Chii chinonzi Levonorgestrel Intrauterine Route: Zvinoshandiswa, Dosage, Side Effects uye Zvimwe

Levonorgestrel intrauterine route inoreva mudziyo mudiki, wakaita seT, unoisa mukati memimba yako unoburitsa hormone levonorgestrel zvakananga panodiwa. Iyi nzira inobatanidza kudzivirira kubata pamuviri kunoshanda zvakanyanya nekubatsira kubva kumwedzi inorema, zvichiita kuti ive sarudzo yakakurumbira yevakadzi vazhinji vari kutsvaga kudzivirira kubata pamuviri kwenguva refu.

Mudziyo unoshanda nekuburitsa huwandu hudiki hwe synthetic progesterone (levonorgestrel) mumutsara wako wemimba kwemakore akati wandei. Iyi nzira yekutumira mahomoni emuno zvinoreva kuti iwe unowana mabhenefiti nekuderera kwese hormone exposure zvichienzaniswa nemapiritsi ekudzivirira kubata pamuviri, uchifara nyore nyore yekusafanira kuyeuka mishonga yezuva nezuva.

Chii chinonzi Levonorgestrel Intrauterine Route?

Levonorgestrel intrauterine route imudziyo unoburitsa mahomoni intrauterine (IUD) inopa kudzivirira kubata pamuviri kwenguva refu kunodzokera shure. Mudziyo uyu wakakura sequarter uye une reservoir ye levonorgestrel, synthetic fomu ye hormone progesterone.

Kana yaiswa nachiremba wako, mudziyo unogara zvakanaka mumimba yako uye zvishoma nezvishoma unoburitsa huwandu hudiki hwe levonorgestrel zvakananga mumutsara wemimba. Iyi nzira yakatarwa zvinoreva kuti hormone inoshanda zvakanyanya panodiwa, iine huwandu hudiki hunopinda muropa rako zvichienzaniswa nemishonga yekudzivirira kubata pamuviri.

Mudziyo uyu unogona kuramba uchishanda kwemakore matatu kusvika ku8 zvichienderana nemhando chaiyo, mushure meizvozvo unofanirwa kutsiviwa kana iwe uchida kuenderera mberi neiyi nzira yekudzivirira kubata pamuviri. Unogona kuibvisa chero nguva kana ukasarudza kuti unoda kuedza kuva nepamuviri kana kuchinja kune imwe nzira yekudzivirira kubata pamuviri.

Chii chinonzi Levonorgestrel Intrauterine Route chinoshandiswa?

Kushandiswa kukuru kwelevonorgestrel intrauterine devices ndiko kudzivirira pamuviri, nekubudirira kunodarika 99%. Zvisinei, zvishandiso izvi zvinopa zvimwe zvinobatsira zvinoita kuti zvive zvakakosha kune vamwe vakadzi.

Vakadzi vazhinji vanowana nguva dzavo dzemwedzi dzichireruka zvikuru mushure mekuiswa, uye vamwe vanogona kurega kuenda kumwedzi zvachose. Izvi zvinoita kuti chishandiso chive sarudzo yakanaka kune vakadzi vanotambura nekubuda ropa kwakanyanya kwemwedzi (menorrhagia) kana nguva dzinorwadza.

Chiremba wako anogonawo kukurudzira chishandiso ichi kana uine endometriosis, sezvo kuburitswa kwehomoni kwenzvimbo kunogona kubatsira kuderedza kukura kwetishu yeendometrial kunze kwechibereko. Uyezve, inogona kushandiswa sechikamu chehormone replacement therapy muvakadzi vakapfuura menopause kudzivirira lining ye uterine kana vachitora estrogen.

Vamwe vanopa hutano vanoshandisa zvishandiso izvi kubatsira kubata mamwe marudzi ekubuda ropa kweuterine kwakashata kana senzira yekurapa vakadzi vane fibroids vanoda kudzivirira kuvhiyiwa.

Levonorgestrel Intrauterine Route Inoshanda Sei?

Nzira iyi yekudzivirira pamuviri inoshanda kuburikidza nemaitiro akawanda kudzivirira pamuviri zvinobudirira. Iyo levonorgestrel hormone inokora mucus yako yecervical, zvichiita kuti zvive zvakaoma zvikuru kuti sperm isvike uye kuberekesa zai.

