Ngaba ucinga ngocwangciso-ntsapho? Okanye ngaba ukuya kwakho exesheni akufiki ngexesha? Mhlawumbi ugqirha wakho ukuxelele ukuba usebenzise "ipilisi" ye-acne okanye ngesizathu esithile. Nangona kukho amabali amaninzi kuluntu malunga nezi pilisi zokulawula ukuzalwa, abantu abaninzi abazi kakuhle ukuba ziyintoni na. Ngoko ke namhlanje siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda.
Ngamafutshane, zithini ezi pilisi zokulawula ukukhulelwa?
Iipilisi zokulawula ukukhulelwa ziipilisi ezineehomoni ezisetyenziselwa ukuthintela umfazi ekukhulelweni komntwana. Zikwabizwa ngokuba yi-'Oral Contraception' kuba kufuneka zithathwe ngomlomo yonke imihla. Ngolwimi lwethu, zibizwa ngokuba "ziipilisi". Kubantu abaninzi, oku kuye kwaba yinto eqhelekileyo kwimisebenzi yabo yemihla ngemihla.
Kodwa nantsi into ebaluleke kakhulu. Ukuba uthatha ezi pilisi yonke imihla, ngexesha elifanelekileyo , zisebenza kakuhle nge-99% ekuthinteleni ukukhulelwa. Nangona kunjalo, xa kuthelekiswa nezinye iindlela zokulawula ukukhulelwa ezifana neekhondom, ezi pilisi aziboneleli ngokhuseleko kwizifo ezidluliselwa ngesondo (ii-STI). Ke ngoko, ukuze uzikhusele kwizifo ezinjalo, kubalulekile ukusebenzisa olunye uhlobo lokhuseleko (njengekhondom) ngelixa uthatha iipilisi.
Ziziphi iintlobo eziphambili zeepilisi zokulawula ukukhulelwa?
Kukho iintlobo ezimbini eziphambili zeepilisi zokulawula ukukhulelwa. Zombini ziqulathe iihomoni ezikuthintela ukuba ungakhulelwa.
| Uhlobo lwepilisi | Inkcazo |
|---|---|
| Iipilisi eziDibeneyo | Ezi zezona ntlobo zisetyenziswa kakhulu. Ezi pilisi ziqulathe zombini i-estrogen kunye ne-progestin. |
| Iipilisi zeProgestin kuphela | Oku kukwabizwa ngokuba yi "minipill." Olu hlobo lunokufaneleka ngakumbi ukuba uncancisa, unembali yokuqhekeka kwegazi emilenzeni okanye emiphungeni (venous thromboembolism), okanye ukhe waba nestroke. Oku kungenxa yokuba i-hormone ye-estrogen ayifanelekanga kubantu abanjalo. |
Ukongeza, kukho uhlobo lwepilisi yokulawula ukukhulelwa ebizwa ngokuba yi "morning-after pill." Ayisiyopilisi edla ngokuthathwa yonke imihla. Isetyenziswa kuphela kwiimeko ezingxamisekileyo, oko kukuthi, xa ezinye iindlela zokulawula ukukhulelwa zingaphumelelanga.
Zisebenza njani ezi pilisi emzimbeni?
Kulula kakhulu. Iihormone ezikwezi pilisi zenza izinto ezintathu eziphambili.
- Ukumisa okanye ukunciphisa i-ovulation: Oku kuthetha ukuthintela ukukhululwa kweqanda kwi-ovary. Ngaphandle kweqanda, akukho nto inokuthi i-sperm ikwazi ukuyichumisa.
- Ukujiya kwe-Cervical Mucus: Oku kusebenza njengomqobo kwi-sperm engena kwi-uterus. I-mucus ejiyileyo yenza kube nzima ukuba i-sperm ingene kwi-uterus.
- Ukuncitshiswa kolwelo lwesibeleko: Nokuba iqanda liqhagamshelwe ngandlel’ ithile, udonga lwesibeleko alunandawo apho linokuthi linamathele kwaye likhule khona.
Ezi ndlela zintathu zezona zibangela ukuba ukukhulelwa kungenzeki.
Ndingazithatha njani ezi pilisi? Ngaliphi ixesha?
Le yeyona nxalenye ibalulekileyo. Kubalulekile ukuthatha iipilisi kanye njengoko ugqirha wakho ekuxelele. Landela imiyalelo ekwikhadi lepilisi ngqo. Ikhadi lepilisi liza ngobukhulu obahlukileyo.
