Okufanele ukwazi ngokulawulwa kokubeletha ngemuva kokukhulelwa

Imfundo Yezempilo

Ukuba ngumzali omusha kungakhungathekisa, ikakhulukazi komama abasha: Usanda kuthola ushintsho olukhulu lomzimba (nokuhlinzwa okukhulu kwesisu, uma ngabe uthole isigaba se-C). Cishe untula ubuthongo futhi usezinhlungwini. Ngaphezu kwalokho, manje usubophezeleke ngokuphelele kumuntu omusha sha okungenzeka ukuthi uyithola yonke le nto njengokukhathazeka kwemizwa njengoba wenza.

Kwanele ukusho, unokuningi engqondweni yakho. Kodwa-ke, kunento eyodwa ebalulekile ongafuna ukuyicabangela: ukulawulwa kokuzalwa. Noma ngabe uzibheka njengomuntu owenze into eyodwa noma ohlela ukuyinikeza ingane yakini ingane yakini ngokuzayo, uhlobo oluthile lokulawulwa kokuzalwa cishe luzodlala indima ebalulekile esikhathini esizayo esiseduze. Ngezansi, izinto ezimbalwa ochwepheshe abafuna wazi ngazo:

Ungakhulelwa futhi — noma ngabe uncelisa.

Omama abaningi abasha bacabanga ukuthi, 'O, ngiyawunakekela, ngakho-ke angikwazi ukukhulelwa,' kodwa akulona neze iqiniso, kusho u-Alyssa Dweck, MD, i-OB-GYN ezinze eNew York. U-OB-GYN UMary Jane Minkin, MD, uyavuma, ethi kwenzeka ngaso sonke isikhathi.

Ngamanye amagama, inganekwane yokuncelisa ibele njengokulawula ukubeletha imane nje… inganekwane. Ukudideka kungahle kuvele eqinisweni lokuthi uma ungumhlengikazi, ungahle ungasitholi isikhathi sakho uze uyeke; kodwa-ke, ngobuchwepheshe, usakhipha amaqanda. Uma ungafuni ukukhulelwa futhi ngokushesha, nakanjani uzofuna ukugcina uhlobo oluthile lokulawulwa kokubeletha ngemuva kokukhulelwa.

Kuyafaneleka futhi ukuphawula ukuthi ochwepheshe bancoma ukuthi unike isikhala sokukhulelwa kwakho; i Amanothi eMayo Clinic ukuthi ukukhulelwa zingakapheli izinyanga eziyisithupha ubelethile kungandisa ubungozi bakho bokuzalwa ngaphambi kwesikhathi, ukuphazamiseka kweplacenta, nesisindo sokuzalwa esiphansi ezinganeni.

Yiziphi izindlela ezingcono kakhulu zokulawula ukuzalwa ngenkathi uncelisa?

Ungahle uthande ukugwema amaphilisi aqukethe i-estrogen. Kungani? Bobabili uDkt. Minkin noDkt. Dweck baxwayisa ngokuthi i-estrogen inganciphisa ukutholakala kobisi lwakho, ngakho-ke uma ungumhlengikazi kuphela, indlela engcono ingaba ngamaphilisi e-progesterone kuphela, angeke omise ubisi lwakho, futhi aphephe ngokuphelele futhi iphilile kumama ancelisayo, kusho uDkt. Dweck.

I-Nexplanon iyindlela yokusetha ukukhulelwa kwe-progesterone kuphela. Ifakwa engalweni yakho ephezulu futhi isebenza iminyaka emithathu.

Azikho kulezi zinketho ezizwakala zilungile? Ungahle uthande ukucabangela indlela yokuvimbela, njengamakhondomu noma i-diaphragm. Unezinqwaba zezinketho ezinempilo, neziphephile.

OKUSHIWO: Ukulawulwa kokubeletha kwe-hormonal kungathinta kanjani ukuncelisa

Ungakuthola ngokushesha kangakanani ukuvimbela ukubeletha ngemuva kokuthola ingane?

Ngabe umqondo wokuphuza iphilisi nsuku zonke ukwenza ukuthi ujuluke ubile? UDkt. Minkin uthi i-IUD ingaba enye indlela enhle. Zingafakwa ngemuva kokulethwa, futhi, uyanezela. Uma ungumama ozofunda futhi wazi ukuthi i-IUD ikulungele, kungakuhle ukhulume nodokotela wakho mayelana nokuthi kungenzeka yini ukuhlela ukufakwa ngemuva kokubeletha. I-IUD iza ngezindlela ezimbili: i-progesterone-kuphela (iMirena, i-Liletta) ne-non-hormonal (iParagard) futhi ilungele iminyaka engafika kwemihlanu kuya kweyishumi, ngokulandelana.

(Kakhulu) kwehlela ekuthandweni kwendlela yokuphila.

Kodwa-ke, kunokunye okubalulekile okubalulekile: munye, omama abatholakala ukuthi bane-postpartum depression (PPD) noma esinye isifo semizwa bangenza kangcono izindlela zokugwema izindlela eziletha inani elikhulu le-progesterone egazini, njenge-Depo-Provera shot noma iphilisi le-progesterone kuphela, kusho uDkt. Minkin.

TO Ucwaningo lwe-2016 efunde abesifazane abangaphezu kwesigidi baseDenmark bathola ukuthi kungahle kube nokuhlangana phakathi kokulawulwa kokuzalwa kwamahomoni nokudangala, nezingozi eziphakeme ezihambisana nezinhlobo zokulawulwa kokubeletha zeprogesterone kuphela, kufaka phakathi i-IUD, Monique Tello, MD, wabhala eHarvard Health Publishing .

Elinye: Uma uphethwe yi-preeclampsia (umfutho wegazi ophakeme) ngesikhathi ukhulelwe, uzofuna ukugwema inhlanganisela yokulawulwa kokuzalwa (amaphilisi aqukethe i-estrogen ne-progesterone), kusho uDkt. Dweck, ngoba kungalimaza umfutho wegazi ophakeme.

Ungavumeli lokhu kukwethuse! Thembeka kudokotela wakho nganoma yiziphi izimpawu ongase uhlangane nazo, futhi angakusiza ukuthi uqhamuke nenketho yokulawula ukubeletha ngemuva kokubeletha efanelekile kuwe — futhi uma lokho sekuphelile, uzoba nesikhathi esithe xaxa sokuchitha ubamba inqwaba yenjabulo esanda kuzalwa.