Konke odinga ukukwazi ngeNexplanon, ukufakelwa kokulawulwa kokuzalwa

Imininingwane Yezidakamizwa

I-Nexplanon , okwaziwa nangokuthi ukufakwa kokulawulwa kokuzalwa, kungenye yezinhlobo ezisebenza kahle kakhulu zokuvimbela inzalo zamahomoni ezikhona njengamanje. Uma isendaweni efanele, ukufakelwa kokulawulwa kokuzalwa iphumelele ngama-99% ekuvikeleni ukukhulelwa kuze kube yiminyaka emine, ikwenza ukuthi kube ngempumelelo kakhulu kune- isichibi sokulawula inzalo , indandatho , noma umjovo . Futhi inokuzibophezela okuncane kune- idivayisi ye-intrauterine (IUD). Qhubeka ufunde ukuze ubone ukuthi kungaba yindlela enhle yini kuwe.

Yini iNexplanon?

INexplanon (etonogestrel) iyi- Kuvunyelwe i-FDA induku yepulasitiki encane, eguquguqukayo elingana nosayizi wokulinganisa ojwayelekile. Umhlinzeki wezokunakekelwa kwempilo uzotshala futhi asuse okufakile; uma usendaweni, ukufakelwa kuzohlala isikhathi eside phakathi kweminyaka emithathu kuya kwemihlanu (noma ngaphansi, uma uthatha isinqumo sokuthi ukhishwe). Le ndlela yokuvimbela inzalo — isisetshenziswa sokuvimbela inzalo esisebenza isikhathi eside (esaziwa nangokuthi i-LARC) —yisebenza ngokukhipha ngokuqinile i-progestin, etholakala ngehomoni yemvelo, emzimbeni wakho ukulawula umjikelezo wakho wokuya esikhathini, unciphise ulwelwesi lwesibeletho sakho, uvimbele ukuphuma kweqanda (ukukhishwa kweqanda elilungele ukukhuleliswa), bese uqandisa isikhwehlela somlomo wesibeletho ukuvimbela isidoda ekuvundiseni noma yimaphi amaqanda okungenzeka akhishwe kumaqanda akho.

INexplanon iyi-radiopaque, ngakho-ke ukufakelwa kwakho kuzovela kuma-X-ray, imaging resonance imaging (MRI), ukuskena kwe-ultrasound, nokuskena kwe-computed tomography (CT noma kwe-CAT), okusho ukuthi umhlinzeki wakho angasebenzisa i-X-ray noma i-ultrasound ukubona ukuthi ukufakelwa kwakho kusendaweni efanele.

Izimila zokulawulwa kokuzalwa bezitholakala e-United States kusukela ngo-1998, lapho abakwa-Wyeth Pharmaceuticals bekhipha iNorplant. UNorplant ukhishwe emakethe ngo 2002 futhi kwafakwa i- Implanon , esibuyekeziwe futhi saqanjwa kabusha ngokuthi yiNexplanon, okwenza kwaba ngenye yezindlela ezintsha zokulawulwa kokuzalwa emakethe. Njenge-Implanon, i-Nexplanon iyi-single-rod subdermal implant, kepha iyi-radiopaque — okusho ukuthi kulula ukufaka, ukubona ngeso lengqondo, nokususa kunokuphindaphindwa kwangaphambilini kokufakwa kokulawulwa kokuzalwa.

Ifakwa kanjani iNexplanon?

I- inqubo yokufaka i-Nexplanon (eyaziwa nangokuthi i-etonogestrel implant) ilula kakhulu, iqondile, futhi ayinabuhlungu. Kubhekwa njengenqubo encane, kepha umhlinzeki wakho wezokunakekelwa kwempilo angakwenza ehhovisi labo, futhi kudinga kuphela ukubulala izinzwa kwasendaweni.

Ngemuva kokuyihlanza kahle le ndawo ngesibulali magciwane, umhlinzeki wakho uzongenisa indawo yengalo yakho engenhla lapho ezofaka khona ukufakelwa . Uma usuphelelwe amandla, umhlinzeki wakho uzosebenzisa isicelo esikhethekile ukufaka okufakelwe ngaphansi kwesikhumba engalweni yakho ephezulu. Inqubo yokufaka okutshalwayo ithatha kuphela imizuzu embalwa, futhi ngenkathi ungazizwa uncinwa kancane noma umuzwa ohlabayo lapho ukufakelwa kungena, akufanele kube buhlungu kakhulu.

