I-Mirena, i-Skyla, noma iParaGard IUD
Ngesinye isikhathi, kumele ube ne- IUD yakho isusiwe. Kungani? Yebo, ngoba ama-IUD awaqedi futhi angakwazi ukuhlala esibelethweni sakho kuze kube phakade. Futhi, ngokuyinhloko, nabo ngeke bavele bodwa.
Izindaba ezinhle ukuthi awudingi ukwesaba ukuthi i-IUD yakho isusiwe. Inqubo yokukhishwa kwe-IUD ivame ukulula, indlela ebuhlungu kakhulu, futhi esheshayo kunokufaka i-IUD yakho.
Angikwazi ukucindezela lokhu okwanele: Yize kungase kube nzima, akufanele nanini uzame ukukhipha i-IUD yakho ngokwakho. Okufanayo kucela umngane (noma omunye umuntu ongafanelekile) ukwenza lokhu ngoba lokhu kungabangela umonakalo omkhulu.
Izinkomba
Ungase ube nezizathu eziningana ukuthi ungathanda ukuthi i-IUD yakho isusiwe. Lezi zingabandakanya:
- isifiso sokukhulelwa
- imiphumela emibi ongasakwazi ukuyibekezelela
- ukuthuthukisa ukutheleleka
- ngokumane nje ungathandi ukuthatha i-IUD
Esinye isizathu esikhulu kumele ube ne-IUD yakho esusiwe ngoba ayisekho ukusebenza:
- I-Mirena IUD - kumele isuswe uma usuyenzile iminyaka emihlanu
- I-Skyla IUD - kumele isuswe uma usuyenzile iminyaka emithathu
- I-ParaGard IUD - kumele isuswe uma usubeneminyaka engu-10
Abanye besifazane bakholelwa ukuthi badinga ukuthi i-IUD yabo isuswe uma beshintsha abalingani bobulili. Lokhu akulona iqiniso . I-IUD yakho izoqhubeka isebenza ngokuphumelelayo kungakhathaliseki ukuthi unabalingani abaningi bobulili onakho, ngakho-ke akusona isizathu sokususwa kwe-IUD.
Inqubo
IUD ingasuswa nganoma yisiphi isikhathi ngesikhathi sokuya esikhathini. Lokhu kuthiwa, ukuhlola kuye kwabonisa ukuthi kungase kube lula ukukhipha i-IUD ngenkathi usesikhathini sakho. Lokhu kungenxa yokuthi isisu sakho somlomo wesibeletho sinciphile ngalesi sikhathi.
- Njengoba nje ngesikhathi sokufaka i-IUD yakho, udokotela wakho angase aqale ukususwa kwe-IUD ngokunquma isikhundla sesisu sakho .
- I-speculum ingafakwa ukuze ihlukanise izindonga zesifazane.
- Udokotela wakho uzobheka izintambo zakho ze- IUD . Khona-ke, udokotela uzosebenzisa i-forceps ukuqonda ngokuqinile izintambo ze-IUD. Udokotela wakho uzodonsa kancane kancane izintambo ze-IUD.
- Izingalo eziguquguqukayo ze-IUD zizogoqa njengoba i-IUD islayila ngokuvulwa komlomo wesibeletho.
Futhi ... ke ukususwa kwakho kwe-IUD sekuphelile! Ngempela kuthatha imizuzu embalwa kuphela, futhi akusizi ubuhlungu kakhulu.
Izinkinga
Kwabaningi besifazane, ukususwa kwe-IUD ngokuvamile kuyinkambiso yenqubo evamile. Kodwa kwezinye izimo, udokotela wakho angeke akwazi ukuthola izintambo zakho ze-IUD.
Uma kwenzeka lokhu, cishe kungenzeka ukuthi izintambo zakho ziye zawela emgodini wesibeletho somlomo wesibeletho, okungenzeka uma zifinyezwa kakhulu (noma ngabe ngabe u-IUD yakho ifakiwe noma uma ucele ukuba zifinyezwe ngoba umlingani wakho wakwazi uzizwe ngesikhathi sokulala). Kodwa, noma ngabe izintambo zakho ze-IUD zase zikhawulwe ngobude obuphakanyisiwe, lokhu kungase kwenzeke.
Ngakho, manje yini? Udokotela wakho angase azame ukuthola izintambo ngokusebenzisa i-ultrasound. Uma sebeyelele emgodini wakho womsele wesibeletho, udokotela wakho uzama ukuwadonsa ngobumnene emgqeni wakho wesibeletho nge-forceps encane, ama-tweezers, noma ama-swabs aphethwe ukotini.
