"Indlela Yokukhipha" (Ukuhoxisa): Ingabe Ngempela Iyindlela Yokuvimbela Inzalo Ephumelelayo?

Kungenzeka ukuthi uke wezwa "ngendlela yokukhipha," noma mhlawumbe wena nomlingani wakho niyayisebenzisa njengamanje. Eyaziwa nangokuthi i-coitus interruptus, le ndlela ihilela umlingani wakho ukukhipha ngokuphelele ipipi lakhe esithweni sakho sangasese ngaphambi nje kokukhipha. Umgomo ulula: ukuvimbela isidoda ukuba singangeni emzimbeni wakho, ngaleyo ndlela kuvinjwe isidoda ukuba sifinyelele eqandeni.

Isebenza Kanjani Indlela "Yokukhipha"?

Ukuze siqonde ukuthi lokhu kusebenza kanjani, ake sibheke i-biology yokukhulelwa. Ukuze ukukhulelwa kwenzeke, isidoda kumele singene esithweni sakho sangasese sowesifazane, sihambe sidlule esibelethweni sakho, bese sivundisa iqanda kwelinye lamapayipi akho esibeletho. Le nqubo ye-biology yaziwa ngokuthi i-fertilization.

Ngendlela yokukhipha, umlingani wakho ukhipha ipipi lakhe esithweni sakho sangasese ngaphambi kokuba akhiphe isidoda . Ngokwenkolelo-mbono, uma isidoda singangeni esithweni sakho sangasese sangasese, isidoda asikwazi ukuya emapayipini akho esitho sangasese, okuvimbela ukukhulelwa ukuthi kwenzeke.

Isebenza Kangakanani Lendlela? Ingabe Ingakuvimbela Ngempela Ukukhulelwa?

Lona umbuzo obaluleke kakhulu. Ekusetshenzisweni kwangempela, indlela yokuhoxisa iphumelela cishe ngo-80% kuphela. Lokhu kusho ukuthi cishe umbhangqwana owodwa kwabahlanu othembele kuphela kule ndlela uzobhekana nokukhulelwa okungahlosiwe kungakapheli unyaka.

Uma kuqhathaniswa nezinye izindlela zokuvimbela inzalo—njengamadivayisi angaphakathi kwesibeletho (ama-IUD), amaphilisi okulawula inzalo, noma amakhondomu—ukuhoxisa akuthembekile kakhulu. Ngaphezu kwalokho, yize amakhondomu enikeza isivikelo esihle kakhulu ezifweni ezithathelwana ngocansi (ama-STI), indlela yokukhipha ayinikezi nhlobo isivikelo kuma-STI.

Yiqiniso, ukusebenzisa indlela yokuhoxa kusengcono kunokusebenzisa ukuvimbela inzalo nhlobo, njengoba kunciphisa amathuba okukhulelwa ngokwezibalo. Kodwa-ke, kufanele ukhumbule ukuthi akuyona neze indlela yokuvimbela inzalo ephumelelayo.

Ngisho noma umlingani wakho eyeka ukukhulelwa njalo, le ndlela ingase yehluleke. Kungenzeka ukuthi usebenzise le ndlela iminyaka eminingi ngaphandle kwezinkinga futhi uzizwa sengathi iphephile. Kodwa-ke, impumelelo yangaphambilini ayiqinisekisi imiphumela yesikhathi esizayo—kuthatha nje into eyodwa encane noma into engalindelekile ukuze kuholele ekukhulelweni.

Kungani Indlela Yokukhipha Inezinga Lokwehluleka Eliphezulu Kangaka?

Ukusebenzisa le ndlela kudinga ukulawula okukhulu futhi akushiyi ndawo yamaphutha. Ake sibheke izizathu eziyinhloko zokuthi kungani ukuhoxa kuvame ukwehluleka.

Ubunzima Ngesikhathi Esiphelele

Lesi yisithiyo esikhulu kunazo zonke. Ukubikezela ngokunembile isikhathi esiqondile sokukhipha isisu kunzima kakhulu. Ukukhipha isisu kuyindlela eyenzeka lapho injabulo yocansi iphezulu, ekuqaleni kokuvuthwa. Ngezikhathi zokuvuka okukhulu, ukuba khona kwengqondo nokulawula ngokomzimba ukuze uphume ku-millisecond efanele kuyinselele enkulu.

• Uma umlingani wakho engenalo ulwazi oluningi ngocansi, kungenzeka ukuthi akakaqondi kahle izimpawu zomzimba wakhe ngaphambi kokukhipha isidoda .
• Ngisho nakubalingani abanolwazi, izici ezifana nokucindezeleka , ukukhathala, noma ukuphuza utshwala zingalimaza kalula ukuzithiba futhi ziholele emaphutheni.

Ngakho-ke, ukuthembela esikhathini esifanele kuveza ingozi enkulu neqhubekayo.

