Kodi kulera kumakupangitsani kunenepa?
Maphunziro a ZaumoyoAnthu ambiri amvapo nkhani za azimayi omwe adayamba kugwiritsa ntchito njira yolerera kuti angowona manambalawo pang'onopang'ono atayamba kukwera. M'malo mwake, ena azimayi amapewa ngakhale kutenga njira zolerera za mahomoni chifukwa amakhulupirira njira zakulera zam'kamwa (monga mapiritsi olera ), zida za intrauterine (IUDs), kuwombera , ndi amadzala zingayambitse kunenepa.
Nkhani yabwino, malinga ndi madotolo, ndiyakuti kulera kolemera sikungapeweke-kapena kofala.
Kodi kulera kumakupangitsani kunenepa?
Nthawi zambiri, kulera sikumapangitsa kunenepa. Mapiritsi oletsa kubereka ali ndi mahomoni ndipo amayi ambiri ali ndi nkhawa kuti ngati ayamba kumwa mapiritsiwa, amayamba kunenepa, akutero Dr. Heather Irobunda , katswiri wazamayi / mayi ku Forest Hills, New York. Chowonadi chake pakhala pali maphunziro ambiri omwe adayang'ana kulemera ndi mapiritsi olera ndipo sanapeze kulumikizana pakati pa ziwirizi.
Dr. Arthur Ollendorff, OB-GYN ku Asheville, North Carolina, komanso pulofesa wa OB-GYN ku University of North Carolina-Chapel Hill, akuvomereza kuti, Kuwunikanso maphunziro azachipatala kumawonetseratu kuti njira zakulera za mahomoni masiku ano sizokayikitsa kupangitsa kunenepa.
Ndikumasulira kolakwika kofala kwa mafotokozedwe ena owerengeka osintha kunenepa.
1. Kusunga madzi
Zotsatira zoyipa zakulera zitha kuphatikizira kusungira madzi, kuphulika, kapena kuwonjezeka kwa minofu kapena mafuta amthupi. Izi ndizosakhalitsa, ndipo zidzatha pakapita nthawi.
Amayi ena amatha kuzindikira kuti kusungunuka kwamadzimadzi ndikungopeza kunenepa, akuti Dr. Hina Cheema , OB-GYN ku Troy, Michigan. Mutha kutaya mafuta chifukwa chakudya kwanu komanso chizolowezi chanu, koma sikelo yanu sikuwonetsa izi. Izi sizikutanthauza kuti simukuchepetsa thupi, zimangotanthauza kuti kuchepa thupi kwanu mwina kungasinthidwe ndikusungidwa kwamadzimadzi, komwe kumayenera kupitilira miyezi iwiri kapena itatu.
2. Kusintha kwa moyo
Amayi wamba aku America amavala pafupifupi kilogalamu chaka chilichonse, kuyambira mu uchikulire, ndizosavuta kuganiza kuti njira zakulera ndizomwe zimayambitsa mapaundi owonjezerawo. M'malo mwake, atsikana nthawi zambiri amayamba kugwiritsa ntchito njira zolerera kumapeto kwa kutha msinkhu kapena kutha msinkhu, pomwe amasiya kukula ndipo nthawi zambiri amayamba kuwonjezera mafuta m'thupi. Wodwala akakhala ndi nkhawa zakuthupi atayamba mapiritsi a kulera, Dr. Irobunda adzafunsa ngati pali china chilichonse chomwe chasintha pamoyo wake monga zakudya, magwiridwe antchito, kapena ngakhale akukumana ndi zovuta kunyumba kapena kuntchito.
Ngati wina ali ndi zovuta zatsopano m'moyo [wake], izi zitha kuwonjezera kunenepa, atero Dr. Irobunda, yemwe akuti kuchita masewera olimbitsa thupi pafupipafupi komanso kudya zakudya zopatsa thanzi kumatha kuletsa kunenepa ngakhale atakhala ndi njira yanji yolerera.
