Amadivayisi we-intrauterine (IUD)

Idivayisi ye-intrauterine (IUD) iyithuluzi elincane elenziwe ngo-T elisetshenziselwe ukulawula inzalo. Ifakwa esibelethweni lapho ihlala khona ukuvimbela ukukhulelwa.

I-IUD ivame ukufakwa ngumhlinzeki wakho wezokunakekelwa kwempilo ngesikhathi sakho senyanga. Noma yiluphi uhlobo lungafakwa ngokushesha futhi kalula ehhovisi lomhlinzeki noma emtholampilo. Ngaphambi kokubeka i-IUD, umhlinzeki ugeza umlomo wesibeletho ngesisombululo samagciwane. Ngemuva kwalokhu, umhlinzeki:

• Islayida ithubhu lepulasitiki eliqukethe i-IUD ngesitho sangasese kanye nasesibelethweni.
• Ucindezela i-IUD esibelethweni ngosizo lwe-plunger.
• Isusa ithubhu, ishiye imicu emibili emincane elenga ngaphandle komlomo wesibeletho ngaphakathi esithweni sangasese.

Intambo inezinhloso ezimbili:

• Bavumela umhlinzeki noma owesifazane ahlole ukuthi i-IUD ihlala kahle endaweni.
• Zisetshenziselwa ukukhipha i-IUD esibelethweni uma sekuyisikhathi sokuyisusa. Lokhu kufanele kwenziwe kuphela ngumhlinzeki.

Le nqubo ingadala ukungaphatheki kahle nobuhlungu, kepha akubona bonke abesifazane abanemiphumela efanayo efanayo. Ngesikhathi sokufakwa, ungazizwa:

• Ubuhlungu obuncane nokungahambi kahle okuthile
• Ukuqunjelwa nobuhlungu
• Enesiyezi noma enekhanda elikhanyayo

Abanye besifazane banamajaqamba namaqolo emuva kosuku olungu-1 kuya kwezi-2 ngemuva kokufakwa. Okunye kungahle kube namajaqamba namaqakala amasonto noma izinyanga. Ukudambisa izinhlungu zasesitolo kungakunciphisa ukungakhululeki.

Ama-IUD angukukhetha okuhle kakhulu uma ufuna:

• Indlela yesikhathi eside futhi esebenzayo yokulawula inzalo
• Ukugwema izingozi nemiphumela engemihle yamahomoni ezokuvimbela inzalo

Kepha kufanele ufunde kabanzi ngama-IUDs lapho unquma ukuthi ufuna ukuthola i-IUD.

I-IUD ingavimbela ukukhulelwa iminyaka emithathu kuya kwengu-10. Ngokuqondile ukuthi i-IUD izovimbela isikhathi esingakanani ukukhulelwa kuya ngohlobo lwe-IUD oyisebenzisayo.

Ama-IUD nawo angasetshenziswa njengendlela yokuvimbela inzalo ephuthumayo. Kumele ifakwe zingakapheli izinsuku ezinhlanu emva kokuya ocansini olungaphephile.

Uhlobo olusha lwe-IUD olubizwa ngeMirena lukhipha isilinganiso esincane sehomoni esibelethweni usuku ngalunye isikhathi seminyaka emi-3 kuye kwemihlanu. Lokhu kwandisa ukusebenza kwedivayisi njengendlela yokulawula ukuzalwa. Futhi kunezinzuzo ezingeziwe zokunciphisa noma ukumisa ukuhamba kokuya esikhathini. Kungasiza ukuvikela umdlavuza (umdlavuza we-endometrial) kwabesifazane abasengozini yokuthola lesi sifo.

Yize kungavamile, ama-IUD anezingozi ezithile, njenge:

• Kukhona amathuba amancane okukhulelwa ngenkathi usebenzisa i-IUD. Uma ukhulelwa, umhlinzeki wakho angasusa i-IUD ukunciphisa ubungozi bokukhulelwa kwesisu noma ezinye izinkinga.
• Ingozi ephezulu yokukhulelwa kwe-ectopic, kepha kuphela uma ukhulelwa ngenkathi usebenzisa i-IUD. Ukukhulelwa nge-ectopic yilokho okwenzeka ngaphandle kwesibeletho. Kungaba sína, futhi kusongele nokuphila.
• I-IUD ingangena odongeni lwesibeletho futhi idinga ukuhlinzwa ukuze isuswe.

Khuluma nomhlinzeki wakho mayelana nokuthi i-IUD iyisinqumo esihle yini kuwe. Buza nomhlinzeki wakho:

• Ongakulindela ngesikhathi senqubo
• Kungaba yini ubungozi bakho
• Okufanele ukubuke ngemuva kwenqubo

Ngokwengxenye enkulu, i-IUD ingafakwa nganoma yisiphi isikhathi:

• Ngemuva nje kokubeletha
• Ngemuva kokukhulelwa kwesisu okukhethiwe noma okuzenzekelayo

Uma unesifo, AKUFANELE ufakwe i-IUD.

Umhlinzeki wakho angakweluleka ukuthi uthathe i-painkiller yokuthenga ngaphambi kokufaka i-IUD. Uma uzwela ebuhlungwini besisu sakho noma emlonyeni wesibeletho, cela umuthi wokubulala izinzwa wasendaweni ukuthi usetshenziswe ngaphambi kokuba kuqale inqubo.

Ungahle ufune ukuthi othile akuhambise ekhaya ngemuva kwenqubo. Abanye besifazane bane-cramping emnene, iqolo eliphansi, nokubona izinsuku ezimbalwa.

Uma une-IUD ekhipha i-progestin, kuthatha cishe izinsuku eziyi-7 ukuthi iqale ukusebenza. Awudingi ukulinda ukuya ocansini. Kepha kufanele usebenzise indlela eyisipele yokulawula ukubeletha, njengekhondomu, ngesonto lokuqala.

Umhlinzeki wakho uzofuna ukukubona emasontweni amabili kuya kwayi-4 ngemuva kwenqubo ukuze uqiniseke ukuthi i-IUD isekhona. Cela umhlinzeki wakho akukhombise ukuthi ungahlola kanjani ukuthi i-IUD isekhona, nokuthi kufanele uyihlole kangaki.

Ezimweni ezingavamile, i-IUD ingashelela ingxenye noma yonke indlela ephuma esibelethweni sakho. Lokhu kuvame ukubonwa ngemuva kokukhulelwa. Uma lokhu kwenzeka, xhumana nomhlinzeki wakho khona manjalo. UNGAZAMI ukususa i-IUD evele njengengxenye yendlela yokuphuma noma eyekile endaweni yayo.

Shayela umhlinzeki wakho ngokushesha uma une:

• Izimpawu ezinjengomkhuhlane
• Imfiva
• Amakhaza
• Amajaqamba
• Ubuhlungu, ukopha, noma uketshezi oluvuza esithweni sakho sangasese

UMirena; IParaGard; IUS; Uhlelo lwe-Intrauterine; I-LNG-IUS; Ukuvimbela inzalo - IUD

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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.