Ngemva kokuba ngomama, izimpilo zethu zonke ziyashintsha . Sinomntwana othatha usuku lwethu lonke, futhi sizithola singenaso isikhathi sokunakekela yena kuphela . Ukunakekelwa kwakhe akusishiyi sikhathi sokucabanga nganoma yini enye, futhi isimo sethu sengqondo asisihle kahle, ngakho kubonakala kungenakwenzeka ukucabanga ngokubuyela esimisweni sethu sangaphambilini. Kodwa ngemva kwesikhathi esithile, kufanele sibuyele kancane kancane ekuphileni kwethu okuvamile , futhi lokho kuhlanganisa nokuqala kabusha ubudlelwano obuseduze nomlingani wethu…
Yisiphi isikhathi esingcono kakhulu sokuqala kabusha ubuhlobo bobulili?
Kungazelelwe, zonke izinhlobo zokungabaza ziyasihlasela: Sizoqala nini ubudlelwano bocansi? Ingabe kukhona usuku oluthile? Ngingazi kanjani ukuthi sengikulungele?
Nakuba igama elithi " ukuhlukaniswa " lisetshenziswa ngokwesiko , lihlobene namasonto ekhefu lokubeletha abhekwa njengempoqo ukuze umama alulame, ochwepheshe abaningi batusa ukulinda okungenani inyanga noma kuze kube yilapho amabala ephela. Okubalulekile ukuthi umama alulame futhi abe nomoya omuhle ngemva kokubeletha , ngoba ngokuqinisekile ngeke kube lula; uzobona ukungakhululeki endaweni ye-vulvar, ikakhulukazi uma uthungwe. Kulesi simo, uzozwa ukuqina kwesilonda; ukoma kwesitho sangasese sowesifazane nakho kuyinto evamile ngemva kokubeletha (ngisho noma uke wahlinzwa ngokuhlinzwa) futhi kubonakala kakhulu uma uncelisa.
Kungani lokhu kwenzeka? Ngoba i-prolactin iyi-hormone eqinisekisa ukukhishwa kobisi futhi ivimbele ukuvuthwa. Amazinga e-prolactin ahlala ephezulu kakhulu ngalesi sikhathi, ekhiqiza ukusabela kweketanga okuvimbela ukwenziwa kwamanye ama-hormone, okuholela ekomeni kwesitho sangasese sowesifazane kanye nokwehla kwesifiso sobulili . Ngale ndlela, i-prolactin ibeka phambili ukondla usana olusanda kuzalwa futhi ingathinta ukukhiqizwa kobisi . I-Prolactin ibeka phambili ukondla usana olusanda kuzalwa: uma kungekho qanda elitholakalayo, ukukhulelwa akunakwenzeka, futhi uma kungekho sifiso, kungase kube nocansi oluncane futhi ngaleyo ndlela kube namathuba aphansi okukhulelwa okunye.
Njengokungathi konke lokhu akwanele, uzobona ukuthi amabele akho azobe egcwele ubisi , okungase kungakhululeki futhi kubangele ukuthi ubisi luvuze ngesikhathi socansi. Futhi uma ekugcineni uthola isikhathi esifanele, ingane ingase iqede ukulala noma ilambile kakhulu, ngakho-ke cishe kuzodingeka uyihlehlise izikhathi ezingaphezu kwesisodwa. Amanye amasu awusizo afaka phakathi ukusebenzisa amafutha asekelwe emanzini , ukukhipha ubisi noma ukuncelisa ngaphambi kwesikhathi ukuze kuncishiswe ukuminyana , ukukhetha izindawo ezikhululekile , kanye nokunikeza isikhathi sokudlala ngaphambi kwesikhathi ukuze kukhuthazwe ukuminyana.
Ukuncelisa ibele njengendlela yokuvimbela inzalo (LAM)
Ukuncelisa ibele kungasebenza njengendlela yokuvimbela inzalo yemvelo ngenxa ye-prolactin. Le ndlela yaziwa ngokuthi i-LAM (Lactational Amenorrhea Method). Kodwa-ke, ukuze ithembeke, kumele ihlangabezane nezimfuneko eziqinile :
- Okukhethekile: ngaphandle kwefomula noma okunye ukudla noma uketshezi.
