Ukusetshenziswa kwe- IUD kuyanda emazweni ase-United States, ngakho-ke nezinketho zakho ze-IUD. Enye yezinketho zakho ezintsha ze-IUD yi-Liletta IUD. Le-IUD ifana ne- Mirena , Kyleena , ne- Skyla IUDs . I-Liletta IUD yenziwa ngepulasitiki elithambile, eguquguqukayo futhi kumele lifakwe ngumqeqeshi wezempilo oqeqeshiwe.
I-Liletta IUD isiza ukuvimbela ukukhulelwa ngokukhululeka ukukhulula u-52 mg we- progestin , i-levonorgestrel, esibelethweni sakho esikhathini esiyiminyaka emithathu.
I-Liletta inika cishe ama-18.6 micrograms ngosuku ngosuku lokuqala-uma kuqhathaniswa nama-micrograms angu-20 ngosuku nge-Mirena, 17.5 mcg no-Kyleena, no-14 mcg ne-Skyla. I-Liletta IUD iphinde ivunyelwe i-FDA ukuze isetshenziswe kwabesifazane abanakho noma abangazange babelethe .
Ingabe ucabangela ukusebenzisa i-Liletta IUD? Uma kunjalo, ukuqonda amaqiniso kungakusiza wenze isinqumo esithembele ngokwengeziwe. Ungase uzibuze ngeminye yemibuzo ngezansi.
I-Liletta IUD isebenza kanjani?
I-Liletta isiza ukuvimbela ukukhulelwa ngezindlela eziningana. Enye indlela uLiletta esebenza ngayo ngokukhululwa kwayo okuqhubekayo kwe-progestin-leli hormone lizokwenza ukuba umuthi wakho wesibeletho uphawule, ubambe umgogodla wesibindi sakho, futhi unciphise ukusinda kwesidoda. I-Liletta IUD ibuye isize ekutholeni indlela yesidoda. Lokhu kwenza kube nzima ukuba isidoda sithole iqanda. Ngakho, ngokuyisisekelo, i-Liletta ivimbela ukunyakaza kwesidoda. Okokugcina, i-Liletta ingase isebenze ukuvimbela ukukhulelwa kwezinye zezindlela iphilisi eyenzayo .
I-Liletta iphinde ishintshwe ngokuphelele, ngakho-ke uma usususwe lokhu, i- fertility yakho kufanele ibuye ngokushesha .
Liletta vs. iMirena?
Kokubili i-Liletta IUD ne-Mirena IUD iqukethe ama-52 mg we-progestin, i-levonorgestrel. Ngakho-ke umehluko omkhulu phakathi kwabo? Ngisho noma kokubili ama-IUD angasetshenziswa ngokuphephile ngabesifazane abaye baba nezingane noma abangakaze babe nabantwana, uLiletta kuphela oqhubekile ukuhlolwa kokuhlola okwakulinganisa ukuphumelela kwe-IUD kwabesifazane abangenazo izingane (izifundo zikaMirena zihlanganisa kuphela abesifazane abaye bazalwa).
I-Liletta yacwaningwa ekutadisheni okukhulu ukucacisa ukusebenza kwayo kanye nokuphepha ngaphakathi kobubanzi obanzi kunazo zonke zabasebenzisi abangenzeka. Ucwaningo oluningi lwe-IUD lubandakanya kuphela abesifazane abaneminyaka engu-18 kuya kwezingama-35 futhi ababandakanyi abesifazane abangakaze babelethe noma abesifazane abanobukhulu bomzimba obukhulu. Ngakho isifundo seLiletta sasihlanganisa nabesifazane abancane nabakhudlwana (abaneminyaka engu-16 kuya ku-45), abesifazane abanakho futhi abazange babelethe, futhi banomzimba owedlula ngokweqile abesifazane. Ngoba isifundo sasihlanganisa nabesifazane bazo zonke izinhlobo nobukhulu, siyazi ukuthi uLiletta usebenza kahle kwabesifazane abanoma yisiphi isisindo. Futhi ngokungafani ne-Mirena, ilebuli ku-Liletta IUD ithi abesifazane abanezingane noma abangenazo bangasebenzisa ngokuphepha i-Liletta.
