Uma ucabanga ngezindlela zokuhlela umndeni, cishe ucabanga ngamaphilisi owaphuza nsuku zonke noma imijovo oyithola njalo ezinyangeni ezimbalwa. Kodwa uke wezwa ngendandatho encane, eguquguqukayo oyigqoka ngaphakathi kwesitho sangasese sowesifazane? Lena futhi indlela yokuhlela umndeni ephumelela kakhulu. Namuhla, ake sixoxe ngalendandatho yesitho sangasese sowesifazane, i-'Vaginal Ring'. ESri Lanka, kungenzeka ukuthi uke wezwa ngayo ngaphansi kwegama lomkhiqizo elithi 'NuvaRing'.
Kalula nje, iyini le ring yesitho sangasese sowesifazane?
Lena indandatho encane eyenziwe ngepulasitiki eguquguqukayo, esobala esetshenziswa ngabesifazane ukuhlela umndeni. Iqukethe izinhlobo ezimbili zama-hormone. I-estrogen ne-progestin. Uma sikhuluma iqiniso, iqukethe imithi ethi `Etonogestrel` kanye nethi `Ethinyl Estradiol`.
Uma ufaka le ndandatho esithweni sakho sangasese sowesifazane, ikhipha la ma-hormone emzimbeni wakho ngendlela emnene nelawulwayo. La ma-hormone amabili enza izinto ezimbili eziyinhloko:
1. Kuvimbela Ukuvuthwa: Kuvimba ukukhishwa kweqanda njalo ngenyanga emaqandani wesifazane. Ngaphandle kweqanda, ukukhulelwa akunakwenzeka.
2. Ukujiya kwe-mucus yomlomo wesibeletho: I-mucus emnyango wesibeletho ijiyile, okwenza kube nzima ngesidoda ukungena esibelethweni.
Le yindlela le ndandatho ekuvikela ngayo ekukhulelweni.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokusebenzisa lo muthi:
Le ndandatho ayifanele wonke umuntu. Ngakho-ke uma ukhuluma nodokotela wakho, qiniseka ukuthi usho noma yiziphi izimo ezingezansi. Lokhu kubaluleke kakhulu ekuphepheni kwakho.
| Uhlobo lwesimo sezokwelapha | Izimo okufanele uzibike |
|---|---|
| Izinkinga zenhliziyo nemithambo yegazi | Umfutho wegazi ophakeme, isifo senhliziyo noma ukuhlaselwa yinhliziyo muva nje, isifo sohlangothi, ukujiya kwegazi emithanjeni yegazi, amazinga aphezulu e-cholesterol noma ama-triglyceride. |
| Umdlavuza | Uma uke waba nomdlavuza webele, wesibeletho, wesibeletho, wesibeletho noma wesibindi. |
| Ezinye izimo zezokwelapha | Isifo sikashukela, isifo sesibindi, isifo sezinso, isifo senyongo, ikhanda elibuhlungu elibangelwa yi-migraine, i-lupus (SLE), ukuntuleka kwe-Protein C/S. |
| Indlela yokuphila nezinye izindaba | Uma ubhema (ikakhulukazi uneminyaka engaphezu kuka-35), usanda kubeletha, ukhiphe isisu, usuzohlinzwa, noma uphuma igazi ngendlela engavamile esithweni sangasese sowesifazane. |
| Ukukhulelwa kanye nokungezwani komzimba | Uma ukhulelwe noma uzama ukukhulelwa, uma uncelisa, noma uma une-allergies kuma-hormone noma eminye imithi noma ukudla. |
Uyisebenzisa kanjani kahle le ndandatho?
Indlela yokusebenzisa lokhu ilula kakhulu, kodwa kubaluleke kakhulu ukulandela inqubo ngqo.
1. Amaviki ama-3, isonto eli-1: Faka indandatho esithweni sangasese sowesifazane njengoba kuyalelwe udokotela wakho. Lokhu kufanele kuhlale endaweni yayo amasonto ama-3 (izinsuku ezingama-21) .
2. Ukususwa: Ngemva kwamasonto amathathu ngqo, susa indandatho ngosuku olufanayo owayifaka ngalo (isib., uma uyifakile ngeSonto, bese kuba ngeSonto ngemva kwamasonto amathathu).
3. Ikhefu lesonto elilodwa: Kuzodingeka ungabi nendandatho yesonto elilandelayo (izinsuku eziyi-7) . Phakathi nalesi sikhathi, uzoba nesikhathi sakho sokuya esikhathini (ukopha kokuhoxa).
4. Ukufaka indandatho entsha: Ngemva kwesonto elilodwa nje ikhefu, ngosuku olufanayo nendandatho yangaphambilini ekhishwe ngalo (esibonelweni sethu, ngeSonto elilandelayo), kufanele ufake indandatho entsha .
Isibonelo, uma uzizwa sengathi indandatho yakho iphumile, noma uma ungaqiniseki ukuthi isekhona, yihlole ngokushesha. Uma ungazi ukuthi isiphumile isikhathi esingakanani, ungase ube sengozini yokukhulelwa. Thatha isivivinyo sokukhulelwa ngaleso sikhathi bese ukhuluma nodokotela wakho.
Wenzani uma ufaka indandatho sekwephuzile kakhulu, noma uma iwa?
Impumelelo yale ndlela incike ekutheni uhambisana kahle kangakanani nalo mjikelezo. Uma uphuthelwa usuku obekufanele ngabe ufake ngalo iringi, noma uma ibisiphumile amahora ambalwa, ukuvikelwa kwakho ekukhulelweni kungase kunciphe. Shayela udokotela wakho ngokushesha ukuze uthole iseluleko. Kuwukuhlakanipha futhi ukusebenzisa uhlobo olwengeziwe lokuvimbela inzalo, njengamakhondomu, kuze kube yilapho ekutshela ukuthi wenze kanjalo.
