IUDs ndi makokosi achiberekero amapanga mndandanda uwu
Pali zifukwa zingapo zomwe zimagwira ntchito posankha njira yoyenera kuberekera bwino kuti muteteze mimba. Kukhala ndi thanzi lanu lonse, msinkhu, chiwerewere cha kugonana, chiwerengero cha abwenzi omwe muli nawo, komanso ngati mukufuna kukhala ndi ana m'tsogolomu muyenera kuganiziridwa musanasankhe njira yoletsa kubereka.
Piritsi
Mapiritsi ndiwo njira yoyamba yomwe amayi ambiri amaganizira pamene akuganizira za kubereka.
Lero lipiritsi likupezeka pamodzi kuphatikizapo njira zothandizira kulandira mankhwala (COC) zomwe zili ndi estrogen ndi progestin kapena piritsi zokhazokha (POP).
COCs zimagwira ntchito popondereza ovulation ndipo zimapanga nthawi zambiri. Malingana ndi lipoti la FDA Consumer , amaperekanso chitetezo choletsa matenda opatsirana a pelvic (PID) komanso khansa ya ovary ndi endometrial khansa. Mapiritsiwa amaonedwa kuti ndi otetezeka kwa amayi ambiri, komabe amayi omwe amasuta fodya komanso opitirira 35 kapena omwe ali ndi mbiri ya banja lachilendo sayenera kugwiritsa ntchito njira za kulera pamlomo chifukwa cha kuopsa kwa matenda a mtima.
Akazi omwe ali ndi mbiri yachipatala yamagazi a magazi kapena khansa ya m'mawere kapena endometrial sayenera kugwiritsa ntchito njira zothandizira kulumikizana kwapakhomo. Zotsatira zowonjezereka zomwe zingathe kubwerera pambuyo pa miyezi ingapo zikuphatikizapo kunyoza, kumutu, kupweteka kwa m'mawere, kulemera kwa thupi, kusasaka magazi, ndi kuvutika maganizo.
POPs amagwira ntchito mwa kuchepetsa ndi kukulitsa chiberekero cha khola kuti ateteze umuna kuti usafike pa dzira ndikusunga chiberekero cha uterine kuti chichotsere kuti asamangidwe dzira la umuna.
Chifukwa mapiritsiwa alibe mankhwala a estrogen omwe amawaika pamagazi sangapezeke ngati mankhwala ogwiritsira ntchito pakamwa.
Mapiritsi oletsa kubereka ndi njira yabwino kwa amayi omwe sangathe kutenga estrogen chifukwa akuyamwitsa kapena chifukwa cha mitu kapena mavuto a magazi omwe amapezeka ndi estrogen.
Piritsi yokhayokhayo ingayambitse kusintha kwa msambo, kupindula, komanso kutentha.
Projectins Ojambulidwa
Mimba ikhoza kutetezedwa kwa miyezi itatu ndi jekeseni wa Depo-Provera. Depo-Provera amaletsa kutenga mimba mwa kulepheretsa chifuwa, kusintha mimba ya chiberekero kuteteza umuna kuti usafike pa dzira ndikusintha chiberekero cha uterine kuti dzira la feteleza lisawoneke.
Njirayi ndi yothandiza kwambiri popeza zonse zomwe zimafunikira kwa amayi ndi kubwereranso kwa wothandizira zaumoyo kuti awombere miyezi itatu iliyonse. Ubwino ndi zotsatira za Depo-Provera ndizofanana ndi mankhwala a progestin okha.
Zida za Intrauterine (IUD)
NTHAWI yakhala ikudziwika bwino m'mbuyomu pamene Dalkon Shield inkagwirizana ndi matenda akuluakulu a chifuwa, kusabereka, ndi imfa zina. Komabe, ma IUDs amasiku ano ali ndi imodzi mwa zochepa kwambiri zolephera za njira iliyonse yobereka.
IUD ndi chipangizo chokhala ndi T chomwe chimayikidwa mu chiberekero ndi katswiri wa zamankhwala. Pali mitundu iwiri ya IUD yomwe ilipo, Paragard T 380A, yomwe imateteza mimba kwa zaka 10, ndi Progesterone T, yomwe imayenera kusinthidwa chaka chilichonse. IUD ndi chisankho choyenera kwa iwo omwe ali ndi mgwirizano wa nthawi yayitali omwe sali pachiopsezo chachikulu cha matenda opatsirana pogonana kapena matenda.
