Ngaba i-IUD yeyona nto ilungileyo yoLawulo lokubeleka kuwe?

Umxholo

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Ngaba uyiqaphele yonke i-buzz ejikeleze i-IUD mva nje? Izixhobo ze-Intrauterine (IUDs) zibonakala zikho kuyo yonke indawo. Kwiveki ephelileyo, iZiko leSizwe leZibalo zezeMpilo libike ukunyuka okuphindwe kahlanu ekusebenziseni ukukhulelwa kwexesha elide kwiminyaka eyi-10 edlulileyo phakathi kwe-15-to-44 iseti. Ekuqaleni kukaFebruwari, uphando oluvela kwiYunivesithi yaseWashington School of Medicine eSt. Louis lubonise ukuba i-hormonal IUDs zihlala zisebenza ngonyaka ngaphaya kwexesha elivunyiweyo le-FDA leminyaka emihlanu.

Ukanti kubafazi abaninzi abakhetha ukulawulwa kokuzalwa, kusekho ukuthandabuza. Kubonakala ngathi wonke umntu uyazi ngomntu onendaba ye-IUD eyoyikisayo, ukusuka kwiintlungu ekufakweni ukuya kunyikima kakhulu iiveki emva koko. Kwaye ke kukho ingcamango yokuba zonke ziyingozi. (Jonga Into Oyaziyo Ngee-IUD Isenokuba Ayilunganga.)

Iziphumo ebezingalindelekanga ezoyikekayo azikho kwaphela, utshilo uChristine Greves, M.D., ugqirha wezifo zabafazi kwiSibhedlele iWinnie Palmer for Women & Babies. Kwaye ii-IUDs aziyongozi: "Kwakukho ingxelo yangaphambili eyayinegama elibi," utshilo. "Umtya osezantsi ubunemisonto emininzi, ibacteria ibinamathele kuyo ngokulula, ebangele iimviwo zangaphezulu. Kodwa le IUD ayisasebenzi." (Fumana imibuzo emi-3 yoLawulo lokuzalwa omele uyibuze kugqirha wakho)

Ke, ngoku ekubeni sizicimile ezo ngcinga zigwenxa zixhaphakileyo, nantsi into ekufuneka uyazi malunga nesicwangcisi:

Ingaba isebenza kanjani?

Zimbini iinguqulelo ze-IUD ekufuneka ziqwalaselwe: iminyaka emihlanu yehomoni kunye neminyaka eli-10 engeyiyo ihomoni. Umsebenzi wehomoni ngokukhupha iprogestin, eqinisa umchamo wesibeleko kwaye isenze ukuba isibeleko singabinalo iqanda, utshilo uTaraneh Shirazian, MD, unjingalwazi oncedisayo kwezokubelekisa, gynecology nakwinzululwazi yenzala kwiNtaba yeSinayi. Ayifani nepilisi, ene-estrogen yokucinezela i-ovulation, utshilo. "Abasetyhini banokuziva ngathi bavusa inyanga nenyanga." Uya kubona kwakhona amafutshane, amaxesha alula kule fomu, nawe.

I-10-ye-non-hormonal IUD yeminyaka isebenzisa ubhedu, ikhutshwa kancinci kwisibeleko ukuthintela isidoda ekuchumiseni iqanda. Xa uqhubeka kuyo, ukulawulwa kokuzalwa kufuneka kusebenze malunga neeyure ezingama-24. Ukuba ukhetha ukuphuma, ikwayinguqu entle ekhawulezileyo. “Inguqulelo yehomoni, njengeMirena, ithatha ixesha elide-malunga neentsuku ezintlanu ukuya kwezisixhenxe,” utshilo uShirazian. "Kodwa nge-10-year, iParagard, uphuma kuyo, kwaye xa sele iphumile, yiyo."

Zeziphi izinto ezilungileyo nezingalunganga?

Siye satyhilela into enye enkulu ngaphambili: Ukuba ukwimo yexesha lokukhanya, i-hormonal IUD inokuyipakisha loo ngenelo.

