IUD inoshandisa iri kuwedzera muUnited States, uye ndizvo zvaunosarudza IUD yako. Rimwe remaitiro enyu matsva IUD ndeyeLiletta IUD. IUD iyi yakafanana naMirena , Kyleena , uye Skyla IUDs. I-Liletta IUD inogadzirwa kubva mupaipurasitiki yakareruka, inogadziriswa uye inofanira kuiswa nehutano hwehutano hwehutano.
I-Liletta IUD inobatsira kudzivirira kubata pamuviri kuburikidza kusunungura 52 mg ye progestin , levonorgestrel, muchibereko chako kwemakore matatu.
Liletta inoburitsa anenge 18.6 micrograms zuva nezuva rekutanga-inofananidzwa nemakiromita anenge 20 pazuva neMirena, 17.5 mcg neKyleena, uye 14 mcg ne Skyla. I-Liletta IUD iriwo FDA-inogamuchirwa kuti ishandiswe kune vakadzi vane kana vasina kubereka .
Uri kuongorora kushandisa Liletta IUD here? Kana zvakadaro, kunzwisisa zvokwadi kunogona kukubatsira kuti uite chisarudzo chakawedzerwa. Iwe unogona kunge uchishamisika nezveimwe yemibvunzo iri pasi apa.
Nzira Icho Inoshanda Sei?
Liletta inobatsira kudzivirira kubata pamuviri munzira dzakawanda. Imwe nzira Liletta inoshanda ndeyekuenderera kwayo kusunungurwa kweprogestin-iyi hormone inokonzera kuti chiberekero chako chechibereki chive chichikuvadza, chinokonzera chidimbu chechibereko chako, uye chinoderedza kuponeswa kwemuviri. I-Liletta IUD inobatsirawo kupinda munzira yehuta. Izvi zvinoita kuti zvive zvakaoma kuti chirume chizadze mazai. Saka, chaizvoizvo, Liletta inodzivisa kufamba kwemuviri. Pakupedzisira, Liletta inogona kushanda kudzivirira kubata pamuviri mune dzimwe nzira iyo mapiritsi anoita .
Liletta inoshandurwa zvakare zvachose, naizvozvo kana uchinge wabudisa IUD iyi, kubereka kwako kunofanira kukurumidza kudzoka .
Liletta vs Mirena?
Zvose maLiletta IUD naMirena IUD vane 52 mg ye progestin, levonorgestrel. Saka chii chakasiyana kwazvo pakati pavo? Kunyange zvazvo zvose zviviri zvingashandiswa zvakachengetedzwa nevadzimai vane vana kana vasina kumbova nevana, chete Liletta akaitisa miedzo yekliniki yakayera kubudirira uku kweUUD kuvakadzi vane uye vasina vana (Mirena's study only included vakadzi vakabereka).
Liletta yakatsvakurudzwa mune chidzidzo chikuru kuti chione kushanda kwayo nekuchengeteka mukati mehuwandu hwakakura hwevashandi vanogona. Zvizhinji zvekudzidza zvidzidzo zvinongosanganisira vakadzi vezera remakore gumi nemasere kusvika pamakumi matatu nemakumi mashanu uye vasingasanganisi vakadzi vasina kumboberekwa kana vakadzi vane hukuru hukuru hwemuviri. Saka chidzidzo cheLiletta chaisanganisira vakadzi vaduku nevakwegura (vane makore 16 kusvika ku45), vakadzi vane uye vasina kubereka, uye vakadzi vane uwandu hwepamusoro. Nokuti chidzidzo chacho chaisanganisira vakadzi vemhando dzose uye masimba, tinoziva kuti Liletta inoshanda zvakanaka kune vakadzi vane uremu hupi. Uye zvakasiyana naMirena, zita reLiletta IUD rinoti vakadzi vane kana vasina vana vanogona kushandisa Liletta zvakachengeteka.
Imwe misiyano pakati peLiletta neMirena ndiyo nguva yakareba sei yega yeUUD inogona kushandiswa. Kunyange zvazvo iLiletta IUD neMirena IUD ine mhando yakafanana yeevonorgestrel (52 mg) uye inoibudisa nenzira yakafanana, Mirena IUD label inoti inogona kushandiswa kwemakore mashanu, uye zita reLiletta rinoti rinogona kushandiswa chete kwemakore matatu. Chikonzero chekuparadzana uku zvakare kunowedzera kuchipatara chekuongorora tsvakurudzo.
Ikambani yemishonga inogadzira Liletta yaida kuti iyi IUD igamuchire nokukurumidza sezvinobvira. Saka, pavakangobvunzurudza kwemakore matatu eLiletta IUD vanoshandisa izvo zvakaratidza Liletta kuti yakachengeteka uye inoshanda, yakashandisa kubvumidza FDA.
