Ukukhetha indlela yokucwangcisa usapho ngamanye amaxesha kunokuvakala ngathi yingxaki, akunjalo? Kufuneka ukhumbule ukuthatha iipilisi yonke imihla, kufuneka ufumane inaliti rhoqo kwiinyanga ezintathu... Ngenxa yezi zinto zonke, ubomi bunokuba nzima ngamanye amaxesha kwaye ungalibala ngezi zinto. Ngoko ke, ungathanda ukwazi ngendlela yokucwangcisa usapho onokulibala ngayo yonke le nto, uyisebenzise kube kanye, kwaye ube noxolo lwengqondo iminyaka ezayo? Sithetha ngendlela enjalo namhlanje.
Kalula nje, yintoni i-LARC?
Igama lesiNgesi elithi LARC lithetha ukuthintela ukukhulelwa okungapheliyo . NgesiSinhala esilula, lithetha "iindlela zokulawula ukukhulelwa ezisebenza ixesha elide nezinokuguqulwa". Oku kuthetha ukuba eli gama lithetha ukuthini. Wakuba ufumene ezi ndlela zifakwe ngugqirha wakho, zikhusela ekukhulelweni iminyaka emi-3 ukuya kweli-10 nangaphezulu, kuxhomekeke kuhlobo olukhethileyo.
Enye yezona nzuzo zinkulu zezi ndlela kukuba ungayisusa le sixhobo nangaliphi na ixesha ukuba ugqiba kwelokuba ufuna ukuba nomnye umntwana. Ukuzala kwakho kuya kubuyela esiqhelweni kwangoko nje ukuba kususiwe. Yiyo loo nto ibizwa ngokuba yi "reversible."
Kodwa nantsi into ebalulekileyo ekufuneka uyikhumbule. Ezi ndlela ze-LARC zithintela ukukhulelwa kuphela. Azikukhuseli kwizifo ezidluliselwa ngesondo (ii-STI) njengoko zisenza iikhondom. Ke ngoko, ukuba kukho umngcipheko onjalo, kubalulekile ukusebenzisa ikhondom.
Kukho iintlobo ezimbini eziphambili zeendlela ze-LARC:
Okwangoku, iindlela ezimbini ze-LARC ezisetyenziswa kakhulu eSri Lanka nakwihlabathi liphela zizixhobo zangaphakathi kwesibeleko (ii-IUD) kunye nee-implants.
| Uhlobo lwezixhobo | Inkcazo kunye nendawo | Ixesha langoku kunye nemizekelo |
|---|---|---|
| I-IUD (Isixhobo Esingaphakathi Kwesibeleko) Oku sikubiza ngokuba "yiluphu" emilonyeni yethu. | Esi sisixhobo seplastiki esincinci, esimile okwe-T esifakwa kwisibeleko ngugqirha ngelungu lobufazi. Zimbini iintlobo zaso: i-hormone kunye ne-non-hormone (copper). | I-IUD yeCopper:Ibonelela ngokhuseleko ukuya kuthi ga kwiminyaka eli-10. (Umzekelo: Paragard) I-IUD yeHormonal: Ikhusela iminyaka emi-3 ukuya kweyesi-7. (Umzekelo: uMirena, uKyleena, uSkyla) |
| Ukufakelwa (i-implant yokulawula ukuzalwa) | Le yinduku yeplastiki eguquguqukayo enobukhulu obufana nobomtshisi. Ugqirha uza kuyibeka phantsi kwesikhumba ngaphakathi kwengalo yakho engasentla. | Ibonelela ngokhuseleko ukuya kuthi ga kwiminyaka emi-3 . (Umzekelo: Nexplanon) |
Zisebenza njani ezi zinto emzimbeni?
Zombini ezi zixhobo zithintela isidoda ukuba singafiki kwiqanda, kodwa indlela ezikwenza ngayo oku iyahluka kancinci kuxhomekeke kuhlobo lwaso.
