Kodi njira yabwino yokonzekera banja lanu ndi iti? (Njira Zolerera Pachibale) Tiyeni tikambirane!

Ngati simunakonzekere kuyambitsa banja, kapena ngati muli kale ndi ana ndipo simukuganiza zokhala ndi mwana wina, Ndikofunikira kwambiri kudziwa njira zolerera , kutanthauza njira zolerera (Kulerera kapena Kuletsa Kubereka). Chifukwa, tiyerekeze kuti mukuchita zogonana, ndiye kuti ngati mugonana mosadziteteza, mutha kutenga mimba nthawi iliyonse. Chifukwa chake, ndikofunikira kwambiri kusankha njira yolerera yomwe ikuyenererani. Ndiye, tiyeni tikambirane za izi mwatsatanetsatane, sichoncho?

Kodi njira yolerera iyi (Kulerera) ndi iti?

Mwachidule, njira yolerera ndi njira yomwe mumagwiritsa ntchito popewa kutenga mimba. Timaitchanso njira yolerera. Pali mitundu yosiyanasiyana ya njira. Chofunika kwambiri ndichakuti njirazi zimagwira ntchito pokhapokha ngati muzigwiritsa ntchito moyenera. Chifukwa chake, ndikofunikira kutenga nthawi kuti mumvetse bwino momwe njira iliyonse imagwirira ntchito komanso momwe mungagwiritsire ntchito. Ngati mukuchita zogonana ndipo simukuyesera kukhala ndi mwana pakadali pano, muyenera kugwiritsa ntchito njira yolerera.

Ndi njira iti yomwe ili yabwino kwa inu ndi mnzanu?

Musanasankhe njira yabwino yolerera, ndikofunikira kukambirana ndi mnzanu za njira imeneyi. Ndi bwinonso kukambirana ndi dokotala wanu za njira imeneyi. Ganizirani zinthu izi posankha njira yoyenera kwa inu:

• Kodi ndi yosavuta kugwiritsa ntchito? Kodi muli omasuka bwanji ndi njira iyi?
• Kodi ndi yothandiza bwanji popewa kutenga mimba ? (Ngati yagwiritsidwa ntchito moyenera)
• Kodi imateteza ku matenda opatsirana pogonana (STIs)?
• Kodi zaka zanu ndi thanzi lanu lonse ndi ziti?
• Kodi muli ndi mapulani aliwonse oti mukhale ndi mwana mtsogolo?
• Kodi zotsatirapo zake kapena zoopsa zake ndi ziti?
• Kodi mumagonana kangati? Kapena muli ndi abwenzi angati?
• Kodi chinsinsi n'chofunika bwanji? (Kodi mukufuna kusunga njira yomwe mumagwiritsa ntchito mwachinsinsi?)
• Kodi pali maubwino ena? Mwachitsanzo, zinthu monga kuchepa kwa magazi panthawi ya msambo kapena kusamba nthawi zonse.

Kodi njira zolerera izi zimagwira ntchito bwanji?

Njira iliyonse yolerera imagwira ntchito mosiyana pang'ono. Mwachidule, izi ndi zomwe zimachitika:

• Zimaletsa umuna kukumana ndi dzira.
• Zimaletsa dzira kutuluka mu ovary yanu.
• Zimawononga umuna, zomwe zimapangitsa kuti zisathe kusambira kupita ku dzira.
• Zimakhuthala mamina a chiberekero chanu, zomwe zimapangitsa kuti umuna usadutse.
• Zimasinthasintha mkati mwa chiberekero chanu, zomwe zimapangitsa kuti dzira lokhala ndi umuna lisalowe m'mimba.

Kodi njira zolerera zogwira mtima kwambiri ndi ziti?

Ndipotu, njira yokhayo yothandiza 100% yopewera kutenga mimba ndiyo kupewa kugonana kotheratu. Komabe, anthu ambiri amavutika kupitirizabe kuchita zimenezi. Chifukwa chake, ndikofunikira kuganizira njira ina yolerera.

Kawirikawiri, njira yolerera yobereka imakhala yothandiza pokhapokha ngati mugwiritsa ntchito bwino komanso nthawi zonse. Chifukwa chake, njira zosavuta kugwiritsa ntchito komanso zosafunikira chisamaliro cha pafupipafupi nthawi zambiri zimakhala zothandiza. Zitsanzo za izi ndi ma implants olerera, zida zolowetsedwa m'chiberekero (IUDs), ndi opaleshoni yokhazikika yolerera (sterilization).

Kumbali ina, njira monga Njira Zodziwira Kubereka kapena Kuchotsa Mimba ndi zina mwa njira zosagwira bwino kwambiri zopewera kutenga mimba.

Kawirikawiri, ndi bwino kugwiritsa ntchito njira ziwiri zolerera pamodzi. Mwachitsanzo, kugwiritsa ntchito kondomu ndi mapiritsi olerera. Mwanjira imeneyi, mumatetezedwa ku matenda opatsirana pogonana (STIs), kugwiritsa ntchito njira yolepheretsa kubereka, komanso kumwa mankhwala a mahomoni.

Kodi mitundu ya njira zolerera kubereka ndi iti? (Mitundu ya njira zolerera kubereka)

Musanasankhe njira, muyenera kulankhula ndi mnzanu komanso dokotala wanu za njira imeneyi. Njira zolerera zimangogwira ntchito ngati muzigwiritsa ntchito bwino. Choncho, onetsetsani kuti mwamvetsa bwino momwe mungagwiritsire ntchito njira yomwe mwasankha.

