Ingabe ucabanga ngendlela yokuhlela umndeni? Khona-ke cishe uyazi ukuthi zingaki izindlela ongakhetha kuzo manje. Kunezinto eziningi ezifana namaphilisi okulawula inzalo, ama-IUD, amakhondomu. Phakathi kwalezi, indlela okukhulunywa ngayo kakhulu futhi elula kakhulu umjovo wokulawula inzalo wanyanga zonke. Ngakho-ke namuhla, ake sixoxe ngomjovo owodwa onjalo, umjovo wokulawula inzalo, owenziwa ngokuhlanganisa ama-hormone amabili abizwa ngokuthi i-`Estradiol Cypionate` kanye ne-`Medroxyprogesterone`. Uma wazi kahle ngalokhu, kuzoba lula ukukhetha okulungele wena, akunjalo?
Kalula nje, hlobo luni lomjovo lolu?
Lona umjovo wamahomoni owenzelwe ngqo abesifazane ukuvimbela ukukhulelwa okungafunwa. Kalula nje, umjovo wanyanga zonke . Umjovo owodwa unikeza isivikelo sokuvimbela inzalo inyanga eyodwa (cishe izinsuku ezingu-28-30).
Iqukethe izinhlobo ezimbili zokwenziwa zama-hormone amabili akhiqizwa ngokwemvelo emzimbeni wesifazane. Lawa yi-estrogen ne-progestin. Lawa ma-hormone amabili asebenza ndawonye ukuvimba umzimba wakho ukuthi ungavuthi, okuyilapho iqanda likhishwa esibelethweni. Aphinde ajiye i-mucus esibelethweni sakho, okwenza kube nzima ukuthi isidoda singene. Lena yindlela ovimbela ngayo ukukhulelwa.
Okubalulekile: Nakuba lo muthi wokugoma usuyekisiwe kwamanye amazwe, njenge-United States, imijovo efanayo isetshenziswa emazweni ahlukahlukene, okuhlanganisa neSri Lanka. Kungcono ukukhuluma nodokotela wakho ngaphambi kokunquma ukuthi ukulungele yini noma cha.
Yiziphi izinto okudingeka uzitshele udokotela ngaphambi kokugonywa?
Ngaphambi kokusebenzisa lo muthi wokugomela, kubaluleke kakhulu ukuthi udokotela wakho aqonde kahle isimo sakho sempilo. Lo muthi wokugomela wama-hormone awuhambisani nezinye izimo zezokwelapha. Uma uke waba nanoma yiziphi izimo ezingezansi noma uke waba nazo, qiniseka ukuthi utshela udokotela wakho ngakho.
| Isimo sezokwelapha osibe naso/obenaso | Kungani kubalulekile ukutshela udokotela ? |
|---|---|
| Uma ubhema | Ukubhema, ikakhulukazi uma uneminyaka engaphezu kwengu-35, kwandisa kakhulu ingozi yokuqhekeka kwegazi kanye nesifo sohlangothi uma kuhlanganiswa nemijovo yama-hormone. |
| Isifo semithambo yegazi, amahlule egazi, noma isifo sohlangothi | Lo muthi wokugoma ungase wandise leyo ngozi. |
| Umdlavuza webele, wesibeletho, wesibeletho, wesibeletho, wesibeletho, noma wesibindi | Umdlavuza oxhomeke kuma-hormone ungaba mubi kakhulu. |
| Ukopha okungachazeki kwesitho sangasese sowesifazane | Isizathu salokhu kumele siphenywe kuqala. |
| Umfutho wegazi ophezulu, isifo senhliziyo, i-cholesterol ephezulu | Lezi zimo zingaba nzima ngokusetshenziswa kwama-hormone. |
| Isifo sikashukela | Amazinga kashukela egazini angashintsha. |
| Isifo sekhanda, isibindi noma izinso | Lezi zimo zingase zibe zimbi kakhulu noma zithinte ukusebenza kahle komuthi. |
| Uma ukhulelwe noma uzama ukukhulelwa | Lo mjovo akufanele unikezwe ngesikhathi sokukhulelwa. |
Ngaphezu kwalokho, ungakhohlwa ukusho noma yikuphi ukungezwani komzimba onakho kweminye imithi, ukudla, noma udayi.
