Ingabe ucabanga ngokuhlela umndeni? Noma ingabe ukuya kwakho esikhathini akufiki ngesikhathi? Mhlawumbe udokotela wakho ukutshelile ukuthi usebenzise "iphilisi" lokwelapha induna noma ngesinye isizathu. Nakuba kunezindaba eziningi emphakathini ngala maphilisi okuvimbela inzalo, abantu abaningi abazi kahle ukuthi ayini. Ngakho-ke namuhla sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.
Kalula nje, ayini la maphilisi okuvimbela inzalo?
Amaphilisi okuvimbela inzalo ayiphilisi eliqukethe ama-hormone asetshenziselwa ukuvimbela owesifazane ekukhulelweni kwengane. Abizwa nangokuthi 'Ukuvimbela Inzalo Ngomlomo' ngoba kufanele aphuzwe ngomlomo nsuku zonke. Ngolimi lwethu, abizwa ngokuthi "amaphilisi". Kwabaningi, lokhu sekuyingxenye evamile yenqubo yabo yansuku zonke.
Kodwa nansi into ebaluleke kakhulu. Uma uthatha la maphilisi nsuku zonke, ngesikhathi esifanele , asebenza kahle cishe ngo-99% ekuvimbeleni ukukhulelwa. Kodwa-ke, uma kuqhathaniswa nezinye izindlela zokuvimbela inzalo ezifana namakhondomu, la maphilisi awanikezi noma yikuphi ukuvikelwa ezifweni ezithathelwana ngocansi (ama-STI). Ngakho-ke, ukuze uzivikele ezifweni ezinjalo, kubalulekile ukusebenzisa uhlobo olwengeziwe lokuvikela (njengekhondomu) ngenkathi uthatha amaphilisi.
Yiziphi izinhlobo eziyinhloko zamaphilisi okuvimbela inzalo?
Kunezinhlobo ezimbili eziyinhloko zamaphilisi okuvimbela inzalo. Zombili ziqukethe ama-hormone akuvimbela ukuthi ungakhulelwa.
| Uhlobo lwephilisi | Incazelo |
|---|---|
| Amaphilisi Ahlanganisiwe | Lezi yizinhlobo ezisetshenziswa kakhulu. La maphilisi aqukethe kokubili i-estrogen kanye ne-progestin. |
| Amaphilisi e-Progestin kuphela | Lokhu kubizwa nangokuthi "iphilisi elincane." Lolu hlobo lungase lufaneleke kakhulu uma uncelisa, unomlando wokuqhekeka kwegazi emilenzeni noma emaphashini (i-venous thromboembolism), noma uke waba nesifo sohlangothi. Lokhu kungenxa yokuthi i-hormone ye-estrogen ayifanele abantu abanjalo. |
Ngaphezu kwalokho, kukhona uhlobo lwephilisi lokuvimbela inzalo elibizwa ngokuthi "iphilisi lasekuseni ngemva kokubeletha." Akulona iphilisi elivame ukuthathwa nsuku zonke. Lisetshenziswa kuphela ezimweni eziphuthumayo, okungukuthi, lapho ezinye izindlela zokuvimbela inzalo zehlulekile.
La maphilisi asebenza kanjani emzimbeni?
Kulula kakhulu. Ama-hormone akula maphilisi enza izinto ezintathu eziyinhloko.
- Ukumisa noma ukunciphisa ukukhishwa kweqanda: Lokhu kusho ukuvimbela ukukhishwa kweqanda esibelethweni. Ngaphandle kweqanda, akukho lutho olungenziwa yisidoda.
- Ukujiya kwe-Cervical Mucus: Lokhu kusebenza njengesivimbelo esivimbela isidoda ukungena esibelethweni. I-mucus ejiyile yenza kube nzima ngesidoda ukungena esibelethweni.
- Ukuncipha kolwelwesi lwesibeletho: Ngisho noma iqanda livundiswa ngandlela thile, udonga lwesibeletho alunandawo lapho linganamathela futhi likhule khona.
Lezi zindlela ezintathu ziyimbangela yokuthi ukukhulelwa kungenzeki.
Kufanele ngiwathathe kanjani amaphilisi? Ngasiphi isikhathi?
Lena yingxenye ebaluleke kakhulu. Kubalulekile ukuphuza amaphilisi njengoba nje udokotela wakho ekutshelile. Landela imiyalelo esekhadini lephilisi ngqo. Ikhadi lephilisi liza ngosayizi ohlukile.
