Yonke into ofuna ukuyifumana malunga neNexplanon, ukumiliselwa kolawulo lokuzalwa

Ulwazi lweziyobisi

I-Nexplanon , ekwabizwa ngokuba kukumiliselwa kolawulo lokuzalwa, yenye yezona ndlela zisebenzayo zokuthintela ukukhawula kwehomoni ezikhoyo ngoku. Nje ukuba ibekwe ngokuchanekileyo, ukumiliselwa kolawulo lokuzalwa ingaphezulu kwe-99% esebenzayo ekuthinteleni ukukhulelwa ukuya kuthi ga kwiminyaka emine, ukuyenza ukuba isebenze ngakumbi kune indawo yokuzalwa , isangqa , okanye isitofu . Kwaye kunokuzibophelela okuncinci kune isixhobo sangaphakathi (IUD). Funda ukuze ubone ukuba ingaba yinto elungileyo kuwe.

Yintoni iNexplanon?

I-Nexplanon (etonogestrel) yi Ivunyiwe yi-FDA encinci, intonga yeplastiki eguqukayo malunga nobukhulu bomlinganiso womgangatho. Umboneleli wezempilo uyakufaka kwaye asuse ukufakelwa; kanye endaweni, ukufakelwa kuya kuhlala phakathi kweminyaka emithathu ukuya kwemihlanu (okanye ngaphantsi, ukuba uthatha isigqibo sokuba ikhutshwe). Le ndlela yolawulo lokuzalwa-isixhobo esisebenza ixesha elide esibuyisayo (esikwabizwa ngokuba yi-LARC) -esebenza ngokukhulula ngokuthe ngcembe iprogestin, isiphumo sehomoni yendalo, emzimbeni wakho ukulawula umjikelo wakho wokuya exesheni, unciphise umtya wesibeleko sakho, ukuthintela ukuphuma kweqanda (ukukhutshwa kweqanda ekulungele ukuchunyiswa), kunye nokuxinana kwencindi yomlomo wesibeleko ukukhusela isidoda ekuchumiseni nawaphi na amaqanda anokukhutshwa kwii-ovari zakho.

I-Nexplanon yi-radiopaque, ke ukufakelwa kwakho kuya kubonakala kwi-X-ray, imaging resonance imaging (MRI), ukuskena kwe-ultrasound, kunye nekhompyuter ye-tomography (CT okanye CAT), oko kuthetha ukuba umboneleli wakho angasebenzisa i-X-ray okanye i-ultrasound ukubona ukuba ukufakelwa kwakho kwindawo efanelekileyo.

Ukufakwa kolawulo lokuzalwa kuye kwafumaneka e-United States ukusukela ngo-1998, xa i-Wyeth Pharmaceuticals yakhupha iNorplant. UNorplant wasuswa kwintengiso ngaphakathi 2002 endaweni yayo Implanon , esele ihlaziyiwe yaza yathiywa igama kwathiwa yiNexplanon, eyenza ukuba ibe yenye yeendlela ezintsha zokulawula ukuzalwa kwintengiso. Njenge-Implanon, i-Nexplanon yinto enye yokufaka intonga enye, kodwa i-radiopaque-ethetha ukuba kulula ukuyifaka, ukuyibona ngamehlo, kunye nokususa kunangaphambili.

Ifakwa njani iNexplanon?

Inkqubo ye- inkqubo yokufaka ye-Nexplanon (ekwabizwa ngokuba yi-etonogestrel implant) ilula kakhulu, ithe tye, kwaye ayinabuhlungu. Ithathelwa ingqalelo yinkqubo encinci, kodwa umboneleli wakho wezempilo unokuyenza eofisini yabo, kwaye ifuna kuphela i-anesthetic yendawo.

Emva kokucoca ngokucokisekileyo indawo nge-antiseptic, umboneleli wakho uya kunqanda indawo yengalo yakho ephezulu apho aya kufaka khona ukumiliselwa . Nje ukuba ube ndindisholo, umboneleli wakho uya kusebenzisa isixhobo esikhethekileyo sokufakela ukufakelwa phantsi kolusu kwingalo yakho ephezulu. Inkqubo yokufakelwa kokufakelwa ithatha kuphela imizuzu embalwa, kwaye ngelixa ungaziva uncinjana okanye uhlaba xa ukufakwa kungena, akufuneki kube buhlungu kakhulu.

