Emva kokuba omama bonke ubomi bethu utshintshoSinomntwana othatha ixesha lethu lonke, kwaye sifumanisa ukuba sinexesha kuphela ... ziphathe kakuhle ye. Inkathalo yakhe ayisishiyi mzuzwana ukuba sicinge ngayo nantoni na kwaye imeko yethu ayihambi kwelona xesha lilungileyo, ke oko kubonakala ngathi akunakwenzeka ukuba siqwalasele buya kwindlela yethu yangaphambili, kodwa emva kwexesha kufuneka senze ngokuthe ngcembe ubuyela yethu ubomi obuqhelekileyo kwaye oko kubandakanya qala kwakhona ubudlelwane obusondeleyo kunye neqabane lethu ...
Liliphi elona xesha lifanelekileyo lokuqalisa kwakhona iintlobano zesini?
Ngequbuliso zonke iintlobo zamathandabuzo ziyasihlasela:Nini Ngaba siza kuphinda siqalise iintlobano zesini? Ingaba ukhona umhla othile? Ndazi njani ukuba ndi... zilungisiwe?
Nangona ngokwesiko kuthethwa ngayo "ukuhlala yedwaNgokuphathelele iiveki zekhefu lokubeleka umama ajongwa njengembopheleleko yakhe ukuze achache, uninzi lweengcali zincoma ukuba alinde ubuncinane. inyanga enye okanye de siyeke ukudyobha. Kodwa ukuba kukho into ebalulekileyo, yile mama wachacha emva kokubeleka Kwaye ube nomonde, kuba ngokuqinisekileyo akuyi kuba lula; uya kuqaphela ukungakhululeki kwindawo ye-vulvar, ngakumbi ukuba uye waba nezititshi. Kule meko, uya kuziva uxinile kwisiva; iqhelekile kananjalo ukuba... ukomiswa Ukopha kwilungu lobufazi okwenzeka emva kokubeleka (nokuba utyalwe) kwaye kubonakala ngakumbi ukuba uyanikezela. ukuncelisa.
Kutheni isenzeka? Ngenxa yokuba ipractactin Yihomoni eqinisekisa ukukhuselwa kobisi kunye nokuthintela i-ovulation. Amanqanaba eprolactin ahlala ephezulu kakhulu ngeli xesha, ukuvelisa i-chain reaction ethintela ukuhlanganiswa kwamanye amahomoni, okukhokelela ekubeni ukomama lobufazi kwaye ngaphantsi inkanuko yesiniNgaloo ndlela, iprolactin ibeka phambili ukondla yosana olusanda kuzalwa kwaye inokuchaphazela imveliso yobisiIprolactin ibeka phambili ukondla yosana olusanda kuzalwa: ukuba akukho qanda elikhoyo akunakubakho ukukhulelwa kwaye, ukuba kukho ukungabikho komnqweno, kunokubakho ubudlelwane obuncinci kwaye ngoko ke amathuba aphantsi okukhulelwa okutsha.
Ukuba konke oku bekunganelanga, uya kuqaphela ukuba amabele aya kuba egcwele ubisiOku kunokubangela ukungakhululeki kwaye kude kukhuphe olunye ubisi ngexesha lokwabelana ngesondo. Yaye xa ekugqibeleni sifumana umzuzu ofanelekileyo, umntwana usenokuba sele egqibile ukulala okanye ulambe kanobom, ngoko kuya kufuneka sikubeke elinye ixesha ngaphezu kwexesha elinye. Ezinye izicwangciso eziluncedo ziquka ukusebenzisa izithambiso ezisekelwe emanzini, yenza a isicando okanye ulawulo lwangaphambili ukukhulula i ukukhulelwa kwamabele, ukukhetha izikhundla ezitofotofo kwaye uchithe ixesha kwi izitshayelelo ukukhuthaza ukuthambisa.
Ukuncancisa njengendlela yokuthintela (LAM)
Ukuncancisa kunokusebenza njenge indlela yendalo yoqingqo-nzala enkosi kwiprolactin. Le ndlela yaziwa ngokuba MELA (Indlela yokuncancisa i-amenorrhea). Nangona kunjalo, ukuze ithembeke ngokwentelekiso, kufuneka ihlangabezane nemilinganiselo ethile. iimfuno ezingqongqo:
- Kuphela: ngaphandle kwefomula okanye okunye ukutya okanye ulwelo.
