Xa Ububele Bakho Buza kubuya, Kuya kuthatha ixesha elingakanani ukuqonda
Kuya kuthatha ixesha elingakanani ukukhulelwa emva kokulawulwa kokuzalwa kuxhomekeke kwicala luni lolawulo lokuzalwa owawusebenzisa ngalo.
Kulabo bafumana iipilisi zokulawula ukuzala, 1 kwi-5 bacinga umjikelezo wokuqala emva kokuyeka ipilisi, kunye ne-half-half pregnancy emva kweenyanga ezintandathu. Ngomatshini womnyaka owodwa, malunga ne-8 ukuya kwe-10 bakhulelwe. Nangona kunjalo, ukhetho lwakho lokubeleka luba luleke.
Ukuba unesipilisi okanye i-IUD ye-hormonal, ukuzala kwakho kuthatha ixesha elide ukubuyela. Ukuba ubukho ekulawulweni kokubetha, kungathatha nantoni na kwiinyanga ezintandathu ukuya kwiminyaka emibini ukuzala kwakho ukubuyela.
Ehlabathini elungileyo, ukhetho lwakho lokukhulelwa kufuneka lukhusele ukukhulelwa xa ufuna ukuba kwaye, xa unquma ukuba ulungele ukuba nosana, awunalo impembelelo ekukwazi ukukhulelwa xa uyeka. Uhlobo olunjengomtshintshi on-off. Flip ulawulo lwakho lokuzalwa "kuqhubeke," kwaye ukukhulelwa kufuneka kube kude. Tshintshela kwi "off," kwaye ukhulelwe, apha siza!
Izinto ziyanzima ngakumbi kunoko. Nantsi indlela esebenza ngayo.
Ngokukhawuleza Unokulindela Ukunyameka Kwenu Kukubuyisela Emva Kokulawula Umzali?
Ngokukhawuleza ukuzala kwakho kuya kubuya kuxhomekeke kukuphi uhlobo lokulawulwa kokuzalwa owawusebenzisa. Ngokuxhomekeke kwindlela yokukhusela, ubuyisela ububele bakho buya kufuna:
- Ukuqala ukuvusa kwakhona
- Ukubuya kwebhola lomlomo wesibeleko
- Ukubuya kwe- "embriyo enobubele" yelinki
Ngenxa yokuba i-ovulation ibuyele, oko akuthethi ukuba i-endometrial lining your back back to normal or that your body produces a cervical mucus njengokuba kufanelekile. Ukufumana uvavanyo oluvakalayo kwi-home does not guarantee that things are back to business.
Kucacile ukuba ukuba ukhetho lwakho lokukhulelwa kwaba yindlela yokuthintela, ukuzala kwakho akuzange kuthinteke ekuphatheni umzimba. Kufuneka uyeke ukusebenzisa nantoni na oyisebenzisayo. Oku kuya kufaka izinto ezifana neikhondom (inkunzi okanye ibhinqa), iifomfom, i-spermicides, okanye isiponji.
( Ukuzala kwakho kusenokuba utshintshile ngobudala , nangona kunjalo, ngokuxhomekeka kwithuba elide usebenzise ngayo inzalo.)
Nanku xa unokulindela ukuzala kwakho ukubuyela emva kokusetyenziswa kwexesha elikhethiweyo lokukhetha ukukhulelwa komzimba:
Iipilisi zokulawula ukuzala : Eyaziwa nangokuthi izithintelo zokukhulelwa komlomo, iipilisi zokulawula ukuzalwa ziqukethe i-estrogen kunye ne-progestin kunye okanye iprogesin kuphela. Basebenza ngokuthintela i-ovulation kunye ne-thickening intensi yomlomo.
Emva kokuyeka ipilisi, ukuvuthwa kunye nokuzala kufuneka kuqalise kwakhona ngexesha leenyanga. Ngamanye amaxesha, kuthatha iinyanga ezintathu ukuzala ukuze ubuyele.
