Ingabe umjovo wokuvimbela inzalo uqala nini ukusebenza, futhi ingabe kungenzeka ukukhulelwa ngomjovo wezinyanga ezintathu?

Uqala nini ukusebenza umjovo wokuvimbela inzalo?

1. Umjovo wokuvimbela inzalo ungenye yezindlela eziphumelela kakhulu futhi ezisetshenziswa kakhulu zokuvimbela inzalo.
   Iqukethe i-progesterone, evimbela ukukhululwa kwamaqanda futhi yenza indawo yesibeletho ingafanelekile ukukhulelwa.
2. Ngemuva kokuthatha umjovo, uqala ukusebenza ngesikhathi esihlukile kuye ngokuthi uwusebenzisa nini:
   • Uma owesifazane ethola umjovo phakathi nezinsuku ezinhlanu zokuqala zokuya esikhathini, umphumela uqala ngokushesha.
   • Uma umjovo unikezwa ngemva kwalesi sikhathi, owesifazane angase adinge ukuvikeleka okwengeziwe ukuze avimbele ukukhulelwa.
3. Uma usetshenziswa njalo, umjovo wokuvimbela inzalo uvikela ukukhulelwa izinyanga ezi-3.
   Ngakho-ke, umjovo kufanele uphindwe ngesikhathi esimisiwe njalo ezinyangeni ezi-3 ukuze uhlale uvikelekile.
4. Uma ufuna ukukhulelwa ngemva kokuyeka ukusebenzisa umjovo wokuvimbela inzalo, kungase kuthathe isikhathi esithile ukuze umzimba ubuyele emsebenzini wawo ovamile wokuvungula.
   Ukukhulelwa kuvame ukuvela ezinyangeni eziyisi-7 kuya kweziyi-18 ngemuva kokuyeka ukusebenzisa umjovo.
5. Owesifazane kufanele akhulume nodokotela wakhe ngaphambi kokuyeka ukusebenzisa umjovo wokuvimbela inzalo noma ngaphambi kokushintsha noma iyiphi indlela yokuvimbela inzalo.
   Umzimba ungase udinge isikhathi ukuze ulungise uhlelo lwawo lwamahomoni ngemva kokuyeka ukusebenzisa umjovo.
6. Umjovo wokuvimbela inzalo uyindlela ephumelelayo yokuvimbela ukukhulelwa, kodwa kufanele uthintane nodokotela onguchwepheshe ukuze uthole ukuthi ingabe ikulungele yini wena nempilo yakho jikelele.

Ingabe ukukhulelwa kungenzeka ngomjovo wezinyanga ezintathu?

Umbuzo olandelayo ungase ube semiqondweni yabesifazane abaningi: Ingabe ukukhulelwa kwenzeka uma usebenzisa umjovo wokuvimbela inzalo wezinyanga ezintathu? Kulesi sihloko, sizokunikeza impendulo yalo mbuzo obalulekile.

Okokuqala futhi okubaluleke kakhulu, kufanele sazi ukuthi umjovo wokuvimbela inzalo wezinyanga ezintathu ubhekwa njengendlela ephumelela kakhulu yokuvimbela ukukhulelwa ngesilinganiso esingafika kumaphesenti angu-99.
Ukuze abesifazane bathole imiphumela esebenzayo, kufanele bawuphuze njalo umjovo wokuvimbela inzalo njalo ezinyangeni ezintathu.

Uma uthatha umjovo wokuvimbela inzalo futhi uyeka ukuwuthatha izinyanga ezimbalwa, ungase ukhathazeke ngokuthi kungenzeka yini ukhulelwe.
Ungakhathazeki, umphumela womjovo wokuvimbela inzalo uyaqhubeka izinyanga ezimbalwa ngemva kokuwuyeka.
Ngisho nangesikhathi sokuphumula, umzimba uhlala uvikelekile ekukhulelweni.

Kodwa-ke, kufanele uqaphele ukuthi lapho umjovo wokuvimbela inzalo usetshenziswa ezinsukwini ezingu-11 ngemva kokuqala kokuya esikhathini, umphumela wawo uqala ngokushesha.
Ngakho-ke, asikho isidingo sokukhathazeka ngokukhulelwa ngalesi sikhathi.

