Paunofunga nezvenzira dzekuronga mhuri, ungangofunga nezvemapiritsi aunonwa zuva nezuva kana majekiseni aunowana mwedzi mishoma yega yega. Asi wakambonzwa here nezvemhete diki, inochinjika yaunopfeka mukati memukadzi? Iyi inzira inoshandawo kwazvo yekuronga mhuri. Nhasi, ngatitaurei nezvemhete iyi yemukati memukadzi, `Mhete yeMukadzi`. MuSri Lanka, ungangove wakambonzwa nezvayo pasi pezita rekuti `NuvaRing`.
Zvichitaurwa zviri nyore, chii chinonzi mhete iyi yemukati memukadzi?
Iri idenderedzwa diki rakagadzirwa nepurasitiki inochinjika uye inoonekera inoshandiswa pakuronga mhuri nevakadzi. Rine mhando mbiri dzemahormone. Idzi ndiestrogen neprogestin. Kutaura chokwadi, rine mishonga inonzi `Etonogestrel` ne`Ethinyl Estradiol`.
Paunoisa mhete iyi munhengo yako yemukadzi, inoburitsa mahormone aya mumuviri wako nenzira yakapfava uye inodzorwa. Pamwe chete, mahormone maviri aya anoita zvinhu zviviri zvikuru:
1. Inodzivirira Kubuda Kwemazai: Inomisa kuburitswa kwezai kubva mumazai emukadzi mwedzi wega wega. Pasina zai, pamuviri haugone kuitika.
2. Kukora kwehuro hwemuromo wechibereko: Huro iri pamusuwo wechibereko yakakora, zvichiita kuti zviomere mbeu kuti ishambire muchibereko.
Iyi ndiyo nzira iyo mhete iyi inokudzivirira nayo kubva pakubata pamuviri.
Zvinhu zvaunofanira kuudza chiremba wako usati washandisa mushonga uyu:
Mhete iyi haina kukodzera munhu wese. Saka kana uchitaura nachiremba wako, iva nechokwadi chekuti wataura nezvechimwe chezvinhu zviri pazasi. Izvi zvakakosha zvikuru kuti uchengetedzeke.
| Rudzi rwechirwere | Mamiriro ezvinhu aunofanira kutaura |
|---|---|
| Matambudziko emwoyo netsinga dzeropa | Kukwira kweropa, chirwere chemwoyo kana kurwara kwemoyo munguva pfupi yapfuura, sitiroko, kuvharika kweropa mutsinga dzeropa, cholesterol yakakwira kana triglyceride mazinga. |
| Kenza | Kana wakambova nekenza yemazamu, yemuromo wechibereko, yechibereko, yechibereko, yechibereko kana yechiropa. |
| Zvimwe zvirwere | Chirwere cheshuga, chirwere chechiropa, chirwere cheitsvo, chirwere chenduru, misoro inobaya, lupus (SLE), kushomeka kweprotein C/S. |
| Mararamiro nezvimwe zvinhu | Kana uri munhu anoputa fodya (kunyanya ane makore anopfuura 35), wachangobva kusununguka, wakabvisa pamuviri, wava kuda kuvhiyiwa, kana kuti uine kubuda ropa kusingawanzoitiki. |
| Kubata pamuviri uye allergies | Kana uine pamuviri kana kuti uri kuedza kubata pamuviri, kana uri kuyamwisa, kana uine allergies kumahormone kana mimwe mishonga kana chikafu. |
Unoshandisa sei mhete iyi chaizvo?
Nzira yekushandisa izvi iri nyore kwazvo, asi zvakakosha kutevedzera maitiro acho nemazvo.
1. Mavhiki matatu mukati, vhiki imwe chete kunze: Isa rin'i munhengo yemukadzi sezvakarairwa nachiremba wako. Inofanira kugara munzvimbo kwayo kwemavhiki matatu (mazuva makumi maviri nerimwe) .
2. Kubviswa: Mushure memavhiki matatu chaiwo, bvisa rin'i pazuva rimwe chete rawakaiisa (semuenzaniso, kana wakaiisa neSvondo, wozoiisa neSvondo mushure memavhiki matatu).
3. Zororo revhiki imwe chete: Uchafanira kusapinda muchiratidziro kwevhiki rinotevera (mazuva manomwe) . Munguva iyi, uchava nemwedzi wako (kubuda ropa uchibuda).
4. Kuisa mhete itsva: Vhiki imwe chete mushure mekuputsika, pazuva rimwe chete iro mhete yapfuura yakabviswa (mumuenzaniso wedu, Svondo rinotevera), unofanira kuisa mhete itsva .
Semuenzaniso, kana uchinzwa sekuti mhete yako yabva, kana kuti usina chokwadi kana ichiripo, iongorore nekukasika. Kana usingazive kuti yabuda kwenguva yakareba sei, unogona kunge uri panjodzi yekubata pamuviri. Tora bvunzo yekuzvitakura panguva iyoyo uye taura nachiremba wako.
Unoita sei kana ukaisa mhete yacho kunonoka, kana kuti ikadonha?
Kubudirira kwenzira iyi kunoenderana nekuti unoramba uchienderera mberi sei nechirongwa ichi. Kana ukapotsa zuva rawaifanira kunge wakaisa ringi, kana kuti yave isina kushanda kwemaawa mashoma, dziviriro yako kubva pakubata pamuviri inogona kuderedzwa. Fonera chiremba wako nekukasika kuti akupe mazano. Zvakakoshawo kushandisa imwe nzira yekudzivirira pamuviri, senge makondomu, kusvika akuudza kuti uite saizvozvo.
