Yini Ongayilindela Phakathi Nokufakwa Kwe-IUD

Izinyathelo zokubekwa kwedivayisi ye-Intrauterine

Uma ukhethe idivayisi ye-intrauterine ( IUD ) yokulawulwa kokuzalwa, ukulungiselela kufana nokufakwa kohlobo ngalunye. Bona ukuthi yini ongayilindela futhi uqonde kabanzi ngaleli fomu lokulawulwa kokuzalwa.

IUD i-TU encane ifaka i-flexible device efakwe esibelethweni. I- Mirena , i-Kyleena, i-Liletta, ne- Skyla ziyizinhlobo eziqhubekayo zokukhulula inani elincane le-progestin levonorgestrel futhi liphumelela iminyaka eyisithupha, emihlanu, emine, nemithathu. I-ParaGard yiyona kuphela i-IUD engeyona i-IUD etholakalayo e-United States futhi ingashiywa endaweni iminyaka engaba ngu-12. Le-IUD inesibindi (esenza njenge- spermicide ) ibumbene kuyo.

Ukuchitha izinkolelo ze-IUD

Enye yezithiyo ezinkulu kakhulu ezibhekene nokusetshenziswa kwe-IUD ukuthi abantu abaningi baye baholelwa ekukholweni ulwazi olungalungile mayelana nalo, njenge:

• Awukwazi ukusebenzisa i-IUD uma ungazange ubelethe
• Intsha ayikwazi ukusebenzisa i-IUDs
• IUDs kubangelwa ukungabi nabantwana kanye nesifo sokuvuvukala
• Ama-IUD awaphephile

Ngaphambi kokufaka i-IUD, kubalulekile ukuqala ukukhipha lezi zindaba ukuze kunciphise noma yikuphi ukukhathazeka futhi uzizwe uqiniseka ngokwengeziwe ngesikhathi ufaka.

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Ukulungiselela i-IUD Ukufaka

Ngaphambi kokufaka, abanye abachwepheshe bezempilo bayeluleka ukuthatha imithi yokuphatha ubuhlungu obukhulu kakhulu, njengezidakamizwa ezingavumeli ukuvuvukala (ezifana nama-600 kuya ku-800 milligram we-ibuprofen-Motrin noma i-Advil) ihora ngaphambi kokuthi i-IUD ifakwe. kungasiza ekunciphiseni ama-cramps nokunganaki okungabangwa ngesikhathi sokufaka.

Futhi, hlola ukuze ubone ukuthi ihhovisi lakho ledokotela linamapayipi angcolile. Uma kungenjalo, qinisekisa ukuletha omunye ekhaya ukuze asebenzise emva kokufaka uma kungenzeka ukuphuma kwegazi.

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Ngesinye isikhathi e-Exam Room

Uchwepheshe wakho wezokwelapha uzoba nakho konke okulungiselelwe ukufaka i-IUD. Ngaphambi kokuqala, kufanele achaze inqubo kuwe futhi aphendule noma yimiphi imibuzo yakho kanye nokukhathazeka. Lokhu kungakusiza ukuba ukhululeke ngokwengeziwe, okwenza ukufaka kube lula futhi kube buhlungu kakhulu.

Uma ungekho ezinsukwini eziyisikhombisa zokuqala zesikhathi sakho, udokotela wakho angenza ukuhlolwa kokukhulelwa ukuze akwazi ukukhulelwa. Khona-ke, udokotela uzovame ukuhlola i-bimanual (yilapho uchwepheshe wakho wezempilo efaka iminwe emibili esiswini bese esebenzisa esinye isandla esiswini ukuze akwazi ukuzwa izitho zangaphakathi zangasese). Lokhu kwenziwa ukunquma ngokunembile isikhundla, ukuvumelana, ubukhulu, nokuhamba kwesibeletho futhi kubone noma yikuphi ukuzwela, okungabonisa ukutheleleka.

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Ukuzinzisa i-Cervix

Kuleli qophelo, uchwepheshe wakho wezempilo uzokuvula i-vagin ngokusebenzisa i-speculum, efana nentshebe yensimbi. Insimbi ifakwa ngaphakathi kwesifazane, izinhlangothi zalo zihlukanisiwe futhi zigcinwe zivuliwe ngedivayisi ekhethekile yesenzo esibambini.

Uma lokhu sekufezekile, ngenxa yokubaluleka kokuba nesimo esingenamzimba ngokuphelele ukunciphisa amathuba okutheleleka, umlomo wesibeletho kanye nesinye esingaphakathi (ngaphambili) kanye nama-posterior (emuva) emkhathini uzohlanzwa ngesisombululo se-antiseptic.

Abanye odokotela bangase basebenzise i-anesthesia yendawo, njengama-galeli angu-5 e-lidocaine gel, emngceleni wesibeletho ukuze unciphise ukungakhululeki.

Udokotela wakho uzobe esebenzisa i-tenaculum ukusiza ukuzinzisa umlomo wesibeletho futhi ugcine uhlale uqinile. I-tenaculum iyisetshenziswa esinezinsimbi eside, esinezintambo ezinamathele esibelethweni ukuze kuqiniswe isibeletho.

