Ama-IUDs (ama-intrauterine amadivaysi) -sall, amadivaysi aguquguqukayo afana ne-T ayifaka esibelethweni sowesifazane phakathi komlomo wesibeletho udokotela-ingenye yezindlela eziphumelelayo kakhulu zokuguqula ukubeletha ezitholakalayo. Lokho kusho ukuthi cishe abesifazane abayi-1 kwabangu-200 abane-IUD bakhulelwa njalo ngonyaka, futhi ingozi yokukhulelwa i-IUD iphezulu kakhulu ngonyaka wokuqala emva kokufakwa.
Nakuba kungavamile ukuba ukhulelwe uma une- intrauterine idivaysi (IUD) , uma wena noma othandekayo wakho kulesi simo, kubalulekile ukufunda ngezingozi kanye nezinkinga ezihlobene nokukhulelwa kwe-IUD.
Ngenzenjani Uma Nginesizungu Sokukhulelwa?
Uma usola ukuthi ukhulelwe i-IUD, nansi izinyathelo ezintathu okufanele ulandele. Sicela uqaphele ukuthi akuyona into engavamile ukukhathazeka ngokukhulelwa nge-IUD. Lokhu kubangelwa ukuthi abesifazane abaningi babhekana nokugaya okungavamile ezinyangeni ezimbalwa zokuqala emva kokufaka i-IUD. Lokhu kuvame ukulandelwa izikhathi ezilula futhi ezimfushane; abanye besifazane bayeke ukuba nezikhathi ngokuphelele.
1. Thatha ukuhlolwa kokukhulelwa
Uma ukholwa ukuthi uhlangabezana nokukhulelwa kwe-IUD, into yokuqala okufanele uyenze ukuqinisekisa ukuthi ungumuntu noma awukhulelwe. Ungathatha ukuhlolwa kokukhulelwa ekhaya noma uhlele ukuhlolwa kokukhulelwa kwegazi nodokotela wakho.
2. Bheka Udokotela wakho
Uma owesifazane ekhulelwa, ukusebenzisa i-IUD kumbeka engozini yokukhulelwa kwe-ectopic (ukukhulelwa lapho iqanda lifaka khona ngaphandle kwesibeletho). Yingakho kubaluleke kakhulu ukubona udokotela wakho ngokushesha uma usola noma uqinisekisa ukukhulelwa nge-IUD endaweni.
3. Yenza i-Your IUD yakho isusiwe
Uma udokotela wakho eqinisekisa ukukhulelwa okusebenzayo nokungewona okwenziwe nge-ectopic ngenkathi i-IUD yakho isendaweni, cishe cishe uzotusa ukususwa kwe-IUD yakho.
Kubalulekile ukuthi ungazami futhi ususe i-IUD ngokwakho, ngoba lokhu akuphephile wena noma ingane yakho.
Kubalulekile ukuqaphela ukuthi kunengozi yokukhulelwa kwesisu lapho i-IUD yakho isusiwe. Lokhu kusho ukuthi ingozi yakho yokukhulelwa kwesisu iyakhula kakhulu ngokukhetha ukungasusi i-IUD ekuqaleni kokukhulelwa.
Yiziphi Izingozi Zokuba Nokukhulelwa Kwe-IUD?
Kunezizathu ezimbalwa zokuthi kungani udokotela wakho angase ancoma ukuthi i-IUD isuswe impilo yakho kanye nempilo yengane yakho.
Ukushada
Nakulokhu, abesifazane abakhulelwe i-IUD banamathuba amaningi okuphutha kabi kunabesifazane abangenayo i-IUD endaweni lapho bekhulelwe.
Eqinisweni, uma owesifazane ekhetha ukumshiya ngesikhathi sokukhulelwa, izinga lokukhulelwa kwesisu likhuphuka libe ngamaphesenti angaba ngu-40 kuya ku-50%. Kodwa-ke, ukususa i-IUD yakhe ekuqaleni kokukhulelwa kubonakala kunciphisa ingozi yokukhulelwa kwesisu. Kodwa-ke, ingozi isaphakeme kunowesifazane ngaphandle kwe-IUD okhulelwa.
