Ntchito yogwiritsira ntchito IUD ikuwonjezeka ku United States, ndipo ndizomwe mungasankhe. Chimodzi mwazochita zanu zatsopano zakuthambo ndi Liletta IUD. Izi ndizofanana ndi Mirena , Kyleena , ndi Skyla IUDs. Liletta IUD imapangidwa kuchokera ku pulasitiki yofewa, yosasinthika ndipo iyenera kuikidwa ndi katswiri wathandi oyenerera.
Liletta IUD imathandiza kupewa mimba pang'onopang'ono kumasula 52 mg wa progestin , levonorgestrel, mu chiberekero chanu kwa zaka zitatu.
Liletta imatulutsa pafupifupi 18.6 micrograms pa tsiku kwa chaka choyamba-poyerekeza ndi micrograms 20 pa tsiku ndi Mirena, 17.5 mcg ndi Kyleena, ndi 14 mcg ndi Skyla. Liletta IUD imalandiridwa ndi FDA kuti igwiritsidwe ntchito kwa amayi omwe alibe kapena asanabadwe .
Kodi mukuganiza kugwiritsa ntchito Liletta IUD? Ngati ndi choncho, kumvetsetsa zenizeni kungakuthandizeni kupanga chisankho cholimba. Mwina mukudabwa ndi mafunso ena omwe ali pansiwa.
Kodi Liletta Ikusamala Bwanji?
Liletta imathandiza kupewa mimba m'njira zingapo. Njira imodzi imene Liletta imagwira ntchito ndi kupulumutsidwa kwake kwa progestin-hormone iyi idzachititsa kuti chiberekero cha khola lanu chiziwombera, chimayambitsa chiberekero cha chiberekero chanu, ndi kuchepetsa kupulumuka kwa umuna. Liletta IUD imathandizanso kupeza njira ya umuna. Izi zimalepheretsa kuti umuna umere dzira. Kotero, makamaka, Liletta imalepheretsa kusuntha kwa umuna. Potsirizira pake, Liletta akhoza kugwira ntchito pofuna kupewa mimba mwa njira zomwe mapiritsi amachita .
Liletta imatembenuzidwanso kwathunthu, kotero mutangotulutsa ndondomekoyi, chiberekero chanu chiyenera kubwerera mwamsanga .
Liletta vs. Mirena?
Zilembera ziwiri za Miletta ndi Mirena IUD zili ndi 52 mg ya progestin, levonorgestrel. Kotero ndi kusiyana kotani pakati pawo? Ngakhale kuti azimayi omwe ali ndi ana kapena osakhala ndi ana, Liletta ndi amene amachititsa mayeso omwe amawayeza kuti amayiwa ali ndi ana komanso opanda ana (maphunziro a Mirena okhawo anaphatikizapo amayi omwe abereka).
Liletta anafufuzidwa mu phunziro lalikulu kuti adziwe momwe izo zakhalira ndi chitetezo mwadongosolo lalikulu kwambiri la ogwiritsa ntchito. Kafukufuku wambiri akuphatikizapo amayi a zaka 18 mpaka 35 ndipo samaphatikizapo amayi omwe sanaberekepo kapena amayi omwe ali ndi kukula kwakukulu kwa thupi. Choncho maphunziro a Liletta anali azimayi achikulire ndi achikulire (a zaka zapakati pa 16 ndi 45), amayi omwe alibe ndipo sanabereke, komanso amayi oposa kwambiri. Chifukwa chakuti phunziroli linaphatikizapo akazi a maonekedwe ndi kukula kwake, tikudziwa kuti Liletta imagwirira ntchito bwino kwa amayi olemera. Ndipo mosiyana ndi Mirena, chizindikiro cha Liletta IUD chimanena kuti akazi omwe ali ndi ana kapena opanda ana angathe kugwiritsa ntchito Liletta mosamala.
Kusiyana kwina pakati pa Liletta ndi Mirena ndi nthawi yayitali iliyonse yomwe ingagwiritsidwe ntchito. Ngakhale kuti Liletta IUD ndi Mirena IUD zili ndi levonorgestrel (52 mg) ndipo amazitulutsa mofanana, Milena IUD analemba kuti ingagwiritsidwe ntchito kwa zaka zisanu, ndipo liwu la Liletta limangonena kuti lingagwiritsidwe ntchito kwa zaka zitatu. Chifukwa cha kusiyana kotereku chimabwereranso ku kafukufuku wamayesero a kachipatala.
Kampani yopanga mankhwala imene imapanga Liletta inkafuna kuti IUD ivomerezedwe mwamsanga. Choncho, atachita kafukufuku wa zaka zitatu za ntchito ya Liletta IUD yomwe inasonyeza kuti Liletta ndi yotetezeka komanso yothandiza, adapempha kuti agwirizane ndi FDA.
