Ingabe ukuncelisa ibele kuyindlela engokwemvelo yokuvimbela inzalo?

Ukuncelisa ibele kanye nokuvimbela inzalo okungokwemvelo: yini i-LAM, noma ukuncelisa ibele kuphela?

Ukuncelisa ibele njengendlela yokuvimbela inzalo

Ngaphansi kwezimo ezithile, ukuncelisa ibele kungaba nomthelela wokuvimbela inzalo kuze kufike ezinyangeni eziyisi-6 ngemva kokubeletha. Le ndlela yokuvimbela inzalo yemvelo, ebizwa nge-LAM (indlela yokuncelisa kanye ne-amenorrhea) ayithembekile 100%, kodwa ingasebenza izinyanga ezimbalwa inqobo nje uma zonke lezi zimo zifinyelelwa ngokusemthethweni. Isimiso saso: ngaphansi kwezimo ezithile, ukuncelisa ibele kukhiqiza i-prolactin eyanele, i-hormone ezovimba i-ovulation, okwenza ukukhulelwa okusha kungenzeki.

Indlela ye-LAM, ingabe ithembekile?

Ukuthembela ekunceliseni ibele kuphela njengendlela yokuvimbela inzalo kungaba yithemba elihehayo ... Kodwa khumbula ukuthi kuyingozi ... yokukhulelwa futhi. Uma ungafuni ngempela ukuqalisa ukukhulelwa okusha, kungcono ukuphendukela ekuthathweni (kabusha) kwezindlela zokuvimbela inzalo ezinokwethenjelwa, ezizolethwa kuwe ngumbelethisi wakho noma udokotela.

Kufanele uthathe nini ukuvimbela inzalo ngemva kokubeletha?

Iyiphi indlela yokuvimbela inzalo ngesikhathi sokuncelisa?

Ngokuvamile, ngemva kokubeletha, i-ovulation iqala kabusha ngeviki lesi-4 lapho ungancelisi, futhi kuze kufike ezinyangeni ezingu-6 ngemva kokuzalwa kuye ngokuthi imodi yokuncelisa. Ngakho-ke kuyadingeka ukulindela ukubuyela ekuvimbeleni ukukhulelwa, uma ungafuni ukukhulelwa okusha ngokushesha. Umbelethisi wakho noma udokotela angase akunikeze a iphilisi elinedosi elincane, ehambisana nokuncelisa, ngaphandle kwewadi yababelethele. Kodwa ngokuvamile kuphakathi kokubonisana kwangemva kokubeletha nodokotela wezifo zabesifazane lapho kunqunywa khona indlela yokuvimbela inzalo. Lokhu kuqokwa, ukubonisana kokulandelela, kwenza kube nokwenzeka ukudweba a ukuhlolwa kwe-gynecological ngemva kokubeletha. Kwenzeka cishe ngesonto lesi-6 ngemva kokuzalwa kwengane yakho. Isekelwe 100% yi-Social Security, ikunikeza ithuba lokubheka izindlela ezahlukene zokuvimbela inzalo:

– amaphilisi

- isiqephu sokuvimbela inzalo (lokhu akunconywa lapho uncelisa)

– iringi yesitho sangasese sowesifazane

- amadivaysi e-hormonal noma e-copper intrauterine (IUD noma i-IUD),

- i-diaphragm, i-cap yomlomo wesibeletho

- noma izindlela zokuvimbela, njengamakhondomu kanye nezibulala-zinambuzane ezithile.

Nini ukuthatha iphilisi futhi ngemva kokubeletha?

