Emergency Contraception
Emergency contraception (inozivikanwawo seC EC kwenguva pfupi) isarudzo yekuzvidzivirira kuberekwa iyo yaungashandisa kuderedza dambudziko rako rokutora pamuviri mushure mekuita zvepabonde zvisina kudzivirirwa kana kukanganisa kwekudzivirira . Vamwe vanhu vanotaurawo nezvekukurumidza kubata pamuviri se "mangwanani anotevera mapiritsi," asi iwe munguva pfupi uchaona kuti kune dzimwe mhando dzeEEC. Emergency contraception yave iripo kwemakore anopfuura 30. Iyo nzira yakachengeteka uye inoshanda yekudzivirira kuberekwa .
Ndeapi Marudzi Emergency Contraception Aripo?
Mumakore mashomanana adarika, mikana yako yekukuvara kwepabonde yakawedzera zvikuru. Emergency contraception inowanika nenzira dzose dzinotevera:
- Ronga B Imwe-Chikamu - progestin-chete 1.5 mg levonorgestrel pill
- Kutevera Kusarudza Rimwe Pose - iyo yakakwana yakafanana neChirongwa B Chimwe Chete
- Fallback Solo - iyo yakakwana yakafanana neChirongwa B One-Step
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Pane Kusiyanisa Pakati peMangwanani-Pashure uye Kubvisa pamuviri Piritsi?
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Ndekupi Zvimwe Zvasarudzo Zvingasarudzwa Nekugadzirisa Kuvhara Kunze?
- Nzira Yangu - iyo yakakwana yakafanana neChirongwa B Chekutanga
- Opcicon One-Step - iyo yakakwana yakafanana neChirongwa B Chimwe Chekutanga
- Tora Gadziriro - iyo yakakwana yakafanana neChirongwa B Chimwe Chetatu
- EContraEZ - iyo yakakwana yakafanana neChirongwa B Chekutanga
- PashurePill - iyo yakakwana yakafanana neChirongwa B One-Step, asi inogona kutengwa chete paIndaneti
- Ella - imwe uripristal acetate, 30 mg piritsi
- Chokuita Kusarudzwa - iyo yakafanana yakafanana neChirongwa B chekare
- Mishonga yemakemikari yemakemikari - kana progestin-chete yekuberekwa kwepiritsi (norethindrone .35 mg mapiritsi) kana kusanganiswa kwekudzivirira pamuviri
- ParaGard IUD - ye- IUD -kubudisa IUD
** Nhamba yezvimwe nzira dzekugadzirira kuronga B Bumwechete unoramba uchikura. **
Ndivanaani Vanofanira Kushandisa Kubatwa Nokukurumidza?
Kazhinji, vakadzi vakawanda vanoda chirongwa chepabonde chirwere chinopedzisira vanogona kuchengetedza-izvi zvinoshanda kune vakadzi vasingawanzobvumiranwa zvakanaka kushandisa simba rekuberekwa kwehomoni semhando yavo yekudzivirira kubata pamuviri. Emergency contraception inogonawo kushandiswa zvakanaka nevechiri kuyaruka.
Iwe unogona kushandisa kushandisa chirongwa chekudzivirira chirongwa chinokurumidza kana:
- Iwe wakatsausa mazuva ako "akachengeteka" uye wakaita zvepabonde pazuva raunogona kunge wakabereka.
- Iwe hauna kushandisa chero kurapwa kwekuberekwa panguva yepabonde.
- Iwe wakakanganwa kutora nzira yako yekudzivirira kuberekwa (semuenzaniso, Wakarasikirwa nemapiritsi ekuberekwa katatu, hauna kuyeuka kuisa yako NuvaRing , kana kusashandisa chibvumirano chekuberekwa kwako).
- Kondomu yakavhunika kana yakabhururuka panguva yepabonde.
- Wawakaroorana naye haana kubvarura munguva.
