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Into omele uyazi malunga nolawulo lokuzalwa kwe-IUD

Into omele uyazi malunga nolawulo lokuzalwa kwe-IUDUlwazi lweziyobisi

Unokukhetha okuninzi xa kufikwa Ukukhetha indlela yolawulo lokuzalwa . Inqanaba eliphezulu phakathi kwabasebenzisi sisixhobo se-IUD okanye se-intrauterine. IUD sisixhobo esincinci esimile njengo-T esifakwa ngugqirha okanye umboneleli wakho wezempilo kwisibeleko sakho ukukhusela ukukhulelwa. Isixhobo se-intrauterine siza ngeendlela ezimbini: ii-IUDs zehomoni kunye nee-IUDs ezingezo-hormonal. Zombini zisebenza ukuthintela ukukhulelwa kodwa ngeendlela ezahlukeneyo.





Ukuba ujonge Ukuthintela inzala ukubuyela umva (LARC) indlela ekwajongwa njengefanelekileyo kwaye ikhuselekile kuninzi lwabasetyhini, cinga ukuzama i-IUD.



Luyintoni ulawulo lolawulo lwe-IUD?

IUD sisixhobo esincinci sokuthintela inzalo esifakwa ngugqirha okanye umboneleli wakho wezempilo ngaphakathi kwesibeleko sakho ukukhusela ukukhulelwa. Zimbini iindidi zee-IUD ezikhoyo eMelika. Enye ye-IUD yehomoni ekhupha iprogestin yencindi yamadlala, kwaye enye ayiyiyo i-IUD engadibani nehomoni. Zombini zivunyiwe yi-FDA.

Ii-hormonal IUDs ezikhoyo eUnited States zibandakanya UMirena , Liletta , USkyla , kwaye UKyleena .

Ukuba ukhetha indlela engeyiyo yehomoni, ekuphela kwendlela evunyiweyo ye-FDA eUnited States IParaGard .



Isebenza njani i-IUD?

Zombini i-IUD yehomoni kunye ne-IUD yobhedu thintela ukukhulelwa Ngokuthintela isidoda ukuba singafiki eqandeni. Indlela abayenza ngayo le nto iyabahlula.

ihomoni yehomoni

IiHormonal IUDs sisiqwenga esincinci esimise okwe-T seplastikhi eguqukayo engena ngaphakathi kwesibeleko sakho. Basebenza ukukhusela ukukhulelwa ngokukhupha isixa esincinci sehomoni progestin emzimbeni wakho. Xa i-hormonal IUD ikhupha iprogestin, incindi yakho yomlomo wesibeleko iya isiba nkulu. Le ncindi yomlomo wesibeleko ityebileyo iyacothisa intshukumo yesidoda ukuyithintela ekuhlanganeni neqanda ukuyichumisa. IiHormonal IUDs zigcina iingcamba zesibeleko zibhityile kakhulu, nto leyo eya kuthintela iqanda eliqhamileyo ukuba lingafakwa esibelekweni.

Ezinye ii-IUDs ezisekwe kwiprogesin nazo zinokuthintela ovulation ukusuka ekumiseni amaqanda ekuyekeni kwamaqanda akho. Xa oku kusenzeka, isidoda asinalo iqanda lokudibana kunye nokukhulelwa kunokuthintelwa.



Ukongeza ekusebenziseni kwayo njengeyona ndlela isebenzayo yolawulo lokuzalwa, ii-IUDs zehomoni zinokunciphisa iimpawu zangaphambi kokuya exesheni ezinje ngecamping kunye nokwenza ixesha lokopha likhanye. Abanye abantu basetyhini banokuyeka ukuba nexesha ngokupheleleyo, ngelixa abanye benokuphuma gwenxa okanye babone ngexesha leenyanga zokuqala.

I-non-hormonal IUD

I-non-hormonal IUD isebenzisa ubhedu ukuthintela ukukhulelwa, ezingathandwa ziiseli zamadlozi. Ubhedu lubangela ukuba isidoda sitshintshe indlela ezihamba ngayo, zithintele ukudada ziye kwiqanda kwaye zilichumise. Ukuba iqanda alichunyiswanga, alinakufakwa eludongeni lwesibeleko, oko kuthetha ukuba ukukhulelwa akunakwenzeka.