Ukuncelisa ibele kanye nokuvimbela inzalo ngomlomo

Izikhathi kanye nokuncelisa

Ngemva kokubeletha, ukuqaliswa kabusha kwe-ovulation akusebenzi okungenani ngaphambi kosuku lwama-21. Isikhathi sakho ngokuvamile sibuya emasontweni ayisi-6 kuya kwayi-8 ngemva kokubeletha. Lokhu kubizwa ngokuthi ukubuya kwamanabukeni. Kodwa uma uncelisa, kuhlukile! Ukondla kwezinsana kukhuthaza ukukhishwa kwe-prolactin, i-hormone ebambezela ukuvuthwa kwe-ovulation, ngakho-ke ukuqala kabusha komjikelezo wokuya esikhathini. Yingakho, isikhathi sakho ngokuvamile asibuyi kuze kube yilapho ukuncelisa kuphelile noma phakathi nezinyanga ezintathu ngemva kokubeletha. Kodwa qaphela i-ovulation, eyenzeka amasonto angu-2 ngaphambi kokuqala kokuya esikhathini, futhi okuzodingeka ukuyilindela ngendlela yokuvimbela inzalo.

Ngingakwazi yini ukukhulelwa ngenkathi ngincelisa?

I-LAM ayithembekile ngo-100%., ngoba kuvamile ukuthi zonke izimo ezidingekayo azihlangabezwana. Uma ufuna ukugwema ukukhulelwa okusha, kungcono ukuphendukela ekuvimbeleni inzalo okunqunywe udokotela noma umbelethisi wakho. Ukuncelisa ibele akuphikisani nokusetshenziswa kokuvimbela inzalo.

Iliphi iphilisi uma uncelisa?

Ungakugwema kanjani ukukhulelwa ngenkathi uncelisa?

Kunezinhlobo ezimbili zamaphilisi: amaphilisi ahlanganisiwe et amaphilisi ane-progestin kuphela. Udokotela wakho, umbelethisi noma udokotela wezifo zabesifazane ufanelekile ukukuyalela le ndlela yokuvimbela inzalo. Kuyacatshangelwa: ukuncelisa kwakho ibele, ingozi ye-venous thromboembolism enkulu emasontweni okuqala enkathi yangemva kokubeletha, nanoma yiziphi izifo eziye zavela ngesikhathi sokukhulelwa (isifo sikashukela sokukhulelwa, i-phlebitis, njll.).

Kunezigaba ezimbili eziyinhloko zamaphilisi:

- the iphilisi le-estrogen-progestogen (noma iphilisi elihlanganisiwe) liqukethe i-estrogen ne-progestin. Njengesiqephu sokuvimbela inzalo kanye neringi yesitho sangasese sowesifazane, akunconywa ngesikhathi sokuncelisa ibele nasezinyangeni eziyisi-6 ngemva kokubeletha lapho uncelisa ingane yakho, ngoba ivamise ukwehlisa ukuncelisa. Uma ngemva kwalokho kunqunywe udokotela wakho, uzocabangela izingozi ze-thrombosis, isifo sikashukela kanye ngokunokwenzeka nokubhema nokukhuluphala.

- the iphilisi le-progestin kuphela iqukethe kuphela i-progestogen yokwenziwa: i-desogestrel noma i-levonorgestrel. Uma enye kulawa mahomoni amabili ikhona ngamanani amancane, kuthiwa iphilisi linedosi elincane. Uma uncelisa, ungasebenzisa leli philisi eline-progestin kuphela kusukela ngosuku lwama-21 ngemva kokubeletha, ngencwadi kadokotela evela kumbelethisi wakho noma udokotela.

Kunoma yiliphi lalawa maphilisi, uchwepheshe wezokunakekelwa kwempilo kuphela ogunyaziwe ukuthi akunikeze indlela engcono kakhulu yokuvimbela inzalo uma uncelisa ibele. Amaphilisi atholakala emakhemisi, kuphela ngencwadi kadokotela.

Ungayithatha kanjani iphilisi ngendlela efanele lapho uncelisa?

Amaphilisi e-Microprogestogen, njengamanye amaphilisi, athathwa nsuku zonke ngesikhathi esinqunyiwe. Kufanele uqaphele ukuthi ungaphuzi amahora angaphezu kwama-3 nge-levonorgestrel, namahora angu-12 nge-desogestrel. Ukuze uthole ulwazi: akukho khefu phakathi kwamapuleti, elinye liqhubeka ngendlela eqhubekayo nelinye ipuleti.

