Ulawulo lokuzalwa komntu: Izinketho zangoku kunye nokuphumelela okutsha

Imfundo yezeMpilo

Ukufumaneka kweendlela zokuthintela ukukhulelwa kuye kwaba yinto entle kubantu xa kufikwa kucwangciso losapho kwaye ukuthintela ukukhulelwa okungacetywanga . Oko bekutshiwo, ibiluxanduva lwabantu ababhinqileyo kuba bezikho iindlela ezifumanekayo ezifumanekayo kubo. Nangona kunjalo, inkqubela phambili yakutshanje kuthintelo lokuthintela ukukhulelwa kwamadoda yenze ukuba kubekho iindlela ezininzi zokulawula ukuzalwa kwamadoda akhoyo nakwisiphelo.

Iindlela ezi-8 zolawulo lokuzalwa kwamadoda

Kude kube kutshanje, ezona ndlela ziphambili zokuthintela ukukhulelwa kwamadoda zibandakanya ukurhoxa, iikhondom kunye nevasectomies. Nangona kunjalo, inkqubela phambili entsha yenziwe kwilizwe lolawulo lokuzalwa kwamadoda: Kukho iindlela ezintsha ezikhoyo ngoku kunye nakuphuhliso.

Njengakwimeko yokuthintela ukukhulelwa kwabasetyhini, indlela nganye iza neenzuzo kunye neengozi zayo, kuxhomekeke kwiimeko zakho ezizodwa.

Ukhetho lolawulo lokuzalwa olufumanekayo emadodeni lubandakanya:

1. Iikhondom
2. Indawo engaphandle
3. Ukurhoxa (okanye ukukhupha)
4. Ipilisi yolawulo lokuzalwa komntu
5. Ulawulo lokuzalwa komntu
6. Ijeli yolawulo lokuzalwa kwamadoda
7. IVasectomy
8. IiVasectomies ezingasetyenziswanga

1. Iikhondom

Ukufumaneka: Iyafumaneka ukuze ithengwe ekhawuntarini

Iikhondom beziyindlela eyaziwayo yolawulo lokuzalwa kwamadoda ngenxa yokusebenza kwawo ngokuchasene nokuzala kunye nezifo ezidluliselwa ngeentlobano zesini. Iikhondom zisebenza ngakumbi kunokurhoxa kwaye zingasetyenziswa ngokuhambelana nezinye iindlela zolawulo lokuzalwa (umzekelo, neqabane lowasetyhini elithatha ipilisi yolawulo lokuzalwa).

Xa zisetyenziswa ngokuchanekileyo, iikhondom zinokuba luncedo kakhulu ekukhuseleni ukukhulelwa; Nangona kunjalo, maninzi amathuba okuphutha kwabantu anokubenza bangasebenzi kakuhle. Umzekelo, ukuba ikhondomu ifakwe ngokungachanekanga, okanye inemingxunya encinci okanye iinyembezi, amanye amadlozi angagqithela kwelo qanda, kwenze ukuba isichumiso sibekho.

Ukuba usebenzisa iikhondom njengendlela yolawulo lokuzalwa, kubalulekile ukuba uqiniseke ukuba aziphelelwa lixesha, zigcinwe ngokuchanekileyo, kwaye zibekwe ngokufanelekileyo.

2. Indawo engaphandle

Ukufumaneka: Iyafumaneka ukuze isetyenziswe

Ngoku ka Umzali ocwangcisiweyo , i-outercourse yinto yesondo engabandakanyi ukungena kwendabuko (ipipi kwilungu lobufazi) Njengefomu yolawulo lokuzalwa, i-outercourse iyasebenza ekuthinteleni isidoda kunye neqanda ukuba lihlangane, nto leyo eyimfuneko ukuze isichumiso senzeke.

Ukuqhelisela ngaphandle kunokuthetha izinto ezahlukeneyo kubantu abohlukeneyo, ke kwezinye iimeko, oku kubandakanya isondo lomlomo okanye ezimpundu. Nangona le misebenzi ingazukukhokelela kwisichumiso (ngaphandle kokuba isidoda siphela singena kwilungu lobufazi), iikhondom ziyacetyiswa ukuba zithintele ii-STI.

