Kusankha Pakati pa Piritsi Yolerera kapena Shoti ya Depo-Provera

Zamkati

• Piritsi loletsa kubereka
• Njira zakulera zidawombera
• Zotsatira zoyipa za mapiritsi ndi kuwombera
• Zimayambitsa mavuto
• Zowopsa zomwe muyenera kukumbukira
• Ubwino wa mapiritsi
  
• Kuipa kwa mapiritsi
  
• Ubwino wa kuwombera
  
• Kuipa kwa kuwombera
  
• Kulankhula ndi dokotala wanu

Poganizira njira ziwiri zolerera izi

Mapiritsi onse oletsa kubereka ndi njira yolerera ndi njira zothandiza kwambiri komanso zotetezera kutenga mimba zosakonzekera. Izi zati, onse ndi osiyana kwambiri ndipo amafunika kuganizira mozama asanapange chisankho.

Sonkhanitsani malingaliro kuchokera kwa abwenzi ndi abale anu, fufuzani zosankha zanu zonse momwe mungathere, ndikufunsani dokotala wanu ndi mafunso aliwonse kapena nkhawa. Ndikofunika kuti mubwere kusankha komwe kumamverera bwino komanso mwachilengedwe pamoyo wanu.

Mukasankha pambuyo pake kuti njira yomwe mwasankha siyabwino, kumbukirani kuti pafupifupi mitundu yonse ya njira zakulera ndizosinthana. Mwanjira ina, mutha kuwasintha osasokoneza kubereka kwanu kapena chiopsezo chanu chokhala ndi pakati, bola ngati zikuyang'aniridwa ndi dokotala.

Piritsi loletsa kubereka

Mapiritsi oletsa kubereka ndi njira yolerera yama mahomoni. Amayi ambiri amagwiritsa ntchito mapiritsi olerera pofuna kupewa kutenga mimba. Piritsi itha kugwiritsidwanso ntchito kuchepetsa nthawi yolemetsa, kuchiza ziphuphu, ndikuchepetsa zizindikilo za zovuta zina zoberekera.

Mapiritsi oletsa kubereka amabwera ngati mapiritsi osakaniza komanso mapiritsi a progestin okha. Mapiritsi ophatikizana ali ndi mitundu iwiri ya mahomoni: progestin ndi estrogen. Mapaketi a mapiritsi okhala ndi mapiritsi osakaniza amakhala ndi milungu itatu yamapiritsi ogwira ntchito komanso sabata limodzi la mapiritsi osagwira ntchito, kapena a placebo. Mu sabata la mapiritsi osagwira ntchito, mutha kukhala ndi nthawi. Mapaketi a mapiritsi a progestin okha amakhala ndi masiku 28 a mapiritsi ogwira ntchito. Ngakhale kulibe mapiritsi osagwira ntchito, mutha kukhalabe ndi nthawi mkati mwa sabata lachinayi la paketi yanu.

Mapiritsi oletsa kubereka amagwira ntchito m'njira ziwiri zopewera kutenga pakati. Choyamba, mahomoni omwe ali piritsi amalepheretsa kutulutsa mazira m'mimba mwanu (ovulation). Ngati mulibe mazira, mulibe umuna kuti umere.

Chachiwiri, mahomoni amakulitsa kuchuluka kwa ntchofu kuzungulira kutsegula kwa khomo pachibelekeropo. Ngati chomata ichi chikukula mokwanira, umuna womwe umalowa mthupi lako umayimitsidwa usanayandikire dzira. Mahomoni amathanso kuchepa m'mbali mwa chiberekero. Dzira likakhala ndi umuna mwanjira ina, izi zimatsimikizira kuti silidzalumikizana ndi zotchinga.

