Icyo Copper IUD (Paragard) ari cyo? Impamvu, Uburyo & Ibivamo

Copper IUD, izwi cyane nka Paragard, ni agahini gato gafite ishusho ya T gashyirwa mu mura wawe kugira ngo wirinde gusama. Gafite insinga ntoya ya copper ikazengurutse, ikora ahantu intanga z'abagabo zitabasha kubaho cyangwa kugera ku gi. Ibi bituma iba imwe mu nzira zikora cyane zo kuboneza urubyaro igihe kirekire zihari, ikurinda gusama mu gihe kingana n'imyaka 10 ukoresheje kimwe gusa.

Icyo Copper IUD (Paragard) ari cyo?

Copper IUD ni igikoresho gishyirwa mu mura kitagira imisemburo gitanga uburyo bwo kuboneza urubyaro igihe kirekire. Iki gikoresho ubwacyo gifite ubunini bungana n'ikiceri kandi gikozwe muri plastiki yoroshye ifite ishusho ya T. Igikora cyihariye ni insinga ya copper izengurutse umutwe n'utugufi duto twa copper ku kaboko kamwe.

Copper irekura utuntu duto twa ions ya copper mu mura wawe. Izi ions zikora ahantu habi ku ntanga z'abagabo, zikazibuza kugera ku gi no kurifumbura. Bitandukanye no kuboneza urubyaro bifite imisemburo, copper IUD ntihindura urwego rw'imisemburo yawe karemano, bityo imihango yawe isanzwe ikunda kuguma uko iri.

Paragard ni yo copper IUD yonyine iboneka muri Leta Zunze Ubumwe z'Amerika. Yakoreshejwe neza n'abagore babarirwa muri za miliyoni ku isi hose mu myaka myinshi ishize kandi ifatwa nk'imwe mu nzira zizewe cyane zo kuboneza urubyaro zihinduka zihari uyu munsi.

Kuki Copper IUD (Paragard) ikorwa?

Impamvu nyamukuru yo guhitamo copper IUD ni ukwirinda gusama neza, igihe kirekire nta misemburo. Ikora ku kigero kirenga 99% mu kwirinda gusama, bituma yizerwa kurusha ibinini byo kuboneza urubyaro, ibipfuko, cyangwa impeta. Abagore benshi bayihitamo kuko bifuza uburyo bwo kuboneza urubyaro butasaba kwitabwaho buri munsi cyangwa gusura muganga kenshi.

Ushobora gutekereza ku gushyiraho IUD ya cuivre niba udashobora cyangwa udashaka gukoresha uburyo bwo kuboneza urubyaro bukoresha imisemburo. Abagore bamwe bahura n'ingaruka ziterwa n'imisemburo nk'imihindagurikire y'amarangamutima, kongera ibiro, cyangwa kugabanuka k'urukundo. IUD ya cuivre itanga uburyo bwo kuboneza urubyaro bufite akamaro kanini mugihe umubiri wawe ukomeza kugira imisemburo isanzwe.

Ni kandi uburyo bwiza niba ushaka uburyo bwo kuboneza urubyaro bushobora guhindurwa vuba. Bitandukanye n'uburyo bwo kubaga kugirango ubyare, IUD ya cuivre ishobora gukurwaho igihe icyo aricyo cyose, kandi ubushobozi bwawe bwo kubyara busanzwe busubira mu buryo busanzwe mu mezi make.

Abagore bamwe bahitamo IUD ya cuivre kugirango bakoreshe uburyo bwo kuboneza urubyaro bwihutirwa. Iyo ishyizweho mu minsi itanu nyuma yo gutera akabariro batikingiye, irashobora gukumira inda hanyuma igakomeza gutanga uburinzi burambye. Ibi bituma bigira akamaro kurusha ibinini byo kuboneza urubyaro byihutirwa kuri iyi ntego.

Ni iki gikorerwa gushyiraho IUD ya cuivre?

Uburyo bwo gushyiraho busanzwe bufata iminota 10-15 kandi bukorerwa mu biro bya muganga wawe. Umuganga wawe azabanza gukora isuzuma ryo mu gatuza kugirango arebe uko umura wawe umeze n'ubunini bwawo. Bazongera kandi gupima indwara zandurira mu mibonano mpuzabitsina niba utarigeze upimwa vuba.

