Kodi Kuyika IUD Kumapweteka? Mayankho Akatswiri Muyenera Kudziwa

Zamkati

• 1. Kodi ndizofala bwanji kuti anthu azipeza kuyika kwa IUD kukhala kowawa?
• 2. Nchifukwa chiyani anthu ena samakumana ndi mavuto, pomwe ena samakumana nawo, mukamayikidwa IUD?
• 3. Kodi ndi njira ziti zopewera kupweteka zomwe zimaperekedwa poyika IUD?
• 4. Ndimakondwera kupeza IUD, koma ndikuda nkhawa ndikumva kuwawa ndikalowetsedwa. Ndingayankhule bwanji ndi dokotala wanga pazomwe ndingasankhe? Kodi ndiyenera kufunsa mafunso ati?
• 5. Ndimadera nkhaŵa kuti njira zochiritsira zopweteka zomwe nthawi zambiri zimaperekedwa kuti alowetse IUD sizingandikwanire. Kodi pali china chilichonse chomwe chingathandize?
• 6. Kodi ndizofala bwanji kukhumudwa kapena kukhumudwa pambuyo poti IUD yayikidwa? Kodi njira zabwino zothanirana ndi izi ndi ziti, zikachitika?
• 7. Ngati ndalowetsa IUD m'mawa, ndizotheka bwanji kuti ndiyenera kupita kuntchito nditatha?
• 8. Kutalika kwa nthawi yayitali IUD itayikidwa ndiyenera kuyembekezerabe kuti ndikumvanabe? Kodi padzabwera mfundo pomwe ine sindikuzindikira konse?
• 9. Ndiziwonjezeranso ziti ngati ndikuganiza zopeza IUD?

1. Kodi ndizofala bwanji kuti anthu azipeza kuyika kwa IUD kukhala kowawa?

Zovuta zina ndizofala ndipo zimayembekezereka ndikuyika IUD. Kufikira magawo awiri mwa atatu mwaanthu atatu alionse amamva kusasangalala pang'ono mpaka pang'ono pakulowetsa.

Nthawi zambiri, vutoli limakhala kwakanthawi, ndipo ochepera 20 peresenti ya anthu adzafunika chithandizo. Ndi chifukwa chakuti kulowetsa IUD nthawi zambiri kumakhala kofulumira, kumatenga mphindi zochepa. Vutoli limayamba kutuluka mwachangu kwambiri ndikatha kulowetsa.

Kukhazikitsidwa kwenikweni kwa IUD, komwe anthu amakhala osasangalala kwambiri, nthawi zambiri kumatenga masekondi 30. Mukafunsidwa kuti muyese kutengeka pamlingo wochokera pa 0 mpaka 10 - pomwe 0 ndiye wotsika kwambiri komanso 10 wopweteketsa kwambiri - anthu amayiyika kuyambira 3 mpaka 6 mwa 10.

Anthu ambiri amafotokoza kuti kupweteka kwawo kumakhala ngati kukwapuka. Pomwe kulowetsa kumalizika ndipo speculum itachotsedwa, magulu omwe amamva kupweteka amasiyana mpaka 0 mpaka 3.

Monga gawo lokhazikitsidwa ndi IUD, ndimauza odwala anga kuti akumana ndi zopweteka zitatu zomwe ziyenera kuthetsedwa mwachangu. Yoyamba ndipamene ndimaika chida pachibelekero chawo kuti chikhazikike. Lachiwiri ndipamene ndimayeza kuya kwa chiberekero chawo. Lachitatu ndi pamene IUD yokha imayikidwa.

Nthawi zambiri, anthu ena amatha kukhala ndi zovuta zambiri. Izi zimatha kusiyanasiyana ndikumverera kuti muli ndi mutu wopepuka komanso nseru mpaka pakudutsa. Izi zimachitika kawirikawiri. Zikachitika, nthawi zambiri zimakhala zazifupi, zosakwana mphindi.

Ngati mwakhala mukuyankha motere m'mbuyomu, dziwitsani omwe amakupatsani mwayi kuti adziwe nthawi kuti mupange dongosolo limodzi.