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Ukulinganisa I-Cancer ne-Canal Cervical

Udokotela wakho manje uzofaka ithuluzi eliyinyumba okuthiwa umsindo ukukala ubude nesiqondiso somsele womlomo wesibeletho kanye nesisu. Le nqubo iyanciphisa ingozi yokugulisa isisu (i-IUD iguqa), ngokuvamile evamekile ngoba i-IUD ifakwe kakhulu kakhulu noma nge-angle engalungile.

Udokotela wakho uzoqinisekisa ukuthi uzogwema noma yikuphi ukuxhumana nomzimba wesifazane noma i-speculum. Umsindo we-uterine unomshini ojikelezayo ekupheleni ukusiza ukuvimbela i-perforation (i-puncturing uterus).

Abanye odokotela bangase basebenzise i-aspirator ye-endometrili njengenye indlela ezwakalayo umsindo we-uterine, owenza into efanayo. Kubalulekile ukuthi udokotela anqume ukuthi ukujula kwesibeletho sakho kuphakathi kuka-6 no-9 amasentimitha njenge-IUD akufanele kufakwe uma ubuchopho obuphansi bungaphansi kwama-6 cm.

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Ukufakwa kwe-IUD

Ngemuva kokuthi umsindo uphoxisiwe, udokotela uzolungisa i-IUD ukuze afakwe ngokususa emaphaketheni ayinyumba. Khona-ke, izingalo ze-IUD ziyabuyela emuva, futhi i-tube (noma isilayidi) equkethe i-IUD ifakiwe.

IUD iqhutshwa endaweni, ekujuleni okukhonjiswe yomsindo, nge-plunger ku-tube. Uma usuke ngaphandle kwebhubhisi futhi uma i-IUD isesimweni esifanele esibelethweni, izingalo zivulekele ekutheni "T" ijamo.

Ukufakwa kwe-IUD kuvame ukulula. Nakuba kungase kube nokungahambi kahle, yonke inqubo ithatha imizuzu embalwa kuphela. Owesifazane angase abone ukucindezeleka nokucindezeleka ngenkathi konke lokhu kwenzeka. Abanye besifazane bangase bazizwe benesizungu. Kungaba usizo ukuthatha ukuphefumula okujulile.

Ngenkathi abesifazane abaningi bangase babe namahloni, abesifazane abangaphansi kwamaphesenti angu-5 bazothola ubuhlungu obuncane. Ukuphendula njengokufana nokufota, ukuhlanza nokuphelelwa amandla kuvele kumaphesenti angu-1 abesifazane noma ngaphansi. Lezi zinkinga ngokuvamile zifushane futhi azidingeki ukuba zisuswe ngokushesha. Ukwengeza, lezi zenzo azithinti ukusebenza kwesikhathi esizayo se-IUD.

Abesifazane abangakaze babelethe, baye babulala, noma baye bahlala isikhathi eside kusukela ekubelethweni kokugcina bangase bahlangabezane nalezi zinkinga.

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Ukuqedela i-IUD Inqubo Yokufaka

Uma i-IUD isendaweni, i-tube, i-plunger, i-tenaculum, ne-speculum isuswe ku-vagin. Idivayisi ye-intrauterine izohlala endaweni. IUD izoba nezintambo ezixhunywe kuso ukuthi udokotela uzoshiya aqonde. Bahlala phansi emgodini wesibeletho bangene emzimbeni.

Ngalesi sikhathi, udokotela uzokwephula izintambo zomculo kodwa uzokuvumela cishe ngamasentimitha amabili ukuphuma emgodini wesibeletho. Izintambo azikwazi ukubonakala zingaphandle kwendoda kodwa zinde ngokwanele ukuba zizwe ngomunwe ofakwe ngaphakathi kwesiswini (yilokho owesifazane angabheka uma i-IUD yakhe isekhona).

Udokotela wakho kufanele akufundise ukuthi uzizwa kanjani ngezintambo. Ukwengeza, qiniseka ukuthi udokotela wakho ukwazisa ngohlobo lwe-IUD olwenziwe (i-ParaGard, i-Skyla, i-Kyleena, i-Liletta, noma i-Mirena) futhi uma lidinga ukushintshwa. Odokotela abaningi kufanele bakunike ikhadi elincane ongalifaka esikhwameni sakho nalo lonke lolu lwazi. Uma kungenjalo, kungumqondo ohlakaniphile ukubhala lolu lwazi bese ulugcina endaweni enokwethenjelwa noma ulibeke ekhalendeni lakho le-elekthronikhi noma uhlelo lokusebenza lokukhumbuza. Lolu lwazi lubalulekile uma ushintsha odokotela ngokuhamba kwesikhathi, njengoba uchwepheshe wezokwelapha engakwazi ukukusho, ngokubheka, okuyi-IUD onakho futhi uma efakiwe (ngakho-ke, uma kufanele isuswe ).

