Nthawi zina, njira yodzitetezera ku mimba yosafunika ndi bwino kuganiza musanayambe kugonana, osati pambuyo pake. Mpaka pano, pali njira zazikulu zothandizira kulera zomwe zimakulolani kuti musankhe mwanjira yabwino kwambiri komanso kutenga pakati pamene mayiyo akukonzekera. Ndichifukwa chake, ndikufuna kulankhula lero mwatsatanetsatane za njira zamakono zamakono zobereka.
Kodi mukudziwa kuti nthawi zambiri atachotsa mimba mkazi sangakhale ndi ana, amakhala wosabereka, ngakhale kuti mankhwala amasiku ano apitilira ndipo amapereka mimba yopanda chithandizo komanso "yotetezeka". Malingana ndi chiwerengero, mkazi aliyense wachisanu yemwe wakhala akuchotsa mimba akhoza kukhala wosabereka, komanso mosasamala. Ngati tikuganiza kuti amayi sangathe kubala ana chifukwa cha kusabereka kwawo kapena chifukwa cha kusabereka kwa amuna (mwa njira, iwo sali ochepa), ndiye kuti sivuta kulingalira dziko lathu, ndipo mwina dziko lonse lapansi muzaka 50. Kutha, kutha kwa mitundu. Ndicho chifukwa chake ndi nthawi yoti tiganizire zam'tsogolo pakalipano. Ndicho chifukwa chake, mkazi aliyense ayenera kuganiza mofulumira pamene akufuna kukhala ndi ana, ndipo mpaka nthawi yomweyo asankhe njira zamakono zobeletsera ana kuti athe kupeŵa mimba, komanso mtsogolo - kubereka mwana wathanzi. Ndipotu, ndikofunikira kwambiri kusunga mbali yapadera ya amayi - chiberekero cha mwana. Kotero, mungasankhe bwanji njira yodalirika yodalirika yatsopano kuti mukhale mwamtendere, osaganizira za mimba yosafuna, komanso panthawi yoyenera kutenga pakati? Momwe mungapangire kuti mutha kukonzekera mimba, mukhale ndi mwana wosirira? Inde, sankhani njira yabwino yopangira chithandizo. Pakalipano, pali njira zamakono zamakono zobereka ana. Sindidzawafotokozera onse, ndimangolankhula za otchuka komanso oyesedwa, komanso ndikuyerekezera njira zochezera. Ndikoyenera kudziwa kuti zatsopano mudziko lachilombo zikuwonekera nthawi zambiri. Ndibwino kuti muwatsatire mwatsatanetsatane, mwinamwake mudzapeza njira yowonjezera yokha. Kotero, ife tikupitiriza kufotokozera.
Anasokoneza kugonana
Kusokoneza kugonana kunagwiritsidwanso ntchito ndi agogo-agogo-agogo-aakazi. Ndipo zotsatira zake ndi zotani? Mabanja akuluakulu, nthawi yomwe ali ndi pakati. Kusokoneza kugonana ndi njira imodzi yodalirika yopewera. Sikuti sizothandiza zokha (mungathe kutenga mimba m'kati mwachiwiri), kotero zimakhudzanso thanzi lawo. Mwamuna akhoza kutayika, mkazi - padzakhala mavuto ndi kuchepa magazi m'magazi, kuchepa kwa chilakolako chogonana ndi mavuto ena mmimba mwa chiwalo. Chowonadi ndi chakuti mpaka nthawi yokwanira, spermatozoa yomwe ili m'chiwombankhanga madzi amatha kulowa mkati mwa chikazi, kenaka pitani ku dzira ndi manyowa. Ichi ndi chifukwa chake kusokoneza kugonana kumatengedwa kuti ndi njira imodzi yodalirika yotetezera mimba yosafuna. Kuwonjezera apo, njira yotetezerayi siyiyenerana ndi ubale weniweni, chifukwa chogonana ndi munthu yemwe simudziwa bwino, chifukwa sichiteteza ku matenda opatsirana. Njira yotetezera iyenera kuchitidwa mosamala. Musagone ndi mlendo, ngati palibe wina, njira zamakono zotetezera pa dzanja. Tumizani kugonana mpaka nthawi ina.
Njira ya kalendala.
