Ngemva kocansi olungavikelekile, noma lapho ikhondomu oyisebenzisile iphuka, wake wazibuza, "Hawu Nkulunkulu, ngizokhulelwa?"? "Iphilisi Lokuncelisa Ekuseni" lingenye yezinto ezifika engqondweni lapho abantu abaningi besaba lokhu esimweni esiphuthumayo. Ngakho-ke namuhla, ake sixoxe ngokuthi liyini ngempela leli philisi lokuvimbela inzalo eliphuthumayo, ukuthi lisetshenziswa kanjani, nokuthi yini okudingeka ukwazi ngalo.
Iyini le philisi yokuvimbela inzalo ephuthumayo (i-Morning-After Pill)?
Kalula nje, lolu uhlobo lokuvimbela inzalo olusetshenziswa ukuvimbela ukukhulelwa esimweni esiphuthumayo. Akuyona into oyiphuza nsuku zonke njengamaphilisi akho okuvimbela inzalo avamile. Lusetshenziswa kuphela esimweni esiphuthumayo. Okusho ukuthi, ngezikhathi ezinjengalezi:
- Uma wenza ucansi ngaphandle kokusebenzisa noma yiluphi uhlobo lokuvimbela inzalo.
- Lapho indlela yokuvimbela inzalo oyisebenzisile yehluleka (isibonelo, ikhondomu yaphuka, wakhohlwa ukuphuza iphilisi lokuvimbela inzalo).
- Uma uhlaselwa ngokocansi ngokungahlosile (ukudlwengulwa).
Into ebalulekile ukuthi lena akuyona indlela yesikhathi eside yokulawula inzalo. Kunezindlela ezisebenza kahle neziphephile, njengamaphilisi okulawula inzalo nsuku zonke, amadivayisi angaphakathi kwesibeletho (ama-IUD), kanye nokufakelwa kwama-hormone. Ungakhuluma nodokotela wakho mayelana nokuthi iyiphi indlela engcono kakhulu kuwe.
Zingaki izinhlobo zala maphilisi ezikhona?
Yebo, kunezinhlobo ezimbili eziyinhloko zamaphilisi okuvimbela inzalo aphuthumayo. Futhi kukhona nendlela yesithathu. Ake sibheke lokho.
| Uhlobo lwephilisi | Incazelo nesikhathi esidingekayo |
|---|---|
| Amaphilisi e-Levonorgestrel | Lezi yizinhlobo ezivame kakhulu. Udinga ukuthatha leli philisi zingakapheli amahora angu-72 (izinsuku ezi-3) ngemuva kocansi olungavikelekile. Kodwa-ke, uma ulithatha ngokushesha, lisebenza kahle kakhulu. |
| Amaphilisi e-Ulipristal acetate | Lolu hlobo lwephilisi lungathathwa kuze kube amahora angu-120 (izinsuku ezi-5) ngemva kocansi olungavikelekile. Kodwa-ke, kudingeka incwadi kadokotela ukuze ulithathe. |
Ukusetshenziswa kwamaphilisi okuvimbela inzalo njalo (uhlelo lwe-Yuzpe)
Lena indlela yesithathu. Okwenzayo lapha ukuthatha umthamo ophezulu wephilisi lakho lokuvimbela inzalo elivamile (eliqukethe ama-hormone e-Progestin ne-Estrogen) ngemithamo emibili, amahora ayi-12 ahlukene. Kodwa ungalokothi ukwenze lokhu ngaphandle kweseluleko sikadokotela. Ngoba udinga ukwazi kahle umthamo ofanele kanye nohlobo lwephilisi okufanele ulithathe. Futhi, le ndlela ayisebenzi kahle kunezinye izindlela ezimbili futhi inemiphumela emibi eminingi.
Leli philisi likuvimbela kanjani ukukhulelwa?
Lena inkinga abantu abaningi abanayo. Kulula kakhulu. Ama-hormone akula maphilisi ayalibazisa noma ayawuvimba umzimba wakho ekukhipheni iqanda (ukuvuthwa). Uma iqanda lingakhishwa esibelethweni, isidoda asikwazi ukulivundisa. Khona-ke ukukhulelwa ngeke kwenzeke.
Kukhona into okudingeka uyiqonde lapha. Leli philisi alikwazi ukuqeda ukukhulelwa osekwenzekile. Lokho kusho ukuthi akulona iphilisi lokukhipha isisu. Livimbela kuphela ukukhulelwa.
Kuphumelela kangakanani lokhu? Futhi yiziphi izizathu zokwehluleka kwakho?
