Ingabe i-IUD iyindlela engcono kakhulu yokulawula ukuzalwa kwakho?

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Uke wayiqaphela yonke i-buzz ezungeze i-IUD muva nje? Amadivayisi we-intrauterine (IUDs) kubonakala sengathi abekhona yonke indawo. Ngesonto eledlule, iNational Center for Health Statistics ibike ukwanda okuphindwe kahlanu ekusetshenzisweni kokuvimbela inzalo okuthathe isikhathi eside eminyakeni eyishumi edlule phakathi kwesethi engu-15 kuya ku-44. Ekuqaleni kukaFebhuwari, ucwaningo oluvela eWashington University School of Medicine e-St. Louis lubonise ukuthi ama-IUD e-hormonal ahlala esebenza unyaka ngaphezu kwesikhathi sawo esivunyelwe yi-FDA seminyaka emihlanu.

Nokho kwabesifazane abaningi abakhetha ukulawulwa kokuzalwa, kusenokungabaza. Kubukeka sengathi wonke umuntu uyazi ngomuntu onendaba enesabekayo ye-IUD, kusuka ebuhlungwini ekufakweni kuya ekucineni okukhulu amasonto ngemuva kwalokho. Bese kuba nomqondo wokuthi zonke ziyingozi. (Bheka Lokho Okwaziyo Ngama-IUD Kungase Kungabi Yiphutha.)

Imiphumela emibi eyesabekayo ayiyona neze inkambiso, kusho uChristine Greves, M.D., udokotela wezifo zabesifazane eSibhedlela Sabesifazane Nezingane eWinnie Palmer. Futhi ama-IUD awayona ingozi: “Kwakunenguqulo yangaphambili eyayinedumela elibi,” esho. "Intambo engezansi yayinemicu eminingi, amagciwane anamathela kuyo kalula, okwabangela ukuhlolwa okwengeziwe kwe-pelvic. Kodwa le IUD ayisasebenzi." (Thola Imibuzo Emi-3 Yokulawula Ukuzalwa Okufanele Uyibuze Udokotela Wakho)

Ngakho-ke, njengoba sesisuse leyo mibono ejwayelekile eyiphutha, nakhu okudingeka ukwazi mayelana nokuvimbela inzalo:

Isebenza kanjani?

Kunezinhlobo ezimbili ze-IUD okufanele uziqaphele: i-hormonal yeminyaka emihlanu kanye ne-10 yeminyaka engeyona i-hormonal. I-hormonal isebenza ngokukhipha i-progestin, eqina amafinyila womlomo wesibeletho futhi ngokuyisisekelo yenza isibeletho singahlali kahle ngeqanda, kusho uTaraneh Shirazian, MD, umsizi kaprofesa wezokubelethisa, izifo zabesifazane kanye nesayensi yokuzala eNtabeni iSinayi. "Alifani nephilisi, eline-estrogen ukuvimbela ukuphuma kweqanda," esho. "Abesifazane basengazizwa bevuthwa inyanga ngayinye." Cishe uzobona izikhathi ezimfushane, ezilula kuleli fomu, futhi.

I-IUD yeminyaka eyi-10 engeyona eye-hormonal isebenzisa ithusi, ekhishwa kancane kancane esibelethweni ukuvimbela isidoda ekuvundiseni iqanda. Uma uqhubeka, ukulawulwa kokuzalwa kufanele kusebenze cishe emahoreni angama-24. Uma ukhetha ukuphuma, kubuye kube nokuhlehlisa okusheshayo. "Uhlobo lwamahomoni, njengoMirena, luthatha isikhashana - cishe izinsuku ezinhlanu kuya kweziyisikhombisa," kusho uShirazian. "Kepha ngeminyaka eyi-10, iParagard, usuka kuyo, futhi uma isiphumile, yilokho kuphela."

Yiziphi izinzuzo nezingozi?

Sikhombe okukodwa okukodwa okukhulu ngaphambili: Uma usesimweni sezikhathi ezilula, i-hormonal IUD ingayipakisha leyo nzuzo.

