5 Nzira dzekudzivirira Kuzvara Inogona Kukundikana

Zvemukati

• Matambudziko ePiritsi
• Matambudziko Makondomu
• Tubal Ligation Dambudziko
• Sterilization Snafus
• Matambudziko eIUD
• Ongororo ye

Pamwe wanga uri paPiritsi kubva pawaive nemakore gumi nematanhatu. Chero chako chekudzivirira nhumbu chaunosarudza, une chivimbo chekuti kuchishandisa zvinoreva kuti hausi kuzotamba mwana bump munguva pfupi iri kutevera. Uye, kusvika kumwero wakati, unofanira kukwanisa kufema zviri nyore: Kudzora kubereka kwemazuva ano kunoshanda zvakanyanya. Asi hapana chinoshanda 100 muzana yenguva, uye kutsvedza kunoitika kakawanda kupfuura zvaungafunga. Sekureva kweGuttmacher Institute, inokwana makumi mana neshanu muzana yenhumbu dzese muUnited States ndedzekusafunga - uye havazi vese vanozviwana vasingatarisirwi vakagunun'una vachizorora kuburikidza nekirasi yebonde. Muchokwadi, hafu yevakadzi vese vanoita netsaona kubata pamuviri vaishandisa imwe nzira yekuzvarwa.

Saka chii chiri kuitika? Zvakawanda zvinouya pakukanganisa kwemushandisi, sekuregeredza kutora chirongwa chekudzivirira pamuviri mazuva ese. "Hupenyu hwakabatikana uye hwakaomesesa vanhu vazhinji, uye dzimwe nguva kufunga nezve chimwe chinhu chakawandisa," anodaro Katharine O'Connell White, MD, mukuru wedhipatimendi rezvekuzvara uye gynecology kuBaystate Medical Center muSpanish, MA.

Ehezve, kutarisira kuwedzera kusingafungidzirwe kumhuri yako hakusi nyore feat kana. Hezvino izvo zvakakanganisika kune vaverengi vashanu, pamwe nemaitiro ekuzvigadzirisa.

Matambudziko ePiritsi

Sarah Kehoe

Jennifer Mathewson aive mupurisa muAir Force paakaita chirwere cheweti. Chiremba wake akamuisa pamushonga unorwisa mabhakitiriya asi haana kubvira ataura kuti zvaigona kukanganisa chirongwa chekudzivirira pamuviri chaainwa. Rimwe zuva, paakange akamira akatarisisa uye achiteerera sajeni vachipa mirairo yezuva, akafenda. Kunyange hazvo musoro wakareruka chiri chiratidzo chenhumbu chinozivikanwa navose, haana kuziva kuti akanga achitarisira kusvika asvika kuchipatara ndokuongororwa ropa. "Ndaive ndisina kuroora uye ndine makore gumi nemapfumbamwe chete, saka ndaitya," anodaro Mathewson, uyo ave nemakore makumi matatu nemaviri uye anoshanda semutori wenhau kuIdaho. "Asi ndaida kuva nemwana, uye ndinotenda kuti ndakamuita."

Ndeapi MaOdds?

Kana rikashandiswa zvakakwana, mapiritsi akabatanidzwa (ane estrogen neprogesterone) neprogestin-only minipill anoshanda ne99,7 muzana. Asi nhamba iyoyo inodonha kusvika pa91 muzana neinonzi “chaiyo kushandiswa”-zvichireva nzira iyo vakadzi vakawanda vanoitora nayo. "Mune zvimwe zviitiko, mwero wekukundikana unogona kunge wakakwira kusvika pamakumi maviri muzana nekuti vanokanganwa kuinwa nguva nenguva kana vanopera mapiritsi uye havazodzore ipapo ipapo," anodaro Andrew M. Kaunitz, MD, sachigaro wehukama Obstetrics uye Gynecology paYunivhesiti yeFlorida College yeMishonga-Jacksonville.

Zvidzivirire

1. Nguva yakwana. Kubuda iyo Piritsi panguva imwechete mazuva ese kuchenjera, uye zvakakosha kana uri kutora progestin-chete mini vhezheni (mahormone mairi anongoshanda kwemaawa makumi maviri nemana). Kana iwe uri nyore kukanganwa, ronga foni yako kuti ikurove, edza app seDrugs.com Pill Reminder ($1; itunes.com), kana kuti ita tsika yekuitora nekudya kwemangwanani. Ndichiri kunetsekana kugara pachirongwa? Funga kuchinjira kune chakaenzana chinoshanda chigamba kana mhete, iyo iwe yaunofanirwa kutsiva chete vhiki nevhiki kana pamwedzi.