Njengoba ngishilo ngaphambili, impumelelo yalokhu incike cishe ngokuphelele esikhathini othatha ngaso iphilisi. "Uma uliphuza ngokushesha, imiphumela iba mihle" kuyisihluthulelo lapha.
- Amaphilisi eLevonorgestrel: Asebenza kahle cishe ngo-94% uma ethathwa phakathi kwamahora angu-24 okuqala. Uma ethathwa phakathi kwamahora angu-72, izinga lempumelelo lingase lehle liye cishe ku-58%.
- Amaphilisi e-Ulipristal acetate: Asebenza cishe ngo-98% uma ethathwa phakathi kwamahora okuqala angu-24. Asebenza cishe ngo-85% uma ethathwa phakathi kwamahora angu-120 (izinsuku ezi-5).
Nokho, ngezinye izikhathi leli philisi lingahluleka. Kunezizathu eziningana zalokhu.
- Isikhathi: Uma uphuza iphilisi kade, amathuba okwehluleka ayanda.
- Ukuhlanza: Uma uhlanza zingakapheli amahora amabili uphuze iphilisi, kungenzeka ukuthi alizange lingene emzimbeni wakho. Uma lokhu kwenzeka, khuluma nodokotela wakho.
- Isisindo somzimba: Ezinye izifundo zibonise ukuthi abantu abane-body mass index ephezulu (BMI) bangase bangasebenzi kahle ekusebenziseni amaphilisi e-Levonorgestrel.
- Eminye imithi: La maphilisi angase asebenzisane neminye imithi oyithathayo (isib. imithi yokulwa nokuquleka, i-St. John's wort, njll.) futhi anciphise ukusebenza kwawo. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo.
Yimiphi imiphumela emibi engaba khona yaleli philisi?
Lawa maphilisi ngokuvamile aphephile futhi ngeke athinte ikhono lakho lokuba nabantwana esikhathini esizayo (ukuzala). Kodwa-ke, kungase kube nemiphumela emibi emincane.
- Izinguquko emjikelezweni wakho wokuya esikhathini (ukuya esikhathini kungase kufike kusenesikhathi noma sekwephuzile).
- Ukubonakala okuncane.
- Isicanucanu nokuhlanza.
- Ukukhathala.
- Ikhanda elibuhlungu kanye nesiyezi.
- Ubuhlungu bebele.
- Isisu esibuhlungu.
Lezi zimpawu zivame ukuphela ezinsukwini ezimbalwa, kodwa uma zinzima noma uma uzizwa ukhathazekile, kungcono ukubona udokotela.
Uyafuna ukubona udokotela?
Ngokuvamile, awudingi ukubona udokotela ngemva kokuthatha leli philisi. Kodwa-ke, ezimweni ezinjengalezi, kufanele nakanjani ufune iseluleko sezokwelapha.
- Uma isikhathi sakho sesidlulile ngaphezu kwesonto, lokhu kungaba uphawu lokuqala lokukhulelwa.
- Uma unezinhlungu zesisu ezinzima noma ukopha okukhulu , lokhu kungaba izimpawu zokuphuphuma kwesisu noma ukukhulelwa okungaphandle kwesibeletho.
- Khuluma ngendlela yokuvimbela inzalo yesikhathi eside esebenza kahle kuwe. Kuwukuhlakanipha ukuhlela kusenesikhathi, hhayi ukulinda izimo eziphuthumayo.
Umlayezo Wokuya Nawe Ekhaya
- Iphilisi Lokuncelisa Isisu (Morning-After Pill) lisetshenziswa ngendlela ephuthumayo kuphela , hhayi indlela yokuvimbela inzalo yansuku zonke.
- Ukuthatha leli philisi ngokushesha okukhulu ngemva kocansi olungavikelekile kwandisa ukusebenza kwalo.
- Leli akulona iphilisi lokukhipha isisu. Livimbela ukukhulelwa kuphela.
- Nakuba imiphumela emibi emincane ingase ibe khona, ngokuvamile ayibi mibi kakhulu. Kodwa-ke, uma ungabaza, khuluma nodokotela.
- Uma isikhathi sakho sokuya esikhathini sidlule isikhathi esingaphezu kwesonto ngemuva kokuthatha iphilisi, thatha isivivinyo sokukhulelwa bese ubona udokotela.
- Esikhundleni sokuthembela ekuvimbeleni ukukhulelwa okuphuthumayo, khuluma nodokotela wakho ngendlela yokuvimbela ukukhulelwa yesikhathi eside efanele wena.
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