Yini i-Levonorgestrel: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Levonorgestrel iyihomoni eyenziwe ngokwenziwa ekhomba i-progesterone, enye yamahomoni emvelo okuzala emzimbeni wakho. Lo muthi uza ngezindlela ezahlukene futhi usebenza ngezinhloso ezihlukahlukene, kusukela ekuthuthukiseni ukukhulelwa okuphuthumayo kuya ekulawuleni ukuzala isikhathi eside kanye nokwelashwa kwamahomoni.

Ungase uyazi i-levonorgestrel kangcono njengepilisi 'yasekuseni ngemva kokulala', kodwa empeleni iyimithi eguquguqukayo esetshenziswa ochwepheshe bezempilo ezimweni eziningi ezihlukene. Ukuqonda ukuthi isebenza kanjani nokuthi yini ongayilindela kungakusiza ukuthi wenze izinqumo ezinolwazi mayelana nempilo yakho yokuzala.

Yini i-Levonorgestrel?

I-Levonorgestrel iyinguqulo eyenziwe ngumuntu ye-progesterone, i-hormone ama-ovari akho ayikhiqiza ngokwemvelo ngesikhathi somjikelezo wakho wokuya esikhathini. Ingaphansi kweqembu lemithi ebizwa ngokuthi ama-progestin, angavimbela ukukhulelwa futhi alawule imijikelezo yokuya esikhathini.

Le hormone isebenza ngokuthinta uhlelo lwakho lokuzala ngezindlela eziningi. Ingalibazisa noma ivimbele ukuvuthwa (ukukhululwa kweqanda e-ovary yakho), yenze kube nzima ngesidoda ukufinyelela eqandeni, futhi iguqule umugqa wesibeletho sakho ukuze kwenze ukukhulelwa kungabi maningi.

Lo muthi uza ngamandla nezindlela ezahlukene kuye ngokuthi usetshenziselwa ini. Ungase uhlangane nawo njengokhethekile ithebhulethi elilodwa elinomthamo ophezulu wokuthuthukisa ukukhulelwa okuphuthumayo, amaphilisi avamile anomthamo ophansi wokulawula ukuzala nsuku zonke, noma njengengxenye yedivayisi ye-intrauterine (IUD).

Isetshenziselwani i-Levonorgestrel?

I-Levonorgestrel isebenza ngezinhloso ezintathu eziyinhloko ekunakekelweni kwezempilo yokuzala. Ngokuvamile, isetshenziswa njengendlela yokuthuthukisa ukukhulelwa okuphuthumayo ngemva kocansi olungavikelekile noma ukwehluleka kokuvimbela ukukhulelwa.

Lo muthi futhi usebenza njengendlela ejwayelekile yokulawula ukuzala uma ithathwa nsuku zonke ngemithamo ephansi. Amaphilisi amaningi okulawula ukuzala ahlanganisiwe aqukethe i-levonorgestrel kanye nehomoni ye-estrogen ukuvimbela ukukhulelwa inyanga nenyanga.

Abahlinzeki bezempilo ngezinye izikhathi banikeza i-levonorgestrel ukuze bathole ukwelashwa ngamaphilisi e-hormone, ikakhulukazi kwabesifazane abanezimpawu zokuya esikhathini. Kulokhu, kusiza ukulinganisa amazinga e-hormone futhi kunganciphisa izimpawu ezingakhululeki njengokushisa okukhulu kanye nezinguquko zemizwa.

Abanye besifazane basebenzisa imithi equkethe i-levonorgestrel ukuphatha ukuphuma kwegazi okukhulu noma izikhathi ezingajwayelekile. I-hormone ingasiza ukulawula umjikelezo wakho futhi inciphise inani lokuphuma kwegazi oluthola njalo ngenyanga.

Isebenza Kanjani I-Levonorgestrel?

I-Levonorgestrel ithathwa njenge-progestin enamandla aphakathi nendawo esebenza ngezindlela eziningi ohlelweni lwakho lokuzala. Cabanga ngayo njenge-hormone engashintsha okwesikhashana indlela umzimba wakho olungiselela ngayo futhi usabele ekukhulelweni.

