Enye ye-IUD nge-prodicin-ukukhishwa kwe-IUDs
Ama-IUDs (ama-intrauterine amadivaysi) asebenza kahle, ahlala isikhathi eside , futhi angakwazi ukulawula ukuzalwa kokukhethwa kokuzalwa , futhi kunezinto ezinhlanu ezigunyaziwe ze-FDA ezitholakalayo emakethe:
- I-Mirena
- Liletta
- I-Skyla
- Kyleena
- I-ParaGard
Ungase uzibuze ukuthi iyiphi iUD efanelekile kuwe. Lesi yisinqumo esidinga ingxoxo ngokucophelela nokucabangela nodokotela wakho, nokwazi okuyisisekelo mayelana nama-IUD ahlukene ngaphambi kokuba le nkulumo ingabasiza kakhulu.
Uhlolojikelele lwe-IUDS
Zonke ezine ze-IUD zindlela zokulawula ukubeletha okuphumelelayo kakhulu. Ziyi "T-shaped" amadivaysi okumelwe afakwe esibelethweni sakho futhi asuswe esibelethweni sakho udokotela oqeqeshiwe.
Ukuhlukana okuyinhloko phakathi kwama-IUD ukuthi enye yazo-i-IUD yethusi, ebizwa ngokuthi i-ParaGard-ayikhipha i-hormone.
I-Copper IUD
I-ParaGard yiyona kuphela i-hormone i-IUD futhi iyenziwe nge-polyethylene ehlanganiswe ngethusi yethusi. I-ParaGard isebenza kanjani ukuvimbela ukukhulelwa? Ochwepheshe bakholelwa ukuthi kunezinhlobo ezahlukene zezinqubo, kuhlanganise:
- Ukuvimbela ukunyakaza kwesilisa nokuphila (isidoda asihlali)
- Shintsha ngesivinini seqanda ngaphambi kokuba ihlangane nesidoda
- Ukulimala kweqanda
- Impairs implantation yeqanda ekhuliswe umquba
Kuwo wonke ama-IUD, i-ParaGard ingasetshenziswa isikhathi eside kunazo zonke, iminyaka engaba ngu-10. Ngokuphathelene nemiphumela emibi, abesifazane abakhetha i-ParaGard kufanele bazi ukuthi kungabangela izinkathi ezinzima nezindebe ezinezinkinga ezingaphezu kokuvamile, ikakhulukazi emigqeni yokuqala yokuya esikhathini.
Noma kunjalo, kubalulekile ukuqaphela ukuthi ngenxa yokuthi i-IUD yethusi ayi-hormone, ngeke ishintshe umjikelezo wesifazane wokuya esikhathini, ngakho uzoqhubeka enezikhathi ezihleliwe.
Levonorgestrel IUDs
Kunezinhlobo ezine ze-levonorgestrel IUDS: iMirena, Liletta, Skyla, ne-Kyleena. Njenge-ParaGard, ziyi-T, kodwa ngokungafani ne-ParaGard, zine-sleeve ye-polydimethylsiloxane equkethe i-levonorgestrel (i-progestin) esiteshini.
Lezi-IUDs ze-hormone zisebenza ngokuqinisa umsila womlomo wesibeletho (okwenza kube nzima ukuba isidoda sihambe), ukunciphisa umgqa wesibeletho esikulimaza ukufaka imfuyo, nokuvimbela ukubopha isidoda kuqanda.
- I- Mirena iqala ukukhishwa kwe-20mcg ye-levonorgestrel ngosuku futhi i-FDA ivunyelwe iminyaka engama-5. Qaphela ukuthi njengoba isikhathi siqhubeka, i-levonorgestrel IUDs ikhulula i-hormone engaphansi, kodwa isasebenza njengamanje.
- I-Liletta ekuqaleni ikhulula i-18.6mcg ngosuku lwe-levonorgestrel futhi ivunyelwe iminyaka emithathu yokusetshenziswa.
- U-Skyla , owaziwa nangokuthi "udadewethu omncane waseMirena," ekuqaleni ukhulula u-14mcg we-levonorgestrel ngosuku futhi angasetshenziswa kuze kube ngu-3 iminyaka.
- U-Kyleena wayevunyelwe i- FDA ngoSepthemba 2016 futhi unikeza amazwe omhlaba amahle kunazo zonke, uhlaka lwesikhathi sama-5 (njenge-Mirena) kodwa ubukhulu obuncane ne-hormone encane (njenge-Skyla). Ngokuqondile, u-Kyleena uqale u-17.5mcg we-levonorgestrel ngosuku.
Ngoba lezi zine ezine-IUD ziqukethe i-progesin, ungase uhlangabezane nezinguquko ekuhambeni kwakho kokuya esikhathini. Isibonelo, ungase ube nengozi yokubona izinyanga ezimbalwa zokuqala bese ube nezikhathi ezilula futhi ezimfushane. Isikhathi sakho singase futhi siyeke ngokuphelele.
