Njira Zabwino Zomwe Mungagwiritsire Ntchito Njira Yolerera Kuti Musadutse Nyengo Yanu

Zamkati

• Maziko a mapiritsi olera
• Chitetezo chodumpha nthawi yanu
• Chifukwa chomwe mungafune kudumpha nthawi yanu
• Ubwino ndi kuipa kwakusadumpha nthawi yanu
• Ubwino
• Zoyipa
• Momwe mungadumphe nthawi yanu ndi mapiritsi oletsa kubereka
• Kutenga mapiritsi osakaniza okha
• Kutenga mapiritsi owonjezera kapena oyendetsa mosalekeza
• Njira zina zodumphira nthawi yanu
• Kutenga

Chidule

Amayi ambiri amasankha kudumpha nthawi yawo ndi kulera. Pali zifukwa zosiyanasiyana zochitira izi. Amayi ena amafuna kupewa zopweteka kusamba. Ena amachita izi kuti athandize.

Dziwani zomwe madotolo anena za chitetezo chopewa kusamba kwanu pamwezi.

Maziko a mapiritsi olera

Mukameza mapiritsi oletsa kubereka, mukumwa mahomoni amodzi kapena angapo opangira. Izi zitha kukhala kuphatikiza kwa estrogen ndi progestin, kapena progestin, kutengera mtundu wa njira zakulera zomwe mukutenga. Mahomoniwa amagwira ntchito poletsa kutenga mimba m'njira zitatu.

Choyamba, amayesetsa kuteteza thumba losunga mazira kuti lisatuluke, kapena kumasula dzira mwezi uliwonse.

Amalimbitsanso ntchofu ya khomo lachiberekero, zomwe zimapangitsa kuti ukhale wovuta kuti umuna ufikire dzira ngati wina watulutsidwa. Mahomoni amatha kupewetsa chiberekero, nawonso. Izi zikutanthauza kuti ngati dzira latenga ubwamuna, zidzakhala zovuta kuti lizilumikizana ndi chiberekero ndikukula.

Mapiritsi oletsa kubereka ndi oposa 99% akagwiritsidwa ntchito moyenera. Izi zikutanthauza kumwa mapiritsi nthawi yomweyo tsiku lililonse. Ngati mwaphonya tsiku kapena mukuchedwa kumwa mapiritsi, mphamvu imatha kuchepa. Ndimagwiritsidwe ntchito, kulephera kuli pafupi.

Pali mitundu ingapo yamapiritsi olera.

Ena ali ofanana ndi mapaketi amiyala omwe adayamba kupezeka mu 1960. Amakhala ndi masiku 21 a mapiritsi okhala ndi mahomoni ogwira ntchito komanso mapiritsi asanu ndi awiri kapena mapiritsi osagwira ntchito. Mukamwa mapiritsi osagwira ntchito, amalola kutuluka magazi komwe kumatsanzira msambo wabwinobwino.

Palinso mapaketi omwe amalola masiku 24 a mapiritsi ogwira ntchito komanso nthawi yayifupi yofanana ndi msambo.

Zowonjezera kapena njira zopitilira muyeso zimakhala ndi mapiritsi ogwira ntchito a miyezi ingapo. Amatha kuchepetsa kuchuluka kwa nthawi yomwe muli nayo kapena kuchepetsa nthawi yanu yonse.

Chitetezo chodumpha nthawi yanu

Pali zifukwa zingapo zomwe mungafune kudumpha nthawi yanu.

Zimakhala zotetezeka kutero ngati muli pamapiritsi oletsa kubereka. Komabe, ndibwino kuti muyambe mwakumana ndi dokotala. Muyenera kuwonetsetsa kuti palibe chifukwa chamankhwala choti mupitilize kusamba kwanu pakadali pano.

Kumwa mapiritsi oletsa kubereka kuti muchepetse kapena kuchepetsa nthawi yanu ndikotetezedwa monganso kumwa nthawi zonse, atero a Gerardo Bustillo, MD, OB-GYN, ku Orange Coast Memorial ku Fountain Valley, California.

Kusamba sikofunika thupi. Mwambiri, azimayi masiku ano amakhala ndi nthawi zambiri zosamba mmoyo wawo poyerekeza ndi akazi amibadwo yakale, atero a Bustillo. Pali zifukwa zochepa zochitira izi, kuphatikiza izi:

• Amayi ambiri masiku ano amayamba kusamba ali aang'ono.
• Amayi masiku ano amakhala ndi pakati ochepa.
• Amayi masiku ano sayamwitsa mwana kwa nthawi yayitali.
• Akazi masiku ano nthawi zambiri amatha kusamba akadzakula.

