Yeyiphi indlela engcono yokucwangcisa usapho lwakho? (Iindlela zokuthintela ukuzala) Masithethe!

Ukuba awukakulungeli ukuqala usapho, okanye ukuba sele unabantwana kwaye awucingi ngokuba nomnye umntwana, Kubaluleke kakhulu ukuqaphela iindlela zokucwangcisa usapho , oko kukuthi, iindlela zokulawula ukuzala (Ulawulo lokuzala okanye ukuthintela ukukhulelwa). Kuba, masithi ulala nomntu, ukuba wenza ucansi olungakhuselekanga, ungakhulelwa nangaliphi na ixesha. Ke ngoko, kubaluleke kakhulu ukukhetha indlela yokulawula ukuzala ekufaneleyo. Ngoko ke, masithethe ngale nto ngokweenkcukacha, akunjalo?

Yintoni le ndlela yokucwangcisa usapho (uLawulo lokuZala)?

Ngamafutshane, indlela yokucwangcisa usapho yindlela oyisebenzisayo ukuthintela ukukhulelwa. Sikwayibiza le ndlela yokuthintela ukukhulelwa. Kukho iintlobo ezininzi ezahlukeneyo zeendlela. Eyona nto ibalulekileyo kukuba ezi ndlela zisebenza kuphela ukuba uzisebenzisa ngokuchanekileyo. Ke ngoko, kufanelekile ukuzinika ixesha lokuqonda ngqo indlela nganye esebenza ngayo kunye nendlela yokuyisebenzisa. Ukuba usabela ngokwesondo kwaye okwangoku awuzami ukuba nomntwana, ngokuqinisekileyo kufuneka usebenzise indlela yokulawula ukukhulelwa.

Yeyiphi indlela efanelekileyo kuwe nakwiqabane lakho?

Ngaphambi kokuba ukhethe indlela efanelekileyo yokulawula inzala, kubalulekile ukuthetha ngayo neqabane lakho. Kukwangumbono olungileyo ukuthetha nogqirha wakho ngayo. Cinga ngezi zinto xa ukhetha indlela efanelekileyo kuwe:

• Ngaba kulula ukuyisebenzisa? Ukhululekile kangakanani ngale ndlela?
• Isebenza kangakanani ekuthinteleni ukukhulelwa ? (Ukuba isetyenziswa ngokuchanekileyo)
• Ingaba ikhusela kwizifo ezidluliselwa ngesondo (ii-STI)?
• Ingakanani iminyaka yakho kunye nempilo yakho iyonke ?
• Ngaba unazo naziphi na izicwangciso zokuba nomntwana kwixesha elizayo?
• Zithini iziphumo okanye iingozi ?
• Ulala kangaphi? Okanye bangaphi amaqabane onawo?
• Ibaluleke kangakanani imfihlo? (Ngaba ufuna ukugcina indlela oyisebenzisayo iyimfihlo?)
• Ngaba kukho ezinye izibonelelo? Umzekelo, izinto ezinje ngokopha kancinci ngexesha lokuya exesheni okanye umjikelo wexesha eliqhelekileyo wokuya exesheni .

Zisebenza njani ezi ndlela zokulawula ukukhulelwa?

Indlela nganye yokulawula inzala isebenza ngendlela eyahlukileyo kancinci. Ngamazwi alula, nantsi into eyenzekayo:

• Ithintela isidoda ekudibaneni neqanda.
• Ithintela iqanda ekukhutshweni kwi -ovary yakho.
• Yonakalisa isidoda, isenza singakwazi ukudada siye eqandeni.
• Iyawuqina umhlwa wesibeleko sakho, nto leyo eyenza kube nzima ukuba isidoda sidlule.
• Itshintsha ulwelo lwesibeleko sakho, nto leyo eyenza kube nzima ukuba iqanda elivundisiweyo lifakelwe.

Ziziphi iindlela zokulawula ukukhulelwa ezisebenzayo kakhulu?

Enyanisweni, eyona ndlela isebenzayo eyi-100% yokuthintela ukukhulelwa kukuzikhwebula ngokupheleleyo ekulaleni ngesondo. Nangona kunjalo, abantu abaninzi bakufumanisa kunzima ukuqhubeka nale meko. Ke ngoko, kubalulekile ukuqwalasela olunye uhlobo lokuthintela ukukhulelwa.

Ngokubanzi, indlela yokulawula ukuzala isebenza kuphela ukuba uyisebenzisa ngokuchanekileyo nangokungaguquguqukiyo. Ke ngoko, iindlela ezilula ukuzisebenzisa nezingafuni ukugcinwa rhoqo zidla ngokuba zezona zisebenzayo. Imizekelo yezi zii-implants zokulawula ukuzala, izixhobo zangaphakathi kwesibeleko (ii-IUD), kunye notyando olusisigxina locwangciso losapho (ukuvala inzala).

Kwelinye icala, iindlela ezifana ne-Fertility Awareness Methods okanye i-Pulling Out ziphakathi kweendlela ezingaphumeleli kangako zokuthintela ukukhulelwa.

Amaxesha amaninzi, kungcono ukusebenzisa iindlela ezimbini zokulawula ukukhulelwa kunye. Umzekelo, ukusebenzisa ikhondom kunye neepilisi zokulawula ukukhulelwa. Ngale ndlela, ukhuselekile kwizifo ezidluliselwa ngesondo (ii-STI), ukusebenzisa indlela yokuthintela, kunye nokuthatha amayeza e-hormone.

Ziziphi iintlobo zolawulo lokuzalwa? (Iintlobo zoLawulo lokuzalwa)

Ngaphambi kokuba ukhethe indlela, kufuneka uthethe neqabane lakho kunye nogqirha wakho ngayo. Iindlela zokulawula ukukhulelwa zisebenza kuphela ukuba uzisebenzisa ngokuchanekileyo. Ngoko ke, qiniseka ukuba uyazi kakuhle indlela yokusebenzisa indlela oyikhethileyo.

