Ibyuma bishyirwa mu kibuno (IUDs) ni uburyo bwakunzwe cyane mu kuboneza urubyaro igihe kirekire kandi bifite ubwoko bubiri nyamukuru: ibya hormone n'ibya cuivre. Bikora bituma intanga ngabo zidahuye n'intanga ngore kandi bishobora gukumira gutwita imyaka myinshi. Abantu benshi bahitamo ubu buryo kuko bugira ingaruka, ariko akenshi habaho ibibazo ku bijyanye n'icyo gukora nyuma yo kubibona, cyane cyane ku bijyanye n'imibonano mpuzabitsina.
Nyuma yo kubona IUD, abantu benshi babaza bati, "Ni ryari nshobora kongera gukora imibonano mpuzabitsina?" Iki kibazo ni ingenzi kuko kwishima no guhangayikishwa n'ingaruka zishoboka bishobora kuba bitandukanye kuri buri wese. Abaganga bakunze kugira inama yo gutegereza byibuze amasaha 24 nyuma yo kubona IUD mbere yo gukora imibonano mpuzabitsina. Iki gihe cyo gutegereza gifasha umubiri wawe kumenyera icyuma.
Ni ngombwa kwita ku kuntu wumva. Bamwe bashobora kumva batishimye, bagira uburibwe, cyangwa amaraso make, ibyo bishobora kugira ingaruka ku kwitegura kwishima. Uburambe bwa buri wese butandukanye, bityo ni ngombwa kuvugana na muganga wawe kugira ngo aguhe inama zihariye. Bashobora kuguha ibitekerezo hashingiwe ku mimerere yawe n'uburyo wumva, bagufasha gufata ibyemezo byuzuye ku buzima bwawe bw'imibonano mpuzabitsina nyuma yo kubona IUD.
IUD (igikoresho gishyirwa mu kibuno) ni igikoresho gito, gifite ishusho y'inyuguti T, gikorerwa mu iplastiki na cuivre gishyirwa mu kibuno kugira ngo gikumirwe gutwita. Ni imwe mu buryo bugira ingaruka cyane mu kuboneza urubyaro igihe kirekire. Hari ubwoko bubiri bwa IUDs: IUDs za cuivre na IUDs za hormone, buri bwoko bufite uburyo butandukanye bwo gukora.
Ibiranga |
IUD ya cuivre (ParaGard) |
IUD ya hormone (Mirena, Skyla, Liletta) |
---|---|---|
Uburyo bwo gukora |
Ishyira hanze cuivre kugira ngo ibuze ubushobozi bw'intanga ngabo kandi ibuze gutwita. |
Ishyira hanze hormone ya progestin kugira ngo ikureho uruvange rw'inkondo y'umura ndetse ishobora gukumira ovulation. |
Igihe cyo kugira ingaruka |
Kugeza ku myaka 10. |
imyaka 3-7, bitewe n'ubwoko. |
Ingaruka mbi |
Ibihe by'amaraso menshi n'uburibwe, cyane cyane mu mezi ya mbere. |
Ibihe by'amaraso make, amaraso make, cyangwa rimwe na rimwe nta maraso na gato. |
Itagira hormone cyangwa ifite hormone |
Itagira hormone. |
Ifite hormone. |
Ibyago byo gutwita |
Amahirwe make yo gutwita arenga 1%. |
Amahirwe make yo gutwita arenga 1%. |
Uburyo bwo gushyiramo |
Bihendura gushyiramo igikoresho cya cuivre binyuze mu nkondo y'umura mu kibuno. |
Bihendura gushyiramo igikoresho cya hormone binyuze mu nkondo y'umura mu kibuno. |
Kwitaho nyuma yo gushyiramo |
Amaraso make n'uburibwe bishobora kubaho, cyane cyane mu mezi ya mbere. |
Amaraso make, uburibwe, cyangwa ibihe by'amaraso make bishobora kubaho nyuma yo gushyiramo. |
Nyuma yo gushyiramo IUD, hari intambwe nyinshi zo kumenyera ushobora kwitega. Izi ntambwe zishobora kuba zirimo imiterere itandukanye y'uburibwe, amaraso, n'impinduka za hormone, byose bigize uruhare mu kumenyera umubiri icyuma.
Nyuma gato y'uburyo, abantu benshi bagira uburibwe cyangwa amaraso make, ibyo ni ibisanzwe. Uburyo bwo gushyiramo bushobora gutera uburibwe buke kuko inkondo y'umura ifunguwe, kandi IUD ishyirwa mu kibuno. Bamwe bashobora kumva batagira imbaraga cyangwa bagira isereri mu masaha ya mbere nyuma yo gushyiramo. Ni ngombwa kuruhuka gato mu biro by'abaganga mbere yo kugenda. Umuganga wawe ashobora kugutegeka gukoresha imiti igabanya ububabare nk'ibuprofen kugira ngo ugabanye uburibwe.
