Umhlahlandlela Wokugcina Ekuhleleni Komndeni: Izimpendulo Zemibuzo Esemqoka

-Delile

• 1. Kungani ukuhlela umndeni kubalulekile?
• 2. Ziyini izinzuzo zokuhlela umndeni?
• 3. Yiziphi izingqinamba zokuhlela umndeni?
• 4. Yiziphi ezinye izinhlobo zokuhlela umndeni?
• 5. Yiziphi ezinye zezindlela zendabuko zokuhlela umndeni?
• 6. Kusebenza kanjani ukuhlela kwemvelo ngokwemvelo?
• 7. Kuhlanganisani ukuvala inzalo?
• 8. Zisebenza kangakanani izinhlobo ezahlukene zokuhlela umndeni?
• 9. Impilo yami iyithinta kanjani indlela yokuhlela umndeni engiyikhethile?
• 10. Ziyini izinzuzo zezempilo zokuvimbela inzalo ngomlomo?
• 11. Yiziphi izinto okufanele ngizicabangele lapho ngikhetha indlela yokuvimbela inzalo?
• 12. Uma ngikhulelwa ngenkathi ngisebenzisa umuthi wokuvimbela inzalo wamahomoni, ingabe izolimaza ingane yami?
• 13. Ngizothatha isikhathi esingakanani ukukhulelwa ngemuva kokuyeka ukusebenzisa iphilisi noma umjovo?
• 14. Sizokwazi kanjani uma sesikulungele ukuqala umndeni?

“Manje uhlela ukuqala nini umndeni?

Lo ngumbuzo ojwayelekile ukuthi izithandani ezisencane noma abasanda kushada bazobuzwa lapho sebenesikhathi esithile beshadile bengenayo ingane.

Ngempela lo ngumbuzo obalulekile okufanele uwucabangele uma uhlela ukuba nezingane, ngoba imiphumela yokuba nomndeni ngokungangabazeki ifinyelela kude.

Incazelo yokuhlela umndeni efanelekile ukulawula inani lezingane onazo, nesikhathi nezikhawu phakathi kokuzalwa kwazo, ngokusebenzisa izindlela zokuvimbela inzalo noma inzalo yokuzithandela.

Kulezi zinsuku kunezindlela eziningi ongakhetha kuzo futhi kungaba yinto ethusayo ukuzama ukuthola ukuthi yini engasebenza kangcono esimeni sakho.

Noma mhlawumbe unokungabaza okuthile nemibuzo yokuhlela umndeni maqondana nokuphepha kwezindlela ezithile, noma ngendaba yonke yokuhlela umndeni ngemuva komshado.

Ukwazi imibuzo efanele ukubuzwa ngokuhlela umndeni noma imibuzo ngezindlela zokuhlela umndeni kuyisidingo kwabashadikazi abajabulisa umqondo wokuqala umndeni. Izeluleko ezinhle kakhulu zokuhlela umndeni azizukuphendula imibuzo yakho kuphela kepha zizokusiza nokuthi ubone ezintsha.

Njengabantu abashadile uma nifuna usizo ekuzameni ukuthola izimpendulo zemibuzo ethile yokuhlela umndeni efana nokuthi ukuhlela umndeni kusebenza kanjani? Yiziphi izeluleko ezinhle kakhulu zokuhlela umndeni? Yiziphi izindlela ezinhle kakhulu zokuhlela umndeni? Yini okufanele ibe yimicabango yakho eyinhloko yokuhlela umndeni?

Lo mbhalo uzofuna ukubeka okunye kwalokhu kungabaza nokwesaba ukuphumula njengoba sixoxa ngemibuzo ebuzwa njalo yokuhlela umndeni, kanye neminye engabuzwa njalo, ngesihloko sokuhlela umndeni, ngokulandelayo:

1. Kungani ukuhlela umndeni kubalulekile?
2. Yiziphi izinzuzo zokuhlela umndeni?
3. Yiziphi izingqinamba zokuhlela umndeni?
4. Yiziphi ezinye izinhlobo zokuhlela umndeni?
5. Yiziphi ezinye zezindlela zendabuko zokuhlela umndeni?
6. Kusebenza kanjani ukuhlela kwemindeni ngokwemvelo?
7. Kuhlanganisani ukuvala inzalo?
8. Zisebenza kangakanani izinhlobo ezahlukene zokuhlela umndeni?
9. Impilo yami iyithinta kanjani indlela yokuhlela umndeni engiyikhethile?
10. Ziyini izinzuzo zezempilo zokuvimbela inzalo ngomlomo?
11. Yiziphi izinto okufanele ngizicabangele lapho ngikhetha indlela yokuvimbela inzalo?
12. Uma ngikhulelwa ngenkathi ngisebenzisa umuthi wokuvimbela inzalo wamahomoni, ingabe izolimaza ingane yami?
13. Ngizothatha isikhathi esingakanani ukukhulelwa ngemuva kokuyeka ukusebenzisa iphilisi noma umjovo?
14. Sizokwazi kanjani uma sesikulungele ukuqala umndeni?

Le mibuzo yokuhlela umndeni izokwazi ukwanelisa iningi lemibuzo yenu futhi ikulungiselele lokho okuzayo.

1. Kungani ukuhlela umndeni kubalulekile?

Kubalulekile ukuthi wonke umuntu omdala ocansini abheke futhi axoxe ngokuhlela umndeni, noma ngezinkinga zokulawulwa kokuzalwa. Lokhu akwenzelwe nje ukuvimbela ukukhulelwa okungafunwa, kepha futhi nokuhlela isikhathi sokukhulelwa kokukhulelwa okufunwayo.

Ngale ndlela, ungazama ukuhlela yonke ingane. Isikhala phakathi kwezelamani nakho kubalulekile futhi kungalawulwa ngokuhlelwa okufanele.

Ezikhathini ezidlule, izindlela zokulawula ukubeletha zazilinganiselwe kakhulu, futhi imibhangqwana yayingalindela ukuqhubeka ikhulela izingane kuyo yonke iminyaka yazo evundile, mhlawumbe kuze kube yishumi nambili noma ngisho nokukhulelwa okuyishumi nanhlanu!

Kodwa-ke njengoba manje sekube nentuthuko engaka kule ndawo, ukubaluleka kokuhlela umndeni ukuthi kunikeza imibhangqwana ithuba lokusebenzisa umthwalo wayo nokukhetha kule ndawo ebalulekile yempilo yayo.

2. Ziyini izinzuzo zokuhlela umndeni?

Uma uhlela umndeni wakho ngokucophelela, ucabangela ukuthi ungathanda ukuthi zingaki izingane nokuthi ungathanda ziqhelelene kangakanani, kunezinzuzo ezithile. Okokuqala, kunezinzuzo zezempilo zomama nengane.

Uma izingane zihlukaniswe okungenani iminyaka emibili noma ngaphezulu ngokuhlukana, lokhu kunika umzimba womama isikhathi sokululama ngaphambi kokuya kokunye ukukhulelwa, futhi ukwazi kangcono ukunakekela ingane ngayinye ezinyangeni zayo zokuqala.

Okwesibili, kunezinzuzo zezomnotho lapho ungahlelela ukuba nezingane eziningi ngokwazi kwakho ukuthi uzokwazi ukuhlinzekela ngokwanele.

Okwesithathu, ngokuhlela umndeni ngokuhlakanipha ungathola izingane zakho ngenkathi useminyakeni engamashumi amabili noma ekuqaleni kwamashumi amathathu, ngaleyo ndlela unciphise izingozi zempilo ezibandakanyeka ekukhulelweni ngemuva kweminyaka engamashumi amathathu nanhlanu.

3. Yiziphi izingqinamba zokuhlela umndeni?

Eminye yemibuzo esemqoka yokuhlela umndeni ihambisana nobubi bokuhlelwa komndeni. Ngokuya ngokuthi iyiphi indlela yokuhlela umndeni oyisebenzisayo, kungahle kube nokuncipha okuncane okufanele kubhekwe lapho kubhekwa khona imiphumela emibi.

Lokhu kuyiqiniso ikakhulukazi uma usebenzisa ukulawulwa kokuzalwa kwamahomoni njengamaphilisi okuvimbela ukukhulelwa noma imijovo, okufakelwayo, amabala noma izindandatho zesitho sangasese sowesifazane. Yize abesifazane abaningi besebenzisa lezi zindlela ngenjabulo ngaphandle kwemiphumela emibi nhlobo, kwabanye besifazane kungaba nezinkinga ezithile ezibonakalayo noma ukusabela okungathandeki.