Kukho iintlobo ezininzi eziphambili zeendlela zokulawula ukukhulelwa:

• Iindlela Zokuthintela: Ezi ndlela zisebenza ngokuthintela isidoda ukuba singangeni esibelekweni sakho. Kufuneka usebenzise le ndlela ngalo lonke ixesha xa usabelana ngesondo.
• Amayeza kunye nezixhobo zeHormonal: Ezi ndlela zisebenzisa iihomoni ukuthintela ukukhutshwa kweqanda okanye ukutshintsha imeko yesibeleko kunye nomlomo wesibeleko. Amanye amayeza ehomoni kufuneka athathwe yonke imihla (okwethutyana elifutshane), ngelixa amanye efakwa ngugqirha phantsi kwesikhumba sengalo yakho okanye kwisibeleko sakho (okwexesha elide).
• Utyando Lokucwangcisa Usapho Olusisigxina - Ukuvala Inzala: Olu lutyando oluthintela ukukhulelwa ngokusisigxina. Kukho utyando lokuvala inzala olunokwenziwa kumadoda nakubafazi.
• Iindlela Zokwazisa Ngokuzala: Ezi ndlela zikwabizwa ngokuba yiNdalo yoCwangciso loSapho, zisebenzisa iindlela zendalo ukuthintela ukukhulelwa.
• Ukuthintela Ukukhulelwa Okungxamisekileyo: Ukuba indlela yakho yokuthintela ukukhulelwa ayiphumeleli, ungasebenzisa ezi ndlela ukuzikhusela ekukhulelweni. Oku kufana nesisombululo sokugqibela "umnatha wokhuseleko."
• Ukuzila: Ukuzila ukulala nomntu ukuze uthintele ukukhulelwa.

Ngoku makhe sijonge nganye kwezi ntlobo ngeenkcukacha ezithe vetshe.

Iindlela Zokuthintela

Iikhondom (izinto zokuthintela ukukhulelwa zamadoda)

• Yintoni? Ikhondom sisigqubuthelo esincinci esenziwe nge-latex, iplastiki, okanye ulusu lwegusha. Sinxitywa phezu kwepenis emile. Esi sigqubuthelo sithintela isidoda esinesidoda ukuba singangeni kwilungu lobufazi bakho. Nangona kunjalo, ngenxa yokuba iikhondom zinokukrazuka lula, zisenokungasebenzi njengezinye iindlela zokulawula ukuzala.
• Uyisebenzisa njani? Ikhondom mayifakwe kwilungu lobudoda elime nkqo ngaphambi kokuba nenze isondo. Sebenzisa ikhondom entsha ngalo lonke ixesha nisenza isondo.
• Ungazifumana phi? Ungathenga iikhondom kwiikhemesti nakwiivenkile ezinkulu.
• Zisebenza kangakanani? Ukuba uzinxiba ngaphambi kokuba uqale ukulala nomntu kwaye uzisebenzise ngaphandle kokukrazuka, iikhondom zisebenza malunga ne-85%.
• Yintoni enye ekufuneka uyazi? Nangona ingasebenzi ngokupheleleyo, iikhondom zezona ndlela zilungileyo zokuzikhusela kwizifo ezidluliselwa ngesondo (ii-STI). Sebenzisa kuphela ii-lubricants ezisekelwe emanzini (umz., i-KY Jelly®, i-Astroglide®) kunye neekhondom. Ii-lubricants ezisekelwe kwioyile (umz., i-Vaseline®, i-Baby Oil) zinokubangela ukuba iikhondom ziqhekeke. Ukuba ikhondom iqhekeka, cinga ngokuthintela ukukhulelwa okungxamisekileyo.

Ukubulala isidoda

• Yintoni? I-Spermicide yijeli, ukhilimu, okanye i-suppository efakwa kwilungu lobufazi. Ithintela isidoda ukuba singafiki kwiqanda. Iikhemikhali ezikuyo zonakalisa isidoda, zenze kube nzima ukuba sibhukude siye kwiqanda. Ukuze oku kusebenze, kufuneka ulandele imiyalelo ngokuchanekileyo. Kukwakho nejeli yesitho sangasese sowesifazane efumanekayo ngomyalelo kagqirha (`Phexxi®`). Isebenza ngokunciphisa i-pH yesitho sangasese sowesifazane, yenze kube nzima ukuba isidoda sibhukude.
• Indlela yokuyisebenzisa? I-spermicide kunye nejeli yesini kufuneka zifakwe kwi-vaginal imizuzu eli-15-30 ngaphambi kokuba nesondo. Uninzi lwe-spermicide lusebenza malunga neyure, emva koko kufuneka luphinde lusetyenziswe. Phinda ufake i-spermicide ngalo lonke ixesha xa unesondo, kwaye ungayihlambi emva kwesondo.
• Ndingayifumana phi? I-spermicide ingathengwa kwiikhemesti nakwiivenkile ezinkulu. Ijeli yesitho sangasese sowesifazane ehlisa inqanaba le-pH (`Phexxi®`) ingathengwa kuphela ngomyalelo kagqirha.
• Iphumelela kangakanani?Ukubulala iintsholongwane zodwa kusebenza nge-70% kuphela ekuthinteleni ukukhulelwa. Nangona kunjalo, ukubulala iintsholongwane zomlomo xa kusetyenziswa enye indlela yokuthintela ukukhulelwa kunokusebenza nge-94%. Ijeli yesitho sangasese sowesifazane, enikwe ngugqirha, isebenza nge-85% - 93% kuphela.
• Yintoni enye ekufuneka uyazi? Ukubulala isidoda akukukhuseli kwizifo ezidluliselwa ngesondo (ii-STI). Enyanisweni, kunokunyusa umngcipheko wakho. Kuba iikhemikhali ezikwi-spermicide zinokucaphukisa i-vagina yakho, zenze kube lula ukuba izifo zingene.

