Kodi mukuganiza zokonzekera banja? Kapena kodi msambo wanu sukufika pa nthawi yake? Mwina dokotala wanu wakuuzani kuti mugwiritse ntchito "piritsi" la ziphuphu kapena pazifukwa zina. Ngakhale kuti pali nkhani zambiri m'gulu la anthu zokhudza mapiritsi oletsa kubereka awa, anthu ambiri sadziwa bwino lomwe kuti ndi ati. Kotero lero tikambirana izi mosavuta, m'njira yomwe mungamvetse.
Mwachidule, kodi mapiritsi oletsa kubereka awa ndi chiyani?
Mapiritsi oletsa kubereka ndi mapiritsi okhala ndi mahomoni omwe amagwiritsidwa ntchito poletsa mayi kutenga pakati. Amatchedwanso 'Oral Contraception' chifukwa amafunika kumwedwa tsiku lililonse. M'chilankhulo chathu, amatchedwa "mapiritsi". Kwa anthu ambiri, izi zakhala gawo lachizolowezi la zochita zawo za tsiku ndi tsiku.
Koma apa pali chinthu chofunikira kwambiri. Ngati mumwa mapiritsi awa tsiku lililonse, panthawi yake , ndi othandiza pafupifupi 99% popewa kutenga mimba. Komabe, poyerekeza ndi njira zina zolerera monga makondomu, mapiritsi awa sapereka chitetezo chilichonse ku matenda opatsirana pogonana (STIs). Chifukwa chake, kuti mudziteteze ku matenda otere, ndikofunikira kugwiritsa ntchito njira yowonjezera yodzitetezera (monga kondomu) mukamamwa mapiritsi.
Kodi mitundu ikuluikulu ya mapiritsi oletsa kubereka ndi iti?
Pali mitundu iwiri ikuluikulu ya mapiritsi oletsa kubereka. Onsewa ali ndi mahomoni omwe amakulepheretsani kutenga mimba.
| Mtundu wa mapiritsi | Kufotokozera |
|---|---|
| Mapiritsi Osakaniza | Mapiritsi awa ndi omwe amagwiritsidwa ntchito kwambiri. Mapiritsiwa ali ndi estrogen ndi progestin. |
| Mapiritsi a Progestin okha | Izi zimatchedwanso "mini pill." Mtundu uwu ukhoza kukhala woyenera kwambiri ngati mukuyamwitsa, muli ndi mbiri ya magazi kuundana m'miyendo kapena m'mapapo (venous thromboembolism), kapena mudadwalapo sitiroko. Izi zili choncho chifukwa mahomoni a estrogen si oyenera anthu otere. |
Kuphatikiza apo, pali mtundu wina wa mapiritsi oletsa kubereka otchedwa "mapiritsi a m'mawa pambuyo pa kumwa." Si mapiritsi omwe nthawi zambiri amamwedwa tsiku lililonse. Amagwiritsidwa ntchito pokhapokha ngati njira zina zolerera zalephera.
Kodi mapiritsi awa amagwira ntchito bwanji m'thupi?
Ndi zophweka kwambiri. Mahomoni omwe ali m'mapiritsi awa amachita zinthu zitatu zazikulu.
- Kuletsa kapena kuchepetsa kutuluka kwa dzira: Izi zikutanthauza kuletsa kutuluka kwa dzira kuchokera mu dzira. Popanda dzira, palibe chomwe umuna ungapangire umuna.
- Kukhuthala kwa Ntchentche ya Pakhosi: Izi zimalepheretsa umuna kulowa m'chiberekero. Ntchentche yokhuthala imapangitsa kuti umuna usamalowe m'chiberekero.
- Kuchepa kwa chiberekero: Ngakhale dzira litapatsidwa udzu mwanjira ina, khoma la chiberekero silingathe kulumikizidwa ndi kukula.
Njira zitatu izi ndi chifukwa chake mimba siichitika.
Kodi ndiyenera kumwa mapiritsi bwanji? Nthawi yanji?
Iyi ndi gawo lofunika kwambiri. Ndikofunikira kumwa mapiritsi monga momwe dokotala wanu wanenera. Tsatirani malangizo omwe ali pa khadi la mapiritsi molondola. Khadi la mapiritsi limabwera mu kukula kosiyana.
