Ngati mwayamba kumwa mapiritsi ndikuzindikira kuti muli ndi pakati, mungadabwe ngati izi zingayambitse mwanayo kuvulaza ndipo ngati pali mwayi woti ungapititse padera kapena kubereka.
Kafukufuku ambiri amasonyeza kuti simuyenera kudandaula. Pali mitundu ina yowononga yobereka yomwe ingayambitse mavuto, koma, makamaka, kugwiritsa ntchito mapiritsi oletsa kubereka kapena zipangizo zina zotulutsa mahomoni (monga Patch kapena NuvaRing ) ndizovuta.
Pulogalamu ya Kugonana ya Kubadwa ndi Zofooka za Kubadwa
Malingana ndi US Food and Drug Administration (FDA), palibe umboni wosonyeza kuti kutenga mapiritsi oletsa kubereka kapena mapiritsi a progestin okha pokhapokha pathupi padzamuvulaza mwana mwanjira iliyonse, mwina poonjezera chiopsezo cha zolephereka kubadwa kapena kubweretsa mavuto a mimba.
Ndikofunika kuzindikira kuti palibenso kafukufuku wambiri pa nkhaniyi. Izi si chifukwa cha kuyang'anira kapena kusowa chidwi. Makhalidwe azachipatala sakanalola aliyense kuchita kafukufuku yemwe angaike mayi kapena mwana wake wosabadwa m'njira yoyipa.
Momwemonso, deta zambiri zimachokera ku kafukufuku wa matenda okhudza matenda a mthupi mwa amayi poyerekeza ndi amayi omwe agwiritsira ntchito mapiritsi oletsa kubereka pa nthawi yomwe ali ndi pakati pa omwe alibe. Pankhani iyi, pakhala kusiyana kwakukulu pakati pa chiwerengero cha zilema zobereka, kuperewera kwa amayi, kapena kubereka pakati pa gulu.
Pomwe zikunenedwa, sikulimbikitsidwa kuti mupitilize kulandira chithandizo ngati muli ndi pakati.
Pamapeto pake, mankhwala omwe mumatenga amatengedwanso ndi mwana wanu. Choncho ngati mukuganiza kuti mutha kutenga mimba, yesani kuyesedwa mimba kuti mudziwe bwinobwino. Ndipo, ngati simungathe kutero, ganizirani kugwiritsa ntchito njira zina za kulera (monga kondomu kapena siponji ) mpaka nthawi yomwe mungathe.
CDC imanena kuti progestins yomwe imatengedwa kumayambiriro kwa mimba pang'ono imawonjezera chiopsezo cha hypospadias mwa anyamata (chilema chobadwa kumene kutsegula kwa urethra sikupezeka pampando wa mbolo).
Maphunziro omwe amatsogolera pamapeto amenewa ndi akuluakulu ndipo ambiri mwa amayi amakhala ndi progestin chifukwa cha infertility kapena kuteteza kuchepa kwa mimba komanso osati kuchepa kwa mankhwala omwe amapezeka m'mapiritsi a masiku ano.
Kulamulidwa ndi Kubadwa ndi Kusamvana Kwambiri
Azimayi ena amakhulupirira kuti ngati apitiliza kutenga mapiritsi akakhala ndi pakati, akhoza kupita padera. Izi si zoona, ndipo palibe umboni uliwonse wosonyeza kuti. Mapiritsi a mapiritsi amagwira ntchito yowonjezera kumimba ya chiberekero kuti ateteze umuna kulowa m'chiberekero, kuimitsa chifuwa , ndi kuteteza kuphulika kwa uterine mmwamba kuti zithandize kukhazikika. Palibe chimodzi mwa zinthu zimenezi chimapangitsa kuti pakhale padera kapena kubereka.
Nthano inanso ndi yakuti kugwiritsa ntchito njira yofulumira kubereka (monga Plan B One Step or AfterPill ) pamene muli ndi pakati mungayambe kuthetsa mimba mwako. Izi sizinali zoona. Mapiritsiwa samakhala ndi mphamvu kamodzi kamodzi kamene dzira la feteleza lafalikira.
Pali mankhwala enieni omwe angathe kuthetsa mimba ngati mukufuna. Komabe, izi sizingatengedwe kuti zitha kulera koma njira yochotsera mimba . Mwamidzi wotchedwa Mifepristone (RU486) , piritsi yochotsa mimba wakhala FDA -vomerezedwa ku United States kuyambira 2000.
KUDZIWA NDI MALO OTSOGOLERA PADZIKO LONSE
Ngati muli ndi chipangizo cha intrauterine (IUD) ndikukhala ndi pakati, pangakhale zovuta. Kafukufuku amasonyeza kuti ngati mkazi wasankha kusiya mwanayo panthawi yomwe ali ndi mimba, chiopsezo chake chokwatirako chidzawonjezeka kufika pafupifupi 40 peresenti. Komanso, ikhoza kuchititsa kuti pakhale mwayi wokhala ndi mwana woyamba kubereka ndi 500 peresenti.
Pokhala ndi zoopsazi m'maganizo, muyenera kuitanira dokotala mwamsanga kuti muchotse HIV yanu ngati mutakhala ndi pakati ndikuganiza kuti mupitirizebe kutenga mimba. Kuchotsa IUD mwamsanga pa nthawi yake kungathetseretu mavuto.
Mawu Ochokera
Kugwiritsidwa ntchito kosalekeza kwa mapiritsi oyambilira pakulera koyambirira kukuwoneka kukhala koopsa.
Ngati muli ndi pakati, kambiranani mankhwala alionse, mankhwala opatsirana, komanso zogulitsa mankhwala ndi dokotala wanu. Ndi kwanzeru kusiya kugonana pamene mukupeza kuti uli ndi mimba.
> Zotsatira:
> Charlton B, Mølgaard-Nielsen D, Svanström H, et al. Kugwiritsira ntchito amayi opatsirana pogonana ndi chiopsezo cha kuwonongeka kwa amayi ku Denmark: omwe akuyembekezera, maphunziro a gulu lonse. BMJ . 2016; 352: h6712.
> Waller D, Gallaway M, Ramadhani T, et al. Kugwiritsira ntchito njira zothandizira pakamwa pamimba ndi zovuta zazikulu za kubala ana. Epidemiology. 2010; 21 (2): 232-239.
> Kuchita Kafukufuku Wachiwiri. Maofesi a Kuletsa ndi Kuteteza Matenda. https://www.cdc.gov/pregnancy/meds/kufunafuna/research.html.