Njira ya kalendala, njira ina imatchedwa njira yabwino masiku. Zimaphatikizapo zotsatirazi: Asayansi asonyeza kuti pa nthawi ya kusamba kwa amayi pali nthawi zosiyana. Zimakhulupirira kuti feteleza ya dzira ikhoza kuchitika patsiku lina (mwina pangakhale 15 pa mwezi). Masiku onsewo - kugonana sikokwanira, ndipo mukhoza kugonana popanda mantha a mimba yosafuna. Komabe, ndikuyenera kuzindikira kuti ngakhale nthawi zonse, chiwerengero cha chitetezo ku feteleza cha ovum sichidutsa 40-50%. Kodi mumadziwa kuti spermatozoa ikhoza kukhala mu thupi la mkazi ndikudikirira mavuni kwa masiku 9 (!). Kuwonjezera pamenepo, kumapeto kwa msinkhu kwa mkazi kuli yekha, ndipo molondola molondola "masiku otetezeka", mwinamwake, sangakhale dokotala mmodzi. Ndiyeneranso kuzindikira kuti kusamba kwa mkazi sikunali koyenera, kungasinthe chifukwa cha zinthu zina zakunja. Zingasinthe ngakhale mutangokhala wamantha, ozizira, otopa. Nthawi yomweyo chirichonse chimasochera. Kuti mukhale ndi ndondomeko yolondola ya kusamba kwanu muyenera kudziwa thupi lanu, kukonza kayendetsedwe ka tsiku ndi tsiku, kusintha kusintha. Ndipo zonsezi kwa zaka ziwiri (!) Zaka. Nyimbo yamakono ya moyo salola akazi kutenga nthawi yochuluka pa izi, chifukwa, tsiku lililonse, kuchita bizinesi, kusamalira. Ndiroleni ine mwachidule: njira ya kalendala ili ndi ubwino wake, koma, ndi yosakhulupirika kwambiri, musayesedwe. Inde, iwo amagwiritsidwa ntchito nthawi zambiri, koma chifukwa chakuti panalibe njira zina.
Kuwomba.
Njira ina kuchokera m'mbuyomo. Mwamwayi, ngakhale pali njira zamakono zamakono zobereka ana masiku ano, amayi ambiri amagwiritsabe ntchito douching. Ndikulankhula za mankhwala ozunguza bongo atatha kugonana. Zinthu izi zimawonjezeka m'madzi. Kenaka, chiwerengero ichi chikuwonetsera ukazi. Inde, njira yotetezera yotereyi ingakuteteze ku matenda osayenera, ngati simukukhulupirira mnzanuyo, koma sangathe kuchotsa mimba yosafuna. Panthawi yopuma, umuna umachotsedwa ndi jet wamphamvu ndipo spermatozoa imayamba kuyenda mwakhama komanso mofulumira ku cholinga chawo. Ngati muwonjezera pa masiku awa, malo a thupi kuti abereke mimba, ndiye kuti mimba idzafikabe. Kuphatikiza apo, kupaka koteroko sikuthandiza mimba yosafuna, ikhoza kuvulaza thupi lakazi ndi ntchito zambiri. Kuwombera kumauma mimbulu mu umaliseche, kusintha zomera, kumapha mabakiteriya oyenera. M'malo mwa zomera zowonongeka, mabakiteriya achilendo ndi ochiritsira amapezeka m'mimba ya mkazi, zomwe zingayambitse zotupa. Mphamvu ya douching ndi 15% yokha. Ndiye kodi ndizoyenera kugwiritsa ntchito?
Kondomu.
Njira yabwino kwambiri yotetezera mimba yosafuna ndi kondomu. Iyi ndi njira yotchuka kwambiri komanso yowonjezereka kwambiri yoteteza kutenga mimba zosafuna, komanso matenda opatsirana pogonana komanso matenda opatsirana pogonana. Makondomu ndi abwino kwa atsikana aang'ono omwe ali ndi mgwirizano wamba. Izi zidzakuthandizani kupeŵa mavuto ndi matenda. Koma ndi mimba ndizosiyana kwambiri. Mlingo wa chitetezo cha kondomu kuchokera mimba sizoposa 50%. Zonse zimadalira mtundu wa mankhwala a rabara, utali wotani womwe wasungidwa, komanso momwe mkazi amatha kukhalira, komanso amuna kuti abereke. Ngati kondomu yapamwamba imagwiritsidwa ntchito panthawi yogonana, imatha kugwedeza, kapena mikwingwirima ikhoza kuonekera, kudzera mmimba yomwe spermatozoa ikhoza kudutsa mumimba, makamaka ngati ikugwira ntchito. Ngati mzimayi akuwombera, ndiye kuti kutenga mimba kumatha. Kuwonjezera apo, makondomu nthawi zambiri amathawa, ngati izi zichitika, ndiye kuti n'zosatheka kunena za chitetezo ku mimba yosafuna, komanso za chitetezo ku matenda opatsirana pogonana. Choncho, sankhani makondomu abwino komanso oyesedwa. Musasunge nthawi yaitali, sankhani kukula kwake.