- Chirwere chako , cervical cap, kana nhoo yakabuda kunze kwenzvimbo panguva yepabonde kana wakakanganwa kuwedzera spermicide .
- Iwe wakatora iyo Today Sponge nokukurumidza zvakare.
- Iwe wakamanikidzwa kuva nepabonde isina kudzivirirwa.
Ramba Uchifunga: Nyora idzi dzine zvimwe zvikonzero nei iwe ungasarudza kushandisa chirongwa chekubata pamuviri nokukurumidza.
Panogona kuva nezvimwe zvikonzero zvakare. Kana iwe uchidavira kuti iwe unogona kunge uine kukundikana kwekuberekwa kwekuberekwa nenzira ipi zvayo , iwe ungada kufungidzira kushandisa chirongwa chekubata pamuviri nokukurumidza-kungova wakachengeteka kupfuura kuchema.
Ndeipi Paunofanira Kutanga Emergency Contraception?
Kuti udzikise mungozi yako yekuzvitakura, chirongwa chekudzivirira chirwere chinokurumidza chinofanira kutanga kusvikira mazuva mashanu (maawa 120) mushure mekuita zvepabonde zvisina kudzivirirwa. Nguva pfupi inoshandiswa, zviri nani mikana yekudzivirira kubata pamuviri .
Ne-mangwanani-mushure memapiritsi Purogiramu B Imwe-Step (uye zvinyorwa zvayo, Next Choice One Dose, Take Action, AfterPill, My Way, Fallback Solo, Opcicon One-Step, uye EContraEZ), iwe unongoda kuedza ONE mapiritsi. Kutevera Kutevera kune mapiritsi maviri. Iwe unofanirwa kushandisa mangwanani akatevera mapiritsi nekukurumidza. Vakugadziri vanotaura kuti inofanira kushandiswa mukati meawa makumi manomwe ekuberekwa kwekudzivirira kubata pamuviri kana kuti kurara kusina kudzivirirwa-asi nokukurumidza iwe uchitora iyo, inonyanya kubudirira iyo inogona kunge iri. Izvo zvataurwa, mangwanani mushure memapiritsi zvingave zvichiri kubatsira kubatsira (tarisira kuderedza mikana yako yekuzvitakura) kwemazuva mashanu mushure mekuita zvepabonde zvisina kudzivirirwa.
- Mashandisiro Aungaita Purogiramu B Chimwe Chimwe Chete, Kusarudza Chimwe Chimwe Chete, Kutora Chiito, Pashure pePiritsi, Nzira Yangu, Fallback Solo, Opcicon One-Step, uye EContraEZ
- Mashandisiro Aungashandisa Next Choice (chirongwa cheB B)
Ndekupi Kwaunogona Kuwana Emergency Contraception?
Purogiramu B Imwe-Nzira (pamwe nemamwe maitiro ayo) zvino inogona kutengwa pamusoro pekambani nevanhu vezera ripi--kuda kumatare emhosva Tummino v. Hamburg .
Zvimwe Zvasarudzo (iyo mapiritsi maviri Purogiramu B inowanzosarudzwa) inowanikwa pamapromasi pasina mushonga wevarume nevakadzi vane makore 17 kana kupfuura. Iwe uchada kupa chirongwa chinozivikanwa. Kana iwe uri pasi pemakore gumi nemana, chirongwa chinodiwa chinofanira kutenga Next Choice.
Dzimwe mhando dzekudzivirira pamuviri kune dzimwe nguva dzinogona kuwanikwa chete nemishonga (sezvakaita Ella) kana kuiswa nenyanzvi yezvokurapa (saParaGard IUD), saka izvi zvinosarudza EC zvinoda kusarudzwa kwechiremba.
- Pamusoro peCherechedzo : Sezvakaita Plan B Chimwe Chetatu, Tora Chiito, Chikumbiro Chimwe Chete, AfterPill, My Way, Fallback Solo, Opcicon One-Step, uye EContraEZ zvinogona kutengwa pasina chinangwa chekutengesa kana yezera, zvichireva kuti vakatenga pamusoro-the-counter kuvanhu vemarudzi ose.