Isidoda Sikhona Ngaphambi Kokukhipha Imbewu (Ngaphambi Kokukhumula)

Ngisho noma umlingani wakho ekhipha kahle ngesikhathi, isidoda sisengangena emzimbeni wakho. Nansi indlela: ngaphambi kokukhipha isidoda, umzimba wendoda ukhipha ngokwemvelo uketshezi olungaphambi kokukhipha isidoda (oluvame ukubizwa ngokuthi i-pre-cum) . Nakuba lolu ketshezi ngokwalo lungasuki emasendeni, lungathatha isidoda esisebenzayo esisele e-urethra kusukela ekukhipheni isidoda kwangaphambilini. Uma lokhu kukhipha isidoda ngaphambi kokukhipha isidoda kungena esithweni sakho sangasese sangasese, kungenzeka ngokuphelele ukuthi ukhulelwe.

Isidoda Esichithekile Eduze Kwesitho Sangasese Sowesifazane Noma Esitho Sangasese Sowesifazane

Ngaphezu kwalokho, uma isidoda sichithekela emathangeni akho noma eduze kwezitho zakho zangasese zangaphandle (i-vulva), kusenengozi encane yokukhulelwa. Khumbula, amaseli esidoda abhukuda kakhulu. Uma kukhona umzila womswakama oxhumanisa isidoda esichithekile nomgodi wesitho sangasese, isidoda singabhukuda siye phezulu singene esitho sangasese, okuholela ekukhulelweni okungenzeka.

Yiziphi Izinkinga Zendlela Yokukhipha?

Manje sesiyazi ukuthi lena akuyona indlela ethembekile kakhulu yokuvimbela inzalo. Ngaphandle kwezingozi zemvelo, kunezinye izinkinga eziningana ezibalulekile okufanele uzicabangele:

• Wonke umthwalo wokuvimbela inzalo uwela kumlingani wakho: Kulolu hlelo, wena (umlingani osengozini yokukhulelwa) awunawo amandla okulawula umphumela. Uma umlingani wakho enephutha lesikhathi noma ehluleka ukuhoxa ngenxa yokushisa kwaleso sikhathi, nguwe okufanele ubhekane nemiphumela yokukhulelwa okungahleliwe.
• Kungenza ukusondelana kube nzima kakhulu: Ukukhathazeka njalo, "Ingabe uzoyeka ngesikhathi?" kunganciphisa kakhulu ukusondelana nenjabulo. Lokhu kukhathazeka okuyisisekelo kuvame ukudala ukucindezeleka kwengqondo kubo bobabili abalingani.
• Akuqedi isidingo sezinketho zokusekela: Uma kwenzeka kuba nokuphambuka noma ukusola ukuthi isidoda singene esithweni sangasese sowesifazane, kuzodingeka ufune indlela yokuvimbela inzalo ephuthumayo (njengephilisi lokuvimbela inzalo eliphuthumayo ) . Ukusebenzisa indlela eyinhloko ethembekile kusukela ekuqaleni akucindezeli kakhulu.
• Akukho ukuvikelwa ezifweni ezithathelwana ngocansi ( ama-STI ): Lokhu kuyinto ebalulekile empilweni. Ngokungafani namakhondomu, ukuhoxa akuvimbeli ukudluliselwa kwezifo ezithathelwana ngocansi njenge-Trichomoniasis, i-Chlamydia, noma i-Gonorrhea, ezisakazeka ngokuxhumana ngokobulili kanye noketshezi olungaphambi kokukhipha isidoda.

Uma ukhetha ukusebenzisa indlela yokuhoxa, kubalulekile ukuthi wena nomlingani wakho nixoxe ngokukhululekile nangokuthembekile ngezingozi kanye nemithwalo yemfanelo ehlanganyelwe ehilelekile.

Kungani Imibhangqwana Eminingi Isathembele Endleleni Yokukhipha Ubulili?

Naphezu kwezingozi eziphezulu, imibhangqwana eminingi iyaqhubeka nokusebenzisa le ndlela. Kunezizathu eziningana ezivamile zalokhu:

• Umuzwa wokungakhathali noma ukungabaza ukucwaninga nokuthola izindlela zokuvimbela inzalo ezithembeke kakhudlwana.
• Ukuntuleka kolwazi mayelana nezinketho eziphumelela kakhulu njengezindlela zokuvimbela inzalo ezisebenza isikhathi eside (i-LARC) (njenge-IUD noma izimila) noma amaphilisi okuvimbela inzalo nsuku zonke.
• Ukwenqaba amadivayisi okwelapha, amaphilisi ansuku zonke, imijovo, noma ama-patches ama-hormone.
• Isifiso sokugcina ucansi oluzenzakalelayo ngokuphelele, ngaphandle kokuma ukuthola noma ukufaka isivikelo sokuvimbela njengamakhondomu.
• Ukufuna ukugwema imiphumela emibi engeyona eyokuvimbela ukukhulelwa ehambisana nezindlela zokuvimbela ukukhulelwa zamahomoni (njengokushintsha kwemizwa, ukushintshashintsha kwesisindo, njll.).
• Ukuyisebenzisa njengesipele lapho enye indlela yokuvimbela inzalo ikhohliwe noma iphuthelwe.

