Ingabe i-IUDs ivikelekile?
Yini eqhubekayo nokusetshenziswa kwe-IUD?
Izindaba ezinhle ukuthi inani labesifazane abakhetha ukusebenzisa i- IUD njengoba indlela yokulawula ukuzalwa kukhula ngokushesha. Ngesizathu esithile, ukusetshenziswa kwe-IUD akuyona indawo ethandwa njengepilisi noma amakhondomu . Ingabe bewazi ukuthi ama-IUD asebenza kahle njenge- vasectomy ? Kodwa, ngokungafani ne-vasectomy, ama-IUD avuselelwe ngokuphelele!
Ngakho-ke kungani uningi kangaka ungasebenzisi ngokunenzuzo le ndlela yokulawula ukubeletha okuphumelelayo nokudala isikhathi eside ?
Ukuqagela kwami - kubonakala sengathi kuningi okungalungile mayelana nezingozi ze-IUD nokuphepha. Ake sibheke ngokushesha ukuthi kungani kungase kwenzeke lokhu.
IUD Izinhlekelele Nezinkathazo ... Ukusihlupha Esikhathini Esidlule:
IUDs ine-checkered eyedlule. Lokhu sekushiye ukusetshenziswa kwe-IUD ukuthi kukhonjiswe njengokungaphephile. Ngawo-1970 (cabanga ukuthi ngaleso sikhathi i-FDA yayinegunya elinganiselwe embonini yedivayisi yezokwelapha), i-IUD ethandwa kakhulu, ebizwa nge-Dalkon Shield, yaziswa.
Umklamo weDalkon Shield wawuhlanganisa uhlamvu lwe-multifilament (igama eliyinkimbinkimbi yochungechunge lwama-cable enziwe ngamakhulu amafayili ama-nylon ahlanganisiwe). Basebenzisa lolu chungechunge ngoba bekunamandla futhi behluleka ukuphula. Kodwa, lolu hlobo lwezintambo lwenza kube lula amabhaktheriya ukuthi angene esibelethweni. Ngakho-ke, i-Dalkon Shield yayinesibopho sokutheleleka kwe-pelvic, ukuphazamiseka kwamathambo, isifo segazi (ukungcolisa igazi), ukungabi namuntu kanye nokuhlaziywa kwegazi. Oh-futhi ithola okungcono nakakhulu.
inkampani eyenza isihlangu se-Dalkon sazi ngalezi zinkinga, sagcina imiphumela yocwaningo, futhi saqamba amanga mayelana nokuphepha kwe-IUD (ngoba bekuyoba nemali eningi kakhulu yokulungisa). Ngakho unezinkulungwane zabesifazane abalimele kusuka kuDalkon Shield balimala ... okungenzeka kuvinjelwe uma inkampani ithembekile futhi ingabambi iqhaza kulokhu "omkhulu".
Lezi zingozi ze-IUD kanye nokulimala okuvela eDalkon Shield kuholele ezinkulungwaneni zamacala. I-FDA igxilile ukucindezela, futhi i-Dalkon Shield yasuswa emakethe. I-FDA yancoma ukuthi bonke abesifazane abasebenzisa i-Dalkon Shield njengamanje ukuba baqede idivayisi. Futhi nansi "iqiniso elitholile" elipholile - eminyakeni emibili ngemuva kwalokhu i-IUD isuswe emakethe (futhi okuningi okuningi kwaziwa ngokulimala okubangelwa i-Dalkon Shield), i-FDA ishintshe uMthetho Wokudla, Wezidakamizwa Nezocwilisa ukuze udinga ngaphezulu ukuhlolwa okuningiliziwe nokugunyazwa kwe-FDA ngaphambi kokuba noma yimaphi amadivayisi wezokwelapha angathengiswa.
Ngakho-ke, manje ungabona indlela i-IUD yangaphambili eyashiye ngayo umthelela omubi. Abesifazane abaningi bangase besabe ukuthi kusekhona izingozi ezinkulu ze-IUD. Abaqapheli ukuthi i-IUDs yanamuhla ivikelekile kunaleyo eyedlule. Futhi, nazo zivunyelwe i-FDA (yebo, lokho kuyinto enkulu).
