I-Levonorgestrel IUD
I-Mirena IUD iyinhlangano ye-hormonal intrauterine efakwe esibelethweni sokulawula ukubeletha isikhathi eside. I-Mirena ikhipha inani elincane le-progestin, i-levonorgestrel, ngokuqhubekayo ngaphezu kweminyaka emihlanu njengendlela yokuvimbela ukukhulelwa.
Sibutsetelo
I-Mirena uhlobo lwe- IUD . Kuyinto encane, "i-T" eyenziwe nge-plastic plastic. Ilinganiselwa ku-32mm ngaphesheya nangaphansi.
I-Mirena IUD ikhula ekuthandeni ngoba ingakuvikela ekukhuleleni iminyaka engaba ngu-5, ngakho-ke kubhekwa njengendlela yokulawula ukubeletha isikhathi eside, eguquguqukayo. I-Mirena IUD yakho kumele ifakwe udokotela oqeqeshiwe. Kuyinto eyodwa yezindlela zokulawula zokubeletha eziphumelela kakhulu ezitholakalayo ... kusebenza ngendlela efanayo njenge- vasectomy !
Indlela Esebenza ngayo
Ngesikhathi sesishiyagalolunye sonyaka, i-Mirena IUD ihambisa kancane kancane i-progestin, i- levonorgestrel . I-Mirena isiza ukuvimbela isidoda ukungena eqanda ngokuthinta indlela isisu eshukumisa ngayo. Ngokuyinhloko, liphazamisa ukuhamba kwesidoda ngaseqanda. I-Mirena IUD ingabuye ikhumbule i-mucus yakho yomlomo wesibeletho - lokhu kwenza kube nzima kakhulu ukuba insimu ibhukude. Ngenxa yokuthi le-IUD iqukethe i-progestin, i-Mirena isebenza kangcono kakhulu kune- ParaGard IUD uma kuziwa ekuvimbeleni ukukhulelwa.
Isebenza Kanjani Ngokushesha?
I-Mirena IUD isebenza ngokushesha uma uyifakile zingakapheli izinsuku ezingu-7 ngemuva kokuqala kwesikhathi sakho. Uma une-Mirena yakho efakwe nganoma yisiphi isikhathi ngesikhathi sokuya esikhathini, kuzodingeka usebenzise indlela yokulawula ukuzalwa kokuzalwa phakathi nesonto lokuqala (izinsuku ezingu-7) ngemuva kokufaka.
Uzoba nokuvikelwa kokukhulelwa emva kwezinsuku ezingu-7.
Ubani Ongayisebenzisa?
Ngokusho kweBayer HealthCare Pharmaceuticals, umenzi weMirena, i-Mirena IUD isetshenziselwa ukusetshenziselwa abesifazane aba:
- Ube nomntwana okungenani ongu-1.
- Ebudlelwaneni obuzinzile, obuzinikele.
- Ungabi nengozi noma umlando wokukhulelwa kwe-ectopic noma isifo sokuvuvukala kwe-pelvic .
Kodwa-ke kufanele wazi ukuthi abesifazane abaningi bangasebenzisa i-Mirena IUD.
Umkhiqizi wanikezela lezi zincomo zokusetshenziswa kweMirena ngoba ucwaningo olwenziwa kuMirena IUD olwalusetshenziswa - ukuze uthole imvume ye-FDA - lwenziwa kwabesifazane ababengenani ingane eyodwa.
I-American College of Obstetricians kanye namaGynecologists batusa ukuthi bobabili abesifazane abangazange babelethe kanye nentsha bangase bazuze ekusetshenzisweni kwe- IUD (noma i-Mirena, Skyla , noma i-ParaGard). Ungase futhi ukhululeke ukwazi ukuthi odokotela abaningi bebefaka iMirena IUD kuzo zonke izinhlobo zabesifazane ngonyaka (naphezu kweziqondiso zomkhiqizi).