Zvinhu zvisingafanirwe kushandiswa nemhete iyi (Kudyidzana Kwemishonga)
Mimwe mishonga yaunotora inogona kushanda nemahormone ari murin'i iyi, zvichideredza kushanda kwayo kana kuwedzera migumisiro yakaipa. Saka udza chiremba wako nezvemishonga yese, mavhitamini, uye mishonga yemiti yaunotora.
| Musashandise mazita aya pamwe chete! | |
|---|---|
| Dzivisa kushandisa rin'i iyi pamwe chete nemimwe mishonga yeHepatitis C (yakadai seDasabuvir; ombitasvir; paritaprevir; ritonavir), mafuta ekuzora emukadzi ane mafuta kana silicone. | |
| Udza chiremba wako kana uri kutora mishonga iyi. | |
| Mishonga yehutachiona | Mishonga inorwisa mabhakitiriya nemishonga inouraya fungus yakaita seRifampin neGriseofulvin. |
| Mishonga yekurapa pfari/ pfari | Zvakadai seCarbamazepine, Phenytoin, Topiramate. |
| Mishonga yeHIV/AIDS | Mimwe mishonga inorwisa mavhairasi. |
| Zvigadzirwa zvemiti | Muti weSt. John's. |
| Zvimwe | Acetaminophen (Paracetamol), Warfarin, mishonga yechirwere cheshuga, mahormone ethyroid, nemimwe mishonga yakawanda. |
*Rondedzero iyi haina kukwana. Saka ndapota zivisa chiremba wako nezvese zvauri kutora.*
Zvinhu zvekungwarira pakushandisa
- Dzivisa kusvuta: Kusvuta kune njodzi huru kana uri kushandisa rudzi urwu rwekudzivirira pamuviri rwemahormone. Kusvuta kunowedzera njodzi yako yekugwamba kweropa uye sitiroko, kunyanya kana wapfuura makore makumi matatu nemashanu.
- Kuongororwa nachiremba: Shanyirai chiremba wenyu nenguva uye ongororwai. Musapotsa zvinhu zvakaita sekuongororwa kwemazamu uye kuongororwa kwepap smears.
- Zvirwere zvepabonde:
- Mavara eganda: Vamwe vakadzi vanogona kuita mavara ebrown (cholasma) pachiso chavo. Dambudziko iri rinogona kuipa kana vakapiswa nezuva. Saka, zvidzivirire kubva kuzuva uye shandisa mafuta ekudzivirira zuva.
- Kudhakwa kwemushonga: Kana paine chikonzero chipi zvacho chaunofungidzira kuti wadhakwa, enda kuNational Poisons Information Centre kuNational Hospital kana kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
- Mhete yemukadzi inzira yekudzivirira pamuviri inoiswa kwemavhiki matatu, yobviswa kwevhiki, uye imwe itsva inoiswa.
- Kunyangwe izvi zvichidzivirira pamuviri, hazvipe dziviriro kubva kuzvirwere zvepabonde (STIs), kusanganisira HIV.
- Kana uri munhu anoputa fodya uye une makore anopfuura 35, njodzi yako yekugwamba kweropa yakanyanya. Dzivisa kuputa fodya zvachose.
- Udza chiremba wako nezvemishonga yese, mavhitamini, uye mishonga yemiti yauri kutora.
- Tsvaga rubatsiro rwechiremba nekukasika kana ukasangana nematambudziko akakomba akadai sekurwadziwa kwechipfuva, kunetseka kufema, kuzvimba kwemakumbo, kana musoro wakanyanya.
- Kana rin'i ikadonha kana kuti ukakanganwa kuiisa pazuva rakarongwa, bvunza chiremba wako nekukasika.
Chinhu chakakosha ndechekuti rin'i iyi inongokudzivirira kubva pakubata pamuviri chete. Haikudzivirire kubva kuzvirwere zvepabonde (STIs) zvakaita seHIV (AIDS). Zvakakosha kushandisa nzira yekudzivirira yakaita semakondomu.
Ndezvipi zvinotarisirwa kuti zviitike?
Kufanana nemushonga upi zvawo, uyu unogona kuva nemigumisiro yakaipa. Mimwe yakakomba, mimwe inowanzoonekwa.
| Migumisiro yakakomba inofanira kuziviswa kuna chiremba nekukasika | |
|---|---|
| Zviratidzo zvekugwamba kweropa | Kurwadziwa kwemakumbo, kuzvimba, kutsvuka, kuoma kufema, kurwadziwa kwechipfuva. |
| Zviratidzo zveSitiroko | Kushaya simba kana kushaya simba kamwe kamwe pachiso, ruoko, kana gumbo, kuoma kutaura, musoro wakanyanya, kuchinja kwekuona. |
| Matambudziko echiropa | Kurwadziwa mudumbu rekumusoro kurudyi, ganda kana maziso kuita yero, weti yakasviba, tsvina yakachenuruka. |
| Zvimwe zviratidzo zvakakomba | Kurwara nepfungwa (mapundu eganda, kuvaviwa, kuzvimba kwechiso/miromo), migraine inoramba ichikura, kuora mwoyo, kurwadziwa kwechikadzi, kubuda ropa zvisina kujairika, zviratidzo zveToxic Shock Syndrome (TSS) nefivha. |
| Migumisiro inowanzoonekwa asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
|---|---|
| Kurwadziwa kwezamu kana kuomarara | Kusvotwa |
| Kuenda kumwedzi kusina kurongeka kana kuona mavara | Kuwedzera huremu zvishoma |
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