Loluphi olona lawulo lubalaseleyo emva kweminyaka engama-35?

Imfundo yezeMpilo

Ukuba usandula ukubhiyozela usuku lokuzalwa olubalulekileyo, ngaba ukhe wanika ingqwalaselo kuhlobo lolawulo lokuzalwa olisebenzisayo?

Ngokubanzi, ulawulo lokuzalwa kwabasetyhini abangaphezu kweminyaka engama-40 aluhlukanga kangako kulawulo lokuzalwa kwabasetyhini abangaphezu kweminyaka engama-35. akukho sizathu sokutshintsha ngenxa yokuba kukho elinye ikhandlela kwikhekhe lakho lokuzalwa.

Akukho nto malunga nobudala bodwa ethi awungekhe usebenzise uhlobo oluthile lolawulo lokuzalwa, uyacacisa UKate White , MD, MPH, umlawuli woBambiswano kuCwangciso loSapho kwiBoston Medical Centre. Ukuba uphilile nakweyiphi na iminyaka, ungasebenzisa nantoni na.

Olunye ukhetho lwakho lubandakanya:

• Iipilisi zokulawula inzala : Ungathatha ipilisi yokudibanisa, equlathe zombini i-estrogen kunye neprogestin, okanye ipilisi yeprogesin kuphela. Zombini ziza kwiinguqu zedosi ephantsi, kwaye iipilisi zokudityaniswa nazo ziza kwiinguqulelo zomjikelo owandisiweyo.
• Ii-IUD : Izixhobo zangaphakathi zangaphakathi ziyindlela eyaziwayo yokuthintela ukukhulelwa, okanye iLARC. Ezinye, njenge UMirena okanye Liletta IUDs, ziifom zehomoni, ngelixa ezinye zinje IParagard IUD, lubhedu.
• Inaliti : Ukuba ukhetha i-control control shot, ebizwa Khangela kwindawo yokugcina izinto , ufumana inaliti yeprogestin qho kwiinyanga ezintathu ukunqanda ukukhulelwa.
• Izimila : Olunye uthintelo lokuthintela inzala oluthabathe ixesha elide, ukufakelwa kukhupha iprogestin emzimbeni wakho kangangeminyaka emithathu ukusuka kwindawo yayo engalweni yakho ephezulu.
• Isiziba : Namathela kulusu lwakho iiveki ezintathu, emva koko ususe. Faka entsha inyanga nenyanga.
• Isangqa sangasese : Ezi ziindandatho eziguqukayo, ezisuswayo eziqukethe zombini i-estrogen kunye neprogesin.

Kodwa inye into ongenakukwazi ukuyenza kukungawunaki wonke umba. Musa ukuyeka ukukhulelwa de ube uyazi ukuba usexesheni ngokupheleleyo, utsho UMary Jane Minkin, MD , Unjingalwazi weklinikhi yokubelekisa, i-gynecology kunye nenzululwazi yokuzala kwiYale University School of Medicine.

Oko kuthetha ukuba kuya kufuneka uhambe unyaka wonke ngaphandle kokuya exesheni ngaphambi kokuba uvalelise kulawulo lokuzalwa ngokulungileyo.

Ikhadi lesaphulelo sokumiselwa

Jonga eyakho iprofayili yomngcipheko

Njengoko ulinganisa ukhetho lwakho, kukho imiba ethile yempilo ekufuneka uyiqwalasele, kwiminyaka yakho yama-30 kunye nakwii-40 zakho. Yintoni ekufuneka ucinge ngayo xa ukhetha indlela yothintelo? Kuya kufuneka ukuba ulinganise imingcipheko enxulumene nempilo yokuthintela ukukhulelwa ngokuchasene nomngcipheko owandileyo onxulunyaniswa nokukhulelwa emva kweminyaka engama-35-kubandakanya ukukhulelwa okungacwangciswanga, utshilo uWendy Askew, MD, i-OB-GYN eSan Antonio, eTexas. Le micimbi ikhona kubafazi abangaphantsi kweminyaka engama-35, nabo, kodwa baphantsi kakhulu.

Ukutshaya

Ukuba uneminyaka engama-35 okanye ngaphezulu kwaye uyatshaya, lixesha lokuba uhambe kakuhle kwiipilisi zakho zolawulo lokuzalwa. Ukutshaya kuphakamisa umngcipheko wesifo sentliziyo. Kodwa i indibaniselwano yolawulo lokuzalwa kwehomoni kunye nokutshaya Unokonyusa umngcipheko wamahlwili egazi kunye noxinzelelo lwegazi oluphezulu.

Amahlwili egazi

Ukuba usemngciphekweni omkhulu weemeko ezithile ezinje ngegazi, ugqirha unokukuqhubela kude kwizinto ezithile zokuthintela ukukhulelwa. Umzekelo, iipilisi zolawulo lokuzalwa ngokudibeneyo ziqulathe zombini i-estrogen kunye neprogestin kwaye zinokuphakamisa umngcipheko wokuphuhlisa amahlwili egazi. Inaliti yolawulo lokuzalwa eyaziwa ngokuba yiDepo-Provera yaziwa ngcono ngokuba inxulunyaniswa nokonyuka kwelahleko kwethambo ekuhambeni kwexesha. Iqukethe i-estrogen, kodwa abanye abantu basetyhini banokuphuhlisa i-thrombosis emva kokuyithatha .