Izinto okungafanele zisetshenziswe nale ndandatho (Ukusebenzisana Kwezidakamizwa)
Eminye imithi oyithathayo ingasebenzisana nama-hormone akule ring, inciphise ukusebenza kwayo noma yandise imiphumela emibi. Ngakho-ke tshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
| Ungasebenzisi la magama ndawonye! | |
|---|---|
| Gwema ukusebenzisa le ndandatho nemithi ethile ye-Hepatitis C (njenge-Dasabuvir; ombitasvir; paritaprevir; ritonavir), izithambisi zesitho sangasese sowesifazane eziqukethe uwoyela noma i-silicone. | |
| Tshela udokotela wakho uma uthatha le mithi. | |
| Imithi yokwelapha izifo | Ama-antibiotic kanye nemithi yokulwa namagciwane efana ne-Rifampin kanye ne-Griseofulvin. |
| Imithi yokwelapha isithuthwane/ ukuquleka | NjengeCarbamazepine, iPhenytoin, iTopiramate. |
| Imithi ye-HIV/AIDS | Eminye imithi yokulwa namagciwane. |
| Imikhiqizo yezitshalo | I-wort kaSt. John. |
| Okunye | I-Acetaminophen (i-Paracetamol), i-Warfarin, imithi yesifo sikashukela, ama-hormone e-thyroid, kanye neminye imithi eminingi. |
*Lolu hlu aluphelele. Ngakho-ke sicela wazise udokotela wakho ngakho konke okuthathayo.*
Izinto okufanele uziqaphele uma usebenzisa
- Gwema ukubhema: Ukubhema kuyingozi kakhulu uma usebenzisa lolu hlobo lokuvimbela inzalo olubizwa ngama-hormone. Ukubhema kwandisa kakhulu ingozi yakho yokuqhekeka kwegazi kanye nesifo sohlangothi, ikakhulukazi uma uneminyaka engaphezu kwengu-35.
- Ukuhlolwa kwezokwelapha: Vakashela udokotela wakho ngesikhathi bese uthola ukuhlolwa. Ungayeki izinto ezifana nokuhlolwa kwamabele kanye nokuhlolwa kwe-Pap smear.
- Izifo ezithathelwana ngocansi:
- Amabala esikhumba: Abanye besifazane bangase babe namabala ansundu (i-cholasma) ebusweni babo. Lesi simo singaba sibi kakhulu uma bechayeka elangeni. Ngakho-ke, zivikele elangeni bese usebenzisa umuthi wokuvikela ilanga.
- Ukweqisa: Uma nganoma yisiphi isizathu usola ukuthi uphuze ngokweqile, hamba ngokushesha e-National Poisons Information Centre e-National Hospital noma e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
- Indandatho yesitho sangasese sowesifazane iyindlela yokuvimbela inzalo efakwa amasonto amathathu, isuswe isonto lonke, bese kufakwa entsha.
- Nakuba lokhu kuvikela ekukhulelweni, akunikezi sivikelo ezifweni ezithathelwana ngocansi (STIs), okuhlanganisa ne-HIV.
- Uma ubhema futhi uneminyaka engaphezu kwengu-35, ingozi yakho yokuqhekeka kwegazi iphezulu kakhulu. Gwema ukubhema ngokuphelele.
- Tshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nanoma yimiphi imiphumela emibi efana nobuhlungu obukhulu besifuba, ubunzima bokuphefumula, ukuvuvukala kwemilenze, noma ikhanda elibuhlungu kakhulu.
- Uma indandatho iwa noma ukhohlwa ukuyifaka ngosuku oluhleliwe, xhumana nodokotela wakho ngokushesha.
Into ebaluleke kakhulu ukuthi le ndandatho ikuvikela ekukhulelweni kuphela. Ayikuvikeli ezifweni ezithathelwana ngocansi (STIs) njenge-HIV (AIDS). Kubalulekile ukusebenzisa indlela yokuvimbela njengekhondomu.
Yimiphi imiphumela emibi elindelekile?
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Eminye iyingozi, eminye ivamile.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
|---|---|
| Izimpawu ze-clot yegazi | Ubuhlungu emilenzeni, ukuvuvukala, ukubomvu, ubunzima bokuphefumula, ubuhlungu besifuba. |
| Izimpawu Zokushaywa Yisifo Sohlangothi | Ukungazweli noma ubuthakathaka obungazelelwe ebusweni, engalweni, noma emlenzeni, ubunzima bokukhuluma, ikhanda elibuhlungu kakhulu, ukushintsha kombono. |
| Izinkinga zesibindi | Ubuhlungu esiswini esingaphezulu kwesokudla, ukuphuzi kwesikhumba noma amehlo, umchamo omnyama, indle ekhanyayo. |
| Ezinye izimpawu ezinkulu | Ukusabela kokungezwani komzimba (ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso/izindebe), ukuba mandundu kwekhanda, ukucindezeleka, ubuhlungu besitho sangasese sowesifazane, ukuphuma kwegazi okungajwayelekile, izimpawu ze-Toxic Shock Syndrome (TSS) enomkhuhlane. |
| Imiphumela emibi evamile kodwa okufanele ibikwe kudokotela uma iqhubeka | |
|---|---|
| Ubuhlungu bebele noma ukuqina | Isicanucanu |
| Ukuya esikhathini okungajwayelekile noma ukubona amabala | Ukwanda kwesisindo okuncane |
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