IUD y'Umuringa ni iki: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'imiti n'ibindi

IUD y'umuringa ni igikoresho gito, gifite ishusho ya T gishyirwa na muganga wawe mu mura wawe kugira ngo birinde gutwita. Ni bumwe mu buryo bwiza bwo kuboneza urubyaro bw'igihe kirekire buriho, bukora imyaka 10 nyuma yo gushyirwamo. Iki gikoresho gitanga umuringa muto, ukora ahantu hatemera intanga maze bikabuza ifumbatiza.

Iki ni iki IUD y'Umuringa?

IUD y'umuringa (igikoresho gishyirwa mu mura) ni uburyo bwo kuboneza urubyaro butagira imisemburo bufite ubunini nk'ikiceri iyo bupfunzwe. Iki gikoresho gifite urugero rwa plastiki rufite ishusho ya T ruzingiyeho insinga ntoya z'umuringa zikora akazi nyakuri ko kwirinda gutwita. Bitandukanye n'uburyo bwo kuboneza urubyaro bukoresha imisemburo, ntihindura urugero rw'imisemburo kamere y'umubiri wawe.

IUD y'umuringa izwi kandi ku izina ry'ubucuruzi rya ParaGard muri Leta Zunze Ubumwe z'Amerika. Ifatwa nka LARC (uburyo bwo kuboneza urubyaro bw'igihe kirekire), bivuze ko itanga uburinzi bw'imyaka myinshi ariko ishobora gukurwaho igihe cyose ushaka gutwita. Iyo muganga wawe yayishyizeho, ntugomba gutekereza ku kuboneza urubyaro buri munsi.

Iki ni iki IUD y'Umuringa ikoreshwa?

Igikoresho cyibanze cya IUD y'umuringa ni ukwirinda gutwita kugeza ku myaka 10. Ifite irenga 99% yo kwirinda gutwita, bigatuma iba imwe mu buryo bwizewe bwo kuboneza urubyaro buriho. Abagore benshi barayihitamo kuko bifuza uburinzi bw'igihe kirekire batagomba kwibuka ibinini bya buri munsi cyangwa inshinge za buri kwezi.

IUD y'umuringa irashobora kandi gukoreshwa nk'uburyo bwo kuboneza urubyaro bwihutirwa niba ishyizweho mu minsi itanu nyuma yo gukora imibonano mpuzabitsina idakingiye. Muriki gihe, ni ingirakamaro kurusha ibinini byo kuboneza urubyaro byihutirwa. Byongeye kandi, abagore bamwe barayikunda kuko itarimo imisemburo, bigatuma ikwiriye abatafite ubushobozi cyangwa badashaka gukoresha uburyo bwo kuboneza urubyaro bukoresha imisemburo.

Ibyo IUD y'Umuringa ikora gute?

IUD ya cuivre ikora mugihe irekura utuntu duto twa ions ya cuivre mu nyababyeyi yawe no mu miyoboro ya fallopian. Utu tuntu twa ions ya cuivre ni uburozi kuri sperme n'amagi, bigakumira ko ifumbatiza iba. Copper kandi ikomeza ururenda rwawe rwo mu kiziba cy'inda, bigatuma sperme itagera ku gi.

Ibi bifatwa nk'uburyo bwo kuboneza urubyaro bukomeye kuko butanga uburinzi budahagarara hatagombye icyo ukora. Copper itera igisubizo cyo kuribwa mu nyababyeyi yawe kidakugiraho ingaruka ariko kikabuza gutwita. Niba ifumbatiza ibaye (ibyo bikaba bidakunze kubaho), IUD ya cuivre ituma bigorana ko igi ryafumbatijwe rishyirwa mu rukuta rwa nyababyeyi yawe.

Nkwiriye kwitegura nte mbere yo gushyirwamo IUD ya cuivre?

Mbere yo kubona IUD ya cuivre, uzakenera kugisha inama umuganga wawe kugirango wemeze ko uri umuntu ukwiriye. Bazakora isuzuma ryo mu gatuza kandi bashobora gupima indwara zandurira mu mibonano mpuzabitsina. Ntabwo ukeneye kwiyiriza cyangwa kwirinda kurya mbere y'igikorwa, kandi urashobora gukomeza gufata imiti yawe isanzwe.

