Ngemuva kokuba omama impilo yethu yonke izinguqukoSinomntwana othatha sonke isikhathi sethu, futhi sithola ukuthi sinesikhathi soku... uzinakekele kwe. Ukunakekelwa kwakhe akusishiyi isikhashana sokucabanga nganoma yini futhi isimo sethu sengqondo asihambi ngesikhathi saso esihle kakhulu, ngakho-ke kubonakala sengathi akunakwenzeka ukucabanga buya esimisweni sethu sangaphambilini, kodwa ngemuva kwesikhashana kufanele kancane kancane ubuyele kithi impilo ejwayelekile futhi lokho kuhlanganisa qala kabusha ubudlelwano obuseduze nomlingani wethu ...
Yisiphi isikhathi esingcono kakhulu sokuqala kabusha ubuhlobo bobulili?
Ngokungazelelwe zonke izinhlobo zokungabaza ziyasihlasela:Nini Ingabe sizophinde siqale ubuhlobo bobulili? Ingabe lukhona usuku oluthile? Ngazi kanjani uma ngi... zilungisiwe?
Yize ngokwesiko kukhulunywa ngeukuhlukaniswaNgokuphathelene namasonto ekhefu lokubeletha umama abhekwa njengesibopho sokuwathatha ukuze alulame, ochwepheshe abaningi batusa ukulinda okungenani ngenyanga eyodwa noma size siyeke ukufaka amabala. Kepha uma okuthile kubalulekile, kungukuthi umama ubalulekile walulama ngemva kokubeletha Futhi bekezela, ngoba ngokuqinisekile ngeke kube lula; uzoqaphela ukungakhululeki endaweni ye-vulvar, ikakhulukazi uma uke waba nezitishi. Kulokhu, uzozwa ukuqina esibazini; kujwayelekile futhi ukuthi... ukoma Ukopha esithweni sangasese okwenzeka ngemva kokubeletha (ngisho noma uhlinzwe) futhi kubonakala kakhulu uma unikeza ukuncelisa.
Kungani kwenzeka? Ngoba i prolactin Kuyi-hormone eqinisekisa ukukhishwa kobisi futhi ivimbele ukuvuthwa. Amazinga e-prolactin ahlala ephakeme kakhulu ngalesi sikhathi, ekhiqiza ukusabela kweketanga okuvimbela ukuhlanganiswa kwamanye amahomoni, okuholela ekutheni ukoma kwesitho sangasese sowesifazane futhi ngaphansi isifiso sobuliliNgale ndlela, i-prolactin ibeka phambili ukondla yengane esanda kuzalwa futhi ingathinta ukukhiqizwa kobisiIprolactin ibeka phambili ukondla komntwana osanda kuzalwa: uma lingekho iqanda elitholakalayo angeke kube khona ukukhulelwa futhi, uma kukhona ukuntuleka kwesifiso, kungase kube nobudlelwane obuncane futhi ngakho-ke amathuba aphansi okukhulelwa okusha.
Uma konke lokhu bekungenele, uzoqaphela ukuthi amabele azoba ligcwele ubisiLokhu kungabangela ukungakhululeki futhi kukhiphe nolunye ubisi ngesikhathi socansi. Futhi lapho ekugcineni sithola isikhathi esifanele, umntwana kungenzeka ukuthi useqedile ukulala noma ulambe kakhulu, ngakho cishe kuyodingeka sikuhlehlise izikhathi ezingaphezu kwesisodwa. Amanye amasu awusizo ahlanganisa ukusebenzisa okothambisa amanzi, yenza i- isizinda noma ukuphathwa kwangaphambili ukuze kukhululwe ukuqhanyelwa kwebele, Ukukhetha izikhundla ezinethezekile futhi unikeze isikhathi ku- iziqalo ukukhuthaza ukugcotshwa.
Ukuncelisa ibele njengendlela yokuvimbela inzalo (LAM)
Ukuncelisa ibele kungenza njenge indlela yemvelo yokuvimbela inzalo ngenxa yeprolactin. Le ndlela yaziwa ngokuthi MELA (Indlela ye-lactational amenorrhea). Nokho, ukuze ithembeke ngokuqhathaniswa, kufanele ihlangabezane nemibandela ethile. izidingo 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.