Omunye umehluko ophakathi kweLiletta neMirena yiyo isikhathi esingakanani esingasetjenziswa ngazo i-IUD ngayinye. Nakuba i-Liletta IUD ne-Mirena IUD iqukethe inani elifanayo levonorgestrel (52 mg) futhi liyikhulula ngesilinganiso esifanayo, i-label ye-Mirena IUD ithi ingasetshenziswa iminyaka emihlanu, futhi ilebuli kaLiletta ithi kuphela ingasetshenziswa iminyaka emithathu. Isizathu salokhu umehluko siphinde siphumelele ekucwaningweni kwecala lomtholampilo.
Inkampani yezokwelapha eyenza uLiletta ifuna ukuba le-IUD ivunyelwe ngokushesha ngangokunokwenzeka. Ngakho-ke, uma beqhuba ucwaningo lweminyaka emithathu ye-Liletta IUD esebenzisa lokho kwabonisa uLiletta ukuba iphephile futhi isebenze, bafaka isicelo sokugunyazwa kwe-FDA.
Yingakho i-Liletta ivunyelwe kuphela ukusebenzisa kuze kube yiminyaka emithathu. Umkhiqizi useqhuba izifundo ukuze athole ukusebenza kwe-Liletta IUD kuze kube yiminyaka eyisikhombisa. Uma lezi zifundo seziqedile, i-FDA izobe isacubungula ukushintsha ukuthi uLiletta ingasetshenziswa isikhathi esingakanani.
Yiziphi Izinzuzo Ze-Liletta IUD?
- Inikeza ukuvimbela ukukhulelwa okuqhubekayo kuze kube yiminyaka emithathu.
- I-FDA-ivunyiwe ngabesifazane abanayo noma abangakaze babe nabantwana.
- Kuyinto engapheli-mahhala-once efakwe, awunawo ngempela okunye okumele ukwenze.
- Kuyinto engcono uma ungenakusebenzisa ukulawulwa kokuzalwa kwesisekelo se-estrogen .
- Kungasuswa nganoma isiphi isikhathi phakathi nenkathi yeminyaka emithathu.
- Ingasetshenziswa ngabasha kanye nabesifazane besifazane.
- Akufanele wena nomlingani wakho nikwazi ukuzwa i-Liletta IUD ngesikhathi sokulala.
- Kungasetshenziswa uma uncelisa.
- Kuyindlela enhle yokulawula ukubeletha uma ukhuluphele kakhulu.
Ngubani okufanele athole i-Liletta IUD?
I-Liletta iye yacwaningwa ngokukhethekile ngabesifazane abangenayo (i-term fancy yezokwelapha kwabesifazane abangakaze babelethe) -njalo i-FDA ivume i-Liletta IUD ukuthi isetshenziswe ngabesifazane kule ndawo. Ukulayishwa komkhiqizo kaLiletta kusho ukuthi le-IUD ingasetshenziswa ukuthi ngabe ubelethe ingane noma cha. Ungahlola futhi ukusebenzisa i-Liletta uma ukhuluphele kakhulu. Kodwa i-IUDs ayinconywa kubo bonke abesifazane, ngakho qiniseka ukuthi uhlangabezana nemigomo yokuba ngumuntu ozobhalwa kahle futhi ukhulume nodokotela wakho mayelana nanoma yiziphi izingozi ezingenzeka.
Ngingayithola Nini I-Liletta?
Kumelwe ube ne-Liletta IUD yakho efake isikhathi esithile phakathi nezinsuku zokuqala eziyisikhombisa zokujikeleza kokuya esikhathini noma ngokushesha ngemuva kokukhipha isisu noma ukukhulelwa komzimba kokuqala. Uma une-Liletta efakiwe phakathi nalesi sikhathi, isebenza ngokushesha, ngakho akudingeki ukuthi usebenzise noma yikuphi ukulawulwa kokuzalwa kokuzalwa .
