Kulera Kwadzidzidzi
Kachilombo koyambitsa matenda (omwe amadziwikanso kuti EC kwaifupi) ndi njira yoyenera kubereka yomwe mungagwiritse ntchito kuchepetsa chiopsezo chotenga mimba mukatha kugonana popanda chitetezo kapena kulephera kulera . Anthu ena amatanthauzanso za kulera kofulumira ngati "mapiritsi apambuyo," koma posachedwapa mudzawona kuti pali mitundu ina ya EC. Kuchekera kwadzidzidzi kwapezeka kwa zaka zoposa 30. Imeneyi ndi njira yabwino komanso yothandiza yoberekera .
Kodi Ndi Njira Zotani Zopangika Mwadzidzidzi Zopezeka?
Kwa zaka zingapo zapitazo, njira zanu zolimbana ndi zovuta zowonjezera zakula kwambiri. Kulera kwadzidzidzi kumapezeka m'njira zonsezi:
- Sungani B Njira Yoyamba - piritsi la 1.5 mg levonorgestrel yekha
- Chotsatira Chotsatira Chokha - chofanana ndi dongosolo B Gawo limodzi
- Ganizo lothawa - gawo lofanana la Plan B Yoyamba
-
Kodi pali kusiyana pakati pa mapiritsi a mmawa ndi pambuyo pochotsa mimba?
-
Kodi Chosankha Chotsatira N'chimene Chingatheke pa Kugonana Kwadzidzidzi?
- Njira Yanga - yeniyeni yeniyeni ya Plan B Yoyamba
- Opcicon One-Step - chofanana ndi dongosolo B One Step
- Chitanipo kanthu - mofanana ndi dongosolo la Gulu limodzi
- EContraEZ - chofanana ndi dongosolo B One Step
- Pulogalamu yapitayi - yofanana ndi Plan B One-Step, koma ingagulidwe pa intaneti
- Ella - imodzi yampristal acetate, 30 mg piritsi
- Chosankha Chotsatira - chofanana chachibadwa cha Plan B
- Mankhwala apakamwa ovomerezeka - kapena apirisi oletsa kubereka (norethindrone .35 mg mapiritsi)
- ParaGard IUD - ndodo yotulutsa mkuwa
** Mndandandanda wa njira zowonjezera kuti zitheke B Bwalo limodzi likupitiriza kukula. **
Ndani Ayenera Kugwiritsa Ntchito Kulimbitsa Thupi?
Kawirikawiri, amayi ambiri omwe amafunikira kulandira chithandizo chodziletsa mwachangu amatha kuchigwiritsa ntchito bwino-izi zimagwiranso ntchito kwa amayi omwe nthawi zambiri sagwiritsidwe ntchito kugwiritsa ntchito njira ya kulera. Kulera kofulumira kungagwiritsidwe ntchito bwino ndi achinyamata.
Mungagwiritse ntchito kugwiritsa ntchito chithandizo chodziletsa ngati:
- Mumasokoneza masiku anu otetezeka ndipo munagonana pa tsiku limene mwakhala mukubala.
- Simunagwiritse ntchito njira iliyonse yobereka panthawi yogonana.
- Mwaiwala kutenga njira yanu yachibadwa yobereka (mwachitsanzo, Munasowa mapiritsi oposa atatu obadwa, simunakumbukire kuti mumayika NuvaRing yanu, kapena simunagwiritse ntchito chida chanu choletsa kubereka ).
- Kondomu inathyoka kapena imatuluka panthawi yogonana.
- Wokondedwa wanu sanatulutse nthawi.
- Mphuno yanu, kapu ya chiberekero, kapena chitetezo chinachotsedwa pamalo pomwe mukugonana kapena mwaiwala kuwonjezera spermicide .
- Mudatulutsamo masiku ano lero .
- Mudakakamizidwa kukhala ndi kugonana kosatetezeka.
Kumbukirani: Mndandanda uwu uli ndi zifukwa zina zomwe mungasankhire kugwiritsa ntchito njira zoberekera mwadzidzidzi.
Pakhoza kukhala zifukwa zinanso. Ngati mukukhulupirira kuti mutha kulandira njira yolepheretsa kubereka mwanjira ina iliyonse , mungafunike kuganizira kugwiritsa ntchito njira zoberekera mofulumira-kuti mutetezeke kusiyana ndi chisoni.
Kodi Ndi Nthawi Yanji Imene Muyenera Kuyambira Pachipatala Chodziwika?
Pofuna kuchepetsa chiopsezo chanu cha mimba, kulera koyenera kumayambika masiku asanu (maola 120) mutagonana popanda chitetezo. Mukangoyamba kugwiritsira ntchito, zimakhala bwino kuti muteteze mimba .
