Puas yog kev pub niam mis yog ib txoj kev tiv thaiv kab mob?

Kev pub niam mis thiab kev tiv thaiv ib puag ncig: LAM yog dab tsi, lossis kev pub niam mis tshwj xeeb?

Kev pub niam mis raws li kev tiv thaiv kab mob

Hauv qee qhov xwm txheej, kev pub niam mis tuaj yeem ua rau muaj kev tiv thaiv ntev txog 6 lub hlis tom qab yug menyuam. Hom kev tiv thaiv kab mob no, hu ua LAM (kev pub niam mis thiab amenorrhea method) tsis yog 100% ntseeg tau, tab sis nws tuaj yeem ua haujlwm tau ob peb lub hlis yog tias tag nrho cov qauv no tau ua raws li tsab ntawv. Nws lub hauv paus ntsiab lus: nyob rau hauv tej yam kev mob, kev pub niam mis tsim prolactin txaus, ib yam tshuaj uas yuav thaiv ovulation, ua rau lub cev xeeb tub tshiab tsis yooj yim sua.

Txoj kev LAM, puas ntseeg tau?

Kev cia siab rau kev pub niam mis tshwj xeeb raws li kev tiv thaiv kev xeeb tub tuaj yeem yog qhov kev cia siab ... Tab sis nco ntsoov tias nws muaj kev pheej hmoo ... ntawm kev xeeb tub dua. Yog tias koj yeej tsis xav pib cev xeeb tub tshiab, nws yog qhov zoo dua los tig mus rau (re) noj cov tshuaj tiv thaiv kab mob txhim khu kev qha, uas yuav xa tuaj rau koj los ntawm koj tus kws yug menyuam lossis kws kho mob.

Thaum twg koj yuav tsum noj tshuaj tiv thaiv kab mob tom qab yug me nyuam?

Cov tshuaj tiv thaiv twg thaum pub niam mis?

Feem ntau, tom qab yug me nyuam, ovulation rov pib nyob ib ncig ntawm lub lim tiam thib 4 thaum koj tsis pub niam mis, thiab txog li 6 lub hlis tom qab yug me nyuam nyob ntawm hom kev pub niam mis. Yog li ntawd, nws yog ib qho tsim nyog yuav tau cia siab tias yuav rov qab mus rau kev tiv thaiv kab mob, yog tias koj tsis xav kom cev xeeb tub tshiab tam sim ntawd. Koj tus kws yug menyuam lossis tus kws kho mob yuav sau ntawv a micro-dosed ntsiav tshuaj, sib haum nrog kev pub niam mis, txoj cai tawm ntawm lub tsev kho mob maternity. Tab sis feem ntau nws yog thaum lub sij hawm postnatal kev sab laj nrog gynecologist tias txoj kev ntawm kev tiv thaiv kab mob txiav txim siab. Qhov kev teem caij no, kev sib tham tom qab, ua rau nws muaj peev xwm kos tau ib qho kuaj gynecological tom qab yug me nyuam. Nws tshwm sim nyob ib ncig ntawm 6 lub lis piam tom qab koj tus menyuam yug los. Txhawb 100% los ntawm Social Security, nws muab sijhawm rau koj los saib xyuas cov txheej txheem sib txawv ntawm kev tiv thaiv kab mob:

- cov tshuaj

- cov tshuaj tiv thaiv kab mob (qhov no tsis pom zoo thaum pub niam mis)

- lub nplhaib qhov chaw mos

- hormonal lossis tooj liab intrauterine khoom siv (IUD - lossis IUD),

- lub diaphragm, lub ncauj tsev menyuam cap

- lossis txoj kev thaiv, xws li hnab looj tes thiab qee yam tshuaj tua kab mob.

Thaum twg thiaj yuav noj tshuaj ntxiv tom qab yug menyuam?

