Iyiphi indlela engcono kakhulu yokuhlela umndeni wakho? (Izinketho Zokuvimbela Inzalo) Ake sixoxe!

Uma ungakakulungeli ukuqala umndeni, noma uma usuvele unabantwana futhi ungacabangi ngokuba nomunye umntwana, Kubaluleke kakhulu ukuqaphela izindlela zokuhlela umndeni , okungukuthi, izindlela zokulawula inzalo (Ukulawula Inzalo noma Ukuvimbela Inzalo). Ngoba, ake sithi uya ocansini, uma wenza ucansi olungavikelekile, ungakhulelwa nganoma yisiphi isikhathi. Ngakho-ke, kubaluleke kakhulu ukukhetha indlela yokulawula inzalo ekufanele. Ngakho-ke, ake sixoxe ngalokhu ngokuningiliziwe, akunjalo?

Iyini le ndlela yokuhlela umndeni (Ukuvimbela Inzalo)?

Kalula nje, indlela yokuhlela umndeni iyindlela oyisebenzisayo ukuvimbela ukukhulelwa. Siphinde sikubize ngokuthi ukuvimbela ukukhulelwa. Kunezinhlobo eziningi ezahlukene zezindlela. Into ebaluleke kakhulu ukuthi lezi zindlela zisebenza kuphela uma uzisebenzisa kahle. Ngakho-ke, kufanelekile ukuzinika isikhathi sokuqonda kahle ukuthi indlela ngayinye isebenza kanjani nokuthi uyisebenzisa kanjani . Uma usebenza ocansini futhi okwamanje awuzami ukuba nomntwana, kufanele nakanjani usebenzise indlela yokuvimbela ukukhulelwa.

Iyiphi indlela engcono kakhulu kuwe nomlingani wakho?

Ngaphambi kokukhetha indlela yokuvimbela inzalo engcono kakhulu, kubalulekile ukukhuluma ngayo nomlingani wakho. Kungumqondo omuhle futhi ukukhuluma nodokotela wakho ngayo. Cabanga ngalezi zinto lapho ukhetha indlela efanele wena:

• Kulula ukuyisebenzisa? Ukhululekile kangakanani ngale ndlela?
• Isebenza kahle kangakanani ekuvimbeleni ukukhulelwa ? (Uma isetshenziswa kahle)
• Ingabe ivikela ezifweni ezithathelwana ngocansi (ama-STI)?
• Uneminyaka emingaki futhi impilo yakho iyonke injani?
• Ingabe unazo izinhlelo zokuba nomntwana esikhathini esizayo?
• Yiziphi imiphumela emibi noma izingozi ?
• Ulala kangaki? Noma bangaki abalingani onabo?
• Ubumfihlo bubaluleke kangakanani? (Ufuna ukugcina indlela oyisebenzisayo iyimfihlo?)
• Zikhona yini ezinye izinzuzo? Isibonelo, izinto ezifana nokopha okuncane ngesikhathi sokuya esikhathini noma umjikelezo wokuya esikhathini ojwayelekile.

Zisebenza kanjani lezi zindlela zokuvimbela inzalo?

Indlela ngayinye yokuvimbela inzalo isebenza ngendlela ehlukile kancane. Kalula nje, nakhu okwenzekayo:

• Kuvimbela isidoda ukuthi singahlangani neqanda.
• Kuvimbela iqanda ekukhishweni esibelethweni sakho.
• Kulimaza isidoda, kubenze bangakwazi ukubhukuda baye eqandeni.
• Kuqinisa ulwelwesi lomlomo wesibeletho sakho, okwenza kube nzima ukuthi isidoda sidlule.
• Kushintsha ulwelwesi lwesibeletho sakho, okwenza kube nzima ukuthi iqanda elivundisiwe lifakwe.

Yiziphi izindlela zokuvimbela inzalo eziphumelela kakhulu?

Eqinisweni, indlela ephumelela kakhulu yokuvimbela ukukhulelwa iwukuzithiba ngokuphelele ocansini. Kodwa-ke, abantu abaningi bakuthola kunzima ukuqhubeka nalokhu. Ngakho-ke, kubalulekile ukucabangela olunye uhlobo lokuvimbela inzalo.

Ngokuvamile, indlela yokuvimbela inzalo isebenza kahle kuphela uma uyisebenzisa kahle nangokungaguquguquki. Ngakho-ke, izindlela ezilula ukuzisebenzisa futhi ezingadingi ukunakekelwa njalo zivame ukusebenza kahle kakhulu. Izibonelo zalezi izifakelo zokuvimbela inzalo, amadivayisi angaphakathi kwesibeletho (ama-IUD), kanye nokuhlinzwa kohlelo lomndeni unomphela (ukuvala inzalo).

Ngakolunye uhlangothi, izindlela ezifana ne-Fertival Awareness Methods noma i-Pulling Out ziphakathi kwezindlela ezingaphumeleli kakhulu zokuvimbela ukukhulelwa.

Ngokuvamile, kungcono ukusebenzisa izindlela ezimbili zokuvimbela inzalo ndawonye. Isibonelo, ukusebenzisa ikhondomu namaphilisi okuvimbela inzalo. Ngaleyo ndlela, uvikelekile ezifweni ezithathelwana ngocansi (STIs), ukusebenzisa indlela yokuvimbela, kanye nokuthatha imithi yama-hormone.

Yiziphi izinhlobo zokuvimbela inzalo? (Izinhlobo Zokuvimbela Inzalo)

Ngaphambi kokukhetha indlela, kufanele ukhulume nomlingani wakho kanye nodokotela wakho ngayo. Izindlela zokuvimbela inzalo zisebenza kuphela uma uzisebenzisa kahle. Ngakho-ke, qiniseka ukuthi uyaqonda kahle ukuthi uyisebenzisa kanjani indlela oyikhethayo.