– Uma kwenzeka kuba nokuphazamiseka kokuya esikhathini, ungayeki indlela yakho yokuvimbela inzalo ngaphandle kweseluleko sikadokotela, kodwa khuluma naye ngakho.

– Uhudo, ukuhlanza kanye nemithi ethile kungaba nomthelela ekusebenzeni kahle kwephilisi lakho. Uma ungabaza, ungangabazi ukuthintana.

- Kalula: lapho wethula incwadi kadokotela isikhathi esingaphansi konyaka owodwa, ungavuselela isivimbeli-nzalo sakho esithathwa ngomlomo kanye ngezinyanga ezi-1 ezengeziwe.

Khumbula ukuhlale ulindele kahle futhi hlela amaphakethe amaningana ephilisi lakho kusengaphambili ekhabetheni lakho lemithi. Okufanayo uma uya ohambweni lwaphesheya.

Ukuncelisa ibele kanye nokuvimbela inzalo okuphuthumayo

Uma ukhohlwa iphilisi lakho noma uya ocansini olungavikelekile, usokhemisi wakho angakunikeza iphilisi lasekuseni. Kubalulekile ukumtshela ukuthi uncelisa ingane yakho ibele, noma kunjalo ukuvimbela inzalo okuphuthumayo ayinqatshelwe uma ibele. Ngakolunye uhlangothi, phuthuma uthintane nodokotela wakho ukuze uhlole umjikelezo wakho kanye nokuqala kabusha okuvamile kwephilisi lakho.

Izimila kanye nemijovo: kusebenza kanjani lapho uncelisa?

Iphilisi noma i-implant?

Ezinye izixazululo zokuvimbela inzalo zinganikezwa kuwe, uma kungekho contraindications, ngenkathi uncelisa.

- Ukufakelwa kwe-etonogestrel, ngaphansi kwesikhumba. Ngokuvamile kusebenza iminyaka engu-3 lapho umuntu engakhuluphele ngokweqile noma engakhuluphele. Kodwa-ke, lesi simiso ngokuvamile siyimbangela yokuphazamiseka kokuya esikhathini futhi, ezimweni ezingavamile, ukufakelwa kungafuduka futhi kudale izinkinga.

- I-Injection contraceptive - i-hormone-based futhi - elawulwa njalo ngekota. Kepha ukusetshenziswa kwayo kufanele kukhawulelwe ngesikhathi, ngoba kunezimo zokuthi i-vein thrombosis kanye nokuzuza kwesisindo.

Ungayifaka nini i-IUD ngemva kokubeletha?

IUD kanye nokuncelisa

Ama-IUD, aziwa nangokuthi amadivaysi e-intrauterine (IUDs) ingaba yizinhlobo ezimbili: i-copper IUD noma i-hormonal IUD. Kungakhathaliseki ukuthi uncelisa ibele noma cha, singacela ukuba afakwe ngokushesha ngangokunokwenzeka. Amaviki angu-4 ngemva kokuzalwa kwesitho sangasese sowesifazane, kanye namaviki angu-12 ngemva kokuhlinzwa. Akukho ukuphikisana nokuqhubeka nokuncelisa ngemva kokufaka i-IUD, noma i-IUD.

Le mishini inobude besikhathi sokusebenza obusuka eminyakeni emi-4 ukuya kweyi-10 ku-IUD yethusi, futhi ifinyelele eminyakeni emi-5 ye-IUD yamahomoni. Nokho, lapho nje isikhathi sakho sibuya, ungase uthole ukuthi ukugeleza kwakho kuba kukhulu uma ufake i-IUD yethusi, noma cishe ungekho ne-IUD yamahomoni. Kunconywa ukuthi uhlole ukubekwa okulungile ezinyangeni ezi-1 kuya kwezingu-3 ngemuva kokufakelwa IUD, ngesikhathi uvakashele udokotela wezifo zabesifazane, kanye nokubonana nezinhlungu ezingachazwanga, ukopha noma imfiva.

