Kyleena inoruterine device ( IUD ). Inogadzirwa naBayer, saka inhengo yemhuri imwechete yeIUDs seMirena uye Skyla . I Kenaena IUD ine nyoro, yakagadziriswa yepolethylene (plastiki) mufananidzo wakaitwa naT. Kyleena inofanira kuiswa neunyanzvi hwehutano hwehutano.
Sezvo nzira yekudzivisa pamuviri, iyi IUD inotora zvishoma nezvishoma progestin , levonorgestrel, muchibereko nokuda kwemakore mashanu.
I Kyleena IUD ine 19.5 mg ye levonorgestrel. Inoburitsa 17.5 mcg ye hormone iyi zuva. Mushure megore rimwe, chiyero ichi chinononoka kusvika 9,8 mcg zuva nezuva, uye kusvika ku7.4 mcg pazuva. Iyo FDA-inogamuchirwa kuti ishandiswe kune vakadzi vane kana vasina kubereka.
Kana iwe uchifunga nezvekushandisa Kyleena, kunzwisisa zvokwadi kunogona kukubatsira kuti uite chisarudzo chakawedzerwa. Zvakajairika kushamisika nezveimwe yemibvunzo iri pasi apa.
Iyo Inoshanda Sei
I Kyleena IUD inobatsira kudzivirira kubata pamuviri kuburikidza nekupinda munzira yehuta. Izvi zvinoita kuti zvive zvakaoma kuti chirume chizadze mazai. Saka, chaizvoizvo, Kyleena anodzivisa kufamba kwehuta. Iyo Kyleena IUD inewo progestin-iyi hormone inokonzera kuti chiberekero chako chechibereki chikuye, chinokonzera chidimbu chechibereko chako, uye chinoderedza kupona kwemuviri. Kyleena angashanda kudzivirira kubata pamuviri nenzira iyo mapiritsi anoita , zvakare.
Ndinofanira Kuwana Ndini?
Iwe unofanirwa kuva neKyleena IUD yako yakaisa imwe nguva mumazuva manomwe ekutanga ekuenda kumwedzi kwako kana pakarepo mushure mekutanga kubvisa pamuviri .
Kana Kyleena akaiswa panguva ino, iyo inokurumidza kushanda, saka iwe haufaniri kushandisa chero upi zvake hwekuzvidzivirira shure .
Kana uine Kyleena IUD wako akaiswa pane imwe nguva panguva yaunenge uchitora mwedzi, iwe unoda kushandisa imwe nzira yekudzivirira (yakadai sepermicide kana makondomu ) mukati vevhiki rokutanga mushure mokunge Kyleena aiswa.
Kubata pamuviri kunotanga mushure memazuva manomwe (vhiki imwe).
Iwe unofanirwa kumirira madiki masvondo masere kuti Kyleena aiswe mukati mushure mokuberekwa kana kuti achiita pamuviri wechipiri-trimester. Izvi zvinobvumira chiberekero chako kuti chirape zvizere usati waita Kyleena.
Kyleena, Skyla, kana Mirena?
I Kyleena IUD inoshanda nenzira imwecheteyo yeMirena uye Skyla. Kune dzimwe misiyano pakati pematatu aya ekubudiswa kweHIMmone. Zvose izvi zvitatu zveIUDs inobatsira zvikuru nzira dzokudzivirira kubata pamuviri. Zvinowanikwa muhutachi hwako uye zvinogona kubviswa chero nguva. Kubereka kwako kunofanira kudzoka nokukurumidza kana imwe yeiyo IUDs ichibviswa. Saka, ngatienzanisei ...