Kunezinhlobo eziningana eziyinhloko zezindlela zokuvimbela inzalo:

• Izindlela Zokuvimbela: Lezi zindlela zisebenza ngokuvimbela isidoda ukuba singangeni esibelethweni sakho. Kufanele usebenzise le ndlela njalo uma uya ocansini.
• Imithi Nama-Device E-Hormonal: Lezi zindlela zisebenzisa ama-hormone ukuvimbela ukukhishwa kwamaqanda noma ukushintsha isimo sesibeletho kanye nomlomo wesibeletho. Eminye imithi yama-hormone idinga ukuthathwa nsuku zonke (isikhathi esifushane), kanti eminye ifakwa udokotela ngaphansi kwesikhumba sengalo yakho noma esibelethweni sakho (isikhathi eside).
• Ukuhlinzwa Kokuhlela Umndeni Okuhlala Njalo - Ukuhlanza Inzalo: Lokhu ukuhlinzwa okuvimbela ukukhulelwa unomphela. Kukhona ukuhlinzwa kokuhlanza inzalo okungenziwa kokubili kwabesilisa nabesifazane.
• Izindlela Zokuqwashisa Ngokuzala: Ezaziwa nangokuthi Ukuhlela Umndeni Kwemvelo, lezi zindlela zisebenzisa izindlela zemvelo ukuvimbela ukukhulelwa.
• Ukuvimbela Inzalo Okuphuthumayo: Uma indlela yakho yokuvimbela inzalo yehluleka, ungasebenzisa lezi zindlela ukuze uzivikele ekukhulelweni. Lokhu kufana ne-"intha yokuphepha" yokugcina.
• Ukuzithiba: Ukuzithiba ocansini ukuze uvimbele ukukhulelwa.

Manje ake sibheke ngayinye yalezi zinhlobo ngemininingwane ethe xaxa.

Izindlela Zokuvimbela

Amakhondomu (izindlela zokuvimbela inzalo zabesilisa)

• Kuyini? Ikhondomu iyisimbozo esincane esenziwe nge-latex, ipulasitiki, noma isikhumba semvu. Sigqokwa phezu kwepenisi evukile. Lesi simbozo sivimbela isidoda esiqukethe isidoda ukuba singangeni esithweni sakho sangasese sangasese. Kodwa-ke, ngenxa yokuthi amakhondomu angadabuka kalula, angase angasebenzi njengezinye izindlela zokuvimbela inzalo.
• Ungayisebenzisa kanjani? Ikhondomu kufanele ibekwe endodeni evundlile ngaphambi kokuya ocansini. Sebenzisa ikhondomu entsha njalo uma uya ocansini.
• Ungawatholaphi? Ungawathenga amakhondomu emakhemisi nasezitolo ezinkulu.
• Zisebenza kahle kangakanani? Uma uzigqoka ngaphambi kokuba uqale ukuya ocansini futhi uzisebenzise ngaphandle kokudabula, amakhondomu asebenza kahle cishe ngo-85%.
• Yini enye okudingeka uyazi? Nakuba ingasebenzi kahle ngokuphelele, amakhondomu ayindlela engcono kakhulu yokuzivikela ezifweni ezithathelwana ngocansi (ama-STI). Sebenzisa amafutha asekelwe emanzini kuphela (isib. i-KY Jelly®, i-Astroglide®) namakhondomu. Amafutha asekelwe kumafutha (isib. i-Vaseline®, i-Baby Oil) angabangela ukuba amakhondomu aqhekeke. Uma ikhondomu iqhekeka, cabanga ngokuvimbela inzalo okuphuthumayo.

Ukubulala isidoda

• Kuyini? I-spermicide iyijeli, ukhilimu, noma i-suppository efakwa esithweni sangasese sowesifazane. Ivimbela isidoda ukuthi singafiki eqandeni. Amakhemikhali akuyo alimaza isidoda, okwenza kube nzima ngabo ukubhukuda baye eqandeni. Ukuze lokhu kusebenze kahle, udinga ukulandela imiyalelo ngqo. Kukhona nejeli yesitho sangasese sowesifazane etholakala ngomuthi kadokotela (`Phexxi®`). Isebenza ngokwehlisa i-pH yesitho sangasese sowesifazane, okwenza kube nzima ngesidoda ukubhukuda.
• Ungayisebenzisa kanjani? Umuthi wokubulala isidoda kanye nejeli yesitho sangasese sowesifazane kufanele kufakwe esitho sangasese sowesifazane imizuzu eyi-15-30 ngaphambi kokuya ocansini. Iningi lomuthi wokubulala isidoda usebenza cishe ihora, ngemva kwalokho kudingeka uphinde usetshenziswe. Phinda ufake umuthi wokubulala isidoda njalo uma uya ocansini, futhi ungawuhlanzi ngemva kocansi.
• Ngingayitholaphi? Umuthi wokubulala isidoda ungathengwa emakhemisi nasezitolo ezinkulu. Ijeli yesitho sangasese sowesifazane eyehlisa izinga le-pH (`Phexxi®`) ingathengwa kuphela ngomuthi kadokotela.
• Iphumelela kangakanani?Umuthi wokubulala isidoda wodwa usebenza kahle ngo-70% kuphela ekuvimbeleni ukukhulelwa. Kodwa-ke, umuthi wokubulala isidoda osetshenziswa kanye nenye indlela yokuvimbela ungasebenza kahle ngo-94%. Ijeli yesitho sangasese sowesifazane, enqunywe udokotela, isebenza kahle ngo-85% - 93% kuphela.
• Yini enye okudingeka uyazi? Ukubulala isidoda akuvikeli ezifweni ezithathelwana ngocansi (ama-STI). Eqinisweni, kungandisa ingozi yakho. Ngoba amakhemikhali atholakala ku-spermicide angacasula isitho sakho sangasese sowesifazane, okwenza kube lula ukuthi izifo zingene.

