Amaphilisi okuvimbela inzalo ayinto abantu abaningi abayisebenzisayo njengendlela yokuhlela umndeni. Ungase ube nesithakazelo sokwazi ngalokhu. Mhlawumbe usuvele usebenzisa la maphilisi. Noma mhlawumbe unethemba lokuqala. Kodwa-ke, kubaluleke kakhulu ukwazi ngalokhu. Ngakho-ke namuhla sizokhuluma ngalokhu kalula, ngendlela ongayiqonda, njengokungathi ukhuluma nomngane.
Ziyini lezi zidakamizwa zokuvimbela inzalo?
Kalula nje, amaphilisi okuvimbela inzalo ayiphilisi eliqukethe ama-hormone owaphuza ngomlomo nsuku zonke. Umsebenzi wawo oyinhloko ukuvimbela ukukhulelwa. Yingakho siwabiza nangokuthi “amaphilisi okuhlela umndeni.” Ngoba kufanele athathwe nsuku zonke, kwabesifazane abaningi, aseyingxenye yempilo yabo yansuku zonke.
Uma uphuza iphilisi ngendlela efanele, nsuku zonke, futhi ngesikhathi , lisebenza kahle ngo-99% ekuvimbeleni ukukhulelwa. Kodwa kukhona into eyodwa okudingeka uyikhumbule . Lawa maphilisi avimbela ukukhulelwa kuphela. Awavikeli ezifweni ezithathelwana ngocansi (STI) njengamakhondomu. Ngakho-ke, kubalulekile ukusebenzisa indlela eyengeziwe yokuvimbela inzalo (njengamakhondomu) kanye namaphilisi okuvimbela inzalo ukuvikela ezifweni ezinjalo.
Yiziphi izinhlobo eziyinhloko zamaphilisi okuvimbela inzalo?
Kunezinhlobo ezimbili eziyinhloko zamaphilisi okuvimbela inzalo. Zombili ziqukethe ama-hormone avimbela ukukhulelwa.
| Uhlobo lwephilisi | Incazelo |
|---|---|
| Amaphilisi Ahlanganisiwe | Lolu uhlobo oluvame ukusetshenziswa kakhulu. Luqukethe kokubili i-estrogen kanye ne-progestin. |
| Amaphilisi e-Progestin kuphela | Lezi zibizwa nangokuthi "amaphilisi amancane." Lolu hlobo lungase lufaneleke kakhulu komama abancelisayo, noma kulabo abangafaneleki ama-hormone e-estrogen ngoba bake baba namahlule egazi emilenzeni noma emaphashini (i-venous thromboembolism) noma isifo sohlangothi esikhathini esidlule. |
Okubalulekile: Iphilisi lokuthatha iphilisi ekuseni liyinto ehluke ngokuphelele. Lisetshenziswa kuphela ezimweni eziphuthumayo ngemva kocansi olungavikelekile. Akulona iphilisi lokulawula inzalo lansuku zonke.
La maphilisi akuvimbela kanjani ukukhulelwa?
Ama-hormone akula maphilisi avimbela ukukhulelwa ngezindlela ezintathu eziyinhloko.
- Ukuvimba ukukhishwa kwamaqanda: Kalula nje, ukuvimba noma ukunciphisa ukukhishwa kweqanda esibelethweni. Ngaphandle kweqanda, akukho lutho olungenziwa yisidoda.
- Ukujiya kwe-mucus yomlomo wesibeletho: Kujiya i-mucus ezungeze umlomo wesibeletho, kuvimbe indlela yokuthi isidoda singene esibelethweni. Kufana nokubeka isithiyo endleleni.
- Ukuncishiswa kolwelwesi lwesibeletho: Ulwelwesi lwesibeletho luyancishiswa. Lokhu kusho ukuthi noma iqanda livundisiwe, ngeke likwazi ukunamathela odongeni lwesibeletho futhi likhule.
