Izixhobo zangaphakathi (IUD)

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

IUD ihlala ifakwa ngumboneleli wakho wezempilo ngexesha lakho lenyanga. Nokuba loluphi uhlobo lunokufakwa ngokukhawuleza nangokulula kwiofisi yomboneleli okanye eklinikhi. Ngaphambi kokubeka i-IUD, umboneleli uhlamba umlomo wesibeleko ngesisombululo sokubulala. Emva koku, umboneleli:

• Isilayidi ityhubhu yeplastiki equlethe i-IUD kwilungu lobufazi nakwisibeleko.
• Ukutyhala IUD esibelekweni ngoncedo isixhobo.
• Isusa ityhubhu, ishiye imitya emibini emincinci ejingayo ngaphandle komlomo wesibeleko ngaphakathi kwilungu lobufazi.

Umtya uneenjongo ezimbini:

• Bayeke umboneleli okanye owasetyhini ukuba ajonge ukuba i-IUD ihlala ikwimeko efanelekileyo na.
• Zisetyenziselwa ukukhupha i-IUD ngaphandle kwesibeleko xa ilixesha lokususa. Oku kuya kwenziwa kuphela ngumboneleli.

Le nkqubo inokubangela ukungonwabi kunye neentlungu, kodwa ayingabo bonke abantu besetyhini abaneziphumo ebezingalindelekanga ezifanayo. Ngexesha lokufakwa, unokuziva:

• Intlungu encinci kunye nokungahambi kakuhle
• Ukuqunjelwa kunye nentlungu
• Uyadizzy okanye unentloko elula

Abanye abantu basetyhini banezikram kunye namaqolo emva kweentsuku ezi-1 ukuya kwezi-2 emva kokufakwa. Ezinye zinokuba neekram kunye namaqolo emva kweeveki okanye iinyanga. Ukunciphisa iintlungu ngaphezulu kwekhawuntareni kunokunciphisa ukungonwabi.

IUDs lukhetho oluhle kakhulu ukuba uyafuna:

• Indlela yexesha elide nesebenzayo yolawulo lokuzalwa
• Ukuthintela umngcipheko kunye neziphumo ebezingalindelekanga

Kodwa kuya kufuneka ufunde okungakumbi malunga ne-IUDs xa usenza isigqibo sokuba uyafuna ukufumana i-IUD.

IUD inokuthintela ukukhulelwa iminyaka emi-3 ukuya kweli-10. Ngokuchanekileyo ixesha elingakanani i-IUD iya kuthintela ukukhulelwa kuxhomekeke kuhlobo lwe-IUD oyisebenzisayo.

Ii-IUDs zinokusetyenziswa njengothintelo lokuthintela ukukhawulezisa. Kufuneka ifakwe kwisithuba seentsuku ezi-5 emva kokuba wabelana ngesondo ngokungakhuselekanga.

Uhlobo olutsha lwe-IUD olubizwa ngokuba yi-Mirena lukhupha idosi ephantsi yehomoni esibelekweni suku ngalunye kangangesithuba seminyaka emi-3 ukuya kwemi-5. Oku kwandisa ukusebenza kwesixhobo njengendlela yolawulo lokuzalwa. Kwakhona inezibonelelo ezongeziweyo zokunciphisa okanye zokumisa ukuhamba kwenyanga. Inokukunceda ukukhusela kumhlaza (umhlaza we-endometrium) kwabasetyhini abasemngciphekweni wokukhula kwesi sifo.

Ngelixa ingaqhelekanga, ii-IUD zinobungozi, ezinje:

• Kukho ithuba elincinci lokukhulelwa ngelixa usebenzisa i-IUD. Ukuba ukhulelwe, umboneleli wakho angasusa i-IUD ukunciphisa umngcipheko wokukhulelwa kwesisu okanye ezinye iingxaki.
• Umngcipheko ophezulu wokukhulelwa kwe-ectopic, kodwa kuphela ukuba uyakhulelwa ngelixa usebenzisa i-IUD. Ukukhulelwa kwe-ectopic yinto eyenzeka ngaphandle kwesibeleko. Kungaba yinto enzulu, kwaye isongela ubomi.
• I-IUD inokungena kudonga lwesibeleko kwaye ifune utyando ukuze isuswe.

Thetha nomboneleli wakho malunga nokuba i-IUD lukhetho olufanelekileyo kuwe. Buza nomboneleli wakho:

• Yintoni onokuyilindela ngexesha lenkqubo
• Zokuba yintoni iingozi zakho
• Yintoni ekufuneka uyijongile emva kwenkqubo

Kwinxalenye enkulu, i-IUD inokufakwa nangaliphi na ixesha:

• Kanye emva kokubeleka
• Emva kokuphuma kwesisu okukhethiweyo okanye okuzenzekelayo

Ukuba unentsholongwane, AKUFANELE ufake i-IUD.

Umboneleli wakho unokukucebisa ukuba uthathe i-painkiller engaphezulu kwe-counter ngaphambi kokuba ifakwe i-IUD. Ukuba unovakalelo kwintlungu kwilungu lakho lobufazi okanye kumlomo wesibeleko, cela i-anesthetic yendawo ukuba ifakwe ngaphambi kokuba kuqaliswe inkqubo.

Unokufuna ukuba umntu akuqhubele ekhaya emva kwenkqubo. Abanye abantu basetyhini bane-cramping encinci, i-backache ephantsi, kunye nokubona iintsuku ezimbalwa.

Ukuba une-progestin-ekhupha i-IUD, kuthatha malunga neentsuku ezisi-7 ukuqala kwayo ukusebenza. Awudingi ukulinda ukuba ubelane ngesondo. Kodwa kuya kufuneka usebenzise ifom yogcino yolawulo lokuzalwa, njengekhondom, kwiveki yokuqala.

Umboneleli wakho uya kufuna ukukubona kwiiveki ezi-2 ukuya kwezi-4 emva kwenkqubo yokuqinisekisa ukuba i-IUD isekhona. Buza umboneleli wakho ukuba akubonise indlela yokujonga ukuba i-IUD isekhona na, kwaye kufuneka uyijonge kangaphi.

Kwiimeko ezinqabileyo, i-IUD inokutyibilika inxenye okanye yonke indlela yokuphuma esibelekweni sakho. Oku kubonakala ngokubanzi emva kokukhulelwa. Ukuba oku kuyenzeka, nxibelelana nomboneleli wakho kwangoko. SUKUZAMA ukususa i-IUD ethe yavela kwinxalenye yokuphuma okanye iphumile endaweni yayo.

Shayela umnikezeli wakho ngokukhawuleza ukuba unayo:

• Iimpawu ezinjengomkhuhlane
• Ifiva
• Ukugodola
• Iinkampu
• Intlungu, ukopha, okanye ulwelo oluvuzayo kwilungu lobufazi

IMirena; IParaGard; IUS; Inkqubo yesisu; I-LNG-IUS; Ukuthintela inzala-IUD

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UCurtis KM, uJatlaoui TC, uTepper NK, et al. Izindululo zokuSebenza eziKhethiweyo zase-US zoSetyenziso lokuCwangcisa, ngo-2016. Ingcebiso kaMMWR. Ngo-2016; 65 (4): 1-66. IINKCUKACHA: 27467319 www.ncbi.nlm.nih.gov/pubmed/27467319.

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

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.