Ingabe Ukufakwa kwe-IUD Kubuhlungu? Izimpendulo Zesazi Okudingeka Uzazi

-Delile

• 1. Kuvame kangakanani ukuthi abantu bakuthole kubuhlungu ukufakwa kwe-IUD?
• 2. Kungani abanye abantu bezwa ukungakhululeki, kanti abanye abakwenzi, ngesikhathi sokufakwa kwe-IUD?
• 3. Yiziphi izinketho zokudambisa izinhlungu ezihlinzekwa ngenqubo yokufaka i-IUD?
• 4. Nginentshisekelo yokuthola i-IUD, kodwa ngikhathazekile ngobuhlungu ngesikhathi sokufakwa. Ngingakhuluma kanjani nodokotela wami ngezinketho zami? Yimiphi imibuzo okufanele ngiyibuze?
• 5. Ngikhathazekile ngokuthi izinketho ezijwayelekile zokudambisa ubuhlungu ezivame ukunikelwa ngokufakwa kwe-IUD ngeke zanele kimi. Ngabe kukhona okunye okungasiza?
• 6. Kuvame kangakanani ukungazizwa kahle noma ukucindezelwa ngemuva kokufakwa kwe-IUD? Yiziphi izindlela ezingcono kakhulu zokuphatha lokhu, uma kwenzeka?
• 7. Uma ngifaka i-IUD yami ekuseni, maningi kangakanani amathuba okuthi ngizodinga ukuthatha ikhefu emsebenzini ngemuva kwenqubo?
• 8. Kuze kube nini ngemuva kokufakwa kwe-IUD engangingalindela ukuthi ngizozizwa nginyinyitheka? Ngabe lizoza iphuzu lapho ngingaliboni nhlobo?
• 9. Yini enye okufanele ngiyazi uma ngicabanga ukuthola i-IUD?

1. Kuvame kangakanani ukuthi abantu bakuthole kubuhlungu ukufakwa kwe-IUD?

Okunye ukungakhululeki kuvamile futhi kulindelwe ngokufakwa kwe-IUD. Kufika kwababili kwabathathu babantu babika ukuthi bazizwa bengakhululekile phakathi kokukala ngesikhathi sokufaka.

Ngokuvamile, ukungakhululeki kuhlala isikhathi esifushane, futhi abantu abangaphansi kwamaphesenti angama-20 bazodinga ukwelashwa. Lokho kungenxa yokuthi inqubo yokufakwa kwe-IUD imvamisa iyashesha, ihlala imizuzu embalwa kuphela. Ukungakhululeki kuqala ukuhamba ngokushesha okukhulu ngemuva kokuthi ukufakwa kuqediwe.

Ukubekwa kwangempela kwe-IUD, lapho abantu bevame ukuzwa ukungakhululeki okukhulu, imvamisa kuthatha imizuzwana engaphansi kwengu-30. Lapho ucelwa ukuthi ulinganise ukuzwa esikalini kusuka ku-0 kuye ku-10 - kuthi i-0 ibe ngamazinga aphansi kunawo wonke futhi ayi-10 amaphuzu aphezulu obuhlungu - abantu ngokuvamile bakubeka ezinhlwini ezi-3 kuye kwezingu-6 kwezingu-10.

Iningi labantu lichaza ubuhlungu babo njengokucinana. Ngesikhathi ukufakwa sekuphelile futhi i-speculum isusiwe, amabanga ebanga ebuhlungu abikwa ehlela ku-0 kuye ku-3.

Njengengxenye yokuqokwa kokufakwa kwe-IUD, ngitshela iziguli zami ukuthi zizozwa amajaqamba amathathu asheshayo okufanele axazulule ngokushesha. Okokuqala ngukuthi ngifaka ithuluzi emlonyeni wesibeletho ukuze liwusimamise. Okwesibili lapho ngilinganisa ukujula kwesibeletho sabo. Okwesithathu kulapho kufakwa i-IUD uqobo.

Ezimweni ezingavamile, abanye abantu bangase babe nokusabela okunzima ngokwengeziwe. Lokhu kungahluka kusuka ekuzizweleni unenhloko futhi ucanuzelelwa inhliziyo ukudlula. Lezi zinhlobo zokuphendula azivamile kakhulu. Uma zenzeka, zivame ukuba zesikhashana, zihlala ngaphansi kweminithi.

Uma uke waba nokusabela okufana nalokhu ngesikhathi senqubo edlule, yazisa umhlinzeki wakho azi ngaphambi kwesikhathi ukuze nikwazi ukwenza icebo ndawonye.

