Ngaba unengxaki yokukhumbula ukuthatha ipilisi yakho yokucwangcisa usapho yonke imihla? Okanye ngamanye amaxesha uyaphoswa yinaliti ekufuneka uyithathe rhoqo emva kweenyanga ezintathu? Ukuba ucinga ngokulibazisa ukuba nomntwana okwethutyana, ucinga ntoni ngendlela engasetyenziswa kube kanye ize isetyenziswe iminyaka ngaphandle kokukhathazeka? Le yindlela esiza kuthetha ngayo namhlanje.
Yintoni i-LARC? Ngamafutshane...
I-LARC imele ukuthintela ukukhulelwa okusebenzayo ixesha elide . Esi sisifinyezo segama elithi "Long-Acting Reversible Contraception". Kalula nje, xa zifakwe ngugqirha wakho, ezi zikhusela ekukhulelweni iminyaka emithathu ukuya kwelishumi, okanye nangaphezulu, kuxhomekeke kuhlobo olusebenzisayo.
Ezi ziza ngeentlobo ezimbini eziphambili. Eyokuqala sisixhobo esifakwa ngugqirha ngaphakathi kwesibeleko sakho. Eyesibini sisixhobo esincinci esifakwa phantsi kwesikhumba sengalo yakho. Enye yezona nzuzo zinkulu zezi ndlela kukuba ungayisusa isixhobo nangaliphi na ixesha ukuba ugqiba kwelokuba ufuna ukuba nomnye umntwana. Emva kokuba isusiwe, ukuzala kwakho kuya kubuyela esiqhelweni.
Kodwa nantsi into ekufuneka uyikhumbule . Iindlela ze-LARC zithintela ukukhulelwa kuphela. Azikukhuseli kwizifo ezidluliselwa ngesondo (ii-STI) ezifana neekhondom.
Ziziphi iindlela ze-LARC ezikhoyo?
Njengoko besitshilo ngaphambili, kukho iintlobo ezimbini eziphambili zeendlela ze-LARC: izixhobo zangaphakathi kwesibeleko (ii-IUD) kunye nee-implants.
Izixhobo ze-intrauterine (ii-IUD)
I-IUD (I-Intrauterine Device) sisixhobo esincinci seplastiki esimile njengonobumba u-'T' ofakwa ngugqirha wakho esibelekweni sakho. Kukho iintlobo ezimbini eziphambili: ii-IUD ezine-copper kunye nee-IUD zehomoni.
Ukufakelwa
Olu lufakelo lweplastiki oluguquguqukayo olunobukhulu obufana nobomtshisi. Ugqirha wakho uza kulufaka phantsi kwesikhumba ngaphakathi kwengalo yakho engasentla. Uhlobo olusetyenziswa kakhulu eSri Lanka nakwihlabathi liphela lubizwa ngokuba yi-'Nexplanon®'. Lukhusela ukuya kuthi ga kwiminyaka emithathu.
Jonga itheyibhile engezantsi ukuze ufumane ukuqonda okulula kwezi ndlela.
| Uhlobo lwe-LARC | Amagama eebhrendi kunye neenkcazo | Lixesha lokufumana ukhuseleko |
|---|---|---|
| I-IUD yeCopper | Ezi azinazo iihomoni. Uhlobo oluphambili oluvunyiweyo ngoku yiParagard® . | Ukuya kuthi ga kwiminyaka eli-10 |
| I-IUD yeHormonal | Ezi zikhupha inani elincinci le-hormone progestin. Kukho iintlobo ezifana neMirena®, Liletta®, Kyleena®, kunye neSkyla® . | Iminyaka emi-3 ukuya kweyesi-7 (kuxhomekeke kuhlobo) |
| Ukufakelwa | I-implant encinci efakwa phantsi kwesikhumba sengalo. I-implant esetyenziswa kakhulu yiNexplanon® . | Ukuya kuthi ga kwiminyaka emi-3 |
Zisebenza kangakanani ngokwenene ezi ndlela?
Iindlela ze-LARC zezinye zezona ndlela zisebenzayo zokulawula ukuzala ezikhoyo. Zisebenza ngaphezu kwe-99% . Khawuthelekelele, kwabasetyhini abali-100 abasebenzisa le ndlela, ithuba lokukhulelwa ngonyaka lingaphantsi kwe-1.
Iipilisi zokucwangcisa usapho zisebenza nge-99% ukuba zithathwa yonke imihla. Kodwa ingxaki kukuba ngamanye amaxesha siyalibala ukusela ipilisi. Ngenxa yokulibala okunjalo, ukusebenza kakuhle kweepilisi kuyehla kuye kuthi ga kwi-91%. Kodwa xa usebenzisa i-IUD okanye i-implant, akufuneki ukhumbule ukuyithatha yonke imihla, ngoko ke akukho mngcipheko wokulibala. Yiyo loo nto ukusebenza kwazo kuphezulu kakhulu.
Ngubani i-LARC efanelekileyo? Ngubani engafanelekanga?
Ngoobani aba balungele ezi zinto?
Ukuba ufuna indlela yokuthintela ukukhulelwa engenangxaki, nehlala ixesha elide, iindlela ze-LARC zingakulungela kakuhle. Ngokukodwa,
- Ukuba ulibele ukusela iipilisi zakho zemihla ngemihla.
- Ukuba kunzima ukufumana ixesha lokuya kufumana inaliti rhoqo emva kweenyanga ezimbalwa.
