Njira Yabwino Kwambiri Yogonana Mosamala M'madzi

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

1 -

Chiyeso cha Kugonana Pansi pa Madzi

Kugonana kosasokonezeka kwa madzi. Bernd Opitz / Getty Images

Tiyeni tiyang'ane nazo, kupita ku malo achikondi kungatulutse mbali yanu yowonjezera. Malo okongola, mathithi obisika, malo ogulitsira mahotelo abwino ndi mahatchi otentha omwe amamangidwa awiri, ndipo phukusi laumwini loggias lingakuyeseni inu kuti mukulitse kukonda kwanu kokonda. Kotero, izi zikupempha funso ... kodi mungakhale ndi chitetezo chogonana pansi pa madzi?

Ndisanayankhe funsoli (Ndimadana ndi phwando pano), koma ndikuyenera kukumbukira ndikutsatira izi: - Kukhala ndi malo ogonana, monga gombe, dziwe losambira, malo osambira kapena nyanja, siloletsedwa. Chabwino. Tsopano kuti mudziwe zomwe mukufuna kwenikweni kumva.

Kukhala Wopanda Pansi Panyanja

Kugonana m'madzi si vuto ngati inu:

Akugwiritsa ntchito njira yowonongeka kwa mahomoni .
Wakhala ndi vasectomy .
Mudakhala ndi tubal ligation kapena njira yofunika .
Khalani ndi IUD ( Mirena , Skyla , kapena ParaGard ).

Koma, kumbukirani kuti njirazi zothandizira kubereka zimakutetezani kuti musatenge mimba. Kotero ngakhale kuti lingaliro la kukhala ndi kugonana pansi pa madzi kumawoneka mwachikondi ndi zamaganizo, mwina sizowona kusankha mwanzeru kwambiri ... makamaka ngati simudziwa ( zedi ) kuti mnzanuyo alibe matenda opatsirana pogonana. Mukuona, matenda opatsirana pogonana ndi kachilombo ka HIV angapitirizebe kufalikira pamene akugonana pansi pa madzi (izi ndi zoona ndi kugonana muzitentha ).

Koma Mukufunabe Kugonana Pansi pa Madzi, Kumanja?

Kotero, apa pali fungulo - kuti mukhale ndi chitetezo chogonana pansi pa madzi, muyenera kugwiritsa ntchito njira yoletsa kubereka yomwe imaperekanso chitetezo cha matenda opatsirana pogonana. Makondomu amodzi ndi njira imodzi yokha yolerera yomwe imateteza matenda opatsirana pogonana. Koma mwatsoka, makondomu amagwiritsira ntchito koma zingakhale zovuta kuzigwiritsa ntchito panthawi yogonana m'madzi. Kotero, tsopano tiyeni tione chifukwa chake izi ziri choncho.

2 -

Kondomu Gwiritsani Ntchito Pogonana ndi Madzi Omwe Mumadzi

Makondomu Osayesedwa Pogonana Pansi pa Madzi. Luis Davilla / Getty Images

Makondomu ayenera kupitilira mayesero angapo asanagulitsidwe. Izi ndizowonetsetsa kuti zili zotalika. Vuto, komabe, ndikuti makondomu samayesedwa pamadzi. Makampani oletsa makondomu samayesa kondomu chifukwa cha mvula, kutenthetsa, kapena mankhwala omwe amapezeka m'madzi ndi ma chubu otentha. Makampani okhudzana ndi makondomu amavomereza kuti palibe kafukufuku amene adachitidwa momwe makondomu ogwira ntchito aliri ogwiritsidwa ntchito m'madzi.

Machenjezo a kondomu

Okonza makondomu aika machenjezo mabokosi awo. Zochenjeza izi zimakuuzani kuti ngati simugwiritsa ntchito kondomu mwanjira yoyenera (kutanthawuza, mwachindunji china osati chilakolako cha kugonana kumalo osakhala madzi), ndiye kuti kondomu ikhale yopanda mphamvu.

