Inkqubo yeLevonorgestrel Intrauterine

Umxholo

• Ngaphambi kokuba kufakwe inkqubo ye-levonorgestrel ye-intrauterine,
• Inkqubo ye-intrauterine ye-Levonorgestrel inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba unazo naziphi na kwezi mpawu okanye ezo zikhankanyiweyo KWINKCUKACHA EZIZODWA, tsalela umnxeba kwangoko okanye ufumane unyango olungxamisekileyo:

Inkqubo ye-Levonorgestrel intrauterine (Liletta, Mirena, Skyla) isetyenziselwa ukuthintela ukukhulelwa. Inkqubo ye-Mirena brand intrauterine isetyenziselwa ukunyanga ukuphuma kwegazi okunzima kwabasetyhini abafuna ukusebenzisa inkqubo ye-intrauterine ukuthintela ukukhulelwa. I-Levonorgestrel ikudidi lwamayeza abizwa ngokuba kukuthintela ukukhawula. Inkqubo ye-intrauterine ye-Levonorgestrel isebenza ngokunciphisa umgca wesibeleko (isibeleko) ukukhusela ukukhulelwa ekuphuhliseni, ukuqinisa i-mucus kumlomo wesibeleko (ukungena kwisibeleko) ukukhusela isidoda ukuba singene, nokukhusela isidoda ukuba singashukumi kwaye siphile esibelekweni. I-Levonorgestrel inokuthintela i-ovulation (ukukhutshwa kweqanda kwii-ovari) kwabanye abantu basetyhini. Inkqubo ye-Levonorgestrel intrauterine yindlela esebenzayo yolawulo lokuzalwa kodwa ayikuthinteli ukusasazeka kukaGawulayo kunye nezinye izifo ezidluliselwa ngesondo.

Inkqubo ye-intrauterine ye-Levonorgestrel sisixhobo esincinci, esiguquguqukayo, esime ngohlobo lwe-t esiza kufakwa kwisibeleko ngumboneleli wezempilo. Inkqubo ye-Liletta kunye ne-Mirena ye-intrauterine yeenkqubo ezinokushiywa endaweni kangangeminyaka emi-6 emva kokuba zifakiwe kwaye inkqubo ye-intrauterine yohlobo lweSkyla inokushiywa endaweni kangangeminyaka emi-3 emva kokuba ifakwe. Ukuba usafuna ukusebenzisa inkqubo ye-intrauterine ukuthintela ukukhulelwa emva kokudlula kweli xesha, umboneleli wakho wezononophelo lwempilo unokufaka inkqubo entsha kwakamsinya emva kokuba inkqubo endala isusiwe. Iinkqubo zangaphakathi ze-intrauterine zinokususwa ngugqirha nangaliphi na ixesha ofuna ukukhulelwa ngalo okanye ufuna ukusebenzisa indlela eyahlukileyo yolawulo lokuzalwa. Ukuba inkqubo yeMirena brand intrauterine isetyenziselwa ukunyanga ukuphuma kwegazi okunzima, inokushiywa endaweni kangangeminyaka emi-5 emva kokuba ifakwe.

Ugqirha wakho uya kukuxelela elona xesha lilungileyo lokufakwa kwenkqubo ye-levonorgestrel intrauterine. Ngokuxhomekeka kwixesha, unokufuna ukusebenzisa indlela engeyiyo yehomoni yolawulo lokuzalwa njengeekhondom kunye nokubulala isidoda iintsuku ezi-7 ukunqanda ukukhulelwa ukuba kwenzeka ukwabelana ngesondo. Inkqubo yakho ye-intrauterine inokufakwa kwangoko emva kokuphuma kwesisu okokuqala. Ukuba ubelethile, waphunyelwa sisisu, okanye wakhupha isisu se-trimester yesibini, inkqubo yakho ye-intrauterine akufuneki ifakwe de kube kugqithe iiveki ezi-6 kwaye uvavanyo lomzimba lubonisa ukuba isibeleko sakho siphilile ekukhulelweni.