Pali mitundu ikuluikulu ingapo ya njira zolerera:

• Njira Zolepheretsa Kugonana: Njirazi zimagwira ntchito poletsa umuna kulowa m'chiberekero mwanu. Muyenera kugwiritsa ntchito njira imeneyi nthawi iliyonse mukagonana.
• Mankhwala ndi Zipangizo Zogwiritsira Ntchito Mahomoni: Njirazi zimagwiritsa ntchito mahomoni kuti aletse kutulutsa mazira kapena kusintha momwe chiberekero ndi khomo lachiberekero zilili. Mankhwala ena a mahomoni amafunika kumwedwa tsiku lililonse (kwa kanthawi kochepa), pomwe ena amayikidwa ndi dokotala pansi pa khungu la mkono wanu kapena m'chiberekero chanu (kwa nthawi yayitali).
• Opaleshoni Yokonzekera Banja Yokhazikika - Kutsekereza: Iyi ndi opaleshoni yomwe imaletsa mimba kwamuyaya. Pali opaleshoni yotsekereza yomwe ingathe kuchitidwa kwa amuna ndi akazi.
• Njira Zodziwira Kubereka: Zomwe zimadziwikanso kuti Natural Family Planning, njirazi zimagwiritsa ntchito njira zachilengedwe zopewera kutenga mimba.
• Njira Yopewera Kubereka Mwadzidzidzi: Ngati njira yanu yolerera yalephera, mungagwiritse ntchito njira izi kuti mudziteteze ku mimba. Izi zili ngati njira yomaliza yopewera mimba.
• Kudziletsa: Kudziletsa kugonana kuti mupewe kutenga mimba.

Tsopano tiyeni tiwone mtundu uliwonse mwatsatanetsatane.

Njira Zolepheretsa

Makondomu (njira zolerera za amuna)

• Kodi ndi chiyani? Kondomu ndi chophimba chopyapyala chopangidwa ndi latex, pulasitiki, kapena chikopa cha nkhosa. Chimavalidwa pamwamba pa mbolo yokhazikika. Chophimba ichi chimaletsa umuna wokhala ndi umuna kulowa mu nyini mwanu. Komabe, chifukwa makondomu amatha kung'ambika mosavuta, sangakhale othandiza ngati njira zina zolerera.
• Kodi mungagwiritse ntchito bwanji? Kondomu iyenera kuikidwa pa mbolo yokhazikika musanachite zogonana. Gwiritsani ntchito kondomu yatsopano nthawi iliyonse mukachita zogonana.
• Kodi mungapeze kuti makondomu? Mutha kugula makondomu m'masitolo ogulitsa mankhwala ndi m'masitolo akuluakulu.
• Kodi ndi othandiza bwanji? Ngati muzivala musanayambe kugonana ndikugwiritsa ntchito popanda kung'ambika, makondomu amakhala ndi mphamvu pafupifupi 85%.
• Kodi ndi chiyani china chomwe muyenera kudziwa? Ngakhale kuti sikugwira ntchito 100%, makondomu ndi njira yabwino kwambiri yodzitetezera ku matenda opatsirana pogonana (STIs). Gwiritsani ntchito mafuta odzola okha (monga KY Jelly®, Astroglide®) ndi makondomu. Mafuta odzola okhala ndi mafuta (monga Vaseline®, Baby Oil) angayambitse kusweka kwa makondomu. Ngati kondomu yasweka, ganizirani za njira zopewera kubereka mwadzidzidzi.

Mankhwala ophera umuna

• Kodi ndi chiyani? Mankhwala ophera spermicide ndi gel, kirimu, kapena suppository yomwe imayikidwa mu nyini. Amaletsa umuna kufika pa dzira. Mankhwala omwe ali mmenemo amawononga umuna, zomwe zimapangitsa kuti zikhale zovuta kuti usambire mpaka dzira. Kuti izi zigwire ntchito, muyenera kutsatira malangizowo molondola. Palinso gel yophera spermic yomwe imapezeka mwalamulo (`Phexxi®`). Imagwira ntchito pochepetsa pH ya nyini, zomwe zimapangitsa kuti umuna usavutike kusambira.
• Momwe mungagwiritsire ntchito? Mankhwala ophera umuna ndi jeli ya m'chiberekero ziyenera kuyikidwa mu nyini mphindi 15-30 musanagonane. Mankhwala ambiri ophera umuna amagwira ntchito kwa ola limodzi, kenako amafunika kupakidwanso. Pakaninso mankhwala ophera umuna nthawi iliyonse mukagonana, ndipo musawatsuke mukamaliza kugonana.
• Kodi ndingapeze kuti? Mankhwala ophera spermicide angagulidwe ku ma pharmacy ndi masitolo akuluakulu. Gel yochokera ku nyini yomwe imachepetsa pH (`Phexxi®`) ingagulidwe kokha ndi dokotala.
• Kodi zikuyenda bwino bwanji?Mankhwala ophera umuna okha ndi othandiza 70% popewa kutenga mimba. Komabe, mankhwala ophera umuna omwe amagwiritsidwa ntchito limodzi ndi njira ina yotchinga amatha kugwira ntchito mpaka 94%. Mankhwala ophera umuna, omwe dokotala amawapatsa, amagwira ntchito ndi 85% - 93% yokha.
• Kodi ndi chiyani china chomwe muyenera kudziwa? Mankhwala ophera umuna sateteza matenda opatsirana pogonana (STIs). Ndipotu, angakulitse chiopsezo chanu. Chifukwa mankhwala omwe ali mu mankhwala ophera umuna amatha kukwiyitsa nyini yanu, zomwe zimapangitsa kuti matenda alowe mosavuta.