Ichi ndicho chikonzero nei Liletta ichingobvumidzwa kushandiswa kusvika kumakore matatu. Muiti uyu achiri kuita zvidzidzo kuti aone kubudirira kweLiletta IUD kwemakore manomwe. Kamwe zvidzidzo izvi zvapera, FDA ichazofunga nezvekushandura nguva yakareba yeLiletta.
Ndezvipi Zvinobatsira zveRiletta IUD?
- Inopa mimba yakadzivirirwa yekudzivirira kwemakore matatu.
- Iyo FDA-inogamuchirwa kune vakadzi vane kana vasina kumbova nevana.
- Iko kusina-kusununguka-kamwe kamwe kwaiswa, iwe hauna chaicho chimwe chinhu chaungaita.
- Icho chakanaka kana iwe usingagoni kushandisa yesrogen-based birth control .
- Inogona kubviswa chero nguva mukati memakore matatu emakore.
- Inogona kushandiswa nevechiri kuyaruka uye nevakadzi vanoona nezvevanhu.
- Iwe iwe kana wako musikana haufaniri kunzwa muLiletta IUD panguva yepabonde.
- Inogona kushandiswa kana iwe uchiyamwisa.
- Ndiyo nzira inobatsira yekudzivirira kuberekwa kana iwe uri kunyanyisa.
Ndiani Anofanira Kuwana Liletta IUD?
Liletta yakave yakanyatsotsvakurudzwa nevakadzi vasiri nhengo (iyo fancy izwi remakadzi kune vakadzi vasina kumbobereka) -uye, iyo FDA yakagamuchira kuti Liletta IUD ishandiswe nevakadzi muhuwandu hwevanhu. Liletta's label labeling inotaura kuti iyi IUD inogona kushandiswa kana iwe usina kubereka mwana. Unogonawo kufunga nezvekushandisa Liletta kana iwe uri kunyanyisa. Asi IUDs hazvikurudzirwi kune vakadzi vose, saka iva nechokwadi chokuti unosangana nemitemo yekuve munhu akanaka uye unotaura nachiremba wako pamusoro pezvimwe zvinogona kuisa njodzi.
Ndinofanira Kuwana Rini Liletta?
Iwe unofanirwa kuva neLiletta yako IUD yakaisa imwe nguva mumazuva manomwe ekutanga ekuenda kumwedzi kwako kana pakarepo mushure mekutanga kwekubvisa pamuviri kana kupererwa. Kana iwe uine Liletta inowanikwa panguva ino, inokurumidza kushanda, saka iwe haufaniri kushandisa chero upi zvake hwekuzvarwa shure .
Kana iwe uine Liletta IUD yako yakaiswa pane imwe nguva panguva yaunenge uchitora mwedzi, iwe uchada kushandisa imwe nzira yekudzivirira kuberekwa (zvakadai se spermicide kana makondomu ) mukati vevhiki rokutanga mushure mokunge Liletta yaiswa. Kudzivirira kwako pamuviri kunotanga mushure mevhiki imwechete (mazuva manomwe).
Iwe unofanirwa kumirira kwemavhiki masere kuti uve neLiletta inowanikwa mushure mokuberekwa kana kutora chikwata chechipiri-trimester kana kupererwa pamuviri. Nguva ino ichapa nguva yako yeuropiti yekurapa zvizere usati waita kuti Liletta IUD yako iiswe.
Pane Kushaya Kukwanisa Kuwana Liletta IUD?
Vazhinji vakadzi havana matambudziko ekugadzirisa kuIUD. Asi iwe unogona kurwadziwa, kubuda ropa, kana chizuru panguva uye / kana mushure mekunge Liletta IUD yako yaiswa. Zviratidzo izvi zvinofanira kupera mukati mehafu yeawa mushure mokunge Liletta yako ichiisa. Iwe unogonawo kuva nehuipi hwakaipisisa kana bhakkache kwemazuva mazhinji kana masvondo mushure mekunge Liletta IUD yako yaiswa.
Ko Zvakadini neLiletta Side Effects?
Kufanana neyese IUD, unogona kuva nemigumisiro mushure mekunge iwe weLiletta IUD yako yaiswa. Kazhinji, idzi dzichaenda shure kwemavhiki mashomanana okutanga kusvika mwedzi mushure mokunge yaiswa. Izvo zvinowanzoburwa neLiletta IUD migumisiro inosanganisira:
- Kuvhiringidza kana utachiona hwechikamu chekunze chemuviri wako (vulvovaginitis)
- Acne
- Musoro wemusoro kana migraines
- Nausea kana kurutsa
- Nhamo panguva yepabonde
- Dumbu uye / kana kurwadziwa kwepfungwa
- Kusuruvara kwepabonde kana kusuruvara
- Kuora mwoyo kana mafungiro anochinja
Izvo Zvichaita Kuti Ndive Nenzira Yekuchinja Kwenguva Yangu Here?
