IUDs (i-intrauterine devices) -sall, iifayili eziguquguqukayo ezinjengaleta T ezifakwe kwisibeleko somfazi ngomlomo wesibeleko ngugqirha-enye yeendlela ezichanekileyo zokubuyisela ukuzalwa ezikhoyo. Oku kuthetha, malunga ne-1 kwabasetyhini abangama-200 abane-IUD bakhulelwa ngonyaka, kwaye ingozi yokukhulelwa i-IUD iphakamileyo kunyaka wokuqala emva kokufakwa.
Nangona kunqabile ukuba ukhulelwe xa unesistim se- intrauterine (IUD) , ukuba wena okanye wakho othandekayo kule meko, kubalulekile ukufunda ngeengozi kunye neengxaki ezinxulumene nokukhulelwa kwe-IUD.
Yintoni endiyenzayo xa ndifumana i-IUD ne-Suspect pregnancy?
Ukuba uyakrokrela ukuba ukhulelwe i-IUD, nakhu amanyathelo amathathu omele uwalandele. Nceda uqaphele ukuba akunjalo ukukhathazeka ngokukhulelwa kunye ne-IUD. Kungenxa yokuba abaninzi abafazi bafumana ukuphuma ngegazi ngokungapheliyo kwiinyanga ezimbalwa zokuqala emva kokufakwa kwe-IUD. Oku kudla ngokulandelwa lixesha elifutshane kunye elifutshane; abanye abasetyhini bayeke ukuba nexesha elipheleleyo.
1. Thatha uvavanyo lokukhulelwa
Ukuba ukholelwa ukuba ufumana ukukhulelwa kwe-IUD, into yokuqala uyenze ukuyenza kukuba uqinisekise ukuba ungekho okanye ukhulelwe. Unokuthatha uvavanyo lokukhulelwa ekhaya okanye ucwangcise uvavanyo lokukhulelwa kwegazi kunye nogqirha wakho.
2. Bona iDokotela wakho
Ukuba umfazi ukhulelwe, ukusebenzisa i-IUD kumbeka engozini yokukhulelwa kwe-ectopic (ukukhulelwa apho iqanda lifaka khona ngaphandle kwesibeletho). Yingakho kubaluleke kakhulu ukubona ugqirha wakho ngokukhawuleza ukuba uyakrokrela okanye uqinisekise ukukhulelwa nge-IUD endaweni.
3. Yenza i-IUD yakho isuswe
Ukuba ugqirha wakho uqinisekisa ukukhulelwa okufanelekileyo kunye nokungabikho kwe-ectopic ngelixa i-IUD yakho isendaweni, uya kuphakanyiswa ukuba asuswe kwi-IUD yakho.
Kubalulekile ukuba ungazami uze ususe i-IUD ngokwakho, njengoko oku kukhuselekile kuwe okanye umntwana wakho.
Kwakhona kubalulekile ukuba uqaphele ukuba kukho umngcipheko wokuphuphuma kwesisu xa i-IUD yakho isuswe. Oko kwathiwa, umngcipheko wezinga lokukhulelwa kwesisu unyuke kakhulu ngokukhetha ukungasususi i-IUD ekuqaleni kokukhulelwa.
Ziziphi iingozi zokuba nokukhulelwa kwe-IUD?
Kukho izizathu ezimbalwa ukuba kutheni ugqirha wakho uya kucetyiswa ukuba asuswe i-IUD kwimpilo yakho kunye nempilo yengane yakho.
Ukutshatyalaliswa
Kwakhona, a bafazi abakhulelwe i-IUD banokuthi bangabikho ngokugqithiseleyo kunabesifazana abangenayo i-IUD endaweni xa bekhulelwe.
Enyanisweni, ukuba ibhinqa likhetha ukushiya i-IUD ngexesha lokukhulelwa, izinga lokukhulelwa komzimba liyakhula ukuya kuma-40 ekhulwini ukuya kuma-50 ekhulwini. Nangona kunjalo, ukususa i-IUD yakhe ekuqaleni kokukhulelwa kubonakala kunciphisa umngcipheko wokukhulelwa kwesisu. Nangona kunjalo, umngcipheko uphakamileyo kunowesifazane ongenaye i-IUD okhulelwe.