I-Diaphragm

• Kuyini? I-diaphragm iyithuluzi eligoqekayo, eliphinde lisetshenziswe, elinomumo we-dome elifakwa esithweni sangasese sowesifazane ukuvimbela ukukhulelwa. Imboza umlomo wesibeletho sakho futhi ivimbele isidoda ukuba singangeni esibelethweni. Kufanele njalo usebenzise umuthi wokubulala isidoda osekelwe emanzini noma ijeli yokuvimbela ukuzalwa ene-diaphragm.
• Ungayisebenzisa kanjani? I-diaphragm ifana nesivalo esincane noma inkomishi. Uyigoqa phakathi bese uyisunduzela phezulu esithweni sangasese sowesifazane, umboze umlomo wesibeletho. Faka i-diaphragm ihora elilodwa noma amabili ngaphambi kokuya ocansini. Yisuse emahoreni ayi-6 kuya kwangu-24 ngemva kokuya ocansini. Ukuze uvikeleke kakhulu, faka umuthi wokubulala isidoda emaphethelweni e-diaphragm ngaphambi kokuya ocansini.
• Ungayitholaphi? Amanye ama-diaphragm eza ngobukhulu obuhlukene. Ngakho-ke, kufanele ubone udokotela futhi uhlolwe isitho sangasese sowesifazane ukuze uthole usayizi ofanele wena. Kubaluleke kakhulu ukuthola i-diaphragm efanelana kahle. Uma ulahlekelwa noma ukhuluphala ngaphezu kwamakhilogremu angu-10-15, kungadingeka ukuthi i-diaphragm yakho ilungiswe ngudokotela. Kodwa-ke, amanye ama-diaphragm, njenge-'Caya®', eza ngobukhulu "obufanelana kakhulu", ngakho-ke akudingeki ukuthi alungiswe.
• Isebenza kahle kangakanani? I-diaphragm yesitho sangasese sowesifazane isebenza kahle cishe ngo-87%. Kodwa-ke, uma isetshenziswa kahle (ngokubulala isidoda) futhi njalo, ingasebenza kahle kuze kufike ku-94%.
• Yini enye okudingeka uyazi? Ukusebenzisa i-diaphragm kanye nokubulala isidoda akuvikeli kwezinye izifo ezithathelwana ngocansi (STI), okuhlanganisa ne-HIV (igciwane elibangela ingculaza).

Isivalo Somlomo Wesibeletho

• Kuyini? Isivalo somlomo wesibeletho yindebe efana ne-thimble eyenziwe nge-silicone noma irabha ethambile elingana kahle phezu komlomo wesibeletho sakho.
• Ungayisebenzisa kanjani? Okokuqala, faka umuthi wokubulala isidoda ku-diaphragm. Bese ufaka i-diaphragm esithweni sakho sangasese sowesifazane bese uyibeka phezu komlomo wesibeletho sakho. I-diaphragm ivimba umlomo wesibeletho sakho, bese umuthi wokubulala isidoda ubulala isidoda. Ungafaka i-diaphragm kuze kube amahora ayisithupha ngaphambi kokuba ulale nowesifazane. Ungasusi i-diaphragm kuze kube okungenani amahora ayisishiyagalombili ngemva kokwenza ucansi. I-diaphragm ingashiywa endaweni yayo kuze kube amahora angu-48. Sebenzisa i-diaphragm njengoba nje kuqondiswe.
• Ngingayitholaphi?Ukuze ukhethe isivalo somlomo wesibeletho esifanele, kufanele ubonane nodokotela futhi uhlolwe isitho sangasese sowesifazane. Njenge-diaphragm, isebenza kuphela uma ingena kahle.
• Isebenza kahle kangakanani? Isivalo somlomo wesibeletho sisebenza kahle cishe ngo-78% ekuvimbeleni ukukhulelwa. Kodwa-ke, uma sisetshenziswa nomuthi wokubulala isidoda, singasebenza kahle ngo-85%.
• Yini enye okudingeka uyazi? Ukusebenzisa isivalo somlomo wesibeletho kanye nokubulala isidoda akunikezi isivikelo esikhulu ezifweni ezithathelwana ngocansi (STI) njengamakhondomu.

Ikhondomu Yabesifazane

• Kuyini lokhu? Ikhondomu yabesifazane iyipayipi lepulasitiki eligcotshwe ngokhilimu. Inezindandatho ezimbili ezigobekayo nhlangothi zombili. Ukuphela kwepayipi kuvaliwe.
• Ungayisebenzisa kanjani? Ngaphambi kokuba uqale ukwenza ucansi, faka ikhondomu esithweni sangasese sowesifazane. Ingxenye evaliwe yepayipi imboza umlomo wesibeletho, kanti enye ingxenye imboza i-labia. Ikhondomu ivimbela isidoda ukuba singangeni esibelethweni. Susa ikhondomu ngemva kocansi.
• Ungayitholaphi? Amakhondomu abesifazane angathengwa emakhemisi nasezitolo ezinkulu ngaphandle kwencwadi kadokotela.
• Isebenza kahle kangakanani? Ngisho noma kusetshenziswa amakhondomu abesifazane, cishe ama-21% abesifazane ayakhulelwa ngonyaka.
• Yini enye okudingeka uyazi? Amakhondomu abesifazane anikeza isivikelo esithile ezifweni ezithathelwana ngocansi (ama-STI), kodwa amakhondomu abesilisa anikeza isivikelo esingcono kakhulu.

Isiponji

• Kuyini lokhu? Isiponji sesitho sangasese sangasese siyinto encane, emise okwedonathi equkethe umuthi wokubulala isidoda. Sisebenza njengesivikelo phakathi kwesidoda nomlomo wesibeletho sakho.
• Isebenza kanjani? Umanzisa isiponji ngamanzi, usifake esithweni sakho sangasese, bese usibeka ngendlela yokuthi simboze umlomo wesibeletho sakho. Uma simanzi, sikhipha umuthi wokubulala isidoda. Isiponji sinomuthi wokubulala isidoda owanele cishe amahora angama-24. Lokho kusho ukuthi ungasifaka amahora angama-24 ngaphambi kokuba uye ocansini. Njalo usishiye amahora ayisithupha ngemva kocansi. Akuwona umqondo omuhle ukushiya isiponji esithweni sakho sangasese isikhathi esingaphezu kwamahora angama-30.
• Ngingayitholaphi? Isiponji singathengwa ngaphandle kwencwadi kadokotela evela emakhemisi amaningi nasezitolo ezinkulu.
• Isebenza kahle kangakanani ? Isiponji sokuvimbela inzalo sisebenza kahle phakathi kuka-76% no-91% ekuvimbeleni ukukhulelwa (kuye ngokuthi usisebenzisa kahle kangakanani). Futhi, isiponji sisebenza kahle kakhulu uma ungakaze ube nomntwana.
• Yini enye okudingeka uyazi? Ukusebenzisa isiponji kwandisa ingozi yokutheleleka ngesitho sangasese sowesifazane, futhi akuvikeli ezifweni ezithathelwana ngocansi (ama-STI).