Ngokungafaniyo ne-IUD yehomoni, i-IUD yobhedu ifumaneka kuphela kuhlobo olunye, olubizwa ngokuba yiParagard IUD okanye ubhedu T IUD. Nangona kunjalo, le IUD engenasiphelo isebenza ixesha elide ukukhusela ukukhulelwa. Ngaphandle kokuba ube neengxaki ngeParagard, ungayishiya ukuya kuthi ga kwiminyaka eli-10.



Amathuba okukhulelwa

Amathuba okukhulelwa zombini ezi ntlobo ze-IUDs aphantsi. Ngokwe-American College of Obstetricians kunye ne-Gynecologists (ACOG), i-IUD, ethathwa njengeyona ndlela isebenzayo yokuthintela inzala esebenza ixesha elide, yenye yezona ndlela zisebenzayo zokulawula inzala ezikhoyo. Ngethuba lonyaka wokuqala wokusetyenziswa, i-ACOG ithi bangaphantsi kwe-1 kwabasetyhini abayi-100 abane-IUD abaza kukhulelwa.

Iparagard, ithusi lobhedu, inokuthintela ukukhulelwa kwangoko emva kokufakwa. Nangona kunjalo, kubalulekile ukuba uqaphele ukuba iMirena, Kyleena, Liletta, kunye ne-Skyla-ii-IUDs zehomoni-kuthintela kuphela ukukhulelwa kwangoko emva kokufakwa ukuba ugqirha wakho wakubeka ngeentsuku ezisixhenxe zokuqala komjikelo wakho wokuya exesheni. Ngaphandle koko, baqala ukusebenza iintsuku ezisixhenxe emva kokufakwa, ngokwe Umzali ocwangcisiweyo .



Akukho hlobo lwe-IUD luya kukukhusela kwizifo ezosulela ngokwabelana ngesondo, okanye ii-STIs. Ukufumana ukhuseleko olongezelelekileyo, cela iqabane lakho ukuba linxibe ikhondom.

IUDs njengokuthintela ukukhulelwa okungxamisekileyo

Ukuba ifakwe ngaphakathi kweentsuku ezintlanu zesini esingakhuselekanga, iParagard (ithusi) IUD ithathwa njengefom inzalo engxamisekileyo . Nangona kunjalo, ii-IUDs zehomoni azinakusetyenziswa njengokuthintela ukukhulelwa okungxamisekileyo.



Ukufakwa kwe-IUD kunye nokususwa

Ugqirha wakho okanye umboneleli wezempilo uya kwenza ukufakwa kwe-IUD kunye nokususwa eofisini yabo. Zombini ezi nkqubo ziyakhawuleza kwaye zibangela ukungonwabi okuncinci.

Ukufakwa kwe-IUD

Ngaphambi kokubeka i-IUD, ugqirha wakho uya kuyiphonononga imbali yakho yezonyango kwaye enze uvavanyo lwe-pelvic. Unako ukufaka i-IUD naliphi na ixesha ngexesha lomjikelo wakho wenyanga. Ukufaka i-IUD, ugqirha wakho uya kuqala afake i-speculum kwilungu lakho lobufazi. Baza kusebenzisa isixhobo ukukhokela isixhobo kwilungu lakho lobufazi kunye nomlomo wesibeleko kunye nesibeleko.



IUDs kulula ukuba zifakwe kwisininzi sezigulana, utsho G. Thomas Ruiz , MD, i-OB-GYN iKhokela kwiSikhumbuzo seZiko loNyango lase-Orange Coast.

IUD inemitya yokunceda kwinkqubo yokususa. Le misonto yeplastiki ibhityileyo akufuneki ikukhathaze. Umlingane wakho unokuziva ezi ntambo ngexesha lokwabelana ngesondo kwiimeko ezinqabileyo, kodwa akunakulindeleka. Ugqirha wakho unokukwazi ukunciphisa imitya.

Kufuneka ujonge amaxesha kunye nobude bemitya ukuze uqiniseke ukuba azitshintshanga. Imitya emfutshane okanye elahlekileyo inokubonisa ukuba i-IUD iphumile endaweni yayo. Kuya kufuneka ubize ugqirha wakho nangayiphi na imibuzo okanye inkxalabo.