- Ifuneka ngamandlaUkutya rhoqo imini nobusuku. Ngokuqhelekileyo, akukho ngaphezu kweeyure ezi-4 ezidlulayo emini kwaye akukho ngaphezu kweeyure ezi-6 ebusuku phakathi kokutya.
- I-stimulus kufuneka isuke umntwana ebeleni (kungekhona nje iimpompo zebele), kuba oku kunceda ukugcina amanqanaba eprolactin ixesha elide.
Nokuba zonke iinqobo zokugweba zifezekisiwe, i-MELA yindlela enye kuphela okwethutyanaUkusetyenziswa kwayo okusebenzayo ngokuqhelekileyo kunqunyelwe kwi iinyanga zokuqala ukuncancisa kuphela kwaye kulahleka ukusebenza ngokufanelekileyo nje ukuba i ukuya esikhathini okanye iqala isondlo esongezelelweyoNgaphezu koko, akunakwenzeka ukwazi ngokuqinisekileyo ukuba iya kwenzeka nini na. kuqala ovulation emva kokuzalwa komntwana, ngoko Kucetyiswa ukuba ungeze indlela yocwangciso olongezelelweyo ukuba ukukhulelwa okutsha akufunwa.
Ndingakuphepha njani okunye ukukhulelwa?
Kodwa xa ekugqibeleni silala kwakhona imilo eqhelekileyoAmathandabuzo ayasihlasela: Ngaba ndingaphinda ndikhulelwe? Yeyiphi indlela? izinto zokuthintela ukukhulelwa Ngaba iyahambelana nokuncancisa? Yiyiphi eyona ilungileyo? Nazi iinketho ezahlukeneyo, nangona ingezizo zonke izinto zokucwangcisa ezikhuselekileyo ngokulinganayo:
- Ukuncancisa njengokuthintela ukukhulelwaSele sixoxe ngeempawu zeprolactin. Ukuba ukuncancisa kukodwa, sele kufuneke ukuba uncancise ukuqala Kuya kuthintela i-ovulation. Inokusebenza ixesha elithile, kodwa ayiyi kuthintela i-ovulation ngokungapheliyo, ngoko ke umngcipheko Umngcipheko wokukhulelwa kwakhona uphezulu. Ngaphezu koko, asisoze sazi xa i-ovulation isenzeka, njengoko kungekho phawu lucacileyo. Njengesikhokelo esisebenzayo, ukuba ukuncancisa kuyeka ukuba yedwa, ukuba ukutyisa kuyancipha, okanye ukuba ukuya exesheni kubuya, i-LAM (I-Lactational Amenorrhea Method) ayisathathwa njengesebenzayo. isebenzaNgoko ke, ukuba awukhangeli i ukukhulelwa okutshaKucetyiswa ukuba ungeze enye indlela.
- Iindlela zokuthintela: ngokusisiseko i ukubola. Unyana lula Xa zisetyenzisiwe, azivelisi miphumo emibi kwaye azifuni ukubonisana kwangaphambili, ngoko zihlala ziyindlela yokuqala, ubuncinci de kube kugqitywe indlela yexesha elide. Ezinye iindlela zokuthintela, ezifana isaci o ikepusi yomlomo wesibelekoZiyacetyiswa ukuqala ukusuka Iiveki ze6 I-Postpartum ukuvumela ixesha lokuba i-reproductive tract ibuyele, kwaye ukuba ubusele uyisebenzisa ngaphambili, unokuyidinga. ukulungiswa kwesayizi entshaAmayeza okubulala amadlozi kuphela ukusebenza kancinciNgoko ke, azikhuthazwa njengendlela yodwa.
- Iindlela zendalo: iyafuneka qeqesho ngaphambi kokuba ukwazi ukuyisebenzisa. Ukuba awuzange uziqhelanise nokuqwalasela umchamo wesibeleko kunye neminye imiqondiso, kunzima ukwahlula ngoku, kwaye ixesha lokubeleka liphazamisa rhoqo. Nangona kunye nemijikelezo eqhelekileyo, kukho izinto zobuxoki okanye izinto ezingalunganga, ngoko ke ixesha lokuhamba emva kokubeleka akulona ixesha elifanelekileyo lokuqala ukuzisebenzisa ukuba ukuzala okuphezulu kufunwa. khu seleko.