Amadivayisi Ama-Hormonal kanye Nokuvimbela Inzalo

Ukufakelwa Kokulawula Ukuzalwa

• Kuyini lokhu?I-Nexplanon® iyisitho esincane esilingana nothi lomatshisi. Sifakwa udokotela ngaphansi kwesikhumba sengalo yakho engenhla. Sikhipha i-hormone ebizwa ngokuthi i-progestin njalo. Singashiywa endaweni yaso cishe iminyaka emithathu, ngemva kwalokho singasuswa noma sifakwe esisha. Abanye abantu bayayithanda ngoba ayinayo i-matchstick, ayiphazamisi ucansi, futhi ingagcinwa iyimfihlo.
• Odokotela bakubeka kanjani lokhu? Udokotela ukubeke ehhovisi. Okokuqala, bavala ingaphakathi lengalo yakho engenhla ukuze ungezwa ubuhlungu. Bese, basebenzisa ithuluzi elikhethekile ukufaka inaliti ngaphansi kwesikhumba sakho. Indawo imbozwe ngebhandeji. Udokotela naye uyayisusa (awukwazi ukuyisusa wena).
• Ngingayitholaphi? Iphilisi lokuvimbela inzalo kumele linikezwe udokotela.
• Isebenza kahle kangakanani? Amaphilisi okuvimbela inzalo asebenza cishe ngo-100%. Ayindlela yokuvimbela inzalo ephumelela kakhulu engasetshenziswa kabusha.
• Yini enye okudingeka uyazi? Amaphilisi okuvimbela inzalo anezingozi, futhi awasebenzi kuwo wonke umuntu. Umphumela ovame kakhulu ukopha okungajwayelekile, kodwa ngokuvamile ulula. Lokhu kuvame ukuba ngcono ngemva kwezinyanga ezingu-6-12, kodwa abanye abantu bangase bayeke ukuya esikhathini ngokuphelele. Eminye imiphumela emibi ihlanganisa ubuhlungu bebele kanye nekhanda elibuhlungu.

Idivayisi Yangaphakathi Kwesibeletho (IUD)

• Kuyini? Idivayisi yangaphakathi kwesibeletho (i-IUD) iyithuluzi elincane, eliguquguqukayo, elinomumo we-'T' elifakwa ngaphakathi kwesibeletho sakho ukuvimbela ukukhulelwa. Kunezinhlobo ezimbili zama-IUD:
• I-IUD eyenziwe ngethusi.
• I-IUD eyenziwe ngepulasitiki equkethe ama-hormone (i-progestin).
• I-IUD equkethe ithusi, ebizwa ngokuthi i-ParaGard T380A®, ingashiywa endaweni yayo iminyaka eyi-10. Ithusi lisebenza ngokuvimbela isidoda ukuthi singadluli esithweni sakho sangasese sowesifazane kanye nesibeletho bese sihlangana neqanda.
• Ama-IUD aqukethe i-progestin yile:
• I-'Mirena®' (ihlala iminyaka engu-7)
• `Liletta®` (ihlala iminyaka eyi-6)
• `Kyleena®` (ihlala iminyaka emi-5)
• `Skyla®` (ihlala iminyaka emi-3)
• Lawa ma-IUD asebenza ngokuqinisa ulwelwesi lomlomo wesibeletho sakho, okwenza kube nzima ukuthi isidoda sifinyelele eqandeni. Aphinde anciphise ulwelwesi lwesibeletho sakho ngama-hormone, okunciphisa ukuphuma kwegazi esikhathini.
• Ungayisebenzisa kanjani? Ama-IUD awuhlobo lokuvimbela inzalo oluthi "thola bese ukhohlwa ngalo". Lokhu kusho ukuthi uma usulifakile, ungalikhohlwa ngoba akukho ukunakekelwa kwansuku zonke noma kwanyanga zonke okuhilelekile.
• Ngingayitholaphi? Ngemva kokuhlolwa kwesitho sangasese sowesifazane, udokotela ufaka i-IUD esibelethweni sakho. Ingatholakala kuphela ngomuthi kadokotela.
• Isebenza kahle kangakanani? I-IUD isebenza kahle cishe ngokuphelele.
• Ingabe kuyabuhlungu uma kufakwa i-IUD?Cha, akufanele kube buhlungu uma ufaka i-IUD. Ungase uzizwe ungakhululekile noma ubuhlungu obuncane emhlane ngemva kokuba udokotela eyifakile. Kungokufanayo nangokususa i-IUD - ungase uzizwe ungakhululekile.
• Yini enye okudingeka uyazi? Imiphumela emibi iyahlukahluka kuye ngohlobo lwe-IUD oyisebenzisayo. Ama-IUD ethusi angabangela ukuya esikhathini okubuhlungu nokunzima. Abanye abantu bakhetha ama-IUD ethusi ngoba awaqukethe ama-hormone. Umphumela ovame kakhulu wama-IUD e-progestin ukuphuma kwegazi okungajwayelekile. Lokhu kuvame ukuba ngcono ngemva kwezinyanga ezingu-6-12. Abanye abantu bangase bayeke ukuya esikhathini ngokuphelele. I-IUD isuswa udokotela. Uma ukhulelwa ngenkathi une-IUD, kungenzeka kakhulu ukuthi kube ukukhulelwa kwe-ectopic.

