Nexplanon iyo ndiyo nzira itsva yekutora kuberekwa, Implanon . Iyi inogadziriswa-tsvimbo imwe chete inenge yakaenzana nehupamhi hwechikwata (1.6 inches in length). Nexplanon chirongwa cheprogestin-chete chine 68 mg ye etonogestrel, uye inopa kuchengetedza pamuviri kwemakore matatu kana yaiswa.
Nexplanon yakagadzirwa nekanyoro, yakagadziriswa, yehutano polym.
Iyo FDA yakagamuchira Nexplanon yekudzivirira kubata pamuviri kwemakore matatu. Inofanira kubviswa mushure mekanguva ino nokuti haichazoputsi. Asi, iwe unogona kusarudza kuitora nguva ipi zvayo asati makore matatu apera. Iwe unogonawo kuva neNexplanon itsva inowanikwa mushure mekunge iwe wekare wako wabviswa. Kana Nexplanon isati yabviswa mushure memakore matatu, zvishoma zve etonogestrel izvo zvichiri kusunungurwa zvingakonzera zvinetso zvekubereka kana ectopic pamuviri. Izvo hazvichazogoni kushanda pakudzivirira iwe kubva pakuva nemimba.
Kuisa
Izvi zvinogadziriswa nekuberekwa zvinowanikwa pasi peganda rekudenga. Nexplanon inofanira kuiswa panzvimbo inoshandiswa nedzimwe nyanzvi yezvokurapa yakarovedzwa. Iwe uchagoverwa maitiro anowanikwa munharaunda kuti upedze nzvimbo yacho. Chiremba wako achazoshandisa mushandi wekushandisa anoshandiswa uyo anotungamira Nexplanon pasi peganda remaoko ako. Kana imwechete iyo yaiswa, iwe nechiremba wako unofanira kutarisa kuti iri muruoko rwako nekuzvinzwa.
Zvose izvi zvinongotora maminetsi mashoma. Mushure mokunge Nexplanon iiswa, iwe uchafanirwa kupfekedza bhanhire rinomanikidzwa kwemaawa makumi mana uye bhenji duku kwemazuva matatu kusvika mashanu.
Iyo Inoshanda Sei
Nexplanon nguva dzose inodzinga nhamba yakaderera ye progestin etonogestrel pamusoro pemakore matatu. Nhamba ye progestin inononoka zvishoma nezvishoma.
Saka:
- Pakati pemavhiki matanhatu ekutanga, micrograms 60 kusvika ku 70 dze progesin dzinosunungurwa zuva nezuva
- Pakupera kwegore rokutanga, anenge 35-45 micrograms anosunungurwa zuva nezuva
- Izvi zvinoderera kusvika anenge 30-40 micrograms pazuva pamagumo egore rechipiri
- Inenge 25-30 micrograms inosunungurwa zuva roga roga nekupera kwegore rechitatu
Pashure pemakore matatu, Nexplanon haigoni kusunungura hormone yakakwana kuti ikudzivirire pakuberekwa.
Nexplanon vs. Implanon
Nexplanon yakasiyana neImplanon nenzira mbiri.
- Nexplanon inonzi radiopaque. Izvi zvinoreva kuti kuiswa kunogona kuonekwa mune x-ray, CT scan, ultrasound scan kana MRI. Ikoko kwaiva nekunetseka pamusoro pekuwedzera kwekukundikana kwemari neImplanon mu UK munaJanuary 2011. Zvaiita sekuti Implanon yakanga isiri yakabudirira nokuti vanachiremba vakanga vasingachiisi zvakanaka. Vakanga vasinawo nzira chaiyo (kunze kwekuti vateerere kunzwa kuberekwa kwekuberekwa pasi peganda) kuti vave nechokwadi chokuti implanon tsvimbo yakaiswa. NaNexplanon, vanachiremba vanogona kugutsikana zvino kuti kuiswa kwave kwakanyatsonyorwa uye kunogona kuitora nyore nyore isati yabviswa.
- Nexplanon inewo akashandisi akasiyana-siyana kupfuura Implanon, saka kuiswa kwekugadzirira kunopesana. Icho chitsva chinoshandiswa kare chinyorwa chakagadzirirwa kuderedza dambudziko rekuisa zvikanganiso (zvakadai sokuisa Nexplanon zvakare zvikuru). Nexplanon applicator inogadzirirwa kushandiswa neruoko rumwe. Imwe Implanon applicator yakaita kuti zvive zvakaoma kutaura kana tsvimbo yakanga yakanyatsopindirwa muruoko. IImplanon tsvimbo inogonawo kubuda kubva kune yekare yekushandisa kana yakange isina kunyatsochengetwa.
