Kugonjetsa

Mwachidule za Kulamulira kwa Birth

Kulera, kapena kubereka, ndiko kugwiritsa ntchito zipangizo zosiyana, kugonana, njira zamakono, mankhwala, mankhwala, ndi / kapena opaleshoni pofuna kuyesetsa kupewa kupewa kutenga pakati pamene akugonana. Pali mitundu yambiri ya njira zothandizira kubereka zomwe zalembedwa mwachindunji monga kulera - zakhala zikuwonetseredwa kuti ndi zodalirika popewera kutenga pakati pakuchitika. Kuphatikiza pa kulera, kulera kwazonso kumatchedwanso njira za kulera, njira zothandizira njira zothandizira, kuteteza mimba, ndi chithandizo chobereka.

Njira Zowononga Zobadwa

Pali njira zambiri zothandizira njira zoberekera . Ndipo ndi njira zambiri, zingasokoneze. Kuphunzira kupindula ndi kupweteka kwa mtundu uliwonse kungakuthandizeni kusankha njira yoyenera kwa inu. Zimathandizanso kumvetsetsa kuti njira iliyonse imagwera pansi pa imodzi mwa magulu asanu:

• Zachilengedwe -Zomwe zimadziwika kuti kulera , izi ndi njira zothandizira kubereka zomwe muyenera kuchita kuti musamachite mimba. Kuti mupindule pogwiritsa ntchito njira zambiri zachilengedwe, muyenera kudziwa thupi lanu ndi zizindikiro zomwe zimapereka nthawi yonse ya kusamba.

• Progesin for Contraception Emergency and Control Control

• Chidule cha Kuleka Kuchetsa Kuchokera Kuchipatala

• Over-the-Counter (OTC) -Izi ndizo njira zomwe mungapeze mumsewu wamakono a sitolo yanu. Izi zikutanthauza kuti mukhoza kuzigula popanda dokotala . Mwachidziwitso, kulera kwa OTC kumagwira ntchito mwa kupanga mtundu wina wa chotchinga chomwe chimalepheretsa umuna kuti usafike pa dzira.
• Malemba - Izi ndizo njira zoyenera kuti mupite kukaonana ndi dokotala wanu kuti mukalandire mankhwala. Njirazi zimaphatikizapo kulandira chithandizo cham'mimba (kubereka kwa amayi omwe ali ndi progestin ndi / kapena estrogen ) ndi ma ARV .
• Permanent -Kodzinso kudziwika kuti kutenthetsa, njira izi zimakutetezani kuti musakhale ndi pakati. Amagwiritsidwa ntchito opaleshoni ndipo amodzi mwa njira zodziwika kwambiri zothandizira kubereka.

• Zoopsa - Izi ndi gulu lapadera. Zimaphatikizapo njira zomwe zimangotengedwa kumapeto kwa maola 120 chitetezo chosatetezeka kapena kulephera kubereka kuti muteteze kutenga mimba.

Ndani Ayenera Kugwiritsa Ntchito Kulera?

Ngati simukufuna kutenga mimba pakali pano-koma mukugonana-muyenera kugwiritsa ntchito njira yolerera . Chifukwa pali njira zambiri, muyenera kupeza njira yomwe ikugwirizana ndi moyo wanu ndikugwirizana ndi zosowa zanu.

Choncho, ngati muli ndi zotupa kwa latex, mwachitsanzo, amapanga makondomu kuchokera kumalo ena. Kapena, ngati simungagwiritse ntchito estrogen, pali njira zambiri zokhazikitsira progesin zomwe mungasankhe. Palibe zifukwa!

Kwa amayi 100 aliwonse amene amagonana kwa chaka chimodzi popanda kugwiritsa ntchito njira zoberekera, 85 akhoza kutenga pakati. Izi zikutanthauza kuti kusagwiritsa ntchito njira yolerera pamene mukugonana ndikofanana ndi 85 peresenti kuti mutenge mimba.

Tengani kamphindi kuganizira za zotsatira zomwe mwana ali nazo pakali pano pa moyo wanu. Ngati simunakonzekere ntchitoyi, gwiritsani ntchito njira zowononga.

Tili ndi mwayi kuti pali zinthu zambiri zomwe zingakhalepo masiku ano.

Mbiri Yachidule Yokonzekera Kubadwa

Pali umboni wakuti njira zakulera zakhala zikugwiritsidwa ntchito kuyambira kale. Koma njira zothandizira njira zowonetsera zedi zakhala zikupezeka kuyambira zaka za m'ma 2000.

