Levonorgestrel IUD
I-Mirena IUD iyisistim e-hormonal intrauterine esifakwa kwisibeleko sokulawula ixesha elide lokuzalwa. I-Mirena ikhupha inani eliphantsi leprogesin, i-levonorgestrel, ngokuqhubekayo ngaphezu kweminyaka emi-5 njengendlela yokukhusela ukukhulelwa.
Sibanzi
I-Mirena luhlobo lwe- IUD . Yinto encinci, "i-T" eyenziwe yiplastiki eguquguqukayo. Ilinganisa i-32mm ngaphantsi nangaphezulu.
I-Mirena IUD ikhula ekuthandeni kuba inokukhusela ekukhuleleni ukuya kwiminyaka emi-5, ngoko iyakuthi ithathwa njengexesha elide lokusebenza ngokulawula ukuzalwa. I-Mirena IUD yakho kufuneka ifakwe ngugqirha ofanelekileyo. Kwakhona enye yeendlela eziphambili zokulawulwa kokuzalwa ezikhoyo ... kusebenza nje nje nge- vasectomy !
Ingaba isebenza kanjani
Ngaphezulu kwexesha eli-5 leminyaka, i-Mirena IUD ikhupha kancane i-progestin, i- levonorgestrel . I-Mirena inceda ukunqanda isidoda ukuba singabandakanyi neqanda ngokuchaphazela indlela i-sperm ihamba ngayo. Eyona nto, iphazamisa ukuhamba kwesidoda malunga neqanda. I-Mirena IUD inokukhupha i-muscus yakho yomlomo wesibeleko - oku kwenza kube nzima ngakumbi ukuba inambuzane ibhukude. Ngenxa yokuba le-IUD iqukethe i-progestin, i-Mirena iyasebenza ngakumbi kune- ParaGard IUD xa kuziwa ekukhuseleni ukukhulelwa.
Isebenza Kamsinya Kangakanani?
I-Mirena IUD isebenza ngokukhawuleza ukuba uyifake zingakapheli iintsuku ezi-7 emva kokuqala kwexesha lakho. Ukuba unayo iMirena yakho ifakwe ngasiphi na ixesha ngexesha lokuhamba kwimizuzu yakho, uya kufuneka usebenzise indlela yokulawula yokuzalwa emva kweveki yokuqala (iintsuku ezi-7) emva kokufakwa.
Uya kuba nokukhuselwa kokukhulelwa emva kwezi ntsuku ezi-7.
Ngubani Ongayisebenzisa?
Ngokutsho kweBayer HealthCare Pharmaceuticals, umenzi weMirena, iMirena IUD kufuneka ukuba isetyenziswe ngabasetyhini aba:
- Unokuba nomntwana omnye ubuncinane.
- Ebudeni obuzinzileyo, obuzimeleyo.
- Akukho mngcipheko okanye umlando wokukhulelwa kwe-ectopic okanye isifo sovulo se-pelvic .
KANYE - kufuneka ukwazi ukuba abaninzi abafazi bangasebenzisa iMirena IUD.
Umenzi wanikezela ezi ngcebiso malunga nokusetyenziswa kweMirena kuba uphando malunga neMirena IUD esetyenzisiweyo - ukuze ufumane imvume ye-FDA-eyenziwa kwabasetyhini abanomntwana omnye.
I-American College of Obstetricians kunye namaGynecologists uncoma ukuba bobabini abasetyhini abangazange bazalwe kunye nabaselula banokuzuza kwi- IUD esebenzisa (mhlawumbi iMirena, Skyla , okanye iParaGard). Ungakwazi kwakhona ukukhululeka ukwazi ukuba oogqirha abaninzi baye bafake iMirena IUD kuzo zonke iintlobo zabasetyhini ngonyaka (nangona kukho izikhokelo zomenzi).
Inzuzo
- I-Mirena IUD inokubonelela ngokukhusela ukukhulelwa okuqhubekayo iminyaka emi-5 kodwa ingasuswa nanini nayiphi na ixesha kule minyaka emi-5.
- Kuyinto efanelekileyo kwaye ingenasiphelo-emva kokufakiwe, akumele wenze nantoni na.
- I-Mirena inokukunceda ekukhuseleni nesifo sovulo seplavic ngenxa yokuba iyancipha i-mucus yomlomo kwaye iyancipha ukuhamba kweenyanga.
- I-Mirena IUD inokuphucula ubomi bakho bobulili ngenxa yokuba ikuvumela ukuba ube nangoko.
- Yindlela yokulawula ukuzalwa kokuzalwa.
- I-Mirena yindlela ekhethekileyo yokukhetha ukuba awukwazi ukusebenzisa ulawulo lwe -estrogen-based based birth or other methods .
- Emva kokuba iMirena IUD isuswe, ukuzala kwakho (ukukwazi ukukhulelwa) kubuya ngokukhawuleza.
- Inkqubo yolawulo lokuzalwa ngokuzimela kunye neengqondi. Akukho mntu unokukwazi ukuba uyayisebenzisa!
Izinzuzo ezingenayo iNzala
I-Mirena IUD inokukubonelela ngeenzuzo ezithile ezongezelelweyo .
Ukuba unesihlungu kakhulu sokunyuka kwexesha, ukusebenzisa i-Mirena IUD kunokukunceda ukunciphisa intlungu yakho . I-Mirena inokunciphisa inani lokuphuma kwamanzi ngexesha lakho.
- Abasetyhini abasebenzisa i-Mirena banokubona ukuba ukuphuma kwexesha lokunyuka komzimba kuncitshiswa ngama-90 ekhulwini.
