Ukukhetha indlela yokuhlela umndeni ngezinye izikhathi akulula njengoba ungase ucabange. Indlela ngayinye inezinzuzo nezinkinga zayo. Namuhla sizokhuluma nge-"hormonal IUD", indlela yokuvimbela inzalo ethandwayo, yesikhathi eside phakathi kwabantu abaningi. Udokotela wakho kungenzeka ukuthi ukutshelile ngayo. Ngakho ake sibheke ukuthi iyini le IUD, ukuthi yenzani, nokuthi yini okudingeka uyiqaphele uma uyisebenzisa.
Iyini le nqubo ye-hormone?
Kalula nje, iyithuluzi elincane lepulasitiki elinomumo we-'T' elifakwa ngaphakathi kwesibeletho sakho . Likhipha i-hormone ebizwa ngokuthi i-levonorgestrel . Leli yi-hormone yokwenziwa efana ne-hormone ye-progesterone eyenzeka ngokwemvelo kwabesifazane, uhlobo lwe- progestin .
Le hormone ibangela izinto ezimbili ezibalulekile ezenzekayo:
1. Kuvimbela ukukhiqizwa kwamaqanda, noma ukukhishwa kweqanda.
2. Ulwelwesi olumboze umlomo wesibeletho luyaqina, okwenza kube nzima ukuthi isidoda singene esibelethweni.
Zombili lezi zindlela zivimbela ukukhulelwa. Odokotela batusa lokhu hhayi nje kuphela ekuvimbeleni ukukhulelwa, kodwa futhi nasekulawuleni ukopha okukhulu kokuya esikhathini (izikhathi ezinzima) abanye besifazane ababhekana nazo. Le divayisi iyatholakala eSri Lanka nasemhlabeni wonke ngaphansi kwamagama ahlukahlukene emikhiqizo efana ne-`(Kyleena, LILETTA, Mirena, Skyla)`. Udokotela wakho uzonquma ukuthi yiluphi uhlobo olukufanele.
Qiniseka ukuthi uxoxa ngalezi zinto nodokotela wakho ngaphambi kokufaka i-IUD.
I-loop ayilona ikhambi elifanela wonke umuntu, ngakho-ke kubalulekile ukunikeza udokotela wakho umlando ophelele wempilo yakho. Uma unezinye zezimo ezibalwe ngezansi, kufanele nakanjani umtshele udokotela wakho.
| Isimo sakho sempilo | Kungani kufanele ukhathazeke? |
|---|---|
| Umdlavuza webele, wesibeletho, noma wesibeletho noma umdlavuza okusolwa ukuthi ukhona | Ama-hormone angathonya ukukhula komdlavuza. |
| Ukopha okungachazeki kwesitho sangasese sowesifazane | Imbangela yokopha kwegazi kumele iqale ihlolwe. |
| Isifo sesibindi noma isimila | Ngoba isibindi sithinta i-metabolism yama-hormone. |
| Ukutheleleka okukhona kwezitho zangasese noma ze-pelvic | Ukufaka iluphu kungenza ukutheleleka kube kubi kakhulu. |
| Uma uke waba nokukhulelwa kwe-ectopic ngaphambilini | Kudingeka sicabangele ukuthi ingabe ikhona yini ingozi enjalo futhi. |
| Ukuba nesimo esingavamile sesibeletho | Lokhu kungavimbela iluphu ukuthi ibekwe ngendlela efanele. |
| Isifo sikashukela, isifo senhliziyo, izinkinga zokujiya kwegazi | Lezi zimo zingabangela izinkinga ngokusetshenziswa kwama-hormone. |
| Uma wena noma umlingani wakho ninomlingani wezocansi egodak | Ngoba ingozi yezifo ezithathelwana ngocansi iphezulu. |
| Uma ukhulelwe noma uzama ukukhulelwa | Lokhu akufanele kusetshenziswe ngesikhathi sokukhulelwa. |
| Uma uncelisa | Kufanele ukhulume nodokotela wakho bese unquma isikhathi esingcono kakhulu. |
Ungayisebenzisa kanjani i-loop?
Lokhu akuyona into ongayenza wedwa. Udokotela noma umhlengikazi oqeqeshiwe kufanele akwazi ukukwenza.Ifakwa esibelethweni emtholampilo. Ingasetshenziswa njalo iminyaka emi-3 kuya kweyi-8 (kuye ngohlobo lwayo). Uma ufuna ukuqhubeka nokusebenzisa le ndlela ngemva kwaleso sikhathi, kuzodingeka ususe endala bese ufaka entsha.
Izinto okufanele uzikhumbule uma usebenzisa i-loop
Ngemva kokufaka intambo, kufanele uqaphele kancane.
