Yini i-Copper IUD: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Copper IUD iyithuluzi elincane, elinomumo we-T elibekwa udokotela wakho ngaphakathi esibelethweni sakho ukuvimbela ukukhulelwa. Ingenye yezindlela eziphumelela kakhulu zokulawula inzalo yesikhathi eside etholakalayo, esebenza iminyaka engama-10 uma isifakiwe. Leli thuluzi likhipha inani elincane le-copper, elidala imvelo engamukeleki ku-sperm futhi ivimbela ukukhulelwa ukuthi kwenzeke.

Yini i-Copper IUD?

I-copper IUD (ithuluzi elingaphakathi esibelethweni) iyindlela yokuvimbela ukukhulelwa engenawo ama-hormone elingangosayizi wekota uma ligoqiwe. Leli thuluzi linohlaka oluyipulasitiki oluyisimo se-T oligoqwe ngocingo oluncane lwethusi olwenza umsebenzi wokuvimbela ukukhulelwa. Ngokungafani nezindlela zokulawula inzalo ngama-hormone, alishintshi amazinga ama-hormone emvelo omzimba wakho.

I-copper IUD yaziwa nangegama layo lomkhiqizo elithi ParaGard e-United States. Ithathwa njenge-LARC (i-long-acting reversible contraceptive), okusho ukuthi inikeza ukuvikeleka iminyaka kodwa ingasuswa noma nini lapho ufuna ukuzama ukukhulelwa. Uma udokotela wakho eseyifakile, akudingeki ukuthi ucabange ngokulawula inzalo nsuku zonke.

Yini i-Copper IUD Esetshenziselwa Yona?

Ukusetshenziswa okuyinhloko kwe-copper IUD ukuvimbela ukukhulelwa iminyaka engama-10. Isebenza ngaphezu kuka-99% ekuvikeleni ukukhulelwa, okuyenza ibe enye yezindlela ezithembeke kakhulu zokulawula inzalo etholakalayo. Abesifazane abaningi bayayikhetha ngoba bafuna ukuvikeleka kwesikhathi eside ngaphandle kokukhumbula amaphilisi ansuku zonke noma imijovo yanyanga zonke.

I-copper IUD ingase futhi isebenze njengendlela yokuvimbela ukukhulelwa uma ifakwe zingakapheli izinsuku ezinhlanu ngemva kocansi olungavikelekile. Kulokhu, empeleni isebenza ngempumelelo kunezithako zokuvimbela ukukhulelwa eziphuthumayo. Ngaphezu kwalokho, abanye besifazane bayayikhetha ngoba ayinawo ama-hormone, okuyenza ilungele labo abangakwazi noma abangafuni ukusebenzisa izindlela zokulawula inzalo ngama-hormone.

Isebenza Kanjani i-Copper IUD?

I-IUD yethusi isebenza ngokukhipha amanani amancane e-ion yethusi esibelethweni sakho nasemashubeni e-fallopian. La ma-ion ethusi anobuthi ku-sperm namaqanda, avimbela ukukhulelwa ukuthi kwenzeke. Ithusi liphinde liqineze amafinyila akho omlomo wesibeletho, okwenza kube nzima ukuthi i-sperm ifinyelele eqandeni.

Lokhu kuthathwa njengendlela yokuvimbela ukukhulelwa enamandla amaphakathi ngoba inikeza ukuvikeleka okuqhubekayo ngaphandle kokudinga isenzo esivela kuwe. Ithusi lenza ukusabela okuvuvukalayo esibelethweni sakho okungalimazi kuwe kodwa kuvimbela ukukhulelwa. Uma ukukhulelwa kwenzeka (okuyivelakancane kakhulu), i-IUD yethusi futhi yenza kube nzima ukuthi iqanda elikhulelwe lizifake odongeni lwakho lwesibeletho.

Kufanele Ngilungiselele Kanjani Ukufakwa Kwe-Copper IUD?

Ngaphambi kokuthola i-IUD yethusi, uzodinga ukubonisana nomhlinzeki wakho wezempilo ukuze uqinisekise ukuthi ungumuntu ofanelekayo. Bazokwenza ukuhlolwa kwe-pelvic futhi bangahlola izifo ezithathelwana ngocansi. Akudingeki ukuthi uzile noma ugweme ukudla ngaphambi kwenqubo, futhi ungaqhubeka nokuthatha imithi yakho ejwayelekile.

