Ukwelashwa kokubeletha nge-intrauterine mhlawumbe kuyindlela evame kakhulu yokukhulelwa. I-WHO ibonisa idatha ukuthi kule nkathi mayelana nabameli besifazane abayizigidi ezingamashumi ayisikhombisa bakhetha lolu hlobo lokuvikelwa ekukhulelweni okungakahlelwa. ERussia, idivayisi ye-intrauterine, izinzuzo nezindleko zazo ezizochazwa ngezansi, yilezo zokuqala izindlela zokuvimbela abesifazane.
Okwamanje kunezinhlobo eziningi zemiklamo. Imidumo ye-intrauterine edume kakhulu futhi evamile kakhulu yinduku encane ene-T eyenziwe ngeplastiki ehlanganiswe ngensimbi. Umphumela walo wokukhulelwa wukuthi awuvumeli i-spermatozoa ukuba ingene emgodini we-uterine ngokunciphisa isikhathi sokuvuthwa kwegazi, futhi ivimbela iqanda elifakwe umanyolo ukuthi lingathinti emgodini wesibindi.
I-intrauterine device: pluses
Okubaluleke nakakhulu emehlweni abesifazane besimatasa abakhuthele yisikhathi sokuvikelwa ekukhulelweni iminyaka emithathu kuya kwemihlanu, leli gama lincike kuhlobo lokuvunguza. Umphumela ufezwa emva kwenqubo eyodwa, okuyinto elula kakhulu. Kulaba besifazane abaneminyaka engama-40 ubudala, noma yikuphi ukuvuthwa okuqukethe ithusi kungase kube khona esibelethweni ngaphambi kokuqala kokuya esikhathini.
Futhi, izinzuzo zeNavy ziyizi:
Ukusebenza kahle kwale ndlela yokuvimbela ukukhulelwa. Inkomba ye-Perl ye-IUDs ene-hormone i-0.1 kuya kwezingu-200 kwabesifazane / iminyaka eyikhulu, kanti nemiklamo yamuva yethusi yi-0.4 kuya ku-1.5 ngamakhulu abesifazane / iminyaka.
Le ndlela ishintsha. Uma befisa, isiguli sihoxiswa noma kunini. Ngesikhathi esifanayo, abesifazane abafuna ukuba omama bangakwazi ukuqala ukukhulelwa masinyane emva kokuphela kokusebenza kwe-spiral.
Le ndlela ingasetshenziswa ngaphandle kwemvume nokubamba iqhaza lomlingani wezocansi
Ukuxhaphazwa okwengeziwe okuhlobene nokulala ngokobulili akudingeki.
IUD ayithinti inhlalakahle jikelele kanye nesimo salo wesifazane, ayishukumisi ukuqhuma kwesifo sezifo ezingenasidingo.
Ezinye izidakamizwa azinciphisi ukusebenza kwe-IUD.
Izindleko zendlela aziphezulu, ngakho-ke i-IUD itholakala kuwo wonke umkhakha wezenhlalo wabantu.
Intrauterine Kuvunguza: amaminithi
Izithiyo zokusebenzisa le ndlela ziyimfuneko yokuthola inqubo yezokwelapha ngokubonisana nabesifazane ngokusetha kanye nokukhipha ukuvunguza, nakuba okunye okusobala ukuthi leyo ndlela yenzeke njalo eminyakeni emithathu kuya kwemihlanu.
Ama-IUD anemiphumela emibi: phakathi nokufakwa kwe-spiral, ukuphuma kwegazi kungase kwenzeke - kusuka kwamaphesenti amathathu kuya kwayisishiyagalolunye amacala, ukukhishwa kwesisu (isisindo esisodwa kuya ku-5000 se-IUD), futhi umonakalo nomlomo wesibeletho kungenzeka.
Ukuphumelela kokuxhaphaza kuxhomeke ekufundeni kanye nokuhlangenwe nakho kukadokotela, izici zesimo sokuzala zesiguli.
Ukuzwa ubuhlungu noma ukuchoboza - cishe izinyanga ezintathu emva kokuqala kokusetshenziswa kwe-IUD. Isizathu - iphutha ekukhethweni kwe-spiral, engafanelekanga i-IUD (3-4%), ukwanda kwesibeletho esibucayi.
Ku-5-15% amacala, ukwanda kwegazi lomzimba ngenxa yokonakala komonakalo ku-endometrium endaweni yokuxhumana ne-spiral. Uma kwenzeka ukusetshenziswa kwe-IUD encane, ngokufaka amahomoni noma ithusi, ukulahlekelwa igazi ngesikhathi sokuya esikhathini kuncishisiwe.
Ku-2-7% amacala, kukhona ukuxoshwa, ngamanye amazwi, ukulahlekelwa kwe-IUD kusuka esibelethweni phakathi nonyaka wokuqala. Ngokuvamile lokhu kwenzeka ngesikhathi sokuya esikhathini.
Kungenzeka ukuthi ngokumelene nesizinda sokuvikelwa kweNavy, owesifazane uzokhulelwa. Ngokuvamile lokhu kwenzeka ezimweni zokulahlekelwa okuncane okungenakutholwa noma okuphelele kokuvunguza.
Ku-9 - 9,25% wamacala, ukukhulelwa kwe-ectopic kungenzeka. Okuqukethwe kwethusi esikhathini sokukhulelwa kunciphisa lo mngcipheko.
Ezingu-0.4-4% zamacala, izinqubo zokuvuvukala zenzeka ezithombeni zofuzo. Ngokuvamile, zihlotshaniswa nokuba khona kwezifo ezithathelwana ngocansi (STDs), noma ngokucindezeleka okungapheli.
Kunezikhathi ezingabhekwa njengezimayini zendlela, kodwa empeleni ziphenduke ezithengi ezicacile. Lemibandela elandelayo ingabelwa ngezikhathi ezinjalo:
Faka futhi ususe i-IUD kufanele ibe yincwanti eqeqeshiwe kahle esibhedlela noma ukubonisana kwabesifazane.
Ngaphambi kokusebenzisa le ndlela, kubalulekile ukuba uhlole ukubonisana kwabesifazane, uma kunesidingo, imfundo yezempilo.