Yintoni ongayilindela Ngethuba lokufakwa kwe-IUD

Amanyathelo okubekwa kweCandelo le-Intrauterine Device

Ukuba ukhethe i-intrauterine device ( IUD ) yolawulo lokuzalwa, ukulungiswa kufana nokufakwa kolunye uhlobo. Bona ukuba ulindele ntoni kwaye uqonde ngakumbi malunga nale fomu yolawulo lokuzalwa.

IUD i-TUD encinci ifowuni enefayili efakwe kwisisu. I- Mirena , i-Kyleena, i-Liletta, kunye ne- Skyla rhoqo iindidi ezikhupha inani elincinane le-progestin levonorgestrel kwaye liphumelele ezintandathu, ezintlanu, ezine, kunye neminyaka emithathu ngokulandelanayo. I-ParaGard yiyona kuphela i-IUD engekho i-IUD etholakalayo e-United States kwaye inokushiywa endaweni ukuya kwiminyaka eyi-12. Le IUD inobhedu (efana ne- spermicide ) ijikeleze ngeenxa zonke.

Ukuchitha iIID Myths

Enye yeengxaki ezinkulu ezijongene nokusetyenziswa kwe-IUD kukuba abantu abaninzi baye bakhokelela ekukholweni ulwazi olungachanileyo malunga nalo, njengale:

• Awukwazi ukusebenzisa i-IUD ukuba awuzange uzalwe
• Abaselula abakwazi ukusebenzisa ii-IUDs
• IUDs kubangelwa ukungabikho kwintsholongwane kunye nesifo se-pelvic
• IUDs azikhuselekile

Ngaphambi kokungeniswa kwe-IUD, kubalulekile ukuqala ukukhupha le ngqungquthela ukuze kuncitshiswe nayiphi na inkxalabo kwaye uzive ukhululekile xa ufaka.

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Ukulungiselela i-IUD Ukufaka

Ngaphambi kokufakela, abanye abaqeqeshi bempilo bayelulekisa ukuthatha imithi yokulawulwa kwentlungu ye-intensive, njengamachiza angaphiliyo avuthayo (njengama-600 ukuya ku-800 milligram ye-ibuprofen-Motrin okanye i-Advil) iyure ngaphambi kokuba i-IUD ifakwe. lunokunceda ukunciphisa iincampu kunye nokungahambi kakuhle oko kunokubangwa ngexesha lokufakwa.

Kwakhona, khangela ukuba iofisi yakho ugqirha inempahla yokucoca. Ukuba akunjalo, qinisekisa ukuzisa omnye ekhaya ukusuka kusetyenziswe emva kokufakela xa kwenzeka ukuphuma kwegazi.

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Kanye kwiSiko leMviwo

Umqeqeshi wakho wezempilo uza kuba nazo zonke izixhobo ezilungiselelwe ukufaka i-IUD. Ngaphambi kokuqala, kufuneka achaze inkqubo yakho kwaye uphendule nayiphi na imibuzo yakho kunye nexhala. Oku kunokukunceda ukuba ukhululeke ngakumbi, oko kwenza ukuba kufakwe lula kwaye kube nzima kakhulu.

Ukuba awukho kwiintsuku ezisixhenxe zokuqala kwexesha lakho, ugqirha wakho angenza uvavanyo lokukhulelwa ukulawula ukukhulelwa. Emva koko, ugqirha uya kuthi enze i-bimanual examination (yilapho umqeqeshi wakho wezezempilo efaka iminwe emibini kwisiswini kwaye usebenzisa esinye isisu kwisisu ukuze akwazi ukuva iimbombo zangaphakathi zangasese). Oku kwenziwa ukucacisa ngokuchanekileyo isikhundla, ukuhambelana, ubukhulu kunye nokuhamba kwesisu kwaye ufumanise nayiphi na intlungu, engabonisa ukusuleleka.

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Ukuzinzisa i-Cervix

Ngeli nqanaba, umqeqeshi wakho wezempilo uya kubamba uvule isisu ngokusebenzisa i-speculum, efana nentsimbi yensimbi. Isixhobo sifakwa kwisisini, kwaye amacandelo awo ahlukaniswe kwaye agcinwe evulekileyo ngesicatshulwa esikhethekileyo kwisiphathi.

Xa oko kufezwe, ngenxa yokubaluleka kokusingqongileyo kwimeko yokunciphisa amathuba okusuleleka, i-cervix kunye ne-front (front) kunye ne-posterior (back back) kwi-vaginal iya kuhlambuluka ngesisombululo se-antiseptic.

Abanye oogqirha bangasebenzisa i-anesthesia yendawo, njengama-5 ekhulwini e-lidocaine gel, kwi-canal yomlomo ekunciphiseni ubuhlungu.

Ugqirha wakho uya kusebenzisa i-tenaculum ukukunceda ukuzinzisa umlomo wesibeleko kwaye ugcine uhlala. I-tenaculum yinto esetyenziswayo ende, esineqhoqho ehlanganiswe nomlomo wesibeleko ukunyanzelisa isisu.

