Ndeipi nzira yekuzvarwa yakanaka kwazvo mushure memakumi matatu nematatu?

Dzidzo yehutano

Kana iwe uchangobva kupemberera zuva rekuzvarwa rinokosha, wakambopa kurangarira kune rudzi rwekudzivirira kubereka iwe kwauri kushandisa?

Kazhinji, kuzvarwa kwevanhukadzi vanodarika makore makumi mana hakuna kunyanyosiyana nekuzvarwa kwevakadzi vane makore anodarika makumi matatu nemashanu. Kana iwe uri kufara nenzira yazvino yekudzivirira kubata pamuviri yawave kushandisa, uye uine hutano hwakanaka zvachose, pane chokwadi hapana chikonzero chekuchinja nekuti paine imwe kenduru pane rako rekuzvarwa keke.

Iko hakuna nezve zera rega rinoti haugone kushandisa imwe mhando yekuzvarwa, inotsanangura Kate White , MD, MPH, director weiyo Fellowship muFamily Planning kuBoston Medical Center. Kana iwe uine hutano pane chero zera, unogona kushandisa chero chinhu.

Dzimwe sarudzo dzako dzinosanganisira:

• Mapiritsi ekudzivirira kubata pamuviri : Iwe unogona kutora musanganiswa piritsi, iyo ine zvese estrogen uye progestin, kana progestin-chete piritsi. Ose maviri anouya mune yakaderera-dhivhosi shanduro, uye musanganiswa mapiritsi anouyawo akawedzerwa-kutenderera shanduro.
• IUDs : Intrauterine zvishandiso inzira inozivikanwa yeakareba-kuita inodzoreredza kubata pamuviri, kana LARC. Vamwe, vakaita se Mirena kana Liletta IUDs, ihormone mafomu, nepo vamwe, vakaita se Paragard IUD, imhangura.
• Majekiseni : Kana iwe ukasarudza yekuzvarwa kupfura, inonzi Depot Tarisa , unogamuchira jekiseni reprogestin mwedzi mitatu yega yega kudzivirira nhumbu.
• Anodyara : Imwe nzira yekudzivirira kubata pamuviri inoshanda kwenguva refu, iyo inosimudza inoburitsa progestin mumuviri wako kwemakore matatu kubva panzvimbo yayo muchanza chako chepamusoro.
• Chigamba : Namatira paganda rako kwevhiki nhatu, wozobvisa. Nyorera imwe nyowani mwedzi wega.
• Mhete yechikadzi : Aya ndiwo anogadziriswa, mhete dzinobviswa dzine zvese estrogen uye progestin.

Asi chinhu chimwe chausingakwanise kuita kushaya hanya nenyaya yacho yese. Usakanda mapfumo pasi pakubata kusvikira iwe waziva kuti wave kunyatsopera kwemwedzi, anodaro Mary Jane Minkin, MD , kiriniki purofesa wekubereka, gynecology uye zvekubereka sainzi kuYale University Chikoro cheMishonga.

Izvi zvinoreva kuti iwe unofanirwa kuenda kwegore rose pasina nguva yekuenda kumwedzi usati waonekana nekudzora kubereka zvachose.

Kadhi yekunyorera kadhi

Tarisa pachezvako panjodzi

Sezvo iwe uchiyera zvaunogona kusarudza, pane zvimwe zvehutano nyaya zvekutarisa, mune yako yekupedzisira 30s uye mukati mako ese 40s. Chii chaunofanira kufunga nezvacho pakusarudza nzira yekudzivirira nayo? Unofanirwa kuyera njodzi dzine chekuita nehutano dzekudzivirira nhumbu uchipokana nenjodzi dzakawedzerwa dzinobata nekuva nepamuviri mushure memakore makumi matatu nemashanu - kusanganisira nhumbu isina kurongwa, anodaro Wendy Askew, MD, OB-GYN muSan Antonio, Texas. Njodzi idzi dziripo kuvakadzi vari pasi pemakore makumi matatu nemashanu, zvakare, asi dzakaderera zvakanyanya.

Kusvuta

Kana iwe uine makore makumi matatu nemashanu kana kupfuura uye uchisvuta, inguva yekuonekana nemapiritsi ako ekuberekwa. Kusvuta kunomutsa njodzi yako yehutano hwepfungwa zvakadaro. Asi iyo kusanganiswa kwekudzora kuberekwa kwehomoni uye kusvuta inogona kuwedzera njodzi yako yekugwamba kweropa uye neBP.

Ropa rinovhara

Kana iwe uri panjodzi yekuwedzera kune mamwe mamiriro sekugwamba kweropa, chiremba wako anogona kukuendesa kure nedzimwe nzira dzekudzivirira kubata pamuviri. Semuenzaniso, kusanganiswa kwekuberekwa kwekuberekwa mapiritsi ane zvese estrogen uye progestin uye zvinogona kukwidza njodzi yako yekukura kweropa. Iyo yekudzivirira yekuberekwa jekiseni inozivikanwa seDepo-Provera inozivikanwa zviri nani nekubatanidzwa nekuwedzera kwekurasikirwa kwemapfupa nekufamba kwenguva. Iyo haina estrogen, asi vamwe vakadzi vanogona kukura thrombosis mushure mekutora .

