Kodi IUDs Ndi yotetezeka?
Kodi chikuchitika ndi chigwiritsidwe ntchito?
Nkhani yabwino ndi yakuti chiwerengero cha amayi omwe akusankha kugwiritsa ntchito njira zoyenera kulera ana akukula mofulumira. Komabe, pazifukwa zina, kugwiritsa ntchito mankhwala osagwiritsa ntchito mankhwala sikupezeka paliponse monga wotchuka monga mapiritsi kapena makondomu . Kodi mudadziwa kuti ma ARV ali othandiza ngati vasectomy ? Koma, mosiyana ndi vasectomy, IUDs zimasinthidwa kwathunthu!
Ndiye nchifukwa ninji inu ambiri simukugwiritsa ntchito njira yodalirika yowononga kubereka ?
Ndikuganiza - zikuoneka kuti pali malingaliro ambiri onena za ngozi za IUD ndi chitetezo. Tiyeni tiwone mofulumira chifukwa chake izi zikhoza kukhala choncho.
Zowopsa ndi Kuda nkhawa Kwambiri ... Kutisokoneza Zakale:
IUDs ili ndi mbiri yakale. Izi zasiya kugwiritsa ntchito mankhwala osokoneza bongo kuti zikhale osasamala. M'zaka za m'ma 1970 (kumbukirani kuti panthawiyo FDA inali ndi mphamvu zochepa pamsika wogulitsa mankhwala), yoyamba yotchuka ya IUD, yotchedwa Dalkon Shield, inayambitsidwa.
Mapangidwe a Dalkon Shield ankaphatikizapo chingwe cha mitundu yambiri (mawu okongola a chingwe cha chingwe chopangidwa ndi ma fibron mazana ambiri atakulungidwa). Anagwiritsa ntchito chingwe chifukwa chinali champhamvu ndipo sankatha. Koma, chingwe cha mtundu umenewu chinapangitsa kuti mabakiteriya alowe mu chiberekero. Choncho, Dalkon Shield ndi amene adayambitsa matenda opatsirana, kuperewera kwa mimba, kupweteka kwa magazi, kusabereka komanso kusasamala . O_ndipo zimakhala bwino kwambiri.
kampani yomwe inachititsa chitetezo cha Dalkon kudziwa za mavutowa, inalepheretsa zotsatira za kafukufuku, ndipo inanamizira za chitetezo cha IUD (chifukwa zikanakhala ndi ndalama zochuluka kuti zitheke). Kotero inu muli ndi zikwi za amayi omwe anavulala kuchokera ku Dalkon Shield anavulala ... zomwe zikanakhoza kulepheretsedwa ngati kampaniyo itakhala yoona mtima ndipo sichitenga nawo mbali "yophimba."
Zowopsa izi ndi kuvulala kwa Dalkon Shield zimayambitsa zikwi zambiri za milandu. A FDA anatsitsa chipsinjo, ndipo Dalkon Shield anachotsedwa pamsika. A FDA adalimbikitsa kuti akazi onse omwe akugwiritsa ntchito Dalkon Shield kuti achotsedwe. Ndipo izi ndizo "zosangalatsa" zokhazokha - zaka ziwiri zitatha izi zitachotsedwa pamsika (ndi zina zambiri zinadziwika za kuwonongeka kwa Dalkon Shield), a FDA anasintha Chidyedwe, Mankhwala ndi Zodzoladzola Act kufuna zina kufufuza mwatsatanetsatane ndi kuvomereza kwa FDA musanathe kugulitsidwa zipangizo zamankhwala.
Kotero, tsopano inu mukhoza kuwona momwe zochitika zapitazo zasiya zotsatira zolakwika. Azimayi ambiri amatha mantha kuti pakadalibe zoopsa zazikulu za IUD. Iwo sazindikira kuti ma IUDs amasiku ano ndi abwino kuposa awo a m'mbuyo. Ndipo, nawonso ali ovomerezedwa ndi FDA (eya, ndizovuta kwambiri).
Ma IUDs a lero:
Pali mitundu itatu YUDU yomwe ilipo ku US: Mirena , ParaGard , ndi Skyla . Izi sizili ngati ndondomeko ya agogo anu aakazi akale. Njirazi zimakhala zotetezeka komanso zodalirika. Ndikhala woonamtima, monga njira zambiri zowonetsera , mukhoza kukhala ndi zotsatira zina mutatha kuika IUD yanu. Koma nthawi zambiri, izi zimachoka patangotha masabata angapo oyamba mpaka miyezi.
Ngakhale mavuto aakulu ndi Mirena, Skyla, ndi ParaGard IUD ndi osowa, ndizotheka kuti ngozizi zikhoza kuchitika. Choncho ngati mukukumana ndi mavuto aliwonse, ndikofunika kuti muwafotokoze dokotalayo nthawi yomweyo.
Mirena / Skyla / ParaGard IUD ngozi ndi Mavuto:
- Kulimbitsa thupi: Kawirikawiri, kachilombo ka HIV kamatha kuponyedwa pakhoma la chiberekero panthawi yolowera. Izi kawirikawiri zimapezeka ndikukonzedwa nthawi yomweyo. Ngati sichoncho, IUD ikhoza kusunthira kumalo ena a m'mimba ndipo ikhoza kuwononga ziwalo za mkati. Choncho mungafunikire opaleshoni kuti muchotse HIV.
