Main >> Imininingwane Yezidakamizwa >> Ngabe ama-IUD (afana neMirena) abangela ukuzuza kwesisindo?

Ngabe ama-IUD (afana neMirena) abangela ukuzuza kwesisindo?

Ngabe ama-IUD (afana neMirena) abangela ukuzuza kwesisindo?Imininingwane Yezidakamizwa

Njengayo yonke imithi, ukulawulwa kokubeletha kungaba nemiphumela emibi. Babalulekile lapho ukhetha indlela ekufanele. Imiphumela emibi yokulawulwa kokuzalwa ingafaka induna, ukuphuma kwegazi, ukushintsha kwemizwelo, nokuningi. Ukuzuza kwesisindo kuyinto ejwayelekile phakathi kwabesifazane abakhetha ukulawulwa kokuzalwa, kepha kuyiphutha lokuthi ama-IUD abangela ukuzuza kwesisindo. Ukuphendula eminye imibuzo ejwayelekile ukubuzwa mayelana nokuzuza kwesisindo se-IUD, sikhulume noChristina Madison, Pharm.D., FCCP, BCACP, AAHIVP, umsunguli we Usokhemisi Wezempilo Yomphakathi nomcwaningi womtholampilo wezempilo yabesifazane.





Yini i-IUD?

Idivayisi ye-IUD, noma ye-intrauterine, iyithuluzi elincane elenziwe ngo-T elifakwe esibelethweni ukuvimbela ukukhulelwa. Njengoba kunengozi engaphansi kuka-1% yokukhulelwa unyaka nonyaka, ama-IUD ayindlela ephumelela kunazo zonke yokulawulwa kokubeletha etholakalayo. Ama-IUD ayindlela enhle kulabo abavame ukukhohlwa ukuphuza amaphilisi abo okulawula ukubeletha nsuku zonke. Ngemuva kokufakwa, i-IUD ihlala noma kuphi kusuka eminyakeni emithathu kuya kwengu-12. Ingasetshenziswa ngabesifazane bayo yonke iminyaka, ngokusho kwe- i-CDC . Futhi kuyindlela yokubuyisa inzalo ebuyisekayo, ekuvumela ukuthi ubuyele ekuzaleni okujwayelekile lapho i-IUD yakho isusiwe.



Kunezinhlobo ezimbili zemikhiqizo ye-IUD: ithusi ne-hormonal. Ngenkathi zombili zisebenza kahle ekuvimbeleni ukukhulelwa, kukhona umehluko omkhulu obalulekile okufanele ugcinwe engqondweni.

Ama-IUD wethusi

Ama-IUD wethusi awanawo ama-hormone. Basebenzisa ikhoyili yepulasitiki neyethusi esikhundleni se-levonorgestrel. Ithusi lingumuthi wokubulala isidoda ngokwemvelo, libulala isidoda ngaphambi kokuba lifinyelele eqandeni. Ama-IUD wethusi, afana IParaGard , ingasetshenziswa kuze kube yiminyaka eyi-12.

I-Hormonal IUDs

Kwesinye isikhathi kubizwa ngokuthi ama-intrauterine systems, ama-IUDs ama-hormonal akhipha inani elincane le-progestin hormone ebizwa ngokuthi i-levonorgestrel esibelethweni, evimbela isidoda ekufinyeleleni nasekuvundiseni iqanda. La ma-IUD angahlala noma kuphi kusukela eminyakeni emithathu kuya kweyisikhombisa.



Omunye wemikhiqizo ye-IUD ejwayelekile kakhulu yiMirena, eyenziwe yiBayer. IMirena ivimbela ukukhulelwa kuze kube yiminyaka emihlanu kodwa ingahlala isebenza kuze kube yiminyaka eyisikhombisa.

Izindleko zeMirena ziyahlukahluka, kepha iBayer isanda kubika ukuthi abesifazane abangama-95% bahlanganiswe ngezindleko ezincane ezingakhokhiswa ephaketheni. Intengo yohlu lweMirena ingu- $ 953.51, ephuma cishe ku- $ 15 ngenyanga ngaphezulu kweminyaka emihlanu. Uma umshwalense wakho ungawufihli, kukhona Amakhuphoni kaMirena iyatholakala.

Eminye imikhiqizo ejwayelekile ifaka phakathi USkyla , I-Liletta , futhi UKyleena . Umkhiqizo ngamunye we-IUD wehomoni uhlukile, ngakho-ke qiniseka ukuthi uthintana ne-OB-GYN yakho ekufanele.