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Ukulinganisa i-Uterus neCervical Canal

Ugqirha wakho ngoku uya kufaka isixhobo esinyumba esibizwa ngesandi ukulinganisa ubude kunye nesalathiso somngcingo wesibeleko kunye nesisu. Le nkqubo inciphisa umngcipheko wokuguqulwa kwesisu (ukuba ne-IUD igqitywe), ngokuqhelekileyo kwenzeka ngenxa yokuba i-IUD ifakwe ngokujulile okanye ngeyona ndawo engafanelekanga.

Ugqirha wakho uya kuqinisekisa ukuba akaphelelanga naluphi na uqhagamshelwano kunye namanqindi okanye i-speculum. Isandi se-uterine sinomxholo ojikelezayo ekugqibeleni ukukunceda ukukhusela i-perforation (ukubethelwa kwesibeletho).

Abanye oogqirha bangasebenzisa i-aspirator ye-endometrial njengenye indlela isandi se-uterine, esenza into efanayo. Kubalulekile ukuba ugqirha ugqiba ukuba ubunzulu be-uterine buphakathi ko-6 no-9 wamentimenti njenge-IUD akufanele kufakwe ukuba ubunzulu bombele bungaphantsi kwama-6 centimitha.

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Ukufakwa kwe-IUD

Emva kokuba isandi sihoxisiwe, ugqirha uya kulungiselela i-IUD ukuze afakwe ngokususa kwi-packaging yayo engumzimba. Emva koko, iingalo ze-IUD zibuyile, kwaye ityhubhu (okanye i-slider) equkethe i-IUD ifakiwe.

IUD iqhutywe endaweni, kwizinga elitshiwoyo isandi, ngo-plunger kwi-tube. Emva kokuphuma kwiphubhu kwaye xa i-IUD isesimweni esifanelekileyo kwisibeleko, iingalo zivulekile kwi-"T".

Ukufakwa kwe-IUD kaninzi kunzima. Nangona kunokuba kukho ukunganyaniseki, yonke inqubo ithatha imizuzu embalwa kuphela. Ibhinqa liyakwazi ukuxinwa kunye nokunyanyiswa xa zonke ezi zinto zenzeka. Abanye abesifazana banokuziva bexakekile. Kunokuba luncedo ukuphefumula.

Ngelixa abaninzi abafazi banokungonwabi, ngaphantsi kwama-5 ekhulwini kwabasetyhini baya kuba neengxaki eziphambili. Izimpendulo ezifana nokuphosa, ukuhlanza, kunye nokuphelelwa ngumzimba kwenzeka kwi-1 pesenti yabasetyhini okanye ngaphantsi. Ezi ngxaki ziba zifutshane kwaye azifaneki ukuba zifune ukususwa kwe-IUD ngokukhawuleza. Ukongezelela, ezi mpendulo azichaphazeli ukusebenza kwe-IUD kamva.

Abasetyhini abangakaze bazalwe, baye babulala ezimbalwa, okanye babe nexesha elide ukususela ekugqibeleni ukuzala ngokugqithiseleyo banako ukufumana ezi ngxaki.

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Ukugqiba inkqubo ye-IUD yokufakela

Emva kokuba i-IUD isendaweni, ityhubhu, i-plunger, i-tenaculum, kunye ne-speculum zisuswe kwisisu. Isixhobo se-intrauterine siya kuhlala. IUD iya kuba neenkalo ezixhomekeke kuyo ukuba ugqirha uya kushiya. Baxhoma emlonyeni wesibeleko ukuya kwisini.

Kule ngongoma, ugqirha uya kunqumla iziphelo zeemida kodwa uya kuvumela malunga neekhilomitha ezimbini ukuya ku-hang out of the cervix. Imicu ayinakukwazi ukubonwa ngaphandle kwelungu kodwa lide ngokwaneleyo ukuba ivelelwe ngomunwe efakwe kwisisini (yile ndlela umfazi angayijonga ngayo ukuba i-IUD yayo isendaweni).

Ugqirha wakho kufuneka akufundise indlela ovakalelwa ngayo. Ukongezelela, qiniseka ukuba ugqirha wakho ukwazisa ngohlobo lwe-IUD olufakwe (ParaGard, Skyla, Kyleena, Liletta, okanye iMirena) kwaye xa kufuneka ukuba ithathe indawo. Uninzi oogqirha kufuneka bakunike ikhadi elincinci ongayifaka kwisikhwama sakho nayo yonke le ngcaciso. Ukuba akunjalo, ingqiqo yokubhala le ngcaciso kwaye uyigcine kwindawo ethembekileyo okanye uyibeke kwikhalenda yekhompyutha okanye kwisixhobo sokukhumbuza. Le ngcaciso ibalulekile xa utshintshela oogqirha kamva, njengoko unonophelo lwempilo ongenakukwazi ukuthetha, nje ngokujonga, okuyi-IUD onayo kwaye xa ifakiwe (kwaye ke, xa kufuneka isuswe ).