Kubatsirwa
- Wakangwara uye woga
- Hazvitsvaki kuchengetedza kusingaperi kana chikonzero chekuyeuka kushandisa shanduro yekuberekwa
- Imwe yemishonga inobatsira zvikuru, yakareba kwenguva refu yekuita zvekudzivirira inowanikwa
- Imwe nzira yakasiyana yekusarudza yevakadzi vasingakwanisi kushandisa estrogen -yakasununguka kuberekwa
- Inogona kushandiswa panguva yekuyamwisa (shure kwevhiki 4)
- Inobvumira kuita zvepabonde pasina (hapana chinofanira kuiswa kana kuiswa pamberi pepabonde)
- Nexplanon inobudirira nokukurumidza inoshanda kana ichiiswa pakati pezuva rekutanga nechishanu rekuenda kwako kumwedzi
- Eco-yakabatana yekudzivirira nzira
- Nemhaka yehutsika hwayo uye yakasimba yekutengesa hormone, Nexplanon inogona kuva nehomoni shoma uye yakaderera pane nzira dzezuva nezuva
- Kubereka nokukurumidza kunodzoka kana iwe ukamira uchishandisa Nexplanon; mimba dzakaziviswa kuti dzinenge dzichiitika kutanga kwemazuva manomwe kusvika ku14 mushure meNexplanon yabviswa
- Nzira yakanaka yekuberekwa kwevechiri kuyaruka
Migumisiro Yechiri
Nzira yakanyanya kufanana nayo yeNexplanon inoshandiswa mumitambo yako yega yega yega yega. Izvi zvinogona kusanganisira kushandiswa kuwanda, kuwedzera, kana nguva yekubuda ropa. Kusapeta kusina kukanganisa kwaiva chikonzero chinowanzovhiringidzika chokuti vakadzi vakamira kushandisa Nexplanon. Panenge imwe yevakadzi vashanu havazovi nenguva. Imwe muvakadzi vashanu ichagara ichienda uye / kana kuti inoramba ichibuda ropa. Nzira yekubuda ropa inowanikwa mumwedzi mitatu yekutanga mushure meNexplanon inowanikwa ndiyo chiratidzo chakanaka chemuitiro wako wekubuda ropa munguva yemberi uchishandisa ikoku kwekuberekwa kwekudzivirira.
Zvimwe Nexplanon madhara zvinogona kusanganisira:
- Musoro (24,9 muzana yakataurwa mumatambudziko emakiriniki)
- Vaginitis (14.5 muzana)
- Kurema kuwedzera (13.7 muzana)
- Acne (13,5 muzana)
- Kutambudzika kwepabonde (12,8 muzana)
- Zvinorwadza mumimba (10.9 persent)
- Hora (10,5 muzana)
Zvimwe zvisingawanzozivikanwi Nexplanon migumisiro yakave zvakare yakataurwa. Izvi zvinosanganisira kuwedzera kudya, kufungidzira mupfungwa (kusagadzikana uye / kana kukurumidza kushanduka mupfungwa, izvo zvinosanganisira kuora mwoyo, kutyisa, uye / kana kuderedzwa zvepabonde motokari), dutu, kuchema, kuneta, kupera kwemvere, kuneta, kukwidziridzwa kweropa , nekusimudza nzvimbo kurwadziwa kana kuita.
Zvinokonzera Matambudziko
Zvinetso zvakakomba neNexplanon hazviwanzoiti, asi iva nechokwadi chekuudza chero dambudziko kune chiremba wako pakarepo.
- Kuvhiringidzika Matambudziko: Vamwe vakadzi vanogona kunzwa kuputika, kushungurudzika kwepakati, kurwadziwa, kuchema, paresthesias (kureva, kurira, kutsvaira, kunonoka kana kushaya simba), kubuda ropa, hematoma , kuora, kana kuti hutachiona mushure mekunge Nexplanon yaiswa. Kana Nexplanon ichiiswawo zvakanyanya, chirwere chinonzi neuro kana vascular chinogona kuitika.
- Kubvisa Matambudziko: Kubviswa kweNexplanon kunogona kuva kwakaoma kana kuiswa hakusi kwainofanira kuva, kana kuchiiswa zvisina kufanira, kuiswawo zvakanyanya, kwakaputsika, kana kuti yakasunungurwa. Mumamiriro ezvinhu akadaro, iwe ungada kuve neNexplanon yabviswa chirwere.
- Ectopic Pregnancy: Kana iwe ukaitika kuti uve nepamuviri paNexplanon, pane mukana wakakosha (kana uchienzaniswa nevakadzi vasingashandisi maitiro ekuberekwa kwehomoni ) kuti kutora kwako kuchava ectopic.
- Mishonga Inopindirana: Mimwe mishonga inogona kuita kuti Nexplanon isanyanya kushanda (yakafanana neyo inotungamirira kuchiropa chechiropa), saka unogona kushandiswa kushandisa nzira yekudzivirira kubata pamuviri. Iva nechokwadi chekuudza chiremba wako nezvemishonga ipi yaunotora kana kuronga kushandisa.
Ndiani Angashandisa Iyo
Nexplanon isarudzo yakachengeteka yekuberekwa kwevakadzi vazhinji vane utano. Zvakakosha kukurukura nhoroondo yako yezvokurapa nechiremba wako usati watanga Nexplanon.
