Ingabe ucabanga ngendlela yokuhlela umndeni? Noma ufuna enye indlela elula nehlukile kunaleyo oyisebenzisayo njengamanje? Ngakho-ke, uke wezwa ngale ndlela entsha, i-Vaginal Ring? Mhlawumbe udokotela ukutshelile ngayo. Ungakhathazeki, ayinzima njengoba ucabanga. Ake sixoxe ngakho konke ngamazwi alula namuhla.
Iyini le ring yesitho sangasese sowesifazane?
Kalula nje, lena indlela yokuvimbela ukukhulelwa evimbela ukukhulelwa. Kufana namaphilisi okuvimbela ukukhulelwa, kodwa akudingeki ukuthi uyiphuze nsuku zonke njengephilisi. Kuyindandatho encane yepulasitiki eguquguqukayo. Uyifaka esithweni sakho sangasese sowesifazane.
Le ring ikhipha izinhlobo ezimbili zama-hormone abesifazane, okungukuthi i-estrogen kanye nohlobo lwe-progestin olubizwa ngokuthi i-'Segesterone Acetate', emzimbeni ngamanani amancane kakhulu. Umsebenzi oyinhloko wala ma-hormone ukuvimba ukukhishwa kweqanda ema-ovary akho, okungukuthi, ukukhishwa kwamaqanda. Ayikho indlela yokukhulelwa ngaphandle kweqanda. ESri Lanka, lokhu kungaziwa ngegama lomkhiqizo elithi 'Annovera'.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokusebenzisa lokhu
Lena akuyona indlela efanelana nazo zonke, ngakho qiniseka ukuthi uxoxa nganoma yiziphi izinkinga zempilo onazo nodokotela wakho. Ukusebenzisa le ndandatho kungaba yingozi, ikakhulukazi uma unezinye zezimo ezilandelayo:
| Isimo sempilo noma umkhuba | Kungani kubalulekile? (kafushane) |
|---|---|
| Uma ubhema (ikakhulukazi uma uneminyaka engaphezu kwengu-35 ubudala) | Ingozi yokuqhekeka kwegazi, ukuhlaselwa yinhliziyo, kanye nohlangothi iyanda kakhulu. |
| Ukuba nesifo semithambo yegazi, umlando wokuqhekeka kwegazi, noma isifo sohlangothi. | Lo muthi ungandisa ingozi yokuqhekeka kwegazi. |
| Ukuba nomdlavuza webele, wesibeletho, wesibeletho, wesibeletho, wamaqanda, noma wesibindi. | Ama-hormone angabangela ukukhula kweminye imidlavuza. |
| Umfutho wegazi ophakeme, isifo senhliziyo, i-cholesterol ephezulu noma isifo sikashukela. | Lezi zimo zingase zandise izinkinga. |
| Ikhanda elibuhlungu kakhulu le-migraine. | Abanye abantu bangase babe ne-migraines eyandisiwe. |
| Isifo sesibindi noma sezinso, isifo senyongo. | Inqubo yokususa ama-hormone emzimbeni ingathinteka. |
| Ukopha okungajwayelekile kwesitho sangasese sowesifazane ngesizathu esingaziwa. | Okokuqala udinga ukuthola imbangela. |
| Ukukhulelwa noma ukuzama ukukhulelwa, usanda kuthola umntwana, uphuphunyelwa yisisu. | Lokhu akufanele ukusetshenziswa ezimweni ezinjalo. |
Into ebaluleke kakhulu ukuxoxa ngobuqotho ngomlando wakho wezempilo nodokotela wakho ukuze ukwazi ukukhetha indlela ephephile nefanele kakhulu.
Uyisebenzisa kanjani kahle le nto?
Indlela esetshenziswa ngayo lokhu ihlelekile kakhulu.
