Ingabe nawe unenkinga yokukhumbula ukuphuza iphilisi lakho lokuhlela umndeni nsuku zonke? Noma ngezinye izikhathi uyaphuthelwa umjovo okudingeka uwuthathe njalo ezinyangeni ezintathu? Uma ucabanga ukuhlehlisa ukuba nomntwana isikhashana, ucabangani ngendlela engasetshenziswa kanye futhi isetshenziswe iminyaka ngaphandle kokukhathazeka? Leyo yindlela esizokhuluma ngayo namuhla.
Kuyini i-LARC? Kalula nje...
I-LARC imele ukuvimbela ukukhulelwa okubuyela emuva okusebenza isikhathi eside . Lesi isifinyezo se-"Long-Acting Reversible Contraception". Kalula nje, uma sezifakwe udokotela wakho, lezi zivikela ekukhulelweni iminyaka emithathu kuya kweyishumi, noma ngaphezulu, kuye ngohlobo olusebenzisayo.
Lezi ziza ngezinhlobo ezimbili eziyinhloko. Eyokuqala iyithuluzi elifakwa udokotela ngaphakathi kwesibeletho sakho. Enye iyithuluzi elincane elibekwa ngaphansi kwesikhumba sengalo yakho. Enye yezinzuzo ezinkulu zalezi zindlela ukuthi ungayisusa noma nini uma unquma ukuthi ufuna ukuba nomunye umntwana. Ngemva kokususwa kwayo, ukuzala kwakho kuzobuyela esimweni esijwayelekile.
Kodwa nansi into okudingeka uyikhumbule nakanjani . Izindlela ze-LARC zivimbela ukukhulelwa kuphela. Azikuvikeli ezifweni ezithathelwana ngocansi (STI) njengamakhondomu.
Yiziphi izindlela ze-LARC ezikhona?
Njengoba sixoxile ngaphambili, kunezinhlobo ezimbili eziyinhloko zezindlela ze-LARC: amadivayisi angaphakathi kwesibeletho (ama-IUD) kanye nama-implant.
Amadivayisi angaphakathi kwesibeletho (ama-IUD)
I-IUD (I-Intrauterine Device) iyithuluzi elincane lepulasitiki elibunjwe njengohlamvu 'T' olufakwa udokotela wakho esibelethweni sakho. Kunezinhlobo ezimbili eziyinhloko: ama-IUD aqukethe ithusi kanye nama-IUD e-hormone.
Ukufakelwa
Lokhu kuyi-implant yepulasitiki eguquguqukayo elingana nothi lomatshisi. Udokotela wakho uzoyifaka ngaphansi kwesikhumba ngaphakathi kwengalo yakho engenhla. Uhlobo oluvame ukusetshenziswa eSri Lanka nasemhlabeni wonke lubizwa ngokuthi i-'Nexplanon®'. Lunikeza isivikelo iminyaka emithathu.
Bheka ithebula elingezansi ukuze uthole ukuqonda okulula kwalezi zindlela.
| Uhlobo lwe-LARC | Amagama emikhiqizo nezincazelo | Isikhathi sokuthola ukuphepha |
|---|---|---|
| I-IUD yethusi | Lezi azinawo ama-hormone. Uhlobo oluyinhloko oluvunyelwe njengamanje yi-Paragard® . | Kufika eminyakeni eyi-10 |
| I-IUD yama-hormone | Lokhu kukhipha inani elincane le-hormone progestin. Kunezinhlobo ezifana ne -Mirena®, i-Liletta®, i-Kyleena®, kanye ne-Skyla® . | Iminyaka emi-3 kuya kwengu-7 (kuye ngohlobo) |
| Ukufakelwa | I-implant encane efakwa ngaphansi kwesikhumba sengalo. I-implant esetshenziswa kakhulu yi -Nexplanon® . | Kufika eminyakeni emi-3 |
Ziphumelela kangakanani ngempela lezi zindlela?
Izindlela ze-LARC zingenye yezindlela zokuvimbela inzalo eziphumelela kakhulu ezitholakalayo. Zisebenza kahle ngaphezu kuka-99% . Cabanga nje, kwabesifazane abayi-100 abasebenzisa le ndlela, ithuba lokukhulelwa ngonyaka lingaphansi kweyodwa.
Amaphilisi okuhlela umndeni asebenza kahle ngo-99% uma ethathwa nsuku zonke. Kodwa inkinga ukuthi ngezinye izikhathi siyakhohlwa ukuphuza iphilisi. Njengoba sikhohlwa kangaka, ukusebenza kahle kwamaphilisi kwehla kube cishe ngo-91%. Kodwa uma usebenzisa i-IUD noma i-implant, akudingeki ukhumbule ukuyithatha nsuku zonke, ngakho-ke akukho bungozi bokukhohlwa. Yingakho ukusebenza kwawo kuphezulu kakhulu.
I-LARC ifanele bani? Ifanele bani?
Obani laba abalungele bona?
Uma ufuna indlela yokuvimbela ukukhulelwa engenazinkinga, yesikhathi eside, izindlela ze-LARC zingase zikufanele. Ikakhulukazi,
- Uma ukhohlwa ukuphuza amaphilisi akho nsuku zonke.
- Uma kunzima ukuthola isikhathi sokuyothola imijovo njalo ezinyangeni ezimbalwa.
