Eyona >> Ulwazi Lweziyobisi >> Ngaba ii-IUDs (ezinje ngeMirena) zibangela ukutyeba kwesisindo?

Ngaba ii-IUDs (ezinje ngeMirena) zibangela ukutyeba kwesisindo?

Ngaba ii-IUDs (ezinje ngeMirena) zibangela ukutyeba kwesisindo?Ulwazi lweziyobisi

Njengawo onke amayeza, ulawulo lokuzalwa lunokuba neziphumo ebezingalindelekanga. Kubalulekile ukuba xa ukhetha indlela ekufaneleyo. Iziphumo zolawulo lokuzalwa zingabandakanya i-acne, ukuphuma kwegazi, ukutshintsha kwemood, kunye nokunye. Ukutyeba yinto exhalabisayo phakathi kwabasetyhini abakhetha ulawulo lokuzalwa, kodwa kuyimpazamo yokuba ii-IUD zibangela ukutyeba. Ukuphendula ezinye Imibuzo ebuzwa qho malunga nokuzuza ubunzima be-IUD, sathetha noChristina Madison, Pharm.D., FCCP, BCACP, AAHIVP, umseki we Usokhemesti wezeMpilo yoLuntu kunye nomphandi weklinikhi wezempilo yabasetyhini.





Yintoni i-IUD?

Isixhobo se-IUD, okanye se-intrauterine, sisixhobo esincinci esenziwe nge-T esifakwe kwisibeleko ukuthintela ukukhulelwa. Ngomngcipheko ongaphantsi kwe-1% wokukhulelwa unyaka nonyaka, ii-IUDs zezona ndlela zisebenzayo zokulawulwa kokuzalwa ezikhoyo. IUDs lukhetho olukhulu kwabo bahlala bekulibala ukuthatha iipilisi zabo zemihla ngemihla zokulawula ukuzalwa. Emva kokufakwa, i-IUD ihlala naphi na ukusuka kwiminyaka emithathu ukuya kweli-12. Ingasetyenziswa ngabafazi bayo yonke iminyaka, ngokwe i-CDC . Ikwayindlela yokubuyisela inzala eguqulweyo, ekuvumela ukuba ubuyele kubuncwane obuqhelekileyo yakube isuswe i-IUD yakho.



Zimbini iintlobo zeemveliso ze-IUD: ubhedu kunye nehomoni. Ngelixa zombini zisebenza ngokuthintela ukukhulelwa, kukho umahluko ophambili ekufuneka ugcinwe engqondweni.

Ii-IUDs zobhedu

I-IUDs zeCopper azinayo i-hormone. Basebenzisa iplastiki kunye nekhoyili yobhedu endaweni ye-levonorgestrel. I-Copper yinto yokubulala imbewu yendalo, ibulala isidoda ngaphambi kokufikelela kwiqanda. IUDs zeCopper, njenge IParaGard , inokusetyenziselwa ukuya kuthi ga kwiminyaka eli-12.

IiHormonal IUDs

Ngamanye amaxesha kubizwa ngokuba ziinkqubo ze-intrauterine, ii-IUDs zehomoni zikhupha isixa esincinci sehomoni yeprogestin ebizwa ngokuba yi-levonorgestrel kwisibeleko, ethintela isidoda ekufikeleleni nasekuchumiseni iqanda. Ezi IUDs zinokuhlala naphakathi kweminyaka emithathu ukuya kwesixhenxe.



Enye yezona zinto zixhaphakileyo kwiihormones ze-IUD yiMirena, eyenziwe yiBayer. IMirena ithintela ukukhulelwa ukuya kuthi ga kwiminyaka emihlanu kodwa inokuhlala isebenza kangangesithuba seminyaka esixhenxe.

Iindleko zeMirena ziyahluka, kodwa iBayer kutsha nje yaxela ukuba iipesenti ezingama-95 zabasetyhini zigutyungelwe ziindleko ezincinci zokuphuma epokothweni. Uluhlu lwamaxabiso eMirena yi- $ 953.51, ethi iphume iye kuthi ga kwi-15 yeedola ngenyanga ngaphezulu kweminyaka emihlanu. Ukuba i-inshurensi yakho ayiyigubungeli, kukho Amakhuphoni eMirena iyafumaneka.

