U-Kyleena uyisistim ye-intrauterine ( IUD ). Yenziwe yi-Bayer, ngoko ke inxalenye yentsapho efanayo ye-IUD njengeMirena kunye ne- Skyla . I-Kyleena IUD iqulethe i-polyethylene (soft plastic) ifom ye-polyethylene (iplastiki) ngesimo se-T. Kyleena kufuneka ifakwe ngumqeqeshi ofanelekileyo wezempilo.
Njengeendlela zokukhusela ukhulelwe, le IUD ikhupha kancane kancane iprogesin , i-levonorgestrel, kwisibeleko ngaphezu kweminyaka emi-5.
I-Kyleena IUD iqulethe i-19.5 mg ye-levonorgestrel. Ikhupha i-17.5 mcg yale hormone ngosuku. Emva komnyaka omnye, eli nqanaba liye lancipha ukuya kwi-9.8 mcg yemihla ngemihla, kwaye ukuya kwi-7.4 mcg ngosuku. I-FDA-evunyelwe ukusetyenziswa kwabasetyhini abanakho okanye abangazalanga.
Ukuba ucinga ngokusebenzisa uKyleena, ukuqonda amaqiniso kunokukunceda wenze isigqibo esithembekileyo. Kuqhelekile ukuba uzibuze malunga neminye imibuzo engezantsi.
Ingaba isebenza kanjani
I-Kyleena IUD inceda ukukhusela ukukhulelwa ngokufumana indlela yendoda. Oku kwenza kube nzima ukuba isidoda siphuze iqanda. Ngoko, ngokuyisiseko, uKyleena uyayinqanda ukunyakaza kwesidoda. I-Kyleena IUD iphinde ine-progestin-le hormone ibangela ukuba i-mucus yakho yomlomo ikhuphe, ixubise umgca wesibeletho sakho, kwaye iyanciphise ukuhlala kwindoda. UKyleena unokusebenza ukukhusela ukukhulelwa ngendlela iipilisi ezenza ngayo , nayo.
Ndifanele Ndibe Nini?
Ufanele ube ne-Kyleena IUD yakho efake ixesha elithile kwiintsuku ezisixhenxe zokuqala ukuya kwinyanga okanye emva kwangoko ukukhupha isisu .
Ukuba uKyleena ufakwe ngexesha eli lixesha, kusebenza ngokukhawuleza, ngoko awuyi kulusebenzisa naluphi na ukukhulelwa kwe-contraception .
Ukuba unayo iKyleena IUD yakho ifakwe nayiphi na ixesha ngexesha lomjikelezo wakho wenyanga, kuya kufuneka usebenzise enye indlela yokukhusela (njenge- spermicide okanye iikhondom ) ngeveki yokuqala emva kokuba uKyleena efakwe.
Ukukhuselwa kokukhulelwa kuya kuqala emva kweentsuku ezisixhenxe (iveki enye).
Umele ulinde ubuncinci beeveki ezintandathu ukuba uKyleena angene emva kokubeletha okanye aphume isisu sesibini. Oku kuvumela ukuba isibeletho sakho siphilise ngokupheleleyo ngaphambi kokuba uKyleena afakwe.
Kyleena, Skyla, okanye iMirena?
I-Kyleena IUD isebenza ngendlela efanayo noMirena no-Skyla. Kukho ukungafani phakathi kwezi zintathu ze-hormone-release IUDs. Zonke ezi zintathu zezi-IUD zindlela eziphambili zokulawula ukuzalwa. Zifakwa kwisisu sakho kwaye zingasuswa nanini na. Ubuncwane bakho bufanele buyele ngokukhawuleza kanye naluphi na olu luhlu lwe-IUD lususwa. Ngoko, masiqhathanise ...