Diaphragm

• Kodi ndi chiyani? Diaphragm ndi chipangizo chopindika, chogwiritsidwanso ntchito, chooneka ngati dome chomwe chimayikidwa mu nyini kuti chiteteze kutenga mimba. Chimaphimba khomo lachiberekero lanu ndikuletsa umuna kulowa m'chiberekero. Nthawi zonse muyenera kugwiritsa ntchito mankhwala ophera umuna ochokera m'madzi kapena jeli yolerera kubereka yokhala ndi diaphragm.
• Momwe mungagwiritsire ntchito? Diaphragm ili ngati kapu kakang'ono kapena kapu. Mumapinda pakati ndikukankhira mmwamba mu nyini, kuphimba khomo lachiberekero. Ikani diaphragm ola limodzi kapena awiri musanagonane. Ichotseni maola 6 mpaka 24 mutagonana. Kuti mutetezeke kwambiri, ikani mankhwala ophera umuna m'mphepete mwa diaphragm musanagonane.
• Kodi mungapeze kuti imodzi? Ma diaphragm ena amabwera m'makulidwe osiyanasiyana. Chifukwa chake, muyenera kuwona dokotala ndikuyesedwa m'mimba kuti mupeze kukula koyenera. Ndikofunikira kwambiri kupeza diaphragm yomwe ikukwanirani bwino. Ngati mutataya kapena kuonda kuposa mapaundi 10-15, mungafunike kuti diaphragm yanu ikonzedwenso ndi dokotala. Komabe, ma diaphragm ena, monga `Caya®`, amabwera mu kukula "kofanana ndi kukula kwakukulu", kotero safunika kusinthidwa.
• Kodi ndi yothandiza bwanji? Diaphragm ya vaginal ndi yothandiza pafupifupi 87%. Komabe, ngati igwiritsidwa ntchito moyenera (ndi mankhwala ophera umuna) komanso nthawi zonse, ingakhale yogwira ntchito mpaka 94%.
• Kodi ndi chiyani china chomwe muyenera kudziwa? Kugwiritsa ntchito diaphragm ndi mankhwala ophera umuna sikuteteza ku matenda opatsirana pogonana (STIs), kuphatikizapo HIV (kachilombo kamene kamayambitsa Edzi).

Chipewa cha Pakhosi

• Kodi ndi chiyani? Chipewa cha khosi ndi chikho chooneka ngati thimble chopangidwa ndi silicone kapena rabara yofewa yomwe imakwanira bwino pa khosi lanu.
• Momwe mungagwiritsire ntchito? Choyamba, ikani mankhwala ophera umuna pa diaphragm. Kenako, ikani diaphragm mu nyini yanu ndikuyiyika pamwamba pa chiberekero chanu. Diaphragm imatseka chiberekero chanu, ndipo mankhwala ophera umuna amapha umuna. Mutha kuyika diaphragm kwa maola asanu ndi limodzi musanagone. Musachotse diaphragm mpaka maola osachepera asanu ndi atatu mutagonana. Diaphragm ikhoza kusiyidwa pamalo pake kwa maola 48. Gwiritsani ntchito diaphragm monga momwe mwalangizidwira.
• Kodi ndingapeze kuti?Kuti musankhe chipewa choyenera cha khomo lachiberekero, muyenera kupita kwa dokotala ndikuyesedwa m'mimba. Monga diaphragm, imagwira ntchito pokhapokha ngati ikukwanira bwino.
• Kodi chimagwira ntchito bwanji? Chipewa cha pakhosi chimagwira ntchito pafupifupi 78% popewa kutenga mimba. Komabe, chikagwiritsidwa ntchito ndi mankhwala ophera umuna, chimagwira ntchito mpaka 85%.
• Kodi ndi chiyani china chomwe muyenera kudziwa? Kugwiritsa ntchito chipewa cha pakhosi ndi mankhwala ophera umuna sikuteteza matenda opatsirana pogonana monga momwe makondomu amatetezera.

Kondomu ya Akazi

• Kodi ichi ndi chiyani? Kondomu yachikazi ndi chubu cha pulasitiki chopakidwa mafuta. Ili ndi mphete ziwiri zopindika mbali zonse ziwiri. Malekezero a chubucho ndi otsekedwa.
• Momwe mungagwiritsire ntchito? Musanayambe kugonana, ikani kondomu mu nyini. Malekezero otsekedwa a chubu amaphimba khomo lachiberekero, ndipo malekezero ena amaphimba maliseche. Kondomu imaletsa umuna kulowa m'chiberekero. Chotsani kondomu mukamaliza kugonana.
• Kodi mungapeze kuti? Makondomu achikazi amatha kugulidwa ku ma pharmacy ndi masitolo akuluakulu popanda chilolezo cha dokotala.
• Kodi ndi yothandiza bwanji? Ngakhale ndi makondomu a akazi, pafupifupi 21% ya akazi amatenga mimba pachaka.
• Kodi ndi chiyani china chomwe muyenera kudziwa? Makondomu achikazi amapereka chitetezo ku matenda opatsirana pogonana (STIs), koma makondomu achimuna amapereka chitetezo chabwino kwambiri.

Siponji

• Kodi ichi ndi chiyani? Siponji yopangidwa ndi nyini ndi kachipangizo kakang'ono kooneka ngati donati komwe kali ndi mankhwala ophera umuna. Kamagwira ntchito ngati chotchinga pakati pa umuna ndi chiberekero chanu.
• Kodi imagwira ntchito bwanji? Mumanyowetsa siponji ndi madzi, n’kuiika mu nyini mwanu, n’kuiika kuti iphimbe chiberekero chanu. Ikanyowa, imatulutsa mankhwala ophera umuna. Siponji imakhala ndi mankhwala ophera umuna okwanira kwa maola pafupifupi 24. Izi zikutanthauza kuti mutha kuyiyika mpaka maola 24 musanayambe kugonana. Nthawi zonse muiike kwa maola asanu ndi limodzi mutagonana. Si bwino kusiya siponji mu nyini mwanu kwa maola opitilira 30.
• Kodi ndingapeze kuti? Siponjiyi ingagulidwe popanda mankhwala m'ma pharmacy ndi masitolo akuluakulu ambiri.
• Kodi ndi yothandiza bwanji ? Siponji yoletsa kubereka imakhala yothandiza pakati pa 76% ndi 91% popewa kutenga mimba (kutengera momwe mumaigwiritsira ntchito bwino). Komanso, siponjiyo imakhala yothandiza kwambiri ngati simunakhalepo ndi mwana.
• Kodi chinanso chomwe muyenera kudziwa ndi chiyani? Kugwiritsa ntchito siponji kumawonjezera chiopsezo cha matenda opatsirana pogonana, ndipo sikuteteza ku matenda opatsirana pogonana.

