Ngaba ukufakwa kwe-IUD kubuhlungu? Iimpendulo zeNgcali ekufuneka uyazi

Umxholo

• 1. Kuqheleke kangakanani ukuba abantu bafumane ukufakwa kwe-IUD kubuhlungu?
• 2. Kutheni abanye abantu befumana ukungonwabi, ngelixa abanye bengenalo, ngexesha lokufakwa kwe-IUD?
• 3. Zeziphi iindlela zokuphucula iintlungu ezinikezelwa kwinkqubo yokufakwa kwe-IUD?
• 4. Ndinomdla wokufumana i-IUD, kodwa ndinexhala malunga neentlungu ngexesha lokufakwa. Ndingathetha njani nogqirha wam malunga nokukhetha kwam? Yeyiphi imibuzo ekufuneka ndiyibuze?
• 5. Ndinexhala lokuba iindlela eziqhelekileyo zokuphelisa iintlungu zihlala zinikezelwa ekufakweni kwe-IUD ngekhe zanele kum. Ngaba ikhona enye into enokunceda?
• 6. Kuqheleke kangakanani ukungaziva mnandi okanye ukubambeka emva kokuba kufakwe i-IUD? Zeziphi ezona ndlela zokulawula oku, ukuba kuyenzeka?
• 7. Ukuba ndifakelwe i-IUD kusasa, mancinci amathuba okuba ndiza kufuna ukuthatha ikhefu emva kwenkqubo?
• 8. Kuthatha ixesha elingakanani ukuba i-IUD ifakiwe? Ngaba kuya kuza inqaku xa ndingaliqapheli kwaphela?
• 9. Yintoni enye endifanele ndiyazi ukuba ndicinga ngokufumana i-IUD?

1. Kuqheleke kangakanani ukuba abantu bafumane ukufakwa kwe-IUD kubuhlungu?

Olunye uxinzelelo luqhelekile kwaye lulindelwe ngokufakwa kwe-IUD. Ukuya kuthi ga kwisibini kwisithathu sabantu baxele ukuba baziva bengonwabanga ukuya kuthi xhaxhe ngexesha lokufaka.

Ngokuqhelekileyo, ukungahambi kakuhle kuhlala ixesha elifutshane, kwaye abantu abangaphantsi kwama-20 ekhulwini baya kufuna unyango. Kungenxa yokuba inkqubo yokufakwa kwe-IUD ihlala ikhawuleza, ihlala kuphela imizuzu embalwa. Ukuphazamiseka kuqala ukuhamba ngokukhawuleza kakhulu emva kokuba ukufakwa kugqityiwe.

Ukubekwa ngokwenyani kwe-IUD, kulapho abantu bathambekele ekuziva bengakhululekanga, ihlala ithatha ngaphantsi kwemizuzwana engama-30. Xa uceliwe ukuba ulinganise uvakalelo kwisikali esivela ku-0 kuye kwi-10 - kunye no-0 ukuba ngowona uphantsi kunye no-10 awona manqanaba aphezulu entlungu-abantu ngokubanzi bayibeka kuluhlu lwe-3 ukuya kwi-6 kwe-10.

Uninzi lwabantu luchaza iintlungu zabo njengokuxinana. Ngethuba lokufakela kugqityiwe kwaye i-speculum isuswe, amanqaku ebakala ebuhlungu axela kwi-0 ukuya kwi-3.

Njengengxenye yokuqeshwa kwe-IUD, ndixelela izigulana zam ukuba ziya kuba namava enkampu ezintathu ezikhawulezayo ekufuneka zisombulule ngokukhawuleza. Eyokuqala kuxa ndibeka isixhobo kumlomo wesibeleko ukuze siwuzinzise. Okwesibini kuxa ndilinganisa ubunzulu besibeleko sabo. Okwesithathu kuxa i-IUD ngokwayo ifakiwe.

Kwiimeko ezinqabileyo, abanye abantu banokuba neziphumo ezibi kakhulu. Oku kunokuhluka ekubeni uzive unentloko elula kwaye ube nesicefeceko ukuphuma. Ezi ntlobo zeempendulo zinqabile. Xa zisenzeka, zihlala ixesha elifutshane, zihlala ngaphantsi komzuzu.

Ukuba ubukhe wasabela ngolu hlobo ngexesha lenkqubo edlulileyo, makwazeke umboneleli wakho ngaphambi kwexesha ukuze wenze isicwangciso kunye.