Ichi ndi chifukwa chake Liletta yololedwa kuti igwiritsidwe ntchito mpaka zaka zitatu. Wopanga akupangabe maphunziro kuti azindikire momwe Liletta IUD ikuyendera kwa zaka zisanu ndi ziwiri. Maphunzirowa akadzatha, a FDA adzasintha momwe Liletta angagwiritsire ntchito.
Kodi Phindu la Liletta IUD Ndi Liti?
- Amapereka chithandizo choyenera cha mimba kwa zaka zitatu.
- Ndizovomerezedwa ndi FDA kwa amayi amene ali ndi ana omwe sanakhalepo ndi ana awo.
- Ndizowonongeka-kamodzi kamodzi, kenaka mulibe china chilichonse choti muchite.
- Ndi njira ina yabwino ngati simungagwiritse ntchito njira yowonongeka ndi estrogen .
- Ikhoza kuchotsedwa nthawi iliyonse mkati mwa zaka zitatu.
- Zingagwiritsidwe ntchito ndi azimayi achichepere komanso achinyamata .
- Inuyo kapena mnzanuyo musamamve Liletta IUD panthawi yogonana.
- Ikhoza kugwiritsidwa ntchito ngati mukuyamwitsa.
- Ndi njira yabwino yowonetsera kubadwa ngati mukulemera kwambiri.
Kodi Ndani Ayenera Kupeza Liletta IUD?
Liletta yakhala ikufufuzidwa mwachindunji ndi amayi osakwatiwa (mawu ochiritsira a zachipatala kwa amayi omwe sanaberekepo) -ndipo, a FDA avomereza Liletta IUD kuti igwiritsidwe ntchito ndi amayi mu chiwerengerochi. Kulemba kwa mankhwala a Liletta kumanena kuti IUD iyi ingagwiritsidwe ntchito kaya mwabereka mwana kapena ayi. Mungathe kuganiziranso ntchito Liletta ngati mukulemera kwambiri. Koma ma ARV sali ovomerezeka kwa amayi onse, motero onetsetsani kuti mukutsatira ndondomeko yoti mukhale woyenera ndipo muuzeni dokotala za zoopsa zilizonse.
Ndiyenera Liti Kutenga Liletta?
Muyenera kukhala ndi Liletta IUD yanu yowonjezerapo nthawi mu masiku asanu ndi awiri oyambirira pa nthawi ya kusamba kapena mwamsanga pakutha mimba yoyamba kapena itatumayi. Ngati muli ndi Liletta yoikidwa panthawiyi, imakhala yogwira ntchito, kotero simukusowa kugwiritsa ntchito njira iliyonse yobweretsera ana .
Ngati muli ndi Liletta IUD yanu yomwe imayikidwa nthawi ina iliyonse pamwezi wanu, muyenera kugwiritsa ntchito njira ina yoletsa kubereka (monga spermicide kapena kondomu ) sabata yoyamba mutatenga Liletta. Kutetezedwa kwanu kumayamba pambuyo pa sabata limodzi (masiku asanu ndi awiri).
Muyenera kuyembekezera masabata asanu ndi limodzi kuti mukhale ndi Liletta atalowanso atabereka kapena akuchotsa mimba kapena kutaya mimba. Nthawiyi idzakupatsani nthawi ya chiberekero kuchiritsa musanayambe kuika Liletta IUD yanu.
Kodi Pali Zovuta Kupeza Liletta IUD?
Azimayi ambiri alibe mavuto omwe angasinthe kuti asinthe. Koma mukhoza kumva ululu, magazi, kapena chizungulire panthawi yanu kapena / kapena pambuyo pa Liletta IUD yanu. Zizindikiro izi ziyenera kuchoka mkati mwa theka la ola mutatha Liletta wanu kuika. Mwinanso mungakhale ndi vuto lopweteketsa kapena backache masiku angapo kapena masabata mutayika Liletta IUD yanu.
Nanga Bwanji Zotsatira Zovuta za Liletta?
Mofanana ndi njira iliyonse, mukhoza kukhala ndi zotsatira zoyipa mukatha kuika Liletta IUD yanu. Kawirikawiri, izi zidzatha pambuyo pa masabata angapo oyambirira mpaka miyezi ingapo atalowa. Zomwe zimachitika kwambiri ku Liletta IUD zotsatira zimaphatikizapo:
- Kutupa kapena matenda a mbali yakunja ya umaliseche (vulvovaginitis)
- Zikodzo
- Mutu kapena migraines
- Nsowa kapena kusanza
- Ululu pa kugonana
- Mimba ndi / kapena ululu wa m'mimba
- Kupweteka kwa m'mimba kapena kuvulaza
- Kusokonezeka maganizo kapena kusintha maganizo kumasintha
Kodi Liletta Idzachititsa Kusintha Kwa Nthawi Yanga?
