Ngaba ulawulo lokuzalwa lukwenza ukuba utyebe?

Imfundo yezeMpilo

Uninzi lwabantu luwevile amabali malunga nabasetyhini abaqale ukusebenzisa uhlobo lolawulo lokuzalwa kuphela ukujonga amanani esikalini aqala ukunyuka kancinci. Ngapha koko, ezinye Abasetyhini bade bakuphephe ukuthatha ulawulo lokuzalwa kwehomoni kuba bakholelwa kwezokucwangcisa zomlomo (njenge iipilisi zokulawula inzala ), izixhobo zangaphakathi (IUDs), izithonga , kunye Ukufakelwa kunokubangela ukutyeba.

Iindaba ezimnandi, ngokutsho koogqirha, kukuba ulawulo lokuzalwa lokufumana ubunzima alunakuphepheka-okanye luqhelekile.

Ngaba ulawulo lokuzalwa lukwenza ukuba utyebe?

Kwiimeko ezininzi, ulawulo lokuzalwa alubangeli ukuba ufumane ubunzima. Iipilisi zolawulo lokuzalwa ziqulathe iihormoni kwaye uninzi lwabasetyhini luxhalabile ukuba ukuba ziqala ukuthatha ezi pilisi, oko kuya kubangela ukutyeba, utsho UGqr Heather Irobunda Ugqirha / ugqirha wezifo zabasetyhini kwiForest Hills, eNew York. Inyani yile yokuba kukho izifundo ezininzi ezijonge ukutyeba kunye neepilisi zokulawula ukuzalwa kwaye abafumananga ikhonkco phakathi kwezi zimbini.

UGqirha Arthur Ollendorff, i-OB-GYN e-Asheville, North Carolina, kunye noprofesa wezonyango we-OB-GYN kwiDyunivesithi yase North Carolina-Chapel Hill, uyavuma, Ukuphononongwa kwezifundo zonyango kubonisa ukuba ukhetho lwanamhlanje lokulawula iihomoni alunakulindeleka. ukwenza ukutyeba.

Kukuchazwa gwenxa okuqhelekileyo kwezinye iinkcazo ezimbalwa zokutshintsha kobunzima.

1. Ukugcinwa kwamanzi

Iziphumo ebezingalindelekanga zolawulo lokuzalwa zingabandakanya ukugcinwa kwamanzi, ukudumba, okanye ukwanda kwezihlunu zemisipha okanye amafutha omzimba. Ezi zihlala ixesha elifutshane, kwaye ziya kuhamba ngexesha.

Abanye abantu basetyhini banokubona ukugcinwa kwamanzi njengokufumana ubunzima, utsho UGqirha Hina Cheema , I-OB-GYN eTroy, eMichigan. Usenokuba ulahlekelwe ngamanqatha ngenxa yokutya kunye nesiqhelo, kodwa isikali sakho asibonisi loo nto. Oku akuthethi ukuba awuphulukani nobunzima, kuthetha nje ukuba ukwehla kobunzima bakho kunokuba kutshintshwe kukugcinwa kolwelo, ekufuneka liphuculwe kwiinyanga ezimbini ukuya kwezintathu.

2. Utshintsho kwindlela yokuphila

Umfazi ophakathi waseMelika ubeka phantse iponti ngonyaka, ukuqala ebudaleni, kulula ukuba ucinge ukuba ulawulo lokuzalwa ngoyena nobangela wazo ezo phawundi zongezelelweyo. Ngapha koko, abasetyhini abancinci bahlala beqala ukusebenzisa izinto zokuthintela ukukhulelwa emva kwexesha lokufikisa okanye emva kokuphela kwexesha lokufikisa, kanye xa beyeka ukukhula bade kwaye ngesiqhelo baqala ukonyusa umxholo wamafutha omzimba. Xa isigulana sixhalabile malunga nobunzima bomzimba emva kokuqala iipilisi zokuthintela ukukhulelwa, uGqirha Irobunda uya kubuza ukuba ikhona enye into etshintshileyo ebomini bakhe njengokutya, amanqanaba omsebenzi, nokuba ujongene nezinto ezixhalabisayo ekhaya okanye emsebenzini.

Ukuba umntu unoxinzelelo olutsha [kubomi bakhe], oko kunokuba negalelo ekuzuzeni ubunzima, utshilo uGqirha Irobunda, ophawula ukuba ukwenza umthambo rhoqo kunye nokutya ukutya okusempilweni kunokuthintela ukutyeba nokuba uyakhetha nawaphi na amakhosikazi.