- Ukuhlola izintambo: Kunezintambo ezimbili ezincane phansi kwe-loop. Lezi zifakwa esithweni sangasese sowesifazane. Kanye ngenyanga, ikakhulukazi ngemva kokuya esikhathini, ungafaka iminwe ehlanzekile esithweni sakho sangasese sowesifazane ukuze uzizwele lezi zintambo. Ungalokothi udonse lezi zintambo. Uma ungakwazi ukuzwa izintambo, noma uma uzizwa sengathi ubamba ingxenye yepulasitiki ye-loop esikhundleni sezintambo, shayela udokotela wakho ngokushesha.
- I-IUD iphuma yodwa: Nakuba ingavamile kakhulu, i-IUD ingaphuma yodwa. Uma lokhu kwenzeka, uzolahlekelwa isivikelo sakho sokuvimbela inzalo. Ngakho-ke uma i-IUD iphuma, sebenzisa ngokushesha olunye uhlobo lokuvimbela inzalo, njengekhondomu, bese ubona udokotela wakho.
- I-MRI Scan: Uma kwenzeka kudingeka ukuthi uthwetshulwe nge-Magnetic Resonance Imaging (MRI), kufanele utshele abasebenzi bezokwelapha ukuthi une-loop kanye nohlobo lwe-loop oluyiyo.
Okubaluleke kakhulu: Le ndlela yokuvimbela inzalo ayikuvikeli wena noma umlingani wakho kwi-HIV noma ezinye izifo ezithathelwana ngocansi (STI). Kubalulekile ukusebenzisa ikhondomu.
Imiphumela emibi kakhulu (tshela udokotela wakho ngalezi zinto ngokushesha!)
Uma uhlangabezana nanoma yiziphi izimpawu ezingezansi, kungaba uphawu lwesimo esibucayi. Ngakho-ke, shayela udokotela wakho ngokushesha. Uma kudingeka, iya eMnyangweni Wezimo Eziphuthumayo (ETU) .
| Umphumela ongemuhle | Izinto ongazizwa |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi. |
| Ukutheleleka kwe-pelvic (PID) | Umkhuhlane, ubuhlungu besisu esingezansi, ukutheleleka komgudu womchamo, ubuhlungu noma ukopha ngesikhathi socansi. |
| Isifo sohlangothi | Ukungazweli/ubuthakathaka ebusweni, engalweni, noma emlenzeni, ubunzima bokukhuluma, ubunzima bokuhamba, ikhanda elibuhlungu kakhulu. |
| Ihluli | Ubuhlungu emilenzeni, ukuvuvukala, ubunzima bokuphefumula, ubuhlungu besifuba. |
| Ukulimala kwesibindi | Ubuhlungu esiswini esingaphezulu kwesokudla, ukulahlekelwa yisifiso sokudla, ukuphuzi kwamehlo noma isikhumba, umchamo ophuzi/onsundu omnyama. |
| Ezinye izimpawu ezinkulu | I-migraines entsha noma eba yimbi kakhulu, umfutho wegazi ophakeme, ukucindezeleka, ukuphuma koketshezi olungavamile esithweni sangasese sowesifazane, ukulunywa, noma iphunga. |
Imiphumela emibi evame ukubonwa
Kuneminye imiphumela emibi, kodwa ayibi yingozi kangako. Esikhathini esiningi, iyaphela ngemva kwezinyanga ezimbalwa njengoba umzimba wakho usuyijwayele. Kodwa uma iqhubeka, noma uma ikukhathaza kakhulu, kuwumqondo omuhle ukutshela udokotela wakho.
- Ubuhlungu bebele noma ukuqina
- Ukuya esikhathini okungajwayelekile noma ukubona amabala
- Isicanucanu
- Ukwanda kwesisindo
- Amabala amnyama esikhumbeni ebusweni noma ezindaweni ezivezwe yilanga
Asikho isidingo sokukhuluma ngokudlula ngokweqile lapha, njengoba lokhu kuyithuluzi elifakwe udokotela. Kodwa-ke, uma usola ukuthi kukhona ubuthi, ungaxhumana neNational Poison Information Center eColombo National Hospital .
Umlayezo Wokuya Nawe Ekhaya
- I-IUD yamahomoni iyindlela yokuvimbela inzalo ephumelela kakhulu efakwa esibelethweni futhi ihlala iminyaka eminingana.
- Kubalulekile ukuthi utshele udokotela wakho umlando wakho wezempilo ophelele ngaphambi kokuba lokhu kwenziwe.
- Ngemva kokufakwa kwe-IUD, kuwumkhuba omuhle ukuhlola izintambo njalo ngenyanga. Uma ungezwa ukuthi izintambo noma i-IUD ibambeke esandleni sakho, bona udokotela ngokushesha.
- Lokhu akunikezi sivikelo ezifweni ezithathelwana ngocansi, okuhlanganisa ne-HIV.
- Uma uhlangabezana nezimpawu ezinkulu njengobuhlungu obukhulu besisu, umkhuhlane, noma ukopha okungavamile noma ukuphuma kwegazi, funa iseluleko sezokwelapha ngokushesha.
- Uma unezinkinga, kungcono ukukhuluma nodokotela wakho esikhundleni sokuthemba lokho okutholayo kwi-inthanethi.
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