Ezinye izindlela zokuvimbela inzalo kwangemva kokubeletha: izindlela zokuvimbela

Uma ungalidli iphilisi noma uhlela ukufaka i-IUD, hlala uqaphile! Ngaphandle uma ufuna ukukhulelwa kwesibili ngokushesha okukhulu noma ungakaqalisi ucansi, ungabheka ku:

– amakhondomu amadoda okufanele asetshenziswe ngesikhathi ngasinye socansi futhi angabuyiselwa ngencwadi kadokotela.

- i-diaphragm noma ikepisi yomlomo wesibeletho, engasetshenziswa ngokuhlangana nama-spermicides athile, kodwa kuphela Ezinsukwini ezingama-42 ngemva kokubeletha,

Uma ubuvele usebenzisa i-diaphragm ngaphambi kokukhulelwa kwakho, kuyadingeka ukuthi usayizi wayo uphinde uhlolwe udokotela wakho wezifo zabesifazane. Ama-spermicides angathengwa emakhemisi ngaphandle kwencwadi kadokotela. Xhumana nosokhemisi wakho.

Ukuvimbela inzalo: singazethemba izindlela zemvelo?

Yiziphi izindlela zokuvimbela inzalo zemvelo?

Uma usukulungele ukuqalisa a ukukhulelwa okungahleliwe, qaphela ukuthi kukhona okuthiwa yizindlela zemvelo zokuvimbela inzalo, kodwa ngezinga eliphezulu lokuhluleka futhi ezibandakanya ukuziphatha kokuqapha okukhawulela ngezinye izikhathi. Kufanele ulinde ukubuyiswa kwemithetho (okungenani imijikelezo emi-3) uma ufuna ngempela ukuyisebenzisa.

Izindlela zokuvimbela inzalo zemvelo:

- The Indlela yokukhokha : lokhu kusekelwe ekubhekisiseni ngokucophelela ufinyila lomlomo wesibeletho. Ukubukeka kwayo: uketshezi noma ukunwebeka, kunganikeza izinkomba ngesikhathi sokuvuthwa. Kodwa qaphela, lo mbono awuhleliwe kakhulu ngoba ufinyila lomlomo wesibeletho lungashintsha ngokuvumelana nezinye izici ezifana nokutheleleka kwesitho sangasese sowesifazane.

- The indlela yokuhoxa : sikhomba izinga lokwehluleka kwendlela yokuhoxa liphezulu kakhulu (22%) ngenxa yokuthi uketshezi lwangaphambi kwesemina lungathwala isidoda futhi umlingani akakwazi njalo ukulawula ukuqhanyelwa kwakhe.

- The indlela yokushisa : ibizwa nangokuthi indlela ye-symptothermal, ethi ikhomba isikhathi sokuvuthwa ngokwehlukana kwezinga lokushisa kanye nokuvumelana kwe-mucus. Ikhawulela kakhulu, idinga hlola ngokucophelela izinga lokushisa lakhe nsuku zonke nangesikhathi esinqunyiwe. Isikhathi lapho ikhuphuka isuka ku-0,2 iye ku-0,4 ° C ingase ibonise ukuthi i-ovulation. Kodwa le ndlela idinga ukugwema ukuya ocansini ngaphambi nangemva kokukhipha i-ovulation, njengoba isidoda singaphila izinsuku ezimbalwa endaweni yangasese. Ngakho-ke ukulinganisa izinga lokushisa kuhlala kuyindlela engathembekile, futhi kunemibandela ezintweni eziningi.

- The Indlela ye-Ogino-Knauss : lokhu kuhlanganisa ukuzijwayeza ukuzithiba ngezikhathi ezithile phakathi kosuku lwe-10 nolwe-21 lomjikelezo, okudinga ukwazi umjikelezo wakho ngokuphelele. Ukubheja okuyingozi njengoba i-ovulation ngezinye izikhathi ingaba yinto engalindelekile.

Kafushane, lezi zindlela zokuvimbela inzalo zemvelo azikuvikeli ekukhulelweni okusha, kungakhathaliseki ukuthi uncelisa ibele noma cha.

Umthombo: Haute Autorité de Santé (HAS)