- Kutenga: Pali ngozi ina ya PID (matenda opatsirana m'mimba) omwe amagwirizanitsidwa ndi ntchito ya IUD. Koma chiwopsezo n'chochepa kwambiri pambuyo pa masiku 20 oyambirira mutalowa. PID nthawi zambiri imafalitsidwa pogonana. Muli ndi chiopsezo chachikulu chotenga PID ngati inu kapena mnzanuyo mugonana ndi abwenzi ambiri. Matenda a m'magazi angayambitsidwe ndi mabakiteriya omwe amalowa m'chiberekero panthawi yolowera. Matenda ambiri amayamba mkati mwa masabata atatu. Kutenga (chifukwa cha IUD) pambuyo pa masabata atatu ndiwodziwika. Ngati mukumva matendawa pakapita nthawi, ndizotheka chifukwa mwakhala mukudziwika ndi matenda opatsirana pogonana pa nthawi yogonana. Kafukufuku amasonyeza kuti IUDs siyambitsa PID kapena infertility .
- Kuthamangitsidwa: Mirena, Skyla kapena ParaGard IUD ikhoza kutuluka mkati mwa chiberekero - izi zikhoza kuchitika mkati mwa miyezi ingapo yoyamba yogwiritsira ntchito (ngakhale zikhoza kuchitika pambuyo pake). Zitha kuchitanso nthawi yanu. Ndi Mirena kapena ParaGard, pali ngozi yowonjezereka yothamangitsidwa ngati simunakhalepo ndi mwana, kapena ngati ndinu wachinyamata kapena wamkulu. Chifukwa Skyla ndi yaying'ono kwambiri kusiyana ndi zina ziwiri , sizing'onozing'ono kuti zichotsedwe mwa amayi omwe sali ana (ngakhale mankhwala osokoneza bongo) ngakhale kuti kuchotsedwa kwa Skyla IUD kumachitikabe. Ngati IUD yanu ikatuluka, mukhoza kutenga pakati. Choncho ngati izi zikuchitika, onetsetsani kuti mukugwiritsa ntchito kubwezeretsa kubereka (monga kondomu ), ndipo pitani kuchipatala. Ngati Mirena kapena Skyla IUD yanu imatulukamo, iyenera kuchotsedwa (kotero chonde musayese kubwereranso). Kuti mukhale osamala, fufuzani mapepala anu ndi matamponi mu nthawi yanu kuti muonetsetse kuti IUD yanu sinayambe.
Zinthu Zowonjezera IUD Zowonjezera (Mirena, ParaGard, ndi Skyla):
Amayi ambiri sangakhale ndi mavuto pogwiritsa ntchito Mirena, ParaGard, kapena Skyla. Koma, ngati muli ndi zikhalidwe zina , mungakhale ndi chiopsezo chachikulu chokhala ndi mavuto aakulu pamene mukugwiritsa ntchito mankhwala. Izi zikuphatikizapo kukhala pa chiopsezo cha matenda opatsirana pogonana pa nthawi yoika kapena:
- Mankhwala a magazi ambiri m'mitsempha kapena m'mapapu.
- Anali ndi PID m'miyezi 12 yapitayi.
- Khalani ndi shuga kapena kuchepa kwa magazi m'thupi.
- Mukhale ndi magazi omwe samasula / kumwa mankhwala omwe amathandiza magazi anu.
- Wakhala ndi matenda awiri opatsirana pogonana m'zaka ziwiri zapitazo.
- Khalani ndi khansa ya ovari.
- Tengani mankhwala omwe ali ndi corticosteroid (monga prednisone).
- Khalani ndi mbiri ya matenda a tubal (izi sizimagwiritsidwa ntchito kwa amayi omwe ali ndi mimba m'mimba mwawo kuyambira pachilombo).
- Musateteze matenda opatsirana pogonana kapena abambo, monga bacterial vaginosis .
- Khalani ndi chiberekero chapatali kwambiri kapena cham'mbuyo m'mimba.
- Khalani ndi mbiri yolepheretsa kubereka komanso chilakolako chokhala ndi mimba m'tsogolo.
Khalani Wovomerezeka Wanu Womwe:
Monga amayi ambiri, pali madokotala ambiri amene sadakhulupirire za ngozi za IUD ndi chitetezo. Madokotalawa angakhalenso ndi maganizo okhudzidwa ponena za yemwe angathe komanso sangagwiritse ntchito chithandizo. Choncho, kuti mukhale wothandizira anu ... ngati dokotala wanu akukuvutitsani, dziwani kuti:
- Achinyamata angathe kugwiritsa ntchito IUDs .
- MUNGAGWIRITSE NTCHITO KUTHANDIZA ngakhale simunayambe kubala .
- Simukusowa kachilombo katsopano ngati mutasintha zibwenzi zogonana .
- Simukuyenera kukhala mu mgwirizano wapamtima kugwiritsira ntchito IUD.
Kwa amayi ambiri (mwinamwake ngakhale!), IUD ikhoza kukhala chisankho chabwino kwambiri cha kulera. Ndizovuta, zogwira mtima, sizikufuna kuti muchite chirichonse kuti zigwire ntchito, zokometsetsa, ndipo sizikusokoneza kugonana kosagwirizana. Mofanana ndi njira zina zothandizira ana , pali mavuto ena omwe angakhalepo okhudzana ndi ntchito ya IUD, koma amayi ambiri amasangalala ndi njira imeneyi ya nthawi yaitali yobereka.
Zotsatira:
Johnson BA. "Kuika ndi kuchotsa zipangizo za intrauterine." American Family Physician . 2005; 71: 95-102. Idapezeka kudzera mwachinsinsi.
Shelton JD. "Kuopsa kwa matenda opatsirana opatsirana chifukwa cha intrauterine chipangizo." Lancet . 2001 Feb; 357 (9254): 443. Idapezeka kudzera mwachinsinsi.
Thiery M. "Kujambula m'mimba: Kuchokera mphete ya siliva kupita ku intrauterine kulera." European Journal of Obstetrics & Gynecology ndi Biology yobereka. 2000 June; 90 (2): 145-52. Idapezeka kudzera mwachinsinsi.