Kyleena ndi chipangizo cha intrauterine ( IUD ). Icho chimapangidwa ndi Bayer, choncho ndi gawo la banja limodzi la IUDs monga Mirena ndi Skyla . Kyleena IUD ili ndi pulasitiki yofewa, yokhala ndi mapuloteni (mapulasitiki) omwe amawoneka ngati T. Kyleena ayenera kuikidwa ndi katswiri wodziwa zaumoyo.
Monga njira yothetsera mimba, IUD iyi imatulutsira progestin , levonorgestrel, mu chiberekero kwa zaka zisanu.
Kyleena IUD ili ndi 19.5 mg ya levonorgestrel. Amatulutsa 17.5 mcg ya hormoni iyi patsiku. Pambuyo pa chaka chimodzi, mlingowu umachepa pang'onopang'ono kufika pa 9.8 mcg tsiku lililonse, ndipo mpaka 7.4 mcg pa tsiku. Ndi FDA -vomerezedwa kuti igwiritsidwe ntchito kwa amayi omwe alibe kapena osabereka.
Ngati mukuganiza zogwiritsa ntchito Kyleena, kumvetsetsa zomwe zingakuthandizeni kungakuthandizeni kupanga chisankho chodalira kwambiri. Ndi zachilendo kudabwa ndi mafunso ena pansipa.
Momwe Ikugwirira Ntchito
Kyleena IUD imathandiza kupewa mimba mwa kuyamba njira ya umuna. Izi zimalepheretsa kuti umuna umere dzira. Kotero, kwenikweni, Kyleena amalepheretsa kayendedwe ka umuna. Kyleena IUD imakhalanso ndi progestin-hormone iyi imachititsa kuti mimba yanu isakanike, imayambitsa chiberekero cha chiberekero chanu, ndipo imachepetsa kupulumuka kwa umuna. Kyleena akhoza kugwira ntchito pofuna kupewa mimba momwe mapiritsi amachitira , nayenso.
Ndiyenera Kulikonza Liti?
Muyenera kukhala ndi Kyleena IUD yanu yowonjezera nthawi mu masiku asanu ndi awiri oyambirira kumaliseche anu kapena mwamsanga mutatha mimba yoyamba .
Ngati Kyleena aikidwa mu nthawiyi, nthawi yomweyo imakhala yogwira mtima, kotero simusowa kugwiritsa ntchito njira iliyonse yobweretsera mimba .
Ngati muli ndi Kyleena IUD yanu yomwe imayikidwa nthawi ina iliyonse pamwezi wanu, muyenera kugwiritsa ntchito njira ina ya kulera (monga spermicide kapena makondomu ) sabata yoyamba mutatha kukhala ndi Kyleena.
Kutetezedwa kwa mimba kumayambira patatha masiku asanu ndi awiri (sabata limodzi).
Muyenera kuyembekezera masabata osachepera sikisi kuti Kyleena atseke atabereka kapena atenge mimba yachiwiri. Izi zimathandiza kuti chiberekero chanu chichiritsidwe musanakhale ndi Kyleena.
Kyleena, Skyla, kapena Mirena?
Kyleena IUD amagwira ntchito mofanana ndi Mirena ndi Skyla. Pali kusiyana pakati pa mitundu itatu ya ma CD-hormone-release. Njira zitatu zonsezi ndi njira zabwino zothandizira kubereka. Iwo amalowetsedwa mu chiberekero chanu ndipo amatha kuchotsedwa nthawi iliyonse. Ubereki wanu uyenera kubwerera msanga kamodzi kokha kamodzi kake kameneka katachotsedwa. Choncho tiyeni tiyerekeze ...