Ama-IUD angasetshenziswa futhi njengendlela yokuvimbela inzalo ephuthumayo. Okusho ukuthi, zingakapheli amahora angu-120 (izinsuku ezi-5) zobulili obungavikelekile. Eqinisweni, lokhu kusebenza kangcono kunephilisi lokuthatha ekuseni ngemva kokubeletha.

Amaphilisi e-Hormonal, i-Patch, kanye ne-Ring

• Ziyini lezi? Iphilisi, i-patch, kanye nendandatho yimithi oyiphuzayo ukuvimbela ukukhulelwa. Iphilisi lithathwa nsuku zonke, indandatho yesitho sangasese sowesifazane (`NuvaRing®`) ifakwa kanye ngenyanga, kanti i-patch (`Xulane®`) ishintshwa kanye ngesonto. Izindlela eziningi zokuvimbela inzalo zamahomoni ziqukethe izinhlobo ezimbili zamahomoni (`Estrogen` kanye ne`Progestin`). Zonke lezi zindlela zisebenza ngokuvimbela ukuvuthwa kwamaqanda.
• Ungayisebenzisa kanjani? Udinga ukuthatha iphilisi ngesikhathi esifanayo nsuku zonke. Kunezinhlobo eziningana zamaphilisi. Amanye aklanyelwe ukubangela ukuthi isikhathi sakho sokuya esikhathini size njalo ngenyanga, kanti amanye aklanyelwe ukwandisa isikhathi phakathi kokuya esikhathini noma ukumisa isikhathi sakho sokuya esikhathini ngokuphelele. Ushintsha indandatho yesitho sangasese sowesifazane njalo ngenyanga, okuvumela ukuthi isikhathi sakho sokuya esikhathini size. I-patch yokuvimbela inzalo ikhipha ama-hormone esikhumbeni sakho. Ushintsha i-patch kanye ngesonto. Zonke lezi zindlela zidinga ukusetshenziswa ngendlela efanele nangokuqhubekayo. Uma ukhohlwa ukuzisebenzisa, ungaba nezikhathi ezingajwayelekile futhi ukhulelwe.
• Ngingayitholaphi? Ukuvimbela inzalo ngama-hormone kungatholakala kuphela ngomuthi kadokotela.
• Zisebenza kahle kangakanani? Izindlela zokulawula ukubeletha ezihlanganisiwe zingasebenza kahle ngo-99% uma zisetshenziswa kahle. Kodwa-ke, ngenxa yokuthi abantu abaningi abazisebenzisi kahle, izinga lempumelelo licishe libe ngu-91%. Nakuba zingasebenzi kahle njenge-IUD noma i-implant, izindlela zokulawula ukubeletha ezinjengamaphilisi zisebenza kahle kakhulu kunezindlela zokuvimbela ezifana namakhondomu.
• Yini enye okudingeka uyazi? Imiphumela emibi emincane ingase ivele ezinyangeni ezimbalwa zokuqala ngemva kokuqala ukusebenzisa iphilisi. Izibonelo:
• Ubuhlungu/ukuthamba kwebele
• Isicanucanu
• Ikhanda elibuhlungu
• Ukuya esikhathini okungajwayelekile
• Izindlela zokuvimbela inzalo eziqukethe i-estrogen zandisa ingozi yokuqhekeka kwegazi.Ngakho-ke, khuluma nodokotela wakho ukuze ubone ukuthi izindlela zokuvimbela inzalo eziqukethe i-estrogen zikulungele yini. Ukulawula inzalo ngama-hormone nakho kunezinzuzo. Isibonelo, ukuya esikhathini njalo okunokopha okuncane kanye nobuhlungu obuncane bokuya esikhathini. Abantu abasebenzisa amaphilisi okuvimbela inzalo bangase babe nezinduna ezincane kanye ne-PMS encane.

Amaphilisi e-Progestin Kuphela (Amaphilisi Amancane)

• Ziyini lezi? Lawa amaphilisi okuvimbela inzalo aqukethe i-hormone eyodwa kuphela (i-progestin).
• Asebenza kanjani? Amaphilisi amancane aqinisa ulwelwesi lomlomo wesibeletho sakho, okwenza kube nzima ukuthi isidoda sifinyelele eqandeni. Ama-hormone asemaphilisini anciphisa ulwelwesi lwesibeletho sakho, okunciphisa ukuphuma kwegazi esikhathini. Ukuze iphilisi elincane lisebenze kahle kakhulu, kubalulekile ukuthatha iphilisi ngesikhathi esifanayo nsuku zonke. "Amaphilisi amancane" aqukethe i-progestin kuphela angathathwa ngomuthi kadokotela.
• Zisebenza kahle kangakanani? Njengamaphilisi okuvimbela inzalo ahlanganisiwe, amaphilisi e-progestin kuphela angasebenza kahle ngo-99%. Kodwa-ke, empeleni asebenza kahle ngo-91% kuphela ngoba abantu abaningi abawasebenzisi kahle.
• Yini enye okudingeka uyazi? Umphumela ovame kakhulu wamaphilisi e-progestin kuphela ukopha okungajwayelekile, kodwa ngokuvamile kuba mnene. Lokhu kuvame ukuthuthuka ngemva kwezinyanga ezingu-6-12. Iphilisi elincane liyindlela enhle kwabesifazane abancelisayo noma abangakwazi ukuthatha i-estrogen.

