Uhlelo lwe-Levonorgestrel Intrauterine

-Delile

• Ngaphambi kokufakwa kwesistimu ye-levonorgestrel intrauterine,
• I-Levonorgestrel intrauterine system ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yiziphi zalezi zimpawu noma lezo ezishiwo esigabeni SOKUQAPHA OKUKHETHEKILE, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

I-Levonorgestrel intrauterine system (Liletta, Mirena, Skyla) isetshenziselwa ukuvimbela ukukhulelwa. Uhlelo lweMirena brand intrauterine system lusetshenziselwa ukwelapha ukopha okunzima kokuya esikhathini kwabesifazane abafuna ukusebenzisa uhlelo lwangaphakathi lokuvikela ukukhulelwa. I-Levonorgestrel isesigabeni semithi ebizwa nge-contraceptives ye-hormonal. I-Levonorgestrel intrauterine system isebenza ngokuncipha ulwelwesi lwesibeletho (isibeletho) ukuvimbela ukukhulelwa ukuthi kungakhuli, ukuqina kwesikhumba emgodini wesibeletho (ukungena esibelethweni) ukuvimbela isidoda ukuthi singene, nokuvimbela isidoda ukuba singanyakazi futhi sisinde esibelethweni. I-Levonorgestrel ingavimbela ukuvuthwa kweqanda (ukukhishwa kweqanda kuma-ovari) kwabanye besifazane. I-Levonorgestrel intrauterine system iyindlela ephumelelayo yokulawula ukubeletha kepha ayikuvimbeli ukusabalala kwengculazi nezinye izifo ezithathelwana ngocansi.

I-Levonorgestrel intrauterine system iyithuluzi elincane, eliguquguqukayo, elenziwe ngo-t elizofakwa esibelethweni ngumhlinzeki wezokunakekelwa kwempilo. Izinhlelo ze-Liletta ne-Mirena brand intrauterine system zingashiywa endaweni kuze kube yiminyaka eyi-6 ngemuva kokufakwa futhi uhlelo lwe-Skyla brand intrauterine system lungashiywa endaweni kuze kube yiminyaka emi-3 selufakiwe. Uma usafuna ukusebenzisa uhlelo lwe-intrauterine ukuvimbela ukukhulelwa ngemuva kokuthi lesi sikhathi sidlulile, umhlinzeki wakho wezokunakekelwa kwezempilo angafaka uhlelo olusha ngokushesha nje lapho uhlelo oludala lususiwe. Izinhlelo ze-intrauterine zingasuswa ngudokotela noma kunini lapho ufuna ukukhulelwa noma ufuna ukusebenzisa indlela ehlukile yokulawula ukubeletha. Uma uhlelo lwe-Mirena brand intrauterine system lusetshenziselwa ukwelapha ukuphuma kakhulu kokuya esikhathini, kungashiywa endaweni kuze kube yiminyaka emihlanu ngemuva kokufakwa.

Udokotela wakho uzokutshela isikhathi esihle kakhulu sokufakwa kwesistimu ye-levonorgestrel intrauterine. Ngokuya ngesikhathi, kungadingeka ukuthi usebenzise indlela yokulawula ukubeletha engeyona eyehomoni efana namakhondomu nokubulala isidoda izinsuku eziyi-7 ukuvimbela ukukhulelwa uma kwenzeka ukuya ocansini. Isistimu yakho ye-intrauterine ingafakwa ngokushesha ngemuva kokukhipha isisu okokuqala. Uma ngabe ubelethile, wakhipha isisu, noma wakhipha isisu se-trimester yesibili, uhlelo lwakho lwe-intrauterine akufanele lufakwe kuze kudlule okungenani amasonto ayisithupha futhi ukuhlolwa komzimba kukhombisa ukuthi isibeletho sakho sesilulekile ekukhulelweni.

