Wonke amadivayisi we-intrauterine afakwa emgodini we-uterine, kodwa kukhona umehluko phakathi kwabo. Kuze kube manje, kunezinhlobo eziningana zezinhlungu zokubeletha kwe-intrauterine. Ezinye zazo zikhiqiza inani elincane le-progesterone. Lokhu kubangela ukwanda kwe-viscosity ye-mucus yomlomo wesibeletho (okwenza kube nzima ukungena ku-spermatozoon emgodini we-uterine), kanye nezinguquko ku-endometrium ezivimbela ukufakelwa kweqanda elikhulelwe. Ngaphezu kwalokho, uma isetshenziswe kuma-85% wabesifazane, ukugcoba kukhishwa. Ezinye izivimbela zokubeletha ngaphakathi kwe-intrauterine ziqukethe ithusi futhi ziphazamisa ukukhulelwa kanye nokufakwa kwe-oocyte. Ukwelashwa, uhlelo lwe-intrauterine hormonal - isihloko sendaba.
Izinzuzo
Izinzuzo eziyinhloko zokusebenzisa ama-intrauterine zihlanganisa:
• ubude nokusebenza okuphezulu kwesenzo;
• ukungabi khona kabi phakathi kocansi;
• ukuguquka komphumela - ikhono lokukhulelwa libuyiselwa ngokushesha ngemuva kokususwa kwe-spiral.
Ngokushesha ngemva kokufaka idivayisi ye-intrauterine, udokotela uhlola isiguli. Esikhathini esizayo, ukuhlolwa okwanele kwenziwa njalo ngonyaka. Kwabesifazane abanesisindo esinzima, ukuvimbela ukubeletha kwe-intrauterine kungase kube nenye inzuzo yokunciphisa kancane kancane ekujuleni kokuphuma kwesikhashana, kanti nakwamanye abesifazane ukuphela kokuphela kokuya esikhathini. IUD ingasetshenziselwa ukuphulwa kokuphuthumayo okuphuthumayo (uma ibekwe ezinsukwini ezinhlanu ngemuva kokulala noma usuku olulindelekile lokuvuthwa).
Ukungalungi
Ngemuva kokungeniswa kwe-IUD, ukucindezela ubuhlungu emathunjini aphansi (okukhunjulwa kokuya esikhathini) noma ukuphaphaza kungase kuphazamise. Imiphumela emibi yokusebenzisa i-intrauterine yokukhulelwa (ngokuvamile yesikhashana) ingaba:
• ukuphuma kwegazi okungavamile (kuze kube yizinyanga ezintathu);
• izinsalela zesikhumba (ama-acne);
• ikhanda;
• ukuhlehlisa kwemizwa;
• ukugcoba izigulane ezincelisayo. Umphumela ongathandekiyo omkhulu wokusetshenziswa kwe-IUDs is profuse, isikhathi eside ukuya esikhathini. Noma kunjalo, ukusetshenziswa kwamadivayisi amancane esizukulwane esisha kunganciphisa ingozi yokuvela kwabo. Izinkinga ezingathí sina nakakhulu, ezingavamile kakhulu, zihlanganisa:
• ukulahlekelwa ngokuzenzekelayo kwesidakamizwa esivela esibelethweni;
• ukutheleleka ngokufakelwa kwe-IUD noma ngenxa ye-uterine perforation.
Ekuqaleni kokukhulelwa ngokusuka ngemuva kokusetshenziswa kwe-IUD (okwenzeka ngokungajwayelekile), ukususwa okuphuthumayo kwalolu cwaningo kuboniswa ukugwema izinkinga noma ukukhipha isisu okuzenzekelayo. Ukubekwa kwe-IUD kwenziwa ngesikhathi noma ngemva kokuphela kokuya esikhathini. Umthelela wokukhulelwa wezinsimbi eziqukethe i-intrauterine zivela ngokushesha ngemuva kokufakwa. I-IUDs equkethe i-Progesterone nayo iqala ukusebenza ngokushesha uma isungulwa ezinsukwini eziyisikhombisa zokuqala zomjikelezo. Imithi yokuvimbela inzalo ingaqaliswa ngokushesha ngemuva kokukhipha isisu noma ukukhipha isisu noma amasonto ayisithupha kuya kwezi-8 emva kokubeletha. Ukususwa kwanoma iyiphi i-intrauterine yedivayisi kwenziwa ngesikhathi sokuya esikhathini. Udokotela ususa i-IUD ngokugcoba izintambo zeplastiki ezisuka emngceleni wesibeletho.
