Dab tsi tshwm sim thaum koj noj thaum sawv ntxov tom qab ntsiav tshuaj


Dab tsi tshwm sim thaum koj noj thaum sawv ntxov tom qab ntsiav tshuaj

Kev tshawb fawb luam tawm xyoo 2018 tau qhia tias ntawm 46% ntawm 17- txog 35-xyoo tus neeg uas tsis muaj kev tiv thaiv kev sib deev hauv xyoo tas los, tsuas yog 27% tau siv tshuaj tiv thaiv thaum muaj xwm ceev. Qhov kev tawm dag no qis mus rau ntau yam, tab sis txoj kev xav phem txog kev txiav txim siab yog qhov teeb meem tseem ceeb hauv kev soj ntsuam, nrog ib feem peb ntawm cov poj niam soj ntsuam (31%) hais tias lawv yuav txaj muag nug thaum sawv ntxov tom qab ntsiav tshuaj.

Cov kws kho mob ib txwm siv cov lus ‘tiv thaiv thaum muaj xwm ceev’ ​​ntau dua ‘thaum sawv ntxov tom qab ntsiav tshuaj’. Qhov no yog vim hais tias, thaum muaj xwm txheej ceev kom zoo yog siv sai li sai tau tom qab tsis tiv thaiv kev sib deev, nws tuaj yeem siv mus txog peb hnub (rau ib qho ntawm cov tshuaj progestogen) lossis tsib hnub (rau ulipristal acetate, tseem hu ua ellaOne) tom qab kev tiv thaiv tsis tau sib deev. IUCD (feem ntau hu ua coil) kuj tseem siv tau rau kev tiv thaiv thaum muaj xwm txheej ceev.

Hauv tsab xov xwm no, peb yuav siv lo lus ‘thaum sawv ntxov tom qab ntsiav tshuaj’ vim tias nws tau pom ntau los ntawm cov neeg mob.

Txoj kev tshawb nrhiav, tsa los ntawm HRA, cov tuam ntxhab thaum sawv ntxov tom qab ntsiav tshuaj ellaOne, los ntawm kev sib cav txog cov nqi thiab kev nkag mus. Xyoo tsis ntev los no, vim muaj cov ntsiab lus tseem ceeb, cov pojniam hauv tebchaws Askiv tau them ntau txog tsib zaug ntau dua ntawm cov chaw muag tshuaj dua li lawv cov neeg sawv cev rau European thaum sawv ntxov tom qab ntsiav tshuaj, txawm hais tias tam sim no muaj los ntawm ib puag ncig £ 13, nyob ntawm lub hom.

Kev tiv thaiv thaum muaj xwm txheej ceev yog pub dawb los ntawm qee lub chaw kuaj mob sib deev thiab chaw kuaj menyuam hauv zej zog, thiab ntawm NHS cov tshuaj los ntawm feem ntau GPs thiab NHS cov chaw taug kev. Cov kws kho mob hauv cov chaw kho mob no tau siv los sau tshuaj rau kev tiv thaiv kom tsis txhob muaj menyuam kom tsis muaj menyuam kom tsis txhob txaj muag txog kev txiav txim siab lub luag haujlwm tomqab sib deev tsis tiv thaiv.

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

Kev tswj kom tsis muaj xwm txheej ceev

Muaj peb hom kev tiv thaiv kev tiv thaiv thaum muaj xwm txheej ceev tam sim no muaj nyob hauv Tebchaws Askiv: cov khoom siv tshuaj tiv thaiv mob (tooj liab los yog IUCD), thiab ob hom thaum sawv ntxov tom qab ntsiav tshuaj – ellaOne (ulipristal acetate) thiab cov kab mob thaum sawv ntxov tom qab ntsiav tshuaj feem ntau hu ua Levonelle (tseem muaj nyob hauv qab lwm cov npe nrov, tab sis nrog tib yam tshuaj sib xyaw, levonorgestrel). Levonelle tuaj yeem siv sijhawm ntev li peb hnub (72 teev) tom qab tsis muaj kev tiv thaiv kev sib deev thiab muaj 95% zoo yog siv thawj 24 teev, tabsis qhov no poob rau 85% rau hnub thib ob thiab 58% ntawm 72 teev.

ellaOne tau pom tias yuav tiv thaiv 98% kev xeeb tub yog noj nyob hauv tsib hnub ntawm kev sib deev tsis muaj kev tiv thaiv (daim ntawv tshawb fawb nyob hauv The Lancet pom zoo).

