I-IUDs Safe?
Yintoni eqhubekayo kunye ne-IUD?
Iindaba ezilungileyo kukuba inani labasetyhini abakhetha ukusebenzisa ii-IUD njengoko indlela yokulawula ukuzalwa ikhula ngokukhawuleza. Ngesizathu esithile, nangona kunjalo, ukusetyenziswa kwe-IUD akukho ndawo ithandwa njengepilisi okanye ikhondom . Ngaba uyayazi ukuba ii-IUD zisebenza nje nge- vasectomy ? Kodwa, ngokungafani ne-vasectomy, i-IUD iguqulwa ngokupheleleyo!
Ngoko kutheni uninzi lwawo ungayisebenzisi le ndlela yokulawula ngokubeletha kwaye isebenze ixesha elide ?
Ukuqagela kwam - kubonakala kuninzi kakubi malunga neengozi ze-IUD kunye nokukhuseleko. Masiqwalasele ngokukhawuleza ukuba kutheni le nto injalo.
IUD Iingozi kunye Nexhala ... Ukusikhusela Kwixesha Elidlulileyo:
IUDs inexesha elidlulileyo. Oku kuye kwashiya ukusebenzisa i-IUD ukuxhatshazwa njengento engaphephile. Ngama-1970 (cingisisa - ngelo xesha i-FDA yayinamandla okutyunjwa kwi-icandelo lonyango lonyango), i-IUD yokuqala eyaziwayo, ebizwa ngokuba yiDalkon Shield, yaziswa.
Uyilo lweDalkon Shield luqulethe intambo ye-multifilament (igama eliqingqiweyo elenziwe ngentambo yekhefu eyenziwe ngamakhulu ama-fibre enoncibilikileyo afakwe ngapha). Basebenzisa lo mtya ngenxa yokuba wawomelele kwaye awuyi kuphula. Kodwa, olu hlobo lomtya lwenza kube lula ukuba iibhaktheriya zingene kwisibeletho. Ngoko ke, i-Dalkon Shield yayijongene nokusuleleka kwe-pelvic, ukuphazamiseka komzimba, i-sepsis (i-blood poisoning), ukungabikho komzimba kunye nokungaxhasi . O-kwaye ufumana ngcono.
inkampani eyenza i-Dalkon ikhusezi malunga nale ngxaki, ibenqamle iziphumo zophando, ixoke ngokuphathelele ukhuseleko lwe-IUD (kuba bekuya kuba nexabiso elininzi lokulungisa). Ngoko unamawaka amabhinqa awonzakele ukusuka kwiDalkon Shield yalimala ... enokuthi ithintele ukuba inkampani ibe yinyanisekileyo kwaye ingabandakanyeki kulo "mkhulu".
Ezi ngozi ze-IUD kunye nokulimala kwi-Dalkon Shield zikhokelela kumawaka amacala. I-FDA inqamle ingcinezelo, kwaye i-Dalkon Shield isuswe kwimarike. I-FDA icebisa ukuba bonke abafazi abasebenzisa i-Dalkon Shield njengamanje ukuba bafakwe kwisixhobo. Kwaye nantsi into epholileyo "eyonwabileyo" - iminyaka emibini emva kokuba i-IUD ithathelwe emakethe (kunye nokunye okuninzi kwaye kwaziwa malunga nomonakalo obangelwa yiDalkon Shield), i-FDA yatshintsha uMthetho wokuTya, iMichiza kunye neCosmetic ukufuna ngaphezulu ukuvavanywa ngokubanzi kunye nokuvunywa kwe-FDA phambi kokuba kukho naziphi na izixhobo zonyango ezinokuthengiswa.
Ngoko, ngoku ungabona indlela idideli ye-IUD eyashiye ngayo impembelelo engalunganga. Abasetyhini abaninzi basenokuba besaba ukuba kusekho iingozi ezinkulu ze-IUD. Abaqapheli ukuba i-IUDs namhlanje ikhuselekileyo kunokuba ivela kwixesha elidlulileyo. Kwaye, nabo bavunywa yi-FDA (ewe, yinto eninzi enkulu).
