Koj puas yuav tsum hloov koj kev tswj kom tsis txhob muaj menyuam kom tsis haum rau lub kauj lossis siv cog hniav?


Koj puas yuav tsum hloov koj kev tswj kom tsis txhob muaj menyuam kom tsis haum rau lub kauj lossis siv cog hniav?

Cov ntsiav tshuaj tiv thaiv tau pib ua ntej nyob rau hauv tebchaws Askiv xyoo 1961, hloov kev noj qab haus huv kev sib deev thiab cia cov poj niam tuaj yeem tswj hwm lawv lub neej, kev sib raug zoo thiab yav tom ntej.

Txawm hais tias cov ntsiav tshuaj siv los ntawm 44% ntawm cov poj niam mus rau kev tiv thaiv kom tsis txhob muaj menyuam yaus los ntawm kev pabcuam kev sib deev, nws txoj kev siv tau poob qis dua 10 xyoo dhau los, raws li los ntawm NHS tebchaws Askiv. Tib lub sijhawm, tus naj npawb ntawm cov poj niam xaiv LARCs tau yuav luag ob npaug txij li xyoo 2007.

Cov poj niam puas tig nraub qaum rau ntsiav tshuaj?

Becky *, 31, hloov mus rau qhov cog hniav tom qab noj cov ntsiav tshuaj, hais tias tib neeg yuam kev txhais tau tias nws tsis yog qhov kev xaiv zoo rau nws.

“Kev cog hniav yuav siv qhov kev ntxhov siab ntawd ploj mus, thiab vim kuv muaj kev sib raug zoo mus ntev thiab ruaj khov, qhov ntawd yog qhov zoo rau peb tsis siv hnab looj. Qhov tsis zoo yuav yog tias kuv tsis tuaj yeem khiav tshuaj ua ke kom tsis txhob muaj ib lub sijhawm ntxiv, tab sis qhov ntawd tus nqi me me los them, “nws hais. “Cov poj niam feem ntau kuv paub tsis tau txais lub sijhawm cog hniav, tab sis kuv ua. Yog li ntawd rau kuv, nws tau zoo thiab nws yog qhov kev xaiv zoo los hloov ntawm cov ntsiav tshuaj.”

Koj puas xav tau kev tswj kom muaj kev kub ntxhov sai?

Teem sijhawm teem sijhawm nrog tus kws muag tshuaj hauv ib lub sijhawm uas yooj yim rau koj ntawm Patient Access.

Phau ntawv tam sim no

Cov kev tshawb fawb tsis ntev los no tau txuas cov ntsiav tshuaj tiv thaiv kom muaj kev pheej hmoo ntawm cov teeb meem mob hlwb xws li kev nyuaj siab thiab ntxhov siab. Feem ntau ntawm cov neeg siv tsis ntsib cov kev mob tshwm sim no, tab sis qee tus poj niam tau xaiv lwm txoj kev xaiv vim tias lawv txoj kev nyob zoo.

Jess *, 36, hais tias nws sim ua cov ntsiav tshuaj thaum nws tseem yau.

“Kuv tau muaj kev nyuaj siab tiag tiag, thiab nws ua rau kuv ntshai ntau npaum li cas cov tshuaj hormones tuaj yeem cuam tshuam kuv tag nrho cov kev paub hauv lub neej. Kuv hloov mus rau lub kauj tooj liab, uas tsis muaj cov tshuaj hormones thiab muab 10 xyoo tiv thaiv tam sim ntawd.

“Qhov kev poob qis tsuas yog ob lossis peb xyoos kuv tau muaj nws kom deb li deb yog tias qhov muab nws tso rau hauv nws tau mob ntev li ob peb feeb uas kuv tsis tau xav tias,” nws hais ntxiv.

Daim ntawv LARC

Thaum kawg, koj yuav tsum xaiv qhov kev tswj tsis pub sib deev uas haum rau koj, txawm tias yog LARCs, hauv ncoo lossis lwm hom.

Muaj plaub hom LARCs:

Qhov cog hniav

Qhov kev cog hniav yog qhov me me, tus pas nrig ntaus cov khoom cog hauv qab daim tawv nqaij ntawm sab caj npab, uas tso tawm progestogen thiab kav ntev li peb xyoos.