Iyo hormone inotetepawo lining yechibereko chako (endometrium), iyo inoderedza mukana wezai rakaorera richidyara. Mune vamwe vakadzi, chishandiso chinogonawo kudzvinyirira ovulation, kunyangwe izvi zvisiri nzira yayo yekutanga yekushanda.

Sezvo nzira yekudzivirira pamuviri, levonorgestrel IUDs inoonekwa seyakanyanya kubudirira asi kwete yakasimba semaitiro ekugadzirisa zvachose. Ivo vanonyanya kubudirira kupfuura mapiritsi ekudzivirira pamuviri, mapatches, kana mhete nekuti hapana njodzi yekukanganisa kwemushandisi sekukanganwa kutora piritsi.

Maitiro ekutumira mahomoni emuno zvinoreva kuti unowana dziviriro yekuita pamuviri inogara iripo pasina kuyeuka mishonga yezuva nezuva. Chishandiso chinotanga kushanda nekukasira mushure mekuiswa uye chinoenderera mberi nekupa nzira yakavimbika yekudzivirira pamuviri kwemakore.

Ndingashandisa sei Levonorgestrel Intrauterine Route?

Kusiyana nemishonga inotorwa nemuromo, hauiti "kutora" nzira iyi yekudzivirira pamuviri nenzira yechinyakare. Panzvimbo pezvo, chiremba akadzidziswa anoisa chishandiso muchibereko chako panguva yekuongororwa muchipatara.

Usati waisa, haufaniri kutsanya kana kudzivisa kudya, kunyangwe vamwe vanachiremba vachikurudzira kutora mushonga wekurwadziwa usina mushonga wakaita seibuprofen maminitsi makumi matatu kusvika makumi matanhatu usati waenda kunoona chiremba. Izvi zvinogona kubatsira kuderedza kurwadziwa panguva uye mushure mekuongororwa.

Maitiro ekuisa anowanzo tora maminitsi mashoma. Chiremba wako achashandisa speculum kuti aone chibereko chako, achenese nzvimbo yacho, uye ozoshandisa inserter yakakosha kuisa chishandiso kuburikidza nechibereko chako muchibereko chako. Unogona kunzwa kurwadziwa kwakafanana nekurwadziwa kwemwedzi panguva yekuisa.

Mushure mekuisa, haufaniri kuita chero chinhu chakakosha kuchengetedza chishandiso. Ichashanda nguva dzose pasina chero chiito chinodiwa kwauri. Chiremba wako achagera tambo dzekubvisa kuitira kuti dzitambanuke zvishoma muchivha chako, zvichikubvumira kuti uone kuti chishandiso chichiri panzvimbo.

Ndingashandisa Levonorgestrel Intrauterine Route kwenguva yakareba sei?

Kureba kunoenderana nekuti ndeipi chaiyo levonorgestrel IUD yaunayo, sezvo mhando dzakasiyana dzichitenderwa kwenguva dzakasiyana. Zvizhinji zvezvishandiso zvinoshanda kwemakore matatu kusvika ku8, nedzimwe shanduro itsva dzichigara kusvika kumakore masere.

Unogona kuchengeta chishandiso kwenguva yacho yakazara kana uchigutsikana nacho uye usingaone matambudziko. Vakadzi vazhinji vanosarudza kuti chishandiso chavo chitsiviwe nechimwe chitsva kana chapera kuti vaenderere mberi vachinakidzwa nezvakanakira zvakafanana.

Asi, hamuna kusungirirwa kuchengeta mudziyo wacho kwenguva yese yaunofanira kuushandisa. Munogona kuubvisa chero nguva yese kana muchida kuyedza kuita pamuviri, muchiwana matambudziko ausingakwanise kutsungirira, kana kungoda kuchinja kuenda kune imwe nzira yekudzivirira pamuviri.

Kana muchishandisa mudziyo uyu kunyanya nekuda kweropa rakawanda rinobuda, kwete kudzivirira pamuviri, chiremba wenyu achashanda nemi kuti muone nguva yakanaka zvichienderana nekuti zviratidzo zvenyu zvinovandudzika sei uye zvinodiwa nemuviri wenyu.