2. Kutheni abanye abantu befumana ukungonwabi, ngelixa abanye bengenalo, ngexesha lokufakwa kwe-IUD?

Ukuba ucinga ukuba leliphi inqanaba lokungonwabi onokulifumana ngokobuqu kufakelo lwe-IUD, kubalulekile ukuba uqwalasele izinto ezinokwenza umahluko.

Abantu ababelethwe kwilungu lobufazi bahlala bengenangxaki xa kuthelekiswa nabo bangazange bakhulelwe. Umzekelo, umntu obelekise ngokwesini angachaza amanqaku obuhlungu angama-3 kwabali-10, ngelixa umntu ongazange akhulelwe angachaza amanqaku entlungu ama-5 okanye ama-6 kwali-10.

Ukuba ufumana iintlungu ezininzi ngeemviwo ze-pelvic okanye ukubekwa kwe-speculum, unokuba nakho ukuziva iintlungu ngokufakwa kwe-IUD.

Ukuxhalaba, uxinzelelo kunye noloyiko kunokuchaphazela indlela esivakalelwa ngayo iintlungu. Kungenxa yoko le nto kubalulekile ukuba ujongane nayiphi na imibuzo okanye inkxalabo onayo nomboneleli wakho wezempilo ngaphambi kokuba uqale.

Ukwazi kakuhle, ukuqonda into onokuyilindela malunga nenkqubo, kunye nokuziva ukhululekile kunye nomboneleli wakho zonke izinto eziphambili ze-IUD yokufaka amava.

3. Zeziphi iindlela zokuphucula iintlungu ezinikezelwa kwinkqubo yokufakwa kwe-IUD?

Ukufakelwa kwesiqhelo kwe-IUD, uninzi lwabanikezeli bonyango baya kucebisa abaguli babo ukuba bathathe ibuprofen kwangaphambili. Ngelixa ibuprofen ingakhange iboniswe ukuba iyanceda ngeentlungu ngexesha lokufakwa kwe-IUD, iyanceda ukunciphisa ukucofa emva koko.

Ukujova i-lidocaine ejikeleze umlomo wesibeleko kunokunciphisa ukungonwabi kwenkqubo, kodwa ayenziwa rhoqo.Uphando olutshanje lubonisa ukuba lunokuba luncedo kwabasetyhini abangazalanga ngesondo, kodwa uphando olongezelelweyo lunokufuneka.

Kwisifundo esincinci se-2017, abaphandi bathelekisa amanqaku eentlungu zolutsha kunye nabasetyhini abancinci abangazange bazale, emva kwenkqubo yokufakwa kwe-IUD. Phantse isiqingatha seqela lafumana inaliti ye-10-mL ye-lidocaine, eyaziwa ngokuba yibloko ye-paracervical nerve block. Elinye iqela lafumana unyango lwe-placebo. Amanqaku entlungu ayephantsi kakhulu kwiqela elafumana unyango lwe-lidocaine, xa kuthelekiswa neqela elingakhange lenze njalo.

Ngokubanzi, inaliti ye-lidocaine ayihlali inikezelwa ngenxa yokuba inaliti ngokwayo ayinakukhathazeka. Kuba uninzi lwabantu luyakunyamezela ukufakwa kwe-IUD kakuhle, kunokuba kungafuneki. Ukuba unomdla kolu khetho, zive ukhululekile ukuxoxa ngalo nomboneleli wakho wezempilo.

Abanye ababoneleli bamisela amayeza abizwa ngokuba yi-misoprostol ngaphambi kokuba afake i-IUD. Nangona kunjalo izifundo ezininzi azibonisanga sibonelelo kusetyenziso lwe-misoprostol. Inokukwenza ukuba ungonwabi ngakumbi ngenxa yokuba iziphumo ebezingalindelekanga zamayeza zibandakanya isicaphucaphu, ukugabha, urhudo, kunye nokubamba.

Rhoqo, ababoneleli ngezononophelo lwempilo baya kusebenzisa i "verbocaine" ngexesha lokufakwa kwe-IUD. I-Verbocaine kuthetha ukuthetha nawe kuyo yonke inkqubo, kunye nokubonelela ngesiqinisekiso kunye nengxelo. Ngamanye amaxesha ukuphazamiseka kunokukunceda ufumane loo mizuzu mibini.