IUDs zanamhlanje:
Kukho iintlobo ezintathu ze-IUD ezifumaneka e-US: iMirena , ParaGard , kunye ne- Skyla . Oku akufani ne-ugqirha we-IUD kwixesha elidlulileyo. Ezi zi-IUD zikhuselekile kwaye zithembeka iindlela zokukhulelwa kwexesha elide. Ndiya kunyaniseka, njengeendlela ezininzi zokulawula ukuzalwa , unokuba neziphumo ezithile emva kokuba i-IUD yakho ifakwe . Kodwa kwiimeko ezininzi, ezi zihamba emva kweveki ezimbalwa zokuqala ukuya kwiinyanga.
Nangona iingxaki ezinzulu kunye ne-Mirena, i-Skyla kunye ne-ParaGard IUD ayinqabile, kunokwenzeka ukuba ezi zingozi zingenzeka. Ngoko ukuba uhlangabezana naziphi na iingxaki, kubalulekile ukuba uxelele le miba kugqirha wakho khona.
Ingenzeka iMirena / Skyla / ParaGard IID Riss and Complications:
- I-Perforation: Ngokuqhelekileyo, i-IUD inokutshitshiswa eludongeni lwesisu ngexesha lokufakwa. Oku kufuthi kutholakale kwaye kulungiswe ngokukhawuleza. Ukuba akunjalo, i-IUD ingahamba kwenye indawo yendawo ye-pelvic kwaye ingonakalisa izitho zangaphakathi. Kufuneka ukuba utyando lukhutshwe i-IUD.
- Usulelo: Kukho umngcipheko we-PID (isifo sokuvuvukala kweplavic) esixhunywe kwi-IUD ukusetshenziswa. Kodwa umngcipheko uphantsi kakhulu emva kweentsuku ezingama-20 zokuqala emva kokufakwa. I-PID idla ngokudluliselwa ngesondo. Unomngcipheko ophezulu wokufumana i-PID ukuba wena okanye iqabane lakho ulala ngesondo kunye namaqabane amaninzi. Ukusuleleka kwepelvic kungabangela ibhaktheriya ukungena kwisibeleko ngexesha lokufakwa. Uninzi lwentsholongwane lukhula ngaphakathi kweeveki ezintathu zokufakelwa. Usulelo (ngenxa ye-IUD) emva kweveki ezi-3 alufumaneki. Ukuba ufumana isifo emva kwexesha, kunokwenzeka ukuba uye wavezwa kwi- STD ngexesha lesini. Izifundo zibonisa ukuba i- IUD ayibangeli i-PID okanye i-infertility .
- Ukugxothwa: I-Mirena, i-Skyla okanye i-ParaGard IUD inokuphelisa okanye isuke ngokupheleleyo kwisibeleko-oku kunokwenzeka ukuba kwenzeke ngexesha leenyanga ezimbalwa zokusetyenziswa (nangona oko kwenzeka kwakhona kamva). Kungenzeka kwakhona ngexesha lakho. NgeMirena okanye i-ParaGard, kukho umngcipheko ophezulu wokuxoshwa ukuba awuzange ube nomntwana, okanye ukuba ungumntwana oselula okanye osemdala. Ngenxa yokuba i-Skyla yincinci encinci kunezinye ezimbini ze-IUDs , kuncinci kuncinci ukuxothwa kwabasetyhini abangenanto (igama lonyango kubafazi abangakaze bazalwe) - nangona ukuxoshwa kwe-Skyla IUD kusenokwenzeka. Ukuba i-IUD yakho iphuma, unokukhulelwa. Ngoko ukuba oko kwenzeka, qiniseka ukusebenzisa ulawulo lokuzalwa ngokutsha (njengekhondom), kwaye ubize ugqirha wakho. Ukuba i-Mirena yakho okanye i-Skyla IUD iphuma ngaphandle, kufuneka isuswe (ngoko nceda ungazami ukuyibuyisela kwakhona). Ukuze uqaphele, khangela iipads zakho kunye neetamponi ngexesha lakho ukuqinisekisa ukuba i-IUD yakho ayizange iphume.