Ngokwesiqhelo, ekuphela kokungahambi kakuhle ngexesha lokufakwa kwe-IUD kukuthambeka okuphakathi. Unokuthatha amayeza okuphelisa iintlungu ngaphambi okanye emva kokunciphisa iintlungu. Ukuba unyamezele iintlungu ezisezantsi, ugqirha Ruiz uthi ugqirha wakho angasebenzisa ibhloko ye-anesthetic yendawo ukunciphisa ukubetheka kwesibeleko. Kukwimeko ezinqabileyo ukuba umntu ayishiye inkqubo ngenxa yeentlungu ezibuhlungu, utshilo uGqirha Ruiz.

Emva kwenkqubo, unokuziva iintlungu kunye necramping, ke thatha lula iintsuku ezimbalwa. Ugqirha wakho unokucebisa ukuba kupheliswe iintlungu ngaphandle kwekhawuntareli kude kudambe iintlungu.

Kwiimeko ezinqabileyo, i-IUD inokuwa. Ukuba oku kuyenzeka, jonga ugqirha wakho kwangoko.

mirena

Xa ulungele ukuyeka ukusebenzisa i-IUD, ugqirha wakho angayisusa naliphi na ixesha ngexesha lokuya esikhathini.

Ukususa iUD kukhawuleza kwaye kulula. Ugqirha wakho uya kusebenzisa isixhobo ukuze abambe imitya, ebavumela ukuba batsale i-IUD kumlomo wesibeleko sakho. Kuhlala kuthatha imizuzu embalwa, kwaye unokufumana nje ukunyanzeliswa kunye nokuphuma kwegazi. Ukuba oku akuyi kuhamba kwiintsuku ezimbalwa, tsalela ugqirha wakho.

Ukuba uthatha indawo ye-IUD, ugqirha wakho unokufaka i-IUD entsha kwangoko emva kokususa endala. Banokukwenza oku ngexesha lotyelelo olufanayo lweofisi, ukuba akukho zingxaki. Akufanele utsale imitya okanye uzame ukususa i-IUD ngokwakho.

Emva kokususwa, unokulindela ukuba ixesha lakho libuyele ngendlela eyayiyiyo ngaphambi kwe-IUD. Kodwa oku kungathatha iinyanga ezimbalwa. Unokukhulelwa emva kokususwa. Ke, qiniseka ukusebenzisa enye indlela yolawulo lokuzalwa ukuba awufuni ukukhulelwa.

Iziphumo ebezingalindelekanga ze-IUD

Zonke iindlela zokulawula ukuzalwa ziza nemiphumo emibi. Ngethamsanqa, uninzi lweziphumo ebezingalindelekanga ezivela kwi-IUD zithambile kwaye ziyahamba okanye zingabonakali kangako kwiinyanga ezimbalwa. Nazi ezinye zeempembelelo eziqhelekileyo ozifumanayo ngokusetyenziswa kwe-IUD.

Iziphumo zeCopper IUD zibandakanya:

  • Ixesha elinzima kunye nexesha elide
  • Ukuqunjelwa kokuya exesheni okuqatha
  • Amaxesha angaqhelekanga
  • Ukubala phakathi kwamaxesha
  • Intlungu kunye nokuxinana ngokufakwa kwe-IUD

Iziphumo ebezingalindelekanga zeHormonal IUD zibandakanya:

  • Ukuqhawula
  • Ukujonga rhoqo okanye ngaphezulu kweentsuku zokopha kwinyanga yokuqala.
  • Ukubala phakathi kwamaxesha.
  • Amaxesha angaqhelekanga
  • Ukopha exesheni kunokuyeka ngokupheleleyo
  • Intloko ebuhlungu
  • Isicaphucaphu
  • Ukuthamba kwebele
  • Imood iyatshintsha
  • Intlungu kunye nokuxinana ngokufakwa kwe-IUD

Abanye abasebenzisi banexhala malunga nokufumana ubunzima nge-IUD. Iindaba ezimnandi? Ubhedu IUD alubangeli ukuba ufumane ubunzima. Nangona kunjalo, ipesenti encinci yabantu inika ingxelo encinci ukutyeba kwakho nge-IUD yehomoni, njengeMirena, ngenxa yokukhutshwa kweprogestin. Kodwa akucaci ukuba oku kungenxa yeprogestin okanye ezinye izinto zokuphila. Ukuba unenkxalabo malunga nokufumana ubunzima, thetha nogqirha wakho.