Kyleena | Mirena | Skyla |
Lili ndi 19.5 mg ya progestin, levonorgestrel; kumasulidwa pafupi 17.5 mcg pa tsiku. | Lili ndi 52 mg ya progestin, levonorgestrel; kumasulidwa pafupi 20 mcg tsiku lililonse. | Lili ndi 13.5 mg ya progestin, levonorgestrel; kumasulidwa pafupi 14 mcg tsiku lililonse. |
Miyezo 28 mm kupingasa ndi 30mm kupota. | Njira 32 mm kupingasa ndi 32 mm kupota. | Miyezo 28 mm kupingasa ndi 30mm kupota. |
Tayi yogwiritsidwa ntchito poika Kyleena ndi 3.8 mm m'mimba mwake. | Tube yogwiritsidwa ntchito kuyika Mirena ndi 4.4 mm m'mimba mwake. | Tube yogwiritsidwa ntchito poika Skyla ndi 3.8 mm m'mimba mwake. |
Angagwiritsidwe ntchito kwa zaka zisanu. | Angagwiritsidwe ntchito kwa zaka zisanu. | Angagwiritsidwe ntchito kwa zaka zitatu. |
Zotsatira zoposa 99%. | 99.8% ogwira ntchito. | 99.1% ogwira ntchito. |
Kulembera kumanena kuti: Kyleena angagwiritsidwe ntchito ngati mkazi ali ndi mwana kapena ayi. | Kulembera kumati: Mirena akulimbikitsidwa kwa amayi omwe ali ndi mwana mmodzi. | Kulembera kumanena kuti: Skyla ingagwiritsidwe ntchito ngati mkazi alibe mwana kapena ayi. |
Pakati pa khumi ndi awiri mwayi wokhala wopanda nthawi patatha chaka chimodzi. | Pakati pa makumi awiri peresenti yokhala wopanda nthawi patadutsa chaka chimodzi. | Achisanu ndi chimodzi payekha mwayi wokhala wopanda nthawi patatha chaka chimodzi. |
Zingayambitse nthawi kukhala yowala ndi yofupikitsa. | Zingayambitse nthawi kukhala yowala. Chifukwa cha msinkhu waukulu wa progestin, IUD iyi imavomerezedwa ndi FDA kuti athandize nthawi zowawa ndi zopweteka. | Zingayambitse nthawi kuti ifupi ndi yowala. |
Phindu
- Kyleena amapereka chithandizo chokwanira chokhala ndi pakati mpaka zaka zisanu.
- Ndizowonongeka-kamodzi kamodzi, kenaka mulibe china chilichonse choti muchite.
- Kyleena IUD ndi yaying'ono mu kukula ndipo ili ndi pulogalamu yowonjezereka yophatikizapo kuposa Mirena. Izi zingapangitse ndondomeko yowonjezera yopweteka kwambiri kusiyana ndi kuika Mirena kapena ParaGard IUD .
- Kyleena akhoza kuchotsedwa nthawi iliyonse mkati mwa zaka zisanu.
- Zimasinthika kwathunthu, ndipo kubereka kwako kumabwerera mwamsanga-iwe ukhoza kutenga pakati pamene Kyleena wachotsedwa. Azimayi asanu (7) mwa amayi khumi ndi awiri (omwe akufuna kutenga pakati) adzatenga mimba pakapita miyezi 12 kuchokera pamene Kyleena achotsedwa.
- Kyleena IUD ndi FDA-yovomerezeka kwa amayi omwe ali ndi kapena omwe sanakhalepo ndi ana.
- Kyleena ndi njira yabwino ngati simungagwiritse ntchito njira yowonongeka ndi estrogen .
- Ngati muli ndi chiberekero chaching'ono (monga achinyamata aang'ono komanso amayi omwe ali ndi kachilombo ka HIV), Kyleena akhoza kulekerera bwino kuposa ma ARV ena.
- Inuyo kapena mnzanuyo musamamve Kyleena panthawi yogonana.
- Kylenna ndi njira yokonzera kubereka.
- Ikhoza kugwiritsidwa ntchito ngati mukuyamwitsa.
- Kyleena akhoza kukhala wosankha bwino ngati mutangotenga kokha.
Kuipa
Azimayi ambiri alibe mavuto omwe angasinthe kuti asinthe. Koma mukhoza kumva ululu, magazi, kapena chizungulire panthawi yanu kapena / kapena pambuyo pa Kyleena IUD. Ngati zizindikirozi sizimangokhala mkati mwa mphindi makumi atatu mutatha kuika, pakhoza kuthekera kuti Kyleena IUD yanu sinayidwe molondola. Onetsetsani kuti mungalankhule ndi dokotala wanu za mavuto omwe mukukumana nawo.
Azimayi ena ali ndi vuto lopweteka kapena lopweteka kwa masiku angapo kapena masabata atatha Kyleena IUD yawo.