2. Kungani abanye abantu bezwa ukungakhululeki, kanti abanye abakwenzi, ngesikhathi sokufakwa kwe-IUD?

Uma ucabanga ukuthi kungakanani ukungakhululeki ongakuthola mathupha ekufakweni kwe-IUD, kubalulekile ukuthi ubheke izinto ezingenza umehluko.

Abantu abebelethwe esithweni sangasese bavame ukungakhululeki kangako uma kuqhathaniswa nalabo abangakaze bakhulelwe. Isibonelo, umuntu obelethe ngokocansi angachaza amaphuzu obuhlungu kwabangu-3 kwabangu-10, kanti umuntu ongakaze akhulelwe angachaza amaphuzu obuhlungu angama-5 noma ayisithupha kwabayishumi.

Uma uzwa ubuhlungu obukhulu ngezivivinyo ze-pelvic noma ukubekwa kwe-speculum, ungahle ube namathuba amaningi okuthi uzwe ubuhlungu ngokufakwa kwe-IUD.

Ukukhathazeka, ukucindezeleka nokwesaba kungathinta indlela esizizwa ngayo ubuhlungu. Yingakho kubalulekile ukubhekana nanoma yimiphi imibuzo noma ukukhathazeka onakho nomhlinzeki wakho wezokunakekelwa kwempilo ngaphambi kokuqala.

Ukwazi kahle, ukuqonda ukuthi yini ongayilindela mayelana nenqubo, nokuzizwa ukhululekile nomhlinzeki wakho konke kuyizici ezibalulekile zesipiliyoni esihle sokufakwa kwe-IUD.

3. Yiziphi izinketho zokudambisa izinhlungu ezihlinzekwa ngenqubo yokufaka i-IUD?

Ngokufakwa okujwayelekile kwe-IUD, abahlinzeki abaningi bezokunakekelwa kwezempilo bazokwazisa iziguli zabo ukuthi zithathe ibuprofen ngaphambi kwesikhathi. Ngenkathi ibuprofen ingakhonjiswanga ukuthi isiza ngezinhlungu ngesikhathi sokufakwa kwe-IUD, iyasiza ekunciphiseni ukuqunjelwa ngemuva kwalokho.

Ukujova i-lidocaine ezungeze umlomo wesibeletho kunganciphisa okunye ukungahambi kahle kwenqubo, kepha akunikelwa njalo. Ucwaningo lwakamuva luphakamisa ukuthi lungasiza abesifazane abangazalanga ngesitho sangasese sangasese, kodwa ucwaningo olwengeziwe lungadingeka.

Ocwaningweni oluncane lwango-2017, abacwaningi baqhathanisa inqwaba yezinhlungu zentsha kanye nabesifazane abasebasha abangakaze babelethe, ngemuva kwenqubo yokufakwa kwe-IUD. Cishe isigamu seqembu sathola umjovo we-10-mL we-lidocaine, owaziwa njenge-block paracervical nerve block. Elinye iqembu lathola ukwelashwa nge-placebo. Izibalo zezinhlungu zaziphansi kakhulu eqenjini elathola ukwelashwa kwe-lidocaine, uma kuqhathaniswa neqembu elingazange.

Ngokuvamile, umjovo we-lidocaine awunikelwa njalo ngoba umjovo ngokwawo ungangakhululeki. Njengoba abantu abaningi bakubekezelela kahle ukufakwa kwe-IUD kahle, kungahle kungadingeki. Uma unentshisekelo kule nketho, zizwe ukhululekile ukuxoxa ngayo nomhlinzeki wakho wezokunakekelwa kwempilo.

Abanye abahlinzeki banikeza umuthi obizwa ngokuthi yi-misoprostol ongayiphuza ngaphambi kokufaka i-IUD. Kodwa-ke izifundo eziningi azibonisanga nzuzo ekusetshenzisweni kwe-misoprostol. Kungakwenza ungakhululeki ngokwengeziwe ngoba imiphumela emibi ejwayelekile yomuthi ifaka isicanucanu, ukuhlanza, isifo sohudo, nokucinana.

Imvamisa, abahlinzeki bezokunakekelwa kwempilo bazosebenzisa i- “verbocaine” ngesikhathi sokufakwa kwe-IUD. I-Verbocaine isho ukukhuluma nawe kuyo yonke inqubo, nokunikeza ukuqinisekiswa nempendulo. Kwesinye isikhathi ukuphazanyiswa nje kungakusiza ukukuthola kuleyo mizuzu embalwa.

4. Nginentshisekelo yokuthola i-IUD, kodwa ngikhathazekile ngobuhlungu ngesikhathi sokufakwa. Ngingakhuluma kanjani nodokotela wami ngezinketho zami? Yimiphi imibuzo okufanele ngiyibuze?