- Efunwa kakhuluUkudla njalo imini nobusuku. Imvamisa, akudluli amahora ama-4 phakathi nosuku futhi kungabi ngaphezu kwamahora ayi-6 ebusuku phakathi kokuphakelayo.
- Isikhuthazo kufanele sisuke ingane ebeleni (hhayi nje amaphampu webele), njengoba lokhu kusiza ukugcina amazinga e-prolactin isikhathi eside.
Ngisho noma zonke izidingo sezihlangatsheziwe, i-LAM (Lactational Amenorrhea Method) iyindlela yesikhashana nje . Ukusebenziseka kwayo okusebenzayo kuvame ukukhawulelwa ezinyangeni ezimbalwa zokuqala zokuncelisa ibele kuphela futhi ilahlekelwa ukusebenza ngokushesha nje lapho isikhathi sokuya esikhathini sibuya noma ukudla okuhambisanayo kuqala . Ngaphezu kwalokho, akunakwenzeka ukwazi ngokuqinisekile ukuthi i -ovulation yokuqala izokwenzeka nini ngemva kokubeletha, ngakho-ke kunconywa ukusebenzisa indlela eyengeziwe yokuvimbela inzalo uma ungazami ukukhulelwa futhi.
Ngingakugwema kanjani okunye ukukhulelwa?
Kodwa lapho ekugcineni sesikwazile ukuya ocansini njalo futhi , kuvela ukungabaza: Ngingakhulelwa futhi? Iyiphi indlela yokuvimbela inzalo ehambisana nokuncelisa? Iyiphi engcono kakhulu? Kunezinketho ezahlukene , yize kungezona zonke izindlela zokuvimbela inzalo ezithembekile ngokulinganayo.
- Ukuncelisa ibele njengendlela yokuvimbela inzaloSesixoxile kakade izakhiwo zeprolactin. Uma ukuncelisa ibele kuphela, kakade kufuna ukuqala Kuzovimbela i-ovulation. Kungase kusebenze isikhashana, kodwa ngeke kuvimbele i-ovulation unomphela, ngakho-ke ingozi Amathuba okukhulelwa futhi aphezulu. Ngaphezu kwalokho, ngeke sazi ukuthi i-ovulation ivela nini, njengoba kungekho zimpawu ezicacile. Njengesiqondiso esisebenzayo, uma ukuncelisa ibele kuyeka kuphela, uma ukuphakelwa kuncipha njalo, noma uma ukuya esikhathini kubuya, i-LAM (I-Lactational Amenorrhea Method) ayisabhekwa njengevumelekile. kusebenzaNgakho-ke, uma ungafuni a ukukhulelwa okushaKunconywa ukwengeza enye indlela.
- Izindlela zokuvimbela: ngokuyisisekelo i ikhondomu. wakhe kulula Uma zisetshenziswa, azikhiqizi imiphumela emibi futhi azidingi ukubonisana kwangaphambili, ngakho-ke ngokuvamile ziyinketho yokuqala, okungenani kuze kunqunywe indlela yesikhathi eside. Ezinye izindlela zokuvimbela, njenge isichazamazwi o ikepisi lomlomo wesibelethoZinconywa kusukela Amaviki angu-6 I-Postpartum ukuvumela isikhathi sokuthi umgudu wokuzala ululame, futhi uma ubuvele uwasebenzisa ngaphambili, ungase uwadinge. ukulungiswa kosayizi omushaAma-spermicides kuphela ukusebenza kancaneNgakho-ke, azinconywa njengendlela yodwa.
- Izindlela zemvelo: iyadingeka ukuqeqeshwa ngaphambi kokuthi ukwazi ukuzisebenzisa. Uma ungazange uzijwayeze ukubukela i- umgogodla wesibeletho nezinye izimpawu, kunzima ukuzihlukanisa manje, futhi isikhathi sangemva kokubeletha siphazamisa ukujwayela. Ngisho nangemijikelezo evamile, kukhona okungalungile noma okungalungile, ngakho isikhathi sangemva kokubeletha akusona isikhathi esingcono kakhulu sokuqala ukuwasebenzisa uma kufunwa ukuzala okuphezulu. ukuphepha.
