Kupewera kwa matenda opatsirana pogonana kwa amayi pachitetezo chokhalitsa chokhazikika
Anthu akamaganizira za kugonana mosasamala , amakhala ndi nkhawa ziwiri. Choyamba chodetsa nkhaŵa ndi, mwachoncho, chilengedwe chonse . Aliyense ayenera kulingalira chitetezo ku matenda opatsirana pogonana . Chisamaliro chachiwiri chiri chosiyana ndi amuna ndi akazi okhaokha. Chodetsa nkhaŵa ndikutetezera pa mimba.
Ponena za chitetezo cha mimba, njira yowonongeka yowononga nthawi yaitali (LARC) ndizosankhidwa bwino kwambiri.
Pali njira zingapo zothandizira LARC, koma zazikuluzikuluzi ndizo zikho ndi ma implants. IUDs ndi zipangizo zoikidwa mkati mwa chiberekero cha uterine. Angakhale kapena alibe mahomoni, ndipo amatha kukhala m'malo kwa zaka 12. Implants ndi kachipangizo kakang'ono kamene kamakhala pansi pa khungu la mkono. Chida ichi chimatulutsa mahomoni otsika kwa zaka zitatu.
Chifukwa chimene LARC chilimbikitsira ndikuti amayi sayenera kuganizira za iwo. Kuthandizira kapena kuyika kumaikidwa, ndipo ndizo. Mkazi amatetezedwa ku mimba kwa nthawi yaitali. Palibe chifukwa chogula zinthu. Palibe chifukwa chodandaula powona dokotala . Kamodzi, ma LARC amakhala abwino mpaka atatha. Ichi ndi chimodzi mwa zifukwa zomwe zakhala zikukondweretsera chidwi powagwiritsa ntchito kuchepetsa kutenga mimba. Iwo samafuna achinyamata kuti azikumbukira kumwa mapiritsi, kapena kuchita china chirichonse. Achinyamata amapita kuchipatala ndipo amatetezedwa kuti asatenge mimba kwa zaka zambiri.
Kulephera kugwiritsa ntchito njira yoyenera kulera ndi njira imodzi yothetsera vuto la kulera. Anthu amaiwala kutenga mapiritsi awo. Sagwiritsira ntchito spermicide ndi zidutswa. Amayiwala kuchoka m'chipinda chakumapeto kwa kondomu. LARC ndi zabwino chifukwa ndizovuta kwambiri kugwiritsa ntchito molakwika.
Chimene iwo samachita ndi kuteteza motsutsana ndi matenda opatsirana pogonana.
Bwanji Gwiritsani Ntchito Makondomu Ngati Mukuchita Kukhalitsa Kwambiri Kulimbana Kwambiri
Chinthu chabwino kwambiri chogwiritsa ntchito LARC ndi chimodzi mwa zovuta zazikulu kwambiri. Akazi omwe amagwiritsa ntchito LARC sayenera kulingalira za kugonana koziteteza kuti asatenge mimba. Komabe, ma LARC samachita chilichonse pofuna kupewa matenda opatsirana pogonana. Sitilepheretsa chiopsezo ku matenda. Choncho, aliyense wogwiritsa ntchito LARC kunja kwa mgwirizano wapamodzi wokhawokha , omwe amakhalapo nthawi zonse omwe apambana ayesedwa ayenera kulangizidwa kuti agwiritse ntchito makondomu . Tsoka ilo, izi sizichitika nthawi zonse.
Njira ziwiri zomwe zimagwiritsidwa ntchito, pogwiritsira ntchito njira ziwiri za kulera nthawi imodzi, ndizosazolowereka. Ndi akazi ochepa omwe amagwiritsa ntchito makondomu onse ndi LARC. Ngakhale kugwiritsira ntchito kondomu kuphatikizapo njira zothandizira pakamwa ndizosazolowereka. Kawirikawiri, chiphunzitsochi ndi chakuti akazi makamaka amachititsidwa ndi mimba kapena kupewa matenda. Kenaka amasankha njira zowathandiza kulera ndizofunikira. Kafukufuku akuwonetsanso kuti ogwiritsa ntchito njira ziwiri angathe kukhala osiyana ndi omwe amagwiritsa ntchito njira imodzi. Mwachitsanzo, kafukufuku wa 2014 adapeza kuti ogwiritsa ntchito njira ziwiri amatha kulandira katemera wa HPV . Izi zikuwonetsa anthu omwe ali okhudzidwa kwambiri ndi thanzi lawo la kugonana.
