IUD iwumshini omncane, oguquguqukayo wokukhulelwa ofakwe esibelethweni. Izinhlamvu ze-IUD zimele idivayisi ye-intrauterine. I-IUD ivame ukubunjwa ngepulasitiki futhi ifakwe njenge-T. Le ndlela yokukhulelwa ihlala isikhathi eside, iphephile futhi iphumelela kakhulu.
Kunezinto ezintathu ze-IUD ezitholakala e-United States: i-Mirena, i-ParaGard ne-Skyla.
IUD Iwuhlobo oludume kakhulu lokulawulwa kokuzalwa okuguquguqukayo emhlabeni. Empeleni, iningi labesifazane abathola i-IUD banelisekile ngokukhetha kwabo - amaphesenti angu-99 wabasebenzisi be-IUD ayajabula nabo.
I-Mirena IUD
I-Mirena intrauterine device (IUD) yenziwe nge-plastiki eguquguqukayo. Ikhulula inani elincane le-progestin levonorgestrel ngokuqhubekayo ngaphezu kweminyaka emihlanu njengendlela yokuvimbela ukukhulelwa.
Ngokusho komkhiqizi weMirena, i-Bayer HealthCare Pharmaceuticals, le-IUD yilabo besifazane okungenani okungenani ingane eyodwa, bahlala ebuhlotsheni bomunye nomunye, futhi abanakho ingozi noma umlando wokukhulelwa kwe-ectopic noma isifo sokuvuvukala kwe-pelvic. Kodwa-ke, i-American College of Obstetricians kanye neGynecologists ikhuthaza ukuthi bobabili abesifazane abangakaze babelethe futhi abasha bangazuza ngokusebenzisa i-IUD ... lokhu kuhlanganisa ukusebenzisa iMirena noma i-ParaGard IUD.
I-Mirena IUD inganciphisa ukondla kokuya esikhathini , inani eliphelele lezinyanga zenyanga ukuphuma kwegazi futhi liye lagunyazwa yi-FDA ukuphatha ukwelashwa okunzima kokuya esikhathini .
Emva kokukhipha i-IUD, ikhono lakho lokukhulelwa libuyela ngokushesha.
I-ParaGard IUD
Idivaysi ye-ParaGard ye-intrauterine (ebizwa nangokuthi i-Copper T 380A) ingaba amayintshi angu-1-1 / 4 ububanzi ngamasentimitha angu-1-3 / 8 ubude, enziwe nge-plastiki eguquguqukayo futhi ehlanganiswe ngethusi. I-hormone mahhala.
Qaphela ukuthi ngeParaGard, izikhathi zakho ngeke zifinyelele noma zifinyelele; Kunalokho, bangase babe nzima nakakhulu. I-ParaGard IUD ikhulula inani elincane lethusi ngaphezu kweminyaka eyishumi njengendlela yokuvimbela ukukhulelwa.
* I-Advantage eyengeziwe: I-ParaGard IUD ingasetshenziswa njengendlela yokuphulelwa kokuphuthumayo okuphuthumayo . Eqinisweni, uma efakwe zingakapheli izinsuku ezingu-5 ngemuva komzimba ongavikelekile, i-ParaGard inganciphisa ingozi yokukhulelwa ngo-99.9%.
I-Skyla IUD
I-Skyla icatshangwa ukuthi iyinkosikazi kaMirena. Le mini-IUD ihambisa kancane kancane inani eliphansi le-progestin levonorgestrel njalo ngokuqhubeka kwesikhathi seminyaka emithathu. Kuyinto encane kune-Mirena futhi iqukethe i-progestin encane. Ngokungafani ne-Mirena, i-Skyla IUD iye yavunyelwa i-FDA ukuze isetshenziswe ngabesifazane besonke ubudala, noma ngabe babelethile noma cha.