Noma ngabe zonke izindlela zifinyelelwa, i-MELA inketho eyodwa kuphela yesikhashanaUkusetshenziswa kwayo okungokoqobo ngokuvamile kukhawulelwe ku- izinyanga zokuqala ukuncelisa ibele kuphela futhi kulahlekelwa ukusebenza kahle ngokushesha nje ukuya esikhathini noma iqala ukudla okwengeziweNgaphezu kwalokho, akunakwenzeka ukwazi ngokuqinisekile ukuthi kuzokwenzeka nini. okokuqala i-ovulation emva kokubeletha, ngakho-ke Kunconywa ukwengeza indlela yokuvimbela inzalo eyengeziwe uma ukukhulelwa okusha kungafunwa.
Ngingakugwema kanjani okunye ukukhulelwa?
Kepha lapho ekugcineni sizoya ocansini futhi ifomu elijwayelekileUkungabaza kuyasihlasela: Ngingaphinde ngikhulelwe? Iyiphi indlela? inzalo Ingabe kuyahambisana nokuncelisa? Iyiphi engcono kakhulu? Bangu izinketho ezahlukene, yize kungezona zonke izindlela zokuvimbela inzalo eziphephe 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 ukuthi ukhethe indlela evumelana kangcono nezidingo zakho, leyo ekulungele kakhulu. ntofontofo futhi lokho kukuvumela ukuthi uhlele ukukhulelwa kwakho okulandelayo lapho wena nomlingani wakho nithanda. Uma unokungabaza, thintana nodokotela wakho. udokotela wezifo zabesifazane o matron ukuchaza isikhathi esingcono kakhulu sokuqala kanye nokubona okungenzeka ukuthi kune-contraindication yomuntu ngamunye.
Ukuvimbela inzalo okuphuthumayo ngenkathi encela ibele
Ngezinye izikhathi, kungase kudingeke ukuba usebenzise a indlela ephuthumayo (isb., ukuphuka kwekhondomu). Izinketho ezisekelwe ku imvuse Zihambisana nokuncelisa ibele. Okunye ukwakheka kungase kudinge izinyathelo ezilula ezifana nokunikeza a thatha ngaphambi nje futhi, ezimweni ezithile, beka olandelayo ngamahora ambalwa kuye ngokuthi ishidi lobuchwephesheUma kucatshangelwa enye i-molecule, hlala ulandela iziqondiso zochwepheshe bakho bezempilo futhi uthintane nemithombo yakamuva yolwazi. Compatibilidad ngokuncelisa. Kunoma yikuphi, njengoba nje ngaphambili Lapho kuthathwa kakhulu ukuvimbela inzalo okuphuthumayo, kukhulu kakhulu ukusebenza kahle.
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, ngokocwaningo lokubheka, abesifazane abaningi baphinde bathole isifiso sabo socansi phakathi kweminyaka eyi-10 ne-11. amaviki okuqala futhi izinyanga zokuqala ngemva kokubeletha; Nokho, leso sigqi okuguquguqukayo Futhi alukho uhlelo olulodwa. Okubalulekile wukubeka phambili okwakho inhlalakahle bese ukhetha izindlela umshuwalense futhi iyahambisana nemigomo yakho yokuncelisa kanye nokuzala.
La ukungaqiniseki Mayelana nokubuya kwe-ovulation ngemva kokubeletha, ukuntuleka kolwazi mayelana nokusebenza kwangempela kwe-LAM ngaphandle kwezidingo zayo eziqinile, kanye nenkolelo evamile yokuthi i-amenorrhea isho. ukungazali Bachaza ukuthi kungani ochwepheshe bencoma ukukhetha indlela eyengeziwe. Phakathi kwezinye izindlela, i ikhondomu Igqama ngokuphepha nokuvikela kwayo kuma-STD, i IUD (ithusi noma i-hormonal) inikeza isixazululo se Isikhathi eside kanye nezinto zokuvimbela inzalo i-progestogen kuphela (I-Minipill, implant, injection) iyahambisana nokuncelisa. Gwema ama-estrogens ezigabeni zokuqala bese uthintana ne iwindi kulungele kakhudlwana ukuqala indlela ngayinye. Futhi uma kwenzeka isenzakalo esingalindelekile, ukuvimbela inzalo eziphuthumayo Kuyithuluzi elengeziwe elingasetshenziswa phakathi nalesi sikhathi nge izinyathelo zokuzivikela kuchaziwe.
