Ukuzizwa Wesaba Ukukhulelwa Noma Usebenzisa Amakondomu: Incazelo

Ukuzizwa wesaba ukusebenzisa amakhondomu ngoba ungesaba ukukhulelwa kujwayelekile ngokuphelele, ikakhulukazi uma usanda kuqalisa ukuwasebenzisa noma unokungabaza ngokusebenza kwawo. Amakhondomu angelinye lamathuluzi okuthepha inzalo athembekile kakhulu akhona, kodwa ayikho indlela ephephile ngo-100%. Lelo zwi elincane engqondweni yakho elizibuza ukuthi mhlawumbe kukhona okungahamba kabi? Kujwayelekile, futhi awuwedwa. Noma ngabe ukhathazekile ngokudabuka, ukushelela, noma amaphutha abantu abawenzayo, ukuqonda indlela yokulala ngaphandle kokukhulelwa nokubhekana nale mizwa kungakusiza uzizwe ukhululekile.

Kungenzeka ukuthi ubuza imibuzo enjengokuthi ingabe amakhondomu aphephile ngokwanele ukuvimbela iphesenti lokukhulelwa noma, ingabe amakhondomu angamisa ukukhulelwa? Le yizinto ezibalulekile ongazikhathaza ngazo. Ake sixoxe ngokuthi amakhondomu asebenza kahle kangakanani, izindlela ezingcono kakhulu zokuwasebenzisa, nokuthi ungawanciphisa kanjani amathuba okukhulelwa okungahleliwe uwasebenzisa.

Ingabe Amakhondomu Aphephile Ngokwanele Ukuvimbela Ukukhulelwa?

Uma uzibuza ukuthi amakhondomu aphephile ngokwanele yini ukuvimbela ukukhulelwa, impendulo ithi yebo—angomunye wezindlela zokuvikela inzalo eziphephe kakhulu ezikhona. Amakhondomu asebenza ngokudala isithiyo esivimba imbewu yamadoda ukuthi ifinyelele eqandeni, ngaleyo ndlela kwehliswe amathuba okukhulelwa. Kodwa ukusebenza kahle kuncike kakhulu ekusebenziseni kahle nangokungaphazamiseki.

Uma esetshenziswa ngokupheleleyo ngendlela efanele, amakhondomu asebenza ngo-98%. Lokho kusho ukuthini? Kubantu ayi-100 abasebenzisa amakhondomu ngendlela ephelele unyaka wonke, kubili kuphela abangase bakhulelwe. Kodwa-ke, empilweni yangempela, abantu abaphelele. Kwenza amaphutha, njengokufaka ikhondomu sekuvele kwaqala ucansi noma ukungayisebenzisi kuso sonke isikhathi sokulala. Lokho kwehlisa ukusebenza kufike cishe ku-85%, okusho ukuthi abantu abayi-15 kwabayikhulu bangase bakhulelwe eminyakeni emibili.

Izinto ezifana nokugcinwa kabi, amakhondomu aphelelwe yisikhathi, noma ukufakwa okungalungile zingakhuphula amathuba okukhulelwa usebenzisa ikhondomu. Ukuze amakhondomu asebenze kahle, uwagcine njalo endaweni ebandayo, eyomile, futhi uhlole usuku lokuphelelwa yisikhathi ngaphambi kokuwasebenzisa [1]. Izinto ezilula ezinjengalezi zingenza umehluko omkhulu.

Ingabe Ikhondomu Ingakukhulelisa?

Ingabe umcabango othi ikhondomu ingakukhulelisa uke wangena engqondweni yakho? Noma mhlawumbe uke wazibuza, ingabe ikhondomu ingakukhulelisa? Akusikho ikhondomu uqobo, kunjalo—kuncike endleleni esetshenziswa ngayo. Ikhondomu ayikwazi ukukukhulelisa, kodwa ukungayisebenzisi kahle kungavumela imbewu yamadoda ukuthi idlule esithiyweni okumele sikwenze.