Izinzuzo
- I-Mirena IUD ingahlinzeka ngokuvimbela ukukhulelwa okuqhubekayo iminyaka emihlanu - kodwa ingasuswa nanoma yisiphi isikhathi phakathi naleso sikhathi seminyaka emihlanu.
- Kuyinto elula futhi engahlelekile - uma efakwe, awudingi ngempela ukwenza noma yini.
- I-Mirena ingasiza ekuvikeleni izifo ezivuthayo zesikhumba ngoba zinciphisa i-mucus yomlomo wesibeletho futhi inciphisa ukugeleza kwenyanga yakho.
- I-Mirena IUD ingathuthukisa impilo yakho yobulili ngoba ikuvumela ukuthi ube khona ngokuzenzakalelayo.
- Kuyindlela yokulawula ukubeletha eco-friendly.
- I-Mirena iyindlela enhle yokukhetha uma ungenakusebenzisa ukulawulwa kokuzalwa okususelwa ku-estrogen noma ezinye izindlela ze-hormonal .
- Ngemuva kokuba i-Mirena IUD isusiwe, ukuzala kwakho (ikhono lokukhulelwa) kubuya ngokushesha.
- Kuyindlela yokwelapha yangasese futhi ehlakaniphile. Akekho ongatshela ukuthi uyayisebenzisa!
Izinzuzo ezingezona ukukhulelwa
I-Mirena IUD ingabuye ikunikeze izinzuzo ezithile ezengeziwe .
Uma unezinhlanzi ezibuhlungu kakhulu zokuya esikhathini, ukusebenzisa i-Mirena IUD kungasiza ekunciphiseni ubuhlungu bakho . I-Mirena nayo inganciphisa inani lokuphuma kwegazi lapho unenkathi yakho.
- Abesifazane abasebenzisa i-Mirena bangabona ukuthi ukuphuma kokuya esikhathini kunciphise ngamaphesenti angu-90.
- Ezingamaphesenti angaba ngu-20 abasebenzisi be-Mirena, i-perod yabo iyayeka ngokuphelele phakathi nonyaka owodwa. Lokhu kunganciphisa ingozi yokuthola i-anemia.
I-Mirena IUD nayo iyindlela kuphela yokulawulwa kokuzalwa kokuzalwa kwe-FDA engasetshenziselwa ukwelapha ukuphuma kwezilonda ezinzima .
Okuqhamuka uma udla imishanguzo
Abaningi besifazane abakutholi izinkinga ngenkathi basebenzisa iMirena. Abanye besifazane bangase baphuze ngokweqile futhi badonsa phakathi kwamasonto ambalwa okuqala noma izinyanga emva kokufakwa - kodwa odokotela bangakwazi ukunikeza imithi enganciphisa lezi zinsika.
Njenganoma yikuphi indlela yokulawula ukuzalwa kwe-progestin kuphela , ungase uhlangabezane neminye imiphumela emibi . Izindaba ezinhle ukuthi, ezimweni eziningi, lemiphumela emibi iyohamba emva kwamasonto ambalwa okuqala izinyanga emva kokuthi i-Mirena IUD yakho ifakwe. Izinkinga ezinkulu neMirena azivamile. Uma ubona izinkinga, kubalulekile ukutshela udokotela wakho ngokushesha.
Ukususwa
Ngemuva kweminyaka yakho engu-5 siphelile, kumele ube ne-Mirena IUD yakho isusiwe . Ungakhetha ukuba nezinye i-Mirena ifakwe ngesikhathi sokuvakasha okufanayo. Ungalokothi uzame ukukhipha i-Mirena IUD yakho-kuyodingeka isuswe udokotela wezokwelapha. Yazi futhi ukuthi ungasusa i-Mirena yakho nganoma isiphi isikhathi ngaphambi kokuthi isikhathi seminyaka engu-5 siphele.
- I-Mirena yakho ye-IUD ingase ivele yodwa (lokhu cishe kungenzeka phakathi nezinyanga ezimbalwa zokuqala emva kokufaka noma ngesikhathi sakho). Iningi labesifazane abaqondi ngisho nokuthi iMirena yabo iphume. Yingakho kufanele wenze umkhuba wokuhlola izintambo zakho zeMirena IUD okungenani kanye ngenyanga (phakathi kwezikhathi) - lokhu kuzokutshela ukuthi i-Mirena yakho isendaweni.
- Uma uqaphele ukuthi i-Mirena yakho iphume, udinga ukuxhumana nodokotela wakho ukuze ufake enye. Udokotela wakho cishe uzokwenza kuqala ukuhlolwa kokukhulelwa - ukuze uqinisekise ukuthi awukhulelwe, ngaphambi kokufaka i-Mirena IUD entsha.
- I-Mirena yakho ye-IUD ingabuye ixoshwe kancane. Uma lokhu kwenzeka, shayela udokotela wakho, bese usebenzisa indlela yokulawula ukuzalwa kokuzalwa (njengamakhondomu). Yenza i-aphoyintimenti, ngakho udokotela wakho angakwazi ukukhipha ngokuphelele iMirena yakho (ungazami ukuyikhipha wena). Ungaba nomunye i-Mirena IUD efakwe ngaleso sikhathi.
Izindleko ezihlanganisiwe
Uma kufanele ukhokhele ngokwakho ukuvimbela ukubeletha futhi uhlela ukusebenzisa ukulawula kokubeletha okungenani iminyaka engu-1 kuya kwengu-2, i-IUD iyindlela engabizi kakhulu etholakalayo. Izindleko zesikhathi esisodwa seMirena, uma kuqhathaniswa nezinye izindlela zokuvimbela, zingakusiza amakhulu emadola noma ngaphezulu ngokuhamba kwesikhathi.
Izindleko eziphelele zeMirena zingase zibe ngu-$ 750. Lokhu kuhlanganisa izindleko zokuhlolwa, i-Mirena IUD yangempela, ukungena, kanye nokuvakashelwa kokulandela. kungabiza ku-$ 750. I-Medicaid ingafaka izindleko ze-Mirena IUD yakho. Kufanele uhlole inqubomgomo yakho yomshuwalense wempilo njengoba i-Mirena IUD kufanele ihlanganiswe, ngaphandle kwezindleko ezingaphandle kwe-pocket, kuzo zonke izinsizakalo zomshuwalense ongekho omkhulu.
Ukuphumelela
I-Mirena IUD ingenye yezindlela eziphumelelayo kakhulu zokuguqula ukubeletha ezitholakalayo. I-Mirena IUD iphumelela ngamaphesenti angu-99.8. Lokhu kusho ukuthi phakathi kwabesifazane abangu-100 abasebenzisa i-Mirena ngonyaka owodwa, abangaphansi kwe-1 bazokhulelwa ukusetshenziswa okujwayelekile kanye nokusetshenziswa okuphelele.
Qaphela: Iningi lokukhulelwa lenzeke kubasebenzisi baseMirena uma ama-IUD awo ephuma ngaphandle kokuqaphela. Ngisho noma ithuba lokukhulelwa ngenkathi usebenzisa i-Mirena liphansi kakhulu, uma kwenzeka, shayela udokotela wakho ngokushesha uma uqaphela ukuthi ukhulelwe.
Ukuvikelwa kwe-STD
I-Mirena ayihlinzeki ngokuvikela izifo ezithathelwana ngocansi . I-Mirena IUD ayibangeli isifo sofuba sokuvuvukala noma ukungabi nabantwana.
Umthombo:
I-Whaley NS, i-Burke AE. "Intrauterine contraception." Impilo Yabesifazane . 2015 Nov; 11 (6): 759-767. Isihloko esigcwele sifinyelelwe ngokubhaliselwe kwangasese.