Ukusetyenziswa kokukhulelwa komzimba kuthintela njani ukukhulelwa kwangaphambili?

Ngexesha lokufumana i-OK (imithi yokukhulelwa komlomo), lona wesifazane udala umjikelezo wokuzikholisa. Ngokupheliswa kweziyobisi ze-hormone, ulawulo lwe-hypothalamic-pituitary lomjikelezo luyavuselelwa, ii-ovari ziqhubeka zivelisa i-progesterone yemvelo kunye ne-estrogens, ukuvuthwa kwe-ovulation kwakhona, kwaye umjikelezo wenyama uphindaphinda. Ngaba ndiyakhulelwa emva kolawulo lokuzalwa? Ngokwezibalo, emva kokuyeka ukusetyenziswa kwe-OC, ubude bokukhulelwa kumjikelezo wokuqala ngu-21%, kwisibini / yesithathu-45%, ukuya kuma-74 ukuya kuma-95% emva kokuphela kweenyanga ezi-12 zokuqala emva kokuphela kokufumana i-contraceptive.

Ukucinywa kweepilisi zokukhusela: kwenzeka ntoni emzimbeni

Isikhathi sokubuyiswa kwe-ovulation emva kokuthatha i-OC ngumntu ngamnye kumfazi ngamnye. Kuxhomekeke kwiimeko zempilo kunye nohlobo lwe-contraceptive ze-hormone ezisetyenziselwa ukuthintela ukukhulelwa. Kwezinye iimeko, ukuqala kwakhona kwe-ovulation kunye nomjikelezo kwenzeka ngenyanga, kwi-80% yamatyala kunye noqhagamshelwano olusisigxina, ukukhulelwa kwenzeka ngonyaka. Ukuba emva kweenyanga ezili-12 emva kokuyeka ukuthatha iipilmoni iipilisi, i-ovulation ayifumaneki, kuyimfuneko ukubonisana ne-gynecologist ukuze ucebise ukwenzela ukuba ungabandakanyi i-pathology yenkqubo yokuzala.

Ulwaphulo kunye nokungabikho

Ingaba i-contraceptive yomlomo ingabangela ukungabikho komntwana? Hayi, ngokuchasene noko, iziyobisi ze-hormone zifakwe kwiirimim zonyango lokunyanga. Bayakwazi ukubuyisela ukuzala emva kokushiya i-contraceptive, kubangele "i-effect-rebound" kunye nokulungelelanisa ukungalingani kwe-hormonal, eyona nto ibangelwa yintsholongwane.

Ukukhulelwa kwimvelaphi yokuthatha izithintelo zokukhulelwa kwe-hormonal

Ulungelelwanamhlanje lukhuselekile, lusebenza kakuhle, lubonakaliswe yimilinganiselo emibi kunye neengxaki, unikezela ngamaphesenti angama-99% okuthembela kokukhulelwa. Ukukhuselwa okungafunekiyo kwe-100% kunokuqinisekisa ukuba kuphela inzalo, ngoko ke, ukukhulelwa komzimba akunakupheliswa ngokupheleleyo, nangona kuthathwa ngokufanelekileyo nangokuchanekileyo kokulawula iipilisi zokuzalwa.

Izizathu zokukhulelwa xa uthabatha OK:

• ukukhethwa okwaneleyo kwamacwecwe. Izicwangciso zokukhulelwa komlomo kufuneka zimiselwe yinkwenkwezi ekuqwalaseleni ukusebenza kweziyobisi ezikhethiweyo, ukunyamezela kwayo, ukuphendulwa kwamacandelo okunokwenzeka. Ezinye izifo zentsholongwane kunye ne-OC zinokugqithiswa, ezinye ziyakudityaniswa, ngenxa yokuba, ngaphezu kwempembelelo yeprojekthi, iipilisi zokukhusela zineempembelelo zonyango kwiintsholongwane ezininzi zesifo: i-PMS, i-endometriosis, i-amenorrhea, i-dysmenorrhea, i-hormonal infertility;
• ukumkelwa kweefomethe ngokungafanelekanga. Isizathu esiqhelekileyo sokukhulelwa xa kuthatha i-contraceptive ukuhluleka kombuso. Ngokwezigaba awukwazi ukunqumla ipilisi ehleliweyo, ukwandisa ikhefu phakathi kweepakethe, weqa ithebhulethi yokugqibela. Ngexesha lokuthabatha amacwecwe, kufuneka ubeke iliso lezinga legazi kunye nazo zonke iinyanga ezi-2 zihlolwe yi-gynecologist.
• ihudo / ukuhlanza. IiHormone ezingena emzimbeni 1-2 iiyure ngaphambi kokuhlanza, zithinteka ngakumbi, ezenza kakhulu kunciphisa umphumo wokukhulelwa kwesilwanyana;
• ukuthatha amanye amayeza. Zininzi iziyobisi (antibiotics) inqanaba lokusebenza kweenkqubo zokukhusela, ngoko-ke ngaphambi kokuba uqale unyango kufuneka uqhagamshelane nomdlali wesifo somzimba;
• ukwamkela imifuno / izongezo zokutya.

Ukuba ukukhulelwa kusenziwa ngokuchasene nemvelaphi yokuthatha i-hormonal contraceptive, akufanele ukhathazeke kakhulu, izidakamizwa zesizukulwana sokugqibela asinayo imiphumo emibi kumntwana. Kubalulekile ukuba ulahleke ngokukhawuleza iipilisi kwaye uphumelele uviwo oluchanekileyo kunye nomdlavuza. Kubalulekile: ukunyaniseka kokuvavanya ngokukhawuleza xa uthabatha ulungelelaniso, ngoko awukwazi ukumthemba.

Iimpawu zokukhulelwa xa uthatha i-OK:

• ukwanda kwentlupheko yeentlanzi zamathambo, intlungu esifuba;
• ukuhlanza kunye nesiphithiphithi;
• utshintshe kwiintlobo ezikhethiweyo.

Ukukhulelwa kokucwangcisa emva kokukhanselwa kwe-contraception ye-hormonal

Ukuba, emva kokuthatha i-OC iminyaka emininzi, umfazi wayefuna ukuba nomntwana, kufuneka ukhansele isiyobisi kwaye ungasebenzisi nayiphi na indlela yokukhusela isikhashana. Kunconywa ukuba ungakhulelwa ngaphakathi kwimijikelezo emi-3 emva kokuba wenqabe imithi yokuzala ukwenzela ukuba unike inkqubo yokuzala ukubuyisela ngokupheleleyo. Oku kubangelwa ukuba ngexesha lokungena kwamacwecwe e-hormonal emzimbeni, ukuxinwa kwe-aclic acid kuyancitshiswa, ukungaphumeleli kokukhokelela ekukholeni okukhuthelekileyo kwaye kubangele ukukhubazeka kokukhula kwe-fetal (i-neural tube defect, spina bifida). Ababelethi be-Gynecologists batusa ukukhulelwa kokukhulelwa emva kweenyanga ezi-1-3 emva kokuyeka ukukhulelwa komlomo, sebenzisa amalungiselelo aqukethe i-folic acid ( Yarina , Jess ).