Mugihe cyo gushyiraho, uzaryama ku meza yo gupimira amaguru yawe mu gishishwa, kimwe na Pap smear. Muganga wawe azashyiraho speculum kugirango abone neza umura wawe. Hanyuma bazasukuza umura wawe na vagina hamwe n'umuti wica udukoko kugirango birinde indwara.

Ukurikijeho, umuganga wawe azapima ubujyakuzimu bw'umura wawe akoresheje igikoresho gito cyitwa ijwi. Ibi bituma IUD ishyirwa neza. Hanyuma bazakoresha urukiramende ridasanzwe kugirango bayobore IUD yafunzwe binyuze mu mura wawe no mu mura wawe, aho ifungurira mu ishusho ya T.

Uburyo bwo gushyiramo bushobora gutera kubabara no kutamererwa neza, nk'uko biba iyo uri mu gihe cy'imihango ikomeye. Abagore bamwe kandi barwara isereri, isesemi, cyangwa bagacitiraho mu gihe cyo gushyirwamo. Ibi bimenyetso ni ibisanzwe kandi akenshi birashira nyuma y'iminota mike gusa igikorwa cyo gushyiramo kirangiye.

Nyuma yo gushyirwamo, muganga wawe azaca imigozi imanuka muri IUD mu gitsina cyawe. Iyi migozi ituma bikoroha kuyikuramo nyuma kandi igufasha kureba niba IUD ikiri ahayo. Ushobora kuruhuka iminota mike mbere yo gutaha.

Ni gute wakwitegura gushyirwamo Copper IUD yawe?

Guteganya gushyirwamo igihe cyangwa nyuma gato y'imihango yawe bishobora koroshya iki gikorwa. Umura wawe uba woroshye mu gihe cy'imihango, ibyo bishobora koroshya gushyirwamo. Binemeza kandi ko utwite igihe gishyirwamo.

Fata umuti wo kugabanya ububabare utagomba kwandikirwa na muganga mbere y'iminota 30-60 mbere yo kujya kwa muganga. Ibuprofen cyangwa naproxen bikora neza kuko bigabanya ububabare n'uburwayi. Muganga wawe ashobora kandi kugusaba gufata urundi rugero nyuma y'igikorwa kugira ngo ucunge kubabara.

Tekereza gutuma umuntu aguha imodoka ikujyana kandi ikakugarura ku ijoro. Nubwo abagore benshi bashobora kwitwara, bamwe barwara isereri cyangwa kubabara gukomeye bituma gutwara bitamerera neza. Kugira ubufasha birashobora kugufasha kumva utuje ku bijyanye n'iki gikorwa.

Fata ifunguro rito mbere yo kujya kwa muganga kugira ngo wirinde isesemi cyangwa gucitiraho. Irinde guteganya gushyirwamo igihe uhangayitse cyangwa utariye, kuko ibi bishobora gutuma wumva urushye cyane mu gihe cy'igikorwa.

Ganira ku mpungenge zose na muganga wawe mbere y'igihe. Niba ufite impungenge zidasanzwe ku bijyanye n'ububabare, baza ibijyanye n'uburyo bwo gutera umura umuti cyangwa izindi ngamba zo gufasha. Abatanga serivisi bamwe batanga imiti igabanya impungenge cyangwa uburyo bwo gucunga ububabare bwiyongereye ku barwayi bafite ubwoba.

Ni gute usoma ibisubizo byawe bya Copper IUD?

Uko gukoresha IUD y'umuringa bigenda neza ntibipimirwa n'ibisubizo bisanzwe by'ibizamini, ahubwo bipimirwa n'uko yashyizwe neza ndetse n'uko ikora neza mu kuboneza urubyaro. Muganga wawe azemeza ko yashyizwe neza ako kanya nyuma yo kuyishyiramo akoresheje icyuma kibona mu mubiri (ultrasound) cyangwa areba ko imigozi igaragara kandi iri ahantu heza.

Uzajya mu kigo cy'ubuvuzi nyuma y'ibyumweru 4-6 nyuma yo gushyirwamo kugira ngo wemeze ko IUD ikiri ahantu heza. Muganga wawe azareba uburebure bw'umugozi kandi ashobora gukora icyuma kibona mu mubiri (ultrasound) kugira ngo yemeze ko yashyizwe neza. Iyi gahunda ni ingenzi kuko rimwe na rimwe IUD ishobora kwimuka cyangwa ikirukanwa, cyane cyane mu mezi make ya mbere.