Malinga ndi Lisa Dabney, MD, pulofesa wothandizira za azamba, azimayi, ndi sayansi yobereka ku Icahn School of Medicine ku Mount Sinai, nthawi yomwe mapiritsi olerera amalola mwina ikukhudzana kwambiri ndi kutsatsa kuposa china chilichonse.

"Pamene mapiritsi oletsa kubereka adatuluka koyamba, adapangidwa kuti azimayi azisamba msabata milungu inayi iliyonse ngati" nthawi yachilengedwe ", akutero. "Nthawi imeneyi imapangidwa chifukwa cha kuzungulira kwa mapiritsi ndipo idakhazikitsidwa motero kuti azimayi azilandira mosavuta."

Chifukwa chomwe mungafune kudumpha nthawi yanu

Mungafune kuganizira njira yolerera yomwe imakupatsani mwayi wofupikitsa kapena kuchepetsa nthawi yanu yamwezi ngati muli ndi izi:

• kupweteka kowawa
• kutuluka magazi msambo kolemera
• endometriosis
• zotupa za fibroid
• kusinthasintha
• kusamba kwa migraine
• kutaya magazi, monga matenda a von Willebrand kapena hemophilia

Ubwino ndi kuipa kwakusadumpha nthawi yanu

Pali zabwino zambiri zabwino zodumphira nthawi yanu, koma palinso zovuta zina.

Ubwino

Malinga ndi Bustillo, kutulutsa mazira nthawi zonse komanso kusamba kumatha kuwonjezera chiopsezo cha matenda monga endometriosis ndi khansa ya m'mimba.

Kudumpha nthawi yanu kumatha kuchepetsa kuchuluka kwa ndalama zomwe mumagwiritsa ntchito pazinthu zaukhondo.

Zoyipa

Kutulutsa magazi kumatha kuchitika mwachisawawa. Komabe, zimangobwera mkati mwa miyezi ingapo yoyambirira kuyambira pomwe palibe njira yoletsa kubereka.

Ngakhale kutuluka kwa magazi kumachepa pakapita nthawi, mudzafunika kulankhula ndi dokotala ngati zikuwoneka kuti zikukulirakulira kapena pafupipafupi mukayamba njira yoletsa kubereka. Ngati izi zichitika, onetsetsani kuti mukuchita zotsatirazi:

• Tsatirani njira zonse kuchokera kwa dokotala kapena wamankhwala. Kuperewera kwa mapiritsi kumapangitsa kuti magazi azituluka mosavuta.
• Tsatirani magazi aliwonse omwe mumakumana nawo. Izi zingakuthandizeni kudziwa ngati zikuchitika mochulukira kapena mocheperapo kuposa miyezi yapitayi.
• Onani zosankha zomwe zingakuthandizeni kusiya kusuta mukasuta. Kutuluka magazi ndikofala kwambiri mwa azimayi omwe amasuta kuposa azimayi omwe samasuta.
• Phunzirani zizindikilo za mimba yoyambira kuti mudziwe nthawi yomwe mungafunike kuyezetsa mimba. Kuchepetsa nthawi kumatha kupangitsanso kuti zikhale zovuta kudziwa ngati muli ndi pakati.

Momwe mungadumphe nthawi yanu ndi mapiritsi oletsa kubereka

Pali njira ziwiri zazikulu zodumphira nthawi yanu ndi mapiritsi oletsa kubereka.

Kutenga mapiritsi osakaniza okha

Ngati mukugwiritsa ntchito phukusi la mapiritsi osakaniza, muyenera kungomwa mapiritsi okhawo osapumira. Muyenera kulankhula ndi dokotala kapena wamankhwala kuti akuwonetseni mapiritsi omwe akugwira ntchito komanso omwe ndi mapiritsi a placebo. Mufuna kutaya malowa.

Ngati mumamwa mapiritsi ogwira ntchito mosalekeza, simungapeze nthawi mpaka mutawaletsa.

Mukaleka kumwa mapiritsi okangalika, mutha kukhala ndi "kutaya" magazi, omwe amafanana ndi nthawi yanu. Dabney amalimbikitsa kuti muzilola izi kuchitika kamodzi miyezi itatu kapena inayi iliyonse.

