Mukaganizira za njira zolerera, mwina mumaganizira za mapiritsi omwe mumamwa tsiku lililonse kapena jakisoni omwe mumalandira miyezi ingapo iliyonse. Koma kodi mudamvapo za mphete yaying'ono, yosinthasintha yomwe mumavala mkati mwa nyini? Iyi ndi njira yothandiza kwambiri yolerera. Lero, tiyeni tikambirane za mphete iyi ya nyini, `Mphete ya Nyini`. Ku Sri Lanka, mwina mudamvapo za mphete iyi pansi pa dzina loti `NuvaRing`.
Mwachidule, kodi mphete iyi ya m'chiberekero ndi chiyani?
Iyi ndi mphete yaying'ono yopangidwa ndi pulasitiki yofewa komanso yowonekera bwino yomwe imagwiritsidwa ntchito pokonzekera banja ndi akazi. Ili ndi mitundu iwiri ya mahomoni. Ndi estrogen ndi progestin. Kunena zoona, ili ndi mankhwala a `Etonogestrel` ndi `Ethinyl Estradiol`.
Mukayika mphete iyi mu nyini yanu, imatulutsa mahomoni awa m'thupi lanu mofatsa komanso molamulirika. Pamodzi, mahomoni awiriwa amachita zinthu ziwiri zazikulu:
1. Zimaletsa Kutuluka kwa Ovulation: Zimaletsa kutuluka kwa dzira mwezi uliwonse kuchokera m'mazira a mkazi. Popanda dzira, mimba singachitike.
2. Kukhuthala kwa ntchofu ya pachibelekero: Ntchentche yomwe ili pakhomo la chiberekero imakhuthala, zomwe zimapangitsa kuti umuna usamire kulowa m'chiberekero.
Umu ndi momwe mphete iyi imakutetezerani ku mimba.
Zinthu zomwe muyenera kuuza dokotala musanagwiritse ntchito mankhwalawa:
Mphete iyi si yoyenera aliyense. Choncho mukalankhula ndi dokotala wanu, onetsetsani kuti mwatchulapo chilichonse mwa zinthu zomwe zili pansipa. Izi ndizofunikira kwambiri pa chitetezo chanu.
| Mtundu wa matenda | Zochitika zomwe muyenera kunena |
|---|---|
| Mavuto a mtima ndi mitsempha yamagazi | Kuthamanga kwa magazi, matenda a mtima kapena matenda a mtima omwe angochitika kumene, sitiroko, magazi kuundana m'mitsempha yamagazi, kuchuluka kwa cholesterol kapena triglycerides m'magazi. |
| Khansa | Ngati muli ndi khansa ya m'mawere, ya pachibelekero, ya m'chiberekero, ya m'chiberekero kapena ya chiwindi. |
| Matenda ena | Matenda a shuga, matenda a chiwindi, matenda a impso, matenda a ndulu, mutu waching'alang'ala, lupus (SLE), kusowa kwa mapuloteni C/S. |
| Moyo ndi nkhani zina | Ngati ndinu wosuta fodya (makamaka wazaka zopitirira 35), mwangobereka kumene, mwachotsa mimba, mwatsala pang'ono kuchitidwa opaleshoni, kapena mwatuluka magazi m'mimba mwanu mosayembekezereka. |
| Mimba ndi ziwengo | Ngati muli ndi pakati kapena mukufuna kutenga pakati, ngati mukuyamwitsa, kapena ngati muli ndi vuto la mahomoni kapena mankhwala ena kapena zakudya. |
Kodi mphete iyi mumagwiritsa ntchito bwanji kwenikweni?
Njira yogwiritsira ntchito izi ndi yosavuta kwambiri, koma ndikofunikira kwambiri kutsatira ndondomekoyi molondola.
1. Masabata atatu mkati, sabata imodzi kunja: Ikani mphete mu nyini monga momwe dokotala wanu wanenera. Iyenera kukhala pamalo pake kwa masabata atatu (masiku 21) .
2. Kuchotsa: Pambuyo pa masabata atatu enieni, chotsani mpheteyo tsiku lomwelo lomwe munayiyika (monga, ngati munayiyika Lamlungu, kenako Lamlungu pambuyo pa masabata atatu).
3. Kupuma kwa sabata imodzi: Muyenera kukhala opanda mphete kwa sabata yotsatira (masiku 7) . Panthawiyi, mudzakhala ndi msambo (kutuluka magazi m'thupi).
4. Kuyika mphete yatsopano: Sabata imodzi yokha mutasiya kugwira ntchito, tsiku lomwelo lomwe mphete yapitayo idachotsedwa (mu chitsanzo chathu, Lamlungu lotsatira), muyenera kuyika mphete yatsopano .
Mwachitsanzo, ngati mukumva ngati mphete yanu yatuluka, kapena ngati simukudziwa ngati ikadalipo, yang'anani nthawi yomweyo. Ngati simukudziwa kuti yatuluka nthawi yayitali bwanji, mutha kukhala pachiwopsezo chokhala ndi pakati. Yesani mayeso a mimba panthawiyo ndipo lankhulani ndi dokotala wanu.
Kodi mumatani ngati muvala mphete mochedwa kwambiri, kapena ngati yagwa?
Kupambana kwa njira iyi kumadalira momwe mumapitirizira bwino nthawi imeneyi. Ngati mwaphonya tsiku lomwe munayenera kuyika mphete, kapena ngati yatuluka kwa maola angapo, chitetezo chanu ku mimba chingachepe. Imbani dokotala wanu nthawi yomweyo kuti akupatseni upangiri. Ndi bwinonso kugwiritsa ntchito njira ina yolerera, monga makondomu, mpaka atakuuzani.