Ukungafani
Kubesifazane abaningi, ukusetshenziswa kwe-IUD akuhambisani nanoma yiziphi izinkinga. Kodwa-ke, ukutholakala emlandweni wezinkinga zokukhulelwa kwe-ectopic, izifo ezithathelwana ngocansi, ukuphaphaza kwamagciwane we-etiology engaqondakali, kanye nokuhlukunyezwa kwesakhiwo somzimba noma isifo sofuba, isifo senhliziyo, inqubo yokuvuvukala esebenzayo esibindi, i-infarction ye-myocardial, i-stroke noma i-copper allergies kungase kube ukuphikiswa kokusetshenziswa le ndlela yokwelapha. Izindlela zokuvimbela ukuvimbela ukukhulelwa okungafuneki, ukuvimbela ukuthintana kwe-spermatozoa neqanda. Ozakwethu bangazama izindlela ezahlukene zokuvimbela ukuvimbela ukukhulelwa, ukukhetha okufanele kakhulu kokubili.
Ikondomu
Ukusetshenziswa kwekhondomu kulungile kubantu abaningi. Uma ukhetha umkhiqizo, kufanele uqaphele uphawu lwekhwalithi, usuku lokuphelelwa yisikhathi olukhonjisiwe kuphakheji, futhi nokuqinisekisa ukuthi akukho monakalo engenzeka ngenxa yokuchayeka kokushisa okuphezulu, ukukhanya, umswakama noma uxhumano nento ebukhali. Kubalulekile ukulandela ngokuqinile imiyalo yokusetshenziswa kwekhondomu, ngokuvamile ephaketheni, isetshenziswe kanye futhi ungavumeli ukuthintana nezitho zangasese ngaphambi kokusetshenziswa. Gqoka ikhondomu ngokucophelela, uyibeke eceleni kwepenisi endaweni yokulungiswa. Ngokushesha ngemva kokuba i-ejaculation, ngaphambi kokuba i-erection ivule, i-penis isusiwe emaseni, ibambe ikhondomu ukuze igweme ukhipha umuthi.
Ikondomu yabesifazane
Ikhondomu ayilona evumelana ngaso sonke isikhathi kubantu abanobunzima bokulungiswa. Ikhondomu yabesifazane ifakwe ngokujulile ngangokunokwenzeka ngaphakathi kwesiswini ngosizo lwendandatho eguquguqukayo ngaphakathi. Ngesikhathi socansi, le ndoda ingasuswa. Isidandatho sesibili esingenakususwa ekupheleni kokuphela kwekhondomu ihlala ngaphandle. Uma ukukhipha ikhondomu kuyisontekile ukuze imbewu ihlale ngaphakathi. Ikhondomu yabesifazane ingakhathazeki ngabesifazane abahlukumezayo uma bethatha izitho zangasese.
Ama-diaphragms nama-caps omlomo wesibeletho
Kunezinhlobo eziningana zezingxube zesisu nangama-caps omlomo wesibeletho. Ziza ngobukhulu obuhlukahlukene futhi zenziwe ngokuyinhloko yerabha, nakuba kuvele ama-silicone amasha amasha. Isikhwama somlomo wesibeletho sigxile emgodini wesibeletho, kuyilapho umcibisholo ungafihli umlomo wesibeletho kuphela, kodwa futhi nodonga lwangaphakathi lwesifazane. Udokotela uzokusiza ukukhetha usayizi ofaneleko wekhanda noma isicathulo futhi uzonikeza incazelo yokusebenzisa kwabo. Ukulungiswa kwesayizi kuyadingeka njalo ezinyangeni ezingu-6-12. I-diaphragm noma i-cap kufanele ihlale emaseni amahora angu-6 emva kokulala. Bahlanza kalula ngamanzi afudumele ngesisombululo sosipho. Lezi zindlela zifanele abesifazane abaningi, kepha ukusetshenziswa kwabo kunganciphisa ubunzima bezinsikazi zesisu, ukungavamile kwesakhiwo noma isikhundla somlomo wesibeletho, kanye nasezigabeni lapho isiguli sibhekene nezifo ezithinta izivalo zangasese noma okuhlangenwe nakho okungahambi kahle uma kuthinta izitho zangasese.