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Ngemuva kwesikhathi esingakanani ngemva kokufakwa kwe-IUD umuntu angenza ubulili?

Ngu Soumili Pandey
Ibuyekezwe yi Dr. Surya Vardhan
Ishicilelwe ku 2/12/2025
 IUD on soft fabric, representing contraception guidance

Amadivayisi angaphakathi kwesisu (IUDs) iyindlela edumile yokulawula ukubeletha isikhathi eside futhi avela ezinhlotsheni ezimbili eziyinhloko: ehormonal nekopha. Asebenza ngokuvimbela isperm ukuthi ihlangane neqanda futhi angavimbela ukukhulelwa iminyaka eminingana. Abantu abaningi bakhetha le ndlela ngoba isebenza kahle, kepha imibuzo ivame ukuvela mayelana nokuthi yini okufanele yenziwe ngemuva kokuthola enye, ikakhulukazi mayelana nokuziphatha kobulili.

Ngemuva kokuthola i-IUD, abantu abaningi bayabuza, "Ngingaba sesekhweni nini futhi?" Lo mbuzo ubalulekile ngoba induduzo nemiphumela emibi engenzeka ingabahlukene kubo bonke. Odokotela bavame ukuncoma ukulinda okungenani amahora angu-24 ngemuva kokuthola i-IUD ngaphambi kokuba sesekhweni. Lesi sikhathi sokulinda sisiza umzimba wakho ukuthi uzilungiselele idivayisi.

Kubalulekile ukunaka indlela ozizwa ngayo. Abanye abantu bangase babe nokungakhululeki, ukubamba, noma ukuphuza okukhanyayo, okungathinta ukulungela kwabo ubulili. Isipiliyoni sabo bonke sihlukile, ngakho kubalulekile ukukhuluma nodokotela wakho ukuze uthole iseluleko esiyigugu. Bangakunika izincomo eziqondene nesimo sakho kanye nezinga lokukhululeka kwakho, bakusize wenze izinqumo ezinolwazi mayelana nempilo yakho yobulili ngemuva kokuthola i-IUD.

Ukuqonda ama-IUDs kanye nenqubo yokuwafaka

I-IUD (idivayisi yangaphakathi kwesisu) iyidivayisi encane, enesimo se-T yepulasitiki nekopha ebekwe ngaphakathi kwesisu ukuvimbela ukukhulelwa. Ingenye yezindlela ezisebenza kakhulu zokulawula ukubeletha isikhathi eside. Kunezinhlobo ezimbili ze-IUDs: ama-IUDs ekopha nama-IUDs ehormonal, ngalinye linikeza izindlela ezahlukene zokusebenza.

Isici

I-Copper IUD (ParaGard)

I-Hormonal IUD (Mirena, Skyla, Liletta)

Indlela Yokusebenza

Ikhipha ikhopha ukuvimbela ukunyakaza kwesperm nokuvimbela ukukhulelwa.

Ikhipha i-progestin hormone ukuqina i-cervical mucus futhi ingavimbela ukukhulelwa.

Ubude Bokusebenza

Kufikela eminyakeni eyi-10.

Iminyaka engu-3-7, kuye ngebrand.

Imiphumela Emibi

Izikhathi ezinzima kakhulu nokuqina, ikakhulukazi ezinyangeni ezimbalwa zokuqala.

Izikhathi ezilula, ukugeleza okuncane kwesikhathi, noma ngezinye izikhathi azikho izikhathi neze.

Ayina-hormonal noma i-Hormonal

Ayina-hormonal.

I-Hormonal.

Ubungozi Bokukhulelwa

Umathuba angaphansi kuka-1% okukhulelwa.

Umathuba angaphansi kuka-1% okukhulelwa.

Inqubo Yokufaka

Ihilela ukufaka idivayisi yekhopha nge-cervix iye esiswini.

Ihilela ukufaka idivayisi ehormonal nge-cervix iye esiswini.

Ukukhathalela Ngemuva Kokufaka

Ukuphuza nokuqina kungase kwenzeke, ikakhulukazi ezinyangeni ezimbalwa zokuqala.

Ukuphuza, ukuqina, noma izikhathi ezilula kungenzeka ngemuva kokufaka.

Isikhathi Sokulandela Ukufaka

Ngemuva kokufakwa kwe-IUD, kunezigaba ezimbalwa zokulungiswa ongalindela. Lezi zigaba zingase zihilele amazinga ahlukahlukene okuqina, ukuphuza, nokuhluka kwe-hormonal, konke lokhu kuyi-ngxenye yomzimba oluguqukela kudivayisi.

1. Ngokushesha Ngemuva Kokufaka (0-24 amahora)

Ngokushesha ngemuva kwenqubo, abantu abaningi baba nokuqina noma ukuphuza okukhanyayo, okuvamile ngokuphelele. Inqubo yokufaka ingabangela ukungakhululeki okuncane njengoba i-cervix ivuliwe, futhi i-IUD ifakwe ngaphakathi kwesisu. Abanye bangase bazizwe bekhanyile noma benesicanucanu emahora ambalwa ngemuva kokufaka. Kubalulekile ukuphumula kancane ehhovisi lomhlinzeki wezempilo ngaphambi kokuhamba. Umhlinzeki wakho angase aphakamise ukusebenzisa imithi yokunciphisa ubuhlungu efana ne-ibuprofen ukulawula noma yikuphi ukuqina.