Nokho, ezinye izinkinga ezingaba khona zingase zenzeke phakathi nezinyanga ezintathu zokusetshenziswa komjovo wokuvimbela inzalo.
Lezi zinkinga zingase zihlanganise ukuya esikhathini okungajwayelekile noma ukushintsha ukopha kokuya esikhathini.
Abanye besifazane bangase babe nokopha okumaphakathi phakathi nezinyanga zokuqala besebenzisa umjovo, futhi lokhu kopha kuvame ukudamba ngokuhamba kwesikhathi.

Iyini imiphumela emibi yomjovo wezinyanga ezintathu?

Isibhamu sezinyanga ezintathu sokuvimbela inzalo - esaziwa nangokuthi i-Depo-Provera - ingenye yezindlela zokuvimbela inzalo ezisetshenziswa abesifazane ukubambezela ukukhulelwa nokugwema ukukhulelwa okungahlosiwe.
Nakuba lo mjovo usebenza ngempumelelo, ungase uze neminye imiphumela engemihle.
Ake sazi eminye yale monakalo:

1. Ukukhulelwa okubambezelekile: Kungase kube nokubambezeleka ekubuyiseni amandla okukhulelwa ngemva kokuyeka ukusebenzisa umjovo wezinyanga ezintathu, njengoba kungase kuthathe isikhathi ukubuyisela ibhalansi yamahomoni emzimbeni.
2. Ushintsho emjikelezweni wakho wokuya esikhathini: Umjovo wezinyanga ezintathu ungabangela ushintsho kuphethini yakho yokuya esikhathini.
   Isikhathi sakho singase sibe njalo njalo noma singajwayelekile, noma isikhathi sakho singama ngokuphelele.
   Lezi zinguquko emjikelezweni wokuya esikhathini zingase zibakhathaze abanye besifazane.
3. Imiphumela engemihle engokwengqondo: Abanye besifazane bakhala ngemiphumela engemihle engokwengqondo lapho besebenzisa umjovo wezinyanga ezintathu.
   Bangase bazizwe benovalo, bekhathazekile, noma babe nokushintsha kwemizwelo kungazelelwe.
4. Izinkinga zokopha: Umjovo wezinyanga ezintathu ungase ubangele ukuphazamiseka kokuphuma esikhathini.
   Ukopha kungase kwenzeke kakhulu noma ngaphansi kunokuvamile, kungase kuhlale isikhathi eside noma kuphele ngokuphelele.
   Lokhu kuphazamiseka kwegazi kungase kuhambisane nobuhlungu besisu.
5. Ukukhula kwesisindo: Abanye besifazane bangabona ukuzuza kwesisindo ngenkathi besebenzisa umjovo wezinyanga ezintathu.
   Nokho, lokhu kuzuza kwesisindo kuvame ukubangelwa indlela yokuphila engenampilo hhayi nje umjovo ngokwawo.
6. I-Amenorrhea: I-amenorrhea ingase yenzeke ngesikhathi sokusetshenziswa komjovo wezinyanga ezintathu.
   Nakuba lokhu kungase kufiseleke kwabanye besifazane, kungabangela ukukhathazeka kwabanye.

Kungenzeka yini ukukhulelwa ngenaliti yokuvimbela inzalo?

Ukukhulelwa ngomjovo wokuvimbela inzalo kuwukukhathazeka kwabesifazane abaningi.
Kungenzeka yini ukukhulelwa yize usebenzisa le naliti? Lona ngumbuzo ojwayelekile ofika ezingqondweni zabaningi.
Kulesi sihloko, sizobheka umjovo wokuvimbela inzalo kanye nethuba lokukhulelwa nokusetshenziswa kwalo.

