Na thibelo ea bokhachane e etsa hore u be boima?

Thuto ea Bophelo

Batho ba bangata ba utloile lipale tsa basali ba qalileng ho sebelisa mofuta oa thibelo ea bokhachane ho shebella linomoro sekaleng butle-butle li qala ho phahama. Ebile, ba bang basali ba bile ba qoba ho nka thibelo ea bokhachane hobane ba lumela lithibela-pelehi tsa molomo lipilisi tsa thibelo ea bokhachane ), Lisebelisoa tsa intrauterine (IUDs), lithunya , le Lisebelisoa e ka baka boima ba 'mele.

Litaba tse monate, ho ea ka lingaka, ke hore ho thibela boima ba 'mele ho fumana boima ba' mele ho ke ke ha qojoa-kapa ntho e tloaelehileng.

Na thibelo ea bokhachane e etsa hore u be boima?

Maemong a mangata, thibelo ea bokhachane ha e bake boima ba 'mele. Lipilisi tsa thibelo ea bokhachane li na le lihomone mme basali ba bangata ba amehile ka hore ha ba ka qala ho noa lipilisi tsena, li tla baka boima ba 'mele Ngaka Heather Irobunda , Ngaka ea pelehi / gynecologist e Forest Hills, New York. 'Nete ke hore ho bile le lithuto tse ngata tse shebileng boima ba' mele le lipilisi tsa thibelo ea bokhachane 'me ha li so fumane khokahano lipakeng tsa tsena tse peli.

Dr. Arthur Ollendorff, OB-GYN oa Asheville, North Carolina, le moprofesa oa bongaka oa OB-GYN Univesithing ea North Carolina-Chapel Hill, oa lumela, Tlhahlobo ea lithuto tsa bongaka e bonts'a hore likhetho tsa kajeno tsa thibelo ea bokhachane ha li na monyetla ho baka boima.

Ke tlhaloso e fosahetseng e tloaelehileng ea litlhaloso tse ling tse 'maloa tsa liphetoho tsa boima.

1. Ho boloka metsi

Litla-morao tsa nakoana tsa thibelo ea bokhachane li ka kenyelletsa ho boloka mokelikeli, ho senya, kapa ho eketseha ha lisele tsa mesifa kapa mafura a 'mele. Tsena ke tsa nakoana, 'me li tla fela ka nako.

Basali ba bang ba kanna ba bona ho boloka mokelikeli e le boima ba 'mele, o re Ngaka Hina Cheema , OB-GYN e Troy, Michigan. E kanna eaba u ntse u lahleheloa ke mafura ka lebaka la tsela eo u jang le ho ikoetlisa ka eona, empa sekala sa hau ha se bontše seo. Sena ha se bolele hore ha u theole boima ba 'mele, ho bolela feela hore boima ba hau ba' mele bo kanna ba nkeloa sebaka ke ho boloka mokelikeli, o lokelang ho ntlafala likhoeling tse peli ho isa ho tse tharo.

2. Liphetoho bophelong

Mosali ea tloaelehileng oa Leamerika hangata o apara hoo e ka bang ponto selemo se seng le se seng, ho qala bonyenyaneng, ho bonolo ho nahana hore thibelo ea bokhachane ke eona e bakang liponto tseo tse ling. Ebile, basali ba bacha hangata ba qala ho sebelisa lithibela-pelehi nakong ea bokhachane kapa kamora ho kena bonneng kapa bosaling, hang ha ba emisa ho ba telele mme ka tloaelo ba qala ho eketsa mafura a 'mele ea bona. Ha mokuli a amehile ka boima ba 'mele kamora ho qala lipilisi tsa lithibela-pelehi, Dr. Irobunda o tla botsa hore na ho na le letho le fetohileng bophelong ba hae joalo ka lijo, maemo a ts'ebetso, kapa le hore na o na le matšoenyeho hae kapa mosebetsing.

Haeba motho a e-na le khatello ea maikutlo e ncha bophelong ba hae, seo se ka tlatsetsa ho nona, ho bolela Dr. Irobunda, ea hlokomelang hore ho ikoetlisa khafetsa le ho ja lijo tse nepahetseng ho ka thibela ho nona ho sa tsotelehe hore na mosali o khetha mofuta ofe oa lithibela-pelehi.