Amaphilisi Ahlanganisiwe
Ngokuvamile, kunezinhlobo ezimbili zamaphilisi ekhadini lephilisi: amaphilisi "Asebenzayo" namaphilisi "Angasebenzi". Amaphilisi asebenzayo aqukethe ama-hormone. Amaphilisi angasebenzi (ngezinye izikhathi anombala ohlukile) abizwa ngokuthi amaphilisi e-placebo. Lawa akhona ukukusiza ukuthi unamathele esimisweni sakho sansuku zonke samaphilisi.
| Uhlobo lwekhadi lephilisi | Isetshenziswa kanjani |
|---|---|
| Ikhadi lephilisi lezinsuku ezingama-28 | Udinga ukuphuza amaphilisi asebenzayo (anama-hormone) izinsuku ezingu-21 kanye namaphilisi angasebenzi (angenama-hormone) izinsuku ezingu-7. Uzoba nesikhathi sakho sokuya esikhathini (ukopha) phakathi nesonto ophuza ngalo amaphilisi angasebenzi. |
| Ikhadi lephilisi lezinsuku ezingama-21 | Thatha amaphilisi asebenzayo izinsuku ezingu-21, bese weqa izinsuku ezingu-7 ezilandelayo. Isikhathi sakho sokuya esikhathini sizoba phakathi naleli sonto elingenawo amaphilisi. (Kodwa khumbula ukuqala iphakethe elisha ngosuku lwama-29!) |
| Amakhadi amaphilisi esikhathi eside (amaphakethe ezinsuku ezingu-91) | Uthatha amaphilisi asebenzayo njalo amasonto ayi-12 (izinyanga ezi-3), bese uthatha amaphilisi angasebenzi izinsuku eziyi-7 ezilandelayo. Ngale ndlela, uzoya esikhathini kane kuphela ngonyaka. |
Amaphilisi e-Progestin kuphela (amaphilisi amancane)
Leli phakethe lamaphilisi livame ukuba namaphilisi asebenzayo angu-28. Isikhathi sibaluleke kakhulu lapha. Kufanele uphuze iphilisi ngesikhathi esifanayo nsuku zonke (ngaphakathi kwesikhathi samahora amathathu) . Isibonelo, uma uphuza iphilisi ngo-7 ekuseni ngolunye usuku bese kuthi ngo-10:30 ekuseni ngosuku olulandelayo (sekwephuzile emahoreni angu-3.5), ungase ube sengozini yokukhulelwa.
Kuthiwani uma ngikhohlwa ukuphuza iphilisi?
Lokhu kungenzeka kunoma ubani. Ungakhathazeki.
Thatha iphilisi ngokushesha nje lapho ukhumbula. Bese uthatha iphilisi elilandelayo ngesikhathi esijwayelekile.
Kodwa-ke, uma uphuthelwa iphilisi, qiniseka ukuthi usebenzisa enye indlela yokuvimbela inzalo (njengekhondomu) izinsuku eziyi-7 ezilandelayo . Uma uphuthelwa iphilisi izinsuku eziningana, khuluma nodokotela wakho ngokushesha ukuze uthole iseluleko.
Ngaphandle kokuvimbela ukukhulelwa, ingabe zikhona ezinye izinzuzo zala maphilisi?
Yebo, impela! Nakuba abantu abaningi bengazi, amaphilisi okuvimbela inzalo anezinzuzo eziningi zezempilo. Odokotela ngezinye izikhathi bayawancoma ngenxa yalezi zizathu, hhayi nje kuphela ekuvimbeleni inzalo.
- Ilawula ukuya kwakho esikhathini futhi yehlisa ukopha okukhulu.
- Kunciphisa izinhlungu zekhanda kanye ne-migraines ezihambisana nokuya esikhathini.
- Kuvimbela i-anemia ngokunciphisa ukulahleka kwegazi.
- Kunciphisa izimpawu zangaphambi kokuya esikhathini ezifana ne-Premenstrual Syndrome (PMS).
- Kusiza ukulawula izinduna kanye nokukhula kwezinwele emzimbeni okungafuneki (i-hirsutism).
- Isetshenziswa njengokwelashwa kwezimo ezifana ne-Polycystic Ovary Syndrome (PCOS) kanye ne-Endometriosis.
