Kodi Ndi Njira Ziti Zomwe Mungagwiritsire Ntchito Poyamwitsa?

Zamkati

• Njira # 1: IUD
• Yankho # 2: Mini-piritsi
• Yankho # 3: Njira zolepheretsa
• Makondomu
• Njira # 4: Kukhazikitsa
• Njira # 5: Depo-Provera kuwombera
• Njira # 6: Kulera kwachilengedwe
• Njira # 7: yolera yotseketsa
• Nanga bwanji za mapiritsi a m'mawa?
• Mfundo yofunika

Momwe mungapewere kutenga mimba mukamayamwitsa

Mwinamwake mwamvapo kuti kuyamwa kokha ndi njira yabwino yolerera. Izi ndizowona pang'ono.

Kuyamwitsa kumachepetsa mwayi wanu wokhala ndi pakati pokhapokha ngati mukuyamwitsa kokha. Ndipo njirayi imangodalirika pakatha miyezi isanu ndi umodzi mwana wanu akabadwa. Kuti mugwire bwino ntchito, muyenera kudyetsa mwana wanu osachepera maola anayi aliwonse masana, maola asanu ndi limodzi aliwonse usiku, ndipo osapereka chowonjezera. Izi zikutanthauza kuti mwana wanu samadya china kupatula mkaka wanu.

Mudzayamba kutulutsa mazira, ndiyeno ngati simutenga pakati mumayamba kusamba patadutsa milungu iwiri. Mwina simudziwa ngati mumatulutsa mafuta, ndiye kuti pali chiopsezo chotenga pakati mukamayamwitsa. Njirayi siyothandiza ngati nthawi yanu yabwerera kale.

Ngati muli ndi nkhawa yopewa kutenga mimba mukamayamwitsa, ndibwino kuti mulankhule ndi dokotala zomwe mungachite. Mungafune kupewa njira zakulera zomwe zili ndi hormone estrogen. Estrogen yakhala ikugwirizanitsidwa ndi kuchepetsa mkaka kwa amayi oyamwitsa.

Izi zati, pali zosankha zambiri zomwe zingateteze kutenga pakati ndikukutetezani ku matenda opatsirana pogonana. Pitilizani kuwerenga kuti mudziwe zambiri.

Njira # 1: IUD

Zipangizo za intrauterine (IUDs) ndizoposa 99%, zomwe zimawapangitsa kukhala olera kwambiri pamsika. IUD ndi mtundu wa njira zakulera zosintha kwa nthawi yayitali (LARC). Pali mitundu iwiri yosiyana ya ma IUD, mahomoni komanso yopanda mahomoni. Zonsezi zimapezeka ndi mankhwala okhaokha.

Mahomoni a IUD amakhala ndi progestin, yomwe ndi mtundu wa mahomoni otchedwa progesterone. Mahomoni amalimbitsa chiberekero chanu choteteza kuti umuna usabwerere m'chiberekero chanu.

Zosankha ndizo:

• Mirena: imapereka zaka zisanu zachitetezo
• Skyla: amapereka mpaka zaka zitatu zachitetezo
• Liletta: imapereka chitetezo kwa zaka zitatu
• Kyleena: amateteza zaka zisanu

Wopereka chithandizo chamankhwala amalowetsa chida chopangidwa ndi T chopangidwa ndi T mu chiberekero chanu kuti muchepetse umuna. Chifukwa chakuti chinthu chakunja chayikidwa, chiopsezo chanu chotenga kachilombo chimakhala chachikulu. IUD siyabwino kusankha azimayi omwe amagonana ndi amuna angapo.

Mahomoni a IUD amathanso kupangitsa kuti nthawi yanu ikhale yopepuka. Amayi ena amatha kusiya kusamba kwathunthu.

Paragard ndiye IUD yokhayo yopanda mahomoni yomwe ilipo. Paragard amagwiritsa ntchito mkuwa wocheperako kusokoneza kuyenda kwa umuna. Izi zitha kuteteza dzira ndi umuna. Paragard amateteza zaka 10. Komabe, IUD iyi siyingakhale ya inu ngati nthawi zambiri mumakhala ndi nthawi yolemetsa kapena kupsinjika kwamphamvu. Amayi ambiri omwe amagwiritsa ntchito mkuwa IUD amafotokoza nthawi yayitali, yolemetsa.

Mutha kukhala ndi IUD yoyikidwa mutangobereka kumene, koma ndibwino kufunsa dokotala ngati iyi ndi njira yabwino kwambiri. Madokotala ambiri amafuna kudikirira mpaka mutachira ndikusiya magazi omwe amabwera pambuyo pobereka m'masabata awiri kapena asanu ndi limodzi. Kupanda kutero, IUD imatha kutulutsidwa ikayikidwa posachedwa ndipo chiopsezo chanu chotenga kachilombo chimakhala chachikulu.