Udokotela wakho angase ancome ukuthatha umbulali wezinhlungu ongaphezu kwe-counter njenge-ibuprofen cishe ihora ngaphambi kwesikhathi sakho sokuqokwa ukusiza ngokuqina. Abanye abahlinzeki baphinde batusa ukuhlela ukufakwa ngesikhathi sokuya esikhathini lapho umlomo wakho wesibeletho uvuleka ngokwemvelo. Kufanele uhlele ukuthi othile akuqhubele ekhaya uma ukhathazekile ngokuqina noma uzizwa ubuthakathaka ngemva kwenqubo.

Kufanele Ngiyigcine Isikhathi Esingakanani I-Copper IUD?

I-IUD yethusi ingahlala endaweni iminyaka engu-10, kodwa ungalisusa nganoma yisiphi isikhathi uma ufuna ukuzama ukukhulelwa noma uma uhlangabezana nezinkinga. Le divayisi ayilahlekelwa ukusebenza ngaphezu kwesikhathi, ngakho uvikelekile ngokulinganayo ngonyaka wokuqala njengoba unjalo ngonyaka weshumi.

Ngemva kweminyaka eyi-10, kuzodingeka ukuthi ususwe i-IUD futhi ungenza isinqumo sokufaka entsha ngokushesha uma ufuna ukuqhubeka nale ndlela yokuvimbela ukukhulelwa. Abanye besifazane bakhetha ukususwa kwe-IUD yabo ngaphambi kwesikhathi uma befuna ukukhulelwa, behlangabezana nemiphumela emibi, noma nje befuna ukuzama enye indlela yokuvimbela ukukhulelwa.

Yini Imiphumela Eceleni ye-Copper IUD?

Abesifazane abaningi bahlangabezana nokugcwala nokubona ngokushesha ngemuva kokufakwa kwe-copper IUD, okujwayelekile ngokuphelele. Lezi zimpawu zivame ukuthuthuka phakathi nezinsuku ezimbalwa kuya evikini. Izikhathi zakho nazo zingashintsha ngemuva kokuthola i-copper IUD, ngokuvamile ziba nzima noma zihlale isikhathi eside kunakuqala.

Nansi imiphumela ejwayelekile ongase uhlangabezane nayo:

• Ukuphuma kwegazi eliningi lokuya esikhathini
• Izikhathi ezinde
• Ukugcwala okubuhlungu kakhulu kwesikhathi
• Ukubona phakathi kwezikhathi
• Ukugcwala ngesikhathi samasonto ambalwa okuqala

Le miphumela eceleni ivame ukuthuthuka ngemuva kwezinyanga ezimbalwa zokuqala njengoba umzimba wakho ujwayela le divayisi. Kodwa-ke, uma izikhathi zakho ziba nzima kakhulu noma zibuhlungu, khuluma nomhlinzeki wakho wezempilo.

Ngenkathi kungavamile, ezinye izinkinga ezinzima zingenzeka ezidinga ukunakekelwa kwezempilo ngokushesha:

• Ukugwazwa kwesibeletho (kwenzeka ngaphansi kwe-1 kwabangu-1,000 ukufakwa)
• Ukuqothulwa kwedivayisi (kwenzeka cishe kuma-2-10% wabesifazane)
• Isifo sokuvuvukala kwamathambo e-pelvic (akuvamile kakhulu ngokufakwa okufanele)
• Ukukhulelwa kwe-ectopic (akuvamile kakhulu kodwa kudinga ukwelashwa okuphuthumayo)

Uma uhlangabezana nobuhlungu obukhulu, ukuphuma kwegazi eliningi, umkhuhlane, noma ungazizwa izintambo ze-IUD, xhumana nomhlinzeki wakho wezempilo ngokushesha.

Ubani Ongafanele Athole i-Copper IUD?

I-copper IUD ayifanele wonke umuntu, futhi umhlinzeki wakho wezempilo uzosiza ekunqumeni ukuthi ilungile yini kuwe. Abesifazane abanezimo ezithile zezokwelapha noma ukuguquguquka kwe-anatomical kungenzeka bangabi ngabakhethi abahle balolu hlobo lokuvimbela ukukhulelwa.

Akufanele uthole i-IUD yethusi uma une:

• Isifo samanje sokuvuvukala kwamathambo e-pelvic
• Ukuphuma kwegazi okungachazeki kwesitho sangasese sowesifazane
• Umdlavuza womlomo wesibeletho noma wesibeletho
• I-anemia enkulu
• Ukungezwani komzimba nethusi noma isifo sikaWilson
• Umhume wesibeletho osontekile

Udokotela wakho uzobuye acabangele izimo zakho zomuntu siqu, njengokuthi ngabe unabangane abaningi bobulili (okwandisa ingozi ye-STI) noma uma ungakaze ukhulelwe (okungase kwenze ukufakwa kube nzima).