Humwe mamiriro ehutano

Iwe unogona zvakare kuda kudzivirira nzira dzine estrogen kana uine BP, kana kana iwe uine chirwere cheshuga kweanenge makore makumi maviri. Migraine misoro ine aura inogona kunge iri imwe contraindication, anodaro Dr. White.

Gomarara

Ngozi yekuva nekenza, zvisinei, haina kujeka. Ngozi yako yekuva nekenza inowedzera nezera. Panogona kuve ne mukana mudiki wekuwedzera njodzi yekenza yemazamu inosanganiswa nemamwe manyorerwo ekudzivirira kubata pamuviri, asi anogona kukanganiswa nenjodzi yakadzikira yemamwe marudzi ekenza, senge ovarian uye uterine kenza. Uye sekutaura kwaDr. Askew, bhenefiti yekudzivirira kubata nhumbu kusingadiwe inogona kupfuura njodzi. Vakadzi vane nhoroondo yemhuri yeimwe geni mutation yekenza yemazamu vachiri kufunga nezvekutarisa dzimwe sarudzo, zvakadaro.

Kusarudza yakanakisa nzira yekudzivirira kuberekwa

Mumakore ako ekupedzisira makumi matatu nemakumi mana, iwe unofanirwa kuzvibvunza iwe- uye kuva akatendeseka pamusoro pemhinduro - kana uri kuronga kuita chero vana mune ramangwana.

• Hongu, ndiri kuronga kuita vana . Kana mhinduro iri hongu, unogona kuenda nechero ipi nzira, kunze kwaDepo-Provera. Sekureva kwaDr.White, zvinogona kutora chinguva kuti kubereka kwako kudzoke mushure mekuenda kuDepo-Provera, uye kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge wasvika makore makumi matatu kana makumi mana, hauna nguva yakawanda yekurega.
• Pamwe ndichaita vana. Kana iwe uchifunga kudaro, maIUD uye zvinodyarwa zvinogona kuve zvakanaka nekuti zvinogona kukupa makore ekusafunga nezvekudzora kubereka uchiri kuchengetedza sarudzo, kana usiri chokwadi che100%, anodaro Dr. White.
• Kwete, ini handironge nezve kuve nevana . Kana iwe uchiziva kuti wapedza kuve nevana, funga nezve [kuvhiya] mbereko, anodaro Dr. White. Zvisinei, kana iwe nemumwe wako musingadi kuenda nenzira iyoyo, munogona kuenderera muchishandisa piritsi, LARC, kana imwe nzira, chero musina nyaya dzehutano dzinogona kunge dzichinetsa.

Kudzora kuberekwa kwevakadzi vanopfuura makumi mana kunogona kukubatsira kubata zviratidzo zve perimenopause kuti uri kusangana. Taura nachiremba wako kana uine hanya nezviratidzo zvakaita sekupisa, kupisa kwezuva husiku, uye kuoma kwechikadzi uye kurukura kuti ndedzipi nzira dzinogona kunge dzakanakira iwe. Kana iwe usina kana zvinopesana, nzira ine estrogen, semubatanidzwa piritsi rekudzora kana ringi, inogona kukubatsira iwe kubata zvimwe zvezviratidzo, anodaro Dr. Minkin. Uye kana uri nechokuita mutsva naye, musakanganwa kushandisa makondomu-unogona kuwana chirwere chepabonde chero zera.

Kuchengeta zvaunogona kuvhura

Zvichienderana nehutano hwako kana zvimwe zvinodiwa, dzimwe sarudzo dzekuberekwa dzinogona kunge dziri nani pane vamwe iwe mune yako 40s uye 50s. Uyezve, zvitsva zvinogona kunge zviri mumabasa. Nguva dzose zvakanaka kuongorora zvakare nekuti panogara paine zviitiko zvitsva zvinouya panzvimbo, anodaro Dr. Minkin.

Semuenzaniso, U.S. Food and Drug Administration yakabvumidza rin'i nyowani yemukadzi inonzi Zvinokosha muna 2018. Kusiyana NuvaRing , iyo imwe mhete yechikadzi pamusika, inogona kushandiswa kwegore rese. Iwe uchiri kufanira kuibvisa mwedzi wega wega, asi haufanire kuwana imwe nyowani mwedzi wega kubva kufesi.

Uye usatya kuedza chimwe chinhu kana nzira yako yazvino ikasashandira iwe uye zvako zvaunoda. Iko kuyedza uye kukanganisa nekuberekwa, Dr. Askew anodaro.