Kyleena | Mirena | Skyla |
Iine 19.5 mg ye progestin, levonorgestrel; rinobudiswa ne17.5 mcg pazuva. | Iine 52 mg ye progestin, levonorgestrel; rinobudiswa zvakapoteredza 20 mcg zuva rega rega. | Iine 13.5 mg ye progestin, levonorgestrel; rinobudiswa ne14 mcg zuva rega rega. |
Mamiro 28 mm horizontally uye 30 mm vertical. | Mamiro 32 mm horizontally uye 32 mm vertical. | Mamiro 28 mm horizontally uye 30 mm vertical. |
Tube inoshandiswa kuisa Kyleena iine 3.8 mm muupamhi. | Tube inoshandiswa kuisa Mirena yakaita 4.4 mm muhupamhi. | Tube yakashandiswa kuisa Skyla yakaita 3.8 mm muhupamhi. |
Inogona kushandiswa kwemakore mashanu. | Inogona kushandiswa kwemakore mashanu. | Inogona kushandiswa kwemakore matatu. |
Inopfuura 99% inoshanda. | 99.8% inoshanda. | 99.1% inoshanda. |
Kubatanidzwa kunotaura kuti: Kyleena anogona kushandiswa kana kana mukadzi asina mwana. | Kubatanidzwa kunotaura kuti: Mirena inokurudzirwa kuvakadzi vakave nemwana mumwe chete. | Kubatanidzwa kunotaura kuti: Skyla inogona kushandiswa kana kana mukadzi asina mwana. |
Zvikamu gumi neviri kubva muzana mukana wekuve nguva-isina mushure megore rimwe. | Makumi maviri kubva muzana mukana wekuve nguva-isina mushure memakore 1. | Mitanhatu kubva muzana mukana wekuve nguva-pasina mushure megore rimwe. |
Inogona kukonzera nguva kuti ive chiedza uye shoma. | Inogona kukonzera nguva kuti ive chiedza. Nemhaka yepamusoro progesin level, iyi IUD iine FDA-inogamuchirwa kubatsira kubata nguva yakaoma uye inorwadza. | Zvinogona kuita kuti nguva dzive shoma uye dzikajeka. |
Kubatsirwa
- Kyleena anopa mimba yakadzivirirwa yekudzivirira kwemakore mashanu.
- Iko kusina-kusununguka-kamwe kamwe kwaiswa, iwe hauna chaicho chimwe chinhu chaungaita.
- I Kyleena IUD inokosha muhukuru uye ine slimmer inowedzera tube kupfuura Mirena. Izvi zvingaita kuti kuiswa kwacho kuve kunorwadza kupfuura Mirena kana ParaGard IUD kuiswa.
- Kyleena anogona kubviswa chero nguva mukati memakore ake mashanu.
- Iyo yakadzorerwa zvachose, uye kubereka kwako kunodzoka nokukurumidza-unogona kuva nepamuviri pakarepo apo Kyleena abviswa. Vanenge vanomwe kubva pa10 vakadzi (avo vanoda kuve nepamuviri) vachava nepamuviri pane imwe nguva mukati pemwedzi 12 pashure pokunge Kyleena abviswa.
- I Kenaena IUD i-FDA-inogamuchirwa kune vakadzi vane kana vasina kumbova nevana.
- Kyleena ndiyo imwe nzira yakanaka kana iwe usingakwanisi kushandisa estrogen-based birth control .
- Kana uine hutachiona hudiki (sekuita vaduku vaduku nevadzimai vevanhu vanorwara nevakawanda), Kyleena angave akarerurirwa zviri nani kupfuura mamwe maIUDs.
- Iwe newe kana mumwe wako musati musakwanisa kunzwa Kyleena munguva yepabonde.
- Kylenna inyanzvi yekutonga kuberekwa.
- Inogona kushandiswa kana iwe uchiyamwisa.
- Kyleena angangodaro aine hutano hwakanakisisa IUD kana iwe wakangova nekutengeswa kwekusiya.
Kukanganisika
Vazhinji vakadzi havana matambudziko ekugadzirisa kuIUD. Asi iwe unogona kurwadziwa, kubuda ropa, kana chizoro panguva uye / kana mushure meKyleena IUD yako yaiswa. Kana zviratidzo izvi zvisingaregi mukati memaminitsi makumi matatu mushure mekuiswa, pangave zvichigona kuti Kyleena IUD yako haina kuiswa nenzira yakarurama. Iva nechokwadi chekuti utaure nachiremba wako nezvemhando ipi zvayo yemigumisiro yaunenge uchiona.
Vamwe vakadzi vane uipi hwakaoma kana bhakkache kwemazuva akawanda kana vhiki mushure mokunge Kyleena IUD yavo yaiswa.