Zotsatira zoyipazi zimaphatikizapo kupunduka mutatha kulowetsedwa, magazi osakhazikika kapena magazi kwambiri, ndikuwona pakati pa nthawi. Zotsatirazi nthawi zambiri zimachepetsa mkati mwa miyezi isanu ndi umodzi yoyambira kulowetsedwa.

Ngati mwasankha kuti mukufuna kutenga pakati, mutha kuchotsa IUD yanu ndikuyamba kuyesa pomwepo.

Yankho # 2: Mini-piritsi

Mapiritsi achilengedwe amakhala ndi mahomoni osakaniza ndi progestin. Amayi ena amatha kuchepa mkaka, motero amakhala ndi nthawi yochepa yoyamwitsa, akamagwiritsa ntchito mapiritsi osakaniza. Zimaganiziridwa kuti estrogen ikhoza kukhala muzu wa izi.

Ngati mukufuna kugwiritsa ntchito njira yakulera yakumwa, mapiritsi ocheperako ndi njira. Piritsi ili lili ndi progestin kokha, choncho limaonedwa ngati lotetezeka kwa amayi oyamwitsa. Piritsi imangopezeka pamankhwala, koma imatha kupezeka pakauntala (OTC) m'maiko ena.

Chifukwa mapiritsi aliwonse okhala ndi mapiritsi 28 amakhala ndi progestin, mwina simudzakhala ndi mwezi. Mutha kuwona kapena kutuluka magazi mosasintha pomwe thupi lanu limasintha.

Mofanana ndi njira zina zambiri zopangira progestin, mutha kuyamba kumwa piritsi laling'ono pakati pa milungu isanu ndi umodzi kapena isanu ndi itatu mutabereka mwana. Ndi pakati pa 87 ndi 99.7 peresenti yothandiza popewera kutenga pakati.

Mutha kukhala ndi mwayi wopambana ndi njira yolerera ngati mukukumbukira kumwa mapiritsi tsiku lililonse komanso nthawi yomweyo tsiku lililonse kuti mahomoni anu akhale okhazikika.

Mukakhala pa piritsi laling'ono, mutha kukhala ndi vuto lililonse kuchokera kumutu komanso kutuluka magazi mosasunthika mpaka pagalimoto yocheperako komanso ma cyst ovarian.

Ngati mwaganiza kuti mukufuna kutenga pakati mutamwa mapiritsi, lankhulani ndi dokotala wanu. Kwa amayi ena, kubereka kumatha kubwerera atangomaliza kumwa mapiritsi kapena zingatenge miyezi ingapo kuti abwerere.

Amayi ambiri amazindikira kuti mkaka wawo umachepa ndi njira iliyonse yolerera yakuchipatala. Pofuna kuthana ndi izi, kuyamwitsa pafupipafupi komanso kupopera mukatha kudyetsa masabata angapo oyamba pa piritsi laling'ono. Ngati mkaka wanu wa m'mawere ukupitilira kuchepa, itanani mlangizi wa lactation kuti akupatseni upangiri wowonjezeranso chakudya chanu.

Yankho # 3: Njira zolepheretsa

Monga dzinali likusonyezera, njira yotchinga imatchinga umuna kuti usalowe muchiberekero ndikutulutsa dzira. Pali zosankha zosiyanasiyana zomwe zilipo ndipo zonse ndi OTC.

Gawo labwino kwambiri? Mutha kuyamba kugwiritsa ntchito njira zolepheretsa mukangotsukidwa pambuyo pobereka mwana wanu. Njirazi zilibe mahomoni aliwonse omwe angasokoneze mkaka wanu.

Makondomu

Makondomu amagwira ntchito poletsa umuna kuti usalowe mu nyini.

Amabwera m'njira zosiyanasiyana, kuphatikizapo:

• wamwamuna ndi wamkazi
• lalabala ndi wosakhala lalabala
• osapaka mafuta ndi mafuta
• umuna wopha umuna

Makondomu ndi njira yokhayo yolerera yomwe imathandiza kuteteza kumatenda opatsirana pogonana.

Akamagwiritsa ntchito "mwangwiro," makondomu amakhala pafupifupi 98 peresenti. Izi zikutanthauza kugwiritsa ntchito kondomu nthawi zonse, kuyambira koyamba mpaka kotsiriza. Mwanjira ina, palibe kukhudzana kulikonse maliseche asanayikidwe. Kugwiritsiridwa ntchito kwabwino kumaganiziranso kuti kondomu sichitha kapena kuterera panthawi yogonana.