Udokotela uzoqinisekisa ukuthi ifakwe kahle ngaphambi kokukuthumela ekhaya. Uzodinga ukugqoka i- ingcindezi yebhandeshi esizeni sokutshala amahora angama-24 alandelayo, bese kuba nebhandishi elijwayelekile izinsuku ezimbalwa. Ngalesi sikhathi, uzodinga ukugwema ukuphakamisa okunzima noma ukuzivocavoca umzimba ukuze uvimbele ukuphazanyiswa kokuphulukiswa kwesiza sokufakelwa.

Abanye abahlinzeki bezokunakekelwa kwezempilo bazohlela kuphela ukufakwa kwakho phakathi nezinsuku ezinhlanu zokuqala zesikhathi sakho; uma kunjalo, iNexplanon izohlinzeka ngokulawulwa kokuzalwa ngokushesha. Uma ungakutholi ukufakwa kokulawulwa kokubeletha phakathi nezinsuku ezinhlanu zokuqala zesikhathi sakho, kufanele usebenzise isilinganiso sesibili sokulawula ukubeletha, njengamakhondomu angaphandle, ngesonto lokuqala ngemuva kokufakwa. Umhlinzeki wakho wezokunakekelwa kwempilo kufanele akudinge ukuthi wenze ukuhlolwa kokukhulelwa ngaphambi kwesikhathi.

Uma ukufakwa kokulawulwa kokuzalwa kwakho kufakiwe, kufanele ukwazi ukuzwa ngaphansi kwesikhumba sakho. Lokhu kwenzelwa ukuqinisekisa ukuthi umhlinzeki wakho wezokunakekelwa kwempilo uzokwazi ukukuthola ngokuhamba kwesikhathi lapho kufanele asuswe. Uma ungakwazi ukuwuzwa, kungenzeka ukuthi awusebenzi kahle, futhi ungakhulelwa. Uma ungakwazi ukuzwa ukufakelwa kwakho, khuluma nomhlinzeki wakho. Ukufakwa okujulile kungenza futhi inqubo eyinkimbinkimbi yokususa.

Isuswa kanjani?

Ngenkathi isikhathi sokufakwa kokulawulwa kokuzalwa kweNexplanon kuyiminyaka emithathu kuya kwemihlanu, ungadinga ukukukhipha ngokushesha — ngokwesibonelo, uma uzama ukukhulelwa, noma uma uthatha isinqumo sokuthi imiphumela emibi ayizidluli izinzuzo kokufakwa.

Njengokufakwa kwayo, inqubo yokususa inzalo ishesha, inobuhlungu obuncane noma ukungaphatheki kahle, futhi iqonde ngqo. Kodwa-ke, kuzothatha isikhathi esithe xaxa ukususa ukufaka kwakho kunalokho okwenzile ukuze kufakwe. Ukuze uyisuse, umhlinzeki wakho wezokunakekelwa kwempilo uzonqenqemisa ingalo yakho engenhla futhi enze imbobo encane lapho kufakwa khona. Ngemuva kwalokho, esebenzisa amathuluzi akhethekile, uzokhipha induku encane engalweni yakho bese esebenzisa ama-steri-strips noma ama-suture ukuvala indawo yokusika. Kuleli qophelo, ungafaka okunye ukufakelwa ngokushesha uma ufisa ukuqhubeka usebenzisa i-Nexplanon njengendlela yakho eyinhloko yokulawula ukubeletha.

Lapho nje ukufakelwa kwakho kokuvimbela inzalo kuphumile, ungahle ube nobuhlungu noma ulimale eduze kwesiza sokusikwa. Qiniseka ukuthi ulandela imiyalo umhlinzeki wakho wokunakekelwa kwezempilo akunikeza yona yokuwasha nokunakekela indawo ukuze ugweme ukutheleleka noma isibazi. Kuzofanele weqe izinsimbi ezisindayo futhi ukuze uqiniseke ukuthi awuphazamisi inqubo yokuphulukisa.

Ngemuva kokufakwa kokufakwa, uzokwazi ukukhulelwa ngokushesha. Uma ungazami ukukhulelwa, uzodinga ukuthola okunye ukufakelwa noma usebenzise indlela ehlukile yokulawula ukubeletha.