4. Ndinomdla wokufumana i-IUD, kodwa ndinexhala malunga neentlungu ngexesha lokufakwa. Ndingathetha njani nogqirha wam malunga nokukhetha kwam? Yeyiphi imibuzo ekufuneka ndiyibuze?

Kubalulekile ukuba ube nengxoxo evulekileyo kunye nomboneleli wakho wezempilo malunga neenkxalabo zakho ngaphambi kokuba wenze inkqubo. Kwakhona kubalulekile ukuba uvume ukuba inani elithile lokungahambi kakuhle liqhelekileyo kwaye linokuhluka.

Andizange ndixelele izigulana zam ukuba ukufakwa kwe-IUD akunazintlungu kuba uninzi lwabantu, ayonyani leyo. Ndiyaqinisekisa ukuba ndibathetha ngenkqubo yokufaka i-IUD ngaphambi kokuba siqale ukuze bazi ukuba kuzakwenzeka ntoni kwaye inyathelo ngalinye linokuziva njani. Ukucela umboneleli wakho ukuba enze oku kunokukunceda uqonde ngcono inkqubo kwaye ufumane ukuqonda ukuba ngawaphi amalungu anokuba nzima kuwe.

Yazisa umboneleli wakho wezempilo ukuba awukaze ube novavanyo lwe-pelvic ngaphambili, unamava anzima novavanyo lwe-pelvic, okanye ufumene ukuhlaselwa ngokwesondo. Umboneleli wakho wezempilo unokuxoxa ngeendlela ezinokukunceda ngexesha lenkqubo.

Usenokubabuza ukuba bangakunika ntoni na ukunceda ukuba bangonwabi kwaye nixoxe ngokuba ingaba olo nyango lunokukunceda na. Unokukhetha nokwenza oku kwindawo yokubonisana ngaphambi kokucwangcisa ukufakwa ngokwakho. Ukuba nomboneleli okumamelayo kwaye aqinisekise iinkxalabo zakho kubalulekile.

5. Ndinexhala lokuba iindlela eziqhelekileyo zokuphelisa iintlungu zihlala zinikezelwa ekufakweni kwe-IUD ngekhe zanele kum. Ngaba ikhona enye into enokunceda?

Le yingxoxo ebalulekileyo onokuthi ube nayo nomboneleli wakho wezempilo ukuze unyango lube lodwa kuwe. Unyango lwakho luya kubandakanya indibaniselwano yeendlela zokugcina ukhululekile.

Ngaphandle kwamayeza ekuxoxwe ngawo ngaphambili, i-naproxen yomlomo okanye inaliti ye-ketorolac inako ukunceda ekufakeni iintlungu, ngakumbi ukuba awuzange uzalwe kwilungu lobufazi. Ukusetyenziswa kwezithambiso ze-lidocaine okanye iigels, nangona kunjalo, bonisa izibonelelo ezincinci.

Xa abantu besoyika iintlungu ngokufakwa kwe-IUD, ezinye zonyango olusebenzayo zibandakanya ukujongana nexhala ngaphezulu kweendlela zolawulo lwentlungu yesiqhelo. Ezinye zeendlela endizisebenzisayo zibandakanya ukuphefumla nokucamngca ngokwenza umthambo. Unokufuna ukudlala umculo kwaye ube nomntu wokuxhasa kunye nawe.

Nangona kungakhange kufundwe, abanye abantu banokuxhamla ekuthatheni ithamo yamayeza okulwa noxinzelelo kwangaphambili. La mayeza anokuhlala ekhuselwa ngokukhuselekileyo nge-ibuprofen okanye naproxen, kodwa uyakufuna umntu okuqhubela ekhaya. Qiniseka ukuba uyayixoxa le nto kunye nomboneleli wakho kwangaphambili ukumisela ukuba loluphi ukhetho olufanelekileyo kuwe.

6. Kuqheleke kangakanani ukungaziva mnandi okanye ukubambeka emva kokuba kufakwe i-IUD? Zeziphi ezona ndlela zokulawula oku, ukuba kuyenzeka?

Kubantu abaninzi ukungakhululeki kufakelo lwe-IUD kuqala ukuphucula ngokukhawuleza. Kodwa unokuqhubeka nokuba unokonwaba. Amayeza eentlungu ezingaphezulu kwekhawuntari njenge-ibuprofen okanye i-naproxen zilungile ekunyangeni ezi ntsholongwane.

