Ingabe nawe ungumuntu ocabanga ngokuhlela umndeni? Mhlawumbe uyakhohlwa ukuphuza amaphilisi akho okuvimbela inzalo nsuku zonke. Noma mhlawumbe weqa umjovo okudingeka uwuthathe njalo ezinyangeni ezimbalwa. Ngezinto ezinjengalezi, wake wacabanga ukuthi, "O, bekuyoba kuhle kangakanani ukube bekukhona indlela obekungadingeki ucabange ngayo nsuku zonke, futhi ungayisebenzisa kanye bese ukhululeka iminyaka?" Ngakho-ke, namuhla sizokhuluma ngenye indlela yokuvimbela inzalo esebenza kahle kakhulu, isikhathi eside, i-IUD, noma ngokwezokwelapha, i-Intrauterine Device (IUD).
Kalula nje, iyini i-IUD?
I-IUD, noma i-Intrauterine Device (IUD) , iyithuluzi elincane, elinomumo we-T elifakwa udokotela wakho esibelethweni sakho. Njengamanje iyindlela yokuvimbela inzalo ephindaphindwayo esebenza isikhathi eside (LARC) ethandwa kakhulu futhi esebenza kahle emhlabeni.
Inzuzo enkulu yalokhu ukuthi uma usuyifakile udokotela wakho, akudingeki ucabange ngokulawula inzalo futhi iminyaka emi-3 kuya kweyi-10, kuye ngohlobo lwayo. Le ndlela iyindlela ephumelela kakhulu kuzo zonke izindlela zokulawula inzalo ezingadingi ukuhlinzwa. Uma unquma ukuthi ufuna ukuba nomunye umntwana, ungayisusa nganoma yisiphi isikhathi ngokubuza udokotela wakho.
Kodwa into eyodwa ebalulekile okufanele uyikhumbule. I-IUD ivimbela ukukhulelwa kuphela. Ayinikezi noma yikuphi ukuvikelwa ezifweni ezithathelwana ngocansi (ama-STI), njengamakhondomu. Ngakho-ke, ukuze uvikele ezifweni ezinjalo, kuwukuhlakanipha ukusebenzisa ikhondomu.
Yiziphi izinhlobo zama-IUD ezitholakala eSri Lanka nasemhlabeni jikelele?
Kunezinhlobo ezimbili eziyinhloko zama-IUD. Zombili ziqukethe uhlaka oluyi-T olwenziwe ngepulasitiki. Uma selifakwe esibelethweni, liyavuleka libe yi-T. Liphinde libe nezintambo ezimbili ezincane phansi. Njengoba lezi zintambo zingaphakathi kancane kwesitho sangasese sowesifazane, kulula ngodokotela ukuzikhipha nganoma yisiphi isikhathi.
| Uhlobo lwe-IUD | Indlela esebenza ngayo kanye nencazelo | Amagama Omkhiqizo |
|---|---|---|
| I-IUD yethusi | Intambo yethusi encane izungezwe umzimba ofana no-T. Lawa ma-ion ethusi adala indawo enobuthi yesidoda esibelethweni, okwenza kube nzima ngesidoda ukuhamba siye emapayipini e-fallopian bese sivundisa iqanda. | I-Paragard® |
| I-IUD yama-hormone | Ingxenye ephezulu yalokhu enomumo ongu-T iqukethe i-hormone ebizwa ngokuthi i-Levonorgestrel . Lena i-hormone yokwenziwa (i-Progestin) efana ne-hormone ye-progesterone ekhiqizwa ngokwemvelo emzimbeni wethu. Le hormone ikhishwa kancane kancane esibelethweni futhi iqinise ulwelwesi lomlomo wesibeletho. Lokhu kwenza kube nzima ukuthi isidoda singene esibelethweni. Kuphinde kunciphise udonga lwangaphakathi lwesibeletho (i-endometrium). | I-Mirena®, i-Liletta®, i-Kyleena®, i-Skyla® |
Ingasetshenziswa isikhathi esingakanani le IUD?
Isikhathi salokhu siyahlukahluka kuye ngohlobo. Izikhathi ezamukelekayo ngokuvamile yilezi:
- I-Paragard® (ithusi): Ivimbela ukukhulelwa kuze kube yiminyaka eyi-10.
- I-Mirena® (i-hormone): Ivimbela ukukhulelwa kuze kube yiminyaka engu-8.
- I-Liletta® (i-hormone): Ivimbela ukukhulelwa kuze kube yiminyaka eyi-6.
- I-Kyleena® (i-hormone): Ivimbela ukukhulelwa kuze kube yiminyaka emi-5.
- I-Skyla® (i-hormone): Ivimbela ukukhulelwa kuze kube yiminyaka emi-3.
