Kodi kuyamwitsa ndi njira yachilengedwe yolerera?

Kuyamwitsa ndi kulera mwachilengedwe: LAM ndi chiyani, kapena kuyamwitsa kokha?

Kuyamwitsa ngati kulera

Nthawi zina, kuyamwitsa kumatha kukhala ndi mphamvu yakulera kwa miyezi isanu ndi umodzi pambuyo pobereka. Njira yolerera yachilengedwe iyi, yotchedwa LAM (njira yoyamwitsa ndi amenorrhea) sizodalirika 100%, koma ikhoza kugwira ntchito kwa miyezi ingapo pokhapokha ngati zofunikira zonsezi zakwaniritsidwa. Mfundo yake: pansi pazifukwa zina, kuyamwitsa kumatulutsa prolactin yokwanira, hormone yomwe imalepheretsa ovulation, kupanga mimba yatsopano zosatheka.

Njira ya LAM, ndi yodalirika?

Kudalira kuyamwitsa mkaka wa m'mawere monga njira yolerera kungakhale chinthu chochititsa chidwi ... Koma dziwani kuti kumabweretsa chiopsezo ... kukhalanso ndi pakati. Ngati simukufuna kuyambitsa mimba yatsopano, ndi bwino kutembenukira ku (re) kutenga njira yodalirika yolerera, yomwe idzaperekedwa kwa inu ndi mzamba kapena dokotala.

Ndi liti pamene muyenera kulera mutabereka?

Ndi njira ziti zolerera panthawi yoyamwitsa?

Kawirikawiri, pambuyo pobereka, ovulation imayambiranso kuzungulira sabata la 4 pamene simukuyamwitsa, ndipo mpaka miyezi 6 mutabadwa kutengera njira yoyamwitsa. Chifukwa chake ndikofunikira kuyembekezera kubwerera ku kulera, ngati simukufuna mimba yatsopano nthawi yomweyo. Mzamba kapena dokotala wanu atha kukupatsani a mapiritsi a microdose, yogwirizana ndi kuyamwitsa, kunja kwa chipinda cha amayi oyembekezera. Koma nthawi zambiri pamakhala nthawi yokambirana ndi gynecologist pambuyo pobereka kuti njira yolerera imasankhidwa. Kusankhidwa uku, kukambirana kotsatira, kumapangitsa kuti athe kupanga a kukayezetsa matenda achikazi pambuyo pobereka. Zimachitika pafupifupi sabata la 6 mwana wanu atabadwa. Kuthandizidwa 100% ndi Social Security, kumakupatsani mwayi wowonera mwachidule njira zosiyanasiyana zakulera:

- mapiritsi

- chigamba cholerera (izi sizikulimbikitsidwa pakuyamwitsa)

– mphete yakumaliseche

- hormonal kapena copper intrauterine zida (IUD kapena IUD),

- diaphragm, kapu ya khomo lachiberekero

- kapena njira zolepheretsa, monga makondomu ndi mankhwala ena ophera umuna.

Ndi liti kumwa mapiritsi pambuyo pobereka?

Kuyamwitsa ndi kulera mkamwa

Nthawi ndi kuyamwitsa

Pambuyo pa kubadwa kwa mwana, kuyambiranso kwa ovulation sikuthandiza osachepera tsiku la 21 lisanafike. Nthawi zambiri mumabwereranso pakatha masabata 6 mpaka 8 mutabereka. Izi zimatchedwa kubwerera kwa matewera. Koma mukayamwitsa, zimakhala zosiyana! Kudyetsa makanda kumalimbikitsa kutulutsa kwa prolactin, timadzi timene timachepetsa ovulation, motero kuyambiranso kwa msambo. Ichi ndichifukwa chake, kusamba kwanu nthawi zambiri sikubwerera mpaka kuyamwitsa kutatha kapena m’miyezi itatu atabadwa. Koma samalani ndi ovulation, yomwe imapezeka masabata a 2 isanayambe kusamba, ndi zomwe zidzafunika kuyembekezera ndi njira yolerera.

Kodi ndingathe kutenga mimba ndikuyamwitsa?

LAM si 100% yodalirika, chifukwa ndizofala kuti zonse zomwe zimafunikira sizikukwaniritsidwa. Ngati mukufuna kupewa mimba yatsopano, ndi bwino kutembenukira ku kulera zotchulidwa ndi dokotala kapena mzamba. Kuyamwitsa sikumaletsa kugwiritsa ntchito kulera.

Piritsi lanji mukayamwitsa?

Kodi mungapewe bwanji kutenga mimba mukamayamwitsa?