Ezinye iintlobo eziqhelekileyo zibandakanya USkyla , Liletta , kunye UKyleena . Uhlobo ngalunye lwehomoni ye-IUD yahlukile, ke qiniseka ukubonisana ne-OB-GYN yakho ekulungeleyo.



ZIQHELEKILEYO: Yintoni iMirena? | Yintoni uSkyla? | Yintoni iLiletta? | Yintoni uKyleena?

Ziziphi iziphumo ebezingalindelekanga ze-IUD?

Zombini ii-IUDs zehomoni kunye nobhedu zenza okungaphezulu kokuthintela ukukhulelwa. Umzekelo, uMirena uphatha ukopha okunzima, okuba yinzuzo kwabo bafumana iintlungu ezinxulumene ne-endometriosis. IParaGard, i-IUD yobhedu, ikwasetyenziswa njengothintelo olungxamisekileyo okhawulezileyo kuba iqala ukusebenza kwangoko.

Iziphumo ebezingalindelekanga zeefom zedosi ye-intrauterine, njenge-Mirena IUD, zihlala zingaphantsi kakhulu kunezo zibonwa ngezicwangcisi zomlomo, ngokukaGqirha Madison.



Ngelixa ii-IUD zinama-99% asebenzayo, kukho iziphumo ebezingalindelekanga eziqhelekileyo ekufuneka uzikhumbule, kubandakanya:

  • Ukuxinana kunye nentlungu emva kokubekwa
  • Ukopha ngokungaqhelekanga kunye nokubona ngexesha lokuya esikhathini
  • Amaxesha angaqhelekanga, anokuba lula okanye ayeke
  • Ii-cysts ze-Ovarian, ezihlala ziphela
  • Ukuphuma kwegazi okunzima okanye ixesha elide nge-IUDs zethusi

Iziphumo ezinqabileyo kodwa ezinzulu ze-IUDs zinokubandakanya oku kulandelayo:



  • Umngcipheko wosulelo lwe-pelvic kwiintsuku ezingama-20 emva kokufakwa
  • IUD inokutyibilika okanye ihambe kwaye iya kufuna ukukhutshwa yingcali
  • Ukugxothwa kwesixhobo esibelekweni

Iziphumo ebezingalindelekanga zeMirena

Iziphumo ebezingalindelekanga ezinokubakho ze-IUDs ziyahluka ngokwezigulana, kunye nohlobo lwe-IUD esetyenzisiweyo. I-Mirena IUD inokuba nezongezelelo, iziphumo esekwe kwihomoni ezinje:

  • Intloko ebuhlungu
  • Amabala
  • Ukuthamba kwebele
  • Ukuhamba kweemvakalelo
  • Isicaphucaphu
  • Ukudinwa

Kuba iMirena kunye nezinye ii-IUDs zehomoni zisebenzisa iprogestin hormone endaweni ye-estrogen, ezinye izigulana zinokufumana ukutyeba okanye ukwehla kweenwele ngenxa yamanqanaba asezantsi e-estrogen. Ukunyuka kwesisindo seMirena kunye nokulahleka kweenwele akuqhelekanga kwaye kunokunxulumana neminye imiba yezempilo, njengoxinzelelo okanye ezinye izifo.



Izibonelelo zokusebenzisa ezi mveliso zisebenza ngokukuko kwaye zisebenza ixesha elide zingaphezulu komngcipheko weziphumo ezinokubakho, utshilo uGqirha Madison, kodwa qiniseka ukudibana nogqirha wakho ukubona ukuba ngaba i-IUD yeyona ndlela ilungileyo kuwe.

Ukufumana ubunzima be-IUD

Uninzi lwabasebenzisi be-IUD abanamava okufumana ubunzima. Ubhedu, ii-IUDs ezingezo-hormonal azibangeli bunzima, ngelixa malunga neepesenti ezi-5 zezigulana ezisebenzisa iihomoni zehomoni ezichaza ukutyeba. Kuba iMirena iyi-IUD yehomoni, ukuzuza ubunzima beMirena kunokwenzeka, ukuba akunakwenzeka.



Uluvo lokufumana ubunzima kwezi mveliso lucingelwa kakhulu kodwa alukhange luxhaswe, utshilo uGqirha Madison. Kwakungekho mahluko kubunzima bomzimba okanye ukwakhiwa okubonwe phakathi kweemveliso ze- [IUD] emva kweenyanga ezili-12 zokusetyenziswa okungagungqiyo. Ngelixa unokufumana ubunzima emva kokufumana i-IUD yakho, kuya kufuneka yehle.