Ndezvipi Zvakaipa Zvinokonzerwa neLevonorgestrel Intrauterine Route?

Vakadzi vazhinji vanotsungirira levonorgestrel IUDs zvakanaka, asi semamwe marapirwo ese, anogona kukonzera matambudziko. Mashoko akanaka ndeekuti matambudziko mazhinji anongogara kwenguva pfupi uye anovandudzika muviri wenyu paunenge uchigadzirisa kumudziyo wacho mumwedzi mishoma yekutanga.

Heano matambudziko anowanzoitika aungasangana nawo, uchiziva kuti muviri wako unoda nguva yekujairira kusunungurwa kwehomoni:

• Kubuda ropa kusina kujairika kana kuona, kunyanya mumwedzi mitatu kana mitanhatu yekutanga
• Mwedzi miviri mitsvuku kana kusavapo kwemwedzi miviri mitsvuku nekufamba kwenguva
• Kukakama kudiki kana kusagadzikana mudumbu, kunyanya mumavhiki mashoma ekutanga
• Kutapira mazamu kana kuchinja kwemanzwiro
• Kutemwa nemusoro kana kusvotwa
• Mavanga kana kuchinja kweganda
• Kuchinja kwehuremu (kunyangwe kuwedzera kukuru kwehuremu hakusi kwakajairika)

Izvi zvinowanzoitika zvinowanzoita zvishoma nezvishoma muviri wako paunojaira mudziyo wacho. Vakadzi vazhinji vanowana kuti chero maitiro ekubuda ropa asina kujairika ekutanga anovandudzika zvakanyanya mushure memwedzi mishoma yekutanga.

Kunyange zvazvo zvisingawanzoitiki, mamwe matambudziko akakomba anogona kuitika anoda kutariswa kwechiremba nekukasira. Matambudziko aya asingawanzoitiki asi akakosha anosanganisira:

• Chirwere chinopisa chepelvic (PID), kunyanya mumazuva makumi maviri ekutanga mushure mekuiswa
• Kubviswa kwechishandiso, uko IUD inobuda chikamu kana zvachose
• Kupunzika kwemadziro euterine panguva yekuisa (kashoma kwazvo)
• Ovarian cysts, iyo inowanzoita yega
• Kusagadzikana kwakanyanya kune zvinhu zvechishandiso

Kana iwe ukawana kurwadziwa kwakanyanya kwepelvic, kubuda ropa kwakanyanya, fivha, kana usingakwanise kunzwa tambo dzechishandiso panguva yekuongorora kwako kwemwedzi, taura nemupi wako wehutano nekukurumidza kuti uongororwe.

Ndiani Asingafaniri Kutora Levonorgestrel Intrauterine Route?

Nepo levonorgestrel IUDs yakachengeteka kune vakadzi vazhinji, mamiriro ezvinhu kana mamiriro ezvinhu anoita kuti nzira iyi yekudzivirira pamuviri isakodzere. Mupi wako wehutano achanyatsoongorora nhoroondo yako yekurapa kuti ave nechokwadi chekuti chishandiso ichi chakakodzera kwauri.

Haufaniri kushandisa levonorgestrel IUD kana uine chero mamiriro aya, sezvo angawedzera njodzi yako yematambudziko:

• Kuzvitakura kwazvino kana kufungidzirwa
• Chirwere chinopisa chepelvic kana hutachiona hwepelvic huchangobva kuitika
• Kubuda ropa kwevaginal kusingatsananguriki
• Cervical kana uterine cancer
• Kenza yemazamu kana nhoroondo yekenza yemazamu
• Tumors yechiropa kana chirwere chechiropa chakakomba
• Uterine abnormalities iyo ingadzivisa nzvimbo yakakodzera yechishandiso

Izvi zvinopesana zvachose zvinoreva kuti chishandiso chinopa njodzi yakakura uye hachifaniri kushandiswa pasi pemamiriro ezvinhu aya.