Mu minsi mike ya mbere nyuma yo gushyiramo, uburibwe bushobora gukomeza, nubwo bugomba gutangira kugabanuka. Amaraso make cyangwa amaraso make na byo ni ibisanzwe, kandi ibi bishobora gutandukana kuva make kugeza kuri make. IUD ya hormone ikunze gutera amaraso make n'uburibwe buke uko igihe gihita, mu gihe IUD ya cuivre ishobora gutera ibihe by'amaraso menshi mu ntangiriro. Kuruhuka no kunywa amazi birashobora gufasha, ariko niba ububabare bukaze cyangwa hari impungenge ku maraso menshi, ni byiza kuvugana na muganga wawe.
Mu byumweru bike bya mbere, umubiri wawe uzakomeza kumenyera IUD. Ushobora kumva amaraso adasanzwe cyangwa amaraso make uko kibuno kimenyera icyuma. Uburibwe bushobora gukomeza kugeza ku kwezi, cyane cyane kuri IUD ya cuivre, uko umubiri umenyera ikintu cy'amahanga. Igenzura rya nyuma rikunze gutegurwa mu cyumweru kimwe cyangwa bibiri nyuma yo gushyiramo kugira ngo harebwe niba IUD ishyizwe neza kandi itahindutse.
Mu mezi akomokaho, ushobora kubona impinduka mu gihe cyawe cy'ukwezi. Abagira IUD ya cuivre bashobora kugira ibihe by'amaraso menshi kandi by'ububabare, ariko ibi bikunze kuzamuka nyuma y'amezi 3 kugeza kuri 6. Hamwe na IUD ya hormone, ushobora kubona ibihe by'amaraso make cyangwa nta maraso na gato nyuma y'amezi make. Uburibwe cyangwa amaraso make bikunze kugabanuka uko umubiri umenyera. Ni ngombwa gukurikirana impinduka zose mu gihe cyawe cy'ukwezi no kuvugana na muganga wawe niba ugize ingaruka mbi zikomeye, nko kubabara mu kibuno, umuriro, cyangwa ibintu bidasanzwe, kuko ibyo bishobora kugaragaza ibibazo nko kwandura cyangwa kwimuka kwa IUD.
Igihe cyo gukira gitandukanye bitewe n'ubuganga, kubyara, cyangwa indwara.
Amwe muri aya maraso, nko kwandura, ashobora gutinda imibonano mpuzabitsina.
Ibikomere bikira, udukoko, cyangwa gutobora imikaya bishobora gutera uburibwe.
Uburyo bwo kugabanya ububabare bushobora kuba ngombwa mbere yo kongera gukora imibonano mpuzabitsina.
Umuvuduko, impungenge, cyangwa trauma bishobora kugira ingaruka ku bushake bw'imibonano mpuzabitsina.
Kuvugana neza n'umukunzi ni ingenzi.
Kugendera ku nama z'abaganga kugira ngo ukire neza.
Isuzuma nyuma y'ubuganga rishobora kumenya ubushobozi.
Kuboneza urubyaro bishobora kuba bikenewe nyuma yo kubyara cyangwa gukuramo inda.
Amwe mu buryo, nko gushyiramo IUD, asaba kwirinda byihariye.
Buri wese akira mu buryo bwe.
Tega amatwi umubiri wawe mbere yo kongera gukora imibonano mpuzabitsina.
Kongera gukora imibonano mpuzabitsina ni uburambe bwite bushingiye ku gukira ku mubiri, kwitegura mu mutwe, n'amabwiriza y'abaganga. Ibintu nko gukira nyuma y'ubuganga, urwego rw'ububabare, n'imitekerereze bigira uruhare mu kumenya igihe umuntu yumva yiteguye. Ni ngombwa gutega amatwi umubiri wawe, kuvugana neza n'umukunzi, no kugendera ku nama z'abaganga kugira ngo habeho uburambe bwiza kandi buteje umutekano. Urugendo rwa buri wese rutandukanye, kandi nta gihe gikwiye cyangwa kitakwiye-icyo kiba cyiza cyane ni ukwishingikiriza ku kwishima, imibereho myiza, no kwita ku buzima bwawe.
Umuhakana: Kanama ni urubuga rw'amakuru y'ubuzima kandi ibisubizo byayo ntibigize inama z'ubuvuzi. Jya ubona umuganga ufite uruhushya rwo gukorera hafi yawe mbere yo gukora impinduka izo ari zo zose.