Ngaphezu kwalokho, eminye imibhangqwana isebenzisa indlela yokukhipha isisu kanye nenye indlela yokuvimbela inzalo ukuze kube nokuphepha okwengeziwe.

Ungayisebenzisa Kanjani Indlela Yokukhipha Impumelelo Engcono Kakhulu?

Uma wena nomlingani wakho nikhetha ukusebenzisa le ndlela, nazi ezinye izindlela ezisebenzayo zokunciphisa ingozi yakho nokuthuthukisa impumelelo yayo iyonke:

• Njalo hlanganisa nendlela yokusekela: Lena yindlela engcono kakhulu. Ukuhlanganisa indlela yokukhipha isisu nolunye uhlobo lokuvimbela inzalo kunciphisa kakhulu ingozi yakho yokukhulelwa.
• Ama-Long-Active Reversible Contraceptive (LARCs)—njengamadivayisi angaphakathi kwesibeletho (ama-IUD) kanye nezifakelo zokuvimbela inzalo—asebenza kahle ngaphezu kuka-99%.
• Amaphilisi okuvimbela inzalo ansuku zonke asebenza kahle cishe ngo-96% uma esetshenziswa ngendlela evamile (kanye no-99% uma esetshenziswa ngendlela efanele).
• Amakhondomu angaphandle asebenza kahle cishe ngo-85% uma kusetshenziswa okuvamile emhlabeni wangempela.
• Ukusebenzisa imithi yokubulala isidoda noma amajeli okuvimbela inzalo kanye nokuhoxiswa kunganciphisa kakhulu ingozi yakho yokukhulelwa.
• Gwema ukusebenzisa le ndlela ngesikhathi sefasitela lakho lokuzala ( ukukhiqizwa kwamaqanda ): Ingozi yakho yokukhulelwa iphakama phakathi nezinsuku eziholela osukwini lokukhishwa kwamaqanda futhi ifaka phakathi nosuku lokukhishwa kwamaqanda. Kwabesifazane abaningi, ukukhiqizwa kwamaqanda kwenzeka maphakathi nomjikelezo wokuya esikhathini (ngokuvamile cishe amasonto amabili ngaphambi kwesikhathi sakho esilandelayo). Cabanga ukusebenzisa ikhalenda lokukhiqizwa kwamaqanda noma izinhlelo zokusebenza zokulandelela ukuze uthole izinsuku zakho zokuzala. Phakathi nalesi sikhathi sefasitela eliyingozi kakhulu, ungathembeli endleleni yokuhoxa.
• Cela umlingani wakho ukuthi achame ngaphambi kocansi: Ukuchama kusiza ukususa noma yisiphi isidoda esisele e-urethra esishiywe ekukhipheni i-ejaculate kwangaphambilini, kunciphisa ukuba khona kwesidoda esisebenzayo ngaphambi kokukhipha i-ejaculate. Nakuba kungelona iqiniso ngokuphelele, kuyisinyathelo sokuphepha esiwusizo.
• Gcina ukuvimbela inzalo okuphuthumayo kuseduze: Uma uthembele kakhulu ekuhoxisweni, kufanele ulungele ukwehluleka okungenzeka. Ukuba nephilisi lokuvimbela inzalo eliphuthumayo (elivame ukubizwa ngokuthi iphilisi lokuhamba ngemva kocansi) lilungele ekhaya kuyisinyathelo esihlakaniphile sokuqapha. Uma lithathwa zingakapheli amahora angu-72 kuya kwangu-120 kusukela ocansini olungavikelekile, lisebenza kahle kakhulu ekuvimbeleni ukukhulelwa.

Umyalezo Wokuya Nawo Ekhaya

Nakuba indlela yokukhipha isisu ingcono kakhulu kunokungasebenzisi nhlobo indlela yokuvimbela inzalo lapho uzama ukugwema ukukhulelwa, ukuqonda izingozi zayo ezingokwemvelo kubalulekile ekwenzeni izinqumo ezinolwazi mayelana nempilo yakho yokuzala.

Khumbula, uma uthembela kuphela ekuhoxisweni ngaphandle kwendlela yokuvimbela inzalo yokusekelayo, ubhekene nethuba eli-1 kwangu-5 (20%) lokukhulelwa minyaka yonke. Ngaphezu kwalokho, kumele usebenzise indlela yokuvimbela njengekhondomu ukuze uzivikele ezifweni ezithathelwana ngocansi (ama-STI).

Ukuze uhlole ngokunembile izinzuzo nezingozi zokuhoxa uma kuqhathaniswa nezinye izindlela zokuvimbela inzalo, ukubonisana nochwepheshe wezempilo kuhlale kuyindlela engcono kakhulu. Bangakusiza wena nomlingani wakho ukuthi nikhethe indlela ethembekile kakhulu, engenakucindezeleka evumelana kahle nendlela yenu yokuphila kanye nemigomo yenu yezempilo.