Thina sihlanze amakhaya ethu wamandla amabi. Siqeda abangani abanobuthi. Sikhipha ubuthi sisebenzisa izitshalo zasendlini namabhulashi owomile nesobho likakhukhunathi we-vegan namamaski amakhwapha (linda, ini?).
Kodwa muva nje, kuye kwaphakanyiswa imibuzo engathi sína imibuthano yezempilo ku-inthanethi futhi phakathi kwabesifazane esibaziyo, bebuza ukuthi ukusetshenziswa okungapheli kwezivimbe-nzalo ezisekelwe ku-hormone kungaba yingozi yini kunalokho esikuqaphelile.
Ingabe sidinga ukukhipha ubuthi ephilisini?
Kuyindida enzima efika eduze kwasekhaya. Ngaphandle kokukhulelwa kwami okubili, ngidle iphilisi iminyaka engu-22 ilandelana. Njengabesifazane abaningi, ngaqala ukuyiphuza ngisemusha, ukuze ngilawule amajaqamba okubuhlungu okuya esikhathini. Kodwa lapho ngifunda okwengeziwe ngesixhumanisi sephilisi ekwenyukeni kwengozi yomdlavuza, ukukhathazeka nokucindezeleka , kulapho ngizibuza khona ukuthi ingabe isahlala inketho yami enempilo kakhulu.
Ngisho nokuphakamisa lesi sihloko kuzwakala kuyindelelo—njengokungena endaweni yezombangazwe yamabhomu. Njengoba I-New York kamagazini u-Anna Silman ubuza ngokujulile indaba ngesihloko, Ingabe kuwukungavumelani nabesifazane ukubuza iphilisi? Uma kubhekwa ukuthi izizukulwane ezidlule zabesifazane zilwe kanzima kangakanani ukuze zifinyelele ukulawulwa kokuzalwa, nokuthi yini okwakudingeka bakubekezelele ngaphandle kwakho, ngikhathazeka ngokudonsela ukunaka ekunciphiseni okungenzeka kwephilisi-okuyinto, ngendlela, isayensi igcizelela ukuthi mincane . Eqinisweni, iphilisi lingase libe nciphisa ingozi yakho yomdlavuza othile. Futhi ezinye izifundo zibonisa ukuthi kungenzeka ukunciphisa izimpawu zokucindezeleka . Nawe udidekile njengami?
Njengoba ngilinganisa ubuhle nobubi bomuntu ngokujulile, nasi isigaba sendatshana kaSilman engingakwazi ukusikhipha ekhanda lami. Uxoxa noDkt. Sarah Hill, uprofesa wezengqondo e-Texas Christian University nombhali wencwadi Lena Ingqondo Yakho Ekulawuleni Ukuzalwa . UDkt. Hill ugqamisa ukuntula kwabesifazane abadlangile emaphilisini abangase bakuzwe. Lokhu kuba buthuntu okuvamile, uphakamisa ukuthi, ukusabela kwamakhemikhali ezinto eziphilayo ekusebenzisaneni kwephilisi namazinga amahomoni ethu. Futhi lawa mahomoni ayingxenye yomshini wokubonisa izimpawu osenza sizizwe 'thina.'…Ukuba namazinga aphansi alawa mahomoni kungase kwenze ubuchopho besifazane abaphuza amaphilisi bungabi nesasasa futhi bungakwazi ukumunca konke ukujula kokuhlangenwe nakho kwabo kunokungewona amaphilisi. - ukuthatha ubuchopho. Kungase kwenze ukuphila kuzizwe kuyisicaba.
Kuyini ukuvumelana komphakathi wezokwelapha kukho konke lokhu? Sazi kanjani ukuthi ukusebenzisa iphilisi isikhathi eside kungasilimaza, ngisho nangendlela ethile ewubukhazikhazi, engabonakali? Ngisho noma zizincane, sinquma kanjani ukuthi izingozi zikufanele?
