Kodi njira yolerera yabwino kwambiri itatha ndi iti?

Maphunziro a Zaumoyo

Ngati mwangokondwerera tsiku lobadwa losaiwalika, kodi mwalingalirapo za mtundu wa njira zakulera zomwe mukugwiritsa ntchito?

Mwambiri, kulera kwa azimayi opitilira 40 sikusiyana kwenikweni ndi kulera kwa azimayi azaka zopitilira 35. Ngati mukusangalala ndi njira yolerera yomwe mwakhala mukugwiritsa ntchito, ndipo muli ndi thanzi labwino, pali zenizeni palibe chifukwa choti musinthe chifukwa pali kandulo ina pakeke lanu lobadwa.

Palibe chilichonse chazaka zokha chomwe chimati simungagwiritse ntchito njira zakulera, akufotokozera Kate White , MD, MPH, director of the Fellowship in Family Planning ku Boston Medical Center. Ngati muli athanzi pamsinkhu uliwonse, mutha kugwiritsa ntchito chilichonse.

Zina mwazomwe mungasankhe ndi monga:

• Mapiritsi oletsa kubereka : Mutha kumwa mapiritsi osakaniza, omwe ali ndi estrogen ndi progestin, kapena mapiritsi a progestin okha. Onsewa amabwera m'mitundu yotsika, ndipo mapiritsi osakanikirana amabweranso munthawi yake.
• Ma IUD : Zipangizo za intrauterine ndi njira yotchuka yolerera yosinthira, kapena LARC. Ena, monga Mirena kapena Lileta IUD, ndi mitundu ya mahomoni, pomwe ena, monga Paragard IUD, ndi yamkuwa.
• Majekeseni : Ngati musankha njira yolerera, yotchedwa Chongani Depot , mumalandira jakisoni wa progestin miyezi itatu iliyonse kuti mupewe kutenga pakati.
• Zomera : Njira ina yolerera yotenga nthawi yayitali, kuyika kumatulutsa progestin mthupi lanu kwa zaka zitatu kuchokera pamalo ake kumtunda.
• Chigamba : Khalani pakhungu lanu milungu itatu, kenako chotsani. Ikani yatsopano mwezi uliwonse.
• Mphete ya ukazi : Izi ndi mphete zosinthika, zochotseka zomwe zimakhala ndi estrogen ndi progestin.

Koma chinthu chimodzi chomwe simungakwanitse kuchita ndikunyalanyaza nkhani yonse. Osataya mtima kufikira nditadziwa kuti mwatha msinkhu, akutero Wolemba Mary Jane Minkin, MD , pulofesa wazachipatala, azachipatala komanso sayansi yobereka ku Yale University School of Medicine.

Izi zikutanthauza kuti muyenera kupita chaka chonse osasamba musanapite kukatsatira njira yabwino yolerera.

Khadi lochotsera pamankhwala

Yang'anani mbiri yanu yomwe ili pachiwopsezo

Mukamayesa zomwe mungasankhe, pali zovuta zina zokhudzana ndi thanzi lanu, mukatha zaka 30 kapena 40. Mukufunika kuganizira chiyani posankha njira zolerera? Muyenera kuyeza zoopsa zokhudzana ndi kulera motsutsana ndi zoopsa zomwe zingabwere chifukwa chokhala ndi pakati pambuyo pa 35-kuphatikiza mimba yosakonzekera, akutero a Wendy Askew, MD, OB-GYN ku San Antonio, Texas. Zowopsa izi zilipo kwa azimayi ochepera zaka 35, nazonso, koma ndizotsika kwambiri.

Kusuta

Ngati muli ndi zaka 35 kapena kupitirira ndipo mumasuta, ndi nthawi yoti musanzikane ndi mapiritsi anu oletsa kubereka. Kusuta kumabweretsa chiopsezo cha matenda amtima. Koma fayilo ya kuphatikiza kwa kulera kwa mahomoni ndi kusuta itha kukulitsa chiopsezo chanu chokhala ndi magazi m'magazi komanso kuthamanga kwa magazi.

Kuundana kwamagazi

Ngati muli pachiwopsezo chowonjezeka pazinthu zina monga kuundana kwamagazi, dokotala wanu akhoza kukupatutsani kuzinthu zina zakulera. Mwachitsanzo, mapiritsi oletsa kulera ophatikizana amakhala ndi estrogen ndi progestin ndipo akhoza kubweretsa chiopsezo chotenga magazi. Jakisoni wolerera wotchedwa Depo-Provera amadziwika bwino chifukwa cholumikizidwa ndi kuwonjezeka kwa kutayika kwa mafupa pakapita nthawi. Mulibe estrogen, koma amayi ena amatha kudwala thrombosis atamwa .