Iwe unogona kunge uchikwanisa kushandisa Nexplanon kunyange kana une zvimwe zvinhu zvinowanzoisa pangozi chero bedzi uchiramba uchitungamirirwa nehutano hwepedyo. Asi Nexplanon inogona kunge isiri iyo nzira yakarurama yevanhu vose. Nexplanon kushandiswa hakurudziri kana iwe:
- Ari nepamuviri kana kuti iwe unofunga kuti unenge wava nepamuviri
- Iva nehosha yechiropa
- Iva neropa risingazivikanwi rekubuda ropa
- Ive kana wakave nekenza yemvere
- Iva nhoroondo yekuora mwoyo kwakanyanya
- Ivai kana kuti mune ropa rakakomberedzwa mumakumbo enyu, mapapu, maziso, mwoyo, kana musoro (stroke)
Nexplanon inogona kunge isiri iwe sarudzo yako yakanakisisa kana iwe uine kana ane chirwere cheshuga, yakakura cholesterol kana triglycerides, musoro wepfungwa, kugumburwa / kuurayiwa, chirwere chenduru kana chirwere chepfungwa, kuwedzerwa kweropa , kana kuti zvinokonzerwa neanesthetics kana antiseptics.
Nzira Yokuwana nayo
Iwe unoda mushonga wezvokurapa kuti uwane Nexplanon. Chirongwa chekushanya kwechiremba vaviri: kutanga, iwe unenge uchida kuve nekuongororwa kwezvokurapa, izvo zvinosanganisira kuvhara ropa kuongorora uye zvichida kuongorora kwepilvic. Panguva ino, chiremba wenyu anofanirwa kukurukura newe mararamiro uye nhamo yeNexplanon uye achaita musangano kuti iwe udzoke nokuda kwekuiswa kwekudzivirira kuberekwa kwekuberekwa. Iva nechokwadi chokuti iwe unowana unyanzvi hwehutano hwakadzidziswa kuti uise (kana kubvisa) Nexplanon. Vanachiremba vanofanira kudzidziswa uye vanokwanisa kuburikidza nezvirongwa zvakakosha zvekudzidzisa kuitira kutenga Nexplanon pamwe nekuisa uye kuibvisa.
Zvinodhura
Nexplanon mitengo inogona kusiyana kubva munzvimbo kuenda kune imwe nzvimbo. Izvo zvinodhura zvinoenderana neshuwarisi, copays, uye chiremba / kliniki yekuronga mhuri. Kunyange zvazvo nzira iyi inogona kunge ine mari yakakwirira yepamusoro, kana ichienzaniswa nedzimwe nzira dzokudzivirira nadzo kuberekwa , unogona kuchengetedza mari yakawanda kupfuura nguva. Iwe unofanirwa kuongorora nehutano hwako hwehutano inshuwarisi sezvo sarudzo yeNexplanon inofanira kuvharwa pasina mari yekunze -ye-pocket yevose vasina-grandfathered inshuwarano.
Kubudirira
Nexplanon is 99.9% inoshanda kana yaiswa zvakanaka. Izvi zvinoreva kuti kubva kune vakadzi vese zana vanoshandisa Nexplanon kwegore rimwe, vashoma kune mumwe vachava nepamuviri nekunyoreswa kushandiswa pamwe nekushandisa zvakakwana.
Nexplanon inogona kunge isinganyanyi kubatsirika mune vakadzi vehuwandu hwepamusoro uye kune avo vari kutora mishonga inokonzera chiropa chechiropa.
Kubudirira kweNexplanon kuvakadzi vanorema kudarika 130 kubva muzana yehutano hwavo hwakanaka hunenge husingazivikanwi. Kufunganya kwe etonogestrel kunopesana nehutano hwemuviri uye kuderera pamwe nenguva mushure mekuisa. Nemhaka yeizvi, zvinofungidzirwa kuti Nexplanon inogona kunge isinganyanyi kubatsirika muvakadzi vanodarika zvakanyanya . Kana iwe uri mukadzi anoremekedza anoshandisa Nexplanon, taura nachiremba wako nezvekutora nzvimbo yako yeNexplanon usati watora makore matatu (sezvo maitiro eprogestin mukati megore rechitatu angasakudzivirira zvakakwana kubva pakuberekwa).
STD Kudzivirirwa
Nexplanon haisi kudzivirirwa kune zvirwere zvepabonde .
Kunobva:
Amai E, Blum GF, Gent TG, Peters KP, Sørdal TS, & Marintcheva-Petrova M. "Nexplanon, Etonogestrel Radiopia Inobatanidza Mukubatana Nezvimwe Zvichida Chikumbiro kana: Zviitiko Zvitatu zveMutambo Wakawanda Usingaenzaniswi." American Journal of Obstetrics uye Gynecology . 2012; 207 (5): 388-e1-388e6.