Uyezve, mamwe mamiriro anoda kungwarira kwakanyanya uye kufunga zvakanyanya, kunyangwe asingabvise otomatiki chishandiso. Chiremba wako achayerera mabhenefiti nenjodzi kana uine:

• Nhoroondo yekuzvitakura ectopic
• Kurara kwematambudziko kana kutora zvinoderedza ropa
• Matambudziko evalve yemoyo anowedzera njodzi yekutapukirwa
• Migraines yakakomba ine aura
• Hutachiona hwezvepabonde huchangobva kuitika
• Vadyidzani vakawanda vepabonde (njodzi yepamusoro yeSTI)

Mupi wehutano hwako achakurukura zvezvinhu izvi newe uye anogona kukurudzira matanho ekuwedzera kana dzimwe nzira dzekudzivirira pamuviri kana zvichidikanwa.

Mazita eBrand eLevonorgestrel Intrauterine Route

Makambani akati wandei emishonga anogadzira levonorgestrel-inoburitsa IUDs, imwe neimwe iine zvishoma zvakasiyana uye nguva yekushanda. Mhando dzakajairika dzinosanganisira Mirena, Skyla, Liletta, uye Kyleena.

Mirena ndiyo yekutanga levonorgestrel IUD yakatenderwa uye inoburitsa 20 micrograms yehomoni zuva rega rega pakutanga, ichiramba ichishanda kwemakore 8. Skyla idiki uye inoburitsa 14 micrograms zuva rega rega, yakagadzirirwa kushandiswa kwemakore matatu, zvichiita kuti ive sarudzo yakanaka kuvakadzi vasina vana.

Liletta inoburitsa 18.6 micrograms zuva rega rega uye inotenderwa kwemakore 8, nepo Kyleena ichiburitsa 17.5 micrograms zuva rega rega uye inogara kwemakore 5. Mupi wako wehutano achakubatsira kusarudza sarudzo yakakodzera zvichienderana nezvido zvako, anatomy, uye zvaunofarira.

Mhando idzi dzese dzinoshanda zvakafanana asi dzinogona kuve nekusiyana kudiki muhukuru, mitengo yekuburitsa mahomoni, uye nguva yekushanda. Inishuwarenzi inogona zvakare kusiyana pakati pemhando, saka zvakakosha kukurukura nezve mari nemupi wako.

Levonorgestrel Intrauterine Route Alternatives

Kana levonorgestrel IUD isiri yakanaka kwauri, dzimwe nzira dzakawanda dzekudzivirira pamuviri dzinogona kupa dzakafanana dzenguva refu yekudzivirira pamuviri. Iyo copper IUD (ParaGard) inopa hormone-isina contraception kwemakore gumi, kunyangwe ichigona kuwedzera kubuda ropa kwemwedzi.

Dzimwe nzira dzinosanganisira contraceptive implant (Nexplanon), iyo inoburitsa imwe hormone ye progestin pasi peganda rako kwemakore matatu. Kubaiwa kwekutonga kuberekwa (Depo-Provera) kunopa mwedzi mitatu yekudzivirira kubva pakubaiwa, nepo mapiritsi ekudzivirira pamuviri, mapatches, uye mhete zvinopa nguva pfupi yekudzivirira pamuviri.

Kune vakadzi vanonyanya kutsvaga rubatsiro rwekubuda ropa zvakanyanya kwete kubata pamuviri, dzimwe nzira dzinosanganisira mapiritsi e tranexamic acid, mapiritsi ekudzivirira pamuviri emahormone, kana maitiro akadai se endometrial ablation. Chiremba wako angangofungawo kurapa mamiriro ezvinhu ari pasi akadai se fibroids kana endometriosis zvakananga.

Sarudzo dzekugara dzekudzivirira pamuviri dzakadai se tubal ligation dzinopa nzira yekudzivirira pamuviri kana uine chokwadi chekuti haudi mimba mune ramangwana. Mupi wako wehutano anogona kukubatsira kuenzanisa ese aya maoption zvichibva pahutano hwako, mararamiro, uye zvinangwa zvekubereka.

Levonorgestrel Intrauterine Route iri nani kupfuura mapiritsi ekudzivirira pamuviri here?

Levonorgestrel IUDs inopa zvakawanda zvakanakira pamusoro pemapiritsi ekudzivirira pamuviri, kunyangwe sarudzo

Kufananidza kwemutengo kunofarira maIUD nekufamba kwenguva, sezvo mudziyo mumwe chete unogara makore akati wandei uchienzaniswa nemishonga yemwedzi nemwedzi. Chiremba wako anogona kukubatsira kuyera zvinhu izvi zvichienderana nenhoroondo yako yehutano, mararamiro, uye zvaunofarira.