2. Izinsuku Ezimbalwa Zokuqala (1-3 izinsuku)

Ezinsukwini ezimbalwa zokuqala ngemuva kokufaka, ukuqina kungaqhubeka, yize kufanele kuqale kunciphisa. Ukuphuza noma ukuphuza okuncane kuyinto evamile, futhi lokhu kungase kuhluke kusuka kokukhanya kuya kokulinganiselwe. I-IUD ehormonal ivame ukubangela ukuphuza okuncane nokuqina ngokuhamba kwesikhathi, kuyilapho i-IUD yekhopha ingase ibe nezikhathi ezinzima ekuqaleni. Ukuphumula nokuhlanza kungasiza, kodwa uma ubuhlungu bukhulu noma kukhona ukukhathazeka ngokuphuza okukhulu, kuhle ukuxhumana nomhlinzeki wakho wezempilo.

3. Amaviki Ambalwa Okuqala (1-4 amaviki)

Phakathi namaviki ambalwa okuqala, umzimba wakho uzoqhubeka ulungisa i-IUD. Ungase ube nokuphuza okungavamile noma ukuphuza njengoba isisu silungisa idivayisi. Ukuqina kungase kuqhubeke kuze kube inyanga, ikakhulukazi nge-IUD yekhopha, njengoba umzimba uqhelelana nento yangaphandle. Umyalelo wokulandela uhlale uhlelwe phakathi kweviki eli-1 kuya kweli-2 ngemuva kokufaka ukuqinisekisa ukuthi i-IUD ifakwe kahle futhi ayikashintshi.

4. Isikhathi Eside (1-3 izinyanga nangaphezulu)

Phakathi nezinyanga ezimbalwa ezilandelayo, ungase uqaphele izinguquko esikhathini sakho sokuya esikhathini. Labo abanayo i-IUD yekhopha bangase babe nezikhathi ezinzima kakhulu nezinzima, kodwa lokhu kuvame ukuthuthuka ngemuva kwezinyanga eziyi-3 kuya kwezi-6. Nge-IUD ehormonal, ungase ubona izikhathi ezilula noma azikho izikhathi neze ngemuva kwezinyanga ezimbalwa. Noma yikuphi ukungakhululeki noma ukuphuza kuvame ukunciphisa njengoba umzimba uqhelelana ngokuphelele. Kubalulekile ukulandelela noma yiziphi izinguquko esikhathini sakho sokuya esikhathini nokuthintana nomhlinzeki wakho wezempilo uma uhlangabezana nemiphumela emibi emibi, njengokuhlunguka kwesisu, ukushisa, noma ukukhishwa okungavamile, njengoba lokhu kungase kubonise izinkinga njengokutheleleka noma ukuhamba kwe-IUD.

Izici Ezithinta Ukuqala Kwezinto Zobudlelwane

  • Isikhathi sokuphulukisa sihluka kuye ngokuhlinzwa, ukubeletha, noma ukugula.

  • Ezinye izimo, njengokutheleleka, zingase zilibalele ukusebenza kobulili.

  • Ukuphulukisa izilonda, izintambo, noma ukuqina kwemisipha kungabangela ukungakhululeki.

  • Izindlela zokunciphisa ubuhlungu zingase zibe yadingeka ngaphambi kokuqala ubulili.

  • Ukuqina, ukukhathazeka, noma i-trauma kungathinta i-libido.

  • Ukuxhumana okuvulekile nomlingani kubalulekile.

  • Landela iseluleko sezokwelapha isikhathi esifanele sokuphulukisa.

  • Ukuhlolwa ngemuva kwenqubo kungakwazi ukunquma ukulungela.

  • Ukuphatha ukubeletha kungase kudingeke ngemuva kokubeletha noma ukuphumula.

  • Ezinye izinqubo, njengokufakwa kwe-IUD, zidinga izinyathelo ezengeziwe zokuqapha.

  • Wonke umuntu uphulukisa ngesivinini sakhe siqu.

  • Lalela umzimba wakho ngaphambi kokuqala ukusebenza kobulili.

Isifinyeto

Ukuqala kabusha ukusebenza kobulili kuyiphimbo lomuntu siqu elithinta ukuphulukisa komzimba, ukulungela ngokomzwelo, nesiqondiso sezokwelapha. Izici ezinjengokuphulukisa ezinqubweni, amazinga obuhlungu, nokuthuthukiswa kwengqondo zidlalela indima ekuqondeni ukuthi nini umuntu azizwa ekhululekile. Kubalulekile ukulalela umzimba wakho, ukuxhumana ngokukhululekile nomlingani, nokulandela iseluleko sezokwelapha ukuqinisekisa isipiliyoni esiphephile nesihle. Uhambo lwabantu ngabanye luhlukile, futhi asikho isikhathi esifanele noma esingalungile—okubaluleke kakhulu ukukhetha induduzo, impilo enhle, nokunakekela kwakho siqu.

Ikheli: 506/507, 1st Main Rd, Murugeshpalya, K R Garden, Bengaluru, Karnataka 560075

Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.

Yenziwe eNdiya, yomhlaba