Kodwa-ke, kuye ngeminyaka yakho kanye nempilo yakho, udokotela wakho angase akuncome ukuthi uyigcine isikhathi eside kunalesi. Ngakho-ke landela njalo imiyalelo kadokotela wakho.
Ngubani okungafanele asebenzise i-IUD?
I-IUD ayifanele wonke umuntu. Uma unezinye zezimo ezilandelayo, ungase ungafaneleki ukusebenzisa i-IUD.
- Uma ukhulelwe njengamanje.
- Uma unesifo esithathelwana ngocansi (STI) .
- Uma unomdlavuza wesibeletho noma umdlavuza wesibeletho.
- Uma unokopha okungajwayelekile kwesitho sangasese sowesifazane okungekho sizathu esitholakalayo.
- I-copper IUD ayifaneleki uma une -allergy kwi-copper noma kwi-Wilson disease (isifo sofuzo esibangela ukuthi i-copper iqoqeke emzimbeni).
- I-IUD ye-hormone ayifaneleki uma unesifo sesibindi esibi noma umdlavuza webele .
Ngakho-ke, kubalulekile ukuxoxa nodokotela wakho ngomlando wakho wezokwelapha ophelele ngaphambi kokufaka i-IUD.
Ifakwa kanjani i-IUD? Ingabe ibuhlungu?
Lena yinkinga enkulu kubantu abaningi. Udokotela kuphela ongafaka, alungise, noma akhiphe i-IUD. Le nqubo ivame ukuthatha imizuzu engaphansi kwengu-15.
1. Ngaphambi Kokufaka
Udokotela wakho uzohlola impilo yakho ukuqinisekisa ukuthi ungumuntu ofanelekela i-IUD. Bangase futhi bakuncome ukuhlolwa kokukhulelwa noma ukuhlolwa kwe-STI. Uma ukhathazekile ngobuhlungu ongase ubuzwe phakathi nalesi sikhathi, khuluma nodokotela wakho ngakho. Bangase bakunike imithi yokwelapha izinhlungu noma bakwenze uzizwe ungenaso isidoda.
2. Ngesikhathi Sokufaka
Uzolala etafuleni lokuhlolwa, njengokungathi wenza i-Pap smear, bese kusetshenziswa i-speculum ukuvula isitho sakho sangasese sowesifazane. Lapho udokotela efaka i-IUD esibelethweni sakho, ungase uzizwe ubuhlungu noma izinhlungu esiswini sakho esingezansi , okufana nobuhlungu obuzwiwa ngesikhathi sokuya esikhathini. Lobuhlungu buyahlukahluka kuye ngomuntu nomuntu. Abanye abantu bangase bangazizwa nhlobo ubuhlungu, kanti abanye bangase bazizwe bebukhali kancane.
3. Ngemva kokufakwa
Abanye abantu abanazo imiphumela emibi ngemva kokufakwa kwe-IUD, kodwa abanye bangase babe nokungakhululeki okuncane isikhashana.
- Kungase kuzwakale sengathi isiyezi noma i-vertigo.
- Ungase uzwe ubuhlungu besisu esingezansi noma ubuhlungu emhlane.
- Ungase ube namabala, abukeka njengamaconsi amancane egazi.
Ngezikhathi ezinjengalezi, ungasebenzisa umuthi ovamile wokuqeda izinhlungu (i-NSAID) noma ufake ibhodlela lamanzi ashisayo. Lokhu kungakhululeki kuvame ukuphela phakathi nosuku noma ezimbili.
Yiziphi izinzuzo kanye nezingozi ezingaba khona ze-IUD?
Njenganoma iyiphi inqubo yezokwelapha, i-IUD inezinzuzo kanye nezingozi ezincane kakhulu.
| Izinzuzo | Imiphumela Engemihle Nezingozi |
|---|---|
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Umlayezo Wokuya Nawe Ekhaya
- I-IUD iyindlela enhle kakhulu yokuvimbela inzalo esebenza kahle ngo-99% , ihlala isikhathi eside, kodwa ingabuyiselwa noma nini uma uthanda.
- Kunezinhlobo ezimbili eziyinhloko: i-copper IUD kanye ne-hormone IUD . Zombili zinezinzuzo nezinkinga zazo, ngakho khuluma nodokotela wakho ngokuthi iyiphi engcono kakhulu kuwe.
- I-IUD kufanele ifakwe futhi isuswe udokotela oqeqeshiwe kuphela .
- I-IUD ivimbela ukukhulelwa kuphela. Ayinikezi noma yisiphi isivikelo ezifweni ezithathelwana ngocansi (ama-STI).
- Uma ucabangela ukusebenzisa i-IUD, xoxa nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka onakho ukuze ukwazi ukwenza isinqumo esingcono kakhulu.
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