Ukusetyenziswa kwe- IUD kwanda eUnited States, kwaye kunjalo ke zakho iinketho ze-IUD. Enye yeenketho zakho ze-IUD ezintsha ziLiletta IUD. Le IUD ifana ne- Mirena , Kyleena , ne- Skyla IUDs. I-Liletta IUD yenziwe kwiplastiki elula, eguquguqukayo kwaye kufuneka ifakwe ngumqeqeshi ojongene nempilo.
I-Liletta IUD inceda ukukhusela ukukhulelwa ngokukhawuleza ukukhulula u-52 mg weprogestin , i-levonorgestrel, kwisisu sakho kwisithuba seminyaka emithathu.
I-Liletta ikhupha malunga ne-18.6 iiprogramgram ngosuku ngeminyaka yokuqala-xa kuthelekiswa ne-microgramgram ezingama-20 ngosuku kunye neMirena, 17.5 mcg kunye neKyleena, kunye ne-14 mcg kunye ne-Skyla. I-Liletta IUD iphinde ivunyiwe yi-FDA ukuba isetyenziswe kubasetyhini abanalo okanye abangazange bazalwe .
Ngaba ucinga ukusebenzisa i-Liletta IUD? Ukuba kunjalo, ukuqonda inyaniso kunokukunceda wenze isigqibo esithembekileyo. Unokuzibuza ngezinye ze mibuzo elapha.
I-Liletta IUD isebenza njani?
I-Liletta inceda ukukhusela ukukhulelwa ngeendlela ezininzi. Enye indlela i-Liletta isebenza ngayo ngokukhutshwa kwayo kwe-progesin-le hormone iya kubangela ukuba i-mucus yakho yomlomo ikhuphe, ixubise umgca wesibeleko sakho, kwaye iyanciphise ukuhlala kwindoda. I-Liletta IUD inceda kwakhona ukungena endleleni yendoda. Oku kwenza kube nzima ukuba isidoda siphuze iqanda. Ngoko, ngokuyisiseko, iLiletta inqanda ukunyakaza kwesidoda. Ekugqibeleni, iLiletta inokusebenza ukukhusela ukukhulelwa kwezinye iindlela iindlela ipilisi eyenzayo .
I-Liletta iphinde iguquke kwakhona, ngoko ngoko xa usususile i-IUD, ukuzala kwakho kufanele kufike ngokukhawuleza .
Liletta vs Mirena?
Bobabini i-Liletta IUD kunye ne-Mirena IUD iqukethe ama-52 mg we-progestin, i-levonorgestrel. Ngoko ke umehluko omkhulu phakathi kwabo? Nangona zombini ii-IUD zingasetyenziselwa ngokukhuselekileyo ngabasetyhini ababenabantwana okanye abazange babe nabantwana, kuphela uLiletta oqhuba iimvavanyo zeclini ezilinganisa ukuphumelela kwe-IUD kwabasetyhini abangenabantwana (izifundo ze-Mirena ziquka kuphela abafazi abaye bazalela).
I-Liletta yaphandwa kwiphononongo enkulu ukuqinisekisa ukusebenza kwayo kunye nokhuseleko ngaphakathi kwebala elibanzi lwabasebenzisi abasebenzisi. Izifundo ezininzi ze-IUD ziquka kuphela abafazi abaneminyaka eyi-18 ukuya kwe-35 ubudala kwaye ababandakanyi abafazi abangakaze bazalwe okanye abafazi abanamaqondo amakhulu. Ngoko uphando lweLiletta lubandakanya abasetyhini nabancinci (abaneminyaka eli-16 ukuya ku-45), abafazi abanalo kwaye abazange bazalwe, kunye nabesifazane abangaphezu komzimba. Ngenxa yokuba isifundo siquka abafazi bazo zonke iimo kunye nobukhulu, siyazi ukuba uLiletta usebenza kakuhle kwabasetyhini banoma yisiphi isisindo. Ngokungafani neMirena, ileyibhile yeLiletta IUD ithi abafazi abanabantwana okanye abangenabantwana bangasebenzisa ngokukhuselekileyo iLiletta.
