Kodi IUD Ndi Njira Yabwino Yolerera Yanu Kwa Inu?

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Kodi mwaona chipwirikiti chonse chozungulira IUD posachedwapa? Zida za intrauterine (IUDs) zikuoneka kuti zapezeka paliponse. Sabata yatha, National Center for Health Statistics idanenanso zakusintha kasanu kagwiritsidwe ntchito ka njira zolerera kwanthawi yayitali pazaka 10 zapitazi pakati pa 15 mpaka 44. Kumayambiriro kwa mwezi wa February, kafukufuku wina ku Washington University School of Medicine ku St.

Komabe kwa amayi ambiri posankha njira yolerera, pamakhala kukayikira. Zikuwoneka kuti aliyense akudziwa za wina yemwe ali ndi nkhani yowopsa ya IUD, kuyambira pakuwawa mpaka kukomoka kwambiri kwa milungu ingapo pambuyo pake. Ndiyeno pali lingaliro lakuti onse ndi owopsa. (Onani Zimene Mukudziwa Zokhudza Ma IUD Zingakhale Zolakwika.)

Zotsatira zoyipa sizomwe zimachitika konse, atero a Christine Greves, MD, azachipatala ku Winnie Palmer Hospital for Women & Babies. Komanso ma IUD si owopsa: “Panali Baibulo lakale lomwe linali ndi mbiri yoipa,” iye akutero. "Chingwe chakumunsi chinali ndi ulusi wambiri, mabakiteriya amamatira mosavuta, zomwe zidapangitsa mayeso owonjezera m'chiuno. Koma IUD iyi sikugwiritsidwanso ntchito." (Pezani mafunso 3 oletsa kubereka omwe muyenera kufunsa adotolo)

Chifukwa chake, tsopano popeza tathetsa malingaliro olakwika omwe ali ponseponse, Nazi zomwe muyenera kudziwa za njira yolerera:

Zimagwira bwanji?

Pali mitundu iwiri ya IUD yoti muzindikire: mahomoni azaka zisanu ndi azaka 10 omwe alibe mahomoni. Hormonal imagwira ntchito potulutsa progestin, yomwe imakulitsa ntchofu ya khomo lachiberekero ndikupangitsa kuti m'mimba musakhale dzira, atero a Taraneh Shirazian, MD, wothandizira pulofesa wa azamba, azimayi ndi sayansi yobereka ku Phiri la Sinai. "Sizili ngati mapiritsi, omwe ali ndi estrogen kuti athetse kutulutsa mazira," akutero. "Azimayi amatha kumverera kuti amatulutsa magazi mwezi uliwonse." Mwinanso mudzawona nthawi yayifupi, yopepuka pa fomu iyi, inunso.

IUD ya zaka 10 yopanda mahomoni imagwiritsa ntchito mkuwa, womwe umatulutsidwa pang'onopang'ono m'chiberekero kuti umuna usagwirizane ndi dzira. Mukapitilira, njira yolerera iyenera kugwira ntchito mkati mwa maola 24. Mukasankha kuchoka, ndikusinthanso mwachangu. "Mtundu wa mahomoni, monga Mirena, umatenga masiku angapo mpaka masiku asanu ndi awiri," Shirazian akutero. "Koma ndi zaka 10, Paragard, umachokera, ndipo ukangotuluka, ndizomwezo."

Ubwino wake ndi chiyani?

Tanenaponso chimodzi chachikulu m'mbuyomu: Ngati muli ndi nthawi yocheperako, IUD ya mahomoni imatha kubweretsa phindu.

