Umgaqo wesixhobo se-intrauterine
I-remedy iphumelela kakhulu, inqanda ukuqala kokukhulelwa kwi-98% yamatyala. Ukuze kucaciswe oku, kuyimfuneko ukuqonda indlela i-intrauterine ifowuni isebenza ngayo. Kwinqanaba lomgaqo ulawulo lweendlela ezininzi:
- Udala isithintelo somatshini endleleni yeqanda elivuthiwe. Ukungenwa kweseli yentsholongwane yesibini kwi-uterine cavity kunzima. Ngenxa yoko, akayi kukwazi ukungena kunye nokufakelwa kwisibeleko ngenxa yexesha elincinane lokusebenza. Emva kokushiya ulandelelwano, iqanda kufuneka lifakwe kwiiyure ezingama-48. Emva koko kuza iinkqubo ezonakalisayo, ziyafa.
- Ukunciphisa umsebenzi kunye nokusebenza kwe-spermatozoa ngenxa yokukhutshwa kwezinto ezithile ngokukhupha ukukhulelwa.
- Ukwanda kwe-viscosity ye-mucus yomlomo wesibeleko, ngenxa yokuphazamiseka kweenkqubo zokuhambisa. Ngenxa yoko, isithintelo semvelo sidalwa ngendlela yamaseli ezintsholongwane ezinjenge-oocyte.
Ukufakwa kweso sixhobo se-intrauterine
Ibhinqa eliye lagqiba isigqibo sokusebenzisa isixhobo esinjalo kufuneka lenze inkqubo emide yoviwo. Iquka:
- I-Smears ukusuka kwisigxina se-vaginal kunye nomsele womlomo wesibeleko;
- iimvavanyo zegazi nge-HIV kunye ne-RV, i-hepatitis;
- I-ultrasound yeenxalenye zeplavic;
- Uhlalutyo jikelele lomchamo;
- ukupheliswa kokukhulelwa okukhoyo;
- uphando malunga nokusuleleka ngesondo.
Xa ufake i-intrauterine idivayisi, umfazi uya kwiziko lempilo kunye neziphumo zoviwo. Ukufakela i-IUD ngokwayo kwenziwa kwimihla yokuqala engama-7 ukususela ekuqaleni komjikelo. Ngaloo ndlela, ithuba lokuphuma kwalo ngenxa yokunyuka kwemvumelwano ye-myometrium ayifakiwe, eyaziwayo ngokunyuka kwenyanga. Ngaphambi kokuba ifowuni yefranethi ifakwe, ugqirha wenza unyango lwentamo nge-anesthetic. Ukuqaliswa kweziyobisi kwenziwa kwisihlalo somzimba ngokusebenzisa izibuko kunye ne dilator. Inkqubo ayihlali ngaphezu kwemizuzu emi-5-10. Abasetyhini ababhalisele ukunyanzeliswa baxhatshazwa ngumbuzo wokuba kubuhlungu ukuba kufakwe ukuhamba ngokukhulelwa. Ukusetyenziswa kweengxenye ze-analgesic kunciphisa ubuhlungu. Ukugqithisa ngokupheleleyo ukuba akunakwenzeka, ngenxa yokuphunyezwa kwenkqubo yokwandiswa kwesiteshi somlomo wesibeleko. Ngako oko, ukungaxhatshazi okuthile kuhlangene, intlungu embalwa edlulayo kwiiyure eziyi-1-2.
Ukususwa kwefayili ye-intrauterine
Ukukhutshwa kwe-IUD kwenziwa ngokuthanda, xa kuthathwa isigqibo malunga nokucwangciswa kokukhulelwa. Ukongezelela, kukho imihla ethile, kuxhomekeke kuhlobo lwezinto ezivela kuyo. Ngokomyinge, ungasetyenziselwa iminyaka emi-5. Kufika ixesha apho unokususa khona isixhobo se-intrauterine, kwaye umfazi uphendukela kwiziko lempilo.
Inkqubo eyenziwa ngexesha lokuhamba kwexesha. Le nyaniso yenziwa ngenxa yokuba ukuvula ngokomzimba komsele womlomo kuphawuliwe ngeli xesha, kwaye oku kuququzelela inkqubo yokucoca. Uveliswe ngetambo eziqhotyoshelwe kwi-IUD. Ukulawulwa kwempumelelo yokunyanzeliswa kwenziwa nge-ultrasound.