Pogwiritsa ntchito "wamba", chiwerengerocho chimatsikira pafupifupi 82 peresenti yogwira ntchito. Izi zimabweretsa zovuta zonse zomwe zingachitike panthawi yogonana.

Kuti muwonjezere chitetezo, gwiritsani ntchito makondomu ndi njira zina zolerera, monga mankhwala ophera umuna, mapiritsi ocheperako, kapena kulera kwachilengedwe.

Njira # 4: Kukhazikitsa

Kukhazikitsa njira yolerera ya Nexplanon ndi njira yokhayo ya LARC yomwe ilipo. Zimathandizanso kupitirira 99 peresenti ndipo zimangopezeka pamankhwala.

Kachipangizoka kakang'ono kooneka ngati ndodo kamakhala ngati ndodo ya machesi. Dokotala wanu amaika chomera pansi pa khungu padzanja lanu lakumwamba. Kukhazikika, kulimako kumatha kuthandiza kupewa kutenga mimba kwa zaka zinayi.

Kuikidwako kuli ndi progestin ya mahomoni. Hormone iyi imathandiza kuteteza thumba losunga mazira kuti lisatulutse mazira. Zimathandizanso kukhwimitsa ntchofu ya chiberekero, kuteteza umuna kuti usafikire dzira.

Mutha kuyika nthawi yomweyo mukangobereka. Muthanso kuchotsedwa ngati mungasankhe kutenga pakati.

Ngakhale zovuta ndi Nexplanon ndizosowa, muyenera kuuza dokotala ngati muli:

• kupweteka kwa mkono komwe sikudzatha
• Zizindikiro za matenda, monga malungo kapena kuzizira
• Kutuluka magazi modabwitsa kwambiri kumaliseche

Njira # 5: Depo-Provera kuwombera

Kuwombera kwa Depo-Provera ndi njira yokhalitsa yoletsa kubereka. Amagwiritsa ntchito progestin yoteteza mimba. Kuwombera kumapereka miyezi itatu yachitetezo nthawi imodzi, chifukwa chake ngati simusunga maudindo anu omwe amakutsatirani pakota kamodzi, simudzatetezedwa.

Kuwombera kuli pafupifupi 97%. Amayi omwe amalandila jakisoni wawo munthawi yamasabata khumi ndi awiri amakhala ndi magwiridwe antchito ochulukirapo kuposa azimayi omwe samaphonya kapena sapumira.

Zotsatira zoyipa zimaphatikizapo kupweteka m'mimba kumutu mpaka kunenepa. Amayi ena amakhalanso ndi kuchepa kwa mafupa pogwiritsa ntchito njira yolerera.

Ngati mukufuna kukhala ndi ana ambiri mtsogolo, ndikofunikira kuzindikira kuti zingatenge miyezi 10 kapena kupitilira apo kuti kubereka kwanu kubwerere mukasiya kugwiritsa ntchito.

Njira # 6: Kulera kwachilengedwe

Njira yolerera yachilengedwe (NFP) imatchedwanso njira yodziwitsa za chonde. Ndi yopanda mahomoni, koma imafunikira chidwi.

Pali njira zingapo zopitira ku NFP, koma zimangofunika kuyang'anitsitsa zizindikilo za thupi lanu.

Mwachitsanzo, mudzafuna kulabadira kaimbidwe ka thupi lanu komanso kutalika kwanu. Kwa amayi ambiri, kutalika uku kuli pakati pa masiku 26 ndi 32. Kupitilira apo, mufunika kuwona ntchofu ya khomo lachiberekero ikutuluka mumaliseche mwanu.

Mwinanso mungafunike kutentha thupi lanu m'mawa uliwonse pogwiritsa ntchito thermometer yapadera. Izi zingakuthandizeni kuyang'ana ma spikes kapena ma dips otentha, omwe amathandizira kuwonetsa ovulation.

Komabe, zingakhale zovuta kufotokozera kuti kubereka kwanu kudzabweranso pambuyo pa kubadwa. Amayi ambiri omwe abereka samakhala ndi nthawi asanakayambirenso kutulutsa mazira. Kusamba koyamba komwe mumakhala nako kumatha kukhala kosafanana komanso kosiyana ndi komwe mudazolowera.

Ngati iyi ndi njira yomwe mungasankhe, muyenera kusankha kukhala ophunzira komanso kuyesetsa kuyang'anira ntchofu, kalendala, zizindikiro, komanso kutentha. Kuchita bwino kwa njira zakulengedwa kwachilengedwe kumakhala pafupifupi 76 peresenti kapena kutsika ngati simukugwiritsa ntchito njirayi mosasintha.

