Yikuphi ukulawula okuhle kakhulu kokubeletha ngemuva kwama-35?

Imfundo Yezempilo

Uma usanda kugubha usuku lokuzalwa oluyingqophamlando, ngabe uke wanaka noma yini ngohlobo lokulawulwa kokuzalwa olusebenzisayo?

Ngokuvamile, ukulawulwa kokuzalwa kwabesifazane abaneminyaka engaphezu kwengama-40 akuhlukile kakhulu ekulawuleni inzalo kwabesifazane abaneminyaka engaphezu kwengama-35. Uma ujabulile ngendlela yamanje yokuvimbela inzalo obukade uyisebenzisa, futhi unempilo ephelele, empeleni kukhona asikho isizathu sokushintsha ngoba kukhona elinye ikhandlela kwikhekhe lakho lokuzalwa.

Akukho lutho ngeminyaka yobudala kuphela oluthi awukwazi ukusebenzisa uhlobo oluthile lokulawula inzalo, kuchaza UKate White , MD, MPH, umqondisi weFellowship in Family Planning eBoston Medical Center. Uma uphilile kunoma yisiphi isikhathi, ungasebenzisa noma yini.

Ezinye zezinketho zakho zifaka phakathi:

• Amaphilisi okuvimbela inzalo : Ungaphuza iphilisi elihlanganayo, eliqukethe kokubili i-estrogen ne-progestin, noma iphilisi le-progestin kuphela. Kokubili kuvela ngezinhlobo zemithamo ephansi, kanti amaphilisi okuhlanganisa nawo eza ngezinhlobo zomjikelezo owandisiwe.
• Ama-IUD : Amadivayisi we-intrauterine ayindlela ethandwayo yokuvimbela inzalo esebenza isikhathi eside, noma i-LARC. Abanye, njenge UMirena noma I-Liletta Ama-IUD, amafomu we-hormonal, kanti amanye, afana ne- IParagard IUD, ithusi.
• Imijovo : Uma ukhetha i-shot control control, ebizwa Ukuhlolwa Kwedepho , uthola umjovo we-progestin njalo ezinyangeni ezintathu ukuvimbela ukukhulelwa.
• Izimila : Enye indlela yokuvimbela inzalo esebenza isikhathi eside eguqukayo, ukufakelwa kukhipha i-progestin emzimbeni wakho iminyaka emithathu ukusuka endaweni yayo engalweni yakho ephezulu.
• Isiqephu : Namathela esikhunjeni sakho amasonto amathathu, bese ususa. Faka isicelo esisha inyanga ngayinye.
• Indandatho yesitho sangasese sowesifazane : Lezi izindandatho eziguqukayo nezisusekayo eziqukethe zombili i-estrogen ne-progestin.

Kodwa into eyodwa ongeke ukwazi ukuyenza ukungayinaki yonke inkinga. Ungayeki ukukhulelwa uze wazi ukuthi usuphelile ukuya esikhathini, kusho UMary Jane Minkin, MD , uprofesa womtholampilo wezokubelethisa, izifo zabesifazane kanye nesayensi yokuzala eYale University School of Medicine.

Lokho kusho ukuthi udinga ukuthatha unyaka wonke ngaphandle kwezikhathi zokuya esikhathini ngaphambi kokuvalelisa ukulawula kokuzalwa okuhle.

Ikhadi lesaphulelo somuthi

Bheka iphrofayili yakho engcupheni

Njengoba ulinganisela izinketho zakho, kunezinkinga ezithile zezempilo okufanele uzicabangele, eminyakeni yakho yobudala engama-30 kanye nakuyo yonke iminyaka engama-40. Yini okudingeka ucabange ngayo lapho ukhetha indlela yokuvimbela inzalo? Udinga ukukala ubungozi obuhlobene nempilo bokuvimbela inzalo ubhekane nezingozi ezandayo ezihambisana nokukhulelwa ngemuva kweminyaka engama-35-kubandakanya ukukhulelwa okungahleliwe, kusho uWendy Askew, MD, oyi-OB-GYN eSan Antonio, eTexas. Lezi zingcuphe zikhona nakwabesifazane abangaphansi kweminyaka engama-35, futhi, kepha ziphansi kakhulu.

Ukubhema

Uma uneminyaka engama-35 noma ngaphezulu futhi ubhema, sekuyisikhathi sokuvalelisa amaphilisi akho okulawula ukuzalwa. Ukubhema kukhulisa ubungozi besifo senhliziyo nemithambo yegazi noma kunjalo. Kepha i inhlanganisela yokulawulwa kokuzalwa kwamahomoni nokubhema kungakhuphula ubungozi bamahlule egazi nomfutho wegazi ophezulu.

Amahlule egazi

Uma usengozini eyandayo yezimo ezithile njengamahlule egazi, udokotela wakho angakususa kude nezindlela ezithile zokuvimbela inzalo. Isibonelo, amaphilisi okuhlanganiswa kokuzalwa kokuzalwa aqukethe kokubili i-estrogen ne-progestin futhi angakhuphula ubungozi bokuthuthukisa amahlule egazi. Umjovo wokulawulwa kokuzalwa owaziwa ngeDepo-Provera waziwa kangcono ngokuxhunyaniswa nokwanda kokulahleka kwamathambo ngokuhamba kwesikhathi. Ayinayo i-estrogen, kepha abanye besifazane bangaba ne-thrombosis ngemuva kokuyithatha .