- Uma ungumuntu ongenazo izinhlelo zokuba nezingane okwamanje, kodwa ucabanga ukuthi angase azifune esikhathini esizayo.
Kalula nje, lokhu kuyindlela enhle kunoma ubani ofuna ikhambi elithi "libeke kanye bese ulikhohlwa iminyaka eminingi".
Uma ungasebenzisi lezi zindlela
Kunezimo ezithile zempilo lapho kungafanele khona ukusebenzisa i-IUD noma i-implant. Udokotela wakho uzokuxilonga futhi akutshele ngalokhu. Lezi azikhuthazwa ngokuvamile:
- Uma usuvele ukhulelwe.
- Uma kukhona ukopha kwesitho sangasese sowesifazane ngaphandle kwesizathu esibonakalayo.
- Uma unomdlavuza wesibeletho noma umdlavuza wesibeletho.
- Uma okwamanje unesifo esithathelwana ngocansi (STI).
Ngaphezu kwalokho, ezinye izinhlobo ze-LARC azifaneleki kubantu abanezimo ezithile zezokwelapha.
- I-Copper IUD: Lokhu akufaneleki uma une-allergy ye-copper noma isifo sikaWilson.
- I-IUD noma i-Implant yama-hormone: Lokhu akufaneleki uma unesifo sesibindi esibi noma umdlavuza webele (noma usengozini enkulu yokusithola).
Uma unomlando wamahlule egazi, qiniseka ukuthi ukhuluma nodokotela wakho ngakho ngaphambi kokufaka i-implant.
Zisebenza kanjani lezi zinto emzimbeni?
Lawa madivayisi adala indawo esibelethweni lapho isidoda singakwazi ukusinda khona, esivimbela ukuthi siye emapayipini e-fallopian futhi sivundise iqanda.
- Ama-IUD ethusi: Lawa abangela ukuvuvukala okuncane esibelethweni. Lokhu akulimazi umzimba, kodwa le ndawo inobuthi esidoda. Aphinde anciphise ulwelwesi lwesibeletho, okwenza kube nzima ukuthi iqanda lingene esibelethweni, noma ngabe livundisiwe.
- Ama-IUD e-Hormonal: Lawa aphinde abangele impendulo yomzimba njenge-IUD yethusi. Ngaphezu kwalokho, akhipha kancane kancane i-progestin hormone levonorgestrel. Le hormone iqinisa ulwelwesi lomlomo wesibeletho, okwenza kube nzima ngesidoda ukubhukuda. Iphinde inciphise ulwelwesi lwesibeletho futhi ivimbele ukukhishwa kweqanda (ukukhishwa kweqanda) ngezinga elithile.
- Izimila: Lezi ziphinde zikhiphe i-progestin hormone etonogestrel. Umsebenzi wazo oyinhloko ukukuvimbela ukuthi ungavuthi ngokuphelele. Njenge-hormone IUD, ziphinde ziqinise ulwelwesi lwakho lomlomo wesibeletho.
Yimiphi imiphumela emibi kanye nezinkinga zezindlela ze-LARC?
Njenganoma iyiphi indlela yokuvimbela inzalo, izindlela ze-LARC zingabangela imiphumela emibi. Kodwa ngokuvamile azibi kakhulu. Okuyinhloko ukuthi zingabangela izinguquko emjikelezweni wakho wokuya esikhathini. Ukuthi lezi zinguquko ziyini kuzoncika ohlotsheni olusebenzisayo.
| Uhlobo lwe-LARC | Imiphumela emibi engaba khona |
|---|---|
| I-IUD yethusi |
|
| I-IUD yama-hormone | |
| Ukufakelwa |
Ake sifunde nangezinkinga.
Izindlela ze-LARC ziphephile kakhulu, futhi izinkinga azivamile . Uma zenzeka, okulandelayo kungase kwenzeke:
- I-IUD ingase iphume esibelethweni (ikakhulukazi ezinyangeni ezimbalwa zokuqala).
- Ukubhoboka kodonga lwesibeletho ngesikhathi sokufakwa kwe-IUD (lokhu akuvamile kakhulu).
- I-implant ingaphuma endaweni yayo (ngokuvamile ngenxa yokubekwa okungafanele noma ukutheleleka).
- Ukutheleleka ngemva kokufakwa kwedivayisi.
Kungakhathaliseki ukuthi lezi zindlela ziphumelela kangakanani, uma ukukhulelwa kwenzeka kaningi, kubhekwa njengokukhulelwa okuyingozi kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- I-LARC iyindlela yokuvimbela inzalo ephumelela kakhulu, ehlala isikhathi eside, futhi eguquguqukayo etholakalayo.
- Kunezinhlobo ezimbili eziyinhloko: i-IUD (efakwa esibelethweni) kanye ne-Implant (efakwa engalweni).
- Lezi zilula kakhulu ngoba "zingafakwa kanye bese zikhohlwa ngakho iminyaka eminingi." Kodwa-ke, azivikeli ezifweni ezithathelwana ngocansi (ama-STI) . Ngenxa yalokho, kubalulekile ukusebenzisa amakhondomu.
- Uhlobo ngalunye lunezinzuzo zalo kanye nemiphumela ethile emibi. Qiniseka ukuthi ukhuluma nodokotela wakho ukuze anqume ukuthi iyiphi indlela engcono kakhulu kuwe ngokusekelwe esimweni sakho sempilo nendlela ophila ngayo.
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