I-Diaphragm

• Yintoni? I-diaphragm sisixhobo esigoqekayo, esingasetyenziswa kwakhona, esimile okwedome esifakwa kwilungu lobufazi ukuthintela ukukhulelwa. Sigubungela umlomo wesibeleko sakho kwaye sithintele isidoda ukuba singangeni esibelekweni. Kufuneka usebenzise i-spermicide esekwe emanzini okanye ijeli yokulawula ukuzalwa ene-diaphragm rhoqo.
• Uyisebenzisa njani? I-diaphragm ifana nesiciko okanye ikomityi encinci. Uyisonga phakathi uze uyityhale iye phezulu kwilungu lobufazi, igqume umlomo wesibeleko. Faka i-diaphragm iyure okanye ezimbini ngaphambi kokuba nesondo. Yisuse emva kweeyure ezi-6 ukuya kwezingama-24 emva kokuba nesondo. Ukuze ukhuseleke kakhulu, faka isibulali-zintsholongwane ecaleni komphetho we-diaphragm ngaphambi kokuba nesondo.
• Ungayifumana phi enye? Ezinye ii-diaphragm ziza ngobukhulu obahlukeneyo. Ke ngoko, kufuneka ubone ugqirha kwaye uhlolwe isitho sangasese sowesifazane ukuze ufumane ubungakanani obufanelekileyo kuwe. Kubaluleke kakhulu ukufumana i-diaphragm elingana kakuhle. Ukuba ulahlekelwa okanye womelela ngaphezu kweekhilogram ezili-10-15, unokufuna ukuba i-diaphragm yakho ilungiswe ngugqirha. Nangona kunjalo, ezinye ii-diaphragm, ezifana ne-'Caya®', ziza ngobukhulu "obufanayo", ngoko ke akufuneki zilungiswe.
• Isebenza kangakanani? I-diaphragm yesini isebenza malunga ne-87%. Nangona kunjalo, ukuba isetyenziswa ngokuchanekileyo (kunye nokubulala isidoda) kwaye rhoqo, ingasebenza ukuya kuthi ga kwi-94%.
• Yintoni enye ekufuneka uyazi? Ukusebenzisa i-diaphragm kunye ne-spermicide akukhuseli kwezinye izifo ezidluliselwa ngesondo (ii-STI), kuquka i-HIV (intsholongwane ebangela i-AIDS).

Isiciko somlomo wesibeleko

• Yintoni? Isiciko somlomo wesibeleko yikomityi efana ne-thimble eyenziwe nge-silicone okanye ngerabha ethambileyo elingana kakuhle phezu komlomo wesibeleko sakho.
• Uyisebenzisa njani? Okokuqala, faka i-spermicide kwi-diaphragm. Emva koko, faka i-diaphragm kwilungu lobufazi bakho uze uyibeke phezu komlomo wesibeleko sakho. I-diaphragm ivala umlomo wesibeleko sakho, kwaye i-spermicide ibulala isidoda. Ungafaka i-diaphragm ukuya kuthi ga kwiiyure ezintandathu ngaphambi kokuba nesondo. Musa ukuyisusa i-diaphragm kude kube ziiyure ezisibhozo ubuncinane emva kokuba nesondo. I-diaphragm ingashiywa endaweni yayo ukuya kuthi ga kwiiyure ezingama-48. Sebenzisa i-diaphragm kanye njengoko kuyalelwe.
• Ndingayifumana phi?Ukuze ukhethe isiciko somlomo wesibeleko esifanelekileyo, kufuneka ubone ugqirha uze uhlolwe isitho sangasese sowesifazane. Njenge-diaphragm, isebenza kuphela ukuba ingena kakuhle.
• Isebenza kangakanani? Isiciko somlomo wesibeleko sisebenza malunga ne-78% ekuthinteleni ukukhulelwa. Nangona kunjalo, xa sisetyenziswa kunye nokubulala isidoda, sisebenza ukuya kuthi ga kwi-85%.
• Yintoni enye ekufuneka uyazi? Ukusebenzisa isiciko somlomo wesibeleko kunye nokubulala isidoda akuniki khuseleko olufana nolweekhondom kwizifo ezidluliselwa ngesondo.

Ikhondom Yabasetyhini

• Yintoni le? Ikhondom yabasetyhini yityhubhu yeplastiki etyetyisiweyo. Inezangqa ezimbini ezigobekayo kumacala omabini. Elinye icala letyhubhu livaliwe.
• Ungayisebenzisa njani? Ngaphambi kokuba uqale ukwenza isondo, faka ikhondom kwilungu lobufazi. Isiphelo esivaliweyo setyhubhu sigubungela umlomo wesibeleko, kwaye esinye isiphelo sigubungela i-labia. Ikhondom ithintela isidoda ukuba singangeni esibelekweni. Susa ikhondom emva kokwabelana ngesondo.
• Ungayifumana phi? Iikhondom zabasetyhini zingathengwa kwiikhemesti nakwiivenkile ezinkulu ngaphandle kwemvume kagqirha.
• Isebenza kangakanani? Nokuba kukho iikhondom zabasetyhini, malunga nama-21% abafazi bayakhulelwa ngonyaka.
• Yintoni enye ekufuneka uyazi? Iikhondom zabasetyhini zibonelela ngokhuseleko oluthile kwizifo ezidluliselwa ngesondo (ii-STI), kodwa iikhondom zamadoda zibonelela ngokhuseleko olungcono.