Uma izintambo zikhishwe futhi zingene emgodini wakho wesisu, khona-ke ukususwa kwe-IUD kuzoqhubeka njengoba kushiwo ngenhla.
Kungase kwenzeke nokuthi izintambo zikhuphukele esibelethweni. Uma kunjalo, udokotela wakho angasebenzisa umsindo (isisindo sokulinganisa) noma i-sonogram ukuqinisekisa ukuthi i-IUD isengaphakathi kwesibeletho (futhi ayizange iphume ngaphandle kokuthi uyiqaphele).
Uma izintambo zakho ze-IUD zingeke zitholakale, kodwa udokotela wakho uqinisekise ukuthi i-IUD isendaweni, i-IUD yakho ingasuswa esibelethweni nge-clapsps noma i-tweezer-like clamps. Ungakhathazeki, noma kunjalo. Udokotela wakho uzoqaphela kakhulu ukuthi isibeletho sakho akalimala kule nqubo.
Izinkinga Ezimbi
Ngokungajwayelekile, i-IUD ingase ibanjwe odongeni lwe-uterine futhi ngeke ikhishwe kalula. Udokotela wakho angasebenzisa amasu ahlukene, njenge-ultrasound, i-hysterography (ama-x-ray wesibeletho ngemuva kokukunika ukuhluka okuphakathi), noma i-hysteroscopy (ukubuka ngqo kwesibeletho nge-fiber-optic instrument) ukucacisa ukuthi lokhu kwenzekile.
Uma i-IUD yakho inamathele esibelethweni sakho, udokotela wakho kumele ahlaziye umlomo wesibeletho sakho bese usebenzisa i-forceps ukususa i-IUD yakho. Uma lokhu kwenzeka ngenkathi kususwa i-IUD, kungenzeka ukuthi udokotela wakho uzokunika ukuhlinzekwa kwezinzwa zendawo ukuze usize ukunciphisa noma yibuphi ubuhlungu noma ukungakhululeki.
IUD esikhundleni
Ungakwazi kalula ube ne-Mirena entsha, i-Skyla, noma i-ParaGard IUD efakwe ngokushesha ngemuva kokuthi i-IUD yakho endala isusiwe. Lokhu kungenziwa konke ekuvakashelweni kwehhovisi elilodwa (uma nje kungekho izinkinga).
Ukuhlela iNqubo
Uma uhlela usuku lokususwa kwakho kwe-IUD, faka ukuthi ngabe lolu suku luseduze nesikhathi ovulayo . Uma uye ocansini ngaphambi kokuba i-IUD yakho isuswe (futhi u-ovulating ngaleso sikhathi), ungase ube engozini yokukhulelwa.
Isibindi singaphila ngaphakathi kwesifazane kuze kube yizinsuku ezinhlanu. Ngakho, njengesibonelo, asho ukuthi uhlelwe ukuthi u-IUD yakho izokhishwa ngo-Juni 12.
- Yebo, unquma ukuya ocansini (owokugcina!) NgoJuni 10.
- Ube ne-IUD yakho isusiwe ngo-Juni 12.
- Uma uvula nge-Juni 12, ngoJuni 13, noma ngoJuni 14, ungakhulelwa kusukela isidoda (kusukela ocansini yakho ngoJuni 10) isengaphakathi ngaphakathi kwakho-ingalinda ukutshala iqanda.
Kungcono umqondo omuhle ukungabi nobulili (ngaphandle kokuthi usebenzise ikhondomu ) okungenani isonto elilodwa ngaphambi kokukhishwa kwe-IUD yakho. Lokhu kuzokwehlisa amathuba okukhulelwa phakathi nezinsuku ezivundile .
Futhi, uma unquma ukuhlela ukususwa kwakho kwe-IUD nganoma yisiphi isikhathi ngaphandle kokunye lapho ukhona esikhathini sakho, khuluma nodokotela wakho mayelana nokuqala indlela yokulawula yokuzalwa okusha izinsuku eziyisikhombisa ngaphambi kokuthi i-IUD yakho isuswe. Ngale ndlela, uma ushintshela ekukhulelweni kwe- hormonal , kuzosebenza ngenkathi i-IUD yakho isusiwe.
Umthombo:
I-Whaley NS, i-Burke AE "Ukukhulelwa Kwangaphakathi Kwegazi." Womens Health (Lond). 2015 Nov; 11 (6): 759-67.