Iyo uri mu rugo, ushobora kugenzura IUD yawe buri kwezi ukoresheje intoki zawe kugira ngo urebe imigozi. Nyuma y'imihango yawe, shyira urutoki ruziranuka mu gitsina cyawe hanyuma ukore ku migozi ibiri mito ituruka mu kizunguruko cy'umura wawe. Imigozi igomba kumvikana yoroshye kandi ikora neza, ntabwo igomba kumvikana ikomeye cyangwa ifite ubugi.

Niba udashobora kumva imigozi, yumva irekire cyangwa ngufi kuruta uko bisanzwe, cyangwa niba ushobora kumva plastike ikomeye ya IUD ubwayo, vugana na muganga wawe ako kanya. Ibi bishobora kuba ibimenyetso byerekana ko IUD yimukiye ahantu hatari ho cyangwa yakirukanwe.

Ni gute wakwitwara mu gihe ukoresha IUD y'umuringa?

Gukoresha IUD y'umuringa neza bishingiye ku gusobanukirwa impinduka zisanzwe no kumenya igihe cyo gushaka ubufasha. Abagore benshi bahura n'imihango ikomeye kandi irimo kubabara cyane, cyane cyane mu mezi 3-6 ya mbere nyuma yo kuyishyiramo. Ibi ni uburyo umubiri wawe usanzwe witwara ku gikoresho.

Ushobora guhangana n'imihango ikomeye ukoresha ibintu bifata amaraso menshi cyangwa ibikombe by'imihango, cyangwa ukavanga ibicuruzwa bitandukanye. Abagore bamwe basanga imihango yabo igenda neza nyuma y'amezi make ya mbere uko umubiri wabo wimenyereza IUD.

Ku bijyanye no kubabara, imiti igurishwa idakeneye uruhushya rwa muganga ikora neza. Gushyushya, gukora imyitozo yoroheje, n'uburyo bwo kuruhuka nabyo birashobora gufasha. Niba kubabara bikomeye cyangwa bikabangamira imirimo ya buri munsi, vugana n'umuganga wawe.

Kora urutonde rw'imihango yawe n'ibimenyetso icyo aricyo cyose giteye impungenge. N'ubwo kuva amaraso mu buryo butunganye bisanzwe mu ntangiriro, kuva amaraso menshi mu buryo buhoraho, kubabara bikabije, cyangwa ibimenyetso by'ubwandu bigomba gusuzumwa na muganga wawe vuba.

Ni ubuhe buryo bwiza bwo gukoresha Copper IUD?

Uburyo bwiza bwo gukoresha Copper IUD bubaho iyo igikoresho gishyirwa neza kandi umubiri wawe ukamenyera neza uko gihari. Abagore benshi basanga nyuma y'igihe cyo kumenyera cya mbere cy'amezi 3-6, IUD iba itagaragara rwose mu buzima bwa buri munsi.

Abagore bakwiriye gukoresha Copper IUD ni abagore bifuza kuboneza urubyaro igihe kirekire, badafite imisemburo kandi ntacyo bitayeho niba imihango yabo yajya irushaho kuba myinshi. Abagore bamaze kubyara akenshi bamenyera byoroshye, nubwo IUD ikora neza ku bagore batarabyara.

Ibyiza bibaho iyo abagore bafite ibyiringiro bifatika ku gihe cyo kumenyera kandi bagakomeza kwitabwaho buri gihe. Kumva ko hari impinduka zimwe na zimwe mu gihe cy'imihango yawe bisanzwe bifasha gutandukanya ingaruka zitezwe n'ibibazo bikeneye ubufasha bwa muganga.

Abagore bakoresha neza Copper IUD akenshi bishimira imiterere y'igikoresho yo "kugishyira ukakibagirwa". Iyo ishyizweho neza kandi ikamenyera, itanga uburyo bwo kuboneza urubyaro bukora cyane nta kwitaho buri munsi cyangwa gusura muganga kenshi.

Ni ibihe bintu byongera ibyago byo kugira ibibazo byatewe na Copper IUD?