Uzodinga ukuthi kufakwe uhlelo lwakho lwe-intrauterine ehhovisi lomhlinzeki wakho wezokunakekelwa kwempilo noma emtholampilo. Umhlinzeki wakho wezokunakekelwa kwempilo angakutshela ukuthi uthathe isiphunguli sezinhlungu ezingabhaliswa ngaphambi kokuqokwa kwakho ukuze usize ukwehlisa ukucinana phakathi nangemva kokubekwa. Ungathola ezinye zalezi zimpawu ngesikhathi nangemuva kokubekwa: ukujuluka, isikhumba esiphaphathekile, ukushaya kwenhliziyo okusheshayo, ukuquleka, isiyezi, ukuqunjelwa, nokopha. Tshela umhlinzeki wakho wezokunakekelwa kwempilo uma ukuqunjelwa kwakho kunzima noma uma lezi zimpawu zihlala isikhathi esingaphezu kwemizuzu engama-30. Umhlinzeki wakho wezokunakekelwa kwempilo uzokuhlola ukuze aqiniseke ukuthi uhlelo lwakho lubekwe kahle.

Shayela udokotela wakho uma uzwa ubuhlungu obukhulu phakathi namahora okuqala ambalwa ngemuva kokufakwa kwesistimu yakho ye-intrauterine. Lokhu kungaba uphawu lokutheleleka okungathi sína.

Umhlinzeki wakho wezokunakekelwa kwempilo uzobeka uhlelo lwakho lwe-intrauterine esibelethweni sakho, kepha uzoshiya imicu emibili ilenga emgodini wesibeletho sakho. Kufanele uhlole le micu kanye ngenyanga ukuze wazi ukuthi uhlelo lwakho lwe-intrauterine lusasebenza yini. Ukuhlola imicu, kufanele ugeze izandla zakho ngensipho namanzi. Ngemuva kwalokho, finyelela phezulu esihlokweni sakho sangasese ngeminwe ehlanzekile ukuzwa imicu. Uma ungakwazi ukuzwa imicu noma uma uzwa noma iyiphi ingxenye yohlelo lwe-intrauterine ngaphandle kwemicu, uhlelo lwakho lwe-intrauterine kungenzeka lungabi bikho futhi lungavimbela ukukhulelwa. Uma lokhu kwenzeka, shayela udokotela wakho bese usebenzisa indlela yokulawula ukubeletha engeyona eyehomoni efana namakhondomu kanye nokubulala isidoda ukuvimbela ukukhulelwa uze ubonwe ngudokotela wakho.

Uzodinga i-aphoyintimenti yokulandelela nomhlinzeki wakho wezokunakekelwa kwempilo emavikini angu-4-6 ngemuva kokuthi kufakwe uhlelo lwakho lwe-intrauterine ukuze uqiniseke ukuthi uhlelo lwakho lusendaweni efanele. Ngemuva kwalokhu kuqokwa, kuzodingeka uhlolwe kanye ngonyaka noma kaningi uma unezinkinga noma okukhathazayo.

Uma ngabe uhlelo lwakho lwe-levonorgestrel intrauterine kufanele lususwe, khuluma nodokotela wakho ngesikhathi esifanele sokususa. Awuvikelekile ekukhulelweni uma uhlelo lwakho lwe-intrauterine selususiwe, ngakho-ke uma ungafuni ukukhulelwa, kuzodingeka uqiniseke ukuthi unokulawula ukubeletha okusebenzayo ngokushesha nje lapho uhlelo lwakho lwe-intrauterine lususiwe. Uma uhlela ukuthi uhlelo lwakho lwe-intrauterine lushintshwe ngohlelo olusha lwe-intrauterine, ungasusa uhlelo oludala futhi kufakwe uhlelo olusha nganoma yisiphi isikhathi ngesikhathi sokuya esikhathini. Uma ukhethe ukusebenzisa indlela ehlukile yokulawula ukubeletha esikhundleni sohlelo lwakho lwe-intrauterine futhi unemijikelezo ejwayelekile yokuya esikhathini, kufanele ususe uhlelo phakathi nezinsuku eziyi-7 zokuqala ngemuva kokuqala kokuya esikhathini bese uqala ukusebenzisa indlela yakho entsha yokulawula ukuzalwa kude. Uma ukhethe ukusebenzisa indlela ehlukile yokulawula ukubeletha futhi awunayo imijikelezo ejwayelekile, awuyi esikhathini nhlobo, noma awukwazi ukususa uhlelo lwakho lwe-intrauterine phakathi nezinsuku zokuqala eziyi-7 esikhathini sakho sokuya esikhathini, kufanele qala ukusebenzisa indlela yakho entsha yokulawula ukubeletha ezinsukwini eziyi-7 ngaphambi kokuba kususwe uhlelo lwakho lwe-intrauterine.

Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokufakwa kwesistimu ye-levonorgestrel intrauterine,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-levonorgestrel, noma imiphi eminye imithi, noma yiziphi izinto ezisetshenziselwa ukwenza uhlelo lwe-levonorgestrel intrauterine. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho lokhu okulandelayo: ama-anticoagulants ('blood thinner') afana ne-warfarin (Jantoven).
• Tshela udokotela wakho uma uke waba nomdlavuza webele noma wake wacabanga ukuthi ungaba nomdlavuza webele futhi uma unalezi zimo ezilandelayo: noma isiphi isimo esithinta ukuma kwengaphakathi lesibeletho sakho kufaka phakathi i-fibroids (ukukhula ngaphakathi noma okuqhubekayo isibeletho esingadala ukopha okunzima kokuya esikhathini, ubuhlungu nezinye izimpawu); umdlavuza wesibeletho noma wesibeletho; ukopha okungavamile okungaziwa kwesitho sangasese sowesifazane; ukutheleleka okungalashwa kwesifazane noma umlomo wesibeletho; isifo sokuvuvukala okhalo (PID; ukutheleleka kwezitho zokuzala); noma isiphi isimo esithinta amasosha akho omzimba njenge-leukemia (umdlavuza oqala kumaseli amhlophe egazi) noma i-AIDS (i-immunodeficiency syndrome); noma isifo sesibindi noma isimila sesibindi. Phinda utshele udokotela wakho ukuthi ngabe ubenegciwane elibi ngemuva kokukhulelwa noma ukukhipha isisu ezinyangeni ezi-3 ezedlule, uma uke waba ne-PID esikhathini esedlule futhi ubungakhulelwa okujwayelekile kusukela i-PID yakho yaba ngcono, uma ujova izidakamizwa zasemgwaqweni, uma abangaphezu koyedwa abalingani bobulili, noma uma umlingani wakho enabalingani bobulili abangaphezu koyedwa Udokotela wakho angakutshela ukuthi ungasebenzisi uhlelo lwe-levonorgestrel intrauterine.
• Tshela udokotela wakho ukuthi wake wahlaselwa yisifo sohlangothi, wahlaselwa yinhliziyo, wakhulelwa ectopic (ukukhulelwa okuba ngaphandle kwesibeletho), ukuhlinzwa ukwelapha inkinga ngamashubhu akho (amashubhu ahambisa amaqanda akhishwe ama-ovari isibeletho), noma i-Pap smear engajwayelekile (ukuhlola ukuthola umdlavuza womlomo wesibeletho). Phinda utshele udokotela wakho uma ngabe uke waba nokushaya kwenhliziyo okuhamba kancane, isifo senhliziyo, umfutho wegazi ophakeme, noma isiphi isimo esidale ukuthi uquleke, ikhanda elibuhlungu noma i-migraines, inkinga yokuvala igazi, noma ukuquleka.
• utshele udokotela wakho uma usuvele unayo uhlelo lwe-intrauterine endaweni.
• akufanele ube nohlelo lwe-levonorgestrel intrauterine olubekiwe uma ukhulelwe noma uhlela ukukhulelwa. Udokotela wakho uzokunikeza isivivinyo sokukhulelwa ngaphambi kokubeka uhlelo lwakho lwe-intrauterine uma kunethuba lokuthi kungenzeka ukhulelwe.
• kufanele wazi ngezingozi zokukhulelwa ngenkathi unohlelo lwe-intrauterine. Akunakwenzeka ukuthi uzokhulelwa ngenkathi uhlelo lwakho lwe-intrauterine lukhona, kepha uma ukhulelwa, kunengozi yokuthi ukukhulelwa kwakho kube yi-ectopic. Ukukhulelwa kwe-Ectopic kungasongela impilo futhi kungadala ukopha ngaphakathi noma ukulahleka kokuzala. Uma ukukhulelwa kwakho kungeyona i-ectopic, kunengozi yokuthi uzoba nokutheleleka okunzima, ukuphuphuma kwesisu, uqale ukusebenza ngaphambi kwesikhathi, noma ufe uma ukukhulelwa kwakho kuqhubeka nohlelo lwakho