Ukuthatha isigqibo malunga ne-IUD

Isixhobo sangaphakathi se-intrauterine (IUD) sisixhobo esincinci esenziwe nge-T esisetyenziselwa ulawulo lokuzalwa. Ifakwa kwisibeleko apho ihlala khona ukuthintela ukukhulelwa.

Ukuthintela inzala - IUD; Ulawulo lokuzalwa - IUD; Isisu - isigqibo; IMirena - ukuthatha isigqibo; IParaGard - ithatha isigqibo

Unokukhetha ukuba loluphi uhlobo lwe-IUD ekufuneka ubenalo. Thetha nomboneleli wakho wezempilo malunga nokuba loluphi uhlobo olulungele wena.

Ukukhupha ii-IUDs:

• Qalisa ukusebenza ngokukhawuleza emva kokufakwa.
• Sebenza ngokukhupha ion zethusi. Ezi zinetyhefu kwisidoda. Ubume be-T bukwathintela isidoda kwaye bugcine bungafikeleli kwiqanda.
• Unokuhlala esibelekweni ukuya kuthi ga kwiminyaka eli-10.
• Ingasetyenziselwa ukukhulelwa okungxamisekileyo.

Ukukhutshwa kweprogestin-ukukhupha ii-IUD:

• Qala ukusebenza zingaphelanga iintsuku ezisi-7 emva kokufakwa.
• Sebenza ngokukhupha iprogestin. Iprogestin yincindi yedlala esetyenziswa kwiintlobo ezininzi zeepilisi zokulawula ukuzalwa. Ithintela ii-ovari ekubeni zikhuphe iqanda.
• Yiba nobume be-T obuthintela isidoda kwaye igcina isidoda singafiki kwiqanda.
• Unokuhlala esibelekweni iminyaka emi-3 ukuya kwemi-5. Kude kube nini kuxhomekeke kwi-brand. Kukho ii-2 brand ezikhoyo eUnited States: iSkyla neMirena. I-Mirena inokunyanga ukuphuma kwegazi okunzima kunye nokunciphisa iincampu.

Zombini ezi ntlobo ze-IUD zithintela amadlozi ukuba angaqhamisi kwiqanda.

Ukukhutshwa kweprogestin-ukukhupha ii-IUDs kusebenza ngoku:

• Ukwenza i-mucus ejikeleze umlomo wesibeleko ityebile, eyenza kube nzima ukuba isidoda singene ngaphakathi kwesibeleko kwaye sichumise iqanda
• Ukucoca ulwelwesi lwesibeleko, nto leyo eyenza kube nzima ngakumbi ukuba iqanda eliqhamileyo lidibanise

IUDs zinezibonelelo ezithile.

• Zingaphezulu kwe-99% ngokusebenzayo ekuthinteleni ukukhulelwa.
• Awudingi ukucinga ngolawulo lokuzalwa lonke ixesha usabelana ngesondo.
• IUD enye inokuhlala iminyaka emi-3 ukuya kweli-10. Oku kuyenza ibe yenye yeendlela ezingabizi kakhulu zolawulo lokuzalwa.
• Uba nesiqhamo kwakhona phantse kwangoko emva kokuba i-IUD isusiwe.
• Ukukhupha i-IUDs ngobhedu akunazo iziphumo ebezingalindelekanga zehomoni kwaye kunokunceda ukukhusela kumhlaza wesibeleko (endometrium).
• Zombini ezi ntlobo ze-IUDs zinokuwunciphisa umngcipheko wokuba nomhlaza womlomo wesibeleko.

Kukho iindawo ezisezantsi.

• Ii-IUDs azizithinteli izifo ezosulela ngokwabelana ngesondo (STDs). Ukuthintela ii-STD kufuneka uyeke ukulala ngesondo, ube kubudlelwane obubodwa, okanye usebenzise iikhondom.
• Umboneleli kufuneka afake okanye asuse i-IUD.
• Ngelixa kunqabile, i-IUD inokuphuma ngaphandle kwendawo kwaye kufuneka isuswe.
• Ukukhupha i-IUDs ngobhedu kunokubangela iicampu, ixesha elide kunye nexesha elinzima lokuya exesheni, kunye nokubona phakathi kwamaxesha.
• Ukukhutshwa kweprogestin-ukukhupha ii-IUD kunokubangela ukopha ngokungaqhelekanga kunye nokubona kwiinyanga zokuqala.
• Ii-IUDs zinokonyusa umngcipheko wokukhulelwa kwe-ectopic. Kodwa abasetyhini abasebenzisa ii-IUDs banomngcipheko ophantsi kakhulu wokukhulelwa.
• Ezinye iintlobo ze-IUDs zinokonyusa umngcipheko wee-cyst ezinobungozi. Kodwa ezo cysts zihlala azibangeli zimpawu kwaye zihlala zisombulula ngokwazo.

Ii-IUDs azibonakali ngathi zonyusa umngcipheko wosulelo lwe-pelvic. Azichaphazeli nokuzala okanye zonyuse umngcipheko wokungachumi. Nje ukuba i-IUD isuswe, ukuchuma kuyabuyiselwa.

Unokufuna ukuqaphela i-IUD ukuba:

• Ufuna okanye ufuna ukuphepha umngcipheko kwiihomoni zokucwangcisa
• Ayikwazi ukuthatha izinto zokucwangcisa zehomoni
• Unobunzima bokuya exesheni kwaye ufuna amaxesha alula (i-hormonal IUD kuphela)

Akufanele uqwalasele i-IUD ukuba:

• Ngaba basemngciphekweni omkhulu wee-STD
• Unembali yangoku okanye yamva nje yosulelo lwe-pelvic
• Ukhulelwe
• Yenza iimvavanyo ezingaqhelekanga zePap
• Unomhlaza womlomo wesibeleko okanye wesibeleko
• Yiba nesibeleko esikhulu kakhulu okanye esincinci kakhulu

UGlasier A. Ukuthintela inzala. Ku: Jameson JL, De Groot LJ, de Krester DM, et al, ii-eds. Endocrinology: Abantu abadala kunye nabantwana. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 134.

IHarper DM, iWilfling LE, iBlanner CF. Ukuthintela ukukhulelwa. Ku: Rakel RE, Rakel DP, ii-eds. Incwadi yesikhokelo samayeza osapho. Umhla we-9. IPhiladelphia, PA: Elsevier; 2016: isahluko 26.

Jatlaoui TC, Riley HEM, Curtis KM. Ukhuseleko lwezixhobo ze-intrauterine phakathi kwabafazi abancinci: uphononongo olucwangcisiweyo. Ukuthintela ukukhulelwa. I-2017; 95 (1): 17-39 PMID: 27771475 www.ncbi.nlm.nih.gov/pubmed/ 27771475.

UJatlaoui T, uBurstein GR. Ukuthintela ukukhulelwa. Ku: Kliegman RM, Stanton BF, St Geme JW, Schor NF, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla we-20. IPhiladelphia, PA: Elsevier; 2016: isahluko 117.

URivlin K, Westhoff C. Ucwangciso losapho. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 13.

• Ukulawula inzala