Lo muthi wokugoma usetshenziswa kanjani?
Lokhu akuyona indlela yokujova ongayijova ekhaya. Ijovwa emisipheni yakho (ngokuvamile isinqe noma ingalo) ngudokotela noma umhlengikazi oqeqeshiwe .
- Ukugonywa kokuqala: Ukugonywa kokuqala kuvame ukunikezwa zingakapheli izinsuku ezi-5 zokuqala kokuya esikhathini.
- Bese: Kufanele uthole umthamo olandelayo njalo ngenyanga (njalo ezinsukwini ezingama-28-30). Kubaluleke kakhulu ukugcina izinsuku zinembile.
Wenzani uma uphuthelwa usuku lokugonywa?
Kubalulekile ukuthola umjovo wakho ngosuku oluhleliwe ukuze ulondoloze isivikelo sakho sokuvimbela inzalo. Uma uphuthelwa usuku oluhleliwe, shayela udokotela wakho noma ikliniki ngokushesha ukuze uhlele kabusha. Uma sekudlule izinsuku ezingaphezu kuka-33 (amasonto angaphezu kwangu-4) kusukela ekutholweni kwakho kokugcina, kuzodingeka wenze ukuhlolwa kokukhulelwa ngaphambi kokuthi uthole umjovo wakho olandelayo.
Ezinye izinto ezingase zihlangane nalo muthi
Eminye imithi oyithathayo inganciphisa ukusebenza kahle kwalo mjovo wokuvimbela inzalo. Lokhu kusho ukuthi uma uthatha lo mjovo kanye naleyo mithi, ungase ube sengozini yokukhulelwa. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo.
Nazi ezinye izibonelo:
- Amanye ama-antibiotic - ikakhulukazi lawo asetshenziswa ukwelapha isifo sofuba, njenge-Rifampin.
- Imithi enikezwa isifo sokuwa (ukukhubazeka) - njenge-'Carbamazepine', 'iPhenytoin', 'iTopiramate'.
- Imithi yokutheleleka nge-HIV - njenge-`Ritonavir`.
- Izithasiselo zemithi - ikakhulukazi i-wort yaseSt. John.
- Imithi yokulwa nesikhunta.
Lolu hlu aluphelele. Ngakho-ke, qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, i-Panadol, imithi ye-Ayurvedic, imikhiqizo yamakhambi) , noma yiziphi izithasiselo ozithathayo, kanye nokuthi ubhema noma uphuza utshwala.
Izinto okufanele uzikhumbule lapho ugonywa
- Ukubhema kanye nokuqhekeka kwegazi: Njengoba sishilo ngaphambili, leli yiphuzu elibaluleke kakhulu . Uma uthatha umjovo we-hormone onjengalona, ikakhulukazi uma uneminyaka engaphezu kwengu-35, ukubhema kwandisa kakhulu ingozi yakho yokuqhekeka kwegazi, ukuhlaselwa yinhliziyo, kanye nesifo sohlangothi. Ngakho-ke, sikweluleka kakhulu ukuthi ugweme ngokuphelele ukubhema ukuze uphephe.
- Amandla ethambo: Uma lo muthi wokugoma usetshenziswa isikhathi eside (iminyaka engaphezu kwemi-2), kunethuba lokuthi izinga le-calcium emzimbeni lizoncipha futhi amathambo abe buthaka (i-Osteoporosis). Ngakho-ke, ngaphandle kokuthi ezinye izindlela zokuvimbela inzalo zingakufanele, khuluma nodokotela wakho futhi mayelana nokuqhubeka nokusebenzisa lo muthi wokugoma iminyaka engaphezu kwemi-2. Thola futhi iseluleko sendlela yokuthola i-calcium ne-vitamin D ukuze ugcine amathambo akho eqinile.
- Akukho sivikelo ezifweni ezithathelwana ngocansi: Lokhu kubaluleke kakhulu. Lo muthi wokugoma uvimbela ukukhulelwa, kodwa awunikezi sivikelo kwi-HIV (AIDS) noma ezinye izifo ezithathelwana ngocansi (STD). Ngakho-ke, ukuze uzivikele ezifweni ezinjalo, kufanele nakanjani usebenzise indlela yokuvimbela njengekhondomu.
