5 Kuvhiya Kwakanakisisa uye Kusingabviriri Kuvhiya
Pane zvinhu zvakawanda zvinogona kukanganisa kubudirira kwekuzvarwa kwako. Chimwe chezvinhu izvi chiremera. Kunyanya kuwandisa kana kuneta kunogona kukonzera muviri wako kuderedza mishonga yakakurumidza kupfuura yakasvibirira, nekukurumidza kuvabvisa kubva muhutano hwako nekuderedza kuwanda kwemishonga inoshandiswa muropa rako.
Izvi zvinogona kuderedza kudzivirirwa kunobatsira kwehumwe hutachiona hwemakondomu hunosanganisira semapiritsi , Nexplanon , uye chigamba . Kuona kuti izvi hazviitiki, pane zvinhu zvishoma zvaungaita.
Tubal Ligation
Tubal ligation inzira yekusingaperi yekuberekwa. Kazhinji kunonzi "kuva nemabhati ako akasungirirwa," ndiyo nzira yekuvhiya yakagadzirirwa kupfigira mawere. Kana imwechete iyo mazai akaiswa chisimbiso, chirume hachikwanise kusvika paii. Icho chimwe chezvipembenene zvakasiyana-siyana zvekuporesa .
Nepo pasina humwe uchapupu hwokuti uremu hwako huchapindirana nekubudirira kwe tubal ligation, chirwere chacho pachavo chinowanzooma zvakaoma kuita. Munharaunda iyi yevakadzi, chirwere chinowanzotora nguva refu, chinoda mamwe anesthesia, uye inonyanya kukonzerwa nezvinetso zvepamusoro.
Kuti kuderedza ngozi, vanachiremba vanowanzokurudzira laparotomy isiri-invasive (keyhole chirwere) kana iwe uri wanyanyisa kana uwandisa.
Mufaro
Imwe nzira yekuvhiya inopinda chirwere inzira inonzi Essure (inonziwo inonzi inozivikanwa sehutachiona hutsika). Iyi nzira yekudzivirira kuberekwa nekuberekwa inosanganisira "kubvisa" mawere ekudzivirira kubereka.
Iyi ndiyo nzira inobatsira yekudzivirira kuberekwa kwevakadzi vakanyanya uye vanopfuvura zvakanyanya sezvazvinokwanisa kuitwa pasina general aneshesia uye hazvidi kuti vapinde muimba yepamuviri. NeEssure, zvitubu zviviri zvematare (inozivikanwa se-micro-inserts) zvinowanikwa mune imwe nzira yekutenderera. Kana ikasimwa, mapiritsi emashiripiti achaita kuti hurumende iwedzere kuputika iyo inozopedzisira yavhara mabhute
Intrauterine Devices (IUDs)
Intrauterine devices (IUDs) yakadai seParaGard mhangura yeIUD uye Skyla levonorgestrel-kubudisa IUD inzira dzinobatsira zvikuru dzekuberekwa kwekuberekwa mune vakadzi vanodarika zvakanyanya.
Icho chete chinetso chinogona kunge chiri kunyatsoiswa kwechigadzirwa. Kana iwe wakanyanya kuoma, dzimwe nguva zvinogona kuva zvakaoma kuwana mishonga yemukiriniki kana kuongorora ukuru uye kutungamirirwa kwechibereko chako. Chiremba wako anogona kazhinji kukunda izvi kuburikidza achishandisa ultrasound nemimwe midziyo yakakosha kuti ibatsire kutungamira IUD kuisa.
Tsvakurudzo inoratidzawo kuti IUDs inogona kunge iri nzira yakachengeteka uye inoshanda zvikuru yekudzivirira kuberekwa kwevakadzi vakawanda. IUDs inogonawo kubatsira kuderedza kenza yemukondombera yemakemikari uye hyperplasia , mitemo iyo vakadzi vakawanda vanowanzoshungurudzika.
Depo-subQ Provera 104
Pano pane shanduro itsva yeDepo Provera yepakutanga yakazivikanwa seDepo-subQ Provera 104 . Iyi iyo isiri yekusagadzikana kwekuberekwa kwekuberekwa ine 31 muzana inodarika hormone iyo shanduro yapfuura uye, zvichiguma, kuitika kwepasi kwemaitiro akaipa.
Inoshandiswa zvakare pasi peganda kunze kwemuviri. Shots anowirirwa kwegore negore, kana masvondo maviri kusvika ku14.
Depo-subQ Provera 104 yakaratidzwa kuva inoshanda mumadzimai akaoma mune zvidzidzo zviviri zvakasiyana. Kunyange zvakadaro, imwe huru yakaderera ndeyokuti mishonga inozivikanwa kuti iwedzere kuwedzera , kunyanya kufungisisa kana iwe uri kutotambudza nekurema.
Chimwe chikonzero ndechokuti inogona kutora mavhareji emwedzi mipfumbamwe nemwedzi gumi kuti zvigadzire kudzorera kubereka kamwe kurapwa kwakamira. Mumadzimai akaremara, zvinogona kutora nguva yakareba.
Chirwere Kuberekwa Kudzora Nzira
Nzira yekudzivirira kuberekwa nayo inoshandiswa iyo inogadzirisa muviri kuti isapinda muvhura yechibereko. Kunyange zvazvo mishonga iyi inogona kuvimbika kwazvo, inofanira kushandiswa zvakanaka. Kukundikana kunowanzobatanidzwa nokushandiswa kwakashata kana kusinganzwisisiki panzvimbo yechinetso nechigadzirwa chacho pachako.
Kusarudzwa kwemashure ekuberekwa kwekuberekwa kunosanganisira kondomu dzevarume, makondomu echikadzi , spermicides , sponge , diaphragms , uye cervical cap .
Iwe unogona kuwedzera kuwedzera kubudirira kuburikidza nekushandisa nzira inopetedza kaviri, yakadai kushandisa kondomu ine spermicide kana diaphragm ine kondomu. Kana usina chokwadi chokuti ungashandisa sei chigadzirwa, taura nachiremba wako kana kumbira chiremba wako.
> Sources:
> Batur, P .; Bowersox, N ;; uye McNamara. M. "Kubata pamuviri: Efficacy, Risks, Continuation Rates, uye Kushandiswa muHigh-Risk Women." Zvinyorwa zveMadzimai Health. 2016; 25 (8): 853-856. DOI: 10.1089 / jwh.2016.5942.
> Reifsnider, E ;; Mendias, M .; Davila, Y. et al. "Kubata pamuviri uye mukadzi akaoma." J Am Assoc Mukoti Pract. 2013; 25 (5): 223-233. DOI: 10.1111 / 1745-7599.12011.