- Idivayisi ye-intrauterine (IUD): kufanele ifakwe ngu-a uchwephesheKuyindlela yesikhathi esimaphakathi kuya kweside. Ama-IUD akhona. koppermade (non-hormonal) kanye ne-IUD nge-levonorgestrel (i-hormonal), kokubili ehambisanayo ngokuncelisa. Ukubekwa kwayo kungenziwa ngezikhathi ezahlukahlukene: ngokushesha ngemva kokubeletha (okungenzeka ukuthi ukuxoshwa), noma okungcono kusuka ku- Amaviki angu-6lapho isibeletho sesibuyele kusayizi waso ojwayelekile. Ukufaka nokuhoxiswa kukhona ngokushesha futhi akudingi ukulungiswa okukhethekile. Ubude besikhathi buncike kumodeli futhi bungahluka. anos, ngenzuzo ukuthi ingasuswa uma ufuna ukuzama ukukhulelwa.
- Izindlela zehormonal: izinto zokuvimbela inzalo ezisekelwe ama-progestogens wakhe iphephile ngesikhathi sokuncelisa Ziyinzuzo kumntwana kanye nomama futhi azinciphisi ukukhiqizwa kobisi. izindlela ezahlukene: ithebhulethi yansuku zonke (iminipill), i-subcutaneous implant y umjovo Izikhathi ezithile. Idethi yokuqala ingahluka kuye ngendlela kanye nesinqumo somtholampilo; ngesikhathi sokuqala Amaviki angu-6 Ngemva kokubeletha, ngokuvamile kuvame ukunikezwa kuqala isithiyobese uhlola indlela efaneleke kakhulu yamahomoni e-progestin kuphela. Ezihlangene nazo ama-estrogens (iphilisi elihlanganisiwe, parche o ringAzinconywa ekuqaleni kokuncelisa ngoba zingakwazi ukunciphisa inani lobisi; lezi, uma zihloliwe, zivame ukuhlehliswa futhi zihlale zingaphansi kokuqondisa kochwepheshe.
- Izindlela ezichazayoLezi zindlela zihlanganisa ukungenelela kokuhlinzwa, kwabesilisa noma abesifazane, ukuze kuzuzwe ukuvimbela inzalo unomphela. Kwabesifazane, i isimangalo se-tubal Kungenziwa futhi esimweni sokuhlinzwa, ngemvume yangaphambili. Emadodeni, i vasectomy Kuyinketho enokuthola kabusha okusheshayo. Zifaneleka kuphela uma kunesinqumo ngokuqinile lokungasenanzalo.
Kubalulekile ukukhetha indlela efanela izidingo zakho, elula kakhulu , futhi ekuvumela ukuthi uhlele ukukhulelwa kwakho okulandelayo ngesikhathi wena nomlingani wakho enisithanda ngaso. Uma unemibuzo, xhumana nodokotela wakho wezifo zabesifazane noma umbelethisi ukuze uthole isikhathi esingcono sokuqala futhi uthole noma yiziphi izinkinga ezingaba khona zomuntu ngamunye.
Ukuvimbela inzalo okuphuthumayo ngenkathi encela ibele
Ngezinye izikhathi, ukuvimbela inzalo okuphuthumayo kungadingeka (isb., ikhondomu ephukile). Izinketho ezisekelwe ku- Levonorgestrel ziyahambisana nokuncelisa. Amanye amafomula angadinga ukulungiswa okulula, njengokuthatha umthamo ngaphambi nje kokuncelisa, futhi kwezinye izimo, ukuhlukanisa umthamo olandelayo ngamahora ambalwa, njengoba kuboniswe kulwazi lomkhiqizo . Uma ucabangela enye ifomula, landela njalo imiyalelo yomhlinzeki wakho wezempilo futhi ubheke ulwazi olusha mayelana nokuhambisana kokuncelisa . Kunoma ikuphi, uma ushesha ukuthatha ukuvimbela inzalo okuphuthumayo, kuzosebenza kangcono.