Isiponji

• Yintoni le? Isiponji sesitho sangasese sangasese sisixhobo esincinci, esimile okwedonathi esinokubulala amadlozi. Sisebenza njengomqobo phakathi kwesidoda kunye nomlomo wesibeleko sakho.
• Isebenza njani? Umanzisa isiponji ngamanzi, usifake kwisini sakho, uze usibeke ngendlela yokuba sigqume umlomo wesibeleko sakho. Xa simanzi, sikhupha isiponji. Isiponji sinomuthi wokubulala isiponji owaneleyo kangangeeyure ezingama-24. Oko kuthetha ukuba ungasifaka ukuya kuthi ga kwiiyure ezingama-24 ngaphambi kokuba wenze isondo. Soloko usishiya ngaphakathi iiyure ezintandathu emva kwesondo. Akuyongcinga ilungileyo ukushiya isiponji kwisini sakho ngaphezu kweeyure ezingama-30.
• Ndingayifumana phi? Isiponji singathengwa ngaphandle kwemvume kagqirha kwiikhemesti ezininzi nakwiivenkile ezinkulu.
• Isebenza kangakanani ? Isiponji sokulawula ukukhulelwa sisebenza phakathi kwe-76% kunye ne-91% ekuthinteleni ukukhulelwa (kuxhomekeke ekubeni usisebenzisa kakuhle kangakanani). Kwakhona, isiponji sisebenza ngakumbi ukuba awukaze ube nomntwana.
• Yintoni enye ekufuneka uyazi? Ukusebenzisa isiponji kwandisa umngcipheko wosulelo lwelungu lobufazi, kwaye akukhuseli kwizifo ezidluliselwa ngesondo (ii-STI).

Izixhobo zeHormonal kunye nokuthintela ukukhulelwa

Ukufakelwa koLawulo lokuBala

• Yintoni lento?I-Nexplanon® sisixhobo esincinci esilingana nomthi womatshisi. Sifakwa ngugqirha phantsi kwesikhumba sengalo yakho engasentla. Sikhupha ihomoni ebizwa ngokuba yi-progestin rhoqo. Singayishiya endaweni yaso kangangeminyaka emithathu, emva koko singasuswa okanye sifakwe esitsha. Abanye abantu bayayithanda kuba ayinayo imfuneko yokugcinwa, ayiphazamisi isondo, kwaye ingagcinwa iyimfihlo.
• Oogqirha bayibeka njani le nto? Ugqirha uyibeka eofisini. Okokuqala, bayayivala ingalo yakho engasentla ukuze ungabi nantlungu. Emva koko, basebenzisa isixhobo esikhethekileyo ukubeka inaliti phantsi kolusu lwakho. Indawo igqunywe ngebhandishi. Ugqirha uyayisusa (awunakukwazi ukuyisusa ngokwakho).
• Ndingayifumana phi? Ipilisi yokulawula ukukhulelwa kufuneka inikwe ngugqirha.
• Isebenza kangakanani? Iipilisi zokulawula ukukhulelwa zisebenza phantse nge-100%. Zezona ndlela zokulawula ukukhulelwa zisebenzayo nezinokuguqulelwa.
• Yintoni enye ekufuneka uyazi? Iipilisi zokulawula ukukhulelwa zinemingcipheko, kwaye azisebenzi kuwo wonke umntu. Isiphumo esiqhelekileyo kukuphuma kwegazi ngokungacwangciswanga, kodwa ngokuqhelekileyo sincinci. Oku kudla ngokuba ngcono emva kweenyanga ezi-6-12, kodwa abanye abantu banokuyeka ukuya exesheni ngokupheleleyo. Ezinye iziphumo ezingalindelekanga ziquka iintlungu zebele kunye nentloko ebuhlungu.

Isixhobo Esingaphakathi Kwesibeleko (IUD)

• Yintoni? Isixhobo sangaphakathi kwesibeleko (i-IUD) sisixhobo esincinci, esiguquguqukayo, esimile okwe-'T' esifakwa ngaphakathi kwesibeleko sakho ukuthintela ukukhulelwa. Kukho iintlobo ezimbini ze-IUD:
• I-IUD eyenziwe ngobhedu.
• I-IUD eyenziwe ngeplastiki equlethe iihomoni (i-progestin).
• I-IUD ene-copper, ebizwa ngokuba yiParaGard T380A®, ingashiywa endaweni yayo iminyaka eli-10. I-copper isebenza ngokuthintela isidoda ukuba singahambi nge-vagina yakho kunye nesibeleko kwaye sidibane neqanda.
• Ii-IUD ezine-progestin zezi:
• I-'Mirena®' (ihlala iminyaka esi-7)
• `Liletta®` (ihlala iminyaka emi-6)
• `Kyleena®` (ihlala iminyaka emi-5)
• `Skyla®` (ihlala iminyaka emi-3)
• Ezi IUD zisebenza ngokwenza i-mucus yomlomo wesibeleko ibe nkulu, nto leyo eyenza kube nzima ukuba isidoda sifikelele eqandeni. Zikwanciphisa ulwelo lwesibeleko sakho ngee-hormone, nto leyo enciphisa ukopha kokuya exesheni.
• Uyisebenzisa njani? Ii-IUD luhlobo lolawulo lokubeleka oluthi "yifumane uze uyilibale". Oku kuthetha ukuba wakuba uyifakile, ungayilibala kuba akukho londolozo lwemihla ngemihla okanye lwenyanga olubandakanyekayo.
• Ndingayifumana phi? Emva kovavanyo lwesitho sangasese sowesifazane, ugqirha ufaka i-IUD esibelekweni sakho. Ingafumaneka kuphela ngomyalelo kagqirha.
• Isebenza kangakanani? I-IUD isebenza phantse nge-100%.
• Ingaba kubuhlungu xa kufakwa i-IUD?Hayi, akufuneki kube buhlungu xa ufake i-IUD. Usenokuziva ungakhululekanga okanye uqaqanjelwe ngumqolo emva kokuba ugqirha eyifakile. Kunjalo nangokususa i-IUD - ungaziva ungakhululekanga.
• Yintoni enye ekufuneka uyazi? Iziphumo ebezingalindelekanga ziyahluka ngokuxhomekeke kuhlobo lwe-IUD oyisebenzisayo. Ii-IUD zeCopper zinokubangela intlungu nobunzima exesheni. Abanye abantu bakhetha ii-IUD zeCopper kuba azinazo iihomoni. Eyona mpembelelo iqhelekileyo ye-IUD zeProgestin kukuphuma kwegazi ngendlela engaqhelekanga. Oku kudla ngokuba ngcono emva kweenyanga ezi-6-12. Abanye abantu banokuyeka ukuya exesheni ngokupheleleyo. I-IUD isuswa ngugqirha. Ukuba ukhulelwa ngelixa une-IUD, kunokwenzeka ukuba kube kukukhulelwa okuphuma exesheni.