I-ring Vaginal (NuvaRing) kunye ne-patch control (I-Ortho Evra): Ngenxa yokuba isondo lesisu kunye neengcambu zincinci (ngokuthelekiswa nemithetho yeepilisi zokuzalwa ,) akukho luphando lwexesha elide elikhoyo. Nangona kunjalo, basebenza ngokufanayo nangomlomo wokukhulelwa komlomo. Uhlobo oluphambili lwendlela ama-hormone athatyathwa ngayo (ngomlomo ngokubhekiselele kwisidlo ngokumelene nesondo.)
Njengoko kunye neepilisi zokulawula ukuzalwa, ukuzala kwakho kufuneka kubuyele emva kweenyanga ezintathu emva kokusetyenziswa.
Izimpembelelo zolawulo lokuzalwa (njenge-Implanon ne-Nexplanon) : Izixhobo zokulawula ukuzalwa, njenge-Implanon ne-Nexplanon, zisebenza ngokukhulula i-hormone progestin. Ukufakelwa kwindlela encinci, eguquguqukayo kunye neentambo zokutshatyalaliswa kwentonga yeplastiki ehamba ngokukhawuleza ize ikhuphe i-hormone. Ugqirha wakho uyifaka kwisandla esingaphezulu.
Emva kokufakiwe, ukufakelwa kolawulo lokuzalwa kunokuthintela ukukhulelwa kuze kube yiminyaka emithathu, kodwa unako ukususwa nanini na. Ngamanye amagama, unokwenza ukuba ususwe emva kweenyanga ezimbalwa nje.
Umlinganiselo wesikhathi eside kulo myalelo wokuzalwa usebenza kuphela xa uwubeka endaweni.
Kumele ubone ugqirha wakho ukuba uphumelele. Emva kokususwa kwayo, ukuzala kufuneka kubuyele kwithuba lenyanga enye.
Kukho umngcipheko wokuba ukufakelwa kuya kuba nzima okanye akunakwenzeka ukususa ukuba ukufakela kwenziwe ngokungafanelekanga okanye kutshintshwe emva kokufakwa. Nangona ukususwa kweengxaki kubangaphantsi kwama-2 ekhulwini kwexesha, ukuba oko kwenzeka, imiphumo yokumisela iya kuqhubeka ide iphume.
IUD : IUDs, okanye ii-intrauterine zixhobo, zinamacandelo amancinci a-T afakwe ngaphakathi kwesibeleko ukukhusela ukukhulelwa. Kukho iintlobo ezimbini ezibalulekileyo, ubhedu be-IUDs (ParaGuard) kunye nee-IUDs ze-hormone (iMirena okanye i-Skyla).
Umsebenzi we-Cops IUDs ngokuphelisa umdwesane kude namathambo e-fallopian, okuye okuthintela ukukhulelwa. I-hormonal IUDs isebenza ngokuxuba i-mucus yomlomo wesibeleko, ukunqunyulwa kwe-endometrium, kwaye mhlawumbi ukukhusela i-ovulation.
Ngelixa i-IUDs ithathwa njengendlela yokukhulelwa kwexesha elide-i-UUD ibinokuhlala kwindawo eyi-10 ukuya kwi-10, kunye ne-IUDs ye-hormonal iminyaka emihlanu ukuya kwemihlanu-zombini iindidi ze-IUD zingasuswa nanini na ugqirha wakho. (Ungaze uzame ukususa enye!)
Xa usususwe, ukuzala kwakho kufuneka ubuyele ngaphakathi kwenyanga. Emva kokususwa kwe-IUD ye-hormonal, kungathatha iinyanga ezimbalwa ukuze umjikelo wakho ulawulwe.
Ukulawulwa kolawulo lokuzalwa (iDepo-Provera) : iDepo-Provera yindlela yokukhulelwa epha zonke ezinye iindlela zokulawula ukuzalwa. Akuyiyo into enhle kumntu ofuna ukukhulelwa kungekudala.