Zipangizo za Mahomoni ndi Kuletsa Kubereka

Chomera Choletsa Kubereka

• Ichi ndi chiyani?Nexplanon® ndi kachidutswa kakang'ono kofanana ndi ka machesi. Dokotala amaikamo pansi pa khungu la mkono wanu wapamwamba. Imatulutsa mahomoni otchedwa progestin mosalekeza. Itha kusiyidwa pamalo pake kwa zaka pafupifupi zitatu, pambuyo pake imatha kuchotsedwa kapena kuyikidwanso yatsopano. Anthu ena amaikonda chifukwa siikonzedwa, siisokoneza kugonana, ndipo imatha kusungidwa mwachinsinsi.
• Kodi madokotala amaiyika bwanji iyi? Dokotala amaiyika mu ofesi. Choyamba, amaiyika dzanzi mkati mwa mkono wanu wapamwamba kuti musamve kupweteka kulikonse. Kenako, amagwiritsa ntchito chipangizo chapadera kuyika singano pansi pa khungu lanu. Malowa amaphimbidwa ndi bandeji. Dokotala amaichotsanso (simungathe kuichotsa nokha).
• Kodi ndingapeze kuti? Dokotala ayenera kulemba mapiritsi oletsa kubereka.
• Kodi ndi yothandiza bwanji? Mapiritsi oletsa kubereka ndi othandiza pafupifupi 100%. Ndi njira yothandiza kwambiri yoletsa kubereka yomwe ilipo.
• Kodi muyenera kudziwa chiyani china? Mapiritsi oletsa kubereka ali ndi zoopsa, ndipo sagwira ntchito kwa aliyense. Zotsatira zoyipa kwambiri ndi kutuluka magazi mosakhazikika, koma nthawi zambiri zimakhala zochepa. Izi nthawi zambiri zimakhala bwino pakatha miyezi 6-12, koma anthu ena amatha kusiya kusamba. Zotsatira zina zoyipa ndi kupweteka m'mawere ndi mutu.

Chipangizo cha m'mimba (IUD)

• Kodi ndi chiyani? Chipangizo chamkati mwa chiberekero (IUD) ndi chipangizo chaching'ono, chosinthasintha, chooneka ngati 'T' chomwe chimayikidwa mkati mwa chiberekero chanu kuti mupewe kutenga mimba. Pali mitundu iwiri ya ma IUD:
• IUD yopangidwa ndi mkuwa.
• IUD yopangidwa ndi pulasitiki yokhala ndi mahomoni (progestin).
• IUD yokhala ndi mkuwa, yotchedwa ParaGard T380A®, imatha kusiyidwa pamalo pake kwa zaka 10. Mkuwa umagwira ntchito poletsa umuna kuti usadutse m'mimba mwanu ndi m'chiberekero ndikukakumana ndi dzira.
• Ma IUD omwe ali ndi progestin ndi awa:
• `Mirena®` (imatha zaka 7)
• `Liletta®` (imatha zaka 6)
• `Kyleena®` (imatha zaka 5)
• `Skyla®` (imatha zaka 3)
• Ma IUD amenewa amagwira ntchito polimbitsa ntchofu ya pakhosi panu, zomwe zimapangitsa kuti umuna usafike pa dzira. Amathandizanso kuchepetsa chiberekero chanu ndi mahomoni, zomwe zimachepetsa kutuluka magazi m'mimba.
• Kodi mungazigwiritse ntchito bwanji? Ma IUD ndi njira yolerera yoti "muikemo ndipo muiwale". Izi zikutanthauza kuti mukangoyikamo, mutha kuyiwala chifukwa palibe kukonza tsiku lililonse kapena mwezi uliwonse komwe kumachitika.
• Kodi ndingapeze kuti? Dokotala akamaliza kuyeza nyini, amaika IUD m'chiberekero mwanu. Itha kupezeka pokhapokha ngati dokotala walemba mankhwala.
• Kodi IUD ndi yothandiza bwanji? IUD ndi yothandiza pafupifupi 100%.
• Kodi zimapweteka mukayika IUD?Ayi, siziyenera kupweteka mukayika IUD. Mungamve kupweteka pang'ono kapena kupweteka msana dokotala ataika IUD. Momwemonso pochotsa IUD - mungamve kupweteka pang'ono.
• Kodi ndi chiyani china chomwe muyenera kudziwa? Zotsatira zake zimasiyana malinga ndi mtundu wa IUD yomwe mumagwiritsa ntchito. Ma IUD a Copper angayambitse kupweteka komanso kusamba kwambiri. Anthu ena amakonda ma IUD a copper chifukwa alibe mahomoni. Zotsatira zake zoyipa kwambiri za ma IUD a progestin ndi kutuluka magazi mosakhazikika. Izi nthawi zambiri zimakhala bwino pakatha miyezi 6-12. Anthu ena amatha kusiya kusamba konse. IUD imachotsedwa ndi dokotala. Ngati mutatenga mimba muli ndi IUD, nthawi zambiri imakhala mimba yotuluka m'mimba.

Ma IUD angagwiritsidwenso ntchito ngati njira yopewera mimba mwadzidzidzi. Izi zikutanthauza kuti, mkati mwa maola 120 (masiku 5) kuchokera pamene munthu wagonana mosadziteteza. Ndipotu, izi zimathandiza kwambiri kuposa mapiritsi a m'mawa.