Ibintu bimwe na bimwe bishobora kongera ibyago byo kugira ibibazo byatewe na Copper IUD, nubwo ibibazo bikomeye bidasanzwe. Kugira ubwandu bukomeye mu ngingo z'igitsina cyangwa indwara zandurira mu mibonano mpuzabitsina igihe gishyirwa mu mubiri byongera ibyago byo kurwara indwara zifata mu ngingo z'igitsina, ni yo mpamvu gupima ari ngombwa mbere y'igihe.

Abagore bagira imihango myinshi cyane cyangwa anemia ntibashobora kuba abakandida beza ba Copper IUD kuko igikoresho gishobora gutuma imihango iba myinshi. Niba usanzwe ufite ikibazo cyo kuva amaraso menshi, uko kuva amaraso kwiyongera kuva muri Copper IUD bishobora gukomeza anemia cyangwa bikagira ingaruka zikomeye ku mibereho yawe.

Kugira urugingo rw'umura rwarambaye cyane cyangwa imitsi y'umura ishobora gutuma gushyirwamo bigorana kandi bikongera ibyago byo gushyirwamo nabi. Muganga wawe azasuzuma imiterere yawe mu isuzuma rya mbere kugira ngo amenye niba ibi bintu bishobora kugira ingaruka ku byo wunguka kuri IUD.

Indwara ya Wilson, indwara idasanzwe yo mu buryo bwa genetike igira ingaruka ku mikorere ya umuringa, ni ikintu cyangiza gukoresha IUD ya umuringa. Umuringa wongereweho uva muri iyi device ushobora gukomeza iyi ndwara, bityo abagore bafite iyi diagnosis bagomba guhitamo uburyo bwo kuboneza urubyaro butandukanye.

Imyaka ntigomba kuba impamvu y'ibibazo, ariko abagore bakiri bato batarabyara bashobora guhura n'ingorane nyinshi mugihe bashyirwamo kandi bagira umubare muto wo kwirukanwa kwa IUD mumwaka wa mbere nyuma yo gushyirwamo.

Ese ni byiza kugira IUD ya umuringa cyangwa kuboneza urubyaro bifite hormone?

Guhitamo hagati ya IUD ya umuringa no kuboneza urubyaro bifite hormone biterwa n'ubuzima bwawe bwite, imibereho, n'ibyo ukunda. IUD ya umuringa ni byiza niba ushaka kwirinda hormone rwose mugihe ukiriho kuboneza urubyaro rwiza cyane rumara imyaka myinshi.

Uburyo bufite hormone bushobora kuba bwiza niba ufite imihango iremereye cyangwa ibabaza cyane, kuko uburyo bwinshi bwo kuboneza urubyaro bufite hormone bushobora koroshya imihango kandi ntibabaze cyane. IUD ya umuringa mubisanzwe ituma imihango iremera, bishobora gukomeza ibibazo by'imihango.

Tekereza IUD ya umuringa niba ushaka kuboneza urubyaro ridasaba kwitabwaho buri munsi cyangwa gusubiramo inyandiko. Ni kandi amahitamo meza niba wigeze guhura n'ingaruka ziva ku kuboneza urubyaro bifite hormone nko guhinduka kw'amarangamutima, kongera ibiro, cyangwa kugabanya ubushake bwo gukora imibonano mpuzabitsina.

Kuboneza urubyaro bifite hormone birashobora kuba byiza niba ufite impungenge kubijyanye n'uburyo bwo gushyirwamo cyangwa ntiwifuza guhangana n'imihango iremereye. Ibipimo, ibishishwa, n'impeta biroroshye kandi guhagarika niba wemeje ko utabikunda.

Zombi zombi zombi zikoreshwa neza, ariko IUD ifite akamaro kuko nta kosa ry’umukoresha ririmo. Iyo ishyizwemo, IUD ya muringa itanga uburinzi buhoraho utagomba kwibuka gufata ikinini cyangwa gusimbuza ikirango.

Ni izihe ngaruka zishobora guterwa na Copper IUD?

Nubwo IUD ya muringa muri rusange itekanye, ni ngombwa gusobanukirwa ingaruka zishobora kubaho kugirango umenye ibimenyetso byo kwitondera. Abagore benshi bahura n’ingaruka ntoya aho guhura n’ingaruka zikomeye, ariko kumenya icyo kwitondera bifasha gutanga ubuvuzi bwihuse niba bibaye ngombwa.