Uma uthatha i-levonorgestrel njengokuvimbela ukukhulelwa okuphuthumayo, isebenza ikakhulukazi ngokubambezela noma ukuvimbela ukuvuthwa kwamaqanda. Uma ungakabi namaqanda emjikelezweni wakho, imithi ingahlehlisa ukukhululwa kweqanda izinsuku eziningana, inikeze isikhathi samasidoda sokufa ngokwemvelo.

Imithi futhi iqina amafinyila emlonyeni wakho wesibeletho, okwenza kube nzima kakhulu ngamasidoda ukubhukuda futhi afinyelele eqandeni. Lokhu kudala isithiyo esengeziwe esinciphisa amathuba okuzala.

Ngaphezu kwalokho, i-levonorgestrel inganciphisa umugqa wesibeletho sakho (obizwa ngokuthi i-endometrium). Lolu shintsho lwenza kungabi maningi amathuba okuthi iqanda elivundisiwe lizifake futhi lithuthuke, nakuba lo mphumela uthathwa njengobaluleke kancane kunezinye izindlela.

Ukuze kusetshenziswe ukulawulwa kokuzalwa okuvamile, lezi zindlela ezifanayo zisebenza ngokuqhubekayo ukuvimbela ukukhulelwa. Amazinga e-hormone ansuku zonke agcina uhlelo lwakho lokuzala lisesimweni esingahambisani nokukhulelwa.

Kufanele Ngiyithathe Kanjani I-Levonorgestrel?

Indlela othatha ngayo i-levonorgestrel incike ngokuphelele ekutheni uyisebenziselani nokuthi hlobo luni oluye lwanikezwa ngumhlinzeki wakho wezempilo. Ukuze uvimbele ukukhulelwa okuphuthumayo, ngokuvamile uzothatha ithebhulethi eyodwa ngokushesha ngangokunokwenzeka ngemva kocansi olungavikelekile.

Ungathatha i-levonorgestrel yezimo eziphuthumayo ngaphandle noma ngaphandle kokudla, futhi akunandaba ukuthi uyithatha ngasiphi isikhathi sosuku. Kodwa-ke, ukuyithatha ngesidlo esincane kungasiza ukunciphisa isicanucanu, okuhlangenwa nakho ngabanye abantu njengomphumela oceleni.

Uma usebenzisa i-levonorgestrel njengokulawula ukuzala kwansuku zonke, kuzodingeka uyithathe ngesikhathi esifanayo nsuku zonke. Abantu abaningi bakuthola kuwusizo ukuxhumanisa ukuthatha iphilisi labo nomkhuba wansuku zonke, njengokuxubha amazinyo abo noma ukuba nekhofi ekuseni.

Ngamaphilisi okulawula ukuzala nsuku zonke, ukuqina kubalulekile. Zama ukuthatha iphilisi lakho ngaphakathi kwefasitela elifanayo lamahora amabili nsuku zonke ukuze ugcine amazinga e-hormone aqhubekayo emzimbeni wakho.

Uma usebenzisa i-levonorgestrel ngemithi yokushintsha ama-hormone, udokotela wakho uzohlinzeka ngemiyalelo ethile mayelana nesikhathi kanye nomthamo. Lokhu kuvame ukubandakanya ukuthatha imithi izinsuku ezithile zenyanga njengengxenye yohlelo olukhulu lwe-hormone therapy.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Levonorgestrel?

Ubude besikhathi sokusebenzisa i-levonorgestrel buhlukahluka kakhulu ngokuya ngesimo sakho esithile kanye nefomu olithathayo. Ngokuvimbela izimo eziphuthumayo, uyithatha kanye kuphela ngemuva kocansi olungavikelekile.

Uma usebenzisa i-levonorgestrel njengokulawula ukuzala kwansuku zonke, ungaqhubeka ngokuphepha ukuyithatha izinyanga noma iminyaka, inqobo nje uma umhlinzeki wakho wezempilo evuma ukuthi kufaneleka kuwe. Abesifazane abaningi basebenzisa ukulawula ukuzala okuqukethe i-progestin iminyaka eminingi ngaphandle kwezinkinga.

Ngokwelashwa kokushintshwa kwama-hormone, ubude besikhathi buxhomeke ezidingweni zakho zomuntu ngamunye kanye nesimo sempilo. Udokotela wakho uzohlola njalo ukuthi kufanele uqhubeke yini nokwelashwa futhi angashintsha ubude besikhathi ngokuya ngezimpawu zakho nezinguquko zempilo.