Isibonelo, uma ikhondomu iqhuma ngesikhathi socansi, ayisasebenzi. Uma ishelela iphume noma ingagqokwe kahle, isidoda singangena esithweni sangasese sowesifazane futhi mhlawumbe sibangele ukukhulelwa. Futhi yebo, ukusebenzisa amakhondomu aphelelwe yisikhathi noma agcinwe ezindaweni ezishisayo noma ezinemswakama kukhuphula amathuba okwehluleka. Lezi zimo zandisa amathuba okuthi ukhulelwe usebenzisa ikhondomu [2].

Kufanele futhi kushiwo ukuthi uketshezi oluphuma kuqala ngaphambi kokuchama, olubizwa nge-pre-ejaculate noma i-pre-cum, lungase lube nesidoda. Uma ikhondomu ingagqokiwe ngaphambi kwanoma yikuphi ukuxhumana kwezitho zangasese, kukhona ithuba lokuthi isidoda sifinyelele iqanda [3]. Ukuze ugweme lokhu, qiniseka ukuthi ikhondomu ifakwa ngokushesha nje lapho umcimbi wobulili uqala.

Ingabe Ungakhulelwa Ngokusebenzisa Amakhondomu?

Uma uzibuza ukuthi, ingabe ungakhulelwa ngokusebenzisa amakhondomu noma ingabe ungakhulelwa ngekhondomu, impendulo emfushane ithi yebo, kodwa kuba yinto engajwayelekile uma esetshenziswa kahle. Amakhondomu awasebenzi kahle kakhulu, kodwa akukho ndlela yokuvikela ukukhulelwa engu-100% eqinisekisiwe.

Iningi lokwehluleka kwenzeka ngenxa yamaphutha abantu abawenzayo. Isibonelo, ukungashiyi isikhala esanele ekugcineni kwekhondomu kungayenza iqhume ngesikhathi sokuchama [4]. Ukusebenzisa ikhondomu elingesilo usayizi ofanele nakho kungaholela ekusheleleni noma ekuqhekekeni. Lezi zinkinga zikhuphula amathuba okukhulelwa usebenzisa ikhondomu, ngisho noma uzama ukuzivikela.

Ukuze wehlise ubungozi, qiniseka ukuthi ulandela zonke iziyalezo zendlela yokusebenzisa ngokucophelela. Ukuziqeqesha kwenza uphumelele, futhi ukuthatha isikhathi sokufunda indlela efanele yokuyifaka kungakusindisa engozini enkulu yokucindezeleka.

Ingabe Ungakhulelwa Uma Usebenzisa Ikhondomu?

Umcabango wokuthi ingabe ungakhulelwa uma usebenzisa ikhondomu noma ingabe ungakhulelwa ngokusebenzisa ikhondomu ungakugcina uvuka ebusuku. Amakhondomu asebenza kahle, kodwa awawona umlingo. Uma kwenzeka iphutha endleleni asetshenziswa ngayo, ukukhulelwa kungenzeka.

Isibonelo, ukusebenzisa ama-lubricant asuselwe kumafutha namakhondomu e-latex kungathambisa futhi kube buthakathaka indwangu yawo bese kubangela ukuthi iqhawuke. Ukungahloli ikhondomu ukuze ubone ukulimala okubonakalayo ngaphambi kokuyisebenzisa nakho kungaholela ezinkingeni. Lezi ziphambeko zingase zibonakale zincane, kodwa zingaba nomthelela omkhulu, zikhuphule amathuba okukhulelwa usebenzisa ikhondomu. Abanye abantu bayakhathazeka, babuze ukuthi, ingabe ungakhulelwa usebenzisa ikhondomu noma ngisho noma uyisebenzisa kahle, kodwa ingozi incane kakhulu uma ikhondomu ifakwe kahle futhi isetshenziswa ngokungaguquguquki kuso sonke isenzo socansi.

Ukungaguquguquki kubalulekile. Gqoka ikhofu kusukela kuqala ucansi kuze kube sekugcineni, futhi uqinisekise ukuthi ihlala iphelele ingaphukile. Kungase kubonakale kukhahlekile, kodwa lezi zinyathelo ezincane ziya ibanga elide ekugwemeni ukukhulelwa okungahleliwe [5].