3. Njira zachikale zolerera
Zolakwika zambiri zakulera komanso kunenepa zimayamba chifukwa cha mapiritsi achikulire omwe anali ndi mahomoni ambiri a estrogen.
Phunziro limodzi anapeza kuti mapiritsi oletsa kubereka opangidwa m'ma 1950 anali ndi ma micrograms (mcg) 150 a estrogen mestranol - pomwe mapiritsi atsopano oletsa kubereka ali ndi ma estrogen ochepa (20-50 mcg). Ngati mukukhudzidwa, lankhulani ndi omwe amakuthandizani pazachipatala chazomwe mungasankhe.
Kodi ndi njira ziti zolerera zomwe zingakupangitseni kunenepa?
Pali njira imodzi yolerera yomwe yawonetsedwa kuti imapangitsa kuti azimayi ena azilemera nthawi yayitali: jakisoni wa mahomoni.
Kuwombera kwa mahomoni Chongani Depot (aka depot medroxyprogesterone), yomwe imaperekedwa miyezi itatu iliyonse, yawonetsedwa kuti imapangitsa kunenepa kwa amayi ena, Dr Irobunda akuti. Ndi Depo-Provera, azimayi amathanso kuzindikira kuti ndizovuta kwambiri kulemera. Phunziro limodzi adapeza kuti m'miyezi isanu ndi umodzi yoyambirira yogwiritsira ntchito, azimayi m'modzi mwa anayi omwe adalandira kuwombera kwa Depo-Provera adapeza 5% kapena kupitilira apo poyambira.
Ngati kunenepa kuli kofunika, muyenera kulankhula ndi omwe amakupatsani njira zina zakulera, monga mapiritsi, mphete, kulowetsa, kapena IUD, osati kuwombera.
Ndikofunika kuzindikira kuti kuwombera kulibe ma calories kapena kusintha kagayidwe kanu, m'malo mwake kumakulitsani chilakolako. Chifukwa chake, kwa azimayi ena, kuwombera ndi njira yabwino yolerera ngati apitiliza kudya zakudya zopatsa thanzi komanso magawo ake ndikukhalabe achangu.
Ndi njira ziti zakulera zomwe sizimayambitsa kunenepa?
Piritsi, chigamba ( Xulane ), mphete ( Kusintha ), kuyika ( Nexplanon ), ndi ma IUD (monga Mirena kapena Paragard) ndi njira zonse zolerera zomwe sizingayambitse kunenepa kwambiri.
Zachidziwikire, nthawi zonse pamakhala kusiyanasiyana pamalamulo. Maphunziro awonetsa kuti kuyika sikungayambitse kunenepa, koma ogwiritsa ntchito ena nenani. Ambiri omwe amagwiritsa ntchito mahomoni a IUD samanyamula pa mapaundi, koma pafupifupi 5% ya odwala lipoti manambala omwe akukwera pamlingo.
Ngati mukuda nkhawa, pali zambiri njira zina zomwe sizimabweretsa kunenepa-kuphatikiza njira zolera zosagwiritsa ntchito mahomoni ngati IUD yamkuwa kapena njira zotchinga, zomwe zimadziwikanso kuti kondomu. Amayi omwe ali ndi nkhawa yokhudzana ndi kunenepa kuchokera ku mahomoni olerera ayenera kulingalira njira zosagwiritsa ntchito mahomoni ngati mkuwa IUD kapena kuchuluka kwa mahomoni monga progestin IUD, akutero Dr. Ollendorff. Popeza njira zonse zakulera zimatha kukhala ndi zotsatirapo zina, ndimafunsa odwala anga nkhawa zawo ndikusankha njira yomwe ikugwirizana ndi zosowa zawo.
Mkuwa, ma non-hormonal IUDs sanawonetsedwe kuti amapangitsa kunenepa, Dr. Irobunda akuvomereza. Pamapeto pake, zotsatirapo zake ndizapadera kwa mayi aliyense, chifukwa chake ndikofunikira kuti mulankhule ndi omwe akukuthandizani kuti mukambirane zosankha zanu ndi nkhawa zanu.