Ukutyeba kunokwenzeka nge-IUDs yehomoni ngenxa yehomoni, iprogestin, esetyenzisiweyo. Naluphi na ukutyeba kobunzima be-IUD akunakuba kukunyuka kwamafutha omzimba, kodwa endaweni yoko kukonyuka kokugcinwa kwamanzi. Ihommone progestin inokunyusa ukugcinwa kwamanzi okubangela ukuqunjelwa, oko kudibanisa malunga neepawundi ezintlanu. Ubungakanani bobunzima obufunyenweyo buya kwahluka ukusuka kwisigulana ukuya kwisigulana, kodwa nakuphi na ukugcinwa kwamanzi kuya kuthi kwehle iinyanga ezintathu emva kokufakwa.

Kubalulekile ukuba wazi ukuba ukufumana nakuphi na ukutyeba emva kokufakwa kunokwenzeka ngenxa yendlela yokuphila yesigulana ngokuchasene ne-IUD uqobo. MNawuphi na umntu wasetyhini waseMelika ngokwendalo ufumana iiponti ezimbini ngonyaka, ezingadibaniyo kwaphela naziphi na izinto zokucwangcisa zehomoni, ngokutsho Amayeza eYale .

Cinga ngokwenza utshintsho kwindlela yokuphila ukuze uphephe ukuzuza ubunzima emva kokufumana i-IUD. Ukuzivocavoca rhoqo, ukutya okusempilweni, kunye nazo zonke iindlela eziqhelekileyo zokunciphisa umzimba kufuneka kunciphise amathuba alo naluphi na utshintsho lobunzima emva kokufumana i-IUD.

Ukuba ukuqunjelwa kungapheli kwiinyanga ezintathu emva kokufakwa, cinga ukuthetha nengcali yezempilo malunga nezinye iindlela. Ii-IUDs zeCopper, njengeParagard, azikhange zinxulunyaniswe nokuzuza ubunzima be-IUD, zibenza enye indlela.

Luluphi ulawulo lokuzalwa olungabangeli ukutyeba?

Ukuba i-IUD ingangqini eyona ndlela iyiyo yokulawula ukuzalwa kwakho, zininzi ezinye iindlela zokuthintela ukukhulelwa ekufuneka uziqwalasele. Qhagamshelana nomboneleli wakho wezempilo malunga noko kuya kukusebenzela. Ezinye iindlela eziqhelekileyo zokulawula ukuzalwa zibandakanya:

  • Iipilisi zokulawula inzala
  • Isiqwenga seXulane
  • Khangela kwindawo yokugcina izinto , okanye ezinye iinaliti zolawulo lokuzalwa
  • Ukufakwa kwezinto zokucwangcisa, njenge I-Nexplanon
  • Amakhonkco obufazi, ezifana UNuvaRing

Iindlela zokulawula ukuzalwa kweHormonal zifumana igama elibi elibangela ukutyeba. Nawuphi na umyinge wobunzima oxeliweyo ngelixa uthabatha ulawulo lokuzalwa kunokwenzeka ngokwendalo, njengokuguga okanye imetabolism yakho yehle.

Inye kuphela indlela yolawulo lokuzalwa enxulunyaniswe nayo ukutyeba kwakho , kwaye yilenaliti yeDepo-Provera. Ukuba ujonge ukuthintela ukutyeba, hlala kude nakuphi na ukuthintela inzalo. Ezi ziinaliti zibonisiwe ukuba zisebenzise imiqondiso elawula indlala, ekhokelela ekuzuzeni ubunzima kwezinye izigulana.

Njengoko ujonga ezinye iindlela zolawulo lokuzalwa, gcinani engqondweni ukuba ezinye, njengepilisi, inaliti, isiziba, kunye nemisesane yelungu lobufazi, zine-10% yamanqanaba okusilela minyaka le ngenxa yempazamo yomntu.

Ukukhetha eyona mveliso yothintelo kukhulela kuyeyedwa, utshilo uGqirha Madison, ke qiniseka ukuba uthethe ngokuphandle nangokunyanisekileyo kunye nogqirha wakho malunga nokuba yeyiphi na indlela yolawulo lokuzalwa ekufaneleyo.

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