I-Nexplanon yindlela entsha entsha yokufakelwa kokulawula ukuzalwa, i- Implanon . Lesi sitshalo esisodwa esisindayo silingana nobukhulu bomdlalo wokulingana (1.6 ubude obude). I-Nexplanon yi-contravaltive kuphela ye- progestin equkethe u-68 mg we-etonogestrel, futhi inikeza ukuvikelwa kokukhulelwa kuze kube yiminyaka emithathu uma ifakiwe.
I-Nexplanon yenziwe nge-flexible, flexible, polymer yezokwelapha.
I-FDA ivumele i-Nexplanon ukuvimbela ukukhulelwa kuze kube yiminyaka emithathu. Kumele kususwe emva kwalesi sikhathi ngoba ngeke kuchithe. Kodwa, ungakhetha ukukhipha nganoma isiphi isikhathi ngaphambi kweminyaka emithathu. Ungase futhi ube Nexplanon entsha efakiwe ngemuva kokukhipha isidala sakho. Uma i-Nexplanon ingasusiwe ngemva kweminyaka emithathu, kancane kancane i-etonogestrel ezokhipha ingabangela izinkinga zokuzala noma ukukhulelwa kwe-ectopic. Ngeke futhi isebenze ekuvikeleni ukuba ungakhulelwa.
Ukufaka
Lokhu kuhlanganiswa kokulawula kokuzalwa kufakwa ngaphansi kwesikhumba sengalo yakho ephezulu. I-Nexplanon kufanele ibekwe yichwepheshe wezokwelapha oqeqeshiwe ngokukhethekile. Uzonikezwa ukuhlinzekwa kwezinsizakalo zendawo ukuze unqande endaweni. Udokotela wakho uzosebenzisa i-applicator ekhethekile ezoqondisa i-Nexplanon ngaphansi kwesikhumba sesandla sakho. Lapho sekufakwe ukufaka, wena nodokotela wakho kufanele nibheke ukuthi kungesandleni sakho ngokuzizwa ngakho.
Inqubo yonke yokufaka ithatha imizuzu embalwa kuphela. Emva kwe-Nexplanon efakiwe, kuzodingeka uboshwe ibhande lokucindezela amahora angu-24 ne-bandage encane izinsuku ezintathu ukuya kwezinhlanu.
Indlela Esebenza ngayo
I-Nexplanon ishicilela njalo umthamo ophansi we- progestin etonogestrel eminyakeni engama-3. Inani le progesin liyehla kancane kancane.
Ngakho:
- Phakathi namasonto ayisithupha okuqala, ama-micrograms angu-60 kuya kwangu-70 we-progestin akhishwa ngosuku
- Ekupheleni konyaka wokuqala, kukhishwa ama-micrograms angaba ngu-35-45 ngosuku
- Lokhu kunciphisa cishe ama-micrograms angu-30-40 ngosuku ngosuku lokuphela konyaka wesibili
- Kuzokhishwa ama-micrograms angu-25-30 nsuku zonke ekupheleni konyaka wesithathu
Emva kweminyaka emithathu, i-Nexplanon ngeke ikhulule i-hormone eyanele ukukuvikela ekukhulelwe.
Nexplanon vs. Implanon
I-Nexplanon ihluke ku-Implanon ngezindlela ezimbili.
- I-Nexplanon i-radiopaque. Lokhu kusho ukuthi ukufakelwa kungabonakala ku-x ray, CT scan, i-ultrasound scan noma i-MRI. Kwakukhona ukukhathazeka okwedlula ukwanda kwamazinga okuhluleka ne-Implanon e-UK ngoJanuwari 2011. Kubonakala sengathi i-Implanon ayiphumelelanga ngoba odokotela babengayifaki kahle. Babengenalo indlela yangempela (ngaphandle kokuzizwa ngokomzimba ukufakwa kwesibeletho ngaphansi kwesikhumba) ukuqinisekisa ukuthi intonga yase-Implanon yayifakwe. Nge-Nexplanon, odokotela manje bangaqinisekisa ukuthi ukufakelwa kuye kwafakwa kahle futhi kungasithola kalula ngaphambi kokususwa.
- I-Nexplanon ine-applicator ehlukile kuno-Implanon, ngakho-ke inqubo yokufaka ihlukile kancane. I-applicator entsha elayishwe ngaphambilini ihlolwe ukunciphisa ingozi yokufaka amaphutha (njengokufaka i-Nexplanon ngokujulile kakhulu). I-applicator ye-Nexplanon nayo yenzelwe ukuqhutshwa ngesandla esisodwa. Umfakisicelo we-Implanon endala wenza kube nzima ukutshela ukuthi induku yayifakwe empini. Inkonga ye-Implanon nayo ingaphumelela kumuntu omdala wokufaka isicelo uma bekungekho kahle.
Izinzuzo
- Ohlakaniphile futhi ozimele
- Ayidingi ukugcinwa okuqhubekayo noma isidingo sokukhumbula ukusebenzisa ukulawulwa kokuzalwa
- Enye yezindlela zokuvimbela imithi ezisebenzayo ezisebenzayo, ezisebenzayo isikhathi eside
- Enye indlela yokukhetha engcono yabesifazane abangenakusebenzisa ukulawulwa kokubeletha kwe- estrogen
- Ungasetshenziswa ngenkathi ukondla (emva kwamasonto amane)
- Ivumela ukuzonda ngokobulili (akukho okudingeka ukuthi kufakwe noma kugqoke ngaphambi kocansi)
- I-Nexplanon isebenza ngokuphumelelayo ngokushesha uma ifakwe phakathi kosuku lokuqala nolwesihlanu lwenyanga yakho yokuya esikhathini
- Indlela yokukhulelwa eco-friendly
- Ngenxa yokulethwa kwayo kwe-hormone ephansi futhi eqinisiwe, i-Nexplanon ingaba nezinhlayiyana nezinsizakalo ezingaphansi kwe-hormone kunezindlela zokulawula ukubeletha nsuku zonke noma ngeviki
- Ukuzala kuyabuya ngokushesha uma uyeka ukusebenzisa i-Nexplanon; ukukhulelwa kubike ukuthi kuzokwenzeka ezinsukwini ezingu-7 kuya kwezingu-14 ngemuva kokuthi i-Nexplanon isusiwe
- Ukukhetha okuhle kokulawula kokuzalwa kwabasha
Okuqhamuka uma udla imishanguzo
Umphumela ovamile kakhulu we-Nexplanon yizinguquko kumaphethini akho okuphuma kwenyanga. Lokhu kungabandakanya ushintsho kumvamisa, amandla, noma isikhathi sokuphuma kwegazi. Ukungahlambuluki kwegazi kwakuyisizathu esivame kakhulu ukuthi abesifazane bayeka ukusebenzisa i-Nexplanon. Cishe owesifazane kwabayisihlanu ngeke abe nesikhathi nhlobo. Omunye kwabesifazane abayisihlanu uzoba negazi njalo noma / noma isikhathi eside. Indlela ophaphayo ozwa ngayo phakathi nezinyanga ezintathu zokuqala emva kwe-Nexplanon efakwe kuyisibonakaliso esihle sephathini lakho lokuphuma kwegazi ngenkathi usebenzisa lolu hlelo lokulawula ukubeletha.
Okunye imiphumela ye-Nexplanon ingafaka:
- Amakhanda (24,9 amaphesenti abike ekuhlolweni kwemitholampilo)
- I-Vaginitis (amaphesenti angu-14,5)
- Ukunyuka kwesisindo (amaphesenti angu-13,7)
- Ama-acne (amaphesenti angu-13,5)
- Ubuhlungu besisu (amaphesenti angu-12,8)
- Ubuhlungu besisu (10.9 ukuphikelela)
- Umkhuhlane (amaphesenti angu-10)
Okunye okunye okungajwayelekile okwenzekayo kwe-Nexplanon imiphumela emibi nakho kubikiwe. Lokhu kuhlanganisa ukukhula kwesifiso, ukuqina ngokomzwelo (izinguquko ezingaguquki kanye / noma ezisheshayo ngokomzwelo, ezihlanganisa ukucindezeleka ngokomzwelo, ukwesaba, kanye / noma ukunciphisa ukushayela ucansi), isizungu, isisulu sokukhwabanisa, ukushisa okushisayo, ukulahlekelwa izinwele, ukukhathala, ukwanda kwengcindezi yegazi nokufaka indawo ubuhlungu noma ukusabela.
Izinkinga ezingenzeka
Izinkinga ezinkulu Nexplanon azivamile, kodwa qinisekisa ukubika noma iziphi izinkinga kudokotela wakho ngokushesha.
- Ukufakwa kwezimo eziphuthumayo: Abanye besifazane bangase babhekane nokulimala, ukucasuka kwendawo, ubuhlungu, ukucheka, ukuhlaziya (isib. Ukucubungula, ukuvutha, ukunqanda noma ukuphazamiseka), ukuphuma kwegazi, i- hematoma , ukukhwabanisa, noma ukutheleleka ngemuva kokufaka i-Nexplanon. Uma i-Nexplanon efakwe kakhulu kakhulu, ingozi ye-neuro noma isifo se-vascular ingase ivele.
- Ukususwa Kwezinkinga : Ukususwa kwe-Nexplanon kungaba nzima uma ukufakelwa akukona lapho kufanele kube khona, uma kungeniswa ngendlela engafanele, kufakiwe kakhulu, kuphukile, noma uma kususiwe. Ezimweni ezinjalo, kungase kudingeke ukuthi u-Nexplanon asuswe ngokuhlinzwa.
- Ukukhulelwa kwe-Ectopic: Uma kwenzeka ukhulelwe ngenkathi ku-Nexplanon, kukhona ithuba eliphakeme kakhulu (uma kuqhathaniswa nabesifazane abangasebenzisi ukulawula ukuzalwa kwe-hormonal ) ukuthi ukukhulelwa kwakho kuzoba nge-ectopic.
- Ukuxhunyaniswa kwemithi : Imithi ethile ingenza i-Nexplanon iphumelele kangako (njengalezo eziholela ezinyangeni ze-enzyme), ngakho-ke kungadingeka usebenzise indlela yokuvimbela ukukhulelwa. Qiniseka ukuthi utshele udokotela wakho nganoma yimiphi imithi oyithathayo noma uhlela ukuyisebenzisa.
Ubani Ongayisebenzisa
I-Nexplanon iyindlela yokuphepha yokubeletha ephephile yabesifazane abaningi abanempilo. Kubalulekile ukuxoxa ngomlando wakho wezokwelapha ogcwele nodokotela wakho ngaphambi kokusebenzisa i-Nexplanon.
Ungase ukwazi ukusebenzisa i-Nexplanon ngisho noma unezici ezithile zokubeka ingozi uma nje uhlala ngaphansi kokuqondiswa kwezempilo. Kodwa i-Nexplanon kungenzeka ukuthi ayiyona indlela efanele kuwo wonke umuntu. Ukusetshenziswa kwe-Nexplanon akukhuthazwa uma:
- Zikhulelwe noma ucabanga ukuthi ungakhulelwa
- Unesifo sesibindi
- Ukuphuma kwegazi lesingaziwa
- Unayo noma ube nomdlavuza webele
- Unomlando wokucindezeleka okukhulu
- Unayo noma unegazi eliqinile emilenzeni yakho, emaphashini, amehlo, inhliziyo, noma ikhanda (isisindo)
I-Nexplanon ingase ingabi yinto enhle kakhulu uma unayo noma unesifo sikashukela, i- cholesterol ephezulu noma i-triglycerides, ikhanda, ukugula, isifo senhliziyo noma isifo sezinso, ukucindezelwa kwegazi , noma ukusabela okwenziwe okwenziwe i-anesthetics noma i-antiseptics.
Indlela Yokuwuthola
Udinga imithi yezokwelapha ukuthola i-Nexplanon. Hlela ukuvakashelwa kwezidakamizwa ezimbili: okokuqala, cishe uzodinga ukuhlolwa kwezokwelapha, okufaka ukuhlola kwegazi kanye nokuhlolwa kwe-pelvic. Ngalesi sikhathi, udokotela wakho kufanele akhulume nawe ngenzuzo kanye nenzuzo ye-Nexplanon futhi uzokwenza i-aphoyintimenti ukuba ubuyele ekufakeni ukufakwa kokulawula ukuzalwa. Qiniseka ukuthi uthola uchwepheshe wezempilo oqeqeshwe ukufaka (noma ukususa) Nexplanon. Odokotela kumele baqeqeshwe futhi baqeqeshe ngezinhlelo ezikhethekile zokuqeqesha ukuze bathenge i-Nexplanon futhi bafake futhi bayisuse.
Izindleko
Izintengo ze-Nexplanon zingashintsha ukusuka endaweni kuya endaweni. Izindleko zithinta umshuwalense, amakhophi, kanye nomtholampilo wakho wokuhlela udokotela / umndeni. Nakuba le ndlela ingaba nezindleko eziphezulu, uma kuqhathaniswa nezinye izindlela zokulawula ukubeletha , ungasindisa imali engaphezulu kwesikhathi. Kumele futhi uhlole inqubomgomo yakho yomshuwalense wempilo yangasese njengoba ukuhlinzekwa kwe-Nexplanon kufanele kuhlanganiswe ngaphandle kwezindleko ezingaphandle kwezingubo zomshuwalense.
Ukuphumelela
I-Nexplanon iphumelela ngamaphesenti angu-99.9 uma ifakwe kahle. Lokhu kusho ukuthi phakathi kwabesifazane abangu-100 abasebenzisa i-Nexplanon ngonyaka owodwa, abangaphansi kwesinye bazokhulelwa ukusetshenziswa okujwayelekile kanye nokusetshenziswa okuphelele.
I-Nexplanon ingahle iphumelele kangcono kunabesifazane abakhuluphele ngokweqile nalabo abaphuza imithi eyenza ama-enzyme yesibindi.
Ukuphumelela kwe-Nexplanon kwabesifazane abanesisindo esingaphezu kwamaphesenti ayisishiyagalombili wesisindo somzimba wabo owaziwayo. Izingqinamba ze-etonogestrel zihlobene ngokuqondile nesisindo somzimba futhi ziyancipha ngesikhathi sokufaka ukungenisa. Ngenxa yalokhu, kucatshangwa ukuthi i-Nexplanon ingase ingasebenzi kangcono kunabesifazane abakhuluphele ngokweqile . Uma ungowesifazane onzima kakhulu osebenzisa i-Nexplanon, khuluma nodokotela wakho ngokufaka esikhundleni se-Nexplanon yakho ngaphambi kokuba iminyaka yakho emithathu iphakame (kusukela amazinga we-progesin phakathi nonyaka wesithathu angase angakuvikele ngokwanele ngokukhulelwa).
Ukuvikelwa kwe-STD
I-Nexplanon ayihlinzeki ngokuvikela izifo ezithathelwana ngocansi .
Umthombo:
Amamama E, Blum GF, Gent TG, Peters KP, Sørdal TS, & Marintcheva-Petrova M. "I-Nexplanon, i-Radiopaque Etonogestrel Isingeniso Sokuhlanganiswa Nezicelo Ezilandelayo noma: Imiphumela Eyiminyaka Engu-3 Ye-Trialenter Trialenter Trial." Journal American of Obstetrics and Gynecology . 2012; 207 (5): 388-e1-388e6.