Kev pub niam mis thiab tshuaj tiv thaiv qhov ncauj

Lub sij hawm thiab pub niam mis

Tom qab yug me nyuam, qhov rov pib dua ntawm ovulation tsis ua haujlwm tsawg kawg ua ntej hnub 21. Koj lub sijhawm feem ntau rov qab los 6 mus rau 8 lub lis piam tom qab yug menyuam. Qhov no yog hu ua rov qab ntawm cov ntaub qhwv. Tab sis thaum koj pub niam mis, nws txawv! Kev pub mis rau menyuam mos txhawb kev tso tawm ntawm prolactin, ib yam tshuaj uas ua rau ovulation qeeb, thiab yog li rov pib dua ntawm kev coj khaub ncaws. Vim li ntawd, koj lub sijhawm feem ntau tsis rov qab mus txog thaum pub niam mis tas los yog nyob rau hauv peb lub hlis tom qab yug me nyuam. Tab sis ceev faj txog ovulation, uas tshwm sim 2 lub lis piam ua ntej qhov pib ntawm kev coj khaub ncaws, thiab qhov uas nws yuav tsum tau xav txog los ntawm kev siv tshuaj tiv thaiv kab mob.

Kuv puas tuaj yeem xeeb menyuam thaum pub niam mis?

LAM tsis yog 100% ntseeg tau, vim hais tias nws yog ib qho uas txhua yam uas nws xav tau tsis tau raws li. Yog tias koj xav zam kev xeeb tub tshiab, nws yog qhov zoo dua los tig mus rau kev tiv thaiv kab mob los ntawm koj tus kws kho mob lossis tus kws yug menyuam. Kev pub niam mis tsis txwv kev siv tshuaj tiv thaiv kab mob.

Yam tshuaj twg thaum koj pub niam mis?

Yuav ua li cas kom tsis txhob xeeb tub thaum pub niam mis?

Muaj ob hom tshuaj: cov tshuaj ua ke et cov tshuaj progestin nkaus xwb. Koj tus kws kho mob, midwife lossis gynecologist tsim nyog los sau cov txheej txheem tiv thaiv kab mob no. Nws yuav siv sij hawm mus rau hauv tus account: koj pub niam mis, qhov kev pheej hmoo ntawm venous thromboembolism ntau dua nyob rau hauv thawj lub lis piam tom qab yug me nyuam, thiab tej pathologies uas tau tshwm sim thaum cev xeeb tub (gestational diabetes, phlebitis, thiab lwm yam).

Muaj ob pawg tseem ceeb ntawm cov tshuaj:

- lub estrogen-progestogen ntsiav tshuaj (los yog cov ntsiav tshuaj ua ke) muaj estrogen thiab progestin. Zoo li cov tshuaj tiv thaiv kab mob thiab lub nplhaib ntawm qhov chaw mos, nws tsis pom zoo thaum pub niam mis thiab hauv 6 lub hlis tom qab yug menyuam thaum pub niam mis rau koj tus menyuam, vim tias nws nyiam txo lactation. Yog tias tom qab ntawd nws tau muab los ntawm koj tus kws kho mob, nws yuav suav nrog kev pheej hmoo ntawm thrombosis, ntshav qab zib thiab tejzaum nws haus luam yeeb thiab rog.

- lub tshuaj progestin nkaus xwb Tsuas muaj ib qho hluavtaws progestogen: desogestrel lossis levonorgestrel. Thaum ib qho ntawm ob qho tshuaj hormones no tsuas yog muaj me me xwb, cov tshuaj tau hais tias yuav tsum tau microdosed. Yog tias koj pub niam mis, koj tuaj yeem siv cov tshuaj progestin nkaus xwb txij hnub 21st tom qab yug me nyuam, ntawm daim ntawv xaj los ntawm koj tus kws yug menyuam lossis kws kho mob.

Rau ib qho ntawm cov tshuaj no, tsuas yog ib tus kws kho mob tau tso cai los sau txoj kev tiv thaiv zoo tshaj plaws yog tias koj pub niam mis. Cov tshuaj muaj nyob rau hauv cov khw muag tshuaj, tsuas yog nyob rau hauv cov tshuaj.

Yuav ua li cas noj cov tshuaj kom zoo thaum pub niam mis?

Cov tshuaj microprogestogen, zoo li lwm cov tshuaj, tau noj txhua hnub ntawm lub sijhawm teem tseg. Koj yuav tsum ceev faj tsis txhob ntau tshaj 3 teev lig rau levonorgestrel, thiab 12 teev rau desogestrel. Yog xav paub ntxiv: tsis muaj kev ncua ntawm daim phiaj, ib qho txuas ntxiv mus nrog lwm lub phaj.