Ii-IUD zingasetyenziswa njengonyango olungxamisekileyo. Oko kukuthi, zingadlulanga iiyure ezili-120 (iintsuku ezi-5) emva kokwabelana ngesondo ngokungakhuselekanga. Enyanisweni, oku kusebenza ngakumbi kunepilisi yasekuseni emva kokukhulelwa.

Iipilisi zeHormonal, iPatch, kunye neRingi

• Zithini ezi? Ipilisi, ipetshi, kunye neringi ngamayeza owaselayo ukuthintela ukukhulelwa. Ipilisi ithathwa yonke imihla, iringi yesini (`NuvaRing®`) ifakwa kanye ngenyanga, kwaye ipetshi (`Xulane®`) itshintshwa kanye ngeveki. Uninzi lweendlela zokulawula ukuzalwa ngeehomoni ziqulathe iintlobo ezimbini zeehomoni (`Estrogen` kunye ne`Progestin`). Zonke ezi ndlela zisebenza ngokuthintela ukukhutshwa kweqanda.
• Uyisebenzisa njani? Kufuneka uthathe ipilisi ngexesha elifanayo yonke imihla. Kukho iintlobo ezahlukeneyo zeepilisi. Ezinye zenzelwe ukuba ixesha lakho lokuya exesheni lifike rhoqo ngenyanga, ngelixa ezinye zenzelwe ukwandisa ixesha phakathi kokuya exesheni okanye ukuyeka ixesha lakho ngokupheleleyo. Utshintsha iringi yesini rhoqo ngenyanga, uvumela ixesha lakho lokuya exesheni lifike. I-patch yokulawula ukuzalwa ikhupha iihomoni eluswini lwakho. Utshintsha i-patch kanye ngeveki. Zonke ezi ndlela kufuneka zisetyenziswe ngokuchanekileyo nangokungaguquguqukiyo. Ukuba uyalibala ukuzisebenzisa, unokuba ne-exesheni engacwangciswanga kwaye ukhulelwe.
• Ndingayifumana phi? Ulawulo lokuzala olusebenzisa iihomoni lunokufunyanwa kuphela ngomyalelo kagqirha.
• Zisebenza kangakanani? Iindlela zokulawula ukuzala ezidityanisiweyo zingasebenza nge-99% ukuba zisetyenziswa ngokuchanekileyo. Nangona kunjalo, ngenxa yokuba abantu abaninzi bengazisebenzisi ngokuchanekileyo, izinga lempumelelo limalunga ne-91% kuphela. Nangona zingasebenzi njenge-IUD okanye i-implant, iindlela zokulawula ukuzala ezidityanisiweyo njengepilisi zisebenza ngcono kuneendlela zokuthintela ezifana neekhondom.
• Yintoni enye ekufuneka uyazi? Iziphumo ebezingalindelekanga ezincinci zinokwenzeka kwiinyanga ezimbalwa zokuqala emva kokuba uqalile ukusebenzisa ipilisi. Imizekelo:
• Intlungu/ukuthamba kwebele
• Isicaphucaphu
• Intloko ebuhlungu
• Ukuya exesheni okungaqhelekanga
• Iindlela zokulawula ukuzala ezine-estrogen zonyusa umngcipheko wokuqhekeka kwegazi.Ngoko ke, thetha nogqirha wakho ukuze ubone ukuba iindlela zokulawula ukuzala ezine-estrogen zikulungele na. Ulawulo lokuzala olusebenzisa iihomoni luneengenelo. Umzekelo, ukuya rhoqo exesheni apho igazi lincinci khona kwaye kuncinci iintlungu zokuya exesheni. Abantu abasebenzisa iipilisi zokulawula ukuzala banokungafumani zimpawu zomhlaza kunye ne-PMS.

Iipilisi zeProgestin kuphela (iipilisi ezincinci)

• Zithini ezi? Ezi ziipilisi zokulawula ukukhulelwa eziqulethe i-hormone enye kuphela (i-progestin).
• Zisebenza njani? Iipilisi ezincinci zenza kube nzima ukuba isidoda sifikelele eqandeni. Iihomoni ezikwiipilisi zinciphisa ulwelo lwesibeleko sakho, nto leyo enciphisa ukopha kokuya exesheni. Ukuze ipilisi encinci isebenze kakuhle, kubalulekile ukusela ipilisi ngexesha elinye yonke imihla. Iipilisi ezincinci ezine-progestin kuphela zinokuthathwa ngomyalelo kagqirha.
• Zisebenza kangakanani? Njengeepilisi zokulawula ukuzala ezidibeneyo, iipilisi ze-progestin kuphela zinokuba zisebenza nge-99%. Nangona kunjalo, zisebenza nge-91% kuphela kuba abantu abaninzi abazisebenzisi ngokuchanekileyo.
• Yintoni enye ekufuneka uyazi? Eyona miphumo ixhaphakileyo yeepilisi ze-progestin kuphela kukopha okungacwangciswanga, kodwa kudla ngokuba ncinci. Oku kudla ngokuba ngcono emva kweenyanga ezi-6-12. I-minipill lukhetho olufanelekileyo kubafazi abancancisayo okanye abangakwaziyo ukuthatha i-estrogen.