Zeziphi izinto ezingalunganga kwi-IUD?

IUD luhlobo oluthandwayo lolawulo lokuzalwa, kodwa oko akuthethi ukuba ilungele wonke umntu. Ngoku ka UKecia Gaither , MD, ibhodi eqinisekisiweyo ye-OB-GYN kunye noochwephesha kumayeza oomama abakhulelweyo kwizibhedlele ze-NYC / + naseLincoln, abasetyhini abanezi meko zilandelayo akufuneki basebenzise i-IUD:

  • Sukusebenzisa i-IUD yobhedu (engeyiyo ihomoni) ukuba une-allergy yobhedu okanye isifo sikaWilson, esisifo esinqabileyo esenza ukuba ubhedu luqokelele kumalungu abalulekileyo njengengqondo kunye nesibindi.
  • Sukusebenzisa i-hormonal-IUD ukuba unembali yomhlaza wamabele.
  • Sukusebenzisa i-hormonal IUD okanye i-non-hormonal IUD ukuba unomdlavuza womlomo wesibeleko okanye wesibeleko, i-AIDS, ukuphuma kwegazi okuphakathi, okanye isifo sesibindi.
  • Abasetyhini abanesifo esisebenzayo okanye esibukhali sokudumba kweplavic akufuneki babeke i-IUD de isifo sisombulule. Ugqirha unokukukhangela usulelo ngaphambi kokufaka i-IUD.

Kukho iimeko apho i-IUD ingeyiyo eyona ndlela iphambili, kodwa isenokusebenza.

Thetha nogqirha wakho ukuba wopha ngokuya exesheni. Banokucebisa malunga nokusebenzisa i-IUD yethusi kuba inokubangela amaxesha anzima kunye nokuxinana.

Abanye abantu, ukuphuma kwegazi kakhulu kunye necramping kuya kuba ngcono emva kweenyanga ezintandathu, kodwa kwabanye kuyaqhubeka de kususwe i-IUD. Ukuba unokuyilinda ixesha lokuqala leenyanga ezintathu ukuya kwezintandathu, unokufumanisa ukuba iimpawu ziyancipha ngokwaneleyo ukuba zibekezeleleke.

Ukongeza, uGqr Ruiz ucacisa ukuba ii-IUDs ziyaphikiswa kwabasetyhini abanesibeleko esingaqhelekanga okanye isisu esingaqhelekanga sesibeleko. I-IUDs nayo ayikhuthazwa kumntu ophuma ngokungaqhelekanga kwisibeleko ngaphandle kokuba kuvavanyo lwe-endometrium yi-hysteroscopy okanye i-endometrial biopsy, utshilo uGqirha Ruiz. Olu vavanyo lunokubandakanya i-pelvic ultrasound ..

Kwaye kwiimeko ezinqabileyo, kukho umngcipheko omncinci owonyukayo wesifo sokudumba kwamathambo xa usebenzisa i-IUD. Ngokwe- I-ACOG , Owona mngcipheko ungaphantsi kwe-1% okanye kwabasetyhini nokuba badala kangakanani okanye uhlobo lwe-IUD. Oko kwathiwa, umngcipheko wokuba nesifo sokudumba kwepelevic uxhaphake kakhulu kwiiveki ezintathu zokuqala emva kokuba ugqirha ebeka i-IUD kwisibeleko sakho.

Ngokwe-ACOG, ii-IUDs zehomoni kunye nezingezizo iihomoni azikukhuseli kwizifo ezidluliselwa ngesondo. Ukwabelana ngesondo ngokungakhuselekanga kukubeka emngciphekweni omkhulu wokufumana usulelo olosulela ngokwabelana ngesondo njenge-gonorrhea, i-chlamydia, i-herpes yesini, i-HPV ne-HIV.

