IUDs ndi chisankho chachikulu choletsa kubereka ngati mukuyang'ana njira yothandiza, yanthawi yaitali, yobereka yobwereza . Pakalipano, pali mitundu itatu ya IUDs yomwe mungapeze:
- Mirena - amamasula 52mg ya progestin levonorgestrel pazaka zisanu.
- Skyla - imatulutsa 13.5mg ya progestin levonorgestrel pazaka zitatu.
- ParaGard - Mkuwa wamkuwa umene ulibe mahomoni.
Zonse zitatuzi ziyenera kuikidwa mu chiberekero chanu ndi adokotala oyenerera.
Mmene Mungapezere Mayi (Mirena, Skyla kapena ParaGard):
Musanayambe kujambula, muyenera kupanga nthawi yocheza ndi dokotala wanu kuti muwone ngati Mirena, Skyla kapena ParaGard ndi njira yoyenera ya kulera kwa inu. Ndikofunika kuti mukambirane mbiri yanu yachipatala komanso moyo wanu wogonana ndi dokotala chifukwa chakuti IUD si yolondola kwa amayi onse.
Dokotala wanu akhoza kuchita kafukufuku wamkati kuti atsimikizire kuti chiberekero chanu, chiberekero, ndi ziwalo za mkati ndizochilendo komanso osatenga kachilomboka. Mwinanso mungayesedwe matenda opatsirana pogonana , matenda opatsirana a m'mimba, maselo achiberekero osakanikirana, kapena chikhalidwe china chilichonse chomwe chiyenera kuchiritsidwa musanayambe kugwiritsira ntchito.
Ngati zatsimikiziridwa kuti ndinu wodzitetezera wabwino, dokotala wanu adzakukonzerani nthawi yanu kuti mukhale nawo Mirena, Skyla kapena ParaGard IUD yanu.
Mankhwalawa amatha kuikidwa nthawi iliyonse pamene mukupita kumwezi (dokotala wanu angayambe kuyesetsa mimba kuti asatenge mimba) kapena mutangotha mimba yoyamba .
- Ngati mukufuna kutetezedwa mimba mwamsanga (osagwiritsanso ntchito njira yoletsa kubereka ), Mirena ndi Skyla ayenera kuikidwa mkati mwa masiku asanu ndi awiri mutatha nthawi yanu. Ngati mwaika nthawi ina iliyonse pa nthawi ya kusamba, muyenera kugwiritsa ntchito njira ina yoberekera mimba sabata yoyamba (masiku asanu ndi awiri) mutatha kuika.
- ParaGard imakhala yogwira ntchito mwamsanga, choncho ziribe kanthu kuti muli ndi nthawi yanji pamene mukulowa.
- Paragard ikhoza kukhazikitsidwa mpaka masiku asanu pambuyo poletsa kugonana ngati njira yachangu .
Pambuyo pa nthawi yanu yoyamba (kapena osachepera miyezi itatu pambuyo pa kuika IUD yanu), muyenera kukonza kafukufuku kuti mutsimikizire kuti IUD yanu idakali pano. Pambuyo pake, kufufuza nthawi zonse kungatheke panthawiyi ngati nthawi yanu yoyezetsa magazi.
Zifukwa Zomwe Simukuyenera Kudziwa
- Wakhala ndi PID (pokhapokha mutakhala ndi mimba yachibadwa matendawa atachoka).
- Angakhale ndi pakati.
- Khalani ndi magazi osadziwika.
- Pezani matenda mosavuta (chifukwa cha mavuto a chitetezo cha mthupi kapena mankhwala osokoneza bongo).
- Wakhala ndi kachilombo koyambitsa miyezi itatu yapitayi pambuyo pobereka kapena kuchotsa mimba .
- Angakhale ndi khansa ya chiberekero kapena chiberekero.
- Mukhale ndi zibwenzi zambiri zogonana kapena abwenzi omwe ali ndi zibwenzi zambiri.
- Khalani ndi matenda osachiritsidwa osatetezedwa kapena kutupa kwa chiberekero.
- Khalani ndi chikhalidwe chomwe chimasintha mawonekedwe a chiberekero (monga chimbudzi chachikulu kapena chotupa).
- Kale muli ndi IUD.
- Khalani ndi postpartum kapena post-mimba endometritis (kutupa kwa chiberekero cha uterine) m'miyezi itatu yapitayi.
- Anakhalapo, kapena ali pachiopsezo chokhala ndi ectopic mimba.
- Kodi zimakhala zovuta kuzipangizo zina mu Skyla kapena Mirena (monga levonorgestrel, silicone, polyethylene, siliva) kapena ParaGard (monga mkuwa).
Kuwonjezera pamenepo, simuyenera kupeza Skyla kapena Mirena IUD ngati:
- Khalani kapena muli ndi khansa ya m'mawere .
- Khalani ndi chiwindi cha matenda a chiwindi kapena chiwindi cha chiwindi.
Muyeneranso kupeza ParaGard IUD ngati:
- Khalani ndi Matenda a Wilson
Kufufuza Zida Zanu Zachikhalidwe
Mutatha kupeza ndalama, muyenera nthawi zonse kufufuza zidazo . Mirena, Skyla, ndi ParaGard onse ali ndi zingwe zomwe zimagwiritsidwa ntchito pa chipangizo chomwe chimapachikidwa pamimba mwa chiberekero.
Malingana ndi momwe zingwezo zililifupi, mukhoza kutsimikiza kuti IUD ili m'malo mwakumverera kwa zingwe. Dokotala amagwiritsa ntchito zingwe kuti achotse mankhwala. Akazi ena akhoza kukhala ndi zingwe zochepetsedwa ngati akumva ndi wokondedwa wanu. Ngati zili choncho, nthawi zina zingwe zimadulidwa kwambiri moti simungathe kufufuza zingwe.
Muyenera kumverera chifukwa cha zida zanu za IUD kamodzi pa mwezi, pakati pa nthawi. Ndimalingaliro abwino kuyang'ana masiku angapo ochepa kwa miyezi ingapo yoyamba mutatha kupeza IUD yanu kuti muonetsetse kuti ikadali bwino. Izi zikunenedwa, chimodzi mwa ubwino waukulu kwambiri wa Mirena, Skyla, ndi ParaGard ndi chakuti, makamaka, mutakhala ndi HIV, simukusowa kanthu!
> Zotsatira:
> Cappiello J. Bosak J. "IUDs: Kupatula zofunikira." Namwino Waudokotala . 2013; 38 (9): 40-46.
> Espey E. Pasternack T. "Chipangizo cha Intrauterine." Pakulera kwa Achinyamata ndi Achinyamata Achikulire . Springer: New York, 2014. 15-23.