Imwe yemhangura IUD neyechina progestin-kurega IUDs
IUDs (intrauterine zvishandiso) zvinobudirira, nguva refu , uye zvinogona kushandiswa kuzvidzora kuzvidzora , uye kune mabhii mashanu anogamuchirwa FDA anowanikwa pamusika:
- Mirena
- Liletta
- Skyla
- Kyleena
- ParaGard
Iwe unogona kunge uri kushamisika kuti IUD yakakunakira iwe. Ichi chisarudzo chinodikanwa kukurukura nekucherechedza nekufungisisa nachiremba wako, uye kuziva zvinyorwa pamusoro peiyo IUDs dzakasiyana usati waita hurukuro iyi inogona kubatsira zvikuru.
Kuratidzwa kweIUDS
Zvose zvina zveIUDs inoshanda kwazvo nzira dzokudzivirira kubata pamuviri. Ive "maitiro akafanana neT" akafanirwa kuiswa muchibereko chako uye akabviswa kubva muchibereko chako nechiremba anokwanisa.
Kusiyana kwakanyanya pakati peIUDs ndeyekuti mumwe wavo-mhangura yemhangura, inonzi ParaGard-haisi kusunungura hormone.
Copper IUD
ParaGard ndiyo chete yeHymmone isina HUD uye yakaumbwa ne polyethylene yakafukidzwa netambo yemhangura. ParaGard inoshanda sei kudzivirira kubata pamuviri? Nyanzvi dzinofunga kuti kune nzira dzakasiyana-siyana, kusanganisira:
- Kuvhiringidzika kwemaitiro ehupenyu uye hupenyu (humi huri kurarama)
- Shanduka mukukurumidza kweii vasati vasangana nehuta
- Kukuvara kweii
- Imbairo yekuiswa kweii inoberekwa
Pakati pezvinhu zvose zveIUDs, ParaGard inogona kushandiswa kwenguva refu, kwemakore gumi. Maererano nemigumisiro, vakadzi vanosarudza ParaGard vanofanira kuziva kuti zvinogona kukonzera nguva yakaoma uye yakareba inowedzera kudarika kupfuura nguva dzose, kunyanya mumatambudziko ekutanga ekuenda kumwedzi.
Kunyangwe, zvakakosha kucherechedza kuti nokuti mhangura yemhangura haina hormone-isina, haigoni kuchinja mukadzi kumwedzi, naizvozvo acharamba achigara achigadzirirwa nguva.
Levonorgestrel IUDs
Pane manevonorgestrel IUDS: Mirena, Liletta, Skyla, uye Kyleena. Kufanana neParaGard, ivo vakaita se-T, asi kusiyana neParaGard, ivo vane polydimethylsiloxane sleeve ine levonorgestrel (progestin) pane stem.
Aya maHUDmone IUDs anoshanda nekukura kwechirwere chechivharo (zvichiita kuti zvive zvakaoma kuti umhondi uende), kuonda rutivi rwechibereko chinokanganisa kuumbwa, nekudzivirira kusungirwa kwehuta kuaii.
- Mirena pakutanga anotora 20mcg ye levonorgestrel pazuva uye FDA inogamuchirwa kwemakore mashanu. Cherechedza kuti kana nguva ichienderera mberi, iLevonorgestrel IUDs inosunungura hormone shoma, asi inenge ichingobudirira.
- Liletta pakutanga inobudisa 18.6mcg pazuva reLevonorgestrel uye inogamuchirwa kwemakore matatu ekushandiswa.
- Skyla , inozivikanwawo se "hanzvadzi yaMirena," pakutanga inotora 14mcg ye levonorgestrel pazuva uye inogona kushandiswa kusvika kumakore matatu.
- Kyleena aiva FDA-yakagamuchirwa munaSeptember 2016 uye inopa yakanakisisa yenyika mbiri, gore remakore mashanu (seMirena) asi uwandu hudiki uye hushoma hormone (sa Skyla). Kunyanya, Kyleena pakutanga anotumira 17.5mcg ye levonorgestrel pazuva.
Nemhaka yokuti idzi zvina dzeIUD dzine progestin, unogona kuchinjwa pakuenda kwako kumwedzi. Semuenzaniso, iwe unogona kunge uchida kuona pamwedzi mishomanana yekutanga uye wobva wava nechiedza uye nguva shoma. Nguva yako inogonawo kumira zvachose.