- Kwimizuzu engama-20 yabasebenzisi baseMirena, i-perod yabo iyayeka ngokupheleleyo kunyaka owodwa. Oku kunokunciphisa umngcipheko we-anemia.
I-Mirena IUD nayo yindlela kuphela yokulawulwa kokuzalwa kokuzalwa kwe-FDA engasetyenziswa ekuphatheni ukuphuma kwexesha elinzima lokuphuma kwindoda .
Imiphumela
Uninzi lwabasetyhini alunakufumana ingxaki xa usebenzisa iMirena. Abanye abesifazana banokuba negazi elinzima kwaye baqhekeza ngeeveki zokuqala okanye ngeenyanga emva kokufakwa - kodwa oogqirha banokumisela amayeza anokunciphisa ezi nkampu.
Njengoko naluphi na indlela yokulawula ukuzalwa kweprogesin , unokufumana ezinye iziphumo ezibi . Iindaba ezilungileyo kukuba, kwiimeko ezininzi, ezi ziphumo ziya kuhamba emva kweveki ezimbalwa zokuqala emva kweenyanga emva kokuba i-Mirena IUD yakho ifakwe. Ingxaki ezinzulu ne-Mirena ziyintlekele. Ukuba ubona iingxaki, kubalulekile ukuxelela ugqirha wakho ngokukhawuleza.
Ukususwa
Emva kweminyaka emi-5 iphakanyisiwe, kufuneka ube ne-Mirena IUD yakho isuswe . Unokukhetha ukuba omnye u-Mirena afakwe ngexesha lokutyelela okufanayo. Ungaze uzame ukususa i-Mirena IUD yakho ngokwakho - kufuneka isuswe ngutitshala wezobugcisa. Kwakhona uyazi ukuba unokwenza iMirena yakho isuswe naliphi na ixesha ngaphambi kokuba iphela iminyaka engama-5.
- I-Mirena IUD yakho inokuphuma yodwa (oku kwenzeka ukuba kwenzeke ngeenyanga ezimbalwa emva kokufakwa okanye ngexesha lakho). Uninzi lwabasetyhini alukwazi ukuba iMirena yabo iphume. Yingakho kufuneka wenze umkhwa wokujonga iimpawu zakho zeMirena IUD ubuncinane kanye ngenyanga (phakathi kwexesha) - oku kuya kukuxelela ukuba iMirena yakho isendaweni.
- Ukuba uqaphele ukuba i-Mirena yakho iphume, kufuneka uqhagamshelane nogqirha wakho ukuze ufake enye into. Ugqirha wakho uza kwenza uvavanyo lokukhulelwa kuqala - ukuze uqinisekise ukuba awukhulelwe, ngaphambi kokufaka iMirena IUD entsha.
- I-Mirena IUD yakho inokuphinda ixoshwe. Ukuba oko kwenzeka, biza ugqirha wakho, kwaye usebenzise indlela yokulawula ukuzalwa ngokutsha (njengamakhondom). Yenza isiganeko, ngoko ugqirha wakho unokukwazi ukukhupha ngokupheleleyo iMirena yakho (ungazami ukuyikhupha wena). Unokufumana enye i-Mirena IUD efakwe ngaloo xesha.
Iindleko ezidibeneyo
Ukuba ufanele uhlawule ngokwakho ulwaphulo-mthetho kwaye ucwangcise ukusebenzisa ulawulo lokuzalwa ubuncinane ubuncinane kwiminyaka eyi-1 ukuya kweyesi-2, i-IUD yinto ekhethileyo ekhoyo. Ixabiso lexesha elilodwa leMirena, xa kuthelekiswa nezinye iindlela zokukhusela, kunokukugcina amakhulu emadola okanye ngaphezulu kwexesha.
Iindleko ezipheleleyo zeMirena zingaba zi-$ 750. Oku kubandakanya iindleko zoviwo, iMirena IUD yangempela, ukufakwa, kunye naluphi na ukutyelela ukulandelwa. inokubiza i-$ 750. I-Medicaid inokubambisa iindleko ze-Mirena IUD yakho. Kufuneka ukhangele ipolisi yomshuwalense wakho wecala njengoko iMirena IUD kufuneka ikhutshwe, ngaphandle kweendleko zokuphuma ngaphandle kwe-inshurensi.
Impumelelo
I-Mirena IUD ngenye yeendlela ezichanekileyo zokuguqulwa kokuzalwa ezikhoyo. I-Mirena IUD iphumelele ngamaphesenti angu-99.8. Oku kuthetha ukuba kuwo onke amabhinqa angama-100 abasebenzisa i-Mirena ngonyaka owodwa, ngaphantsi kwe-1 baya kukhulelwa ukusebenzisa okuqhelekileyo kunye nokusetyenziswa ngokugqibeleleyo.
Qaphela: Uninzi lokukhulelwa lwenzeka kubasebenzisi baseMirena xa i-IUD yabo iphuma ngaphandle kokuyiqonda. Nangona ithuba lokukhulelwa ngenkathi usebenzisa i-Mirena liphantsi kakhulu, ukuba kwenzeke, biza ugqirha wakho ngokukhawuleza ukuba uqaphele ukuba ukhulelwe.
Khuselo lwe STD
I-Mirena ayinikeli ukhuselo kwizifo ezithathelwana ngesondo . I-Mirena IUD ayibangeli izifo ezivuthayo ze-pelvic okanye ukungazinzi.
Umthombo:
IWhaley NS, iBurke AE. "Intrauterine contraception." ZeMpilo zeNtombi . 2015 NgoNovemba; 11 (6): 759-767. Inqaku elipheleleyo lifikeleleke ngokubhalisa kwangasese.