Ngeshwa, ngisho le ndlela eqinisekisiwe ayikho kuwo wonke amacala avikele ngokumelene nokukhulelwa. Ngokuvamile, amakhondomu awawona amakhwalithi angcono futhi angabhidliza nganoma isiphi isikhathi. Kodwa-ke, ukulala ngokobulili, okungenzeka kuholele ekukhulelwe, kungenzeka futhi kuphelele kwezinye izizathu.
Esimweni esinjalo, ungasebenzisa izidakamizwa ezivimbela ukufakelwa kweqanda elikhulelwe. Kulesi sihloko sizokutshela ukuthi iziphi amaphilisi angaba ngukukhulelwa okungafunwa ukuvunyelwa ngosuku lokuqala, ukuthi ungayiphuza kanjani kahle, nokuthi kungani kufanele kwenziwe kuphela njengesenzo sokugcina.
Ziyini izibhebhe zokuphazamisa ukukhulelwa okungadingeki?
Ukuze uphazamise ngokuphuthumayo ukukhulelwa okungadingeki, ungasebenzisa amaphilisi ezinhlobo ezintathu ezahlukene:
- ukuhlanganiswa kwezibeletho zomlomo;
- ama-gestagenic amalungiselelo;
- antitropical agents.
Zonke amaphilisi ezimo eziphuthumayo zokukhulelwa okungadingeki kufanele zithathwe ngezindlela ezahlukene. Kodwa-ke, noma yimiphi imithi enjalo kufanele idakwe ngokushesha ngangokunokwenzeka ngemuva kokulala ngokocansi futhi kungakapheli amahora angu-72 emva kwayo. Ngemuva kwalesi sikhathi, ukukhulelwa kwezimo eziphuthumayo akusona umqondo, kodwa kungaba nomthelela omubi kakhulu esimweni somzimba wesifazane.
Ungathatha kanjani ama-COC ngokukhulelwa kokuphuthumayo?
Ukwamukela ukuhlanganiswa kokubeletha komlomo, noma i-COC, ngokuvikela okuphuthumayo kwenziwa ngokulandela uhlelo olulandelayo: kuqala kuzodingeka uthathe ama-micrograms angu-200 e-ethinyl estradiol kanye ne-1 mg ye-levonorgestrel, futhi emva kwamahora angu-12 uphinda lesi senzo. Lezi zidakamizwa kufanele ziqaphele, ngoba ngisho nangaphezu kokudlula ngaphezulu, zingabangela ukuphuma kwegazi.
Ngaphezu kwalokho, i-COC inezinamba eziningana zokuphikisa, ikakhulukazi:
- i-thrombophlebitis;
- i-neoplasms eyingozi;
- i-migraine;
- ischemia;
- ukuphazamiseka kokusakaza kwe-cerebral;
- isifo esinamandla sesibindi;
- imivimbo ye-varicose ye-pronunciation;
- isifo sikashukela kanye nezinye ze-endocrine pathologies;
- isithuthwane;
- i-cholecystitis engapheli.
Uma unqume ukusebenzisa indlela yokuqeda okuphuthumayo kokukhulelwa ngosizo lwe-COC, izidakamizwa ezilandelayo zizokusiza:
- "Ovidon" - thatha amaphilisi amane ngesikhathi esisodwa bese uphinda emva kwamahora angu-12;
- "U-Aless" - kabili uthatha amaphilisi angu-5 emahoreni angu-12;
- "Leden" - thatha amaphilisi amane bese uphinda inqubo emva kwamahora angu-12.
Ukwamukelwa kwama-progestins ngenhloso yokuvikelwa okuphuthumayo
Ama-gestagens asetshenziselwa le njongo kaningi. Isidakamizwa esidume kunazo zonke kulesi sigaba yisiHungary "Postinor". Iphilisi elilodwa "i-Postinor" ukuvikela ngokukhulelwa okungafuneki kufanele iphuze emahoreni angu-72 okuqala ngemuva kocansi, kanti enye - amahora angu-12 emva kokuqala.
Omunye umuthi we-progestational osetshenziselwa le njongo nguNorkolut. I-5 mg yalesi sidakamizwa ingadakwa nsuku zonke, kodwa hhayi izinsuku eziyi-14 ngonyaka. Ukusebenzisa le ndlela, nakanjani ngeke ukhulelwe, kodwa yena, njengabanye, kuyingozi kakhulu.
Iziphi izidakamizwa ezihlukumezayo ezisetshenziselwa ukuvikeleka okuphuthumayo ekukhulelwe okungafuneki?
Ngokuvamile, ngale njongo, izidakamizwa ezifana nalezi:
- "Danazol." Uma ngemuva kocansi kudlule isikhathi esingaphansi kwezinsuku ezimbili, kufanele uthathe u-400 mg walolu remedy bese uphinda lesi senzo ngemuva kwamahora angu-12. Uma kuthatha amahora angu-48 kuya kwangu-72, isidakamizwa kufanele sithathwe kathathu ngesilinganiso esifanayo.
"I-Mifepristone" iyisidakamizwa esisebenzayo kunazo zonke, okwamanje, angeke ithengwe ekhemisi ejwayelekile ngaphandle kwemithi. Kwanele ukuyiphuza kanye ngesilinganiso sika 600 mg, kungakapheli izinsuku ezintathu emva kokulala ngokocansi, ukuzivikela ngokwethembeka ekukhulelwe, okuyinto engathandeki okwamanje.
Qaphela kakhulu, ngoba ukukhulelwa kwezimo eziphuthumayo kuyingozi kakhulu futhi kungabangela imiphumela engapheli. Uma kunokwenzeka, kufanele njalo uthintane nodokotela ngaphambi kokusebenzisa imithi enjalo.