2. Funga nezvemishonga yako. Pese paunozadza gwaro rekutenga mushonga mutsva, verenga chinoiswa kana kubvunza chiremba wako kana wemishonga kana zvichigona kukanganisa kushanda kwePiritsi. Nekuti mishonga yekudzivirira yemumuromo inogadziriswa kuburikidza nechiropa, mimwe mishonga inogadziriswa nenzira imwe chete iyi - kusanganisira mamwe maantibayoti, anti-fungal, nemishonga yekurwisa-inogona kuvakanganisa, anotsanangura Sarah Prager, MD, purofesa wehukama hwekubereka uye gynecology. paYunivhesiti yeWashington Chikoro cheMishonga. Kana usina chokwadi, shandisa makondomu. Kuwedzera dziviriro kunodiwawo kana uine tsikidzi yemudumbu uye uchirutsa mukati memaawa maviri kana matatu ekutora piritsi rako (zvitende kana kwete, izvo zvinoonekwa sedoro rakapotsa).

Matambudziko Makondomu

Sarah Kehoe

Zhizha rapfuura, Lia Lam anga achirara nemukomana mutsva paainzwa kuti kondomu ravaishandisa rakatyoka. "Asi ini ndaifunga kuti ndiri kungoita kunge munhu anopenga uye handina kutaura chero chinhu," anodaro Lam, ane makore 31, mutambi wemuVancouver, Canada. Mushure mekunge vapedza, akaburitsa uye hunch yake yakasimbiswa: Hafu yepasi yekondomu yaive ichiri mukati make. Mukuona, Lam anofunga kuti chiitiko chacho chakaitika nokuti akanga akaoma zvishoma panguva yechiito. “Hatina kumbovhunduka, asi takange tave nemwedzi nechidimbu tichidanana uye takanga tisina kugadzirira kuva vabereki,” anodaro. Saka vakananga kuchitoro chemishonga kunotenga dziviriro yekukurumidza (iyo "mangwanani-mushure" piritsi), iyo inodzivirira kubata pamuviri nekumisa ovulation kana kumisa zai rakasimudzwa kubva pakuiswa muchibereko.

Ndeapi MaOdds?

Kana ikashandiswa chaizvo sekufungidzirwa, makondomu echirume (rudzi rwakajairika) anoshanda 98 muzana; nekushandisa chaiko, iyo nhamba inodonha kusvika ku82 muzana. (Dzimwe mhando, dzakadai sedzakagadzirwa kubva pagwayana uye polyurethane, dzinogona kunge dzisinganyanyoita basa, asi iwo sarudzo dzakanaka kana iwe kana mukomana wako musingarwariswe neratex. kunonoka, kana kutyora panguva yebonde.

Zvidzivirire

1. Tarisa maitiro ake. Murume wako anofanira kupfeka kondomu nhengo yake yesikarudzi isati yasvika pese pese pese pese pese pese pauri Anofanira kutsimbirira kondomu, kurikungurutsira pasi zvishoma nezvishoma kuitira kuti mweya wese ubude uye paine nzvimbo yekutora urume, oibvisa achangobuda (paanenge achiri akaomarara). Kuibata pazasi penhengo sezvo yabviswa kunobatsira kudzivirira kubuda.

2. Lube kumusoro. Sezvo Lam akadzidza, kupesana kwakanyanyisa kunogona kukonzera kondomu kubvarura. Sarudza mvura- kana silicone-based lubricant. Chairo kwete-kwete: kushandisa mafuta- kana peturu-yakavakirwa zvigadzirwa, izvo zvinogona kukanganisa kutendeseka kweratex.

3. Tarisa mazuva ekupera. Makondomu ane hupenyu hwesherufu, husingafanirwe kufuratirwa. Uye kana rabha ichiratidzika kunge yakaoma kana kuomarara painoburitswa mupakeji, ikande.

4. Iva negadziriro yeparutivi. Kana kondomu rikakundikana, tevera kutungamira kwaLam uye tenga kudzivirira kubata pamuviri. Pane matatu matatu: ella, Inotevera Sarudzo Imwe Dosi, uye Chirongwa B. Chero ani ane makore gumi nemashanu kana mukuru anogona kuzvitenga pasina tsamba, kunyangwe iwe uchafanirwa kubvunza wemishonga nekuti akachengetwa kuseri kwekaunda. Iwe une mazuva mashanu kutora ella; mamwe acho anofanira kushandiswa mukati memaawa makumi manomwe nemaviri.