Tseem ceeb txawm tias, ob hom tshuaj muaj txiaj ntsig zoo yog tias noj xwb ua ntej ovulation tau tshwm sim, vim lawv ua haujlwm los ntawm kev ncua lossis tiv thaiv qe tawm los ntawm lub zes qe menyuam. Ovulation feem ntau yuav tshwm sim txog 14 hnub ua ntej koj lub sijhawm pib, tab sis qhov no tuaj yeem sib txawv raws qhov ntev ntawm koj lub voj voog, koj kev noj qab haus huv thiab lwm yam.


Patient.info Saib tag nrho

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Cov tshwm sim tshwm sim thiab yuav tiv thaiv lawv li cas

Raws li Karin O’Sullivan, kev soj ntsuam cov hlau lead ntawm kev sib daj sib deev kev noj qab haus huv FPA, tsuas yog hais txog 10% ntawm cov neeg siv hais qhia tias muaj kev mob tshwm sim tom qab siv tshuaj ntsiav kho thaum muaj xwm txheej ceev:

“Cov poj niam feem ntau tsis muaj, txawm hais tias qee tus poj niam yuav hnov ​​mob taub hau, yuav hnov ​​mob thiab, ntawm tus lej me me, tuaj yeem ua ntuav.”

(Yog tias koj ntuav hauv ob teev tom qab noj thaum sawv ntxov tom qab noj tshuaj, sab laj nrog tus kws kho mob txhais tau hais tias thawj zaug tshuaj tsis tau nqus puv zaum koj yuav tsum tau noj ob zaug, thiab noj tshuaj tiv thaiv kev mob nkeeg ua ke nrog).

“Xyuas kom koj tau noj ua ntej noj cov tshuaj muaj tshuaj tiv thaiv kom maj mam tuaj yeem txo txoj kev pheej hmoo mob,” O OSullivan hais ntxiv. “Cov kev mob tshwm sim feem ntau yuav ploj mus nyob hauv ob peb hnub, thiab tsis muaj kev mob tshwm sim ntev ntev los ntawm kev noj thaum sawv ntxov tom qab noj tshuaj. Cov kev mob tshwm sim yuav zoo ib yam tsis hais yam tshuaj twg uas koj noj.”

Qee tus pojniam yuav muaj peev xwm zes ua mis ib ce thiab kiv tob hau.

Qhov ntsuas pom sib txawv

Qee hom tshuaj siv, xws li barbiturates thiab St John lub wort, tej zaum yuav cuam tshuam rau qhov zoo ntawm thaum sawv ntxov tom qab ntsiav tshuaj, thiab kev kho mob rau mob vwm thiab kub siab kuj tseem yuav txo nws cov hauj lwm zoo.

Yog tias koj dhau 11 pob zeb hauv qhov hnyav, kev tshawb fawb qhia tau tias cov progestogen thaum sawv ntxov tom qab noj tshuaj tshwj xeeb yuav tsis muaj txiaj ntsig zoo rau kev tiv thaiv kev xeeb tub vim tias nws yog rau cov poj niam uas tswj lub cev qis dua thiab lub cev hnyav.

ellaOne (ulipristal) tsis pom zoo yog tias koj pub niam mis thiab (yog tias koj noj cov tshuaj yam tsis paub tias koj xeeb tub) cov teebmeem ntawm kev loj hlob ntawm tus menyuam tseem tsis tau paub.

Nco ntsoov tham nrog koj tus kws muag tshuaj txog kev tiv thaiv kev mob ua ntej noj thaum sawv ntxov tom qab noj tshuaj.

Thaum sawv ntxov tom qab ntsiav tshuaj thiab koj lub sijhawm

Txog qee tus poj niam, lawv lub sijhawm tom ntej yuav hnyav dua thiab mob ntau dua li ib txwm.

O’Sullivan hais tias “Kev noj tshuaj muaj tshuaj tiv thaiv kom maj mam hloov tuaj yeem hloov koj lub sijhawm tom ntej. “Nws yuav tuaj raws sijhawm, lossis ob peb hnub ua ntej lossis tom qab ib txwm dhau los – qhov no nws txawv rau txhua tus. Yog tias koj tsis muaj lub sijhawm ntau tshaj li ib lub lim tiam tom qab xav tseg, nws luv dua lossis sib dua li qub, lossis koj txhawj xeeb tias kev tswj tsis pub muaj xwm ceev tej zaum yuav ua tsis tiav, coj mus kuaj cev xeeb tub thiab tham nrog kws kho mob. “

Kev mob nkeeg mus sij hawm ntev

Kev noj qab haus huv muaj feem cuam tshuam nrog kev tswj kom tsis txhob muaj xwm txheej ceev yog qhov tsis yooj yim thiab tsis tshua muaj, lees tias O’Sullivan.