Uma unayo i-Liletta IUD yakho efakwe nganoma yisiphi esinye isikhathi phakathi nomjikelezo wakho wanyangazonke, kuzodingeka usebenzise enye indlela yokulawula ukuzalwa (njenge- spermicide noma ikhondomu ) phakathi nesonto lokuqala ngemuva kokufaka uLiletta. Ukuvikelwa kokukhulelwa kwakho kuzoqala ngemva kwesonto elilodwa (izinsuku eziyisikhombisa).
Kumelwe ulinde okungenani amasonto ayisithupha ukuba uLiletta afakwe ngemuva kokubeletha noma aphume isisu sokukhishwa kwesisu noma ukukhulelwa kwesisu. Lesi sakhiwo sesikhathi sizokwenza isikhathi sakho sokubeletha siphulule ngokuphelele ngaphambi kokufaka i-Liletta IUD yakho.
Ingabe Kunokungahle Kutholakale I-Liletta IUD?
Abaningi besifazane abanaso izinkinga zokulungisa i-IUD. Kodwa ungase uzwe ubuhlungu, ukuphuma kwegazi, noma isizungu uma bese u-Liletta IUD yakho ifakiwe. Lezi zimpawu kufanele zihambe zingakapheli isigamu sehora ngemuva kokufaka i-Liletta yakho. Ungase ube ne-cramping emibi noma i-backache izinsuku ezimbalwa noma amasonto ngemuva kokuthi i-Liletta IUD yakho ifakwe.
Kuthiwani Mayelana Nemiphumela Yecala Liletta?
Njenganoma iyiphi i-IUD, ungase ube nemiphumela emibi ngemuva kokufaka i-Liletta IUD yakho. Ngokuvamile, lezi zizohamba emva kwamasonto ambalwa okuqala izinyanga emva kokufakwa. Imiphumela emibi kakhulu elandelwayo yeLiletta IUD ihlanganisa:
- Ukuvuvukala noma ukutheleleka kwengxenye yangaphandle yesisu sakho (vulvovaginitis)
- I-acne
- Izinsizwa noma ama-migraines
- Ukudabuka noma ukuhlanza
- Ubuhlungu ngesikhathi socansi
- Isisu kanye / noma ubuhlungu besisu
- Ubuhlungu besisu noma ukungakhululeki
- Ukucindezeleka noma isimo sengqondo sishintsha
Ingabe I-Liletta Ingabangela Ukushintsha Kwesikhathi Sami?
- Phakathi nezinyanga ezintathu kuya kwezinyanga zokuqala emva kokufaka i-Liletta IUD yakho, ungase ube nethuba eliphakeme lokuphuma kwegazi nokubona. Inkathi yakho ingaba ingavamile futhi / noma izinkathi zakho zingase zibe nzima noma ngaphezulu kunokujwayelekile.
- Nakuba ukuphuma kwegazi nokwehlukanisa kuzokwehla cishe ezinyangeni ezintathu zokuqala ngemuva kokufaka i-Liletta yakho, izikhathi zakho zingaqhubeka zingavamile.
- Ngokuhamba kwesikhathi, izinkathi zakho zizoba mfushane futhi zilula. Ngenxa yokuthi i-progestin e-Liletta igubha uketshezi lwakho lwe-uterine, ukuphuma kwegazi kunganciphisa isikhathi eside sakho i-Liletta IUD yakho isendaweni.
- Izikhathi zakho zingase zime ngokuphelele. Emaphesenti angu-19 abasebenzisi be-Liletta ngeke besaba nezikhathi ekupheleni konyaka wokuqala wokusetshenziswa; Amaphesenti angu-26 ekupheleni konyaka wesibili wokusetshenziswa; futhi amaphesenti angu-38 ekupheleni konyaka kathathu.
Yiziphi Izingozi Nezinkinga Ze-Liletta IUD?
