Kudzora kubata uye kuronga mhuri

Sarudzo yako yemaitiro ekudzivirira kuberekwa inoenderana nezvinhu zvinoverengeka, zvinosanganisira hutano hwako, kuti unoita bonde kangani, uye kuti unoda vana here kana kwete.

Heano mimwe mibvunzo yekutarisa kana uchisarudza nzira yekudzivirira kuberekwa:

• Nzira iyi inodzivirira sei kubata pamuviri? Kuti utaure mashandiro anoita nzira, tarisa kuwanda kwenhumbu mumadzimai zana vanoshandisa nzira iyoyo mukati megore rimwe chete.
• Ndeapi mafungiro ako nezve kubata nhumbu? Nhumbu isina kurongwa ingagone kuomesa kana kushungurudza mukadzi kana mumwe wake? Kana kuti nhumbu yaizotambirwa here kana ikaitika pakutanga pane zvakarongwa?
• Nzira yekudzivirira kuberekwa inodhura zvakadii? Inishuwarenzi yako inoripa here?
• Ndeipi njodzi dzehutano? Taura nezve njodzi idzi nemubatsiri wako wehutano usati watenda zvaunonzwa kubva kune vamwe.
• Mumwe wako anoda here kugamuchira uye kushandisa nzira yakapihwa yekuzvarwa?
• Iwe unoda here nzira iyo iwe yaunofanirwa chete kushandisa kana iwe uchiita bonde? Kana iwe unoda chimwe chinhu chiri munzvimbo uye chinogara chichishanda?
• Kudzivirira hutachiona kunopararira nekusangana pabonde kwakakosha here? Nzira dzakawanda hadzikuchengetedze kubva kuzvirwere zvepabonde. Makondomu ndiyo sarudzo yakanakisa yekudzivirira njovhera. Dzinoshanda zvakanyanya kana dzabatanidzwa nespermicides.
• Kuwanika: Iyo nzira inogona kushandiswa pasina kunyoreswa, kushanyirwa nemupi, kana, mune vechidiki, mvumo yevabereki?

BARRIER Nzira dzeKUZVARIRA

KONDOMU:

• Kondomu rakatetepa latex kana polyurethane sheath. Kondomu rechirume rakaiswa rakatenderedza mboro yakamira. Kondomu revanhukadzi rinoiswa mukati mebeche risati rasangana.
• Kondomu rinofanira kupfekwa nguva dzese panguva yebonde kudzivirira nhumbu.
• Makondomu anogona kutengwa muzvitoro zvakawanda zvezvinodhaka nemagirosari. Mamwe makiriniki ekuronga mhuri anopa makondomu emahara. Iwe haudi mushonga kuti uwane makondomu.

DhifaFIRAMU UYE CERVICAL CAP:

• Dhiaphragm kapu yerabha inochinjika iyo izere nespermicidal cream kana jelly.
• Inoiswa mukati memukadzi pamusoro pemuromo wechibereko usati wasangana, kudzivirira urume kuti usasvika muchibereko.
• Inofanirwa kusiiwa iri panzvimbo kwemaawa matanhatu kusvika masere mushure mekuita zvepabonde.
• Diaphragms inofanira kunyorerwa nemupi wemukadzi. Iye mupi anoona mhando chaiyo uye saizi yedhayaphira yemukadzi.
• Nhumbu dzinosvika mashanu kusvika makumi maviri dzinoitika pamusoro pegore rimwe chete mumadzimai zana vachishandisa nzira iyi, zvichienderana nekushandisa chaiko.
• Chinhu chakafanana, chidiki chinodaidzwa kunzi chivharo chechibereko.
• Njodzi dzinosanganisira kutsamwiswa uye kusagadzikana kweye diaphragm kana spermicide, uye kuwedzerwa kuwanda kwehutachiona hwehutachiona uye hutachiona hwembeu yemukadzi. Muzviitiko zvisingawanzoitika, chepfu inokatyamadza chirwere inogona kukura mumadzimai anosiya diaphragm mukureba kwenguva refu. Chivharo chechibereko chinogona kukonzera kusanzwisisika kwePap bvunzo.

HOMHUKA chipanji:

• Masiponji echikadzi ekudzivirira nhumbu akapfava, uye ane kemikari inouraya kana "kuremadza" urume.
• Siponji yakanyoroveswa uye inoiswa mukati memukadzi, kuvhara pamusoro wechibereko usati wasangana.
• Sponge yemukadzi inogona kutengwa ku pharmacy yako pasina mushonga.

NZIRA DZEHUMONI DZOKUDZIDZA

Dzimwe nzira dzekudzora kubereka dzinoshandisa mahormone.Vachave nezvose zviri zviviri estrogen uye progestin, kana progestin chete. Iwe unoda mushonga wenzira dzakawanda dzenzira dzekudzivirira kuberekwa.

• Mahormone ese ari maviri anodzivirira ovary yemukadzi pakuburitsa zai panguva yekutenderera kwake. Vanoita izvi nekukanganisa nhanho dzemamwe mahormone anogadzirwa nemuviri.
• Progestin inobatsira kudzivirira urume kubva pakuenda kuzai nekugadzira mamonki akatenderedza chibereko chemukadzi chakakora uye chinonamira.