- Ukuba ungumntu ongenazicwangciso zokuba nabantwana okwangoku, kodwa ucinga ukuba angafuna omnye kwixesha elizayo.
Ngamafutshane, olu lukhetho olufanelekileyo kuye nabani na ofuna isisombululo "sokuyibeka kube kanye aze ayilibale iminyaka".
Xa ungafanele usebenzise ezi ndlela
Kukho ezinye iimeko zempilo apho kungafanelekanga ukusebenzisa i-IUD okanye i-implant. Ugqirha wakho uza kukuhlola aze akunike iingcebiso ngale nto. Ezi azikhuthazwa rhoqo:
- Ukuba sele ukhulelwe.
- Ukuba kukho ukopha kwegazi kwilungu lobufazi ngaphandle kwesizathu esicacileyo.
- Ukuba unomhlaza womlomo wesibeleko okanye umhlaza wesibeleko.
- Ukuba okwangoku une-STI (usulelo oludluliselwa ngesondo).
Ukongeza, ezinye iintlobo ze-LARC azifanelekanga kubantu abaneengxaki ezithile zempilo.
- I-Copper IUD: Ayifanelekanga ukuba une-allergy kwi-copper okanye kwi-Wilson's disease.
- I-IUD yeHormonal okanye i-Implant: Ezi azifanelekanga ukuba unesifo sesibindi esibi okanye umhlaza webele (okanye usemngciphekweni omkhulu waso).
Ukuba unembali yokuqhekeka kwegazi, qiniseka ukuba uthetha nogqirha wakho ngayo ngaphambi kokuba ufake i-implant.
Zisebenza njani ezi zinto emzimbeni?
Ezi zixhobo zenza indawo esibelekweni apho isidoda singasakwazi ukusinda khona, zithintela ukuba singayi kwimibhobho ye-fallopian size sichumise iqanda.
- Ii-IUD zeCopper: Ezi zibangela ukudumba okuncinci esibelekweni. Oku akuyongozi emzimbeni, kodwa le ndawo inobungozi kwisidoda. Zikwanciphisa ulwelo lwesibeleko, nto leyo eyenza kube nzima ukuba iqanda lingene esibelekweni, nokuba sele liqhamile.
- Ii-IUD zeHormonal: Ezi zikwabangela impendulo yomzimba njenge-copper IUD. Ukongeza, zikhupha kancinci i-progestin hormone levonorgestrel. Le hormone yenza i-mucus yomlomo wesibeleko ibe nkulu, nto leyo eyenza kube nzima ukuba isidoda sibhukude. Ikwanciphisa ulwelo lwesibeleko kwaye ithintele ukukhutshwa kweqanda (ukukhutshwa kweqanda) ngandlela ithile.
- Ii-implants: Ezi zikhupha i-progestin hormone etonogestrel. Umsebenzi wazo ophambili kukukuthintela ekukhupheni amaqanda ngokupheleleyo. Njenge-hormone IUD, zikwayijiyisa i-cervical mucus yakho.
Zithini iziphumo ebezingalindelekanga kunye neengxaki zeendlela ze-LARC?
Njengayo nayiphi na indlela yokulawula ukuzala, iindlela ze-LARC zinokubangela ezinye iziphumo ebezingalindelekanga. Kodwa ezi azisoloko zimbi kakhulu. Eyona iphambili kukuba zinokubangela utshintsho kumjikelo wakho wokuya exesheni. Olu tshintsho luya kuxhomekeka kuhlobo olusebenzisayo.
| Uhlobo lwe-LARC | Iziphumo ebezingalindelekanga ezinokubakho |
|---|---|
| I-IUD yeCopper |
|
| I-IUD yeHormonal | |
| Ukufakelwa |
Masifunde nangeengxaki.
Iindlela ze-LARC zikhuselekile kakhulu, kwaye iingxaki azixhaphakanga . Ukuba ziyenzeka, oku kulandelayo kunokwenzeka:
- I-IUD ingaphuma esibelekweni (ingakumbi kwiinyanga ezimbalwa zokuqala).
- Ukugqobhoka kodonga lwesibeleko ngexesha lokufakwa kwe-IUD (oku kunqabile kakhulu).
- I-implant ingaphuma kwindawo yayo (idla ngokuba ngenxa yokubekwa kwayo ngendlela engafanelekanga okanye usulelo).
- Usulelo emva kokuba isixhobo sifakiwe.
Nokuba ezi ndlela ziphumelela kangakanani na, ukuba ukukhulelwa kwenzeka kancinane, kuthathwa njengokukhulelwa okunobungozi obukhulu.
Umyalezo Wokuya Ekhaya
- I-LARC yeyona ndlela yokulawula ukuzala esebenzayo, ehlala ixesha elide, kwaye enokuguqulelwa kwimeko yayo yangaphambili.
- Kukho iintlobo ezimbini eziphambili: i-IUD (efakwa esibelekweni) kunye ne-Implant (efakwa engalweni).
- Ezi zilula kakhulu kuba "zinokufakwa kube kanye uze uzilibale kangangeminyaka." Nangona kunjalo, azikhuseli kwizifo ezidluliselwa ngesondo (ii-STI) . Ngenxa yoko, kubalulekile ukusebenzisa iikhondom.
- Uhlobo ngalunye luneengenelo zalo kunye nemiphumo emibi. Qiniseka ukuba uthetha nogqirha wakho ukuze amisele ukuba yeyiphi indlela efanelekileyo kuwe ngokusekelwe kwimeko yakho yempilo kunye nendlela ophila ngayo.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment