Yini i-Contraceptive Implant? Inhloso, Inqubo & Imiphumela

I-contraceptive implant iyintonga encane, eguquguqukayo ngosayizi womentshisi efakwa ngaphansi kwesikhumba sengalo yakho engenhla ukuvimbela ukukhulelwa. Le divayisi encane ikhipha ama-hormone kancane emzimbeni wakho iminyaka emithathu, okuyenza ibe enye yezindlela eziphumelela kakhulu zokulawula ukuzala ezitholakalayo namuhla.

Cabanga ngayo njengesixazululo sesikhathi eside esisebenza buthule ngemuva. Uma isifakiwe, akudingeki ukhumbule amaphilisi ansuku zonke noma ukhathazeke ngokulawula ukuzala iminyaka eminingi. I-implant iphumelela ngaphezu kuka-99% ekuvikeleni ukukhulelwa, okusho ukuthi abesifazane abangaphansi kuka-1 kwabayi-100 bazokhulelwa ngenkathi beyisebenzisa.

Yini i-contraceptive implant?

I-contraceptive implant iyintonga eyodwa eguquguqukayo eyenziwe ngomgogodla oqukethe i-hormone etonogestrel, ezungezwe ngengubo ekhethekile elawula indlela i-hormone ekhishwa ngayo. Uhlobo oluvamile yi-Nexplanon, elilinganisa cishe amasentimitha angu-4 ubude no-2 millimeters ububanzi.

Le divayisi encane isebenza ngokukhipha umthamo ozinzile, ophansi we-progestin yokwenziwa egazini lakho. I-hormone ivimbela ukuvuthwa kwamaqanda, iqhubeka nokujiya kwama-mucus omlomo wesibeletho ukuze ivimbele isidoda, futhi inciphisa umugqa wesibeletho sakho. Zonke lezi zenzo zisebenza ndawonye ukuvimbela ukukhulelwa ngempumelelo enkulu.

I-implant yenzelwe ukuthi ibuyiselwe ngokuphelele. Uma ufuna ukukhulelwa noma ungasayifuni i-implant, udokotela wakho angayisusa nganoma yisiphi isikhathi, futhi inzalo yakho ivamise ukubuyela kokujwayelekile emasontweni ambalwa.

Kungani kwenziwa i-contraceptive implant?

Abesifazane bakhetha ama-contraceptive implants ikakhulukazi ukuze bavikeleke ekukhulelweni isikhathi eside, okuthembekile ngaphandle kokunakekelwa kwansuku zonke. Kuyathakazelisa ikakhulukazi uma ufuna ukulawula ukuzala okusebenzayo kodwa uba nenkinga yokukhumbula ukuthatha amaphilisi nsuku zonke noma ukhetha ukungasebenzisi izindlela zokuvimbela.

Lo mshini unikeza izinzuzo eziningi eziwenza afaneleke ezimweni eziningi zempilo. Ungase uwucabange uma uhlela ukuhlukanisa ukukhulelwa, ukuhlehlisa ukuba nezingane, noma uqede umndeni wakho kodwa ungalungile ngokuqeda inzalo unomphela. Futhi kuyindlela enhle kakhulu yabesifazane abangakwazi ukusebenzisa izindlela zokuvimbela inzalo ezinama-estrogen ngenxa yezimo zempilo.

Abahlinzeki bezempilo bavame ukuncoma izimishini kwabesifazane abafuna ukuvimbela ukukhulelwa okungaphazamisi ubudlelwano obungazelelwe. Ngokungafani namakhondomu noma ama-diaphragm, akukho okufanele ukufake noma ukukhumbule ngomzuzu, okunganciphisa ukukhathazeka futhi kuthuthukise ulwazi lwakho.

Yini inqubo yokufaka umshini wokuvimbela inzalo?

Ukuthola umshini wokuvimbela inzalo kuyinqubo esheshayo, esesitolo evame ukuthatha ngaphansi kwemizuzu eyi-10. Umhlinzeki wakho wezempilo uzoxoxa ngomlando wakho wezokwelapha futhi aqinisekise ukuthi awukhulelwe ngaphambi kokuqhubeka nokufakwa.

Nakhu okwenzekayo ngesikhathi senqubo yokufaka:

1. Udokotela wakho uzohlanza ingalo yakho engenhla futhi ajove i-anesthetic yendawo ukuze aqede indawo yokufaka
2. Esebenzisa i-applicator ekhethekile, bazofaka umshini ngaphansi kwesikhumba sakho ngaphakathi kwengalo yakho engathathi hlangothi
3. Uzokwazi ukuzwa umshini ngaphansi kwesikhumba sakho, kodwa ngeke ubonakale kwabanye
4. Udokotela wakho uzosebenzisa ibhandishi lokucindezela futhi akunike imiyalelo yokunakekelwa ngemuva
5. Yonke inqubo yenziwa ngenkathi uvukile futhi uzizwa ukhululekile

Abesifazane abaningi bachaza ukufakwa njengokuzizwa sengathi bathola umgomo. I-anesthetic yendawo yenza inqubo ingabi nobuhlungu, nakuba ungase uzwe ingcindezi ethile noma ukungakhululeki okuncane. Uzokwazi ukubuyela emisebenzini evamile ngokushesha, nakuba udokotela wakho angase ancome ukugwema ukuphakamisa okunzima usuku noma ezimbili.

Ungalungiselela kanjani inqubo yakho yokufaka umshini wokuvimbela inzalo?

Ukulungiselela ukufakwa kwe-implant yakho kulula futhi akudingi izinguquko ezinkulu zokuphila. Ukulungiselela okubaluleke kakhulu ukuhlela i-aphoyintimenti yakho ngesikhathi esifanele emjikelezweni wakho wokuya esikhathini ukuze uqinisekise ukuthi awukhulelwe.

Umhlinzeki wakho wezempilo cishe uzoncoma lezi zinyathelo ezilula zokulungiselela:

\n
• Hlela inqubo phakathi nezinsuku ezinhlanu zokuqala zokuya esikhathini uma kungenzeka
\n
• Gwema ukuthatha imithi eqeda igazi njenge-aspirin izinsuku ezimbalwa ngaphambi kokufakwa
\n
• Gqoka ihembe elikhululekile elivumela ukufinyelela kalula engalweni yakho engenhla
\n
• Yidla ukudla okuvamile ngaphambi kwe-aphoyintimenti yakho ukuze ugweme ukuzizwa unesiyezi
\n
• Letha uhlu lwazo zonke izidakamizwa nezithasiselo ozenzayo njengamanje
\n

Akudingeki ukuthi uzile noma wenze amalungiselelo akhethekile okuthutha ngoba uzobe uqaphile ngokugcwele ngemva kwenqubo. Kodwa-ke, kuyasiza ukuba nomuntu ozokuqhubela uma ukhathazekile ngokuqondene nezinqubo zezokwelapha, njengoba lokhu kungakusiza ukuba uzizwe ukhululekile futhi usekelwe.

Ungawafunda kanjani imiphumela yakho ye-contraceptive implant?

Ngokungafani nokuhlolwa kwegazi noma ezinye izinqubo zezokwelapha,

Isilinganiso sangempela sempumelelo siza ezinyangeni ezilandelayo neminyaka ezayo. Iningi labesifazane lithola ukuthi izikhathi zabo ziba lula, zingajwayelekile, noma ziyeka ngokuphelele, okujwayelekile futhi akulimazi. Cishe owesifazane oyedwa kwabathathu uyeka ukuba nezikhathi ngokuphelele ngenkathi esebenzisa i-implant, kanti abanye bangase babe nokuchitheka okungajwayelekile noma ukopha.

Ungayiphatha kanjani indlela yakho yokusebenzisa i-contraceptive implant?

Ukuphatha impilo nge-contraceptive implant ngokuvamile kulula ngoba isebenza ngokuzenzakalelayo uma isifakiwe. Kodwa-ke, ukuqonda okulindelekile nokuthi ungazisingatha kanjani imiphumela emibi kungakusiza uzizwe uqiniseka futhi ukhululekile ngokukhetha kwakho.

Ukulungiswa okuvame kakhulu kuhilela izinguquko emjikelezweni wakho wokuya esikhathini. Abanye besifazane bahlangabezana nokopha okungajwayelekile, ikakhulukazi ezinyangeni ezimbalwa zokuqala. Lokhu kuvame ukuzinza, kodwa ungalandelela amaphethini akho okopha ukuze uqonde kangcono ukusabela komzimba wakho futhi uxoxe nganoma yiziphi izinkathazo nomhlinzeki wakho wezempilo.

Uma uhlangabezana nemiphumela emibi efana nezinguquko zemizwa, ikhanda, noma ubumnene bebele, lokhu kuvame ukuthuthuka ngemva kwezinyanga ezimbalwa zokuqala njengoba umzimba wakho uzivumela e-hormone. Kodwa-ke, unganqikazi ukuxhumana nodokotela wakho uma imiphumela emibi ikukhathaza noma ibonakala inkulu.

Yini imiphumela emihle kakhulu ye-contraceptive implant?

Umphumela ongcono kakhulu nge-contraceptive implant ukuvimbela ukukhulelwa ngempumelelo ngemiphumela emibi encane engaphazamisi impilo yakho yansuku zonke. Iningi labesifazane lihlangabezana nalesi simo esifanele, ne-implant esebenza buthule ngemuva ngenkathi beqhubeka nemisebenzi yabo ejwayelekile.

Abesifazane abaningi bayayazisa nezinzuzo ezengeziwe ezingaphezu kokuvimbela ukukhulelwa. Abanye bathola ukuthi izikhathi zabo ziba lula futhi zibuhlungu kancane, okungathuthukisa izinga labo lempilo. Abanye bajabulela inkululeko evela emisebenzini yansuku zonke yokuvimbela ukukhulelwa, ukusondelana okuzenzakalelayo ngaphandle kokukhathazeka, nokuthula kwengqondo okuhambisana nokulawulwa kokuzalwa okuphumelela kakhulu.

Ukufakelwa kuthathwa njengokuphumelela kakhulu uma uzizwa ukhululekile nganoma yiziphi izinguquko zokuya esikhathini, ungaqali ukuzwa imiphumela emibi, futhi uzizwe uqiniseka ngokukhetha kwakho ukulawula inzalo. Ukuhlolwa njalo nodokotela wakho kungasiza ekuqinisekiseni ukuthi uthola okuhle kakhulu kokuhlangenwe nakho kokufakelwa kwakho.

Ziyini izici eziyingozi zokuhluleka kokufakelwa kokulawula inzalo?

Ngenkathi ukufakelwa kokulawula inzalo kuvamile ukuthi kuphephe kakhulu, izimo zempilo ezithile nezici zomuntu siqu zingakhuphula ingozi yakho yezinkinga noma zikwenze ukufakelwa kungakulungele. Ukuqonda lezi zici eziyingozi kukusiza wena nodokotela wakho ukuthi nenze isinqumo esingcono kakhulu sesimo sakho.

Izimo eziningana zezokwelapha zingakhuphula ingozi yakho yezinkinga ngokufakelwa:

• Okwamanje noma umlando wamagazi emilenzeni, emaphashini, noma emehlweni
• Isifo sesibindi noma izimila zesibindi
• Ukuphuma kwegazi okungachazeki
• Okwamanje noma umlando womdlavuza wamabele
• Ukucindezeleka okukhulu noma izinkinga zemizwa
• Ukuthatha imithi ethile ethinta amazinga e-hormone

Indlela yakho yokuphila nomlando wakho wezempilo womuntu siqu nazo zidlala indima ekunqumeni ukuthi ukufakelwa kulungele yini wena. Abesifazane ababhemayo, abakhuluphele kakhulu, noma abanomlando womndeni wamagazi kungenzeka badinge ukuqashwa okwengeziwe noma bangazuza ezindleleni zokulawula inzalo ezingezinye.

Ingabe kungcono ukuba nokufakelwa kokulawula inzalo noma ezinye izindlela zokulawula inzalo?

Noma ngabe ukufakelwa kokulawula inzalo kungcono kunezinye izindlela zokulawula inzalo kuncike ngokuphelele ezidingweni zakho zomuntu siqu, indlela yokuphila, nesimo sempilo. Ukufakelwa kuvelela ekusebenzeni kahle nasekulula, kodwa ezinye izindlela zingakulungela kangcono kuye ngokuthi yini oyibeka kuqala.

Lo mshini ulungele uma ufuna ukulawula inzalo ethi “beka ukhohlwe” enokusebenza kahle okuphezulu. Ulungele abesifazane abahlushwa yimikhuba yansuku zonke yamaphilisi, abafuna ukuvimbela ukukhulelwa isikhathi eside, noma abangathandi ukuphazamisa izikhathi ezithinta inhliziyo ngezindlela zokuvimbela. Ubude beminyaka emithathu bukwenza kube nenzuzo ngokuhamba kwesikhathi.

Nokho, ezinye izindlela zingase zibe ngcono uma ufuna ukugcina izikhathi zakho zivamile, ukhetha izinketho ezingenayo amahomoni, noma udinga ukuguquleka ngokushesha. Amaphilisi okulawula inzalo anikeza ukulawula okwengeziwe komjikelezo, kuyilapho izindlela zokuvimbela ezinjengamakhondomu zinikeza ukuvikelwa kwe-STI okungahlinzekwa umshini.

Ziyini izinkinga ezingase zibe khona zokufakelwa kokuvimbela inzalo?

Izinkinga ezinzima ezivela ekufakweni kokuvimbela inzalo azivamile, kodwa kubalulekile ukuqonda ukuthi yiziphi izimpawu okufanele ziqashelwe nokuthi nini okufanele ufune ukwelashwa. Abesifazane abaningi basebenzisa izimila ngaphandle kokuba nezinkinga ezinkulu, kodwa ukwaziswa kukusiza ukuthi uzizwe uqiniseka ngokwengeziwe ngesinqumo sakho.

Imiphumela emibi ejwayelekile, engathí sina abesifazane abaningi abayitholayo ihlanganisa:

• Ukuphuma kwegazi okungavamile noma ukubonakala kwegazi
• Ukulimala okwesikhashana noma ubuhlungu endaweni yokufaka
• Ukukhathazeka okuncane noma izinguquko zemizwa
• Ukuthamba kwamabele
• Ukukhuluphala okuncane (nakuba lokhu kungakafakazelwa ukuthi kubangelwa ngqo umshini)

Lezi zivame ukuthuthuka njengoba umzimba wakho uzivumela amahomoni, ngokuvamile ezinyangeni ezimbalwa zokuqala. Nokho, uma zinzima noma zingathuthuki, udokotela wakho angakusiza ukuthi unqume ukuthi uzoqhubeka yini nomshini noma ucabange ukususwa.

Izinkinga ezingavamile kodwa ezinzima ezidinga ukwelashwa ngokushesha zihlanganisa:

• Izimpawu zokutheleleka endaweni yokufakwa (ukubomvu okukhulayo, ukufudumala, ubomvu, noma imigqa ebomvu)
• Ukuhamba kokufakelwa kusuka endaweni yokuqala noma ukuba nzima ukuzwa
• Ubuhlungu obukhulu besisu obungabonisa ukukhulelwa okungaphandle kwesibeletho
• Izimpawu zamahlule egazi (ubuhlungu emlenzeni, ubuhlungu esifubeni, ukuphefumula kanzima)
• Ukucindezeleka okukhulu noma izinguquko zemizwa

Uma uhlangabezana nanoma yiziphi lezi zimpawu, xhumana nodokotela wakho ngokushesha. Nakuba lezi zinkinga zingavamile, ukunakekelwa kwezokwelapha okusheshayo kungavimbela izinkinga ezingathi sína futhi kuqinisekise ukuphepha kwakho.

Kufanele ngibone nini udokotela ngezinkinga zokufakelwa kokuvimbela inzalo?

Kufanele uthinte umhlinzeki wakho wezempilo uma uhlangabezana nanoma yiziphi izimpawu ezikukhathazayo noma ezibonakala zingavamile, ngisho noma zingaveli ohlwini olujwayelekile "lwezimpawu zokuxwayisa". Thembela emizweni yakho ngomzimba wakho, futhi unganqikazi ukufuna isiqondiso lapho okuthile kungazizwa kahle.

Hlela i-aphoyintimenti ngokushesha uma uqaphela noma yiziphi lezi zimpawu ezikhathazayo:

• Ukuphuma kwegazi okukhulu okumanzisa iphedi noma i-tampon njalo ngehora amahora amaningana
• Ubuhlungu obukhulu noma obuqhubekayo endaweni yokufakwa
• Izimpawu zokutheleleka njengomkhuhlane, ama-chills, noma ukubomvu okukhulayo ngasefayeleni
• Awusakwazi ukuzwa ukufakelwa ngaphansi kwesikhumba sakho
• Izimpawu ezingase zibe khona zokukhulelwa njengokucasuka, ukuba nobumnene kwamabele, noma izikhathi ezingaphuthelwe (uma uvame ukuba nazo)

Kufanele futhi ufinyelele uma uhlangabezana nemiphumela emibi ethinta kakhulu impilo yakho yansuku zonke, njengokushintsha kwemizwa okukhulu, ikhanda eliqhubekayo, noma amaphethini okuphuma kwegazi akukhathazayo. Udokotela wakho angasiza ekunqumeni ukuthi lokhu kuyizilungiso ezijwayelekile noma izimpawu zokuthi ukufakelwa akuyona inketho efanele kuwe.

Khumbula ukuthi ama-aphoyintimenti okulandelayo avamile abalulekile futhi. Umhlinzeki wakho wezempilo ngokuvamile uzofuna ukukubona emasontweni ambalwa ngemuva kokufakwa ukuze ahlole ukuthi ujwayela kanjani, bese ngonyaka ukuze aqaphe impilo yakho yonke futhi axoxe nganoma yiziphi izinkathazo ongase ube nazo.

Imibuzo evame ukubuzwa mayelana nokufakelwa kokuvimbela inzalo

Q1: Ingabe ukuhlolwa kokufakelwa kokuvimbela inzalo kulungile ekutholeni ukukhulelwa?

Ukufakelwa kokuvimbela inzalo ngokwako akuyona indlela yokuhlola ukukhulelwa, kodwa kunalokho iyithuluzi elivimbela ukukhulelwa. Uma usola ukuthi ungase ukhulelwe ngenkathi usebenzisa ukufakelwa, uzodinga ukuhlolwa kokukhulelwa okuhlukile usebenzisa umchamo noma igazi.

Ngenkathi ukukhulelwa kungavamile kakhulu ngokufakelwa (ngaphansi kwabesifazane abangu-1 kwabangu-100), kungenzeka. Uma weqa izikhathi oqhelelene nazo, uhlangabezana nesicanucanu, ububele bebele, noma ezinye izimpawu zokukhulelwa, thatha ukuhlolwa kokukhulelwa bese uthintana nomhlinzeki wakho wezempilo. Ukufakelwa akulimazi ukukhulelwa okuthuthukayo, kodwa kufanele kususwe uma ukhulelwe.

Q2: Ingabe ukufakelwa kokuvimbela inzalo kubangela ukukhuluphala?

Ucwaningo lubonisa ukuthi ukufakelwa kokuvimbela inzalo akubangeli ngqo ukukhuluphala okukhulu kwabesifazane abaningi. Izifundo zemitholampilo zathola ukuthi abesifazane abasebenzisa ukufakelwa bazuza inani elifanayo lesisindo kulabo abasebenzisa izindlela ezingezona ze-hormonal, okusikisela ukuthi noma yiziphi izinguquko zesimo somzimba kungenzeka zibangelwa izinto ezijwayelekile zempilo kunokufakelwa ngokwako.

Nokho, abanye besifazane babika ukuzizwa sengathi bakhuluphala ngenkathi besebenzisa ukufakelwa. Lokhu kungenzeka ngenxa yezinguquko esifisweni, ukugcinwa kwamanzi, noma ezinye izinto. Uma ukhathazekile mayelana nezinguquko zesimo somzimba ngemuva kokuthola ukufakelwa, xoxa ngalokhu nomhlinzeki wakho wezempilo ongakusiza ukuthi uqonde ukuthi yini ejwayelekile futhi uthuthukise amasu okulondoloza isisindo esinempilo.

Q3: Ingabe ukufakelwa kokuvimbela inzalo kungahamba emzimbeni wami?

Isithako sokuvimbela inzalo senzelwe ukuhlala endaweni yaso uma sifakwe ngendlela efanele, kodwa ezimweni ezingavamile, singahle sisuke kancane endaweni yaso yasekuqaleni. Lokhu kuvamile ukwenzeka uma isithako singafakwanga ngokujula okwanele noma uma kwaba khona ukulimala okukhulu endaweni.

Kufanele ukwazi ukuzwa isithako sakho njengentonga encane, eqinile ngaphansi kwesikhumba sakho. Uma ungasazizwa, uma kubonakala sengathi sihambile kakhulu, noma uma uqaphela noma yiziphi izigaxa ezingavamile noma amaqhuqhu endaweni, xhumana nomhlinzeki wakho wezempilo ngokushesha. Bangathola isithako besebenzisa i-ultrasound uma kunesidingo futhi banqume ukuthi kudingeka yini ukuthi siphinde sibekwe noma sisuswe.

Q4: Kuthatha isikhathi esingakanani ukukhulelwa ngemva kokususwa kwesithako?

Abesifazane abaningi babuyela ekuvundeni kwabo okuvamile emasontweni ambalwa ngemva kokususwa kwesithako sokuvimbela inzalo. Amazinga e-hormone ayancipha ngokushesha uma isithako sesisusiwe, futhi ukuvuthwa kwamaqanda kuvamile ukuqala phakathi nenyanga eyodwa noma emibili.

Noma kunjalo, isikhathi sokukhulelwa siyahlukahluka kakhulu phakathi kwabantu ngabanye, njengoba kwenza nakwabesifazane abangazange basebenzise izindlela zokuvimbela inzalo ngama-hormone. Abanye besifazane bakhulelwa ngokushesha ngemva kokususwa, kanti abanye bangase bathathe izinyanga eziningana ukukhulelwa. Ubudala bakho, impilo yonke, nezinye izinto zidlala indima enkulu kakhulu esikhathini sokukhulelwa kunokusebenzisa kwakho isithako ngaphambilini.

Q5: Ngingathola i-MRI ngesithako sokuvimbela inzalo?

Yebo, ungafunda ngokuphepha i-MRI scan ngesithako sokuvimbela inzalo endaweni. Isithako se-Nexplanon asinawo ama-component ensimbi angaphazamisa ukucabanga kwe-MRI noma abangele ukukhathazeka ngokuphepha ngesikhathi senqubo.

Noma kunjalo, kufanele ngaso sonke isikhathi wazise umhlinzeki wakho wezempilo kanye nochwepheshe be-MRI ukuthi unesithako sokuvimbela inzalo ngaphambi kokuskena. Bangase bafune ukubhala ubukhona bayo nendawo yayo, futhi kwezinye izimo, isithako singase sibonakale ezithombeni ze-MRI, ezingaba usizo ngempela ekuqinisekiseni ukubekwa kwayo okufanele.