Levonorgestrel IUD
Mirena IUD ndi chipangizo cham'madzi chomwe chimayikidwa mu chiberekero cha nthawi yayitali yoletsa kubereka. Mirena amatulutsa kuchuluka kwa progestin, levonorgestrel, kwa zaka zisanu ndi zisanu ndi chimodzi kuti njira yothetsera mimba ikhale yochepa.
Mwachidule
Mirena ndi choyimira cha IUD . Ndi kachilombo kakang'ono ka "T" kamene kamapangidwa ndi pulasitiki yosinthasintha. Imayeza 32mm kudutsa ndi pansi.
Mirena IUD ikukula motchuka chifukwa ikhoza kuteteza kuti musamakhale ndi mimba kwa zaka 5, kotero Icho chimagwiritsidwa ntchito ngati njira yowononga yobereka nthawi yaitali. Mirena yanu IUD iyenera kuikidwa ndi dokotala woyenerera. Imodzi mwa njira zothandizira kwambiri zothandizira kubereka zopezeka ... ziri zogwira mtima monga vasectomy !
Momwe Ikugwirira Ntchito
Kwa zaka zisanu, Mirena IUD imatulutsa pang'ono pulojekiti yotchedwa progestin, levonorgestrel . Mirena amathandiza kupewa umuna kuti usagwirizane ndi dzira ndikukhudza momwe umuna umasunthira. Kwenikweni, izo zimalepheretsa kuyenda kwa umuna pa dzira. Mirena IUD ingathenso kuchepetsa chiberekero cha khola lanu - izi zimathandizanso kuti umuna uzisambira. Chifukwa chakuti IUD iyi ili ndi progestin, Mirena ndi yothandiza kwambiri kuposa ParaGard IUD pokhudzana ndi kuteteza mimba.
Kodi Ikugwira Ntchito Mwamsanga Motani?
Mirena IUD ndi ntchito yomweyo ngati mwaiyika mkati mwa masiku asanu ndi awiri chiyambireni nthawi yanu. Ngati muli ndi Mirena yanu yowonjezera nthawi iliyonse pamene mukupita kumwezi, muyenera kugwiritsa ntchito njira yoletsa kubereka m'mbuyo sabata yoyamba (masiku asanu ndi awiri) mutatha kuika.
Mudzakhala ndi chitetezo cha mimba pambuyo pa masiku asanu ndi awiri.
Ndani Angagwiritse Ntchito?
Malingana ndi Bayer HealthCare Pharmaceuticals, amene amapanga Mirena, Mirena IUD ikuyenera kugwiritsidwa ntchito ndi amayi omwe:
- Muli ndi mwana mmodzi.
- Ali pachibwenzi chokhazikika, chodzipereka.
- Musakhale ndi chiopsezo kapena mbiri ya ectopic pregnancy kapena matenda opweteka kwambiri .
KOMA - muyenera kudziwa kuti amai ambiri angathe kugwiritsa ntchito Mirena IUD.
Wopanga amapereka malingaliro awa ku Mirena ntchito chifukwa kafufuzidwe pa Mirena IUD yomwe idagwiritsidwa ntchito - kuti apeze chivomerezo cha FDA - chinachitidwa kwa amayi omwe anali ndi mwana mmodzi.
A American College of Obstetricians and Gynecologists akuvomereza kuti amayi onse omwe sanabereke komanso achinyamata angapindule ndi ntchito ya IUD (kaya Mirena, Skyla , kapena ParaGard). Mungathenso kumasulidwa podziwa kuti madokotala ambiri akhala akuika Mirena IUD mwa akazi onse pachaka (ngakhale kuti akutsatira malangizo).
Phindu
- Mirena IUD ikhoza kupereka kupititsa patsogolo kwa mimba kwa zaka zisanu - koma ikhozanso kuchotsedwa nthawi iliyonse mkati mwa zaka zisanu.
- Ndizosavuta komanso mosavuta - nthawi ina, simukuyenera kuchita chirichonse.
- Mirena ikhoza kuteteza kuteteza matenda opatsirana m'magazi chifukwa imayambitsa chifuwa cha khola komanso imachepetsa nthawi yomwe mumakhala nayo mwezi uliwonse.
- Mirena IUD ikhoza kusintha moyo wanu wa kugonana chifukwa zimakulolani kukhala mwachangu.
- Ndi njira yokonzera kubereka.
- Mirena ndi njira yabwino yosagwiritsira ntchito ngati simungagwiritse ntchito njira yothandizira ana odwala kapena mahomoni ena.
- Pambuyo pa Mirena IUD itachotsedwa, kubereka kwanu (kuthekera kutenga pakati) kumabwerera mwamsanga.
- Ndi njira yachinsinsi yodziletsa kubereka. Palibe amene angadziwe ngati mukuligwiritsa ntchito!
Zopindulitsa zopanda kulera
Mirena IUD ingakupatseni inu ubwino wina wowonjezera .
Ngati muli ndi zipsinjo zopweteka kwambiri, kugwiritsa ntchito Mirena IUD kungakuthandizeni kuchepetsa ululu wanu . Mirena akhoza kuchepetsa kuchuluka kwa magazi omwe mumakhala nako nthawi yanu.
- Akazi omwe amagwiritsa ntchito Mirena angaone kuti kusamba kwawo kumachepetsa ndi 90 peresenti.
