Ukukhetha indlela yokuhlela umndeni ngezinye izikhathi kungaba yinkinga, akunjalo? Kufanele ukhumbule ukuphuza amaphilisi nsuku zonke, kufanele uthole umjovo njalo ezinyangeni ezintathu... Ngazo zonke lezi zinto, impilo ingaba matasa ngezinye izikhathi futhi ungakhohlwa ngalezi zinto. Ngakho-ke, ungathanda ukwazi ngendlela yokuhlela umndeni ongakhohlwa ngakho konke lokhu, uyisebenzise kanye, futhi ube nokuthula kwengqondo iminyaka eminingi ezayo? Sikhuluma ngendlela enjalo namuhla.
Kalula nje, iyini i-LARC?
Igama lesiNgisi elithi LARC lisho ukuthi i-Long-Acting Reversible Contraception . NgesiSinhala esilula, lisho ukuthi "izindlela zokuvimbela inzalo ezisebenza isikhathi eside, eziguquguqukayo". Yilokhu okushiwo yileli gama. Uma usufake lezi zindlela ngudokotela wakho, zivikela ekukhulelweni iminyaka emi-3 kuya kweyi-10 noma ngaphezulu, kuye ngohlobo olukhethayo.
Enye yezinzuzo ezinkulu zalezi zindlela ukuthi ungayisusa idivayisi nganoma yisiphi isikhathi uma unquma ukuthi ufuna ukuba nomunye umntwana. Ukuzala kwakho kuzobuyela esimweni esijwayelekile ngokushesha nje lapho kususwa. Yingakho kubizwa ngokuthi "okungaguquki."
Kodwa nansi into ebalulekile okufanele uyikhumbule. Lezi zindlela ze-LARC zivimbela ukukhulelwa kuphela. Azikuvikeli ezifweni ezithathelwana ngocansi (STI) njengoba kwenza amakhondomu. Ngakho-ke, uma kukhona ingozi enjalo, kubalulekile ukusebenzisa ikhondomu.
Kunezinhlobo ezimbili eziyinhloko zezindlela ze-LARC:
Njengamanje, izindlela ezimbili ze-LARC ezisetshenziswa kakhulu eSri Lanka nasemhlabeni wonke amadivayisi angaphakathi kwesibeletho (ama-IUD) kanye nokufakelwa.
| Uhlobo lwemishini | Incazelo nendawo | Isikhathi samanje nezibonelo |
|---|---|---|
| I-IUD (Idivayisi Yangaphakathi Kwesibeletho) Lokhu sikubiza ngokuthi "iluphu" emilonyeni yethu. | Lena idivayisi encane yepulasitiki enomumo we-T efakwa esibelethweni ngudokotela ngesitho sangasese sowesifazane. Kunezinhlobo ezimbili zalokhu: i-hormone kanye ne-non-hormone (ithusi). | I-IUD yethusi:Inikeza isivikelo kuze kube yiminyaka eyi-10. (Isibonelo: Paragard) I-IUD yama-hormone: Ihlinzeka ngokuvikelwa iminyaka emi-3 kuya kwengu-7. (Isibonelo: uMirena, uKyleena, uSkyla) |
| Ukufakelwa (Ukufakelwa kokulawula ukubeletha) | Lena induku yepulasitiki eguquguqukayo elingana nothi lomatshisi. Udokotela uzoyibeka ngaphansi kwesikhumba ngaphakathi kwengalo yakho engenhla. | Inikeza isivikelo kuze kube yiminyaka emi-3 . (Isibonelo: Nexplanon) |
Zisebenza kanjani lezi zinto emzimbeni?
Zombili lezi zindlela empeleni zivimba isidoda ukuthi singafinyeleli eqandeni, kodwa indlela ezikwenza ngayo lokhu iyahlukahluka kancane kuye ngohlobo lwaso.