Izinkinga ezinkulu neLiletta azivamile. Qinisekisa ukuthi utshela udokotela wakho ngokushesha uma kukhona izinkinga. Lokho okushiwo, imiphumela emibi kakhulu ye-Liletta ingabandakanya:
- Ukukhulelwa kwe-Ectopic
- I-cysts yama-ovari (nakuba iningi liyisimo esingenakuqhathaniswa futhi linyamalale phakathi nezinyanga ezimbalwa)
- I-Sepsis (isifo esinzima, esisongela ukuphila)
- Ukuqedela noma ukuxoshwa
Ukususwa kwe-Liletta IUD yakho
- Kumele ube ne-Liletta IUD yakho isusiwe emva kweminyaka emithathu iphezulu (ngeke iphele noma ichithe emzimbeni wakho). Ungakhetha ukuba nomunye i-Liletta IUD noma i-IUD ehlukile efakwe ngesikhathi sokuvakasha okufanayo.
- Uma ufuna ukushintshela endleleni entsha yokulawula ukuzalwa (futhi ube nokuvikelwa kokukhulelwa okuqhubekayo), hlela ukususwa kwakho kwe-Liletta IUD ukuthi kwenzeke phakathi nezinsuku eziyisikhombisa zokuqala kwenkathi yakho futhi ngokushesha uqale indlela yakho yokulawula ukuzalwa. Uma une-Liletta yakho isusiwe nganoma yisiphi esinye isikhathi phakathi nomjikelezo wakho wokuya esikhathini, qala uhlelo lwakho lokulawula ukubeletha okungenani izinsuku eziyisikhombisa ngaphambi kokuba u-Liletta IUD yakho isuswe.
- QAPHELA: uma uye ocansini (ngaphandle kokusebenzisa ikhondomu yamadoda, ikhondomu yabesifazane , i- spermicide , noma i- sponge ) ezinsukwini ezinhlanu ngaphambi kokukhipha i-Liletta yakho, ungase ube engozini yokukhulelwa emva kokuba i-IUD yakho isusiwe.
- Akufanele uzame ukususa uLiletta ngokwakho (ngemuva kwakho konke, yingakho sinamadokotela!).
- I-Liletta nayo ingasuswa nganoma isiphi isikhathi ngaphambi kokuba kuphele isikhathi seminyaka emithathu.
- Kukhona ithuba elincane ukuthi i-Liletta IUD yakho ingavela yedwa-kodwa, cishe, kuyodingeka ukuthi uhlele i-aphoyintimenti ukuze isuswe.
- Uma i-Liletta IUD yakho iphuma yedwa, kunomqondo omuhle wokuthi awukwazi ngisho nokuqaphela. Yingakho kubalulekile ukuzizwa ngezintambo zakho ze-IUD- ngoba lena yindlela kuphela yokukwazi ukuthi i-Liletta IUD yakho isendaweni. Uma i-Liletta yakho iphume, shayela udokotela wakho. Udokotela wakho cishe uzokwenza ukuhlolwa kokukhulelwa (ukuqinisekisa ukuthi awukhulelwe) ngaphambi kokufaka i-Liletta IUD entsha.
- Uma i-Liletta IUD yakho ixoshiwe kancane, xhumana nodokotela wakho ngokushesha (futhi sebenzisa indlela yokuvuselela kokukhulelwa). Ungazami ukukhipha konke okukodwa.
I-Liletta IUD Iningi Kangakanani?
I-Liletta inezindleko eziphezulu ngaphambili kunezinye izindlela zokulawula ukuzalwa . Izindleko zokuhlolwa, i-Liletta IUD, ukungena, nokulandela ukuvakashelwa kungadla u-$ 500- $ 900. I-Medicaid ingase ihlanganise lezi zindleko. Ngenxa yokuthi i-Liletta ikhiqizwa yinkampani engekho inzuzo yezokwelapha, kunethuba elihle lokuthi ungathola i-Liletta IUD ngenani elincishisiwe. Abesifazane abanomshuwalense noma abangenawo umshwalense bangakwazi ukuthola i-Liletta mahhala noma ngentengo ephansi:
- Uma unomshuwalense wezempilo: I- Liletta kufanele ifakwe ngumshuwalense ngaphandle kwezindleko ezingaphandle kwe-pocket, njengezinye izinhlobo zokulawulwa kokuzalwa komuthi. Ngenxa yokuthi i-Liletta iyindlela entsha yokulawula ukubeletha, ingase ingahlanganiswa izinhlelo zakho zemishuwalense ngokushesha (ngokuvamile kuthatha isikhathi sokuhlela izidakamizwa nemishini emisha ohlwini lwabo lwezokwelapha ezivunyiwe).
