Nangona amazinga okuphelelwa yithuba emva kokubeleka ayifani nantoni na oye wayifumana, kwaye mhlawumbi unganakucinga ukuba unamandla okulala ngesibini , kufuneka uqwalasele ukukhetha kokulawula kokuzalwa. Kukho iindlela ezintathu zokulawulwa kokuzalwa apho umama oncelisayo angakhetha: i-nonhormonal, i-progestin kuphela, kunye ne-esrogen.
Nangona kunjalo, ukuba kunokwenzeka, kufuneka wenze konke okusemandleni akho ukuphepha ukusebenzisa isisu sokuqhawula imithi esine-estrogen.
Nantsi ukuphazamiseka:
I-Nonhormonal Method
- Iikhondom : Iikhondom azikho umphumo kumama wokuncelisa okanye umntwana, kwaye ziyizona ezikhethileyo zokulawula ukuzalwa kokuzalwa. Nangona kunjalo, oomama abancelisayo banamazinga aphantsi kakhulu . Amanqanaba aphantsi e-estrogen angabangela ukuma komlanjeni ukuze iikhondom zenzeke isisu. Ukulwa nayiphi na ingxaki, ungasebenzisa i-lubrication eyongeziweyo.
- Isifayibha : Ukusetyenziswa kwesirathisi akubanga niphumo kumama wokuncelisa okanye umntwana. Yindlela efanelekileyo kunye neendlela ezifanelekileyo zokuncelisa abesetyhini.
- I-Spermicide : I-Spermicide ayichaphazeli unyamezelo , unina wokuncelisa, okanye umntwana. Nangona kubalulekile ukuba uqaphele ukuba inani elincinci le-spermicide lingafakwa kwigazi lakho. Amanqanaba okulandelelana kwindoda egazini angadlula ubisi lwakho lwebele , kodwa akukho nto eyaziwayo kumntwana.
- I-nonhormonal Intrauterine Device (IUD) : IUD nonhormonal, okanye i-IUD yobhedu, yaziwa nangokuthi iParaGard. Ekubeni le ndlela yokukhulelwa ingenayo nayiphi na i-hormone, yindlela ekhuselekileyo neyisebenzayo ukuyisebenzisa ngelixa uncelisa.
- UkuCwangciswa koBuchule beNdalo (i-NFP) (ekwabizwa ngokuba yi-abstinence periodic): I-NFP ayinasiphumo ekunceliseni ibele kwaye ingaba lukhetho olunempumelelo. Nangona kunjalo, kuthatha ixesha ukufunda, kwaye kunokuba kunzima ukufumana iimpawu zokuzala ngenkathi uncelisa .
- I-Vasectomy (ebizwa ngokuba yindoda yokuzibulala yokuzithandela ngokuzithandela): Le nto ayinasiphumo ekunceliseni ibele kwaye iphantse i-100% esebenzayo.
- I-Tubal Ligation (ebizwa ngokuba yinto yokuzithandela yabesetyhini ngokuzithandela): I-tubal ligation iyaziwa nangokuthi izibhanki zakho ziboshelwe. Kuphantse ku-100%. Nangona i-tubal ligation ayinakuchaphazela ngokusesikweni ukuncelisa, yinto yokuhlinzwa kangangokuthi inokuphazamisa ukuncelisa ngale ndlela. Ekubeni inkqubo yangempela idinga i-anesthesia, uya kuba kude nomntwana wakho ngexesha elifutshane, kwaye i-anesthesia inokudlula ubisi lwakho lwebele. I-Anesthesia ebisi yobisi ingenza umntwana wakho alale kwaye kunzima ukumnceda.
- Indlela yokusebenzisana ne-Amenorrhea (LAM) : Kufuneka uqaphele kakhulu ngale ndlela yokukhulelwa. Ukusebenzisa le nto, kufuneka uncelise umntwana wakho kuphela , awuyi kuba negazi lokuphuma kumfazi okanye ukhangele emva kwelochia , kwaye umntwana wakho kufuneka abe phantsi kweenyanga ezintandathu.
Iindlela zeProgesin-kuphela
Izindlela zokulawula ukuzalwa ngokuzalwa kweprogestin ziqukethe i-hormone progestin (progesterone). Ukuba uthatha isigqibo sokusebenzisa uhlobo lwe-hormonal yokukhulelwa kwezilwanyana, ukhetho lweprogesin kuphela lukhethwa. A
Ingaba ukhetha i-pilisi encinane, iisjectable, implants, okanye i-Mirena IUD, le ndlela yokulawula ukuzalwa iyasebenza kwaye inokwandisa umthamo wobisi lwebele.
Kodwa, kuba kukho i-hormone kule ndlela, i-hormone encinci iya kudlula ubisi lwakho lwebele. Iindaba ezilungileyo kukuba iiphononongo zibonise ukuba inani elincinci elidlulisela umntwana alimazi.
Iindlela ze-Estrogen Based Based
Iphilisi yokudibanisa iqukethe i-estrogen kunye neprogesin. Iipilisi zokudibanisa zisebenza ngokugqithiseleyo kunye nokulawulwa kokuzalwa, kodwa i-estrogen ngaphakathi kwazo ingabangela ukuhla kwe-milk supply yakho .
Njengazo iindlela zeprogesin kuphela, ezi zi-hormone zingadlula ubisi lwakho lwebele. Inani elincinci lama-hormone adlulayo aliyi kuba yingozi kwintsana yakho, kodwa ukulahla kobisi lwakho lwebele kungabangela ingxaki ebusweni bakho bokuncelisa.
Ukuba ulawulo lokuzalwa oluqukethe i-estrogen lukhetho lwenu kuphela, ugqirha wakho unokuyalela umlinganiselo osezantsi kakhulu. Qiniseka ukuba ugqirha wakho azi ukuba uncelisa, kwaye ulonge ukunikezelwa kwebisi lwakho kunye nokukhula komntwana wakho .
Umthombo:
Riordan J. Auerbach KG. Ukuxiliswa kunye nokuLawulwa kwabantu . UJones noBartlett Abapapashi, ngo-2009.
Ehlelwe nguDonna Murray