Ngokulawulwa kolawulo lokuzalwa, i-medroxyprogesterone i-acetate (ngamanye amaxesha isicatshulwa njenge-DMPA) ifakwe kwi-muscle. Isilwanyana sihlala kwisisipha kwaye sikhupha ngokukhawuleza, sithintela i-ovulation kunye ne-thickening intensi yomlomo.
Ingathatha inyanga ezi-6 ukuya kwe-12 ukuba zibuyele emva kokudubula. Ngexa ama-50 ekhulwini kwabasetyhini aya kukhulelwa kwisithuba seenyanga ezili-10 zokugaya ukugqibela, abanye abesifazana abayi kubuyela emva kweenyanga ezili-18.
Ngokukhawuleza Unokulindela Ukuba Ukhulelwe Emva kokuyeka ukuLawula ukuzalwa?
Lo ngumbuzo ohlukileyo ... ngenxa yokuba ukuzala kwakho kubuyile akuthethi ukukhulelwa kuya kwenzeka ngokukhawuleza.
Oku kunokuba ngumntu onqwenela ukukhulelwa. Unokucinga ukuba ngaphandle kokulawulwa kokuzalwa, ubuya kuzalwa ngokukhawuleza-kodwa oko akunjalo ngokupheleleyo.
Emva kokuyeka ukukhulelwa komzimba, unakho ukukhulelwa inyanga yokuqala enesivuno, okanye unokufuna ukuzama ukufikelela unyaka. Oku kufana nalabo abangasetyenzisanga nawuphi na ulawulo lokuzalwa.
Enye yezona zifundo zikhulu malunga nokukhula kokukhulelwa emva kokulawulwa kokuzalwa kwaba yi-European Active Surveillance Study kwi-Oral Contraceptive (EURAS-OC). Olu pho nonongo lulandelele abafazi abangaphezu kwama-59,000 abasebenzisa ukukhulelwa komlomo kunye nabathathi-nxaxheba abavela kumazwe angama-7 ahlukene aseYurophu.
Kwama-59,000, malunga nama-2,000 anqumle ukuyeka ukukhulelwa komzimba nokukhulelwa emva kokuba isifundo sigqityiwe. Aba besetyhini basebenzisa i-contraceptives iminyaka eyisixhenxe.
Bafumanisa ukuba ...
- Iipesenti ezingama-21.1 zafumana umjikelezo omnye emva kokuyeka ukulawula ukuzalwa
- Iipesenti ezingama-79.4 zakhulelwa ngaphakathi konyaka wokuyeka
- Uneminyaka engama-35 ubudala, ubudala bowesifazane sele bungathinteli kakhulu ekuzaleni kwakhe
- Izinga lokukhulelwa lalingaphantsi kwabesetyhini abangaphezu kwe-35 kunye nababhemayo
Ezi ziphumo zifana noko uza kubona kubasetyhini abangazange basebenzise ulawulo lokuzalwa.
Ngamanye amazwi, izithintelo zomlomo zomlomo zazingenakuchukumiseka kwindlela yokuzala.
Ucwaningo oluthile alufumananga nje kuphela ukuba ukuvelisa akuzange kuthinteke kakubi ngokusetyenziswa kolawulo lokuzalwa, kodwa, ngokwenene, kuphuculwe kancinci emva kokusetyenziswa kwexesha elide.
Olu phofu lubandakanya abafazi abangama-8 497 abavela eSouth-West England. Uphononongo luqwalasele ezinye izinto ezichaphazelekayo ezinokuthi zithinte ukuzala (njengokhetho lokuphila, ubunzima, njalonjalo), ukwenjenjalo bakwazi ukubona kakuhle indlela ulawulo lokubeletha lusetyenziswa ngayo amazinga okukhulelwa komzimba. Bakuphelisa ukungabi nabantwana ngenxa yezinye izizathu ekufundeni kwabo.