Ma kondomu a Trojan amatha kunena kuti Trojan Condoms siziyenera kugwiritsidwa ntchito padziwe kapena pansi pa madzi chifukwa izi zikhoza kusokoneza chida ichi kapena / kapena chifukwa cha kondomu. Zotsatirazi zingapezeke mubokosi la Trojan Condoms:

"Kugwiritsira ntchito kondomu kwa anthu ena osati kugonana kungachititse kuti kondomu iwonongeke."

Makondomu amtundu wa Durex amati "malinga ndi momwe tikudziwira, palibe kafukufuku amene wapangidwa pochita makondomu pamene amagwiritsidwa ntchito pansi pa madzi. N'zotheka kuti chiopsezo chothamanga, mwachitsanzo, chikhoza kuwonjezeka pamene chikugwiritsidwa ntchito. Ngakhale kuti mchere m'madzi a m'nyanja sungakhale ndi zotsatira zochepa pamagulu a kondomu pali mphamvu zowonjezera kuti mankhwala omwe amapezeka m'madzi okwera (chlorine ndi ozoni) angakhale. "Zotsatirazi zikhoza kupezeka m'bokosi la makondomu a Durex:

"Kugwiritsira ntchito kondomu kosagwiritsidwa ntchito kwa amayi kumatha kuonjezera mwayi wotsitsa kapena kuwonongeka."

3 -

Kugonana kwapansi pa madzi, makondomu, ndi padzi mankhwala

Mankhwala Osokoneza Pakati pa Madzi ndi Madzi. Stuart McClymont / Getty Images

Palibenso kafukufuku wowonjezera kufufuza ngati mankhwala omwe amapezeka m'madzi kapena madzi otentha akhoza kuchepetsa kukhulupilika kwa kondomu panthawi yogonana m'madzi. Mu maphunziro omwe apangidwa, pali chigwirizano chachikulu kuti mankhwala, monga chlorine, angapangitse makondomu kuti achepetse. Izi zingawathandize kuti aswe. Komanso, nthawi zambiri zimakhala zamadzimadzi (monga kutsegula dzuwa kapena kutsekemera) mu madzi a phukusi. Izi zikhoza kuchepetsa makondomu nthawi ya kugonana ndipo zingathe kuwatsitsa.

Kodi Kutentha kwa Madzi Kungapangitse Kusiyanitsa?

Kawirikawiri, makondomu sadzakhudzidwa ndi kutentha kwa madzi - pokhapokha kutentha kwambiri. Popeza kuti kusambira, zotentha zamoto, ndi Jacuzzi zitha kutentha kwambiri, pali mwayi woti kutentha kumeneku kungawononge kondomu. Choncho, kutentha kwapamwamba kungathenso kuwonjezera mwayi wanu wa kuswa kondomu pamene mukugonana m'madzi.

Zowonjezera, Jacuzzis kapena matope otentha angayambitse mavuto ambiri a kondomu chifukwa cha kuphatikiza kwa mankhwala m'madzi komanso kutentha kwa madzi. Kotero, ngakhale kuti sipangakhale kafukufuku weniweni wotsimikizira izi, malamulo abwino a thumbu sagwiritsa ntchito kondomu m'madzi, Jacuzzis, kapena ma tubs chifukwa nthawi zonse amatha kutentha ndi / kapena mankhwala omwe amapezeka m'malo awa zingapangitse kuti chiopsezo cha kondomu chisayambe.

4 -

Kufunika kwa Kukonzekera Pakati pa Kugonana kwa Madzi

Mafakitala ndi Kugonana kwa Madzi. Chithunzi chovomerezeka cha Wet Platinum

Chinthu china chokhudzana ndi kugonana pansi pa madzi chikugwirizana ndi mafuta. Madzi (kuchokera kusamba, dziwe, nyanja, ndi zina zotero) akhoza kutsuka mafuta omwe amapezeka mkati mwa chiberekero mukagonana. Ikhoza kuchepetsa kutentha kwa madzi komwe kumabwera kondomu. Izi zingachititse kuti kondomu iumire pamene mukugonana.

Izi zimachepetsa mafuta omwe angachitike ngati kugonana m'madzi kungabweretse kugonana kosasangalatsa. Chofunika kwambiri, ngakhale kuchepa kwazing'ono kumakhala kochulukana. Kuphatikizanaku kumabweretsa mwayi waukulu kuti kondomu yanu iwonongeke. Pofuna kupewa vutoli, mutha kugwiritsa ntchito kondomu yowonjezera ya madzi ku kondomu yanu.