- I-Copper IUD: I-copper ekule nto idala imeko-bume ngaphakathi kwesibeleko apho isidoda singenakuphila khona. Ngokukodwa, ibangela ukudumba okuncinci okutshabalalisa isidoda. Ikwanciphisa ulwelo lwesibeleko (i-endometrium), ngoko ke nokuba isidoda sidibana neqanda ngandlela ithile, asiyi kukwazi ukumila kwisibeleko.
- I-IUD yeHormonal: Oku kudala indawo yokubulala isidoda efana ne-IUD yekopolo. Ukongeza, ikhupha inani elincinci kakhulu lehomoni (iLevonorgestrel, uhlobo lweprogestin). Le homoni yenza i-mucus yomlomo wesibeleko ibe lukhuni , okwenza kube nzima ukuba isidoda singene esibelekweni. Ikwanciphisa ulwelo lwesibeleko kwaye iyeke kancinci ukukhutshwa kweqanda kwabanye abafazi.
- Ukufakelwa: Esi sixhobo sincinci esisesandleni sakho sikhupha ihomoni (i-Etonogestrel, uhlobo lwe-progestin) emzimbeni wakho. Umsebenzi waso ophambili kukuyekisa ngokupheleleyo ukukhutshwa kweqanda kwii-ovari . Ukongeza, ihomoni, njenge-IUD, ikwayenza ibe lukhuni i-mucus yomlomo wesibeleko.
Ziziphi iingenelo zokusebenzisa indlela ye-LARC?
Kukho izizathu ezininzi zokuba kutheni abantu abaninzi bekhetha ezi ndlela.
- Isebenza kakuhle kakhulu: Ezi ndlela zisebenza ngaphezu kwama-99% . Ukuba uthatha iipilisi yonke imihla, zisebenza kakuhle ngama-99%. Kodwa siyalibala. Ekubeni kungekho ndawo "yokulibala" kwezi ndlela, ngokwemigaqo esebenzayo, ezi zezona ndlela zisebenzayo.
- Akukho ngxaki ingako: Wakuba ufumene ugqirha, akufuneki ucinge ngayo iminyaka emininzi. Akukho mfuneko yokuzikhumbuza yonke imihla okanye ukuya ekliniki inyanga nenyanga.
- Gcina imali ekuhambeni kwexesha:Nangona kubiza kancinci ukuyifaka ekuqaleni, oku kuyinzuzo ekuhambeni kwexesha kuba akukho zindleko zimbi eziya kubakho kangangeminyaka emininzi.
- Akukho miqobo kubomi besondo: Kukho inkululeko yengqondo kuba akufuneki ucinge ngesiquphe ngolawulo lokuzala xa usabelana ngesondo.
Ezinye izibonelelo ezikhethekileyo
- Ezinye ii-IUDs zehomoni kunye nee-implants zinokunciphisa ukopha kakhulu kokuya exesheni kunye nentlungu . I-Mirena IUD ikwavunyiwe njengonyango lokopha kakhulu.
- Ezi zikwanceda ekunciphiseni iintlungu ezibangelwa yi-endometriosis.
- I-copper IUD ikwasebenza njengesithintelo sokukhulelwa esingxamisekileyo ukuba sifakwe kwiintsuku ezi-5 emva kokwabelana ngesondo ngendlela engakhuselekanga .
Ziziphi iimeko apho kungeyongcamango ilungileyo ukusebenzisa ezi ndlela?
Nangona ezi ziqhele ukufaneleka kuye nawuphi na umfazi osempilweni, kukho iimeko apho ukusetyenziswa kwazo kungacetyiswa.
Ngaphambi kokuba wenze esi sigqibo, kungcono ukuthetha nogqirha wakho ngembali yakho yempilo uze ukhethe indlela ekufaneleyo.
Iindlela ze-LARC azikhuthazwa ngokubanzi kwiimeko ezilandelayo:
- Ukuba sele ukhulelwe.