Kyleena | IMirena | Skyla |
Iqukethe i-19.5 mg yeprogestin, i-levonorgestrel; ukhupha malunga ne-17.5 mcg ngosuku. | Iqukethe 52 mg yeprogesin, i-levonorgestrel; ikhupha malunga ne-20 mcg imihla ngemihla. | Iqukethe 13.5 mg yeprogesin, i-levonorgestrel; ikhutshwa malunga ne-14 mcg nganye imihla. |
Izilinganiselo ezingama-28 mm kunye ne-30 mm. | Imilinganiselo ye-32 mm ejikelezayo kunye ne-32 mm. | Izilinganiselo ezingama-28 mm kunye ne-30 mm. |
I-Tube esetyenziswe ukufaka uKyleena i-3.8 mm ububanzi. | I-Tube esetyenziswe ukufaka iMirena ingama-4.4 mm ububanzi. | I-Tube esetyenziselwa ukufaka i-Skyla i-3.8 mm ububanzi. |
Unokusetyenziswa ukususela kwiminyaka emi-5. | Unokusetyenziswa ukususela kwiminyaka emi-5. | Unokusetyenziswa ukususela kwiminyaka emithathu. |
Ngama-99% asebenzayo. | 99.8% esebenzayo. | 99.1% esebenzayo. |
I-Labeling ithi: UKyleena angasetyenziswa ukuba okanye akukho mfazi uye waba nomntwana. | I-Labeling ithi: I-Mirena icetyiswa kubafazi abaye babenomntwana omnye. | I-Labeling ithi: I-Skyla ingasetyenziselwa ukuba ingaba ibhinqa linomntwana. |
Ipesenti ezilishumi elinambini ithuba lokungabi namathuba eminyaka emva konyaka ongu-1. | Ipesenti ezingama-20 zithuba lokungabikho ixesha elingenamsebenzi emva konyaka ongu-1. | Ipesenti ezithandathu zokufumana ithuba elingenamsebenzi emva konyaka ongu-1. |
Unokubangela ukuba amaxesha abe lula kwaye abe mfutshane. | Unokubangela ukuba ixesha libe lula. Ngenxa yezinga eliphezulu leprogesin, le-IUD nayo ivunyiwe yi-FDA ukunceda ukuphatha ixesha elinzima kunye nelibuhlungu. | Unokubangela ukuba amaxesha abe mfutshane kwaye alula. |
Inzuzo
- U-Kyleena uhlinzekela ukukhusela okuqhubekayo okuyiminyaka emi-5.
- Kuyinto engenasiphelo-ngaphandle kokungeniswa kwangoko, akukho nto enokwenzayo.
- I-Kyleena IUD incinci ngobukhulu kwaye ine-tube engummiselo ongenayo iMirena. Oku kungenza inkqubo yokufakela ibuhlungu kunokuba i- Mirena okanye iParaGard IUD ifakwe .
- U-Kyleena unako ukususwa nanini na kwixesha eli-5 leminyaka.
- Kubuyiselwa ngokupheleleyo, kwaye ukuzala kwakho kubuya ngokukhawuleza-unokukhulelwa kungekudala uKyleena ususwe. Abafazi aba-7 kwabangama-10 (abafuna ukukhulelwa) baya kukhulelwa ngexesha elingaphakathi kweenyanga ezili-12 emva kokuba uKyleena isuswe.
- I-Kyleena IUD ivunyiwe yi-FDA kubasetyhini abanalo okanye abangazange babe nabantwana.
- U-Kyleena yindlela efanelekileyo ukuba awukwazi ukusebenzisa ulawulo lwe -estrogen-based- birth control .
- Ukuba unesibindi esincinci (njengabaselula abasetyhini kunye nabasetyhini abasetyhini), uKyleena unokunyamezeleka ngakumbi kunezinye i-IUDs.
- Akunjalo wena kunye neqabane lakho kufuneka nikwazi ukuziva uKyleena ngexesha lesini.
- I-Kylenna yindlela yokulawula ukuzalwa ngokufanelekileyo.
- Inokusetyenziswa xa uncelisa.
- I-Kyleena inokuba yinto efanelekileyo ye-IUD ukuba unaloo nto yokunikezelwa.
Iingxaki
Uninzi lwabasetyhini alinayo ingxaki yokulungiswa kwi-IUD. Kodwa unokuba neentlungu, ukuphuma kwegazi, okanye utywala ngexesha kunye / okanye emva kokuba uKyleena IUD yakho ifakiwe. Ukuba ezi zimpawu aziyeki emva kwemizuzu engamashumi amathathu emva kokufakela, kukho ukuba kungenzeka ukuba iKyleena IUD yakho ayifakwanga ngokuchanekileyo. Qinisekisa ukuba uthethe ugqirha wakho malunga nayiphina imiphumo oyingozi.
Abanye abesifazana baneenkcenkceshi ezimbi okanye iintsholongwane iintsuku eziliqela okanye iiveki emva kokuba iKyleena IUD yabo ifakwe.