Uya kudinga ukufakelwa inkqubo ye-intrauterine kwiofisi yezonyango okanye ekliniki. Umboneleli wakho wokhathalelo lwempilo unokukuxelela ukuba uthathe isithomalalisi sentlungu esingabhaliswanga ngaphambi kokuqeshwa kwakho ukunceda ukunciphisa ukucofa ngexesha nasemva kokubekwa. Unokufumana ezinye zeempawu ngexesha nasemva kokubekwa: ukubila, ulusu olumhlophe, ukubetha kwentliziyo okukhawulezayo, isiqaqa, isiyezi, ukuxinana kunye nokopha. Xelela umboneleli wakho wokhathalelo lwempilo ukuba ukuqunjelwa kwakho kunzima okanye ukuba ezi mpawu zihlala ixesha elingaphezu kwemizuzu engama-30. Umboneleli wakho wezempilo uya kukujonga ukuze uqiniseke ukuba inkqubo yakho ibekwe ngokuchanekileyo.

Fowunela ugqirha wakho ukuba uva iintlungu ngexesha leeyure zokuqala emva kokuba kufakwe inkqubo ye-intrauterine. Oku kunokuba ngumqondiso wesifo esibi.

Umboneleli wakho wezempilo uya kubeka inkqubo yakho ye-intrauterine kwisibeleko sakho, kodwa uyakushiya imisonto emibini ejingayo kumlomo wesibeleko sakho. Kuya kufuneka ujonge le misonto kube kanye ngenyanga ukuze wazi ukuba inkqubo yakho ye-intrauterine isekhona. Ukujonga imisonto, kufuneka uhlambe izandla zakho ngesepha kunye namanzi. Emva koko, fikelela phezulu kwilungu lakho lobufazi ngeminwe ecocekileyo ukuze uve imisonto. Ukuba awukwazi ukuziva imisonto okanye ukuba uziva nayiphi na into yenkqubo ye-intrauterine ngaphandle kwemisonto, inkqubo yakho ye-intrauterine isenokungabikho kwaye ayinakuthintela ukukhulelwa. Ukuba oku kuyenzeka, biza ugqirha wakho kwaye usebenzise indlela engeyiyo yehomoni yolawulo lokuzalwa enjengeekhondom kunye nokubulala isidoda ukuthintela ukukhulelwa de ubonwe ngugqirha.

Uya kudinga idinga lokulandelela umboneleli wakho wokhathalelo lwempilo emva kweeveki ezi-4 ukuya kwezi-4 emva kokuba kufakwe inkqubo ye-intrauterine ukuqinisekisa ukuba inkqubo yakho ikwindawo efanelekileyo. Emva kokuqeshwa, kuya kufuneka uvavanywe kanye ngonyaka okanye rhoqo ukuba unengxaki okanye unengxaki.

Ukuba inkqubo yakho ye-levonorgestrel intrauterine kufuneka isuswe, thetha nogqirha wakho malunga nexesha elifanelekileyo lokususa. Awukhuselekanga ekukhulelweni emva kokuba inkqubo yakho ye-intrauterine isusiwe, ke ukuba awufuni ukukhulelwa, kuya kufuneka uqiniseke ukuba unolawulo lokuzalwa olusebenzayo kwangoko xa inkqubo yakho ye-intrauterine isusiwe. Ukuba uceba ukutshintshwa kwenkqubo ye-intrauterine ngenkqubo entsha ye-intrauterine, unokususa inkqubo endala kwaye kufakwe inkqubo entsha ngalo naliphi na ixesha ngexesha lokuya esikhathini. Ukuba ukhethe ukusebenzisa uhlobo olwahlukileyo lolawulo lokuzalwa endaweni yenkqubo ye-intrauterine kwaye uhlala unesijikelezo sexesheni, kuya kufuneka ususwe inkqubo kwiintsuku ezisi-7 zokuqala emva kokuba ixesha lakho lokuya esikhathini liqala kwaye usebenzise indlela yakho entsha yolawulo lokuzalwa ekunene kude. Ukuba ukhethe ukusebenzisa uhlobo olwahlukileyo lolawulo lokuzalwa kwaye awunayo imijikelo yesiqhelo, awuyi exesheni kwaphela, okanye awunakho ukususwa kwinkqubo yakho yesibeleko ngeentsuku ezisi-7 zokuqala sexesheni lwakho, kuya kufuneka qalisa ukusebenzisa indlela yakho entsha yolawulo lokuzalwa kwiintsuku ezisi-7 ngaphambi kokuba isistim sakho sangaphakathi siphume.