Ndi mapiritsi apambuyo a mapulani a B-One-Step (ndi mapulogalamu ake, Next Choice Oneose, Take Action, AfterPill, My Way, Fallback Solo, Opcicon One-Step, ndi EContraEZ), mumangoyenera kumwa Piritsi limodzi. Chotsatira Chotsatira chili ndi mapiritsi awiri. Muyenera kugwiritsa ntchito mapiritsi am'mawa mwamsanga. Okonza amanena kuti ziyenera kugwiritsidwa ntchito mkati mwa maola 72 a kulephera kulera kapena kugonana kosatetezedwa-koma mwamsanga mutatenga izo, zikhoza kukhala zabwino kwambiri. Zomwe zikunenedwa, mapiritsi amatha kukhala othandiza kutenga (ndikuyembekeza kuchepetsa mwayi wanu wamimba) kwa masiku asanu pambuyo pa kugonana kosatetezeka.
- Mmene Mungagwiritsire Ntchito Plan B Yoyamba, Chotsatira Chotsatira Chokha, Chitani, Pulogalamu Yotsatira, Njira Yanga, Kugonjera, Opcicon One-Step, ndi EContraEZ
- Mmene Mungagwiritsire Ntchito Chotsatira Chotsatira (Plan B)
Kodi Mungapeze Kuti Kugonana Kwachangu?
Sungani B Njira Yoyamba (ndi njira zake zowonjezera) zitha kugulitsidwa pamtengatenga ndi anthu a msinkhu uliwonse-chifukwa cha mlandu wa Tummino v. Hamburg .
Chosankha Chotsatira (mapiritsi awiri Pulani B generic option) amapezeka kwa apammayi opanda mankhwala kwa amuna ndi akazi a zaka 17 kapena kuposerapo. Muyenera kupereka chidziwitso chovomerezeka. Ngati muli ndi zaka zosachepera 17, muyenera kugwiritsa ntchito mankhwala kuti mugule Chotsatira Chotsatira.
Mitundu ina yowonongeka mwachangu ingapezeke kokha ndi mankhwala (ngati Ella) kapena kuikidwa ndi dokotala (monga ParaGard IUD), kotero machitidwe awa a EC amafuna dokotala.
- Zindikirani : Monga Plan B Yoyamba-Gawo, Chitani Ntchito, Kenaka Kusankha Khungu Limodzi, Pambuyo Pambuyo, Njira Yanga, Kugonjera, Opcicon One-Step, ndi EContraEZ akhoza kugulitsidwa popanda zofunikira zogulitsa kapena zaka, kutanthauza kuti akhoza kukhala adagula pa-a-counter kwa anthu a usinkhu uliwonse.
-
Kodi Ndagwiritsa Ntchito Piritsi Yam'mawa Motani?
-
Muyenera Kudziwa Nsonga Zomwe Mungapeze Pilisi Yam'mawa
- Pofuna kuteteza ndime yeniyeni yomwe yapatsidwa kuti ikonzekere B B Yoyamba, FDA ikufuna kulemba kwa Chotsatira One, AfterPill, Fallback Solo, Opcicon One-Step EContraEZ, ndi My Way zomwe zimagwiritsidwa ntchito kwa akazi Ali ndi zaka 17 kapena kuposa. Kumbutsani, komabe, kuti levonorgestrel yachangu ya pulogalamu ya pulogalamu yachangu yawonetseredwa kuti ili yotetezeka kwa akazi a mibadwo yonse. Chofunika ichi cholemba chizindikiro chikugwirizana ndi ndale mmalo mwa chitetezo.
- Chifukwa wopanga Chitetezo anabweretsa FDA ndi kafukufuku wogwiritsira ntchito mofulumira pakati pa achinyamata, mmawa uno pambuyo pa mapiritsi sakuyenera kutsatira zolemba izi.
- Ngakhale Pulani B Yoyamba, Chitani Ntchito, Pambuyo Pake Chotsani Chokha, Njira Yanga, Kugonjera, Opcicon One-Step, ndi EContraEZ zonse zilipo pompano, mukhoza kukhalabe ndi mankhwala (mosasamala za msinkhu wanu) Kuti inshuwalansi yanu ipeze mtengo wa mankhwalawa, motero onetsetsani kuti muwone malamulo anu.