Kyleena IUD
U-Kyleena uyingxenye "yomndeni" ofana no-Skyla noMirena. Le-IUD ye-hormonal ibuye iphinde isuse inani eliphansi le-progestin levonorgestrel esikhathini esingama-5. Kuyinto encane kune-Mirena futhi ngobukhulu obufanayo ne-Skyla. Iqukethe i-progestin engaphezu kwe-Skyla kodwa ngaphansi kwe-Mirena. Njenge-Skyla, i-Kyleena IUD inemvume ye-FDA omele isetshenziswe yibo bonke abesifazane, kungakhathaliseki ukuthi baye bazalwa noma cha.
Indlela i-IUD esebenza ngayo
I-Mirena IUD, i-Skyla IUD ne-ParaGard IUD konke kuvimbela isidoda ukuba singajoyina neqanda ngokuphazamisa ukuhamba kwesidoda ngaseqanda. Lawa ma-IUDs aphinde ashintshe uhlaka lwesisu. Ngokwalokho, lokhu kuguqulwa odongeni lwe-uterine kungagcina iqanda elifakwe umquba ekuhlanganiseni emgqeni wesibeletho, kodwa abukho ubufakazi bokuthi lokhu kwenzeka ngempela.
Kwabesifazane abathile, i-progestin e-Mirena IUD ne-Skyla IUD ingase futhi ivimbele ukuvulwa kwe-ovulation ukuba ingenzeki. I-progestin iphinde ikhulise umsizi wesifazane wesibeletho, ngakho-ke umcibisholo okhudlwana ungaphinde uvimbele isidoda ekuhlanganyeleni neqanda.
Ukufaka
Abaningi besifazane bangasebenzisa i-IUD ngokuphepha. Kodwa, ezinye izinto ezingezinhle ezingozini zingase zingenzi i-IUD indlela efanele yokulawula ukuzalwa kwabafazi abathile.
IUD kumele ifakwe ngumchwepheshe oqeqeshiwe wezempilo. Ukufakwa kwe-IUD ngokuvamile kuhlanganisa ukuhlolwa kwe-bimanual. Udokotela uzosusa i-IUD kusuka emaphaketheni ayo oyinyumba. Khona-ke, izingalo ze-IUD zibuyele emuva, futhi i-tube ene-IUD ifakiwe. IUD iqhutshelwa endaweni yi-plunger ku-tube. Uma usuke ngaphandle kwebhulethi futhi endaweni efanele, izikhali ze-IUD zivulekile ekujuleni kwe "T".
Ngemuva kokufaka
Abanye besifazane bangase babe nomuzwa wokuthi ezinye izibeletho zilungele ukufakwa kwe-IUD. Uma kunjalo, ama-cramps kufanele anciphise isikhathi esithile futhi, mhlawumbe, ukuphumula okunye noma imithi ebuhlungu. Ungase uphinde uchithe ukuphuma nokubonakala lapho ezinsukwini ezimbalwa zokuqala emva kokufaka.
Ungabe ucansi ngokushesha uma ukhululekile ngemuva kokufaka i-IUD.
- I-ParaGard iUD isebenza ngokushesha.
- I-Mirena IUD ne-Skyla IUD iphumelela ngokushesha KUPHELA uma ifakwe zingakapheli izinsuku ezingu-7 ngemuva kokuqala kwesikhathi sakho. Uma ufakwa nganoma yisiphi esinye isikhathi ngesikhathi sokuya esikhathini , sebenzisa olunye uhlobo lokukhulelwa olufana nekhondomu , ikhondomu yabesifazane , i- Today Sponge noma i- spermicide phakathi nesonto lokuqala ngemuva kokufakwa kwe-IUD. Ukuvikelwa kuzoqala emva kwezinsuku eziyisikhombisa.
Ukuvikelwa kwe-STD
IUD ngeke ikuvikele ezifweni ezithathelwana ngocansi .