Buza usokhemesti okanye ugqirha wakho ngekopi yolwazi lomenzi wesigulana.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba kufakwe inkqubo ye-levonorgestrel ye-intrauterine,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana ne-levonorgestrel, nawaphi na amanye amayeza, okanye naziphi na izinto ezisetyenziselwa ukwenza inkqubo ye-levonorgestrel intrauterine. Buza usokhemesti wakho uluhlu lwezithako.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya oku kulandelayo: i-anticoagulants ('i-blood thinner') efana ne-warfarin (Jantoven).
• xelela ugqirha wakho ukuba unawo okanye wawukhe waba nomhlaza wamabele okanye ukuba ucinga unokuba nomhlaza wamabele kwaye ukuba unayo nayiphi na kwezi meko zilandelayo: nayiphi na imeko echaphazela ubume bangaphakathi kwesibeleko sakho kubandakanya ne-fibroids (ukukhula ngaphakathi okanye uku isibeleko esinokubangela ukopha okunzima ukuya exesheni, iintlungu kunye nezinye iimpawu); umhlaza wesibeleko okanye umlomo wesibeleko; ukopha okungaqhelekanga kwilungu lobufazi; usulelo olunganyangekiyo lobufazi okanye umlomo wesibeleko; isifo sentsholongwane (PID; usulelo lwamalungu okuzala); nayiphi na imeko echaphazela amajoni akho omzimba afana neleukemia (umhlaza oqala kwiiseli ezimhlophe zegazi) okanye uGawulayo (i-immunodeficiency syndrome) okanye isifo sesibindi okanye ithumba lesibindi. Xelela ugqirha wakho ukuba wosulelekile emva kokukhulelwa okanye ukukhupha isisu kwiinyanga ezi-3 ezidlulileyo, ukuba ubukhe wanayo i-PID ngaphambili kwaye khange ube nokukhulelwa okuqhelekileyo ukusukela oko i-PID yakho ibangcono, ukuba utofa iziyobisi ezitalatweni, ukuba unayo ngaphezulu kweqabane elinye, okanye ukuba iqabane lakho linamaqabane angaphezu kwelinye. Ugqirha wakho unokukuxelela ukuba ungasebenzisi inkqubo ye-levonorgestrel ye-intrauterine.
• xelela ugqirha wakho ukuba ukhe wahlaselwa sistroke, isifo sentliziyo, ukukhulelwa kwe-ectopic (ukukhulelwa okukhulela ngaphandle kwesibeleko), utyando lokunyanga ingxaki ngemibhobho yesibeleko (iityhubhu ezihambisa amaqanda akhululwe ngamaqanda isibeleko), okanye iPap smear engaqhelekanga (kuvavanyo lokufumanisa umhlaza womlomo wesibeleko). Xelela ugqirha wakho ukuba wakha wanesifo sentliziyo esicothayo, isifo sentliziyo, uxinzelelo oluphezulu lwegazi, nayiphi na imeko ebangele ukuba uphelelwe ngamandla, intloko ebuhlungu okanye imigraines, ingxaki yokunqanda igazi, okanye ukuxhuzula.
• xelela ugqirha wakho ukuba sele unayo inkqubo ye-intrauterine endaweni.
• Akufanele ube nenkqubo ye-levonorgestrel ye-intrauterine efakwe endaweni xa ukhulelwe okanye uceba ukukhulelwa. Ugqirha wakho uya kukunika uvavanyo lokukhulelwa ngaphambi kokubeka inkqubo yakho ye-intrauterine ukuba kunokwenzeka ukuba ukhulelwe.
• Kuya kufuneka uyazi malunga nomngcipheko wokukhulelwa ngelixa une-intrauterine system. Akunakulindeleka ukuba ukhulelwe ngelixa inkqubo yakho ye-intrauterine isendaweni, kodwa ukuba uyakhulelwa, kukho umngcipheko wokuba ukukhulelwa kwakho kuya kuba yi-ectopic. Ukukhulelwa kwe-Ectopic kunokuba sisongelo ebomini kwaye kunokubangela ukopha ngaphakathi okanye ukuphulukana nokuzala. Ukuba ukukhulelwa kwakho akusiyo i-ectopic, kukho umngcipheko wokuba uya kuba nosulelo olunzima, ukuphuphuma