Ezinye imiphumela emibi ingafaka izimpawu ezihlobene ne-hormone efana nalezi:
- Izinsizwa
- I-nausea
- Ububele besisu
- Ukucindezeleka
- Kunciphise libido
- Ukulahlekelwa izinwele
- Ama-cysts ama-ovari
Ukukhetha i-Right IUD
Enye yezindlela ezinhle kakhulu zokunquma phakathi kwe-IUDs ukuthola ukuthi ngabe ufuna ukusebenzisa indlela yokulawula ukuzalwa kwe-hormone noma cha. Uma ungeke ukhethe noma ukhethe ukungabonakali kuma-hormone, i-ParaGard IUD ingaba yisinqumo esihle kakhulu.
Nokho, khumbula ukuthi i-hormone e-Mirena, i-Skyla, i-Liletta ne-Kyleena ikhishwa kuphela endaweni yangaphakathi (ngaphakathi kwesibeletho), ngakho ayikho uhlobo olufanayo lomphumela omkhulu njengoba amahomoni atholakalayo emaphilisi okulawula ukuzalwa .
Ezinye izici ezingakusiza ukhethe i-IUD efanele zihlanganisa:
- Ubude bokuqala kokukhulelwa (iminyaka emithathu kuya eminyakeni emihlanu kuya eminyakeni eyishumi)
- Inani lamahomoni
- Imiphumela emibi (ngokwesibonelo, abanye besifazane bahlangabezana nesisindo esinzima, esibuhlungu sokuphuma esikhathini ezinyangeni eziyisithupha zokuqala noma kanjalo nge-IUD yethusi)
Ubukhulu be-IUD bungathinta futhi isinqumo sakho. I-Skyla ne-Kyleena ziyingcosana kakhulu kune-Mirena, Liletta, ne-ParaGard. Ngakho-ke, usayizi omncane we-Skyla no-Kyleena ungenza la ma-IUD alula futhi angabi buhlungu kakhulu ukufaka.
Ubukhulu babo obukhulu bungase bubekezeleleke kangcono ngabesifazane abanesibindi esincane, njengabasha abasebasha kanye nabesifazane besifazane.
Izwi elivela
Kungakhathaliseki ukuthi iyiphi i-IUD oyikhethayo, ungaba nengcezu yengqondo yokuthi zonke izinhlanu ziphakathi kwezinhlobo eziphumelelayo kakhulu zezindlela zokulawula ukuzalwa . Eqinisweni, zisebenza njengendlela ehlala njalo , njenge-vasectomies kanye ne- tubal ligation .
Ngaphezu kwalokho, naphezu kokungaqondakali okungajwayelekile, ama-IUDs azinhlobo eziphephile zokuvimbela ukukhulelwa kwabesifazane abangenalutho; Laba besifazane abangakaze babelethe ngaphambili. IUDs ayithinti nhlobo ithuba lokukhulelwa emva kokuba lisuswe.
Kumele kuqashelwe ukuthi ama-IUD awavikela abesifazane besifo socansi. Ngaphezu kwalokho, ngokufaka i-IUD, kukhona ingozi yokuxoshwa (iUD iphuma) noma ukutheleleka, nakuba lezi zenzakalo zingavamile.
Kuzo zonke, lezi zi-IUD ziyindlela eziphumelelayo kakhulu zokulawulwa kokuzalwa, futhi zinikeza ukuvikelwa kwesikhathi eside. Emva kokukhetha i- IUD yabo, iningi labesifazane banelisekile kakhulu ngesinqumo sabo.
> Imithombo:
> I-American College ye-Obstetrics ne-Gynecologists. (NgoJulayi 2011, eqinisekisiwe ngo-2015). I-Bulletin Yokuzivocavoca Emtholampilo: Ukubeletha Okubuyiselwayo Okude Kwakudala: Izimpembelelo namadivayisi we-Intrauterine.
> Dean G, i-Goldberg AB. (2017). I-intrauterine yokubeletha: Amadivayisi, ukhetho, nokukhethwa. Ku: UpToDate, Schreiber CA, Eckler K (Eds), UpToDate, Waltham, MA.
> Bowers R. "I-FDA ivumela uhlelo oluthile lwe-levonorgestrel intrauterine - A 'mini Mirena.' Ukuvuselelwa kobuchwepheshe bokukhulelwa . 2013 Mashi; 34 (3): 25-36.
> Gemzell-Danielsson K, Schellschmidt I, Apter D. "Ucwaningo oluhlelekile, lwesigaba sesibili oluchaza ukusebenza kahle, iphrofayli yegazi kanye nokuphepha kwemishini emibili ye-levonorgestrel-ekhulula izinhlelo zokukhulelwa kwe-intrauterine neMirena." Ukuzala nokuhlunga . 2012; 96 (3): 616-622.
> Ama-Hardeman J. Ama-Intrauterine amadivayisi: Isibuyekezo. Am Fam Physician . 2014 Mar 15; 89 (6): 445-50.