IUDs ( ii- intrauterine devices) ziba ziyaziwayo kakhulu kunanini ngaphambili. IUDs njengoMirena kunye neParaGard ziphakathi kweyona ndlela iphumelele kakhulu kuyo yonke imithi yokukhulelwa (kunye nokusebenza ngokulinganayo kwi- vasectomy , kwaye kwezinye iimeko, ukuphumelela okugqithiseleyo kune- tubal ligation ).
"Iimpawu" zifakwe kwi-IUD, zihlasele i-uterus kunye nomlomo wesibeleko, zifumana indawo yokuphumla yokugqibela kwindawo ethile ephakamileyo kwi-canal yangasese.
Izixhobo ze-IUD zivumela isigulane ukuba i-IUD yakhe isendaweni. Nangona kungenjalo, ukuxoshwa kwe-IUD (xa idivayisi ichithwa kwi-uterus) inokwenzeka kwaye iyakwenzeka kwi-3 ukuya kwi-10 ekhulwini yezigulane.
Iingxaki zobungozi bokuxoshwa kwe-IUD
Ezinye zeemeko zobungozi bokuxoshwa kwe-IUD ziquka:
- I-Nulliparity (ukuba awuzange uzalwe)
- Menorrhagia
- Dysmenorrhea
- Ngaphambi kokuba IUD ixoshwe
- Ngaphantsi kweminyaka engama-20 ubudala
- Ukufakwa kwe-IUD kwenzeka ngokukhawuleza emva kokukhupha isisu sesibini okanye ukuba uhamba emva kwesithuba
Ekubeni abafazi abaninzi bangabonakali iimpawu zokuxoshwa kwe-IUD, kubalulekile ukuba ufunde indlela yokujonga iintambo zakho ze-IUD kuba le nto inokuphela kwendlela yokuxelela ngokuqinisekileyo ukuba i-IUD yakho ichithekile okanye iphume kwindawo.
Xa uqala ukuba ne-IUD yakho ifakwe, kufuneka uhlolisise imida yonke imihla embalwa kwiiveki ezimbalwa zokuqala, kunye naphakathi kwamaxesha. Ukuba i-IUD okanye i-strings ye-IUD ayibonakaliyo (okanye ayikwazi ukuvalelwa), ukuxothwa okupheleleyo kunokukwenzeka.
Ukuba oko kwenzeka, kwaye awunayo indlela yokulondoloza yokuzalwa, awuyikukhuselwa ngokukhulelwa.
Kutheni Ndikwazi Ukuvakalelwa Kwam? Ngaba Ndimele Ndikhathazeke?
Ukuba awukwazi ukufumana izicwangciso zakho, isinyathelo esilandelayo kukubiza ugqirha wakho kwaye enze ukuba enze uvavanyo lokufumana izixhobo zakho ze-IUD.
Izizathu ezibini ezichanekileyo zezixhobo ezingekho phantsi kwe-IUD: I-IUD iphume kwi-uterus, okanye i-IUD iye yahlanjululwa ngexesha lokufakwa. Oku kuthetha ukuba i-IUD iqhutywe ngodonga lwebele. Ngokuqhelekileyo, oku kufumaneka ngokukhawuleza kwaye kunokulungiswa ngokukhawuleza. Ukuba kukho enye yeemeko ezenzeka kuwe, qiniseka ukusebenzisa indlela yokugcina ukukhusela ekukhuseleni ngenxa yokuba i-IUD ayiyi kuba luncedo olukhulu.
Enye imeko enokubangela ukuba iintambo ze-IUD zikhutshwe kwi-uterine cityity if you are experiencing some type of expansion / inflammation in your uterus. Oku kungenzeka ngenxa ye- fibroids okanye ukukhulelwa. Ukuba oku kwenzekile, i-IUD isesiswini, kodwa uphando olungakumbi luya kufuneka. Ngoko, oogqirha bazama ukufumana i-IUD kunye / okanye ukulawula ukukhulelwa ngokusebenzisa i-ultrasound.
Iindaba ezilungileyo kukuba ukuba i-ultrasound ibonisa ukuba i-IUD isesimweni sayo esifanelekileyo (ngaphakathi kwesibeletho), unokuqhubeka nokuwusebenzisa ukukhulelwa komzimba nakuba ungeke ufumane iicandelo ze-IUD. Ukuba ulo meko, oogqirha bancomela ukuba unesistim e-ultrasound kanye ngonyaka ngenxa yeminyaka embalwa yokuqala (xa usengozini yokuxoshwa), ukuze uqiniseke ukuba i-IUD yakho ikhona.
