Ngaba ucinga ngendlela yokucwangcisa usapho? Ngoko mhlawumbi uyazi ukuba zingaphi iindlela ezikhoyo ngoku onokukhetha kuzo. Kukho izinto ezininzi ezifana neepilisi zokulawula ukuzala, ii-IUD, iikhondom. Phakathi kwezi, eyona ndlela ithethwa kakhulu nelula yinaliti yokulawula ukuzala yenyanga. Ngoko ke namhlanje, masithethe ngenye yenaliti enjalo, inaliti yokulawula ukuzala, eyenziwa ngokudibanisa iihomoni ezimbini ezibizwa ngokuba yi-`Estradiol Cypionate` kunye ne-`Medroxyprogesterone`. Ukuba uyazi kakuhle le nto, kuya kuba lula ukukhetha leyo ikufaneleyo, akunjalo?
Kalula nje, loluphi uhlobo logonyo olu?
Le yinaliti yehomoni eyenzelwe ngokukodwa abafazi ukuthintela ukukhulelwa okungafunekiyo. Ngamafutshane, yinaliti yenyanga . Inaliti enye inika ukhuseleko lokulawula ukukhulelwa inyanga enye (malunga neentsuku ezingama-28-30).
Iqulethe iintlobo ezimbini zokwenziwa zeehomoni ezimbini eziveliswa ngokwemvelo emzimbeni womfazi. Ezi yi-estrogen kunye ne-progestin. Ezi homoni zimbini zisebenza kunye ukuthintela umzimba wakho ekukhupheni amaqanda, apho iqanda likhutshwa kwi-ovary. Zikwayityebisa i-mucus kwisibeleko sakho, okwenza kube nzima ukuba isidoda singene. Le yindlela othintela ngayo ukukhulelwa.
Kubalulekile: Nangona olu gonyo luyekisiwe kwamanye amazwe, afana ne-United States, olu gonyo lufana nalo lusetyenziswa kumazwe ahlukeneyo, kuquka neSri Lanka. Kungcono ukuthetha nogqirha wakho ngaphambi kokuba uthathe isigqibo sokuba lukulungele na okanye alukulungelanga.
Zeziphi izinto ekufuneka uzixelele ugqirha ngaphambi kokuba ugonywe?
Ngaphambi kokuba usebenzise olu gonyo, kubaluleke kakhulu ukuba ugqirha wakho aqonde ngokupheleleyo imeko yakho yempilo. Olu gonyo lwehomoni aluhambelani nezinye iimeko zonyango. Ukuba ukhe wanayo okanye wakha waba nayo nayiphi na kwezi meko zingasentla, qiniseka ukuba uxelela ugqirha wakho ngayo.
| Imeko yempilo onayo/obenayo | Kutheni kubalulekile ukuxelela ugqirha ? |
|---|---|
| Ukuba ungumntu otshayayo | Ukutshaya, ingakumbi ukuba ungaphezulu kweminyaka engama-35, kwandisa kakhulu umngcipheko wokuqhekeka kwegazi kunye nesifo sohlangothi xa zidityaniswe neenaliti zehomoni. |
| Isifo semithambo yegazi, amahlwili egazi, okanye isifo sohlangothi | Olu gonyo lunokunyusa loo mngcipheko ngakumbi. |
| Umhlaza webele, wesibeleko, wesibeleko, wesibeleko, wesibeleko, okanye wesibindi | Umhlaza oxhomekeke kwiihomoni unokuba yingozi ngakumbi. |
| Ukopha kwegazi kwilungu lobufazi okungachazwanga | Isizathu soku kufuneka siphandwe kuqala. |
| Uxinzelelo lwegazi oluphezulu, isifo sentliziyo, i-cholesterol ephezulu | Ezi meko zinokuba nzima kukusetyenziswa kweehomoni. |
| Isifo seswekile | Amanqanaba eswekile egazini anokutshintsha. |
| I-Migraine, isifo sesibindi okanye sezintso | Ezi meko zinokuba mandundu okanye zichaphazele ukusebenza kakuhle kwamayeza. |
| Ukuba ukhulelwe okanye uzama ukukhulelwa | Olu gonyo alufanele lunikwe ngexesha lokukhulelwa. |
Ukongeza, ungalibali ukukhankanya naziphi na izinto ezibangela ukuba umzimba wakho ungabi namdla kwezinye iziyobisi, ukutya, okanye iidayi.
