Olunye ubhedu lwe-IUD kunye ne-progestin-ukukhupha i-IUDs
IUDs ( ii- intrauterine devices) ziyimpumelelo, ixesha elide , kunye nokukhethwa kolawulo lokuzalwa , kwaye zikhona iimveliso ezivunyiweyo ze-FDA ezi-5 ezikhoyo kwiimarike:
- IMirena
- Liletta
- Skyla
- Kyleena
- ParaGard
Unokuzibuza ukuba yiyiphi iUD ulungile kuwe. Esi sigqibo esidinga ingxoxo ngokucokisekileyo nangengqiqo kunye nogqirha wakho, nokwazi izinto ezisiseko malunga nee-IUD ezahlukeneyo ngaphambi kokuba le ngxoxo inokukunceda kakhulu.
Ubume be-IUDS
Zonke ezine ze-IUD zindlela eziphambili zokulawula ukuzalwa. Ziyi "t-shaped" izixhobo ezifuneka zifakwe kwisisu sakho kwaye zisuswe kwisibeleko sakho ngumgqirha oqeqeshiwe.
Ulwahlulo oluphambili phakathi kwe-IUD kukuba enye yazo-i-UUD yobhedu, ebizwa ngokuba yiParaGard-ayiyikukhupha ihomoni.
I-Copper IUD
I-ParaGard yiyona kuphela i-hormone-free IUD kwaye yenziwe nge-polyethylene ehlanganiswe ngetambo yethusi. I-ParaGard isebenza njani ukukhusela ukukhulelwa? Iingcali zikholelwa ukuba kukho iindlela ezahlukeneyo, eziquka:
- Ukuvinjelwa kwentshukumo yesininzi kunye nokusebenza (inambuzane ayihlali)
- Sitshintsha ngejubane leqanda ngaphambi kokuba lidibane nesidoda
- Ukulimala kwiqanda
- Impairs implantation yeqanda elikhulelweyo
Kuzo zonke ii-IUDs, i-ParaGard ingasetyenziselwa ixesha elide, ukuya kwiminyaka eyi-10. Ngokuphathelele kwimiphumo emibi, abafazi abakhetha i-ParaGard kufuneka bazi ukuba kunokubangela ukuba ixesha elide kunye nexesha elide lichithwe ngaphezu kwexesha eliqhelekileyo, ngokukodwa kwimijikelezo yokuqala yokuya esikhathini.
Nangona kubalulekile ukuba uqaphele ukuba kuba i-IUD yobhedu ayi-hormone-free, ayiyi kuguqula umjikelo wesithandathu somfazi, ngoko uya kuqhubeka ehleli rhoqo.
Levonorgestrel IUDs
Kukho ii-IUDS ezine-levonorgestrel: iMirena, iLiletta, i-Skyla, ne-Kyleena. Njenga-ParaGard, zifana ne-T, kodwa ngokungafani neParaGard, zine-polydimethylsiloxane yomkhono oqukethe i-levonorgestrel (iprogesin) kwisiqu.
Ezi i-hormone IUDs zisebenza ngokunyusa inambuzane yomlomo wesibeleko (okwenza kube nzima ukuba inambuzane ihambe), ukucokisa umbane we-uterus ophazamisa ukufakelwa, kunye nokuthintela ukubopha isidoda kwiqanda.
- I- Mirena iqale ikhuphe i-20mcg ye-levonorgestrel ngosuku kwaye i-FDA ivunywe iminyaka engama-5. Qaphela ukuba njengoko ixesha liqhubeka, i-levonorgestrel IUDs ikhulula i-hormone engaphantsi nangaphezulu, kodwa isasebenza nje.
- I-Liletta ekuqaleni ikhupha i-18.6mcg ngosuku lwe-levonorgestrel kwaye ivunyiwe iminyaka emithathu yokusetyenziswa.
- U-Skyla , owaziwa nangokuthi "udadewabo kaMirena," uqale ukhulule i-14mcg ye-levonorgestrel ngosuku kwaye ungasetyenziselwa ukufikelela kwiminyaka emithathu.
- U-Kyleena wayevunywe yi-FDA ngoSeptemba 2016 kwaye unikezela ngezona zizwe ezimbini, i-frame-time frame (efana ne-Mirena) kodwa ubukhulu becala kunye ne-hormone engaphantsi (njenge-Skyla). Ngokukodwa, uKyleena ukhulula i-17.5mcg ye-levonorgestrel ngosuku.
Ngenxa yokuba ezi zi-4 ze-IUD ziqukethe iprogesin, unokufumana utshintsho ekuhambeni kwakho kokuya esikhathini. Ngokomzekelo, usenokuba nako ukubonakala kwiinyanga ezimbalwa zokuqala uze ube nexesha elifutshane kunye elifutshane. Ixesha lakho linokuyeka ngokupheleleyo.