Matenda ena

Mwinanso mungafunike kupewa njira zomwe zili ndi estrogen ngati muli ndi kuthamanga kwa magazi, kapena ngati mwakhala ndi matenda a shuga kwa zaka zosachepera 20. Migraine ndi aura atha kukhala chinthu china chotsutsana, atero Dr. White.

Khansa

Zowopsa zodwala khansa, komabe, ndizovuta. Chiopsezo chanu chokhala ndi khansa chikuwonjezeka ndi zaka. Pakhoza kukhala fayilo ya Kuthekera kwakanthawi kowopsa kwa khansa ya m'mawere yokhudzana ndi njira zina zakumwa, koma zitha kuthetsedwa ndi kuchepa kwa mitundu ina ya khansa, monga khansa yamchiberekero ndi chiberekero. Ndipo monga Dr. Askew akunenera, phindu lopewa kutenga pakati mosafunikira lingapose chiopsezo chochepa. Amayi omwe ali ndi mbiri yakubadwa ya kusintha kwakomwe kwa khansa ya m'mawere amatha kulingalirabe zosankha zina, komabe.

Kusankha njira zabwino zolerera

Pofika zaka 30 kapena 40, muyenera kudzifunsa nokha ndikukhala oona mtima yankho lake ngati mukukonzekera kudzakhala ndi ana mtsogolo.

• Inde, ndikukonzekera kukhala ndi ana . Ngati yankho lanu ndi inde, mutha kupita ndi njira iliyonse, kupatula Depo-Provera. Malinga ndi Dr. White, zingatenge kanthawi kuti kubereka kwanu kubwerere mutachoka ku Depo-Provera, ndipo ngati muli ndi zaka 30 kapena 40, mulibe nthawi yambiri yopuma.
• Mwina ndidzakhala ndi ana. Ngati mukuganiza choncho, ma IUD ndi ma implants atha kukhala abwino chifukwa amatha kukupatsani zaka zosaganizira zakulera kwinaku mukusungabe mwayiwo, mwina simukutsimikiza 100%, akutero Dr. White.
• Ayi, sindikukonzekera kukhala ndi ana . Ngati mukudziwa kuti mwamaliza kukhala ndi ana, lingalirani za njira zotsekera [zopangira opaleshoni] akutero Dr. White. Komabe, ngati inu ndi mnzanu simukufuna kupita njira imeneyo, mutha kupitiliza kugwiritsa ntchito mapiritsi, LARC, kapena njira ina, bola ngati mulibe zovuta zathanzi zomwe zingakhale zovuta.

Kuletsa kwa amayi opitilira 40 kumatha kukuthandizani kuthana ndi zisonyezo za kusintha kwa nthawi zomwe mukukumana nazo. Lankhulani ndi dokotala wanu ngati mukudandaula za zizindikiro monga kutentha kwa moto, thukuta usiku, ndi kuuma kwa ukazi ndikukambirana njira zomwe zingakhale zabwino kwa inu. Ngati mulibe zotsutsana zilizonse, njira yokhala ndi estrogen, monga mapiritsi oletsa kubereka kapena mphete, ingakuthandizeni kuthana ndi zina mwazizindikirozi, akutero Dr. Minkin. Ndipo ngati mukukhala ndi bwenzi latsopano, musaiwale kugwiritsa ntchito kondomu-mutha kutenga matenda opatsirana pogonana msinkhu uliwonse.

Kusunga zosankha zanu kutseguka

Kutengera ndi thanzi lanu kapena zosowa zina, njira zina zakulera zitha kukhala zabwino kuposa ena azaka za 40 ndi 50. Komanso, zatsopano zitha kukhala zikugwira ntchito. Nthawi zonse zimakhala bwino kuwunikiranso chifukwa nthawi zonse pamakhala zatsopano zomwe zimachitika, atero Dr. Minkin.

Mwachitsanzo, U.S. Food and Drug Administration inavomereza mphete yatsopano ya ukazi yotchedwa Chofunika mu 2018. Mosiyana NuvaRing , mphete ina ya ukazi pamsika, itha kugwiritsidwa ntchito kwa chaka chonse. Muyenerabe kuchotsa mwezi uliwonse, koma simuyenera kupeza yatsopano mwezi uliwonse kuchokera ku mankhwala.

Ndipo musachite mantha kuyesa china chake ngati njira yanu yapano sikugwira ntchito kwa inu komanso zosowa zanu. Ndizoyeserera ndikuletsa kubereka, akutero Dr. Askew.