Isetyenziswa njani le gonyo?
Olu asilovavanyo onokulwenza ekhaya. Lufakwa kwisihlunu sakho (ngesiqhelo esinqeni okanye engalweni) ngugqirha okanye umongikazi oqeqeshiweyo .
- Ugonyo lokuqala: Ugonyo lokuqala ludla ngokunikezelwa kwiintsuku ezi-5 zokuqala emva kokuqala kwexesha lakho.
- Emva koko: Ufanele ufumane inaliti elandelayo rhoqo ngenyanga (rhoqo emva kweentsuku ezingama-28-30). Kubaluleke kakhulu ukugcina imihla ichanekile.
Wenza ntoni ukuba uphoswa lusuku lokugonywa?
Kubalulekile ukufumana inaliti yakho ngosuku olucwangcisiweyo ukuze ugcine ukhuseleko lwakho lokuthintela ukukhulelwa. Ukuba uphoswa lusuku olucwangcisiweyo, fowunela ugqirha wakho okanye ikliniki ngoko nangoko ukuze uhlengahlengise ixesha. Ukuba sele kudlule iintsuku ezingaphezu kwama-33 (ngaphezulu kweeveki ezi-4) ukusukela kwinaliti yakho yokugqibela, kuya kufuneka wenze uvavanyo lokukhulelwa ngaphambi kokuba ufumane inaliti yakho elandelayo.
Ezinye izinto ezinokusebenzisana nale mithi
Amanye amayeza owasebenzisayo anokunciphisa ukusebenza kakuhle kwale jelo yokuthintela ukukhulelwa. Oku kuthetha ukuba ukuba uthatha le jelo kunye nala mayeza, unokuba sengozini yokukhulelwa. Kungoko ke, kubaluleke kakhulu ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo.
Nantsi eminye imizekelo:
- Amanye amayeza okubulala iintsholongwane - ingakumbi lawo asetyenziselwa ukunyanga isifo sephepha, njengeRifampin.
- Amayeza anikwa abantu abanesifo sokuwa (i-fits) - afana ne-'Carbamazepine', 'iPhenytoin', 'iTopiramate'.
- Amayeza osulelo lwe-HIV - njenge-`Ritonavir`.
- Izongezo zemifuno - ingakumbi i-St. John's wort.
- Amayeza okulwa nefungus.
Olu luhlu aluphelelanga. Ngoko ke, qiniseka ukuba uxelela ugqirha wakho ngayo yonke imithi oyithathayo (kuquka iivithamini, iPanadol, amayeza e-Ayurvedic, iimveliso zezityalo) , naziphi na izongezo ozithathayo, kunye nokuba utshaya okanye usela utywala.
Izinto ekufuneka uzikhumbule xa ugonywa
- Ukutshaya kunye nokuqhekeka kwegazi: Njengoko besitshilo ngaphambili, eli linqaku elibaluleke kakhulu . Ukuba uthatha inaliti yehomoni efana nale, ingakumbi ukuba ungaphezulu kweminyaka engama-35, ukutshaya kwandisa kakhulu umngcipheko wakho wokuqhekeka kwegazi, ukuhlaselwa yintliziyo, kunye nestroke. Ke ngoko, sikucebisa ngamandla ukuba ukuphephe ngokupheleleyo ukutshaya ukuze ukhuseleke.
- Amandla ethambo: Xa olu gonyo lusetyenziswa ixesha elide (ngaphezulu kweminyaka emi-2), kukho ithuba lokuba inqanaba le-calcium emzimbeni linciphe kwaye amathambo abe buthathaka (i-Osteoporosis). Ke ngoko, ngaphandle kokuba ezinye iindlela zokulawula ukukhulelwa azifanelekanga kuwe, thetha nogqirha wakho kwakhona malunga nokuqhubeka nokusebenzisa olu gonyo kangangeminyaka engaphezu kwemi-2. Fumana neengcebiso malunga nendlela yokufumana i-calcium kunye ne-vitamin D ukuze ugcine amathambo akho eqinile.
- Akukho khuselo kwizifo ezidluliselwa ngesondo: Oku kubaluleke kakhulu. Olu gonyo luthintela ukukhulelwa, kodwa aluboneleli naluphi na ukhuselo kwi-HIV (AIDS) okanye kwezinye izifo ezidluliselwa ngesondo (STDs). Ke ngoko, ukuze uzikhusele kwizifo ezinjalo, kufuneka usebenzise indlela yokuthintela efana neekhondom.