Sponge
Siponji imagwira ntchito pomasula gelisi ya spermicidal pamwamba pa umaliseche wa vaginja pamene chiponjo chimakhala cholepheretsa kupha kapena kuchepetsa umuna musanafike ku chiberekero ndikulowa chiberekero. Siponji ikhoza kuikidwa maola angapo musanayambe kugonana ndipo ikhoza kuikidwa mmalo mpaka maola 12 atagonana.
Sichiyenera kukhazikitsidwa ngati kugonana kumabwerezedwa. Azimayi omwe amadwala nonoxynol-9 kapena amene ali ndi matenda osokoneza bongo sayenera kugwiritsa ntchito siponji.
Magazi
Mzerewu umapezeka ndi mankhwala ndi kukula kwa katswiri wa zaumoyo kuti ayenerere bwino. Nthatayi imagwira ntchito pophimba kachilombo ka denga ndi dothi lopangidwa ndi mpanda wokhala ndi mphasa yokhala ndi mapulogalamu omwe amathandiza kuti umuna usalowe m'chiberekero.
Spermicide imagwiritsidwa ntchito ku diaphragm musanayambe kupha umuna.
Mphunoyi ingasiyidwe m'malo mwa maora asanu ndi limodzi. Kuti mugonane mobwerezabwereza kapena kugonana pambuyo pa maola asanu ndi limodzi, spermicide ayenera kuikidwa mu vaginali pamene chithunzithunzi chidalipobe. Zilonda siziyenera kumatsalira kwa maola oposa 24 chifukwa cha chiopsezo cha matenda osokoneza bongo (TSS).
Cervical Cap
Chikwama cha chiberekero chikufanana ndi chithunzithunzi. Chikho chofewa cha mphira ndi mzere wozungulira ndipo uli waukulu kuti uyenerere ndi katswiri wa zaumoyo, mwamphamvu pachibelekero. Monga diaphragm, spermicide amafunika ndi kapu ya chiberekero.
Zimateteza mimba kwa maola 48 komanso nthawi zambiri zogonana nthawi zambiri. Ntchito yowonjezera (maola oposa 48) ingapangitse chiopsezo cha TSS ndipo ikhoza kutulutsa fungo loipa kapena kutulutsa.
Spermicides wamagetsi
Mankhwala amtunduwu amapezeka pamtengowo monga kirimu, odzola, chithovu, filimu, chifuwa chachikazi kapena mapiritsi. Zida zimenezi zili ndi mankhwala opha umuna. Pali mtsutso wokhudzana ndi momwe ntchito yogwiritsira ntchito umuna zimakhudzira okha koma amaganiza kuti ali ndi chiwerengero cholephera cha 21 peresenti pachaka.
Akazi omwe amasankha njira iyi ya kulera ayenera kukhala otsimikiza kutsatira ndondomeko ya phukusi chimodzimodzi, monga mankhwala onse ali osiyana. Lolani spermicide kuti akhalebe mukazi kwa maola asanu ndi limodzi kapena asanu ndi atatu pambuyo pa kugonana ndipo musamamwe kapena kutsuka mkazi mu nthawi ino kuti muwonetsere kuti umuna wonse umaphedwa.
Kudziwa kubereka kwanu ndi njira ina yochepetsera mwayi wanu wokhala ndi pakati. Kulera kwachilengedwe ndi njira yokhayo imene amavomereza ndi zipembedzo zina ndipo imafuna chidwi kwambiri ndi banja lolimbikitsidwa kwambiri kuti likhale lopambana. Zimagwira ntchito pokhala osagonana pa masiku omwe nthawi zambiri mumatha. Njira izi zimayesa kubereka kwa amayi pogwiritsa ntchito kusintha kwa chiberekero cha chiberekero kapena kusintha kwa kutentha kwa thupi.
Kutaya
Kupambana kwa kuchotsa kumadalira pa kuthekera kwa mwamuna kuti achotse mbolo yake mukazi asanagwiritse ntchito. Njira imeneyi sikutsimikizira kuti umuna usanawamasulidwe mu umuna ndipo sungateteze ku AIDS, matenda opatsirana pogonana kapena matenda.
Lactational Amenorrhoea Method (LAM)
Azimayi omwe akuyamwitsa okha akhoza kutetezedwa kuti asatenge mimba kwa miyezi isanu ndi umodzi atabadwa ngati nthawi yake isabwerere. Njira iyi imagwira ntchito kwambiri ngati imagwiritsidwa ntchito molondola.