I-Depo-Provera® - Umjovo Wokuvimbela Inzalo

• Kuyini? I-Depo-Provera® uhlobo lwe-hormone i-progestin. Iyakuvimba ukuthi ungavuthi amaqanda futhi iqinise ulwelwesi lwakho lomlomo wesibeletho ukuze kube nzima ukuthi isidoda sifinyelele eqandeni.
• Ungayisebenzisa kanjani? Umjovo wokuvimbela inzalo uwumjovo. Udokotela wakho uwufaka ethangeni lakho elingaphezulu noma engalweni engenhla. Umjovo owodwa uvikela ekukhulelweni cishe amasonto ayi-12 (izinyanga ezintathu). Abanye odokotela bakuvumela ukuthi uzijove ngenguqulo yomthamo ophansi (`Depo-Subq Provera 104®`) ekhaya.
• Ngingayitholaphi? I-Depo-Provera® kumele inikezwe udokotela. Bazokujova nge-hormone ehhovisi. Uma usebenzisa uhlobo lomthamo ophansi, ungase ukwazi ukuzijova ekhaya.
• Isebenza kahle kangakanani? Umjovo we-Depo-Provera® usebenza kahle ngo-99%. Kodwa-ke, cishe abesifazane abangu-6% bayakhulelwa minyaka yonke ngoba abawutholi ngesikhathi.
• Yini enye okufanele uyazi? I-Depo-Provera® ingabangela ukuphuma kwegazi okungajwayelekile. Abantu abayisebenzisa isikhathi esingaphezu konyaka bangase bayeke ukuya esikhathini ngenkathi bethatha imithi. Kungaba yindlela yokulawula inzalo kuphela engabangela ukukhuluphala. Uma kuqhathaniswa nezinye izindlela zokulawula inzalo, kungaba nzima kancane ukubona ukuthi ukuzala kwakho kuzobuya nini ngemva kokuyeka i-Depo-Provera®.

Izindlela Zokuqwashisa Ngokuzala - Ukuhlela Umndeni Kwemvelo

Indlela Yesigqi

• Kuyini? Indlela ye-Rhythm ikufundisa ukubona ukuthi ukhipha nini amaqanda. Lokhu kukusiza ukuthi unqume izinsuku zakho zokuzala kakhulu, izinsuku lapho kungenzeka kakhulu ukuthi ukhulelwe khona. Uyakugwema ukuya ocansini ngezinsuku zakho zokuzala.
• Ukwenza kanjani? Usebenzisa ikhalenda ukulandelela i-ovulation yakho bese uyibikezela. Lokhu kudinga ukuthi ulandelele futhi urekhode umjikelezo wakho wokuya esikhathini izinyanga ezimbalwa, bese ukwazi ukubikezela umjikelezo wakho wokuya esikhathini.
• Isebenza kahle kangakanani? Lena ingenye yezindlela zokuvimbela inzalo ezingasebenzi kahle. Ngisho noma isetshenziswa kahle, isebenza kahle phakathi kuka-75% no-88% kuphela.
• Yini enye okudingeka uyazi? Indlela yekhalenda ngeke isebenze uma unemijikelezo yokuya esikhathini engajwayelekile. Izinzuzo ukuthi ayinayo imiphumela emibi, futhi ayibizi kakhulu.

Indlela Yokukhwehlela Kwesibeletho

• Kuyini lokhu? Ukuqapha uketshezi lwesibeletho kuyindlela yokuhlaziya uketshezi lwakho lwesitho sangasese sowesifazane ukuze kutholakale ukuthi ukhulelwe nini kakhulu. Uyakugwema ukuya ocansini ngesikhathi sakho sokukhulelwa.
• Ukwenze kanjani? Ungahlola i-mucus yomlomo wesibeletho sakho usebenzisa umunwe wakho noma ngokubheka izingubo zakho zangaphansi. I-mucus yomlomo wesibeletho evundile iyashelela, icacile, futhi inokuqina okumhlophe njengeqanda. Uma ijiyile, i-pasty, awuvundile. Ukufunda ukuthi i-mucus yomlomo wesibeletho sakho ishintsha kanjani kuyo yonke imijikelezo yokuya esikhathini kungakusiza ukuthi ubikezele ukuthi uzokhipha nini iqanda.
• Kusebenza kahle kangakanani? Ukuhlolwa kwesibeletho kungasebenza kahle ngo-88%. Esikhathini esiningi, kusebenza kahle ngo-75%.
• Yini enye okudingeka uyazi? Ukulandelela ulwelwesi lwakho lomlomo wesibeletho kuthatha isikhathi eside futhi kuthatha ukuzibophezela. Lokhu kungathatha amasonto amabili futhi kuzodingeka ugweme ukuya ocansini ezinsukwini zakho ezivundile kakhulu. Ngezinye izikhathi kungaba nzima ukuthola ukuthi kuphephile nini ukuya ocansini.

Indlela Yokushisa Komzimba Okuyisisekelo

• Kuyini lokhu? Ukulinganisa izinga lokushisa lomzimba wakho eliyisisekelo kungenye indlela yokunquma ukuthi ukhipha nini amaqanda. Ukuze lokhu kusebenze, udinga i-thermometer engalinganisa okungenani ingxenye eyodwa kweziyishumi zedigri.
• Ungakwenza kanjani? Hlola izinga lokushisa lakho njalo ekuseni ngaphambi kokuba uvuke embhedeni (ngisho nangaphambi kokuba usukume). Izinga lokushisa lomzimba wakho lansuku zonke livame ukwenyuka ngaphansi kwesigamu sedigri ngemva kokukhipha iqanda. Ngemva kokwenyuka kwezinga lokushisa, ungaba nocansi olungavikelekile cishe izinsuku ezintathu. Kungathatha imijikelezo eminingana ukunquma ukuthi lokhu kwenyuka kwenzeka nini inyanga ngayinye.
• Isebenza kahle kangakanani? Ayisebenzi uma isetshenziswa yodwa,Ngoba lokhu kukutshela kuphela ukuthi ukuvuthwa kweqanda sekuvele, hhayi ukuthi sekuseduze. Njengoba ungakhulelwa kuze kube yizinsuku ezinhlanu ngaphambi kokuvuthwa kweqanda, lena indlela engathembekile neze.
• Yini enye okudingeka uyazi? Kudinga ukuzinikela okukhulu ukuhlela izinga lokushisa kwakho njalo ekuseni ngenkathi uphumule. Nakuba kushibhile, akunikezi isivikelo esikhulu ekukhulelweni njengezindlela zokuvimbela noma ukuvimbela inzalo ngama-hormone.

Ukuzithiba ocansini

• Kuyini lokhu? Ukuzithiba kuyindlela yokulawula inzalo kuphela esebenza kahle ngo-100%. Lokho kusho ukuthi awukaze uye ocansini. Futhi kuyindlela yokuzivikela ezifweni ezithathelwana ngocansi (STD).