OKUSHIWO: Yini uMirena? | Yini uSkyla? | Yini iLiletta? | Uyini uKyleena?

Yini imiphumela emibi ye-IUD?

Kokubili ama-IUD ama-hormonal nethusi enza okungaphezulu kakhulu kokuvimbela ukukhulelwa. Isibonelo, uMirena welapha ukopha okukhulu, okusiza labo ababhekana nobuhlungu obuhlobene ne-endometriosis. IParaGard, i-IUD yethusi, iyasetshenziswa futhi njengezindlela zokuvimbela inzalo eziphuthumayo ngoba iqala ukusebenza ngokushesha.

Imiphumela emibi yezinhlobo zesilinganiso se-intrauterine, njenge-Mirena IUD, imvamisa ayinamandla kangako kunaleyo ebonwa ngezindlela zokuvimbela inzalo ngomlomo, ngokusho kukaDkt Madison.



Ngenkathi ama-IUD esebenza ngempumelelo engama-99%, kunemiphumela emibi ejwayelekile okufanele uyiqaphele, kufaka phakathi:

  • Ukuqaqamba nobuhlungu beqolo ngemuva kokubekwa
  • Ukopha okungahambi kahle nokubona ngesikhathi sokuya esikhathini
  • Isikhathi esingajwayelekile, esingaba lula noma sime
  • Ama-cysts ama-ovari, avame ukunyamalala
  • Ukopha okukhulu kokuya esikhathini noma izinkathi ezinde ngama-IUD wethusi

Imiphumela emibi kodwa emibi ye-IUD ingafaka okulandelayo:



  • Ingozi engaba khona yokutheleleka kwe-pelvic kungakapheli izinsuku ezingama-20 ngemuva kokufakwa
  • IUD ingahle ishelele noma ihambe futhi kuzodingeka ukuthi ikhishwe uchwepheshe
  • Ukuxoshwa kwedivayisi esibelethweni

Imiphumela emibi ye-Mirena

Imiphumela emibi engaba khona yama-IUD iyahlukahluka kuye ngesiguli kuya kwesiguli, nangohlobo lwe-IUD olusetshenzisiwe. I-Mirena IUD ingaba nemiphumela engeziwe, esekwe kuma-hormone efana nale:

  • Ukuphathwa ikhanda
  • Izinduna
  • Ubumnene besifuba
  • Ukushintsha kwemizwelo
  • Isicanucanu
  • Ukukhathala

Njengoba iMirena namanye ama-IUDs asebenzisa ama-hormone asebenzisa i-progestin hormone esikhundleni se-estrogen, ezinye iziguli zingase zithole ukukhuluphala noma ukwehla kwezinwele ngenxa yamazinga aphansi e-estrogen. Ukuzuza kwesisindo seMirena nokulahleka kwezinwele akuvamile futhi kungahle kuhlobane nezinye izindaba zezempilo, njengokucindezeleka noma ezinye izifo.



Izinzuzo zokusebenzisa le mikhiqizo esebenza kahle kakhulu futhi esebenza isikhathi eside zidlula ingozi yokuba nemiphumela engemihle engaba khona, kusho uDkt Madison, kodwa qiniseka ukuthi uthintana nodokotela wakho ukuthola ukuthi ngabe i-IUD iyona ndlela ekufanele yini.

Ukuzuza kwesisindo se-IUD

Iningi labasebenzisi be-IUD alitholi ukuzuza kwesisindo. Ama-IUD wethusi, angawona ama-hormonal awabangeli ukuzuza kwesisindo, kanti cishe iziguli ezingama-5% ezisebenzisa ama-IUDs ama-hormonal zibika ukuzuza kwesisindo. Njengoba iMirena iyi-IUD yehomoni, ukuzuza kwesisindo sikaMirena kungenzeka, uma kungenzeki.



Umbono wokuzuza kwesisindo kule mikhiqizo ucatshangwa kabanzi kepha awuzange ufakazelwe, kusho uDkt Madison. Kwakungekho mehluko esisindweni somzimba noma ekubunjweni okubonwe phakathi kwemikhiqizo ye- [IUD] ngemuva kwezinyanga eziyi-12 zokusetshenziswa okuqhubekayo. Ngenkathi ungahle ube nokuzuza kwesisindo ngemuva kokuthola i-IUD yakho, kufanele yehle.