Zotsatira Zotsatira
Mungapeze zotsatirapo mutatha kuika Kyleena IUD yanu. Nthawi zambiri, izi zidzatha patapita masabata angapo oyamba mpaka miyezi. Zotsatira zofala kwambiri za Kyleena IUD zikuphatikizapo:
- Kutupa kapena matenda a mbali yakunja ya umaliseche (vulvovaginitis)
- Ovarian cysts akhala atapezeka mwa pafupifupi 22 peresenti ya ogwiritsira ntchito Kyleena. Nthaŵi zambiri, izi zimatha pokhapokha mkati mwa miyezi 1-2
- Kuchulukitsa magazi
- Mimba ndi / kapena ululu wa m'mimba
- Zodzoladzola kapena seborrhea (khungu loyera)
- Mutu kapena migraines
- Dysmenorrhea kapena uterine spasms
- Kupweteka kwa m'mimba kapena kuvulaza
Kusintha kwa Nthawi Yanu?
- Pakati pa miyezi itatu ndi itatu yoyamba mutatha kuika Kyleena IUD wanu, mungakhale ndi mwayi wapadera wotuluka mwazi ndi kupenya. Nthawi yanu ingakhale yopanda pake, ndipo / kapena nthawi yanu ingakhale yolemera kapena yaitali kuposa nthawi zonse.
- Ngakhale kuti kutuluka kwa magazi ndi kuchepa kungathe kuchepa m'miyezi itatu yoyambirira mutalowa, nthawi yanu ingapitirize kukhala yosasintha.
- Pakapita nthawi, nthawi yanu idzakhala yofupika komanso yopepuka. Chifukwa chakuti progesin mu Kyleena imayambitsa chiberekero cha uterine, kutuluka kwa magazi kungachepetseko Kyleena IUD yanu yayitali. Nthawi yanu imatha (pafupifupi 12 peresenti ya amayi amasiya kukhala ndi nthawi pambuyo pa Kyleena kwa chaka chimodzi).
Mavuto ndi Zovuta
Mavuto aakulu ndi Kyleena ndi osowa kwambiri. Onetsetsani kuti mungamuuze dokotala nthawi yomweyo ngati pali vuto. Zotsatira zina zoyipa zikuphatikizapo:
- Ectopic mimba
- Sepsis (matenda owopsa, owopsya moyo)
- Kuthamangitsidwa kapena kuthamangitsidwa
Zotsatira zina zingakhale zofanana ndi zina .
Ndani Ayenera Kuzimvetsa?
Kyleena IUD yakhala ikufufuzidwa mwachindunji ndi amayi osakwatiwa (mawu achipatala a amayi omwe sanaberekepo) -ndipo, a FDA avomereza kuti Kyleena azigwiritsidwa ntchito ndi amayi ambiri. Zolemba za Kyleena zimanena kuti IUD iyi ingagwiritsidwe ntchito ngati mwabereka mwana kapena ayi. Koma ma ARV sali ovomerezeka kwa amayi onse, motero onetsetsani kuti mukutsatira ndondomeko yoti mukhale woyenera ndipo muuzeni dokotala za zoopsa zilizonse.
Kuchotsa
- Muyenera kukhala ndi Kyleena IUD wanu atachotsedwa mutatha zaka zisanu (sizingatheke kapena kupasuka mu thupi lanu). Mungasankhe kukhala ndi Kyleena IUD wina atayikidwa paulendo womwewo.
- Ngati mukufuna kusintha njira yatsopano yobadwira (ndipo pitirizani kuteteza mimba) mutasiya Kyleena, pangani ndondomeko yanu yochotseratu kuti ichitike mu masiku 7 oyambirira a nthawi yanu ndipo mwamsanga yambani njira yanu yatsopano. Ngati muli ndi Kyleena wanu atachotsedwa nthawi iliyonse pa nthawi ya kusamba, yambani njira yanu yatsopano yoberekera masiku asanu ndi awiri musanayambe kuchotsa Kyleena wanu.
- KHALANI: Ngati mwakhala mukugonana (popanda kugwiritsira ntchito kondomu ya abambo, kondomu ya amayi , spermicide , kapena siponji ) mkati mwa masiku asanu musanatengere Kyleena wanu, mukhoza kukhala pachiopsezo chotenga mimba mutachotsa IUD yanu.
- Musayesetse kuchotsa Kyleena nokha (pambuyo pake, ndi chifukwa chake tili ndi madokotala!). Pali mwayi wochepa kuti Kyleena IUD wanu adzichoke yekha-koma, mwinamwake, muyenera kukonzekera nthawi yoti mutenge.