Ugqirha uya kuqinisekisa ukuba ifakwe ngokufanelekileyo ngaphambi kokuba akuthumele ekhaya. Uya kudinga ukunxiba uxinzelelo lwebhandeji kwisiza sokumilisela iiyure ezingama-24 ezizayo, kwaye emva koko ibhandeji eqhelekileyo kangangeentsuku ezimbalwa. Ngeli xesha, kuyakufuneka uphephe ukuphakamisa okunzima okanye ukuzilolonga ukuthintela ukuphazamisa indawo yokufakelwa.

Abanye ababoneleli ngezempilo baya kucwangcisa kuphela ukufakwa kwakho kwiintsuku zokuqala ezintlanu zexesha lakho; ukuba kunjalo, iNexplanon iya kubonelela ngolawulo lokuzalwa kwangoko. Ukuba awufumani ukumiselwa kolawulo lokuzalwa ngeentsuku ezintlanu zokuqala kwexesha lakho, kuya kufuneka usebenzise umlinganiso wesibini wokulawula ukuzalwa, njengeikhondom zangaphandle, kwiveki yokuqala emva kokumiliselwa. Umboneleli wakho wezempilo kufuneka afune ukuba uthathe uvavanyo lokukhulelwa kwangaphambili.

Emva kokuba kufakelwe ukufakwa kolawulo lwakho lokuzalwa, kufuneka ukwazi ukuziva phantsi kwesikhumba. Oku kukuqinisekisa ukuba umboneleli wakho wezempilo uya kuba nakho ukuyifumana kamva xa ifuna ukususwa. Ukuba awukwazi ukuziva, kusenokwenzeka ukuba ayisebenzi kakuhle, kwaye unokukhulelwa. Ukuba awukwazi ukuziva ufakelo lwakho, thetha nomboneleli wakho. Ukufakwa okunzulu kunokwenza kwakhona inkqubo yokususa enzima ngakumbi.

Isuswa njani?

Ngelixa ubomi be-Nexplanon yolawulo lokuzalwa luzinzisa iminyaka emithathu ukuya kwemihlanu, kungafuneka uthathe ukufakelwa kwangoko-umzekelo, ukuba uzama ukukhulelwa, okanye ukuba uthatha isigqibo sokuba iziphumo ebezingalindelekanga azizidluli izibonelelo kokumiliselwa.

Njengokufakwa kwayo, inkqubo yokususa inkqubo yokuzalwa iyakhawuleza, ngentlungu encinci okanye ukungonwabi, kwaye ngokuthe ngqo. Nangona kunjalo, kuyakuthatha ixesha elincinci ukususa ukufakelwa kwakho kunokuba kwenziwe njalo. Ukuyisusa, umboneleli wakho wezempilo uya kubamba ingalo yakho ephezulu kwaye enze incision encinci kwindawo yokufakelwa. Emva koko, esebenzisa izixhobo ezizodwa, uya kutsala intonga encinci engalweni yakho kwaye asebenzise ii-steri-strips okanye i-sutures ukuvala indawo yokusikwa. Okwangoku, unokufumana enye into efakwe ngokukhawuleza ukuba unqwenela ukuqhubeka usebenzisa iNexplanon njengeyona ndlela iphambili yolawulo lokuzalwa.

Nje ukuba ukufakelwa kokuthintela ukukhulelwa kuphume, unokufumana ukukhathazeka okanye ukutyumka ujikeleze indawo yokucheba. Qiniseka ukuba ulandela imiyalelo akunika yona umnikezeli wakho wezempilo wokuhlamba nokhathalelo lommandla ukunqanda ukosuleleka okanye ukonakala. Kuya kufuneka weqe ubunzima obunzima kwakhona ukuze uqiniseke ukuba awuphazamisi inkqubo yokuphilisa.

Emva kokuba ukufakelwa kususwe, uya kuba nakho ukukhulelwa kwangoko. Ukuba awuzami ukukhulelwa, kuya kufuneka ufumane enye into okanye usebenzise indlela eyahlukileyo yolawulo lokuzalwa.

Isebenza njani iNexplanon?