Iimeko ezithile zempilo

Unokufuna ukunqanda iindlela eziqukethe i-estrogen ukuba unoxinzelelo lwegazi oluphezulu, okanye ukuba unesifo seswekile iminyaka engama-20 ubuncinci. Intloko ye-Migraine ene-aura isenokuba sesinye isimangalo esinokubakho, utshilo uGqirha White.

Umhlaza

Umngcipheko wokuba nomhlaza, nangona kunjalo, awungeni. Umngcipheko wokuba nomhlaza ukwanda ngokukhula. Kunokubakho ifayile ye- amathuba amancinci okonyuka komngcipheko webele enxulunyaniswa nezinye izinto zokucwangcisa zomlomo, kodwa inokuthi isuswe ngumngcipheko omncinci wezinye iintlobo zomhlaza, njengomhlaza we-ovari kunye nomhlaza wesibeleko. Kwaye njengoko uGqirha Askew ephawula, isibonelelo sokuthintela ukukhulelwa okungafunekiyo kunokuba ngaphezulu komngcipheko omncinci. Abasetyhini abanembali yosapho yohlobo oluthile lokutshintsha komhlaza webele banokuqhubeka nokujonga ezinye iindlela, nangona kunjalo.

Ukukhetha eyona ndlela yolawulo lokuzalwa

Ekupheleni kweminyaka engama-30 ukuya kuma-40, kufuneka uzibuze-kwaye uthembeke ngempendulo-ukuba uceba ukuba nabantwana kwixesha elizayo.

• Ewe ndiceba ukuba nabantwana . Ukuba impendulo nguewe, ungaya malunga nayo nayiphi na indlela, ngaphandle kweDepo-Provera. NgokukaGqirha White, kungathatha ixesha ukuba ubuye uchume emva kokuba usukile eDepo-Provera, kwaye ukuba ukwiminyaka yama-30 okanye engama-40, awunaxesha lingako.
• Mhlawumbi ndiza kuba nabantwana. Ukuba ucinga njalo, ii-IUDs kunye nokufakelwa kunokuba kuhle kuba kunokukunika iminyaka yokuba ungacingi ngolawulo lokuzalwa ngelixa ugcina ukhetho, ukuba awuqinisekanga nge-100%, utshilo uGqirha White.
• Hayi, andicwangcisi ukuba nabantwana . Ukuba uyazi ukuba ugqibile ukuba nabantwana, cinga ngo [qhaqho] wenzalo, ucebisa uGqirha White. Nangona kunjalo, ukuba wena neqabane lakho anifuni kuhamba ngaloo ndlela, ungaqhubeka nokusebenzisa ipilisi, i-LARC, okanye enye indlela, ukuba awunayo imicimbi yezempilo enokuba yingxaki.

Ulawulo lokuzalwa kwabasetyhini abangaphezu kwama-40 banokukunceda ulawule iimpawu ze ixesha lokuphumla ukuba uhlangabezana. Thetha nogqirha wakho ukuba unenkxalabo malunga neempawu ezinje ngokutshisa okutshisayo, ukubila ebusuku, kunye nokomisa kwilungu lobufazi kwaye uxoxe ngokuba zeziphi iindlela ezinokuba zilungele wena. Ukuba awunayo nayiphi na into echasayo, indlela equkethe i-estrogen, njengenhlanganisela yolawulo lokuzalwa kwepilisi okanye iringi, inokukunceda ukulawula ezinye zezo mpawu, utshilo uGqirha Minkin. Kwaye ukuba ubandakanyeka neqabane elitsha, ungalibali ukusebenzisa iikhondom-ungasifumana isifo esidluliselwa ngesondo nangaliphi na ixesha.

Ukugcina ukhetho lwakho luvulekile

Ngokusekwe kwimpilo yakho okanye ezinye iimfuno, ezinye iindlela zolawulo lokuzalwa zinokuba ngcono kunezinye kuwe kwi-40s kunye ne-50s yakho. Kwaye, ezintsha zinokubakho kwimisebenzi. Kuhlala kulungile ukuphinda uvavanye kuba kuhlala kukho izinto ezintsha ezenzekayo, utshilo uGqirha Minkin.

Umzekelo, iU.S.Ukutya kunye noLawulo lweeDrug livume iringi entsha yelungu lobufazi ebizwa ngokuba Kubala Ngo-2018. Ngokungafaniyo UNuvaRing , enye iringi yelungu lobufazi kwintengiso, inokusetyenziselwa unyaka wonke. Kusafuneka uyisuse inyanga nenyanga, kodwa akufuneki ufumane entsha inyanga nenyanga kwikhemesti.

Kwaye ungoyiki ukuzama enye into ukuba indlela yakho yangoku ayisebenzi kuwe kunye neemfuno zakho ezithile. Kuluvavanyo kunye nempazamo kulawulo lokuzalwa, utshilo uGqirha Askew.