Abasetyhini abaninzi abafumana ukulahleka kokukhulelwa bazibuza ukuba ukulawulwa kwabo kweepilisi kungabangela ukuphuphuma kwesisu. Abanye besetyhini, ngakolunye uhlangothi, bayazibuza ukuba banokuphelisa ukukhulelwa kunye neepilisi zokulawula ukuzalwa.
Izimpendulo zale mibuzo zixhomekeka kwiimeko ezininzi, kubandakanywa uhlobo lweepilisi zokulawula ukuzalwa kunye nokunye ukukhulelwa kwe-hormonal kwaye xa zisetyenziswa.
Ukusebenzisa iiPilisi zoLwazi lokuLawula phambi koMbilini
Ngokwe-American College ye-Obstetrics kunye ne-Gynecology, ukuthatha iipilisi zokulawula ukuzala ngaphambi kokukhulelwa akubanga kubangelwa ukukhulelwa kwangaphambili. Ngoko ukuba ufumana ukukhulelwa kwesisu kwaye uthatha isisu sokukhulelwa komlomo ngaphambi kokukhulelwa, akusiyo iphoso-oku kukukhathazeka okuqhelekileyo, kodwa qiniseka ukuba iziganeko ezimbini azihambelani.
Ukuba Wawuthile Ngethuba Ngolawulo Lokuzalwa
Xa zisetyenziswe ngokufanelekileyo, ezininzi iintlobo zeepilisi zokulawula ukuzalwa zibhekwa ngaphezu kweepesenti ezingama-99 ezikhuselekileyo zokukhusela ukukhulelwa. Sekunjalo, ngamanye amaxesha abafazi bayakhulelwa xa bethabatha ipilisi. Oku kunokwenzeka ukuba bayakulibala ukuthatha ipilisi, umzekelo, okanye ukuba basebenzisa imishanguzo eyancipha ukuphumelela kwepilisi.
Akufuneki kubekho ingozi yokukhulelwa kwesisu okanye nayiphina ingxaki yokukhulelwa ngenxa yokungena ngokukhawuleza ekulawuleni i-hormonal. Ucwaningo olukhulu lwango-2008 luhlolisise ukubhalisa kwabasetyhini abangama-92,719 kwaye alufumananga ubungqina bokuba mngcipheko wokufa kwe-fetal kubantwana abancinciweyo kwiimodemoni ezenziwe ngexesha lokukhulelwa.
Ucwaningo lwe-2010 kwi- Epidemiology alufumananga mngcipheko olungakumbi kwiintlobo zeziphene ezinkulu zokuzalwa kwabasetyhini abasetyenziselwa ukukhulelwa komlomo xa bekhulelwe. Sekunjalo, ukuba unjalo kule meko kwaye uceba ukugcina ukukhulelwa, kufuneka uyeke ukuthatha ipilisi.
Ukusebenzisa iPilisi ukuphelisa ukukhulelwa
Ekugqibeleni, ukuba ujongene nokukhulelwa okungafunekiyo, usenokuba uvile ukuba ungathatha amanani amakhulu ekulawulwa kweepilisi ukuphelisa ukukhulelwa.
Ukuba sele usuqinisekisile ukuba ukhulelwe, esi sicwangciso asikwazi ukuphelisa ukukhulelwa kwakho. Ngexesha lokuvavanya ukukhulelwa libuya lihle, idosi enkulu yokulawula i-hormone yokuzalwa ayiyi kuphelisa ukukhulelwa. Uya kufuna ukuphanda ezinye iindlela.
Ngokwenene, kuyinyaniso ukuba ukuthatha inqwaba yokulawula iipilisi zokuzalwa kunokusebenza ngokukhawuleza kokukhulelwa kwezilwanyana ukuba kwenziwe emva kweentsuku ezimbalwa emva kokulala kwesondo-kodwa i-dose esebenzayo iya kuxhomekeka kwi-brand yepilisi. Ukuba ucinga ukukhulelwa kwangokukhawuleza emva kweentsuku ezimbalwa emva kokuziphatha okubi, ungathetheli ugqirha okanye othemistiki ngokukhawuleza. Bangakunceda ekukhokeleni kule nkqubo ngokukhuselekileyo nangempumelelo.
Kubaluleka kokuthetha noDokotela wakho
Naphezu kweengcamango ezingaqhelekanga, kukho ubungqina obuncinci besayensi bokuthi ukuthatha iipilisi zokulawula ukuzala ngaphambi kokukhulelwa okanye ukufumana iipilisi zokulawula ngexesha lokukhulelwa ngexesha lokukhulelwa kwangaphambili kubangela ukufa okanye ukukhubazeka kokuzalwa. Oko kuthetha, qiniseka ukuxubusha iingxaki zakho kwaye udibanise nemibuzo yakho malunga nokukhulelwa komzimba nokukhulelwa nodokotela wakho.
> Imithombo:
> Ikholeji yase-American ye-Obstetrics kunye neGynecology. (Agasti 2015). Ukulahleka kokuqala kokukhulelwa.
> Jellesen R, Strandberg-Larsen K, Jørgensen T, u-Olsen J, uThulstrup AM, Andersen AM. Ukusetyenziswa komama kokukhulelwa komlomo kunye nobungozi bokufa komntwana. I-Paediatr Perinat Epidemiol. 2008 Julayi; 22 (4): 334-40.
> I-Ofisi yoPhando loLuntu kunye noMbutho wezeMpilo zoBubele. (NgoJuni 2016). Iintlobo zoKhuseleko oluPhezulu.
> I-Waller DK et al. Ukusetyenziswa kwemithi yokukhulelwa komlomo ekukhulelweni kunye neziphene ezinzulu zokuzalwa kwizityalo. Epidemiology . 2010 uMar; 21 (2): 232-9.