Tiyeni tiwone mofulumira ku Lubes Osakhala Madzi

Pali mitundu iwiri ya mafuta enieni omwe alibe madzi.

Mafuta Oyambira Mafuta: Awa ndi BIG Ayi Ayi ! Mafuta a mafuta amawononga latex ndipo amachititsa kuti kondomu iswe. Samalani ndi mafuta omwe "amavomereza" kuti angagwiritsidwe ntchito kugonana pansi pa madzi. Nthawi zambiri, izi zimakhala zochokera ku mafuta, onetsetsani kuti mukuwerenga lemba mosamala. Komanso, kugwiritsa ntchito mafuta odzola mafuta kumakhala ngati maulendo awiri. Kumbukirani ... kondomu ya latex imakhala ndi mwayi waukulu woswa panthawi yogonana pansi pa madzi chifukwa cha zinthu zina zomwe zimagwiritsa ntchito mafuta (sunscreen, mafuta osambira, madzi osambira, sopo, ndi shampoo) zomwe zimapezeka m'madzi ndi m'madzi.
Mafakitale Ochokera ku Silicone: Iyi ndi njira yopitira . Silicone ikuwombera ndi kondomu yotetezeka komanso yosagonjetsedwa ndi madzi. Silicone ndi chinthu chopangidwa ndi zinthu zomwe zimakhalabe zowonjezereka kuposa mafuta opangira madzi . Kumbukirani kuti iwo amakhala okwera mtengo kwambiri kusiyana ndi mafuta opangira madzi.

5 -

Mavuto okhudzana ndi kugonana kwapakati pa madzi

Mavuto Ogonana Pansi pa Madzi. Atli Mar Hafsteinsson / Getty Images

Chabwino, kotero mwasankha kutenga chiopsezo chogwiritsira ntchito kondomu chifukwa, tiyeni tikuti, muli ndi kugonana kwa madzi m'madzi m'nyanja yatsopano-mumaganizira, palibe kutentha, mankhwala osayika, mafuta osambira akuyandikira, palibe mavuto! Kuti mukhale otetezeka kwambiri, mwagula mafuta a silicone kuti mutengere mafuta omwe angathe kutsukidwa m'madzi, choncho mwayi ndi wabwino kuti kondomu ikhale yabwino ...?

Cholakwika! Chifukwa chomaliza cha chifukwa chake kondomu imatha kulephera kugonana m'madzi ndikuti mwina zingatheke. Ndipo kupangitsa zinthu kukhala zovuta kwambiri - chifukwa muli mumadzi, nthawi zambiri zimakhala zovuta kudziwa ngati izi zikuchitika. Kondomu ikhoza kugwedezeka pa zifukwa zingapo:

Kondomu siyikidwa bwino . Ndizofunika kwambiri kuti muike kondomu pamene mbolo ili kunja kwa madzi. Musati muike kondomu pansi pa madzi. Kuika kondomu kunja kwa madzi ndi njira imodzi yochepetsera mwayi wa madzi kulowa mu kondomu - zomwe zingayambitse kondomu.
Madzi, ngakhale panthawi iliyonse panthawi ya kugonana pansi pa madzi, amatha kugwa pakati pa kondomu ndi mbolo (zomwe zimachititsa kuti kondomu iwonongeke). Palibe njira yothetsera izi kuti zisadzachitike.
Ngati munthu angathe kusunga nthawi yonse yomwe akuvala kondomu panthawi yogonana m'madzi, nkokayikitsa kuti madzi akhoza kulowa mkati. Koma, ngati kukwezedwa kwake kumakhala kochepa pang'ono (ngati kokha kokha - komwe kumakhala kofala), ndiye kuti pali mwayi woti madzi alowe mkati mwa kondomu.
Pakati pa kugonana kwa madzi, madzi akhoza kukankhira mu kondomu. Izi zingayambitse kondomu mosavuta.