1. Ukusebenza komjovo wokuvimbela inzalo:
   Umjovo wokuvimbela inzalo uthathwa njengenye yezindlela eziphumelela kakhulu zokuvimbela inzalo.
   Umjovo wokuvimbela inzalo usebenza ngempumelelo ngamaphesenti angama-99 uma usetshenziswa njalo ngokwezincomo zikadokotela wakho.
2. uhlelo lwezikhathi:
   Umjovo kumele uphuzwe njalo ezinyangeni ezintathu ngaphandle kokulibala.
   Uma umjovo wokuvimbela inzalo utholwa zingakapheli izinsuku ezingu-11 kusukela ekuqaleni kokuya esikhathini, umphumela wenaliti uqala ngokushesha.
   Ukulala nokukhishwa kwesidoda kungenziwa ngaphandle kokwesaba ukukhulelwa ngalesi sikhathi.
3. Ukukhulelwa ngemva kokuyeka umjovo wokuvimbela inzalo:
   Ukukhulelwa kuvame ukwenzeka emasontweni ayi-12-14 ngemva komjovo wokugcina wokuvimbela inzalo.
   Ngemva kokushiya umjovo wokuvimbela inzalo, kungase kuthathe isikhathi ukuze inzalo iphinde iqale futhi inqubo yokukhulelwa iqale.
4. Izindlela zokwenza umjovo wokuvimbela inzalo:
   Ukusebenza komjovo wokuvimbela inzalo kutholakala ngezindlela eziningi, hhayi indlela eyodwa.
   Lesi senzo sithuthukisa ukwakheka kwesithiyo emlonyeni wesibeletho futhi kuvimbela ukuvuthwa kweqanda nokwakheka kwalo.
   Ngaphezu kwalokho, isidoda senza kube nzima ukuthi isidoda sifinyelele eqandeni.
5. Izingozi zokukhulelwa ngomjovo wokuvimbela inzalo:
   Nakuba umjovo wokuvimbela inzalo usebenza kakhulu, ukukhulelwa kungenzeka kwezinye izimo.
   Lokhu kungase kube ngenxa yezinto ezimbalwa, njengokungayitholi inaliti ngesikhathi noma ukusebenzisana neminye imithi.

 Izindlela ezingcono kakhulu zokuvimbela ukukhulelwa ngaphandle kokulimala?

Ziningi izindlela zokuvimbela inzalo ezitholakalayo emakethe, kodwa wazi kanjani ukuthi iyiphi ekulungele wena? Kulesi sihloko, sizobuyekeza ezinye izindlela ezivamile zokuvimbela inzalo ngaphandle kokulimala, ukuze ukwazi ukwenza isinqumo esifanele wena nempilo yakho.

1. Ikhondomu:
   Amakhondomu athathwa njengenye yezindlela ezingcono kakhulu zokuvimbela ukukhulelwa ngaphandle kokulimaza umbhangqwana.
   Ayiwathinti amahomoni wesifazane, ngaphezu kwalokho isebenza ngempumelelo ekuvimbeleni isidoda ukuthi singangeni esithweni sangasese.
   Amakhondomu ayatholakala ngamasayizi ahlukene kanye nokwakheka, futhi angasetshenziswa kalula futhi anemiphumela engemihle emincane.
2. Amaphilisi okulawula inzalo ahlanganisiwe:
   Amaphilisi okulawula inzalo ahlanganisiwe angenye yezindlela ezivamile zokuvimbela inzalo.
   Lawa maphilisi anama-hormone e-estrogen ne-progestin, futhi asebenzela ukuvimbela ukuphuma kweqanda futhi aguqule indawo esibelethweni ukuze enze kube nzima ngesidoda ukuba sifinyelele.
   Nokho, owesifazane kufanele ahlole izingozi nezinzuzo zala maphilisi ngaphambi kokuwasebenzisa, futhi abonane nodokotela onguchwepheshe ukuze anqume ukuthi amfanele yini kakhulu.
3. Amaphilisi okuvimbela inzalo aqhubekayo:
   Lawa maphilisi athathwa nsuku zonke ngesikhathi esifanayo ngokuqhubekayo ngaphandle kokuphazamiseka, futhi aqukethe umthamo ophansi we-estrogen ne-progestin.
   Lawa maphilisi ashintsha indawo yesibeletho futhi abambe amaqanda, okuvimbela ukwenzeka kwe-ovulation.
   Lawa maphilisi angase afaneleke kwabesifazane abangafuni ukukhulelwa esikhathini esizayo esiseduze.
4. I-IUD:
   I-IUD ingenye yezindlela eziphumelela kakhulu zokuvimbela inzalo.
   I-IUD ifakwa ngaphakathi kwesibeletho, ivimbele ukuphuma kweqanda futhi iguqule indawo yesibeletho, isenze singakufanelekeli ukungena kwesidoda noma ukunamathela kweqanda elivundisiwe.
   Nokho, abanye besifazane bangase babhekane nemiphumela ethile engemihle njengobuhlungu beqolo noma ukopha kancane, futhi kufanele kukhulunywe nodokotela ngaphambi kokusebenzisa le ndlela.