- Ukuhlolwa njalo kwezokwelapha:Ngesikhathi uthatha lo muthi wokugomela, kubalulekile ukubona udokotela wakho ngezikhathi ezithile ukuze ahlolwe. Kubalulekile ukuhlolwa amabele njalo kanye nokuhlolwa kwe-Pap smears.
- Ukweqisa umthamo: Njengoba lo muthi wokugoma unikezwa uchwepheshe wezokwelapha, ingozi yokweqisa umthamo iphansi kakhulu. Kodwa-ke, uma usola ukuthi lokhu kwenzekile, yazisa ngokushesha iNational Poisons Information Centre eColombo National Hospital noma i-Emergency Treatment Unit (ETU) eseduze.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo muthi wokugoma ungaba nemiphumela emibi. Eminye iyingozi, eminye ivamile. Kubalulekile ukuqaphela lokhu.
| Imiphumela emibi kakhulu edinga ukunakekelwa kwezokwelapha okusheshayo (iya eMnyangweni Wezimo Eziphuthumayo - ETU) | |
|---|---|
| ⚫ Ikhanda elibuhlungu kakhulu ngokuzumayo | ⚫ Ubuhlungu besifuba, ubunzima bokuphefumula |
| ⚫ Ukushintsha kombono (umbono ofiphele, umbono ophindwe kabili) | ⚫ Ubunzima bokukhuluma noma ukuqonda, ukulahlekelwa inkumbulo |
| ⚫ Ukungazweli noma ubuthakathaka bobuso, ingalo, noma umlenze (ikakhulukazi ohlangothini olulodwa lomzimba) | ⚫ Ubuhlungu, ukuvuvukala, ukubomvu, nokufudumala emlenzeni (izimpawu zokuqhekeka kwegazi) |
| ⚫ Ukuphuzi kwesikhumba noma amehlo, umchamo omnyama, indle ekhanyayo | ⚫ Iqhubu noma ushintsho ebeleni, ukuphuma koketshezi ebeleni |
| Kujwayelekile, kodwa tshela udokotela wakho uma kuqhubeka noma kuyakhathaza. | |
| ⚫ Ubuhlungu bebele noma ukuqina kwalo | ⚫ Ukushintshashintsha kwemizwa, ukucindezeleka okuncane |
| ⚫ Ubuhlungu besisu, ukugcwala kwesisu | ⚫ Izinguquko emjikelezweni wokuya esikhathini, ukopha okuncane |
| ⚫ Ukulahlekelwa izinwele, izinguquko zesisindo | ⚫ Ukulunywa kwesitho sangasese sowesifazane, izimpawu zokutheleleka |
Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingashiwongo kulolu hlu, khuluma nodokotela wakho ngazo futhi.
Umlayezo Wokuya Nawe Ekhaya
- Lona umjovo wokuvimbela inzalo othathwa kanye ngenyanga.
- Ngaphambi kokuthola umuthi wokugomela, qiniseka ukuthi utshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke imithi oyiphuzayo.
- Lo muthi wokugomela awunikezi noma yikuphi ukuvikelwa ezifweni ezithathelwana ngocansi, okuhlanganisa ne-HIV (AIDS). Sebenzisa indlela efana nekhondomu.
- Uma ubhema, ikakhulukazi owesifazane oneminyaka engaphezu kwengu-35, lo mjovo ungase ungakufanelekeli njengoba ingozi yokuqhekeka kwegazi kanye nesifo sohlangothi iphezulu kakhulu.
- Uma uhlangabezana nemiphumela emibi kakhulu njengobuhlungu besifuba obungazelelwe, ubunzima bokuphefumula, ubunzima bokukhuluma, noma ukuba ndikindiki kolunye uhlangothi lomzimba, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU).
- Ngaphambi kokukhetha noma iyiphi indlela yokuvimbela inzalo, xoxa nodokotela wakho ngezinzuzo nezinkinga bese ukhetha indlela ekufanele kakhulu.
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