Ungawasebenzisa kanjani amaphilisi ngendlela efanele?
Lena yingxenye ebaluleke kakhulu. Udinga ukulandela imiyalelo enikezwe udokotela wakho ngqo. Funda imiyalelo esekhadini lephilisi ngokucophelela. Kunezinhlobo eziningana zamakhadi ephilisi.
- Iphakethe lezinsuku ezingama-28: Leli liqukethe amaphilisi angu-21 "asebenzayo" aqukethe ama-hormone kanye namaphilisi angu-7 "angasebenzi" (i-placebo) angenawo ama-hormone. Phakathi nesonto ophuza ngalo amaphilisi angasebenzi, uzoba nokopha. Lokhu akuyona into yokuya esikhathini, kodwa impendulo yomzimba wakho ekumiseni ama-hormone.
- Iphakethe lezinsuku ezingama-21: Leli phakethe liqukethe amaphilisi asebenzayo angama-21 kuphela. Uma amaphilisi angama-21 eseqedile, awuphuzi amaphilisi izinsuku eziyi-7. Yilapho-ke isikhathi sakho sokuya esikhathini sizoqala khona. Ngemva kwezinsuku eziyi-7, udinga ukuqala iphakethe elisha.
- Amaphakethe Omthamo Owengeziwe: Amanye amaphakethe aqukethe amaphilisi ezinsuku ezingu-91 noma ezingu-365. Lawa angasiza ekunciphiseni ukuvama kokuya esikhathini kwakho. Ungakhuluma nodokotela wakho ngalokhu ukuze uthole ulwazi olwengeziwe.
Khumbula ikakhulukazi: Uma usebenzisa iphilisi le-progestin kuphela (iphilisi elincane), kubaluleke kakhulu ukuthatha iphilisi ngesikhathi esifanayo nsuku zonke (zingakapheli amahora ama-3). Isibonelo, uma uthatha iphilisi ngo-7 ekuseni namuhla bese ulithatha ngo-10:30 ekuseni kusasa (sekwephuzile emahoreni ama-3.5), ungase ube sengozini yokukhulelwa.
Wenzani uma ukhohlwa ukuphuza iphilisi?
Lokhu kwenzeka kubantu abaningi. Ungakhathazeki.
Into evamile okufanele uyenze ukuphuza iphilisi ongazange uliphuze ngokushesha nje lapho ukhumbula . Bese uphuza iphilisi elilandelayo ngesikhathi esifanayo ngalolo suku (lokhu kusho ukuthi kungadingeka uphuze amaphilisi amabili ngosuku).
Bese kuthi, ezinsukwini eziyi-7 ezilandelayoKuphephile kakhulu ukusebenzisa enye indlela yokuvimbela inzalo, njengekhondomu. Uma uphuthelwa iphilisi izinsuku eziningana, qiniseka ukuthi ukhuluma nodokotela wakho .
Yiziphi izinzuzo zamaphilisi okuvimbela inzalo?
Ngaphezu kokuvimbela ukukhulelwa, la maphilisi anezinye izinzuzo eziningi zempilo.
Izinzuzo ezihambisana nokuvimbela ukukhulelwa
- Ukulungela: Kufanele uphuze iphilisi elilodwa kuphela nsuku zonke.
- Ukusebenza kahle okuphezulu: kusebenza kahle ngo-99% uma kusetshenziswa kahle.
- Akukho ukuphazamiseka empilweni yocansi: Asikho isidingo sokufuna izindlela zokuvimbela inzalo ngesikhathi esifanele.
- Ikhono lokukhulelwa futhi ngokushesha ngemva kokuyeka: Ukuzala kubuyela esimweni esijwayelekile ngokushesha ngemva kokuyeka iphilisi.
Ezinye izinzuzo zezempilo
Abantu abaningi abasebenzisa amaphilisi okuvimbela inzalo nabo bahlangabezana nalezi zinzuzo:
- Ukuya esikhathini njalo kanye nokopha okuncane.
