Mmodzi wa mkuwa wa IUD motsutsana ndi zinayi zowonongeka kwa progestin
Ma CD (intrauterine zipangizo) ndizothandiza, zanthawi yaitali , komanso njira zowonongeka zowonongeka , ndipo pali mitundu isanu yovomerezeka ya FDA yomwe ikupezeka pamsika:
- Mirena
- Liletta
- Skyla
- Kyleena
- ParaGard
Mwinamwake mukudabwa kuti ndi chiani chomwe chili choyenera kwa inu. Ichi ndi chisankho chomwe chimafuna kukambirana moganizira komanso mosamala ndi dokotala, komanso kudziwa zofunikira zokhudzana ndi zosiyana siyana musanalankhulepo zingakhale zothandiza kwambiri.
Chidule cha IUDS
Njira zinayi zonsezi ndi njira zabwino zothandizira kubereka. Iwo ali "zipangizo zooneka ngati T" zomwe ziyenera kuikidwa mu chiberekero chanu ndi kuchotsedwa mu chiberekero ndi dokotala woyenerera.
Kusiyanitsa kwakukulu pakati pa IUDs ndi kuti mmodzi wa iwo-mkuwa wamkuwa, wotchedwa ParaGard-samamasula hormone.
Mkuwa Wopsereza
ParaGard ndiyo yokha yopanda mahomoni ndipo imapangidwa ndi polyethylene yokutidwa ndi waya wamkuwa. Kodi ParaGard amagwira ntchito bwanji pofuna kupewa mimba? Akatswiri amakhulupirira kuti pali njira zosiyanasiyana, monga:
- Kulepheretsa kusuntha kwa umuna ndi umoyo (umuna sukhalamo)
- Sinthani mofulumira kwa dzira lisanakumane ndi umuna
- Kuwonongeka kwa dzira
- Kusokoneza kuikidwa kwa dzira laubwamuna
Pa zonsezi, ParaGard ingagwiritsidwe ntchito motalika kwambiri, kwa zaka khumi. Malinga ndi zotsatirapo, amayi omwe amasankha ParaGard ayenera kudziwa kuti zingayambitse nthawi yayitali ndi yowonjezereka yowonongeka kwambiri kuposa nthawi zonse, makamaka m'mayendedwe oyambirira angapo.
Ngakhale, ndikofunika kuzindikira kuti chifukwa cha mkuwa wamtengo wapatali, sizimasintha nthawi ya kusamba kwa amayi, kotero kuti apitiliza kukhala ndi nthawi zokhazikika.
Levonorgestrel IUDs
Pali zitsulo zinayi za levonorgestrel: Mirena, Liletta, Skyla, ndi Kyleena. Monga ParaGard, iwo ali ndi T, koma mosiyana ndi ParaGard, ali ndi malaya a polydimethylsiloxane omwe ali ndi levonorgestrel (progesin) pa tsinde.
Mankhwalawa amachititsa kuti umuna ukhale wovuta kuyenda, kudula chiberekero cha chiberekero chomwe chimasokoneza kukhazikika, komanso kuteteza kuumirira kwa umuna ku dzira.
- Mirena poyamba amatulutsa 20mcg ya levonorgestrel tsiku ndipo FDA imavomereza kwa zaka zisanu. Onani kuti nthawi ikapitirira, mavitamini a levonorgestrel amamasula mahomoni osakwanira, koma akadali othandiza.
- Liletta poyamba imatulutsa 18.6mcg tsiku la levonorgestrel ndipo imavomerezedwa kwa zaka zitatu za ntchito.
- Skyla , yemwenso amadziwika kuti "Mng'ono wamng'ono wa Mirena," amatulutsa 14mcg ya levonorgestrel patsiku ndipo angagwiritsidwe ntchito mpaka zaka zitatu.
- Kyleena anali a FDA -vomerezedwa mu September 2016 ndipo amapereka zabwino kwambiri padziko lonse, zaka 5 (frame monga Mirena) koma kukula pang'ono ndi hormone (monga Skyla). Mwapadera, Kyleena poyamba amatulutsa 17.5mcg ya levonorgestrel patsiku.
Chifukwa chakuti ma IUDs anayi ali ndi progesin, mukhoza kusintha kusintha kwa msambo wanu. Mwachitsanzo, mwina mumatha kuona miyezi ingapo yoyamba ndikukhala ndi nthawi yochepa komanso yofupika. Nthawi yanu ingayimire palimodzi.