Isikhathi siqala nini ngemva komjovo wezinyanga ezintathu?

Umjovo wokuvimbela inzalo wezinyanga ezintathu (i-Depo-Provera) ungenye yezindlela ezivamile zokuvimbela inzalo kwabesifazane.
Ithembele ku-progesterone ukuvimbela ukukhulelwa okungahlosiwe.
Naphezu kokuphumelela kwawo, abanye besifazane bangase bakhathazeke ngokuthi bazofika nini esikhathini ngemva kokuyeka ukusebenzisa lo mjovo.

Nawa amaqiniso okufanele uwazi mayelana nokuthi isikhathi sakho sokuya esikhathini sizoqala nini ngemva komjovo wezinyanga ezintathu:

1. Kungenzeka ukubambezela ukuya esikhathini: Ngemva kokuthatha umjovo we-Depo-Provera izinyanga ezintathu, abanye besifazane bangase babone ukubambezeleka komjikelezo wabo wokuya esikhathini.
   Kungase kuthathe isikhathi ukuthi uhlelo lokuzala lubuyele kwesijwayelekile futhi umjikelezo ujwayele futhi.
2. Isikhathi esingaba khona sokubuyisela ukuya esikhathini: Ubude besikhathi sokubuyisela ukuya esikhathini ngemva komjovo wezinyanga ezintathu siyahlukahluka kuye ngowesifazane oyedwa.
   Ukubuyisela umjikelezo wokuya esikhathini kungase kwenzeke ezinyangeni ezingu-6 ngemva kokuthatha umjovo kwabanye besifazane, kuyilapho kuthatha isikhathi eside kwabanye.
   Kubalulekile ukubonana nodokotela wakho wezifo zabesifazane ukuze uthole isiqondiso esifanelana nesimo sakho siqu.
3. Ukuya esikhathini ngemva kokuyeka ukusebenzisa umjovo wokuvimbela inzalo: Ngokuvamile, umjikelezo wokuya esikhathini ubuyela esimweni esivamile phakathi kwezinyanga eziyisithupha nonyaka ngemva kokuyeka ukusebenzisa umjovo wokuvimbela inzalo.
   Nokho, abanye besifazane bangase bathole ukubambezeleka kokuya esikhathini ngemva kokuyeka ukusebenzisa umjovo.
   Lokhu kuvamile okungalindelekile emjikelezweni kuvamile phakathi nezinyanga zokuqala ngemva kokumisa umjovo.
4. Iziyaluyalu ezingenzeka zokuya esikhathini: Ukuthatha umjovo wokuvimbela inzalo kungase kubangele ukuphazamiseka nokungahambi kahle ngesikhathi sokuya esikhathini.
   Ucwaningo lubonisa ukuthi lesi sifo sivame kakhulu phakathi nezinyanga zokuqala ngemva kokusebenzisa umjovo.
   Uma ukhathazekile ngalo mphumela, kunconywa ukuthi uthintane nodokotela wakho wezifo zabesifazane.
5. Amathuba okopha esithweni sangasese sowesifazane phakathi kokuya esikhathini: Umjovo ungesinye sezizathu okungenzeka ukuthi kungani ungase wophe esithweni sangasese phakathi kokuya esikhathini.
   Ucwaningo lwesayensi lukhomba ukuthi cishe u-70% wabesifazane ubhekana nale nkinga ezinyangeni ezimbalwa ngemuva komjovo.
   Uma lokhu kopha kungavamile noma kukhathaza, kubalulekile ukubonana nodokotela ukuze ahlole isimo futhi akuqondise ezinyathelweni ezidingekayo.