Okuvame kakhulu kulokhu kungabandakanya ukuzuza kwesisindo, isiyezi, isicanucanu nekhanda. Ezimweni ezibucayi kakhulu, ezingavamisile ukwenzeka, kungahle kube nokushaywa unhlangothi, amahlule egazi noma ukukhulelwa kwe-ectopic.

Ngemuva kokufunda lokho, ungahle ucabange ukuthi inketho enhle kakhulu yindlela yokuhlela umndeni (ngaphezulu kwalokho ngokuhamba kwesikhathi). Kuyiqiniso ukuthi le ndlela ayiniki miphumela engemihle, kepha khumbula ukuthi isebenza cishe ngama-75% kuphela, ngakho-ke ungaba namathuba okungenani angama-25% okukhulelwa “okungahlelelwe”.

4. Yiziphi ezinye izinhlobo zokuhlela umndeni?

Kunezinhlobonhlobo zezinketho zokuhlela umndeni ezitholakalayo. Lokhu kungahlukaniswa ngokubanzi ngezigaba ezilandelayo:

• Izindlela zokuvimbela: Njengoba igama liphakamisa, le ndlela ngokuyisisekelo ifaka ukudala umgoqo wokuvimbela isidoda ekufinyeleleni eqandeni. Lokhu kungenziwa ngokusebenzisa amakhondomu abesilisa noma abesifazane, izinto ezibulala amadlozi, izifingo, izigqoko zomlomo wesibeletho noma izipanji.
• Izindlela zehormonal: Ukulawulwa kokubeletha kwehormonal kufaka phakathi ukusetshenziswa kwezindlela zokuvimbela inzalo zomlomo (iphilisi) noma imijovo, kanye nezindandatho zesitho sangasese sowesifazane kanye nezimagqabhagqabha. Lokhu kungafaka ama-hormone amabili, okuyi-estrogen ne-progestin, noma i-progestin kuphela.
• Amadivayisi we-Intrauterine: Ngokuvamile lokhu kubizwa ngokuthi ama-IUD's. Le ndlela ifaka ukufaka into yokulawula ukubeletha esibelethweni sowesifazane. Inketho eyodwa yiCopper T (ParaGard) engenawo ama-hormone futhi engahlala iminyaka eyishumi noma ngaphezulu. Enye indlela yi-LNG-IUS (Mirena) ekhipha i-hormone yabesifazane yokwenziwa futhi ihlala kuze kube yiminyaka emihlanu.
• Izindlela zemvelo: Le ndlela kwesinye isikhathi ibizwa ngokuthi yindlela yesigqi, futhi ibandakanya owesifazane ukuqaphela ngokucophelela nokuqapha umjikelezo wakhe wokuya esikhathini, nokugwema ukuya ocansini ezinsukwini zenyanga lapho ebezokhulelwa khona kakhulu.
• Izindlela ezihlala njalo: Uma unomuzwa wokuthi umndeni wakho uphelele futhi ungathanda ukukhetha unomphela ukuvimbela noma yikuphi ukukhulelwa okuqhubekayo, lapho-ke kungadingeka ukuthi ucabangele ukuhlinzwa ngokuvala inzalo. Kwabesifazane lokhu kungasho ukuba ne-tubal ligation, futhi kwabesilisa, i-vasectomy.

5. Yiziphi ezinye zezindlela zendabuko zokuhlela umndeni?

Okwamanje ungahle uzibuze, ngabe benzeni emhlabeni ezinsukwini zakudala ngaphambi kokuba zonke lezi zindlela zesimanje zitholakale? Impela ukuhlela umndeni kuyinkinga yakudala, futhi okhokho bethu nomama kumele babe nemibono nezindlela zabo.

Ngo-1873 kwase kutholakele amakhondomu neziphambano, kodwa ngaphambi kwalokho izindlela eziyinhloko zokuhlela umndeni zaziyilezi:

• ukuzithiba
• ukuhoxiswa (coitus interruptus), noma
• ukubulala izinsana (ukubulala izingane ngesikhathi sokuzalwa)

Ukuzama ukukhipha isisu obehluleka nokwehluleka nakho bekuyinsakavukela futhi kwaba yingozi enkulu kwezempilo komama.