Malinga ndi Planned Parenthood, ikamamwa moyenera, mapiritsi oletsa kubereka ndi othandiza 99 popewa kutenga pakati. Komabe, azimayi ambiri amachita zomwe zimatchedwa "ntchito wamba." Ntchito zomwe zimachitika mayi akaperewera mapiritsi awiri kapena awiri, akuchedwa pang'ono ndi paketi yatsopano, kapena zina zomwe zimamulepheretsa kumwa mapiritsi tsiku lililonse nthawi yomweyo. Pogwiritsira ntchito, mapiritsi oletsa kubereka ndi 91% ogwira ntchito.

Njira zakulera zidawombera

Njira yolerera, Depo-Provera, ndi jakisoni wa mahomoni womwe umateteza kutenga mimba osakonzekera kwa miyezi itatu nthawi imodzi. Mahomoni omwe amawomberawa ndi progestin.

Kuwombera kwa kubereka kumagwiranso ntchito chimodzimodzi ndi mapiritsi oletsa kubereka. Zimalepheretsa kutulutsa mazira ndikuwonjezera kutulutsa kwa ntchentche kuzungulira kwa khomo lachiberekero.

Malinga ndi Planned Parenthood, mukalandira ngati momwe mwalangizira, kuwomberako ndi 99% yothandiza. Pofuna kuonetsetsa kuti azigwira bwino ntchito, azimayi amayenera kuwomberedwa miyezi itatu iliyonse monga momwe awuzira. Ngati mwawombera nthawi musachedwe, pali mwayi umodzi mwa 100 kuti mudzakhale ndi pakati mchaka chomwe mwapatsidwa.

Kwa amayi omwe satenga mfuti ndendende monga momwe amafotokozera - nthawi zambiri amatchedwa kugwiritsa ntchito kwenikweni - kuchuluka kwa magwiridwe antchito kumatsikira pafupifupi 94%. Kupeza jakisoni milungu 12 iliyonse ndikofunikira kuti mukhalebe otetezeka ku mimba.

Njira yolerera, monga mapiritsi olera, sateteza ku matenda opatsirana pogonana. Muyenerabe kugwiritsa ntchito njira yodzitetezera kuti muteteze matenda opatsirana pogonana.

Mutatha kuwombera komaliza, mwina simungabwererenso kuberekero lanu ndikukhala ndi pakati mpaka miyezi 10. Ngati mukungofuna njira yakulera kwakanthawi ndipo mukufuna kutenga pakati posachedwa, kuwombera sikungakhale koyenera kwa inu.

Zotsatira zoyipa za mapiritsi ndi kuwombera

Mapiritsi oletsa kubereka komanso kuwombera kwa Depo-Provera ndiotetezeka kwambiri kwa azimayi ambiri. Monga mankhwala aliwonse, njira zakulera izi zimakhudza thupi lanu. Zina mwazinthuzi zidapangidwa. Komabe, zina mwazi ndizotsatira zoyipa zosafunikira.

Kwa mapiritsi oletsa kubereka, zovuta zimatha kuphatikiza:

• Kutuluka magazi, kapena kutuluka magazi m'masiku agwiritsire ntchito mapiritsi
• chikondi cha m'mawere
• kumva kwa m'mawere
• kutupa kwa m'mawere
• nseru
• kusanza

Zambiri mwa zotsatirazi zimachepa mkati mwa miyezi iwiri kapena itatu yoyamba mutayamba kumwa mapiritsi.

Zimayambitsa mavuto

Mapiritsi onse oletsa kubereka ndi kuwombera kumabweretsa kuchuluka kwa mahomoni mthupi lanu. Nthawi iliyonse mahomoni anu akasinthidwa mwanzeru, mutha kuyembekezera kukumana ndi zovuta zina kapena zizindikilo zokhudzana ndikusintha.

Mahomoni m'mapiritsi oletsa kubereka amaperekedwa pang'onopang'ono tsiku ndi tsiku. Mulingo wama mahomoni m'mapiritsi siwokwera kwambiri. Madokotala ndi ofufuza agwira ntchito kwazaka zambiri kuti apeze mankhwala otsika kwambiri omwe ndi othandiza, komanso osangalatsa, kwa amayi. Kuwombera kwa Depo-Provera, komabe, kumapereka mahomoni ochuluka mwakamodzi. Pachifukwachi, mutha kukhala ndi zovuta zina mukangowombera.