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Ndingashandisa Sei Pira-Pashure Piritsi?
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Unofanira Kuziva Mazano Pamusoro Pokuwana Iko-Pashure Pemadhipa
- Kuti tidzivirire kodzero yega yega yakagadzirirwa kuronga B-One-Step, FDA yakada kuti kuiswa kweElection Choice One Dose, AfterPill, Fallback Solo, Opcicon One-Step EContraEZ, uye My Way nyika iyo inofanirwa kushandiswa muvakadzi Makore gumi nemashanu kana kupfuura. Ramba uchifunga mupfungwa dzako, asi, kuti imwe yevonorgestrel inopedza chirongwa chepachiviri chepabonde yakaratidzwa kuva yakachengeteka kuvakadzi vezera rose. Ichi chirairo chinotarisirwa chine chokuita nezvematongerwo enyika panzvimbo pokuchengeteka.
- Nemhaka yokuti muiti wekutora wakaunza FDA nekutsvakurudza pamusoro pekushandisa kwekukurumidza kwekudzivirira kubata pamuviri nehuwandu hwevechiri kuyaruka, mangwanani ano mushure memapiritsi haafaniri hake kutevera izvi zvinyorwa zvinyorwa.
- Kunyange zvazvo Purogiramu B Chimwe Chimwe Chetatu, Tora Chiito, Chokuita Chokutanga Chimwe Chese, Nzira Yangu, Kutsiva Soro, Opcicon One-Step, uye EContraEZ zvose zvinowanika pane-the-counter, iwe unogona kunge uchine chiremba (pasinei nezera rako) kuitira kuti inshuwarisi yako igadzire mari yemishonga iyi, saka iva nechokwadi chekutarisa mitemo yako yehutano hwehutano.
Nemhaka yokuti levonorgestrel-based emergency emergency contraception inobudirira nokukurumidza kana iwe uchiishandisa, edza kuchengetedza nguva nekushevedza pharmacy yako / rekushandisa madhiragi nguva isati yasvika kuti uve nechokwadi chokuti vane zvirongwa zvekudzivirira kwekukurumidzira zviripo. Uyewo, ramba uchifunga kuti vamwe vanochengeta inogona kuchengetedza maitiro eE EC pamutoro wemishonga, kuitira kuti pharmacy igare yakavharwa kunyange kana dare richiri kuzaruka. Zvinogona kuva pfungwa yakanaka kutenga imwe yemangwanani mushure memapiritsi ave atove pamba-nenzira iyi, kana iwe uchida, iwe unogona kutora iyo pakarepo (shure kwezvose, hapana munhu anoronga kuti "njodzi" dzichaitika! ).
- Kupi uye Kutenga Kwazvo Kuronga B Chimwe Chengetedza, Tora Chiito, Nzira Yangu, Chigadziro Chimwe Chimwe Chese, Kufa kweSolo, Opcicon One-Step, uye EContraEZ
- Ndinofanira Kutenga Chirongwa B Chimwe Chimwe Chete?
Nzira yekugadziriswa kwekukurumidza inoshanda sei?
Emergency contraception inowanzo ine hormone imwechete ( progestin ) inowanikwa mune dzimwe mapiritsi ekuberekwa kwekuberekwa . Nzira chaiyo iyo EC inoshanda, zvisinei, haisi pachena. Inofungidzirwa kuti kubata pamuviri nokukurumidza MAZE anobatsira kuderedza dambudziko rokutakura nekudzivirira ovulation kana nekudzivirira hurosi kuti isabatanidze mazai. Kutsvakurudza ikozvino kunoratidza kuti mahomoni ekukurumidza kubata pamuviri haabvumiri mazai anogadzirwa kubva pakuisa mukati mehuta reuterine. Nzira iyo nzira yekukurumidza yekuberekwa kwekuberekwa inoshanda inogona kutarisa kwaunenge uri mukuenda kwako kumwedzi.