Ukuncelisa isikhathi eside ibiyindlela kwezinye izimo lapho umama akwazi ukuvimbela noma ukuvimba ukukhulelwa futhi ngenkathi esenga ezimithiyo.

Indlela yemvelo, eyaziwa nangokuthi indlela yekhalenda noma indlela yesigqi bekungaba umzamo wendabuko osetshenziswa kakhulu ekuhleleni umndeni.

6. Kusebenza kanjani ukuhlela kwemvelo ngokwemvelo?

Yize ukuhlelwa komndeni ngokwemvelo kwakusetshenziswa esikhathini esedlule, kulezi zinsuku ngalo lonke ucwaningo olwenzekile, sinolwazi oluningi nobuchwepheshe esinakho ukwenza le ndlela ibe yimpumelelo nephumelelayo kunalokho okwakwenzelwa ababengaphambi kwethu.

Ukuhlelwa komndeni ngokwemvelo (NFP) kubhekisa kunoma iyiphi indlela yokuvimbela inzalo lapho ukukhulelwa kuvinjelwa khona ukungayi ocansini ezinsukwini ezithile lapho owesifazane evundile futhi ukukhulelwa kungenzeka kakhulu.

Kucwaningisiswa kahle ngokuya esikhathini kowesifazane kanye namaphethini we-ovulation ukuze kunqunywe ukuthi angakhulelwa nini noma nini. Yize lokhu kungenziwa ekhaya, kungcono ukuthola usizo lodokotela wakho noma umtholampilo.

Kunokwehluka okuyisithupha kwendlela yemvelo yokuhlela umndeni, ngale ndlela elandelayo:

• I-Syndromeothermal: Le ndlela idinga ukuthi owesifazane athathe ukushisa komzimba wakhe osisekelo njalo ekuseni nge-thermometer ekhethekile ebizwa ngokuthi i-basal thermometer enembe kakhulu, kuze kufike emakhulwini ambalwa eziqu.

Ukwanda kancane kwezinga lokushisa kuzokhombisa ukuphela kwesikhathi esivundile, kanye neminye imisebenzi yomzimba edinga ukubhekelwa ngokucophelela, njengokuma komlomo wesibeletho, ukungaguquguquki kwamafinyila kanye nemizwa.

• Ikhalenda-Isigqi: Le yindlela yendabuko kakhulu futhi isebenza kahle kakhulu ngabesifazane abanemijikelezo ejwayelekile yokuya esikhathini. Kususelwa emicabangweni yokuthi ukuvuthwa kweqanda kwenzeka ezinsukwini eziyishumi nane ngaphambi kokuqala ukuya esikhathini, nokuthi iqanda elivelisiwe lingaphila amahora angafika kwamashumi amabili nane, nokuthi isidoda singaphila izinsuku ezifika kwezintathu.

Usebenzisa le mibono emithathu, umuntu angabala izinsuku eziyishumi nane kusukela ngosuku lokuqala lokuya esikhathini ukunquma ukuthi ukukhiqizwa kwamaqanda kufanele kwenzeke nini ngokulandelayo, bese uvikela ukuya ocansini ngaleso sikhathi.

• Indlela Yezinsuku Ezijwayelekile: I-Standard Days Method (SDM) iyefana nendlela yekhalenda-isigqi ngoba ibandakanya ukubala izinsuku zomjikelezo futhi isebenza kangcono kulabo abanomjikelezo ojwayelekile kakhulu ophakathi kwezinsuku ezingama-26 nezingama-32 ubude.

Indandatho yobuhlalu obunemibala (iCycleBeads) iyasetshenziswa, enemibala ehlukene ekhombisa ukuthi yiziphi izinsuku ezivundile nezingazali.

• Ukuvuthwa-Mucus: Uma usebenzisa le ndlela, owesifazane kudingeka abheke futhi aqophe izimpawu zakhe zemvelo zokuzala njengoba kukhonjisiwe ezinhlotsheni ezahlukahlukene zomkhaba ofihlwe umlomo wesibeletho.