Zowopsa zomwe muyenera kukumbukira

Ngakhale mapiritsi oletsa kubereka ndi njira yolerera ili yotetezeka kwambiri kwa amayi ambiri, madokotala sangapereke mankhwala kwa mayi aliyense amene akufuna njira yolerera.

Simuyenera kumwa mapiritsi oletsa kubereka ngati:

• ali ndi vuto lobadwa ndi magazi kapena mbiri yamagazi
• amakumana ndi mutu waching'alang'ala ndi aura
• amakhala ndi mbiri yakudwala kwamtima kapena vuto lalikulu la mtima
• kusuta ndipo ali ndi zaka zopitilira 35
• apezeka ndi lupus
• khalani ndi matenda ashuga osalamulirika kapena mwakhala mukudwala kwazaka zopitilira 20

Simuyenera kugwiritsa ntchito kuwombera ngati mukufuna:

• khalani ndi khansa ya m'mawere
• tengani aminoglutethimide, omwe ndi mankhwala akuchipatala omwe amagwiritsidwa ntchito pochiza matenda a Cushing's
• kufupika kwa mafupa kapena kufooka kwa mafupa

Ubwino wa mapiritsi

1. Zotsatira zanu zimakhala zochepa kwambiri kuposa kuwombera.
2. Mutha kutenga mimba mukangosiya kumwa.

Kuipa kwa mapiritsi

1. Muyenera kumamwa tsiku lililonse.
2. Ndi momwe amagwiritsidwira ntchito, sizothandiza kwenikweni kuposa kuwombera.

Ubwino wa kuwombera

• Muyenera kumangotenga miyezi itatu iliyonse.
• Ndi momwe amagwiritsidwira ntchito, imagwira ntchito pang'ono kuposa mapiritsi.

Kuipa kwa kuwombera

• Zotsatira zanu zimakhala zolimba kuposa mapiritsi.
• Zimatenga kanthawi kuti muzitha kutenga pakati mutasiya kulandira.

Kulankhula ndi dokotala wanu

Mukakonzeka kupanga chisankho chokhudza kulera, funsani dokotala wanu. Pamodzi, nonse awiri mutha kuyesa zomwe mungasankhe ndikuwongolera njira zilizonse zolerera zomwe sizikugwirizana ndi zosowa zanu kapena moyo wanu. Kenako, mutha kuyika zokambirana zanu pazomwe mungakonde kwambiri.

Nawa mafunso ofunika kuwaganizira:

• Kodi mukufuna kukhala ndi ana? Ngati mumatero, posachedwa bwanji?
• Kodi mungakwanitse mapiritsi a tsiku ndi tsiku m'ndandanda yanu? Mudzaiwala?
• Kodi njirayi ndi yotetezeka chifukwa cha mbiri yanu yathanzi komanso mbiri yabanja?
• Kodi mukuyang'ana maubwino ena, monga nthawi zochepa?
• Kodi mudzakhala mukulipira m'thumba, kapena kodi izi ndizopangidwa ndi inshuwaransi?

Simuyenera kusankha nthawi yomweyo. Sonkhanitsani zambiri monga mukumvera kuti mukufuna.

Mukakonzeka, uzani dokotala wanu zomwe mukuganiza kuti zingakhale zabwino. Ngati akuvomera, mutha kupeza mankhwala ndikukuwuzani nthawi yomweyo. Mukayamba kutenga njira yolerera ndikusankha kuti siyanu, lankhulani ndi dokotala wanu. Adziwitseni zomwe mumachita komanso zomwe simumakonda. Mwanjira imeneyi, nonse awiri mutha kuyang'ana njira ina yomwe ingakhale yoyenera zosowa zanu.