Ingaruka zisanzwe, zishobora gucungwa zirimo imihango iremereye n’imitsi ikomeye. Ibi mubisanzwe birakosoka nyuma y'amezi make ya mbere umubiri wawe umaze kumenyera. Abagore bamwe kandi bahura no kuva amaraso hagati y'imihango, cyane cyane mu mezi make ya mbere nyuma yo gushyirwamo.

Ingaruka zikomeye ariko zitabaho cyane zirashobora kubaho, kandi ibi bisaba ubuvuzi bwihuse:

• Gucumita bibaho iyo IUD itoboye urukuta rw'umura mugihe ishyirwamo, bikaba bikorwa muri 1 kuri 1.000 gushyirwamo
• Kwimurwa bibaho iyo umura wawe usunika IUD hanze, ibyo bikaba bikunda kubaho mu mezi make ya mbere nyuma yo gushyirwamo
• Indwara yo mu ngingo ya pelvic irashobora gutezwa niba bagiteri zinjira mugihe ishyirwamo, nubwo ibi bitabaho cyane hamwe na tekinike ikwiye ya sterile
• Gusama hamwe na IUD irimo ni gake cyane ariko birashobora kuba bikomeye, harimo n’ibibazo byiyongera byo gusama hanze y’umura

Izi ngaruka ntizisanzwe, ariko kumenya ibimenyetso nk’ububabare bukomeye, kuva amaraso menshi, umuriro, cyangwa ibintu bidasanzwe bifasha gutanga ubuvuzi bukwiye vuba.

Gake cyane, IUD ya muringa irashobora gutera allergie kubagore bafite allergie ya muringa. Ibi birashobora kugaragara nk'imvune zo kumubiri, ibintu bidasanzwe, cyangwa ububabare buhoraho bwo mu ngingo ya pelvic butakosoka uko igihe kigenda.

Ni ryari nkwiriye kubona umuganga kubera Copper IUD yanjye?

Ugomba guhita uvugana n'umuganga wawe niba wumva uburibwe bukomeye mu gatuza, cyane cyane niba buherekejwe n'umuriro, imbeho, cyangwa ibintu bidasanzwe bisohoka. Ibi bishobora kuba ibimenyetso by'ubwandu cyangwa izindi ngorane zikeneye kuvurwa vuba.

Ukuva amaraso menshi yuzura ipadi cyangwa tampon buri saha mu masaha menshi, cyangwa ukuva amaraso gukomeza mu gihe kirenga icyumweru, bisaba ubufasha bw'abaganga. Nubwo ukuva amaraso kwiyongera ari ibisanzwe hamwe na IUD ya copper, ukuva amaraso kurenze urugero bishobora kugaragaza ikibazo.

Niba udashobora kumva imigozi ya IUD yawe mugihe cyo kwisuzuma kwawe buri kwezi, cyangwa niba imigozi yumvikana miremire cyangwa migufi kuruta uko bisanzwe, jya kwa muganga. Ibi bishobora kuvuga ko IUD yimukiye hanze y'umwanya wayo cyangwa yirukanwe, ikagusiga utarinzwe inda.

Ibimenyetso byo gutwita mugihe ufite IUD bisaba isuzuma ryihutirwa ry'abaganga. Nubwo bidakunze kubaho, gutwita birashoboka hamwe na IUD iriho, kandi iyi miterere ikeneye gucungwa neza. Ibimenyetso birimo kutabona imihango, isesemi, kubabara amabere, cyangwa ibizamini byo gutwita byiza.

Teganya gahunda yo gusuzumwa buri gihe nkuko byasabwe n'umuganga wawe. Ibi bikunze kubaho nyuma y'ibyumweru 4-6 nyuma yo gushyirwaho, hanyuma buri mwaka cyangwa uko bibaye ngombwa. Gusuzumwa buri gihe bifasha kumenya neza ko IUD yawe ikiri neza kandi ko utagira ingorane.

Ibikunze kubazwa kuri Copper IUD

Q.1 Ese ikizamini cya Copper IUD ni cyiza kubuza inda igihe kirekire?