Tubal Ligation Dambudziko

Sarah Kehoe

Mushure mekunge Crystal Consylman abereka mwana wake wechitatu aine makore makumi maviri nerimwe, akafunga kuita tubal ligation (aka achiisa machubhu ake akasungirirwa), nzira yekuvhiya iyo inotemwa kana kuvharirwa kuti ive nemimba zvachose. Makore manomwe gare gare, muna 2006, akashamisika kuziva kuti aive nepamuviri. Yakanga iri ectopic nhumbu, zvichireva kuti embryo yakanga yaiswa kunze kwechibereko uye yakanga isingakwanise. “Ndakabuda ropa rakawanda nechomukati uye ndakapotsa ndafa,” anoyeuka kudaro Consylman, zvino ane makore 35, anoshanda pane imwe kambani yemagweta muLancaster, PA. Paakamhanyiswa kunoitwa oparesheni yechimbichimbi, akafunga kuti chiremba anovhiya akagadzirisa botched ligation-asi izvo zvanga zvisina kudaro. Mushure mekuita ectopic pregnancy yechipiri 18 mwedzi gare gare, fallopian tubes ake akabviswa zvachose.

Ndeapi MaOdds?

Kubereka kwevakadzi kuita 99.5 muzana kunoshanda, asi magumo emachubhu anombowana nzira yavo yekudzoka pamwechete. Muchiitiko chisingawanzoitika iwe unozobata pamuviri mushure, pane makumi matatu neshanu mukana wekuti ive ectopic nekuti zai rakaberekwa rinogona kubatwa munzvimbo yakakuvadzwa.

Zvidzivirire

1. Sarudza chiremba wako zvakanaka. Tarisa bhodhi-rakasimbiswa gynecologist uyo akaita maitiro kanokwana gumi nemaviri kanoverengeka.

2. Tevera maitiro emashure. Kuve uine machubhu ako akasungirwa kunofanirwa kukupa iwe pakarepo chena, asi chiremba wako angangoda kuti iwe uuye kuzoteedzera-vhiki dzinoverengeka gare gare kuti uone kana iwe uchipora mushe. Uye kana ukasarudza imwe tubal ligation imwe-yakadai seEssure, imwe sarudzo itsva umo macoils madiki anoiswa mumachubhu e fallopian kuti avhare-unozoda yakakosha X-ray mwedzi mitatu gare gare kuratidza kuti machubhu akavharwa zvakazara. Zvichakadaro, iwe unenge uchida kushandisa kuchengetedza kubata pamuviri.

Sterilization Snafus

Sarah Kehoe

Mushure mekuve nevana vaviri, Lisa Cooper nemurume wake vakasarudza kuti yavo mhuri yaive yakakwana, saka aive nevasectomy. Asi makore mashanu gare gare, Shreveport, LA-anoshanda bhizinesi mukadzi akatanga kuwedzera huremu pasina chikonzero chiri pachena uye kuona pasina nguva yakazara. Nemhaka yekuti aive nemakore makumi matatu nemanomwe, akazvikanda kusvika panguva yekupedzisira. "Panguva yandakatora bvunzo dzepamuviri ndokuenda kuna chiremba, ndaiva nemavhiki e19," anodaro Cooper, iye zvino ane makore makumi mana nemana. kuvhiya kwakabudirira. Mushure mekugamuchira vana vavo vechitatu nechina, murume waCooper akaenda kune yechipiri vasectomy-uye panguva ino akaona chiremba wake mushure mekukurudzirwa.

Ndeapi Matambudziko?

Vasectomy ine 99,9 muzana inoshanda, ichiita kuti ive nzira yakatendeka yekudzivirira kuberekwa inowanikwa. Asi kunyange pano, kukanganisa kwevanhu kunogona kuitika. Munguva yekuita, iyo vas deferens, iyo chubhu inotakura urume kuenda kunzira yekubuditsa, inodimburwa kana kusungwa, anotsanangura Philip Darney, MD, muzvinafundo wekubereka, gynecology, uye nesainzi yekubereka paUniversity yeCalifornia, San Francisco. Asi kana iyo snip yakaitwa munzvimbo isiriyo, haishande. Imwe ingangoita glitch: "Mhedziso dzakatemwa dzinogona kukura zvakare kana dzikasapararira kure zvakakwana."

