I-Explanon yindlela entsha yokuzaliswa kolawulo lokuzalwa, i- Implanon . Ukufakelwa kwentonga enye yimalunga nobukhulu be-match (1.6 intshi ende). I-nexplanon yindlela yokukhulelwa yodwa ye- progestin equlethe i-68 mg ye-etonogestrel, kwaye inikeza ukhuselo lokukhulelwa kuze kube yiminyaka emithathu emva kokuba ifakwe.
I -xplanon yenziwe nge-soft, eguquguqukayo, i-polymmer yezokwelapha.
I-FDA ivume iNxplanon ukukhusela ukukhulelwa iminyaka emithathu. Kufuneka isuswe emva kwesi sikhathi kuba ayiyi kutshabalalisa. Kodwa, unokukhetha ukuba uyenziwe ngasiphi na ixesha ngaphambi kokuba iminyaka emithathu iphakanyiswe. Ungakwazi kwakhona ukuba ne-Nexplanon entsha ifakwe emva kokuba umdala wakho ususwe. Ukuba i-Nexplanon ayisuswanga emva kweminyaka emithathu, i-etonogestrel encinci eya kukhishwa ingabangela iingxaki zokuzala okanye ukukhulelwa kwe-ectopic. Akuyi kuphinda iphumelele ekukhuseleni ukuba ukhulelwe.
Ukufakwa
Ukufakelwa kolawulo lokuzalwa kufakwa phantsi kwesikhumba sengalo yakho ephezulu. I-Explanon kufuneka ifakwe kwindawo yecandelo lezonyango oqeqeshiwe. Uya kunikwa i-anesthetic yendawo ukuze unxweme kuloo ndawo. Ugqirha wakho uya kusebenzisa i-applicator ekhethekileyo eya kukukhokela nge-Explanon phantsi kwesikhumba sesandla sakho. Emva kokufakela ukufakwa, wena kunye nogqirha wakho kufuneka uqaphele ukuba kungengalo yakho ngokuziva ngayo.
Inkqubo yokufaka yonke into ithatha imizuzu embalwa. Emva kokuba i-Nexplanon ingeniswe, kuya kufuneka ugqoke ibhanki yokunyanzeliswa iiyure ezingama-24 kunye nebhanki elincinci iintsuku ezintathu ukuya ezintlanu.
Ingaba isebenza kanjani
I -xplanon ikhupha rhoqo i-dose e- progestin etonogestrel kwiminyaka emithathu. Isixa seprogesin sinciphisa ngokukhawuleza ixesha.
Ngoko:
- Ngexesha leveki zokuqala ezisixhenxe, iiprogramgram ezingama-60 ukuya kwe-70 zeprogesin zikhutshwa ngosuku
- Ekupheleni konyaka wokuqala, ii-micrograms ezingama-35-45 zikhishwa ngosuku ngalunye
- Oku kunciphisa ukuya kwii-micrograms ezingama-30-40 ngemini ekupheleni konyaka wesibini
- Iiprogramgram ezingama-25 ukuya ku-30 zikhutshwa imihla ngemihla ekupheleni konyaka wesithathu
Emva kweminyaka emithathu, i-Nexplanon ayiyi kukhupha i-hormone eyaneleyo ukukhusela ukhulelwe.
Nexplanon vs. Implanon
I -xplanon ihluke kwi-Implanon ngeendlela ezimbini.
- I-nexplanon i-radiopaque. Oku kuthetha ukuba ukufakelwa kungabonwa kwi-x ray, CT scan, i-ultrasound scan okanye i-MRI. Kwakukho inkxalabo malunga nokwanda kwezinga lokungaphumeleli kunye ne-Implanon e-UK ngoJanuwari 2011. Kwakubonakala sengathi i-Implanon yayingeyona ngempumelelo kuba oogqirha babengayifaki kakuhle. Kwakungekho nangokoqobo (ngaphandle kokuzibona ngokomzimba ukulawulwa kokuzalwa phantsi kwesikhumba) ukuqinisekisa ukuba intonga ye-Implanon yafakwa. Nge-Nexplanon, oogqirha banokuqinisekisa ukuba ukufakelwa kuye kwafakwa ngokufanelekileyo kwaye kuya kufumaneka lula phambi kokuba ususwe.