- Ukuhlolwa rhoqo kwezonyango:Ngelixa uthatha olu gonyo, kubalulekile ukubona ugqirha wakho rhoqo ukuze ahlolwe. Kubalulekile ukuba uhlolwe amabele rhoqo kwaye wenze uvavanyo lwe-Pap smears rhoqo.
- Ukugqithisa: Njengoko olu gonyo lunikwa yingcali yezonyango, umngcipheko wokugqithisa uphantsi kakhulu. Nangona kunjalo, ukuba ukrokrela ukuba oku kwenzekile, yazisa ngokukhawuleza iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo okanye kwiYunithi yoNyango oluNgxamisekileyo (ETU) ekufutshane.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengakweyiphi na iyeza, olu gonyo lunokuba nemiphumo emibi. Eminye iyingozi, eminye ixhaphakile. Kubalulekile ukuzazi ezi zinto.
| Iziphumo ebezingalindelekanga ezinzulu ezifuna unyango olukhawulezileyo (yiya kwiSebe leNgxamiseko - ETU) | |
|---|---|
| ⚫ Intloko ebuhlungu kakhulu ngequbuliso | ⚫ Intlungu esifubeni, ubunzima bokuphefumla |
| ⚫ Utshintsho kumbono (umbono ofipheleyo, umbono ophindwe kabini) | ⚫ Ubunzima bokuthetha okanye ukuqonda, ukulahlekelwa yinkumbulo |
| ⚫ Ukungaziva ngqindilili okanye ubuthathaka bobuso, ingalo, okanye umlenze (ingakumbi kwelinye icala lomzimba) | ⚫ Intlungu, ukudumba, ukuba bomvu, kunye nobushushu emlenzeni (iimpawu zokuqhekeka kwegazi) |
| ⚫ Ukuba tyheli kwesikhumba okanye amehlo, umchamo omnyama, indle ekhanyayo | ⚫ Iqhuma okanye utshintsho ebeleni, ukuphuma kolwelo ebeleni |
| Kuqhelekile, kodwa xelela ugqirha wakho ukuba iyaqhubeka okanye iyakhathaza. | |
| ⚫ Intlungu yebele okanye ukuxinana | ⚫ Ukutshintshatshintsha kweemvakalelo, ukudakumba okuncinci |
| ⚫ Intlungu yesisu, isisu esizeleyo | ⚫ Utshintsho kumjikelo wokuya exesheni, ukopha kancinci |
| ⚫ Ukulahlekelwa ziinwele, utshintsho lobunzima | ⚫ Ukurhawuzelelwa sisitho sangasese, iimpawu zosulelo |
Ukuba ufumana naziphi na ezinye iimpawu ezingaqhelekanga ezingakhankanywanga kolu luhlu, thetha nogqirha wakho ngazo.
Umyalezo Wokuya Ekhaya
- Le yinaliti yokulawula ukuzalwa ethathwa kanye ngenyanga.
- Ngaphambi kokuba ufumane isitofu sokugonya, qiniseka ukuba uxelela ugqirha wakho ngazo zonke iimeko zakho zempilo kunye nawo onke amayeza owasebenzisayo.
- Olu gonyo aluboneleli ngokhuseleko kwizifo ezidluliselwa ngesondo, kuquka i-HIV (AIDS). Sebenzisa indlela efana nekhondom.
- Ukuba ungumtshayi, ingakumbi umfazi oneminyaka engaphezu kwama-35 ubudala, olu gonyo lusenokungakulungeli njengoko umngcipheko wokuqhekeka kwegazi kunye nesifo sohlangothi uphezulu kakhulu.
- Ukuba ufumana isiphumo esibi kakhulu esifana nentlungu yesifuba ngequbuliso, ubunzima bokuphefumla, ubunzima bokuthetha, okanye ukungaziva mnandi kwelinye icala lomzimba, yiya kwiSebe leNgxamiseko elikufutshane (ETU) ngoko nangoko.
- Ngaphambi kokuba ukhethe nayiphi na indlela yokulawula ukukhulelwa, thetha nogqirha wakho ngononophelo malunga neengenelo kunye neengxaki zayo uze ukhethe indlela ekufaneleyo.
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