Zinthu zomwe siziyenera kugwiritsidwa ntchito ndi mphete iyi (Kuyanjana kwa Mankhwala)
Mankhwala ena omwe mumamwa amatha kusokonezana ndi mahomoni omwe ali mu mphete iyi, zomwe zimachepetsa mphamvu yake kapena kuonjezera zotsatirapo zake. Choncho uzani dokotala wanu za mankhwala onse, mavitamini, ndi mankhwala azitsamba omwe mumamwa.
| Musagwiritse ntchito mayina awa pamodzi! | |
|---|---|
| Pewani kugwiritsa ntchito mphete iyi pamodzi ndi mankhwala ena a Hepatitis C (monga Dasabuvir; ombitasvir; paritaprevir; ritonavir), mafuta odzola a m'chiberekero okhala ndi mafuta kapena silicone. | |
| Uzani dokotala wanu ngati mukumwa mankhwala awa. | |
| Mankhwala ochizira matenda | Mankhwala opha tizilombo toyambitsa matenda komanso mankhwala opha tizilombo toyambitsa matenda monga Rifampin ndi Griseofulvin. |
| Mankhwala a khunyu/ khunyu | Monga Carbamazepine, Phenytoin, Topiramate. |
| Mankhwala a HIV/AIDS | Mankhwala ena oletsa mavairasi. |
| Zogulitsa zitsamba | Wort wa St. John. |
| Zina | Acetaminophen (Paracetamol), Warfarin, mankhwala a shuga, mahomoni a chithokomiro, ndi mankhwala ena ambiri. |
*Mndandanda uwu sunathe. Chonde dziwitsani dokotala wanu zonse zomwe mukumwa.*
Zinthu zofunika kusamala nazo mukamagwiritsa ntchito
- Pewani kusuta: Kusuta fodya n'koopsa kwambiri ngati mukugwiritsa ntchito njira yolerera ya mahomoni. Kusuta kumawonjezera kwambiri chiopsezo chanu cha magazi kuundana ndi sitiroko, makamaka ngati muli ndi zaka zoposa 35.
- Kupimidwa kuchipatala: Pitani kwa dokotala wanu nthawi yake kuti mukapimidwe. Musamalumphe zinthu monga kuyezetsa mabere ndi kuyezetsa mapapo.
- Matenda opatsirana pogonana:
- Madontho pakhungu: Azimayi ena amatha kukhala ndi madontho a bulauni (cholasma) pankhope pawo. Matendawa amatha kuipiraipira akamawotchedwa ndi dzuwa. Choncho, dzitetezeni ku dzuwa ndipo gwiritsani ntchito mafuta oteteza ku dzuwa.
- Kuchuluka kwa mankhwala: Ngati pazifukwa zilizonse mukukayikira kuti mwamwa mankhwala opitirira muyeso, pitani nthawi yomweyo ku National Poisons Information Centre ku National Hospital kapena ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
- Mphete ya m'chiberekero ndi njira yolerera yozungulira yomwe imayikidwa kwa milungu itatu, ndikuchotsedwa kwa sabata imodzi, kenako ina imayikidwanso.
- Ngakhale izi zimateteza ku mimba, sizipereka chitetezo chilichonse ku matenda opatsirana pogonana (STIs), kuphatikizapo HIV.
- Ngati ndinu wosuta fodya komanso wazaka zoposa 35, chiopsezo chanu cha magazi kuundana chimakhala chachikulu kwambiri. Pewani kusuta fodya kotheratu.
- Uzani dokotala wanu za mankhwala onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa.
- Fufuzani thandizo lachipatala mwamsanga ngati mukukumana ndi mavuto ena aakulu monga kupweteka pachifuwa, kuvutika kupuma, kutupa kwa miyendo, kapena mutu waukulu.
- Ngati mphete yagwa kapena mwaiwala kuiyika pa tsiku lomwe lakonzedwa, funsani dokotala wanu nthawi yomweyo.
Chofunika kwambiri ndichakuti mphete iyi imakutetezani ku mimba yokha. Siikutetezani ku matenda opatsirana pogonana monga HIV (AIDS). Ndikofunikira kugwiritsa ntchito njira yotchinga monga makondomu.
Kodi zotsatirapo zake zomwe zimayembekezeredwa ndi ziti?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Ena ndi oopsa, ena ndi ofala.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
|---|---|
| Zizindikiro za magazi kuundana | Kupweteka kwa mwendo, kutupa, kufiira, kupuma movutikira, kupweteka pachifuwa. |
| Zizindikiro za Stroke | Kusanza mwadzidzidzi kapena kufooka pankhope, mkono, kapena mwendo, kuvutika kulankhula, mutu waukulu, kusintha kwa masomphenya. |
| Mavuto a chiwindi | Ululu m'mimba yakumtunda kumanja, khungu kapena maso achikasu, mkodzo wakuda, ndowe zotumbululuka. |
| Zizindikiro zina zazikulu | Matenda a ziwengo (matuza pakhungu, kuyabwa, kutupa kwa nkhope/milomo), mutu wopweteka kwambiri, kuvutika maganizo, kupweteka kwa m'mimba, kutuluka magazi molakwika, zizindikiro za Toxic Shock Syndrome (TSS) ndi malungo. |
| Zotsatirapo zomwe zimachitika kawirikawiri koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
|---|---|
| Kupweteka m'mawere kapena kufinya | Kusanza |
| Kusamba kosakhazikika kapena kuwona mawanga | Kulemera pang'ono |
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