Ukuhlolwa okuvamile nodokotela wakho wezempilo kubalulekile kungakhathaliseki ukuthi sekuyisikhathi esingakanani uthatha i-levonorgestrel. Bangakwazi ukuqapha noma yimiphi imiphumela emibi futhi baqinisekise ukuthi imithi iseyindlela efanele yezidingo zakho zempilo.

Yiziphi Imiphumela Eceleni ye-Levonorgestrel?

Njengayo yonke imithi, i-levonorgestrel ingabangela imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Imiphumela emibi ongase uyibone ingahluka kuye ngokuthi uyayithatha njengokuvimbela ngokuphuthumayo noma njengomuthi ovamile.

Nansi imiphumela emibi evame kakhulu abantu abaningi abayitholayo, ikakhulukazi ekusetshenzisweni kokuvimbela ngokuphuthumayo:

• Isicanucanu futhi ngezinye izikhathi ukuhlanza
• Ukukhathala noma ukuzizwa ukhathele ngokungavamile
• Ikhanda elingase lisuke libe lula liye libe phakathi nendawo
• Isiyezi noma ukuzizwa unovalo
• Ukuzwela kwamabele noma ukuzwela
• Ubuhlungu besisu esingezansi noma ukuqaqamba
• Ushintsho esikhathini sakho esilandelayo sokuya esikhathini (ngaphambi kwesikhathi, kamuva, sinzima, noma silula kunokujwayelekile)

Le miphumela emibi evamile ivame ukuba mncane futhi yesikhashana, ngokuvamile ixazululwa ezinsukwini ezimbalwa. Umzimba wakho uvele uzivumelanisa noshintsho olungazelelwe lwamahomoni.

Abanye abantu bathola imiphumela emibi engavamile kodwa esavamile engabandakanya:

• Ushintsho lwemizwa noma ukuzizwa unemizwa eminingi kunokujwayelekile
• Ushintsho ekudleni
• Ukubona noma ukuphuma kwegazi okungajwayelekile phakathi nezikhathi
• Ukuqunjelwa noma umuzwa wokugcwala
• Ushintsho esikhumbeni njengezinduna noma isikhumba esinamafutha
• Ukuphazamiseka kokulala

Le miphumela ngokuvamile ayinangozi kodwa ingaba yisicefe. Uma ziqhubeka noma ziba zimbi, kufanelekile ukuxoxa nodokotela wakho.

Nakuba kungavamile, kunemiphumela emibi ethile engathi sína edinga ukunakekelwa kwezokwelapha ngokushesha:

• Ubuhlungu besisu obukhulu obungathuthuki ngokuphumula
• Izimpawu zokungezwani komzimba nezinto ezithile njengobunzima bokuphefumula, ukuvuvukala kobuso noma umphimbo, noma ukuqubuka okukhulu
• Ukuphalaza okuqhubekayo okukuvimbela ukuthi ungagcini uketshezi phansi
• Ukuphuma kwegazi okungavamile kwesitho sangasese sowesifazane okunzima kakhulu kunokujwayelekile
• Ikhanda elibuhlungu elinamandla elinoshintsho embonweni
• Ubuhlungu besifuba noma ukuphefumula kanzima

Lezi zimo ezingathi sína azivamile, kodwa zidinga ukuhlolwa ngokushesha kwezokwelapha. Unganqikazi ukufuna usizo uma uhlangabezana nanoma yiziphi zalezi zimpawu.

Ubani Ongafanele Athathe I-Levonorgestrel?

Ngenkathi i-levonorgestrel ivikelekile ngokujwayelekile kubantu abaningi, kunezimo ezithile lapho ingase ingabi yindlela engcono kakhulu noma ingaba yingozi. Umhlinzeki wakho wezempilo uzocabangela umlando wakho wezokwelapha ngaphambi kokuncoma lo muthi.

Kufanele ukugweme i-levonorgestrel uma wazi ukuthi unokungezwani komzimba nomuthi noma yiziphi izingxenye zawo. Izimpawu zokungezwani komzimba zingabandakanya ukuqubuka, ukuluma, ukuvuvukala, noma ubunzima bokuphefumula.