I-FAQ Esheshayo
- Ngingakwazi ukusebenzisa ama-patches okuvimbela inzalo? Ama-patches ngokuvamile ahlanganiswa (nge ama-estrogens) futhi bayagwema ngesikhathi sokuncelisa ngenxa yomthelela wabo ongaba khona ekukhiqizeni ubisi. Uma kucatshangelwa kamuva, kufanele kube nokuhlolwa kochwepheshe.
- Ngingayisebenzisa nini i-diaphragm noma ikepisi? Ngemva kwambalwa Amaviki angu-6 Futhi uma uke wazisebenzisa ngaphambilini, kuhle setha kabusha ubukhulu.
- Ibuya nini inzalo? Ungabuya ngaphambili esikhathini sokuqala sokuya esikhathini. Ngakho-ke, ngisho ne-amenorrhea, kungakuhle ukuthi usebenzise indlela eyengeziwe uma ungafisi ukukhulelwa.
Amathiphu asebenzayo okuqalisa kabusha ukuya ocansini ngemva kokubeletha
- Isikhathi nokuxhumanaQinisekisa imizwa yakho futhi ukhulume nomlingani wakho. Ukuxhuma kabusha kancane kancane kukusiza ukuthi uphinde uthole ukusondelana. ukusondelana.
- Ukuthambisa: isebenzisa izinto zokuthambisa amanzi-based noma abicah-based ukukhulula ukoma okuvamile kwesitho sangasese sowesifazane okubangelwa prolactin.
- Ukunethezeka kwebeleUkudla okudlule noma ukukhishwa kunciphisa Ukushuba kwesimo phakathi kanye nokuvuza kobisi okungenzeka.
- Ukuma komzimbaKhetha izikhundla nge isilawuli ukunyakaza futhi ngaphandle kokucindezela kwesisu noma kwe-perineal uma kukhona ukuthungwa.
- Izimpawu eziyisixwayiso:uma ekhona ubuhlungu ukopha okuqhubekayo, ukopha kakhulu, iphunga elibi, noma imfiva; thintana nodokotela ukuze akhiphe izinkinga.
Kuyasiza futhi ukukhumbula ukuthi, ngokusho kwezifundo zokubuka, abesifazane abaningi baphinde bavuselele isifiso sabo socansi emavikini ambalwa okuqala kuya ezinyangeni ngemuva kokubeletha; noma kunjalo, lokhu kuyahlukahluka , futhi akukho sikhathi esisodwa. Into ebalulekile ukubeka phambili inhlalakahle yakho bese ukhetha izindlela eziphephile ezihambisana nokuncelisa kanye nemigomo yakho yokuzala.
Ukungaqiniseki ngokubuya kokuvuthwa ngemva kokubeletha, ukuntuleka kokuqonda ngokusebenza kahle kwe-Lactational Amenorrhea Method (LAM) ngaphandle kwezidingo zayo eziqinile, kanye nenkolelo ebanzi yokuthi i-amenorrhea isho ukungabi nabantwana kuchaza ukuthi kungani ochwepheshe bencoma ukukhetha indlela eyengeziwe. Phakathi kwezinye izindlela, amakhondomu avelele ngokuphepha kwawo kanye nokuvikelwa kwawo ezifweni zocansi ezithathelwana ngocansi, i -IUD (ithusi noma i-hormone) inikeza ikhambi lesikhathi eside , kanye nezindlela zokuvimbela inzalo ze-progestin kuphela (iphilisi elincane, i-implant, umjovo) ziyahambisana nokuncelisa. Gwema i-estrogen ezigabeni zokuqala bese ubheka iwindi elifanele kakhulu ukuqala indlela ngayinye. Futhi uma kwenzeka isenzakalo esingalindelekile, ukuvimbela inzalo okuphuthumayo kuyithuluzi elengeziwe elingasetshenziswa phakathi nalesi sikhathi ngezinyathelo zokuqapha ezichazwe.