Ingabe imijovo yokulawula inzalo iyawavuselela ama-ovari?

Imijovo yokuvimbela inzalo ingenye yezindlela eziphumelela futhi ezithandwayo zokuvimbela inzalo emhlabeni, futhi isetshenziselwa ukuvimbela ukuphuma kweqanda nokukhulelwa okungahleliwe.
Kodwa ingabe le mijovo ibuye ivuse ama-ovari? Kulesi sihloko, sizobhekana nalesi sihloko futhi sigqamise izinzuzo kanye nokulimala kwemijovo yokuvimbela inzalo emsebenzini we-ovarian.

1. Izinzuzo zemijovo yokuvimbela inzalo yomsebenzi we-ovarian:
   • I-ovulation iyavinjelwa: Imijovo yokuvimbela inzalo inomthelela ekuvimbeleni ukuvuthwa kweqanda, okwenza kube nzima ukuthi iqanda livuthwe futhi liphume.
   • Ukunciphisa ingozi yezifo ze-ovarian: Ngenxa yokuvimbela inqubo ye-ovulation, ingozi yezifo ze-ovarian ezifana ne-polycystic ovary syndrome kanye ne-ovarian tumor iyancishiswa.
   • Ukunciphisa ingozi yokugcwala kwangaphandle: Ukugcwala kwangaphandle kuyindaba eyingozi futhi ebuhlungu, futhi imijovo yokuvimbela inzalo inciphisa kakhulu amathuba okuba kwenzeke.
2. Imiphumela eyingozi yemijovo yokuvimbela inzalo emsebenzini we-ovarian:
   • Ukunciphisa ukusebenza kahle kwamanye ama-ovari: Imijovo yokuvimbela inzalo ingaba nomthelela omubi kwamanye ama-ovari, okwandisa amathuba okuba ama-cyst akheke kuwo noma ukonakala kwekhwalithi yawo.
   • Ayanda amathuba okuba nesifo sebele: Kukhona ucwaningo oluthile olubonisa ukwanda kwengozi yesifo sebele kwabesifazane abasebenzisa imijovo yokulawula inzalo.
   • Eminye imiphumela engemihle: Abanye besifazane bangase babe nemiphumela engemihle ngemijovo yokulawula inzalo, njengokucanuzela kwenhliziyo, ukuvuvukala, nokucindezeleka.

Umjovo wokuvimbela inzalo uphelelwa nini njalo ezinyangeni ezi-3?

Uma kukhulunywa ngomjovo wokuvimbela inzalo onikezwa njalo ezinyangeni ezintathu, udume kakhulu kwabesifazane.
Usebenza kanjani lo mjovo futhi uqala nini ukusebenza? Kulesi sihloko, sizogqamisa lapho umjovo wokuvimbela inzalo uphela njalo ezinyangeni ezi-3.

Umphumela womjovo wokuvimbela inzalo njalo ezinyangeni ezi-3 ngokuvamile uqala ngemva kokuthatha umjovo, njengoba ujova emsipha wengalo noma wezinqe.
Lo mjovo wokuvimbela inzalo uqukethe i-hormone progestin, esiza ekuvimbeleni ukuphuma kweqanda futhi iguqule ulwelwesi lwesibeletho ukuvimbela ukukhulelwa.

Umphumela womjovo ngokuvamile uhlala izinyanga ezintathu, ngakho-ke umjovo omusha kufanele uthathwe ngemva kokuphela kwalesi sikhathi.
Ngakho, owesifazane kufanele athole umjovo omusha cishe njalo emavikini ayi-12.