- Ukuncipha kwezinhlungu zokuya esikhathini kanye ne-migraines.
- Ukuvimbela i-anemia ngenxa yokulahlekelwa igazi okunciphile.
- Ukunciphisa izimpawu zezimo ezifana ne-Premenstrual Syndrome (PMS) kanye ne-Premenstrual Dysphoric Disorder (PMDD).
- Isetshenziswa njengokwelapha izimo ezifana ne-Polycystic Ovary Syndrome (PCOS), i-Endometriosis, kanye ne-Uterine Fibroids.
- Ukulawula izinduna nokukhula kwezinwele okungafuneki (i-hirsutism) .
- Ukunciphisa ingozi yomdlavuza wesibeletho, wesibeletho kanye nowe-colon.
Ake sifunde nangemiphumela emibi kanye nezingozi.
Imiphumela emibi emincane
Abanye abantu bangase babe nemiphumela emibi emincane ezinyangeni ezimbalwa zokuqala zokuthatha iphilisi. Kodwa ungakhathazeki, eminingi yale miphumela izophela ngokuhamba kwesikhathi.
- Isicanucanu
- Ikhanda elibuhlungu
- Ubuhlungu bebele noma ukuvuvukala
- Ukucasuka noma ukushintshashintsha kwemizwelo
- Ukopha okuncane ngesikhathi sokuya esikhathini (ukubona amabala)
Uma lezi zimpawu ziqhubeka noma zikubangela ukungakhululeki, tshela udokotela wakho. Ungase ukwazi ukushintshela kolunye uhlobo lwephilisi.
Ingabe ngizokhuluphala? Cha. Lona umbuzo obuzwa abantu abaningi. Izifundo zibonise ukuthi amaphilisi okuvimbela inzalo awabangeli ukukhuluphala noma ukwehla kwesisindo.
Izingozi ezinkulu kodwa ezingavamile kakhulu
Amaphilisi okuvimbela inzalo asetshenziswa ngokuphephile yizigidi zabesifazane emhlabeni jikelele. Kodwa-ke, inani elincane kakhulu labantu, ikakhulukazi labo abathatha amaphilisi ahlanganisiwe aqukethe i-estrogen, banengozi encane kakhulu yokuthola lezi zinkinga ezilandelayo:
- Ukuqhekeka kwegazi emithanjeni yegazi (i-Deep Vein Thrombosis - DVT)
- I-Pulmonary Embolism
- Umfutho wegazi ophakeme
- Isifo senhliziyo
- Isifo sohlangothi
Lezi zingozi ziyanda kubantu ababhemayo, abakhuluphele ngokweqile, noma abanomlando womndeni walesi sifo. Ngaphambi kokuba uqale ukuthatha iphilisi, udokotela wakho uzoxoxa ngomlando wakho wezempilo ophelele futhi akuncomele uhlobo lwephilisi oluphephile kakhulu kuwe.
Umlayezo Wokuya Nawe Ekhaya
- Amaphilisi okuvimbela inzalo ayindlela ephumelela kakhulu yokuvimbela ukukhulelwa, kodwa kuphela uma esetshenziswa kahle nsuku zonke.
- La maphilisi awanikezi noma yikuphi ukuvikelwa ezifweni ezithathelwana ngocansi (ama-STI). Ngenxa yalokho, kuyimpoqo ukusebenzisa indlela efana nekhondomu.
- Qiniseka ukuthi ufuna iseluleko sezokwelapha ukuze ukhethe iphilisi elikufanele kakhulu. Kuzoncika esimweni sakho sempilo.
- Kuvamile ukuba nemiphumela emibi emincane ekuqaleni. Uma iqhubeka, khuluma nodokotela wakho.
- Ungesabi uma ukhohlwa ukuphuza iphilisi, kodwa qaphela ukuthi wenzeni. Uma ungabaza, buza udokotela wakho.
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