Zotsatira zina zingaphatikizepo zizindikiro zokhudzana ndi mahomoni monga:
- Mutu
- Nausea
- Chikondi cha m'mimba
- Kusokonezeka maganizo
- Kuchepetsa libido
- Kutaya tsitsi
- Ovarian cysts
Kusankha Choyenera
Imodzi mwa njira zabwino kwambiri zoganizira pakati pa IUDs ndi kudziwa ngati mukufuna kugwiritsa ntchito njira yoletsa kubereka. Ngati simungathe kapena kusankha kusadziwika ndi mahomoni, ParaGard IUD ikhoza kusankha bwino.
Kumbukirani kuti mahomoni a Mirena, Skyla, Liletta, ndi Kyleena amamasulidwa kwanuko (m'chiberekero), choncho alibe mtundu womwewo wa mahomoni omwe amapezeka pamapiritsi oletsa kubereka .
Zinthu zina zomwe zingakuthandizeni kusankha chisankho chabwino ndizo:
- Kutalika kwa chithandizo cha mimba (zaka zitatu motsutsana ndi zaka zisanu poyerekeza ndi zaka khumi)
- Mahomoni ambiri
- Zotsatira zoyipa (mwachitsanzo, amayi ena amavutika kwambiri, amamva kupweteka kwa msambo kumayambiriro kwa miyezi isanu ndi umodzi kapena iwiri ndi mkuwa wamkuwa)
Kukula kwa IUD kungapangitsenso chisankho chanu. Skyla ndi Kyleena ndizochepa kwambiri kuposa Mirena, Liletta, ndi ParaGard. Potero, Skyla ndi Kyleena ang'onoang'ono akhoza kupanga ma IUDswa mosavuta komanso osapweteka kwambiri.
Mayi awo omwe ali ndi chiberekero chaching'ono, monga anyamata achichepere komanso amayi omwe ali ndi kachilombo ka HIV.
Mawu Ochokera
Ziribe kanthu komwe mungasankhe, mungathe kukhala ndi malingaliro kuti zonse zisanu ndizo mwa njira zothandiza kwambiri zothandizira kubereka . Ndipotu, zimakhala zogwira mtima monga njira zosatha , monga zamoyo zamtunduwu.
Kuwonjezera pamenepo, ngakhale kuti anthu ambiri amaganiza molakwika, ma ARV ndi njira zabwino zowalera kwa amayi omwe sali pakati; Awa ndi amayi omwe sanaberekepo kale. IUDs sichikuthandizani kuti mutenge mimba mukatha kuchotsa.
Tiyenera kuzindikira kuti ma IUD samateteza amayi ku matenda opatsirana pogonana. Kuonjezera apo, ndi kulembedwa kwa IUD, pali chiopsezo chothamangitsidwa (IUD akuchoka) kapena matenda, ngakhale kuti zochitikazi si zachilendo.
Zonsezi, ma IUDswa ndi njira zabwino kwambiri zothandizira kubereka, ndipo amapereka chitetezo cha nthawi yaitali. Pambuyo posankha IUD wawo, amayi ambiri amakhutira kwambiri ndi chisankho chawo.
> Zotsatira:
> American College of Obstetrics ndi Gynecologists. (July 2011, Ovomerezedwa 2015). Zolemba Zopangira Zipatala: Zochita Zakale Zosinthira Kubwezeretsa: Implants ndi Devotuterine Devices.
> Dean G, Goldberg AB. (2017). Mankhwala opatsirana pogonana: Zipangizo, ofuna, ndi kusankha. Mu: UpToDate, Schreiber CA, Eckler K (Eds), UpToDate, Waltham, MA.
> Bowers R. "FDA imavomereza dongosolo laling'ono la levonorgestrel intrauterine - A 'mini Mirena.' Kusintha kwa Zipangizo Zamakono . 2013 March; 34 (3): 25-36.
> Gemzell-Danielsson K, Schellschmidt I, Apter D. "Kafukufuku wamakono wachiwiri wotsatizana, omwe amafotokoza za mphamvu, kutaya magazi ndi chitetezo cha mavenda awiri a levonorgestrel-omwe amamasula njira za kulera za intrauterine ndi Mirena." Utsi ndi Wofooka . 2012; 96 (3): 616-622.
> Hardeman J. Intrauterine zipangizo: Zosintha. Am Phys Physician . 2014 Mar 15; 89 (6): 445-50.