Abanye abantu bafumanisa ukuba ukulala phantsi, iti, ukuhlamba okushushu, kunye neebhotile zamanzi ashushu okanye iipads zokufudumeza nazo zinokunceda. Ukuba amayeza e-counter-counter kunye nokuphumla akunakunceda, kufuneka uqhagamshelane nomboneleli wakho wezempilo.

7. Ukuba ndifakelwe i-IUD kusasa, mancinci amathuba okuba ndiza kufuna ukuthatha ikhefu emva kwenkqubo?

Amava ngokufakwa kwe-IUD ayahluka, kodwa uninzi lwabantu luya kuba nakho ukubuyela kwimisebenzi yesiqhelo yemihla ngemihla emva kokufakwa kwe-IUD. Thatha ibuprofen ngaphambi kwexesha ukunceda ukucofa emva koko.

Ukuba unomsebenzi onzima kakhulu okanye ofuna umsebenzi omninzi, unokufuna ukucwangcisa ukufakwa kwakho ixesha losuku xa ungadingi ukuya ngqo emsebenzini emva koko.

Akukho zithintelo ezithile kwimisebenzi emva kokufakwa kwe-IUD, kodwa kuya kufuneka umamele umzimba wakho kwaye uphumle ukuba yile nto iziva ilungile.

8. Kuthatha ixesha elingakanani ukuba i-IUD ifakiwe? Ngaba kuya kuza inqaku xa ndingaliqapheli kwaphela?

Kuqhelekile ukuba uqhubeke nokuthambeka kancinci oza kwaye ugqithe kwiintsuku ezimbalwa ezizayo njengoko isibeleko sakho silungelelanisa ne-IUD. Kubantu abaninzi, ukucofa kuya kuqhubeka ukuphucula kwiveki yokuqala kwaye kuya kuncipha rhoqo ekuhambeni kwexesha.

Ukuba usebenzisa i-hormonal IUD, kuya kufuneka uqaphele ukuphucuka okubalulekileyo kwintlungu enxulumene nexesha, kwaye unokuyeka ukubamba konke. Ukuba nangaliphi na ixesha intlungu yakho ayilawulwa ngamayeza e-counter-counter okanye xa ihamba ngokukhawuleza, kufuneka uqhagamshelane nomboneleli wakho wezempilo ukuvavanya.

9. Yintoni enye endifanele ndiyazi ukuba ndicinga ngokufumana i-IUD?

Zombini ezi non-hormonal and hormonal IUDs ziyafumaneka. Kubalulekile ukuqonda umahluko phakathi kwabo nendlela abanokukuchaphazela ngayo.

Umzekelo, ukuba unamaxesha anzima okanye abuhlungu ukuqala ngawo, i-hormonal IUD inokunciphisa kwaye inciphise amaxesha abuhlungu ngokuhamba kwexesha.

Ngelixa esinye sezibonelelo ze-IUDs kukuba zinokuhlala ixesha elide, kuya kufuneka ucinge ngelo njengelona xesha liphezulu, hayi elona lincinci. IUDs zibuyela umva kwangoko xa zisuswa. Ke banokusebenza ixesha elide njengoko kufuneka - nokuba ngunyaka omnye okanye iminyaka eli-12, kuxhomekeke kuhlobo lwe-IUD.

Ekugqibeleni, kuninzi lwabantu, ukungonwabi kokufakwa kwe-IUD kufutshane, kwaye kufanelekile ukuba uphume ukhuselekile, usebenza ngokukuko, ulondolozo olusezantsi kakhulu kunye nendlela eguqukayo yokulawula ukuzalwa.

U-Amna Dermish, MD, yibhodi eqinisekisiweyo ye-OB / GYN egxile kwimpilo yokuzala kunye nocwangciso losapho. Ufumene isidanga sakhe kwezonyango kwiDyunivesithi yaseColorado School of Medicine elandelwa ngoqeqesho lokuba ngumhlali kwezokubelekisa nakwindlela yamanina kwiSibhedlele iPennsylvania ePhiladelphia. Ugqibe ubudlelane ekucwangciseni usapho kwaye wafumana isidanga sobugcisa kuphando lweklinikhi kwiYunivesithi yase-Utah. Okwangoku ungumlawuli wezonyango wengingqi yokuCwangciswa koMzali waseTexas, apho athe wongamela neenkonzo zabo zokhathalelo lwempilo, kubandakanya nonyango oluqinisekisa isini. Umdla wakhe weklinikhi kunye nophando kukusombulula imiqobo kwimpilo yezesondo kunye nokuzala.