Chifukwa chakuti levonorgestrel-based based urgent contraceptive ndiyothandiza mwamsanga mutagwiritsa ntchito, yesetsani kusunga nthawi mwakutcha mankhwala anu osungirako mankhwala / mankhwala osokoneza bongo pasanapite nthawi kuti muonetsetse kuti ali ndi zochitika zowononga zachangu mu malo. akhoza kusunga mitundu iyi ya EC pamsika wa mankhwala, kotero mankhwala akhoza kutsekedwa ngakhale sitolo ikadali yotseguka. Zingakhale bwino kugula paketi imodzi yamadzulo pambuyo pa mapiritsi omwe ali nawo kale kunyumba-njira iyi, ngati mukufuna, mukhoza kutenga nthawi yomweyo (pambuyo pake, palibe amene akukonzekera kuti "ngozi" zidzachitika! ).
- Kumene Mungagule Ndalama B Bwalo Loyamba, Chitanipo Mchitidwe, Njira Yanga, Kenaka Sankhani Pose Mmodzi, Mutu Wosintha, Opcicon One-Step, ndi EContraEZ
- Kodi Ndiyenera Kugula Ndondomeko B Yoyamba?
Kodi Kupanga Kwachangu Kumagwira Ntchito Bwanji?
Kachilombo ka pangozi kamakhala ndi homoni yomweyi ( progesin ) yomwe imapezeka mu mapiritsi ena oletsa kubereka . Njira yeniyeni yomwe EC ikugwira ntchito, siyiwonekeratu. Amakhulupirira kuti matenda opatsirana mwadzidzidzi angathandize kuchepetsa chiopsezo chokhala ndi mimba poletsa kutsegula mazira kapena kuteteza umuna kuti usagwirizane ndi dzira. Kafukufuku tsopano akuwonetsa kuti kutuluka kwadzidzidzi koyambitsa matenda a mahomoni sikulepheretsa dzira la umuna kuchoka mu khoma la uterine. Momwe njira yachidziwitso yoberekera zowonjezera imadalira kumene mukupita kumwezi.
Kodi Kukula Kwachangu N'kutani?
Kulera kwadzidzidzi sikuli chinthu chimodzimodzi monga kuchotsa mimba . Sungani B Njira imodzi Yomweyi imasokonezeka ndi piritsi yochotsa mimba (RU486) . Mankhwalawa amakhala ndi zolinga zosiyana kwambiri ndipo samagwira ntchito mofanana.
Kulera kofulumira sikuthetsa mimba ndipo sikumapweteka mimba yomwe ilipo kale. Akuluakulu azachipatala ndi azachipatala amavomereza kuti zochitika zosayembekezereka zochepetsa kubereka zimachepetsa chiopsezo cha mimba ndipo zimathandiza kupewa kufunikira kochotsa mimba. Izi zikunenedwa, chifukwa zidakali zosadziwika ngati Ella amayambitsa vuto lililonse kwa mwana wosabadwa, musamutengere Ella ngati mukuganiza kuti muli ndi pakati kale-yesani mimba ku ofesi ya dokotala musanapange mankhwalawa.
- Kuti mudziwe zambiri zokhudza zachipatala ndi za boma zokhudza maganizo okhudza kubereka kwadzidzidzi: Mgwirizano wa Kugonana Kwadzidzidzi
Zotsatira Zotsatira za Kukula Kwadzidzidzi
Zotsatira zoyipa zimasiyana malinga ndi mtundu wa chithandizo chachangu chomwe mukugwiritsa ntchito. Muyenera kukambirana ndi madokotala akuluakulu . Izi ndi zoona makamaka ngati mutha kusanza mutatha kutenga EC monga dokotala wanu angakuuzeni ngati mutenga mlingo wina. Ngati mukukumana ndi zizindikiro zilizonse za mimba mutagwiritsa ntchito chithandizo chodziletsa, ndifunikanso kuonana ndi dokotala wanu. Zina mwazizindikiro zowonongeka kwambiri ndizo:
- Amasowa nthawi ya kusamba
- zilonda zopweteka kapena zofutukuka
- kunyoza
- kukodza nthawi zambiri
- kutopa kosafotokoza
- mutu
Kodi Kulera Kwadzidzidzi N'kothandiza?
Mwachidziwitso, kulera kofulumira kumatanthawuza kukhala njira yobwezeretsa kubereka. Sizothandiza ngati njira yolondola yothetsera kubereka . Komanso, kulera mofulumira sikupitirira kuteteza mimba nthawi yonse ya kusamba, choncho njira zina zowonetsera kubereka ziyenera kugwiritsidwa ntchito mutagwiritsa ntchito EC.