Nazi izimo zezokwelapha ezingenza i-levonorgestrel ingakulungele:

• Okwamanje noma umlando wamagazi emathangeni akho, emaphashini, noma kwezinye izingxenye zomzimba wakho
• Isifo sesibindi esisebenzayo noma izimila zesibindi
• Ukuphuma kwegazi okungachazeki kwesitho sangasese sowesifazane okungahloliwe ngudokotela
• Ukukhulelwa kwamanje noma okusolwayo (nakuba ngeke kulimaze ukukhulelwa okukhona)
• Ezinye izinhlobo zomdlavuza, ikakhulukazi lezo ezizwela ama-hormone
• Isifo sezinso esibi kakhulu

Lezi zimo azikukhiphi ngokuzenzakalelayo ekusebenziseni i-levonorgestrel, kodwa zidinga ukucatshangelwa ngokucophelela futhi mhlawumbe ezinye izinketho.

Ezinye izimo zidinga ukuqapha okwengeziwe nokubhekwa eduze uma usebenzisa i-levonorgestrel:

• Umlando wokucindezeleka noma izinkinga zemizwa
• Isifo sikashukela, ikakhulukazi uma singalawulwa kahle
• Umfutho wegazi ophezulu
• Ikhanda elibuhlungu le-migraine, ikakhulukazi eline-aura
• Umlando wokushaywa unhlangothi noma isifo senhliziyo
• Isifo se-gallbladder
• Ukubhema, ikakhulukazi uma uneminyaka engaphezu kwengama-35

Uma unezinye zalezi zimo, umhlinzeki wakho wezempilo uzohlola izinzuzo nezingozi ngokucophelela. Bangase bancomise ukuqapha okwengeziwe noma baphakamise ukwelashwa okuhlukile okuhambisana kangcono nephrofayili yakho yezempilo.

Amagama Omkhiqizo we-Levonorgestrel

I-Levonorgestrel itholakala ngaphansi kwamagama amaningi omkhiqizo, kuye ngokuthi ihlelwe kanjani nokuthi isetshenziselwa ini. Ukuvimbela ngokuphuthumayo, ngokuvamile uzothola ithengiswa njenge-Plan B One-Step, etholakala ngaphandle kwemithi kadokotela.

Ezinye izinhlobo zokuvimbela ngokuphuthumayo eziqukethe i-levonorgestrel zihlanganisa i-Take Action, My Way, Option 2, kanye ne-Preventeza. Lezi yizinhlobo ezivamile ezisebenza ngendlela efanayo ne-Plan B One-Step kodwa zingabiza kancane.

Ukuvimbela inzalo kwansuku zonke, i-levonorgestrel ivela emaphilisi amaningi ahlanganisiwe ahambisana nama-hormone e-estrogen. Ezinye izinhlobo ezithandwayo zihlanganisa i-Seasonale, Seasonique, LoSeasonique, kanye ne-Amethyst, nakuba kunabanye abaningi.

I-IUD ekhulula i-levonorgestrel itholakala njenge-Mirena, Skyla, Liletta, kanye ne-Kyleena. Lezi zinto zinikeza ukuvimbela inzalo kwesikhathi eside ngokukhulula kancane i-hormone ngqo esibelethweni sakho.

Uma uthenga ukuvimbela ngokuphuthumayo, khumbula ukuthi yonke imikhiqizo equkethe i-levonorgestrel isebenza ngendlela efanayo kungakhathaliseki igama lomkhiqizo. Isithako esisebenzayo kanye nomthamo zifana, ngakho ungenza ukukhetha ngokusekelwe ekutholakaleni kanye nentengo.

Ezinye izindlela ze-Levonorgestrel

Uma i-levonorgestrel ingakulungele noma ufuna ezinye izinketho, kunezindlela eziningi ezitholakalayo kuye ngezidingo zakho. Ukuvimbela ngokuphuthumayo, i-ulipristal acetate (ella) enye inketho engasebenza kuze kube yizinsuku ezinhlanu ngemva kocansi olungavikelekile.

I-IUD yethusi nayo ingasebenza njengokuvimbela ngokuphuthumayo uma ifakwe phakathi kwezinsuku ezinhlanu zocansi olungavikelekile. Le nketho inikeza inzuzo eyengeziwe yokuvimbela inzalo kwesikhathi eside uma unquma ukuyigcina endaweni.

