuzalwa kukwenza ukhuluphale?

Ezimweni eziningi, ukulawulwa kokuzalwa akubangeli ukuzuza kwesisindo. Amaphilisi okulawula ukubeletha aqukethe ama-hormone futhi abesifazane abaningi bakhathazekile ngokuthi uma beqala ukuphuza la maphilisi, kuzodala ukuzuza kwesisindo, kusho UDkt Heather Irobunda , udokotela wokubelethisa / wezifo zabesifazane eForest Hills, eNew York. Iqiniso ukuthi kube nezifundo eziningi ezibheke ukuzuza kwesisindo namaphilisi okulawula ukubeletha futhi azitholanga ukuxhumana phakathi kwalokhu okubili.

UDkt Arthur Ollendorff, i-OB-GYN e-Asheville, eNorth Carolina, kanye noprofesa wezokwelapha e-OB-GYN e-University of North Carolina-Chapel Hill, uyavuma, Ukubuyekezwa kwezifundo zobudokotela empeleni kukhombisa ukuthi izinketho zanamuhla zokulawula ukuzalwa kwamahomoni akunakwenzeka ukudala isisindo somzimba.

Ukuhumusha okungajwayelekile kwezinye izincazelo ezimbalwa zokushintshwa kwesisindo.

1. Ukugcinwa kwamanzi

Imiphumela emibi yesikhashana yokulawulwa kokuzalwa ingafaka ukugcinwa koketshezi, ukuqunjelwa, noma ukwanda kwezicubu zemisipha noma amafutha omzimba. Lezi zihlala isikhathi esifushane, futhi zizohamba ngesikhathi.

Abanye besifazane bangabona ukugcinwa koketshezi njengokuzuza kwesisindo, kusho UDkt Hina Cheema , i-OB-GYN eTroy, eMichigan. Ungahle ulahlekelwe ngamafutha ngenxa yokudla kwakho nenqubo yokuqina, kepha isikali sakho asikukhombisi lokho. Lokhu akusho ukuthi awulahli isisindo, kusho nje ukuthi ukwehla kwakho kwesisindo kungenzeka ukuthi kuthathelwe indawo ukugcinwa koketshezi, okufanele kuthuthuke ezinyangeni ezimbili kuya kwezintathu.

2. Izinguquko zendlela yokuphila

Owesifazane waseMelika ojwayelekile ufaka njalo cishe iphawundi unyaka nonyaka, ukuqala ebudaleni, kulula ukucabanga ukuthi ukulawulwa kokuzalwa kuyimbangela yalowo maphawundi angeziwe. Eqinisweni, abesifazane abasebasha bavame ukuqala ukusebenzisa izinto zokuvimbela inzalo ngesikhathi sokuthomba sekwedlule isikhathi noma ngemuva kokuphela kokuthomba, lapho beyeka ukukhula bade futhi imvamisa baqala ukukhulisa okuqukethwe komzimba wabo. Lapho isiguli sikhathazekile ngesisindo somzimba ngemuva kokuqala amaphilisi okuvimbela inzalo, uDkt Irobunda uzobuza ukuthi ngabe kukhona yini okunye okushintshile empilweni yakhe njengokudla, amazinga womsebenzi, noma ngabe uhlangabezana nokukhathazeka ekhaya noma emsebenzini.

Uma othile enezingcindezi ezintsha [empilweni yakhe], lokho kungaba nomthelela ekuzuzeni isisindo, kusho uDkt Irobunda, ophawula ukuthi ukuzivocavoca umzimba njalo nokudla ukudla okunempilo kungavimbela ukuzuza kwesisindo noma ngabe iyiphi indlela yokuvimbela inzalo owesifazane ayikhethayo.

3. Izinhlobo ezindala zokulawulwa kokuzalwa

Imibono eminingi eyiphutha mayelana nokulawulwa kokuzalwa nokuzuza kwesisindo yaqala njengomphumela wamaphilisi amadala okulawula ukubeletha ayenezinga eliphakeme lamahomoni e-estrogen.