- Thaum muaj kev cuam tshuam ntawm kev coj khaub ncaws, tsis txhob tso tseg koj cov tshuaj tiv thaiv kab mob yam tsis muaj kev qhia los ntawm kws kho mob, tab sis nrog nws tham txog nws.

- Mob plab, ntuav thiab qee yam tshuaj tuaj yeem cuam tshuam koj cov ntsiav tshuaj zoo npaum li cas. Yog tias tsis ntseeg, tsis txhob yig mus sab laj.

- Yooj yim: ntawm kev nthuav qhia cov tshuaj noj tsawg dua ib xyoos, koj tuaj yeem txuas ntxiv koj cov tshuaj tiv thaiv qhov ncauj ib zaug ntxiv rau 1 lub hlis.

Nco ntsoov cia siab tias yuav zoo thiab npaj ob peb pob ntawv ntawm koj cov ntsiav tshuaj ua ntej hauv koj lub txee tshuaj. Ib yam yog tias koj mus ncig txawv tebchaws.

Kev pub niam mis thiab kev tiv thaiv thaum muaj xwm txheej ceev

Yog tias koj tsis nco qab koj cov ntsiav tshuaj lossis muaj kev sib deev tsis muaj kev tiv thaiv, koj tus kws muag tshuaj tuaj yeem muab rau koj ib tag kis tom qab ntsiav tshuaj. Nws yog ib qho tseem ceeb uas yuav tau qhia nws tias koj pub mis rau koj tus menyuam, txawm tias nws yog tshuaj tiv thaiv xwm txheej ceev Nws tsis yog contraindicated thaum pub niam mis. Ntawm qhov tod tes, nrog koj tus kws kho mob sai sai kom khaws koj lub voj voog thiab rov pib dua koj cov tshuaj.

Implants thiab txhaj tshuaj: yuav ua li cas zoo thaum pub niam mis?

ntsiav tshuaj los yog cog?

Lwm cov tshuaj tiv thaiv kab mob tuaj yeem muab rau koj, thaum tsis muaj contraindications, thaum koj pub niam mis.

- Ib qho etonogestrel implant, subcutaneously. Nws feem ntau siv tau rau 3 xyoos thaum ib tus tsis rog lossis rog. Txawm li cas los xij, cov kab ke no feem ntau ua rau muaj kev cuam tshuam ntawm kev coj khaub ncaws thiab, nyob rau hauv tsawg zaus, txoj kev cog qoob loo tuaj yeem txav mus los thiab tsim teeb meem.

- Kev txhaj tshuaj tiv thaiv kab mob - hormonal-raws li ib yam nkaus - uas yog tswj hwm peb lub hlis twg. Tab sis nws siv yuav tsum tau txwv nyob rau hauv lub sij hawm, vim hais tias muaj mob leeg ntshav thrombosis thiab hnyav nce.

Thaum twg muab IUD tom qab yug menyuam?

IUD thiab pub niam mis

IUDs, tseem hu ua Intrauterine devices (IUDs) Nws tuaj yeem yog ob hom: tooj liab IUD lossis hormonal IUD. Txawm hais tias koj pub niam mis lossis tsis yog, peb tuaj yeem thov kom lawv nruab sai li sai tau. 4 lub lis piam tom qab yug me nyuam, thiab 12 lub lis piam tom qab phais tas. Tsis muaj contraindications rau kev pub niam mis ntxiv tom qab tso IUD, lossis IUD.

Cov khoom siv no muaj lub sijhawm ua haujlwm uas txawv ntawm 4 txog 10 xyoo rau tooj liab IUD, thiab txog li 5 xyoos rau hormonal IUD. Txawm li cas los xij, sai li sai tau thaum koj lub sijhawm rov qab los, koj tuaj yeem pom tias koj cov dej ntws ntau dua yog tias koj muaj tooj liab IUD tso, lossis yuav luag tsis tuaj nrog hormonal IUD. Nws raug nquahu kom kuaj xyuas qhov kev tso kawm kom raug 1 mus rau 3 lub hlis tom qab cog IUD, thaum mus ntsib kws kho mob gynecologist, thiab sab laj rau qhov mob uas tsis tau piav qhia, los ntshav lossis ua npaws.