Ukuzalwa kwangaphambi kwesikhathi
Ngaphezu kokukhulelwa kwesisu, ushiya i-IUD endaweni ngenkathi ukhulelwe ukwandisa amathuba okulethwa kwezidingo zangaphambi kwesikhathi. Ngokuqondile, abesifazane abano-IUDs ngesikhathi bekhulelwe bangaphezu kwamakhulu ayisihlanu amathuba okuletha ingane yabo ngaphambi kwesikhathi kunabesifazane abangenayo i- IUD endaweni .
Uma i-IUD yesifazane isusiwe kusenesikhathi, ingozi yokuba nengane yangaphambi kokunciphisa isancishisiwe, kodwa ingabi nhlobo.
Ukutheleleka
Kukhona njalo ukuthi kungenzeka ukuthi ukutheleleka okubizwa ngokuthi i-chorioamnionitis kungenzeka kubafazi abanama-IUD. I-Chorioamnionitis-ukutheleleka kwezingqimba ezizungezile umntwana kanye nomswakama ogeza umntwana-kuyisifo esingathí sina, esingasongela ukuphila. Njengokuzalwa kwangaphambi kokuqala nokukhulelwa kwesisu, ukuba ne-IUD yakho ithathwe kuyanciphisa lo mngcipheko othize kepha awukhiphi ngokugcwele.
Ukuphazamiseka Kwebala
Kungase kube khona ukuxhumana phakathi kokukhulelwa lapho kune-IUD futhi uthuthuka ukuphazamiseka okuphazamisayo, isimo lapho i-placenta ihlukanisa khona esibelethweni ngaphambi noma ngesikhathi sokubeletha.
Ukuvezwa kweHormone
Kukhona okwamanje izinhlobo ezinhlanu zama-IUD atholakalayo; ezine ezine-hormonal (Kyleena, Liletta, iMirena, ne-Skyla), kanti enye ayiyona i-hormonal (i-ParaGard). Uma ukhulelwe nge-IUD ye-hormonal, i-IUD yakho ikhulula kancane kancane i-progestin kwisibeletho sakho. Uma unquma ukuqhubeka nokukhulelwa kwakho kwenye yalezi-IUDs endaweni, imiphumela yesikhathi eside ye-hormone enganeni ayaziwa ngokugcwele; Kodwa-ke, kubonakala kungabonakali ingozi yokukhubazeka kokuzalwa.
Ingabe Kukhona Njalo Isikhathi Lapho I-IUD Ishiywa Ngaphakathi?
Yiqiniso, njengezimo eziningi zezokwelapha, kukhona indawo eyi-gray. Ngamanye amazwi, kunezimo lapho udokotela angase ancome ukuthi owesifazane angenalo i-IUD isusiwe.
Ekugcineni, isimo sesifazane ngasinye siyingqayizivele, ngakho-ke kufanele ube nengxoxo enengqondo nodokotela wakho.
Izwi elivela
Ukufunda ngezingozi ezingase zibe khona kanye nezinkinga ezihlobene nokukhulelwa kwe-IUD kungaba yindlala futhi ivalo. Kodwa usuvele uthatha isinyathelo ngendlela efanele ngokukwenza ucwaningo lwakho futhi uthole ulwazi. Hlala usebenza futhi uvuleke futhi uthembekile lapho ukhuluma nodokotela wakho ngendlela engcono yokuphatha ukukhulelwa kwakho.
> Imithombo:
> Ganer H, Levy A, Ohel I, Sheiner E. Ukukhulelwa komphumela kubesifazane abanesisetshenziswa sokukhulelwa kwe-intrauterine. Journal American of Obstetrics and Gynecology . 2009; 201 (4): 381.e1-381.e5.
> Kim et al. Isibikezelo sokukhulelwa sakhiwe naphezu kokuba khona kwe-intrauterine device (IUD). J Perinat Med . 2010; 38 (1): 45-53.
> Pocius KD, Bartz DA. (2017). Ukwelapha ngokweqile: Ukuphathwa kwemiphumela emibi kanye nezinkinga. Ku: UpToDate, i-Schreiber CA (Ed), UpToDate, Waltham, MA.
> I-Trussell J. ukwehluleka kokukhulelwa eMelika. Ukwelashwa . 2011 Meyi; 83 (5): 397-404.