IUDs zikhethelo olukhulu lokulawula ukuzalwa xa ukhangele ukusebenza okusebenzayo, ixesha elide, ukukhulelwa komzimba . Okwangoku, kukho iintlobo ezintathu ze-IUD ongayifumana:
- I-Mirena - ikhupha i-52mg ye-progestin levonorgestrel ngaphezu kweminyaka emi-5.
- I-Skyla - ikhupha i-13.5mg ye-progestin levonorgestrel malunga ne-3 iminyaka.
- I-ParaGard - i-IUD yobhedu engekho i-hormone.
Zonke ezi zintathu ze-IUDs kufuneka zifakwe kwisibeleko sakho ngumqeqeshi ogqirha.
Indlela yokufumana i-IUD (iMirena, Skyla okanye iParaGard):
Ngaphambi kokufumana i-IUD, kuya kufuneka wenze i-aphoyintimenti kunye nogqirha wakho ukuze ubone ukuba iMirena, Skyla okanye iParaGard yindlela efanelekileyo yokukhusela. Kubalulekile ukuba uxoxe ngokunyanisekileyo nembali yakho yezokwelapha kunye nokuphila ngokwesondo nogqirha wakho kuba i-IUD ayilungile kubo bonke abafazi.
Ugqirha wakho uya kwenza ukuba uvavanyo lwe-pelvic luqiniseke ukuba umlomo wakho wesibeleko, ubulili kunye nezitho zangaphakathi ziqhelekileyo kwaye azitheleleki. Unokuphinda uhlolwe izifo ezithathelwana ngocansini , izifo zesisu, iintsholongwane zentsholongwane, okanye nayiphi na imeko efuna ukuphathwa phambi kokuba i-IUD ingeniswe ngokuphepha.
Ukuba kuqinisekiswe ukuba ungumviwa ofanelekileyo we-IUD, ugqirha wakho uya kuba nocwangcise i-aphoyintimenti ukuba ube ne-Mirena, Skyla okanye i-ParaGard IUD yakho efakwe kuyo .
IUDs zingeniswa naliphi na ixesha ngexesha lokuya esikhathini. (Ugqirha wakho unokuqhuba uvavanyo lokukhulelwa ukuqinisekisa ukuba awukhulelwe) okanye emva kwangoko ukukhupha isisu sokuqala.
- Ukuba ufuna ukukhulelwa ngokukhawuleza ngokukhawuleza (kwaye akufuneki ukusebenzisa indlela yokulawula ukukhusela ), iMirena kunye ne-Skyla kufuneka ifakwe kwisithuba seentsuku ezisixhenxe emva kokuba ixesha lakho liqala. Ukuba ufakwe naliphi na ixesha ngexesha lokuhamba kwimizuzu yakho, kuya kufuneka usebenzise enye indlela yokukhulelwa ngeveki yokuqala (iintsuku ezi-7) emva kokufakwa.
- I-ParaGard iyasebenza ngokukhawuleza, ngoko akunakucingela ukuba ungaphi umjikelezo wakho wokuya esikhathini xa ufakwa.
- I-Paragard ingafakwa kwakhona kwiintsuku ezingama-5 emva kokuziphatha okungathintekiyo njengengxaki yokukhulelwa kwangxamisekileyo.
Emva kwexesha lokuqala (okanye ubuncinane ngaphezu kweenyanga ezintathu emva kokufaka i-IUD yakho), kufuneka ucwangcise ukuhlolwa ukuze uqinisekise ukuba i-IUD isekhona. Emva koko, ukuhlolisiswa rhoqo kuya kwenziwa ngexesha lovavanyo lwakho lwamaxesha.
Izizathu Zokuba Akufanele Ufumane IUD
- Unayo i-PID (ngaphandle kokuba ufumane ukukhulelwa okuqhelekileyo emva kokuba le ntsholongwane ihambe).
- Mhlawumbi u khulelwe.
- Ukuphuma kwintsholongwane engabonakaliyo.
- Fumana izifo ngokulula (ngenxa yeengxaki zesistim somzimba okanye ukusebenzisa iziyobisi)
- I-infection ye-pelvic isifo kwiinyanga ezintathu ezidlulileyo emva kokubeletha okanye ukukhupha isisu .
- Unokuba nomhlaza wesibeleko okanye isisu.
- Unamaqabane angaphezulu kwesinye okanye isini somlingani wesini esineqabane elingaphezulu kwesinye.
- Unentsholongwane ye-pelvic engaphelelwanga okanye ukuvutha komlomo wesibeleko.
- Unemeko eguqula umlo wesisu (njenge-fibroid enkulu okanye isisu).
- Sele sele i-IUD.
- I-postometritis okanye i-endometritis emva kokukhipha isisu (ukuvuvukala kwimbane ye-uterine) kwiinyanga ezintathu ezidlulileyo.
- Ngaba, okanye basengozini yokukhulelwa kwe-ectopic.
- Ngaba i-allergic kunoma yiyiphi inxalenye kwi-Skyla okanye iMirena (njenge-levonorgestrel, i-silicone, i-polyethylene, isilivere) okanye i-ParaGard (njengobhedu).
Ukongezelela, akufanele ufumane i- Skyla okanye i- Mirena IUD ukuba:
- Ngaba okanye unomdlavuza wesibele .
- Unesifo sesibindi okanye izibilini zesibindi.
Akufanele ufumane iParaGard IUD ukuba:
- Ngaba izifo zikaWilson
Ukuhlola iIID Strings zakho
Emva kokufumana i-IUD, kuya kufuneka ukuba uhlolisise ngamaxesha. I-Mirena, i-Skyla, ne-ParaGard yonke inemikhono eqhotyoshelweyo kwisixhobo esilulele phantsi kwesibeletsheni esiswini.
Ngokuxhomekeke kwindlela emfutshane imizila echithwe ngayo, unokuqinisekisa ukuba i-IUD ikhona ngokuvakalelwa ngemida. Ugqirha usebenzisa izixhobo zokususa i-IUD. Abanye abesifazana banokuba nemigqomo yokunciphisa emfutshane xa bevalelwa ngumlingani wakho wesini. Xa kunjalo, ngamanye amaxesha umtya unqunyulwa kakhulu kangangokuthi awukwazi ukukhangela izixhobo.
Ufanele uzive ngeempawu zakho ze-IUD kanye ngenyanga, phakathi kwexesha. Kwakhona ingcinga efanelekileyo ukujonga zonke iintsuku ezimbalwa kwiinyanga ezimbalwa zokuqala emva kokuba ufumane i-IUD yakho ukuqinisekisa ukuba kusekho ngokufanelekileyo. Oko kuthethwa, enye yezona zinzuzo ezinkulu kuMirena, Skyla, kunye neParaGard yilokho, ngokuyinxalenye, xa ufumana i-IUD, akunakwenene nantoni na!
> Imithombo:
> Cappiello J. Bosak J. "IUDs: Ngaphandle kwezinto ezisiseko." UmNesi . 2013; 38 (9): 40-46.
> Espey E. Pasternack T. "Isixhobo se-Intrauterine Device". Kwi-Contraception kubantwana abangabantwana abakhulileyo nabaselula . Springer: New York, 2014. 15-23.