Ukusetshenziswa kokukhulelwa kuyithinta kanjani ukukhulelwa esikhathini esizayo?

Ngesikhathi sokwamukela OK (izakhi zokubeletha ngomlomo), lo wesifazane udala umjikelezo wokuzikhandla ozinzile, ozinzile. Ngokuqeda izidakamizwa ze-hormone, ukulawulwa kwe-hypothalamic-pituitary yomjikelezo kuvuselelwa, ama-ovari aqhubeke nokukhiqiza i-progesterone yemvelo kanye ne-estrogens, ukuvuthwa kwe-ovulation, futhi ukuphindaphinda kwemizimba. Ngingakhulelwa emva kokulawulwa kokubeletha? Ngokwezibalo, ngemuva kokuyeka ukusebenza kwe-OC, ukuvama kokukhulelwa emjikelezweni wokuqala kungu-21%, okwesibini / kwesithathu - 45%, kufinyelela ku-74-95% ngemuva kokuphela kwezinyanga ezingu-12 zokuqala ngemuva kokuphela kokuthola izisu zokubeletha.

Ukwesulwa kwamaphilisi okukhulelwa: kwenzekani emzimbeni

Isikhathi sokubuyiselwa kwe-ovulation ngemuva kokuthatha i-OC singomunye wesifazane ngamunye. Kuxhomeke esimweni sezempilo kanye nohlobo lwezinzalo zokuvimbela ukwelashwa kwe-hormonal ezisetshenziselwa ukuvimbela ukukhulelwa. Kwezinye izimo, ukuqala kabusha kwe-ovulation nomjikelezo kwenzeka enyangeni, kuma-80% wamacala anama-vaginal oxhumana nabo abahlelekile, ukukhulelwa kwenzeka phakathi nonyaka. Uma emva kwezinyanga ezingu-12 ngemuva kokuyeka ukuthatha amaphilisi e-hormone, ukuvuna i-ovulation akutholakali, kuyadingeka ukuthi uthintane nomjozi wezifo zezinsiza ukuze uthole iseluleko ukuze ungabandakanyi i-pathology yesistimu yokuzala.

Ukukhulelwa nokukhulelwa

Ingabe ukubeletha ngomlomo kungabangela ukungabi nalutho? Cha, ngokuphambene nalokho, izidakamizwa ze-hormonal zifakwe emiphakathini yokuphathwa kokwelashwa. Bayakwazi ukubuyisela ukuzala emva kokushiya imithi yokuvimbela imithi, kubangele "umphumela wokuvukela amandla" nokulungisa ukungalingani kwe-hormonal, okuyinto evame ukudala ukungabi nabantwana.

Ukukhulelwa ngemuva kokuthatha isisu sokubeletha kwe-hormonal

OK zanamuhla ziphephile, zisebenza kahle, zibhekene nemiphumela emibi kanye nezimo ezinzima, zinikela ngo-99% wokuthembela kokukhulelwa. Ukuvikeleka okungu-100% ekukhulelweni okungafuneki kungaqinisekisa ukuthi inzalo kuphela, ngakho-ke, amathuba okukhulelwa angeke aqedwe ngokuphelele, ngisho nokudla okuvamile nokulungisa amaphilisi okulawula ukuzalwa.

Izimbangela zokukhulelwa uma uthatha OK:

• ukukhethwa ngokwanele kwamathebhulethi. Izindlela zokuvimbela izitho zomzimba kufanele zibekwe ngumchwepheshe onokubheka ukusebenza komuthi okhethiwe, ukubekezela kwayo, ukuphendula okuhlangene. Ezinye izimo zokukhubazeka nge-OC zingagxiliswa, ezinye zingadonswa, ngoba, ngaphezu komthelela wephrofayili, iphilisi yokukhulelwa inomthelela wokwelashwa kwezifo eziningi eziphathelene nokugula: i-PMS, i-endometriosis, i-amenorrhea, i-dysmenorrhea, i-hormonal infertility;
• ukwamukela okungalungile amaphilisi. Isizathu esivame kakhulu sokukhulelwa lapho kuthatha isisu sokuvimbela ukuvimbela ukuvimbela imithi. Ngokuyinhloko awukwazi ukweqa iphilisi ehleliwe, ukwandisa ikhefu phakathi kwamaphakheji, weqa ithebhulethi yokugcina. Ngesikhathi sokuthatha amaphilisi, kufanele uqaphele izinga leshukela legazi futhi zonke izinyanga ezimbili zihlolwe yi-gynecologist yokwelapha.
• isifo sohudo / ukuhlanza. Amahomori angena emzimbeni amahora angu-1-2 ngaphambi kokuhlanza, athwala kakhulu, okuyinto eyanciphisa kakhulu umphumela wokuvimbela umuthi;
• ukuthatha ezinye imithi. Izidakamizwa eziningi (ama-antibiotics) zikala ukuphumelela kwezizalo zokubeletha, ngakho-ke ngaphambi kokuqala ukwelashwa kufanele uxhumane nomjozi wezifo zokwelapha;
• ukwamukela amakhambi / izithako zokudla.

Uma ukukhulelwa kusaqhubeka ngokumelene nesizinda sokuthatha izisu zokubeletha kwe-hormone, akufanele ukhathazeke kakhulu, izidakamizwa zesizukulwane sokugcina aziba nomthelela omubi ebusweni. Kuyadingeka ukuba ushiye ngokushesha amaphilisi bese uhlolwa ngokuningiliziwe ne-gynecologist. Okubalulekile: ukwethenjelwa kokuhlolwa okusheshayo uma ukhetha Kulungile, ngakho awukwazi ukumethemba.

Izimpawu zokukhulelwa lapho uthatha OK:

• ukuzwela okukhulu kwezigulane zamabele, ubuhlungu esifubeni;
• ukuhlanza kanye nokucabangela;
• shintsha ngokuncamelayo kokuncintisana.

Ukukhulelwa kokukhulelwa emva kokukhanselwa kwe-hormonal contraception

Uma, ngemuva kokuthatha i-OC iminyaka eminingana, owesifazane wayefuna ukuba nomntwana, kufanele ukhansele lesi sidakamizwa futhi ungasebenzisi ezinye izindlela zokuvikela okwesikhashana. Kunconywa ukuba ungakhulelwa ngaphakathi kwemijikelezo engu-3 ngemuva kokwenqaba ukuvimbela ukukhulelwa ukuze unikeze uhlelo lokuzala ukululama okuphelele. Lokhu kungenxa yokuthi ngesikhathi kutholakala amaphilisi e-hormonal emzimbeni, ukuhlushwa kwe-folic acid kuncishisiwe, ukulahlekelwa okungabangela inkambo yokukhulelwa okuyinkimbinkimbi futhi kubangele ukukhubazeka kokuthuthukiswa komntwana (i-neural tube defect, spina bifida). Izazi zemizimba zincoma ukukhulelwa kokukhulelwa ngemva kwezinyanga ezingu-1-3 emva kokuyeka izisu zomlomo, sebenzisa amalungiselelo aqukethe folic acid ( Yarina , Jess ).