Ndeapi Emergency Contraception Handizvo
Emergency contraception haisi chinhu chakafanana nekubvisa pamuviri . Purogiramu B Imwe-Nyaya inowanzovhiringidzika nepiritsi yekubvisa (RU486) . Iyi mishonga miviri inoshandisa zvinangwa zvakasiyana uye haishande zvakafanana.
Emergency contraception haigoni kupedza pamuviri uye haina kukuvadza pamuviri uripo. Masayendisiti uye vezvehutano vanobvumirana kuti kusangana nekukurumidza kwepabonde kunoderedza njodzi yekudzivirira uye kunobatsira kudzivisa kubvisa kubvisa pamuviri. Izvozvo zvichitaurirwa, nokuti zvisingazivikanwe kana Ella achikonzera njodzi kune mwana anokurera mwana, iwe haufaniri kutora Ella kana iwe uchifungidzira uri kutora pamuviri-kutora pamuviri kuongorori hofisi yechiremba iwe usati wawana chirairo ichi.
- Nokuda kwehuwandu hwe-zvakadzama ruzivo pamusoro pezvokurapa uye zvehurumende maonero pamusoro pekukurumidza kubata pamuviri: The Emergency Contraception Debate
Migumisiro Yechipfuva Emergency Contraception
Zvimwe zvikamu zvinogona kusiyana zvichienderana nerudzi rwekukurumidza kubata pamuviri iwe uri kushandisa. Iwe unofanirwa kukurukura chero dambudziko guru nemudhiki wako . Izvi zvinonyanya kuitika kana iwe wapedza kurutsa mushure mekutora EC sezvo chiremba wako anogona kukupa iwe kana iwe uchifanira kutora imwe muro. Kana uri kutarisana nezviratidzo zvekudzivirira mushure memashonga ekudzivirira kubata pamuviri, zvinokoshawo kuti utaure nechiremba wako. Zvimwe zvezviratidzo zvakanyanya pakuita pamuviri zvinosanganisira:
- akashaya kumwedzi
- mazamu akaoma kana akawedzerwa
- nausea
- kugara uchidzoka
- unxplained fatigue
- headaches
Is Emergency Contraception Achibudirira Here?
Muzvizhinji, chirongwa chekudzivirira chirwere chinomhanyira chinangwa chekugadzirisa kuberekwa patsva. Hazvisi zvakakosha sekushandiswa kwakarurama uye kusingagumi kweimwe nzira inoshandiswa yekudzokorora maitiro ekuberekwa kwekuberekwa . Uyezve, kubata pamuviri zvisina kunaka hakupfuuri kudzivirira kubata pamuviri panguva yose yekuenda kwako kumwedzi, saka dzimwe nzira dzekudzivirira nadzo dzinofanira kushandiswa mushure mokushandisa EC.
Zvinhu zviviri zvakakosha zvinokonzera kubudirira kwekukurumidza kubata pamuviri:
- Nguva yakawanda yakapfuura kubva pachiitiko chekudzivirirwa kwepabonde nekudzivirira kusina kudzivirirwa.
- Icho chinoreva mukufamba kwako pawakaita zvepabonde.
Kana ukashandisa kusangana kwepabonde nekukurumidza mushure mokuita zvepabonde zvisina kudzivirirwa, zvinonyanya kuitika. Asi, zvinogonawo kubatsira kuti uzive kuti iwe unowirirana nehutachiona (mushure mekuita zvepabonde zvisina kudzivirirwa kana kutarisana nekudzivirira kuberekwa), kushandiswa kwepabonde kwekukurumidza kunobatsira.
Nzira dzose dzekukurumidza kubata pamuviri dzinoita kuti mukana wekuita pamuviri wemakore makumi mashanu nemakumi mashanu kusvika kuzana makumi mapfumbamwe nemazana makumi mapfumbamwe nezana (99) kubva pahutachiwana huvepo. Izvi zvinoreva kuti kunze kwevakadzi vese zana vanoshandisa chero nzira yeE EC, pakati pekutanga kusvika kune 25 ichava nepamuviri.