1. Yigcine izinsuku ezingu-21: Kufanele ufake indandatho esithweni sakho sangasese sowesifazane njengoba kuyalelwe udokotela wakho. Ngemuva kwalokho, kufanele uyigcine amasonto amathathu (izinsuku ezingu-21) .
2. Ikhefu lezinsuku ezi-7: Ngemva kwamasonto ama-3, kufanele ulikhiphe bese uphumula izinsuku ezi-7 (ngesonto). Phakathi naleli sonto, ungase ube nokopha okuphumayo, okufana nokuya esikhathini kwakho.
3. Ukufakwa kabusha: Ngemva kwekhefu lezinsuku eziyi-7, kufanele kuqalwe umjikelezo omusha. Lokhu kusho ukuthi indandatho efanayo ehlanziwe kufanele ifakwe futhi izinsuku ezingama-21.
Le ndandatho ingasetshenziswa kabusha kuze kube unyaka owodwa (imijikelezo engu-13).Ngesikhathi somjikelezo ngamunye, okungukuthi, ngesikhathi sekhefu lezinsuku eziyi-7, kufanele igezwe kahle ngensipho namanzi, yomiswe, bese igcinwa ebhokisini elincane elikhethekile elihambisana nayo.
Uzothola incwajana yemiyalelo yokuthi ungayisebenzisa kanjani le nto. Yifunde ngokucophelela. Uma ungaqondi, buza udokotela wakho.
Kuthiwani uma ngikhohlwa ukuyifaka kanye?
Impumelelo yale ndlela incike ekulandeleni kwakho lolu hlelo. Uma ukhohlwa ukufaka indandatho ngesikhathi, uyishiye isikhathi eside kakhulu, noma iwa, ukuvikelwa kwakho ekukhulelweni kungase kunciphe. Uma lokhu kwenzeka, shayela udokotela wakho ngokushesha ukuze uthole iseluleko.
Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)
Eminye imithi inganciphisa ukusebenza kwale ndandatho. Lokhu kusho ukuthi uma usebenzisa indandatho ngenkathi uthatha leyo mithi, kunethuba lokukhulelwa. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini kanye nemithi yamakhambi.
| Ungalokothi usebenzise lezi ngendandatho! | |
|---|---|
| |
| Qiniseka ukuthi ukhuluma nodokotela wakho ngalezi zinto. | |
| Uhlobo lomuthi | Izibonelo |
| Amanye ama-antibiotic kanye nama-antifungal | I-Rifampin, i-Griseofulvin, i-Ketoconazole |
| Umuthi wesifo sokuwa (ukukhubazeka) | I-Carbamazepine, i-Phenytoin, i-Topiramate |
| Eminye imithi ye-HIV/AIDS | Buza udokotela. |
| Imikhiqizo yezitshalo | I-St. John's Wort |
Izinto okufanele uziqaphele uma usebenzisa le ndandatho
- Ukuhlolwa njalo kwezokwelapha: Vakashela udokotela wakho ngezikhathi ezithile phakathi nesikhathi sonke sokusebenzisa. Ungayeki izinto ezifana ne-Pap smears.
- Akukho ukuvikelwa ezifweni ezithathelwana ngocansi: Lokhu kubaluleke kakhulu. Le ring ivimbela ukukhulelwa kuphela. Ayikuvikeli kwi-HIV (AIDS) noma kwezinye izifo ezithathelwana ngocansi (STI). Ngenxa yalokho, ukusebenzisa ikhondomu kubalulekile.
- Ukubhema Nengozi: Njengoba sishilo ngaphambili, uma ubhema futhi uneminyaka engaphezu kwengu-35, ingozi yakho yokuqhekeka kwegazi, ukuhlaselwa yinhliziyo, kanye nesifo sohlangothi iphezulu kakhulu. Khuluma nodokotela wakho ngalokhu.