- Pakati pa miyezi itatu kapena isanu yoyamba mutatha kuika Liletta IUD yanu, mukhoza kukhala ndi mwayi waukulu wotuluka m'magazi ndi kuwona. Nthawi yanu ingakhale yopanda malire ndi / kapena nthawi yanu ingakhale yolemera kapena yaitali kuposa nthawi zonse.
- Ngakhale kuti kutuluka kwa magazi ndi kuchepa kungakhale kochepa mkati mwa miyezi itatu yoyambirira mutatha kuika Liletta wanu, nthawi yanu ingapitirize kukhala yosasintha.
- Pakapita nthawi, nthawi yanu idzakhala yofupika komanso yopepuka. Chifukwa chakuti progesin mu Liletta imadwalitsa uterine, chiwonongeko chikhoza kuchepa pamene Liletta IUD yanu ikukhazikika.
- Nthawi yanu ingayime palimodzi. Pafupifupi 19 peresenti ya ogwiritsa ntchito Liletta sadzakhalanso ndi nthawi kumapeto kwa chaka choyamba cha ntchito; 26 peresenti pofika kumapeto kwa chaka chachiwiri cha ntchito; ndipo 38 peresenti kumapeto kwa chaka zitatu.
Kodi Zowopsa ndi Zovuta za Mtundu Wotani?
Mavuto aakulu ndi Liletta ndi osowa kwambiri. Onetsetsani kuti mungamuuze dokotala nthawi yomweyo ngati pali vuto. Izi zanenedwa, zotsatira zina zoopsa za Liletta zingakhale monga:
- Ectopic mimba
- Ovarian cysts (ngakhale ambiri ali otsekemera ndipo amatha okha okha mkati mwa miyezi ingapo)
- Sepsis (matenda owopsa, owopsya moyo)
- Kuthamangitsidwa kapena kuthamangitsidwa
Kuchotsa Liletta YUD Yanu
- Muyenera kukhala ndi Liletta IUD yanu itachotsedwa patapita zaka zitatu (izo sizidzatha kapena kusungunuka mu thupi lanu). Mungasankhe kukhala ndi Liletta IUD ina kapena zolemba zina zomwe zimayikidwa panthawi yomweyo.
- Ngati mukufuna kusintha njira yatsopano yobadwira (ndipo pitirizani kuteteza mimba), yesani kuchotsa Liletta IUD kuti ichitike masiku asanu ndi awiri oyambirira a nthawi yanu ndipo nthawi yomweyo yambani njira yatsopano yolerera. Ngati muli ndi Liletta yanu yomwe imachotsedwa nthawi ina iliyonse pa nthawi ya kusamba, yambani njira yatsopano yoberekera kwa masiku osachepera asanu ndi awiri musanayambe kuchotsa Liletta IUD yanu.
- KHALANI: Ngati mwakhala mukugonana (popanda kugwiritsira ntchito kondomu ya abambo, kondomu ya amayi , spermicide , kapena siponji ) mkati mwa masiku asanu musanatuluke Liletta wanu, mukhoza kukhala pachiopsezo kuti mutenge mimba mutachotsedwa.
- Musayese kuchotsa Liletta nokha (pambuyo pa zonse, chifukwa chake tili ndi madokotala!).
- Liletta ikhozanso kuchotsedwa nthawi iliyonse isanafike nthawi ya zaka zitatu.
- Pali mwayi wawung'ono kuti Liletta IUD yanu ikhale yokha-koma, mwinamwake, mudzafunika kukonza dongosolo kuti muchotse.
- Ngati Liletta IUD yanu ituluka yokha, pali mwayi wabwino kuti simudzazindikira ngakhale. Ichi ndi chifukwa chake n'kofunika kumverera kwazinya zanu ZONG'ONO - chifukwa iyi ndiyo njira yokhayo yodziwira kuti Liletta IUD yanu ilipobe. Ngati Liletta wanu watuluka, dinani dokotala wanu. Dokotala wanu angayambe kuyesa kutenga mimba (kuonetsetsa kuti simuli ndi pakati) musanalowetse Liletta IUD yatsopano.
- Ngati Liletta IUD yanu yatulutsidwa pang'onopang'ono, funsani dokotala nthawi yomweyo (ndipo gwiritsani ntchito njira yobweretsera yobereka). Musayese kukoka zonsezi paokha.
Kodi Liletta Imakhala Ndalama Ziti?