- Kunciphisa ingozi yezinhlobo ezithile zomdlavuza, ikakhulukazi umdlavuza wesibeletho kanye nomdlavuza wesibeletho.
Yimiphi imiphumela emibi evamile kanye nezingozi?
Njenganoma yimuphi umuthi, abanye abantu bangase babe nemiphumela emibi emincane lapho beqala ukuphuza amaphilisi okuvimbela inzalo. Kodwa ungakhathazeki, iningi lalawa lizophela zingakapheli izinyanga ezimbalwa.
Imiphumela emibi emincane:
- Isicanucanu
- Ikhanda elibuhlungu
- Ubuhlungu bebele noma ukuvuvukala
- Ukuguquguquka kwemizwa
- Ukopha okuncane phakathi kokuya esikhathini (ukubona amabala)
Uma le miphumela emibi ingapheli ngemva kwezinyanga ezimbalwa, khuluma nodokotela wakho. Ungase ukwazi ukushintshela kolunye uhlobo lwephilisi olukusebenzelayo.
Izingozi ezinkulu, kodwa ezingavamile kakhulu:
Inani elincane labantu abaphuza amaphilisi ahlanganisiwe (aqukethe i-estrogen) bangase babe nengozi eyengeziwe kancane yokuqhekeka kwegazi. Lokhu kungaholela ezimweni ezifana ne-Deep Vein Thrombosis (DVT), i-Pulmonary Embolism, i-Stroke kanye ne-Heart Attack.
Kodwa lokhu akuvamile kakhulu. Ngaphambi kokukunikeza iphilisi, udokotela wakho uzobheka umlando womndeni wakho kanye nomlando wakho wezempilo ukuze akhethe iphilisi eliphephile kakhulu kuwe.
"Ingabe ukuphuza amaphilisi kuzokwenza ube mkhulu?"
Lona umbuzo abantu abaningi abawubuzayo. Izifundo eziningi zibonise ukuthi amaphilisi okuvimbela inzalo awabangeli ukukhuluphala noma ukwehla kwesisindo ngokuqondile .
Yiluphi uhlobo lwephilisi olungcono kakhulu kimi?
Lokho kuncike kudokotela wakho ukuthi anqume. Uzocabangela izici eziningi, okuhlanganisa iminyaka yakho, impilo yakho, nendlela ophila ngayo, ukuze akuncomele iphilisi elifanele neliphephile kakhulu kuwe.
Ekugcineni, iphilisi elingcono kakhulu kuwe yilelo ongalikhumbula ukulithatha nsuku zonke futhi elihambisana nendlela yakho yokuphila. Ngoba abantu abaningi abakhulelwa ngenkathi besebenzisa iphilisi benza kanjalo ngoba bengalithathi kahle iphilisi.
Uma ukuthola kunzima ukuphuza iphilisi nsuku zonke, khuluma nodokotela wakho ngezinye izindlela zokuvimbela inzalo zesikhathi eside (isib., i-implant, idivayisi yangaphakathi kwesibeletho (i-IUD), umjovo).
Umlayezo Wokuya Nawe Ekhaya
- Amaphilisi okuvimbela inzalo ayindlela ephumelela kakhulu yokuvimbela ukukhulelwa uma esetshenziswa kahle nangesikhathi nsuku zonke.
- La maphilisi awanikezi noma yikuphi ukuvikelwa ezifweni ezithathelwana ngocansi (STI). Qiniseka ukuthi usebenzisa enye indlela, njengekhondomu.
- Ngaphezu kokuvimbela ukukhulelwa, zinikeza izinzuzo eziningi zezempilo, njengokuhlinzeka ngomjikelezo wokuya esikhathini ojwayelekile, ukunciphisa induna, kanye nokunciphisa ingozi yeminye imidlavuza.
- Imiphumela emibi eyenzeka ekuqaleni kwephilisi ivame ukuba yesikhashana. Uma iqhubeka, khuluma nodokotela wakho.
- Kubalulekile ukwazisa udokotela wakho nganoma yimiphi eminye imithi oyithathayo kanye nomlando wakho wezokwelapha ophelele.
- Hlala ufuna iseluleko sikadokotela wakho ukuze anqume ukuthi iyiphi indlela yokuvimbela inzalo engcono kakhulu kuwe.
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