- Pakati pemwedzi mitatu kusvika kumatanhatu mushure mekuiswa kweLiletta IUD yako, unogona kuva nemukana wakakura wekubuda ropa nekuona. Nguva yako inogona kuve isina kukwana uye / kana nguva yako ingave yakaremera kana yakareba kudarika nguva.
- Kunyangwe kuputika nekubuda ropa uye kupenya kunogona kuderera mukati memwedzi mitatu yekutanga mushure mokunge Liletta yako kuiswa, nguva yako inogona kuramba ichinge isiri.
- Nokufamba kwenguva, nguva yako inogona kuva shoma uye kuwedzera. Nemhaka yokuti progestin muLiletta inokuvadza uterine yako yerineni, kubuda ropa kunogona kuderedza nguva yako yakareba yeLiletta IUD yave iri panzvimbo.
- Nguva yako inogona kumira zvachose. Munenge 19 muzana yevashandi veLiletta havachazove nenguva yekupedzisira kwegore rokutanga rekushandisa; 26 muzana pamagumo egore rechipiri rekushandiswa; uye 38 muzana kusvika pakupera kwegore zvitatu.
Ndezvipi Njodzi Nezvinetso zveLiletta IUD?
Zvinetso zvakakomba neLiletta hazviwanzoitiki. Iva nechokwadi chekuudza chiremba wako pakarepo kana pane zvinetso zvichiitika. Izvo zvichitaurirwa, zvimwe zvakanyanya kukanganisika Miridzo yemigumisiro inogona kusanganisira:
- Ectopic pregnancy
- Ovarian cysts (kunyange zvazvo vazhinji vasingagoni kumira uye vanonyangarika pachavo pachavo mumwedzi mishomanana)
- Sepsis (chirwere chakanyanya kutyisa upenyu)
- Kupera simba kana kudzingwa
Kubviswa Kwetsika Yako IUD
- Iwe unofanirwa kuva neLiletta yako IUD yakabviswa mushure memakore matatu ari kumusoro (haazoperi kana kuparara mumuviri wako). Iwe unogona kusarudza kuva neimwe Liletta IUD kana imwe IUD inowanikwa panguva imwe chete.
- Kana iwe uchida kuchinja kune nzira itsva yekudzivirira kuberekwa (uye unoramba uchidzivirirwa pamuviri), ronga kuti Liletta IUD ibvise kuitika mumazuva manomwe ekutanga kwenguva yako uye pakarepo utange nzira yako itsva yekudzivirira kuberekwa. Kana uine Liletta yako yabviswa pane imwe nguva panguva yekuenda kwako kumwedzi, tanga nzira yako yekudzivirira kuberekwa kwemazuva masere usati watora Liletta IUD yako.
- RAMBA UYE MUBVUNZO: kana wakamboita zvepabonde (usingashandisi kondomu yevarume, kondomu yevakadzi , spermicide , kana sponge ) mukati memazuva mashanu usati waita kuti Liletta yako ibve, unogona kuva pangozi yekutora pamuviri mushure mekunge IUD yako yabviswa.
- Iwe haufaniri kumboedza kubvisa Liletta iwe pachako (shure kwezvose, ichi ndicho chikonzero tine vanachiremba!).
- Liletta inogonawo kubviswa panguva ipi zvayo isati yapera makore matatu apera.
- Pane mikana shoma yokuti Liletta IUD yako inogona kubuda yoga-asi, zvichida, iwe uchada kurongedza nguva yakatarwa kuti iibvise.
- Kana yako Liletta IUD ichibuda payo pachayo, pane chiitiko chakanaka chausingazvioni. Ichi ndicho chikonzero zvakakosha kuti unzwe nekuda kweyimbo yako yeIUD- sezvo iyi ndiyo nzira chete yekuti iwe uzive kuti yako Liletta IUD ichiri panzvimbo. Kana yako Liletta yabuda, dana chiremba wako. Chiremba wako angangodaro aite kuedza kwekuita pamuviri (kuti ave nechokwadi chokuti hauna pamuviri) usati waisa Liletta IUD itsva.
- Kana yako Liletta IUD yakabviswa chikamu, taura nachiremba wako pakarepo (uye shandisa nzira yekudzivirira yekubata pamuviri). Usaedza kuunganidza zvose zvayo kunze iwe pachako.
Nzira Yakawanda Iko Inoshandiswa Zvakadini?
