Xa ucinga ngeendlela zokucwangcisa usapho, mhlawumbi ucinga ngeepilisi ozithatha imihla ngemihla okanye ngeenaliti ozifumana rhoqo emva kweenyanga ezimbalwa. Kodwa ngaba ukhe weva ngeringi encinci, eguquguqukayo oyinxiba ngaphakathi kwilungu lobufazi? Le yindlela yokucwangcisa usapho esebenzayo kakhulu. Namhlanje, masithethe ngale ringi yesini, i-'Vaginal Ring'. ESri Lanka, usenokuba ukhe weva ngayo phantsi kwegama elithi 'NuvaRing'.
Kalula nje, yintoni le ring yesini?
Le yiringi encinci eyenziwe ngeplastiki eguquguqukayo necacileyo esetyenziselwa ucwangciso losapho ngabasetyhini. Iqulethe iintlobo ezimbini zeehomoni. Ziyi-estrogen kunye ne-progestin. Ngokuchanekileyo, iqulethe amayeza athi `Etonogestrel` kunye ne `Ethinyl Estradiol`.
Xa ufaka le ring kwilungu lobufazi bakho, ikhupha la mahormone emzimbeni wakho ngendlela ethambileyo nelawulwayo. Xa zidibene, ezi hormone zimbini zenza izinto ezimbini eziphambili:
1. Ithintela ukukhutshwa kweqanda: Ithintela ukukhutshwa kweqanda rhoqo ngenyanga kwii-ovari zomfazi. Ngaphandle kweqanda, ukukhulelwa akunakwenzeka.
2. Ukujiya kwe-mucus yomlomo wesibeleko: I-mucus emnyango wesibeleko ijiyile, nto leyo eyenza kube nzima ukuba i-sperm idada ingene esibelekweni.
Le yindlela le ringi ekukhusela ngayo ekukhulelweni.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokusebenzisa eli yeza:
Le ring ayifanelekanga kuye wonke umntu. Ngoko ke xa uthetha nogqirha wakho, qiniseka ukuba ukhankanya nayiphi na kwezi meko zingasentla. Oku kubaluleke kakhulu kukhuseleko lwakho.
| Uhlobo lwemeko yezonyango | Iimeko ekufuneka uzixele |
|---|---|
| Iingxaki zentliziyo kunye nemithambo yegazi | Uxinzelelo lwegazi oluphezulu, isifo sentliziyo okanye uhlaselo lwentliziyo lwakutshanje, istroke, ukuqhekeka kwegazi kwimithambo yegazi, amanqanaba aphezulu e-cholesterol okanye e-triglyceride. |
| Umhlaza | Ukuba ukhe waba nomhlaza wamabele, wesibeleko, wesibeleko, wesibeleko okanye wesibindi. |
| Ezinye iimeko zonyango | Isifo seswekile, isifo sesibindi, isifo sezintso, isifo senyongo, intloko ebuhlungu ebangelwa yimigraine, i-lupus (SLE), ukunqongophala kweProteni C/S. |
| Indlela yokuphila kunye neminye imiba | Ukuba ungumntu otshayayo (ingakumbi oneminyaka engaphezu kwama-35), usandul’ ukuzala, ukhuphe isisu, uza kwenziwa utyando, okanye uphuma igazi ngendlela engaqhelekanga kwilungu lobufazi. |
| Ukukhulelwa kunye nee-aleji | Ukuba ukhulelwe okanye uzama ukukhulelwa, ukuba uncancisa, okanye ukuba une-allergies kwii-hormone okanye kwamanye amayeza okanye ukutya. |
Uyisebenzisa njani kanye kanye le ring?
Indlela yokusebenzisa oku ilula kakhulu, kodwa kubaluleke kakhulu ukulandela inkqubo ngokuchanekileyo.
1. Iiveki ezi-3 emva kokukhulelwa, iveki e-1 emva kokukhulelwa: Faka iringi kwisini njengoko ugqirha wakho eyalele. Le ringi mayihlale ikwindawo yayo kangangeeveki ezi-3 (iintsuku ezingama-21) .
2. Ukususa: Emva kweeveki ezi-3 ngqo, susa iringi ngaloo mini uyifakileyo (umz., ukuba uyifakile ngeCawa, uze uyifake ngeCawa emva kweeveki ezi-3).
3. Ikhefu leveki enye: Kuya kufuneka ungabi naso isandi kwiveki elandelayo (iintsuku ezisi-7) . Ngeli xesha, uya kuba sexesheni lakho (ukuphuma kwegazi).
4. Ukufaka iringi entsha: Emva kweveki enye kanye emva kokuphumla, ngosuku olufanayo nolo iringi yangaphambili yasuswa ngalo (kumzekelo wethu, ngeCawa elandelayo), kufuneka ufake iringi entsha .
Umzekelo, ukuba uziva ngathi iringi yakho iphumile, okanye ukuba awuqinisekanga ukuba isekhona na, yijonge ngoko nangoko. Ukuba awazi ukuba iphumile ixesha elingakanani, usenokuba sengozini yokukhulelwa. Thatha uvavanyo lokukhulelwa ngelo xesha uze uthethe nogqirha wakho.
Wenza ntoni ukuba uyifaka iringi emva kwexesha elide, okanye ukuba iyawa?
Impumelelo yale ndlela ixhomekeke ekubeni uqhubeka njani nalo mjikelo. Ukuba uphoswa lusuku obekufanele ukuba ufake ngalo iringi, okanye ukuba ibingasekho iiyure ezimbalwa, ukhuseleko lwakho ekukhulelweni lunokuncipha. Fowunela ugqirha wakho ngoko nangoko ukuze akunike ingcebiso. Kukwabubulumko ukusebenzisa olunye uhlobo lolawulo lokuzalwa, olufana neekhondom, de akuxelele ukuba wenze njalo.