Imiphumela
Unokuba nemiphumo emibi emva kokuba uKyleena IUD yakho efakwe. Uninzi lwexesha, ezi ziya kuhamba emva kweveki ezimbalwa zokuqala ukuya kwiinyanga. Imiphumo ecaleni ye-Kyleena IUD ibandakanya:
- Ukuvuvukala okanye ukusuleleka kwengxenyeni yangaphandle yesondo (isisu)
- Ama-cysts ase-Ovarian afunyanwe kwi-22 ekhulwini yabasebenzisi baseKyleena. Kwiimeko ezininzi, ezi zinyamalale zodwa ngaphakathi kweenyanga ezi-1-2
- Ukwanda kwegazi
- Isisu kunye / okanye ubuhlungu besisu
- I-acne okanye i- seborrhea (isikhumba esinamafutha)
- Intloko okanye imigraines
- I-Dysmenorrhea okanye i-uterine spasms
- Iintlungu zesisu okanye ukungaphumeleli
Utshintsho kwixesha lakho?
- Ngexesha leenyanga ezi-3-6 zokuqala emva kokufakwa kwe-Kyleena IUD yakho, unokufumana ithuba elihle lokufumana ukuphuma kwegazi kunye nokuphawula. Ixesha lakho lingaba libala, kwaye / okanye ixesha lakho linokuba lunzima okanye lide kunexesha eliqhelekileyo.
- Nangona ukuphuma kwegazi kunye nokuphawula kuya kuncipha kwiinyanga ezi-3 zokuqala emva kokufakwa, amaxesha akho aqhubeke nokungaqhelekanga.
- Ngexesha elide, amaxesha akho aya kuba mfutshane kwaye abe lula. Ngenxa yokuba i-progestin e-Kyleena iyancipha i-uterine yakho, ukuphuma kwegazi kunokunciphisa ixesha elide lakho leKyleena IUD liye lahlala. Amaxesha akho angayeka ngokupheleleyo (malunga neepesenti ezili-12 zamabhinqa ayeke ukuba namaxesha emva kokusebenzisa uKyleena unyaka omnye).
Iingozi kunye neengxaki
Ingxaki ezinzulu kunye noKyleena ziyinto engavamile. Qinisekisa ukuxelela ugqirha wakho ngokukhawuleza ukuba kukho na iingxaki. Ezinye iziphumo ezibi kakhulu ziquka:
- Ukukhulelwa kwe-Ectopic
- I-Sepsis (inzima, isifo esongela ubomi)
- Ukugqitywa okanye ukuxoshwa
Ezinye iziphumo zempembelelo zingafana nezinye i-IUD ngokunjalo .
Ngubani Ofanele Awufumane?
I-Kyleena IUD iqhutywe ngokuphandle kunye nabasetyhini abasetyhini (ibinzana lezonyango ezinokwakheka kwabasetyhini abangakaze bazalwe) -njalo, i-FDA ivume iKyleena ukuba isetyenziswe ngabasetyhini kuluntu. I-Kyleena ye-label labeling ithi le ngcaciso ingasebenzisa ukuba ngaba awuzange uzalise umntwana. Kodwa i-IUDs ayinyanzeliswa kubo bonke abafazi, ngoko qiniseka ukuba uhlangabezana nemigangatho yokuba ngumviwa ofanelekileyo kwaye uthethe ugqirha wakho malunga nayiphi na ingozi ebalulekileyo.
Ukususwa
- Kumele ube ne-Kyleena IUD yakho isuswe emva kokuba iminyaka yakho-5 iphakanyisiwe (ayiyi kutshabalala okanye ichithe emzimbeni wakho). Unokukhetha ukuba omnye uKyleena IUD afakwe ngexesha lokutyelela okufanayo.
- Ukuba ufuna ukutshintshela kwindlela entsha yolawulo lokuzalwa (kwaye uqhubeke nokukhusela ukukhulelwa) emva kokumisa uKyleena, cwangcisa ukususwa kwakho kwe-IUD ukuba kwenzeke ngeentsuku ezi-7 zokuqala kwithuba lakho kwaye uqalise ngokukhawuleza indlela yakho entsha. Ukuba u-Kyleena wakho ususiwe ngasiphi na ixesha ngexesha lokuhamba kwimizuzu yakho, qalisa indlela yakho yokukhusela okungenani iintsuku ezi-7 ngaphambi kokuba uKyleena asuswe.
- QAPHELA: Ukuba uye walala ngesondo (ngaphandle kokusebenzisa ikhondom yowesilisa, ikhondom yabesifazane , i- spermicide , okanye isiponji ) zingakapheli iintsuku ezi-5 ngaphambi kokuba uKyleena asuswe, unokuba usengozini yokukhulelwa emva kokuba i-ID yakho isuswe.
- Akufanele uzame ukususa uKyleena ngokwakho (emva koko, le nto kutheni sinogqirha!). Kukho ithuba elincinci lokuba iKyleena IUD yakho inokuphuma yedwa-kodwa, ngokuthe xa kunjalo, kuya kufuneka ukuba ulungise i-aphoyintimenti ukuba isuswe.