Uma othile ekuphoqa ukuba ulale naye futhi uzizwa ungakulungele, ungavumi. Kuyisinqumo esibalulekile esinemiphumela emibi kakhulu ngokomzwelo nangokomzimba.

Ukuvimbela Inzalo Okuphuthumayo

Iphilisi Lokusela Ngemva Kokusa

• Kuyini? Ukuvimbela inzalo okuphuthumayo kuyindlela yokuvimbela inzalo ongayisebenzisa zingakapheli amahora angu-120 (izinsuku ezi-5) emva kocansi olungavikelekile. Isebenza kahle kakhulu ekuvimbeleni ukukhulelwa uma isetshenziswa zingakapheli izinsuku ezintathu ngemuva kocansi olungavikelekile.
• Amaphilisi asebenza kahle kakhulu ngemuva kokuthatha umuthi aqukethe i-`ulipristal` (igama lomkhiqizo: `ella®`). Angatholakala kuphela ngomuthi kadokotela. Kunezinketho eziningana ezitholakalayo ngaphandle komuthi kadokotela, zonke eziqukethe i-`levonorgestrel` (isb., `Plan B One-Step®`, `Take Action®`, kanye neminye imikhiqizo eminingi).
• Zisebenza kanjani? Iphilisi limisa okwesikhashana ukukhiqizwa kwamaqanda (libazisa ukuvuthwa kwamaqanda) futhi livimbele ukukhulelwa.
• Ngingayitholaphi? Amaphilisi e-`Levonorgestrel` angathengwa ekhemisi eliseduze nawe ngaphandle kwencwadi kadokotela. I-`Ulipristal` (`ella®`) ingathengwa kuphela ngencwadi kadokotela.
• Isebenza kahle kangakanani? Amaphilisi okuvimbela inzalo aphuthumayo angasebenza kahle ngo-90% uma ethathwa zingakapheli amahora angu-72 ngemuva kocansi olungavikelekile. Kodwa-ke, akukho philisi elizosebenza uma usuvele ukhiphe isidoda. Yingakho kubalulekile ukuwaphuza ngokushesha ngangokunokwenzeka ngemva kocansi.

Ama-IUD Okuvimbela Ukukhulelwa Okuphuthumayo

• Ingabe ama-IUD angasetshenziswa ekulawuleni ukubeletha okuphuthumayo? Yebo, womabili ama-IUD aqukethe ithusi (i-Paragard®) kanye nama-IUD e-progestin kuphela (i-Mirena® noma i-Liletta®) angasetshenziswa njengokulawula ukubeletha okuphuthumayo uma efakwa zingakapheli amahora angu-120 (izinsuku ezi-5) ngemva kocansi olungavikelekile. Lolu uhlobo olusebenza kahle kakhulu lokulawula ukubeletha okuphuthumayo. Inzuzo yokusebenzisa ama-IUD ekulawuleni ukubeletha okuphuthumayo ukuthi uvikelekile ekukhulelweni okungafunwa esikhathini esizayo ngenkathi ufuna indlela yokulawula ukubeletha.
• Ama-IUD aqukethe i-progestin asebenza ngokuqinisa ulwelwesi lomlomo wesibeletho sakho, okwenza kube nzima ukuthi isidoda sifinyelele eqandeni. Ama-hormone anciphisa ulwelwesi lwesibeletho sakho, okunciphisa ukuphuma kwegazi esikhathini. I-IUD yethusi isebenza ngokuvimba isidoda ukuthi sifinyelele eqandeni.
• Ngingayitholaphi? Udokotela uyanginika imithi yokwelapha bese efaka ama-IUD.
• Zisebenza kahle kangakanani? Uma zifakwa zingakapheli izinsuku ezi-5 zobulili obungavikelekile, ama-IUD angaba cishe asebenza kahle ngo-100% ekuvimbeleni ukukhulelwa.
• Yini enye okufanele uyazi ngokulawula ukubeletha okuphuthumayo? Kuvamile ukuba nezikhathi ezingajwayelekile ngemva kokuthatha isimiso sokuvimbela ukubeletha esiphuthumayo. Kodwa-ke, uma ungayitholi isikhathi sakho phakathi namasonto ambalwa emva kokuthatha isimiso sokuvimbela ukubeletha esiphuthumayo, kufanele uhlole ukukhulelwa. Kubaluleke kakhulu ukusebenzisa amakhondomu noma ukuyeka ucansi izinsuku ezinhlanu ngemva kokuthatha isimiso sokuvimbela ukubeletha esiphuthumayo, kungenjalo ungakhulelwa. Uma uthatha amaphilisi okulawula ukubeletha okuphuthumayo njalo, khuluma nodokotela wakho ngezindlela eziphumelela kakhulu zokuvimbela ukukhulelwa. Inzuzo yokusebenzisa ama-IUD njengendlela yokulawula ukubeletha okuphuthumayo ukuthi uthatha isinyathelo esisebenzayo sokuzivikela ekukhulelweni okungafunwa esikhathini esizayo.

Ukuhlinzwa Kokuhlela Umndeni Okuhlala Njalo - Ukuhlanza Inzalo

I-salpingectomy (ukususwa kwamapayipi e-fallopian)