IUDs zanamuhla:
Kunezinto ezintathu ze-IUD ezitholakalayo e-US: i- Mirena , i- ParaGard , ne- Skyla . Lezi azifani ne-IUD wakhogogo kusukela esikhathini esidlule. La ma-IUD aphephile futhi anokwethenjelwa izindlela zokukhulelwa zesikhathi eside. Ngizobe ngithembekile, njengezinqubo eziningi zokulawula ukubeletha , ungase ube nemiphumela emibi emva kokufaka i-IUD yakho. Kodwa ezimweni eziningi, lezi zihamba emva kwamasonto ambalwa okuqala izinyanga.
Nakuba izinkinga ezinkulu eziphathelene neMirena, Skyla, ne-ParaGard IUD azivamile, kungenzeka ukuthi lezi zingozi zingenzeka. Ngakho uma uhlangabezana nezinkinga, kubalulekile ukuthi ubike lezi zinkinga kudokotela wakho ngokushesha.
Ingozi ekhona iMirena / Skyla / ParaGard IUD kanye nezinkinga:
- Ukuguqulwa: Ngokuvamile, i-IUD ingadluliselwa odongeni lwesibeletho ngesikhathi sokufaka. Lokhu kuvame ukutholakala futhi kulungiswe ngokushesha. Uma kungenjalo, i-IUD ingathuthela kwezinye izingxenye zendawo ye-pelvic futhi ingalimaza izitho zangaphakathi. Kungase kudingeke ukwelashwa ukususa i-IUD.
- Ukwelashwa: Kunengozi ethile ye-PID (isifo sokuvuvukala komzimba) esixhunywe ukusetshenziswa kwe-IUD. Kodwa ingozi iphansi kakhulu emva kwezinsuku ezingu-20 zokuqala emva kokufaka. I-PID ivame ukudluliswa ngocansi. Unengozi ephezulu yokuthola i-PID uma wena noma umlingani wakho ulala nozakwethu abaningi. Ukutheleleka ngama-pelvic kungabangelwa amabhaktheriya angena esibelethweni ngesikhathi sokufaka. Iningi lokutheleleka liqala ngaphakathi kwamasonto amathathu okufakwa. Ukwelashwa (ngenxa ye-IUD) ngemuva kwamasonto amathathu akuvamile. Uma uthola isifo emva kwalesi sikhathi, cishe kungenzeka ukuthi uye wabonakala ku- STD ngesikhathi sokulala. Ucwaningo lubonisa ukuthi i- IUD ayibangeli i-PID noma i-infertility .
- Ukuxoshwa: I-Mirena, i-Skyla noma i-ParaGard IUD ingakwazi ukukhipha isisu esiswini noma ngokugcwele - lokhu kungenzeka kakhulu phakathi nezinyanga ezimbalwa zokuqala zokusebenzisa (nakuba kungase kwenzeke kamuva). Kungenzeka futhi ngesikhathi sakho. Nge-Mirena noma i-ParaGard, kunengozi encane yokuxoshwa uma ungakaze ube nomntwana, noma uma usemusha noma omdala osemncane. Ngenxa yokuthi i-Skyla iyincinjana encane kunalawo amanye ama-IUD amabili , cishe kuncane kakhulu ukuxoshwa kwabesifazane abangenayo (igama lezokwelapha kwabesifazane abangakaze babelethe) - nakuba ukuxoshwa kwe-Skyla IUD kusengenzeka. Uma i-IUD yakho iphuma, ungakhulelwa. Ngakho-ke uma lokhu kwenzeka, qinisekisa ukuthi usebenzisa ukulawulwa kokuzalwa kokubeletha (njengekhondomu), bese ufonela udokotela wakho. Uma i-Mirena noma i-Skyla IUD yakho iphuma ngaphandle, kufanele isuswe (ngakho sicela uzame ukuyibuyisela emuva). Ukuze uqaphele, hlola amathoni akho kanye namathoni akho ngesikhathi sakho ukuqinisekisa ukuthi i-IUD yakho ayifuni.
