Umngane wakho ovela emsebenzini uyafunga ukuthi ubonile ukuthi kungani engazelele wapakisha amakhilogremu amane engeziwe ngenyanga edlule: Uqale uhlobo olusha lwephilisi lokulawula inzalo. Lena indaba owake wayizwa ngaphambili—siyazi, nathi sinayo—kodwa asiyibeke phansi unomphela. Kuyinganekwane.
Sazi kanjani? Sabuza udokotela. Mancane kakhulu amathuba okuthola isisindo kuzo zonke izindlela zokulawula ukuzalwa, kusho u-OB-GYN Adeeti Gupta , M.D., umsunguli kanye ne-CEO ye-Walk In GYN Care eQueens, eNew York. Kuyinganekwane ephelele ukuthi ukulawula ukuzalwa kubangela ukuzuza kwesisindo sangempela.
Kodwa umngane wakho inhlamba ibhulukwe lakhe alizwa liqina. Yini enikezayo? Sikhethe ubuchopho bukaDkt. Gupta ukuze sithole ulwazi oluthe xaxa.
Ngakho-ke akukho neyodwa yezindlela zokulawula inzalo emakethe ezongenza ngikhuluphale?
Hhayi impela . Nakuba kuyiqiniso ukuthi ayikho indlela yokulawula inzalo eyokwenza ube nesisindo esibalulekile noma ikubeke engcupheni yokuqhubeka nokuba nzima, ungase ubone ukwenyuka okuncane, okungamakhilogremu amathathu kuya kwamahlanu ekuqaleni uma uqala ukufakelwa (njenge-Nexplanon). ) noma umjovo (njengeDepo-Provera). Kodwa lesi sisindo siwukusabela kwamahomoni emuthini omusha ohlelweni lwakho okungenzeka ukuthi uhlehle ngemuva kokuphuma kwesistimu yakho, kweluleka uDkt. Gupta.
Ukukhula kwesisindo akuvamile kakhulu, kodwa uma umuntu ehlangabezana nakho ngemva kokuqala enye yalezi zindlela, kufanele azi ukuthi izokwehla ngokuhamba kwesikhathi, usho kanje. Ukuba phezu kokulawula ukuzalwa akukwenzi kube nzima ukwehlisa isisindo noma, ngisho noma isisindo siwuphawu (olungavamile) lomuthi ngokwawo.
Ingabe akhona amabhrendi noma izinhlobo zokulawula ukuzalwa ezixhumene nokuzuza isisindo?
UDkt. Gupta usitshela ukuthi asikho isidingo sokuthi siqhelelane nanoma yiziphi izinkampani ezikhona uma sikhathazekile ngokukhuluphala njengoba kwakhiwa isivimbeli sisu uqobo, hhayi isidakamizwa. amandla -sigcizelela lokhu kakhulu-kuholela kumakhilogremu ambalwa angaphezulu.
Abukho ubungozi bokuthola isisindo nge-IUD yethusi, kusho uDkt. Gupta, ebhekise kumshini we-intrauterine (njengeParagard) ofakwa esibelethweni. Abesifazane abakhetha i-IUD yamahomoni esikhundleni (njenge-Mirena) bangase babone inzuzo encane—bacabange ngepondo elilodwa noma amabili—kodwa lokhu kuzofika futhi kuhambe ngokushesha, uma kunjalo. Labo abakhetha iphilisi (njenge-Loestrin), indandatho (njenge-NuvaRing) noma isiqephu (njenge-Ortho Evra) bangase baqaphele ukugcinwa kwamanzi kancane ezinyangeni ezimbalwa zokuqala, kusho uDkt. Gupta, kodwa lesi akusona isisindo somzimba noma amafutha, ngakho-ke izohamba (isithembiso!).
Kodwa ngafunda ukuthi amazinga aphezulu e-estrogen (esinye sezithako ezisebenzayo ekulawuleni inzalo) azongenza ngilambe kunokuvamile. Ingabe lokho kungenza ngikhuluphale?
Lokhu kuyiqiniso, kodwa lezi akuzona izinto zokuvimbela inzalo zikamama wakho. Izindlela zanamuhla zokulawula inzalo ziqukethe ifomula ehlukile kunaleyo eyake yaba inkambiso ngenkathi iphilisi lisungulwa ngeminyaka yawo-1950. Ngaleso sikhathi, yayiqukethe ama-micrograms angu-150 we-estrogen, ngokusho kwe- Izikhungo Zezempilo Zikazwelonke , kodwa amaphilisi anamuhla nokunye okunjalo anama-microgram angu-20 kuya kwangu-50—ngamanye amazwi, awanele ukwenza ukhuluphale.
Le ntuthuko yezokwelapha ingesinye sezizathu eziningi esenza sibe nenhlanhla yokuba abantu besifazane ekhulwini lama-21 esikhundleni seminyaka yawo-1950, lapho iphilisi lalisanda kuvela (futhi ngokungananazi, hhayi konke okuhle kangako). Zonke izinketho ezitholakalayo njengamanje zicabangela izizathu eziningi ezahlukene owesifazane angase adinge noma afune incwadi kadokotela-ukwelapha induna, ukulwa nama-ovarian cysts ayinkinga, ukuvimbela ukukhulelwa noma ukusiza ukwelapha i-PCOS-ngaphandle kwezingozi nemiphumela engemihle omama no-anti bethu okwakudingeka bayibekezelele. .
Ngakho-ke cha, iphilisi lakho lokulawula ukuzalwa alinacala. Icala livaliwe.
OKUhlobene: Yikuphi Ukulawula Ukuzalwa Okungilungele? Yonke Indlela Eyodwa, Ichaziwe