- Isixhobo sangaphakathi (IUD): kufuneka ifakwe ngu a IngcaliYindlela yexesha eliphakathi ukuya kwelide. Kukho ii-IUDs. ikopi (non-hormonal) kunye ne-IUD kunye ne-levonorgestrel (ihomoni), zombini iyahambelana ngokuncancisa. Ukubekwa kwayo kunokwenziwa ngamaxesha ahlukeneyo: ngokukhawuleza emva kokubeleka (kunokwenzeka ukuba ukugxothwa), okanye ngokukhethekileyo ukusuka kwi Iiveki ze6xa isibeleko sibuyele kubukhulu baso besiqhelo. Ukufakwa kunye nokurhoxiswa ngokukhawuleza kwaye akukho mfuneko yamalungiselelo akhethekileyo. Ubude bexesha buxhomekeke kwimodeli kwaye bunokwahluka. años, ngenzuzo yokuba inokususwa xa ufuna ukuzama ukukhulelwa.
- Iindlela zehormonal: izicwangcisi ezisekelwe kwi iiprogestogens unyana ikhuselekile ngexesha lokuncancisa Ziluncedo kumntwana nakunina kwaye aziyinciphisi imveliso yobisi. iindlela ezahlukeneyo: tablet yemihla ngemihla (iMillipill), ukufakelwa ngaphantsi kwesikhumba y isitofu Ngamaxesha athile. Umhla wokuqala unokuhluka ngokuxhomekeka kwindlela kunye nesigwebo seklinikhi; ngexesha lokuqala Iiveki ze6 Emva kokubeleka, ngokuqhelekileyo kunikwa ingqwalaselo ephambili isithintelokwaye emva koko uvavanye eyona ndlela ifanelekileyo ye-progestin-only hormone. Ezo zidibene nazo ii-estrogens (ipilisi edibeneyo, ipaki o umsesaneAzikhuthazwa ekuqaleni kokuncancisa kuba ziyakwazi nciphisa ubungakanani bobisi; ezi, ukuba zivavanyiwe, zidla ngokumiswa kwaye zisoloko ziphantsi kweliso lobuchule.
- Iindlela ezichazayoEzi ndlela zibandakanya ukungenelela kokuhlinzwa, kumadoda okanye kwabasetyhini, ukuphumeza ukukhulelwa okusisigxina. Kwabasetyhini, i ityhubhu yokubopha Isenokwenziwa kwimeko yecandelo lotyando, ngemvume yangaphambili. Emadodeni, i vasectomy Lukhetho ngokuchacha ngokukhawuleza. Zifanelekile kuphela ukuba kukho isigqibo eqinile lokungabi nanzala.
Kubalulekile ukuba ukhethe eyona ndlela ifanele iimfuno zakho, eyona ikulungeleyo. ukhululekile kwaye oko kukuvumela ukuba ucwangcise ukukhulelwa kwakho okulandelayo xa wena neqabane lakho nikhetha. Ukuba unamathandabuzo, qhagamshelana nogqirha wakho. ugqirha wezifo zabasetyhini o matron ukuchaza elona xesha lilungileyo lokuqalisa kunye nokufumanisa ukuchasana okunokwenzeka komntu ngamnye.
Ucwangciso olungxamisekileyo ngelixa uncancisa
Ngamanye amaxesha, kunokuba yimfuneko ukubhenela ku-a indlela kaxakeka (umzekelo, ukuqhawuka kwekhondom). Iinketho ezisekelwe kwi yeyovline Ziyahambelana nokuncancisa. Eminye imixube inokufuna imilinganiselo elula enjengokunika a thatha ngaphambi nje kwaye, kwiimeko ezithile, isithuba esilandelayo ngeeyure ezimbalwa ngokuxhomekeke kwi iphepha lobugcisaUkuba kuqwalaselwa enye iamolekyuli, soloko ulandela imiyalelo yegcisa lezempilo kwaye udibane nemithombo yolwazi esexesheni. ukuhambelana ngokuncancisa. Kuyo nayiphi na imeko, kangangoko ngaphambili Okukhona kuthathwa ucwangciso olungxamisekileyo, kokukhona lusiba lukhulu ukusebenza ngempumelelo.