Magazi.
Njira yotsatira yotchuka ya amayi masiku ano ndi chithunzithunzi. Komabe, njira iyi ili ndi zofunikira zake, chifukwa sikuti aliyense woimira agonana omwe ali ofooka akhoza kugwiritsa ntchito. Choyamba, tiyeni tiyang'ane chomwe chimphwa chiri. Ndi njuchi yosasunthika, yomwe ili ndi rasi yowamba. Kunja mofanana kwambiri ndi kapu. Asanayambe kugonana, nthata imayikidwa mukazi, kuti zitha kutsegula kumene spermatozoa imadutsa. Mphunoyi iyenera kuikidwa mwamphamvu pamimba kuti ikhale yotetezeka ku mimba yosafuna. Mayi aliyense ali payekha, komanso ubenda wake ndi chiberekero. Ndicho chifukwa chake, sizowonjezera kugula diaphragm nokha. Ndikofunika kukaonana ndi dokotala yemwe angasankhe kukula kwake kwa chithunzithunzi. Kuonjezera apo, panthawi yogwiritsira ntchito chipangizochi, amai ayenera kugwiritsa ntchito gel osakaniza omwe ali ndi mahomoni. Kudalirika kwa njira iyi yothetsera mimba zosafunika ndi 80%. Chotsani chingwe chochokera kumaliseche chikhoza kukhala maola angapo mutatha kugonana. Ponena za kuvuta kwa njira iyi ndi mfundo yakuti si yoyenera kwa aliyense. Sikuti mkazi aliyense akhoza kumveka bwino. Ndipo gel osagwiritsidwa ntchito panthawiyi, akhoza kuwononga zotsatirazi: chifukwa cha chiberekero, chibelekero chimakhala chocheperapo, ndipo chimfine chimadumphira. Kuonjezera apo, ngakhale palibe zolakwika zoterezi, kugwiritsira ntchito kachidutswa ka akazi kungapangitse kukula kwa matenda azimayi, mwachitsanzo, kuwonongeka kwa chiberekero, kapena kuyambitsa njira yotupa. Komanso, chithunzithunzi sichiri chovomerezeka kwa atsikana omwe asanabadwe. Choncho zimakhala kuti okhawo omwe amakhulupirira wina ndi mzake akhoza kugwiritsa ntchito njira yotetezera ku mimba yosafuna, ndipo mawonekedwe a atsikana amaloledwa kuvala chipewa chachikazi. Kuphatikiza apo, chithunzithunzi sichiteteza ku matenda opatsirana pogonana ndi matenda.
Mizimu.