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Uma ukufakwa kwe-IUD kwenziwa

Njengoba abesifazane abaningi bazizwa behlukumezekile kancane ngesikhathi senqubo, ngokuvamile bahle ukuzishayela kamuva bese beqala ngemisebenzi yabo yansuku zonke.

Njengoba ungase ukwazi ukuthi uzosabela kanjani enkambisweni yakho yokufaka, ungase ufise ukuhlela ukuthi othile akushayele ekhaya. Abanye besifazane bangase babe nomuzwa wokuthi ukugcoba ngemva kwalokho njengoba lesi sibeletho sihlela ukubekwa kwe-IUD. Uma kunjalo, ama-cramps kufanele anciphise isikhathi esithile futhi, mhlawumbe, ukuphumula okunye noma imithi ebuhlungu.

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Once You Are Home

Ungase ube nokuphuza okunye nokuphawula phakathi nezinsuku ezimbalwa zokuqala ngemuva kokufaka i-IUD yakho. Lokhu kuvamile, ngakho-ke asikho isizathu sokukhathazeka. Uma ukuphuma kwegazi kuqhubeka noma kunzima, kungaba umqondo omuhle ukubiza umhlinzeki wakho wezempilo ukuze uqinisekise ukuthi ayikho isifo.

Futhi, ulungiselele ukuthi isikhathi sakho sokuqala emva kokufakwa singase sibe nzima kakhulu kunokujwayelekile. Kungase futhi kufika ezinsukwini ezimbalwa ngaphambili kunalindelekile.

Zama ukuhlela ukuqokwa kokulandela emva kwesikhathi sakho sokuqala (isikhathi esithile phakathi kwamasonto amane kuya kwamasonto ayisithupha okufaka i-IUD) ukuze uqinisekise ukuthi i-IUD isesendaweni.

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Ukuvikelwa kokukhulelwa kanye nalapho kuphephile ukulala nocansi

Kuhle ukulala ngokocansi uma uzwa ukhululekile ngemuva kokuba i-IUD yakho ifakwe (ngaphandle kokuthi i-IUD yakho ifakwe kungakapheli amahora angu-48 ngemuva kokubeletha).

• I-ParaGard iUD inikeza ukuvimbela ukukhulelwa masinyane ngemuva kokufakwa
• I-Mirena, i-Kyleena, i-Liletta, ne-Skyla IUDs iyasebenza ngokushesha uma ifakwe zingakapheli izinsuku eziyisikhombisa ngemuva kokuqala kwesikhathi sakho

Uma une-Mirena efakwe nganoma yisiphi isikhathi ngesikhathi sokuya esikhathini, kufanele usebenzise enye indlela yokulawula ukubeletha (njengekhondomu yabesilisa , ikhondomu yabesifazane , namuhla isiponji noma i- spermicide ) ngesonto lokuqala ngemuva kokufaka. Ukuvikelwa kokukhulelwa kuzoqala emva kwezinsuku eziyisikhombisa.

Abanye ochwepheshe bezokwelapha batusa ukusebenzisa ikhondomu njengendlela yokulondoloza ngenyanga yokuqala emva kokufaka kwakho ukunciphisa ingozi yokutheleleka.

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Ukugcinwa kwe-IUD

Kubaluleke kakhulu ukuhlola izintambo ze-IUD njalo ezinsukwini ezimbalwa amasonto ambalwa okuqala futhi uzizwe ukuthi uchungechunge luphela phakathi kwezinkathi ukuqinisekisa ukuthi i-IUD isesimweni esifanele. Ngemuva kwesikhathi sakho sokuqala (noma okungenani singekho ngaphezu kwezinyanga ezintathu emva kokufaka), hlela ukuhlolwa ukuze uqinisekise ukuthi i-IUD yakho isaphi lapho kufanele khona.

Owesifazane othile angase acele udokotela wabo ukuba anciphise izintambo (phakathi nalokhu kuhlola) uma bezwa umlingani wesifazane ocansi. Uma kunjalo, ngezinye izikhathi izintambo ziyancipha kakhulu kangangokuthi owesifazane ngeke akwazi ukuhlola izintambo. Ngemuva kwalolu dokotela, ukuhlolwa okujwayelekile kwe-IUD kungenziwa ngesikhathi esifanayo njengesivivinyo somzimba wesifazane ngezikhathi ezithile.

Lokhu kuthiwa, enye yezinzuzo ezinkulu kunazo zonke ze-IUD yukuthi owesifazane akudingeki enze lutho uma efakwe.

> Imithombo:

> Elkhouly NI, Maher MA. Ama-analgesics ahlukene ngaphambi kokufakelwa kwedivayisi ye-intrauterine: ingabe kukhona ubufakazi bokusebenza? I-Eur J Yenza Ukunakekelwa Kwezempilo Okuhlelekile . 2017; 1-5.

> Melo J, Tschann M, Soon R, Kuwahara M, Kaneshiro B. Ukuzimisela kwabafazi kanye nokukwazi ukuzwa izintambo zomshini wabo we-intrauterine. I-Int J Gynaecol I-Obstet. 2017; 137 (3): 309-313.