Omnye umehluko phakathi kweLiletta kunye neMirena yimizuzu engakanani i-IUD ingasetyenziselwa. Nangona i-Liletta IUD kunye ne-Mirena IUD inomlinganiselo ofanayo we-levonorgestrel (52 mg) kwaye uyayikhupha ngezinga elifanayo, i-label ye-Mirena IUD ithi inokusetyenziswa iminyaka emihlanu, kwaye iileyile yeLiletta ithi isetyenziswe kuphela iminyaka emithathu. Isizathu salo mmahluko siphinda sibheka kuphando lovavanyo lwetliniki.
Inkampani yezobisi eyenza iLiletta ifuna ukuba le iUD ivume ngokukhawuleza. Ngoko ke, xa beqhuba uphando lweminyaka emithathu ye-Liletta IUD esebenzisa i-Liletta ukuba ikhuseleke kwaye isebenze, ifake isicelo se-FDA-approval.
Esi sizathu sokuba uLiletta ivunyiwe kuphela ukuba isebenzise ukufikelela kwiminyaka emithathu. Umenzi usaqhuba izifundo ukuze aqinisekise ukusebenza kwe-Liletta IUD ukuya kwiminyaka esixhenxe. Xa ezi zifundo zigqityiwe, i-FDA iya kucinga ngokutshintsha indlela eLiletta engasetyenziswa ngayo ixesha elide.
Ziziphi iingenelo ze-Liletta IUD?
- Inika ukukhusela okuqhubekayo okuqhubekayo ukuya kwiminyaka emithathu.
- Kuvunyiwe yi-FDA yabasetyhini abanalo okanye abangazange babe nabantwana.
- Kuyinto engenasiphelo-ngaphandle kokungeniswa kwangoko, akukho nto enokwenzayo.
- Enye indlela efanelekileyo ukuba awukwazi ukusebenzisa ulawulo lwe -estrogen-based- birth control .
- Iyakususwa nanini na kwixesha leminyaka emithathu.
- Ingasetyenziswe ngabasetyhini kunye nabafazi be-perimenopausal.
- Akunjalo wena kunye nomlingani wakho makakwazi ukuziva i-Liletta IUD ngexesha lesini.
- Inokusetyenziswa xa uncelisa.
- Yindlela efanelekileyo yokulawula ukuzalwa xa ukhuluphele.
Ngubani o fanele afumane i-Liletta IUD?
I-Liletta iye yaphandwa ngokugqithisileyo kunye nabasetyhini abasetyhini (ibinzana lezonyango zonyango abafazi abangazange bazalwe) -njalo, i-FDA ivume i-Liletta IUD ukuba isetyenziswe ngabasetyhini kuluntu. I-label ye-label yeLiletta ichaza ukuba le IUD ingasetyenziselwa ukuba ingazange uyibele umntwana. Unokuqwalasela nokusebenzisa i-Liletta ukuba ukhulu kakhulu. Kodwa i-IUDs ayinyanzeliswa kubo bonke abafazi, ngoko qiniseka ukuba uhlangabezana nemigangatho yokuba ngumviwa ofanelekileyo kwaye uthethe ugqirha wakho malunga nayiphi na ingozi ebalulekileyo.
Ngifanele Ndifumane Liletta?
Kufanele ube ne-Liletta IUD yakho ifake ixesha elithile kwiintsuku ezisixhenxe zokuqala kwimizuzu yakho okanye ngokukhawuleza emva kokukhupha isisu sokuqala. Ukuba unayo i-Liletta efakwe ngethuba lixesha, lisebenza ngokukhawuleza ngoko, akufuneki ukuba usebenzise naluphi na ulawulo lokuzalwa emva kokuzalwa .
Ukuba unayo i-Liletta IUD yakho ifakwe nayiphi na ixesha ngexesha lomjikelezo wakho wenyanga, kuya kufuneka usebenzise enye indlela yokulawula ukuzalwa (njengokwenziwa kwe- spermicide okanye iikhondom ) ngeveki yokuqala emva kokuba uLiletta efakwe. Ukukhusela kwakho ukukhulelwa kuza kuqala emva kweveki enye (iintsuku ezisixhenxe).