- Uma unomshwalense wezempilo, kodwa uhlelo lwakho namanje lukhokhisa i-copay noma alufihli noma yikuphi ukukhulelwa komzimba , uLiletta unikeza uhlelo lokulondoloza isiguli kuze kube nguDisemba 31, 2017. Ngalolu hlelo, iziguli ezifanelekile zingakhokhela imali engaphezu kwezingama-$ 75 zeLiletta IUD ngokwayo. Lolu hlelo aluhlanganisi izindleko zokuba i-IUD ifakwe, okungaba phakathi kuka-$ 150 no-$ 250.
- Uma ungenayo umshuwalense wezempilo: Zama ukuthola umtholampilo wokuhlela umndeni we-Title X oseduze bese ubuza ukuthi banikeza i-Liletta IUD. Le mitholampilo ngokuvamile inikezela ngemali yokukhishwa kwemali yezinsizakalo zabo, futhi bayokwazi ukuthenga i-Liletta IUD nge-$ 50 kuphela-edlulisa imali esele kuwe.
Ukusebenza Kanjani I-Liletta?
I-Liletta IUD enye yezindlela eziphumelela kakhulu zokulawulwa kokuzalwa. Le ndlela yokubuyisela ukuguqulwa, esebenza isikhathi eside ingaphezulu kwamaphesenti angu-99 esebenza kahle. Lokhu kusho ukuthi phakathi kwabesifazane abangu-100 abasebenzisa i-Liletta IUD ngonyaka owodwa, abangaphansi kwe-1 bazokhulelwa ukusetshenziswa okujwayelekile kanye nokusetshenziswa okuphelele.
Ezinye Izinto Okumele Uzikhumbule : Uma usebenzisa i-Liletta, ukukhulelwa okuningi kwenzeka ngoba uLiletta yakho iphume-futhi kungenzeka ukuthi ngeke uqaphele ukuthi lokhu kwenzekile. Ngisho noma ithuba lokukhulelwa ngenkathi usebenzisa uLiletta liphansi kakhulu, kungenzeka. Uma ukhulelwa lapho i-Liletta IUD yakho isendaweni, shayela udokotela wakho ngokushesha uma uqaphela ukuthi ukhulelwe-ngoba kungaba khona izingozi ezihlobene nalolu hlobo lokukhulelwa .
Ingabe i-Liletta inikeza noma yikuphi ukuvikelwa kwe-STD?
I-Liletta IUD ayinikeli isivikelo ekubhekaneni nezifo ezithathelwana ngocansi . Ungase uthole amathuba okuthola isifo sokuvuvukala esiswini ngemuva kokufaka i-Liletta yakho uma une-std ngalesi sikhathi. Ungase ube ngaphezulu engozini uma unomlingani ocansini ocansini noma umlingani wezocansi oye waba nabalingani abaningi bezocansi.
Izwi elivela
I-Liletta namanye ama-IUD anganikeza indlela ephephile yokuvimbela ukuvimbela ukuvimbela ukwelashwa uma ungumuntu ozobhalwa kahle. Uma ungacabangi ukuthi i-Liletta IUD iyindlela efanele kuwe, kunezinketho eziningi zokutholakala kokubeletha ezitholakalayo. Ungase uzizwe ucindezelekile uma uzama ukuhamba emhlabeni jikelele wokulawulwa kokuzalwa, ikakhulukazi uma ungaqondi ngokugcwele ukuthi indlela ngayinye isebenza kanjani noma isetshenziswa. Kodwa ngemva kokwenza ucwaningo, ukubuza imibuzo, nokukhuluma nodokotela wakho, ungenza isinqumo esinolwazi futhi uthole indlela yokulawulwa kokuzalwa okufanelana nalokho okufunayo.
> Umthombo:
> Eisenberg, DL. et al. "Ukuphumelela kweminyaka emithathu nokuphepha kwe-52-mg levonorgestrel-ukukhulula uhlelo lwe-intrauterine." Ukwelashwa . 2015; 92 (1): 10-16.