Lwm txoj hauv kev ntawm kev tiv thaiv kab mob tom qab yug me nyuam: cov txheej txheem barrier

Yog tias koj tsis noj cov tshuaj lossis npaj kom muaj IUD tso, ceev faj! Tshwj tsis yog tias koj xav kom cev xeeb tub thib ob sai heev lossis tsis tau rov ua kev sib deev, koj tuaj yeem saib:

- Cov hnab looj qau txiv neej uas yuav tsum tau siv rau txhua qhov kev sib deev thiab uas tuaj yeem them rov qab rau ntawm daim ntawv kho mob.

- lub diaphragm lossis lub ncauj tsev menyuam, uas tuaj yeem siv ua ke nrog qee yam tshuaj tua kab mob, tab sis tsuas yog los ntawm 42 hnub tom qab yug me nyuam,

Yog tias koj twb tau siv lub diaphragm ua ntej koj cev xeeb tub, nws yuav tsum tau soj ntsuam nws qhov loj me los ntawm koj tus kws kho mob gynecologist. Cov tshuaj spermicides tuaj yeem yuav hauv khw muag tshuaj yam tsis muaj ntawv kho mob. Nrog koj tus kws muag tshuaj tham.

Kev Tiv Thaiv Kev Tiv Thaiv: Peb puas tuaj yeem ntseeg cov txheej txheem ntuj?

Yuav ua li cas txhais tau hais tias ntawm natural contraception?

Yog tias koj npaj yuav pib ntawm ib tsis npaj cev xeeb tub, nco ntsoov tias muaj cov txheej txheem hu ua natural contraception, tab sis nrog ib tug siab tsis ua hauj lwm tus nqi thiab uas muaj feem xyuam rau tej zaum txwv kev ceev faj tus cwj pwm. Koj yuav tsum tau tos kom rov qab los ntawm cov cai (tsawg kawg 3 lub voj voog) yog tias koj xav siv lawv tiag tiag.

Natural contraceptive txoj kev:

- Tus Txoj kev them nqi : Qhov no yog ua raws li kev soj ntsuam xyuas ntawm lub ncauj tsev menyuam. Nws cov tsos: kua dej los yog elastic, tuaj yeem qhia txog lub sijhawm ntawm ovulation. Tab sis ceev faj, qhov kev nkag siab no yog qhov sib txawv heev vim tias cov hnoos qeev ntawm ncauj tsev menyuam tuaj yeem hloov pauv raws li lwm yam xws li kab mob hauv qhov chaw mos.

- Tus rho tawm txoj kev : peb taw tes rau qhov tsis ua tiav ntawm txoj kev tshem tawm siab heev (22%) vim tias cov kua dej ua ntej tuaj yeem thauj cov phev thiab tus khub tsis tas yuav tswj hwm nws ejaculation.

- Tus txheej txheem kub : Nws kuj tseem hu ua symptothermal method, uas hais kom txheeb xyuas lub sijhawm ntawm ovulation raws li qhov hloov pauv ntawm qhov kub thiab txias thiab qhov sib xws ntawm cov hnoos qeev. nruj heev, nws yuav tsum tau scrupulously xyuas nws qhov kub thiab txias txhua hnub thiab nyob rau lub sijhawm teem tseg. Lub sijhawm thaum nws nce los ntawm 0,2 txog 0,4 ° C tuaj yeem qhia tias ovulation. Tab sis txoj kev no yuav tsum tsis txhob muaj kev sib deev ua ntej thiab tom qab ovulation, vim cov phev tuaj yeem muaj sia nyob tau ob peb hnub hauv qhov chaw mos. Kev ntsuas kub yog li ntawd tseem yog ib txoj hauv kev uas tsis tuaj yeem ntseeg tau, thiab ua raws li ntau yam.

- Tus Txoj kev Ogino-Knauss : Qhov no suav nrog kev xyaum ua ntu zus ntawm hnub 10 thiab 21 ntawm lub voj voog, uas yuav tsum paub txog koj lub voj voog zoo kawg nkaus. Kev pheej hmoo ua thawj koom ruam txij li thaum ovulation tuaj yeem qee zaum tsis tuaj yeem kwv yees.

Nyob rau hauv luv luv, tej yam ntuj tso contraceptive txoj kev no tsis tiv thaiv koj los ntawm ib tug tshiab cev xeeb tub, txawm tias koj pub niam mis los yog tsis.

Tau qhov twg los: Haute Autorité de Santé (HAS)