Ngaba ii-IUDs zibangela uxinzelelo? Nantsi into ekufuneka uyazi

Umxholo

• Nguwuphi umahluko phakathi kwe-IUD yobhedu kunye nee-IUDs zehomoni?
• Ngaba ii-IUDs zibangela uxinzelelo?
• Zeziphi izibonelelo ezinokubakho ngokusebenzisa i-IUD?
• Kufuneka ulufune nini uncedo?
• Ukuthatha

Izixhobo zangaphakathi (IUDs) kunye noxinzelelo

Isixhobo se-intrauterine (IUD) sisixhobo esincinci esinokuthi sifakwe ngugqirha kwisibeleko sakho ukunqanda ukuba ungakhulelwa. Yindlela esebenza ixesha elide yokubuyisela umva kulawulo lokuzalwa.

IUDs zisebenza kakhulu ekuthinteleni ukukhulelwa. Kodwa njengeentlobo ezininzi zolawulo lokuzalwa, zinokubangela iziphumo ebezingalindelekanga.

Zimbini iintlobo eziphambili ze-IUD: ii-IUDs zobhedu kunye nee-hormonal IUDs. Olunye uphando lubonisa ukuba ukusebenzisa i-hormonal IUD kunokunyusa umngcipheko wokudakumba. Nangona kunjalo, iziphumo zophando kwesi sihloko zixutywe. Uninzi lwabantu abasebenzisa i-hormonal IUD aluphuhlisi uxinzelelo.

Ugqirha wakho unokukunceda uqonde izibonelelo ezinokubakho kunye nomngcipheko wokusebenzisa i-IUD yehomoni okanye yobhedu, kubandakanya naziphi na iimpembelelo ezinokuba nazo kwimood yakho.

Nguwuphi umahluko phakathi kwe-IUD yobhedu kunye nee-IUDs zehomoni?

IUD yobhedu (iParaGard) isongelwe ngobhedu, uhlobo lwesinyithi olubulala isidoda. Ayinayo okanye ikhuphe iihomoni zokuzala. Kwiimeko ezininzi, inokuhlala ukuya kuthi ga kwiminyaka eyi-12 ngaphambi kokuba isuswe kwaye ithathelwe indawo.

I-hormonal IUD (uKyleena, Liletta, Mirena, Skyla) ikhupha isixa esincinci seprogesin, uhlobo lwento eyenziwayo yencindi yedlala yeprogesterone. Oku kubangela ukuba umgca womlomo wakho wesibeleko uqine, nto leyo eyenza kube nzima ukuba isidoda singene esibelekweni sakho. Olu hlobo lwe-IUD lunokuhlala ukuya kuthi ga kwiminyaka emithathu okanye nangaphezulu, kuxhomekeke kuhlobo lwentengiso.

Ngaba ii-IUDs zibangela uxinzelelo?

Olunye uphononongo lubonisa ukuba ii-IUDs zehomoni kunye nezinye iindlela zolawulo lokuzalwa-umzekelo, iipilisi zolawulo lokuzalwa-zinokuphakamisa umngcipheko woxinzelelo. Olunye uphononongo alufumananga khonkco konke konke.

Olunye lolona phando lukhulu kulawulo lokuzalwa kunye noxinzelelo lwagqitywa eDenmark e2016. Abaphandi bafunda iminyaka eli-14 yedatha evela ngaphezulu kwesigidi sabasetyhini, abaneminyaka eli-15 ukuya kwengama-34 ubudala. Babakhuphile ngaphandle kwabasetyhini abanembali edlulileyo yoxinzelelo okanye ukusetyenziswa koxinzelelo.

Bafumanise ukuba iipesenti ezi-2.2 zabasetyhini abasebenzisa iindlela zokulawula ukuzalwa kwe-hormonal babelwa i-anti-depressants ngonyaka, xa kuthelekiswa ne-1.7 yeepesenti yabasetyhini abangazange basebenzise ulawulo lokuzalwa kwehomoni.

Abasetyhini abasebenzisa i-IUD yehomoni babenamathuba angama-1,4 ngakumbi kunabasetyhini abangakhange basebenzise ulawulo lokuzalwa kwehomoni ukuba babelwe i-antidepressants. Babenamathuba aphezulu okuchongwa ukuba banexinzelelo kwisibhedlele sabagula ngengqondo. Umngcipheko wawumkhulu kubafazi abancinci, abaphakathi kweminyaka eli-15 neli-19 ubudala.