Isifundo esisodwa ithole ukuthi amaphilisi okulawula ukubeletha akhiqizwa ngeminyaka yo-1950 ayenama-micrograms ayi-150 (mcg) e-estrogen mestranol — kanti amaphilisi amasha okulawula inzalo amasha anezinga eliphansi kuphela le-estrogen (20-50 mcg). Uma ukhathazekile, khuluma nomhlinzeki wakho wezokunakekelwa kwezempilo mayelana nezinketho zedosi eliphansi.

Yiziphi izinketho zokulawula ukuzalwa ezikwenza ukhuluphale?

Kunendlela eyodwa yokulawula ukubeletha ekhonjisiwe ukuthi ibangele ukuzuza kwesisindo sesikhathi eside kwabanye besifazane: imijovo yehomoni.

Ukudubula kokukhulelwa kwamahomoni Ukuhlolwa Kwedepho (Aka depo medroxyprogesterone), enikezwa njalo ezinyangeni ezintathu, ikhonjisiwe ukuthi ibangela ukukhuluphala kwabanye besifazane, kusho uDkt Irobunda. NgeDepo-Provera, abesifazane bangabona futhi ukuthi kunzima kakhulu ukwehlisa isisindo. Isifundo esisodwa bathole ukuthi ezinyangeni eziyisithupha zokuqala ukusetshenziswa, owesifazane oyedwa kwabane othole isibhamu iDepo-Provera uthole u-5% noma ngaphezulu wesisindo sabo sokuqala.

Uma ukukhathazeka kwesisindo kuyinkinga, kufanele ukhulume nomhlinzeki wakho mayelana nezinye izindlela zokulawula ukubeletha, njengephilisi, iringi, ukufakelwa, noma i-IUD, kunokuba kudutshulwe.

Kubalulekile ukuthi uqaphele ukuthi isibhamu asiqukethe ama-calories noma sishintshe imetabolism yakho, kunalokho sandisa ukuthanda kwakho ukudla. Ngakho-ke, kwabanye besifazane, isibhamu siyindlela enhle yokuvimbela inzalo uma beqhubeka nokudla ukudla okunempilo nosayizi bezingxenye futhi behlala bekhuthele.

Yikuphi ukulawula inzalo okungabangeli ukuzuza kwesisindo?

Iphilisi, isichibi Xulane iringi ( I-Nuvaring ), ukufakwa ( I-Nexplanon ), nama-IUD (njenge UMirena noma iParagard) zonke izindlela zokulawula ukubeletha ezingenakwenzeka ukuthi zidale noma yikuphi ukuzuza okukhulu kwesisindo.

Vele, kuhlala kukhona okuhlukile kulo mthetho. Izifundo kubonise ukuthi ukufakelwa akunakwenzeka ukuthi kubangele ukuzuza kwesisindo, kodwa abanye abasebenzisi kubike. Iningi labasebenzisi be-IUD yamahomoni abapakisha kumakhilogremu, kepha cishe 5% weziguli bika amanani akhuphukayo esikalini.

Uma ukhathazekile, kuningi ezinye izinketho okungakaze kuholele ekutholeni isisindo-kufaka phakathi ukukhulelwa okungeyona eyamahomoni njenge-IUD yethusi noma izindlela zokuvimbela, ezaziwa nangokuthi amakhondomu. Abesifazane abakhathazekile ngokuthola isisindo ekulawuleni ukubeletha kwe-hormonal kufanele bacabangele izindlela ezingezona eze-hormone njenge-IUD yethusi noma umthamo ophansi we-hormone onjenge-progestin IUD, kusho uDkt. Ollendorff. Njengoba zonke izindlela zokulawula ukubeletha zinemiphumela engemihle engaba khona, ngibuza iziguli zami mayelana nokukhathazeka kwazo bese ngikhetha inketho evumelana kangcono nezidingo zazo.

I-IUDs yethusi, engeyona eye-hormonal ayikhonjiswanga ukuthi ibangele ukukhuluphala, uDkt Irobunda uyavuma. Ekugcineni, imiphumela emibi ihlukile kowesifazane ngamunye, ngakho-ke kubaluleke kakhulu ukukhuluma nomhlinzeki wakho wezokwelapha ukuxoxa ngazo zonke izinketho zakho nokukhathazeka kwakho.