kwesisu, ukuqala ukusebenza ngaphambi kwexesha, okanye ukusweleka ukuba ukukhulelwa kwakho kuyaqhubeka nenkqubo yakho ye-intrauterine. Ukuba ukhulelwe inkqubo ye-levonorgestrel ye-intrauterine endaweni, wena kunye nogqirha wakho kufuneka nixoxe ngomngcipheko wokususa inkqubo. Ukuba uqhubeka nokukhulelwa kwakho ngenkqubo yangaphakathi ye-intrauterine, iya kwandisa umngcipheko wokuphuma kwesisu okanye usulelo. Uya kudinga ukubona ugqirha wakho rhoqo kwaye ubize umnxeba kwangoko ukuba uvelisa iimpawu zokulahleka kokukhulelwa okanye usulelo kubandakanya iimpawu ezinje ngomkhuhlane, umkhuhlane, ukugodola, ukubamba, iintlungu, ukopha, okanye ukuphuma kwilungu lobufazi okanye ukuvuza. Biza ugqirha wakho ngoko nangoko ukuba ucinga ukuba ungakhulelwa okanye ukuba ufumana iimpawu zokukhulelwa kwe-ectopic njengokuphuma kwegazi ngokungaqhelekanga okanye iintlungu kwindawo yakho yesisu nangaliphi na ixesha ngelixa inkqubo yakho ye-intrauterine isendaweni.
• xelela ugqirha wakho ukuba uncelisa. Uyakwazi ukusebenzisa inkqubo ye-levonorgestrel ye-intrauterine ngelixa uncancisa ukuba zingaphezulu kweeveki ezi-6 emva kokuba ubelekile.
• Kuya kufuneka ulindele utshintsho kumjikelo wakho wokuya exesheni ngelixa inkqubo yakho ye-intrauterine ikho. Amaxesha akho anokungahambi kakuhle, aqhubeke ixesha elide, kwaye abe nzima kunesiqhelo ngexesha leenyanga zokuqala ezi-3 ukuya kwezi-6 emva kokubekwa kwenkqubo yakho yesibeleko. Unokufumana ukubonwa okanye ukuphuma kwegazi phakathi kwamaxesha ngeli xesha.Njengoko ixesha lihamba, amaxesha akho anokuba lula kwaye amafutshane okanye angayeka ngokupheleleyo. Ukuba ixesha lakho liyekile, liza kubuya xa inkqubo yakho ye-intrauterine isusiwe. Fowunela ugqirha wakho ukuba ubunamaxesha kodwa khange ubenazo iiveki ezi-6, okanye ukuba ukopha kwakho kuye kwakhanya kangangexesha elithile kodwa kwaba nzima.
• wena neqabane lakho anizukuyiva inkqubo yakho ye-intrauterine ngexesha lokwabelana ngesondo kuba le nkqubo iyakubekwa ngaphakathi kwesibeleko sakho. Nangona kunjalo, iqabane lakho linokuziva imisonto. Biza ugqirha wakho ukuba oku kuyenzeka.
• Kuya kufuneka uyazi ukuba kukho umngcipheko wokuba inkqubo yakho ye-intrauterine iqhotyoshelwe eludongeni lwesibeleko sakho okanye inokudlula eludongeni lwesibeleko sakho, ibangele ukonakala okanye ukonzakala kwamanye amalungu. Ukuba oku kuyenzeka, unokufuna utyando ukususa inkqubo. Kukho umngcipheko ophezulu wokuba inkqubo yakho ye-intrauterine iya kuhamba kudonga lwesibeleko sakho ukuba uncancisa.
• Kuya kufuneka uyazi ukuba ukusebenzisa inkqubo ye-levonorgestrel ye-intrauterine kunokunyusa umngcipheko wokuba uza kuphuhlisa i-PID. I-PID inokubangela ukungachumi, ukukhulelwa kwe-ectopic, iintlungu ezingahambiyo kunye nokufa. Ngamanye amaxesha i-PID kufuneka inyangwe ngoqhaqho, kubandakanya i-hysterectomy (utyando lokususa isibeleko). Umngcipheko wokuba uza kuphuhlisa i-PID uphezulu ukuba wena okanye iqabane lakho linamaqabane angaphezu kwelinye. Fowunela ugqirha wakho ukuba unazo naziphi na kwezi mpawu zilandelayo ze-PID: ukuhlala ixesha elide okanye ukopha okunzima, ukuphuma ngokungaqhelekanga kwilungu lobufazi, indawo yesisu esibuhlungu, isini esibuhlungu, ukugodola, okanye umkhuhlane.

Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.

Inkqubo ye-intrauterine ye-Levonorgestrel inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• intloko ebuhlungu
• induna
• ukuthamba kwebele
• isicaphucaphu
• ukutyeba kwakho
• iicramps okanye iintlungu xa usexesheni
• ukunciphisa umnqweno wesondo
• ukudakumba
• utshintsho kwiimvakalelo
• ukulahleka kweenwele
• ukukhula kweenwele okungafunekiyo

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba unazo naziphi na kwezi mpawu okanye ezo zikhankanyiweyo KWINKCUKACHA EZIZODWA, tsalela umnxeba kwangoko okanye ufumane unyango olungxamisekileyo:

• ukunuka kakubi okanye ukuphuma ngokungaqhelekanga kwilungu lobufazi
• iintlungu zangasese
• intlungu ngexesha lokwabelana ngesondo
• izilonda kwindawo yesini
• mthubi ulusu okanye amehlo
• ukuba buthathaka ngesiquphe kwengalo okanye umlenze
• ukujongwa kwelinye icala lobuso
• kunzima ukuthetha okanye ukuqonda
• ukutyumza isifuba okanye iintlungu zamagxa
• ukudumba kwemilebe, ulwimi, umqala, iingalo, izandla, imilenze okanye iinyawo
• irhashalala
• urhwebo

Inkqubo ye-intrauterine ye-Levonorgestrel inokunyusa umngcipheko wokuba uya kuphuhlisa i-cyst kwi-ovary yakho. Olu hlobo lwe-cyst lunokubangela iintlungu kodwa zihlala zinyamalala kwiinyanga ezi-2-3. Kwiimeko ezinqabileyo, utyando lokususa i-cyst lunokufuneka. Thetha nogqirha wakho malunga nomngcipheko wokusebenzisa inkqubo ye-levonorgestrel intrauterine.

Inkqubo ye-Levonorgestrel intrauterine inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa inkqubo yakho ye-intrauterine ikho.

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Gcina lonke ixesha lokudibana nogqirha wakho.

Ukuba une-Skyla brand intrauterine system, xelela ugqirha wakho kunye nabasebenzi be-radiology ukuba unolu hlobo lwenkqubo ye-intrauterine ngaphambi kokuba ungene kwi-imaging resonance imaging (MRI).

Buza i-pharmist yakho nayiphi na imibuzo onayo malunga ne-levonorgestrel intrauterine system.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

• Liletta^®
• UMirena^®
• USkyla^®

• ihomoni yehomoni