Ngabuza uDkt. Aviva Romm , M.D.—udokotela womndeni oqeqeshwe yi-Yale-and Tufts kanye nezokubelethisa—le mibuzo neminye eminingi. Ingxoxo yethu ehleliwe nefinyeziwe ingezansi.
Q: Okokuqala nje, ungaliyeka iphilisi elibandayo ngaphandle kwemiphumela emibi yezempilo?
A: Yebo. Akuwona umuthi okufanele uwususe. Ungamisa iphilisi noma nini.
Okuhlobene: Izinto Eziyisi-6 Ezingenzeka Uma Uyeka Ukuphuza Iphilisi
Q: Ingabe ikhona into efana ne-'Post Birth Control Syndrome'?
A: Ayikho i-technical syndrome ebizwa nge-Post Birth Control Syndrome. Esikwaziyo ukuthi kunesimo sezimpawu abantu besifazane, abavame ukuba nazo uma bengawasebenzisi amaphilisi. Kodwa ngokwezibalo, okungenani amaphesenti angu-80 abesifazane abangawasebenzisi amaphilisi bazobe behamba ngamabhayisikili ngokuvamile phakathi nezinyanga ezintathu. Nokho, khumbula ukuthi amaphesenti angu-50 abesifazane adla iphilisi ngezizathu ezingezona zokuvimbela inzalo. Isibonelo, abesifazane abaningi banezimpawu ze-Polycystic Ovary Syndrome (PCOS) futhi lokho kubenza basebenzise amaphilisi, ngezinye izikhathi ngaphandle kokuxilongwa okufanele. Mhlawumbe babenesikhathi esingavamile noma esinzima noma babengayi esikhathini noma babe nezinduna, udokotela wabo wezifo zabesifazane wathi, 'Kufanele uphuze iphilisi.' Ngakho-ke lapho bephuma ephilisi, babuyela lapho bekhona ngaphambili. Uma bebenesikhathi esingajwayelekile ngaphambilini, bangase baphinde bazizwe lezo zimpawu. Uma bebenezinduna ngaphambilini, zingabuya. Kodwa ngike ngaba neziguli neze babenezinduna ngaphambili, ababedla iphilisi ngezinye izikhathi iminyaka eyishumi, abaphuma kulo futhi manje sebenezinduna.
Q: Kodwa asikho isidingo 'sokukhipha ubuthi' ephilisi?
IMP: Cha. Iningi labesifazane ababengenazo izimpawu zokungalingani kwe-gynecologic noma ama-hormonal ngaphambi kokuthatha iphilisi bazoqala kabusha ukuhamba ngamabhayisikili ngaphandle kwenkinga futhi ngeke babe nezinkinga. Kodwa-ke, abanye besifazane banesiqalo esisha sokungahambi kahle kokuya esikhathini, izinduna noma ezinye izimpawu zangemva kwephilisi. Lokhu kuvame ukuba kubaluleke kakhulu, nokho, kwabesifazane abadle iphilisi ngenxa yezizathu ezingezona zokuvimbela inzalo, lapho ungase ube nomsebenzi othile ukuze wenze amahomoni akho alingane. Kodwa awudingi ukukhipha ubuthi ngemva kokuphuma ephilisi. Umzimba wakho uzobuyela ekwenzeni lokho obukwenza ngokujwayelekile. Amazinga akho e-estrogen ne-progesterone azophuma ngokushesha uma unomsebenzi ojwayelekile ojwayelekile wokukhipha ubuthi esibindini. Kodwa sonke kufanele sikunake ukuthola imisoco esiyidingayo ukuze sigcine uhlelo lwethu lokususa ubuthi bunempilo (njengokudla okuhle, Ukudla kwesitayela saseMedithera , kanye nokuthatha ivithamini eminingi noma yokubeletha) futhi unciphise ubuthi bemvelo obuthinta leyo sistimu.
Q: Kufanele sikhathazeke kangakanani ngezingozi ezihlobene nephilisi, noma ngabe siliphuza isikhathi esifushane noma eside?