3. Ukurhoxa

Ukufumaneka: Iyafumaneka ukuze isetyenziswe

Ukurhoxa kuyaziwa ngokubanzi njengeNdlela yokuKhupha. Kulapho indoda ikhupha khona incanca yayo ngaphambi kokuchama ukuthintela isidoda ukuba singafiki kwiqanda labasetyhini. Njengendlela yolawulo lokuzalwa, ayisebenzi kakhulu, kuba kunokuba nzima kakhulu ukuyenza ngokuchanekileyo ngokuhambelana. Kukho ithuba lokuba isidoda sinokufikelela kwiqanda, sibangele ukuba ukukhulelwa kwenzeke.

Nangona le ndlela ingasebenzi kakuhle, iyaphumelela ekuthinteleni ukukhulelwa kunokusebenzisa indlela yothintelo.

4. Ipilisi yolawulo lokuzalwa kwamadoda

Ukufumaneka: Kuphuhliso

Ngo-Matshi ka-2018, kwabakho impumelelo xa kufikwa kukhetho lolawulo lokuzalwa kwamadoda akwipilisi. Oososayensi kumaZiko ezeMpilo kaZwelonke kunye no-Eunice Kennedy Shriver Institute of Health Health and Human Development kwaziswa ukuba bakugqibile ukuvavanywa kwangaphambili kwepilisi eyindoda equkethe i-dimethandrolone undecanoate ( I-DMAU ). Kwisifundo sabo, amadoda aphilileyo ayi-100 athathe idosi yemihla ngemihla ye-DMAU, kwaye emva kweentsuku ezingama-28 zokuthintela inzala kwabonwa. Isifundo sabo sigqibe kwelokuba ichiza lanyamezelwa kakuhle ngabathathi-nxaxheba abangamadoda kwaye emva kweentsuku ezingama-28, ukuchuma kwabo kuncitshisiwe ukuya kufikelela kumanqanaba okukhutshwa.

Iyeza lisebenza ngokunciphisa amanqanaba eehomoni zesilisa ezinje nge testosterone kunye nokuthintela ukwakheka kweeseli zedoda. UGqirha Kendra Segura , I-OBGYN eqinisekiswe yibhodi ichaza ukuba iDimethandrolone undecanoate (DMAU) yi-androgen / anabolic steroid / progesterone kanye-yeepilisi yemihla ngemihla ecinezela i-FSH kunye ne-LH ebangela ukwehla kwemveliso ye testosterone kunye nesidoda. Uthi okwangoku kuvavanyo lweklinikhi lokuvavanya iziphumo zexesha elide kwizintso, isibindi, i-libido, [kunye] noxinzelelo.

Olunye uphononongo lweklinikhi lusaphanda Inguqulelo ye-DMAU enokutofa . Nangona kunjalo, ngenxa yenkqubo ende yokuvunywa kwamachiza yi-FDA, asinakuyibona le nto kwintengiso ixesha elide.

5. Ulawulo lokuzalwa kwamadoda ludubule

Ukufumaneka: Kuphuhliso

Uphononongo luka-2016 oluxhaswe yi-CONRAD kunye noMbutho wezeMpilo weHlabathi ujonge ukuba ingaba indibaniselwano yehomoni ezisiwe emadodeni ngenaliti yayisebenza na ekuthinteleni ukukhulelwa. Nangona kunjalo, uphononongo lwapheliswa kwangoko ngenxa yeziphumo ebezingalindelekanga ezibi kunye nokuphazamiseka kwemood okubangelwe kukudubula.

Ifoto yayiqulethe iinguqulelo ezisebenza ixesha elide zeprogestin, norethisterone enanthate (NET-EN), kunye ne-androgen, testosterone undecanoate (TU). Abathathi-nxaxheba abangamadoda banikwa umpu emva kweeveki ezisibhozo njengendlela yokuthintela ukukhulelwa. Iziphumo bonisile ukuba ngelixa inaliti bezisebenza ngokukuko phantse kuthintele ngokupheleleyo ukuveliswa kwesidoda, iziphumo ebezingalindelekanga bezinzima kakhulu ukuba isifundo siqhubeke. Abathathi-nxaxheba abangamadoda bafumana amaqhakuva, iintlungu kwindawo yenaliti, ukwanda kwesondo, ukungasebenzi kakuhle kwe-erectile, kunye nokuphazamiseka kwemood.