• Kuyini? I-Salpingectomy inqubo yokuhlinzwa esusa unomphela amapayipi akho e-fallopian. Lokhu kuvimbela iqanda ukuthi lifinyelele esibelethweni sakho. Kuvimbela futhi isidoda ukuthi sifinyelele kumapayipi e-fallopian, lapho kuvame ukukhulelwa khona. Odokotela bakhetha lokhu kuhlinzwa kunokubopha amapayipi e-fallopian (okuhlanganisa ukubopha amapayipi e-fallopian ngaphandle kokuwasusa ngokuphelele). Lokhu kungenxa yokuthi uma ukhulelwa ngemuva kokubopha amapayipi akho, kunethuba elikhulu lokukhulelwa kwe-ectopic.
• Kwenziwa kanjani? Udokotela wenza lokhu kuhlinzwa ngenkathi ungaphansi kwe-anesthesia. Basika kabili noma kathathu esiswini sakho bese befaka ithuluzi elibizwa ngokuthi i-laparoscope. Nge-laparoscope, bangavala amapayipi akho e-fallopian bese bewasusa ngokuphelele.
• Kuphumelele kangakanani? Lokhu kuhlinzwa kuphumelele cishe ngokuphelele.
• Yini enye okudingeka uyazi? Ukuvala inzalo kwabesifazane kungunaphakade. Akufanele ukuvala inzalo unomphela uma ucabanga ukuthi ungase ushintshe umqondo wakho ngokuba nezingane esikhathini esizayo. Nakuba kungavamile ukuguqulwa, ukuhlinzwa kunezingozi futhi kungabiza kakhulu. Akuvikeli ezifweni ezithathelwana ngocansi (ama-STD).

Ukubopha i-Tubal

• Kuyini lokhu?Ukubopha i-Tubal inqubo evimba amapayipi akho e-fallopian. Udokotela ohlinzayo ukubopha, ukubopha, noma ukuvimba amapayipi akho e-fallopian ukuvimbela ukukhulelwa. Le nqubo ifana ne-salpingectomy, kodwa ayiwasusi ngokuphelele amapayipi akho e-fallopian. Uma ukhulelwa ngemva kokubopha amapayipi akho, kunengozi enkulu yokukhulelwa kwe-ectopic.
• Iphumelela kangakanani? Ukubopha i-Tubal kuphumelele cishe ngokuphelele.

Ukuhlinzwa kokubulala inzalo kwabesilisa (i-Vasectomy)

• Kuyini lokhu? I-vasectomy inqubo evala i-vas deferens, ipayipi elithwala isidoda liye ohlelweni lokuzala lwabesilisa. Ngaphandle kwesidoda, ukukhulelwa akunakwenzeka.
• Kwenziwa kanjani? Odokotela bavame ukwenza le nqubo ehhovisi noma egumbini lokuhlinza, ngaphansi kwe-anesthesia yendawo. Udokotela wakho ohlinzayo wenza i-incision encane esikhwameni sakho ukuze afinyelele kumapayipi athwala isidoda. Bese, bawabopha noma bawasika amapayipi.
• Kuphumelele kangakanani? Ukuhlinzwa kokuvala inzalo kwabesilisa kuphumelele cishe ngo-100%, kodwa futhi kungahluleka. Kubalulekile ukwazi ukuthi akuhlinzeki ngesivikelo esisheshayo ekukhulelweni. Kuzodingeka usebenzise izindlela zokuvimbela inzalo ezengeziwe izinyanga ezimbalwa ngemva kokuhlinzwa, kuze kube yilapho udokotela wakho eqinisekisa ukuthi akusekho isidoda esidodeni sakho.
• Yini enye okudingeka uyazi? Ukuvala inzalo akuvikeli ezifweni ezithathelwana ngocansi (ama-STD). Kwezinye izimo, udokotela wakho angase akwazi ukuguqula inqubo yokuvala inzalo yabesilisa. Ukuvala inzalo kwabesilisa kunengozi ephansi yezinkinga kune-laparoscopic salpingectomy.

Imibuzo Evame Ukubuzwa Ngokuphathelene Nokulawula Ukuzalwa

Iphumelela kangakanani "i-Pulling Out"?

"Indlela Yokukhipha Isisu" inqubo yokukhipha i-penis esithweni sangasese sowesifazane ngaphambi kokukhipha isisu. Ukususa i-penis ngaphambi kokukhipha isisu kuyindlela yokuvimbela ukukhulelwa, kodwa ayisebenzi kahle. Ngoba kunzima kakhulu ukukwenza. Ngisho nenani elincane lesidoda lingenza owesifazane akhulelwe. Kulabo abasebenzisa "ukukhumula" njengendlela yabo yokulawula inzalo kuphela, cishe oyedwa kwabahlanu (20%) uzokhulelwa ngonyaka.

Iyiphi indlela engcono kakhulu yokuzivikela ezifweni ezithathelwana ngocansi (ama-STI)?

Amakhondomu ayindlela engcono kakhulu yokuvikela izifo ezithathelwana ngocansi. Kodwa-ke, amakhondomu awayona indlela ephumelela kakhulu yokuvimbela ukukhulelwa. Amakhondomu asebenza kahle kakhulu uma esetshenziswa nolunye uhlobo lokuvimbela inzalo.

Ekugcineni, kufanele ngikutshele... (Umyalezo Wokuya Ekhaya)

Ngokufunda kabanzi ngezindlela ezahlukene zokuvimbela inzalo, unganquma ukuthi iyiphi indlela engcono kakhulu kuwe. Cabanga ngezinto ezifana nokuthi ulala kangaki, impilo yakho iyonke, kanye nezinhlelo zakho zokuba nabantwana esikhathini esizayo. Okunye okubalulekile okufanele ukucabangele ukulula. Ezinye izindlela zokuvimbela inzalo (njengephilisi) zidinga ukunakekelwa kwansuku zonke ukuze zisebenze kahle, kanti ezinye (njenge-IUD) zingahlala iminyaka futhi "zingafakwa bese ukhohlwa ngazo." Ezinye izindlela zokuvimbela inzalo kulula ukuzigcina zingabonwa, kanti ezinye zingcono ekugcineni ubunjalo bocansi kunezinye.

Into ebaluleke kakhulu ukukhuluma nodokotela mayelana nezinketho zakho zokuvimbela inzalo. Bangachaza ukuthi indlela ngayinye yokuvimbela inzalo isebenza kanjani, kanye nezingozi nezinzuzo zendlela ngayinye. Khumbula, ukukhetha indlela efanele wena kubaluleke kakhulu empilweni yakho nasempilweni yakho!

Ukuhlela umndeni , ukuvimbela inzalo, ukuvimbela inzalo, amakhondomu, izindlela zamahomoni, i-IUD, ukuvala inzalo