Mapulani a Kuika Chipangizo cha Intrauterine
Ngati mwasankha chipangizo cha intrauterine ( IUD ) choletsa kubereka, kukonzekera kuli kofanana ndi kulembedwa kwa mtundu uliwonse. Onani zomwe muyenera kuyembekezera komanso kumvetsa zambiri za mtundu uwu wa njira yobereka.
Kachilombo kameneka ndi kachidutswa kakang'ono ka T kamene kamaphatikizidwa m'chiberekero. Mirena , Kyleena, Liletta, ndi Skyla mosalekeza ndi mitundu yomwe imamasula pang'ono pulojekiti ya progestin levonorgestrel ndipo imatha zaka zisanu ndi chimodzi, zisanu, zinayi, ndi zaka zitatu motsatira. ParaGard ndi mankhwala omwe sali odzozedwa omwe akupezeka ku United States ndipo akhoza kusiya kwa zaka 12. IUD iyi imakhala ndi mkuwa (yomwe imakhala ngati spermicide ) yophimba kuzungulira.
Kusiya nthano za IUD
Chimodzi mwa mavuto aakulu omwe akuyang'aniridwa ndi IUD ndikuti anthu ambiri akhala akutsogolera kukhulupirira zifukwa zosadziwika za izi, monga:
- Simungagwiritse ntchito kachilombo ka HIV ngati simunabadwe
- Achinyamata sangathe kugwiritsa ntchito IUDs
- Nkhumba zimayambitsa matenda osabereka komanso matenda opweteka
- IUDs sali otetezeka
Musanayambe kulemba, ndikofunika kuti choyamba chichotseni nthanozi kuti athetse nkhawa zilizonse ndikukhala otsimikiza pakuika.
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Kukonzekera Kuyika KwachiduleAsanalowetse, akatswiri ena azachipatala amalangiza kutenga mankhwala opweteka kwambiri, monga mankhwala osakanikirana ndi anti-inflammatory (monga 600 mpaka 800 milligrams a ibuprofen-Motrin kapena Advil) ola lisanafike. zingathandize kuchepetsanso zipsinjo ndi zovuta zomwe zingayambe panthawi yoikapo.
Komanso, fufuzani kuti muone ngati ofesi ya dokotala imakhala ndi malo abwino. Ngati sichoncho, onetsetsani kuti mubweretse kunyumba kuchokera kukagwiritsira ntchito mutatha kuika magazi.
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Kamodzi mu Malo OfufuzaKatswiri wanu wa zaumoyo adzakhala ndi zipangizo zonse zokonzekera kuyika IUD. Asanayambe, ayenera kufotokozera ndondomekoyi kwa inu ndikuyankha mafunso anu ndi nkhawa zanu. Izi zikhoza kukuthandizani kuti mukhale omasuka, zomwe zimapangitsa kulembetsa mosavuta komanso kopweteka kwambiri.
Ngati mulibe masiku asanu ndi awiri oyambirira a nthawi yanu, dokotala wanu akhoza kuyesa kuyeretsa mimba kuti asatenge mimba. Kenaka, dokotala nthawi zambiri amachita kafukufuku wa bimanual (apa ndi pamene dokotala wanu amapereka zala ziwiri mu chikazi ndipo amagwiritsira ntchito dzanja lina pamimba kuti amve ziwalo zamkati mwazitsamba). Izi zimachitidwa kuti mudziwe molondola udindo, kusasinthasintha, kukula, ndi kuyenda kwa chiberekero ndikuzindikiritsa kukoma mtima, komwe kungasonyeze matenda.
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Kulimbitsa ChitsuloPanthawi imeneyi, dokotala wanu adzatsegula vaginja poyera pogwiritsa ntchito speculum, yomwe ikufanana ndi chitsulo cha bakha. Chidacho chimalowetsedwa mu chikazi, ndiye mbali zake zimagawanika ndipo zimatsegulidwa ndi chipangizo chapadera chogwiritsira ntchito.
Izi zikadzachitika, chifukwa chofunika kukhala ndi malo ochepetsetsa kuti kachilombo ka HIV kakhale kosavuta, kachilombo ka HIV ndi kachilombo ka pafupi (kutsogolo) ndi kumbuyo kwa msana (vaginale) kumakhala kuyeretsedwa ndi njira yothetsera vutoli.
Madokotala ena angagwiritse ntchito anesthesia wamba, monga 5 peresenti ya lidocaine gel, mu khola lachiberekero kuti achepetse vuto.
Dokotala wanu adzagwiritsa ntchito tenaculum kuti athandizidwe kuimitsa chibelekero ndi kuchisunga. The tenaculum ndi chida chaching'ono chomwe chimagwiritsidwa ntchito pachibelekero kuti chikhale chiberekero.