lwe-intrauterine endaweni. Uma ukhulelwa uhlelo lwe-levonorgestrel intrauterine olusendaweni, wena nodokotela wakho kufanele nixoxe ngobungozi bokususa uhlelo. Uma uqhubeka nokukhulelwa kwakho ngohlelo lwe-intrauterine olusendaweni, kuzokwandisa ubungozi bokukhulelwa kwesisu noma ukutheleleka. Uzodinga ukubona udokotela wakho kaningi futhi ushayele ngokushesha uma uba nezimpawu zokulahlekelwa ukukhulelwa noma ukutheleleka kufaka phakathi izimpawu ezinjengomkhuhlane, imfiva, ukugodola, ukuqunjelwa, ubuhlungu, ukuphuma kwegazi, noma ukuphuma kwegazi noma ukuvuza. Shayela udokotela wakho ngokushesha uma ucabanga ukuthi ungakhulelwa noma uma uhlangabezana nezimpawu zokukhulelwa kwe-ectopic njengokuphuma kwesisu sangasese okungajwayelekile noma ubuhlungu endaweni yakho yesisu nganoma yisiphi isikhathi ngenkathi uhlelo lwakho lwe-intrauterine lusendaweni.
• tshela udokotela wakho uma uncelisa. Cishe uzokwazi ukusebenzisa uhlelo lwe-levonorgestrel intrauterine ngenkathi uncelisa ibele uma kungaphezu kwamasonto ayisithupha ngemuva kokubeletha.
• kufanele ulindele ushintsho kumjikelezo wakho wokuya esikhathini ngenkathi uhlelo lwakho lwe-intrauterine lusendaweni. Izikhathi zakho zingase zingalingani, zihlale isikhathi eside, futhi zibe nzima kunokujwayelekile phakathi nezinyanga ezi-3-6 zokuqala ngemuva kokufakwa kwesistimu yakho ye-intrauterine. Ungase uzwe ukubona noma ukuphuma kwegazi okukhanyayo phakathi nezikhathi ngalesi sikhathi.Njengoba isikhathi sihamba, izikhathi zakho zingase zibe lula futhi zibe mfushane noma zingayeka ngokuphelele. Uma isikhathi sakho sima, sizobuya lapho uhlelo lwakho lwe-intrauterine lususiwe. Shayela udokotela wakho uma uke waba nezikhathi kodwa awukaze ube nesisodwa kumaviki ayisithupha, noma uma ukuphuma kwegazi kwakho kukhanya okwesikhashana kodwa kusinda.
• wena nomlingani wakho ngeke nikwazi ukuzwa uhlelo lwenu lwe-intrauterine ngesikhathi sokuya ocansini ngoba uhlelo luzobekwa ngaphakathi kwesibeletho sakho. Kodwa-ke, umlingani wakho angayizwa imicu. Shayela udokotela wakho uma lokhu kwenzeka.
• kufanele wazi ukuthi kunengozi yokuthi uhlelo lwakho lwe-intrauterine luzonamathela odongeni lwesibeletho sakho noma ludlule odongeni lwesibeletho sakho, lubangele ukulimala noma isibazi kwezinye izitho. Uma lokhu kwenzeka, ungadinga ukuhlinzwa ukuze ususe uhlelo. Kukhona ingozi enkulu yokuthi uhlelo lwakho lwe-intrauterine luzodlula odongeni lwesibeletho sakho uma uncelisa ibele.
• Kufanele wazi ukuthi ukusebenzisa i-levonorgestrel intrauterine system kungakhuphula ubungozi bokuthi uzoba ne-PID. I-PID ingadala ukungazali, ukukhulelwa kwe-ectopic, ubuhlungu obungapheli, nokufa. Kwesinye isikhathi i-PID kufanele yelashwe ngokuhlinzwa, kufaka phakathi i-hysterectomy (ukuhlinzwa ukukhipha isibeletho). Ingozi yokuthi uzoba ne-PID iphezulu uma wena noma umlingani wakho ninabalingani abangaphezu koyedwa. Shayela udokotela wakho uma uhlangabezana nalezi zimpawu ezilandelayo ze-PID: ukopha okuhlala isikhathi eside noma okusindayo, ukuphuma okungajwayelekile kwesitho sowesifazane sangasese, ubuhlungu besisu esiswini, ucansi olubuhlungu, amakhaza, noma imfiva.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

