Kuvala Makondomu Awiri Oposa Kuvala Chokha?

by Dawn Stacey, PhD, LMHC; Yofotokozedwa ndi Meredith Shur, MD

Makondomu Ambiri Akugulitsa

Makondomu Ambiri Akugulitsa - Inde kapena Ayi?

Funso lofala kwambiri lomwe ndikufunsidwa ponena za kugwiritsira ntchito kondomu ndiloti kapena kuvala makondomu awiri pa nthawi yogonana kumapereka chitetezo chabwino chokhala ndi mimba kuposa kugwiritsa ntchito imodzi yokha. Momwemonso, anthu ambiri amadzifunsanso ngati kuvala kondomu ya amuna ndi kondomu ya amayi kumachepetsa mwayi wokhala ndi pakati.

Kuvala makondomu awiri angakhale ngati maganizo abwino ...

Ndikumvetsa izi, mukamaganizira za izi, kuvala makondomu awiri nthawi yomweyo (omwe amadziwikanso kuti makondomu awiri ogwiritsira ntchito zikhomo) akhoza kukhala ngati maganizo abwino.

Koma, chizoloŵezi ichi sichinavomerezedwe kwenikweni. Palibe umboni wa sayansi womwe ukusonyeza kuti kuvala makondomu awiri kumagwira ntchito bwino kusiyana ndi kondomu imodzi Ngati mukuvala bwino kondomu . Kotero izi zikutanthauza kuti ndi bwino kungodalira kuvala kondomu imodzi yokha monga njira yanu yolerera . Ndipotu kondomu ndi 82% mpaka 98% zothandiza kupewa mimba.

Komanso, kumbukirani kuti kondomu ya amuna iyenera kusagwiritsidwa ntchito nthawi imodzimodzi ndi kondomu yazimayi. Mukagwiritsidwa ntchito nokha, makondomu a akazi ndi 79% mpaka 95% ogwira ntchito. Kuphatikizanso makondomu amuna ndi akazi ndi njira zokha zothandizira kulera kumene zingakuthandizeni kuti muteteze matenda opatsirana pogonana .

N'chifukwa Chiyani Makondomu Ambiri Akugulitsa Sitikulimbikitsidwa:

Ogwira ntchito zamankhwala (monga OB / GYN, asamwino ogwira ntchito zina, etc.) zindikirani kuti kuvala makondomu awiri pamodzi kungapangitse kukangana pakati pa makondomu nthawi yogonana. Izi zikhoza kuwapangitsa kuti aziwombera kapena kugwedezeka.

Chifukwa chovuta kupanga maphunziro a kafukufuku omwe amayang'ana kachitidwe ka kondomu kawiri, palibe mabuku ambiri a sayansi omwe amafotokoza chifukwa chake kuvala makondomu awiri sikuli bwino.

Izi zikunenedwa , ambiri a chipatala amavomereza kuti kuvala makondomu awiri nthawi yomweyo kumayambitsa mkangano wambiri, ndipo izi zikhoza kuwonjezera mwayi kuti kondomu imodzi kapena zonse zidzasweka.

Kodi Chidwi Chachidzinso cha Zamankhwala Chikunena Chiyani Ponena za Kuvala Makondomu Awiri Pakati pa Kugonana?

Makondomu sali okonzedwa kawiri kawiri, opanga makondomu ambiri amalangizanso motsutsana ndi chizoloŵezi ichi. Ndinagwira ntchito monga aphunzitsi a zaumoyo ndi katswiri wa kulera pa Planned Parenthood kwa zaka zambiri. Gawo la maphunziro ndi maphunziro anga anali kuphunzitsa anthu kuti asamaveke makondomu awiri nthawi yomweyo. Nazi zomwe mabungwe ena odalirika akunena:

Nyuzipepala ya National Health Service, yomwe imalandira ndalama zambiri padziko lonse, imachenjeza kuti ndi bwino kugwiritsa kondomu imodzi pokha pokha, ndipo kuvala makondomu awiri ndi "lingaliro loipa kwambiri."
Dipatimenti ya zaumoyo ku United States imalangiza kuti, "Musagwiritse ntchito kondomu ya amuna ndi abambo panthawi imodzimodzi, chifukwa izi zingayambitse makondomu onse."