- Ungakwazi kwakhona ukuba iKyleena IUD yakho isuswe nanini na ixesha ngaphambi kokuba iphela leminyaka emi-5 iphele.
- Ukuba i-Kyleena IUD yakho iphuma yodwa, kukho inokwenzeka ukuba awuyi kubona. Yingakho kubalulekile ukuba uzivelele kwimida- kuba le ndlela yodwa yokuba ukwazi ukuba uKyleena wakho usekhona. Ukuba uKyleena wakho uphume, biza ugqirha wakho. Ugqirha wakho uya kukwenza uvavanyo lokukhulelwa (ukuqinisekisa ukuba awukhulelwe) ngaphambi kokufaka entsha Kyleena IUD.
- Ukuba iKyleena IUD yakho ikhutshwe ngokukodwa, qha ga mshelana nogqirha wakho (kwaye sebenzisa indlela yokukhusela). Ungazami ukutsala yonke into yakho.
Iindleko
U-Kyleena unendleko ephezulu ngaphambili kunezinye iindlela zokulawula ukuzalwa . Iindleko zoviwo, i-Kyleena IUD, ukungeniswa, kunye nokulandelelwa ngokutyelela kunokuhlawula i-$ 500- $ 900. I-Medicaid inokuthi igule ezi ndleko. Unokukhangela kwakhona nangomgaqo-nkqubo we-inshorensi yempilo kuba i-Kyleena kufuneka ikhutshwe ngaphandle kweendleko ze-pocket kuzo zonke izicwangciso ze-inshorensi ezingenabo.
Impumelelo
I-Kyleena IUD inamandla kakhulu . Le ndlela yokwenza umthamo wokuguqulwa kwexesha elide, ingaphaya kwama-99 ekhulwini. Oku kuthetha ukuba kuwo onke amabhinqa angama-100 abasebenzisa i-Kyleena IUD kunyaka owodwa, ngaphantsi kwe-1 baya kukhulelwa ukusebenzisa okuqhelekileyo kunye nokusetyenziswa ngokugqibeleleyo.
Ezinye Iingcebiso eziNcedo: Xa usebenzisa uKyleena IUD, ukukhulelwa okuninzi kwenzeka ngenxa yokuba uKyleena wakho uphume, kwaye mhlawumbi ungaziqondi ukuba oku kwenzekile. Nangona ithuba lokukhulelwa ngenkathi usebenzisa uKyleena liphantsi kakhulu, kunokuthi kwenzeke. Ukuba ukhulelwe xa i-Kyleena IUD yakho isendaweni, zama ukudibana nodokotela wakho ngokukhawuleza ukuba uqaphela ukuba ukhulelwe-kuba kukho iingozi ezinokuthi zibandakanye nale ndlela yokukhulelwa .
Khuselo lwe STD
I-Kyleena IUD ayinikezeli ukhuselo kwizifo ezithathelwana ngesondo . Uvumelekile ukuba ufumane isifo sokuvuvukala kwe-pelvic emva kokufakwa kwakho kwe-Kyleena ukuba unayo i-STD ngeli xesha. Unokuba ngumngcipheko xa unamaqabane amaninzi ezesondo okanye iqabane lezesondo oye wafumana amaqabane amaninzi ezesondo.
ILizwi
U-Kyleena kunye nezinye ii-IUDs unokunikezela ngendlela yokuphepha yokukhusela ngokukhuselekileyo ukuba ungumviwa olungileyo. Khumbula ukuba kukho iindlela ezininzi zokulawula zokuzalwa ezikhoyo ukwenzela ukuba ukhethe okulungileyo. Okukhethwa kukho ngokuqinisekileyo kuya kuphazamiseka, ngakumbi xa iinkcukacha malunga nokuba imisebenzi nganye ihamba njani. Xa usenza uphando lwakho kwaye uthethe nodokotela wakho, unokukhetha ukhetho olulodwa.
> Imithombo:
> Gemzell-Danielsson K, Apter D, Hauck B, et al. I-Impact of Age, i-Parity and Body Mass Index kwi-Efficacy, Safety, Placement and Satisfaction Associated With Two-Dose I-Levonorgestrel Iinkqubo zeNkqubo zokuLawula: Uhlalutyo lweNgcaciso lwamaDatha ukusuka kwisiGaba se-III . 2015; 10 (9): e0135309.
> Nanda K, Callahan R, uDorflinger L. "Ukubhekisela kwiZiphakamiso kwiNkqubo yokuThathana koNxibelelwano: Izindlela zokuPhuhlisa." Impilo yabasetyhini . 2015; 11 (6): 729-735.