Iintlobo ze-Spiral zangaphakathi
Ukunyuka kwabasetyhini ukusuka ekukhulelwe kukhethwe ngabanye, ngokuqwalasela iimpawu ze-anatomical kwinkqubo yokuzala. Le nyaniso ibangela inani elikhulu leentlobo ze-IUD. Njengoko ukugqibelela kwatshintshile umlo kunye nezinto eziphathekayo ezivela kuyo. Kukho izizukulwana ezine:
- IIDs ezingenayo. Ziyinye yezinto zokuqala zokukhulelwa. Ubonakala bubukeka njengesiLatin "S". Yayenziwe yenziwe yi-polyethylene. Ukusebenza kakuhle. Umzekelo u-Lips's loop.
- IUD ngobhedu. Ukubonakala kwezi ntlobo zokukhusela kwaba uhlobo lokuphucula. Isici seekhemikhali sobhedu sinempahla ye-spermicidal, ichaphazela kakubi ukuhamba nokukhawuleza kokuhamba kwe-spermatozoa. Ukungalungi kukuba ukwabiwa kobhedu, okunciphisa ixesha lokusebenzisa - kufuna ukutshintshwa kwiminyaka engama-2-3. Ezi ziquka uNowava-T.
- I-Navy isilivere. Olulandelayo uhlobo lokukhulelwa. Ukuqaliswa kwe-ion zesilivere kwandisa ithuba lokusebenzisa ukususela kwiminyaka emi-5. I-intrauterine ye-spiral I-Multiload ibhekisela kulezo zokukhusela.
- Ukuvuthwa kweHormonal ukukhulelwa. Icandelo le-hormone - i-progesterone okanye i-levonorgestrel - yongezwa kwinqanaba leli cilisi. Ezi zinto eziphilayo zivimbela ukukhula, ukukhululwa kweqanda kwi-follicle. Ngokuqhelekileyo ikhambi libhekiswa njengedivayili ye-intrauterine. Isiphumo esihle sibonakaliswe kwinkqubo yokuzala ngokupheleleyo, eqinisekiswa ngokunciphisa kwiziganeko zezifo ezivuthayo. Isixhobo se-Mirena intrauterine solu hlobo.
- Navy ngegolide. Umzekelo - i-GoldLeilly, - isistim e-intrauterine esinesiseko seplastiki, esigubungele ngentambo yobhedu kunye nokungcola kwesitye esibalulekileyo.
Ukuqwalasela iindidi ze-IUDs, kuyimfuneko ukuthetha ngokwahlukileyo malunga nokubonakala kokuvuswa kokukhulelwa. Kuxhomekeke kwifomu, oku kulandelayo:
- kufana neleta "T";
- ngohlobo lwe-loop;
- ngonyaka;
- efana nokutshiza okuphosakeleyo, isambulela.
Isixhobo seGoogle ngaphakathi
Ukuxhaphaka okuphantsi kwelo hlobo lwe-IUD ngenxa yeendleko eziphezulu. Kodwa i-intrauterine ehamba ngegolide yinto ehlukileyo yokukhetha kwabasetyhini abagqibelele ukusebenzisa le ndlela yokukhulelwa. Inzuzo yale nguqulelo yokuvakala yinto yokuba ayikho phantsi kweenguqu ezonakalisayo. Ngenxa yoko, inokusetyenziswa iminyaka engama-7. Ukuphendulwa kwemizwa kungabandakanywa.
Isixhobo seSiliva esibizwa nge-intrauterine
Ukungabikho kwesidingo sokutshintshwa kwexesha lokwakheka kubaluleke kakhulu kubafazi. Isixhobo se-intrauterine nesilivere sichaza oko. Kufuneka kuqatshelwe ukuba ingundoqo (inxalenye yangaphakathi) yenziwe ngobhedu. Ukumboza ngeesilivere ion nje kuphela ixesha lobomi beenkonzo (iminyaka emi-5), kodwa kwanciphisa iziganeko zeenkqubo ezivuthayo. Ukuphelisa ngokupheleleyo ukungabikho kokuphendula kumoya wokukhulelwa kumzimba wesifazane awukwazi.
Isixhobo se-Copper intrauterine
Olu hlobo lwe-IUD lubhekisela kwindlela endala yokukhulelwa. Ukulula kokuveliswa kunye neendleko eziphantsi kuye kwabangela ukuxhaphaka okukhulu kokulungelelaniswa. Ulwakhiwo yinkqubo yeplastiki ejikeleze apho ucingo lwethusi lulima. Ngenxa yokuba iyancipha ukubola, olo hlobo lokukhusela imithi lufuna ukutshintshwa kwiminyaka engama-2-3 yokusetyenziswa. Ioni zensimbi zichaphazela ngokuthe ngqo umdaka, ukunciphisa ukuhamba kwazo. Ukufakelwa kweqanda akuyi kwenzeka.