Kodi mumadziwa kuti kugwiritsa ntchito njira zoletsa kubereka sikulepheretsedwe ku United States mpaka 1965? Zisanafike nthawiyi, zikanakhala zoletsedwa kapena zoletsedwa m'mayiko ambiri. Koma, pa June 7, 1965, pa mlandu wa Griswold v Connecticut , Khoti Lalikulu linagamula kuti anthu omwe ali pabanja anali ndi ufulu wodzipangira okha kapena osagwiritsa ntchito njira zoberekera. Komabe, izi zikutanthauza kuti okhawo okwatirana amaloledwa kugwiritsa ntchito njira zoberekera. Ndipo, mpaka 1972, mungapite kundende ngati mutapereka chithandizo cha kubereka kwa munthu wosakwatira.

Izi zinapitiliza kukhala lamulo mpaka pa March 22, 1972. Patsiku limenelo, pa Eisenstadt v. Baird , Khoti Lalikulu linagamula kuti anthu osakwatira ali ndi ufulu womwewo monga okwatirana kuti agwiritse ntchito kubereka.

Komanso, mpaka Tummino v. Hamburg mu 2013 kuti mitundu yambiri ya chithandizo chadzidzidzi inayamba kupezeka potsutsana ndi anthu a msinkhu uliwonse.

Mitundu Yeniyeni ya Kugonana

Apanso, kumakhala kosavuta kumvetsetsa mitundu yosiyanasiyana ya kulera yochokera kumagulu asanu:

• Zachibadwa - Kudziletsa , kugonana, kuchotsa , njira za kulera ( Billings Method , Symptothermal Method, ndi Standard Days Method ), ndi kupitiriza kuyamwa (Lactational Amenorrhea Method)
• Over-the-Counter- Makondomu a amuna (omwe alipo mu latex , pulasitiki ya polyurethane , polyisoprene osati la latex, ndi ana a nkhosakin ), makondomu aakazi , spermicide , ndi sponge
• Mavitamini- Piritsi , NuvaRing , chigamba , Depo-Provera , Nexplanon , IUDs ( ParaGard , Skyla , ndi Mirena ), chipewa cha khola lachiberekero, ndi chithunzithunzi
• Mwamuyaya- Zachikhalidwe vasectomy , keyhole / non-scalpel vasectomy , tubal ligation (njira zambiri zomwe zimachitika ndi monga mini-laparotomy ndi laparoscopic oyera ), ndi Essure
• Emergency- Pulogalamu yam'mbuyo yam'mbuyo ( Konzani B Yoyamba, Ndondomeko Yotsatira Yoyamba , Kugonjera, Njira Yanga , Opcicon One-Step, Action , EContraEZ, AfterPill , Next Choice , ndi Ella ), mapiritsi a EC okhaokha , komanso ParaGard IUD

• Ndichifukwa chiyani ndikufunikirabe kulipira chithandizo changa chakumayi?

• Kodi Mungapeze Njira Zotani Zowononga Zobadwa Pachilengedwe?

Monga mukuonera, njira zambiri zomwe zilipo ndi zazimayi. Kuwonjezera pa kudzipatula ndi kudziletsa, njira zokha zomwe amuna angasankhire ndi makondomu komanso amakhala ndi vasectomy. Mankhwala opatsirana pogwiritsa ntchito mahomoni amafufuzidwa panopa, koma palibe njira zomwe zilipo.

Mmene Mungagwiritsire Ntchito Njira Zomanga

Monga tanenera, pali mitundu yosiyanasiyana ya kulera. Koma njira iliyonse yapangidwa kuti igwire ntchito mwanjira inayake:

• Makhalidwe - Zochita monga kuyang'anira kusintha kwa thupi lanu kuti muzindikire pamene mukuvota (monga Billing's Method).
• Kujambulidwa -Koma mphamvu ya kubadwa imayikidwa mu thupi lanu kudzera mu jekeseni (monga kugwiritsa ntchito Depo-Provera ).
• Mwamwayi - Awa ndi njira monga mapiritsi a piritsi kapena mapiritsi oletsa kubereka chifukwa ayenera kutengedwa pakamwa panthawi imodzimodzi tsiku lililonse.
• Kuikidwa -Zoterezi ziyenera kuikidwa m'mimba kuti zisawononge umuna kuti usafike pa dzira, monga siponji , kondomu ya akazi , diaphragm, ndi spermicide . Zimaphatikizanso ndi NuvaRing yomwe imalowetsedwa mu chikazi kotero zimatha kumasula mahomoni.
• Kuikidwa -Magulu omwe dokotala ayenera kuyika kapena kuikapo chipangizo, monga IUD (yomwe imayikidwa mu chiberekero) ndi Nexplanon (yomwe imayikidwa pansi pa khungu m'dzanja lanu).
• Amuna - Amagwiritsira ntchito makondomu pamakina awo kuti amugwire umuna ndikuwutulutsa kunja kwa vaginja. Akazi akhoza kuvala chigamba chomwe chimatulutsa mahomoni kudzera pakhungu.
• Zowonjezera -Zomwezo ndizozosankha zokhazikika monga kutenga matope anu omangidwa kapena kukhala ndi vasectomy .

Chinthu chofunika kwambiri pa nkhani ya kulera ndi chakuti mumagwiritsira ntchito molondola komanso nthawi iliyonse yomwe mugonana. Ndiponso, ngakhale kuti njira zonsezi ndi zosiyana kwambiri, chinthu chimodzi chomwe iwo ali nacho ndi chakuti palibe njira (kupatula kudziletsa ) ndi yogwira ntchito 100 peresenti.

Kusankha Utsogoleri wa Kubadwa

Ndi ufulu wanu kugwiritsa ntchito njira zothandizira kulera komanso kusankha njira yomwe mungagwiritse ntchito ndi kusankha nokha. Palibe njira yabwino yowonetsera kubereka. Ndikofunika kufufuza njira iliyonse, kuyeza zoopsa ndi zopindulitsa, ganizirani momwe mungakhalire, ndikusankha zomwe zikugwirizana ndi moyo wanu, mlingo wanu wotonthoza, ndi / kapena zikhulupiriro zachipembedzo . Kuyankhula moona mtima ndi dokotala kungakuthandizeninso pakupanga kupanga chisankho.

Mbali ya chisankho chanu chokhudza njira yomwe mungasankhire njira zingakhale zochokera pazinthu zanu. Mwachitsanzo, ngati mwasankha kukhala ndi moyo watsopano, mungafune kugwiritsa ntchito njira yowakomera mtima kapena chipangizo chomwe chingagwiritsidwenso ntchito . Mwinanso mutha kulingalira momwe msanga wanu udzabwerere mutasiya kugwiritsa ntchito njira inayake.

Ndipo ngakhale mutagwiritsa ntchito kale njira yolerera, musamve ngati mulibe njira yeniyeniyo. Amayi ambiri amatha kugwiritsa ntchito njira zawo ndikupitiriza kuigwiritsa ntchito ngakhale atakhala osangalala nawo. Musalole izi kukhala inu!

Ngati simukukhutira, sungani njira yanu yoberekera . Pamene mumakhala omasuka komanso okondweretsedwa ndi momwe mulili ndi kachilombo ka HIV, mutha kugwiritsa ntchito bwino (ndi njira yolondola). Lolani kuti muzipatsidwa mphamvu pa thanzi lanu, zosankha zanu zobereka komanso kugonana, ndi kulamulira kwanu. Inu mumayang'anira thupi lanu.

Mawu Ochokera

Kukula kwa kulera kumakhudza kwambiri moyo. Zikhoza kukulolani kusankha kuti ndi ana angati amene mukufuna kukhala nawo komanso pamene mukufuna kutenga pakati. Palibe chifukwa chabwino chogwiritsa ntchito kubereka, koma ndi chisankho chanu.

Mungakhale ndi zifukwa zanu zokha kugwiritsa ntchito njira yowonetsera, koma kusankha njira iyenera kukhala chidziwitso chodziwitsa. Lankhulani ndi dokotala wanu ndi kukambirana moona mtima ndi mnzanuyo . Pezani kafukufuku wanu ndipo muwone njira yomwe ilipo. Kukhala okhulupilika ndi wekha ndikuchita "ntchito ya kunyumba" yanu kukuthandizani kusankha njira yabwino yobalera.

_Zotsatira:

_{Hatcher RA. Zipangizo zamakono . 20th ed. New York, NY: Kukonza Gap Communications; December 2011.}

_{Shoupe D, ed. Kulera . London, United Kingdom: Wiley-Blackwell (cholembedwa cha John Wiley & Sons Ltd); February 10, 2011.}