Izinto ezingafanele zisetyenziswe nale ringi (Ukusebenzisana kwamayeza)
Amanye amayeza owasebenzisayo anokusebenzisana namahomoni akweli ring, nto leyo enciphisa ukusebenza kwawo okanye inyusa iziphumo ebezingalindelekanga. Ngoko ke xelela ugqirha wakho malunga nawo onke amayeza, iivithamini, kunye neemveliso zezityalo ozisebenzisayo.
| Musa ukusebenzisa la magama kunye! | |
|---|---|
| Kuphephe ukusebenzisa le ringi kunye namayeza athile eHepatitis C (afana neDasabuvir; ombitasvir; paritaprevir; ritonavir), izinto zokuthambisa zangasese eziqulethe ioyile okanye isilicone. | |
| Xelela ugqirha wakho ukuba usebenzisa la mayeza. | |
| Amayeza osulelo | Ii-antibiotics kunye ne-antifungals ezifana neRifampin kunye neGriseofulvin. |
| Amayeza okuxhuzula/ ukuxhuzula | Ezifana neCarbamazepine, iPhenytoin, iTopiramate. |
| Amayeza e-HIV/AIDS | Amanye amayeza okulwa neentsholongwane. |
| Iimveliso zezityalo | I-wort yaseSt. John. |
| Okunye | I-Acetaminophen (i-Paracetamol), i-Warfarin, amayeza esifo seswekile, iihomoni ze-thyroid, kunye namanye amayeza amaninzi. |
*Olu luhlu aluphelelanga. Ngoko ke nceda wazise ugqirha wakho ngayo yonke into oyithathayo.*
Izinto ekufuneka uzilumkele xa usebenzisa
- Kuphephe ukutshaya: Ukutshaya kuyingozi kakhulu ukuba usebenzisa olu hlobo lolawulo lokuzala olusebenzisa iihomoni. Ukutshaya kwandisa kakhulu umngcipheko wakho wokuqhekeka kwegazi kunye nesifo sohlangothi, ingakumbi ukuba ungaphezulu kweminyaka engama-35.
- Ukuhlolwa kwezonyango: Ndwendwela ugqirha wakho ngexesha elifanelekileyo uze ufumane uhlolo. Musa ukutsiba izinto ezifana nokuhlolwa kwamabele kunye nokuhlolwa kwe-Pap smears.
- Izifo ezidluliselwa ngesondo:
- Amabala esikhumba: Abanye abafazi banokuba namabala amdaka (i-cholasma) ebusweni babo. Le meko inokuba mandundu xa betshiswa lilanga. Ngoko ke, zikhusele elangeni kwaye usebenzise i-sunscreen.
- I-Overdose: Ukuba nangasiphi na isizathu ukrokrela ukuba uyisebenzise ngokugqithisileyo, yiya ngoko nangoko kwiZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke okanye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
- Indandatho yesini yindlela yokulawula ukuzalwa efakwa iiveki ezi-3, isuswe iveki, emva koko kufakwa entsha.
- Nangona oku kukhusela ekukhulelweni, akuniki naluphi na ukhuselo kwizifo ezidluliselwa ngesondo (ii-STI), kuquka ne-HIV.
- Ukuba ungumntu otshayayo kwaye uneminyaka engaphezu kwama-35 ubudala, umngcipheko wakho wokuba negazi eliqhekekileyo uphezulu kakhulu. Kuphephe ukutshaya ngokupheleleyo.
- Xelela ugqirha wakho malunga nawo onke amayeza, iivithamini, kunye neemveliso zezityalo ozisebenzisayo.
- Funa uncedo lwezonyango ngokukhawuleza ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinje ngeentlungu zesifuba, ubunzima bokuphefumla, ukudumba kwemilenze, okanye intloko ebuhlungu kakhulu.
- Ukuba iringi iyawa okanye ulibele ukuyifaka ngomhla ocwangcisiweyo, qhagamshelana nogqirha wakho ngoko nangoko.
Eyona nto ibalulekileyo kukuba le ringi ikukhusele ekukhulelweni kuphela. Ayikukhuseli kwizifo ezidluliselwa ngesondo (STIs) ezifana ne-HIV (AIDS). Kubalulekile ukusebenzisa indlela yokuthintela efana neekhondom.
Zithini iziphumo ebezingalindelekanga?
Njengalo naliphi na iyeza, eli linokuba nemiphumo emibi. Eminye iyingozi, eminye ixhaphakile.
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha ngoko nangoko | |
|---|---|
| Iimpawu zehlwili legazi | Intlungu yomlenze, ukudumba, ukuba bomvu, ubunzima bokuphefumla, iintlungu zesifuba. |
| Iimpawu zeStroke | Ukuba ndindisholo okanye ubuthathaka ebusweni, engalweni, okanye emlenzeni, ubunzima bokuthetha, intloko ebuhlungu, utshintsho embonweni. |
| Iingxaki zesibindi | Intlungu esiswini esingaphezulu ngasekunene, ukutyheli kolusu okanye amehlo, umchamo omnyama, indle ekhanyayo. |
| Ezinye iimpawu ezinzulu | Iimpendulo ze-allergy (ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso/imilebe), ukuba mandundu kwe-migraines, ukudakumba, iintlungu zangasese, ukukhupha ulwelo olungaqhelekanga, iimpawu ze-Toxic Shock Syndrome (TSS) kunye nomkhuhlane. |
| Iziphumo ebezingalindelekanga eziqhelekileyo kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
|---|---|
| Intlungu yebele okanye ukuxinana | Isicaphucaphu |
| Ukuya exesheni okungaqhelekanga okanye ukubonakala kwamabala | Ukunyuka kancinci kobunzima |
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