Ngaphandle koko, linyathelo elinye, isisombululo sexesha elide lolawulo lokuzalwa. “Awunakulibala ngayo,” utsho uShirazian. "Kungenxa yoko le nto inezinga eliphezulu kakhulu lokuthintela ukukhulelwa kunepilisi." Oku kungaphezulu kweepesenti ezingama-99, ngendlela. Iipilisi zinobuchule obufanayo xa zisetyenziswa ngokuchanekileyo. "Xa umntu obhinqileyo ephosa ipilisi, loo nto siyibiza ngokusilela komsebenzisi," utsho uGreves. "Ngokuqinisekileyo i-IUD ifanele ubomi obuxakekileyo bomfazi." (Njengazi ndlela zili-10 zabantu abaxakekileyo zihamba ngamandla imini yonke.)

Ngelixa i-IUD ivakala ilungile ukuza kuthi ga ngoku, kukho ubukho kuthintelo lokuthintela ukukhulelwa.

I-IUD inokuba yinto enhle kubasetyhini abaxakekileyo kunye namaxesha alula, kodwa ukufaka i-IUD kuyingozi kakhulu kunokukhupha ipilisi-kwaye ekubeni sonke sisenza oku ubomi bethu bonke, nokuba yiTylenol okanye ulawulo lokuzalwa, mhlawumbi uzive uqhelene nesiko. Kwaye kukho iziphumo ebezingalindelekanga ezimbalwa ezinokuthi zibe kho, njengokukruneka isithuba esingangeveki njengoko isibeleko siqhelana nesixhobo, kunye neentlungu xa kufakwa, ingakumbi ukuba akuzange ubeleke lilungu lobufazi. Oku kuqhelekile ngokupheleleyo, kwaye kufuneka kudlule ngokukhawuleza okukhulu. "Ndixelela izigulana zam ukuba zithathe ibuprofen isibini malunga neyure phambi kokuqeshwa kwabo," utshilo uGreves. (Jonga ngakumbi kwezona ziPhumo ziPhakamileyo zokuLawula ukuZalwa.)

Enye ingxaki enkulu kukugqobhoza, apho i-IUD inokugqobhoza isibeleko-kodwa iShirazian iqinisekisa ukuba inqabile kakhulu. "Ndifake amawaka ezi zinto, kwaye andikaze ndizibone zisenzeka," utshilo. "Amathuba amancinci kakhulu, into efana neepesenti ezi-0.5."

Ilungele bani?

UShirazian noGreves bobabini bathi bafake ii-IUDs kuye wonke umntu ukusuka kwabafikisayo ukuya kwabasetyhini abaphakathi ukuya ekupheleni kweminyaka engama-40 kwiimfuno ezahlukeneyo zomntu ngamnye. "Enye yezona ngcinga ziphosakeleyo kukuba wonke umntu akanakusebenzisa," utshilo uShirazian. "Abasetyhini abaninzi banako, ngokwenene."

Nangona kunjalo, i-Shirazian ikhonkxa umgqatswa ofanelekileyo: Umfazi ophakathi ukuya kwiminyaka eyi-20 okanye engaphezulu, ongakhangeliyo ukukhulelwa nangaliphi na ixesha kungekudala.

UGreves uphinda loo mvakalelo, ngokunjalo. Ugqibelele ukuba umntu angafuni ukukhulelwa kungekudala kwaye angabinamaqabane amaninzi ezesondo, uyachaza. "Eli qela linokuba libanzi nangona."

Linjani ikamva?

Ngokutsho kwedatha ye-CDC, i-contraceptive ehlala ixesha elide efana ne-IUD kuphela yindlela yesine eyaziwayo yokulawula ukuzalwa phakathi kwabasetyhini kwi-7.2 yeepesenti-ngaphantsi kwesiqingatha sepilisi, ehlala iyinombolo enye kolu didi.

Nangona kunjalo, i-Shirazian icinga ukuba okukhona abantu befunda nge-IUDs, kokukhona baya kufumana abantu. Inomdla kakhulu, kuba sikubonile ukunyuka kutshanje, utshilo. Eyona nto imbi kakhulu kukuba abantu bevile ngayo ngaphambili, nokuba bebengengomgqatswa, okanye ibingakhuselekanga, utshilo. "Kodwa ayinyusi izinga losulelo lwe-pelvic kwaye, ngaphandle kokuba unokuba nosulelo olusebenzayo, ungalubeka kubafazi abaninzi abahlukeneyo."

Ngaba i-IUD iyakuthatha indawo yepilisi? Lixesha kuphela eliya kuxela, kodwa ngokuqinisekileyo lingcono kunale ndlela yokulawula ukuzala.

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