Kubalulekile ukuba nengxoxo evulekile nomhlinzeki wakho wezokunakekelwa kwezempilo mayelana nokukhathazeka kwakho ngaphambi kokuba wenze inqubo. Kubalulekile futhi ukwamukela ukuthi ukungaphatheki kahle okuthile kuvamile futhi kungahlukahluka.

Angikaze ngizitshele iziguli zami ukuthi ukufakwa kwe-IUD akunazinhlungu ngoba kubantu abaningi, lokho akulona iqiniso. Ngiyaqiniseka ukuthi ngikhuluma nabo ngenqubo yokufaka i-IUD ngaphambi kokuthi siqale ukuze bazi ukuthi kuzokwenzekani nokuthi isinyathelo ngasinye singazizwa kanjani. Ukucela umhlinzeki wakho ukuthi enze lokhu kungakusiza ukuthi uqonde kangcono inqubo futhi uthole umqondo wokuthi yiziphi izingxenye ezingaba nzima kuwe.

Yazisa umhlinzeki wakho wezokunakekelwa kwempilo uma ungakaze ube nokuhlolwa kwe-pelvic ngaphambili, uke waba nokuhlangenwe nakho okunzima ngezivivinyo ze-pelvic, noma uke wahlangabezana nokuhlukunyezwa ngokocansi. Umhlinzeki wakho wezokunakekelwa kwempilo angaxoxa nawe ngamasu angasiza ngesikhathi senqubo.

Ungababuza nokuthi yini abangayinikeza ukukusiza ngokungaphatheki kahle bese nixoxa ngokuthi ngabe kukhona kwalolo hlobo lwezokwelapha olungakusiza yini. Ungase ukhethe ngisho nokwenza lokhu kusikhathi sokubonisana ngaphambi kokuhlela ukufakwa uqobo. Ukuba nomhlinzeki okulalelayo futhi aqinisekise ukukhathazeka kwakho kubalulekile.

5. Ngikhathazekile ngokuthi izinketho ezijwayelekile zokudambisa ubuhlungu ezivame ukunikelwa ngokufakwa kwe-IUD ngeke zanele kimi. Ngabe kukhona okunye okungasiza?

Le yingxoxo ebalulekile okufanele ube nayo nomhlinzeki wakho wezokunakekelwa kwezempilo ukuze ukwelashwa kukwazi ukwenziwa kube ngokwakho kuwe. Ukwelashwa kwakho cishe kuzofaka inhlanganisela yezindlela zokugcina ukhululekile.

Ngaphandle kwemithi okukhulunywe ngayo phambilini, i-naproxen yomlomo noma umjovo we-ketorolac ohlakeni nawo ungasiza ekufakweni kobuhlungu bokufakwa, ikakhulukazi uma ungakaze ubelethwe esithweni sangasese. Ukusetshenziswa kwama-topical lidocaine okhilimu noma ama-gel, noma kunjalo, kukhombisa inzuzo encane.

Lapho abantu besaba ubuhlungu ngokufakwa kwe-IUD, ezinye izindlela zokwelashwa ezisebenza kahle kakhulu zibandakanya ukubhekana nokukhathazeka ngaphezulu kwezindlela zendabuko zokuphathwa kobuhlungu. Ezinye zezindlela engizisebenzisayo zifaka izivivinyo zokuphefumula nokubona ngeso lengqondo. Ungase futhi uthande ukudlala umculo futhi ube nomuntu wokusekela onaye.

Yize kungakafundwa, abanye abantu bangazuza ngokuthatha umthamo wemithi yokulwa nokukhathazeka ngaphambili. Le mithi imvamisa ingathathwa ngokuphepha nge-ibuprofen noma naproxen, kepha uzodinga umuntu ozokushayela ekhaya. Qiniseka ukuthi uxoxa ngalokhu nomhlinzeki wakho ngaphambili ukuze ubone ukuthi kuyindlela enhle yini kuwe.

6. Kuvame kangakanani ukungazizwa kahle noma ukucindezelwa ngemuva kokufakwa kwe-IUD? Yiziphi izindlela ezingcono kakhulu zokuphatha lokhu, uma kwenzeka?

Kubantu abaningi, ukungakhululeki kokufakwa kwe-IUD kuqala ukuthuthuka ngokushesha. Kepha ungaqhubeka nokuba nokucinana ngezikhathi ezithile. Imithi yezinhlungu ezingaphezulu kwamakhompiyutha njenge-ibuprofen noma i-naproxen inhle ekwelapheni lezi zinhlungu.