Ukuvimbela inzalo okuvamile, izinketho zakho zihlanganisa amanye amaphilisi e-progestin-only aqukethe ama-hormone ahlukene afana ne-norethindrone noma i-desogestrel. Lezi zisebenza ngendlela efanayo ne-levonorgestrel kodwa zingase zibe namaphrofayili ahlukene emiphumeleni engemihle.

Amaphilisi okulawula ukuzalwa ahlanganisiwe aqukethe kokubili i-estrogen ne-progestin anikeza enye indlela. Lawa eza ngezinhlanganisela eziningi zamahomoni futhi angase afaneleke uma ungakwazi ukuthatha i-estrogen ngokuphepha.

Izinketho zokuvimbela inzalo ezingezona zamahomoni zihlanganisa izindlela zokuvimbela ezifana namakhondomu, ama-diaphragm, noma ama-cervical caps. I-IUD yethusi inikeza ukuvimbela ukukhulelwa kwesikhathi eside ngaphandle kwamahomoni.

Ukwelashwa kokufaka amahomoni, ezinye izindlela zingabandakanya amanye ama-progestin, ukwelashwa nge-estrogen kuphela, noma amalungiselelo amahomoni e-bioidentical. Umhlinzeki wakho wezempilo angakusiza ukuthi uhlole lezi zinketho ngokusekelwe ezimpawini zakho ezithile nezidingo zempilo.

Ingabe i-Levonorgestrel Ingcono Kunezinye Izindlela Zokuvimbela Inzalo Eziphuthumayo?

I-Levonorgestrel ne-ulipristal acetate (ella) yizona zinhlobo ezimbili eziyinhloko zamaphilisi okuvimbela inzalo eziphuthumayo atholakalayo, futhi ngalinye linobuhle balo. Ukukhetha phakathi kwazo kuvame ukuncika esikhathini kanye nesimo sakho esithile.

I-Levonorgestrel isebenza kahle kakhulu uma ithathwa kungakapheli amahora angu-72 (izinsuku ezi-3) ngemva kocansi olungavikelekile, ukusebenza kahle kwehla ngokuhamba kwesikhathi. Isebenza kahle kakhulu emahoreni okuqala angu-24, ivimbela cishe u-95% wokukhulelwa okungenzeka.

I-Ulipristal acetate isasebenza kahle kuze kube amahora angu-120 (izinsuku ezi-5) ngemva kocansi olungavikelekile futhi ingase isebenze kangcono kune-levonorgestrel, ikakhulukazi phakathi kwamahora angu-72-120. Kodwa-ke, idinga incwadi kadokotela futhi ayitholakali ngaphandle kwencwadi kadokotela.

I-IUD yethusi empeleni iyona ndlela ephumelela kakhulu yokuvimbela inzalo ephuthumayo, ivimbela ngaphezu kuka-99% wokukhulelwa uma ifakwa kungakapheli izinsuku ezi-5 ngemva kocansi olungavikelekile. Kodwa-ke, idinga ukuvakashelwa ngumhlinzeki wezempilo kanye nenqubo yokufaka.

Izinto eziyinhloko ze-Levonorgestrel zihlanganisa ukutholakala okulula ngaphandle kwencwadi kadokotela, izindleko eziphansi, futhi akudingeki incwadi kadokotela. Ungayithenga emathunjini amaningi, ezitolo ezinkulu, ngisho naseziteshini zikaphethiloli ngaphandle kwemingcele yobudala.

Ukukhetha phakathi kwezindlela zokuvimbela inzalo eziphuthumayo kuncike ezintweni ezinjengesikhathi, izindleko, ukutholakala, kanye nezinga lakho lokukhululeka ngezinketho ezihlukene. Umhlinzeki wakho wezempilo noma usokhemisi angakusiza ukuthi unqume ukuthi iyiphi inketho enengqondo kakhulu ngesimo sakho.

Imibuzo Evame Ukubuzwa Mayelana ne-Levonorgestrel

Ingabe i-Levonorgestrel iphephile kubantu abanesifo sikashukela?

I-Levonorgestrel ngokuvamile ingasetshenziswa ngokuphepha ngabantu abanesifo sikashukela, kodwa idinga ukuqapha okucophelelayo. Le hormone ingase ithinte amazinga kashukela egazini, nakuba lo mphumela uvame ukuba mncane futhi ulawuleka.