Mapiritsi a Hormonal, Patch, ndi Mphete

• Kodi izi ndi ziti? Mapiritsi, chigamba, ndi mphete ndi mankhwala omwe mumamwa kuti mupewe kutenga mimba. Mapiritsi amatengedwa tsiku lililonse, mphete ya m'chiberekero (`NuvaRing®`) imayikidwa kamodzi pamwezi, ndipo chigamba (`Xulane®`) chimasinthidwa kamodzi pa sabata. Njira zambiri zolerera kubereka zokhala ndi mahomoni zimakhala ndi mitundu iwiri ya mahomoni (`Estrogen` ndi `Progestin`). Njira zonsezi zimagwira ntchito poletsa ovulation.
• Momwe mungagwiritsire ntchito? Muyenera kumwa mapiritsi nthawi yomweyo tsiku lililonse. Pali mitundu ingapo ya mapiritsi. Ena amapangidwira kuti msambo wanu ubwere mwezi uliwonse, pomwe ena amapangidwira kuti atalikitse nthawi pakati pa msambo kapena kuletsa msambo wanu wonse. Mumasintha mphete ya m'chiberekero mwezi uliwonse, zomwe zimapangitsa kuti msambo wanu ubwere. Chigamba choletsa kubereka chimatulutsa mahomoni pakhungu lanu. Mumasintha chigamba kamodzi pa sabata. Njira zonsezi ziyenera kugwiritsidwa ntchito moyenera komanso nthawi zonse. Ngati muiwala kugwiritsa ntchito, mutha kukhala ndi msambo wosakhazikika komanso kutenga mimba.
• Kodi ndingapeze kuti? Mankhwala oletsa kubereka okhala ndi mahomoni amapezeka pokhapokha ngati dokotala walemba mankhwala.
• Kodi ndi othandiza bwanji? Njira zolerera za mahomoni pamodzi zitha kukhala zogwira mtima ndi 99% ngati zigwiritsidwa ntchito moyenera. Komabe, chifukwa anthu ambiri sazigwiritsa ntchito bwino, chiwopsezo cha kupambana chili pafupifupi 91% yokha. Ngakhale sizigwira ntchito bwino ngati IUD kapena implant, njira zolerera za mahomoni monga mapiritsi ndi zothandiza kwambiri kuposa njira zotchingira monga makondomu.
• Kodi ndi chiyani china chomwe muyenera kudziwa? Zotsatirapo zazing'ono zingachitike m'miyezi ingapo yoyambirira mutayamba kugwiritsa ntchito mapiritsi. Zitsanzo:
• Kupweteka kwa m'mawere/kufewa
• Kusanza
• Mutu
• Kusamba kosakhazikika
• Njira zolerera kubereka zomwe zili ndi estrogen zimawonjezera chiopsezo cha magazi kuundana.Choncho, lankhulani ndi dokotala wanu kuti muwone ngati njira zolerera zomwe zili ndi estrogen zili zoyenera kwa inu. Kuletsa kubereka pogwiritsa ntchito mahomoni kulinso ndi ubwino. Mwachitsanzo, kusamba nthawi zonse komwe kumachotsa magazi ambiri komanso kupweteka pang'ono kwa msambo. Anthu omwe amagwiritsa ntchito mapiritsi olerera amathanso kukhala ndi ziphuphu zochepa komanso matenda a premenstrual syndrome (PMS).

Mapiritsi a Progestin Okha (Mapiritsi Ang'onoang'ono)

• Kodi izi ndi chiyani? Awa ndi mapiritsi oletsa kubereka omwe ali ndi homoni imodzi yokha (progestin).
• Kodi amagwira ntchito bwanji? Mapiritsi ang'onoang'ono amalimbitsa ntchofu ya m'chiberekero mwanu, zomwe zimapangitsa kuti umuna usafike pa dzira. Mahomoni omwe ali m'mapiritsiwa amafewetsa mkati mwa chiberekero chanu, zomwe zimachepetsa kutuluka magazi m'mimba. Kuti piritsi laling'ono likhale lothandiza kwambiri, ndikofunikira kumwa mapiritsiwa nthawi yomweyo tsiku lililonse. "Mapiritsi ang'onoang'ono" omwe ali ndi progestin yokha amatha kumwedwa ndi dokotala.
• Kodi ndi othandiza bwanji? Monga mapiritsi oletsa kubereka ophatikizana, mapiritsi a progestin okha akhoza kukhala othandiza 99%. Komabe, kwenikweni ndi othandiza 91% chifukwa anthu ambiri sagwiritsa ntchito bwino.
• Kodi ndi chiyani china chomwe muyenera kudziwa? Zotsatira zoyipa kwambiri za mapiritsi a progestin okha ndi kutuluka magazi mosakhazikika, koma nthawi zambiri zimakhala zochepa. Izi nthawi zambiri zimakhala bwino pakatha miyezi 6-12. Minipill ndi njira yabwino kwa amayi omwe akuyamwitsa kapena omwe sangathe kumwa estrogen.

