Momwe Mungasankhire Kulera M'badwo Wonse

Zamkati

• Makondomu a msinkhu uliwonse
• Kulera kwa achinyamata
• Kulera kwa zaka za m'ma 20s ndi 30s
• Kupewa kutenga mimba m'zaka zanu za 40
• Moyo pambuyo pa kusintha
• Kutenga

Kulera ndi msinkhu wanu

Mukamakula, zosowa zanu zakulera zimatha kusintha. Moyo wanu komanso mbiri yazachipatala imatha kusintha pakapita nthawi, zomwe zingakhudze zisankho zanu.

Pemphani kuti muphunzire za njira zina zabwino zakulera kutengera gawo lanu lamoyo.

Makondomu a msinkhu uliwonse

Makondomu ndi njira yokhayo yolerera yomwe imatetezanso ku mitundu yambiri ya matenda opatsirana pogonana.

Matenda opatsirana pogonana amatha kukhudza anthu azaka zilizonse. Ndikotheka kukhala ndi matenda opatsirana pogonana kwa miyezi kapena zaka, osadziwa. Ngati pali mwayi wina uliwonse woti mnzanu angakhale ndi matenda opatsirana pogonana, kugwiritsa ntchito kondomu nthawi yogonana kungakuthandizeni kuti mukhale otetezeka.

Ngakhale kuti kondomu imapereka chitetezo chapadera ku matenda opatsirana pogonana, ndi 85% yokha yothandiza poteteza mimba, malinga ndi Planned Parenthood. Mutha kuphatikiza makondomu ndi njira zina zolerera kuti mutetezedwe.

Kulera kwa achinyamata

American Academy of Pediatrics (AAP) inanena kuti pafupifupi theka la ophunzira aku sekondale ku United States adagonana.

Pofuna kuchepetsa chiopsezo chotenga pakati pa achinyamata omwe amagonana, AAP imalimbikitsa njira zolerera zosintha kwa nthawi yayitali (LARCs), monga:

• mkuwa IUD
• mahomoni IUD
• kuyambitsa kulera

Ngati dokotala wanu alowetsa IUD m'chiberekero chanu kapena kuyika kwanu m'manja, kumakupatsani chitetezo chokhazikika pathupi, maola 24 patsiku. Zipangizozi ndizothandiza kwambiri kuposa 99% popewa kutenga pakati. Amatha zaka zitatu, zaka zisanu, kapena zaka 12, kutengera mtundu wachida.

Njira zina zothandiza polera ndi monga mapiritsi olerera, kuwombera, chigamba cha khungu, ndi mphete ya amayi. Njirazi ndizothandiza kwambiri kuposa 90%, malinga ndi Planned Parenthood. Koma sizikhala zazitali kapena zopusa monga IUD kapena implant.

Mwachitsanzo, ngati mumagwiritsa ntchito mapiritsi a kulera, muyenera kukumbukira kumwa tsiku lililonse.Ngati mugwiritsa ntchito chikopa cha khungu, mumayenera kuchichotsa sabata iliyonse.

Kuti mudziwe zambiri zaubwino komanso kuopsa kwa njira zosiyanasiyana zakulera, lankhulani ndi dokotala wanu.

Kulera kwa zaka za m'ma 20s ndi 30s

Achinyamata si okhawo omwe angapindule ndi njira zolerera zosinthika zazitali (LARCs), monga IUD kapena njira yolerera. Njirazi zimaperekanso mwayi kwa azimayi azaka zapakati pa 20 ndi 30.

Ma IUD ndi makina oletsa kubala ndi othandiza komanso okhalitsa, komanso amasinthidwa mosavuta. Ngati mukufuna kutenga pakati, dokotala wanu akhoza kuchotsa IUD kapena kuyika kwanu nthawi iliyonse. Sichikhala ndi zotsatira zokhalitsa pa chonde chanu.