- I-Copper IUD: Ithusi elikulokhu lidala indawo ngaphakathi kwesibeletho lapho isidoda singakwazi ukusinda khona. Ngokukhethekile, libangela ukuvuvukala okuncane okubhubhisa isidoda. Liphinde lenze kube lukhuni ulwelwesi lwesibeletho (i-endometrium), ngakho-ke noma ngabe isidoda ngandlela thile sihlangana neqanda, ngeke sikwazi ukumila esibelethweni.
- I-IUD Yamahomoni: Lokhu kudala indawo yokubulala isidoda efana ne-IUD yethusi. Ngaphezu kwalokho, ikhipha inani elincane kakhulu le-hormone (i-Levonorgestrel, uhlobo lwe-progestin). Le hormone iqinisa i-mucus yomlomo wesibeletho sakho , okwenza kube nzima ukuthi isidoda singene esibelethweni. Iphinde inciphise ulwelwesi lwesibeletho futhi imise kancane ukukhishwa kwamaqanda kwabanye besifazane.
- Ukufakelwa: Le divayisi encane esandleni sakho ikhipha i-hormone (i-Etonogestrel, uhlobo lwe-progestin) emzimbeni wakho. Umsebenzi wayo oyinhloko ukuvimba ngokuphelele ukukhishwa kweqanda emaqanda . Ngaphezu kwalokho, i-hormone, njenge-IUD, iphinda yenze i-mucus yomlomo wesibeletho ibe nkulu.
Yiziphi izinzuzo zokusebenzisa indlela ye-LARC?
Kunezizathu eziningana ezenza abantu abaningi bathande lezi zindlela.
- Isebenza kahle kakhulu: Lezi zindlela zisebenza kahle ngaphezu kuka-99% . Uma uphuza amaphilisi nsuku zonke, nawo asebenza kahle ngo-99%. Kodwa siyakhohlwa. Njengoba kungekho ndawo "yokukhohlwa" kulezi zindlela, empeleni, lezi yizindlela ezisebenza kahle kakhulu.
- Ubunzima obuncane: Uma usuthole udokotela, akudingeki ucabange ngakho iminyaka eminingi. Asikho isidingo sokuzikhumbuza nsuku zonke noma ukuya emtholampilo njalo ngenyanga.
- Londoloza imali ngokuhamba kwesikhathi:Nakuba kubiza kancane ukufaka ekuqaleni, lokhu kuyinzuzo ngokuhamba kwesikhathi njengoba kungekho ezinye izindleko iminyaka eminingi.
- Azikho izithiyo empilweni yocansi: Kukhona inkululeko yengqondo ngoba akudingeki ucabange ngokuzumayo ngokuvimbela inzalo lapho wenza ucansi.
Ezinye izinzuzo ezikhethekile
- Amanye ama-IUD nama-implant angama-hormone anganciphisa ukopha okukhulu kokuya esikhathini kanye nobuhlungu . I-Mirena IUD nayo ivunyelwe njengokwelashwa kokopha okukhulu.
- Lokhu futhi kusiza ukunciphisa ubuhlungu obubangelwa yi-endometriosis.
- I-IUD yethusi isebenza futhi njengendlela yokuvimbela inzalo ephuthumayo uma ifakwa zingakapheli izinsuku ezi-5 zobulili obungavikelekile .
Yiziphi izimo lapho kungewona umqondo omuhle ukusebenzisa lezi zindlela?
Nakuba lezi ngokuvamile zifaneleka kunoma yimuphi owesifazane onempilo, kunezinye izimo lapho ukusetshenziswa kwazo kunganconywa khona.
Ngaphambi kokwenza lesi sinqumo, kungcono ukukhuluma nodokotela wakho ngomlando wakho wezempilo bese ukhetha indlela ekufanele kakhulu.
Izindlela ze-LARC ngokuvamile azinconywa ezimweni ezilandelayo:
- Uma usuvele ukhulelwe.
