Emergency Contraception

Zvinoreva uye kugadzirira kwekukurumidza kubata pamuviri kwakagadzirirwa kuchengetedza kubata kusingadiwi semugumisiro wechirwere chisina kudzivirirwa. Kwemazuva mazhinji, mapiritsi emishonga ekukurumidzira asina kukurumidza haana kubudirira pane zvikonzero zvakawanda. Chokutanga, vagari venyika dzakawanda vakanga vasina kuziviswa nezvekuvapo kwemishonga yakadaro. Uye rwechipiri, nekuda kwemigumisiro iyo inogona kukonzera chirongwa chepabonde, yakawanda yenhema pamusoro pezvinodhaka zvisina kukodzera kuitika. Somugumisiro, vakadzi vazhinji vangave vasingazivi, kana kuti vakatya kushandisa, chirwere chemishonga chinononoka. Panguva ino, mamiriro ezvinhu akave nekuchinja kukuru, uye mari yepabonde rekudzivirira pamuviri iri kuwedzera kukurumbira. Ngatiedzei kuongorora mapiritsi kubva pakuberekwa kusvikira zuva rapa makambani emishonga, uye kuti ungasarudza sei zvakakosha.

Kusanganiswa kugadzirira

Imwe yenzira dzokutanga dzekudzivirira kubata pamuviri mushure mekuita zvepabonde ndiyo nzira Yuzpe, iyo inosanganisira kutora mahwendefa akabatanidzwa ane nguva yeawa 12. Shandisa idzi mapiritsi ekuzvitakura zvinogona kunge zvisingasviki maawa 72, mushure mekuita zvepabonde. Iyi nzira yakaderera mukubudirira uye inowedzera mimwe migumisiro kupfuura nzira dzemazuva ano, zvakadai semapiritsi ekudzivirira kusingadiwi postinor uye kupukunyuka.

Progestin mazano

Matafura ehutachiona hwekudzivirira kubata pamuviri, ave akapararira zvikuru nekuda kwekuchengetedzwa kwehukama. Izvo zvinoshandiswa zvinonzi levonorgestrel, izvo zvinokonzera kuvharwa kweivulation, pamwe nekupindira nekuiswa kweoocyte, nekuda kwekuchinja kwezvinhu zve endometrium. Kushandiswa kwemapiritsi kubva pakuberekwa kunoshanda maawa 72 mushure mokuita zvepabonde. Vanotorwa kaviri, neawa 12-awa.

Mishonga inononoka yekuvhara mishonga inokonzera zvakafanana neyamashure, asi muyero we levonorgestrel unowedzerwa, saka inotorwa kamwe chete, uye nguva yekudya inongopera maawa 96 mushure mokuita zvepabonde. Kugadzirira kwakagadzirirwa nevonorgestrel kurasikirwa nekubudirira kwayo kana kuiswa kweii yakarumuka kwakaitika, uye hakunakidzi fetus. Nokudaro, kutora mishonga yakadaro hakusi chiratidzo chekupererwa kwehutumbi.

Synthetic steroids

Iyo mishonga mifepristone inotorwawo kamwe chete, mukati maawa 72 mushure mekuita zvepabonde. Izvozvo zvinokonzerwa nemishonga iyi yakasiyana neprogestin zvinodhaka, kunyange zvazvo zvinokonzera kuchinja mu endometrium uye zvinodzivirira kuiswa kweii rinogadzirwa. Kana mushure mokunge watora mishonga, mimba yakabatanidzwa, saka njodzi yekuberekwa kwekuberekwa ichave yakakwirira kwazvo, iyo inoratidzira kubvisa pamuviri. Paunenge uchishandisa mifepristone munguva yekuyamwisa, kupera mukudya kunodiwa kwemavhiki maviri.

Zvakakosha kuziva kuti kubudirira kwekugadzirisa matambudziko ekudzivirira kubata pamuviri kunonyanya kubva pane nguva yekugamuchirwa. Inonyanya kuvimbika kugamuchira mari mumaawa ekutanga mushure mokuita zvepabonde, mune ramangwana urongwa hwehutano hwakaderera, kubva pa98% kusvika ku60%. Uyewo, hatifaniri kukanganwa kuti chirongwa chekudzivirira kwekukurumidzira hachina kukodzera kubvumirwa nguva dzose, saka zvakakosha kutarisira chirongwa chekubata pamuviri.

Zita rematafura ekuzvitakura> zvinogona kusiyana zvichienderana nemuti, saka zvakanakisisa kusarudza mushonga pamwe nekubatsirwa nenyanzvi, uchifunga nezvehupenyu hwehutano, makore uye maitiro ehumwe muviri wemukadzi.

Sezvo inenge mapepa ose kubva pamuviri inoshanda Maawa 72 mushure mekudzivirira kwepabonde pasina kudzivirirwa, saka mumatambudziko apo kutora mishonga pane chero chikonzero chakanga chisingaiti, zvinokurudzirwa kushandisa zvishandiso zve intrauterine zvakadai semhepo. Iko kunofanirwa kutakurwa mupfungwa kuti kuiswa kwemhepo kunoshanda chete kana yakashandiswa kwemazuva mashanu mushure mekudzivirira kusina kudzivirirwa, asi kana pasina zvinopesana, zvino inogona kushandiswa mune ramangwana sechirongwa chekubata pamuviri. Chete gynecologist inorondedzera uye inowedzera mhepo.

Kuvhara pamuviri kwepascoital, zvechokwadi, ine mimwe miviri yakaipa, nokuti inopindira mumararamiro emuviri, ayo anogara achienda nemigumisiro yakaipa. Asi kubvisa pamuviri kune zvakawanda zvinopesana nezvimwe uye nemigumisiro yakakomba, zvose nekuda kwehutano hwevakadzi uye nokuda kwepfungwa dzake.

Emergency contraception mapiritsi anogona kubatsira mumamiriro akasiyana-siyana, kudzivirira kutanga kwemuviri usina kukodzera uye kudzivisa matambudziko anotevera.