- Ukuba kukho ukopha kwilungu lobufazi ngaphandle kwesizathu esaziwayo.
- Ukuba unomhlaza womlomo wesibeleko okanye umhlaza wesibeleko.
- Ukuba okwangoku unesifo esidluliselwa ngesondo (STI).
Ukongeza, kukho ezinye iimeko ezikhethekileyo:
- I-copper IUD ayifanelekanga ukuba une-allergy kwi-copper okanye unesifo sikaWilson .
- Ukuba unesifo sesibindi esibi kakhulu okanye umhlaza webele (okanye usemngciphekweni omkhulu waso), i-IUD yehomoni okanye i-implant ayifanelekanga.
- Ukuba unembali yeengxaki zokunqamana kwegazi, ngokuqinisekileyo kufuneka uxoxe nogqirha wakho ngaphambi kokuba ufake i-implant.
Ngaba siyayazi nemiphumo emibi kunye neengxaki?
Njengakweminye inkqubo yezonyango, kukho iziphumo ebezingalindelekanga ezincinci ezinokubakho. Kodwa ungakhathazeki, uninzi lwexesha ezi azibalulekanga kangako. Eyona nto iphambili kukutshintsha komjikelo wakho wokuya exesheni.
| Uhlobo lwesixhobo | Iziphumo ebezingalindelekanga ezinokubakho |
|---|---|
| I-IUD yeCopper | - Ukopha kakhulu ngexesha lokuya exesheni. - Ukwanda kwentlungu ngexesha lokuya exesheni. - Umngcipheko okhulayo kancinci wokufumana ii-cysts ze-ovarian ezingezizo umhlaza. |
| I-IUD yeHormonal | - Ukuya exesheni okungacwangciswanga okanye ukuyeka ngokupheleleyo ukuya exesheni . - Intlungu yebele. - Intloko ebuhlungu, isicaphucaphu, utshintsho kwimo yeemvakalelo. - Umngcipheko okhulayo kancinci wokufumana ii-cysts ze-ovarian ezingezizo umhlaza. |
| Ukufakelwa | - Ukuya exesheni okungacwangciswanga, okunzima okanye okunzima. Ngamanye amaxesha ukuya exesheni kuyaphela. - Ukuchama xa usexesheni. - Utshintsho kwimo yengqondo. - Ukumelana ne-insulin okuncinci kunokwenzeka. |
Ezi ziphumo bezingalindelekanga zihlala zixhaphakile kwiinyanga ezimbalwa zokuqala kwaye ziyancipha ngokuhamba kwexesha njengoko umzimba uqhela.
Ezinye zeengxaki ezingaqhelekanga ezinokubakho ziquka ukuphuma kwe-IUD esibelekweni, ukubhoboza isibeleko ngexesha lokufakwa (kunqabile kakhulu), okanye ukuba nosulelo kwindawo yokufakwa. Nangona ezi zinqabile, kulungile ukuzazi.
Umyalezo Wokuya Ekhaya
- I-LARC yeyona ndlela yokucwangcisa usapho isebenzayo, engenangxaki , "yibeke kwaye uyilibale" ekhoyo.
- Kukho iintlobo ezimbini eziphambili: i-IUD (isixhobo sangaphakathi kwesibeleko) kunye ne-implant, efakwa phantsi kwesikhumba sengalo.
- Ezi ndlela zithintela ukukhulelwa kuphela. Iikhondom mazisetyenziswe ukukhusela izifo ezidluliselwa ngesondo (ii-STI) .
- Uhlobo ngalunye luneengenelo kunye neengxaki zalo. Thetha nogqirha wakho ukuze akukhethele eyona ndlela ifanelekileyo ngokwempilo yakho kunye nendlela ophila ngayo.
- Zonke ezi ndlela zingasuswa nangaliphi na ixesha. Uya kuba nethuba lokucinga ngokuba nomntwana kwakhona kwangoko emva kokuba esusiwe.
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