Mnzako wochokera kuntchito amalumbira kuti adazindikira chifukwa chake adanyamula mapaundi owonjezera anayi mwezi watha: Adayambitsa mtundu watsopano wamapiritsi olerera. Iyi ndi nkhani yomwe mudayimvapo - tikudziwa, nafenso - koma tiyeni tiyike mpumulo kamodzi kokha. Ndi nthano.
Kodi tikudziwa bwanji? Tinafunsa dokotala. Pali zochepa kwambiri kuti palibe mwayi wopeza kulemera kwa njira zonse zolerera, akutero OB-GYN Adeeti Gupta , M.D., woyambitsa ndi CEO wa Walk In GYN Care ku Queens, New York. Ndi nthano yokwanira kuti kulera kumayambitsa kulemera kwenikweni.
Koma mnzako kulumbira mathalauza ake amamva kulimba. Amapereka chiyani? Tinasankha ubongo wa Dr. Gupta kuti tidziwe zambiri.
Ndiye palibe njira zolerera pamsika zomwe zingandipangitse kulemera?
Ayi ndendende . Ngakhale zili zoona kuti palibe njira yolerera yomwe ingakupangitseni kulemera kwambiri kapena kukuikani pachiwopsezo chokulirakulirabe, mutha kuwona kuwonjezeka pang'ono, kwamapaundi atatu kapena asanu koyambirira ngati mutayamba kuyika (monga Nexplanon). ) kapena jakisoni (monga Depo-Provera). Koma kulemera uku ndikuchita kwa mahomoni ku mankhwala atsopano m'dongosolo lanu lomwe likhoza kusinthika pambuyo poti dongosolo lanu latha, Dr. Gupta akulangiza.
Kunenepa kumakhala kwachilendo, koma ngati wina akumana nazo pambuyo poyambitsa imodzi mwa njirazi, ayenera kudziwa kuti idzachepa pakapita nthawi, akutero. Kukhala pa njira yoletsa kubereka sikumapangitsa kuti zikhale zovuta kuchepetsa thupi, ngakhale kulemera kwake ndi chizindikiro (chosowa) cha mankhwala omwewo.
Kodi pali mitundu kapena njira zolerera zomwe zimalumikizidwa ndi kunenepa?
Dr. Gupta akutiuza kuti sitiyenera kukhala kutali ndi malonda aliwonse kunja uko ngati tikudera nkhawa za kunenepa chifukwa ndizomwe zimatengera njira zakulera zokha, osati mankhwala. mphamvu - Timatsindika kwambiri izi - zimatsogolera ku mapaundi ochepa chabe.
Palibe chiopsezo cholemera ndi IUD yamkuwa, Dr. Gupta akunena, ponena za chipangizo cha intrauterine (monga Paragard) chomwe chimayikidwa mu chiberekero. Amayi omwe amasankha ma IUD a mahomoni m'malo mwake (monga Mirena) amatha kuwona kupindula pang'ono - ganizirani paundi imodzi kapena iwiri - koma izi zibwera ndikupita mwachangu, ngati zitero. Amene amasankha mapiritsi (monga Loestrin), mphete (monga NuvaRing) kapena chigamba (monga Ortho Evra) angazindikire pang'ono kusungirako madzi m'miyezi ingapo yoyambirira, Dr. Gupta akuti, koma izi si kulemera kwa thupi kapena mafuta, kotero achoka (lonjezo!).
Koma ndinaŵerenga kuti kukwera kwa milingo ya estrogen (chimodzi mwa zinthu zogwira ntchito zolerera) kudzandipangitsa kumva njala kuposa masiku onse. Kodi zimenezi zingandipangitse kuti ndinenepe?
Izi ndi zoona, koma awa si njira zakulera za amayi anu. Njira zamasiku ano zolerera zili ndi njira yosiyana ndi yomwe kale inali chizolowezi pomwe mapiritsi adapangidwa m'ma 1950s. Kalelo, inali ndi ma micrograms 150 a estrogen, malinga ndi National Institutes of Health , koma mapiritsi amakono ndi zina zotero ali ndi ma micrograms pakati pa 20 ndi 50—m’mawu ena, osakwanira kukupangitsani kunenepa.
Kupita patsogolo kwachipatala kumeneku ndi chimodzi mwa zifukwa zambiri zomwe tachitira mwayi kukhala akazi m'zaka za zana la 21 m'malo mwa zaka za m'ma 50s, pamene mapiritsi anali akungoyamba kumene (ndipo kunena zoona, osati zonse zazikulu). Zosankha zonse zomwe zilipo panopa zimaganizira zifukwa zosiyanasiyana zomwe mkazi angafunikire kapena kufunidwa ndi mankhwala-kuchiza ziphuphu, kuthana ndi vuto la ovarian cysts, kupewa mimba kapena kuthandizira PCOS-popanda kuopsa ndi zotsatira zake zomwe amayi ndi azakhali athu anayenera kupirira. .
Chifukwa chake ayi, mapiritsi anu oletsa kubereka alibe mlandu. Mlandu watsekedwa.