Ukufakwa kwe-Nexplanon kungaphezulu kwe-99% esebenzayo ekuthinteleni ukukhulelwa xa kufakwe ngokuchanekileyo, eyenza ukuba ibe yenye yezona ndlela zibalaseleyo zokuthintela ukukhulelwa kwabantu abakhetha ukusebenzisa ulawulo lokuzalwa kwehomoni. Ikwalukhetho olufanelekileyo kuye nawuphina umntu onovakalelo kwi-estrogen, kuba iNexplanon ixhomekeke kwiprogestin ukukhusela ukukhulelwa.

Nangona ukufakelwa kungasetyenziswa njengepilisi, kusebenza ngakumbi kwaye kukhuselekile. Ngenxa yokuba uyifumana kwaye uhamba nohlobo lolawulo lokuzalwa, ukubakho kwempazamo yomsebenzisi-njengokulibala ukuthatha ipilisi yakho yolawulo lokuzalwa yonke imihla, ukutshintsha i-patch yakho veki nganye, okanye utshintshe iNuvaRing yakho rhoqo kwiiveki ezintathu-iyasuswa.

Zeziphi izibonelelo zeNexplanon?

Nangona iziphumo ebezingalindelekanga kunye nemingcipheko akufuneki ithotyiwe, zininzi izibonelelo kule ndlela yolawulo lokuzalwa. Yinto yabucala ngokupheleleyo; nguwe kuphela nomnikezeli wakho ekufuneka nifakelwe apho. Akunyanzelekanga ukuba uyeke ukwabelana ngesondo ukuze ufumane iikhondom (nangona, iikhondom kufuneka zisetyenziselwe ukuthintela ii-STIs). Akunyanzelekanga ukuba uthathe amayeza yonke imihla. Kwaye akukho sidingo sokugcina umkhondo weshedyuli yethamo-ungayifumana kwaye ulibale ukuya kuthi ga kwiminyaka emihlanu, kuxhomekeke koko ucebisa umboneleli wakho.

Nje ukuba ukufakelwa kususwe, unokukhulelwa kwangoko. Ikwayindlela ekhuselekileyo yokukhetha ukuncancisa Abasetyhini abafuna ukukhulelwa okusebenzayo kakhulu; enyanisweni, ukuba uthatha ulawulo lokuzalwa konke ngelixa uncancisa, into yokuthintela ukukhulelwa kweprogesin kuphela ukubheja kwakho okukhuselekileyo. Unokulufumana ulawulo lolawulo lokuzalwa emva kweeveki ezine emva kokubeleka. Ayinakutshintsha nokuba uvelisa ubisi lwebele olungakanani.

Zithini iziphumo ebezingalindelekanga eziqhelekileyo zeNexplanon?

Uninzi lwabantu abasebenzisa iNexplanon abanamava exesha elide imiphumela , kwaye uninzi lweziphumo ebezingalindelekanga zihamba emva kweenyanga ezintathu ukuya kwezintandathu njengoko umzimba wakho uhlengahlengisa ukufakelwa. Nangona kunjalo, uya kufuna ukuqaphela ukuba ubungozi beziphumo ebezingalindelekanga zamkelekile kuwe:

• Utshintsho kwixesha lakho lokuya esikhathini, kubandakanya ukubonwa, ukuphuma kwegazi okunzima okanye okungaqhelekanga, okanye kungabikho xesha kwaphela
• Intlungu, ukutyumka, usulelo, okanye ukonakala kwindawo yokufaka
• Ukutshintsha kwemo okanye ezinye iinguqulelo ezinje ngoxinzelelo okanye uxinzelelo Amabala
• Ukuphendula okungafunekiyo kwendawo
• Utshintsho kwisidlo
• Ukucheba iinwele okanye ukulahleka
• Intloko ebuhlungu
• Ukutyeba kwakho

Buphi ubungozi bokufakwa kolawulo lokuzalwa?

Umboneleli wakho wezempilo uya kubonelela ngolwazi malunga nemingcipheko yokusebenzisa i-Nexplanon njengendlela yokulawula ukuzalwa, equka:

• Ukufakelwa okuphukileyo okanye okugobile
• Iingxaki ngokufaka okanye ukususa ukufakelwa okungafuna utyando
• Isityalo sinokuhamba phantsi kwesikhumba okanye siphume sodwa. Ukuba oku kuyenzeka, nxibelelana nomboneleli wakho ngokukhawuleza.
• Amahlwili egazi, anjenge-vein thrombosis enzulu, ukubola kwemiphunga, ukubetha, okanye isifo sentliziyo
• Iingxaki zenyongo
• Igazi elonyukayo
• Amathumba aqhelekileyo anomhlaza okanye angenasifo somhlaza
• Ukukhulelwa kwe-Ectopic

Ngokubanzi, zonke iintlobo zolawulo lokuzalwa zikhuselekile kunokukhulelwa okungalindelekanga.