Qhov kev txhaj tshuaj tiv thaiv

Qhov kev txhaj tshuaj tiv thaiv yuav kav ntev li ob rau peb hlis (nyob ntawm hom) thiab tso tawm cov tshuaj hormone progestogen.

Lub IUD

Qhov tooj liab ua kom sib deev (IUD) – tseem hu ua kauj – zaum hauv plab (tsev menyuam) thiab ua haujlwm ntev txog kaum xyoo. Nws tsis tso tawm cov tshuaj hormones.

Lub IUS

Kev tso dej rau hauv lub cev, txwv tsis pub paub hu ua IUS (lossis cov kis los ntawm lub cev), tso tawm cov keeb tshuaj progestogen rau hauv lub tsev menyuam thiab tuaj yeem ntev txog tsib xyoos.

Kev cog hniav lossis lub kauj yuav yog qhov kev xaiv zoo rau cov poj niam uas tsis xav tau menyuam mos yav tom ntej lossis cov uas tsis xav tau menyuam yaus – thiab lawv kuj thim rov qab, yog li koj tuaj yeem tsum tsis siv lawv yog tias koj xav tau.

Tsis muaj chaw rau qhov yuam kev

LARCs tseem muaj txiaj ntsig zoo dua li cov ntsiav tshuaj lossis hnab looj vim koj tsis tas yuav nco ntsoov siv lawv, hais tias Dr Jane Dickson, tus lwm thawj coj ntawm Lub Tsev Haujlwm ntawm pojniam deev thiab deev ntawm Royal College ntawm Obstetricians thiab Gynecologist.

Nws hais tias “Hauv qhov kev txiav txim siab no, nws yog ib lub tswv yim zoo los xaiv LARCs,” nws hais. “Tsis muaj txoj kev tiv thaiv kev sib deev muaj txiaj ntsig 100%, tab sis cov tooj liab IUD thiab IUS ua tau zoo heev nrog tsawg dua 1 hauv 100 tus poj niam xeeb tub siv cov qauv no txhua xyoo.

“Tab sis qhov tseem ceeb tshaj plaws, cov poj niam yuav tsum muaj kev ywj pheej, qhib thiab yooj yim rau txhua txoj kev tswj kom tsis pub muaj nyob hauv UK thiab tau txais kev txiav txim siab tsis muaj qhov tseeb, cov ntaub ntawv pov thawj ua ntej los ntawm cov kws kho mob kom lawv tuaj yeem xaiv txoj kev uas haum lawv cov kev xav tau zoo tshaj plaws. “

Txawm hais tias LARCs txhua tus yuav tsum muaj tus txheej txheem me me ntawm qee yam uas tuaj yeem tsis yooj yim, qhov no tsis tas yuav tsum tau ua ntau zaus.

Sijhawm hloov

Qee tus poj niam yuav pom lawv lub caij hloov nrog lub kauj, pleev ib ce lossis txhaj tshuaj, ib yam nkaus. Ntawm qhov muab cog, lub sijhawm yuav dhau mus tsis xwm yeem, lossis yuav dhau los ua ntais lossis tsis ua kiag li.

Ntu yuav ua tsis xwm yeem, tab sis feem ntau dhau los ua qhov me me lossis tso tsis tau zoo thaum koj tau txhaj tshuaj. Yog tias koj npaj siab cev xeeb tub, nws yog qhov tseem ceeb kom nco ntsoov tias tej zaum yuav ncua sijhawm rov qab los ua kev muaj menyuam rau qee lub hlis. Tej zaum yuav muaj cov tshuaj tiv thaiv hormonal phiv xws li kev hloov pauv mentsis lossis qhov hnyav nce.

Ntawm cov tooj liab IUD, cov sijhawm yuav hnyav dua lossis hnyav dua – yog li lawv yuav tsis haum rau cov poj niam uas twb tawm tsam nrog qhov no. Raws li nws tsis yog qhov tshuaj tiv thaiv hormonal txwv, nws tsis zoo li cuam tshuam rau koj lub siab, qhov hnyav lossis libido.

Siv IUS, koj lub sijhawm yuav ua lub teeb, lossis nres ib leeg, lossis koj tau los ntshav tsis xwm yeem, txawm tias qhov no tuaj yeem khom nyob tom qab ob peb hlis. Cov kev mob tshwm sim los ntawm cov hlav no tsis tshua pom tshwm, vim tias cov progestogen tso tawm qis nyob ib ncig ntawm lub tsev menyuam, ntau dua li cov hlab ntshav.

