Mirena, Skyla, kapena ParaGard IUD
Panthawi ina, muyenera kukhala ndi IUD yanu kuchotsedwa. Chifukwa chiyani? Eya, chifukwa ma IUD satha ndipo sangathe kukhala mu chiberekero kwamuyaya. Ndipo, kwa mbali zambiri, iwo sangatuluke okha.
Uthenga wabwino ndikuti simufunikira kuopa kuti kuchotsa IUD yanu kuchotsedwe. Ndondomeko yotulutsira ndondomekoyi imakhala yosavuta, yopweteka kwambiri, komanso yofulumira kuposa kuika IUD.
Sindingathe kudandaula izi: Ngakhale zingakhale zovuta, musayese kuchotsa nokha. Chimodzimodzinso ndikufunsa bwenzi (kapena munthu wina wosayenera) kuti achite zimenezo chifukwa izi zingawononge kwambiri.
Zisonyezo
Mukhoza kukhala ndi zifukwa zingapo zomwe mukufuna kuti IUD yanu ichotsedwe. Izi zikhoza kukhala:
- chilakolako chokhala ndi pakati
- zotsatirapo zomwe simungathe kulekerera
- kukhala ndi matenda
- Osangokonda kukhala ndi HIV
Chifukwa china chachikulu chomwe muyenera kukhala nacho ndichochotsa chifukwa chakuti sichikuthandizani:
- Mirena IUD - iyenera kuchotsedwa mutakhala nayo kwa zaka zisanu
- Skyla IUD - iyenera kuchotsedwa mutakhala nayo kwa zaka zitatu
- ParaGard IUD - iyenera kuchotsedwa mutakhala nayo kwa zaka 10
Azimayi ena amakhulupirira kuti amafunika kuchotsedwa ngati atasintha. Izi si zoona . Kuthandizira kwanu kudzapitirizabe kugwira bwino ntchito mosasamala kanthu za kuchuluka kwa anthu ogonana nawo omwe muli nawo, kotero izi siziri chifukwa chochotsedwera.
The Procedure
Kachilombo ka HIV kamatha kuchotsedwa nthawi iliyonse pamene mukupita kumwezi. Izi zikunenedwa, kafukufuku wasonyeza kuti zingakhale zophweka kuti muchotse chiwerengero cha ndalama pamene mukukhala. Izi ndi chifukwa chakuti chiberekero chanu chimafewetsa panthawiyi.
- Mofanana ndi nthawi yanu yolemba IUD, dokotala wanu angayambe kuchotsa HIV yanu pozindikira udindo wa chiberekero chanu .
- A speculum angalowetsedwe kuti apatule makoma a abambo.
- Dokotala wanu adzayang'ana zida zanu za IUD . Ndiye, dokotala amagwiritsa ntchito forceps kuti amvetse bwino zida za IUD. Dokotala wanu amakoka pang'onopang'ono pa zingwe za IUD.
- Mikono yosasinthasintha ya IUD idzapangika ngati IUD imadutsa pamayambiriro a chiberekero.
Ndipo ... ndiye kuchotsedwa kwanu kuchotsedwa! Zimangotenga mphindi zochepa chabe, ndipo si zopweteka kwambiri.
Mavuto
Kwa amayi ambiri, kuchotsedwa kwa IUD nthawi zambiri kumakhala kozoloŵera ndi kovuta. Koma nthawi zina, dokotala wanu sangathe kupeza zingwe zanu za IUD.
Ngati izi zikuchitika, zimakhala zovuta chifukwa zingwe zazing'ono zimatha kulowa m'kamwa lachiberekero, zomwe zingatheke ngati zitadulidwa kwambiri (mwina mutakhala ndi IUD yanu yomwe mwayikidwa kapena ngati mwawapempha kuti azifupikitsa chifukwa mnzanuyo watha awone iwo pa nthawi yogonana). Koma, ngakhale zida zanu za IUD poyamba zinadulidwa ku nthawi yotchulidwa, izi zikhoza kuchitikabe.
Kotero, tsopano chiyani? Dokotala wanu akhoza kuyesa kupeza zingwe pogwiritsa ntchito ultrasound. Ngati atalowa mumtsinje wa chiberekero wanu, dokotala wanu adzayesera kuwachotsa mwakachetechete mumimba yanu yachiberekero pogwiritsa ntchito mphamvu zolimba, zofiira, kapena swason.