“Koj tuaj yeem siv tib hom tshuaj muaj xwm txheej ntau tshaj li ib zaug hauv kev coj khaub ncaws yog tias yuav tsum tau ua, tab sis nws yuav tsis tuaj yeem siv ntau hom ntsiav tshuaj hauv tib lub sijhawm. Nws tsis muaj kev pheej hmoo ntev rau koj kev noj qab haus huv lossis kev xeeb tub. yog tias koj siv tshuaj txau ti tes ti taw ntau dua li ib zaug. “

Thaum sawv ntxov tom qab ntsiav tshuaj tsis tsim kho kom tsis tu ncua txawm tias, tab sis raws li ib qho kev xaiv xwm txheej ceev yog tias koj daim ntawv ib txwm muaj me nyuam tsis ua hauj lwm (piv txwv, hnab looj). Nws yuav tsis tiv thaiv kev xeeb tub los ntawm kev sib deev tsis tiv thaiv ntxiv koj tuaj yeem muaj thaum lub sijhawm tseem tshuav koj lub cev ntas (tshwj tsis yog koj siv tshuaj ntxiv) thiab nws yuav tsis tiv thaiv koj los ntawm kev sib kis kabmob sib kis (STIs).

O’Sullivan qhia ntxiv tias “Tom qab tsis muaj kev tiv thaiv kev sib deev, nws yuav raug hais kom kuaj mob pw ua ke kom pom tus kabmob STIs”. “Qhov no feem ntau yuav tsum yog tsawg kawg yog ob lub lis piam tom qab tsis tiv thaiv kev sib deev kom yog, thiab plaub lub lis piam rau kev kuaj ntshav, tab sis thov nug txog thaum koj tau txais kev kho kom tsis muaj menyuam kom tsis muaj xwm txheej, tshwj xeeb yog koj muaj cov tsos mob, raws li koj yuav tsum raug kuaj tawm mus sai dua. “

Yog tias koj tab tom nrhiav kev tiv thaiv thaum muaj xwm txheej ceev vim yog tus khub raug tsim txom, lossis yog tias koj tau raug tsim txom los ntawm kev yuam deev, tus kws kho mob muab tshuaj rau koj yuav tsum muaj peev xwm ncaj qha qhia koj mus rau hauv cov kev pabcuam hauv zos, suav nrog chaw xa mus deev thiab pawg pab txhawb uas tuaj yeem pab tau. Hloov lwm txoj kev, Rape Crisis lossis Refuge tuaj yeem muab kev txhawb nqa.

Lwm txoj hauv kev xaiv: lub kauj tooj liab

Daim ntawv tiv thaiv kom tsis txhob muaj xwmtxheej ceev tshaj plaws yog cov tooj liab (IUCD), tuaj yeem siv li tsib hnub (120 teev) tom qab tsis tiv thaiv kev sib deev, lossis tsis pub dhau tsib hnub txij hnub ntxov tshaj plaws uas koj tuaj yeem tso qe tawm.

Tus IUCD yog ib qho me me, T-zoo li cov yas thiab tooj liab uas tau muab tso rau hauv koj lub tsev menyuam (dhau ntawm chaw mos) los ntawm kws kho mob lossis kws saib xyuas neeg mob. Nws tso tawm tooj liab uas tiv thaiv lub qe cog hauv koj lub tsev menyuam lossis qhov chaw yug me nyuam, yog li, tsis zoo li thaum sawv ntxov tom qab ntsiav tshuaj, nws ua haujlwm txawm tias tom qab koj tau ov ov.

O’Sullivan hais tias “Koj tseem tuaj yeem xaiv kom muaj IUCD tso ua ib txoj kev tswj kom tsis txhob muaj menyuam. “Qhov xwm ceev ntawm IUCD muaj txiaj ntsig zoo rau kev tiv thaiv kev xeeb tub dua li kev siv tshuaj tiv thaiv thaum muaj xwm txheej ceev, yog li yuav tsum tau npaj thiab suav tias yog thawj qhov kev xaiv.”

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