Nws kuj tseem tuaj yeem tawm yam tsis muaj koj ceeb toom, yog li nws yog qhov zoo uas yuav tau kuaj seb koj puas tuaj yeem paub txog cov hlua ntawm IUS tom qab koj lub sijhawm – koj tus kws khomob lossis tus kws saib xyuas neeg mob tuaj yeem qhia koj yuav ua li cas yog tias koj tsis paub tseeb.

Qhov cuam tshuam ntawm kev txiav nyiaj

Xaiv txoj kev tswj kom tsis txhob muaj menyuam yaus sib txawv rau txhua tus neeg, tab sis txhawj xeeb, poj niam nkag mus rau ntau hom tuaj yeem muaj kev hem thawj vim tias pob nyiaj txiav mus rau kev pabcuam kev noj qab haus huv.

Xyoo no, ib tsab ntawv ceeb toom los ntawm Pab Pawg Pab Tswv Yim Saib Xyuas Kev Pov Tseg pom tias txij li xyoo 2015, yuav luag ib nrab ntawm cov tswv yim hauv nroog hauv tebchaws Askiv tau kaw cov chaw kom muaj cov kev pab tswj kom tsis pub muaj menyuam.

Cov kev txiav no tshwj xeeb yog cuam tshuam rau cov neeg uas tab tom nrhiav cog hniav lossis coil vim tias qhov haum no yuav tsum muaj kev cob qhia tshwj xeeb, tab sis raws li kev pab nyiaj tsawg, cov kws kho mob tsawg tuaj yeem muab cov kev pabcuam no

Dickson hais tias “Kev txiav rau cov kev pabcuam tau muab cov pojniam nkag mus rau qhov kev tiv thaiv kom zoo tshaj plaws, xws li LARCs, muaj kev pheej hmoo,” Poj niam yuav tsum muab cov ntaub ntawv rau tus neeg tuaj yeem nkag siab txog qhov sib txawv ntawm cov hau kev thiab muab tau tag nrho ntau ntawm cov kev xaiv. “

Yog li dab tsi yog qhov zoo tshaj plaws los tham txog kev xaiv tiv thaiv?

Cov kev pab tswj tsis pub muaj NHS yog pub dawb thiab tsis pub lwm tus paub, yog li tsis tas yuav txaj muag. Nws tuaj yeem muaj txiaj ntsig zoo rau kev txiav txim siab koj cov kev xav tau ua ntej koj teem caij thiab qhia cov no rau koj tus kws kho mob lossis kws saib xyuas neeg mob. Piv txwv li, txawm hais tias koj lub siab yog tias koj lub sijhawm hloov, yog tias koj zoo siab ua kev tswj kom tsis txhob muaj me nyuam ib feem ntawm koj txoj kev ua haujlwm txhua hnub thiab yog tias koj xav tau cev xeeb tub nyob ze yav tom ntej.

Yog tias koj tsis paub meej txog ib yam dab tsi, nws yog qhov yuav tsum tau nug cov lus nug. Dickson hais ntxiv tias nws yog qhov tseem ceeb heev uas cov poj niam tau txais ‘tsis muaj kev txiav txim siab, hloov, cov lus qhia los ntawm cov pov thawj’ kom lawv tuaj yeem txiav txim siab paub.

Tham txog koj li keeb kwm kev sib deev tsis yog ib qho yooj yim, tab sis nws yog ib qho tseem ceeb uas yuav tau txiav txim siab ntau yam thaum xaiv txoj kev txwv tsis pub muaj.

Dickon hais tias “Peb cov lus qhia pom zoo tias cov kws saib xyuas kev noj qab haus huv yuav tsum tau sau keeb kwm muaj tseeb los ntawm cov poj niam thov kev tswj kom tsis txhob muaj menyuam, suav nrog kev mob, tsev neeg keeb kwm kev mob thiab kev ua neej xws li haus luam yeeb,” Dickson hais.

Cov chaw pab nyiaj Brook (yog tias koj muaj hnub nyoog qis dua 25) thiab FPA tseem muaj cov lus nug pub dawb hauv online, uas tuaj yeem pab koj ua haujlwm uas yog qhov kev tiv thaiv zoo tshaj plaws rau koj.

*Npe tau hloov pauv los tiv thaiv tus kheej.

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