Dambudziko rekudzivirira hutachiwana hwevakadzi pamusana pekuita kubata pamuviri kwenguva refu
Apo vanhu vanofunga nezvekuita zvepabonde rakachengeteka , vane zvinhu zviviri zvinokosha. Chokutanga kunetseka ndechekuti, kunyanya munyaya, pasi rose . Munhu wose anofanirwa kutaridzirwa kudzivirira zvirwere zvepabonde . Chinhu chechipiri chinotinetsa chakasiyana nevarume vakaroorana. Kunetseka uku ndiko kuchengetedza pamuviri.
Mukureva kuchengetedza pamuviri, kubata pamuviri kwenguva refu (LARC) hapana mubvunzo kusarudza zvakanakisisa.
Kune dzimwe nzira dzakasiyana-siyana dzeLARC, asi iyo miviri mikuru iIUDs uye implants. IUDs zviyero zvakagadzirirwa mukati mehutachi uterine. Zvinogona kana kuti hazvingave nemahomoni, uye zvinogona kusara munzvimbo panzvimbo yemakore gumi nemaviri. Zvisimbe zviduku, sechitsotsi-sechigadzirwa chinoshandiswa pasi peganda roruoko. Ichi chigadzirwa zvino chinobudisa huwandu hwemahomoni kwemakore matatu.
Chikonzero icho LARCs zvinobudirira ndezvekuti vakadzi havafaniri kufunga nezvavo. IUD kana kuti kuiswa kunoiswa, uye ndizvo. Mukadzi anodzivirirwa kubva pamuviri kwenguva yakareba. Hapana chikonzero chekutenga zvinhu. Hapana chikonzero chekufunganya nezvekuona chiremba . Rimwe chete, maRARs akanaka kusvikira apera. Ndicho chikonzero chekuti pane kuwedzera kuri kufarira mukuvashandisa kuderedza kuzvitakura kwevechidiki. Havadi kuti vechidiki vayeuke kutora mapiritsi, kana kuita chimwe chinhu. Vechidiki vanoshanyira chiremba uye vanenge vava kunyatsodzivirirwa kubva pakuberekwa kwemakore panguva.
Kukundikana kushandisa mushonga nenzira yakarurama ndeimwe yezvinetso zvakakosha zvekudzivirira kubata pamuviri. Vanhu vanokanganwa kutora mapiritsi avo. Haashandisi spermicide ne diaphragms. Vanokanganwa kubva muimba kumucheto kwekondomu. LARC dzakanaka nokuti dzakanaka chaizvo zvisingabviri kushandisa zvisina kururama.
Zvavasingaiti zvinochengetedza maSDD.
Sei Uchishandisa Kondomu
Chinhu chakanakisisa pakushandisa LARC ndechimwe chezvipingamupinyi zvakanyanya. Vakadzi vanoshandisa LARC havafanirwi kufunga nezvepabonde rakachengeteka kudzivirira kubata pamuviri. Zvisinei, maRARC haaiti chinhu chekudzivirira zvirwere zvepabonde. Hazviiti kuti zvipingamupinyi zvirwere. Nokudaro, chero munhu achishandisa LARC kunze kwehukama hwemumwe chete , hukama hwenguva refu apo vose vakaroorana vakaedzwa vanofanira kurayirwa kushandisa makondomu zvakare. Nhamo, izvi hazviiti nguva dzose.
Nzira imwechete yekushandisa, kushandisa nzira mbiri dzekudzivirira panguva imwe chete, hazvisi nyore. Vashomanana vakadzi vanoshandisa makondomu maviri uye LARCs. Kunyangwe kushandiswa kwekondomu pamwe chete nemitambo yekudzivirira mitezo inowanzojairika. Kazhinji, dzidziso ndeyokuti vakadzi ndivo vanonyanya kutungamirirwa nekuve nekudzivirira kana kudzivirira zvirwere. Vanosarudza chirongwa chekudzivirira chinonyanya kukodzera kubhadhari yavo uye zvido zvavo. Kutsvakurudza zvakare kunoratidza kuti vaviri vanoshandisa nzira vanogona kuva nehutano hwakasiyana pane imwe chete vashandisi vese. Somuenzaniso, kuongorora kwegore ra2014 kwakawana kuti vaviri vashandisi nzira vangave vakagamuchira chirongwa cheHIVV . Izvi zvinoratidzira vanhu vane zvimwe zvavanoita nezvehutano hwavo hwepabonde.
Zvisinei, kunyange avo vanoshandisa nzira mbiri vangasave vachishandisa nguva dzose nenzira yakarurama. Muenzaniso wenyika we18-44 wemakore akawana kuti 40% yezvakaitika zvezviitiko zvepabonde zvaisanganisira kushandiswa kwekondomu. Zvikamu gumi nembiri kubva kune makumi maviri zveavo vakange vari nzira mbiri dzezviitiko. Zvinosuruvarisa, pakuongorora zvakanyanya, vatsvakurudzi vakaona kuti vaviri vakashandisa nzira vashandisi vashoma kushandisa kondomu zvakanaka. Vaiwanzobvisa kondomu nokukurumidza kana kuiisa munguva pfupi. Uyezve, vashoma vashoma nzira yekushandisa vanoshandisa kondomu nguva dzose. Pane kudaro, ivo chete vakashandisa iwo zvimwe zviitiko zvepabonde .
Vechiduku vachishandisa LARC
Kushayikwa kwemaitiro maviri anoshandiswa kunogona kunyanya nyaya kune vasikana vechidiki.
Vasikana vechidiki vane mamwe ematunhu akakwirira ekutenga. Izvi zvinoreva kuti zvakakosha kutarisa kudzivirira kwehutachiwana nekupa zano pamusoro pekudzivirira pamuviri. Kudzivirira kuberekwa kwevechidiki chinangwa chinokosha. Zvisinei, kune mamwe mapoka ari kunetseka kuti kukurudzira kushandiswa kweRARC kunogona kuwedzera dambudziko reDDD. Kunetseka kwakadaro kwakagadzirwa zvakanaka.
Muna 2016, tsvakurudzo yakabudiswa muJAMA Pediatrics yakawana kuti vechidiki vanoshandisa LARC vaiva 60 muzana zvishoma vashoma kushandisa kondomu pane vechidiki vachishandisa mishonga yekudzivirira. Maitirwo emashandisirwo emakondomu pakati pevashandi veRARC akanga akafanana neavo vasikana vanoshandisa chirongwa chekuvhara kwemazuva mashoma seDepo Provera, chigamba, uye rin'i. Izvi zvinoratidza kuti vose "vanoiisa uye vanokanganwa" nzira dzinobatsirawo kuderedza kushandiswa kwekondomu. Icho hachisi chaicho chishamisika. Kushandisa nzira yakareba kwenguva refu zvinoreva kuti dzimwe nguva kutaura kwepabonde kwakachengeteka - uye kufunga-kunogona kuenderera mberi kumoto.
Zvimwe zvezvi zvinogona kutaridzirwa kuburikidza nenzira dzekudzidzisa. Vechidiki nevakuru vanofanira kuyeuchidzwa kuti pamuviri hausi pangozi yega yepabonde. Makondomu anodzivirira zvirwere zveSDD. Vanokurudzira zvakare kuwedzera kukurukurirana pakati pevadzidzi. Ichi ndicho chinhu chingaita kuti hupenyu hwepabonde huve hutano hwakanaka zvose mupfungwa uye mumuviri.
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