Njira zolerera: ndi ziti zogwira mtima kwambiri?

Piritsi

Piritsi ndi njira yolerera ya mahomoni 99,5% ogwira ntchito Mukamwedwa pafupipafupi (ndipo 96% yokha "yogwira ntchito moyenera", m'mikhalidwe yeniyeni ya moyo (komwe mungakhale munakusanza, ndi zina zotero). Yambani tsiku loyamba la kusamba, kenako imwani piritsi limodzi pambuyo pa linzake. tsiku pa nthawi yoikika, mpaka kumapeto kwa paketi Chitetezo chimasokonekera ngati mwaiwala kupitilira maola 12 pamapiritsi ophatikizana (omwe amatchedwanso mapiritsi ophatikizana) komanso osachepera maola atatu a mapiritsi a progestin-only (microdoses) Akayimitsidwa, ovulation akhoza kuyambanso nthawi yomweyo, kotero inu mukhoza kutenga mimba mwachilungamo mwamsanga. Piritsi imayikidwa ndipo ikhoza kubwezeredwa ndi Social Security, malinga ndi chitsanzo choperekedwa.

The IUD

IUD kapena IUD (yakuti “Intrauterine device”) imagwira ntchito 99% kuchokera pa nthawi yoika IUD yamkuwa komanso patatha masiku awiri kuti ipange IUD ya mahomoni. Dokotala amalowetsa m'chiberekero kwa nthawi ya zaka zisanu mpaka khumi pamene ndi chitsanzo mkuwa, ndi zaka zisanu kwa progesterone IUD. M'mbuyomu, sizinali zovomerezeka kwa amayi omwe sanaberekepo ana. Izi sizilinso choncho. Mtsikana wosabereka (yemwe sanaberekepo) akhoza kusankha IUD monga njira yake yoyamba yolerera. Sizikhudza chonde chake chamtsogolo mwa njira iliyonse. Kuvala IUD kungayambitse nthawi yolemera kapena yopweteka kwambiri, koma sikusokoneza kugonana. Ikhoza kuchotsedwa ndi dokotala mwamsanga pamene mkaziyo akufuna, ndiyeno nthawi yomweyo amataya mphamvu zonse. IUD imaperekedwa ndi mankhwala ndipo imabwezeredwa pa 65% ndi Health Insurance.

Chigamba cha kulera

Mukamagwiritsa ntchito koyamba, chigambacho kumamatira kumunsi pamimba kapena matakopa tsiku loyamba la kusamba. Zimasinthidwa kamodzi pa sabata, pa tsiku lokhazikika. Pambuyo pa milungu itatu, imachotsedwa. Kutaya magazi (nthawi zabodza) kumawonekera. Mumakhala otetezedwa ku mimba yosafuna ngakhale panthawiyi yothetsa. Chigamba chatsopano chilichonse chiyenera kuyikidwa pamalo osiyana ndi am'mbuyomu, koma osayandikira mabere. Amayikidwa pakhungu loyera, louma, lopanda tsitsi. Imapezedwa ndi mankhwala ndipo sichibwezeredwa ndi Social Security. Bokosi la zigamba zitatu limawononga pafupifupi ma euro 15.

The kulera implant

Njira yolerera ndi ndodo yozungulira 4 cm kutalika ndi 2 mm m'mimba mwake. Amalowetsedwa pansi pa khungu la mkono ndi dokotala ndipo amatha kukhalapo kwa zaka zitatu. Kuchita bwino kwake kumayerekezedwa ndi 99%. Ikhoza kuchotsedwa ndi dokotala mwamsanga pamene mkaziyo akufuna ndipo alibe mphamvu atangochotsedwa. Kuyikako kumayikidwa ndikubwezeredwa pa 65%.

mphete yakumaliseche

Mphete yakumaliseche imayikidwa ngati tampon mkati mwa nyini ndipo amakhala m'malo kwa masabata atatu. Imachotsedwa sabata ya 4 isanayibwezeretsenso sabata yotsatira. Kuti mugwiritse ntchito koyamba, muyenera yambani tsiku loyamba la kusamba kwanu. Ubwino wa mphete ya kumaliseche ndikutulutsa ma hormone otsika kwambiri. Choncho ndi othandiza ngati mapiritsi, koma amayambitsa zotsatira zochepa. Imapezedwa ndi mankhwala, imawononga pafupifupi ma euro 16 pamwezi ndipo sichibwezeredwa ndi Social Security.

