U-Kyleena uyisisetshenziswa se-intrauterine ( IUD ). Yakhiwa yi-Bayer, ngakho-ke yingxenye yomndeni ofanayo we-IUD njengoMirena no- Skyla . I-Kyleena IUD ine-polyethylene epholile, eguquguqukayo (ipulasitiki) efana no-T. Kyleena kumele ifakwe ngumqeqeshi oqeqeshiwe wezempilo.
Njengendlela yokuvimbela ukhulelwe, le-IUD ikhulula kancane kancane i- progestin , i-levonorgestrel, esibelethweni phakathi neminyaka emihlanu.
I-Kyleena IUD iqukethe i-19.5 mg ye-levonorgestrel. Ikhulula i-17.5 mcg yale hormone ngosuku. Ngemuva konyaka owodwa, lelizinga liyehla kancane ku-9.8 mcg nsuku zonke, bese kufika ku-7.4 mcg ngosuku. I-FDA-evunyelwe ukusetshenziswa kwabesifazane abanakho noma ababelethi.
Uma ucabanga ngokusebenzisa uKyleena, ukuqonda amaqiniso kungakusiza wenze isinqumo esithembele ngokwengeziwe. Kuyinto evamile ukuzibuza ngeminye yemibuzo ngezansi.
Indlela Esebenza ngayo
I-Kyleena IUD isiza ukuvimbela ukukhulelwa ngokuthola indlela yesidoda. Lokhu kwenza kube nzima ukuba isidoda sithole iqanda. Ngakho-ke, ngokuyisisekelo, uKyleena uyavimbela ukuhamba kwesidoda. I-Kyleena IUD iphinde ine-progestin-le hormone ibangela ukuba umqubu womlomo wesibeletho ugxumeke, uphonsa uketshezi lwesisu sakho futhi unciphise ukusinda kwesidoda. U-Kyleena angase asebenze ukuvimbela ukukhulelwa ngendlela iphilisi eyenzayo , futhi.
Ngifanele Ngiwuthole Nini?
Kufanele ube ne-Kyleena IUD yakho efake isikhathi esithile phakathi nezinsuku zokuqala eziyisikhombisa zokujikeleza kokuya esikhathini noma ngokushesha emva kokukhipha isisu sokuqala.
Uma uKyleena efakwe phakathi nalesi sikhwama sesikhathi, sisebenza ngokushesha, ngakho-ke ngeke udinga ukusebenzisa noma yikuphi ukukhulelwa kokukhulelwa .
Uma une-Kyleena IUD yakho efakwe nganoma isiphi esinye isikhathi phakathi nomjikelezo wakho wenyanga, kuzodingeka usebenzise enye indlela yokukhulelwa (njenge- spermicide noma ikhondomu ) phakathi nesonto lokuqala ngemuva kokuba uKyleena efakwe.
Ukuvikelwa kokukhulelwa kuzoqala emva kwezinsuku eziyisikhombisa (ngesonto elilodwa).
Kumelwe ulinde okungenani amasonto ayisithupha ukuze uKyleena afakwe ngemuva kokubeletha noma aphume isisu sesibili. Lokhu kuvumela ukuthi isibeletho sakho siphulule ngokuphelele ngaphambi kokufaka uKyleena.
Kyleena, Skyla, noma iMirena?
I-Kyleena IUD isebenza ngendlela efanayo noMirena no-Skyla. Kunezimpikiswano phakathi kwalezi zithathu ezintathu zokukhishwa kwe-hormone. Zonke lezi zintathu ezintathu ze-IUD zindlela zokulawula ukubeletha okuphumelelayo kakhulu. Zifakwa esibelethweni sakho futhi zingasuswa nganoma yisiphi isikhathi. Ukuzala kwakho kufanele kubuye ngokushesha uma noma yikuphi kwalezi zi-IUD zisusiwe. Ngakho, ake siqhathanise ...
Kyleena | I-Mirena | I-Skyla |
Iqukethe u-19.5 mg we-progestin, i-levonorgestrel; ikhishwa ngo-17.5 mcg ngosuku. | Iqukethe ama-52 mg we-progestin, i-levonorgestrel; ikhipha cishe 20 mcg nsuku zonke. | Iqukethe 13.5 mg we-progestin, i-levonorgestrel; ikhishwa ngo-14 mcg usuku ngalunye. |
Izinga 28 mm ngokuzungezile no-30 mm ngokuzenzekelayo. | Izinga 32 mm ngokuzungezile kanye no-32 mm ngokuzenzekelayo. | Izinga 28 mm ngokuzungezile no-30 mm ngokuzenzekelayo. |
I-Tube esetshenziselwa ukufaka i-Kyleena i-3.8 mm ububanzi. | I-Tube esetshenziselwa ukufaka i-Mirena ingu-4.4 mm ububanzi. | I-Tube esetshenziselwa ukufaka i-Skyla i-3.8 mm ububanzi. |
Ingasetshenziselwa iminyaka engaba ngu-5. | Ingasetshenziselwa iminyaka engaba ngu-5. | Ingasetshenziswa iminyaka engaba ngu-3. |
Ngaphezulu kuka-99% esebenzayo. | 99.8% esebenzayo. | 99.1% esebenzayo. |
Ukubhalisa kusho ukuthi: uKyleena angasetshenziswa ukuthi owesifazane uye waba nomntwana noma cha. | Ukubhalisa kuthi: I-Mirena inconywa ngabesifazane abaye okungenani babe nengane eyodwa. | Ukubhalisa kusho ukuthi: I-Skyla ingasetshenziswa ukuthi ngabe owesifazane uye waba nomntwana noma cha. |
Amaphesenti angu-12 amathuba okuba nesikhathi esingenasiphelo emva konyaka owodwa. | Amaphesenti angu-20 ithuba lokungabi nesikhathi ngemuva kwonyaka owodwa. | Amaphesenti ayisithupha ithuba lokungabi nesikhathi ngemuva kwonyaka owodwa. |
Kungenza izikhathi zibe lula futhi zibe mfushane. | Kungenza izikhathi zibe lula. Ngenxa yezinga eliphakeme le-progesin, le-IUD nayo i-FDA-ivunyiwe ukusiza ukuphatha izikhathi ezinzima nezibuhlungu. | Kungenza izikhathi zibe mfushane futhi zifinyelele. |
Izinzuzo
- U-Kyleena unikeza ukuvimbela ukukhulelwa okuqhubekayo iminyaka engaba ngu-5.
- Kuyinto engapheli-mahhala-once efakwe, awunawo ngempela okunye okumele ukwenze.
- I-Kyleena IUD incane ngobukhulu futhi inombhobho engenayo yokufakela kune-Mirena. Lokhu kungenza inqubo yokungena ibe buhlungu kakhulu kunokufaka i-Mirena noma i- ParaGard IUD .
- U-Kyleena angasuswa nganoma yisiphi isikhathi phakathi nenkathi yakhe yeminyaka emihlanu.
- Kubuyiselwa ngokuphelele, futhi ukuzala kwakho kubuya ngokushesha-ungakhulelwa ngokushesha nje uma uKyleena esuswa. Abesifazane abangaba ngu-7 kwabangu-10 (abafuna ukukhulelwa) bazokhulelwa esikhathini esithile ezinyangeni ezingu-12 emva kokuthi uKyleena asuswe.
- I-Kyleena IUD i-FDA-evunyelwe kwabesifazane abanakho noma abangakaze babe nabantwana.
- U-Kyleena uyindlela ehlukile uma ungenakusebenzisa ukulawulwa kokuzalwa kwesisekelo se-estrogen .
- Uma unesibeletho esincane (njengabasha abasebasha kanye nabesifazane besifazane), uKyleena angabekezelela kangcono kunamanye ama-IUD.
- Akufanele wena nomlingani wakho nikwazi ukuzwa uKyleena ngesikhathi socansi.
- I-Kylenna iyindlela yokulawula ukubeletha eco-friendly.
- Kungasetshenziswa uma uncelisa.
- U-Kyleena angase abe yindlela enhle ye-IUD uma ngabe uthola kuphela ukudiliva.
Ukungalungi
Abaningi besifazane abanaso izinkinga zokulungisa i-IUD. Kodwa ungase uzwe ubuhlungu, ukuphuma kwegazi, noma ugozi ngesikhathi futhi / noma ngemuva kokuthi uKyleena IUD yakho ifakwe. Uma lezi zimpawu zingabe zingakapheli imizuzu engamashumi amathathu emva kokufakwa, kungenzeka ukuthi kungenzeka ukuthi i-Kyleena IUD yakho ayifakiwe ngendlela efanele. Qiniseka ukuthi ukhuluma nodokotela wakho nganoma yimiphi imiphumela emibi oyizwayo.
Abanye besifazane bane-cramping emibi noma ama-backache izinsuku eziningana noma amasonto ngemuva kokuthi uKyleena IUD wabo efakwe.
Okuqhamuka uma udla imishanguzo
Ungathola imiphumela emibi ngemuva kokuba uKyleena IUD yakho efakwe. Esikhathini esiningi, lezi zizohamba emva kwamasonto ambalwa okuqala izinyanga. Imiphumela emibi kakhulu ebikiwe iKyleena IUD ihlanganisa:
- Ukuvuvukala noma ukutheleleka kwengxenye yangaphandle yesisu sakho (vulvovaginitis)
- Ama-cysts ama- ovariya atholakala ngamaphesenti angaba ngu-22 abasebenzisi baseKyleena. Ezimweni eziningi, lezi zinyamalale zingakapheli izinyanga ezingu-1-2
- Ukuphuma kwegazi
- Isisu kanye / noma ubuhlungu besisu
- I-acne noma i- seborrhea (isikhumba esinamafutha)
- Izinsizwa noma ama-migraines
- I-Dysmenorrhea noma i-uterine spasms
- Ubuhlungu besisu noma ukungakhululeki
Izinguquko Zesikhathi Sakho?
- Phakathi nezinyanga ezi-3-6 zokuqala ngemuva kokufakwa kwe-Kyleena IUD yakho, ungase ube nethuba eliphakeme lokuthola ukuphuma kwegazi nokubonakala. Inkathi yakho ingaba yinto engavamile, futhi / noma izikhathi zakho zingase zibe nzima noma ngaphezulu kunokujwayelekile.
- Nakuba ukuphuma kwegazi nokwehlukanisa kuzokwehla cishe ezinyangeni ezintathu zokuqala ngemuva kokufaka, izikhathi zakho zingase ziqhubeke zingavamile.
- Ngokuhamba kwesikhathi, izinkathi zakho zizoba mfushane futhi zilula. Ngenxa yokuthi i-progestin ku-Kyleena inamathele uketshezi lwe-uterine yakho, ukuphuma kwegazi kunganciphisa isikhathi eside sakho uKyleena IUD sisekhona. Izikhathi zakho zingase zimise ngokuphelele (cishe amaphesenti angu-12 abesifazane beshiya izikhathi emva kokusebenzisa uKyleena unyaka owodwa).
Izingozi nezinkinga
Izinkinga ezinkulu noKyleena zivame kakhulu. Qinisekisa ukuthi utshela udokotela wakho ngokushesha uma kukhona izinkinga. Ezinye imiphumela embi kakhulu zibandakanya:
- Ukukhulelwa kwe-Ectopic
- I-Sepsis (isifo esinzima, esisongela ukuphila)
- Ukuqedela noma ukuxoshwa
Ezinye imiphumela emibi ingase ifane nezinye iUD .
Ubani Okufanele Akuthole?
I-Kyleena IUD iye yacwaningwa ngokukhethekile ngabesifazane abangenalutho (igama eliyinkimbinkimbi yezokwelapha kwabesifazane abangakaze babelethe) -so, i-FDA ivumele uKyleena ukuba isetshenziswe ngabesifazane kule ndawo. Ukukhipha umkhiqizo kaKyleena kusho ukuthi le-IUD ingasetshenziswa ukuthi ngabe ubelethe ingane noma cha. Kodwa i-IUDs ayinconywa kubo bonke abesifazane, ngakho qiniseka ukuthi uhlangabezana nemigomo yokuba ngumuntu ozobhalwa kahle futhi ukhulume nodokotela wakho mayelana nanoma yiziphi izingozi ezingenzeka.
Ukususwa
- Kumele ube ne-Kyleena IUD yakho isusiwe ngemuva kweminyaka yakho engu-5 (angeke iphele noma ichithe emzimbeni wakho). Ungakhetha ukuba nomunye uKyleena IUD ufakwe ngesikhathi sokuvakasha okufanayo.
- Uma ufuna ukushintshela endleleni entsha yokulawula ukuzalwa (futhi ube nokuvikelwa kokukhulelwa okuqhubekayo) ngemuva kokumisa uKyleena, hlela ukususwa kwakho kwe-IUD kwenzeke phakathi nezinsuku ezingu-7 zokuqala kwenkathi yakho futhi ngokushesha uqale indlela yakho entsha. Uma u-Kyleena wakho esusiwe nganoma yisiphi esinye isikhathi phakathi nomjikelezo wakho wokuya esikhathini, qalisa indlela yakho yokukhulelwa okungenani izinsuku ezingu-7 ngaphambi kokuba uKyleena wakho asuswe.
- QAPHELA: uma usulele ucansi (ngaphandle kokusebenzisa ikhondomu yamadoda, ikhondomu yabesifazane , i- spermicide , noma i- sponge ) zingakapheli izinsuku ezingu-5 ngaphambi kokuthi uKyleena asuse, ungase ube engozini yokukhulelwa emva kokuba i-IUD yakho isusiwe.
- Akufanele uzame ukususa u-Kyleena ngokwakho (ngemuva kwakho konke, yingakho sinamadokotela!). Kukhona ithuba elincane ukuthi i-Kyleena IUD yakho ingavela yedwa-kodwa, cishe, kuyodingeka ukuthi uhlele i-aphoyintimenti ukuze uyikhishwe.
- Ungakwazi futhi ukuthi iKyleena IUD yakho isuswe nganoma isiphi isikhathi ngaphambi kokuba isikhathi seminyaka emihlanu siphele.
- Uma i-Kyleena IUD yakho iphuma yedwa, kukhona ithuba elihle lokuthi ngeke uphawule. Yingakho kubalulekile ukuba uzizwe ngezintambo-njengoba lokhu kuyindlela kuphela yokuthi ukwazi ukuthi uKyleena wakho usekhona. Uma uKyleena wakho ephumayo, shayela udokotela wakho. Udokotela wakho cishe uzokwenza ukuhlolwa kokukhulelwa (ukuqinisekisa ukuthi awukhulelwe) ngaphambi kokufaka iKyleena IUD entsha.
- Uma i-Kyleena IUD yakho ixoshiwe kancane, xhumana nodokotela wakho ngokushesha (futhi sebenzisa indlela yokuvuselela kokukhulelwa). Ungazami ukukhipha konke okukodwa.
Izindleko
U-Kyleena unezindleko eziphezulu kakhulu kunezinye izindlela zokulawula ukuzalwa . Izindleko zokuhlolwa, i-Kyleena IUD, ukungena, nokulandela ukuvakashelwa kungadla cishe u-$ 500- $ 900. I-Medicaid ingase ihlanganise lezi zindleko. Ungahlola nenqubomgomo yomshuwalense wakho wezempilo kusukela ukuhlinzekwa kukaKyleena kufanele kuhlanganiswe ngaphandle kwezindleko ezingaphandle kwe-pocket kuzo zonke izinhlelo zomshuwalense ezingenakudalwa.
Ukuphumelela
I-Kyleena IUD inamandla kakhulu. Le ndlela yokubuyisela ukuguqulwa, esebenza isikhathi eside ingaphezulu kwamaphesenti angu-99 esebenza kahle. Lokhu kusho ukuthi phakathi kwabesifazane abangu-100 abasebenzisa i-Kyleena IUD ngonyaka owodwa, abangaphansi kwe-1 bazokhulelwa ukusetshenziswa okujwayelekile kanye nokusetshenziswa okuphelele.
Amanye amathiphu awusizo: Uma usebenzisa i-Kyleena IUD, ukukhulelwa okuningi kwenzeka ngenxa yokuthi uKyleena wakho uphumile, futhi kungenzeka ukuthi awuzange uqaphele ukuthi lokhu kwenzekile. Ngisho noma ithuba lokukhulelwa ngenkathi usebenzisa uKyleena liphansi kakhulu, kungenzeka. Uma ukhulelwa uma i-Kyleena IUD yakho isendaweni, zama ukuxhumana nodokotela wakho ngokushesha uma uqaphela ukuthi ukhulelwe-ngoba kungaba khona izingozi ezihlobene nalolu hlobo lokukhulelwa .
Ukuvikelwa kwe-STD
I-Kyleena IUD ayinikeli isivikelo emithonjeni yokudluliselwa ngocansi . Kungenzeka ukuthi uthole amathuba okuthola isifo sofuba ngemuva kokufaka uKyleena wakho uma une-STD ngalesi sikhathi. Ungaba sengozini enkulu uma unabangani abaningi bezocansi noma umlingani ocansi oye wahlanganyela nabalingani abaningi bezocansi.
Izwi elivela
U-Kyleena namanye ama-IUD anganikeza indlela ephephile yokulawula ukubeletha uma ungumuntu omele ukhetho. Khumbula ukuthi kunezinketho eziningi zokulawula ukubeletha etholakalayo ukuze ukwazi ukukhetha okulungile kuwe. Ngokuqinisekile, izinketho zingaba zikhulu kakhulu, ikakhulukazi uma imininingwane yokuthi imisebenzi ngayinye ingabonakali kanjani. Uma wenza ucwaningo lwakho futhi ukhulume nodokotela wakho, ungakhetha ngokuzethemba okukodwa.
> Imithombo:
> Gemzell-Danielsson K, u-Apter D, uHackck B, et al. "Impumelelo yobudala, i-Parity and Body Mass Index kwi-Efficacy, Safety, Placement and Satisfaction Associated With Two-Low Dose Levonorgestrel Systems Intrauterine Yokukhulelwa: Ukuhlaziywa Kwezingxenye Zedatha Ukusuka Esigabeni Sokuqala III." PLOS ONE. 2015; 10 (9): e0135309.
> Nanda K, uClalahan R, uDorflinger L. "Ukubhekana Nezikhala Emgwaqweni Wokukhulelwa: Izindlela Zokuthuthukiswa." Impilo Yabesifazane . 2015; 11 (6): 729-735.