Ukuzuza kwesisindo kungenzeka ngama-IUDs we-hormonal ngenxa yehomoni, i-progestin, esetshenzisiwe. Noma yikuphi ukuzuza kwesisindo se-IUD kungenzeka ukuthi kungabi ukwanda kwamafutha omzimba, kepha esikhundleni salokho ukwanda kokugcinwa kwamanzi. I-hormone progestin ingakhuphula ukugcinwa kwamanzi okubangela ukuqunjelwa, imvamisa kungeza cishe amakhilogremu amahlanu. Inani lesisindo elizuziwe lizohluka kuye ngesiguli, kepha noma yikuphi ukugcinwa kwamanzi kungenzeka kwehle ezinyangeni ezintathu ngemuva kokufakwa.

Kubalulekile ukwazi ukuthi ukuthola noma yisiphi isisindo ngemuva kokufakwa kungenzeka ngenxa yendlela yokuphila yesiguli ngokungafani ne-IUD uqobo. UMnoma yibaphi abesifazane baseMelika ngokwemvelo bathola amakhilogremu amabili unyaka nonyaka, ahlobene ngokuphelele nanoma iziphi izinto zokuvimbela inzalo zamahomoni, ngokusho Imithi Yale .

Cabanga ukwenza ushintsho oluthile lokuphila ukuze ugweme ukuzuza kwesisindo ngemuva kokuthola i-IUD. Ukuzivocavoca umzimba njalo, ukudla okunempilo, nazo zonke ezinye izindlela ezijwayelekile zokwehlisa isisindo kufanele kunciphise amathuba okushintsha kwesisindo ngemuva kokuthola i-IUD.

Uma ukuqunjelwa kungapheli ezinyangeni ezintathu ngemuva kokufakwa, cabanga ukukhuluma nochwepheshe wezokunakekelwa kwempilo mayelana nezinye izinketho. Ama-IUD wethusi, njengeParagard, awakaxhunyaniswa nokuzuza kwesisindo se-IUD, okwenza kube okunye okuhle.

Yikuphi ukulawula inzalo okungabangeli ukuzuza kwesisindo?

Uma i-IUD ikhombisa ukuthi akuyona indlela engcono kakhulu yokulawula ukubeletha, kunezinye izindlela eziningi zokuvimbela inzalo okufanele uzicabangele. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nokuthi yini ezokusebenzela kangcono. Ezinye izinketho ezivamile zokulawulwa kokuzalwa zifaka:

  • Amaphilisi okuvimbela inzalo
  • Isiqephu seXulane
  • Ukuhlolwa Kwedepho , noma eminye imijovo yokulawula inzalo
  • Ukufakwa kokuvimbela inzalo, njenge I-Nexplanon
  • Amasongo esitho sangasese sowesifazane, njenge NuvaRing

Izindlela zokulawula ukubeletha kweHormonal zithola idumela elibi lokubanga ukuzuza kwesisindo. Noma yikuphi ukuzuza kwesisindo okubikiwe ngenkathi uthatha ukulawulwa kokubeletha kungenzeka kungokwemvelo, njengokuguga noma imetabolism yakho yehlise ijubane.

Yindlela eyodwa kuphela yokulawulwa kokuzalwa exhunywe kuyo ukuzuza kwesisindo , futhi lowo ngumjovo iDepo-Provera. Uma ufuna ukugwema ukuzuza kwesisindo, hlala kude nanoma iyiphi indlela yokuvimbela inzalo. Le mijovo ikhonjisiwe ukwenza kusebenze amasiginali alawula indlala, okuholela ekutholeni isisindo kwezinye iziguli.

Njengoba ubheka ezinye izinketho zokulawulwa kokuzalwa, khumbula ukuthi abanye, njengephilisi, imijovo, isichibi, nezindandatho zesitho sangasese sowesifazane, banamazinga okwehluleka minyaka yonke ayi-10% ngenxa yephutha lomuntu.

Ukukhetha umkhiqizo omuhle kakhulu wokuvimbela inzalo kukhethwe kakhulu, kusho uDkt Madison, ngakho-ke qiniseka ukuthi ukhuluma ngokukhululekile nangokwethembeka nodokotela wakho wezifo zabesifazane mayelana nokuthi iyiphi indlela yokulawula inzalo ekufanele.

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