Umhlobo wakho osuka emsebenzini uyafunga ukuba uye wafumanisa ukuba kutheni ngequbuliso wapakisha ngeekhilogram ezine ezongezelelweyo kwinyanga ephelileyo: Uqale uhlobo olutsha lwepilisi yokulawula ukuzala. Eli libali okhe waliva ngaphambili-siyazi, nathi sinalo-kodwa masiyiphumze kube kanye. Yintsomi.
Sazi njani? Sabuza ugqirha. Kukho ubuncinci bokungabi nathuba lokufumana ubunzima kuzo zonke iindlela zokulawula ukuzalwa, utsho u-OB-GYN Adeeti Gupta , M.D., umseki kunye ne-CEO ye-Walk In GYN Care eQueens, eNew York. Yintsomi epheleleyo yokuba ukulawulwa kokuzalwa kubangela ubunzima bokwenene.
Kodwa umhlobo wakho izithuko iblukhwe yakhe ivakala iqinile. Yintoni enika? Sikhethe ingqondo kaGqirha Gupta ukuze sifumane ulwazi oluthe kratya.
Ngoko akukho nanye yeendlela zokulawulwa kokuzalwa kwimarike eya kundenza ndityebe?
Hayi ngokuchanekileyo . Nangona kuyinyani ukuba akukho ndlela yokulawula ukuzalwa iya kwenza ukuba ube nobunzima obukhulu okanye ubeke emngciphekweni wokuqhubeka ube nzima, unokuqaphela ukunyuka okuncinci, okuncinci ukuya kwe-5-pound ekuqaleni xa uqala ukufakelwa (njenge-Nexplanon). ) okanye itofwe (njengeDepo-Provera). Kodwa obu bunzima kukusabela kwehomoni kwichiza elitsha kwinkqubo yakho elinokuthi lizibuyisele emva amanqanaba enkqubo yakho, ucebisa uGqr. Gupta.
Ukunyuka kobunzima akuqhelekanga kakhulu, kodwa ukuba umntu ufumana emva kokuqala enye yezi ndlela, kufuneka azi ukuba iya kuncipha ekuhambeni kwexesha, utsho. Ukuba kulawulo lokuzalwa akukwenzi kube nzima ukunciphisa umzimba, nokuba ubunzima buyimpawu (enqabileyo) yeziyobisi ngokwazo.
Ngaba naziphi na iimpawu okanye iintlobo zolawulo lokuzalwa ezinxulunyaniswa nokuzuza ubunzima?
UGupta usixelela ukuba akufuneki sihlale kude kuzo naziphi na iibhrendi ngaphandle ukuba sinexhala lokufumana ubunzima kuba ilulwelo lwesithinteli ngokwaso, hayi ichiza. amandla -sigxininisa oku ngamandla-kukhokelela kwiipounds ezimbalwa ezingaphezulu.
Akukho mngcipheko wokufumana ubunzima kunye ne-IUD yobhedu, uDkt Gupta uthi, ebhekisela kwisixhobo se-intrauterine (njengeParagard) esifakwe kwisibeleko. Abasetyhini abakhetha i-IUD yehomoni endaweni (njenge-Mirena) banokubona inzuzo encinci-cinga enye ukuya kwiiponti ezimbini-kodwa oku kuya kuza kwaye kuhambe ngokukhawuleza, ukuba kunjalo. Abo bakhetha ipilisi (njenge-Loestrin), indandatho (njenge-NuvaRing) okanye i-patch (efana ne-Ortho Evra) inokuqaphela ukugcinwa kwamanzi amancinci kwiinyanga ezimbalwa zokuqala, uDkt Gupta uthi, kodwa oku akusiyo ubunzima bomzimba okanye amafutha, ngoko kuya kuhamba (isithembiso!).
Kodwa ndafunda ukuba amanqanaba aphezulu e-estrogen (enye yezinto ezisebenzayo ekulawuleni inzala) aya kundenza ndilambe kunesiqhelo. Ngaba loo nto inokundenza ndityebe?
Oku kuyinyani, kodwa ayizizo izithinteli zokukhulelwa zikamama wakho. Iindlela zanamhlanje zokulawula ukuzalwa ziqulethe ifomyula eyahlukileyo kunokuba yayiyinto eqhelekileyo xa ipilisi yaqanjwa ngo-1950. Emva koko, yayine-150 micrograms ye-estrogen, ngokutsho AmaZiko eSizwe ezeMpilo , kodwa iipilisi zanamhlanje nezinye zinee microgram ezingama-20 ukuya kuma-50—ngamanye amazwi, azikho ngokwaneleyo ukwenza ukuba utyebe.
Le nkqubela phambili yezonyango sesinye sezizathu ezininzi esinethamsanqa lokuba ngabasetyhini kwinkulungwane yama-21 endaweni yee-'50s, xa ipilisi yayisanda kuvela (kwaye ngokungafihlisiyo, ayizizo zonke ezo zinto zintle). Zonke iinketho ezikhoyo ngoku zithathela ingqalelo izizathu ezininzi ezahlukahlukeneyo umfazi anokuthi afune okanye afune umyalelo-ukunyanga i-acne, ukulwa ne-cysts ye-ovarian eyingxaki, ukuthintela ukukhulelwa okanye ukunceda ukunyanga i-PCOS-ngaphandle kweengozi kunye nemiphumo emibi oomama kunye noo-anti kwafuneka banyamezele. .
Ke hayi, ipilisi yakho yokulawula ukuzalwa ayinatyala. Ityala livaliwe.
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