Liletta ine mari yakakwirira yepamusoro kupfuura dzimwe nzira dzokudzivirira kubata pamuviri . Mutengo wekuongorora, iLiletta IUD, kuiswa, uye kutevera kushanya kunogona kutengesa madhora 500- $ 900. Medicaid inogona kuvhara izvi. Nemhaka yokuti Liletta inogadzirwa nekambani isiri yemishonga yemishonga, pane mukana wakaisvonaka wekuti iwe unogona kuwana Liletta IUD pamutengo wakaderedzwa. Vakadzi vane kana vasina inshuwarisi vanogona kuwana Liletta pasina kana pamutengo wakaderera:
- Kana iwe uine inshuwarhu yehutano: Liletta inofanira kuvharwa nehushuwarisi isina mari yekunze, kunze kweimwe mhando yemishonga yekuberekwa kwekuberekwa. Nemhaka yokuti Liletta inzira itsva yekubata pamuviri, inogona kunge isina kuvharwa nemishonga yako yveshuwarisi pakarepo (inowanzotora nguva yezvirongwa zvekuwana mishonga nemishonga mutsva pazvinyorwa zvezvirongwa zvinogamuchirwa).
- Kana iwe uine inshuwarhu yehutano, asi urongwa hwako huchiri kupa mari yepa copay kana kuti hunovhara chero upi zvake hwepabonde, Liletta iri kupa chirwere chePatient Savings Program kusvika December 31, 2017. Nehurongwa uhwu, varwere vakakodzera havabhadhara mari inopfuura $ 75 yeLiletta IUD ivo pachavo. Purogiramu haina kuvhara mari yekuve neIUD inowanikwa, iyo inogona kuenzana pakati pe $ 150 ne $ 250.
- Kana iwe usina hutano inshuwarisi: Edza kuwana nzvimbo yepedyo yeChitori X yekuronga mhuri nekubvunza kana vakapa Liletta IUD. Aya makiriniki anowanzopa shanduro yemari yehutano hwebasa ravo, uye ivo vachakwanisa kutenga Liletta IUD kwe $ 50 chete-kupfuurira kuchengetedza kwauri.
Inobatsira Sei Liletta?
Nzira yeIndaneti ine imwe yenzira dzakanakisisa dzekudzivirira kuberekwa. Izvi zvinodzokorora, kwenguva yakareba nzira yekudzivirira kubata pamuviri inopfuura 99 muzana inoshanda. Izvi zvinoreva kuti kunze kwevakadzi vese vane zana reLiletta IUD mugore rimwechete, vasati vanopfuura 1 vachava nepamuviri nekushandisa kushandiswa uye pamwe nekushandisa zvakakwana.
Zvimwe Zvinhu Zvinofanira Kuyeuchidza : Paunenge uchishandisa Liletta, kutora mimba yakawanda kunoitika nokuti Liletta yako yakabuda-uye iwe haungatombozivi kuti izvi zvakaitika. Kunyange zvazvo mukana wekubata uchishandisa Liletta yakanyanya kwazvo, zvinogona kuitika. Kana iwe ukava nepamuviri apo yako Liletta IUD ichiri panzvimbo, dana chiremba wako pakarepo iwe paunoona kuti uri nepamuviri-sezvo kunogona kuva nengozi dzinogona kuwirirana nemhando iyi yekuzvitakura .
I-Liletta Inopa chero Chetachiona cheDDD?
I-Liletta IUD haina kupa kudzivirirwa kurwere hwepabonde . Iwe unogona kunge uchida kuwana chirwere chinoputika chepachivi mushure mokunge yako Liletta kuiswa kana iwe une std panguva ino. Iwe unogonawo kunge uri mungozi kana iwe uine shamwari dzakawanda dzepabonde kana murume wepabonde uyo ave nevakaroorana vakawanda zvepabonde.
Shoko Rinobva
Liletta nedzimwe mishonga inogona kupa nzira yakachengeteka uye yakabatana yekudzivirira kana iwe uri mukana wakanaka. Kana iwe usingafungi kuti Liletta IUD ndiyo nzira yakarurama kwauri, kune zvakawanda zvakawanda zvinowanikwa kusarudzwa kwekuzvarwa. Iwe unganzwa uchinetseka paunenge uchiedza kufamba nenyika yose yekudzivirira kuberekwa, kunyanya kana iwe usinganzwisisi zvakakwana kuti nzira imwe neimwe inoshanda sei kana inoshandiswa. Asi mushure mokuita tsvakurudzo, kubvunza mibvunzo, nekutaura nachiremba wenyu, munogona kuita chisarudzo chine ruzivo uye kuwana nzira yekudzivirira kuberekwa inonyatsoenderana nezvamuri kutsvaga.
> Kwakabva:
> Eisenberg, DL. et al. "Kwemakore matatu kubudirira uye kuchengeteka kwe 52-mg levonorgestrel-kurega intrauterine system." Kubata pamuviri . 2015; 92 (1): 10-16.