- Amabala esikhumba: Abanye abantu bangase babe namabala ansundu (i-Chloasma) ebusweni babo. Lawa angaba mabi kakhulu uma evezwa elangeni. Ngakho-ke, zivikele elangeni bese usebenzisa umuthi wokuvikela ilanga.
- Ukuvuvukala emzimbeni: Ngezinye izikhathi ungase uzizwe sengathi umzimba wakho ugcwele amanzi, izandla zakho, izinyawo, namaqakala kungase kuvuvuke. Umfutho wegazi lakho nawo ungase ukhuphuke. Uma uzizwa ngale ndlela, tshela udokotela wakho.
- Ngaphambi kokuhlinzwa: Uma uhlela ukuhlinzwa, buza udokotela wakho ukuthi kufanele uyeke yini ukusebenzisa le ndandatho ngaphambi.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Eminye iyingozi, eminye ivamile.
| Uma unalezi zimpawu, bona udokotela ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU). | |
|---|---|
| Izimpawu ze-clot yegazi | Ubuhlungu, ukuvuvukala, ukubomvu kolunye uhlangothi lomlenze; ubunzima bokuphefumula; ubuhlungu besifuba. |
| Izimpawu Zokushaywa Yisifo Sohlangothi | Ukungabi namandla noma ubuthakathaka obungazelelwe bobuso, ingalo, noma umlenze (ikakhulukazi ohlangothini olulodwa lomzimba); ubunzima bokukhuluma; ikhanda elibuhlungu elizumayo nelinzima; izinguquko embonweni. |
| Izimpawu zesifo sesibindi | Ubuhlungu ohlangothini olungaphezulu kwesokudla lwesisu, isicanucanu, ukuphuzi kwesikhumba noma amehlo, umchamo omnyama. |
| Ezinye izimpawu ezinkulu | Ukusabela okukhulu kokungezwani komzimba (ukuqubuka kwesikhumba, ukuvuvukala kobuso/izindebe), ukucindezeleka okubi kakhulu, ikhanda elibuhlungu elisha noma elibi kakhulu. |
| Uma lezi zimpawu ziqhubeka noma zikhathaza, tshela udokotela wakho. | |
| |
Uma kwenzeka ugwinya ngengozi noma ngokweqile, yiya ngokushesha e-National Poisons Information Centre e-Colombo National Hospital noma e-Emergency Treatment Unit (ETU) eseduze.
Ukugcina kanjani lokhu kuphephile futhi ukususe?
Yigcine kude nezingane nezilwane ezifuywayo, ekushiseni kwegumbi (15-30 Celsius), kude nokukhanya. Phakathi kwemijikelezo emibili yokusetshenziswa, yigeze bese uyomisa bese uyigcina ebhokisini elihambisana nayo. Ngemva konyaka owodwa wokusetshenziswa (imijikelezo engu-13), buyisela indandatho ebhokisini bese uyilahla emgqonyeni kadoti kude nezingane. Ungalokothi uyihlanze endlini yangasese.
Umlayezo Wokuya Nawe Ekhaya
- Indandatho yesitho sangasese sowesifazane iyindlela yokuvimbela ukukhulelwa esebenzisa ama-hormone.
- Lokhu kumele kusetshenziswe njengoba nje udokotela esho (izinsuku ezingu-21 ziqhubeka, izinsuku ezingu-7 zingasebenzi).
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nazo zonke izimo zakho zempilo.
- Lokhu akuvikeli ezifweni ezithathelwana ngocansi, okuhlanganisa ne-HIV/AIDS. Kudingeka ikhondomu ngalokho.
- Uma ubhema, ikakhulukazi uma uneminyaka engaphezu kwengu-35, ingozi yakho yokuqhekeka kwegazi kanye nesifo sohlangothi iphezulu kakhulu.
- Qaphela izimpawu zemiphumela emibi engathi sína njengobuhlungu besifuba, ubunzima bokuphefumula, ukuvuvukala emlenzeni, kanye nobunzima bokukhuluma.
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