Njira Zopangira Opaleshoni Zopangira Opaleshoni Ndiponso Zopanda Thandizo
Pali zifukwa zingapo zomwe zingasokoneze mphamvu yanu yobereka. Chimodzi mwa izi ndi kulemera. Kulemera kwambiri kapena kunenepa kungapangitse thupi lanu kugwiritsira ntchito mankhwalawa mofulumira kwambiri kusiyana ndi kachitidwe kawirikawiri, mofulumira kuwatsuka ku dongosolo lanu ndi kuchepetsa kuchuluka kwa mankhwala ogwira ntchito m'magazi anu.
Izi zingawononge chitetezo cha ma ARV ena monga mapiritsi , Nexplanon , ndi chigamba . Poonetsetsa kuti izi sizichitika, pali zinthu zingapo zimene mungachite.
Tubal Ligation
Tubal ligation ndi njira yosatha yoberekera. Kawirikawiri amatchedwa "kukhala ndi matayala anu omangirizidwa," ndi njira yopaleshoni yokonzera kutseka mazira. Kamodzi kazitsulo zikasindikizidwa, umuna sungathe kufika pa dzira. Ndi imodzi mwa njira zamakono zopangira opaleshoni .
Ngakhale palibe umboni wakuti kulemera kwako kudzasokoneza mphamvu ya tubal ligation, opaleshoni yokha nthawi zambiri imakhala yovuta kwambiri. Mu chiwerengero cha akazi, opaleshoni nthawi zambiri amatenga nthawi yayitali, amafuna anesthesia ambiri, ndipo amakhala ovuta kwambiri kuntchito.
Pochepetsa kuchepetsa ngozi, madokotala nthawi zambiri amalimbikitsa laparotomy yochepa (yovuta opaleshoni) ngati muli olemera kapena onenepa kwambiri.
Sungani
Njira ina yowonjezera opaleshoni ndiyo njira yowonjezera (yomwe imatchedwanso kuperewera kwachangu). Njira yowonetsera njira yoperekera kubereka imaphatikizapo "kukulitsa" mitsempha yowonongeka kuti iteteze umuna.
Njirayi ndi njira yowonetsera yobereka kwa amayi olemera kwambiri komanso olemera kwambiri kuposa momwe amachitira popanda aesthesia komanso samafuna kulowa m'mimba. Ndizofunikira, zitsime ziwiri zazing'ono zitsulo (zomwe zimadziwika ngati tizilombo toyambitsa tizilombo) zimayikidwa mu phula lililonse. Mukamayika, mapiritsi a coilisi amachititsa kukula kwa minofu yomwe imatulutsa timachubu
Zida za Intrauterine (IUDs)
Zipangizo zamakono (IUDs) monga ParaGard zamkuwa zamphongo ndi Skyla levonorgestrel-kutulutsa IUD ndi njira zothandiza kwambiri zowonetsera amayi oposa kwambiri.
Chinthu chokha chokhalira ndikumangika kungakhale kuika kwenikweni chipangizochi. Ngati muli olemera kwambiri, nthawi zina zimakhala zovuta kupeza kachilombo ka HIV kapena kudziwa kukula kwa chiberekero chanu. Dokotala wanu amatha kugonjetsa izi pogwiritsira ntchito ultrasound ndi zipangizo zina zapadera kuti athandizidwe kuika IUD.
Kafukufuku akuwonetsanso kuti ma IUD angakhale njira yabwino kwambiri komanso yothandiza kwambiri yoberekera kwa amayi oposa. IUDs ingathandizenso kuchepetsa khansa ya m'magazi ndi hyperplasia , zomwe zimakhala zovuta kwambiri kwa amayi.
Depo-subQ Provera 104
Pali vesi latsopano la Depo Provera lomwe linatchedwa Depo-subQ Provera 104 . Mtundu uwu wosakhala wamuyaya wa kubereka uli ndi 31% osachepera mahomoni omwe amapezeka kale ndipo, motero, amakhala ndi zotsatira zochepa za zotsatira zoyipa.
Amayiranso pansi pa khungu kusiyana ndi minofu. Mfuti imatulutsidwa kamodzi, kapena masabata 12 mpaka 14.
Depo-subQ Provera 104 inasonyezedwa kuti ili yothandiza kwa amayi olemera mu maphunziro awiri osiyana. Komabe, chimodzi chovuta kwambiri ndi chakuti mankhwalawa amadziwika kuti amachititsa kulemera , makamaka ngati mukulimbana ndi kulemera.
Chinthu chinanso choganiziranso n'chakuti akhoza kutenga miyezi isanu ndi iwiri ndi 10 kuti athetsere chithandizo kamodzi kamodzi katayimitsidwa. Akazi olemera kwambiri, zingatenge nthawi yayitali.
Njira Zolepheretsa Kubadwira
Njira yoletsa kubereka ndi chipangizo chomwe chimateteza umuna kuti usalowe mkati mwa chiberekero. Ngakhale kuti njira za kulerazi zingakhale zodalirika kwambiri, ziyenera kugwiritsidwa ntchito moyenera. Kulephera kumagwirizanitsidwa ndi ntchito yolakwika kapena yosagwirizana osati vuto la mankhwalawo.
Njira zothetsera kubereka zimaphatikizapo makondomu amuna, makondomu azimayi , spermicides , siponji , zidutswa , ndi chikhomo cha khola .
Mukhoza kuonjezeranso bwino kugwiritsa ntchito njira ziwiri, zomwe zimagwiritsira ntchito kondomu ndi spermicide kapena chifuwa chokhala ndi kondomu. Ngati simukudziwa momwe mungagwiritsire ntchito mankhwala, lankhulani ndi dokotala wanu kapena funsani mankhwala anu.
> Zotsatira:
> Batur, P .; Bowersox, N .; ndi McNamara. M. "Kulera: Zogwira ntchito, Zowopsa, Zopitirirabe, ndi Kugwiritsa Ntchito Akazi Oopsa." Journal of Women's Health. 2016; 25 (8): 853-856. DOI: 10.1089 / jwh.2016.5942.
> Reifsnider, E .; Mendias, M .; Davila, Y. et al. "Kulera ndi amayi obisala." J Amayi Nurse Pract. 2013; 25 (5): 223-233. DOI: 10.1111 / 1745-7599.12011.