Zinthu ziwiri zikuluzikulu zimakhudza ubwino wa vuto lachangu:
- Kuchuluka kwa nthawi yomwe yadutsa kuyambira chochitika cha kulephera kutetezedwa pogonana / kubadwa kwa kubadwa.
- Mfundo yomwe munayambira pamene munagonana.
Mukangoyamba kugwiritsira ntchito mofulumira pakati pa kugonana popanda chitetezo, zimakhala bwino kwambiri. Koma, zingakhalenso zothandiza kudziwa kuti kuyandikana kwanu kumakhala koyandikira (mutatha kugonana popanda chitetezo kapena kulephera kubereka), kubereka kosayembekezereka kumakhala kosavuta.
Njira zonse zowonongeka kwapadera zimachepetsa chiopsezo cha mimba 75 mpaka 99 peresenti pamene ayambira mkati mwa maola 72. Izi zikutanthauza kuti mwa amayi 100 aliwonse amene amagwiritsa ntchito njira iliyonse ya EC, pakati pa 1 mpaka 25 adzakhala ndi pakati.
- Mphamvu ya Njira Yonse Yopezera Zovuta
Kodi ndizochuluka bwanji?
Ndalama zochepetsera zachangu zimasiyanasiyana ndipo zimadalira njira ya EC. Malipiro onse amatha kuchoka pa $ 25- $ 65 pa Mapulani a B-One-Step ndi njira zake zowonjezera-Chotsatira Chotsatira, Chotsatira Chotsatira Chokha, Njira Yanga, Kugonjera, Opcicon One-Step, EContraEZ, AfterPill, ndi Action ndizofunika kuzungulira 10 mpaka 20 peresenti mmunsi kusiyana ndi ndondomeko ya B B Yoyamba. Ella ikhoza kulipira pakati pa $ 55 mpaka $ 75, ndipo ikhoza kufika pafupifupi $ 500 kuti upeze ParaGard IUD.
Chitetezo cha STD
Njira yopanda chithandizo chadzidzidzi imatetezedwa ku matenda opatsirana pogonana . Azimayi omwe amafunika kulandira chithandizo chodziletsa mwachangu akhoza kukhala pachiopsezo chachikulu cha matendawa. Akazi omwe ali pangozi kwambiri ndi omwe:
- akhala ndi kugonana kosatetezeka ndi abwenzi omwe ali ndi HIV
- ndi ozunzidwa ndi kugonana
- amene amagwiritsira ntchito mankhwala osokoneza bongo kapena omwe ali naye
Pamapeto pake mapiritsi akhoza kukhala chisankho chothandiza kwa amayiwo pa chiopsezo chachikulu cha matenda opatsirana pogonana, mmalo mwa HIV. Izi zili choncho chifukwa mabakiteriya omwe ali ndi kachilombo ka preexisting angayambe kulowa mu chiberekero panthawi yolembera . Ngati izi sizitsatiridwa, zingayambitse matenda opweteka kwambiri.
Mawu Ochokera
Pafupifupi theka (45 peresenti) ya mimba 6.1 miliyoni ku United States chaka chilichonse sichiyembekezeka. Ambiri mwa amayiwa ali chifukwa cholephera kugwiritsa ntchito njira yolerera kapena kulera kwa pakati. Kachilombo ka pangozi kamakupatsani mwayi wotsiriza mwayi woteteza mimba. Ndi njira yabwino komanso yodalirika ngati m "mene" oops "ikuchitikira. Timadziwa kuti mukhoza kuchita manyazi pogula chithandizo cham'tsogolo, koma musalole kuti maganizo anu asokonezeke. Ndi zophweka kwambiri kugula ndikugwiritsa ntchito njira zoberekera zachangu. Ngati simunatsimikizire kuti mungagwiritse ntchito EC kapena musagwiritse ntchito EC, ingokumbukirani lamulo ili lachiwindi: Ngati pali mwayi uliwonse kuti mimba ikhoza kuchitika chifukwa chakuti muli ndi vuto la kulera kapena kusagonana popanda chitetezo, pitani kutenga chithandizo chodziletsa mwamsanga ndikuchitenga mwamsanga ngati n'kotheka.
Zotsatira:
Noé G, Croxatto HB, Salvatierra AM, et al. Kugwiritsa ntchito njira zolimbana ndi kulera mofulumira ndi levonorgestrel yoperekedwa kale kapena pambuyo pake. Kulera . 2011; 84 (5): 486-492. lembani: 10.1016 / j.contraception.2011.03.006.
Prine L. Emergency contraception, nthano ndi zoona. Zipatala za Amuna ndi Amayi a ku North America. 2007; 34 (1): 127-136. lembani: 10.1016 / j.ogc.2007.01.004.