Isebenza kanjani iNexplanon?

Ukufakwa kwe-Nexplanon kungaphezu kwama-99% ngempumelelo ekuvimbeleni ukukhulelwa lapho kufakwa kahle, okwenza kube enye yezindlela ezingcono kakhulu zokuvimbela ukukhulelwa kwabantu abakhetha ukusebenzisa ukulawulwa kokuzalwa kwamahomoni. Futhi kuyisinqumo esihle kunoma ngubani ozwela nge-estrogen, ngoba iNexplanon ithembele ku-progestin ukuvimbela ukukhulelwa.

Yize ukufakelwa kungasetshenziswa kabanzi njengephilisi, kusebenza kakhulu futhi kuphephe ngendlela efanayo. Ngoba kuyindlela yokuthola nokuzala, amathuba okuphutha komsebenzisi — njengokukhohlwa ukuthatha iphilisi lakho lokulawula ukubeletha nsuku zonke, ukushintsha isichibi sakho masonto onke, noma ukushintsha iNuvaRing yakho njalo emavikini amathathu — kuyasuswa.

Yiziphi izinzuzo zeNexplanon?

Yize imiphumela emibi nezingozi kungafanele kwehliswe, kunezinzuzo eziningi kule ndlela yokulawulwa kokuzalwa. Kuyimfihlo ngokuphelele; nguwe kuphela nomhlinzeki wakho okudingeka nazi ukufakelwa kukhona. Akudingekile ukuyeka ukuya ocansini ukuze uthole amakhondomu (noma kunjalo, amakhondomu kufanele asetshenziselwe ukuvikela izifo zocansi). Awudingi ukuthatha imithi nsuku zonke. Futhi asikho isidingo sokulandela ithrekhi yesilinganiso somthamo — ungasithola futhi usikhohlwe kuze kube yiminyaka emihlanu kuya kwemithathu, kuya ngokuthi umhlinzeki wakho ukweluleka kanjani.

Uma ukufakwa kususiwe, ungakhulelwa khona lapho. Futhi kuyindlela ephephile ye- ukuncelisa ibele abesifazane abafuna inzalo esebenzayo kakhulu; empeleni, uma uthatha inzalo nhlobo ngenkathi uncelisa, umuthi wokuvimbela inzalo we-progestin kuphela ukubheja kwakho okuphephe kakhulu. Ungathola ukufakwa kokulawulwa kokuzalwa emasontweni amane ngemuva kokubeletha. Ngeke futhi kushintshe ukuthi ukhiqiza ubisi lwebele olungakanani.

Yimiphi imiphumela emibi ejwayelekile yeNexplanon?

Iningi labantu abasebenzisa i-Nexplanon ababoni isikhathi eside okuqhamuka uma udla imishanguzo , kanye nemiphumela emibi eminingi iyaphela ngemuva kwezinyanga ezintathu kuya kweziyisithupha njengoba umzimba wakho ulungela ukufakwa. Kodwa-ke, uzofuna ukubheka ukuthi ngabe ubungozi bale miphumela engemihle bayamukeleka yini kuwe:

• Izinguquko esikhathini sakho sokuya esikhathini, kufaka phakathi ukubona, ukuphuma kwegazi okunzima noma okungajwayelekile, noma ukungabikho kwezikhathi nhlobo
• Ubuhlungu, ukulimaza, ukutheleleka, noma ukusikeka endaweni yokufaka
• Ukushintsha kwemizwelo noma ezinye izinguquko, njengokukhathazeka noma ukudangala Izinduna
• Ukusabela okweqile kwendawo
• Izinguquko ekudleni
• Ukuncipha kwezinwele noma ukulahleka
• Ukuphathwa ikhanda
• Ukuzuza kwesisindo

Ziyini izingozi zokufakwa kokulawulwa kokuzalwa?

Umhlinzeki wakho wezokunakekelwa kwempilo uzokunikeza imininingwane ngezingozi ezingaba khona zokusebenzisa i-Nexplanon njengendlela yokulawula ukubeletha, okubandakanya:

• Ukufakwa okwaphukile noma okugoqiwe
• Izinkinga ngokufaka noma ukukhipha okufakile okungadinga ukuhlinzwa
• Lesi sitshalo singahamba ngaphansi kwesikhumba noma siphume sodwa. Uma lokhu kwenzeka, xhumana nomhlinzeki wakho ngokushesha.
• Amahlule egazi, njenge-vein thrombosis ejulile, i-pulmonary embolism, isifo sohlangothi, noma isifo senhliziyo
• Izinkinga ze-gallbladder
• Umfutho wegazi ophezulu
• Izicubu zesibindi ezinomdlavuza noma ezingenasifo
• Ukukhulelwa kwe-Ectopic

Kukonke, zonke izinhlobo zokulawulwa kokubeletha ziphephe kunokukhulelwa okungahlosiwe.

