Kusankha za IUD

Chida cha intrauterine (IUD) ndichida chaching'ono, pulasitiki, chooneka ngati T chomwe chimagwiritsidwa ntchito polera. Imaikidwa m'chiberekero momwe mumakhala kuti musatenge mimba.

Kulera - IUD; Kulera - IUD; Intrauterine - kusankha; Mirena - kusankha; ParaGard - kusankha

Muli ndi zisankho zamtundu wanji wa IUD womwe muyenera kukhala nawo. Lankhulani ndi omwe amakuthandizani azaumoyo kuti ndi mtundu uti womwe ungakhale wabwino kwa inu.

Kutulutsa ma IUD:

• Yambani kugwira ntchito mutangoyikidwa.
• Gwiritsani ntchito potulutsa ayoni amkuwa. Izi ndizoopsa kwa umuna. T-mawonekedwe amatsekanso umuna ndikuwasunga kuti asafikire dzira.
• Atha kukhala m'chiberekero kwa zaka 10.
• Itha kugwiritsidwanso ntchito polera mwadzidzidzi.

Kutulutsa ma progestin:

• Yambani kugwira ntchito pasanathe masiku 7 mutayikidwa.
• Gwiritsani ntchito potulutsa progestin. Progestin ndi hormone yomwe imagwiritsidwa ntchito m'mitundu yambiri yamapiritsi olera. Imalepheretsa thumba losunga mazira kutulutsa dzira.
• Khalani ndi mawonekedwe a T omwe amalepheretsanso umuna ndikusunga umuna kuti usafikire dzira.
• Atha kukhala m'chiberekero zaka 3 mpaka 5. Kutenga nthawi yayitali bwanji. Pali mitundu iwiri yomwe ilipo ku United States: Skyla ndi Mirena. Mirena amathanso kuchiza kutaya magazi msambo ndikuchepetsa kukokana.

Mitundu yonse iwiri ya ma IUD imalepheretsa umuna kutengera dzira mu umuna.

Progestin-yotulutsa ma IUD imagwiranso ntchito ndi:

• Kupangitsa ntchofu kuzungulira khomo lachiberekero kukhala wandiweyani, zomwe zimapangitsa kuti zikhale zovuta kuti umuna ulowe m'chiberekero ndikutulutsa dzira
• Kulimbitsa chiberekero cha chiberekero, zomwe zimapangitsa kuti zikhale zovuta kuti dzira la umuna ligwirizane

Ma IUD ali ndi maubwino ena.

• Ndiwothandiza kwambiri kuposa 99% popewa kutenga pakati.
• Simuyenera kuganizira zakulera nthawi iliyonse yomwe mukugonana.
• IUD imodzi imatha zaka 3 mpaka 10. Izi zimapangitsa kukhala imodzi mwanjira zotsika mtengo kwambiri zolerera.
• Mumaberekanso chonde nthawi yomweyo IUD itachotsedwa.
• Ma IUD otulutsa mkuwa alibe zovuta zam'thupi ndipo zitha kuteteza ku khansa ya uterine (endometrial).
• Mitundu yonse iwiri ya ma IUD ingachepetse chiopsezo chokhala ndi khansa ya pachibelekero.

Palinso zovuta.

• Ma IUD samapewa matenda opatsirana pogonana (STDs). Pofuna kupewa matenda opatsirana pogonana muyenera kupewa kugonana, kukhala pachibwenzi chimodzi, kapena kugwiritsa ntchito kondomu.
• Wothandizira amafunika kuyika kapena kuchotsa IUD.
• Ngakhale ndizosowa, IUD imatha kutuluka m'malo mwake ndipo imafunika kuchotsedwa.
• Kutulutsa ma IUD kumatha kuyambitsa kukokana, nthawi yayitali komanso yolemera msambo, ndikuwona pakati pa nthawi.
• Kutulutsa ma progestin kumatha kuyambitsa magazi mosakhazikika komanso kuwona m'mwezi zochepa zoyambirira.
• Ma IUD amatha kuwonjezera chiopsezo cha ectopic pregnancy. Koma azimayi omwe amagwiritsa ntchito ma IUD amakhala pachiwopsezo chochepa chotenga pakati.
• Mitundu ina ya ma IUD imatha kuonjezera chiopsezo cha zotupa zotupa za ovari. Koma zotupa zotere nthawi zambiri sizimayambitsa zizindikiro ndipo nthawi zambiri zimatha zokha.

Ma IUD samawoneka kuti amawonjezera chiopsezo cha matenda am'mimba. Sizimakhudzanso chonde kapena kuonjezera chiopsezo cha kusabereka. IUD ikachotsedwa, chonde chimabwezeretsedwanso.

Mungafune kuganizira IUD ngati:

• Mukufuna kapena muyenera kupewa zoopsa za mahomoni olera
• Simungathe kutenga njira zolerera za mahomoni
• Khalani ndi msambo wambiri ndipo mukufuna kukhala opepuka (mahomoni a IUD okha)

Simuyenera kulingalira IUD ngati:

• Ali pachiwopsezo chachikulu cha matenda opatsirana pogonana
• Khalani ndi mbiri yapano kapena yaposachedwa yamatenda a m'chiuno
• Ali ndi pakati
• Khalani ndi mayeso achilendo a Pap
• Khalani ndi khansara ya chiberekero kapena chiberekero
• Mukhale ndi chiberekero chachikulu kapena chaching'ono kwambiri

Glasier A. Njira Yolerera. Mu: Jameson JL, De Groot LJ, de Krester DM, et al, olemba. Endocrinology: Akuluakulu ndi Ana. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier Saunders; 2016: chap 134.

Harper DM, Wilfling LE, Blanner CF. (Adasankhidwa) Kulera. Mu: Rakel RE, Rakel DP, olemba. Buku Lophunzitsira La Banja. 9th ed. Philadelphia, PA: Elsevier; 2016: chap 26.

Jatlaoui TC, Riley HEM, Curtis KM. Chitetezo cha zida za intrauterine pakati pa atsikana: kuwunika mwatsatanetsatane. Kulera. 2017; 95 (1): 17-39 PMID: 27771475 www.ncbi.nlm.nih.gov/pubmed/ 27771475.

Jatlaoui T, Burstein GR. Kulera. Mu: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, olemba. Nelson Textbook of Pediatrics. Wolemba 20th. Philadelphia, PA: Elsevier; 2016: chap 117.

Rivlin K, Westhoff C. Kulera. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 13.

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