Yego, copper IUD ni nziza cyane kubuza inda igihe kirekire kandi ifite irenga 99% yo gukumira inda. Iyo ishyizweho, Paragard itanga uburinzi buhoraho kugeza ku myaka 10 itasaba kwitabwaho buri munsi cyangwa gusura abaganga kenshi. Ni bumwe mu buryo bwizewe bwo kubuza inda bushobora guhuzwa.

Bitandukanye n'ibinini byo kuboneza urubyaro bisaba gufata buri munsi, IUD y'umuringa irinda amakosa y'umukoresha nk'imwe mu mpamvu zo gutsindwa kw'uburyo bwo kuboneza urubyaro. Ibi bituma bikwiriye cyane ku bagore bifuza kuboneza urubyaro neza cyane batagomba kwibuka gufata imiti ya buri munsi.

Q.2 Ese IUD y'umuringa itera imihango iremereye?

Yego, IUD y'umuringa akenshi itera kuva amaraso menshi mu gihe cy'imihango no kuribwa cyane, cyane cyane mu mezi 3-6 ya mbere nyuma yo gushyirwamo. Ibi bibaho kuko umuringa utera impinduka mu murongo w'igitereko cy'inda yawe zishobora kongera imigezi y'imihango no gutera kuribwa cyane.

Abagore benshi basanga imihango yabo igenda neza nyuma y'igihe cyo kumenyera, nubwo ishobora gukomeza kuba iremereye kurusha mbere ya IUD. Niba kuva amaraso bibaye ibitagenda neza cyangwa ugakora anemia, muganga wawe ashobora kugufasha gushakisha uburyo bwo kuvura cyangwa gutekereza ku gukuraho IUD.

Q.3 Ese IUD y'umuringa ishobora gukurwaho igihe icyo aricyo cyose?

Yego, IUD y'umuringa ishobora gukurwaho igihe icyo aricyo cyose na muganga mu buryo bworoshye mu biro. Gukuraho akenshi birihuta kandi ntibigoye cyane kurusha gushyiramo, bifata iminota mike gusa. Uburumbuke bwawe busanzwe busubira mu buryo busanzwe mu mezi make nyuma yo gukuraho.

Ntabwo ukeneye kugumana IUD imyaka yose 10 niba ibyo ukeneye mu kuboneza urubyaro bihinduka. Niba ushaka gutwita, gerageza uburyo butandukanye bwo kuboneza urubyaro, cyangwa urimo guhura n'ingaruka ziterwa n'imiti, gukuraho ni amahitamo buri gihe.

Q.4 Ese IUD y'umuringa igira ingaruka ku misemburo?

Oya, IUD y'umuringa ntigira ingaruka ku misemburo yawe isanzwe. Bitandukanye n'uburyo bwo kuboneza urubyaro bukoresha imisemburo, IUD y'umuringa ikora ahantu honyine mu giterereko cyawe cy'inda itarekurira imisemburo mu maraso yawe. Imikorere yawe isanzwe y'imihango no gukora imisemburo birakomeza kutahinduka.

Ibi bituma IUD ya muringa iba igisubizo cyiza ku bagore bifuza kwirinda ingaruka ziterwa n'imisemburo nk'imihindagurikire y'amarangamutima, kongera ibiro, cyangwa kugabanuka k'urukundo. Uzakomeza kubyara buri gihe kandi wumve imihindagurikire yawe y'imisemburo isanzwe mu gihe cyose cy'imihango yawe.

Q.5 Ese IUD ya muringa irakwiriye ku bagore bonsa?

Yego, IUD ya muringa irakwiriye rwose ku bagore bonsa. Kubera ko iki gikoresho kitarekurwa n'imisemburo, ntizagira ingaruka ku mata yawe cyangwa ubuziranenge bwayo. IUD ya muringa ishobora gushyirwaho mbere y'ibyumweru 4-6 nyuma yo kubyara, bigatuma iba uburyo bwo kuboneza urubyaro bwiza ku babyeyi bashya.

Abaganga benshi b'ubuzima bagira inama IUD ya muringa ku bagore bonsa kuko itanga uburyo bwo kuboneza urubyaro bwiza cyane itabangamiye konsa. Iki gikoresho kandi gitanga uburinzi burambye, bufasha mu gihe cy'igihe gihugiye cyane nyuma yo kubyara igihe kwibuka kuboneza urubyaro buri munsi bishobora kugora.