Depo-Provera® - Katemera Woletsa Kubereka

• Kodi ndi chiyani? Depo-Provera® ndi mtundu wa hormone ya progestin. Imakulepheretsani kutulutsa mazira ndipo imakulitsa ntchofu ya m'chiberekero mwanu kuti zikhale zovuta kuti umuna ufike pa dzira.
• Kodi mungagwiritse ntchito bwanji? Jakisoni woletsa kubereka ndi jakisoni. Dokotala wanu amamupatsa jakisoni m'chiuno kapena m'dzanja lanu lapamwamba. Jakisoni imodzi imateteza mimba kwa milungu pafupifupi 12 (miyezi itatu). Madokotala ena amakulolani kudzibaya jakisoni wochepa (`Depo-Subq Provera 104®`) kunyumba.
• Kodi ndingapeze kuti? Depo-Provera® iyenera kulembedwa ndi dokotala. Adzakulowetsani jekeseni ya mahomoni mu ofesi. Ngati mukugwiritsa ntchito jekeseni yotsika, mutha kudzibaya nokha kunyumba.
• Kodi ndi yothandiza bwanji? Jakisoni wa Depo-Provera® ndi wothandiza ndi 99%. Komabe, pafupifupi 6% ya akazi amatenga mimba chaka chilichonse chifukwa salandira jakisoni pa nthawi yake.
• Kodi muyenera kudziwa chiyani china? Depo-Provera® ingayambitse kutuluka magazi kosakhazikika. Anthu omwe amagwiritsa ntchito kwa nthawi yoposa chaka chimodzi amatha kusiya kusamba akamamwa mankhwalawo. Ikhoza kukhala njira yokhayo yolerera yomwe ingayambitse kunenepa. Poyerekeza ndi njira zina zolerera, zimakhala zovuta kudziwa nthawi yomwe kubereka kwanu kudzabwerera mukasiya kugwiritsa ntchito Depo-Provera®.

Njira Zodziwira Kubereka - Kulera Kwachilengedwe

Njira Yogwirira Ntchito

• Kodi ndi chiyani? Njira ya Rhythm imakuphunzitsani kuzindikira nthawi yomwe mumatulutsa mazira. Izi zimakuthandizani kudziwa masiku anu okhala ndi chonde kwambiri, masiku omwe mungakhale ndi pakati. Mumapewa kugonana masiku anu okhala ndi chonde.
• Kodi mumachita bwanji? Mumagwiritsa ntchito kalendala kuti mutsatire nthawi yanu yotuluka m'mimba ndikudziwiratu. Izi zimafuna kuti mutsatire nthawi yanu yotuluka m'mimba kwa miyezi ingapo, kenako mutha kudziwiratu nthawi yanu yotuluka m'mimba.
• Kodi ndi yothandiza bwanji? Iyi ndi imodzi mwa njira zolerera zosagwira ntchito bwino. Ngakhale zitagwiritsidwa ntchito moyenera, zimakhala ndi mphamvu pakati pa 75% ndi 88% yokha.
• Kodi ndi chiyani china chomwe muyenera kudziwa? Njira yogwiritsira ntchito kalendala sigwira ntchito ngati muli ndi nthawi yosasinthasintha ya msambo. Ubwino wake ndi wakuti ilibe zotsatirapo zake, ndipo ndi yotsika mtengo.

Njira ya Mphuno ya M'khosi

• Kodi ichi ndi chiyani? Kuwunika mamina a m'chiberekero ndi njira yowunikira kutuluka kwa madzi m'chiberekero chanu kuti mudziwe nthawi yomwe muli ndi chonde kwambiri. Mumapewa kugonana panthawi yanu yobereka.
• Kodi mungachite bwanji? Mutha kuyang'ana mamina anu a m'chiberekero pogwiritsa ntchito chala chanu kapena poyang'ana zovala zanu zamkati. Mamina anu obereketsa m'chiberekero ndi oterera, oyera, ndipo ali ndi mawonekedwe oyera ngati dzira. Ngati ndi okhuthala, opaka, simuli ndi chonde. Kuphunzira momwe mamina anu a m'chiberekero amasinthira nthawi iliyonse ya msambo kungakuthandizeni kudziwa nthawi yomwe mudzatulutse dzira.
• Kodi ndi yothandiza bwanji? Kuyeza chiberekero kungakhale kothandiza mpaka 88%. Nthawi zambiri, kumakhala kothandiza pafupifupi 75%.
• Kodi ndi chiyani china chomwe muyenera kudziwa? Kufufuza mamina a chiberekero chanu ndi njira yotengera nthawi komanso yofunikira kwambiri. Izi zingatenge milungu iwiri ndipo muyenera kupewa kugonana masiku anu okhala ndi chonde. Nthawi zina zimakhala zovuta kudziwa nthawi yeniyeni yogonana.

Njira Yoyesera Kutentha kwa Thupi Loyambira

• Kodi ichi ndi chiyani? Kuyeza kutentha kwa thupi lanu ndi njira ina yodziwira nthawi yomwe mukuyamba kutulutsa mazira. Kuti izi zigwire ntchito, mufunika thermometer yomwe imatha kuyeza gawo limodzi mwa magawo khumi a digiri.
• Kodi mungachite bwanji? Yesani kutentha kwa thupi lanu m'mawa uliwonse musanadzuke pabedi (ndipo ngakhale musanayime). Kutentha kwa thupi lanu tsiku ndi tsiku nthawi zambiri kumakwera pang'ono kuposa theka la digiri mutatulutsa mazira. Kutentha kwa thupi lanu kukakwera, mutha kugonana mosadziteteza kwa masiku atatu. Zingatenge nthawi zingapo kuti mudziwe nthawi yomwe kukwera kumeneku kumachitika mwezi uliwonse.
• Kodi ndi yothandiza bwanji? Siigwira ntchito ikagwiritsidwa ntchito yokha,Chifukwa izi zimangokuuzani kuti ovulation yachitika, osati kuti yayandikira. Popeza mutha kutenga mimba mpaka masiku asanu ovulation isanachitike, iyi ndi njira yosadalirika kwambiri.
• Kodi chinanso chomwe muyenera kudziwa ndi chiyani? Zimafunika kudzipereka kwambiri kuti muwerenge kutentha kwa thupi lanu m'mawa uliwonse mukagona. Ngakhale kuti ndi zotsika mtengo, sizipereka chitetezo chokwanira ku mimba monga njira zolepheretsa kapena njira zolerera ana pogwiritsa ntchito mahomoni.