Kwiinyanga ezidlulileyo, abaphandi baseIndiya bagqibe ukuvavanywa kuklinikhi ngolawulo lokuzalwa lwenkunzi olubizwa ngokuba yi-RISUG (inversible inhibition yesidoda phantsi kokhokelo). NgokukaGqirha Segura, le yinaliti efana nejeli, engasebenziyo isidoda. I-RISUG isebenza ngokujova ijeli ye-polymeri kwi-vas deferens yamadoda ukuvimba iiseli zesidoda ekuphumeni emzimbeni. Oku kuyazalisa eyindoda, kuthintela ukukhulelwa. Inaliti enye inokusebenza ukuya kuthi ga kwiminyaka eli-13 kwaye inokujikwa xa kukho imfuneko yenye inaliti esebenza ukunyibilikisa ijeli. I-RISUG ibonisa isithembiso esikhulu kumadoda angayifuniyo i-vasectomy esisigxina, yotyando. Izilingo zibandakanya ngaphezulu kwezifundo ezingamadoda ezingama-300 kwaye zavelisa inqanaba lempumelelo elingaphezulu kwe-97% yokuthintela ukukhulelwa. Okwangoku kusalindelwe imvume yokulawulwa kweziyobisi eIndiya.

E-United States, iVasalgel, eyindlela yothintelo kukhuseleko esekwe kwi-RISUG, iyakhula. Akucaci ukuba uVasalgel uza kubetha nini kwiimarike zase-US ukuba ulingo luyaphumelela.

6. Ijeli yolawulo lokuzalwa kwamadoda

Ukufumaneka: Kuphuhliso

Ijeli yokuthintela inzala ebizwa I-Nestorone-Testosterone (I-NES / T) ibisemsebenzini ngaphezulu kweshumi leminyaka kwaye inakho ukuba ibe lukhetho olusebenzayo lokulawula ukuzalwa kwamadoda emadodeni. Ijeli ivala i-gonadotropin hormone kwaye inciphisa ukuveliswa kwe testosterone kwiimvavanyo. Oku kusebenza ekwehliseni ukubala kwamadlozi, okuthi kuthintele ukukhulelwa. Ijeli, ethi i-FDA icebise ukuba ifakwe egxalabeni yonke imihla, yaboniswa iyasebenza ekucinezeleni imveliso yesidoda ngo-2012 ukufunda kumadoda angama-99. Olunye uvavanyo lweklinikhi yaqala ngo-2018.

Ngenxa yovavanyo olungqongqo lokhuselo kunye nenkqubo yokuvunywa efunekayo kuLawulo lokutya kunye neDrug (FDA), eli chiza lisenokungafumaneki ngokuthengisa okwexeshana. Ijeli kulindeleke ukuba igqibe inkqubo yolingo lweklinikhi ngowama-2022, emveni kwexesha apho kuya kuthathwa isigqibo sokuhambisa iyeza kwisifundo sesiGaba sesi-III esikhulu.

7. IVasectomy

Ukufumaneka: Iyafumaneka njengenkqubo yotyando

Enye yeendlela zokulawula ukuzalwa ezisetyenziselwa amadoda yivasectomy. IVasectomy ibandakanya inzalo yotyando, esebenza ngokukuko, kodwa kufuneka ithathelwe ingqalelo isigxina. Banokubuyiselwa umva kwezinye iimeko, kodwa hayi kubo bonke, kwaye nangokubuyela umva ngempumelelo, amathuba okukhulelwa ancipha ngokuxhomekeka kubude bexesha okoko i-vasectomy yagqitywa kuqala. Nge-vasectomy, iityhubhu ezithwala amadlozi ukusuka kumasende ziyasikwa zize zivalwe. Oku kuthetha ukuba le ndoda inikezelwa ingenazintsholongwane ngeenjongo zokukhulelwa. Isidoda sihlala kumasende-kwaye siphume kwisidoda-kwaye ekugqibeleni sitsalwa ngumzimba.

