Iindlela kunye nokulungelelaniswa kokuphuculwa kwexesha elingxamisekileyo zenzelwe ukukhusela ukukhulelwa okungafunekiyo ngenxa yesondo esingakhuselekanga. Kwangexesha elide, iipilisi zokukhusela eziphuthumayo aziphumelelanga ngezizathu ezininzi. Okokuqala, inani lamazwe amaninzi alingaxelelwa ngokuba khona kwezi ziyobisi. Kwaye okwesibini, ngenxa yeziphumo ezinokuthi zenze i-contraception, ezininzi zeengxaki ezinxulumene neziyobisi ezingafanelekanga. Ngenxa yoko, abaninzi abafazi bebengayazi, okanye besaba ukusebenzisa, iipilisi zokukhusela ngokukhawuleza. Okwangoku, imeko iyenze utshintsho oluphawulekayo, kwaye iimali zokukhawuleza zokukhulelwa ngokukhawuleza zifumana ukunyuka kwanda. Makhe sizame ukufumana ukuba yeyiphi iipilisi ukusuka ekukhulelwe kuze kube yimini enika iinkampani ezixuba imveliso, kunye nendlela yokukhetha ukhetho olufanelekileyo.
Amalungiselelo ahlangeneyo
Enye yeendlela zokuqala zokukhulelwa emva kokulala ngesondo iYuzpe indlela, equka ekuthathe iipilisi ezidibeneyo ngeeyure eziyi-12. Sebenzisa ezi pilisi ngokukhulelwa kungabi ngaphezu kweeyure ezingama-72, emva kokulala ngesondo. Le ndlela ingaphantsi ekusebenzeni kwaye ineempembelelo ezingaphezulu kuneendlela zanamhlanje, ezifana neepilisi zokukhulelwa okungafunekiyo postinor kwaye zisinda.
Amalungiselelo aseProgestin
Iipilisi ze-postinor eziphuthumayo zokukhulelwa, sele zixhaphake ngakumbi ngenxa yokhuseleko lwesizwe. Into esebenzayo yi-levonorgestrel, ebangela ukuvinjelwa kwe-ovulation, kunye nokuphazamisa ukufakwa kwe-oocyte, ngenxa yeenguqu kwiimpawu ze-endometrium. Ukusetyenziswa kwezi pilisi ngokukhulelwa kusebenza emva kweeyure ezingama-72 emva kokulala. Zithathwa kabini, ngexesha leeyure eziyi-12.
Iipilisi zokukhusela eziphuthumayo zinefuthe elifanayo njenge-postinor, kodwa umlinganiselo we-levonorgestrel ukwanda, ngoko kuthatyathwa kanye, kwaye ixesha lokungeniswa lilinganiselwe kwiiyure ezingama-96 emva kokulala ngesondo. Ukulungiselela okusekelwe kwi-levonorgestrel kulahlekelwa ngempumelelo xa kutyalwa iqanda ekhulile, kwaye akuchaphazeli umntwana. Ngoko ke, ukuthatha izidakamizwa akusikho umqondiso wokuphazamiseka kokukhulelwa.
Synthetic steroids
Isiza se mifepristone sithathwa kanye, kwiiyure ezingama-72 emva kokulala ngesondo. Impembelelo yale nkunkuma ihluke kwiidakamizwa zeprogesin, nangona ikwadala utshintsho kwi-endometrium kwaye ikhusela ukufakwa kweqanda elichumayo. Ukuba emva kokuthatha isilwanyana, ukukhulelwa kuye kwenzeka, ngoko umngcipheko wokungaqhelekanga komntwana oza kuba ngowona mkhulu, owuphawu lokukhipha isisu. Xa usebenzisa i-mifepristone ngexesha lokuncelisa, ukuphuka kokutya kuyadingeka ukufikelela kwiiveki ezi-2.
Kubalulekile ukuba uqaphele ukuba ukuphuculwa kwamalungiselelo okukhusela ngokukhawuleza kuncike kakhulu kwixesha lokungeniswa. Yithembeke kakhulu ekufumaneni imali kwiiyure zokuqala emva kokulala ngokwesondo, kwixesha elizayo izinga lokusebenza liyehla, ukusuka kwi-98% ukuya kwi-60%. Kwakhona, asimele sikhohlwe ukuba ukukhulelwa kwexesha eliphuthumayo akufanelekanga ukuba kwamkelwe rhoqo, ngoko kubalulekile ukunyamekela ulwaphulo lokucwangcisa.
Igama lokubethelwa kwamathebhulethi> lingahluka ngokuxhomekeka kumenzi, ngoko kukulungele ukhethe i-remedy ngoncedo lwenzululwazi, ngokuqwalasela imeko yezempilo, ubudala kunye neempawu zomntu womzimba wesifazane.
Ekubeni phantse zonke iipilisi ezivela ekukhuleleni ziyasebenza
Ukuqhawula nge-postcoital, okwenene, kunemiphumo emibini, ngenxa yokuphazamiseka kwinkqubo yemvelo, ehlala ihamba nemiphumo emibi. Kodwa ukukhipha isisu kunezinto ezingqinelanayo kunye nemiphumo embi kakhulu, kokubili kwimpilo yabasetyhini kunye nengqondo yakhe yengqondo.
Iipilisi zokukhulelwa ngokukhawuleza ziyakunceda kwiimeko ezahlukeneyo, ukuthintela ukuqala kokukhulelwa okungafunekiyo kwaye ugweme iingxaki ezilandelayo.