Ukwanda kweIUD Izinto zobungozi (iMirena, ParaGard, kunye ne-Skyla):
Uninzi lwabafazi abayi kuba neengxaki zokusebenzisa iMirena, ParaGard, okanye i-Skyla. Kodwa, ukuba unemiqathango ethile , unokuba usengozini yokuhlakulela iingxaki ezinzima ngelixa usebenzisa i-IUD. Ezi ziquka ukufumana ingozi yokusuleleka kwizifo zoxhatshazo ngokwesini ngexesha lokufakwa okanye ukuba:
- Amacangca egazi kakhulu kwiimvini ezinzulu okanye emaphaphu.
- Ngaba i-PID kwiinyanga ezili-12 ezidlulileyo.
- Unesifo sikashukela okanye i-anemia enkulu.
- Yiba negazi elingagqithanga / thabatha iyeza elinceda igazi lakho.
- Ngaba unesifo esiphathelene nezesondo okanye ngaphezulu kwe-2 kwiminyaka edlulileyo.
- Ngaba okanye unomhlaza wesibeleko.
- Thatha amachiza (okanye) anemihla ngemihla ene-corticosteroid (njenge-prednisone).
- Yiba nembali yokusuleleka kwe-tubal (oku akusebenzi kubasetyhini abakhulelwe kwisibeleko sabo ukususela kwintsholongwane).
- Ungakwazi ukulawula ukusuleleka kwezifo zomlomo wesibeleko okanye isisu, njenge- bacterial vaginosis .
- Unobumba obubekwe bucala kakhulu okanye buyela emuva kwi-pelvis.
- Yiba nembali yokukhulelwa kwaye umnqweno wokukhulelwa kwikamva.
Yiba ngummeli wakho we-IUD:
Njengabasetyhini abaninzi, kukho oogqirha abaninzi abangenakukholelwa kwiingozi ze-IUD kunye nokukhuseleko. La oogqirha banokuba neengcamango ezidlulileyo malunga nokuba ngubani na ongenako ukusebenzisa i-IUD. Ngoko, ukuze ube ngummeli wakho ... ukuba ugqirha wakho ekunikezela nayiphi na inkathazo, yazi ukuba:
- Abaselula bangasebenzisa i-IUDs .
- UNOKWENZA ukusebenzisa i-IUD nokuba awuzange uzalwe .
- Awuyidingi i-IUD entsha xa utshintshile amaqabane olwabelana ngesondo .
- Awudingi ukuba ube nobuhlobo bomntu oyedwa kunye nokusebenzisa i-IUD.
Kubafazi abaninzi (mhlawumbi nawe!), I-IUD ingaba yinto ekhethekileyo yokuzikhusela. Kuyinto efanelekileyo , esebenzayo, ayifuni ukuba wenze nantoni na ukuba isebenze, i-eco-friendly, kwaye ayikuphazamisi ukuzithoba ngokwesondo. Njengokuba kunjalo kunye nokulawulwa kwemithi yokuzalwa , kukho iingozi kunye neziphumo ezinokuthi zixhamle kwi-IUD, kodwa amaninzi amabhinqa ayavuya nale ndlela yokukhulelwa kwexesha elide.
Imithombo:
Johnson BA. "Ukufakwa kunye nokususwa kwee-intrauterine devices". WaseMerika ugqirha . 2005; 71: 95-102. Kufumaneka ngokubhalisa kwangasese.
Shelton JD. "Ingozi yesifo se-pelvic esibangeleyo esibangelwa kwisixhobo se-intrauterine." Lancet . 2001 Feb; 357 (9254): 443. Kufumaneka ngokubhalisa kwangasese.
Thiery M. "I-intrauterine contraception: kwindandatho yesiliva ukuya kwindlela yokukhulelwa kwe-intrauterine." I-European Journal ye-Obstetrics & Gynecology ne-Biological Reproductive. 2000 ngoJuni; 90 (2): 145-52. Kufumaneka ngokubhalisa kwangasese.