Ngokuzijwayeza nosizo lomfundisi oqinisekisiwe wokuhlela umndeni, owesifazane ngokushesha angafunda ukubona izinsuku zakhe ezivundile kakhulu lapho ukuya ocansini kufanele kugwenywe uma engafuni ukukhulelwa.

• Amakhompyutha Wenzalo: Ikhompyutha yokuzala noma isilawuli sokuzala iyithuluzi elincane eliphathwayo elingasetshenziswa ukubikezela ukuzala kowesifazane. Kunezinhlobo ezahlukahlukene zamadivayisi; ezinye ezikala izinga lokushisa okuyisisekelo, kanti ezinye zikala ama-hormone akhona emchameni.

Idivayisi izobe ikhombisa ukuthi kungenzeka yini ukuthi ukukhulelwa kuvele ngalolo suku.

• Indlela ye-Lactational Amenorrhea: Le ndlela, ebizwa nangokuthi yi-LAM kulapho ukuncelisa ibele kusetshenziselwa ukuvimbela ukukhulelwa. Isizathu sokuthi lokhu kusebenze ukuthi ngenkathi umama encelisa, kwenziwa ama-hormone emzimbeni wakhe acindezela i-ovulation, okwenza ukuthi uhlelo lokuzala luhlale lungasebenzi.

Lokhu kuyiqiniso ikakhulukazi ezinyangeni eziyisithupha zokuqala ngemuva kokuba ingane izelwe, uma umama encelisa ngokuphelele ibele futhi engayiniki enye into ngaphandle kobisi lwebele.

7. Kuhlanganisani ukuvala inzalo?

Mhlawumbe usuvele unengane eyodwa noma ezimbili futhi uzizwa umndeni wakho uphelele. Kungenzeka ukuthi ubusebenzisa enye noma enye indlela yokuvimbela inzalo, futhi manje usucabanga ngesixazululo esihlala njalo sokuhlela umndeni.

Ngokuyisisekelo kunezindlela ezimbili ongakhetha kuzo, eyodwa eyabesilisa neyodwa yabesifazane, okubandakanya ukuhlinzwa okuncane futhi okuzoholela ekutheni inzalo ingapheli.

• Tubal Ligation: Kwabesifazane, lolu hlobo lokuhlinzwa lubandakanya ukusika, ukusika noma ukufaka ipayipi le-Fallopian elinamathiselwe esibelethweni. Kusebenza kahle ngama-99% futhi akuvimbi ukuthi isikhathi sokuya esikhathini sowesifazane sivele.

• I-Vasectomy: Kwabesilisa, ukuba ne-vasectomy kusho ukuthi ama-vas deferens (noma amashubhu) avela esendeni ngalinye ayasikwa futhi avalelwe, ngaleyo ndlela kuvinjelwe isidoda ekuxubeni nesidoda esikhishwe. Kubhekwa njenge-99% ngempumelelo futhi akuthinti nganoma iyiphi indlela ubulili bendoda.

8. Zisebenza kangakanani izinhlobo ezahlukene zokuhlela umndeni?

Izinhlobo ezahlukahlukene zokuhlela umndeni zizoba namazinga ahlukene okusebenza, ezinye zithembeke kakhulu futhi zisebenze kunezinye. Ngaphandle kwendlela yangempela esetshenzisiwe, ukuzibophezela komsebenzisi kudlala indima ebalulekile ekusebenzeni kwayo.

Uma isetshenziswa ngokungaguquguquki nangokufanele, kungalindelwa umphumela ongcono. Ngokwezifundo nezibalo ezahlukahlukene, okulandelayo kuyisiqondiso esijwayelekile mayelana nokusebenza kwezinhlobo ezahlukahlukene zokuhlela umndeni:

• Inzalo yokuhlinzwa: 99% iyasebenza
• Izimila zeHormonal, imijovo ye-IUD, namahomoni: i-97% iyasebenza
• Iphilisi nendandatho: kuyasebenza ngama-92%
• Amakhondomu, diaphragms, izipanji: Kusuka ku-68% - 85% okusebenzayo
• Ukuhlelwa Komndeni Ngokwemvelo: 75% ngempumelelo

9. Impilo yami iyithinta kanjani indlela yokuhlela umndeni engiyikhethile?

Enye into engathinta ukusebenza kwendlela yokuhlela umndeni oyikhethile yisimo sempilo yakho ngaleso sikhathi. Isibonelo, uma usebenzisa iphilisi lokuvimbela inzalo futhi udinga ukuthatha ama-antibiotic, kubalulekile ukuthi udokotela wakho azi ukuthi usephilisi.