I-Depo-Provera® - Ijekiseni yoLawulo lokuBeleka

• Yintoni? I-Depo-Provera® luhlobo lwe-hormone progestin. Iyakuthintela ekukhupheni amaqanda kwaye iqinise ulwelo lwakho lomlomo wesibeleko ukuze kube nzima ukuba isidoda sifikelele kwiqanda.
• Uyisebenzisa njani? Inaliti yokuthintela ukukhulelwa yinaliti. Ugqirha wakho uyinika ethangeni lakho elingaphezulu okanye engalweni engentla. Inaliti enye ikhusela ekukhulelweni kangangeeveki ezili-12 (iinyanga ezintathu). Abanye oogqirha bakuvumela ukuba uzifake inaliti ngenguqulelo yedosi ephantsi (`Depo-Subq Provera 104®`) ekhaya.
• Ndingayifumana phi? I-Depo-Provera® kufuneka imiselwe ngugqirha. Baza kukujova le hormone eofisini. Ukuba usebenzisa uhlobo oluphantsi lwedosi, unokukwazi ukuzijova ekhaya.
• Isebenza kangakanani? Inaliti yeDepo-Provera® isebenza ngama-99%. Nangona kunjalo, malunga ne-6% yabasetyhini bayakhulelwa minyaka le kuba abafumani inaliti ngexesha.
• Yintoni enye omele uyazi? I-Depo-Provera® inokubangela ukopha okungacwangciswanga. Abantu abayisebenzisa ixesha elingaphezu konyaka banokuyeka ukuya exesheni ngelixa besebenzisa amayeza. Isenokuba yindlela yokulawula ukuzala enokubangela ukutyeba. Xa kuthelekiswa nezinye iindlela zokulawula ukuzala, kunokuba nzima kancinci ukufumanisa ukuba ukuzala kwakho kuya kubuya nini emva kokuyeka i-Depo-Provera®.

Iindlela Zokwazisa Ngokuzala - Ucwangciso Lwentsapho Lwendalo

Indlela yesingqisho

• Yintoni? Indlela yeRhythm ikufundisa ukuba uchonge nini iqanda. Oku kukunceda ukuba ubone ezona ntsuku zakho zichumileyo, iintsuku apho kunokwenzeka ukuba ukhulelwe khona. Uyakuphepha ukulala ngesondo ngeentsuku zakho ezichumileyo.
• Uyenza njani le nto? Usebenzisa ikhalenda ukulandelela i-ovulation yakho kwaye uyiqikelele. Oku kufuna ukuba ulandelele umjikelo wakho wokuya exesheni kangangeenyanga ezimbalwa, uze emva koko ukwazi ukuqikelela umjikelo wakho wokuya exesheni.
• Isebenza kangakanani? Le yenye yeendlela zokulawula ukukhulelwa ezingasebenzi kakuhle. Nokuba zisetyenziswa ngokuchanekileyo, zisebenza phakathi kwe-75% kunye ne-88% kuphela.
• Yintoni enye ekufuneka uyazi? Le ndlela yekhalenda ayizukusebenza ukuba unemijikelezo yokuya exesheni engacwangciswanga. Iingenelo zezokuba ayinazo iziphumo ebezingalindelekanga, kwaye ayibizi kakhulu.

Indlela yeSibeleko seMucus

• Yintoni le? Ukujonga ulwelwesi lomlomo wesibeleko yindlela yokuhlalutya ulwelo lwakho oluphuma kwilungu lobufazi ukuze kubonwe ukuba uza kuzala nini. Uyakuphepha ukwabelana ngesondo ngexesha lakho lokuzala.
• Uyenza njani le nto? Ungajonga i-mucus yomlomo wesibeleko sakho ngomnwe wakho okanye ngokujonga impahla yakho yangaphantsi. I-mucus yomlomo wesibeleko echumileyo iyatyibilika, icacile, kwaye inobume obumhlophe njengeqanda. Ukuba ityebile, i-pasty, awuchumi. Ukufunda indlela i-mucus yomlomo wesibeleko sakho etshintsha ngayo kuyo yonke imijikelo yokuya exesheni kunokukunceda uqikelele ukuba uza kuyikhupha nini iqanda.
• Isebenza kangakanani? Uvavanyo lomlomo wesibeleko lunokusebenza ukuya kuthi ga kwi-88%. Uninzi lwexesha, lusebenza malunga ne-75%.
• Yintoni enye ekufuneka uyazi? Ukulandelela i-mucus yomlomo wesibeleko sakho yinkqubo ethatha ixesha elide kwaye ifuna ukuzibophelela. Oku kungathatha ukuya kuthi ga kwiiveki ezimbini kwaye kuya kufuneka uphephe ukwabelana ngesondo kwiintsuku zakho ezizele kakhulu. Ngamanye amaxesha kunokuba nzima ukufumanisa ukuba kukhuselekile nini ukuba nesondo.

Indlela yoBushushu boMzimba obuBalulekileyo

• Yintoni le? Ukulinganisa ubushushu bomzimba wakho osisiseko yenye indlela yokufumanisa ukuba ukhupha nini amaqanda. Ukuze oku kusebenze, udinga i-thermometer enokulinganisa ubuncinane isinye kwishumi sedigri.
• Ungayenza njani le nto? Linganisa ubushushu bakho qho kusasa ngaphambi kokuba uphume ebhedini (kwaye nangaphambi kokuba uphakame). Ubushushu bomzimba wakho wemihla ngemihla buhlala bunyuka ngaphantsi kwesiqingatha sedigri emva kokuba ukhuphe iqanda. Emva kokuba ubushushu bakho bunyukile, ungenza isondo ungakhuselekanga kangangeentsuku ezintathu. Kungathatha imijikelo eliqela ukufumanisa ukuba olu nyuka lwenzeka nini inyanga nenyanga.
• Isebenza kangakanani? Ayisebenzi xa isetyenziswa yodwa,Kuba oku kukuxelela kuphela ukuba i-ovulation ivele, kungekhona ukuba isondele. Ekubeni ungakhulelwa kude kube ziintsuku ezintlanu ngaphambi kwe-ovulation, le yindlela engathembekanga kakhulu.
• Yintoni enye ekufuneka uyazi? Kufuna ukuzinikela kakhulu ukulinganisa ubushushu bakho rhoqo kusasa ngelixa uphumle. Nangona ingabizi kakhulu, ayiboneleli ngokhuseleko olufana neendlela zokuthintela okanye ucwangciso lokuzalwa lwehomoni.

Ukuzikhwebula kwisondo

• Yintoni le? Ukuzila ukutya yindlela yokulawula inzala kuphela esebenza nge-100%. Oko kuthetha ukuba awukaze ulale ngesondo. Ikwayindlela yokuzikhusela kwizifo ezidluliselwa ngesondo (STDs).

