Zimene Muyenera Kudziwa Zokhudza Zambiri Zopangira Zokambirana
Kwa amayi ena, kukhala ndi nthawi mwezi uliwonse ndizochepa kuposa zovuta. Kwa ena, zikhoza kutanthawuza sabata ndikuvutika. Pakati pa 20 peresenti ndi 40 peresenti ya akazi amakhala ndi nthawi zosasangalatsa. Kuchiza zizindikiro monga kupweteka kwa mutu, kupweteka kowawa , kutaya magazi kwambiri , ndi PMS ndi mankhwala ndi kutentha kwapadera ndi njira imodzi yothetsera vutoli. Njira ina ingakhale kuti apewe mapiritsi oletsa kubereka .
Momwe Makhalidwe Okhalira Amagwirira Ntchito
Pamene mapiritsi oyamwitsa anagwiritsidwa ntchito m'zaka za m'ma 1950, adagulitsidwa m'mapiritsi a mapiritsi makumi atatu ndi makumi awiri ndi awiri (21) omwe ali ndi mahomoni omwe amaimitsa minofu ndi magazi mu chiberekero cha uterine pokonzekera kutenga pakati. Zina zisanu ndi ziwirizo zinali malo omwe ankaloledwa kwa nthawi ya sabata. Mchitidwe wa 21/7 unakonzedwa chifukwa umayesa kwambiri kusamba. Pokhala ndi nthawi kamodzi pa mwezi amayi sangakhale okayikira kuti mapiritsi oletsa kubereka angasokoneze nthawi yawo "yachizolowezi" ndipo motero akhoza kukhala nawo. Kutenga mwezi uliwonse kumatsimikiziranso amayi kuti mapiritsi oletsa kubadwa anali kugwira ntchito yake-kuteteza mimba. Kumbukirani, panalibe mayesero apakhomo panthawi imeneyo.
Kutaya magazi kumene mumakhala nawo pa nthawi ya mapiritsi akuyenera kusamalidwa magazi, ndiko kukhetsa magazi ndi minofu yomwe imapezeka mu uterine pokonzekera mimba.
Ngati pambuyo pa kuvuta kwake palibe dzira la umuna kuti lilowe mu chiberekero, chophimba chokwera chimachotsedwa. Nthawi yonyenga yomwe imachitika pokhapokha pa njira zothandizira pakamwa amachedwa kutaya magazi . Mwazi umachokera mu chiberekero, koma chifukwa chipinda chimakhala chopyapyala, kutuluka magazi kuli kowala.
Nthawi Zing'onozing'ono, Mavuto Ochepa
Palibe vuto poletsa kupweteka kwa uterine pogwiritsa ntchito mapiritsi oletsa kubereka 21/7. Ngakhalenso palibe vuto lililonse kutenga mahomoni kwa masiku oposa 21 kuti muchotse magazi. Kafukufuku wa 2004 adapeza kuti kuthetsa kutaya kwa magazi kupyolera mwa kugwiritsa ntchito mankhwala opatsirana pakamwa kapena kupitilira kwabwino kungakhale ndi thanzi labwino kapena moyo. Ndipotu, kwa zaka makumi ambiri madokotala akhala akunena za mapiritsi oletsa kubereka pofuna kugwiritsa ntchito njira zosiyana siyana za amayi pafupipafupi pazifukwa zosiyanasiyana: kuthandizira kuthetsa matenda okhudzana ndi msambo kapena zizindikiro zokhudzana ndi msambo; kuti zikhale zosavuta kuthandizira ntchito zowunikira; komanso kuti atsimikizire kuti mkazi sadzakhala ndi nthawi yake ali pa tchuthi kapena nthawi yaukwati.
Kodi pali malire a momwe mkazi angathere nthawi yayitali popanda nthawi? Masiku osachepera 84, malinga ndi kafukufuku wa amayi ochepera zaka 40. Kafukufuku wina anapeza kuti atatenga tsiku lililonse kwa masiku 84 pambuyo pa masiku 7 a placebo-omwe amachepetsera chiwerengero cha nthawi kuchokera pa 13 mpaka 4- mapiritsi oyendayenda amapambana kupewa kutenga mimba komanso monga otetezeka monga 21/7 regimen. Phunziro lina likuyang'ana mapiritsi oletsa kubereka, Seasonale (ethinyl estradiol ndi levonorgestrel), anapeza kuti zotsatira zolakwika za mankhwalawa ndizopiritsi zonse za mankhwala oletsa kubereka, kupatula kutuluka kwa magazi, komwe kunali kofala kwambiri Seasonale.
Ngati muli ndi nthawi zochepa zomwe zimayambitsa zizindikiro zovuta kwambiri, simungathe kutenga nawo mbali pazochita zomwe mumasangalala nazo, mapiritsi oletsa kubereka angakhale njira yosavuta yothetsera. Lankhulani ndi dokotala wanu wamagetsi kapena wodwala wamba. Mukhoza kukhala mapiritsi amodzi tsiku ndi tsiku kuti musachotse nthawi zowawa, zosokoneza.
Zotsatira:
Anderson, FD, Gibbons, W, & Portman, D. "Kutetezeka Kwanthaŵi Yaitali Kwambiri Pogwiritsa Ntchito Mankhwala Ovomerezeka (Seasonale): Mlandu Wowonjezereka wa Multicenter Open-Label." American Journal of Obstetrics and Gynecology , 2006. 195 (1), 92-96.
Anderson, FD, Hait, H, & The Seasonale-301 Gulu Lophunzira. "Zambiri, Zophunzira Zambiri Zophunzira Zokhudza Kulankhulana." Kulera, 2003. 68 (2), 89-96.
Henzl, MR, & Polan, ML. "Kupewa Kusamba: Kukambirananso za Zamoyo ndi Zamoyo." Journal of Medicine Reproductive, 2004. 49 (3), 162-174.
Lin, K & Barnhart, K. "Kupititsa Kwachipatala kwa Kugonjetsa Kwachangu." Journal of Women's Health , 2007. 16 (8), 1171-1180.