Maganizo Otsatira a Kondomu ndi Kugonana kwa Madzi

Kugwiritsira ntchito kondomu ndikobwino kusiyana ndi kusagwiritsa ntchito njira iliyonse yoberekera. Kuonjezera kupambana kwa kondomu panthawi yogonana pansi pa madzi:

Onetsetsani kuti kondomu imatulutsidwa kunja kwa madzi.
Gwiritsani ntchito mafuta opangira mafuta.
Yesetsani kutsimikiza kuti kondomu siinachoke ndipo ikuyandama kwinakwake.

6 -

Ngozi Zachiwerewere ndi Zaumoyo Zam'madzi

Kugonana kwapansi pa madzi ndi matenda. Thomas Barwick / Getty Images

Madzi, palokha, sakhala ndi mavuto alionse a umoyo pa nthawi yogonana. Nkhani yaikulu imakhala ... zomwe ziri mu madzi. Madzi omwe ali ndi mchere, klorini, kapena mabakiteriya akhoza kukakamizidwa kulowa mu chikazi chifukwa cha kuyendetsa kugonana. Izi zingayambitse kupsa mtima kapena matenda.

Azimayi amatha kutenga kachilombo ka HIV panthawi ya kugonana chifukwa cha kusiyana kwawo. Zowopsazi zimaphatikizapo kutenga matenda opatsirana pogonana, matenda opatsirana m'makina , ndi matenda a yisiti . Nkhani yowonjezereka ya kugonana (chifukwa cha kuchepa pang'ono) ingayambitse kupsa mtima ndi misozi yazing'ono kumakoma achikazi. Misozi imeneyi imapereka njira yoyendetsera matenda. Zitha kuwonjezera mwayi wokhala ndi matenda opatsirana pogonana.

Mabakiteriya M'madzi

Kukhala ndi chiwerewere m'madzi kapena chipinda cha Jacuzzi kungakuike pa chiopsezo chachikulu cha matenda. Kafukufuku amasonyeza kuti madzi odzaza ndi mabakiteriya (eew!) Akhoza kukakamizidwa mu chikazi pomwe ali ndi kugonana kwa madzi. Kawirikawiri, makabati otentha, kunyumba, ndi madzi, ndi Jacuzzis zilibe klorini yokwanira. Izi zimapangitsa mabakiteriya ochulukirapo kuti akhalepo m'madzi ... omwe ali oposa matenda. Ngakhale madzi ali ndi klorini okwanira, akadakali ndi kachilombo ka HIV. Ichi ndi chifukwa chakuti chlorine ikhoza kusokoneza mabakiteriya anu abwino ndikusintha zachilengedwe pH mukazi ... ndipo mukhoza kutha ndi matenda a yisiti.

Kugonana m'madzi m'nyanja kapena m'nyanja kumakhala ndi mavuto ake. Zoona, malo awa sapanga mankhwala kapena mankhwala a chlorini. Koma muyenera kudziwa kuti matupi achilengedwe amatha kukhala ndi mabakiteriya ndi / kapena amoebas. Izi zingakuike pangozi yothetsera matenda a mkodzo.

7 -

Njira Zogwiritsira Ntchito Kugonana Sizinali Zabwino Zogonana Pansi pa Madzi

Kuletsa Kubereka Sikuli Zabwino Kwa Kugonana Pamadzi. Charles Thatcher Collection / The Image Bank / Getty Zithunzi

Ngakhale pali njira zazikulu zothandizira kubereka zomwe zimathandiza kwambiri kuti muteteze kutenga mimba. Njira zambiri zothandizira kubereka sizowonjezera kugonana m'madzi. Izi makamaka chifukwa sapereka chitetezo cha matenda opatsirana pogonana . Iwo sangakhoze kukutetezani ku mabakiteriya omwe angakhale m'madzi. Njira izi zothandizira kubereka ndi izi:

Njira zowonetsera mahomoni : mapiritsi , chigamba , NuvaRing , Mirena IUD , Skyla IUD , Nexplanon , Depo-Provera , ndi osagwiritsa ntchito ParaGard IUD .
Njira Zosatha : vasectomy , tubal ligation , ndi Essure .