Izinhlobo ezithile zama-antibiotic zingavimbela iphilisi ekusebenzeni kahle.Kungcono ukusebenzisa ezinye izindlela zokuvikela ukubeletha (njengamakhondomu) ngenkathi uthatha ama-antibiotic kanye nesonto ngemuva kokuphothula izifundo.

Uma ubhema futhi uthatha iphilisi lokuvimbela inzalo, ungaba nengozi eyengeziwe yokuqina kwamahlule egazi.

10. Ziyini izinzuzo zezempilo zokuvimbela inzalo ngomlomo?

Uma zisetshenziswa ngempumelelo, izindlela zokuvimbela inzalo zomlomo (isib. Iphilisi) zingaba nemiphumela emihle empilweni yakho. Izinhlobo ezithile zamaphilisi okulawula ukubeletha zingasiza ukukhipha induna, kanye nokulawula isikhathi sokuya esikhathini.

Kwabesifazane abahlushwe yizikhathi ezinzima nezibuhlungu, iphilisi lingaba yisibusiso ngokuphelele, njengoba izinkathi manje seziba lula, kungabikho nkalakatha noma ezinye izimpawu zangaphambi kokuya esikhathini. Ngokwezifundo ezithile, ukusetshenziswa okuvamile kokuvimbela inzalo ngomlomo kunganciphisa ubungozi bama-cyst ovarian.

11. Yiziphi izinto okufanele ngizicabangele lapho ngikhetha indlela yokuvimbela inzalo?

Mhlawumbe into yokuqala okufanele uyicabangele lapho unquma ukuthi hlobo luni lwendlela yokuvimbela inzalo oyisebenzisayo yimpilo yakho. Uma unendlela yokuphila ekhuthele kakhulu noma engahlelekile, khona-ke ungahle ungafuni ukuboshelwa ukuthatha iphilisi lakho ngesikhathi esithile futhi esijwayelekile nsuku zonke.

Ngokufanayo, indlela engokwemvelo yokubuka ngokucophelela izimpawu zomzimba wakho nokuthatha amazinga okushisa ajwayelekile ingaba ngumthwalo onzima kakhulu ukuhlala impilo ematasa. Cabanga ukuthi kubaluleke kangakanani kuwe ukuthi ungakhulelwa okungahleliwe noma cha.

Bheka imiphumela emibi ongayithola, nokuthi ufuna ukusebenzisa isikhathi esingakanani ukuvimbela ukukhulelwa ngaphambi kokuqala umndeni wakho. Izindleko zezezimali zingabuye zicatshangelwe, nokuthi ngabe umshwalense wakho wezempilo uzobhekana nokuqokwa kukadokotela wakho noma cha.

12. Uma ngikhulelwa ngenkathi ngisebenzisa umuthi wokuvimbela inzalo wamahomoni, ingabe izolimaza ingane yami?

Uma usebenzisa i-hormonal contraceptive efana nepilisi, ungahle uzibuze ukuthi kuzokwenzekani uma ungakhulelwa naphezu kokuqapha kwakho.

Okwephilisi kanye ne-patch kanye nendandatho yesitho sangasese sowesifazane, bekungeke kube khona ingozi enganeni, uma nje ungayeka ukuyisebenzisa ngokushesha lapho kutholakala ukukhulelwa.

Uma usebenzisa umjovo wezinyanga ezintathu wokuvimbela inzalo, njengeDepo-Provera, futhi kwenzeka ukuthi ukhulelwe inyanga eyodwa noma ezimbili ngemuva kokujova, kungaba nemiphumela ethile enganeni.

Lokhu kungafaka isisindo sokuzalwa esiphansi nokunye ukukhathazeka ngempilo. Ngaphambi kokuthola lo mjovo kubalulekile ukuthi uhlolwe ukukhulelwa ukuqinisekisa ukuthi awukhulelwe.