Amagama Omkhiqizo we-Copper IUD

E-United States, i-copper IUD itholakala ikakhulukazi ngaphansi kwegama lomkhiqizo elithi ParaGard. Le yiyo kuphela i-copper IUD okwamanje evunywe yi-FDA ukuthi isetshenziswe e-US. I-ParaGard iqukethe ama-millimeter ayi-380 esikwele wentambo yethusi elukiweyo ngaphambi kwesiqu esiqondile sedivayisi emise okwe-T.

Ezinye izindawo zingase zibe nemikhiqizo ehlukene ye-copper IUD etholakalayo, kodwa i-ParaGard iyona i-copper IUD efundwe kakhulu futhi esetshenziswa emhlabeni wonke. Le divayisi ibilokhu itholakala e-US kusukela ngo-1988 futhi inerekhodi elide lokuphepha nokusebenza kahle.

Ezinye Izindlela Zokuthola I-Copper IUD

Uma i-copper IUD ingakulungele, kunezinketho eziningi zokuvimbela ukukhulelwa ezisebenza isikhathi eside okufanele uzicabangele. Ama-IUD e-hormonal afana ne-Mirena, Skyla, noma i-Liletta asebenza ngendlela efanayo kodwa akhipha i-progestin esikhundleni sethusi. Lokhu kungase kube ngcono uma unezikhathi ezinzima ngoba ngokuvamile zenza izikhathi zibe lula noma zizimisele ngokuphelele.

I-implant yokuvimbela ukukhulelwa (i-Nexplanon) enye inketho esebenza isikhathi eside eya engalweni yakho futhi ihlala iminyaka emithathu. Kulabo abakhetha izindlela zesikhathi esifushane, amaphilisi okulawula ukuzala, iziqeshana, izindandatho, noma imijovo nayo iyatholakala. Umhlinzeki wakho wezempilo angakusiza uqhathanise lezi zinketho ngokusekelwe endleleni yakho yokuphila, umlando wezokwelapha, nezintandokazi zakho.

Ingabe i-Copper IUD Ingcono Kune-Hormonal IUDs?

Noma ngabe i-IUD yethusi ingcono kune-IUD enama-hormone kuncike ezidingweni zakho kanye nezintandokazi zakho. I-IUD yethusi ilungele uma ufuna ukulawulwa kokuzalwa okungenama-hormone, ungakwazi ukubekezelela izikhathi ezinzima, futhi ufuna inketho ehlala isikhathi eside etholakalayo. Futhi kuyindlela enhle uma uke waba nokuhlangenwe nakho okungalungile ngokulawulwa kokuzalwa ngama-hormone esikhathini esidlule.

Ama-IUD anama-hormone angase abe ngcono uma unezikhathi ezinzima noma ezibuhlungu, ngoba avame ukwenza izikhathi zibe lula noma aziyeke ngokuphelele. Futhi ahlala iminyaka engu-3-7 ngokuya ngohlobo, okusengokwesikhathi eside. Abanye besifazane bakhetha ama-IUD anama-hormone ngoba angasiza ngezimo ezinjenge-endometriosis noma ukuphuma kwegazi okuningi kwesikhathi.

Zombili izinhlobo zisebenza kahle ngokulinganayo ekuvikeleni ukukhulelwa, ngakho-ke ukukhetha kuvame ukwehla ekutheni ufuna ukuthi le ndlela ithinte kanjani izikhathi zakho nokuthi ngabe ufuna ukugwema ama-hormone ngokuphelele.

Imibuzo Evame Ukubuzwa Mayelana ne-Copper IUD

Ingabe i-Copper IUD iphephile Kwabesifazane Abanezikhathi Ezinzima?

I-IUD yethusi kungenzeka ingabi yindlela engcono kakhulu uma usuvele unezikhathi ezinzima noma ezibuhlungu, njengoba ingenza lezi zimpawu zibe zimbi kakhulu. Ithusi libangela ukusabela okuvuvukalayo esibelethweni sakho okuvame ukuholela ekuphumeni kwegazi okuningi kwesikhathi kanye nokubamba okwengeziwe. Uma njengamanje unezikhathi ezinzima, umhlinzeki wakho wezempilo angase ancome i-IUD enama-hormone esikhundleni salokho, evame ukwenza izikhathi zibe lula.