The diaphragm ndi khomo lachiberekero kapu

The diaphragm ndi kapu ya khomo lachiberekero amapangidwa ndi latex kapena silikoni. Amagwiritsidwa ntchito limodzi ndi kirimu cha spermicidal kuti agwire bwino ntchito. Amayikidwa pamlingo wa khomo lachiberekero, musanayambe kugonana, ndipo iyenera kusiyidwa patatha maola 8. Motero amalepheretsa kukwera kwa ubwamuna kudzera pachibelekero, pamene mankhwala ophera tizilombo amawawononga. Kugwiritsa ntchito kwawo kumafuna kuwonetsedwa ndi gynecologist. Atha kugulidwa paoda ku ma pharmacies ndipo zitsanzo zina zitha kugwiritsidwanso ntchito kangapo. 94% yogwira ntchito ngati ikugwiritsidwa ntchito mwadongosolo, mphamvu zake zimatsikira ku 88% chifukwa cha zolakwika pakuyika kapena kusamalira. Chenjezo likufunika ngati nthawi zambiri mumaphonya!

Pansi ma spermicides

Ma spermicides ndi mankhwala omwe amawononga umuna. Amapezeka mu mawonekedwe a gel, dzira kapena siponji. Ndibwino kuti muwagwiritse ntchito pamodzi ndi njira yotchedwa "chotchinga". monga kondomu (yachimuna kapena yachikazi), chiwalo kapena kapu ya khomo lachiberekero. Ayenera kulowetsedwa kumaliseche asanayambe kugonana. Mlingo watsopano uyenera kuperekedwa lipoti lisanachitike. Siponji imathanso kuyikidwa maola angapo m'mbuyomu ndikukhalabe m'malo kwa maola 24. Ma spermicides amapezeka popanda mankhwala ndipo samabwezeredwa ndi Social Security.

Makondomu a amuna ndi akazi

Makondomu ndi njira yokhayo yolerera yomwe imateteza ku matenda opatsirana pogonana (STDs) ndi Edzi.. Amagwiritsidwa ntchito panthawi yogonana (chitsanzo chachikazi chikhoza kuikidwa maola apitawo). Chitsanzo chachimuna chimayikidwa pa mbolo yoyima isanayambe kulowa. Zogwiritsidwa ntchito bwino, ndizothandiza 98%, koma zimatsikira ku 85% yokha. chifukwa cha chiopsezo chong'ambika kapena kugwiritsidwa ntchito molakwika. Kuti muchotse bwino, popanda chiopsezo cha umuna, musanafike kumapeto kwa erection, m'pofunika kugwira kondomu pansi pa mbolo, ndiyeno kumanga mfundo ndikuyiponya mu zinyalala. Nthawi zonse fufuzani kuti kondomu ili ndi chizindikiro cha CE, ndipo makamaka osaposa awiri, chifukwa kukangana kwa wina ndi mzake kumawonjezera chiopsezo chosweka. Mitundu yonse yachikazi ndi yachimuna imapezeka mu polyurethane. Choncho makamaka oyenera anthu matupi awo sagwirizana ndi latex. Makondomu amapezeka paliponse popanda kulembedwa ndipo sabwezeredwa ndi Social Security.

Ma progestin a jakisoni

Progestin yopangira imabayidwa ndi jakisoni wa muscular miyezi itatu iliyonse. Amateteza kwa masabata 12, kuteteza mimba. jakisoni ayenera kuperekedwa nthawi ndi nthawi ndi dokotala, namwino kapena mzamba. 99% yogwira ntchito, jakisoniwa amatha kutaya mphamvu mukamwa mankhwala ena (mwachitsanzo, anti-epileptics). Amalangizidwa kwa amayi omwe sangathe kutenga njira zina zolerera komanso zosavomerezeka kwa amayi achichepere kwambiri, chifukwa amachepetsa mlingo wachibadwa wa estrogen ("mahomoni achikazi achilengedwe"). jakisoni amaperekedwa mu pharmacies pa mankhwala. Mlingo uliwonse umawononga € 3,44 *, kubwezeredwa ku 65% ndi Health Inshuwalansi.

Njira zachilengedwe

Njira zachilengedwe zolerera zimafuna kupewa kugonana kwanthawi yayitali. Pakati pa njira zachilengedwe, timawona njira ya MaMa (kulera poyamwitsa), Billings (kuyang'ana kwa khomo lachiberekero), Ogino, kuchotsa, kutentha. Njira zonsezi zimakhala ndi chiwongola dzanja chochepa kuposa zina, ndi 25% zolephera. Choncho njirazi sizimalimbikitsidwa ndi akatswiri a amayi, chifukwa cha kulephera kwawo, pokhapokha ngati okwatirana ali okonzeka kuvomereza mimba yosakonzekera.

Siyani Mumakonda