Ukuzalwa kwangaphambili
Ukongezelela ekuphumuleni komzimba, ukushiya i-IUD endaweni xa ukhulelwa kwakho kwandisa amathuba okuhanjiswa kwangaphambili. Ngokukodwa, abafazi abane-IUD endaweni ngexesha lokukhulelwa kwabo bangamaxesha angamahlanu ukukhupha umntwana wabo ngaphambi kobhinqa ngaphandle kwe- IUD endaweni .
Ukuba i-IUD yesifazane isuswa kusasa, umngcipheko wokuba umntwana uncinci uyancitshiswa, kodwa kungekudala.
Sulelo
Kukho njalo unokwenzeka ukuba usulelo olubizwa ngokuba yi-chorioamnionitis lungafumaneka kubasetyhini abane-IUDs. I-Chorioamnionitis-intsholongwane yeembrane ezijikeleze umntwana kunye nomswakama ohlamba umntwana-luyintsholongwane enkulu, nokuba yintsholongwane engozini. Njengokuzalwa kwangaphambi kokuqala nokukhulelwa komzimba, ukuba i-IUD yakho ithathe iyanciphisa le mngcipheko othile kodwa ayiyikususa ngokupheleleyo.
Ukuphazamiseka kwePlacental
Kukho unxibelelwano phakathi kokukhulelwa xa unesiphelo sokukhutshwa kwe-IUD kunye nokuphuhliswa kwe-placental, imeko apho i-placenta ehlula kwi-uterus ngaphambili okanye ngexesha lokunikezelwa.
IHormone Exposure
Kukho iintlobo ezintlanu ze-IUDs ezikhoyo; ezine ziyi-hormonal (Kyleena, Liletta, iMirena, kunye ne-Skyla), enye ingekho i-hormonal (ParaGard). Ukuba ukhulelwe i-IUD ye-hormonal, i-IUD yakho ikhulula ngokukhawuleza i-progesin kwisisu sakho. Ukuba unqwenela ukuqhubeka nokukhulelwa kwakho kwenye yezi-IUDs endaweni, i-long-term effect ye-hormone engane yayaziwa ngokupheleleyo; Nangona kunjalo, akukho kubonakala ngathi yingozi yobunzima bokuzalwa.
Ngaba Ngaba Kukho Ixesha Xa I-IUD Ishiywe?
Ewe, njengamanye amaninzi kwiimeko zonyango, kukho indawo eluhlaza. Ngamanye amazwi, kukho iziganeko apho ugqirha angancoma ukuba ibhinqa lingenalo i-IUD isuswe.
Ekugqibeleni, yonke imeko yowesifazane iyingqayizivele, ngako-ke ncokola ngengcinga kunye nogqirha wakho.
ILizwi
Ukufunda ngemingcipheko enokwenzeka kunye neengxaki ezinxulumene nokukhulelwa kwe-IUD kunokuba nzima kwaye kuyatshitshisa. Kodwa sele uthabatha isinyathelo ngendlela elungileyo ngokwenza uphando lwakho nokufumana ulwazi. Hlala usebenza kwaye uvule kwaye uthembeke xa uthetha nodokotela wakho malunga nendlela efanelekileyo yokulawula ukukhulelwa kwakho.
> Imithombo:
> Ganer H, Levy A, Ohel I, Sheiner E. Ukukhulelwa kwesiphumo kubasetyhini abanesistim sokukhulelwa kwe-intrauterine. I-American Journal ye-Obstetrics ne-Gynecology . 2009; 201 (4): 381.e1-381.e5.
> Kim et al. Ukugxekwa kokukhulelwa kubunjwe nangona kubakho i-intrauterine device (IUD). J Perinat Med . 2010; 38 (1): 45-53.
> Pocius KD, Bartz DA. (2017). Ukukhulelwa kwe-Intrauterine: Ukulawulwa kweziphumo ezibi kunye neengxaki. Ku: UpToDate, i-Schreiber CA (Ed), UpToDate, i-Waltham, MA.
> UTrussell J. Ukungaphumeleli kokukhulelwa eMelika. Ukukhulelwa . NgoMeyi ka-2011; 83 (5): 397-404.