Ichi sichisankho chabwino kwa azimayi omwe nthawi zonse amakhala osakhazikika. Komanso, kayendedwe kanu kangakhale kosayembekezereka mukamayamwitsa. Pachifukwa ichi, mungafune kulingalira zogwiritsa ntchito njira yobwezera, monga kondomu, kapu ya chiberekero, kapena diaphragm.

Njira # 7: yolera yotseketsa

Ngati simukufuna kukhala ndi mwana wina, njira yolera yotseketsa ikhoza kukhala njira yabwino kwa inu. Njira yolera yotseketsa imadziwika ndi mayina ambiri, kuphatikizapo kutsekeka kwa tubal, tubal ligation, kapena "kumangiriza machubu anu." Uwu ndiye njira yokhazikika yolerera pomwe timachubu tating'onoting'ono timadulidwa kapena kutsekedwa kuti tipewe kutenga mimba.

Tubal ligation samakhudza msambo wanu. Amayi ena amasankha kuti njirayi imalizidwa atabereka kumaliseche kapena panthawi yosiya kubereka. Kuopsa kwa njirayi ndi chimodzimodzi ndi opaleshoni ina iliyonse yayikulu yam'mimba, kuphatikizapo momwe angachitire ndi anesthesia, matenda, ndi ululu wam'mimba kapena m'mimba.

Dokotala wanu kapena mlangizi wa lactation ndiye njira yabwino kwambiri yodziwira nthawi yomwe mungabwerere bwino ku unamwino mukatha opaleshoni ndikumwa mankhwala, monga othetsa ululu.

Kutsekemera kosalekeza ndikothekanso, ngakhale kumatha kutenga miyezi itatu kuti igwire bwino ntchito. Tubal ligation imagwira ntchito nthawi yomweyo.

Ngakhale kuthekera kwa tubal ligation kungakhale kotheka, zovuta ndizotsika kwambiri. Muyenera kungofufuza njira yolera ngati muli otsimikiza kuti simukufuna kuberekanso.

Nanga bwanji za mapiritsi a m'mawa?

Ngati mukupeza kuti mukuganiza kuti kulera kwanu kwalephera, ndibwino kugwiritsa ntchito mapiritsi am'mawa mukamayamwitsa. Piritsi ili liyenera kugwiritsidwa ntchito ngati njira yomaliza osati monga njira yolerera yanthawi zonse. Ikupezeka OTC kapena pamtengo wotsikirapo malinga ndi mankhwala.

Pali mitundu iwiri ya mapiritsi a m'mawa: imodzi yomwe imakhala ndi kuphatikiza kwa estrogen ndi progestin ndi ina yomwe ndi progestin-kokha.

Mapiritsi a progestin okha ndi ogwira ntchito pa 88%, koma sagwira ntchito monganso mapiritsi osakaniza, omwe ndi 75% ogwira.

Zosankha zamapiritsi okha a progestin ndi monga:

• Konzani B Gawo limodzi
• Chitanipo kanthu
• Kusankha Mlingo Umodzi
• Njira yanga

Mapiritsi osakaniza ndi pafupifupi 75%.

Ngakhale mapiritsi a progestin okha amakonda, kumwa mapiritsi osakanikirana sikuyenera kukhala ndi zotsatira zazitali mukamamwa mkaka. Mutha kukhala ndivivi kwakanthawi, koma ziyenera kubwerera mwakale.

Mfundo yofunika

Kubereka kwanu kumatha kubwereranso nthawi iliyonse mukadzabereka mwana wanu, mosasamala kanthu kuti mukuyamwitsa. Kuyamwitsa mkaka wa m'mawere wokha kumachepetsa kokha mwayi wokhala ndi pakati m'miyezi isanu ndi umodzi yoyambirira komanso pokhapokha ngati mukudya osachepera maola anayi kapena asanu ndi limodzi.

Pali njira zambiri zolerera zomwe mungakambirane ndi dokotala. Kusankha yomwe ili yoyenera kwa inu ndi chisankho chanu. Nthawi zambiri, amayi oyamwitsa ayenera kupewa njira zolerera zomwe zili ndi estrogen, chifukwa zimakhudza mkaka wanu.

Ngati muli ndi mafunso ambiri okhudzana ndi chonde mukamayamwitsa komanso njira zolerera zotetezeka, lingalirani zokambirana ndi dokotala kapena mlangizi wa lactation. Kupitiliza kuyamwitsa ndikofunikira ndipo mukufuna kupanga njira zakulera zomwe sizimasokoneza.