Ingabe Ukusebenzisa Amakondomu Kuvimbela Ukukhulelwa?

Abantu abaningi bayabuza, ngabe amakondomu avimbela ukukhulelwa, impendulo ithi yebo—asebenza kahle kakhulu uma esetshenziswa ngendlela efanele nangokungaguquguquki, okwenza abe enye yezindlela ezithembeke kakhulu zokuvikela ukukhulelwa. Uma uzibuza, ngabe ukusebenzisa amakondomu kuvimbela ukukhulelwa? Impendulo iphinde ibe yebo, kodwa njengazo zonke izindlela, kukhona izinto okufanele uzicabangele. Amakondomu asebenza kahle uma esetshenziswa ngendlela efanele, kodwa ukungawasebenzisi kahle kungaholela ekuhlulekeni.

Kulabo abakhathazekile ngamathuba okukhulelwa usebenzisa ikhondomu kuphela, cabanga ukuhlanganisa amakondomu nenye indlela yokuvikela ukukhulelwa, njenge-spermicide noma amaphilisi okubeletha ane-hormone. Lolu hlelo lokuvikelwa kabili lwehlisa kakhulu amathuba okukhulelwa futhi lufaka ungqimba olwengeziwe lokuvikeleka.

Khumbula, uma uzinzile ekusetshenziseni, amakondomu asebenza kangcono. Lokhu kuyiqiniso ikakhulukazi uma usaqala ukuwasebenzisa. Kujwayelekile ukwenza amaphutha amancane ekuqaleni, kodwa ukuzijwayeza kuzokwenza ube nesiqiniseko ngokuhamba kwesikhathi [6].

Ingabe Usengakhulelwa Usebenzisa Ikhondomu?

Kujwayelekile ukucabanga, ‘Ngisebenzise ikhondomu kodwa ngisakhathazekile,’ ikakhulukazi uma usaqala ukusebenzisa amakondomu noma unokungabaza ngokuthembeka kwawo. Umbuzo ovame ukuvela uthi, ngabe usengakhulelwa usebenzisa ikhondomu? Nakuba amathuba emancane, awapheli nhlobo. Izinto ezifana nokufaka ikhondomu ngendlela engeyona, ikhondomu ephelelwe yisikhathi, noma ukugcinwa kabi zingakhuphula ingozi yokwehluleka.

Uma ikhondomu idabuka, ishelela iphume, noma ingasetshenziswa kusukela ekuqaleni kuze kube sekugcineni, isidoda sisengakwazi ukufinyelela eqandeni. Lezi zinkinga zandisa amathuba okukhulelwa ngekhondomu, ngisho noma uzama ukuba qaphela kakhulu [7].

Ukuvimbela lokhu, yenza umkhuba wokuhlola amakondomu ngaphambi kokuwasebenzisa, uwagcine ngendlela efanele, futhi ulandele yonke imiyalelo. Kufanele umzamo owengeziwe ukuze uqinisekise ukusebenza okuphezulu kakhulu.

Yini Amathuba Okukhulelwa Usebenzisa Ikhondomu?

Abantu abaningi bayazibuza, zingakanani izibalo zokukhulelwa usebenzisa ikhondomu noma bangaki amathuba okukhulelwa usebenzisa ikhondomu? Amathuba ancike ekutheni uyisebenzisa kahle kangakanani. Uma isetshenziswa ngokuphelele ngendlela efanele, izinga lokwehluleka lingu-2% kuphela. Lokho kusho ukuthi kubantu abayi-100 abasebenzisa amakondomu ngokuphelele kahle unyaka wonke, ababili kuphela abangakhulelwa.

Nokho, uma kusetshenziswa ngendlela ejwayelekile, lapho kuba khona amaphutha ngezikhathi ezithile, izinga lokwehluleka lenyuka lifinyelele cishe ku-15%. Lesi sibalo sigqamisa ukuthi kungani ukusetshenziswa okufanele kubaluleke kangaka. Ngokulandela imiyalelo nokuthatha izinyathelo ezengeziwe, unganciphisa kakhulu amathuba okukhulelwa usebenzisa ikhondomu [8].