Zipangizo zamakono za IUD mwa njira ina zimatchedwa mizimu. Ndi njira yotchuka komanso yothandiza kuteteza mimba yosafuna. Zokwanira ndi pafupifupi 80%. Kuwonjezera apo, ndizovuta kwambiri. Katswiri wa amai amayamba kulumikiza chiberekero kwa zaka zisanu, ndipo panthawiyi, mkazi akhoza kukhala wamtendere. Ngati, ndithudi, njira yotetezerayi ndi yabwino ndipo palibe kutsutsana. Poyamba, mipira imayikidwa kokha kwa amayi omwe akubala, koma lero mankhwalawa amaperekanso mizimu, yomwe ingaperekedwe kwa atsikana omwe ali nulliparous. Chofunika kwambiri cha zomwe zimachitika pamtunduwu ndizomwe izi: Uterine mpanda nthawizonse imatseguka pang'ono. Kutupa kotupa komwe kumachitika pokhapokha chifukwa chakuti mzimu wamkuwa umaletsa spermatozoa za luso lake la feteleza. Komabe, chipangizo cha intrauterine chili ndi mbali zolakwika. Chifukwa chakuti izi akadali thupi lachilendo, thupi lathu likuyesera kuchotsa. Chifukwa cha mpweya, kuchuluka kwa msambo kumatuluka, kuwonjezera apo, kupweteka kumawoneka pa nthawi ya kusamba. Chiberekero cha mayi nthawi zonse chimakhala chotseguka kwa matenda osiyanasiyana, pamakhala chiopsezo cha ectopic mimba. Monga mukuonera, kugwiritsa ntchito chipangizo cha intrauterine chiri ndi kutsutsana kwakukulu, kotero njira iyi ya kulera masiku ano iyenera kusankhidwa ndi dokotala, malinga ndi ziwalo za thupi lachikazi. Kuchokera ku matenda opatsirana pogonana, mpweya sungateteze. Choncho, n'zotheka kugwiritsa ntchito njira yamakono yochera pakati pa amayi okhawo omwe akhala ndi moyo kwa nthawi yaitali ndipo ali ndi chidaliro mu kukhulupirika kwa wokondedwa wawo.
Makamaka ndikufuna kudziwa kuti pali mizimu, yomwe imaphatikizapo leponorgestrel - hormone yapadera yomwe imalepheretsa mimba. Nthawi zonse amalowa m'chiberekero, chifukwa cha izi, mimba sizimachitika. Kuwonjezera apo, mankhwalawa alibe zotsatirapo, monga mapiritsi oletsa kubereka, chifukwa samalowa magazi a mkazi ndipo samapangitsa kulemera, kunyoza, kusanza ndi zotsatira zina. Mzimu wotero uyenera kukhazikitsidwa ndi dokotala. Izo zatha zaka zopitirira zisanu, ndiye ziyenera kuchotsedwa. Komabe, njira iyi ya kubereka amayi imakhala ndi zotsutsana kwambiri. Choncho, sankhani njira yotetezera ku mimba yosafunika ayenera dokotala yekha. Ikugwirizana ndi akazi ochepa chabe. Kugwiritsiridwa ntchito kwa mzimu wotere kungayambitse kusokonezeka kwa msambo komanso zotsatira zina zoipa.
Kuchiza kwa mankhwala.
Njira yoberekera yobereka ndi yabwino. Zimaphatikizapo kugwiritsa ntchito matamponi ndi makandulo, zowononga zomwe zimateteza ku matenda opatsirana pogonana. Mlingo wa chitetezo ku mimba yosafunika imafikira 75%. Njira imeneyi yothandizira amai ndiyogwiritsidwa ntchito bwino pogwiritsa ntchito kondomu, ndipo kudalirika kwa njira yotetezera imakhala pa 100%. Komabe, m'pofunika kumvetsera kuti mankhwala oletsa kubereka amatha kupitirira ola limodzi, pamene akugwirizanitsa ndi zotupa (sopo, gel osakaniza), amataya katundu wawo. Kuonjezera apo, kugwiritsira ntchito mankhwala opaleshoni nthawi zonse kungayambitse kusintha kwa zomera. Ndicho chifukwa chake musagwiritse ntchito njira iyi yotetezera.
Majekeseni a mahomoni. Mapiritsi.
M'zaka zapitazi, maonekedwe a mapiritsi a mahomoni anali kupambana kwenikweni mmunda wa amayi oyembekezera kubereka. Mlingo wokhala wodalirika wa njira yotetezera ku mimba yosafunika ikufikira 97%. Mfundo yogwiritsira ntchito mapiritsi otchedwa hormone amaphatikizapo ndondomeko yoletsa kuvuta. Dzira silimangobwera kuchokera ku ovary, motero, spermatozoa sichimafota. Chinthu chofunika kwambiri kuti muthe kupeza zotsatira zochulukirapo pogwiritsira ntchito mapiritsi a hormonal mungapeze ngati mutatsatira ndendende ndikutsatira malamulo onsewa. Ndikofunika kwambiri kuti mapiritsi achotsedwe ndi amayi amodzi. Dziwani kuti mapiritsi a hormone ali ndi zotsutsana ndi zotsatira zina, ngakhale mutakhala ndi zotsatirapo, phukusili liyenera kuti liledzere mpaka mapeto, pokhapokha pangakhale mavuto ndi kusamba kwa ovari ndi nthawi zina zosasangalatsa. Ngati mapiritsi a hormone sakugwirizana, dokotala ayenera kutenga mapiritsi ena.