Pali mitundu iwiri ya mapiritsi: mapiritsi ophatikizana et mapiritsi a progestin-only. Dokotala wanu, mzamba kapena gynecologist ndi woyenerera kukupatsani njira yolerera iyi. Zimatengera: kuyamwitsa kwanu, chiwopsezo cha venous thromboembolism chomwe chimakhala chachikulu m'milungu yoyamba ya postpartum, ndi ma pathologies aliwonse omwe abuka panthawi yapakati (gestational shuga, phlebitis, etc.).

Pali magulu awiri akulu a mapiritsi:

- pa mapiritsi a estrogen-progestogen (kapena mapiritsi ophatikizana) ali ndi estrogen ndi progestin. Mofanana ndi chigamba cha kulera ndi mphete ya kumaliseche, sichivomerezeka panthawi yoyamwitsa komanso m'miyezi isanu ndi umodzi yobereka pamene mukuyamwitsa mwana wanu, chifukwa amachepetsa kuyamwitsa. Ngati pambuyo pake izo zalamulidwa ndi dokotala, iye adzaganizira kuopsa kwa thrombosis, shuga ndi mwina kusuta ndi kunenepa.

- pa mapiritsi a progestin-only imakhala ndi progestogen yokhayokha: desogestrel kapena levonorgestrel. Pamene imodzi mwa mahomoni awiriwa imapezeka pang'onopang'ono, mapiritsi amanenedwa kuti ali ndi microdosed. Ngati mukuyamwitsa, mutha kugwiritsa ntchito mapiritsi a progestin okha kuyambira tsiku la 21 mutabereka, malinga ndi malangizo ochokera kwa mzamba kapena adokotala.

Pa mapiritsi onsewa, dokotala yekha ndi amene ali ndi udindo wopereka njira yabwino kwambiri yolerera ngati mukuyamwitsa. Mapiritsiwa amapezeka m'ma pharmacies, pokhapokha pamankhwala.

Momwe mungamwe mapiritsi moyenera mukayamwitsa?

Mapiritsi a Microprogestogen, monga mapiritsi ena, amatengedwa tsiku lililonse panthawi yokhazikika. Muyenera kusamala kuti musachedwe kupitirira maola atatu pa levonorgestrel, ndi maola 3 pa desogestrel. Kuti mudziwe: palibe kupuma pakati pa mbale, imodzi imapitirizabe ndi mbale ina.

- Pakachitika chisokonezo msambo, musasiye kulera kwanu popanda malangizo a dokotala, koma kulankhula naye za izo.

- Kutsekula m'mimba, kusanza ndi mankhwala ena kumatha kusokoneza momwe mapiritsi anu amagwirira ntchito. Ngati mukukayikira, musazengereze kufunsa.

- Yabwino: mukapereka mankhwala osakwana chaka chimodzi, mutha kukonzanso njira yanu yakulera yapakamwa kamodzi kwa mwezi umodzi wowonjezera.

Kumbukirani nthawi zonse kuyembekezera bwino ndi konzani mapaketi angapo a mapiritsi anu pasadakhale mu kabati yanu yamankhwala. Momwemonso ngati mutapita kudziko lina.

Kuyamwitsa ndi kulera mwadzidzidzi

Ngati mwaiwala mapiritsi anu kapena kugonana mosadziteteza, dokotala wanu akhoza kukupatsani mapiritsi a m'mawa. Ndikofunika kumuuza kuti mukuyamwitsa mwana wanu, ngakhale atakhala kuti akuyamwitsa kulera mwadzidzidzi si contraindicated pa nthawi yoyamwitsa. Kumbali inayi, mwamsanga funsani dokotala wanu kuti adziwe momwe mukuyendera komanso kuyambiranso kwa mapiritsi anu.

Ma implants ndi jakisoni: zimatheka bwanji mukayamwitsa?

Piritsi kapena implant?

Njira zina zakulera zitha kuperekedwa kwa inu, pakalibe zotsutsana, mukamayamwitsa.

- Kuyika kwa etonogestrel, subcutaneously. Nthawi zambiri imakhala yothandiza kwa zaka zitatu ngati munthu sali wonenepa kapena wonenepa. Komabe, dongosololi nthawi zambiri limayambitsa kusokonezeka kwa msambo ndipo, nthawi zambiri, implant imatha kusamuka ndikupanga zovuta.

- Njira yolerera ya jekeseni - yotengera mahomoni nawonso - omwe amaperekedwa kotala. Koma kugwiritsa ntchito kwake kuyenera kuchepetsedwa munthawi yake, chifukwa pali milandu mitsempha thrombosis ndi kunenepa.

Ndi nthawi iti yoyika IUD pambuyo pobereka?