Ngaphandle kwalokho, kuyisinyathelo esisodwa, isisombululo sesikhathi eside sokulawula ukuzalwa. "Ngeke ukhohlwe ngakho," kusho uShirazian. "Yingakho inezinga eliphezulu lokuvimbela ukukhulelwa kunephilisi." Lokho kungaphezulu kwamaphesenti angama-99, ngendlela. Iphilisi linamandla afanayo uma lisetshenziswa kahle. "Uma owesifazane egeja iphilisi, lokho sikubiza ngokuthi ukwehluleka," kusho uGreves. "I-IUD ihambisana nempilo ematasa yowesifazane." (Njengalezi zindlela ezingu-10 zabantu abamatasa zihamba ngamandla usuku lonke.)

Ngenkathi i-IUD izwakala imnandi kuze kube manje, kukhona okubi ngokuvimbela inzalo.

I-IUD ingase ibe yinhle kwabesifazane abamatasa nezikhathi ezilula, kodwa ukufaka i-IUD kuhlasela kakhulu kunokukhipha iphilisi-futhi njengoba sonke besikwenza lokhu isikhathi esiningi sezimpilo zethu, kungakhathaliseki ukuthi i-Tylenol noma ukulawula ukuzalwa, mhlawumbe uzizwe ujwayele umkhuba. Futhi kunemiphumela engemihle embalwa engaba khona, njengokuminyanisa isikhathi esingangesonto njengoba isibeletho sijwayela idivayisi, kanye nobuhlungu lapho ufakwa, ikakhulukazi uma ungakaze ube nokubeletha kwesitho sangasese sowesifazane. Lokhu kujwayelekile ngokuphelele, futhi kufanele kudlule ngokushesha okukhulu. "Ngitshela iziguli zami ukuthi zithathe i-ibuprofen embalwa cishe ihora ngaphambi kwesikhathi sazo," kusho uGreves. (Bheka okuningi kwemiphumela emibi kakhulu yokulawulwa kokuzalwa.)

Enye inkinga enkulu ukubhoboza, lapho i-IUD ingabhoboza isibeletho-kodwa i-Shirazian iqinisekisa ukuthi ingavamile kakhulu. “Sengifake izinkulungwane zalokhu, futhi angikaze ngikubone kwenzeka,” usho kanje. "Amathuba amancane kakhulu, into efana namaphesenti angu-0.5."

Kuhle kubani?

UShirazian noGreves bobabili bathi bafake ama-IUD kuwo wonke umuntu kusuka kwentsha kuya kwabesifazane abaphakathi kweminyaka yabo kuya ku-40s ngezidingo ezahlukahlukene. "Enye yemibono eyiphutha enkulu ukuthi wonke umuntu akakwazi ukuyisebenzisa," kusho uShirazian. "Abesifazane abaningi bayakwazi, empeleni."

Kodwa-ke, u-Shirazian ukhonkotha umuntu ofanelekayo: Owesifazane phakathi kwakhe kuya ekupheleni kweminyaka engu-20 noma ngaphezulu, ongabheke ukukhulelwa noma nini maduze.

AmaGreves nawo ananela lowo muzwa. "Kulungile kumuntu ongafuni ukukhulelwa maduzane futhi ongenabo abalingani abaningi bezocansi," kuchaza yena. "Lelo qembu lingaba libanzi nokho."

Ikusasa libukeka kanjani?

Ngokwedatha ye-CDC, izindlela zokuvimbela inzalo ezisebenza isikhathi eside njenge-IUD ziyindlela yesine kuphela ethandwa kakhulu yokulawulwa kokubeletha kwabesifazane ngamaphesenti ayi-7.2-ngaphansi kwesigamu sepilisi, okuhlala kunombolo yokuqala kulesi sigaba.

Kodwa-ke, uShirazian ucabanga ukuthi lapho abantu abaningi befundiswa ngama-IUDs, abantu bazongena kakhulu. “Kuyathakazelisa kakhulu, ngoba sibonile ukukhuphuka kwezinga muva nje,” usho kanje. “Okubi kakhulu wukuthi abantu bake bezwa ngakho esikhathini esedlule, ukuthi bebengavotelwanga ukhetho, noma ukuthi akuphephile,” usho kanje. "Kodwa alinyusi izinga lokutheleleka okhalweni futhi, ngaphandle uma ungathola ukutheleleka okusebenzayo, ungakufaka kwabesifazane abaningi abehlukene."

Ngabe i-IUD izolibuyisela iphilisi? Isikhathi kuphela esizosho, kepha kungcono kakhulu kunale ndlela yokulawula ukuzalwa.

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