Ukuba unayo nayiphi na imibuzo okanye inkxalabo, thetha nogqirha wakho okanye umboneleli wezempilo. Banokukunceda uthathe isigqibo sokuba ngaba i-IUD yeyona ndlela ilungileyo yolawulo lwakho lokuzalwa.

Zeziphi izibonelelo zolawulo lokuzalwa kwe-IUD?

Kukho izibonelelo ezahlukeneyo kuzo zombini i-IUD yehomoni kunye ne-non-hormonal IUD. Eyokuqala, utshilo uGqirha Ruiz, bubude bexesha abasebenza ngalo.

Kuxhomekeke kwinkqubo okanye uhlobo lwe-IUD olukhethileyo, uGqr Ruiz uthi i-IUD inokuhlala endaweni kwaye iqhubeke nokusebenza naphi na ukusuka kwiminyaka emithathu ukuya kweli-10. Ngokukodwa, iihorms ze-IUDs zihlala zisebenza kangangeminyaka emithathu ukuya kwemithandathu. Kwaye IUD yobhedu ithintela ukukhulelwa ukuya kwiminyaka eli-10.

Enye into elungileyo linqanaba eliphezulu lokusebenza. IUD inexabiso elingaphantsi kwe-1% lokungaphumeleli, utshilo uGqirha Ruiz. Kwaye, kuba i-IUD ihlala isendaweni, akukho ukulibala ukuthatha iipilisi zokulawula ukuzalwa, ukubeka isiciko, okanye ukubona ugqirha wakho ukuze enze utolo.

Iiprogesin IUDs zinezibonelelo ezongezelelekileyo zokuhamba kwegazi okungaphantsi okanye ukungabikho exesheni ngalo lonke ixesha isixhobo sisebenza. Kwaye ii-IUDs zobhedu zibonelela ngendlela engeyiyo yehomoni kwabo bangayifuniyo inzalo yehomoni.

UGqr Ruiz ukwalatha kuncedo lwee-progestin IUDs kubafazi abanesifo sobunzima obunzima. Kwisithuba seenyanga ezintathu ukuya kwezintandathu zokufakwa ukuya kuthi ga kwiipesenti ezingama-50 azizukuphuma xa usiya exesheni, kwaye enye i-50% iya kuba nokukhanya okukhaphukhaphu, okubuhlungu kunye nokuhamba kancinci kwesibeleko, utshilo. Ukuba ufumana ukuphuma kwegazi, kukhuselekile ukusebenzisa itampon .

Ukuba ufuna ukukhulelwa, i-IUD yindlela esebenzayo yolawulo lokuzalwa oyisebenzisela ukucwangcisa usapho. IUD yindlela eguqukayo yolawulo lokuzalwa, oko kuthetha ukuba inesibonelelo sokubuya kwangoko kokuzala xa sele isusiwe. Ukuchuma kuya kubuya ngokwesiqhelo kwinto eqhelekileyo kuwe.

Uyifumana njani i-IUD

Ugqirha wakho okanye umboneleli wezempilo unokukunceda ubone ukuba ngaba i-IUD ikulungele. Ezinye izicwangciso zeinshurensi zigubungela ulawulo lokuzalwa, ke qiniseka ukufowunela ngaphambi kwenkqubo yokumisela ukufaneleka. Ukuba uhlala kufutshane neklinikhi yoluntu egxile kwezempilo yabasetyhini, banokubonelela ngokufakwa kwe-IUD simahla okanye ngesaphulelo.

Inkqubo ye- Umthetho woKhathalelo ongenakufikeleleka iyalela ukuba izicwangciso zeinshurensi zigubungele iindlela zokuthintela ukukhulelwa. Kodwa utshintsho kwisenzo lunokuchaphazela ukufaneleka kwakho simahla okanye sinciphise ukugubungela. Soloko ujonga i-inshurensi yakho ukujonga iindleko zakho ze-IUDs. Ukuba ufuna uncedo lokuhlawula i-IUD okanye ezinye iindlela zolawulo lokuzalwa ezinjei Idepot-Provera yadutyulwa , ipilisi yolawulo lokuzalwa , kwaye i indawo yokuzalwa , qiniseka ukuba thelekisa amaxabiso kwinkathalo eyodwa .