Iipilisi eziDibeneyo
Rhoqo, kukho iintlobo ezimbini zeepilisi kwikhadi lepilisi: iipilisi "ezisebenzayo" kunye neepilisi "ezingasebenziyo". Iipilisi ezisebenzayo ziqulathe iihomoni. Iipilisi ezingasebenziyo (ngamanye amaxesha zinombala owahlukileyo) zibizwa ngokuba ziipilisi ze-placebo. Ezi zikho ukuze zikuncede unamathele kwinkqubo yakho yemihla ngemihla yeepilisi.
| Uhlobo lwekhadi lepilisi | Kusetyenziswa kwanjani |
|---|---|
| Ikhadi lepilisi leentsuku ezingama-28 | Kufuneka uthathe iipilisi ezisebenzayo (ezineehomoni) iintsuku ezingama-21 kunye neepilisi ezingasebenziyo (ezingenahomoni) iintsuku ezisi-7. Uza kuba sexesheni (ukopha) phakathi evekini othatha ngayo iipilisi ezingasebenziyo. |
| Ikhadi lepilisi leentsuku ezingama-21 | Sela iipilisi ezisebenzayo iintsuku ezingama-21, uze ungazisebenzisi ezinye iintsuku ezisi-7 ezilandelayo. Uza kuba sexesheni ngeli veki ungenazo iipilisi. (Kodwa khumbula ukuqala iphakheji entsha ngomhla wama-29!) |
| Amakhadi eepilisi zexesha elide (iipakethi zeentsuku ezingama-91) | Uthatha iipilisi ezisebenzayo rhoqo kangangeeveki ezili-12 (iinyanga ezi-3), uze emva koko uthathe iipilisi ezingasebenziyo kangangeentsuku ezisi-7 ezilandelayo. Ngale ndlela, uya kuba sexesheni lakho kane kuphela ngonyaka. |
Iipilisi zeProgestin kuphela (iipilisi ezincinci)
Le paki yeepilisi idla ngokuba neepilisi ezisebenzayo ezingama-28. Ixesha libaluleke kakhulu apha. Ufanele uthathe ipilisi ngexesha elifanayo yonke imihla (ngaphakathi kwexesha leeyure ezintathu) . Umzekelo, ukuba uthatha ipilisi ngo-7 kusasa ngolunye usuku uze emva koko nge-10:30 kusasa ngosuku olulandelayo (ufike emva kwexesha kwiiyure ezi-3.5), unokuba sengozini yokukhulelwa.
Kuthekani ukuba ndilibele ukusela ipilisi?
Oku kunokwenzeka nakubani na. Musa ukukhathazeka.
Sela ipilisi ngokukhawuleza xa ukhumbula. Emva koko thatha ipilisi elandelayo ngexesha eliqhelekileyo.
Nangona kunjalo, ukuba uphoswa yipilisi, qiniseka ukuba usebenzisa enye indlela yokulawula ukukhulelwa (njengekhondom) kwiintsuku ezisi-7 ezizayo . Ukuba uphoswa yipilisi iintsuku eziliqela, thetha nogqirha wakho ngoko nangoko ukuze akunike ingcebiso.
Ngaphandle kokuthintela ukukhulelwa, ngaba zikho ezinye izibonelelo kwezi pilisi?
Ewe, ngokuqinisekileyo! Nangona abantu abaninzi bengazi, iipilisi zokulawula ukukhulelwa zinezibonelelo ezininzi zempilo. Oogqirha ngamanye amaxesha bacebisa ezi zizathu, kungekuphela nje zokulawula ukukhulelwa.
- Ilawula ixesha lakho lokuya exesheni kwaye inciphisa ukopha kakhulu.
- Inciphisa iintlungu ezibuhlungu kunye ne-migraines eziza nokuya exesheni.
- Ithintela i-anemia ngokunciphisa ukulahleka kwegazi.
- Inciphisa iimpawu zangaphambi kokuya exesheni ezifana ne-Premenstrual Syndrome (PMS).
- Inceda ekulawuleni i-acne kunye nokukhula kweenwele emzimbeni okungafunekiyo (i-hirsutism).
- Isetyenziswa njengonyango lwezifo ezifana nePolycystic Ovary Syndrome (PCOS) kunye ne-Endometriosis.