IMP: Kunemiphumela engemihle eqinisekile, engokoqobo kakhulu evela kumaphilisi, futhi abesifazane kufanele baziswe ngalokhu ngochwepheshe bezempilo, abavame ukunciphisa ubungozi. Angicabangi ukuthi abesifazane kufanele babe kukho unomphela. A isifundo esikhulu usanda kuphuma ethi ngisho nokuba iphilisi nje izinyanga eziyisithupha kwandisa amathuba okuba nesifo sikashukela uma usukhulile. Futhi ezinye izingozi zaziwa kahle—ngokwesibonelo, ukwanda kwengozi yamahlule egazi. Nakuba abanye bezosho lokho ngokwezibalo, ingozi yowesifazane okhulelwe yokuba namahlule egazi iphakeme kakhulu kunengozi yamahlule egazi ngephilisi, okuyiqiniso, khumbula ukuthi ukhulelwe izinyanga eziyishumi kuphela ngesikhathi, futhi ungase ngidle iphilisi iminyaka eyishumi. Uma une-migraines ene-aura, uma ubhema futhi ungaphezu kweminyaka engama-35 futhi usebenzisa iphilisi lokulawula ukuzalwa, khona-ke usengozini enkulu kakhulu yehlule noma unhlangothi. Kuwukuhlakanipha ukuqaphela ukuthi yiziphi izimpawu zale miphumela emibi ukuze wazi ukuthi yini okufanele uyibheke.
Q: Ingabe zikhona izinhlanganisela ezithile zamahomoni eziza nobungozi obukhulu kunezinye?
A: Yonke imithi, ngisho neTylenol noma ibuprofen, inezingozi ezithile. Amaphilisi ane-estrogen kubonakala kuyiwo abangela ingozi enkulu. Okuningi [okubi] esikuhlobanisa nephilisi kuqhutshwa i-estrogen ngempela. Ucwaningo lubonisa ukuthi kukhona ukwanda kwengozi yesifo sikaCrohn ehambisana namaphilisi aqukethe i-estrogen. Futhi ngokuvamile i-estrogen ephilisi ezodala ukushintsha kwemizwa nokuzuza kwesisindo. Sekushiwo lokho, amaphilisi e-progestin kuphela angabangela ukushintsha kwemizwelo, futhi angase ande ukucindezeleka nokukhathazeka . Ngihlale ngithanda amaphilisi e-progestin kuphela ukuze ngiphephe kakhulu. Kodwa akusho ukuthi kuyingozi ngokuphelele kuwo wonke umuntu wesifazane ukuba abe sephilisi.
Q: Ngakho-ke, lo mbono wokuthi sizifaka ubuthi ngokusetshenziswa isikhathi eside kwamahomoni enziwe umuntu awuzwakali ngempela?
IMP: Uma sithatha ukulawulwa kokuzalwa kwamahomoni, sinika imizimba yethu amahomoni amaningi kunalokho okufanele siwathole ngokomzimba. Ngakho-ke, sifuna ukukukhumbula lokho. Kodwa lokho akusho ukuthi kudala indawo enobuthi, futhi akusho ukuthi umzimba wakho awukwazi ukuwuphatha. Kusho ukuthi ufuna ukwenza isiqiniseko sokuthi unikeza umzimba wakho lokho okudingayo ukuze unxephezele imisoco esetshenziswayo; iphilisi liyayiqeda imisoco ethile njengama-antioxidants .
Uma usebenzisa iphilisi nganoma yisiphi salezo ezinye izizathu okungezona ezokuvimbela inzalo, kubalulekile ngempela ukubheka izimbangela zalezo zimo futhi welaphe lezo zimo, hhayi nje ukucindezela noma ukuvala lezo zimpawu ngephilisi.
