Ukukhulelwa komlomo: inkcazo, imiyalelo yokusetyenziswa, iimpawu kunye nokuhlaziywa

Kwaye abantwana besikolo bayazi malunga nokufuneka kunye nokubaluleka kokukhulelwa kwexesha ngexesha lethu. Emva koko, iikhondom ezifanayo zikhusela kuphela ekukhulelweni okungafunekiyo, kodwa nakwizifo ezibangelwayo. Kodwa kweli nqaku asiyi kuthetha ngabo.

Makhe sithethe ngolu hlobo ngolu hlobo lwezakhelo zomlomo: ukuhlengahlengiswa kwemiphumo, iziphumo eziphambili, ukuchasene nokusetyenziswa kunye namagama amayeza adume kakhulu kule ndawo aya kuqwalaselwa ngathi. Ukongezelela, siza kugqiba iingenelo eziphambili kunye nokungalunganga kwezi mali.

Ziyiphi i-oral contraceptive?

Kuyinto yokukhulelwa kwindlela yamacwecwe aqulethe amahomoni amabhinqa ekubunjweni kwawo.

Isilwanyana sinceda ukuphepha ukukhulelwa okungafunekiyo ngokunciphisa inkqubo yokuhamba. Ukusebenza kwayo kuphezulu kakhulu, nangona ukuba ukuthatha i-contraceptive ngomlomo akunikezeli isiqinisekiso sokukhusela i-100%.

Iintlobo zemithi yokukhulelwa komlomo

Kukho izigaba ezininzi zeepilisi zokukhulelwa.

Ngokuxhomekeke kwintsimbi esebenzayo, bahlula kwi-progesagen eqhelekileyo kunye kunye nokudibanisa ngomlomo, apho i-hormones ye-gestagen kunye ne-estrogen idibene.

Ngokusekelwe kwinqanaba lomxholo osebenzayo, amalungiselelo aphezulu kwaye ahlukeneyo. Kwimeko yokuqala, inani lama-hormone alitshintshi kuwo wonke umkelo, kwaye okwesibini, lingahluka maxesha amaninzi ngomjikelezo. Kule meko, amacwecwe amacandelo amaninzi kufuneka athatyathwe, ngokugqithiseleyo ukugcina umyalelo.

Ukongezelela, i- contraceptive yomlomo ye- hormonal ingahluka komnye nomnye kwisixa se-estrogen kubo. Njengomthetho, iziyobisi ezinomlinganiselo omncinci wale nkunkuma zimiselwe kubafazi abancinci, abaphilileyo nabanempilo. Oku kubangelwa kukuba kukho ezininzi iimeko azidingi ukulungiswa kwe-hormonal eyongeziweyo. Abasetyhini abadala, ingakumbi ngaphambi kokuqala kokuphuma kwimizi, kukhethwa ukuthatha iziyobisi ngexabiso elinyukayo le-estrogen kubo. Oku kuya kunceda ukuphucula impilo jikelele kunye neemeko zempilo yabasetyhini ngokubanzi.

Ukhetho lwezokhusela

Umbuzo othi ubani ukhetha ukukhulelwa komlomo kufuneka ugqitywe kuphela ngumgulane wezilwanyana.

Kule meko, akufanele uphulaphule ukuphononongwa kwi-intanethi okanye icebiso lamantombazana athatha iipilmoni zamapilisi. Inyani kukuba ukukhethwa kwemithi yomlomo yonyango ngumbandela othile. Ngexesha le nkqubo, kubalulekile ukuqwalasela yonke imiba, ukusuka kwimeko yempilo yowesifazane endleleni yakhe yobomi. Ukongezelela, musa ukufihla ugqirha nayiphi na ingcaciso, ingaba imikhwa emibi, ubukho bokukhupha izisu zangaphambili, ukungasebenzi kwemjikelezo yokuya esikhathini nokunye njalo. Kule ndlela kuphela kuya kukhangela ukhetho olungcono lomlomo, olulungele umfazi kwaye wenze ingozi yeengxaki okanye iziphumo ezimbi.

Khokhela ingqalelo!