Liletta ili ndi mtengo wapamwamba kwambiri kuposa njira zina zowonetsera . Mtengo wa kafukufuku, Liletta IUD, kulowetsa, ndi maulendo otsatira angadutse madola 500- $ 900. Medicaid mwina ikhoza kubisa izi. Chifukwa Liletta imapangidwa ndi kampani yosagwira ntchito yopanga mankhwala, pali mwayi wabwino kuti mutenge Liletta IUD pamtengo wotsika. Akazi omwe ali ndi inshuwalansi angathe kupeza Liletta kwaulere kapena pamtengo wotsika:
- Ngati muli ndi inshuwalansi ya thanzi: Liletta iyenera kukhala ndi inshuwaransi popanda ndalama zongogwiritsira ntchito, monga mitundu ina ya mankhwala olerera. Chifukwa chakuti Liletta ndi njira yatsopano yowonetsera kubereka, sizingatheke ndi ndondomeko zanu za inshuwalansi nthawi yomweyo (nthawi zambiri zimatenga nthawi kuti zithe kupeza mankhwala atsopano ndi zipangizo pazndandanda wa mankhwala ovomerezeka).
- Ngati muli ndi inshuwalansi ya umoyo, komabe ndondomeko yanu imapereka ndalama za copay kapena sizitenga chithandizo chilichonse cha kulera , Liletta akupereka Pulogalamu Yopulumutsa Odwala mpaka December 31, 2017. Pulogalamuyi, odwala oyenerera sangapereke ndalama zoposa $ 75 kwa Liletta IUD palokha. Pulogalamuyi siimaphatikizapo mtengo wokhala ndi IUD, womwe ukhoza kukhala pakati pa $ 150 ndi $ 250.
- Ngati mulibe inshuwaransi yaumphawi: Yesetsani kupeza kachipatala kakang'ono kwambiri kabwino kopezera banja la Title X ndikufunseni ngati akupereka Liletta IUD. Zipatalazi nthawi zambiri zimapereka ndalama zothandizira mautumiki awo, ndipo amatha kugula Liletta IUD pokhapokha $ 50-kupatula ndalamazo.
Kodi Liletta Ndi Yothandiza Motani?
Liletta IUDZIWA njira imodzi yothandiza kwambiri yoberekera. Njira yothandizira njira yowonetsera njira yowonjezera, yoposa nthawi yayitali. Izi zikutanthauza kuti mwa amayi 100 aliwonse omwe amagwiritsa ntchito Liletta IUD chaka chimodzi, osachepera 1 adzakhala ndi pakati ndi ntchito yogwiritsidwa ntchito.
Zinthu Zomwe Muyenera Kuzikumbukira : Mukamagwiritsa ntchito Liletta, mimba zambiri zimachitika chifukwa Liletta yanu yabwera-ndipo simungathe kuzindikira kuti izi zachitika. Ngakhale kuti mwayi wa pathupi pogwiritsira ntchito Liletta ndi wochepa kwambiri, zikhoza kuchitika. Ngati mutenga mimba pamene Liletta IUD yanu ikadalipo, itanani dokotala wanu mutangozindikira kuti muli ndi mimba chifukwa chakuti pangakhale ngozi zomwe zimayenderana ndi mtundu uwu wamimba .
Kodi Liletta Amapereka Chitetezo chilichonse cha STD?
Liletta IUD sichiteteza ku matenda opatsirana pogonana . Mwinanso mukhoza kutenga matenda otupa pamimba mutatha kuika Liletta ngati muli ndi std panthawiyi. Mwinanso mukhoza kukhala pachiopsezo ngati muli ndi zibwenzi zambiri zogonana kapena ogonana omwe akhala ndi zibwenzi zambiri zogonana.
Mawu Ochokera
Liletta ndi zina zowonjezera zingapereke njira yopezera njira yopezera kulera komanso yogwira mtima ngati ndinu woyenera. Ngati simukuganiza kuti Liletta IUD ndi njira yoyenera kwa inu, pali njira zambiri zowonjezera zowononga. Mwinamwake mungadandaule pamene mukuyendayenda padziko lonse lapansi, makamaka ngati simukudziwa momwe ntchito iliyonse imagwirira ntchito kapena yogwiritsidwa ntchito. Koma mutachita kafukufuku wina, kufunsa mafunso, ndi kuyankhula ndi dokotala, mukhoza kupanga chisankho chodziwikiratu ndikupeza njira yoberekera yomwe ikugwirizana kwambiri ndi zomwe mukufuna.
> Chitsime:
> Eisenberg, DL. et al. "Zaka zitatu zothandiza ndi chitetezo cha 52-mg levonorgestrel-kutulutsa intrauterine dongosolo." Kulera . 2015; 92 (1): 10-16.