Emsebenzini wami wezokwelapha, uma nginesiguli esizimisele ukuzama izindlela ezingezona ezemithi zezimpawu ze-gynecologic, ngizohlala ngikhuthaza izinketho ezinjalo kuqala; isibonelo, amasu okudla. Ngokuvimbela inzalo, ukuhlela umndeni kwemvelo kanye nezinhlobo ezingezona zamahomoni zokuvimbela inzalo njenge-IUD engenawo amahomoni, noma ukusebenzisa amakhondomu ngenkuthalo nangendlela efanele, kuyizinketho ezinhle kakhulu.
OKUhlobene: Yikuphi Ukulawula Ukuzalwa Okungilungele? Yonke Indlela Eyodwa, Ichaziwe
Umbuzo: Ingabe ukuphuza iphilisi isikhathi eside ngaphambi kokuba ukhulelwe kube nomthelela omubi ekukhuleni kwengane?
IMP: Cha. Abukho ubufakazi balokho. Futhi akukaze kube khona izinkinga zokuzalwa ezihlobene nokuvimbela inzalo okuphuthumayo. Ngakho-ke ngisho noma uthatha iphilisi yasekuseni, ayisebenzi, futhi uhlala ukhulelwe, lokho akuzange kuboniswe ukuthi kunemiphumela emibi eyingozi.
Q: Ingabe ukuntuleka kokunyakazisa abanye besifazane bazizwa kungokoqobo? Kungaba a nocebo umphumela wokusabela ekufundeni ngezimpawu ezingezinhle ezihlobene nephilisi?
A: Kuyingxenye eyodwa yendaba. Eqinisweni, abanye besifazane abathatha iphilisi bazizwa benenkululeko emangalisayo yokuphishekela imisebenzi yabo, ukuba nempilo ekhululekile yocansi. Futhi uma abesifazane behlushwa ubuhlungu obungapheli-ake sithi bane-endometriosis futhi iphilisi liye lasiza ukukhulula lokho kancane-khona-ke bangase bazizwe Okuningi amandla kanye Okuningi udlame ukwedlula uma bekhungethwe izimpawu ezimbi.
Kodwa, siyazi ukuthi ngemijikelezo yethu, lapho singekho kumaphilisi, sinokukhuphuka okungokwemvelo kwamandla. Ngakho-ke, isibonelo, phakathi nomjikelezo wokuyaluza nge-ovulation, abesifazane bavame ukuba namandla okudala, ukuqhuma ekushayeleni umphakathi, befuna ukuphuma okwengeziwe, ukuxhumana nabanye abantu, isifiso esikhulu socansi, futhi ngokuthakazelisayo, ikhono elikhulu lokufunda ubuso bomuntu. futhi ubone 'ingozi ongayaziyo'—ngokwesibonelo, uma uzikhiphe endaweni yokucima ukoma noma uphole. Iphilisi licindezela i-ovulation futhi, ngalo, lingacindezela le mibono yokudala neyomphakathi.
Kunobuhle nobubi bokuba sephilisi. Kuyinkinga eyinkimbinkimbi. Ayikho impendulo eyodwa kuphela. Kuyisinqumo somuntu siqu. Okubaluleke kakhulu ukuthi abesifazane banesinqumo phezu kokuzala kwabo. Amaphilisi okulawula ukubeletha ayingxenye yokunikeza abesifazane lokho kukhetha. Abesifazane akufanele benziwe bazizwe benecala ngokudla iphilisi, noma ingcindezi yokuthi bayeke ukusebenzisa iphilisi uma libasebenzela. Abesifazane kudingeka babe nolwazi ngezinye izindlela zokwelapha ukungalingani kwamahomoni, izinketho zokuvimbela inzalo, kanye nezingozi zamaphilisi, futhi bazi ngobungozi. izici ezandisa lezo zingozi. Kodwa akudingeki silahle iphilisi ngamanzi okugeza.
OKUhlobene: Isikhathi Esingcono Kakhulu Sokukhulelwa, Ngokusho Kochwepheshe Bokuzala
