Kuyika Ma Machubu Anu Kumakhala Pafupifupi Monga Piritsi
Zamkati
Amayi amatha kugwiritsa ntchito njira zolelera zochulukirapo kuposa kale: mapiritsi, ma IUD, makondomu - sankhani. (Zowona, tikukhumba kuti pasakhale zokambirana zandale zandale zozungulira matupi a akazi, koma ndi nkhani ina.)
Pokhala ndi njira zambiri zopezeka mosavuta (osanenapo zosinthika mosavuta) kunja uko, mungadabwe kuwona kuti amayi opitilira theka mwa amayi onse omwe akufuna kugwiritsa ntchito njira yolerera akupitilira njira yolera ya akazi-AKA "akumanga machubu awo" -kulemba ku lipoti laposachedwa kwambiri lochokera ku Centers for Disease Control and Prevention. (Nazi Momwe Mungapezere Njira Yabwino Yolerera Yanu.)
Ripotilo likuphwanya njira zabwino zolerera pakati pa azimayi omwe akufuna kugwiritsa ntchito njira zakulera (zomwe zinali pafupifupi 62% ya azimayi azaka zapakati pa 15 ndi 44 pakati pa 2011 ndi 2013, pomwe kusonkhanitsaku). Ndipo kutsekereza kwa akazi pakali pano kukugwiritsidwa ntchito ndi 25 peresenti ya akazi amene akugwiritsa ntchito njira yolerera, kapena 15 peresenti ya chiŵerengero chonse cha anthu. (Ndikufuna... Osatengera nthano za IUD izi!)
Izi zimapangitsa kuti machubu anu amange njira yachiwiri yolerera, makondomu, zida zopangira monga IUD, ndi kuwombera kwakulera. Uwu. Ngati izi sizinali zamisala mokwanira, njira yosasinthika ndi yachiwiri yapafupi kwambiri ndi mapiritsi otchuka. Tikuyankhula zosakwana gawo limodzi pa zana.
Izi sizachilendo, komabe. Chiwerengero cha azimayi omwe akufuna kutsatira njira zanthawi zonse sichinasinthe kuyambira m'ma 1990, malinga ndi mbiri yakale ya CDC.
"Chowonekeratu chomwe chimafunikira kulingalira ndikukhazikika kwa tubal ligation," akutero Alyssa Dweck, M.D., wothandizira pulofesa wa zamankhwala azachipatala ku Mount Sinai School of Medicine. "Ndikofunikira kuti azimayi adziwe kuti izi zachitika ndi cholinga choti motsimikiza safuna ana ambiri."
Kumanga machubu anu kumamveka kophweka, koma ndondomeko yeniyeni si njira yokongola yomwe dzina lingatchule. M'machubu ambiri, adotolo amalowetsamo opaleshoni ndikudula, kuwotcha, kapena kutseka machubu a fallopian, omwe, monga momwe mungaganizire, sangasinthe. Ngakhale njirayi ndiyofala, ndichosuntha chachikulu.
Poganizira zakukhazikika kwa njira yoletsa kutenga pakati, mutha kuganiza kuti azimayi omwe akuwonjezera ma tubal ligation kumalo a chiwiri pamasamba oletsa kulera azikhala kumapeto kwazaka zambiri ndikukhala ndi ana. Mwachisawawa, Dweck akuti ndi momwe zimakhalira pakuchita kwake, koma lipoti la CDC limafotokoza nkhani yosiyana pang'ono.
Malinga ndi kafukufuku wawo, azimayi achikulire ndiye chiwerengero chachikulu cha anthu chomwe chimafuna kuti azimangirira machubu awo. Komabe, amayi azaka zikwizikwi akadali gawo lofunika kwambiri mwa anthuwa.
Chifukwa chake ngati ambiri a ife tikuchita kale, kodi kumangiriza machubu anu ndichinthu chomwe muyenera kuganizira ngati simukufuna ana?
"Ndingakhale wokayikira kupereka njirayi kwa atsikana omwe alibe ana popanda kuganiza pang'ono chifukwa simudziwa zomwe zingachitike mtsogolo," akutero Dweck.
Popeza njira zochulukirapo zakulera zomwe zikukulirakulira zilipo, kusankha njira yokhazikika ndiye, monga Dweck akunenera, sichinthu chofunikira kungonyalanyaza. Lankhulani pang'ono ndi gyno wanu kuti mupange ndondomeko ya momwe mukufunira kuyandikira mimba (kapena kusowa kwake) pamapeto pake.