Migumisiro Yechiri
Iwe unogona kuve nemigumisiro mushure mekunge iwe Kyleena IUD yako yaiswa. Kazhinji nguva, idzi dzichaenda shure kwemavhiki mashomanana okutanga kusvika kumwedzi. Nyaya inowanzozivikanwa Kyleena IUD migumisiro inosanganisira:
- Kuvhiringidza kana utachiona hwechikamu chekunze chemuviri wako (vulvovaginitis)
- Ovarian cysts ave akaongororwa mune anenge 22 muzana yevashandisi veKyleena. Muzviitiko zvakawanda, izvi zvinopera pachavo pachavo mukati me 1-2 mwedzi
- Kuwedzera kubuda ropa
- Dumbu uye / kana kurwadziwa kwepfungwa
- Acne kana seborrhea (girasi ganda)
- Musoro wemusoro kana migraines
- Dysmenorrhea kana uterine spasms
- Kusuruvara kwepabonde kana kusuruvara
Kuchinja Kwenguva Yako?
- Mumwedzi 3-6 yekutanga mushure mekuiswa kweKyleena IUD yenyu, munogona kunge mune mukana wakakura wekubuda ropa nekuona. Nguva yako inogona kuve isina kukwana, uye / kana nguva yako ingave yakanyanya kukurira kana yakareba kudarika nguva.
- Kunyangwe kuputika nekubuda ropa uye kupenya kunogona kuderera mukati memwedzi mitatu yekutanga mushure mekuisa, nguva yako inogona kuramba ichinge isiri.
- Nokufamba kwenguva, nguva yako inogona kuva shoma uye kuwedzera. Nemhaka yokuti progestin muKyleena inokuvadza uterine yako yerineni, kubuda ropa kunogona kuderedza nguva yakanyanya Kyleena IUD yako yave iri panzvimbo. Nguva yako inogona kumira zvachose (inenge 12 muzana yevakadzi vanorega kuva nenguva mushure mekushandisa Kyleena kwegore rimwe).
Ngozi uye Matambudziko
Zvinetso zvakakomba naKyleena hazvisi nyore chaizvo. Iva nechokwadi chekuudza chiremba wako pakarepo kana pane zvinetso zvichiitika. Zvimwe zvinetso zvakakomba zvinosanganisira:
- Ectopic pregnancy
- Sepsis (chirwere chakanyanya kutyisa upenyu)
- Kupera simba kana kudzingwa
Dzimwe mimwe migumisiro inogona kunge yakafanana nedzimwewo IUD pamwe chete .
Ndiani Anofanira Kuwana?
I Kyleena IUD yakanyatsotsvakurudzwa nevakadzi vasiri nhengo (iyo inofanirwa izwi rezvokurapa kuvakadzi vasina kumbobereka) -so, FDA yakagamuchira Kyleena kuti ishandiswe nevakadzi vari muno. Kyleena's product labeling inotaura kuti iyi IUD inogona kushandiswa kana iwe usina kubereka mwana. Asi IUDs hazvikurudzirwi kune vakadzi vose, saka iva nechokwadi chokuti unosangana nemitemo yekuve munhu akanaka uye unotaura nachiremba wako pamusoro pezvimwe zvinogona kuisa njodzi.
Kubviswa
- Iwe unofanirwa kuva neKyleena IUD yako yakabviswa mushure mekunge makore mashanu apera (haazoperi kana kuparara mumuviri wako). Iwe unogona kusarudza kuva neimwe Kyleena IUD inowanikwa panguva imwe chete.
- Kana iwe uchida kuchinja kune nzira itsva yekudzivirira kuberekwa (uye unoramba uchidzivirira pamuviri) mushure mekuregera Kyleena, ronga purogiramu yako yeUUD inofanira kuitika mumazuva manomwe ekutanga kwenguva yako uye pakarepo utange nzira yako itsva. Kana uine Kyleena wako abviswa pane imwe nguva panguva yekuenda kwako kumwedzi, tanga nzira yako itsva yekudzivirira pamuviri mazuva manomwe asati aita kuti Kyleena ako abve.
- RAMBA UYE MUBVUNZO: kana wakamboita zvepabonde (usingashandisi kondomu yevarume, kondomu yevakadzi , spermicide , kana sponge ) mukati memazuva mashanu usati waita kuti Kyleena ako abve, iwe unogona kuva pangozi yekuita pamuviri mushure mekunge IUD yako yabviswa.
- Iwe haufaniri KUTI uedze kubvisa Kyleena iwe pachako (shure kwezvose, ichi ndicho chikonzero tine vanachiremba!). Pane mikana shoma yokuti Kyleena IUD wako anokwanisa kubuda ari oga-asi, zvichida, iwe uchada kurongedza nguva yekuita kuti ibudiswe.
- Unogonawo kuva neKyleena IUD yako panguva ipi zvayo isati yapera makore mashanu.