3. Iindlela ezindala zolawulo lokuzalwa

Uninzi lweengcinga eziphosakeleyo malunga nolawulo lokuzalwa kunye nokuzuza ubunzima ziqale ngenxa yeepilisi zokulawula ukuzalwa ezindala ezazinamanqanaba aphezulu eehomoni ze-estrogen.

Isifundo esinye ifumanise ukuba iipilisi zoqingqo-nzala eziphuculwe ngoo-1950s zazinee-micrograms ezili-150 (mcg) ze-estrogen mestranol — kanti iipilisi zokuthintela inzala ezitsha ezisezantsi zinamanqanaba asezantsi e-estrogen (20-50 mcg). Ukuba unomdla, thetha nomboneleli wakho wezempilo malunga nokukhetha idosi ephantsi.

Luluphi ukhetho lolawulo lokuzalwa olwenza ukuba utyebe?

Kukho ukhetho olunye lolawulo lokuzalwa olubonakalisiweyo ukuba lubangele ukutyeba kwexesha elide kwabanye abantu basetyhini: inaliti yehomoni.

Ukudubula kokuthintela ukukhulelwa Khangela kwindawo yokugcina izinto (aka depot medroxyprogesterone), elawulwa qho kwiinyanga ezintathu, ibonakalisiwe ukuba ibangela ukutyeba kwabanye abantu basetyhini, utshilo uGqirha Irobunda. NgeDepo-Provera, abasetyhini banokuqaphela ukuba kunzima ngakumbi ukunciphisa umzimba. Isifundo esinye bafumanise ukuba kwiinyanga ezintandathu zokuqala zokusetyenziswa, ibhinqa elinye kwabane abafumene iDepo-Provera badubula i-5% okanye ngaphezulu kobunzima bokuqala.

Ukuba ukuzuza ubunzima kukuxhalabisa, kufuneka uthethe nomboneleli wakho malunga nezinye iindlela zokulawula ukuzalwa, njengepilisi, iringi, ukufakelwa, okanye i-IUD, kunokuba udubule.

Kubalulekile ukuba uqaphele ukuba umpu awunazo iikhalori okanye utshintshe imetabolism yakho, endaweni yoko yonyusa umdla wakho wokutya. Ke, kubafazi abathile, ukudutyulwa lukhetho olukhulu lokuthintela ukukhulelwa ukuba bayaqhubeka nokutya ukutya okusempilweni kunye nobukhulu beesahlulo kwaye bahlala besebenza.

Luluphi ulawulo lokuzalwa olungabangeli ukutyeba?

Ipilisi, isiziba ( Xulane ), iringi ( Ukujongwa ), ukufakelwa ( INexplanon ), Kunye neeIUDs (ezinje nge UMirena okanye iParagard) zonke iindlela zolawulo lokuzalwa akunakulindeleka ukuba zibangele ukutyeba okubalulekileyo.

Ewe kunjalo, kusoloko kukho ukungabikho komthetho. Izifundo zibonise ukuba ukufakelwa akunakulindeleka ukuba kubangele ukutyeba, kodwa abanye abasebenzisi yixele. Uninzi lwabasebenzisi be-IUD yehomoni abapakisha kwiiponti, kodwa malunga 5% yezigulana Xela ukunyuka kwamanani esikalini.

Ukuba ukhathazekile, zininzi ezinye iindlela onokukhetha kuzo ezingaze zikhokelele ekuzuzeni ubunzima-kubandakanya ukungakhulelwa kwehomoni njenge-IUD yobhedu okanye iindlela zokuthintela, ezaziwa njengeekhondom. Abasetyhini banexhala lokufumana ubunzima kulawulo lokuzalwa kwehomoni kufuneka baqwalasele iindlela ezingezizo ezamayeza njenge-IUD yobhedu okanye idosi esezantsi yenkqubo yehomoni efana neprogesin IUD, utshilo uGqirha Ollendorff. Kuba zonke iindlela zolawulo lokuzalwa zineziphumo ebezingalindelekanga ezinokubakho, ndibuza abaguli bam malunga neenkxalabo zabo kwaye bakhethe ukhetho olulungele iimfuno zabo.

Ubhedu, ii-IUDs ezingezo-hormone aziboniswanga ukuba zibangela ukutyeba, uGqirha Irobunda uyavuma. Ekugqibeleni, iziphumo ebezingalindelekanga ziyingqayizivele kumfazi ngamnye, ke kubaluleke kakhulu ukuba uthethe nomboneleli wakho wezonyango ukuba axoxe ngazo zonke izinto onokukhetha kuzo kunye neenkxalabo zakho.