Umuvuzi wawe ashobora kugusaba gufata umuti wo kurwanya ububabare nk'ibuprofen isaha imwe mbere yo guhura nawe kugirango ifashe mu kurwanya kuribwa. Abavuzi bamwe kandi basaba gutegura ishyirwamo mu gihe cyo mu gihe cy'imihango yawe igihe kiziba cy'inda yawe gifunguye. Ugomba gutegura umuntu ugutwara mu rugo niba ufite impungenge zo kuribwa cyangwa kumva urushye nyuma y'igikorwa.

Nkwiriye kumara igihe kingana iki mfite IUD ya cuivre?

IUD ya cuivre irashobora kumara imyaka 10, ariko urashobora kuyikuraho igihe icyo aricyo cyose niba ushaka kugerageza gutwita cyangwa niba ufite ibibazo. Icyuma ntigitakaza imbaraga uko imyaka yigenda, bityo urinzwe kimwe mu mwaka wa mbere nkuko uri mu mwaka wa cumi.

Nyuma y'imyaka 10, uzakenera gukuraho IUD kandi ushobora guhitamo gushyirwaho iyindi nshya ako kanya niba ushaka gukomeza ubu buryo bwo kuboneza urubyaro. Abagore bamwe bahitamo gukuraho IUD yabo mbere y'igihe niba bifuza gusama, bagira ingaruka zibabangamiye, cyangwa bashaka gusa kugerageza uburyo butandukanye bwo kuboneza urubyaro.

Ni izihe ngaruka ziterwa na Copper IUD?

Abagore benshi bahura no kuribwa no gusa amaraso ako kanya nyuma yo gushyirwamo copper IUD, ibyo bisanzwe. Ibi bimenyetso mubisanzwe biragabanuka mu minsi mike cyangwa icyumweru. Igihe cyawe cyo mu mihango gishobora guhinduka nyuma yo gushyirwamo copper IUD, akenshi kigahinduka kiremereye cyangwa kigamara igihe kirekire kurusha mbere.

Dore ingaruka zisanzwe ushobora guhura nazo:

• Gusa amaraso menshi mu gihe cy'imihango
• Igihe kirekire cy'imihango
• Kuribwa cyane mu gihe cy'imihango
• Gusa amaraso hagati y'imihango
• Kuribwa mu byumweru bya mbere

Izi ngaruka akenshi zigabanuka nyuma y'amezi make ya mbere umubiri wawe umaze kumenyera igikoresho. Ariko, niba imihango yawe iba iremereye cyangwa iribwa cyane, ganira n'umuganga wawe.

Nubwo bidasanzwe, ibibazo bikomeye bishobora kubaho bisaba ubufasha bwihutirwa bw'abaganga:

• Uterus irashobora gucukuka (bibaho kuri 1 kuri 1,000 gusa bashyizweho)
• Gusohoka kw'igikoresho (bibaho ku bagore bagera kuri 2-10%)
• Indwara yo mu ngingo ya pelvic (bidasanzwe cyane iyo ishyizweho neza)
• Gusama hanze y'inda (bidasanzwe cyane ariko bisaba kuvurwa byihutirwa)

Niba wumva kuribwa cyane, gusa amaraso menshi, umuriro, cyangwa ntushobore kumva imigozi ya IUD, vugana n'umuganga wawe ako kanya.

Ninde utagomba gushyirwamo Copper IUD?

Copper IUD ntikwiriye kuri buri wese, kandi umuganga wawe azagufasha kumenya niba bikwiriye kuri wowe. Abagore bafite indwara zimwe na zimwe cyangwa imiterere y'umubiri itandukanye ntibashobora kuba abakandida beza kuri ubu bwoko bwo kuboneza urubyaro.

Ntugomba gushyirwamo IUD y'umuringa niba ufite:

• Indwara y'urugingo rw'amavumo ruriho ubu
• Gusohoka amaraso mu gitsina bitasobanutse
• Ubukana bwo mu gitsina cyangwa mu mura
• Kubura amaraso gukabije
• Allergie y'umuringa cyangwa indwara ya Wilson
• Umuvumo w'umura wahindutse

Muganga wawe azanatekereza ku miterere yawe bwite, nk'uko niba ufite abafatanyabitsina benshi (ibyo byongera ibyago bya STI) cyangwa niba utarigeze utwita (ibyo bishobora gutuma gushyirwamo bigorana).