Ukukhulelwa Okumangalisayo Noma Naphezu Kwekondomu

Ukuzwa ukhulelwe kungazelelwe yize usebenzise amakondomu kungadida futhi kudumaze, ikakhulukazi lapho uthathe izinyathelo zokukuvimbela. Kodwa lezi zimo ngokuvamile zibangelwa amaphutha agwemekayo, njengokusebenzisa ikhondomu elilimele noma eliphelelwe yisikhathi noma ukungalifaki kahle.

Uma ukhathazekile ngokuthi mangaki amathuba okukhulelwa usebenzisa ikhondomu, cabanga ngokuba nendlela yokuvikela eyengeziwe, njengendlela yokuvikela esesiphuthumayo, eduze nawe. Lokhu kungakunikeza ukuthula kwengqondo okwengeziwe uma kwenzeka kunezinkinga ezingalindelekile [9].

Kuphephile Kangakanani Ukusebenzisa Ikhondomu?

Umbuzo othi Ukuphepha kangakanani ukusebenzisa ikhondomu ubuzwa abantu abaningi, ikakhulukazi labo abasanda kuqala ukuyisebenzisa. Amakondomu angesinye sezindlela eziphephe kakhulu nezitholakala kalula zokuvikela ukukhulelwa. Awavimbeli ukukhulelwa kuphela kodwa futhi avikela nezifo ezithathelwana ngocansi (STIs), okwenza abe yisinqumo esihle sempilo yokuzala iyonke.

Uma uzizwa wesaba ukukhulelwa usebenzisa amakondomu, khumbula ukuthi ulwazi lubalulekile. Ukufunda indlela yokusebenzisa amakondomu kahle futhi njalo kungasiza ukunciphisa kakhulu ukukhathazeka mayelana nokusebenza kwawo [10].

Ingabe Ungakhulelwa Usebenzisa Ikhondomu?

Lo mbono othi ingabe ungakhulelwa usebenzisa ikhondomu ungakukhathaza, ikakhulukazi uma wake wasaba ngaphambili noma wezwa izindaba zokwehluleka. Iqiniso ukuthi yize amakondomu ethembekile, awaphelele. Izinto ezifana nokugcinwa okungafanele, ukufakwa okungelona, noma ukusebenzisa uhlobo olungalungile lwe-lubricant kungakhuphula amathuba okukhulelwa usebenzisa ikhondomu [11].

Ngokuhlala unolwazi nokulandela imikhuba engcono kakhulu, unganciphisa kakhulu amathuba okuthi ikhondomu yehluleke.

Okubalulekile Ekugcineni

Ukuzwa wesaba ukukhulelwa noma usebenzisa amakondomu kuyancomeka, kodwa uma esetshenziswa kahle, ayaqhubeka eyizindlela ezisebenza kahle kakhulu zokuvikela ukukhulelwa. Kungakhathaliseki ukuthi ukhathazekile ngokuthi ingabe ungakhulelwa usebenzisa ikhondomu noma ukuthi yisiphi isibalo samathuba okukhulelwa usebenzisa ikhondomu, ukuthatha isikhathi sokuzifundisa nokuzilolonga ngendlela efanele kungaletha umehluko omkhulu.

Ngokuhlanganisa amakondomu nezinye izindlela zokuvikela ukukhulelwa nokugcina ukuxhumana okuvulekile neqabane lakho, ungazizwa unesiqiniseko futhi ulawula kangcono impilo yakho yokuzala.

Imibuzo evame ukubuzwa

Ingabe ungakhulelwa ngenxa yokusebenzisa ikhondomu?

Yebo, kodwa kuba yivelakancane uma isetshenziswa ngendlela efanele.

Ingabe ungakhulelwa usebenzisa ikhondomu?