- Kana Kyleena IUD yako ikabuda yoga, pane chiitiko chakanaka chausingazozvioni. Ichi ndicho chikonzero zvakakosha kuti unzwe nekuda kwetambo-sezvo iyi ndiyo nzira chete yekuti iwe uzive kuti Kyleena wako achiripo. Kana Kyleena wako abuda, danai chiremba wako. Chiremba wako angangodaro aita kuedza kwekuita pamuviri (kuti ave nechokwadi chokuti hauna pamuviri) usati waisa kyleena IUD itsva.
- Kana Kyleena IUD yako akadzingwa chikamu, taura nachiremba wako pakarepo (uye shandisa nzira yekudzivirira yekubata pamuviri). Usaedza kuunganidza zvose zvayo kunze iwe pachako.
Zvinodhura
Kyleena ane mari yepamusoro yepamusoro kune dzimwe nzira dzokudzivirira kuberekwa . Mutengo wekuongorora, Kyleena IUD, kuisa, uye kutevedza kushanyira kunogona kutengesa madhora 500- $ 900. Medicaid inogona kuvhara izvi. Iwe unogonawo kutarisa nehutano hwehutano inshuwarano kubva pakugoverwa kwaKyleena kunofanira kuvharwa pasina mari yekunze-ye-pocket yevamwe vasina-grandfathered inshuwarano zvirongwa.
Kubudirira
I Kyleena IUD inobatsira zvikuru . Izvi zvinodzokorora, kwenguva yakareba nzira yekudzivirira kubata pamuviri inopfuura 99 muzana inoshanda. Izvi zvinoreva kuti kubva kune vakadzi vane zana vanoshandisa Kyleena IUD mugore rimwechete, vasati vanopfuura 1 vachava nepamuviri nekunyoreswa kushandiswa pamwe nekushandisa zvakakwana.
Mamwe mazano anobatsira : Paunenge uchishandisa Kyleena IUD, kunyanya kutakura kunoitika nokuti Kyleena wako akabuda, uye iwe pamwe hauna kuziva kuti izvi zvakaitika. Kunyange zvazvo mukana wekubata uchishandisa Kyleena yakanyanya kwazvo, zvinogona kuitika. Kana iwe ukava nepamuviri apo Kyleena IUD yako achiri panzvimbo, edza kuonana nachiremba wako pakarepo paunoona kuti uri nepamuviri-sezvo kunogona kuva nengozi dzinogona kuwirirana nemhando iyi yekuzvitakura .
STD Kudzivirirwa
I Kyleena IUD haiti kudzivirirwa kune zvirwere zvepabonde zvinopararira . Iwe unogona kunge uchida kuwana chirwere chepachivi chinoputira mushure meKyleena wako kuisa kana iwe uine chirwere chepabonde panguva ino. Iwe unogona kunge uri munjodzi kana iwe unowanzoita zvepabonde vakawanda kana munhu wepabonde wakave nevakabatana vakawanda zvepabonde.
Shoko Rinobva
Kyleena nedzimwe mishonga inokwanisa kupa nzira yakachengeteka yekudzivirira kuberekwa kana uri mukana wakanaka. Yeuka kuti kune maitiro akawanda ekuzvidzivirira kwekuberekwa aripo kuitira kuti iwe usarudze imwe yakakodzera iwe. Zvechokwadi zvisarudzo zvingangodaro zvakanyanya, kunyanya kana tsanangudzo pamusoro pekuti basa rega rega rakashata sei. Kana ukangoita tsvakurudzo yako uye uchitaura nachiremba wako, unogona kunyanya kusarudza chimwe nechivimbo.
> Sources:
> Gemzell-Danielsson K, Apter D, Hauck B, et al. "Migumisiro Yemazera, Utsanana uye Mutumbi Misa Index pamusoro peEfficacy, Safety, Placement uye Kugutsikana Kwevamwe Kubatana Neviri Dzakadzika-Revhi Levonorgestrel Intrauterine Zviratidzo Zvokudzivirira: Maitiro Akaongororwa eDhiyabhorosi Kubva muChikamu Chechitatu." PLOS ONE. 2015; 10 (9): e0135309.
> Nanda K, Callahan R, Dorflinger L. "Kutaura Zvirongwa Munzira Yokudzivirira Inosanganiswa: Nzira Dzokubudirira." Vakadzi Vehutano . 2015; 11 (6): 729-735.