Kodwa-ke, kufanele kuqashelwe ukuthi kwezinye izimo, umphumela womjovo ungahlala isikhathi esingaphezu kwezinyanga ezintathu.
Lokhu kuncike ohlotsheni lomjovo wokuvimbela inzalo osetshenzisiwe kanye nendlela umzimba wesifazane osabela ngayo kuwo.

Ngezansi itafula elibonisa izinhlobo ezithile zomjovo wokuvimbela inzalo kanye nesikhathi somphumela wohlobo ngalunye:

Ubuhle nobubi bomjovo wokuvimbela inzalo

Imijovo yokuvimbela inzalo ingenye yezindlela eziphumelelayo zokuvimbela ukukhulelwa, futhi inobuhle nobubi okufanele kucatshangelwe lapho kuthathwa isinqumo sokuyisebenzisa.
Kulesi sihloko, sizobuyekeza ezinye zezinzuzo nezingozi ezihlobene nemijovo yokuvimbela inzalo.

Okuhle:

1. Ukusebenza okuphezulu: Imijovo yokuvimbela inzalo iphumelela kakhulu ekuvimbeleni ukukhulelwa, ngezinga lokwehluleka elingaphansi kwengxenye yamaphesenti.
   Lokhu kusho ukuthi zinikeza izinga eliphezulu lokuvikela ekukhulelweni okungafunwa.
2. Ukusetshenziswa kalula: Imijovo yokuvimbela inzalo kulula ukuyisebenzisa futhi idinga umthamo owodwa kuphela isikhathi ngasinye (imvamisa isikhathi esiyinyanga), esikhundleni sokukhumbula ukuphuza iphilisi zonke izinsuku ngesikhathi esifanayo.
3. Ukulawula umjikelezo wokuya esikhathini: Umphumela wemijovo yokuvimbela inzalo emjikelezweni wokuya esikhathini ungenye yezinzuzo ezibalulekile, njengoba umjikelezo wokuya esikhathini ulawulwa, izinga lokopha liyancishiswa, futhi ubuhlungu bokuya esikhathini buyancipha ngezinye izikhathi.
4. Ukuphepha kokusetshenziswa: Imijovo yokuvimbela inzalo ayiwuthinti umfutho wegazi noma amazinga kashukela, okuwenza kube yindlela ephephile ongayisebenzisa kwabesifazane abahlushwa izinkinga zempilo ezifana nomfutho wegazi ophakeme noma isifo sikashukela.
5. Ukubekezelelana: Ngokungafani nezinye izinhlobo zokuvimbela inzalo, imijovo yokuvimbela inzalo ayibangeli ukukhuluphala, futhi ingase ibe nomthelela omuhle ebuhleni nasesikhumbeni.

Okubi:

1. Imiphumela engemihle: Eminye imiphumela emibi yemijovo yokuvimbela inzalo ingenzeka, njengokushintsha kwemizwa, ikhanda elibuhlungu, ukuqothuka kwezinwele, ukuqunjelwa kwesikhumba, nokuncipha kwesifiso sobulili.
   Udokotela kufanele aziswe uma kwenzeka noma yimiphi imiphumela emibi engadingeki.
2. Umjikelezo wokuya esikhathini ongavamile: Abanye besifazane bangase babone umjikelezo wokuya esikhathini ongajwayelekile ngenkathi besebenzisa imijovo yokuvimbela inzalo.
   Lokhu kungase kucasule abanye besifazane abakhetha ukuba nomjikelezo ovamile wokuya esikhathini.
3. Izindleko: Izindleko zomjovo wokulawula inzalo zivame ukuba phezulu uma ziqhathaniswa nezindleko zamaphilisi okulawula inzalo.
   Lokhu kufanele kubhekwe lapho unquma ukusebenzisa imijovo yokuvimbela inzalo.
4. Uhlobo lomthamo: Abanye bangadinga ukusebenzisa umthamo omusha wemijovo yokuvimbela inzalo njalo ngenyanga noma ngekota.
   Owesifazane kufanele alandele lokhu kudokotela futhi angaphuthelwa noma yimiphi imithamo.