- Iyanciphisa umngcipheko weentlobo ezithile zomhlaza, ingakumbi umhlaza wesibeleko kunye nomhlaza wesibeleko.
Zithini iziphumo ebezingalindelekanga kunye neengozi eziqhelekileyo?
Njengayo nayiphi na imithi, abanye abantu banokufumana iziphumo ebezingalindelekanga ezincinci xa beqala ukuthatha iipilisi zokulawula ukukhulelwa. Kodwa ungakhathazeki, uninzi lwazo luya kuphela kwiinyanga ezimbalwa.
Iziphumo ebezingalindelekanga ezincinci:
- Isicaphucaphu
- Intloko ebuhlungu
- Intlungu yebele okanye ukudumba
- Ukuguquguquka kweemvakalelo
- Ukopha kancinci phakathi kokuya exesheni (ukubona amabala)
Ukuba ezi ziphumo bezingalindelekanga azipheli emva kweenyanga ezimbalwa, thetha nogqirha wakho. Usenokukwazi ukutshintshela kolunye uhlobo lwepilisi olulungele wena.
Iingozi ezinzulu, kodwa ezingaqhelekanga kakhulu:
Inani elincinci labantu abathatha iipilisi ezidityanisiweyo (eziqulethe i-estrogen) banokuba nomngcipheko okhulayo wokuqhekeka kwegazi. Oku kunokukhokelela kwiimeko ezifana ne-Deep Vein Thrombosis (DVT), i-Pulmonary Embolism, iStroke kunye ne-Heart Attack.
Kodwa oku kunqabile kakhulu. Ngaphambi kokuba akunike ipilisi, ugqirha wakho uza kujonga imbali yosapho lwakho kunye nembali yakho yempilo ukuze akukhethele ipilisi ekhuselekileyo kuwe.
"Ngaba ukuthatha iipilisi kukwenza ube mkhulu?"
Lo ngumbuzo abantu abaninzi abawubuzayo. Izifundo ezininzi ziye zabonisa ukuba iipilisi zokulawula ukukhulelwa azibangeli ngokuthe ngqo ukutyeba okanye ukwehla kobunzima .
Loluphi uhlobo lwepilisi olungcono kum?
Oko kuxhomekeke kugqirha wakho. Uza kuqwalasela izinto ezininzi, kuquka ubudala bakho, impilo yakho, nendlela ophila ngayo, ukuze akucebise eyona pilisi ifanelekileyo nekhuselekileyo kuwe.
Ekugqibeleni, ipilisi elungele wena yile unokukhumbula ukuyisela yonke imihla kwaye ihambelana nendlela ophila ngayo. Kuba abantu abaninzi abakhulelwa ngelixa besebenzisa ipilisi benza njalo kuba bengayithathi ngokuchanekileyo ipilisi.
Ukuba kunzima ukusela ipilisi yonke imihla, thetha nogqirha wakho ngezinye iindlela zokulawula ukuzala ezithatha ixesha elide (umz., i-implant, isixhobo sangaphakathi kwesibeleko (IUD), inaliti).
Umyalezo Wokuya Ekhaya
- Iipilisi zokulawula ukukhulelwa ziyindlela esebenzayo kakhulu yokuthintela ukukhulelwa ukuba zisetyenziswa ngokuchanekileyo nangexesha yonke imihla.
- Ezi pilisi aziboneleli ngokhuseleko kwizifo ezidluliselwa ngesondo (ii-STI). Qiniseka ukuba usebenzisa enye indlela, njengekhondom.
- Ukongeza ekuthinteleni ukukhulelwa, zibonelela ngeenzuzo ezininzi zempilo, ezinje ngokubonelela ngomjikelo wexesha eliqhelekileyo wokuya exesheni, ukunciphisa amaqhakuva, kunye nokunciphisa umngcipheko weminye imingxunya.
- Iziphumo ebezingalindelekanga ezenzeka kwangethuba kwipilisi zihlala zizezexeshana. Ukuba ziyaqhubeka, thetha nogqirha wakho.
- Kubalulekile ukwazisa ugqirha wakho malunga neminye imithi oyithathayo kunye nembali yakho epheleleyo yezonyango.
- Soloko ucela icebiso kugqirha wakho ukuze afumanise ukuba yeyiphi indlela yokulawula inzala efanelekileyo kuwe.
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