Mibvunzo Inowanzo Bvunzwa Pamusoro peLevonorgestrel Intrauterine Route

Levonorgestrel intrauterine route yakachengeteka here kuvakadzi vane chirwere cheshuga?

Hongu, levonorgestrel IUDs inowanzova yakachengeteka kuvakadzi vane chirwere cheshuga uye inogona kunge ichifarirwa pamusoro pemamwe maitiro ekudzivirira kubata pamuviri. Kuendeswa kwehomoni kwenzvimbo kunoreva kushoma kukanganisa pamatanho eshuga yeropa kana ichienzaniswa nemapiritsi ekudzivirira kubata pamuviri.

Zvisinei, chiremba wako achada kuongorora shuga yako yeropa zvakanyanya mushure mekuiswa, sezvo vamwe vakadzi vachigona kusangana nekuchinja kudiki mune glucose metabolism. Zvakanakira nzira inoshanda yekudzivirira kubata pamuviri zvinowanzo pfuura njodzi idzi diki, kunyanya sezvo kusina kurongwa pamuviri kunogona kuomesa manejimendi echirwere cheshuga zvakanyanya.

Ndoitei kana ndikashandisa zvakanyanya levonorgestrel intrauterine route netsaona?

Haukwanise

Zvisinei, unofanira kutarisa mwedzi woga woga kuti unogona kunzwa tambo dzekubvisa mudumbu rako, izvo zvinoratidza kuti mudziyo uchiri panzvimbo. Kana usingakwanisi kunzwa tambo kana dzichitaridzika sedzakareba kana pfupi kupfuura zvakajairika, taura nemupi wako wehutano kuti uve nechokwadi chekuti mudziyo hauna kuchinjika kana kubviswa.

Ndingamira rini kutora levonorgestrel intrauterine route?

Unogona kubvisa levonorgestrel IUD yako chero nguva nemupi wehutano akadzidziswa, zvisinei nekuti wanga uine kwenguva yakareba sei. Maitiro ekubvisa anowanzo kukurumidza uye asinganyanyi kunetsa kupfuura kuisa.

Kubereka kwako kunowanzo dzoka nekukurumidza mushure mekubviswa, kazhinji mukati memwedzi mishoma. Kana uri kubvisa mudziyo nekuti unoda kuita nhumbu, unogona kubata pamuviri munguva pfupi mushure mekubviswa, saka gara wakagadzirira mukana uyu.

Vamwe vakadzi vanosarudza kubvisa mudziyo wavo uye nekukasira kuutsiva neimwe itsva kana yapera, nepo vamwe vachichinjira kune dzimwe nzira dzekudzivirira pamuviri kana kuzorora kubva kune hormonal contraception zvachose.

Ndingaita nhumbu here nekukasira mushure mekubviswa kwelevonorgestrel IUD?

Hongu, pamuviri unogoneka nekukurumidza mushure mekubviswa kweIUD, kunyangwe kudzoka kwekubereka kuchisiyana pakati pevanhu. Vakadzi vazhinji vanoburitsa mazai mukati memavhiki mashoma kusvika kumwedzi mushure mekubviswa, uye kubata pamuviri kunogona kuitika panguva yekutenderera kwako kwekutanga.

Kana uri kuronga kuyedza kuita nhumbu, funga kutanga mavitamini ekutanga kubviswa uye kuchengetedza tsika dzehupenyu hune hutano. Kana usina kugadzirira pamuviri, kurukura dzimwe nzira dzekudzivirira pamuviri nemupi wako wehutano usati wabvisa kuti uve nechokwadi chekudzivirirwa kwakabatana.

Kushandiswa kwepakutanga kwelevonorgestrel IUD hakuratidzike kuita kuti kubereka kwemunguva yemberi kana mhedzisiro yekuzvitakura, saka unogona kunzwa uine chivimbo chekuti sarudzo iyi yekudzivirira pamuviri haizokanganisa kugona kwako kuita nhumbu kana wagadzirira.