IiVasectomies yinkqubo eqhelekileyo enobungozi obuphantsi kwaye yenziwa ngokwendawo yeofisi .. Iziphumo ebezingalindelekanga ezinokuvela emva kokuba kwenziwe inkqubo zinokubandakanya ukopha, ukudumba, kunye nokugruzuka. Iingxaki ezinzima kakhulu zinqabile. IiVasectomies zisebenza kakhulu ekuthinteleni ukukhulelwa, nangona kunjalo, azikhuseli kwi-STIs.

8. Iivasectomi ezingasetyenziswanga

Ukufumaneka: Iyafumaneka ukuze isetyenziswe

Ukutsha okutsha kukhokelele kwiindlela ezingezizo ezonyango ze-vasectomy. Injalo imeko ye-vasectomy engeyiyo eyonyango. Ngokufana ne-vasectomy eqhelekileyo, i-vas deferens iyanqunyulwa ukukhusela isidoda ekuphumeni kwamasende. Nangona kunjalo, indlela eyahlukileyo yahlukile endaweni yokuba endaweni yokusebenzisa isikhumba esenza isikrufu kwisikram, kuye kwenziwe isikhuselo esincinci kulusu ngesixhobo esikhethekileyo. Esi sixhobo emva koko solule ulusu ngobunono, sivumele ukuvuleka ukufikelela kwi-vas deferens. Oku kubangela ukopha kancinci, iingxaki ezimbalwa, akukho mfuneko yokuthungwa, kunye nokubuyela kwimeko yesiqhelo ngokukhawuleza.

Imiceli mngeni yokufumana ulawulo lokuzalwa kwendoda kwintengiso

Njengalo naluphi na unyango olutsha, ukufumana uhlobo olutsha lolawulo lokuzalwa kwintengiso kubonisa umceli mngeni omkhulu. Umceli mngeni omkhulu ekufumaneni iziyobisi ezivunyiweyo ukuba zithengiswe e-US lixesha kunye notyalo-mali olufunekayo ukwenza ulingo olunzima lwezonyango, utshilo u-Amber Cann, uFarm.D. kunye nomnini Ubungakanani beVenus . Ukusuka ekufumaneni iziyobisi ukuya kwinqanaba lokugqibela lezilingo kunokuthatha amashumi amabini eminyaka kunye namakhulu ezigidi zeedola. Wongeza ukuba iziyobisi ezingenayo imarike enkulu zinobunzima bokuba ziphandwe.

Njengalo naliphi na ichiza elitsha, iziphumo ebezingalindelekanga kufuneka zijongiwe ukuba zinokuthathwa njengezikhuselekileyo kwaye zisebenza ngokwaneleyo ukuba zisetyenziswe kubemi ngokubanzi. Xa kuziwa kulawulo lokuzalwa kwamadoda, omnye umqobo yimfuno yemveliso ukuze isebenze njengeendlela esele zikhona zolawulo lokuzalwa (ezinje ngeendlela ezininzi esele zikhona zokuthintela ukukhulelwa kwabasetyhini, kubandakanya nezicwangcisi zehomoni kunye nee-IUDs).

Eyona nto iphambili kwezokucwangcisa eyindoda

Nangona zininzi izinto ezintsha ezinomdla kuphuhliso lolawulo lokuzalwa kwamadoda kwimisebenzi, okwexeshana ukhetho olukhoyo kwintengiso lilinganiselwe. Kwixesha elizayo, ukufumana ezinye iindlela ezikhoyo zokuthintela ukukhulelwa kwamadoda kunokuba nako izibonelelo ezininzi kunye nokunceda ukukhulula abasetyhini ekubeni babe noxanduva ikakhulu xa kufikwa kuthintelo lokukhulelwa.

Nokuba yeyiphi na indlela oyikhethayo yolawulo lokuzalwa, kubalulekile ukuba uthethe nomboneleli wakho wezempilo malunga nokusebenza kwaso kunye naziphi na iziphumo ezinokubakho. Ngolwazi oluthe kratya malunga nokhetho lolawulo lokuzalwa kwamadoda, jonga ngaphandle Ixesha elizayo lolawulo lokuzalwa komntu .