Yebo, kodwa lokhu ngokuvamile kwenzeka ngenxa yokungasetshenziswanga kahle noma ukulimala kwekhondomu.

Yiziphi izingozi zokukhulelwa usebenzisa ikhondomu?

Uma kusetshenziswa ngokuphelele kahle, ithuba lokukhulelwa lincane, cishe ngu-2%, kodwa ngokusetshenziswa okuvamile likhuphukela cishe ku-15%.

Ingabe ukusebenzisa amakondomu kuvimbela ukukhulelwa?

Yebo, ziyasebenza kakhulu uma zisetshenziswa ngendlela efanele.

Ingabe ungakhulelwa uma usebenzisa ikhondomu?

Yebo, kodwa amathuba amancane kakhulu uma ikhondomu ifakwa futhi isetshenziswa kahle.

Izinkomba

1. Hatcher, R. A., & Nelson, A. L. (2018). Contraceptive technology (21st ed.). New York: Ayer Company. Kutholakala ku: https://contraceptivetechnology.org/the-book/
2. Zenilman, J. M., Weisman, C. S., Rompalo, A. M., Ellish, N., Upchurch, D. M., Hook, E. W., 3rd, & Celentano, D. (1995). Condom use to prevent incident STDs: the validity of self-reported condom use. Sexually transmitted diseases. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/7709320/
3. World Health Organization (WHO). (2019). Family planning/Contraception methods.. Kutholakala ku: https://www.who.int/news-room/fact-sheets/detail/family-planning-contraception
4. Crosby, R. A., Milhausen, R. R., Sanders, S. A., Graham, C. A., & Yarber, W. L. (2014). Condom use errors and problems: a study of high-risk young Black men residing in three Southern US cities. International journal of STD & AIDS. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/24648319/
5. Holmes, K. K., Levine, R., & Weaver, M. (2004). Effectiveness of condoms in preventing sexually transmitted infections. Bulletin of the World Health Organization. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/15356939/
6. Lee, J. K., Gutin, S. A., Getahun, M., Okiring, J., Neilands, T. B., Akullian, A., Ssali, S., Cohen, C. R., Maeri, I., Eyul, P., Kamya, M. R., Bukusi, E. A., Charlebois, E. D., & Camlin, C. S. (2023). Condom, modern contraceptive, and dual method use are associated with HIV status and relationship concurrency in a context of high mobility: A cross-sectional study of women of reproductive age in rural Kenya and Uganda, 2016. Contraception. Kutholakala ku: https://pmc.ncbi.nlm.nih.gov/articles/PMC9984206/
7. Weckstein, T. N., Simmons, R. G., Baayd, J., & Fay, K. E. (2024). Contraceptive Risk Events among Family Planning Specialists: a Cross Sectional Study. Research square. Kutholakala ku: https://pmc.ncbi.nlm.nih.gov/articles/PMC10942565/
8. Hatcher, Robert A, Rinehart, Ward, Blackburn, Richard, Geller, Judith S, Shelton, James D. et al. (‎1997)‎. The Essentials of contraceptive technology: a handbook for clinic staff / Robert A. Hatcher ... [‎et al.]‎. Baltimore, MD : Population Information Program, Johns Hopkins University, School of Public Health. Kutholakala ku: https://iris.who.int/handle/10665/42331
9. Haddad, L. B., Townsend, J. W., & Sitruk-Ware, R. (2021). Contraceptive Technologies: Looking Ahead to New Approaches to Increase Options for Family Planning. Clinical obstetrics and gynecology. Kutholakala ku: https://pmc.ncbi.nlm.nih.gov/articles/PMC8328155/
10. CDC. (2024). Contraception and Birth Control Methods . Kutholakala ku: https://www.cdc.gov/contraception/about/index.html
11. Gallo, M. F., Warner, L., Jamieson, D. J., & Steiner, M. J. (2011). Do women using long-acting reversible contraception reduce condom use? A novel study design incorporating semen biomarkers. Infectious diseases in obstetrics and gynecology. Kutholakala ku: https://pmc.ncbi.nlm.nih.gov/articles/PMC3154387/