Mimwe migumisiro inogona kusanganisira zviratidzo zvine chokuita nehommone zvakadai se:
- Headaches
- Nausea
- Breast tenderness
- Kuora mwoyo
- Yakaderera libido
- Kuora bvudzi
- Ovarian cysts
Kusarudza Zvakanaka
Imwe yenzira dzakanakisisa dzekusarudza pakati peIUDs ndeyekuziva kana iwe usingadi kushandisa nzira yekudzivirira kuberekwa kwehomoni. Kana iwe usingakwanisi kana kusarudza kuti urege kuiswa kune mahomoni, ParaGard IUD inogona kunge yakasarudzwa zvakanakisisa.
Ramba uchiyeuka, zvisinei, kuti hormone muMirena, Skyla, Liletta, uye Kyleena inongobudiswa kune imwe nzvimbo (mukati mechibereko), saka haina mhando imwechete yehuwandu hwakawanda sezvo mahomoni anowanikwa mumapiritsi ekuberekwa kwekuberekwa .
Zvimwe zvinhu zvinogona kukubatsira kusarudza zvakanaka IUD zvinosanganisira:
- Kureba kwekutakura pamuviri (makore matatu zvichienderana nemakore mashanu zvichienderana nemakore gumi)
- Nhamba yehomoni
- Zvimwe zviito (somuenzaniso, vamwe vakadzi vanotambura zvakanyanya, zvinorwadza kuenda kumwedzi zvichibuda ropa mumwedzi mitanhatu yekutanga kana zvakadaro nemhangura IUD)
Kukura kweiyo IUD kunogonawo kuchinja chisarudzo chako. Skyla naKyleena vari zvishomanana kudarika Mirena, Liletta, uye ParaGard. Nokudaro, Skyla neKyleena zviduku zvishoma zvinogona kuita kuti IUDs idzi dzive nyore uye dzisingatambudzi kuisa.
Madiki avo maduku anogonawo kubvumirwa zviri nani nevakadzi vane kamuviri kadiki, sevechiri kuyaruka uye vakadzi vevanhu vanorwara.
Shoko Rinobva
Hazvina mhosva kuti iwe unosarudza ipi, iwe unogona kuva nechikamu chepfungwa kuti zvose zvishanu zviri pakati pemhando dzakanakisisa dzekudzivirira kuberekwa . Ichokwadi, ivo vanobudirira senzira dzesingaperi , sevasectomies uye tubal ligation .
Uyezve, pasinei nekufungidzira kwakajeka, ma-IUD ndiwo maitiro akachengeteka ekudzivirira kubata pamuviri kune vakadzi vasingasviki; ava ndivo vakadzi vasina kumboberekwa vana. IUDs hainawo kukuvadza mukana wako wekutora pamuviri mushure mokunge wakabviswa.
Inofanira kuonekwa, kuti IUDs haidziviriri vakadzi kubva kuhutachiona hwepabonde. Mukuwedzera, neIUD kuisa, kune ngozi yekudzingwa (iUD inopera) kana utachiona, kunyange zvazvo zviitiko izvi zvisingawanzoitiki.
Zvose mune zvose, idzi IUDs dzinobatsira zvikuru maitiro ekudzivirira kuberekwa, uye dzinopa kudzivirira kwenguva refu. Mushure mekusarudza IUD yavo, vazhinji vakadzi vanogutsikana zvikuru nechisarudzo chavo.
> Sources:
> American College of Obstetrics uye Gynecologists. (July 2011, Yakasimbiswa 2015). Mishonga yeChipatimendi Practice Bulletin: Kubata kwenguva refu Kuita nekugadzirisa kubata pamuviri: Implants uye Intrauterine Devices.
> Dean G, Goldberg AB. (2017). Intrauterine kubata pamuviri: Devices, candidates, uye sarudzo. Mu: UpToDate, Schreiber CA, Eckler K (Eds), UpToDate, Waltham, MA.
> Bowers R. "FDA inobvumira madhigirii levonorgestrel intrauterine system - A 'mini Mirena.' Kubvisa pamuviri Technology Technology . 2013 March; 34 (3): 25-36.
> Gemzell-Danielsson K, Schellschmidt I, Apter D. "Ongororo yepamusoro-soro yegadziriro yechipiri inotsanangura kushanda zvakanaka, kuchenesa ropa uye kuchengetedzwa kwemaviri maviri e-levonorgestrel-kubvisa zvirwere zvekuberekwa kweprauterine uye Mirena." Kubereka uye Kusimba . 2012; 96 (3): 616-622.
> Hardeman J. Intrauterine devices: An update. Ndiye Chiremba weNzara . 2014 Mar 15; 89 (6): 445-50.