Njira zakulera zam'mimba zimaphatikizapo jekeseni wa mahomoni. Amagwiritsa ntchito hormone yomweyi, monga levonorgestrel. Jekeseni wa homoni ndi yodalirika, monga mapiritsi a hormone. Zokwanira kuti jekeseni jekeseni kamodzi pa miyezi iwiri kuti mupeze chitetezo chokwanira, pomwe mahomoni amamasulidwa pang'onopang'ono, omwe amaletsa mimba yosafuna. Komabe, monga njira iliyonse, majekisoni a mahomoni ndi mapiritsi amatsutsana. Mwina pangakhale mavuto ndi kusamba kwa mimba, pangakhale kupezeka pakati pa ulendo. Ngati, ngati pali mapiritsi a mahomoni, izi zingathetsedwe, ngati simungayambe kumwa phukusi lotsatira, ndiye ngati muli ndi vuto, muyenera kuyembekezera mpaka kutha kwa zotsatira, ndipo pokhapokha musankhe njira ina yoberekera. Chitani izi pokhapokha kuyang'aniridwa ndi kuyang'aniridwa ndi dokotala.
Phokoso la Nova.
Ndikufunanso kulankhula za njira yatsopano ya kulera kwa amayi - Ring of Nova Ring. Ili ndi mphete ya mahomoni yomwe imayenera kulowetsedwa mu chikazi ndipo imachoka kumeneko kwa masiku 21 (kumapeto kwa msambo). Pa chitsimikizo cha madokotala, madokotala, njira iyi yoberekera ndi yothandiza komanso yabwino, ndi iye mukhoza kukhala ndi moyo wokhutira, osadandaula za mimba yosafuna. Mukhoza kuchita nawo masewera, kukhala ndi moyo wathunthu. Chovalacho chili ndi mawonekedwe apadera omwe amavomereza kuti agwire ntchito yonse yamimba ya abambo, kusintha mazenera a thupi. Khola la Nova liribe zotsatirapo, ndipo mlingo wa chitetezo ku mimba zosafuna ndi 99%. Ngakhale izi, pa intaneti, pakati pa machitidwe azimayi osiyana kwambiri ndi njira iyi yotetezera. Choncho, nkofunikira kusankha njirayi pokhapokha mutakambirana ndi dokotala.
Phalasitala yamagazi
Posachedwapa, njira yatsopano ya kulera kwa amayi - chigamba cha mahomoni - chimatchuka kwambiri. Amagwira mbali iliyonse ya thupi. Mu phukusili mumapatsidwa mapepala atatu, aliyense kwa masiku 77, pambuyo pake m'pofunikanso kupuma kwa masiku asanu ndi awiri, ndipo kenaka ndikupanganso zatsopano. Madokotala ndi madokotala amatsimikizira kuti palibe zotsatirapo za njira iyi, kuwonjezera apo, iye ali ndi zothandiza padera. Kudalirika kwa chiwonongeko cha hormonal ndi 99.5%. Ngakhale kuti njirayi ndi yoyenera kwa ambiri, pali milandu ngati kusagwirizana kuli koyenera kuyendera dokotala.
Kutsekemera.
Pomalizira, ndikufuna kulankhula za njira zogwiritsira ntchito bwino komanso zosagonjetseka - kubereka kwa amayi. Inde, iyi ndi njira yopambana kwambiri, ndi zabwino kwambiri kulingalira pazomwe zimapindulitsa. Mothandizidwa ndi njira imeneyi, zimachitika kuti spermatozoa sifikira ovule. Komabe, ndibwino kumvetsetsa kuti mutatha kuchita opaleshoni, zotsatira zake sizidzasinthika, ndipo simungathe kukhala ndi ana.
Kulera ndi kosavuta komanso kosavuta, muyenera kusankha njira yanu. Dziwani kuti ndi bwino tsopano kulingalira za momwe mungapewere mimba yosafunika, kuposa kuganizira za kuchotsa mimba mtsogolo. Kusankhidwa mwachindunji kwa kulera kudzakuthandizani kukonzekera mimba ndi kubereka ana wathanzi.