"Ukwelashwa okuphuthumayo" - kuzwakala ngesibindi. Into esemqoka ukuthi kukhona indlela enjalo esebenzayo ukusiza owesifazane ozivikele ekukhulelwe okungadingeki. Kodwa udinga ukwazi imithetho, zonke izinzuzo nokuqeda. Mhlawumbe, ehlomile ngolwazi, ngeke nje usebenzise le ndlela yokukhulelwa.
Inhloso yokukhulelwa kokuphuthumayo
Lokho ukubeletha okuphuthumayo kuklanyelwe ukusiza abesifazane besifo sokubeletha ukunciphisa inani lokukhulelwa okungahlelelwe, futhi ngenxa yalokho, inani lokukhipha isisu. Ngokwemvelo, kufanele sikhethe njalo ububi babo ababili, obuncane. Futhi uma wenza uhlobo lobugebengu ngendlela yokukhipha isisu, kungcono ukugwema ukukhulelwa okungafuneki ngazo zonke izindlela. Kukhona amacala (ukuphoqelela ukulala ngokobulili, ukudlwengula) lapho indlela yokuphuza ngokwephuthumayo isetshenziswa njengesimo esiphuthumayo sokuvikelwa kokubili ukukhulelwa okungadingeki kanye nokuhlukunyezwa kwengqondo okuhlobene nayo.
Ngakho-ke, ukuqhubekela phambili ngenhla, kungaphetha ngokuthi "ukuvuthwa komlilo" kufanele kusetshenziswe kuphela ezimweni eziphuthumayo, lapho kwenzeka khona izindlela ezijwayelekile zokuvikela ekukhulelwe okungafuneki kakade ezingasebenzi.
Izimpawu zokusetshenziswa kwezimo eziphuthumayo zokubeletha
Ngakho-ke, ukuphulwa kokuphuthumayo okuphuthumayo kuyisimo esingavamile sokuvikelwa kokukhulelwa okungadingeki. Njengomthetho, lisetshenziselwa amacala alandelayo:
- uma kwenzeka udlwenguliwe;
- uma ubuqotho bekhondomu bubonakele;
- lapho i-diaphragm isuswa, isetshenziselwa ukukhulelwa;
- ngokulahlekelwa okuyingxenye noma okuphelele kwedivayisi ye-intrauterine;
- uma kunezinkinga zokukhulelwa zomlomo ezingekho (amaphilisi okukhulelwa);
- nabathintana nabo abangavamile ngokocansi;
- esimweni socansi ngaphandle kokusetshenziswa kwezizalo zokubeletha.
Ukungahambisani nokukhulelwa kwezimo eziphuthumayo
Ukuphikisana okuyinhloko ekuthatheni imithi yokwelashwa okuphuthumayo kuyafana nanoma yimuphi omunye umuthi wokubeletha ngomlomo. Lezi yizi:
- i-thrombophlebitis;
- i-thromboembolism ku-anamnesis;
- ukuphuma kwe-etiology engaqondakali;
- isifo esinamandla sesibindi;
- umdlavuza webele noma i-endometrium;
- ukubhema okukhulu;
- uneminyaka engaphezu kwengu-35.
Imithetho yokusebenzisa indlela yokukhulelwa okuphuthumayo
Uma usebenzisa ukukhulelwa kokuphuthuma okuphuthumayo, kubalulekile ukucabangela iqiniso lokuthi liphumelela uma lisetshenziswa ngokushesha ngangokunokwenzeka emva kokuya ocansini okungavimbelwe. Isikhathi lapho singeke siphuze kakhulu ukuphuza "iphilisi lomlilo" ngamahora angu-24-72 emva kocansi.
Inqubo yesenzo
Ochwepheshe abaningi bakholelwa ukuthi amalungiselelo okuphutha okuphuthumayo, ngaphezu kwakho konke, ayithinta i-endometrium, ephazamisa inqubo yokufakelwa kweqanda elifakwe umquba ngesenzo salo. Ngaphezu kwalokho, lezi zidakamizwa ziphazamisa ukusebenza kwazo, zingakwazi ukuvimbela inqubo yokuvuthwa kwegazi, kanye nokuhamba kweqanda elikhulelwe kanye nokufakwa kwalo emgodini wesibindi.
Indlela Yuzpe
Udokotela waseCanada u-Albert Yuspe okokuqala ehlongozwa njengendlela yokuphuza ukukhulelwa okuphuthumayo kuhlangene nezidakamizwa ze-estrogen-progestational. Ngokusho kwendlela ye-Yuzpe, i-200 μg ye-ethinylestradiol kanye ne-1 mg ye-levonorgestrel yenziwa kabili isikhathi seminyaka engama-72 emva kokulala ngokobulili nekhefu lamahora angu-12. Ukuphumelela kwalendlela kuxhomeke ekusebenzeni okusheshayo emva kobulili obungavimbelwe ukuvimbela ukukhulelwa, futhi ukusebenza kahle kuncishiswe uma ukulala ngokobulili kwenzeka ngesikhathi sekuseni noma ngesikhathi sokuvuthwa. Inzuzo ebalulekile yale ndlela yukuthi izidakamizwa zokuphuza ngokwezokwelapha eziphuthumayo zingasebenza cishe noma yikuphi izidakamizwa ezihlanganisiwe ze-hormone ezitholakalayo ukudayiswa, ngisho nomthamo ophansi.
Izidakamizwa zanamuhla zokukhulelwa kokuphuthumayo
Izidakamizwa zanamuhla zokukhulelwa kwezimo eziphuthumayo ziqukethe, ngaphezu kwakho konke, i-levonorgestrel hormone. Izidakamizwa ezinjalo zilula kakhulu kunendlela ekhonjwe ngenhla ye-Yuzpe. Imali engabizi kakhulu futhi etholakalayo yi-"Postinor" kanye ne "Escapel" amalungiselelo. Umehluko wabo ukhona lokuthi uPostinor uqukethe i-levonorgestrel esilinganisweni se-0.75 mg nomthamo we-1.5 mg. I-Postinor, equkethe kwelinye ithebhulethi isilinganiso se-0.75 mg ye-levonorgestrel, kufanele isetshenziswe kabili: umthamo wokuqala phakathi kwamahora angu-72 ngemuva kocansi, umthamo wesibili - amahora angu-12 emva kwesicelo sokuqala. "Ukubalekela" okuqukethe i-1.5 mg ye-levonorgestrel isetshenziswe kanye ngamahora angu-96 ngemuva kokulala ngokobulili okungavimbelwe.
Iziphetho
Eqinisweni, ukuba khona kwesimo sokukhulelwa okuphuthumayo ngokobulili okungavimbelwe kugwema ukukhulelwa okungadingeki, futhi ngenxa yalokho, inani elikhulu lokukhipha isisu. Kodwa, ngokusebenzisa "ukuphuculwa kokubeletha" okuphuthumayo, kufanele kukhunjulwe ukuthi "i-pilisi ephezulu" idala ubuhlungu emzimbeni, enomthelela omubi emsebenzini wokuya esikhathini. Ngakho-ke, kubalulekile ukukhetha indlela engcono kakhulu yokusebenzisa ukuvimbela ukubeletha okuvamile, nokukhulelwa kwezimo eziphuthumayo kufanele kusetshenziswe kuphela ezimweni ezimbi, ezingalindelekile.