- Uma kukhona ukopha kwesitho sangasese sowesifazane ngaphandle kwesizathu esaziwayo.
- Uma unomdlavuza wesibeletho noma umdlavuza wesibeletho.
- Uma okwamanje unesifo esithathelwana ngocansi (STI).
Ngaphezu kwalokho, kunezinye izimo ezikhethekile:
- I-IUD yethusi ayifaneleki uma une-allergy ku-copper noma unesifo sikaWilson .
- Uma unesifo sesibindi esibi kakhulu noma umdlavuza webele (noma usengozini enkulu yaso), i-IUD noma i-implant ye-hormone ayifaneleki.
- Uma unomlando wezinkinga zokujiya kwegazi, kufanele nakanjani uxoxe ngakho nodokotela wakho ngaphambi kokufaka i-implant.
Ingabe siyazi nemiphumela emibi kanye nezinkinga?
Njenganoma iyiphi inqubo yezokwelapha, kunemiphumela emibi emincane engaba khona. Kodwa ungakhathazeki, isikhathi esiningi lokhu akukubi kakhulu. Into eyinhloko izinguquko emjikelezweni wakho wokuya esikhathini.
| Uhlobo lwedivayisi | Imiphumela emibi engaba khona |
|---|---|
| I-IUD yethusi | - Ukopha ngokweqile ngesikhathi sokuya esikhathini. - Ubuhlungu obandayo ngesikhathi sokuya esikhathini. - Ingozi ekhulayo kancane yokuthola ama-cyst esibelethweni angewona umdlavuza. |
| I-IUD yama-hormone | - Ukuya esikhathini okungajwayelekile noma ukuyeka ngokuphelele ukuya esikhathini . - Ubuhlungu bebele. - Ikhanda elibuhlungu, isicanucanu, ukushintsha kwemizwa. - Ingozi ekhulayo kancane yokuthola ama-cyst esibelethweni angewona umdlavuza. |
| Ukufakelwa | - Ukuya esikhathini okungajwayelekile, okunzima noma okuncane. Ngezinye izikhathi ukuya esikhathini kuyaphela. - Ukuchama ngesikhathi sokuya esikhathini. - Ukushintsha kwesimo sengqondo. - Kungase kube nokumelana okuncane kwe-insulin. |
Le miphumela emibi ivame ukuvame kakhulu ezinyangeni ezimbalwa zokuqala futhi iyancipha ngokuhamba kwesikhathi njengoba umzimba ujwayela.
Ezinye zezinkinga ezingavamile ezingaba khona zifaka phakathi ukuphuma kwe-IUD esibelethweni, ukubhoboza isibeletho ngesikhathi sokufakwa (okungavamile kakhulu), noma ukutheleleka endaweni yokufakwa. Nakuba lokhu kungavamile, kuhle ukukuqaphela.
Umlayezo Wokuya Nawe Ekhaya
- I-LARC iyindlela yokuhlela umndeni ephumelela kakhulu, engenazinkinga , "yibeke bese uyikhohlwa" etholakalayo.
- Kunezinhlobo ezimbili eziyinhloko: i-IUD (idivayisi yangaphakathi kwesibeletho) kanye ne-implant, efakwa ngaphansi kwesikhumba sengalo.
- Lezi zindlela zivimbela ukukhulelwa kuphela. Amakhondomu kufanele asetshenziswe ukuvikela izifo ezithathelwana ngocansi (STIs) .
- Uhlobo ngalunye lunezinzuzo nezinkinga zalo. Khuluma nodokotela wakho ukuze akukhethele indlela engcono kakhulu ngokusekelwe esimweni sakho sempilo nendlela ophila ngayo.
- Zonke lezi zindlela zingasuswa nganoma yisiphi isikhathi. Uzothola ithuba lokucabanga ngokuba nomntwana futhi ngokushesha nje lapho esesusiwe.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho