Ama-IUD ayingqayizivele yokuzikhethela ukulawula ukubeletha uma ufuna ukusebenza okuphumelelayo, isikhathi eside, ukuvimbela ukukhulelwa kwangempela . Njengamanje, kunezinhlobo ezintathu zama-IUD ongazithola:
- I-Mirena - ikhulula ama-52mg we-progestin levonorgestrel esikhathini esingama-5.
- I-Skyla - ikhulula u-13.5mg we-progestin levonorgestrel esikhathini esiyiminyaka emithathu.
- I-ParaGard - i-IUD yethusi engenawo ama -hormone.
Zonke lezi ezintathu ze-IUD kumele zifakwe esibelethweni sakho ngudokotela oqeqeshiwe wezokwelapha.
Indlela Yokuthola I-IUD (iMirena, Skyla noma i-ParaGard):
Ngaphambi kokuthola i-IUD, kuzodingeka wenze i-aphoyintimenti nodokotela wakho ukuze ubone ukuthi i-Mirena, i-Skyla noma i-ParaGard iyindlela efanele yokukhulelwa kuwe. Kubalulekile ukuthi uxoxe ngobuqotho ngomlando wakho wezokwelapha kanye nokuphila ngokocansi nodokotela wakho ngoba i-IUD ayilungile kubo bonke abesifazane.
Udokotela wakho cishe uzokwenza ukuhlolwa kwe-pelvic ukuqinisekisa ukuthi umlomo wakho wesibeletho, ubulili, kanye nezitho zangaphakathi zijwayelekile futhi azitheleleki. Ungase uphinde uhlolwe izifo ezithathelwana ngocansi , ukutheleleka kwesisu, amaseli womlomo wesibeletho, nanoma yisiphi esinye isimo esidinga ukuphathwa ngaphambi kokuba i-IUD ingeniswe ngokuphepha.
Uma kunqunywa ukuthi ungumuntu omele ukhetho lwe-IUD, udokotela wakho cishe uzohlelela i-aphoyintimenti ukuze ube ne-Mirena, Skyla noma i-ParaGard IUD yakho efakiwe .
IUDs ingafakwa noma nini ngesikhathi sokuya esikhathini (udokotela wakho angase ahlole ukukhulelwa ukuze aqiniseke ukuthi awukhulelwe) noma ngokushesha ngemuva kokukhipha isisu sokuqala.
- Uma ufuna ukuvikelwa kokukhulelwa ngokushesha (futhi akudingeki usebenzise indlela yokulawula ukubeletha ), iMirena ne-Skyla kufanele ifakwe zingakapheli izinsuku eziyisikhombisa ngemuva kokuqala kwesikhathi sakho. Uma ufakwe nganoma yisiphi esinye isikhathi ngesikhathi sokuya esikhathini, kuzodingeka usebenzise enye indlela yokukhulelwa phakathi nesonto lokuqala (izinsuku ezingu-7) ngemuva kokufaka.
- I-ParaGard iphumelela ngokushesha, ngakho-ke akunandaba ukuthi usekuphi umjikelezo wakho wokuya esikhathini uma ufakwa.
- I-Paragard ingabuye ifakwe ezinsukwini ezingu-5 emva kokulala okungavimbelwe njengendlela yokuphulwa kwezimo eziphuthumayo .
Ngemuva kwesikhathi sakho sokuqala (noma okungenani singekho ngaphezu kwezinyanga ezintathu ngemuva kokufaka i-IUD yakho), kufanele uhlele ukuhlola ukuze uqinisekise ukuthi i-IUD yakho isaqhubeka. Ngemuva kwalokho, ukuhlolwa okuvamile kungenziwa ngesikhathi sokuhlolwa kwakho kwezemvelo ngezikhathi ezithile.
Izizathu Zokuthi Akufanele Uthole I-IUD
- Ube ne-PID (ngaphandle kokuthi ukhulelwe ngokujwayelekile emva kwalokhu ukutheleleka kuhambe).
- Kungenzeka ukuthi ukhulelwe.
- Ukuphuma kwegazi lesingaziwa.
- Thola izifo kalula (ngenxa yezixazululo zesistimu yomzimba noma ukusetshenziswa kwezidakamizwa).
- Kuye kwaba nokutheleleka kwe-pelvic ezinyangeni ezintathu ezedlule ngemuva kokubeletha noma ukukhipha isisu .
- Kungenzeka ube nomdlavuza wesibeletho noma isisu.
- Unomlingani ongaphezu koyedwa ocansini noma umlingani wezocansi onomlingani ongaphezu koyedwa ocansi.
- Yiba nesifo sofuba esingalashwa noma ukuvuvukala komlomo wesibeletho.
- Sinesimo esishintsha isimo sombeletho (njengokuthi i-fibroid enkulu noma isisu).
- Usenayo i-IUD.
- I-endometritis ye-postpartum noma yokukhipha isisu emva kwesikhathi (ukuvuvukala kwe-uterine lining) ezinyangeni ezintathu ezedlule.
- Baye, noma basengozini yokuba ne-ectopic pregnancy.
- Ingabe i-allergic kunoma yiziphi izingxenye ze-Skyla noma iMirena (njenge-levonorgestrel, abicah, i-polyethylene, isiliva) noma i-ParaGard (njengethusi).
Ukwengeza, akufanele uthole i- Skyla noma i- Mirena IUD uma:
- Unayo noma unomdlavuza webele .
- Unesifo sesibindi noma izicubu zesibindi.
Akufanele futhi uthole i- ParaGard IUD uma:
- Yiba nezifo zikaWilson
Ukuhlola ama-Strings akho we-IUD
Ngemuva kokuthola i-IUD, kuzodingeka uhlole ngezikhathi ezithile izintambo . I-Mirena, i-Skyla, ne-ParaGard bonke banezintambo ezinamathele kudivayisi ephanyeka phansi emgodini wesibeletho ukuya kwesifazane.
Kuncike ekutheni ama-strings alula kangakanani, ungaqiniseka ukuthi i-IUD isendaweni ngokuzizwa ngezintambo. Udokotela usebenzisa izintambo ukuze asuse i-IUD. Abanye besifazane bangase babe nezintambo ezincishisiwe uma zizwa umlingani wakho wezocansi. Uma kunjalo, ngezinye izikhathi izintambo ziyancipha kakhulu ukuze ungakwazi ukuhlola izintambo.
Kufanele uzizwe ngezintambo zakho ze-IUD kanye ngenyanga, phakathi kwezinkathi. Kungumqondo omuhle ukuhlola zonke izinsuku ezimbalwa ezinyangeni ezimbalwa zokuqala ngemuva kokuthola i-IUD yakho ukuqinisekisa ukuthi kusesimweni esifanele. Lokhu kuthiwa, enye yezinzuzo ezinkulu kunazo zonke iMirena, Skyla, neParaGard yilokho, ikakhulukazi, uma uthola i-IUD, awudingi ngempela!
> Imithombo:
> Cappiello J. Bosak J. "IUDs: Ngaphandle kwezinto eziyisisekelo." Umhlengikazi . 2013; 38 (9): 40-46.
> U-Espey E. Pasternack T. "Idivaysi ye-Intrauterine." Emkhakheni Wokubeletha Kwabesifazane Abadala Nezingane Ezincane . Springer: New York, 2014. 15-23.