Ukuba umntu ukunyanzela ukuba ulale naye kwaye uzive ungakulungelanga, musa ukunikezela. Sisigqibo esibalulekileyo esinemiphumo emibi ngokweemvakalelo nangokomzimba.

Ukuthintela ukukhulelwa okuNgxamisekileyo

Ipilisi Yasekuseni Emva Kokutya

• Yintoni? Ukuthintela ukukhulelwa okungxamisekileyo luhlobo lokuthintela ukukhulelwa onokulusebenzisa kwiiyure ezili-120 (iintsuku ezi-5) emva kokwabelana ngesondo ngokungakhuselekanga. Lusebenza kakhulu ekuthinteleni ukukhulelwa ukuba lusetyenziswa kwiintsuku ezintathu emva kokwabelana ngesondo ngokungakhuselekanga.
• Iipilisi ezisebenzayo kakhulu emva kokuthatha ipilisi ziqulethe i-`ulipristal` (igama lophawu: `ella®`). Zingafumaneka kuphela ngomyalelo kagqirha. Kukho iindlela ezahlukeneyo ezikhoyo ngaphandle komyalelo kagqirha, zonke ziqulethe i-`levonorgestrel` (umz., `Plan B One-Step®`, `Take Action®`, kunye nezinye iimpawu ezininzi).
• Zisebenza njani? Le pilisi iyayimisa okwethutyana imveliso yamaqanda (iyalibazisa ukukhutshwa kwamaqanda) kwaye ithintela ukukhulelwa.
• Ndingayifumana phi? Iipilisi ze-`Levonorgestrel` zingathengwa kwikhemesti ekufutshane nawe ngaphandle kwencwadi kagqirha. I-`Ulipristal` (`ella®`) ithengwa kuphela ngencwadi kagqirha.
• Isebenza kangakanani? Iipilisi zokuthintela ukukhulelwa ezingxamisekileyo zisebenza ukuya kuthi ga kwi-90% ukuba zithathwa kwiiyure ezingama-72 emva kokwabelana ngesondo ngokungakhuselekanga. Nangona kunjalo, akukho pilisi iya kusebenza ukuba sele uyikhuphe iqanda. Yiyo loo nto kubalulekile ukuzithatha ngokukhawuleza emva kokwabelana ngesondo.

Ii-IUD zokuthintela ukukhulelwa ngexesha likaxakeka

• Ngaba ii-IUD zingasetyenziselwa ulawulo lokubeleka olungxamisekileyo? Ewe, zombini ii-IUD ezine-copper (iParagard®) kunye nee-IUD ezine-progestin kuphela (iMirena® okanye iLiletta®) zingasetyenziswa njengolawulo lokubeleka olungxamisekileyo ukuba zifakwe kwiiyure ezili-120 (iintsuku ezi-5) emva kokwabelana ngesondo ngokungakhuselekanga. Olu lolona hlobo lusebenzayo lolawulo lokubeleka olungxamisekileyo. Inzuzo yokusebenzisa ii-IUD kulawulo lokubeleka olungxamisekileyo kukuba ukhuselekile ekukhulelweni okungafunekiyo kwixesha elizayo ngelixa ukhangela indlela yokulawula ukubeleka.
• Ii-IUD ezine-progestin zisebenza ngokwandisa i-mucus yomlomo wesibeleko, nto leyo eyenza kube nzima ukuba isidoda sifikelele kwiqanda. Ii-hormone zinciphisa ulwelo lwesibeleko sakho, nto leyo enciphisa ukopha kokuya exesheni. I-IUD yekopolo isebenza ngokuthintela isidoda ukuba singafiki kwiqanda.
• Ndingayifumana phi? Ugqirha uyandinika imiyalelo aze andifakele ii-IUD.
• Zisebenza kangakanani? Ukuba zifakwe kwiintsuku ezi-5 emva kokwabelana ngesondo ngendlela engakhuselekanga, ii-IUD zingasebenza phantse nge-100% ekuthinteleni ukukhulelwa.
• Yintoni enye omele uyazi malunga nolawulo lokuzala olungxamisekileyo? Kuqhelekile ukuba neenyanga ezingaqhelekanga emva kokuthatha ulawulo lokuzala olungxamisekileyo. Nangona kunjalo, ukuba awufiki kwixesha lakho kwiiveki ezimbalwa emva kokuthatha ulawulo lokuzala olungxamisekileyo, kufuneka wenze uvavanyo lokukhulelwa. Kubaluleke kakhulu ukusebenzisa iikhondom okanye ukuzibamba ngesondo iintsuku ezintlanu emva kokuthatha ulawulo lokuzala olungxamisekileyo, kungenjalo ungakhulelwa. Ukuba uthatha iipilisi zolawulo lokuzala olungxamisekileyo rhoqo, thetha nogqirha wakho malunga neendlela ezisebenzayo zokuthintela ukukhulelwa. Inzuzo yokusebenzisa ii-IUD njengendlela yokulawula ukuzala olungxamisekileyo kukuba uthatha inyathelo elisebenzayo lokuzikhusela ekukhulelweni okungafunekiyo kwixesha elizayo.

Utyando Locwangciso Losapho Olusisigxina - Ukuvala Inzala

I-salpingectomy (ukususwa kweetyhubhu ze-fallopian)