- I-Nexplanon nayo inomsebenzisi ohlukileyo ngaphandle kwe-Implanon, ngoko inkqubo yokufakela iyinto eyahlukileyo. Umfaki-sicelo omtsha olayishwe kuqala ulungiselelwe ukunciphisa umngcipheko wokufaka iziphoso (njengokufaka i-Nexplanon kakhulu). Isifaki sicelo se-Nexplanon senzelwe ukuba sisebenze ngesandla esisodwa. Umfaki-sicelo wase-Old Implanon wenza kube nzima ukuxelela ukuba intonga yayifakwe ingalo engalo. Intonga ye-Implanon nayo ingaphuma kwi-applicator yakudala ukuba ingazange iqhutywe ngokufanelekileyo.
Inzuzo
- Ocebileyo kunye nobucala
- Akufuneki ukugcinwa okuqhubekayo okanye isidingo sokukhumbuza ukusebenzisa ulawulo lokuzalwa
- Esinye sezixhobo zokukhusela eziza kusebenza ngokukhawuleza, ezinokusebenza kakhulu
- Enye indlela efanelekileyo yabasetyhini abangenakusebenzisa u- estrogen- ngokulawulwa kolawulo lokuzalwa
- Ingasetyenziswa ngexesha lokuncelisa (emva kweveki ezine)
- Ivumela ukuxhatshazwa ngokwesini (akukho nto imele ifakwe okanye ifakwe ngaphambi kokulala ngesondo)
- I -xplanon isebenzayo ngokukhawuleza xa isetyenziswa phakathi kwosuku lokuqala nolwesihlanu lwenyanga yakho
- Indlela yokukhusela i-Eco-friendly
- Ngenxa yokuhanjiswa kwayo kwe-hormone ephantsi kunye neleyo, i-Nexplanon ingaba ne-hormone ephezulu kunye nezantsi phantsi kweendlela zokulawula iintsuku zonke okanye ngeveki.
- Ukhula lubuyela ngokukhawuleza xa uyeka ukusebenzisa i-Nexplanon; Ukukhulelwa kuye kwabikwa ukuba kwenzeka emva kweentsuku ezi-7 ukuya kwezi-14 emva kokuba iNxplanon isusiwe
- Inketho yokuzalwa ngokufanelekileyo yabaselula
Imiphumela
Impembelelo echaphazelekayo yecandelo le-Nexplanon yitshintsho kwimizekelo yakho yokuphuma kwenyanga. Ezi ziquka ukuguquka kwimizila, ubuninzi, okanye ixesha lokuphuma kwamanzi. Izitenxo zokungcolisa ziyizona zizathu eziqhelekileyo ukuba abafazi bayeka ukusebenzisa i-Nexplanon. Phantse omnye kwabasetyhini abahlanu abayi kuba nexesha. Omnye kwabatyhini abahlanu baya kuba nexesha eliqhelekileyo kunye / okanye ixesha elide lokuphuma ngegazi. Umzekelo wegazi owenzayo kwiinyanga ezintathu zokuqala emva kokuba i-Nexplanon ingeniswe uphawu olufanelekileyo lwempompo yakho yexesha elizayo ngelixa usebenzisa le ndlela yokulawula ukuzalwa.