3. Mefuta ea khale ea thibelo ea bokhachane

Mehopolo e mengata e fosahetseng mabapi le thibelo ea bokhachane le ho eketsa boima ba 'mele e qalile ka lebaka la lipilisi tsa khale tsa thibelo ea bokhachane tse nang le li-hormone tsa estrogen tse phahameng.

Phuputso e le 'ngoe e fumane hore lipilisi tsa thibelo ea bokhachane tse ntlafalitsoeng lilemong tsa bo-1950 li na le li-micrograms (mcg) tse 150 tsa estrogen mestranol — athe lipilisi tse ncha tsa thibelo ea bokhachane li na le maemo a tlase a estrogen (20-50 mcg). Haeba u amehile, buisana le mofani oa tlhokomelo ea bophelo mabapi le likhetho tsa tekanyetso e tlase.

Ke mekhoa efe ea thibelo ea bokhachane e etsang hore u be boima?

Ho na le khetho e le 'ngoe ea thibelo ea bokhachane e bonts'itsoeng e bakang phaello ea nako e telele ho basali ba bang: liente tsa lihormone.

Thunya ea thibelo ea bokhachane Hlahloba Depo (aka depot medroxyprogesterone), e tsamaisoang likhoeling tse ling le tse ling tse tharo, ho bonts'itsoe hore e baka boima ba 'mele ho basali ba bang, ho bolela Dr. Irobunda. Le Depo-Provera, basali le bona ba ka hlokomela hore ho thata haholo ho theola boima ba 'mele. Phuputso e le 'ngoe ba fumane hore likhoeling tse tšeletseng tsa ts'ebeliso, basali ba 1 ho ba bane ba fumaneng thunya ea Depo-Provera ba fumane boima ba 5% kapa ho feta boima ba bona ba ho qala.

Haeba ho ameha ka boima ba 'mele, o lokela ho bua le mofani oa hau ka mekhoa e meng ea thibelo ea bokhachane, joalo ka pilisi, selikalikoe, ho kenella kapa IUD, ho fapana le ho thunngoa.

Ho bohlokoa ho hlokomela hore thunya ha e na likhalori kapa e fetotse metabolism ea hau, ho fapana le hoo e eketsa takatso ea hau ea lijo. Kahoo, ho basali ba bang, thunya ke khetho e ntle ea ho thibela pelehi haeba ba tsoela pele ho ja lijo tse phetseng hantle le boholo ba likarolo le ho lula ba le mafolofolo.

Ke thibelo efe ea bokhachane e sa bakeng boima?

Pilisi, setsiba ( Xulane lesale ( Haufinyane ), ketsetso ( Nexplanon ), le li-IUD (joalo ka Mirena kapa Paragard) kaofela ke mekhoa ea thibelo ea bokhachane e ke keng ea baka boima ba 'mele.

Ehlile, kamehla ho na le mekhelo molaong. Lithuto li bontšitse hore ho hlomathisa ho ke ke ha hlola ho baka boima ba 'mele, empa basebelisi ba bang tlaleha. Boholo ba basebelisi ba li-hormone tsa IUD ha ba pakele liponto, empa ka 5% ea bakuli tlaleha lipalo tse ntseng li phahama sekaleng.

Haeba u tšoenyehile, ho na le tse ngata mekhoa e meng hoo ho seng mohla ho lebisang ho nona - ho kenyeletsoa le lithibela-pelehi tseo e seng tsa lihormone joalo ka IUD ea koporo kapa mekhoa e thibelang, e tsejoang hape e le likhohlopo Basali ba tšoenyehileng ka ho ba le boima ba 'mele ho tsoa ho thibelo ea bokhachane ba lokela ho nahana ka mekhoa eo e seng ea lihormone joaloka IUD ea koporo kapa tekanyetso e tlase ea 'hormone' e kang progestin IUD, ho bolela Dr. Ollendorff. Kaha mekhoa eohle ea thibelo ea bokhachane e ka ba le litla-morao, ke botsa bakuli ba ka ka lintho tse ba tšoenyang ebe ke khetha khetho e lumellanang hantle le litlhoko tsa bona.

Koporo, li-IUD tse se nang li-hormone ha li so bontšoe hore li baka boima ba 'mele, Dr. Irobunda oa lumela. Qetellong, litla-morao li ikhethile ho mosali e mong le e mong, ka hona ho bohlokoa haholo ho bua le mofani oa hau oa bongaka ho buisana ka likhetho le lintho tsohle tse u tšoenyang.