Ubani okungafanele athole iNexplanon?

Kunezingozi ezithile eziphawulekayo, ezisongela ukuphila ezihilelekile ngokusebenzisa ukufakelwa kolawulo lokuzalwa okufanele uxoxe ngalo nomhlinzeki wakho wezokunakekelwa kwempilo ngaphambi kokukhetha ukufakelwa. Ngokuya ngemininingwane yayo enqumayo, akufanele usebenzise i-Nexplanon uma unalezi zinto eziyingozi ezilandelayo:

• Ukhulelwe noma ucabanga ukuthi kungenzeka ukhulelwe
• Yiba namahlule egazi nomaphi emzimbeni wakho
• Unesifo sesibindi, izicubu noma umdlavuza
• Thola ukopha okungaphandle kokuya esikhathini kowesifazane
• Uthole noma unomdlavuza manje, ikakhulukazi umdlavuza webele (ithusi le-IUD kungaba yindlela engcono)
• Ingabe iguliswa ukufakelwa kwe-Nexplanon
• Bafuna ukulawulwa kokuzalwa okuhlinzeka ngokuvikelwa ezifweni ezithathelwana ngocansi

Okunye ukuphikisana okufanele kubhekwe kufaka phakathi:

• Umlando wokuphazamiseka kwemizwelo
• Ukungezwani komzimba ne-anesthetics
• Isifo sikashukela
• Umfutho wegazi ophezulu
• I-cholesterol ephezulu noma i-triglycerides
• Migraine nge-aura
• Izinkinga zezinso noma ze-gallbladder

Ungakuthola kanjani ukufakelwa kokulawulwa kokuzalwa kweNexplanon

Kufanele uthole i-Nexplanon kudokotela, udokotela wezifo zabesifazane, noma umhlengikazi ojwayelene nenqubo yokufaka noma ukukhipha okufakwa ngaphakathi. INexplanon ayitholakali ngamakhemisi endabuko afana nezinhlobo eziningi zokulawulwa kokubeletha.

Khuluma nochwepheshe wezokunakekelwa kwezempilo ukuze uqiniseke ukuthi iNexplanon iyindlela engcono kakhulu yokulawula ukuzalwa kwakho, ukhumbula imiphumela emibi nezingozi ezihilelekile. Izindleko zenqubo (okubandakanya ukufakelwa) zingahle zisuke ku- $ 0 ziye ku- $ 1,300, kuya ngokutholakala kwakho komshuwalense. Ukususwa kokufakwa kungabiza kuze kufike ku- $ 300. Okwakho umshuwalense ingahlanganisa inqubo kanye nokufakelwa uqobo, kepha hlola kuqala; kuvame ukubhekwa njengenzuzo yokwelashwa. Imishwalense eminingi imboza ukufakwa kweNexplanon, ukufakwa kwayo, nokususwa kwayo. Uma umshwalense wakho ungawukhokheli, ungaxhumana nohlelo lweCoverHer ku nwlc.org/coverher ukuthola usizo.

Ungahle ukwazi ukuthola iNexplanon mahhala noma ngezinga elehlisiwe ngokuqinisekile izikhungo zezempilo . Ekugcineni, ukufakelwa kokulawulwa kokubeletha kungabiza noma kubize kakhulu kunalokho ozokukhokhela ezinye izindlela zokulawula ukubeletha ngokuhamba kwesikhathi, kuya ngomshuwalense wakho. Ungasebenzisa futhi i-SingleCare ukuthola izaphulelo ku- I-Nexplanon kwamanye amakhemisi akhethekile. Uzothola izephulelo zeSingleCare zezinye izindlela zokulawula ukuzalwa, njenge NuvaRing , isichibi iXulane, the Ukudutshulwa kweDepot-Provera , inhlanganisela yokulawula iphilisi , kanye ne- iminipill .