Ezinye iziphumo eziphambili ze-Nexplanon zingaquka:
- Intloko (i-24.9 ekhulwini ingxelo kwiingxaki zonyango)
- Vaginitis (iipesenti eziyi-14,5)
- Ukunyuka kwesisindo (13,7 ekhulwini)
- Acne (13.5 ekhulwini)
- Ubuhlungu besisu (ama-12.8 ekhulwini)
- Iintlungu zesisu (10.9 persentent)
- Umqala womlomo (ama-10,5 ekhulwini)
Ezinye iziphumo eziqhelekileyo eziqhelekileyo ze-Nexplanon nazo ziye zabikwa. Ezi ziquka ukunyuka kwesondlo, ukunyamekela ngokomzwelo (ukungaguquguqukiyo kunye / okanye ukutshintsha kweemvakalelo ngokukhawuleza, okubandakanya ukuxhalabisa, ukukhathazeka, kunye / okanye ukunciphisa ukulala kwesondo) intlungu okanye ukuphendula.
Iingxaki ezinokwenzeka
Ingxaki ezinzulu ne-Nexplanon aziqabile, kodwa qiniseka ukubika nayiphi na ingxaki kumgqirha wakho ngokukhawuleza.
- Iingxaki zokufakelwa: Abanye abesifazana abanokuvavanya, ukucaphukiswa kwendawo, intlungu, ukubetha, i-paresthesias (oko kukuthi, ukutshisa, ukutshisa, ukuphazamisa okanye ukuphazamiseka), ukuphuma kwintsholongwane, i- hematoma , ukutshatyalaliswa, okanye usulelo emva kokuba i-Nexplanon ifakwe. Ukuba i-Nexplanon ingeniswa kakhulu, i-neuro okanye ingozi ye-vascular ingenzeka.
- Ukususwa kweengxaki: Ukususwa kwe-Nexplanon kunokuba nzima ukuba ukufakelwa akuyiyo apho kufanele ukuba khona, ukuba kwakungeniswa ngokungafanelekanga, kufakwe ngokungathandabuzekiyo, kuqulethe, okanye ukuba ichithwe. Kwiimeko ezinjalo, unokufuna ukuba ne-Nexplanon isuswe.
- Ukukhulelwa kwe-Ectopic: Ukuba kwenzeka ukuba ukhulelwe ngelixa u-Nexplanon, kunethuba elincinane kakhulu (xa kuthelekiswa nabasetyhini abangasebenzisi ukulawula ukuzalwa kwe-hormone ) ukuba ukhulelwe lwakho lube yi-ectopic.
- Ukuxhatshazwa kweMithi : Amayeza athile angenza i-Nexplanon isebenze ngaphantsi (njengalezo ezikhokelela kwi-enzyme yesibindi), ngoko unokufuna ukusebenzisa indlela yokukhusela yokukhusela. Qinisekisa ukuxelela ugqirha wakho malunga nayiphi na amayeza oyithathayo okanye uceba ukuyisebenzisa.
Ngubani Ongayisebenzisa
I-Nexplanon yindlela efanelekileyo yokulawulwa kokuzalwa kwabasetyhini abasempilweni. Kubalulekile ukuxoxa ngembali yakho yonyango ngokupheleleyo kunye nogqirha wakho ngaphambi kokusebenzisa i-Nexplanon.
Usenokukwazi ukusebenzisa i-Nexplanon nangona unemiba ethile yobungozi nje ngokuba uhlala phantsi kolawulo lwezempilo olufutshane. Kodwa i-Nexplanon ingabi yindlela efanelekileyo kubo bonke abantu. Ukusetyenziswa kwe-Nexplanon akukhuthazwa ukuba:
- Ngaba ukhulelwe okanye ucinge ukuba unokukhulelwa
- Isifo sesibindi
- Ukuphuma kwintsholongwane engabonakaliyo
- Ngaba okanye unomdlavuza webele
- Yiba nembali yokudakumba okukhulu
- Unayo okanye ube negazi elikhulu kwiimilenze zakho, imiphunga, amehlo, intliziyo, okanye intloko (isisu)
I-nexplanon ingasayi kuba yinto enokukhetha ngayo ukuba unayo okanye unesifo sikashukela, i- cholesterol ephezulu okanye i-triglycerides, i-headaches, i-seizures / epilepsy, i-gallbladder okanye isifo sesifo, uxinzelelo lwegazi oluphezulu , okanye isisombululo esiphezulu kwi-anesthetics okanye i-antiseptics.