Uma unesifo sikashukela esilawulwa kahle, i-levonorgestrel ngokuvamile ithathwa njengephephile kokubili ukuvimbela inzalo eziphuthumayo nokusetshenziswa okuvamile. Nokho, kufanele uqaphele ushukela wakho wegazi eduze uma uqala umuthi noma uma uqaphela noma yiziphi izimpawu ezingavamile.

Abantu abanesifo sikashukela esingalawulwa kahle noma izinkinga zesifo sikashukela bangase badinge ukugadwa okuseduze kwezokwelapha. Umhlinzeki wakho wezempilo angase ancome ukuhlolwa okuvame kakhulu noma ukuqapha ushukela wegazi ukuqinisekisa ukuthi umuthi awuthinti ukuphathwa kwakho kwesifo sikashukela.

Izinzuzo zokuvimbela ukukhulelwa okungahleliwe zivame ukudlula ingozi encane yezinguquko zikashukela wegazi. Nokho, njalo xoxa ngokuphathwa kwakho kwesifo sikashukela nomhlinzeki wakho wezempilo ngaphambi kokuqala noma yimuphi umuthi omusha oqukethe ama-hormone.

Ngingenzani uma ngiphuthelwa ngengozi ukusebenzisa i-Levonorgestrel eningi kakhulu?

Ukuthatha i-levonorgestrel eningi kunaleyo ebekiwe akunakwenzeka ukuthi kubangele ukulimala okukhulu, kodwa kungakhuphula amathuba nobukhulu bemiphumela emibi. Uma ngengozi uthatha umthamo owengeziwe, ungesabi - izinkinga ezinkulu zokweqisa azivamile.

Ungase uthole izinguqulo ezinamandla zemiphumela emibi evamile efana nesicanucanu, ukuhlanza, ubumnene bebele, noma ukuphuma kwegazi okungajwayelekile. Lezi zimpawu azikhululekile kodwa azinangozi futhi kufanele zizixazulule zodwa ezinsukwini ezimbalwa.

Uma uthathe ngaphezu kokunconywayo kakhulu noma unezimpawu ezinzima njengokuhlanza okuqhubekayo, ubuhlungu obukhulu besisu, noma ubunzima bokuphefumula, xhumana nomhlinzeki wakho wezempilo noma isikhungo sokulawula ubuthi ngokushesha.

Ungazami ukuzama ukwenza “ukubuyisela” ngokuqaqa imithamo yesikhathi esizayo. Kunalokho, buyela esimisweni sakho esijwayelekile sokuthatha imithi bese uthintana nomhlinzeki wakho wezempilo ukuze uthole isiqondiso sokuthi uqhubeke kanjani.

Ukuze uvimbele esikhathini esizayo, cabangela ukusebenzisa umhleli wamaphilisi noma ukusetha izikhumbuzi zocingo ukukusiza ukuthi ulandelele isimiso sakho semithi futhi ugweme ukuthatha imithamo emibili ngengozi.

Kufanele ngenzeni uma ngiphuthelwa umthamo we-Levonorgestrel?

Okufanele ukwenze ngomthamo ophuthelwe kuncike ohlotsheni lwe-levonorgestrel oluyithathayo nokuthi sekunesikhathi esingakanani kusukela kumthamo wakho ohleliwe. Ngokuvimbela okuphuthumayo, uthatha umthamo owodwa kuphela, ngakho-ke lo mbuzo awusebenzi.

Uma uthatha i-levonorgestrel yansuku zonke yokulawula ukuzala futhi uphuthelwa umthamo ngaphansi kwamahora angu-12, thatha iphilisi eliphuthelwe ngokushesha lapho ukhumbula bese uqhubeka nesimiso sakho esijwayelekile. Ukuvikelwa kwakho kokuvimbela ukuzala kufanele kuhlale kukhona.

Uma uphuthelwa umthamo ngaphezu kwamahora angu-12, thatha iphilisi eliphuthelwe ngokushesha bese uthatha iphilisi lakho elilandelayo ngesikhathi esijwayelekile, ngisho noma lokhu kusho ukuthatha amaphilisi amabili ngosuku olulodwa. Sebenzisa ukuvimbela okuyisipele njengamakondomu amahora angu-48 alandelayo.

Uma uphuthelwa imithamo eminingi, xhumana nomhlinzeki wakho wezempilo ukuze uthole isiqondiso esithile. Kungase kudingeke ukuthi usebenzise ukuvimbela okuyisipele isikhathi eside noma ucabangele ezinye izinketho zokuvimbela ukukhulelwa.