Dabney akuti mapiritsi ena oletsa kubereka ali pachiwopsezo chachikulu chotuluka magazi mosazolowereka kuposa ena. Muyenera kufunsa dokotala ngati mukufuna kuyamba kusiya nthawi yanu. Angakulimbikitseni kuti musinthe mapiritsi omwe mumamwa.

Muyeneranso kufunsa ndi omwe amakupatsani inshuwaransi kuti muwonetsetse kuti azikwaniritsa mapiritsi ambiri munthawi yochepa, chifukwa mudzakhala mukudutsa mapaketi a mapiritsi mwachangu.

Simukuyenera kuchoka pa kulera kwanthawi yayitali kuposa masiku asanu ndi awiri, kapena mungataye mphamvu yolera.

Kutenga mapiritsi owonjezera kapena oyendetsa mosalekeza

Mapiritsi owonjezera kapena opitilira muyeso adapangidwa kuti azilumpha kapena kuchepetsa nthawi yanu. Mapiritsi otsatirawa akuphatikiza mankhwala a levonorgestrel ndi ethinyl estradiol:

• Seasonale, Jolessa, ndi Quasense ali ndi milungu 12 yamapiritsi omwe amatsatiridwa ndi sabata limodzi la mapiritsi osagwira ntchito. Izi zimapangidwa kuti zizilola nthawi imodzi miyezi itatu iliyonse.
• Seasonique ndi Camrese ali ndi masabata 12 a mapiritsi ogwira ntchito otsatiridwa ndi sabata limodzi la mapiritsi okhala ndi mlingo wochepa kwambiri wa estrogen. Izi zimapangidwa kuti zizilola nthawi imodzi miyezi itatu iliyonse.
• Quartette ili ndi milungu 12 yamapiritsi ogwira ntchito yotsatiridwa ndi sabata limodzi la mapiritsi okhala ndi mlingo wochepa wa estrogen. Izi zimapangidwa kuti zizilola nthawi imodzi miyezi itatu iliyonse.
• Amethyst ili ndi mapiritsi onse omwe amapangidwa kuti athetse nthawi yanu chaka chonse.

Mapaketi a mapiritsi a Seasonique ndi Camrese alibe mapiritsi a placebo. Amapereka sabata limodzi la mapiritsi okhala ndi mlingo wotsika kwambiri wa estrogen. Mapiritsiwa atha kuthandizira kuchepetsa kutuluka kwa magazi, kuphulika, ndi zovuta zina zomwe zingayambike sabata limodzi la mapiritsi opanda mahomoni.

Njira zina zodumphira nthawi yanu

Kumwa mapiritsi oletsa kubereka si njira yokhayo yodumphira msambo. Zosankha zina ndi monga progestin-release intrauterine device (IUD), jakisoni wa progestin (Depo-Provera), progestin implant (Nexplanon), ndi kuphatikiza NuvaRing kapena zigamba zolerera.

"Mirena IUD imagwira ntchito bwino kuposa mapiritsi ochepetsa magazi," akutero Dabney. "Amayi ambiri pa Mirena IUD amatha kusamba kwambiri kapena samangopeza kumene."

Ngati simukutsimikiza za mapiritsi, lankhulani ndi dokotala za zomwe mungachite. Onetsetsani kuti mwalankhula ndi dokotala musanagwiritse ntchito chigamba choletsa kusamba. Poyerekeza ndi mapiritsi oletsa kubereka, chigambacho chimakhala ndi chiopsezo chowonjezeka chakumanga magazi. Komabe, chigambacho chimafanana mofanana ndi mapiritsi osakaniza.

Kutenga

Palibe njira yolerera yomwe ili yoyenera kwa mayi aliyense. Kumanani ndi dokotala wanu kuti mukambirane zosankha zomwe zingakhale zabwino mthupi lanu komanso moyo wanu. Muyeneranso kukumana ndi dokotala ngati mukumwa kale mapiritsi oletsa kubereka koma mukufuna kuyamba kudumpha msambo.

Kulankhula ndi dokotala wanu kudzakuthandizani kuti pasakhale chosowa chilichonse ndikuthandizani kupeŵa kuchepa kwa chitetezo chanu cha mimba. Kumva za zosankha zanu zonse zakubadwa kungakuthandizeni kupanga chisankho chophunzirira chomwe ndichabwino kwa inu.