"Ukukhulelwa kwangokukhawuleza" - izandi zinobuganga. Into eyona nto ilungileyo kukuba kukho indlela enokusebenza ukunceda umfazi uzikhusele ekukhulelweni okungafunekiyo. Kodwa kufuneka ufunde imithetho, zonke iinkqubo kunye neengxaki. Mhlawumbi, uxhobile ngolwazi, awusoze usebenzise le ndlela yokukhulelwa.
Injongo yokuqhawula ngokukhawuleza
Ukukhulelwa kwexesha eliphuculweyo lenzelwe ukunceda abafazi beminyaka yobubele ekunciphiseni ukukhulelwa okungenakulungiswa, kwaye ngenxa yoko, inani lokukhupha isisu. Ngokwemvelo, kufuneka sihlale sikhetha ububi babo obuncinane, obuncinane. Yaye ukuba uthe waya kwimeko yolwaphulo-mthetho ngohlobo lokukhupha isisu, kungcono ukuphepha ukukhulelwa okungafunekiyo ngeendlela zonke. Kukho iimeko (ukunyanzelisa ukulala ngesondo, ukudlwengulwa) apho indlela yokukhulelwa ngokukhawuleza isetyenziswa njengendlela yokukhawuleza yokukhusela kokukhulelwa okungafunekiyo kunye nengcinezelo yengqondo ehambelana nayo.
Ngoko ke, ukuqhubeka ukusuka ngasentla, kunokugqitywa ukuba "ukucima umlilo" kufuneka kusetyenziswe kuphela kwiimeko ezingxamisekileyo, kwiimeko eziphuthumayo, xa iindlela eziqhelekileyo zokukhusela ekukhulelweni okungafunekiyo sele zingasebenzi.
Izibonakaliso zokusetyenziswa koxinzelelo oluphuculweyo
Ngoko, ukukhulelwa kwexesha elingxamisekileyo ngumlinganiselo ongaqhelekanga wokukhusela ekukhulelweni okungafunekiyo. Njengomthetho, isetyenziswe kwezi zilandelayo:
- xa ku dlwengulwa;
- ukuba ingqibelelo yekhondom ibonakele;
- xa i-diaphragm ichithekile, isetyenziswe njengendlela yokukhulelwa;
- ukulahlekelwa okukodwa okanye okupheleleyo kweso sixhobo;
- xa kwenzeka ukukhulelwa komlomo (iipilisi zokukhulelwa);
- noqhagamshelwano olunqabileyo ngokwesini;
- kwimeko yobundlobongela ngaphandle kokusetyenziswa kwemithi yokukhusela.
Ukutshatyalaliswa kokuqhawula ngokukhawuleza
Iingqinisiso eziphambili ekuthathweni kwamachiza okukhulelwa kokukhawuleza ziyafana naluphi na olunye umlomo wokukhulelwa komlomo. Ezi zi:
- thrombophlebitis;
- i-thromboembolism kwi-anamnesis;
- ukuphuma kwe-etiology engacacileyo;
- isifo esiqinileyo sesibindi;
- umdlavuza webele okanye i-endometrium;
- ukutshaya;
- abaneminyaka engama-35 ubudala.
Imigaqo yokusebenzisa indlela yokukhulelwa ngokukhawuleza
Xa usebenzisa ukukhulelwa kwangokukhawuleza, kuyimfuneko ukuqwalasela into yokuba isebenzayo xa isetyenziswe ngokukhawuleza emva kokulala kwesondo esingakhuselekanga. Ixesha apho lingayi kukhawuleza ukusela "ipilisi yomlilo" ngamahora angama-24-72 emva kokulala ngesondo.
Inkqubo yesenzo
Uninzi lweengcali zikholelwa ukuba amalungiselelo okukhusela ngokukhawuleza, ngaphezu kwayo yonke into, iyichaphazela i-endometrium, iphazamise inkqubo yokufakelwa kweqanda elixutywe ngamanzi. Ukongezelela, ezi ziyobisi ziphazamisa umsebenzi wokuya esikhathini, ziyakunciphisa inkqubo ye-ovulation, kwakunye nokuhamba kweqanda elichumayo kunye nokufakelwa kwayo kwisigxina se-uterine.
Indlela yeYuzpe
Ugqirha waseCanada uAlbert Yuspe kuqala ucebise njengendlela yokukhulelwa ngokukhawuleza kokuqhawula izidakamizwa zidibene ne-estrogen-progestational drugs. Ngokomgaqo we-Yuzpe, i-200 μg ye-ethinylestradiol kunye ne-1 mg ye-levonorgestrel ilawulwa kabini kwithuba elide ukuya kwiiyure ezingama-72 emva kokulala ngokwesondo kunye nekhefu lama-12. Ukusebenza kwalo mgaqo kuxhomekeke ekukhawulezeni emva kokulala ngesondo esingakhuselekanga, ukusetyenziswa komzimba kunye nokusebenza kakuhle kuncitshiswe ukuba ukulala ngokwesondo kwenzeka okanye ngexesha lokuvuthwa. Inzuzo ebalulekileyo yale ndlela yinto yokuba isilwanyana sokukhulelwa ngokukhawuleza singasebenza malunga nesezidakamizwa ezidibeneyo ezithengiswayo, kunye ne-dose ephantsi.
Iziyobisi zamanje zokukhulelwa ngokukhawuleza
Izidakamizwa zamanje zokukhulelwa ngokukhawuleza ziqulethe, ngaphezu kwazo zonke, ihomoni ye-levonorgestrel. Ezi ziyobisi zilula kakhulu kunendlela ekhankanyiweyo ngasentla. Eyona nto ifikelelekayo kwaye ifumaneka yi "Postinor" kunye ne "Excapel" amalungiselelo. Ukwahluke kwaso kubangelwa ukuba i-Postinor iqukethe i-levonorgestrel kwisilinganiso se-0.75 mg kunye ne-dose eyi-1.5 mg. I-Postinor, equle kwi-tablet enye i-dola ye-0.75 mg ye-levonorgestrel, ifanele isetyenziswe kabini: i-dose yokuqala kwiiyure ezingama-72 emva kokulala ngokwesondo, i-dose yesibini - iiyure ezili-12 emva kwesicelo sokuqala. "Ukubalekela" equkethe i-1.5 mg ye-levonorgestrel isetyenziswe kanye emva kweeyure ezingama-96 emva kokulala ngesondo esingakhuselekanga.
Izigqibo
Enyanisweni, ubukho bendlela yokukhulelwa ngokukhawuleza kunye nesondo esingakhuselekanga ngokwesondo ukuphepha ukukhulelwa okungafunekiyo, kwaye ngenxa yoko, inani elikhulu lokukhupha isisu. Kodwa, usebenzisa "ukuphuculwa kwengxaki" yokukhulelwa, kufuneka kukhunjulwe ukuba "ipilisi ephezulu" idala ukugqithisa ngokoqobo emzimbeni, enempembelelo embi kwimisebenzi yokuya esikhathini. Ngako oko, kubalulekile ukukhetha indlela efanelekileyo yeendlela zakho zokukhulelwa ngokukhawuleza, kwaye ukukhulelwa ngokukhawuleza kufuneka kusetyenziswe kuphela kwiimeko eziphambili, ezingalindelekanga.