Izingozi ze-IUD ezengeziwe (iMirena, ParaGard, ne-Skyla):
Abaningi besifazane ngeke babe nezinkinga ngokusebenzisa i-Mirena, i-ParaGard, noma i-Skyla. Kodwa, uma unezimo ezithile , ungase ube ngaphezulu engozini yokuthuthukisa izinkinga ezinkulu ngenkathi usebenzisa i-IUD. Lezi zihlanganisa ukubeka engozini yezifo ezithathelwana ngocansi ngesikhathi sokufaka noma:
- Amagundane egazi kakhulu emithanjeni ejulile noma emaphashini.
- Bebe-PID ezinyangeni ezingu-12 ezedlule.
- Unesifo sikashukela noma i-anemia enamandla.
- Yiba negazi elingagcini / ukuthatha imithi esiza igazi lakho.
- Kuye kwaba nezifo ezimbili noma ngaphezulu ezithathelwana ngocansi eminyakeni emibili eyedlule.
- Unayo noma unomdlavuza we-ovarian.
- Thatha imithi (nsuku zonke) equkethe i-corticosteroid (njenge-prednisone).
- Unomlando wokutheleleka kwe-tubal (lokhu akusebenzi kubesifazane abakhulelwe esibelethweni sabo kusukela ekutheleleni).
- Yiba nezifo ezingalawuliwe zomlomo wesibeletho noma isisu, njenge- bacterial vaginosis .
- Unesibeletho esibekwe phambili kakhulu noma emuva emuva kwesikhumba.
- Unomlando wokuzala okungafaneleki kanye nesifiso sokukhulelwa esikhathini esizayo.
Yiba Ummeli Wakho We-IUD:
Njengabesifazane abaningi, kukhona odokotela abaningi abangakabikho amakholwa mayelana nezingozi ze-IUD nokuphepha. Laba odokotela bangase babe nemiqondo engaphelelwe isikhathi mayelana nokuthi ubani ongakwazi futhi angakwazi ukusebenzisa i-IUD. Ngakho, ukuze ube ngummeli wakho siqu ... uma udokotela wakho ekunika inkathazo, yazi ukuthi:
- Intsha ingasebenzisa i-IUDs .
- Ungayisebenzisa i-IUD ngisho noma ungazange ubelethe .
- Awudingi i-IUD entsha uma ushintshile abalingani bobulili .
- Awudingi ukuba ube nobuhlobo bomunye nomunye ukusebenzisa i-IUD.
Kwabesifazane abaningi (mhlawumbe ngisho nawe!), I-IUD ingaba yisinqumo esihle sokukhulelwa. Kuyinto elula , ephumelelayo, ayidingi ukuba wenze noma yini ukuze isebenze, i-eco-friendly, futhi ayiphazamisi ukuzonda ngokocansi. Njengokunye kokulawulwa kokubeletha , kunezingozi ezithile kanye nezinkinga ezingase zibe khona ezihlobene nokusetshenziswa kwe-IUD, kodwa abesifazane abaningi bayajabula ngale ndlela yokukhulelwa yesikhathi eside.
Imithombo:
Johnson BA. "Ukufaka nokukhishwa kwamadivayisi we-intrauterine." I-American Family Physician . 2005; 71: 95-102. Kufinyelelwe ngokubhalisa kwangasese.
Shelton JD. "Ingozi yesifo sokuvuvukala esiswini somzimba esibangelwa yi-intrauterine device." I-Lancet . 2001 Feb; 357 (9254): 443. Kufinyelelwe ngokubhalisa kwangasese.
Thiery M. "Intrauterine contraception: kusuka kwindandatho yesiliva kuze kube sekufakweni kwe-intrauterine yokukhulelwa." I-European Journal ye-Obstetrics & Gynecology ne-Biology Yokuzala. 2000 Juni; 90 (2): 145-52. Kufinyelelwe ngokubhalisa kwangasese.