2. Nchifukwa chiyani anthu ena samakumana ndi mavuto, pomwe ena samakumana nawo, mukamayikidwa IUD?

Ngati mukuganiza za vuto lotani lomwe mungakumane nalo ndikulowetsedwa kwa IUD, ndikofunikira kulingalira zomwe zingabweretse kusiyana.

Anthu omwe amabereka kumaliseche samakhala ndi vuto locheperako poyerekeza ndi omwe sanakhalepo ndi pakati. Mwachitsanzo, wina amene wabereka kumaliseche amatha kufotokoza zowawa zitatu mwa khumi, pomwe wina yemwe sanakhalepo ndi pakati amatha kufotokoza 5 kapena 6 mwa 10.

Ngati mukumva zowawa zambiri ndimayeso am'chiuno kapena mayikidwe a speculum, mukhozanso kumva kupweteka ndikulowetsedwa kwa IUD.

Kuda nkhawa, kupsinjika, ndi mantha zimatha kukhudza momwe timamvera kupweteka. Ndicho chifukwa chake ndikofunikira kuyankha mafunso aliwonse kapena nkhawa zomwe muli nazo ndi omwe amakuthandizani asanayambe.

Kudziwa bwino, kumvetsetsa zomwe muyenera kuyembekezera, ndikukhala omasuka ndi omwe akukuthandizani ndi zinthu zofunika kwambiri pakulowetsa IUD.

3. Kodi ndi njira ziti zopewera kupweteka zomwe zimaperekedwa poyika IUD?

Kuti apange IUD yokhazikika, ambiri othandizira azaumoyo amalangiza odwala awo kuti atenge ibuprofen asadafike. Ngakhale ibuprofen sinawonetsedwe kuti imathandizira kupweteka pakulowetsedwa kwa IUD, imathandizira kuchepetsa kupsinjika pambuyo pake.

Kubaya jekeseni wa lidocaine mozungulira khomo pachibelekeropo kumatha kuchepetsa mavuto ena a njirayi, koma sikumaperekedwa mwachizolowezi.Kafukufuku waposachedwa akuwonetsa kuti zitha kukhala zothandiza kwa amayi omwe sanabadwe kumaliseche, koma kafukufuku wina angafunike.

Pakafukufuku kakang'ono ka 2017, ofufuza adayerekezera zowawa za achinyamata komanso atsikana omwe sanabadwe, atatha kuyika IUD. Pafupifupi theka la gululi adalandira jakisoni wa 10-mL wa lidocaine, wotchedwa chotupa cha paracervical. Gulu linalo lidalandira mankhwala a placebo. Zowawa zinali zochepa kwambiri pagulu lomwe lidalandira chithandizo cha lidocaine, poyerekeza ndi gulu lomwe silinatero.

Mwambiri, jakisoni wa lidocaine samaperekedwa pafupipafupi chifukwa jekeseniyo imatha kukhala yovuta. Popeza anthu ambiri amalekerera kulowetsedwa bwino kwa IUD, mwina sikungakhale kofunikira. Ngati muli ndi chidwi ndi njirayi, omasuka kukambirana ndi omwe akukuthandizani.

Omwe amapereka amapereka mankhwala otchedwa misoprostol kuti amwe asanalowemo IUD. Komabe maphunziro angapo sanawonetse phindu pakugwiritsa ntchito misoprostol. Zingakupangitseni kukhala osasangalala chifukwa zotsatira zoyipa zamankhwala zimaphatikizapo kunyansidwa, kusanza, kutsegula m'mimba, ndi kuponda.

Nthawi zambiri, opereka chithandizo chamankhwala amatha kugwiritsa ntchito "verbocaine" panthawi yolowetsa IUD. Verbocaine amatanthauza kuyankhula nanu nthawi yonseyo, ndikupatsanso chitsimikizo ndi mayankho. Nthawi zina zododometsa zimatha kukuthandizani kudutsa mphindi zochepa izi.

4. Ndimakondwera kupeza IUD, koma ndikuda nkhawa ndikumva kuwawa ndikalowetsedwa. Ndingayankhule bwanji ndi dokotala wanga pazomwe ndingasankhe? Kodi ndiyenera kufunsa mafunso ati?