Kupitilira apo, ndi gawo limodzi, yankho lanthawi yayitali la kulera. "Simungaiwale za izi," akutero a Shirazian. "Ndicho chifukwa chake ali ndi chiŵerengero chapamwamba kwambiri cha kupewa kutenga mimba kuposa mapiritsi." Ndizoposa 99 peresenti, mwa njira. Piritsi ili ndi mphamvu yofanana ngati itagwiritsidwa ntchito molondola. “Mkazi akaphonya mapiritsi, timawatcha kuti kulephera,” akutero Greves. "IUD imayeneradi kukhala wotanganidwa ndi mkazi." (Momwemonso Njira 10 za Anthu Otanganidwa Zimapita Mwamphamvu Tsiku Lonse.)

Ngakhale IUD ikumveka bwino mpaka pano, pali zoyipa pakulera.

IUD ikhoza kukhala yabwino kwa azimayi otanganidwa komanso nthawi yopepuka, koma kuyika IUD ndikowopsa kwambiri kuposa kutulutsa mapiritsi-ndipo popeza tonse takhala tikuchita izi m'miyoyo yathu yonse, kaya ndi Tylenol kapena njira zakulera, mwina muzimva kuti mwazolowera mwambowu. Ndipo pali zovuta zina zomwe zingachitike, monga kupindika kwa sabata limodzi pamene chiberekero chimazolowera chipangizocho, komanso kumva kuwawa pakulowetsa, makamaka ngati simunaberekepo. Izi ndizabwinobwino, ndipo ziyenera kudutsa mwachangu kwambiri. "Ndimauza odwala anga kuti atenge ibuprofen angapo pafupifupi ola limodzi asanakonzekere," akutero a Greves. (Onani zambiri za The Most Common Birth Control Side Effects.)

Vuto lina lalikulu ndikuwonongeka, komwe IUD imatha kuboola chiberekero-koma a Shirazian akutitsimikizira kuti ndizosowa kwambiri. "Ndayika zikwi za izi, ndipo sindinaziwone zikuchitika," akutero. "Mavutowa ndi ochepa kwambiri, monga 0.5%."

Ndi yani yabwino kwa iye?

Shirazian ndi Greves onse akuti ayika ma IUD mwa aliyense kuyambira achinyamata mpaka amayi apakati mpaka kumapeto kwa zaka za m'ma 40 kuti akwaniritse zosowa zosiyanasiyana. "Chimodzi mwazolakwika zazikulu ndikuti aliyense sangagwiritse ntchito," akutero Shirazian. "Amayi ambiri amatha, kwenikweni."

Komabe, a Shirazian akhomera munthu woyenera: Mkazi wazaka zapakati mpaka 20 kapena kupitirira, yemwe sakufuna kutenga pakati posachedwa.

Misozi imatsimikiziranso malingaliro amenewo. "Ndizabwino kwa munthu amene safuna kukhala ndi pakati posachedwa komanso yemwe alibe zibwenzi zingapo," akufotokoza. "Gulu limenelo likhoza kukhala lotakata ngakhale."

Kodi tsogolo limawoneka bwanji?

Malinga ndi zomwe CDC idalemba, njira zakulera zomwe zakhala zikutha kwa nthawi yayitali ngati IUD ndi njira yachinayi yodziwika kwambiri yolerera pakati pa azimayi pa 7.2 peresenti-yochepera theka la mapiritsi, omwe amakhalabe ochulukirapo m'gululi.

Komabe, a Shirazian akuganiza kuti anthu akamaphunzitsidwa kwambiri za ma IUD, anthu amakwera kwambiri. "Ndizosangalatsa kwambiri, chifukwa tawona zikukwera posachedwa," akutero. "Choyipa chachikulu ndichakuti anthu adamvapo za izi m'mbuyomu, kuti sanali ofuna kusankha, kapena kuti sizinali zotetezeka," akutero. "Koma sizimakulitsa kuchuluka kwa matenda am'chiuno ndipo, pokhapokha mutakhala ndi kachilombo koyambitsa matendawa, mutha kuyiyika mwa azimayi ambiri osiyanasiyana."

Kodi IUD idzalowa m'malo mwa mapiritsi? Nthawi yokha ndi yomwe inganene, koma ndizabwino kuposa njira yolerera iyi.

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