- Pafupifupi 20 peresenti ya ogwiritsira ntchito a Mirena, awo amasiya palimodzi mkati mwa chaka chimodzi. Izi zingachepetse chiwopsezo chanu cha kuchepa kwa magazi m'thupi.
Mirena IUD nayenso ndi njira yokha yovomerezeka ya kubadwa kwa FDA yomwe ingagwiritsidwe ntchito pochiza magazi olemera .
Zotsatira Zotsatira
Amayi ambiri samakhala ndi vuto pogwiritsa ntchito Mirena. Azimayi ena amatha kutaya magazi kwambiri ndipo amatha kupundula pakatha masabata angapo kapena miyezi ingapo atalowa - koma madokotala akhoza kupereka mankhwala omwe angachepetse ziphuphuzi.
Monga ndi njira iliyonse yothetsera vutoli , mukhoza kukhala ndi zotsatira zina . Nkhani yabwino ndi yakuti, nthawi zambiri, zotsatirazi zimatha pambuyo pa masabata angapo oyambirira mpaka miyezi ingapo Mirena IUD yanu itayikidwa. Mavuto aakulu ndi Mirena ndi osowa. Ngati muwona mavuto alionse, ndikofunika kuti muwauze adokotala nthawi yomweyo.
Kuchotsa
Pambuyo pa zaka zisanu, mutha kukhala ndi Mirena IUD yanu. Mungasankhe kukhala ndi Mirena ina yoikidwa panthawi yomweyo. Musayese kuchotsa Mirena IUD yanu - imayenera kuchotsedwa ndi dokotala. Dziwani kuti mungathe kuchotsa Mirena yanu nthawi iliyonse isanakwane zaka zisanu.
- Mirena YUD yanu ikhoza kutuluka yokha (izi zikhoza kuchitika pakatha miyezi yochepa mutatha kuika kapena nthawi yanu). Amayi ambiri samadziwa ngakhale kuti Mirena awo adatuluka. Ichi ndichifukwa chake muyenera kukhala ndi chizoloŵezi choyang'ana zojambula zanu za Mirena IUD kamodzi pa mwezi (pakati pa nthawi) - izi zidzakuuzani kuti Mirena wanu akadali m'malo.
- Ngati mwawona kuti Mirena yanu yabwera, muyenera kuonana ndi dokotala kuti mulowemo wina. Dokotala wanu akhoza kukayezetsa mimba yoyamba poyamba - kuti mutsimikizire kuti mulibe pakati, musanalowetse Mirena IUD yatsopano.
- Mirena YUD yanu inatha kuchotsedwanso pang'ono. Ngati izi zikuchitika, dinani dokotala wanu, ndipo mugwiritse ntchito njira yowonetsera kubereka (monga makondomu ). Konzani nthawi yanu, choncho dokotala wanu akhoza kutulutsa Mirena yanu (musayese kukopera nokha). Mukhoza kukhala ndi Mirena IUD ina yomwe inayikidwa nthawi imeneyo.
Zosakaniza Zogwirizana
Ngati mumayenera kulipira nokha komanso mukukonzekera kugwiritsa ntchito njira yobereka kwa zaka zosachepera 1 mpaka 2, IUD ndiyo njira yochepetsetsa yomwe ilipo. Mtengo wa nthawi imodzi wa Mirena, poyerekeza ndi njira zina zothandizira, zingakupulumutseni mazana a madola kapena kuposa nthawi.
Mtengo wonse wa Mirena ukhoza kufika pa $ 750. Izi zikuphatikizapo mtengo wa kuyesedwa, Mirena IUD weniweni, kulowetsa, ndi maulendo onse obwereza. ikhoza kufika pa $ 750. Medicaid ikhoza kubisa mtengo wa Mirena IUD yanu. Muyenera kufufuza chithandizo cha inshuwalansi yanu yaumwini monga momwe Mirena IUD iyenera kukhalira, popanda ndalama zogulitsa, pazinthu zonse za inshuwalansi zomwe sizinali zazikulu.
Mphamvu
Mirena IUD ndi imodzi mwa njira zowonongeka zowononga zowononga. Mirena IUD ndi 99.8 peresenti yogwira ntchito. Izi zikutanthauza kuti mwa amayi 100 aliwonse omwe amagwiritsa ntchito Mirena chaka chimodzi, osachepera 1 adzakhala ndi pakati ndi ntchito yogwiritsidwa ntchito.
Dziwani: Mimba zambiri zimapezeka kwa ogwiritsa ntchito Mirena pamene ma IUD awo amachoka popanda iwo kuzindikira. Ngakhale kuti mwayi wokhala ndi pakati pakugwiritsa ntchito Mirena ndi wochepa kwambiri, ngati zichitika, dandaula dokotala mwamsanga mutadziwa kuti muli ndi pakati.
Chitetezo cha STD
Mirena alibe chitetezo ku matenda opatsirana pogonana . Mirena IUD sichimayambitsa matenda oyambitsa kutupa kapena infertility.
Chitsime:
Whaley NS, Burke AE. "Kupanga mankhwala opatsirana pogonana." Women's Health . 2015 Nov; 11 (6): 759-767. Nkhani yowonjezera imapezeka kupyolera mwachinsinsi.