I-Levonorgestrel intrauterine system ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ikhanda
• induna
• isisa sebele
• isicanucanu
• ukuzuza kwesisindo
• amajaqamba noma ubuhlungu ngesikhathi sokuya esikhathini
• kwehle isifiso sobulili
• ukudana
• ukushintsha kwemizwa
• ukulahleka kwezinwele
• ukukhula kwezinwele okungafuneki

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yiziphi zalezi zimpawu noma lezo ezishiwo esigabeni SOKUQAPHA OKUKHETHEKILE, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• ukukhishwa kwesitho sangasese okunuka kabi noma okungavamile
• ubuhlungu besitho sangasese sowesifazane
• ubuhlungu ngesikhathi socansi
• izilonda endaweni yangasese
• ukuphuzi kwesikhumba noma kwamehlo
• ubuthakathaka obungazelelwe bengalo noma bomlenze
• ukujula kolunye uhlangothi lobuso
• kunzima ukukhuluma noma ukuqonda
• ubuhlungu besifuba noma behlombe
• ukuvuvukala kwezindebe, ulimi, umphimbo, izingalo, izandla, imilenze noma izinyawo
• ukuqubuka
• isifuba

I-Levonorgestrel intrauterine system ingakhuphula ubungozi bokuthi uzoba ne-cyst esibelethweni sakho. Lolu hlobo lwe-cyst lungadala ubuhlungu kepha luvame ukunyamalala ezinyangeni ezi-2-3. Ezimweni ezingavamile, ukuhlinzwa ukususa i-cyst kungadingeka. Khuluma nodokotela wakho ngezingozi zokusebenzisa uhlelo lwe-levonorgestrel intrauterine system.

I-Levonorgestrel intrauterine system ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uhlelo lwakho lwe-intrauterine lusendaweni.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Gcina wonke ama-aphoyintimenti nodokotela wakho.

Uma unohlelo lweSkyla brand intrauterine, tshela udokotela wakho kanye nabasebenzi be-radiology ukuthi unalolu hlobo lwe-intrauterine system ngaphambi kokuthi wenze i-magnetic resonance imaging (MRI) scan.

Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana ne-levonorgestrel intrauterine system.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• I-Liletta^®
• UMirena^®
• USkyla^®

• i-hormonal IUD