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Kuyeza Chiberekero cha Chiberekero ndi ChiberekeroDokotala wanu tsopano adzaika chida chosawunjika chomwe chimamveka phokoso kuti muyese kutalika ndi malangizo a chithandizo cha chiberekero ndi chiberekero. Njirayi imachepetsa chiopsezo choyambitsa chiberekero (kukhala ndi kachilombo ka HIV), kamene kawirikawiri kamapezeka chifukwa chakuti IUD imayikidwa mozama kwambiri kapena pambali yolakwika.
Dokotala wanu adzaonetsetsa kuti asagwirizane ndi mabini kapena speculum. Phokoso la uterine lili ndi mapeto kumapeto kuti athandizidwe kuteteza chiberekero.
Madokotala ena angagwiritse ntchito aspirator yotchedwa endometrial aspirator monga njira yowonjezera ya uterine, yomwe imachitanso chimodzimodzi. Nkofunika kuti dokotala amve kuti kuya kwake kwa pakati pa 6 ndi 9 masentimita ngati IUD sayenera kuikidwa ngati kuya kwa chiberekero ndi osachepera 6 sentimita.
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Kuyika kwa IUDPhokoso likatha, dokotala adzakonzekera kuti atseke pochotsa papepala yake yopanda kanthu. Kenaka, mikono ya IUD imayendetsedwa, ndipo chubu (kapena slider) yomwe ili ndi IUD imayikidwa.
IUD imakankhidwira kumalo, ku kuya kwawonetsedwa ndi phokoso, ndi plunger mu chubu. Mukatuluka mu chubu komanso pamene chifuwacho chili pamalo abwino m'chiberekero, mikono imatsegulidwa mu "T" mawonekedwe.
Kuikidwa kwa IUD kumakhala kosavuta. Ngakhale kuti pangakhale zovuta, njira yonseyo imatenga mphindi zingapo. Mzimayi akhoza kukumana ndi zokhumudwitsidwa ndi kuponderezana pamene zonsezi zikuchitika. Azimayi ena amadzimva ngati amaliseche. Zingakhale zothandiza kupuma kwambiri.
Ngakhale kuti amayi ambiri amatha kuvutika, amayi osachepera 5 peresenti amatha kupweteka kwambiri. Zomwe zimachitika monga kutaya thukuta, kusanza, ndi kutaya zimapezeka mu 1 peresenti ya amayi kapena osachepera. Mavutowa ndi achidule ndipo nthawi zambiri amafunika kuchotsedwa msanga. Kuonjezerapo, zotsatirazi sizikukhudzidwa ndi zotsatira za IUD.
Azimayi omwe sanaberekepo, asanabadwe pang'ono, kapena akhala ndi nthawi yayitali kuyambira nthawi yomaliza yobereka amakhala ndi mavuto ambiri.
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Kutsirizitsa ndondomeko yowonjezera IUDKatemera akapezeka, chubu, plunger, tenaculum, ndi speculum amachotsedwa mukazi. Chipangizo cha intrauterine chidzakhalabe pamalo. IUD idzakhala ndi zingwe zomwe zimagwiritsidwa ntchito kuti dokotala azichoka bwinobwino. Amapachika m'mimba mwa chiberekero.
Panthawiyi, adokotala adzathetsa malirewo koma adzalola pafupifupi masentimita awiri kuti atuluke pachibelekero. Zingwe sizingathe kuoneka kuchokera kunja kwa chiberekero koma ndizotalika kuti zimveke ndi chala cholowetsedwa mu chikazi (umu ndi m'mene mkazi angayang'anire ngati IUD ikali pano).
Dokotala wanu akuyenera kukuphunzitsani momwe mungamverere zingwe. Kuwonjezera apo, onetsetsani kuti dokotala wanu akudziwitsani mtundu wa IUD umene unayikidwa (ParaGard, Skyla, Kyleena, Liletta, kapena Mirena) ndipo ikafunikanso kusinthidwa. Madokotala ambiri ayenera kukupatsani khadi laling'ono kuti mutha kuika chikwama chanu ndi zonsezi. Ngati sichoncho, ndi nzeru kugwiritsa ntchito mfundozi ndikuziika pamalo odalirika kapena kuziyika pa kalendala yanu yamakono kapena pulogalamu yokumbutsa. Mfundo imeneyi ndi yofunikira ngati mutasintha madokotala pambuyo pake, monga katswiri wa zaumoyo sangathe kuwuza, kungoyang'ana, zomwe mumakhala nazo komanso pamene zinayikidwa (ndipo, ngati ziyenera kuchotsedwa ).