Bafumanise ukuba emva kokuyeka ukulawula ukuzalwa kusetyenziswa:
- Amaphesenti angama-74 amabhinqa abelethwe ngaphantsi kweenyanga ezi-6
- Ipesenti ezili-14 zithatha iinyanga ezi-6 ukuya kwezi-12 ukuba zikhulelwe
- Iipesenti ezili-12 zithathwe kuphela emva konyaka
Olunye iphepha lophando luhlolisise uphando oluninzi oluqhutywe phakathi ko-1960 no-2007, kwaye lubhekisele kwizinga lokukhulelwa emva kokukhulelwa.
Babheka kwizinga lokukhulelwa emva kweenyanga ezili-12 zokuzama. Amazinga ahlukeneyo amelela ukufunyanwa okuphantsi kunye okuphakamileyo.
- Amaphesenti angama-72 ukuya kuma-94 ayekhulelwe ngomnyaka omnye emva kokuyeka ukulawula iipilisi zokuzalwa
- 71 ukuya kuma-92 ekhulwini emva kokususwa kwe-IUD
- 70 ukuya kuma-95 ekhulwini emva kokulawulwa kweprogesterone kuphela
- Iipesenti ezingama-91 emva kokusetyenziswa kwekhondom
- Ipesenti ezingama-92 emva kokucwangcisa intsapho
Kuthiwani Ukuba Awukwazi Ukufumana Umzimba Emva kokuLawula?
Kukho umngcipheko omncinci wokuthi umzimba wakho uya kufuna ukuncedisa ukuncedisa ukuqala kokuzala emva kokulawulwa kokuzalwa, ngakumbi ukuba ukujikeleza kwakho kwakungavumelekanga ngaphambi kokuba uqale.
Kwakhona kunokwenzeka ukuba awukwazi ukukhulelwa ngenxa yezizathu ezingahambelani ngokupheleleyo nokusetyenziswa kolawulo lokuzalwa. Khumbula ukuba ukuya kwi-12 ekhulwini yezibini kuya kubakho ukungabikho komntwana, okwenziwe ngezizathu ezahlukahlukeneyo.
Ufanele ubone ugqirha ukuba:
- Awufumani ixesha lakho emva kweenyanga ezintathu.
- Imijikelezo yakho ayifanelekanga okanye unezinye iimpawu ezibuhlungu .
- Uneminyaka engaphezulu kwama-35 kwaye uzama ukukhulelwa iinyanga ezintandathu.
- Uneminyaka engaphantsi kwama-35 kwaye uzama ukukhulelwa iinyanga ezili-12 ezingaphumeleli.
Igama elivela kwi-Verywell
Uninzi lwabafazi baya kukhulelwa zingangeenyanga ezintandathu emva kokuyeka ukulawula ukuzalwa. Nangona kunjalo, kwezinye iimeko, kunokuthatha ixesha elide. Ukuba unzima ukukhulelwa emva kokulawulwa kokuzalwa, khuluma nodokotela wakho. Nantoni na oyenzayo, ukuba uphelela ekujonganeni nokungabikho komntwana, zama ukuzitshintsha. Ukubandezeleka kwenzalo akuyona iphoso lakho, kwaye akunakwenzeka ukuba ube ngumphumo wokukhetha kwakho kokukhulelwa.
> Imithombo:
> Barnhart KT1, Schreiber CA. "Buyela ekuveleni emva kokuyeka ukukhulelwa komlomo. " Fertil Steril . 2009 Mar; 91 (3): 659-63. i-doi: 10.1016 / j.fertnstert.2009.01.003.
> Cronin M1, Schellschmidt I, Dinger J. "Umlinganiselo wokukhulelwa emva kokusebenzisa i-drospirenone kunye nezinye izithintelo zokukhulelwa komlomo ngeprogestin. "I- Obstet Gynecol . 2009 Sep; 114 (3): 616-22. i-doi: 10.1097 / AOG.0b013e3181b46f54.
> Farrow A1, Hull MG, Northstone K, Taylor H, Ford WC, iGolding J. "Ukusetyenziswa ixesha elide lokukhulelwa komlomo ngaphambi kokukhulelwa okucwangcisiweyo kuhambelana nomngcipheko wokunciphisa ukukhulelwa. " Uhlambalaza . 2002 Oct; 17 (10): 2754-61.