Kukho nethuba lokuba i-IUD isesesikweni esifanelekileyo, nangona kunjalo, nangasiphi na isizathu, iintambo ze-IUD ziye zanyathela kwaye zabuyela kwisigcawu phakathi kwesibeleko sakho kunye nesisu sakho (esaziwa njenge-canal endocervical channel). Imicu ikwaphulwa kwakhona.
Kwakhona kunokwenzeka ukuba i-IUD ingahle ijikeleze ngexesha okanye emva kokufakwa. Oku kujikeleza kungabangela ukuba i-IUD imilenze ibuyele phezulu emzimbeni wakho. Ukuba kunjalo, iindaba ezilungileyo kukuba i-IUD isasebenza kwaye isendaweni; imbambano ikunye kunye nezixhobo ze-IUD.
Indlela I-OUD Yakho Inokuthi Yifumaneke ngayo kwaye ibuyiswe kwakhona
Ngethuba nje kunqunywe ukuba awukhulelwe, oogqirha baneendlela eziliqela zokuzama ukufumana izixhobo zakho ze-IUD.
Oogqirha baya kusebenzisa i-brush ekhethekileyo ebizwa ngokuba yi-cytobrush (ebonakala ngathi i-mascara brush ende) ukuze uzame ukuqhuba i-string ye-IUD. Oku kudla ngokusebenza, kodwa ukuba iinzame zingaphumelelanga, oogqirha bangasebenzisa izixhobo ezahlukeneyo zokuhlaziya (ukuvula) umlomo wesibeleko, umlinganiselo wesibeleko sakho, kwaye ufumane umbono ochanekileyo weconal endical. Oogqirha banako ukugqiba ukuba i-IUD ingaba yinkqubo yokuxoshwa. Ukuba kunjalo, iintambo ze-IUD zivame ukubonakala ngakumbi. Kodwa, ukuxubusha imiba, imicu iyakwazi ukuguquka kwaye ingabonakali. Ukuba sele kuqinisekiswe ukuba i-IUD iye yaxoshwa ngokukodwa kwintsholongwane, oogqirha baya kususa i-IUD kwaye bangayifaka indawo entsha kwindawo leyo, ukuba ungathanda.
Ekugqibeleni, ukuba yonke le mizamo ingaphumeleli ukufumana i-IUD, (ukususela kwimida ye-IUD kwi-ultrasound), oogqirha banokuqhuba ii-X-ray zakho zesisu kunye neentsimbi. Ukuba i-IUD yakho ayibonisi kwifilimu ye-x-ray, ukuxoshwa kungaqinisekiswa. Ngeli xesha, unako ukufumana i- IUD entsha ifakiwe xa ufuna. Ukuba i-ray yakho iveza ukuba i-IUD ikhona ngaphandle kwesibeleko, ukuqhutyelwa kwentsholongwane kwenzekile. Oku kuya kufuna ukulungiswa ngokukhawuleza kangangoko kunokwenzeka ukuba umonakalo okhoyo kwiindawo ezidibeneyo.
Enye enye indlela yokufumana ngokuqinisekileyo ukuxoshwa kwe-IUD ukuba ngaba wakwazi ukufumana i-IUD yakho. Oku kuza kwenzeka ngeenyanga ezimbalwa zokuqala ze-IUD. I-IUD yakho inokuthi ikhuphe ngaphandle kwendawo ngexesha lakho, ngoko jonga iipads zakho kunye neetamponi ukuqinisekisa ukuba i-IUD yakho ayizange ikhishwe.
> Imithombo
> Pocius KD, Bartz DA. Ukukhulelwa kwe-Intrauterine: Ukulawulwa kweziphumo ezibi kunye neengxaki. I-Eckler K (Umhl.) Ku: U-UpToDate. 2017.
> Prabhakaran, S. kunye noChuang, A. Kwi-ofisi yokubuyiswa kwee-intrauterine zezixhobo zokukhulelwa ngeempawu ezilahlekileyo. "I-NIH / Ukukhulelwa / iYunivesithi yaseNorth Carolina 2011.