Umele ulinde ubuncinane kwiiveki ezintandathu ukuze u-Liletta afakwe emva kokubeletha okanye aphume isisu sesibini okanye sesisu. Esi sihlandlo sithuba siya kunika ixesha lakho lokubelelisa ngaphambi kokuba ufake iLiletta IUD yakho.
Ngaba kukho ukungalungi ukufumana i-Liletta IUD?
Uninzi lwabasetyhini alinayo ingxaki yokulungiswa kwi-IUD. Kodwa unokuba neentlungu, ukuphuma kwegazi, okanye utywala ngexesha kunye / okanye emva kokuba uLiletta IUD yakho ifakiwe. Ezi zimpawu kufuneka zihambe phakathi kwehafu yure emva kokufakwa kweLiletta yakho. Unokuba ne-cramping embi okanye i-backache iintsuku eziliqela okanye iiveki emva kokuba i-Liletta IUD yakho ifakwe.
Kuthiwani Ngeempembelelo Zecala Liletta?
Njengaye nayiphi na iUD, unokuba nemiphumela emibi emva kokuba ufake i-Liletta IUD yakho. Ngokuqhelekileyo, ezi ziya kuhamba emva kweeveki zokuqala emva kweenyanga emva kokufakwa. Iimpembelelo zeLiletta IUD eziqhelekileyo zibandakanya:
- Ukuvuvukala okanye ukusuleleka kwengxenyeni yangaphandle yesondo (isisu)
- Acne
- Intloko okanye imigraines
- Isihlunu okanye ukuhlanza
- Ubuhlungu ngexesha lokwabelana ngesondo
- Isisu kunye / okanye ubuhlungu besisu
- Iintlungu zesisu okanye ukungaphumeleli
- Uxinzelelo okanye isimo sengqondo sitshintsha
Ngaba i-Liletta ifuna iinguqu kwixesha lam?
- Ngethuba leenyanga ezintathu ukuya ezintandathu zokuqala emva kokufakwa kwe-Liletta IUD yakho, unokufumana ithuba eliphezulu lokuphuma kwegazi kunye nokuphawula. Ixesha lakho lingaba libala kunye / okanye ixesha lakho linokuba lunzima okanye lide kunexesha eliqhelekileyo.
- Nangona ukuphuma kwegazi kunye nokubonakala kwamanzi kuya kuncipha kwiinyanga ezintathu zokuqala emva kokufakwa kweLiletta yakho, amaxesha akho aqhubeke nokungaqhelekanga.
- Ngexesha elide, amaxesha akho aya kuba mfutshane kwaye abe lula. Ngenxa yokuba i-progestin eLiletta inonopha i-uterine yarner, ukuphuma kwegazi kunokunciphisa i-Liletta IUD yakho sele ikhona.
- Amaxesha akho anokuyeka ngokupheleleyo. Phantsi kweepesenti ezingama-19 zabasebenzisi baseLiletta abayi kuba namaxesha ekupheleni konyaka wokuqala wokusetyenziswa; Iipesenti ezingama-26 ekupheleni konyaka wesibini wokusetyenziswa; kunye neepesenti ezingama-38 ekupheleni konyaka wesithathu.
Ziziphi iingozi kunye neengxaki zeLiletta IUD?
Iingxaki ezinzulu kunye neLiletta azinqabile. Qinisekisa ukuxelela ugqirha wakho ngokukhawuleza ukuba kukho na iingxaki. Oko kuthethwa, ezinye iziphumo ezibi kakhulu zeLiletta zingaquka:
- Ukukhulelwa kwe-Ectopic
- Ii-cysts ze-Ovarian (nangona ezininzi zininzi kwaye zinyamalale zodwa kwiinyanga ezimbalwa)
- I-Sepsis (inzima, isifo esongela ubomi)
- Ukugqitywa okanye ukuxoshwa
Ukususwa kwe-Liletta IUD yakho
- Kumele ube neLiletta IUD yakho isuswe emva kweminyaka emithathu iphezulu (ayiyi kutshabalalisa okanye ichithe emzimbeni wakho). Unokukhetha ukuba nomnye i-Liletta IUD okanye i-IUD eyahlukeneyo ifakwe ngexesha lokutyelela okufanayo.
