Ukuthatha isinqumo nge-IUD

I-intrauterine device (IUD) iyinsimbi encane, epulasitiki, emise okwe-T esetshenziselwa ukulawula inzalo. Ifakwa esibelethweni lapho ihlala khona ukuvimbela ukukhulelwa.

Ukuvimbela inzalo - IUD; Ukulawulwa kokuzalwa - IUD; I-intrauterine - ukunquma; Mirena - ukunquma; IParaGard - ithatha isinqumo

Unokukhetha ukuthi hlobo luni lwe-IUD okufanele ube nalo. Khuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nokuthi yiluphi uhlobo olungakulungela kakhulu.

Ama-IUD akhipha ithusi:

• Qala ukusebenza ngokushesha ngemuva kokufakwa.
• Sebenza ngokukhulula ion zethusi. Lezi zinobuthi esidodeni. Umumo we-T ubuye uvimbe isidoda futhi usigcine singafinyeleli eqandeni.
• Ungahlala esibelethweni kuze kube yiminyaka eyi-10.
• Ingasetshenziselwa ukuvimbela ukukhulelwa okuphuthumayo.

I-Progestin-ikhipha ama-IUD:

• Qala ukusebenza kungakapheli izinsuku eziyi-7 ngemuva kokufakwa.
• Sebenza ngokukhipha i-progestin. I-Progestin yi-hormone esetshenziswa ezinhlotsheni eziningi zamaphilisi okulawula ukubeletha. Kuvimbela amaqanda ekukhululweni kweqanda.
• Yiba no-T-shape obuye uvimbe isidoda futhi ugcine isidoda singafiki eqandeni.
• Ungahlala esibelethweni iminyaka emi-3 kuya kwengu-5. Kuze kube nini kuncike kumkhiqizo. Kunemikhiqizo emi-2 etholakala e-United States: i-Skyla neMirena. I-Mirena nayo ingaphatha ukuphuma kwegazi okunzima nokunciphisa amajaqamba.

Zombili lezi zinhlobo zama-IUD zivimbela isidoda ekuvundiseni iqanda.

Ama-IUD akhipha iprogestin nawo asebenza ngo:

• Ukwenza amafinyila azungeze umlomo wesibeletho abe mkhulu, okwenza kube nzima ukuthi isidoda singene ngaphakathi kwesibeletho bese sivundisa iqanda
• Ukuncipha ulwelwesi lwesibeletho, okwenza kube nzima ngeqanda elikhulelisiwe ukunamathisela

Ama-IUD anezinzuzo ezithile.

• Zisebenza ngempumelelo engaphezu kwama-99% ekuvimbeleni ukukhulelwa.
• Awudingi ukucabanga ngokulawulwa kokuzalwa njalo uma uya ocansini.
• I-IUD eyodwa ingahlala iminyaka emi-3 kuye kwengu-10. Lokhu kuyenza ibe enye yezindlela ezishibhile kakhulu zokulawulwa kokuzalwa.
• Uba ovundile futhi cishe ngokushesha ngemuva kokususwa kwe-IUD.
• Ama-IUD akhipha ithusi awanayo imiphumela emibi yehomoni futhi angasiza ekuvikeleni umdlavuza wesibeletho (endometrium).
• Zombili lezi zinhlobo zama-IUD zinganciphisa amathuba okuba nomdlavuza womlomo wesibeletho.

Kukhona futhi ukwehla.

• Ama-IUD awavimbeli izifo ezithathelwana ngocansi (STDs). Ukugwema ama-STD udinga ukuthi uyeke ukuya ocansini, ube ebudlelwaneni bokuthandana nomuntu oyedwa, noma usebenzise amakhondomu.
• Umhlinzeki udinga ukufaka noma ukususa i-IUD.
• Yize kungavamile, i-IUD ingaphuma endaweni yayo futhi idinga ukususwa.
• Ama-IUD akhipha ithusi angadala amajaqamba, isikhathi esinde nesisindayo sokuya esikhathini, nokubona phakathi kwezikhathi.
• Ama-IUDs akhipha i-progestin angadala ukopha ngokungajwayelekile nokubona ezinyangeni ezimbalwa zokuqala.
• Ama-IUD angandisa ingozi yokukhulelwa kwe-ectopic. Kepha abesifazane abasebenzisa ama-IUD banengozi ephansi kakhulu yokukhulelwa.
• Ezinye izinhlobo zama-IUDs zingakhuphula ubungozi bama-cysts ama-ovarian anobungozi. Kepha ama-cysts anjalo awazibangeli izimpawu futhi ajwayele ukuzixazulula ngokwawo.

Ama-IUD awabonakali ekwandiseni ubungozi bokutheleleka kwezitho zangasese. Futhi akuthinti ukuzala noma kwandise ubungozi bokuzala. Lapho nje i-IUD isusiwe, inzalo iyabuyiselwa.

Ungahle uthande ukubheka i-IUD uma:

• Ufuna noma udinga ukugwema ubungozi bamahomoni wokuvimbela inzalo
• Ayikwazi ukuthatha izinto zokuvimbela inzalo zamahomoni
• Yiba nokugeleza okunzima kokuya esikhathini futhi ufune izikhathi ezilula (i-hormonal IUD kuphela)

Akufanele ucabangele i-IUD uma:

• Basengozini enkulu yama-STD
• Yiba nomlando wamanje noma wakamuva wokutheleleka kwe-pelvic
• Bakhulelwe
• Yiba nokuhlolwa okungajwayelekile kwePap
• Unomdlavuza womlomo wesibeletho noma wesibeletho
• Yiba nesibeletho esikhulu kakhulu noma esincane kakhulu

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UHarper DM, uWilfling LE, uBlanner CF. Ukuvimbela inzalo. Ku: Rakel RE, Rakel DP, ama-eds. Incwadi Yezokwelapha Yomndeni. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2016: isahluko 26.

UJatlaoui TC, uRiley HEM, uC Curtis KM. Ukuphepha kwamadivayisi we-intrauterine phakathi kwabesifazane abasebasha: ukubuyekezwa okuhlelekile. Ukuvimbela inzalo. I-2017; 95 (1): 17-39 PMID: 27771475 www.ncbi.nlm.nih.gov/pubmed/ 27771475.

UJatlaoui T, uBurstein GR. Ukuvimbela inzalo. Ku: Kliegman RM, Stanton BF, St Geme JW, Schor NF, ama-eds. Incwadi kaNelson Yezingane. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2016: isahluko 117.

URivlin K, Westhoff C. Ukuhlela umndeni. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 13.

• Ukulawulwa Kokuzalwa