IHormonal intrauterine
Inkalo ebonakalayo eyakhayo yinkalo yokuba i-levonorgestrel iqulethwe kwi-container eplastiki ekhethekileyo. Ukunyuka kwe-T, njenge-contraceptive ngomlomo, kuthintela inkqubo ye-ovulatory kwinqanaba le-hormonal, ngaphezu kokudala imimiselo engummiselo ekufakweni kweqanda elichumayo kwi-endometrium.
Idivaysi ene-ring-shaped intrauterine iqulethe i-hormone. Zabelwe ngokufanayo, yonke imihla. Imiphumo emibi, ngendlela yokubonakala kwesantya, inzuzo yesisindo somzimba, ebonwa ngokusetyenziswa kwexesha elide lokukhulelwa komlomo, ayifakiwe. Kungenxa yokuba i-hormone ayifaki ukungena kwigazi elipheleleyo lomzimba wesetyhini.
I-intrauterine evolon - ingcono?
Umbuzo wendlela yokukhetha ukukhulelwa kwezinto ezikhuselekileyo ngowona nto ixhalabileyo ngumfazi. Oogqirha abamniki impendulo enganangqiqo. Ngenxa yokuba ukhetho lumele lwenziwe kuphela ngutitshala. Ngokusekelwe kwiziphumo, emva kokuvavanywa kwisihlalo somzimba, uhlobo lukhethiweyo. Ngenxa yoko, akukho nto "into ephambili yokukhusela". Oogqirha baqwalasela amaninzi amanqaku ekukhethiweyo kwabo.
I-intrauterine-spiral-pros and cons
Njengazo nayiphi na indlela yokukhulelwa, ukuvutha ukusuka ekukhulelweni kunenzuzo kunye nokungalunganga. Ngenxa yoko, ukuphendula ngokungaphenduliyo umbuzo: into engcono, ukupasa okanye ukulawula iipilisi, akukho dokotela omnye onako. Phakathi kweenzuzo zokule ndlela yokukhusela, kuyimfuneko ukubizwa:
- Ukusebenza kakuhle 98%;
- ixesha lokusebenzisa - iminyaka eyi-3-10;
- akukho mfuneko yokubeka iliso rhoqo;
- Ukubuyiswa ngokukhawuleza komsebenzi wokuzala emva kokutsalwa.
Phakathi kwezinto ezimbi zokusetyenziswa kweNavy :
- Ukwandisa, ukwanda kwimiqulu yokuhamba kwexesha;
- ukukhathazeka ngokuya esikhathini;
- ukuhluthwa kwe-IUD - ukuxoshwa;
- ukwanda komngcipheko wokukhulelwa kwe-ectopic;
- indlela yokuphendula;
- ukunciphisa ubunzima be-endometrium.
Isixhobo se-intrauterine - ukuchasene
Akukho mzabalazo yokuzala. Ngenxa yezizathu ezithile, elinye ibhinqa linokuthi lithintele kumachiza e-hormonal, enye-iziyobisi ezifakwe kwi-uterus. Kukho konke, ukukhulelwa kokukhusela, ukuchasene nokufakela, kuyafaneleka:
- iinkqubo ezinjenge-tumor kwinkqubo yokuzala;
- ukuvuvukala kwimizimba yeplavic;
- isimo esingaqhelekanga sesisu, ukuchithwa kwendawo yayo;
- ubukho begazi lomzimba;
- ukukhulelwa kwangoku;
- isifo sofuba sezitho zengqumbo.
I-Spiral intrauterine - iziphumo
Ukufakela olo hlobo lokukhulelwa kufuneka lwenziwa kuphela ngumcebisi oqeqeshiwe. Ukusekwa ngokuchanekileyo kweengxaki ze-intrauterine ezingabonakaliyo. Phakathi kwazo:
- ukusuleleka kwindlela ephakanyayo esuka kumfazi;
- utshintsho kwicala lokusasaza kwentsholongwane yomlomo wesibeleko (ukusuka kwisibeleko kuya kuma-tubespian tubes, ngamanye amaxesha kufinyelela kwisigxina esiswini, ngokuqhelekileyo - ngokusebenzisa ubhinqa kuvela ngaphandle);
- ukukhulelwa kwe-ectopic;
- ukwanda kokuya esikhathini.