13. Ngizothatha isikhathi esingakanani ukukhulelwa ngemuva kokuyeka ukusebenzisa iphilisi noma umjovo?

Lapho uthatha isinqumo sokuyeka ukusebenzisa iphilisi, kufanele uqale uqedele umjikelezo owusebenzisayo njengamanje. Kungathatha inyanga eyodwa kuya kwezintathu ukuthi umzimba wakho uqalise kabusha umjikelezo wawo wehomoni futhi uqale ukuvuthwa nokuya esikhathini ngokujwayelekile.

Ungafisa ukubuza udokotela noma umtholampilo wakho ukuthi akuhlole ngaphambi kokukhulelwa kanye nenkambo yamavithamini angaphambi kokubeletha.

Uma ngabe ubuthathe umjovo wezinyanga ezintathu wokuvimbela inzalo (iDepo-Provera) ungahlala ohlelweni lwakho nganoma yini kusuka ezinyangeni eziyisithupha kuya kweziyishumi nesishiyagalombili ngemuva kokudutshulwa kwakho kokugcina. Lokhu kungasho ukuthi une-ovulation engajwayelekile nokuya esikhathini, kepha kusenokwenzeka ukuthi ukhulelwe ngaleso sikhathi.

Uma ufuna ukukhulelwa kungakapheli unyaka olandelayo, ungacabanga ukuphuma kumjovo bese usebenzisa indlela emfushane yokubamba inzalo okwamanje njengephilisi, idiyaphragm, amakhondomu noma ama-spermicides.

14. Sizokwazi kanjani uma sesikulungele ukuqala umndeni?

Ukubuyela embuzweni esiqale ngawo: "Manje uhlela ukuqala nini umndeni?"

Lo kungenzeka kungabi ngumbuzo olula ukuwuphendula, kuya ngezimo zakho nemicabango nemizwa yakho. Njengombhangqwana osemusha (noma hhayi omncane kangako) ungahle uzizwe zonke izinhlobo zengcindezi evela ezinkombandlela eziphikisanayo:

• Mhlawumbe abazoba ogogo nomkhulu abanikezeli izinkomba ezicashile ngokulangazelela kwabo umzukulu.
• Mhlawumbe umsebenzi wakho usebenza kahle kakhulu kangangokuba awusoze wacabanga ukuthatha ikhefu lomndeni.
• Futhi-ke kukhona ukuthikha kwewashi le-biological elikukhumbuza ukuthi awutholi mncane.

Futhi kuthiwani ngezindleko ezihilelekile?

Ngaphambi kokuthatha isinqumo esibalulekile sokuqala umndeni, udinga ukukala zonke lezi zinto nokuningi.

Usebenzisa le mibuzo yokuhlela umndeni zibuze ukuthi ngabe wena noshade naye nikulungele yini ukuzibophezela ngokugcwele okudingwa yingane futhi kukufanele, hhayi ngokwenyama nangokwezimali kuphela, kepha nangokomzwelo nangokomoya.

Ngabe uke wacabanga ukuthi ngabe kukhona amawele komunye wemindeni yakho, futhi ungagcina unezingane ezimbili esikhundleni sowodwa?

Uma kunanoma isiphi isimo sofuzo emndenini wakho esingadluliselwa, kuzodingeka uthole izeluleko zochwepheshe ngokungaba nomthelela walokhu uma uqala umndeni.

Noma ngabe usuthathe isinqumo sokuthi “manje isikhathi” futhi nobabili nijabule futhi nifisa ukuqhubekela phambili, khumbulani ukuthi kungathatha isikhathi eside kunalokho obekulindelekile ukuthi ukhulelwe. Yiba nesineke futhi uzilungiselele isikhathi eside.

Funda konke ongakwenza futhi uthole ulwazi nolwazi oludingayo ukuze uzilungiselele ngangokunokwenzeka.

Ngolunye usuku, lapho futhi uma uzithola uphethe inqwaba yokuphila eyigugu ezandleni zakho, jabulela umzuzu nomzuzu wayo, futhi khumbula ukubonga nokujabulela ilungelo elikhulu lokuba ngumzali.

Kuwumkhuba omuhle njalo ukubuyekeza imibuzo enjalo yokuhlela umndeni ukuqinisekisa ukuthi awuphuthelwa yilutho olubalulekile.