Kodwa-ke, uma izikhathi zakho zijwayelekile futhi uzimisele ukwamukela ukwenzeka kokuphuma kwegazi okuningi ngokushintshana ngokuqeda ama-hormone, i-IUD yethusi isengaba yindlela enhle. Udokotela wakho angakusiza ukuthi ulinganise izinzuzo nezingozi ngokuya ngesimo sakho esithile.

Ngingenzani Uma Ngikhipha Ngengozi I-Copper IUD Yami?

Uma ngabe ukhipha i-IUD yakho yethusi ngengozi noma usola ukuthi ikhishiwe, awusavikelekile ekukhulelweni futhi kufanele usebenzise indlela yokuvimbela yokugcina ngokushesha. Xhumana nomhlinzeki wakho wezempilo ngokushesha ukuze uxoxe ngezinketho zakho futhi uhlele i-aphoyintimenti ukuze uqinisekise ukuthi idivayisi ayikho.

Ungazami ukufaka kabusha idivayisi ngokwakho, ngoba lokhu kungadala ukulimala okukhulu. Udokotela wakho uzodinga ukukuhlola ukuze aqinisekise ukuthi i-IUD ikhishwe ngokuphelele nokuthi azikho izingxenye ezisele ngaphakathi kwesibeletho sakho. Bangabe besexoxa ngokuthi bangafaka i-IUD entsha noma bakusize ukhethe enye indlela yokuvimbela ukukhulelwa.

Kufanele Ngenzeni Uma Ngiphuthelwa Ukuhlola Izintambo Zami Ze-IUD?

Kufanele uhlole izintambo zakho ze-IUD njalo ngenyanga ngemuva kokuya esikhathini ukuze uqinisekise ukuthi idivayisi isekhona. Uma uphuthelwe ukuzihlola isikhashana, ungangeni ekuqhumeni - vele uzihlole ngokushesha lapho ukhumbula. Zizwe ngomunwe wakho ohlanzekile eduze kwesitho sakho sokuzala ukuze uthole izintambo, okufanele zizizwe njengentambo yokudoba encane.

Uma ungazizwa izintambo, zingahle zinyukele esithweni sakho sokuzala noma i-IUD ingahle ishintshe. Xhumana nomhlinzeki wakho wezempilo ukuze uhlole isikhundla ngomsindo. Kuze kube yilapho uqinisekisa ukuthi i-IUD ibekwe kahle, sebenzisa indlela yokuvimbela yokugcina efana namakhondomu.

Ngingayikhipha nini i-IUD yami yethusi?

Ungayikhipha i-IUD yakho yethusi nganoma yisiphi isikhathi, nganoma yisiphi isizathu. Akudingeki ulinde kuze kube yilapho iphelelwa yisikhathi noma unikeze isizathu sokususwa. Izizathu ezivamile zokususa zifaka ukufuna ukukhulelwa, ukuzwa imiphumela emibi, noma ukukhetha enye indlela yokuvimbela ukukhulelwa.

Ukususa kuvame ukushesha futhi kungakhululeki kunokufakwa. Ukuzala kwakho kuvame ukubuyela kokujwayelekile ngokushesha ngemuva kokususwa, ngakho-ke sebenzisa indlela yokuvimbela yokugcina uma ungafuni ukukhulelwa ngokushesha. Uma ufuna ukuqhubeka nokuvimbela ukukhulelwa nge-IUD, udokotela wakho angakwazi ukufaka entsha ngesikhathi esifanayo.

Ngingakwazi yini ukuzivocavoca ngokujwayelekile nge-Copper IUD?

Yebo, ungabuyela kuyo yonke imisebenzi yakho ejwayelekile, okuhlanganisa nokuzivocavoca, uma uselule kahle ngemva kwenqubo yokufakwa. Abahlinzeki bezempilo abaningi batusa ukulinda amahora angu-24-48 ngemva kokufakwa ngaphambi kokuqala kabusha ukuzivocavoca okunzima ukuze uvumele isitho sakho sesibeletho sivaleke kahle futhi kunciphise ingozi yokutheleleka.

I-copper IUD ngeke iphazamise noma yiluphi uhlobo lokuzivocavoca noma umsebenzi womzimba uma isifakiwe. Abanye besifazane bakhathazeka ngokuthi le divayisi izonyakaza ngesikhathi sokuzivocavoca, kodwa lokhu akunakwenzeka. I-IUD yenzelwe ukuhlala endaweni ngesikhathi sayo yonke imisebenzi ejwayelekile, okuhlanganisa ukugijima, ukubhukuda, ukuphakamisa izinsimbi, nemidlalo yokuxhumana.