Ndikofunika kukambirana momasuka ndi omwe amakuthandizani azaumoyo pazomwe mukudandaula musanachite izi. Ndikofunikanso kuvomereza kuti zovuta zina ndizofala ndipo zimatha kusintha.

Sindimauza odwala anga kuti kulowetsa IUD sikumva kuwawa chifukwa kwa anthu ambiri, sizowona. Ndimaonetsetsa kuti ndiyankhula nawo kudzera mu njira yolowetsera IUD tisanayambe kuti adziwe zomwe zichitike komanso momwe gawo lililonse lingamvere. Kufunsa omwe akukuthandizani kuti achite izi kungakuthandizeni kumvetsetsa njirayi ndikumvetsetsa kuti ndi mbali ziti zomwe zingakhale zovuta kwa inu.

Lolani wothandizira zaumoyo wanu adziwe ngati simunakopedwepo m'chiuno, mudakumana ndi zovuta zamayeso am'mimba, kapena mwakumana ndi zachiwerewere. Wothandizira zaumoyo wanu akhoza kukambirana nanu njira zomwe zingakuthandizeni pochita izi.

Muthanso kuwafunsa zomwe angakupatseni kuti akuthandizeni kusapeza bwino ndikukambirana ngati njira izi zingakuthandizeni. Mwinanso mungakonde kuchita izi pokambirana musanakonzekere kulowererako komwe. Kukhala ndi wothandizira amene amakumverani ndikutsimikizira nkhawa zanu ndikofunikira.

5. Ndimadera nkhaŵa kuti njira zochiritsira zopweteka zomwe nthawi zambiri zimaperekedwa kuti alowetse IUD sizingandikwanire. Kodi pali china chilichonse chomwe chingathandize?

Uku ndikofunikira kukambirana ndi omwe amakuthandizani kuti athandizidwe payekha. Chithandizo chanu chingaphatikizepo njira zingapo zokuthandizani kuti mukhale omasuka.

Kupatula mankhwala omwe takambirana kale, naproxen ya m'kamwa kapena jakisoni wa ketorolac amathanso kuthandizira pakulowetsa kupweteka, makamaka ngati simunabadwepo kumaliseche. Kugwiritsa ntchito ma topical lidocaine wa mafuta kapena ma gels, komabe, sikuwonetsa phindu.

Anthu akamawopa kupweteka ndikulowetsedwa kwa IUD, mankhwala ena othandiza kwambiri amaphatikizapo kuthana ndi nkhawa pamwamba pa njira zothanirana ndi ululu. Zina mwa njira zomwe ndimagwiritsa ntchito zimaphatikizira kupumira komanso kusinkhasinkha. Mwinanso mungafune kusewera nyimbo ndikukhala ndi munthu wothandizana naye.

Ngakhale kuti sanaphunzirepo kanthu, anthu ena atha kupindula akamwa mankhwala asanakwane. Mankhwalawa amatha kumwedwa bwino ndi ibuprofen kapena naproxen, koma mufunika wina woti akupititseni kunyumba. Onetsetsani kuti mukambirane izi ndi omwe amakupatsani mwayi kuti muwone ngati ili njira yabwino kwa inu.

6. Kodi ndizofala bwanji kukhumudwa kapena kukhumudwa pambuyo poti IUD yayikidwa? Kodi njira zabwino zothanirana ndi izi ndi ziti, zikachitika?

Kwa anthu ambiri, zovuta zomwe zimayikidwa mu IUD zimayamba kusintha pafupifupi nthawi yomweyo. Koma mutha kupitilirabe kudumphadumpha kwakanthawi. Mankhwala opweteka kwambiri monga ibuprofen kapena naproxen ndi othandiza pochiza matendawa.

Anthu ena amawona kuti kugona pansi, tiyi, malo osambira ofunda, ndi mabotolo amadzi otentha kapena mapadi otenthetsera moto amathanso kupereka mpumulo. Ngati mankhwala owonjezera owerengera ndi kupumula sakukuthandizani, muyenera kulumikizana ndi omwe amakuthandizani.