Ezinye iziphumo ezichaphazelekayo zingabandakanya iimpawu ezinxulumene ne-hormone ezinjenge:
- Intloko
- I sizathu
- Ubeleko lwesisu
- Ukuxinezeleka
- Ukunciphisa libido
- Ukulahleka kweenwele
- I-ovarian cysts
Ukukhetha i-Right HUD
Enye yeendlela eziphambili zokwenza isigqibo phakathi kwe-IUDs kukuqinisekisa ukuba awufuni ukusebenzisa indlela yokulawula i-hormonal. Ukuba awukwazi okanye ukhetha ukungabonakali kuma-hormone, i-ParaGard IUD inokuba yinto ekhethekileyo.
Khumbula, nangona kunjalo, i-hormone e-Mirena, i-Skyla, i-Liletta ne-Kyleena ikhutshwa kuphela kwindawo yangaphakathi (kwi-uterus), ngoko ayinalo uhlobo olufanayo lwe-hormone efunyenwe kwiipilisi zolawulo lokuzalwa .
Ezinye izinto ezinokukunceda ukhethe i-Right IUD ibandakanya:
- Ubude besikhokelo sokukhulelwa (iminyaka emithathu ukuya kuminyaka emihlanu ukuya kweyimi-10)
- Inani lehomoni
- Imiphumo emibi (umzekelo, abanye abafazi bafumana ubunzima obukhulu, bebuhlungu besisu ekuhambeni kweenyanga ezintandathu zokuqala okanye ngokunjalo nobhedu lwe-IUD)
Ubungakanani be-IUD bunokuchaphazela isigqibo sakho. U-Skyla noKyleena bancinci kuncinci kuneMirena, Liletta, kunye neParaGard. Ngaloo ndlela, ubukhulu be-Skyla kunye noKyleena bunako ukwenza ukuba ii-IUDs zibe lula kwaye zibuhlungu kakhulu ukufaka.
Ubuncinci babo buncinane bunokunyamezelwa ngakumbi ngabasetyhini abanesibindi esincinci, njengabaselula abatsha nabasetyhini.
ILizwi
Kungakhathaliseki ukuba yiyiphi i-IUD oyikhethayo, unokufumana ingcamango yengqondo yokuba zonke ezihlanu ziphakathi kweendlela eziphambili zolawulo lokuzalwa . Enyanisweni, ziyimpumelelo njengeendlela zokuhlala , njenge-vasectomies kunye ne- tubal ligation .
Ukongezelela, nangona iimbono ezingaqhelekanga, ii-IUDs ziindlela ezikhuselekileyo zokukhulelwa kwabafazi; Aba bafazi abazange bazalwe ngaphambili. IUDs ayinakuchaphazela ithuba lakho lokukhulelwa emva kokuba lisuswe.
Kufuneka kuqatshelwe ukuba ii-IUDs azikhuselisi abasetyhini kwi-HIV. Ukongeza, nge-IUD yokungeniswa, kukho umngcipheko wokuxoshwa (iUD iphuma) okanye isifo, nangona ezi ziganeko zingavamile.
Konke kuzo zonke, ii-IUD ziyimpumelelo efanelekileyo yokulawulwa kokuzalwa, kwaye zinikela ngokukhusela ixesha elide. Emva kokukhetha i-IUD yabo, abaninzi abafazi baneliseke kakhulu kwisigqibo sabo.
> Imithombo:
> I-American College ye-Obstetrics kunye neGynecologists. (NgoJulayi 2011, ukuqinisekiswa ngo-2015). I-Bulletin ye-Clinical Practice Bulletin: Ukukhulelwa okuKhuselekileyo kwexesha elide: Izimpembelelo kunye namadivayisi e-Intrauterine Devices.
> Dean G, iGoldberg AB. (2017). Ukukhulelwa kwe-Intrauterine: Amadivaysi, abaviwa kunye nokukhethwa. Ku: UpToDate, Schreiber CA, Eckler K (Eds), UpToDate, Waltham, MA.
> Bowers R. "I-FDA iyavuma inkqubo encinane ye-levonorgestrel ye-intrauterine - 'iMirna mini'. Update Update Technology . 2013 Matshi; 34 (3): 25-36.
> Gemzell-Danielsson K, Schellschmidt I, Apter D. "Ucwaningo olwenziwa ngokungenangqondo, lwesigaba se-II oluchaza ukusebenza, ukuphaphazeka kwiprofayili kunye nokukhuselwa kwee-dovonorgestrel ezimbini ezisezantsi-kukhulula inkqubo yokukhusela i-intrauterine kunye neMirena." Ukhuseleko kunye nobuthathaka . 2012; 96 (3): 616-622.
> Hardeman J. Izixhobo ze-Intrauterine: Isibuyekezo. I-Phys Physician . 2014 Mar 15; 89 (6): 445-50.