Amazina y'ubwoko bwa IUD y'umuringa

Muri Leta Zunze Ubumwe z'Amerika, IUD y'umuringa iboneka cyane cyane ku izina rya ParaGard. Iyi ni yo IUD y'umuringa yonyine yemejwe na FDA ubu gukoreshwa muri Amerika. ParaGard ikubiyemo milimetero kare 380 z'umugozi w'umuringa uzungurutswe ku giti kigenda gitambitse cy'igikoresho gisa na T.

Ibindi bihugu bishobora kugira ubwoko butandukanye bwa IUD y'umuringa, ariko ParaGard ni yo IUD y'umuringa yigwaho cyane kandi ikoreshwa ku isi hose. Iki gikoresho kimaze kuboneka muri Amerika kuva mu 1988 kandi gifite amateka maremare y'umutekano n'imikorere myiza.

Uburyo bwo gusimbuza IUD y'umuringa

Niba IUD y'umuringa itagukwiriye, hariho ubundi buryo bwo kuboneza urubyaro bw'igihe kirekire bwo gutekereza. IUD zifite imisemburo nka Mirena, Skyla, cyangwa Liletta zikora kimwe ariko zikarekurura progestin aho gukoresha umuringa. Ibi bishobora kuba byiza niba ufite imihango iremereye kuko akenshi bituma imihango yorohera cyangwa ikahagarara burundu.

Imitangire yo kuboneza urubyaro (Nexplanon) ni ubundi buryo bw'igihe kirekire bujya mu kuboko kwawe kandi bumara imyaka itatu. Kubantu bakunda uburyo bw'igihe gito, ibinini byo kuboneza urubyaro, ibishishwa, impeta, cyangwa inshinge nabyo biraboneka. Umuganga wawe ashobora kugufasha kugereranya izi nzira zishingiye ku mibereho yawe, amateka yawe y'ubuvuzi, n'ibyifuzo byawe bwite.

Ese IUD y'umuringa iruta IUD zifite imisemburo?

Niba IUD ya cuivre ari nziza kurusha IUD ya hormone biterwa n'ibyo ukeneye n'ibyo ukunda. IUD ya cuivre ni nziza cyane niba ushaka uburyo bwo kuboneza urubyaro butagizwe na hormone, ushobora kwihanganira imihango iremereye, kandi ushaka uburyo bumara igihe kirekire. Ni n'uburyo bwiza niba waragize ibibazo bya hormone mu kuboneza urubyaro.

IUD ya hormone ishobora kuba nziza niba ufite imihango iremereye cyangwa ibabaza, kuko akenshi ituma imihango yorohera cyangwa ikayihagarika burundu. Zinamara imyaka 3-7 bitewe n'ubwoko, ibyo na byo ni igihe kirekire. Abagore bamwe bakunda IUD ya hormone kuko ishobora gufasha mu bibazo nka endometriosis cyangwa kuva amaraso menshi mu gihe cy'imihango.

Zombi zikora kimwe mu gukumira inda, bityo guhitamo akenshi biterwa n'uko ushaka ko ubu buryo bugira ingaruka ku mihango yawe niba ushaka kwirinda hormone burundu.

Ibibazo Bikunze Kubazwa ku IUD ya Cuivre

Ese IUD ya Cuivre irakwiriye ku bagore bagira imihango iremereye?

IUD ya cuivre ntishobora kuba igisubizo cyiza niba usanzwe ufite imihango iremereye cyangwa ibabaza, kuko ishobora gutuma ibyo bimenyetso bikara. Cuivre itera igisubizo cy'uburwayi mu mura wawe akenshi bituma kuva amaraso menshi mu gihe cy'imihango no kuribwa cyane. Niba ubu ufite imihango iremereye, umuganga wawe ashobora kugusaba IUD ya hormone, akenshi ituma imihango yorohera.