Ukukhulelwa komlomo ngokwemilo yamacwecwe e-hormonal kufuneka icetyiswe ngokucophelela kwaye ithathwe phambi kwezi zifo kunye nezixhobo zomzimba:

• Ukungahambi ixesha elide;
• Ukulungiselela ukuhlinzwa okanye ixesha lokubuyisela emva kwalo;
• Ubungqina bokuphuma kumzibulo;
• I thrombosis, thromboembolism;
• Uxinzelelo lwegazi oluphezulu;
• Iingxaki ngeempahla zengqondo;
• Ubukho beethambo ezimbi.

Ukungqinelana kokusetyenziswa

Ukukhulelwa komlomo akuyiyo inqobo yokukhulelwa kwabo bonke abesifazana abangayisebenzisa. Kukho inani lokuchasana, phambi kokuba akufanelekile ukuthatha izilwanyana ngendlela enye yokukhusela ekukhulelweni okungafunekiyo. Okanye ukhethe uhlobo olukhuselekileyo lweepilisi ze-hormonal kunye nogqirha.

Ukuchasana okuhambelanayo kubandakanya:

• Ubukhulu bezinga eliphezulu;
• Ixesha lokubamba;
• Ukuxhamla;
• I-anemia yesifo se-Sickle;
• Ubukho be-diabetes mellitus;
• Ukutshaya (ukuba le ntokazi ineminyaka engaphezu kwama-35 ubudala);
• Ubuninzi bezilwanyana zesifo somzimba (thrush, vaginosis njalo njalo).

Kuvinjelwe ngokungqongqo ukusebenzisa izidakamizwa ze-hormone ngexesha lokukhulelwa, ukuhluleka kwesibindi, ukuphazamiseka kwesifo esibi, kunye neengxaki ze-estrogen ezixhasayo (i-adenoma yesibindi, umhlaza womzimba wesisu okanye isifuba, njalo njalo).

Iipilisi ze-hormone ezithandwa kakhulu kunye nokusetyenziswa kwazo

Bangaphi abakhiqizi abavelisa ukukhulelwa komlomo? Uluhlu lunokude lube lude, ngoko, njengomzekelo, sikhumbula nje ezimbalwa izixhobo ezithandwa kakhulu ngabasetyhini.

Ezi zibandakanya izi yobisi zilandelayo: Novinet, Yarina, Zhanin, Marvelon, Jess, Diane-35, Logest, Regulon, Chloe, Lindineth-20, , "Clayra", "Median", "Silest."

Isixhobo ngasinye sihambelana nomyalelo obonisa idosi ngqo kunye nexesha lokuthatha isilungiso. Kufuneka ukuba isebenzise iipilisi ngosuku ngalunye. Okukuphela kwimihla yokuya esikhathini, ngexesha apho izidakamizwa ze-hormone zichasene.

Iziphumo eziPhakathi

Ukuthatha ukukhulelwa komlomo ngendlela yamacwecwe e-hormone, kuyafaneleka ukuba ulungele ukuba kwenzeke ukuba kubekho iziphumo ezibi. Njengoko uqeqesho lubonisa, zenzeka rhoqo. Ngoko ke, ugqirha ngexesha lokumisela isilwanyana maqiniseke ukuba uyabaxwayisa malunga nalo mfazi. Ngokukodwa ngokubhekiselele kwinto yokuba abanye babo bangakwazi ukubeka ingozi ebomini.

Iziphumo eziqhelekileyo ezichaphazelekayo zibonakaliswe njengokunyuka okanye ukulahleka kwesisindo, ukubonakala kwesisonguluko, ukuhlanza, ukukhulelwa kwamanzi. Ezi zilandelayo zingabonwa kwiinyanga ezintathu. Ukuba bahlala ixesha elide, kuyafaneleka ukujika kwintlobo yesifo somzimba kwisifo esithile.

Ngoku makhe sithethe ngemiphumo emibi.

Iziphumo zeengxelo eziqhutyelwe zibonise ukuba ukuba ibhinqa lithatha umlomo wokukhulelwa komzimba, inokwenzeka ukuba i-pulmary embolism ivela (PAL) malunga namaxesha ama-3-6, ngokuxhomekeke kumlinganiselo weyeza.