Olunye uphononongo alufumananga unxibelelwano phakathi kolawulo lokuzalwa kwehomoni kunye noxinzelelo. Kuphononongo olupapashwe ngo-2018, abaphandi bajonga kwizifundo ezingama-26 zokuthintela ukukhulelwa kweprogesin kuphela, kubandakanya nezifundo ezintlanu kwii-IUDs zehomoni. Isifundo esinye kuphela esidibanisa ii-IUDs zehomoni kunye nomngcipheko ophezulu woxinzelelo. Ezinye izifundo ezine azifumananga unxibelelwano phakathi kwehomoni yehomoni kunye noxinzelelo.

Ngokungafaniyo nee-IUDs zehomoni, ii-IUDs zobhedu azinayo nayiphi na iprogestin okanye ezinye iihomoni. Abakhange badityaniswe nomngcipheko ophezulu woxinzelelo.

Zeziphi izibonelelo ezinokubakho ngokusebenzisa i-IUD?

Ii-IUDs zingaphezulu kweepesenti ezingama-99 ngokukuthintela ukukhulelwa, ngokweCwangciso loMzali. Zezinye zezona ndlela zisebenzayo zokulawula ukuzalwa.

Kwakhona kulula ukuzisebenzisa. Nje ukuba kufakwe i-IUD, inika ukhuselo lweyure ezingama-24 ekukhulelweni iminyaka emininzi.

Ukuba uthatha isigqibo sokuba ufuna ukukhulelwa, ungayisusa i-IUD yakho nangaliphi na ixesha. Iziphumo zokulawulwa kokuzalwa kwee-IUD zibuyela umva ngokupheleleyo.

Kubantu abanamaxesha anzima okanye abuhlungu, ii-IUDs zehomoni zibonelela ngezibonelelo ezongezelelweyo. Banokunciphisa ixesha leekram kwaye benze amaxesha akho akhanye.

Kubantu abafuna ukunqanda ulawulo lokuzalwa kwehomoni, i-IUD yobhedu ibonelela ngendlela efanelekileyo. Nangona kunjalo, i-IUD yobhedu ihlala ibangela amaxesha anzima.

Ii-IUDs aziyeki ukusasazeka kwezifo ezidluliselwa ngeentlobano zesini. Ukuzikhusela kunye neqabane lakho kwizifo ezingumvuka wokwabelana ngesondo, ungasebenzisa iikhondom kunye ne-IUD.

Kufuneka ulufune nini uncedo?

Ukuba ukrokrela ukuba ulawulo lwakho lokuzalwa lubangela uxinzelelo okanye ezinye iziphumo ebezingalindelekanga, thetha nogqirha wakho. Ngamanye amaxesha, banokukukhuthaza ukuba utshintshe indlela yolawulo lokuzalwa. Banokukuyalela amayeza athomalalisa uxinzelelo, bakuthumele kwingcali yezempilo yengqondo ngengcebiso, okanye bacebise olunye unyango.

Iimpawu ezinokubakho kunye neempawu zoxinzelelo zibandakanya:

• iimvakalelo ezihlala zihleli okanye ezihlala zihleli zosizi, ukungabi nathemba, okanye ukuzithemba
• Ukuhlala uziva okanye uhlala uziva unexhala, unxunguphalo, ukucaphuka, okanye unxunguphalo
• ukuziva unetyala rhoqo, ukuhlala ungenaxabiso, okanye ukuzibekek 'ityala
• Ukuphelelwa ngumdla kwimisebenzi ebisoloko inomdla okanye ikonwabisa
• utshintsho kumdla wakho wokutya okanye ubunzima
• utshintsho kwimikhwa yakho yokulala
• ukunqongophala kwamandla
• Ukuhamba kancinci, intetho, okanye ingcinga
• ubunzima bokugxila, ukwenza izigqibo, okanye ukukhumbula izinto

Ukuba uvelisa iimpawu okanye iimpawu zoxinzelelo, yazisa ugqirha wakho. Ukuba ufumana iingcinga zokuzibulala okanye ukufuna, funa uncedo kwangoko. Xelela umntu omthembileyo okanye unxibelelane nenkonzo yokuthintela ukuzibulala simahla ukuze ufumane inkxaso eyimfihlo.

Ukuthatha

Ukuba ukhathazekile malunga nomngcipheko wokudakumba okanye ezinye iziphumo ebezingalindelekanga kulawulo lokuzalwa, thetha nogqirha wakho.Banokukunceda uqonde izibonelelo ezinokubakho kunye nomngcipheko wokusebenzisa i-IUD okanye ezinye iindlela zolawulo lokuzalwa. Ngokusekwe kwimbali yakho yezonyango nakwindlela ophila ngayo, banokukunceda ukhethe indlela ehambelana neemfuno zakho.