Njira Zowononga Zobadwa Zomwe Zinakhudzidwa ndi Madzi

Njira zotsatirazi zothandizira kubadwa si zabwino kugwiritsa ntchito ATSE kwa kugonana pansi pa madzi. Izi ndichifukwa chakuti kuchuluka kwa madzi omwe alowa mu chikazi nthawi ya kugonana kumakhudza momwe ntchito izi zimagwirira ntchito:

Spermicide: monga suppositories, jellies, foams , ndi filimu . Spermicide imayikidwa mukazi ndipo imatha kutsukidwa. Ngakhale zina zotsalazo zithera, mphamvuyo idzachepetsedwa kwambiri.
The Today Sponge : chinkhupule ichi chimasokoneza pomwe mutha kuika siponji mukasambe, Jacuzzi, kapena dziwe. Kuchuluka kwa madzi kungathe kuchepetsa spermicide mu siponji (kupangitsa kusagwira ntchito).
Mbira kapena Cervical Caps : Kuwonjezeka kwa madzi kungachititse kuti zipangizozi zisokonezeke. Komanso spermicide ayenera kugwiritsidwa ntchito ndi njira izi, ndipo spermicide akhoza kutsukidwa.

Kugwiritsa Ntchito Kondomu Pogonana Pansi pa Madzi

Ngakhale makondomu amateteza kuteteza pakati pa mimba ndi matenda opatsirana pogonana, si njira yabwino kwambiri yoberekera kugwiritsira ntchito kugonana m'madzi. Pali mwayi waukulu kuti makondomu amatha kuchepetsa kutsika kwa mafuta ndi / kapena kufooketsa kutentha, chlorini, kapena zinthu zowonjezera mafuta m'madzi. Komanso, pali vuto lina lomwe kondomu ikhoza kutha ngati madzi alowa mkati mwake - ndipo mwina simungadziwe kuti izi zachitika.

8 -

Njira Yowonetsera Kugonana Yopanda Pansi pa Madzi

Kotero, inu mukufunadi kukhala ndi kugonana kwapansi pa madzi. Koma, mumakhalanso chitetezo ku mimba ndi matenda opatsirana pogonana . Yankho: Gwiritsani ntchito kondomu ya akazi . Ndi njira zabwino zothandizira kugonana kwa madzi chifukwa:

Pa makondomu a kondomu ndi malo operekera. Popeza kuti apangidwa kuti alowe mu thupi lachikazi, madzi pang'ono sangakhudzepo, kotero ndizosatheka kutsekemera.
Zapangidwa ndi polyurethane (osati latex). Izi zimawapangitsa kukhala njira yabwino komanso yowonjezera chifukwa mafuta opangira mafuta kapena zinthu zomwe zili m'madzi sizidzawachititsa kuti aswe. Izi sizikutanthauza kuti makondomu a amuna opangidwa ndi polyurethane ndi abwino kugwiritsira ntchito kugonana m'madzi. Kafukufuku amasonyeza kuti makondomu a amuna amtundu wa polyurethane amakhala ochepa kwambiri kuposa makondomu
Fc kondomu ya amayi imathandizidwanso mkati ndi kunja - choncho mpikisano wafupika.

Kuwonjezera kondomu ya amayi, muyenera kuika kondomu ya amayi musanapite kumadzi. Mwanjira imeneyi, mafuta omwe ali mkati mwa kondomu sakhala ochepa kwambiri.

Pangani cholinga chanu nthawi zonse kuchita zachiwerewere. Ngakhalenso kugonana pansi pa madzi, muyenera kugwiritsa ntchito njira zina zothandizira popewera mimba. Nthawi zonse zimakhala bwino kugwiritsa ntchito mtundu wina wa njira zobereka njira kuposa wina aliyense. Koma, musanyalanyaze kuopsa kwa chiopsezo cha matenda. Izi zikunenedwa, kugonana m'madzi kumatha kukhala kosangalatsa - onetsetsani kukonzekera kutsogolo kwa njira yachilendo yowonjezera zonunkhira ku moyo wanu wachikondi.

_Zotsatira:

_Durex. _{Kodi ndingagwiritse ntchito makondomu m'madzi kapena kusamba?}

_{Hermann, L. (2006).} _{Ingopitirizani kusambira ... Tsiku la Cavalier Daily .}

_{University of California, Santa Barbara.} _(2007). _{Zoopsa Zobisika za Kutentha Kwambiri.}