Mapiritsi Osakaniza
Kawirikawiri, pa khadi la mapiritsi pamakhala mitundu iwiri ya mapiritsi: mapiritsi "Ogwira Ntchito" ndi mapiritsi "Osagwira Ntchito". Mapiritsi ogwira ntchito amakhala ndi mahomoni. Mapiritsi osagwira ntchito (nthawi zina amakhala ndi mtundu wosiyana) amatchedwa mapiritsi a placebo. Awa alipo kuti akuthandizeni kutsatira ndondomeko yanu ya mapiritsi ya tsiku ndi tsiku.
| Mtundu wa khadi la mapiritsi | Momwe mungagwiritsire ntchito |
|---|---|
| Khadi la mapiritsi la masiku 28 | Muyenera kumwa mapiritsi ogwira ntchito (okhala ndi mahomoni) kwa masiku 21 ndi mapiritsi osagwira ntchito (opanda mahomoni) kwa masiku 7. Mudzakhala ndi msambo (kutuluka magazi) mkati mwa sabata yomwe mukumwa mapiritsi osagwira ntchito. |
| Khadi la mapiritsi la masiku 21 | Imwani mapiritsi ogwira ntchito kwa masiku 21, kenako thawani masiku 7 otsatira. Msambo wanu udzakhalapo mlungu uno wopanda mapiritsi. (Koma kumbukirani kuyamba paketi yatsopano pa tsiku la 29!) |
| Makhadi a mapiritsi a nthawi yayitali (mapaketi a masiku 91) | Mumamwa mapiritsi ogwira ntchito mosalekeza kwa milungu 12 (miyezi itatu), kenako mumamwa mapiritsi osagwira ntchito kwa masiku 7 otsatira. Ndi njira iyi, mudzakhala ndi msambo wanu kanayi pachaka. |
Mapiritsi a Progestin okha (Minipills)
Phukusi la mapiritsili nthawi zambiri limakhala ndi mapiritsi 28 ogwira ntchito. Nthawi yake ndi yofunika kwambiri pano. Muyenera kumwa mapiritsi nthawi yomweyo tsiku lililonse (mkati mwa maola atatu) . Mwachitsanzo, ngati mumwa mapiritsi nthawi ya 7 koloko m'mawa tsiku lina kenako nthawi ya 10:30 koloko m'mawa tsiku lotsatira (mochedwa maola 3.5), mungakhale pachiwopsezo chotenga mimba.
Nanga bwanji ngati nditaiwala kumwa mapiritsi?
Izi zitha kuchitika kwa aliyense. Musadandaule.
Imwani piritsi mwamsanga mukangokumbukira. Kenako imwani piritsi lotsatira nthawi yake yachizolowezi.
Komabe, ngati mwaphonya piritsi, onetsetsani kuti mwagwiritsa ntchito njira ina yolerera (monga kondomu) kwa masiku 7 otsatira . Ngati mwaphonya piritsi kwa masiku angapo, lankhulani ndi dokotala nthawi yomweyo kuti akupatseni upangiri.
Kupatula kupewa kutenga mimba, kodi palinso ubwino wina uliwonse wa mapiritsi awa?
Inde, ndithudi! Ngakhale kuti anthu ambiri sadziwa, mapiritsi oletsa kubereka ali ndi ubwino wambiri pa thanzi. Madokotala nthawi zina amawalimbikitsa pazifukwa izi, osati poletsa kubereka kokha.
- Zimawongolera nthawi yanu yosamba komanso zimachepetsa kutuluka magazi ambiri.
- Amachepetsa kupweteka m'mimba ndi mutu womwe umabwera chifukwa cha kusamba.
- Zimathandiza kupewa kuchepa kwa magazi m'thupi mwa kuchepetsa kutaya magazi.
- Amachepetsa zizindikiro za premenstrual syndrome (PMS) monga premenstrual syndrome.
- Zimathandiza kuchepetsa ziphuphu ndi kukula kwa tsitsi losafunikira m'thupi (hirsutism).
- Amagwiritsidwa ntchito ngati mankhwala a matenda monga Polycystic Ovary Syndrome (PCOS) ndi Endometriosis.