Abanye abantu bathola ukuthi ukulala phansi, itiye, ukugeza okufudumele, namabhodlela amanzi ashisayo noma amapayipi wokushisa nakho kunganikeza usizo. Uma amakhambi atholakalayo kanye nokuphumula kungasizi, kufanele uxhumane nomhlinzeki wakho wezokunakekelwa kwempilo.

7. Uma ngifaka i-IUD yami ekuseni, maningi kangakanani amathuba okuthi ngizodinga ukuthatha ikhefu emsebenzini ngemuva kwenqubo?

Okuhlangenwe nakho kokufakwa kwe-IUD kuyahlukahluka, kepha abantu abaningi bazokwazi ukubuyela emisebenzini ejwayelekile yansuku zonke ngemuva kokufakwa kwe-IUD. Thatha ibuprofen ngaphambi kwesikhathi ukusiza nge-cramping ngemuva kwalokho.

Uma unomsebenzi okhandlayo noma odinga umsebenzi omningi womzimba, ungahle ufune ukuhlela ukufaka kwakho isikhathi sosuku lapho ungadingi ukuya ngqo emsebenzini ngemuva kwalokho.

Ayikho imikhawulo ethile emsebenzini ngemuva kokufakwa kwe-IUD, kepha kufanele ulalele umzimba wakho uphumule uma ngabe yilokho okuzwakala kukuhle.

8. Kuze kube nini ngemuva kokufakwa kwe-IUD engangingalindela ukuthi ngizozizwa nginyinyitheka? Ngabe lizoza iphuzu lapho ngingaliboni nhlobo?

Kujwayelekile ukuthi uqhubeke nokucinana okuncane okuza kudlule ezinsukwini ezimbalwa ezizayo njengoba isibeletho sakho sizivumelanisa ne-IUD. Kubantu abaningi, ukuqunjelwa kuzoqhubeka kuthuthuke ngaphezu kwesonto lokuqala futhi kuzoba kuncane kakhulu ngokuhamba kwesikhathi.

Uma usebenzisa i-hormonal IUD, kufanele uqaphele intuthuko enkulu ebuhlungu obuhlobene nesikhathi ngokuhamba kwesikhathi, futhi ungayeka ukuba nokhwantalala nhlobo. Uma nganoma isiphi isikhathi ubuhlungu bakho abulawulwa ngemithi yokuthenga noma uma buba kubi ngokungazelelwe, kufanele uxhumane nomhlinzeki wakho wezokunakekelwa kwempilo ukuze ahlolwe.

9. Yini enye okufanele ngiyazi uma ngicabanga ukuthola i-IUD?

Kukhona kokubili ama-IUD angewona ama-hormonal nama-hormonal atholakalayo. Kubalulekile ukuqonda umehluko phakathi kwabo nokuthi ungakuthinta kanjani.

Isibonelo, uma unezikhathi ezinzima noma ezibuhlungu ukuqala, i-IUD yehomoni inganciphisa futhi inciphise izikhathi ezibuhlungu ngokuhamba kwesikhathi.

Ngenkathi enye yezinzuzo zama-IUD ukuthi ingahlala isikhathi eside, kufanele ucabange lokho njengesikhathi esiphezulu, hhayi ubuncane. Ama-IUD abuyela emuva ngokushesha lapho esuswa. Ngakho-ke zingasebenza uma nje udinga ukuthi zibe njalo - noma ngabe unyaka owodwa noma iminyaka eyi-12, kuya ngohlobo lwe-IUD.

Ekugcineni, kubantu abaningi, ukungakhululeki kokufakwa kwe-IUD kufushane, futhi kufanelekile ukuphuma ngenqubo ephephile, esebenza kahle kakhulu, ephansi ngokweqile kanye nendlela elawulwa kalula yokubeletha.

U-Amna Dermish, MD, uyibhodi eqinisekisiwe i-OB / GYN egxile kwezempilo yokuzala nokuhlela umndeni. Uthole iziqu zakhe zobudokotela eNyuvesi yaseColorado School of Medicine kwalandela ukuqeqeshelwa ukuhlala kwezobelethisi nokubelethisa esibhedlela ePennsylvania ePhiladelphia. Uqedile ukuhlanganyela ekuhleleni umndeni futhi wathola iziqu ze-master ekuphenyweni kwemitholampilo e-University of Utah. Njengamanje ungumqondisi wezokwelapha wesifunda wePlanned Parenthood yaseGreater Texas, lapho abuye abheke nezinsizakalo zabo zokunakekelwa kwezempilo kwe-transgender, kubandakanya nokwelashwa kwama-hormone okuqinisekisa ubulili. Izintshisekelo zakhe zomtholampilo nezocwaningo zidingida ukubhekana nezingqinamba zempilo ephelele yokuzala kanye nezocansi.