Mhando dzenzira dzekudzora kuberekwa kwemahormone dzinosanganisira:

• Mapiritsi ekudzivirira kuberekwa: Izvi zvinogona kunge zviine zvese estrogen uye progestin, kana progestin chete.
• Anodyara: Idzi idiki tsvimbo dzakaiswa pasi peganda. Ivo vanonunura inoramba ichiita dose yehormoni kudzivirira ovulation.
• Majekiseni eProgestin, akadai saDepo-Provera, ayo anopiwa mumhasuru dzeruoko rwepamusoro kana magaro kamwe chete pamwedzi mitatu.
• Iyo ganda chigamba, senge Ortho Evra, inoiswa papfudzi rako, magaro, kana imwe nzvimbo pane muviri. Iyo inoburitsa inoenderera dosi yehomoni.
• Mhete yemadzimai, yakadai seNuvaRing, iringi inochinja-chinja inenge 2 masendimita (mashanu masendimita) yakafara. Inoiswa mukati memukadzi. Inoburitsa mahormone progestin uye estrogen.
• Emergency (kana "mangwanani mushure") ekudzivirira kubata pamuviri: Mushonga uyu unogona kutengwa usina mushonga pachitoro chako chemishonga.

IUD (DZIDZISO INTRAUTERINE):

• IUD ipurasitiki diki kana chiumbwa chemhangura chakaiswa mukati mechibereko chemukadzi nemupi wake. Mamwe maIUD anoburitsa mashoma eprogestin. IUDs inogona kusiiwa iri panzvimbo kwemakore matatu kusvika kugumi, zvichienderana nemuchina unoshandiswa.
• IUDs inogona kuiswa chero nguva.
• IUDs yakachengeteka uye inoshanda nemazvo. Vashoma pane mumwe chete pavakadzi zana pagore vanozoita nhumbu vachishandisa IUD.
• MaIUD anoburitsa progestin anogona kunge ari ekurapa ropa rinorema zvekuenda kumwedzi nekudzikisa kurwadza. Zvinogona zvakare kukonzera nguva kumira zvachose.
  

NZIRA DZINOGARA DZOKUDZIDZA

Idzi nzira dzakanyanya kunaka kuvarume, vakadzi, uye vakaroorana vanonzwa vane chokwadi kuti havadi kuita vana mune ramangwana. Zvinosanganisira vasectomy uye tubal ligation. Maitiro aya anogona dzimwe nguva kuchinjaniswa kana nhumbu ichidikanwa pane imwe nguva inotevera. Nekudaro, iyo yekubudirira mwero wekudzosera haina kukwirira.

BIRTH CONTROL NZIRA DZISINGASHANDI ZVAKANAKA

• Kuregererwa kwenhengo yemurume kubva pasikarudzi usati wabuda panogona kukonzeresa kuve nepamuviri. Humwe urume hunowanzotiza usati wabvisa zvizere. Izvo zvinogona kukwana kukonzera nhumbu.
• Kugara munguva pfupi bonde hakugone kushanda. Urume hunogona kupfuura nemumuromo wechibereko mukati memasekonzi makumi mapfumbamwe. Douching haina kumbokurudzirwa nekuti inogona kukonzera hutachiona muchibereko uye machubhu.
• Kuyamwisa: Pasinei nemanyepo, vakadzi vari kuyamwa vanogona kutora nhumbu.

Kubata pamuviri; Kuronga mhuri nekudzivirira nhumbu; Coitus interruptus

• Chivharo chepervical cap
• Iyo diaphragm
• Kondomu rechikadzi
• Intrauterine mudziyo
• Chikamu chechikamu chekutarisa kwehukadzi hwekubereka system
• Kondomu rechirume
• Hormone-based contraceptive
• Tubal ligation
• Mhete yechikadzi
• Nzira dzekudzivirira dzekuzvarwa - dzakateedzana
• Asati uye mushure mevasectomy
• Tubal ligation - Series
• Piritsi yekudzivirira - nhevedzano

American College yeVadzvinyiriri uye Gynecologists. ACOG Dzidzira Bulletin Nha. 206: Kushandiswa kwekudzivirira kubata pamuviri kwehomoni mune vakadzi vane mamiriro ekurapa akavapo. Obstet Gynecol. 2019; 133 (2): 396-399. PMID: 30681537 pubmed.ncbi.nlm.nih.gov/30681537/.

Komiti yeAdolescent Health Care. Maonero eKomiti Kwete 699: Kubata pamuviri kwevachiri kuyaruka, kubata pamuviri, uye kuita zvepabonde. Obstet Gynecol. 2017; 129 (5): e142-e149. PMID: 28426620 pubmed.ncbi.nlm.nih.gov/28426620/.

Curtis KM, Jatlaoui TC, Tepper NK, et al. US yakasarudza maitiro ekurudzira ekudzivirira kubata pamuviri, 2016. MMWR Inokurudzira Rep. 2016; 65 (4): 1-66. PMID: 27467319 pubmed.ncbi.nlm.nih.gov/27467319/.

Harper DM, Wilfling LE, Blanner CF. Kubata pamuviri. Mune: Rakel RE, Rakel DP, eds. Chinyorwa cheMhuri Mishonga. 9th ed. Philadelphia, PA: Elsevier Saunders; 2016: chitsiko 26.

Jatlaoui TC, Ermias Y, Zapata LB. Kubata pamuviri. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 143.

Rivlin K, Westhoff C. Kuronga mhuri. Mune: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Yakakwana Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: chits.