Ngokwelashwa kokushintshwa kwamahomoni, thatha umthamo ophuthelwe ngokushesha lapho ukhumbula ngaphandle uma sekuseduze nesikhathi somthamo wakho olandelayo. Ungaphindi imithamo emibili, futhi xhumana nomhlinzeki wakho wezempilo uma ungaqiniseki ukuthi yini okufanele uyenze.

Ngingayeka nini ukuthatha i-Levonorgestrel?

Ungayeka ukuthatha i-levonorgestrel nganoma yisiphi isikhathi, kodwa isikhathi nendlela kungase kuncike ekutheni uyisebenzisela ini kanye nezidingo zakho zokuvimbela ukukhulelwa zesikhathi esizayo. Ukuze uvimbele ukukhulelwa okuphuthumayo, uyithatha kanye kuphela, ngakho ukuyeka akuhlobene.

Uma usebenzisa i-levonorgestrel ukuze ulawule ukuzala nsuku zonke, ungaqeda nganoma yisiphi isikhathi, kodwa qaphela ukuthi inzalo yakho ingase ibuye ngokushesha. Uma ungafuni ukukhulelwa, qala ukusebenzisa enye indlela yokuvimbela ukukhulelwa ngokushesha.

Lapho uyeka i-levonorgestrel yansuku zonke, akudingeki ukuthi unciphise kancane kancane - ungamane uyeke ukuthatha amaphilisi. Kodwa-ke, umjikelezo wakho wokuya esikhathini ungase uthathe izinyanga ezimbalwa ukuthi ubuyele endleleni yawo yemvelo.

Ukuze uthole ukwelashwa okungena esikhundleni se-hormone, ungaqedi i-levonorgestrel ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Bangase bafune ukunciphisa umthamo wakho kancane kancane noma bakushintshele ekwelashweni okuhlukile ukuze ugweme izimpawu ezingakhululeki.

Uma uyeka ngenxa yemiphumela emibi, xoxa ngezindlela ezingezinye nodokotela wakho. Kungase kube nezinye izinketho ezisebenza kangcono emzimbeni wakho kanye nendlela yakho yokuphila ngenkathi usahlangabezana nezidingo zakho zokuvimbela ukukhulelwa noma ukwelashwa nge-hormone.

Ngingayithatha i-Levonorgestrel ngenkathi ngincelisa?

I-Levonorgestrel ngokuvamile ithathwa njengephephile ukuyisebenzisa ngenkathi uncelisa, okuyenza ibe yindlela enhle yokuvimbela ukukhulelwa komama abancelisayo. Inani elincane le-hormone lidlulela obisini, kodwa izifundo azizange zikhombise imiphumela eyingozi ezinganeni ezinceliswayo.

Ukuze uvimbele ukukhulelwa okuphuthumayo, ungaqeda i-levonorgestrel ngenkathi uncelisa ngaphandle kwesidingo sokuphazamisa ukuncelisa. Inhlangano yezempilo yomhlaba wonke iyibheka njengephephile kubantu besifazane abancelisayo ngaphandle kwemingcele.

Uma ucabangela i-levonorgestrel yansuku zonke ukuze ulawule ukuzala ngenkathi uncelisa, empeleni ikhethwa ngaphezu kwamaphilisi ahlanganisiwe aqukethe i-estrogen. I-Estrogen inganciphisa ukukhiqizwa kobisi, kodwa amaphilisi e-progestin-only afana ne-levonorgestrel ngokuvamile awawuthinti ukukhiqizwa kobisi.

Abanye omama baqaphela izinguquko zesikhashana ekukhiqizweni kobisi lwabo noma emikhubeni yokudla kwengane lapho beqala noma imuphi umuthi omusha, okuhlanganisa i-levonorgestrel. Lezi zinguquko zivame ukuba zincane futhi zizilungisa phakathi nezinsuku ezimbalwa.

Njalo yazisa umhlinzeki wakho wezempilo ukuthi uncelisa uma nixoxa ngezindlela zokuvimbela inzalo. Bangakusiza ukhethe indlela engcono kakhulu yesimo sakho futhi baqaphe wena nengane yakho nganoma yiziphi izinkathazo.