Ngubani ongafanele afumane iNexplanon?

Kukho umngcipheko obalulekileyo, osongela ubomi obandakanyekayo ekusebenziseni ukufakelwa kolawulo lokuzalwa ekufuneka uxoxe ngalo nomboneleli wakho wezempilo ngaphambi kokukhetha ukufakelwa. Ngokolwazi lwayo lokumisela, akufuneki usebenzise i-Nexplanon ukuba unale miba ilandelayo yomngcipheko:

• Ukhulelwe okanye ucinga ukuba ukhulelwe
• Yiba namahlwili egazi naphi na emzimbeni wakho
• Unesifo sesibindi, izicubu, okanye umhlaza
• Amava okungabikho exesheni ukopha kwilungu lobufazi
• Ngaba uye wafumanisa ukuba unomdlavuza, ingakumbi umdlavuza webele (i-copper IUD ingaba yinto engcono)
• Ngaba uxabana nokufakwa kweNexplanon
• Bafuna ulawulo lokuzalwa olukhusela izifo ezosulela ngokwabelana ngesondo

Ezinye izinto eziphikisayo ekufuneka ziqwalaselwe zibandakanya:

• Imbali yokuphazamiseka kwemood
• Ukungabikho komzimba kwi-anesthetics
• Seswekile
• Igazi elonyukayo
• I-cholesterol ephezulu okanye i-triglycerides
• Migraine kunye ne-aura
• Iingxaki zezintso okanye ze-gallbladder

Ukufumana njani ukufakelwa kolawulo lokuzalwa lweNexplanon

Kuya kufuneka ufumane i-Nexplanon kugqirha, ugqirha wezifo zabasetyhini, okanye ugqirha onesi oqhelene nenkqubo yokufaka okanye ukususa ukufakelwa. I-Nexplanon ayifumaneki kwiikhemesti zesiko njengeendlela ezininzi zolawulo lokuzalwa.

Thetha nengcali yezempilo ukuze uqiniseke ukuba iNexplanon lolona khetho lokulawula ukuzalwa kwakho, ugcine engqondweni iziphumo ebezingalindelekanga kunye nemingcipheko ebandakanyekayo. Iindleko zenkqubo (ezibandakanya ukufakelwa) zinokuhla ukusuka kwi- $ 0 ukuya kwi-1,300 yeedola, kuxhomekeke kwi-inshurensi yakho. Ukususwa kokumiliselwa kunokuxabisa ukuya kuthi ga kwi-300 yeedola. Eyakho i-inshurensi inokugubungela inkqubo kunye nokufakelwa ngokwayo, kodwa jonga kubo kuqala; idla ngokuqwalaselwa njengenzuzo yonyango. Uninzi lweinshurensi lugubungela ukufakelwa kweNexplanon, ukufakwa kwayo kunye nokususwa. Ukuba i-inshurensi yakho ayihlawuli, ungaqhagamshelana nenkqubo yeCoverHer apha nwlc.org/coverher ngoncedo.

Unokwazi ukufumana iNexplanon simahla okanye ngexabiso lesaphulelo ngokuqinisekileyo amaziko ezempilo . Ekugqibeleni, ukufakelwa kolawulo lokuzalwa kungabiza kakhulu okanye kungabizi kakhulu njengoko unokuhlawula ezinye iindlela zolawulo lokuzalwa ekuhambeni kwexesha, kuxhomekeke kwi-inshurensi yakho. Unokusebenzisa i-SingleCare kwizaphulelo kwi I-Nexplanon kwezinye iikhemesti ezikhethekileyo. Uyakufumana izaphulelo ze-SingleCare zezinye iindlela zolawulo lokuzalwa, ezinje nge UNuvaRing , isiqwenga seXulane, i Idepot-Provera yadutyulwa , indibaniselwano yolawulo lweepilisi , kwaye i iMillipill .