Mukamachotsa zingwezo ndikulowa mumtambo wanu wamkati, ndiye kuti kuchotsedwa kwa mankhwalawa kudzapitirira monga momwe tafotokozera pamwambapa.
Zikhozanso kukhala zotheka kuti zingwe zakwera m'chiberekero. Ngati ndi choncho, dokotala wanu angagwiritse ntchito phokoso (chida choyezera) kapena sonogram kuti atsimikizire kuti IUD akadali mchiberekero (ndipo sanabwere popanda kudzizindikira).
Ngati ndondomeko zanu za IUD sizikupezeka, koma dokotala wanu watsimikizira kuti IUD ikali pano, IUD yanu ingachotsedwe pachiberekero ndi zipsera zamtundu kapena tiezer-like. Musadandaule, komabe. Dokotala wanu azikhala osamala kuti awonetse kuti chiberekero chanu sichivulazidwa panthawiyi.
Zovuta Kwambiri
Kawirikawiri, IUD ikhoza kukhala yotsekedwa mu khoma la uterine ndipo sichikhoza kutulutsidwa mosavuta. Dokotala wanu akhoza kugwiritsa ntchito njira zosiyana, monga ultrasound, hysterography (x-ray ya chiberekero atakupatsani choyimira chosiyana), kapena hysteroscopy (kuyang'ana molunjika kwa chiberekero ndi chida chogwiritsira ntchito) kuti mudziwe ngati izi zachitika.
Ngati IUD yanu ikalowa mu chiberekero chanu, dokotala wanu ayenera kuwonjezera kachilombo ka HIV ndi kugwiritsa ntchito forceps kuchotsa IUD yanu. Ngati izi zikuchitika pamene mukuchotsa HIV, ndiye kuti dokotala wanu adzakupatsani mankhwala amtundu wothandizira kuti athe kuchepetsa ululu kapena kupweteka.
IUD m'malo
Mukhoza kukhala ndi Mirena, Skyla, kapena ParaGard IUD yatsopano yomwe imayikidwa mwamsanga mutatha kuchotsa IUD yanu yakale. Zonsezi zikhoza kuchitika paulendo umodzi (malinga ngati palibe mavuto).
Kukonza Ndondomeko
Pamene mukukonzekera tsiku la kuchotsa IUD, dziwani ngati tsiku ili pafupi ndi nthawi imene mukuwombera . Ngati mwakhala mukugonana musanayambe kuchotsa (ndipo mukuwombera nthawi imeneyo), mukhoza kukhala pachiopsezo chokhala ndi pakati.
Nkhumba ikhoza kukhala mkati mwa vaginayi kwa masiku asanu. Kotero, mwachitsanzo, tiyeni tinene kuti mukukonzekera kuti muchotse IUD yanu pa June 12.
- Eya, mumasankha kugonana (nthawi yomaliza!) Pa June 10.
- Mutha kuchotsa IUD yanu pa June 12.
- Ngati mutayika pa June 12, pa June 13, kapena pa June 14, mukhoza kutenga mimba kuyambira umuna (kuchokera pa kugonana kwanu pa June 10) ukhoza kukhala mkati mwa inu-mukungodikirira kuti mupange dzira.
Ndibwino kuti musagonana (kupatula mutagwiritsira ntchito kondomu ) kwa sabata imodzi musanayambe kuchotsa IUD. Izi zidzathetsa mwayi wokhala ndi pakati pa nthawi yachonde .
Komanso, ngati mutasankha kuchotsa IUD yanu nthawi ina iliyonse, musanalankhule ndi dokotala wanu za kuyamba njira yatsopano yoberekera kubadwa masiku asanu ndisanayambe kuchotsa IUD yanu. Mwanjira iyi, ngati mutasintha ku njira ya kulera , izo zidzakhala zikugwira ntchito nthawi yomwe IUD yanu itachotsedwa.
Chitsime:
Whaley NS, Burke AE "Kupatsirana kwapakati." Amayi Health (Lond). 2015 Nov; 11 (6): 759-67.