- Ukuba ufuna ukutshintshela kwindlela entsha yolawulo lokuzalwa (kwaye unokukhuselwa kokukhulelwa okuqhubekayo), cwangcisa ukususwa kwakho kwe-Liletta IUD ukuba kwenzeke ngexesha leentsuku ezisixhenxe zokuqala kwithuba lakho kwaye qalisa indlela yokulawula entsha yokuzalwa. Ukuba unayo iLiletta yakho isuswe naluphi na ixesha ngexesha lokuhamba kwimizuzu yakho, qalisa indlela yokulawula yokuzalwa entsha ubuncinane iintsuku ezi-7 ngaphambi kokuba ususwe iLiletta IUD yakho.
- QAPHELA: Ukuba uye walala ngesondo (ngaphandle kokusebenzisa ikhondom yowesilisa, ikhondom yabesifazane , i- spermicide , okanye isiponji ) zingakapheli iintsuku ezintlanu ngaphambi kokuba iLiletta yakho isuswe, unokuba usengozini yokukhulelwa emva kokuba i-ID yakho isuswe.
- Awufanele uzame ukususa iLiletta ngokwakho (emva koko, le nto kutheni sinogqirha!).
- I-Liletta ingasuswa nanini nayiphi na ixesha ngaphambi kokuba iphela leminyaka emithathu iphele.
- Kukho ithuba elincinci lokuba i-Liletta IUD yakho ikwazi ukuphuma yodwa-kodwa, ngokubanzi, kuya kufuneka ukuba ulungise i-aphoyintimenti ukuba isuswe.
- Ukuba i-Liletta IUD yakho iphuma yodwa, kukho inokwenzeka ukuba awuyi kubona. Yingakho kubalulekile ukuba uzivelele kwiintambo zakho ze-IUD-kuba yile ndlela kuphela yokuba ukwazi ukuba i-Liletta IUD yakho isendaweni. Ukuba iLiletta yakho iphume, biza ugqirha wakho. Ugqirha wakho uya kukwenza uvavanyo lokukhulelwa (ukuqinisekisa ukuba awukhulelwe) ngaphambi kokufaka i-Liletta IUD entsha.
- Ukuba i-Liletta IUD yakho ikhutshwe ngokukodwa, qha ga mshelana nogqirha wakho (kwaye sebenzisa indlela yokubuyisela ukukhulelwa). Ungazami ukutsala yonke into yakho.
Ingakanani i-Liletta IUD Indleko?
I-Liletta inexabiso eliphezulu kakhulu kunezinye iindlela zokulawula ukuzalwa . Iindleko zeemviwo, i-Liletta IUD, ukufakwa, kunye nokulandelelana ngokutyelela kunokuhlawula i-$ 500- $ 900. I-Medicaid inokuthi igule ezi ndleko. Ngenxa yokuba i-Liletta yenziwe yinkampani engeyiyo inzuzo yonyango, kukho ithuba elihle lokuba ufumane i-Liletta IUD ngentengo ehlaziyiweyo. Abasetyhini abanalo okanye abangenayo i-inshurensi banakho ukufumana iLiletta mahhala okanye ngentengo ephantsi:
- Ukuba unomshuwalense wezempilo: i- Liletta kufuneka ifakwe i-inshurensi ngaphandle kweendleko ze-out-of-pocket, njengezinye iindidi zokulawulwa komyalelo wokuzalwa. Ngenxa yokuba i-Liletta yindlela yokulawula ukuzalwa ngokutsha, inokuthi ingabonakaliswa zicwangciso zakho ze-inshorensi ngokukhawuleza (ngokuqhelekileyo kuthatha ixesha elithile kwizicwangciso zokufumana iziyobisi kunye nezixhobo ezintsha kwiluhlu lwabo lwezonyango ezivunyiweyo).