Kupewa kugonana

• Kodi izi ndi chiyani? Kudziletsa ndiyo njira yokhayo yolerera yomwe imagwira ntchito 100%. Izi zikutanthauza kuti simugonana. Ndi njira yokhayo yodzitetezera ku matenda opatsirana pogonana (STDs).

Ngati wina akukukakamizani kugonana ndipo simukumva kuti mwakonzeka, musagonje. Ndi chisankho chofunikira chomwe chili ndi zotsatirapo zazikulu zamaganizo ndi zakuthupi.

Kuletsa Kubereka Mwadzidzidzi

Mapiritsi a M'mawa Pambuyo pa Kudya

• Kodi ndi chiyani? Njira yolerera yadzidzidzi ndi njira yolerera yomwe mungagwiritse ntchito mkati mwa maola 120 (masiku 5) kuchokera pamene mwagonana mosadziteteza. Ndi yothandiza kwambiri popewa kutenga mimba ngati itagwiritsidwa ntchito mkati mwa masiku atatu kuchokera pamene mwagonana mosadziteteza.
• Mapiritsi ogwira ntchito kwambiri a m'mawa omwe atengedwa ali ndi `ulipristal` (dzina la mtundu: `ella®`). Amapezeka pokhapokha ngati dokotala walemba mankhwala. Pali njira zingapo zomwe zilipo popanda mankhwala ochokera kwa dokotala, zomwe zonse zili ndi `levonorgestrel` (monga `Plan B One-Step®`, `Take Action®`, ndi mitundu ina yambiri).
• Kodi amagwira ntchito bwanji? Piritsili limaletsa kupanga mazira kwakanthawi (limachedwetsa kutulutsa kwa dzira) ndipo limaletsa kutenga mimba.
• Kodi ndingapeze kuti? Mapiritsi a `Levonorgestrel` angagulidwe ku pharmacy yapafupi nanu popanda mankhwala. `Ulipristal` (`ella®`) angagulidwe kokha ndi mankhwala a dokotala.
• Kodi ndi yothandiza bwanji? Mapiritsi oletsa kubereka adzidzidzi amatha kugwira ntchito mpaka 90% ngati atatengedwa mkati mwa maola 72 kuchokera pamene mwagonana mosadziteteza. Komabe, palibe mapiritsi omwe angagwire ntchito ngati mwatulutsa kale mazira. Ndicho chifukwa chake ndikofunikira kuwamwa mwamsanga mukamaliza kugonana.

Ma IUD a Kuletsa Kubereka Mwadzidzidzi

• Kodi ma IUD angagwiritsidwe ntchito poletsa kubereka mwadzidzidzi? Inde, ma IUD okhala ndi mkuwa (Paragard®) ndi ma IUD okhala ndi progestin okha (Mirena® kapena Liletta®) angagwiritsidwe ntchito ngati njira yoletsa kubereka mwadzidzidzi ngati atayikidwa mkati mwa maola 120 (masiku 5) kuchokera pamene munthu wagonana mosadziteteza. Iyi ndi njira yothandiza kwambiri yoletsa kubereka mwadzidzidzi. Ubwino wogwiritsa ntchito ma IUD poletsa kubereka mwadzidzidzi ndikuti mumatetezedwa ku mimba zosafunikira zamtsogolo pamene mukufuna njira yoletsa kubereka.
• Ma IUD omwe ali ndi progestin amagwira ntchito polimbitsa ntchofu ya pakhosi panu, zomwe zimapangitsa kuti umuna usafike pa dzira. Ma mahomoniwa amafewetsa chiberekero chanu, zomwe zimachepetsa kutuluka magazi m'mimba. Ma IUD a mkuwa amagwira ntchito poletsa umuna kufika pa dzira.
• Kodi ndingapeze kuti? Dokotala amalemba ndi kuika ma IUD.
• Kodi ndi othandiza bwanji? Ngati atayikidwa mkati mwa masiku asanu kuchokera pamene munthu wagonana mosadziteteza, ma IUD amatha kukhala othandiza kwambiri popewa kutenga mimba.
• Kodi ndi chiyani china chomwe muyenera kudziwa chokhudza njira zolerera zadzidzidzi? Ndizachibadwa kukhala ndi msambo wosakhazikika mutatenga njira zolerera zadzidzidzi. Komabe, ngati simutenga msambo wanu pasanathe milungu ingapo mutatenga njira zolerera zadzidzidzi, muyenera kutenga mayeso a mimba. Ndikofunikira kwambiri kugwiritsa ntchito makondomu kapena kupewa kugonana kwa masiku asanu mutatenga njira zolerera zadzidzidzi, apo ayi mutha kutenga pakati. Ngati mukumwa mapiritsi olerera zadzidzidzi nthawi zonse, lankhulani ndi dokotala wanu za njira zothandiza zopewera kutenga mimba. Ubwino wogwiritsa ntchito ma IUD ngati njira yolerera zadzidzidzi ndikuti mukutenga njira yodzitetezera ku mimba zosafunikira zamtsogolo.