7. Ngati ndalowetsa IUD m'mawa, ndizotheka bwanji kuti ndiyenera kupita kuntchito nditatha?

Zokumana nazo ndikulowetsedwa kwa IUD zimasiyana, koma anthu ambiri amatha kubwerera kuzinthu zatsiku ndi tsiku atakhala ndi IUD. Tengani ibuprofen nthawi isanakwane kuti muthandizire kupondaponda pambuyo pake.

Ngati muli ndi ntchito yolemetsa kwambiri kapena yomwe imafunikira zolimbitsa thupi zambiri, mungafune kukonzekera kulowetsa kwanu nthawi yayitali pomwe simukuyenera kupita kukagwira ntchito pambuyo pake.

Palibe zoletsa zilizonse pazochitikazo mutalowetsa IUD, koma muyenera kumvetsera thupi lanu ndikupuma ngati ndizomwe zimamveka bwino.

8. Kutalika kwa nthawi yayitali IUD itayikidwa ndiyenera kuyembekezerabe kuti ndikumvanabe? Kodi padzabwera mfundo pomwe ine sindikuzindikira konse?

Ndi zachilendo kukhala ndikupitilira pang'ono komwe kumabwera ndikudutsa masiku angapo otsatira pamene chiberekero chanu chimazolowera IUD. Kwa anthu ambiri, kuponderezana kumapitabe patsogolo sabata yoyamba ndipo sikucheperachepera pakapita nthawi.

Ngati mukugwiritsa ntchito mahomoni a IUD, muyenera kuzindikira kusintha kwakumva kupweteka kwakanthawi kwakanthawi, ndipo mutha kusiya kuponderezana konse. Ngati nthawi ina iliyonse kupweteka kwanu sikungayang'aniridwe ndi mankhwala owonjezera kapena ngati kukuwonjezeka mwadzidzidzi, muyenera kulumikizana ndi omwe amakuthandizani kuti akuwungeni.

9. Ndiziwonjezeranso ziti ngati ndikuganiza zopeza IUD?

Pali ma IUD onse omwe si mahomoni komanso mahomoni omwe amapezeka. Ndikofunika kumvetsetsa kusiyana pakati pawo ndi momwe angakukhudzireni.

Mwachitsanzo, ngati muli ndi nthawi zolemetsa kapena zopweteka poyamba, mahomoni a IUD amatha kuchepetsa ndikuchepetsa nthawi zopweteka pakapita nthawi.

Ngakhale imodzi mwamaubwino a ma IUD ndikuti amatha kukhala nthawi yayitali, muyenera kuganizira kuti nthawi yayitali, osati yocheperako. Ma IUD amasinthidwa nthawi yomweyo akachotsedwa. Chifukwa chake atha kukhala othandiza malinga ngati mukufuna - kaya ndi chaka chimodzi kapena zaka 12, kutengera mtundu wa IUD.

Pamapeto pake, kwa anthu ambiri, kusapeza bwino kwa IUD ndikofupikitsa, ndipo ndikofunikira kuti mutuluke ndi njira yotetezeka, yothandiza kwambiri, yotsika kwambiri komanso njira yosinthira yosavuta yoberekera.

Amna Dermish, MD, ndi bungwe lovomerezeka la OB / GYN lomwe limagwirira ntchito zaumoyo wobereka komanso kulera. Adalandira digiri yake ya zamankhwala ku University of Colorado School of Medicine kutsatiridwa ndi maphunziro okhalamo azachipatala ndi azachipatala ku Pennsylvania Hospital ku Philadelphia. Anamaliza kuyanjana ndi kulera ndipo adalandira digiri ya master pakufufuza zamankhwala ku University of Utah. Pakadali pano ndi director director m'chigawo cha Planned Parenthood of Greater Texas, komwe amayang'aniranso ntchito zawo za transgender, kuphatikizapo chithandizo chamankhwala chotsimikizira kuti ndi amuna kapena akazi. Zomwe amakonda kuchita pakufufuza ndikuwunikira zomwe zingalepheretse uchembere komanso uchembere wabwino.