Mapiritsi olerera, kuwombera, chigamba cha khungu, ndi mphete ya amayi ndi njira zinanso zabwino. Koma sizothandiza kwenikweni kapena zosavuta kugwiritsa ntchito ngati IUD kapena implant.

Kwa amayi ambiri azaka za m'ma 20 ndi 30, njira iliyonse yolerera imeneyi ndiyabwino kugwiritsa ntchito. Koma ngati muli ndi mbiri yazachipatala kapena zoopsa, dokotala akhoza kukulimbikitsani kuti mupewe zosankha zina.

Mwachitsanzo, ngati muli ndi zaka zopitilira 35 ndikusuta, dokotala wanu angakulimbikitseni kuti mupewe njira yolerera yomwe ili ndi estrogen. Njira zakulera zoterezi zitha kuyambitsa chiopsezo cha sitiroko.

Kupewa kutenga mimba m'zaka zanu za 40

Ngakhale kubala kumachepa ndikamakalamba, ndizotheka kuti azimayi ambiri amatenga pakati pazaka 40. Ngati mukugonana ndipo simukufuna kutenga pakati, ndikofunikira kugwiritsa ntchito njira zakulera mpaka mutatha msinkhu.

Ngati muli otsimikiza kuti simukufuna kutenga pakati mtsogolo, opaleshoni yolera yotseketsa imapereka njira yabwino komanso yokhazikika. Kuchita opaleshoni imeneyi kumaphatikizapo tubal ligation ndi vasectomy.

Ngati simukufuna kuchitidwa opaleshoni, kugwiritsa ntchito IUD kapena kuyika zoletsa kumathandizanso komanso kosavuta. Mapiritsi olerera, kuwombera, chikopa cha khungu, ndi mphete ya amayi ndiosagwira kwenikweni, komabe zosankha zolimba.

Ngati mukukumana ndi zizindikilo zina zakusamba, kulera kokhala ndi estrogen kumatha kukupatsani mpumulo. Mwachitsanzo, chigamba cha khungu, mphete ya kumaliseche, ndi mitundu ina ya mapiritsi oletsa kubereka zingathandize kuchepetsa kutentha kapena thukuta usiku.

Komabe, njira yolerera yomwe ili ndi estrogen imathandizanso kuti mukhale ndi ziwopsezo zamagazi, matenda amtima, ndi sitiroko. Dokotala wanu akhoza kukulimbikitsani kuti mupewe zosankha zomwe zili ndi estrogen, makamaka ngati muli ndi kuthamanga kwa magazi, kusuta fodya, kapena zina zomwe zingayambitse izi.

Moyo pambuyo pa kusintha

Pofika zaka 50, mwayi wanu wokhala ndi pakati ndiwotsika kwambiri.

Ngati muli ndi zaka zoposa 50 ndipo mukugwiritsa ntchito njira zolerera za mahomoni, funsani dokotala ngati zili zotetezeka komanso zopindulitsa kupitiriza kuzigwiritsa ntchito. Ngati muli ndi mbiri yazachipatala kapena zoopsa, dokotala wanu akhoza kukulangizani kuti mupewe zosankha za estrogen. Nthawi zina, zitha kukhala zotetezeka kugwiritsa ntchito njira yoletsa mahomoni mpaka zaka 55.

Ngati muli ndi zaka zopitilira 50 ndipo simukugwiritsa ntchito njira zolerera za mahomoni, mudzadziwa kuti mwadwala msambo mukapanda kusamba kwa chaka chimodzi. Pamenepo, akuwonetsa kuti mutha kusiya kugwiritsa ntchito njira zolerera.

Kutenga

Mukamakula, njira yabwino kwambiri yolerera yomwe mungasinthe. Dokotala wanu akhoza kukuthandizani kumvetsetsa ndi kuyeza zomwe mungasankhe. Pankhani yopewa matenda opatsirana pogonana, makondomu angakuthandizeni kukutetezani nthawi iliyonse ya moyo.