Kodi Pali Sayansi Yonse ya Sayansi Ponena za Makondomu Okwanira Awiri?

Monga ndatchula kale, pali kafukufuku wamankhwala ochepa pa nkhaniyi. Zotsatirazi ndi zotsatira za maphunziro atatu omwe anafufuza kachitidwe ka kuvala makondomu awiri:

Kafukufuku wofalitsidwa mu Journal of Human Sexuality akuti kuvala makondomu awiri nthawi imodzi kungayambitse kukangana - kuwonjezera mwayi wodula kondomu.

Akatswiri ofufuza ena anapeza kuti kuthekera kwa kusokonezeka povala makondomu awiri nthawi imodzi ndi 3.4% - ndipo pamene izi zikuchitika, misozi yambiri imachitika pafupi ndi nsonga ya kondomu.
Phunziro lomaliza likunena kuti mphamvu ndi kuvomereza kondomu kawiri kawiri sizimadziwika. Zotsatira za kafukufukuyu zasonyeza kuti amuna 83 omwe anali ndi makondomu awiri, 19.3% (mmodzi mwa asanu) adanena kuti kuvala makondomu awiri kunachititsa kondomu kusiya. Ofufuzawo akulembanso kuti, "ngakhale kuti chiwerengero cha anthu osagwiritsa ntchito makondomu chinali chokwera kwambiri pamene makondomu awiri ankagwiritsidwa ntchito poyerekeza ndi kondomu imodzi yomwe idagwiritsidwa ntchito, zinali zosavuta kwambiri kuti makondomu onse asweke pakagwiritsidwa ntchito kawiri kawiri.

Mfundo Yofunika Kwambiri:

Ochita kafukufuku, pazifukwa zina, saganizira mozama za sayansi kugwiritsa ntchito kondomu kawiri. Chifukwa chaichi, palibe vuto lachipatala chodziwika bwino pankhaniyi. Ngakhale kuti palibe deta yambiri pa nkhaniyo, kumbukirani kuti onse ogwira ntchito zachipatala komanso opanga makondomu amanena kuti si bwino kugvala makondomu awiri nthawi yomweyo. Ndikuvomereza kuti palibe deta yokhutiritsa yomwe imanena kuti simuyenera kuvala makondomu awiri nthawi imodzi - KOMA palibenso kafukufuku amene ayesa njirayi ndikuthandizira kugwiritsa ntchito kondomu kawiri.

Choncho mfundo yaikulu ... kachitidwe kogwiritsira kondomu kawiri kawiri kogwera pansi pa gawo la "chizoloŵezi chovomerezeka" osati "umboni wa sayansi." Ndipo kwenikweni, ngati mukugwiritsa ntchito kondomu moyenera, ndiye kuti palibe chifukwa choti muzivala awiri a iwo - chimodzi chimagwira ntchito bwino. Zingakhalenso zothandiza kudziŵa kuti mwayi wa kondomu imodzi yoswa pa kugonana ndi yochepa:

CDC imasonyeza kuti makondomu awiri pa 100 aliwonse amatha kugwiritsa ntchito (2% peresenti yochepa).

Iyi ndi nkhani yomwe madokotala ndi aphunzitsi a zaumoyo adabwera ndi malangizowo abwino chifukwa cha kafukufuku wochepa komanso zomwe timadziwa pokhudzana ndi kondomu. Ndipo kuchokera pa zomwe tikudziwa: Ndizomveka kuganiza kuti mphira pa raba yomwe imapezeka mukamagwiritsa ntchito makondomu awiri (kapena pulasitiki pa raba ndi makondomu amphongo ndi abambo) amachititsa kuti mutha kukangana. Tikudziwanso kuti kusemphana kwowonjezereka kwagwirizanitsa ndi kuvulaza kondomu - ndipo izi zingachititse kuti kondomu isagwire ntchito bwino. Choncho ngakhale popanda "chidziwitso chodziwika" chasayansi kuti izi zitheke, nzeru zimapereka chifukwa chabwino chomwe makondomu angagwiritsire ntchito.

Dzifunseni nokha: Ndichifukwa chiyani ndikudera nkhaŵa za izi?

