Nkhani yokhudzana ndi kubala padziko lapansi nthawi zonse yakhala ikuthandizira, ndichifukwa chake lero njira zambiri, njira ndi njira zothandizira kutenga mimba zakhazikitsidwa. Njira iliyonse imakhala ndi mafailesi ndi minuses, komanso imakhala ndi nthawi yochuluka. Pali njira zopanda pake kwenikweni kwa thupi la mkazi, ndipo pali zomwe zingayambitse mavuto aakulu. Pankhani iyi, m'pofunika kuyesa kutsata zolakwitsa za njira yeniyeni ndi kuchuluka kwake. Njira yopanda vuto komanso yotchuka kwa nthawi yaitali inali yachilengedwe. Zinali zochokera pa chiwerengero cha masiku abwino ndi osakondweretsa kuti abereke mimba ndipo amaimira zosavuta zoletsa kugonana pa masiku abwino.
Zoonadi, njira iyi, komanso njira yothetsera kugonana - ndiyo njira yokhayokha yopewera mimba, chifukwa chamoyo chachikazi chingamangidwenso ndipo mchitidwewo sungakhale wunifolomu, kotero kuti chidziwitso chopezekanso motsatira njira ya chilengedwe sichiyenera. Palinso njira zowonjezereka zowonjezereka, zazikulu komanso zotchuka kwambiri zomwe tidzakambirane.
Kuipa kwa njira zolepheretsa kubereka
Choncho, tiyeni tiyambe ndi njira zosavuta komanso zowonjezereka - zopewera zothandizira. Izi zikuphatikizapo makondomu omwe amatenga msika woposa 40 peresenti pazochitika zonse za kulera ndipo ali otchuka kwambiri, ngakhale kuti asayansi sadziwa bwino nthawi zina. Ndipotu, makondomu ndi owopsa kwambiri, koma osatenga kanthu kena - ndi bwino kuzigwiritsa ntchito. Izi ndizo kuperewera kwakukulu kwa chithandizo choterechi. Choopsa chachikulu pogwiritsa ntchito makondomu ndizotheka kukhala ndi vuto la latex ndi mphira. Ngati izi zichitika, ndiye kuti simungathe kuchita zachiwerewere kwa nthawi yayitali, ndipo makondomu amaletsedwa nthawi zonse.
Chinthu china choletsa kubereka ndi abambo. Izi, makamaka, ndi kondomu, koma mosiyana. Amayikidwa mwachindunji mumsampha ndipo ayenera kugwiritsidwa ntchito limodzi ndi abambo amadzimadzi, omwe amachititsa kuti ukhale wogwira mtima. Kujambula kwakukulu ndikofunikira kukhazikitsa bwino chithunzithunzi, chifukwa ndi kulephera kosayenerera kumakhala kovuta. A vytopasnost pogwiritsira ntchito ziwalo zapakati ziwiri - izi ndizotheka kuti matenda a urogenital akhale ndi mphamvu yolepheretsa kugwiritsira ntchito urethra, komanso kuthekera kwa kutupa kwa ziwalo zogonana. Sitikukayikira kuti amayi alionse amafuna zofuna zawo.
Kugwiritsiridwa ntchito kwa intrauterine kuvuta ndizovuta zake zazikulu
Masiku ano, madotolo ambiri amalimbikitsa amayi kukhazikitsa zipangizo za intrauterine, zomwe zimaonedwa ngati zothandiza kwambiri pakulera. Koma pali zizindikiro zochepa. Choyamba, nkofunikira kumvetsetsa kuti kugwiritsa ntchito mankhwalawa kungakhale ndi thanzi labwino lomwe limabereka kale amayi. Iyenso iyenera kukhazikitsidwa ndi mayi wa amai mu gawo lina la kayendetsedwe ka mankhwala, kenaka kafukufuku wamankhwala amachitika mkati mwa masabata angapo. Mphuno ndi njira yobweretsera ntchito, chifukwa imachokera ku kupewa kutsegulidwa kwa mimba. Masiku ano pali zifukwa zambiri zomwe zimaganizira za njira yogwiritsira ntchito intrauterine chipangizo, koma chofunika kwambiri ndi chimodzimodzi. Gwiritsani ntchito mafilimu omwe sangathe kugwiritsidwa ntchito pogwiritsa ntchito zizindikiro zoyenera zaumoyo. Komabe, amayiwa sagwiritsidwa ntchito poyerekeza ndi amayi omwe, chifukwa cha zochitika zina, sangathe kutenga mankhwala opatsirana pogonana.
Pali nthawi zingapo zowopsa mukamagwiritsira ntchito IUDs - izi zimatulutsidwa masiku oyambirira pambuyo pa kukhazikitsidwa kwa mpweya, komanso kuthekera kwa magazi. Magazi oterewa angasonyeze ngati ali ndi msambo wamphamvu, komanso ubwino wa magazi coagulation. Nthawi zambiri, mwachitsanzo, motsutsana ndi chikhalidwe cha matenda opweteka, kuvala mzere kungayambitse kusabereka. Ndikofunika kunena kachiwiri kuti IUD ikhoza kukhala njira yabwino kwambiri kwa mkazi wathanzi, wathanzi yemwe ali ndi chibwenzi chogonana nthawi zonse ndipo sakuvutika ndi matenda opweteka a dongosolo la genitourinary.
Zojambula zamakono zamakono - zovulaza kapena zopindulitsa?
Mankhwala opatsirana mwachisawawa lero ndi imodzi mwa njira zodziwika kwambiri komanso zogwiritsidwa ntchito mobwerezabwereza. Iwo ali ndi ubwino wambiri, koma amakhalanso ndi zovuta zina. Odziwika kwambiri masiku ano ndi chimodzimodzi zothandizira kulera. Iwo ali ndi msinkhu wabwino kwambiri - pafupifupi 98% pokhapokha ngati akugwiritsa ntchito molondola. Awiri peresenti atsala ngati mayiyo amaiwala kuti atenge piritsilo. Komabe, COCs ali ndi mndandanda wautali wa zotsutsana ndi zochitika zaumoyo zomwe sangathe kuzigwiritsa ntchito. Mwachitsanzo, kupweteka kwa maselo, kuchepa, matenda a mtima, shuga, thromboembolism, matenda oopsa, khunyu komanso kupwetekedwa mtima nthawi zonse zimagwiritsa ntchito njira zina zothandizira, koma osati KOC.
Kwenikweni, ngozi ya mapiritsi, ndi ubwino wawo wonse, ndiyo kuchitika kwa matenda a mtima, kuthekera kwa magazi, kuoneka kwa mutu, kuwonjezeka kwa kulemera, komwe kumakhudza amayi ambiri. Zilinso ndi zotsatira zambiri zokhudzana ndi maganizo a akazi: kuchepa kwa libido, kutentha kwafupipafupi ndi mavuto, kukhumudwa ndi zina zotero. Ndikofunika kwambiri musanatenge njira iliyonse yothandizira kulera, funsani dokotala yemwe adzayese kafukufuku, apange mayesero ofunika, aphunzire anamnesis ndipo akhoza kupereka njira zovomerezeka zovomerezeka za mankhwala ovomerezeka ndi zofunikira komanso kupezeka kwa mahomoni. Ngati muli ndi zotsutsana, njira yothandizira kulera ikhoza kusankhidwa wina.