Zvidzivirire

1. Sarudza chiremba anovhiya akasimba. Sezvakaita netubal ligation, tora mupi uyo ari bhodhi-akasimbiswa uye ane yakawanda yeaya maitiro pasi pebhandi rake. Chiremba wako wekutanga anogona kupa zvikumbiro zvakawanda. Uye nguva dzose zvine hungwaru kutarisa kune mumiririri wachiremba; bhodhi rako rezinesi rehurumende rinogona kupa ruzivo nezve chero masuit anokanganisa.

2. Mirira chiratidzo chakajeka. Nyaya yaCooper inoratidza kukosha kwekuti mumwe wako awane ongororo yemurume panenge mwedzi mitatu mushure mekuitwa; zvakakosha kuti uve nechokwadi chekuti haana chena. Kusvika panguva iyoyo, shandisa imwe nzira yekudzivirira.

Matambudziko eIUD

Getty Mifananidzo

Muna 2005, Kristen Brown akasarudza kutora IUD (intrauterine device) nokuti akanga anzwa kuti yakanga isingaite. Iye nemurume wake vanga vatove nevana vatatu uye vanga vasina kugadzirira vamwe. Makore maviri gare gare, Brown akatanga kurwadziwa zvakanyanya muchiuno uye kubuda ropa zvakanyanya. Nekutyira kuti angave aine fibroids kana kuti endometriosis, akaenda kunoona mukadzi wake, uyo akamuzivisa kuti aive nepamuviri. Nekuda kwekubuda ropa, akaiswa pamubhedha zororo, asi mwedzi wakatevera akazobvaruka. "Chiitiko ichi chairwadza zvikuru pamoyo nepanyama, uye ndakarasikirwa neropa rakawanda kwazvo-zvekuti ndakapotsa ndaida kuwedzerwa ropa," anoyeuka Brown, parizvino 42 uye munyori muJacksonville, FL. Vanachiremba havana kumbobvira vafungidzira chaizvo kuti chii chakakanganisika neIUD, asi pamwe yakabva panzvimbo yayo yekutanga. Anodaro Brown, "Dambudziko rakatyora fungidziro yangu yekuchengeteka uye kugona kwekuberekwa."

Ndeapi MaOdds?

IUD, kamudziyo kanenge kakaita “T” kakaiswa muchibereko kudzivirira mbeu kuti isasangana nezai, inoshanda nechikamu chinodarika 99 kubva muzana kana ikashandiswa zvakakwana. Kunyangwe zvisingawanzoitika, chikonzero chakajairika maIUDs kutadza ndechekuti vanoenda mumuromo wechibereko. IUD inogona zvakare kudzingwa muchibereko, pamwe iwe usingazvizive. (Somuenzaniso, unogona kuirasa muchimbuzi.) Kuva nemapolyps, fibroids, kana kuti kudzvanya kwechibereko chakasimba (zvinokonzeresa marwadzo ekuenda kumwedzi) kunogona kuwedzera njodzi yekutsvedza.

Zvidzivirire

1. Ita chimiro chekutarisa. Vagadziri vanoratidza kuti kamwe chete pamwedzi unoita shuwa kuti tambo yepurasitiki yeku-kusvika-2-inch yakasungirirwa pachigadzirwa ichi yakaturika pasi kuburikidza nemuromo wechibereko mukati memukadzi sezvainofanirwa kuve. Kana ikashaikwa kana kuti ichiita seyakareba kupfuura nguva, ona chiremba wako (uye shandisa kuchengetedza kuberekwa panguva ino). Asi usambofa wakadhonza tambo. “Vakadzi vakabvisa netsaona maIUD avo nenzira iyi,” anonyevera kudaro Prager.

2. Tanga wakasimba. Kana iwe ukasarudza iyo ParaGard (mhangura IUD), inofanira kushanda nekukurumidza kana iwe uchinge waiwana. Skyla neMirena, ayo ane shoma progestin, anoshandawo ipapo kana akaiswa mukati memazuva manomwe mushure mekutanga kwenguva yako; kana zvisina kudaro, shandisa nzira yekuchengetedza kwevhiki imwe. Skyla yakanaka kusvika kumakore matatu, Mirena inogara kusvika kumashanu, uye ParaGard inogona kugara kusvika ku10. "Tinodaidza IUDs kukanganwa kudzivirira kubata pamuviri," anodaro Kaunitz, "nokuti haufaniri kuyeuka chero chinhu kuti urambe wakachengetedzwa. "

Ongororo ye