Ariko, niba imihango yawe isanzwe kandi wemera kwakira ibishoboka byo kuva amaraso menshi mu gihe cy'imihango kugira ngo wirinde hormone, IUD ya cuivre iracyashobora kuba igisubizo cyiza. Umuganga wawe ashobora kugufasha gupima inyungu n'ibibazo bitewe n'uko ubuzima bwawe bumeze.

Nigira iki niba nkuyeho IUD ya cuivre ku buryo butunguranye?

Niba ukuyeho IUD yawe y'umuringa utabishaka cyangwa ukeka ko yakuweho, ntugikingirwa inda kandi ugomba gukoresha uburyo bwo kuboneza urubyaro bwihuse. Vugana n'umuganga wawe ako kanya kugira ngo muganire ku mahitamo yawe kandi uteganye gahunda yo kwemeza ko igikoresho kitaboneka.

Ntugerageze kongera gushyiramo igikoresho wenyine, kuko ibyo bishobora gutera imvune zikomeye. Muganga wawe azagomba kukugenzura kugira ngo yemeze ko IUD yakuweho rwose kandi ko nta bice bisigaye mu mura wawe. Hanyuma bashobora kuganira niba bashyiramo IUD nshya cyangwa bakagufasha guhitamo uburyo butandukanye bwo kuboneza urubyaro.

Nkwiriye gukora iki niba ntasuzumye imigozi ya IUD yanjye?

Ugomba gusuzuma imigozi ya IUD yawe buri kwezi nyuma y'imihango yawe kugira ngo wemeze ko igikoresho kigihari. Niba umaze igihe kirekire utayisuzuma, ntugahagarike umutima - uyisuzume ako kanya wibuka. Kora ku gice cy'umura wawe ukoresheje intoki zimeshe kugira ngo ubone imigozi, igomba kumva nk'umurongo muto wo kuroba.

Niba udashobora kumva imigozi, birashoboka ko yimukiye mu gice cy'umura wawe cyangwa IUD ishobora kuba yarahindutse. Vugana n'umuganga wawe kugira ngo agenzure umwanya wayo akoresheje ultrasound. Kugeza igihe wemeje ko IUD iri ahantu heza, koresha uburyo bwo kuboneza urubyaro nk'agakingirizo.

Nshobora gukuraho ryari IUD yanjye y'umuringa?

Ushobora gukuraho IUD yawe y'umuringa igihe icyo aricyo cyose, ku mpamvu iyo ari yo yose. Ntugomba gutegereza kugeza igihe cyayo cyarangiye cyangwa gutanga impamvu yo kuyikuraho. Impamvu zisanzwe zo kuyikuraho zirimo kwifuza gutwita, guhura n'ingaruka zitishimira, cyangwa guhitamo uburyo butandukanye bwo kuboneza urubyaro.

Gukuraho mubisanzwe birihuta kandi ntibigoye cyane kurusha gushyiramo. Ubushobozi bwawe bwo kubyara busanzwe busubira mu buryo busanzwe nyuma yo gukuraho, bityo koresha uburyo bwo kuboneza urubyaro niba udashaka gutwita ako kanya. Niba ushaka gukomeza kuboneza urubyaro na IUD, muganga wawe ashobora gushyiramo nshya mu gihe kimwe.

Nshobora gukora imyitozo nk'ibisanzwe niba mfite Copper IUD?

Yego, ushobora gusubira mu bikorwa byawe byose bisanzwe, harimo n'imyitozo, umaze gukira nyuma yo gushyirwamo. Abaganga benshi bagira inama yo gutegereza amasaha 24-48 nyuma yo gushyirwamo mbere yo gusubira mu myitozo ikomeye kugira ngo umura wawe ufunge neza kandi ugabanye ibyago byo kwandura indwara.

Copper IUD ntizabangamira ubwoko ubwo aribwo bwose bw'imyitozo cyangwa ibikorwa bya fisikali umaze kuyishyiramo. Abagore bamwe bahangayika ku bijyanye n'uko igikoresho cyagenda mu gihe cy'imyitozo, ariko ibyo ntibishoboka na gato. IUD yagenewe kuguma ahantu hose mu bikorwa bisanzwe, harimo kwiruka, koga, kuzamura ibiremereye, na siporo zikoranwa.