Opaleshoni Yokhazikika Yokonzekera Banja - Kuletsa Kutsekula M'mimba

Salpingectomy (kuchotsedwa kwa machubu a fallopian)

• Kodi ndi chiyani? Salpingectomy ndi opaleshoni yomwe imachotsa dzira lanu lonse. Izi zimaletsa dzira kufika pachiberekero chanu. Zimalepheretsanso umuna kufika pa payipi ya fallopian, komwe nthawi zambiri umapezeka umuna. Madokotala amakonda opaleshoni iyi kuposa kulumikiza tubal (yomwe imaphatikizapo kumangirira payipi ya fallopian popanda kuwachotsa kwathunthu). Izi zili choncho chifukwa ngati mutatenga mimba mutamanga payipi yanu, pali mwayi waukulu wokhala ndi mimba yotuluka m'mimba.
• Kodi zimachitika bwanji? Dokotala amachita opaleshoniyi pamene muli pansi pa mankhwala oletsa ululu. Amadula pang'ono kawiri kapena katatu m'mimba mwanu ndikuyika chida chotchedwa laparoscope. Kudzera mu laparoscope, amatha kutseka machubu anu a fallopian ndikuchotsa kwathunthu.
• Kodi opaleshoniyi yapambana bwanji? Opaleshoniyi yapambana pafupifupi 100%.
• Kodi ndi chiyani china chomwe muyenera kudziwa? Kutsekereza kwa akazi ndi kosatha. Simuyenera kutsekereza kosatha ngati mukuganiza kuti mungasinthe maganizo anu pankhani yokhala ndi ana mtsogolo. Ngakhale kuti nthawi zambiri sizingatheke, opaleshoniyi ili ndi zoopsa ndipo ikhoza kukhala yokwera mtengo kwambiri. Siziteteza ku matenda opatsirana pogonana (STDs).

Kutsekeka kwa Tubal

• Ichi ndi chiyani?Kutseka machubu a mazira ndi njira yomwe imatseka machubu anu a mazira. Dokotala wochita opaleshoni amadula, kumangirira, kapena kutseka machubu anu a mazira kuti apewe kutenga mimba. Njirayi ndi yofanana ndi salpingectomy, koma siichotsa kwathunthu machubu anu a mazira. Ngati mutenga mimba mutamanga machubu anu, pali chiopsezo chachikulu cha mimba yotuluka m'mimba.
• Kodi chikuyenda bwino bwanji? Kulumikiza ma Tubal ndi kopambana pafupifupi 100%.

Opaleshoni yochotsa mimba mwa amuna (Vasectomy)

• Kodi ichi n'chiyani? Vasectomy ndi njira yotsekera vas deferens, chubu chomwe chimanyamula umuna kupita nawo ku ziwalo zoberekera za amuna. Popanda umuna, mimba singachitike.
• Kodi zimachitika bwanji? Madokotala nthawi zambiri amachita izi mu ofesi kapena m'chipinda chochitira opaleshoni, pansi pa mankhwala oletsa ululu. Dokotala wanu amadula pang'ono m'thumba lanu lachiberekero kuti apeze machubu omwe amanyamula umuna. Kenako, amamanga kapena kudula machubuwo.
• Kodi yapambana bwanji? Opaleshoni yotseketsa amuna ndi yopambana pafupifupi 100%, koma ingalepherenso. Ndikofunikira kudziwa kuti sipereka chitetezo mwachangu ku mimba. Muyenera kugwiritsa ntchito njira zina zolerera kwa miyezi ingapo mutachita opaleshoni, mpaka dokotala wanu atatsimikizira kuti palibe umuna mu umuna wanu.
• Kodi ndi chiyani china chomwe muyenera kudziwa? Kutsekereza sikuteteza ku matenda opatsirana pogonana (STD). Nthawi zina, dokotala wanu atha kusintha njira yotsekereza amuna. Kutsekereza amuna kuli ndi chiopsezo chochepa cha mavuto poyerekeza ndi laparoscopic salpingectomy.

Mafunso Omwe Amafunsidwa Kawirikawiri Okhudza Kuletsa Kubereka

Kodi "Kutulutsa" kukuyenda bwino bwanji?

"Njira Yochotsera Mbolo" ndi njira yochotsera mbolo m'maliseche musanatulutse umuna. Kuchotsa mbolo musanatulutse umuna ndi njira yopewera kutenga mimba, koma sikugwira ntchito bwino. Chifukwa ndizovuta kwambiri kuchita izi. Ngakhale umuna wochepa ukhoza kupangitsa mkazi kutenga mimba. Mwa iwo omwe amagwiritsa ntchito "kuchotsa umuna" ngati njira yokhayo yolerera, pafupifupi m'modzi mwa asanu (20%) adzatenga mimba pachaka.

Kodi njira yabwino kwambiri yodzitetezera ku matenda opatsirana pogonana (STIs) ndi iti?

Makondomu ndi njira yabwino kwambiri yodzitetezera ku matenda opatsirana pogonana. Komabe, makondomu si njira yabwino kwambiri yopewera kutenga mimba. Makondomu amagwira ntchito bwino akagwiritsidwa ntchito ndi njira ina yolerera.

Pomaliza, ndiyenera kukuuzani... (Uthenga Wopita Nawo Kunyumba)

Mwa kuphunzira zambiri za njira zosiyanasiyana zolerera, mutha kusankha njira yomwe ili yoyenera kwa inu. Ganizirani zinthu monga kuchuluka kwa nthawi yomwe mumagonana, thanzi lanu lonse, komanso mapulani anu obereka ana mtsogolo. Chinthu china chofunikira kuganizira ndi kusavuta. Njira zina zolerera (monga mapiritsi) zimafuna kusamalidwa tsiku ndi tsiku kuti zigwire ntchito, pomwe zina (monga IUD) zimatha kukhala zaka zambiri ndipo zimatha "kuyikidwa ndikuyiwala." Njira zina zolerera ndizosavuta kuzisunga kuti zisawonekere, ndipo zina zimakhala bwino kusunga chibadwa cha kugonana kuposa zina.

Chofunika kwambiri ndikulankhula ndi dokotala za njira zanu zolerera. Angakufotokozereni momwe njira iliyonse yolerera imagwirira ntchito, komanso zoopsa ndi ubwino wa njira iliyonse. Kumbukirani, kusankha njira yoyenera kwa inu ndikofunikira kwambiri pa thanzi lanu komanso moyo wanu!

Kulera banja , njira zolerera, njira zolerera, makondomu, njira zamahomoni, IUD, kuletsa kubereka