Utshintsho kwinqanaba lexinzelelo lwegazi laphawula kwakhona. Kwininzi yabasetyhini ngexesha lokufumana amalungiselelo e-hormonal ukunyuka kwayo okungabalulekanga kubonwa. Ngoko ke, phambi koxinzelelo lwexinzelelo oludityaniswe nokutshaya nokusetyenziswa kwemithi yokukhulelwa komlomo, umngcipheko wezifo zengqondo zanda. Emva kokuba isicatshulwa siphelile, i-amenorrhea ingenzeka.

Ukongezelela, kukho iingcebiso zokukhulelwa komlomo kungakhuphula umngcipheko wesibeleko somlomo wesibeleko kunye ne-dysplasia. Nangona lo mbandela usabangela ukuphikisana, njengokuba ngexesha lophando aluzange lucinge ngezinye izifo ezibangelwa zizifo, ezifana nokuqala kokuqala ngokwesini, inani elikhulu lamalingani, ukutshaya nokunye. Kodwa nangona ngexesha lokufumana amalungiselelo e-hormone kubalulekile ukuchitha uphando lwe-cytologic yonyaka we-smear ukusuka kwisini.

Izibonelelo zamacwecwe e-hormonal

Zonke iindleko zokukhulelwa komlomo ziza kuba zilungele ukuqwalasela ngendlela yohlu.

1. Ukupheliswa kweengxaki zesikhumba. Ukuze kube ngokuchanekileyo, ukulungiselela ama-estrogen ngabacebisi abakhulu kakhulu ekulwa ne-acne. Oku kubangelwa kukuba ama-hormone anciphisa ukukhutshwa kwe-sebum.
2. Unyango lwee-ocys polycystic. Ukuba eso sifo sasifumene kusenokwenzeka, kukho ithuba eliphezulu lokulikhupha ngokuncediswa kwezilwanyana ezithile zokukhulelwa kwe-hormonal.
3. Impembelelo enokubaluleka emzimbeni ngexesha lokunyuka kwexesha. Iziyobisi zeHormon ziba nefuthe elihle kumsebenzi we-cardiovascular, endocrine kunye neentsholongwane.

Izindlela eziphumelelayo zokukhulelwa komzimba. Enyanisweni, le yinjongo ephambili ye-hormonal contraceptive oral.

Iingxaki zokulawula iipilisi zokuzalwa

Iimigunyana zendlela zomlomo azikho kakhulu, kodwa ke ayenzi nto ibaluleke kakhulu.

Iqala ngento yokuba i-hormonal contraceptive ayinikezeli isiqinisekiso sokukhusela i-100%. Nangona kule nto, yonke into inokuxhomekeka kumfazi ngokwakhe, njengoko ethatha uxanduva olukhulu. Kubalulekile ukuza kwamkelwa kwezi zonyango kunye noxanduva oluphezulu, ekubeni ithebhulethi enye ephosakeleyo ingafaka umngcipheko wokhuseleko lomjikelezo wonke.

Iphuzu lesibini ebalulekileyo yimiphumo emibi. Nokuba imveliso elungileyo inokubangela ukungaqiniseki nokungahambi kakuhle komzimba. Njengoko sele sele khankanywe ngasentla, banokuzibonakalisa nakweyiphi na indlela, beqala ngokungahambisani kunye nokupheliswa kwezifo ezinzulu.

Impendulo kwisicelo

Yintoni abafazi abasebenzisa iipilisi zokukhusela ezikhuselweyo ukuze bazikhusele? Iingxelo zihluke ngokupheleleyo, eziphinde ziqinisekise ukuba lolu hlobo lokukhulelwa kufuneka lukhethwe kuphela ngabanye.

Kukho abo baphawula ngamaphuzu afanelekileyo: ukuphucula imeko yezempilo kunye nokubonakala, kunye nokungabikho ngokupheleleyo kwemiphumo emibi.

Abanye bakhononda ngokuzuza ubunzima, iintloko eziqhubekayo kunye neengcamango ngexesha lokusetyenziswa kweziyobisi, okanye emva kokutsala. Mhlawumbi ukhetho olungalunganga, okanye kukho ezinye izizathu.