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Pamene Kuyika kwa IUD KuchitidwaPopeza amayi ambiri amangowonongeka pang'ono panthawiyi, nthawi zambiri amayendetsa okhaokha ndikuyambiranso ntchito zawo za tsiku ndi tsiku.
Popeza simungadziwe momwe mungayankhire potsatira njira yanu yolembera, mungakonzekere kuti wina akuyendetseni kunyumba kwanu. Azimayi ena amatha kumangogwedezeka pamene chiberekero chimasinthira kuikidwa kwa IUD. Ngati ndi choncho, ziphuphuzi ziyenera kuchepetsedwa ndi nthawi, ndipo mwina, kupuma kapena mankhwala opweteka.
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Mukakhala PakhomoMutha kukhala ndi magazi ena ndi kuwona m'masiku ochepa mutatha kuika IUD yanu. Izi ndi zachilendo, kotero palibe chifukwa chodandaula. Ngati kutuluka kwa magazi kumakhala kosalekeza kapena kolemetsa, kungakhale koyenera kupempha wothandizira zaumoyo kuti atsimikizire kuti palibe matenda.
Komanso, konzekerani kuti nthawi yanu yoyamba mutatha kuikapo ingakhale yolemera kwambiri kuposa yachizolowezi. Zitha kubweranso masiku angapo m'mbuyomo kusiyana ndi momwe mukuyembekezera.
Yesetsani kukhazikitsa msonkhano wotsatira pambuyo pa nthawi yanu yoyamba (nthawi zina mkati mwa masabata anayi kapena asanu a kuikidwa kwa IUD) kuti mutsimikizire kuti IUD ikalipobe.
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Chitetezo cha Mimba ndi Pamene Zitetezedwa KugonanaNdikoyenera kuti mugone kugonana mutangomaliza kuika (kupatula ngati IUD yanu yaikidwa mkati mwa maola 48 pambuyo pobereka).
- ParaGard IUD imapereka chitetezo cha mimba nthawi yomweyo itayikidwa
- Mirena, Kyleena, Liletta, ndi Skyla IUDs zimagwira ntchito mwamsanga pokhapokha ngati zilowetsedwa mkati mwa masiku asanu ndi awiri chiyambireni nthawi yanu
Ngati muli ndi Mirena atayikidwa nthawi iliyonse pamene mukupita kumwezi, muyenera kugwiritsa ntchito njira ina yothandizira kubereka (monga kondomu ya abambo, kondomu ya akazi , lero sponge , kapena spermicide ) sabata yoyamba mutatha kuika. Chitetezo cha mimba chidzayamba masiku asanu ndi awiri.
Ophunzira ena azachipatala amalimbikitsa kugwiritsa ntchito kondomu monga njira yosungirako njira m'mwezi woyamba mutalowa kuti muthetse kachilombo ka HIV.
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Zosungirako IUDNdikofunika kwambiri kufufuza zida za IUD masiku onse ochepa kwa masabata angapo oyamba ndi kumverera kuti chingwecho chimatha pakati pa nthawi kuti athetse kuti IUD ikhala yabwino. Pambuyo pa nthawi yanu yoyamba (kapena osachepera miyezi itatu mutalowa), yesetsani kufufuza kuti mutsimikizire kuti IUD yanu idakali pano.
Mayi wina angafunse dokotala kuti apange zingwe zochepetsera (panthawiyi) ngati akumva ndi mkazi kapena mkazi wake. Ngati ndi choncho, nthawi zina zingwe zimadulidwa kwambiri moti amai sangayang'ane zingwezo. Pambuyo pa ulendo wa dokotala uyu, kufufuza kawirikawiri kwa IUD kungakhoze kuchitidwa panthawi imodzimodzimodzi ndi nthawi ya amayi yoyezetsa magazi.
Zomwe zikunenedwa, chimodzi mwa ubwino waukulu kwambiri pa zonsezi ndi chakuti mkazi safunikira kwenikweni kuchita kenaka atayikidwa.
> Zotsatira:
> Elkhouly NI, Maher MA. Ma analgesics osiyanasiyana asanayambe kulembedwa kwa intrauterine: kodi pali umboni uliwonse wa mphamvu? Eur J Zimatsutsana ndi Thanzi Labwino . 2017; 1-5.
> Melo J, Tschann M, Soon R, Kuwahara M, Kaneshiro B. Kufunitsitsa kwa amayi ndi kuthekera kumva makina a chipangizo chawo cha intrauterine. Int J Gynaecol Obstet. 2017; 137 (3): 309-313.