IUD ndi kuyamwitsa

Ma IUD, omwe amadziwikanso kuti zida za intrauterine (IUDs) ikhoza kukhala yamitundu iwiri: IUD yamkuwa kapena IUD ya mahomoni. Kaya mukuyamwitsa kapena ayi, titha kupempha kuti akhazikitsidwe mwachangu. Pakatha milungu inayi mutangobereka kumene, komanso patatha milungu 4 kuchokera kwa opaleshoni. Palibe chotsutsana ndi kupitiriza kuyamwitsa pambuyo poika IUD, kapena IUD.

Zida zimenezi zimagwira ntchito kwa zaka 4 mpaka 10 pa IUD ya mkuwa, ndipo mpaka zaka 5 pa IUD ya mahomoni. Komabe, msambo wanu ukangoyamba kumene, mukhoza kuona kuti magazi anu amatuluka kwambiri ngati mwaikapo IUD ya mkuwa, kapena mulibenso ndi hormonal IUD. Ndibwino kuti muyang'ane kuyika kolondola pakadutsa miyezi 1 mpaka 3 mutayikidwa IUD, paulendo wokaonana ndi gynecologist, komanso kukaonana ndi ululu wosadziwika bwino, kutuluka magazi kapena kutentha thupi.

Njira zina zolerera pambuyo pobereka: njira zolepheretsa

Ngati simukumwa mapiritsi kapena mukukonzekera kuyika IUD, khalani tcheru! Pokhapokha ngati mukufuna kutenga pakati mwachangu kapena simunayambenso kugonana, mutha kuyang'ana ku:

- makondomu achimuna omwe amayenera kugwiritsidwa ntchito pogonana ndi omwe angathe kubwezeredwa malinga ndi malangizo achipatala.

- kapu kapena kapu ya khomo lachiberekero, yomwe ingagwiritsidwe ntchito limodzi ndi mankhwala ena ophera umuna, koma kuchokera Patatha masiku 42 mwana atabadwa,

Ngati mumagwiritsa ntchito diaphragm musanatenge mimba, ndikofunikira kuti muwunikenso kukula kwake ndi gynecologist wanu. Ma spermicides amatha kugulidwa m'ma pharmacies popanda mankhwala. Funsani pharmacist wanu.

Kulera: tingakhulupirire njira zachilengedwe?

Njira zakulera mwachilengedwe?

Ngati mwakonzeka kuyamba a mimba yosakonzekera, dziwani kuti pali njira zomwe zimatchedwa njira zachilengedwe zakulera, koma zolephera kwambiri komanso zomwe nthawi zina zimakhala zoletsa kusamala. Muyenera kuyembekezera kubwereranso kwa malamulo (osachepera 3 cycle) ngati mukufunadi kuwagwiritsa ntchito.

Njira zachilengedwe zolerera:

- The Billings njira : izi zimachokera pakuyang'anitsitsa kwa khomo lachiberekero. Maonekedwe ake: madzimadzi kapena zotanuka, amatha kusonyeza nthawi ya ovulation. Koma chenjerani, malingalirowa ndi ongochitika mwachisawawa chifukwa khomo lachiberekero limatha kusintha molingana ndi zinthu zina monga matenda a nyini.

- The njira yobwerera : Tikunena za kulephera kwa njira yochotserako kwambiri (22%) chifukwa madzimadzi asanakwane ubwamuna amatha kunyamula umuna ndipo bwenzi lake silimatha nthawi zonse kuletsa kutulutsa kwake.

- The kutentha njira : imatchedwanso njira ya symptothermal, yomwe imati imazindikira nthawi ya ovulation malinga ndi kusiyana kwa kutentha ndi kusasinthasintha kwa ntchentche. Zoletsa kwambiri, zimafunikira fufuzani mosamala kutentha kwake tsiku ndi tsiku komanso pa nthawi yake. Nthawi yomwe ikukwera kuchokera ku 0,2 mpaka 0,4 ° C ikhoza kusonyeza kuti ovulation. Koma njira imeneyi imafunika kupeŵa kugonana isanayambe kapena itatha ovulation, popeza umuna ukhoza kukhala ndi moyo kwa masiku angapo mu maliseche thirakiti. Choncho kuyeza kwa kutentha kumakhalabe njira yosadalirika, komanso yokhazikika pazifukwa zingapo.

- The Njira ya Ogino-Knauss : Izi zimakhala ndi kudziletsa nthawi ndi nthawi pakati pa 10 ndi tsiku la 21 la kuzungulira, zomwe zimafunika kudziwa kuzungulira kwanu bwino. Kubetcha kowopsa chifukwa ovulation nthawi zina imakhala yosayembekezereka.

Mwachidule, njira zakulera zachilengedwezi sizimakutetezani ku mimba yatsopano, kaya mukuyamwitsa kapena ayi.

Chitsime: Haute Autorité de Santé (HAS)