Isondlo
Uma i-IUD izokhipha indawo, cishe izokwenzeka ezinyangeni ezimbalwa zokuqala zokusebenzisa noma ngesikhathi sakho. Hlola ama-pads akho noma amathoni ukuze ubone ukuthi i-IUD yakho iwile yini. Uma kunjalo, shayela udokotela wakho bese usebenzisa enye indlela yokulawula ukuzalwa . Kubaluleke kakhulu ukuhlola izintambo ze-IUD njalo ezinsukwini ezimbalwa amasonto ambalwa okuqala futhi uzizwe ukuthi uchungechunge luphela phakathi kwezinkathi ukuqinisekisa ukuthi i-IUD isesimweni esifanele.
- Indlela yokuhlola ama-Strings akho e-IUD
- Angikwazi Ukuzwa Ama-Strings Yami Okufanele Ngifanele Ngikhathazeke?
Izindleko
IUD ingaba nezindleko eziphezulu kakhulu. Kodwa kuyindlela engabizi kakhulu yesikhathi eside futhi eguquguqukayo yokulawulwa kokuzalwa etholakalayo. Njengoba ukuvikelwa kwe-IUD kungadlulela iminyaka engu-5 ukuya kwengu-10, izindleko ziphela ziba ngaphansi kancane ngenyanga ngaphandle kokugcwaliswa kwenyanga kwemigomo yamapilisi.
Izindleko ze-IUD zingabandakanya:
- Ukuhlolwa kwezokwelapha
- I-Mirena IUD, iParaGard IUD noma i-Skyla IUD
- Ukuvakashelwa kudokotela wakho ngokulandelela
Izindleko ze-IUD ziyahlukahluka phakathi kwe-Medicaid nezinhlelo zomshuwalense wezempilo. Kodwa-ke, ngaphansi koMthetho Wokunakekelwa Onganakekelwayo, izinhlelo zomshuwalense wezempilo ezingenabukhulu kufanele zimboze ngokugcwele (ngaphandle kwama-copay) izindleko zokuba i-IUD ifakwe, isuswe, kanye nezindleko zedivayisi yangempela.
Ukususwa
Kufanele ekugcineni ube ne-IUD isuswe kusukela i-IUD ingasakazi kahle futhi, ingxenye enkulu, ngeke ivele yodwa. Inqubo yokukhishwa kwe-IUD ivame ukulula, ibuhlungu kakhulu, futhi isheshe kunokufaka. Kufanele ube ne-IUD yakho isusiwe udokotela - ungazami ukukhipha i-IUD yakho noma ucele umuntu ongafanelekile ukuba enze kanjalo lokhu kungabangela umonakalo omkhulu. Ungaba i-IUD yakho isusiwe noma kunini futhi ingaba ne-IUD entsha esikhundleni sesikhathi sokuvakasha okufanayo.
Ukuphumelela kwe-IUD
IUD iyingxenye yezinhlobo zokulawula ukubeletha eziphumelela kakhulu ezitholakalayo. Abesifazane abangaphansi kwabangu-1 kwabangu-100 bazokhulelwa njalo ngonyaka uma basebenzisa i-ParaGard, i-Skyla noma i-Mirena IUD.
Ukuqapha okukhethekile: Iningi lokukhulelwa lenzeke uma i-IUD iphuma, futhi awuqapheli ukuthi lokhu kwenzekile. Ngisho noma ithuba lokukhulelwa ngesikhathi sokusebenzisa i-IUD liphansi kakhulu, uma kwenzeka, kufanele uxhumane nodokotela wakho ngokushesha uma uthola ukuthi ukhulelwe.
Izinsiza ezingaphezulu ze-IUD
- Ingabe Ngidinga Ukuba Nengqondo Yami Isusiwe Uma Ngishintsha Abalingani Bezocansi? Impendulo emifushane yalo mbuzo, akekho isidingo sokuthi i-IUD yakho isusiwe.
- Izinkinga ze-IUD ezinokwenzeka kanye nezingozi
Imithombo:
Nelson AL. "Idivayisi ye-intrauterine yokukhulelwa" Imitholampilo ye-Obstetrics and Gynecology eNyakatho Melika , 2000 27: 723-740.