Izimo ezithile zempilo

Ungase futhi ufune ukugwema izindlela eziqukethe i-estrogen uma unengcindezi ephezulu yegazi, noma uma ubenesifo sikashukela okungenani iminyaka engama-20. Ukuphathwa yikhanda kwe-Migraine nge-aura kungaba okunye ukuphikisana okungenzeka, kusho uDkt. White.

Umdlavuza

Ingozi yokuba nomdlavuza, noma kunjalo, iyinkimbinkimbi. Ingozi yakho yokuba nomdlavuza inyuka ngokukhula. Kungahle kube ne- amathuba amancane okuba sengozini yomdlavuza webele ehlotshaniswa nezindlela ezithile zokuvimbela inzalo ngomlomo, kepha ingahle ihliswe ngengcuphe encishisiwe yezinye izinhlobo zomdlavuza, njengomdlavuza we-ovari nowesizalo. Futhi njengoba uDkt Askew ephawula, inzuzo yokuvimbela ukukhulelwa okungafunwa ingase idlule kakhulu ingozi encane. Abesifazane abanomlando womndeni wokushintsha okuthile kofuzo lomdlavuza webele basengacabanga ukubheka ezinye izindlela, noma kunjalo.

Ukukhetha indlela engcono kakhulu yokulawula ukuzalwa

Eminyakeni yakho yama-30 nengu-40, kufanele uzibuze — futhi uthembeke ngempendulo — uma uhlela ukuba nezingane esikhathini esizayo.

• Yebo, ngihlela ukuba nezingane . Uma impendulo inguyebo, ungahamba nganoma iyiphi indlela, ngaphandle kweDepo-Provera. Ngokusho kukaDkt.White, kungathatha isikhashana ukuthi inzalo yakho ibuye ngemuva kokuya eDepo-Provera, futhi uma usuneminyaka yobudala engama-30 noma engama-40, awunaso isikhathi esiningi ongasindisa.
• Mhlawumbe ngizoba nezingane. Uma ucabanga kanjalo, ama-IUD kanye nokufakelwa kungaba kuhle ngoba kungakunika iminyaka yokuthi ungacabangi ngokulawulwa kokubeletha ngenkathi ugcina inketho, uma kwenzeka ungaqiniseki ngo-100%, kusho uDkt.White.
• Cha, angihleleli ukuba nezingane . Uma wazi ukuthi usuqedile ukuba nezingane, cabanga ngokuvala inzalo [kokuhlinzwa], kuphakamisa uDkt. White. Kodwa-ke, uma wena nozakwenu ningafuni ukuhamba ngaleyo ndlela, ungaqhubeka nokusebenzisa iphilisi, i-LARC, noma enye indlela, inqobo nje uma ungenazo izinkinga zezempilo ezingaba yinkinga.

Ukulawulwa kokuzalwa kwabesifazane abangaphezu kweminyaka engama-40 kungakusiza ukuphatha izimpawu ze- ukunqamuka kwesikhathi obhekene nakho. Khuluma nodokotela wakho uma ukhathazekile ngezimpawu ezinjengokushisa okushisayo, ukujuluka ebusuku, nokoma kwesitho sangasese sowesifazane bese uxoxa ngokuthi yiziphi izindlela ezingakulungela. Uma ungenakho ukuphikisana, indlela equkethe i-estrogen, njengephilisi lokuhlanganisa ukubeletha noma iringi, ingakusiza ukuphatha ezinye zalezo zimpawu, kuphawula uDkt. Minkin. Futhi uma ubandakanyeka nomlingani omusha, ungakhohlwa ukusebenzisa amakhondomu-ungathola ukutheleleka ngocansi nganoma yisiphi isikhathi.

Ukugcina izinketho zakho zivulekile

Ngokuya ngempilo yakho noma ezinye izidingo, ezinye izindlela zokulawula ukubeletha zingangcono kunezinye ezikuma-40s naku-50s wakho. Futhi, amasha kungenzeka asebenze. Kuhle ngaso sonke isikhathi ukuphinde uyihlolisise ngoba kuhlale kunezinto ezintsha ezenzekayo endaweni yesehlakalo, kusho uDkt Minkin.

Isibonelo, i-U.S.Food and Drug Administration ivume iringi entsha yesitho sangasese sowesifazane ebizwa ngokuthi Kubalulekile ngo-2018. Ngokungafani NuvaRing , enye indandatho yesitho sangasese sowesifazane emakethe, ingasetshenziswa unyaka wonke. Kusamele uyisuse njalo ngenyanga, kodwa akudingeki ukuthi uthole entsha inyanga ngayinye ekhemisi.

Futhi ungesabi ukuzama enye into uma indlela yakho yamanje ingasebenzi kuwe nezidingo zakho ezithile. Kuyiphutha nokulawulwa kokubeletha, kusho uDkt Askew.