- Ukuba unomshuwalense wezempilo, kodwa isicwangciso sakho sisahlawulisa i-copay okanye ayifuni nayiphi na inkqubo yokukhulelwa , uLiletta unikezela iNkqubo yokuGcina iMonde ukuya kuDisemba 31, 2017. Nale nkqubo, izigulane ezifanelekileyo zihlawulwa zingabi zihlawulwe ngaphezu kwe-$ 75 kwiLiletta IUD ngokwayo. Le nkqubo ayifihla iindleko zokuba i-IUD ifakwe, ingaba phakathi kwe-$ 150 kunye ne-250.
- Ukuba awunayo i-inshorensi yempilo: Zama ukufumana iCandelo elifutshane elisecaleni lokucwangcisa intsapho yeklinikhi kwaye ubuze ukuba ngaba banikezela i-Liletta IUD. Ezi klinikhi zihlala zinikeza iirhafu zesixa-mali zeenkonzo zazo, kwaye ziya kukwazi ukuthenga i-Liletta IUD nge-$ 50 kuphela-idlulisela ukugcinwa kuwe.
Isebenza njani iLiletta?
I-Liletta IUD enye yeendlela eziphambili zolawulo lokuzalwa. Le ndlela yokwenza umthamo wokuguqulwa kwexesha elide, ingaphaya kwama-99 ekhulwini. Oku kuthetha ukuba kuwo onke amabhinqa angama-100 abasebenzisa i-Liletta IUD kunyaka owodwa, ngaphantsi kwe-1 baya kukhulelwa ngokusetyenziswa ngokuqhelekileyo kunye nokusetyenziswa ngokugqibeleleyo.
Ezinye izinto ezimele uzikhumbule : Xa usebenzisa i-Liletta, ininzi yokukhulelwa kwenzeka ngenxa yokuba iLiletta yakho iphume-kwaye ngokuqinisekileyo awuyi kuqonda ukuba oku kwenzekile. Nangona ithuba lokukhulelwa ngelixa lisebenzisa i-Liletta liphantsi kakhulu, lwenzeka. Ukuba ukhulelwe xa i-Liletta IUD yakho isendaweni, fownela ugqirha wakho ngokukhawuleza ukuba uqaphela ukuba ukhulelwe-kuba kukho ingozi ekhoyo enxulumene nalolu hlobo lokukhulelwa .
Ngaba i-Liletta inikezela nayiphi na ukhuseleko lwe-STD?
I-Liletta IUD ayinikezeli ukhuselo kwizifo ezithathelwana ngesondo . Unokuba usenokwenzeka ukuba ufumane isifo sokuvuvukala kweplavic emva kokufakwa kweLiletta ukuba unayo i-std ngeli xesha. Unokuba usengozini enkulu xa unamaqabane amaninzi ezesondo okanye iqabane lezesondo oye wafumana amaqabane amaninzi ezesondo.
ILizwi
I-Liletta kunye namanye ama-IUD anganika indlela yokukhusela ngokukhuselekileyo nangendlela efanelekileyo ukuba ungumviwa olungileyo. Ukuba awucingi ukuba i-Liletta IUD yindlela efanelekileyo kuwe, kukho ezininzi ezininzi ezikhoyo zokulawula ukuzalwa. Unokuziva ukhululekile xa uzama ukuhamba ngehlabathi lokulawulwa kokuzalwa, ngakumbi ukuba awuqondi kakuhle indlela indlela nganye isebenza ngayo okanye isetyenziswe. Kodwa emva kokwenza uphando, ukubuza imibuzo, nokuthetha nodokotela wakho, unokwenza isigqibo esithile kwaye ufumene indlela yokulawula yokuzalwa efanelekileyo ngokuthe tye.
> Umthombo:
> Eisenberg, iDL. okqhubekayo. Inkqubela emithathu yeminyaka kunye nokukhuselwa kwenkqubo entsha ye-levonorgestrel-yokukhulula i-intrauterine system. Ukukhulelwa . 2015; 92 (1): 10-16.