I-FAQ eKhawulezayo
- Ndingasebenzisa iipetshi zocwangciso? Iipetshi zihlala zidityanisiwe (kunye ii-estrogens) kunye nayo bayakuphepha ngexesha lokuncancisa ngenxa yempembelelo yabo enokubakho kwimveliso yobisi. Ukuba kuqwalaselwa kamva, kufuneka kube novavanyo lobungcali.
- Ndingayisebenzisa nini i-diaphragm okanye ikepusi? Emva kwembalwa Iiveki ze6 Kwaye ukuba ubukhe wazisebenzisa ngaphambili, kuyacetyiswa setha kwakhona ubukhulu.
- Kubuya nini ukuchuma? Ungabuya ngaphambili sexesheni sokuqala sokuya exesheni. Ngoko ke, nangona i-amenorrhea, kuyacetyiswa ukuba usebenzise indlela eyongezelelweyo ukuba awufuni ukukhulelwa.
Iingcebiso ezisebenzayo zokuphinda uqalise ukwabelana ngesondo emva kokubeleka
- Ixesha kunye nonxibelelwanoQinisekisa iimvakalelo zakho kwaye uthethe neqabane lakho. Ukuphinda uqhagamshele ngokuthe ngcembe kukunceda uphinde usondelelane. ukusondelelana.
- Ukuthambisa: usebenzisa izinto zokuthambisa amanzi-based okanye abicah-based ukukhulula ukoma eqhelekileyo lobufazi okubangelwa ipractactin.
- Ukuthuthuzela kwebeleUkuthatha okanye ukutsalwa kwangaphambili kunciphisa uxinzelelo kunye nokuvuza okunokwenzeka kobisi.
- UkumaKhetha izikhundla nge ulawulo ukuhamba kwaye ngaphandle koxinzelelo lwesisu okanye kwi-perineal ukuba kukho izititshi.
- Iimpawu ezilumkisayo:ukuba ikhona idola Ukopha okungapheliyo, ukopha kakhulu, ivumba elibi, okanye umkhuhlane; dibana nogqirha ukuze akhuphe iingxaki.
Kukwaluncedo ukukhumbula ukuba, ngokwezifundo zoqwalaselo, uninzi lwabasetyhini luphinda lufumane umnqweno wabo wesondo phakathi kweminyaka eyi-10 kunye ne-11. iiveki zokuqala neenyanga zokuqala emva kokuzala; nangona kunjalo, eso singqisho si variable Kwaye akukho shedyuli enye. Into ebalulekileyo kukubeka phambili izinto zakho intlalontle kwaye ukhethe iindlela inshorensi kwaye iyahambelana neenjongo zakho zokuncancisa kunye nokuzala.
La ukungaqiniseki Ngokumalunga nokubuya kwe-ovulation emva kokubeleka, ukungabikho kolwazi malunga nokusebenza kwangempela kwe-LAM ngaphandle kweemfuno zayo eziqinileyo, kunye nenkolelo ebanzi yokuba i-amenorrhea ithetha. ukungachumi Bachaza ukuba kutheni iingcali zincoma ukukhetha indlela eyongezelelweyo. Phakathi kwezinye iindlela, i ukubola Imele ukhuseleko kunye nokukhuselwa kwayo kwi-STD, i IUD (ubhedu okanye ihomoni) inikeza isisombululo Ixesha elide kunye nezicwangcisi iprogestogen kuphela (I-Minipill, implant, isitofu) iyahambelana nokuncancisa. Ziphephe ii-estrogens kumanqanaba okuqala kwaye udibane ne iwindow ilungele ngakumbi ukuqalisa indlela nganye. Kwaye ukuba kwenzeka isiganeko esingalindelekanga, ukukhulelwa kwe ngxakeko Sisixhobo esongezelelweyo esinokusetyenziswa ngeli xesha kunye ne ukulumkela ichazwe.