- Kubudirira kweNzira imwe neimwe yeEmgency emergency Contraception Method
Ndezvipi Zvakawanda Zvokumanikidzana Zvokudya Zvakawanda?
Mari inoshandiswa pakubata pamuviri inopararira yakawanda uye inobva pane nzira yeEEC. Zvose mari inogona kubva kune $ 25- $ 65 yeGadziriro B-One-Step uye dzimwe nzira dzaro dzekuita-Next Choice, Next Choice One Pose, My Way, Fallback Solo, Opcicon One-Step, EContraEZ, AfterPill, uye Take Action inowanzokomberedza 10 kusvika ku20 muzana kubva pasi pane chirongwa cheB B One-Step. Ella inogona kutenga chero ipi zvayo kubva pa $ 55 kusvika ku $ 75, uye inogona kukwira kusvika kune $ 500 kuti uwane ParaGard IUD.
STD Kudzivirirwa
Hapana nzira inobatsira yekudzivirira kubata pamuviri inochengetedza kubva kune maSDD . Vakadzi vanoda ruzivo rwepabonde rwepabonde vanogona kunge vari pangozi yezvirwere izvi. Vakadzi vari pangozi zvikuru ndevaya vano:
- vakave nekuita zvepabonde zvisina kudzivirirwa nevakaroorana vane utachiona
- vakavhiringidzirwa zvepabonde
- avo vanoshandisa zvinodhaka zveVV kana kuti vane shamwari vanoita
Mangwanani mushure memapiritsi angave sarudzo yakachengeteka yevakadzi ivavo pane ngozi yakawanda yezvirwere zvepabonde, panzvimbo yeIUD. Izvi ndechokuti mabhakitiriya kubva kuhutachiona hwepreexist anogona kubudiswa muchibereko mukati meIUD kuisa . Kana izvi zvakasara zvisina kutenderwa, zvinogona kutungamirira kune chirwere chinoputika.
Shoko Rinobva
Anenge hafu (45 muzana) yemaketani matanhatu emamiriyoni ekuberekwa muUnited States gore roga roga haatenderwi. Vakawanda vezvipamuviri izvi vanokonzerwa nekusava nekudzivirira kubata pamuviri kana kusakona kwepabonde. Emergency contraception inokupa mukana wokupedzisira sarudzo yekudzivirira kubata pamuviri. Icho chisarudzo chakachengeteka uye chinoshanda apo kana "oops" nguva inowonekwa kwauri. Tinonzwisisa kuti iwe unogona kunyara pamusoro pokutenga chirongwa chekubata pamuviri nokukurumidza, asi usarega mafungiro ako achiwedzera kutonga kwako. Izvo zvakanyanya nyore nyore kutenga uye kushandisa hurongwa hwekudzivirira pamuviri nokukurumidza. Kana iwe usina chokwadi kana uchida kushandisa kana kusashandisa EC, ingoyeuka mutemo uyu wechigunwe: Kana pane chero mukana wekuti kuberekwa kunogona kuitika nokuti wakanga uine kukonzera kwepabonde kana zvepabonde zvisina kudzivirirwa, endai kuwana chirongwa chekubata pamuviri nokukurumidza uye uchitora nokukurumidza sezvinobvira.
Sources:
Noé G, Croxatto HB, Salvatierra AM, et al. Kubata pamuviri kubudirira kwekukurumidza kubata pamuviri nev levonorgestrel yakapiwa mushure mekunge kana mushure mekuvhara. Kubata pamuviri . 2011; 84 (5): 486-492. doi: 10.1016 / j.contraception.2011.03.006.
Prine L. Emergency contraception, myths and facts. Obstetrics uye Gynecology Makliniki eNorth America. 2007; 34 (1): 127-136. doi: 10.1016 / j.ogc.2007.01.004.