- Zimachepetsa chiopsezo cha mitundu ina ya khansa, makamaka khansa ya m'chiberekero ndi khansa ya m'chiberekero.
Kodi zotsatirapo zoyipa ndi zoopsa zake ndi ziti?
Monga mankhwala ena aliwonse, anthu ena amatha kukhala ndi zotsatirapo zazing'ono akangoyamba kumwa mapiritsi oletsa kubereka. Koma musadandaule, zambiri mwa izi zimatha pakatha miyezi ingapo.
Zotsatirapo zazing'ono:
- Kusanza
- Mutu
- Kupweteka m'mawere kapena kutupa
- Kusasangalala
- Kutuluka magazi pang'ono pakati pa nthawi ya msambo (kuoneka ngati madontho)
Ngati zotsatirapo zake sizikutha patatha miyezi ingapo, lankhulani ndi dokotala wanu. Mutha kusintha kugwiritsa ntchito mtundu wina wa mapiritsi omwe angakuyenerereni.
Zoopsa zazikulu, koma zosowa kwambiri:
Anthu ochepa omwe amamwa mapiritsi osakaniza (omwe ali ndi estrogen) akhoza kukhala ndi chiopsezo chowonjezeka cha magazi kuundana. Izi zingayambitse matenda monga Deep Vein Thrombosis (DVT), Pulmonary Embolism, Stroke ndi Heart Attack.
Koma izi sizichitika kawirikawiri. Asanakupatseni mapiritsi, dokotala wanu adzayang'ana mbiri ya banja lanu komanso mbiri yanu ya thanzi kuti asankhe mapiritsi otetezeka kwambiri kwa inu.
"Kodi kumwa mapiritsi kungakupangitseni kukhala wamkulu?"
Funso limene anthu ambiri amafunsa ndi ili. Kafukufuku wambiri wasonyeza kuti mapiritsi oletsa kubereka samayambitsa kunenepa kapena kuchepa thupi mwachindunji .
Kodi ndi mtundu uti wa mapiritsi abwino kwambiri kwa ine?
Dokotala wanu ndiye amene angasankhe zimenezo. Iye adzaganizira zinthu zambiri, kuphatikizapo zaka zanu, thanzi lanu, ndi moyo wanu, kuti akupatseni mapiritsi oyenera komanso otetezeka kwambiri.
Pomaliza, piritsi labwino kwambiri kwa inu ndi limene mungakumbukire kumwa tsiku lililonse ndipo limagwirizana ndi moyo wanu. Chifukwa anthu ambiri omwe amatenga mimba akamagwiritsa ntchito piritsi amachita izi chifukwa satenga piritsi moyenera.
Ngati zikukuvutani kumwa mapiritsi tsiku lililonse, lankhulani ndi dokotala wanu za njira zina zolerera za nthawi yayitali (monga, implant, intrauterine device (IUD), jakisoni).
Uthenga Wopita Nawo Kunyumba
- Mapiritsi oletsa kubereka ndi njira yothandiza kwambiri yopewera kutenga mimba ngati agwiritsidwa ntchito moyenera komanso panthawi yake tsiku lililonse.
- Mapiritsi awa sapereka chitetezo chilichonse ku matenda opatsirana pogonana (STIs). Onetsetsani kuti mukugwiritsa ntchito njira ina, monga kondomu.
- Kuwonjezera pa kupewa kutenga mimba, amaperekanso maubwino ambiri pa thanzi, monga kupereka nthawi yosamba nthawi zonse, kuchepetsa ziphuphu, komanso kuchepetsa chiopsezo cha khansa zina.
- Zotsatirapo zomwe zimachitika kumayambiriro kwa piritsi nthawi zambiri zimakhala zakanthawi kochepa. Ngati zikupitirira, lankhulani ndi dokotala wanu.
- Ndikofunikira kudziwitsa dokotala wanu za mankhwala ena aliwonse omwe mukumwa komanso mbiri yanu yonse yachipatala.
- Nthawi zonse funsani upangiri kwa dokotala wanu kuti mudziwe njira yolerera yomwe ili yoyenera kwa inu.
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