• Yintoni? I-Salpingectomy yinkqubo yotyando esusa ngokusisigxina iityhubhu zakho ze-fallopian. Oku kuthintela iqanda ekufikeleleni kwisibeleko sakho. Ikwathintela isidoda ekufikeleleni kwityhubhu ye-fallopian, apho kudla ngokwenzeka khona ukuchumisa. Oogqirha bakhetha olu tyando kunokubopha iityhubhu ze-fallopian (okubandakanya ukubopha iityhubhu ze-fallopian ngaphandle kokuzisusa ngokupheleleyo). Oku kungenxa yokuba ukuba ukhulelwa emva kokuba iityhubhu zakho zibotshiwe, kukho amathuba aphezulu okukhulelwa ngaphandle kwe-ectopic.
• Kwenziwa njani? Ugqirha wenza olu tyando ngelixa uphantsi kwe-anesthesia. Basika kabini okanye kathathu esiswini sakho baze bafake isixhobo esibizwa ngokuba yi-laparoscope. Nge-laparoscope, banokuvala iityhubhu zakho ze-fallopian baze bazisuse ngokupheleleyo.
• Iphumelele kangakanani? Olu tyando luphumelele phantse nge-100%.
• Yintoni enye ekufuneka uyazi? Ukuvalwa kwenzala kwabasetyhini kusisigxina. Akufanele ukuvalwa kwenzala okusisigxina ukuba ucinga ukuba ungatshintsha ingqondo yakho ngokuba nabantwana kwixesha elizayo. Nangona kungenakuphikiswa rhoqo, utyando lunemingcipheko kwaye lunokubiza kakhulu. Alukhuseli kwizifo ezidluliselwa ngesondo (ii-STD).

Ukuxhuzula iityhubhu

• Yintoni lento?Ukubopha ityhubhu yindlela evala iityhubhu zakho ze-fallopian. Ugqirha otyandayo uqhobosha, abophe, okanye avale iityhubhu zakho ze-fallopian ukuthintela ukukhulelwa. Le nkqubo ifana ne-salpingectomy, kodwa ayisusi ngokupheleleyo iityhubhu zakho ze-fallopian. Ukuba ukhulelwa emva kokuba iityhubhu zakho zibotshiwe, kukho umngcipheko omkhulu wokukhulelwa ngaphandle kwe-ectopic.
• Iphumelele kangakanani? Ukubopha iTubal kuphumelele phantse nge-100%.

Utyando lokuvala inzala kwamadoda (iVasectomy)

• Yintoni le? I-vasectomy yinkqubo evala i-vas deferens, ityhubhu ethwala isidoda ukuya kwinkqubo yokuzala yamadoda. Ngaphandle kwesidoda, ukukhulelwa akunakwenzeka.
• Kwenziwa njani? Oogqirha badla ngokwenza le nkqubo eofisini okanye kwigumbi lotyando, phantsi kwe-anesthesia yendawo. Ugqirha wakho wenza umngxuma omncinci kwisinqe sakho ukuze afikelele kwiityhubhu ezithwala isidoda. Emva koko, bayabopha okanye basike iityhubhu.
• Iphumelele kangakanani? Utyando lokuvala inzala lwamadoda luphumelele phantse nge-100%, kodwa lunokungaphumeleli. Kubalulekile ukwazi ukuba aluboneleli ngokhuseleko olukhawulezileyo ekukhulelweni. Kuya kufuneka usebenzise ucwangciso lokuzala olongezelelweyo kangangeenyanga ezimbalwa emva kotyando, de ugqirha wakho aqinisekise ukuba akusekho sidoda kwimbewu yakho.
• Yintoni enye ekufuneka uyazi? Ukuvala inzala akukhuseli kwizifo ezidluliselwa ngesondo (ii-STD). Kwezinye iimeko, ugqirha wakho unokukwazi ukuguqula inkqubo yokuvala inzala yamadoda. Ukuvala inzala kwamadoda kunomngcipheko omncinci weengxaki kune-laparoscopic salpingectomy.

Imibuzo Ebuzwa Rhoqo malunga noLawulo lokubeleka

Iphumelela kangakanani "iPulling Out"?

"Indlela yokuKhupha" yinkqubo yokususa ipenis kwilungu lobufazi ngaphambi kokukhupha ipenis. Ukususa ipenis ngaphambi kokukhupha ipenis yindlela yokuthintela ukukhulelwa, kodwa ayisebenzi kakuhle. Kuba kunzima kakhulu ukuyenza. Nokuba sisidoda esincinci sinokubangela ukuba umfazi akhulelwe. Kwabo basebenzisa "ukukhupha" njengendlela yabo yokulawula ukuzala kuphela, malunga nomnye kwabahlanu (20%) uya kukhulelwa ngonyaka.

Yeyiphi indlela engcono yokuzikhusela kwizifo ezidluliselwa ngesondo (ii-STI)?

Iikhondom zezona ndlela zilungileyo zokuzikhusela kwizifo ezidluliselwa ngesondo. Nangona kunjalo, iikhondom aziyona ndlela isebenzayo yokuthintela ukukhulelwa. Iikhondom zisebenza kakuhle xa zisetyenziswa nolunye uhlobo lolawulo lokuzalwa.

Okokugqibela, kufuneka ndikuxelele... (Umyalezo Wokuya Ekhaya)

Ngokufunda okungakumbi ngeendlela ezahlukeneyo zokulawula ukuzala, ungakhetha ukuba yeyiphi indlela efanelekileyo kuwe. Cinga ngezinto ezifana nokuba ulala kangaphi, impilo yakho iyonke, kunye nezicwangciso zakho zokuba nabantwana kwixesha elizayo. Enye into ebalulekileyo ekufuneka uyiqwalasele kukulula. Ezinye iindlela zokulawula ukuzala (ezifana nepilisi) zifuna ukulungiswa imihla ngemihla ukuze zisebenze, ngelixa ezinye (ezifana ne-IUD) zinokuhlala iminyaka kwaye "zinokufakwa kwaye zilibaleke." Ezinye iindlela zokulawula ukuzala kulula ukuzigcina zingabonwa, kwaye ezinye zingcono ekugcineni ubume besondo bungokwemvelo kunezinye.

Eyona nto ibalulekileyo kukuthetha nogqirha malunga neendlela zakho zokulawula ukukhulelwa. Banokukuchazela indlela esebenza ngayo indlela nganye yokulawula ukukhulelwa, kunye neengozi kunye neenzuzo zendlela nganye. Khumbula, ukukhetha indlela efanelekileyo kuwe kubaluleke kakhulu kwimpilo yakho nakubomi bakho!

Ucwangciso - ntsapho, ucwangciso-nzala, uthintelo-nzala, iikhondom, iindlela zehomoni, i-IUD, ukuvala inzala