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Xa i-IUD Ukufaka ifakwe

Ekubeni abaninzi abafazi baziva bephuka kancinci ngexesha le nkqubo, baqhelekile ukuqhuba ngokwabo emva koko baphinde baqhube nemisebenzi yabo yemihla ngemihla.

Ekubeni ungazi ukuba uya kuthini ukusabela njani kwinkqubo yakho yokungenisa, unokuba unqwenela ukulungiselela umntu ukuba akuqhube ekhaya. Abanye besetyhini banokuziva bexakeka emva kokuba i-uterus iguqula ukufakwa kwe-IUD. Ukuba kunjalo, iincampu kufuneka zinciphise ixesha elithile kwaye, mhlawumbi, ukuphumula kwamanye amayeza.

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Xa U sekhaya

Unokuba negazi kunye nokubonakala kwimihla embalwa yokuqala emva kokufaka i-IUD yakho. Oku kuqhelekileyo, ngoko akukho sizathu sokukhathazeka. Ukuba ukuphuma kwegazi kuqhubeka okanye kunzima, kungaba yinto efanelekileyo ukubiza umnakekeli wakho wezempilo ukuze uqinisekise ukuba akukho ntsholongwane.

Kwakhona, zilungele ukuba ixesha lakho lokuqala emva kokufakwa kufaneleke ngakumbi kunzima kunesiqhelo. Kungenzeka kwakhona iintsuku ezimbalwa ngaphambili kunokuba kulindelwe.

Zama ukucwangcisa ukuqokwa kokulandelwa emva kokuqala kwakho (kwithuba elithile kwiiveki ezine ukuya ezintandathu ze-IUD kufaka) ukuze uqinisekise ukuba i-IUD isaphila.

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Ukukhuselwa kokukhulelwa kwaye xa kukhuselekile ukulala ngesondo

Kulungile ukulala ngesantya xa uziva ukhululekile emva kokuba i-IUD yakho ifakiwe (ngaphandle kokuba i-IUD yakho ifakwe kwiiyure ezingama-48 emva kokubeleka).

• I-ParaGard IUD inikezela ukuthintela ukukhulelwa emva kokufakwa
• IMirena, Kyleena, Liletta, kunye ne-Skyla IUDs zisebenza ngokukhawuleza kuphela xa zifakwe zingakapheli iintsuku ezisixhenxe emva kokuqala kwexesha lakho

Ukuba unayo iMirena efakwe kwiphina ixesha ngexesha lokuya esikhathini, kufuneka usebenzise enye indlela yokulawulwa kokuzalwa (njengekhondom yowesilisa, ikhondom yabesifazane , namhlanje isiponji okanye i- spermicide ) ngeveki yokuqala emva kokufakwa. Ukukhuselwa kokukhulelwa kuya kuqala emva kweentsuku ezisixhenxe.

Abanye abaqeqeshi bempilo bayincoma ukusebenzisa ikhondom njengendlela yokulondoloza kwinyanga yokuqala emva kokufaka kwakho ukunciphisa ingozi yokusuleleka.

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IUD Maintenance

Kubaluleke kakhulu ukujonga iingcingo ze-IUD zonke iintsuku ezimbalwa kwiiveki ezimbalwa zokuqala kunye nokuziva ukuba umtya uphela phakathi kwamaxesha ukuqinisekisa ukuba i-IUD isesesikweni ngokufanelekileyo. Emva kwexesha lokuqala (okanye ubuncinane kungekudluli kweenyanga ezintathu emva kokufakela), cwangcisa uhlolo ukuze uqinisekise ukuba i-IUD iselapho kufuneka ukuba ibe khona.

Omnye umfazi unokucela ugqirha ukuba abe nemigqomo emfutshane emfutshane (ngexesha lokuhlolwa) xa bevalelwa ngumlingani wesini wesini. Ukuba kunjalo, ngamanye amaxesha umtya unqunyulwa kakhulu kangangokuthi loo ntokazi ayikwazi ukukhangela kwakhona imicu. Emva kokutyelelwa kogqirha, ukuhlolwa rhoqo kwe-IUD kungenziwa ngexesha elifanayo njengokwenjenjalo umfazi wesiganeko sokuhlola.

Oko kuthethwa, enye yezona zinzuzo kakhulu ze-IUD kukuba ibhinqa ayinakuyenza nantoni na xa ifakiwe.

> Imithombo:

> Elkhouly NI, Maher MA. Ama-analgesics ahlukeneyo phambi kokufakelwa kwezixhobo ze-intrauterine: ingaba kukho ubungqina bokusebenza? I-Eur J Ukunakekelwa kweMpilo yeNkunkuma . 2017; 1-5.

> Melo J, Tschann M, Kungekudala R, Kuwahara M, Kaneshiro B. Ukuzithandela kwabasetyhini kunye nokukwazi ukuvalela iimbambo ze-intrauterine device. Int J Gynaecol Isibambiso. 2017; 137 (3): 309-313.