Zingakhale zothandiza kwambiri kuganizira malingaliro anu pa CHIFUKWA chimene mumamva kuti mukufunikira kuvala makondomu awiri nthawi yogonana. Kodi mukufuna kupanga makondomu awiri chifukwa mumakhulupirira kuti izi zidzakutetezani bwino? Ngati mukuchita mantha pokhapokha mutadalira makondomu, mukhoza kufufuza njira yowonjezera njira yoberekera. Kuti mutetezeke kwambiri pa mimba ndi matenda opatsirana pogonana, mungagwiritse ntchito bwanji kondomu pamodzi ndi njira ya kulera mthupi monga:

Ngati mphamvu ya kubadwa kwa mahomoni siyotheka, kugwiritsa ntchito kondomu kungathenso kuwonjezeka pogwiritsira ntchito kondomu ndi spermicide . Spermicides amapezekanso pa tsamba . Ngakhale spermicide ndi 72% mpaka 82% yogwiritsidwa ntchito pokhapokha, imakhala yogwira mtima kwambiri ikagwiritsidwa ntchito ndi njira ina yodzizira kubereka (monga kondomu). Mayi angathe kuganiziranso kugwiritsira ntchito kondomu pogwiritsira ntchito chikhomo kapena kapu ya chiberekero .

Kugwiritsira ntchito mafuta omwe angakuthandizeni kungathandizenso kuchepetsa kukangana kwa kondomu ndikuchepetsa mwayi umene kondomu yanu idzaphwasula. Posankha mafuta, sankhani chizindikiro chosungunula madzi, osati chotsitsa mafuta. Ambiri okwatirana amakondwera kwambiri ndi mafuta opangira silicone . Izi zimakhalabe zowonongeka kuposa zomwe zimakhala ndi madzi komanso zili zotetezeka kugwiritsa ntchito makondomu. Chifukwa kawirikawiri sizimayambitsa matenda enaake kapena zimakhala zokhumudwitsa khungu.

_Zotsatira:

_CDC. _{"Malangizo othandizira matenda opatsirana pogonana, 2010: Malangizo othandizira kupewa matenda."} _{Kuipa ndi Kufa Sabata Lamlungu (MMWR) .} _{December 17, 2010;} _{59 (RR12): 1-110.} _{Inapezeka pa February 12, 2016.}

_{Munoz K, Davtyan M, Brown B. "Kukonzanso kachilombo ka kondomu: Njira zothetsera vutoli."} _{Journal of Human Sexuality.} _{January 29, 2014;} _{Vesi 17. Anapezeka pa February 12, 2016.}

_{National Health Service.} _{"Makondomu: Dziwani zoona."} _11/10/2012. _{Inapezeka pa February 12, 2016.}

_{Rugpao S, Pruithithada N, Yutabootr Y, Prasertwitayakij W, Tovanabutra S. "Kusokonezeka kwa kondomu panthawi yogonana ku Chiang Mai, Thailand."} _{Kulera .} _{1993 Dec;} _{48 (6): 537-47.} _{Idapezeka kudzera mwachinsinsi.}

_{US Department of Health & Human Services.} _{"Kondomu yazimayi imalemba."} _{Office of Population Affairs.} _{Inapezeka pa February 12, 2016.}

_{Wolitski RJ, Halkitis PN, Parsons JT, Gomez CT.} _{"Kuzindikira ndi kugwiritsa ntchito njira zopewedwera zosavomerezeka ndi amuna opatsirana pogonana omwe ali ndi kachilombo ka HIV komanso amuna ndi akazi okhaokha."} _{AIDS Maphunziro ndi Kupewa .} _{2001 Aug;} _{13 (4): 291-301.} _{Idapezeka kudzera mwachinsinsi.}

_{Walsh TL, Frezieres RG, Peacock K, Nelson AL, Clark VA, Bernstein L, Wraxall BG.} _{"Mphamvu ya kondomu ya mwamuna wamwamuna: Kuphatikizidwa zotsatira za katatu zamakono zamakono zomwe zimagwiritsidwa ntchito monga zowonongeka m'mayesero ochipatala."} _{Kulera .} _2004; _{70: 407-13.} _{Idapezeka kudzera mwachinsinsi.}