Komabe, ngakhale omwe amagwiritsa ntchito njira ziwiri sangagwiritse ntchito moyenera. Chitsanzo cha ana a zaka 18-44 anapeza kuti 40 peresenti ya zochitika zogonana zinagwiritsidwa ntchito pogwiritsa ntchito kondomu. Pazigawo khumi ndi ziwiri zazo zinali zochitika ziwiri. Mwamwayi, pofufuza mozama, ofufuzawo anazindikira kuti njira ziwiri zomwe ogwiritsira ntchito sanagwiritse ntchito makondomu molondola. Nthawi zambiri amachotsa kondomu kumayambiriro kapena amaika mochedwa. Kuonjezerapo, ochepa chabe omwe amagwiritsira ntchito njira amagwiritsira ntchito kondomu nthawi zonse. Mmalo mwake, iwo amangogwiritsa ntchito kokha pa zochitika zina za kugonana .
Achinyamata akugwiritsa ntchito LARC
Kupanda njira ziwiri zomwe zingagwiritsidwe ntchito zingakhale zovuta makamaka kwa atsikana achichepere.
Atsikana achichepere ali ndi chiwerengero chokwanira cha kugonana kwa STD. Izi zikutanthawuza kuti ndikofunika kuganizira za kupewa matenda opatsirana pogonana mukamapereka uphungu pa za kulera. Kupewa kutenga mimba ndi cholinga chofunikira. Komabe, pali magulu ena omwe akudandaula kuti kulimbikitsa kugwiritsa ntchito LARC kungapangitse chiopsezo cha matenda opatsirana pogonana. Nkhawa zoterezi zakhazikika.
Mu 2016, kafukufuku wofalitsidwa mu JAMA Pediatrics anapeza kuti achinyamata omwe amagwiritsa ntchito LARC anali 60 peresenti yochepa kuti agwiritse ntchito kondomu kusiyana ndi achinyamata pogwiritsa ntchito njira za kulera. Kugwiritsa ntchito kondomu pakati pa ogwiritsira ntchito LARC kunali ofanana ndi a atsikana omwe amagwiritsa ntchito njira zakulera zapakati monga Depo Provera, chigamba, ndi mphete. Izi zikutanthauza kuti njira zonse "kuziyika ndi kuziiwala" njira zomwezo zimachepetsa kugwiritsira ntchito kondomu. Izo sizodabwitsa kwenikweni. Kugwiritsira ntchito njira yautali kumatanthauza kuti nthawi zina nkhani yolankhulirana yogonana - ndi kuganiza-ikhoza kupita kumoto wambuyo.
Zina mwa izi zingathe kuperekedwa kudzera mwa njira zophunzitsira. Achinyamata ndi achikulire ayenera kukumbutsidwa kuti kutenga mimba sikuti ndiko kokha kogonana. Makondomu amateteza kuteteza matenda opatsirana pogonana. Amalimbikitsanso kuyankhulana kwapakati pa zibwenzi. Ndichomwe chingapangitse moyo wa kugonana womwe uli wathanzi komanso wokonda thupi.
Zotsatira:
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Chophimba J, Soren K. Kuchokera kwa nthawi yaitali Kuchititsanso Kuletsa Kubereka ndi Kugwiritsa Ntchito Kondomu: Tikufunikira Uthenga Wabwino. JAMA Wachipatala. Idasindikizidwa pa intaneti pa March 14, 2016. do: 10.1001 / jamapediatrics.2016.0141.
Steiner RJ, Liddon N, Swartzendruber AL, Rasberry CN, Mau JM. Kuchita Zakale Zomwe Zidzasinthidwa Pakati pa Kugonana ndi Kugwiritsira Ntchito Kondomu Pakati pa Ophunzira a Sukulu ya Sekondale ku United States: Zotsatira za Kupewa Kuteteza Kugonana. JAMA Wachipatala. Idasindikizidwa pa intaneti pa March 14, 2016. do: 10.1001 / jamapediatrics.2016.0007.
Vanderpool RC, Williams CM, Klawitter AR, Eddens K. Kugwiritsa ntchito njira ziwiri zolimbitsira thupi komanso HPV Vaccination pakati pa US. Achinyamata ndi Achinyamata Achikulire. Mayi Zaumoyo Zaumoyo. 2014 Sep-Oct; 24 (5): 543-50. lembani: 10.1016 / j.whi.2014.05.003.