- Mungathe kukhalanso Kyleena IUD yanu nthawi iliyonse isanathe zaka zisanu.
- Ngati Kyleena IUD yanu ituluka yokha, pali mwayi wabwino kuti simudzazindikira ngakhale. Ichi ndi chifukwa chake nkofunika kumverera kwa zingwe- popeza iyi ndiyo njira yokhayo yodziwira kuti Kyleena wanu akadali m'malo. Ngati Kyleena wanu atuluka, aitanani dokotala wanu. Dokotala wanu angayambe kuyesa kutenga mimba (kuonetsetsa kuti simuli ndi pakati) musanalowetse Kyleena IUD yatsopano.
- Ngati Kyleena IUD wanu athamangitsidwa pang'ono, funsani dokotala nthawi yomweyo (ndigwiritseni ntchito njira yobwerezera yobereka). Musayese kukoka zonsezi paokha.
Ndalama
Kyleena ali ndi mtengo wapamwamba kwambiri kuposa njira zina zothandizira kubereka . Mtengo wa kafukufuku, Kyleena IUD, kulowetsa, ndipo maulendo obwereza angathe kutenga madola 500- $ 900. Medicaid mwina ikhoza kubisa izi. Mutha kuwonanso ndi inshuwalansi ya umoyo wanu popeza chithandizo cha Kyleena chiyenera kuwonongedwa ndi ndalama zonse zopanda inshuwalansi.
Mphamvu
Kyleena IUD ndi yothandiza kwambiri . Njira yothandizira njira yowonetsera njira yowonjezera, yoposa nthawi yayitali. Izi zikutanthauza kuti mwa amayi 100 alionse omwe amagwiritsa ntchito Kyleena IUD chaka chimodzi, osachepera 1 adzakhala ndi pakati ndi ntchito zabwino.
Malangizo Ena Othandiza: Mukamagwiritsa ntchito Kyleena IUD, mimba zambiri zimachitika chifukwa Kyleena wanu watuluka, ndipo mwina simunadziwe kuti izi zachitika. Ngakhale kuti mwayi wa pathupi pogwiritsira ntchito Kyleena ndi wotsika kwambiri, zikhoza kuchitika. Ngati mutakhala ndi pakati pamene Kyleena IUD wanu akadali m'malo, yesetsani kuonana ndi dokotala mutangodziwa kuti muli ndi pakati - popeza pangakhale ngozi zomwe zimayenderana ndi mtundu uwu wamimba .
Chitetezo cha STD
Kyleena IUD sichiteteza ku matenda opatsirana pogonana . Mwinanso mungakhale ndi matenda otupa pamimba pambuyo poti Kyleena alowe ngati muli ndi matenda opatsirana pogonana panthawiyi. Mukhoza kukhala pangozi ngati muli ndi zibwenzi zambiri zogonana kapena ogonana omwe akhala ndi zibwenzi zambiri zogonana.
Mawu Ochokera
Kyleena ndi ma ARV ena akhoza kupereka njira yoyenera yoletsa kubereka ngati muli woyenera. Kumbukirani kuti pali njira zambiri zothandizira kubereka zomwe zilipo kotero kuti mutha kusankha zomwe zili zoyenera kwa inu. Zosakayika zitha kukhala zovuta kwambiri, makamaka pamene zitsatanetsatane za momwe ntchito iliyonse ilili yovuta. Mukachita kafukufuku wanu ndikuyankhula ndi dokotala, mutha kusankha chimodzi molimba mtima.
> Zotsatira:
> Gemzell-Danielsson K, Apter D, Hauck B, et al. "Zotsatira za Mbadwo, Mgwirizano ndi Thupi la Thupi la Thupi pa Zogwira Ntchito, Kukhazikitsa, Kukhazikitsa ndi Kukhutira Komaliza Zogwirizanitsidwa ndi Two Low-Dose Levonorgestrel Njira Zolimbana ndi Kugonana: Magulu Ofufuza Zambiri Kuchokera Pachigawo Chachitatu." PLOS ONE. 2015; 10 (9): e0135309.
> Nanda K, Callahan R, Dorflinger L. "Kulimbana ndi Ziphuphu mu Njira Yopangira Njira Zolimbana ndi Kugonana: Njira Zothandizira." Women's Health . 2015; 11 (6): 729-735.