LAM imagwira ntchito popewera dzira kuti lisatulutse ku ovary. Mukangoyamba kudyetsa mwana wanu kokha kupatula mkaka wa m'mawere kapena nthawi yanu yobweranso, muyenera kusankha njira ina yoberekera.
Kutsegula m'mimba
Mukatsimikiza kuti nthawi yanu yokhala ndi mimba yayamba bwino, kuperewera kwa mbeu ndi njira yomwe mungaganizire. Wokondedwa aliyense angasankhe kuperewera kwa mankhwala opatsirana-tubal ligation kwa mkazi, kapena vasectomy kwa mwamuna.
Ndikofunika kuti musaganize kuti njira zothandizira njira zakulera zomwe zingasinthe ngati mutasintha maganizo anu. Kusintha kwa oyambitsa matenda ndi opaleshoni yaikulu yomwe nthawi zambiri sichitha.
Kulera Kwadzidzidzi
Kulera kofulumira kumagwira ntchito polepheretsa mimba mkati mwa maola ochepa kapena masiku ochepa ogonana popanda chitetezo. Njira zogwiritsira ntchito njira zowulera zolimbitsa thupi zimaphatikizapo kuphatikizapo mankhwala opatsirana pakamwa, mapiritsi a progestin-okha, ndi kulemba kwa IUD.
Pamene Mimba Yosakonzekera imayamba
Pamene njira zothandizira kubereka zimayendetsedwa mokhulupirika, njira zambiri zoberekera mimba zimakhala zogwira mtima kwambiri potsata mimba yosakonzekera. Komabe, nthawizina zinthu zina zimagwira ntchito komanso kulera sikulephera.
Ngati mukukumana ndi mimba yosakonzekera muyenera kusankha momwe mungapitirire. Kodi mungasankhe kuchotsa mimba, kusamalidwa kapena kulera ana? Ndilo lingaliro limene palibe wina angakupangire iwe ndi limodzi limene iwe uyenera kumakhala nalo kwa moyo wako wonse. Onetsetsani kuti musankhe zomwe zimakuyenderani bwino, ndipo musalole kuti mukhale ndi maganizo a ena.
Uthenga Wofunika Pa Makondomu
Makondomu ayenera kugwiritsidwa ntchito, kuphatikizapo njira zina zothandizira kubereka, ndi wina aliyense amene sali pachibwenzi chokhalitsa. Chisamaliro chiyenera kutengedwa kuti musagwiritse ntchito mafuta odzola mafuta (mafuta odzola, mafuta odzola, kapena mafuta) ndi makondomu a latex kapena lambskin, chifukwa angathe kufooketsa.
Akazi lero ali ndi mwayi wosankha kugwiritsa ntchito kondomu ya amuna kapena kugwiritsa ntchito kondomu ya akazi. Kondomu ya Reality® imavomerezedwa ndi FDA ndipo imapangidwa mofanana ndi kondomu ya amuna.
Kutsekedwa kotsekedwa kumakhala ndi mphete yosinthasintha yomwe imalowetsedwa mukazi, mpaka maola asanu ndi atatu asanalowe kugonana, pamene kutseguka kumakhalabe kunja kwa mkazi. Kondomu yazimayi sayenera kugwiritsidwa ntchito nthawi yomweyo pamene mnzanu akugwiritsa ntchito kondomu ya amuna.
Makondomu, kaya amuna kapena akazi, amafunikila kuti agwiritse ntchito nthawi imodzi ndipo sayenera kugwiritsidwanso ntchito. Ngati mtengo wa makondomu ndi vuto kwa inu, pitani kuchipatala chanu chakumidzi. Zipatala zambiri za kulera zidzakupatsani makondomu ambiri momwe mukufunira.
Musanyengedwe
Mwinamwake mwamva kuti simungakhoze kutenga mimba nthawi yanu kapena ngati mulibe chiwombankhanga kapena ngati mnzanu akuchotsa musanatuluke. Izi si zoona! Mwinamwake winawake wakuuzani inu kuti douching idzatsuka umuna usanakhale ndi pakati. Sikuti kuphatikizira sikugwira ntchito kuti zitha kutenga mimba, zingathenso kutsogolera matenda opatsirana kwambiri ndi kuwonjezera chiopsezo cha matenda ena opatsirana pogonana ndi matenda.
Musapusitsidwe-njira imodzi yokha yomwe ingathandize kupewa mimba ndi kudziletsa.