Indlela Yokufumana
Ufuna umyalelo wonyango ukuze ufumane iNxplanon. Cwangcisa ukutyelela ezimbini ugqirha: okokuqala, kuya kufuneka ukuba ube novavanyo lwezokwelapha, oluquka ukutshekishwa kwengcinezelo yegazi kwaye mhlawumbi uvavanyo lwe-pelvic. Ngelo xesha, ugqirha wakho kufuneka axoxe nawe ngenzuzo kunye neengxaki ze-Nexplanon kwaye uya kwenza ukuba kuqeshwe ukuba ubuyele ngokufakelwa kokufakwa kolawulo lokuzalwa. Qinisekisa ukuba ufumana uqeqesho lwezempilo oluqeqeshiwe ukufaka (okanye ukususa) Nexplanon. Oogqirha kufuneka baqeqeshe kwaye baqeqeshe ngeenkqubo zoqeqesho ezizodwa ukuze bathenge iNxplanon kunye nokufaka kunye nokususa.
Iindleko
Ixabiso le-Nexplanon lingahluka ukusuka kwindawo ukuya kwindawo. Iindleko zixhomekeke kwi-inshorensi, ikopi, kunye nekliniki yakho yokucwangcisa ugqirha. Nangona le ndlela ingaba neendleko eziphezulu ngaphambili, xa kuthelekiswa nezinye iindlela zokulawula ukuzalwa , ungasindisa imali engaphezulu kwexesha. Kufuneka ujonge kwakhona nomgaqo-nkqubo we-inshorensi yempilo yakho yangasese njengoko ugalelo lwe-Nexplanon kufuneka lugqitywe ngaphandle kweendleko zokuphuma ngaphandle kwe- inshorensi.
Impumelelo
I-nexplanon iphumelele kwi-99.9 yeepesenti xa ifakwe ngokuchanekileyo. Oku kuthetha ukuba phakathi kwabafazi abangama-100 abasebenzisa i-Nexplanon kunyaka owodwa, ngaphantsi komnye uya kukhulelwa ngokusetyenziswa ngokuqhelekileyo kunye nokusetyenziswa okugqibeleleyo.
I -xplanon ingaba yincinci kumabhinqa angaphezu komzimba kunye nalabo bathabatha imishanguzo ebangela i-enzyme yesibindi.
Ukusebenza kwe-Nexplanon kwabasetyhini ababa ngaphezu kwama-130 ekhulwini ekuziphatheni komzimba wabo owaziwayo. Iingcamango ze-etonogestrel zihambelana ngokuthe ngqo kumzimba kwaye ziyancipha emva kwexesha lokufakela ukufakelwa. Ngenxa yoko, kucatshangelwa ukuba i-Nexplanon ingaba yincinci kwi-women's overweight. Ukuba ungumfazi onzima kakhulu osebenzisa i-Nexplanon, xela ugqirha wakho ngokufaka indawo ye-Nexplanon yakho ngaphambi kokuba iminyaka yakho emithathu iphakame (ekubeni amanqanaba e-progestin ngunyaka wesithathu awanakukukhusela ngokwaneleyo ekukhuseleni).
Khuselo lwe STD
I-nexplanon ayinikeli ukhuselo kwizifo ezithathelwana ngesondo .
Umthombo:
Unina E, Blum GF, Gent TG, Peters KP, Sørdal TS, & Marintcheva-Petrova M. "I-Nexplanon, i-Radiopaque Etonogestrel Implantation kwiHlanganiswe neSicelo esilandelayo okanye: Iminyaka emi-3 yeziphumo zovavanyo olungenakuqhathaniswa kweMatricenter Trial." I-American Journal ye-Obstetrics ne-Gynecology . 2012; 207 (5): 388-e1-388e6.