Created at:10/10/2025
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I-copper IUD, eyaziwa kakhulu ngegama elithi Paragard, iyithuluzi elincane elinomumo we-T elibekwa esibelethweni sakho ukuvimbela ukukhulelwa. Lisongwe ngocingo oluncane lwethusi oludala indawo lapho isidoda singakwazi ukusinda noma ukufinyelela eqandeni. Lokhu kwenza kube enye yezindlela zokulawula ukuzala ezisebenza kahle kakhulu zesikhathi eside ezitholakalayo, ezikuvikela ekukhulelweni iminyaka engama-10 ngokufakwa okukodwa nje.
I-copper IUD iyithuluzi elingenayo amahomoni elingaphakathi esibelethweni elinikeza ukulawulwa kokuzala kwesikhathi eside. Ithuluzi ngokwalo lingaba ngosayizi wekota futhi lenziwe ngepulasitiki eguquguqukayo elinomumo we-T. Okwenza libe likhethekile yocingo lwethusi olusongwe ngesiqu kanye nemikhono emincane yethusi engalweni ngayinye.
Ithusi likhipha amanani amancane ama-ion ethusi esibelethweni sakho. La ma-ion adala indawo enobuthi esidodeni, okuvimbela ukuthi singafinyeleli futhi sichumise iqanda. Ngokungafani nokulawulwa kokuzala ngamahomoni, i-copper IUD ayishintshi amazinga akho amahomoni emvelo, ngakho umjikelezo wakho wokuya esikhathini uvame ukuhlala unjalo.
I-Paragard iyona kuphela i-copper IUD etholakala e-United States. Isetshenziswe ngokuphepha yizigidi zabesifazane emhlabeni wonke amashumi eminyaka futhi ithathwa njengenye yezindlela ezithembeke kakhulu zokulawula ukuzala ezibuyisekayo ezitholakalayo namuhla.
Isizathu esiyinhloko sokukhetha i-copper IUD ukuvimbela ukukhulelwa ngempumelelo, isikhathi eside ngaphandle kwamahomoni. Isebenza ngaphezu kuka-99% ekuvikeleni ukukhulelwa, okwenza ithembeke kakhulu kunezithako zokulawula ukuzala, iziqeshana, noma izindandatho. Abesifazane abaningi bayayikhetha ngoba bafuna ukulawulwa kokuzala okungadingi ukunakekelwa kwansuku zonke noma ukuvakashelwa njalo kudokotela.
Ungase ucabange nge-copper IUD uma ungeke ukwazi noma ungafuni ukusebenzisa izindlela zokulawula inzalo ezinama-hormone. Abanye besifazane bathola imiphumela emibi evela kuma-hormone afana nokushintsha kwemizwa, ukukhuluphala, noma ukwehla kwesifiso sobulili. I-copper IUD inikeza ukuvikeleka okuphumelelayo ngesikhathi ivumela umzimba wakho ukuthi ugcine ibhalansi yawo yemvelo yama-hormone.
Futhi iyindlela enhle kakhulu uma ufuna ukulawula inzalo engabuyiselwa ngokushesha. Ngokungafani nezinqubo zokuhlinzwa, i-copper IUD ingasuswa nganoma yisiphi isikhathi, futhi inzalo yakho ivamise ukubuyela kokujwayelekile ezinyangeni ezimbalwa.
Abanye besifazane bakhetha i-copper IUD ukuze bathole ukulawula inzalo okuphuthumayo. Uma ifakwe zingakapheli izinsuku ezinhlanu zocansi olungavikelekile, ingavimbela ukukhulelwa bese iqhubeka nokuhlinzeka ngokuvikeleka kwesikhathi eside. Lokhu kuyenza iphumelele kakhulu kunezibhebhe zokulawula inzalo eziphuthumayo ngenjongo.
Inqubo yokufaka ngokuvamile ithatha imizuzu engaba ngu-10-15 futhi yenziwa ehhovisi likadokotela wakho. Umhlinzeki wakho wezempilo uzoqala ukwenza ukuhlolwa kwe-pelvic ukuze ahlolisise isikhundla nosayizi wesibeletho sakho. Bazophinda bahlole izifo ezithathelwana ngocansi uma ungahlolwanga muva nje.
Ngesikhathi sokufakwa, uzoqala ukulala etafuleni lokuhlolwa ngezinyawo zakho kuma-stirrups, okufana ne-Pap smear. Udokotela wakho uzoqala ukufaka i-speculum ukuze abone intamo yesibeletho sakho ngokucacile. Bese bezohlanza intamo yesibeletho sakho nesitho sangasese sowesifazane ngesisombululo se-antiseptic ukuvimbela ukutheleleka.
Okulandelayo, umhlinzeki wakho uzoqala ukukala ukujula kwesibeletho sakho esebenzisa ithuluzi elincanyana elibizwa ngokuthi umsindo. Lokhu kuqinisekisa ukuthi i-IUD ifakwe ngendlela efanele. Bese bezosebenzisa ithumbu elikhethekile lokufaka ukuze liqondise i-IUD egoqiwe ngentamo yesibeletho sakho bese lingene esibelethweni sakho, lapho livuleka khona libe yisimo se-T.
Inqubo yokufaka ingabangela ukuqaqamba nokungakhululeki, okufana nokuqaqamba okukhulu kwesikhathi. Abanye besifazane nabo bazwa isiyezi, isicanucanu, noma ukuquleka ngesikhathi senqubo. Lezi zimpawu zivamile futhi zivame ukudlula ngemizuzu embalwa ngemuva kokuthi ukufakwa kuqediwe.
Ngemuva kokufakwa, udokotela wakho uzosika izintambo ezilenga ku-IUD yakho zingene esithweni sakho sangasese. Lezi zintambo zivumela ukususwa kalula kamuva futhi zikusiza ukuthi uhlole ukuthi i-IUD isekhona yini endaweni. Cishe uzophumula imizuzu embalwa ngaphambi kokuba uhambe.
Ukuhlela ukufakwa kwakho ngesikhathi noma ngemuva nje kwesikhathi sakho kungenza inqubo ikhululeke kakhulu. Intamo yesibeletho sakho ithambile ngokwemvelo ngesikhathi sokuya esikhathini, okungenza ukufakwa kube lula. Kuqinisekisa futhi ukuthi awukhulelwe ngesikhathi sokufakwa.
Thatha umuthi wokwelapha ubuhlungu ongaphandle kwekhawunta cishe imizuzu engama-30-60 ngaphambi kwesikhathi sakho sokuqokwa. I-Ibuprofen noma i-naproxen zisebenza kahle ngoba zinciphisa kokubili ubuhlungu nokuvuvukala. Udokotela wakho angase futhi ancome ukuthatha umthamo wesibili ngemuva kwenqubo ukuze ulawule ukuqaqamba.
Cabanga ngokuba nomuntu okuqhubela ukuya nokubuya esikhathini sokuqokwa. Ngenkathi abesifazane abaningi bengazishayela bona ekhaya, abanye bazwa isiyezi noma ukuqaqamba okunamandla okwenza ukushayela kungakhululeki. Ukuba nosizo kungakusiza ukuthi uzizwe ukhululekile ngemayelana nenqubo.
Yidla ukudla okulula ngaphambi kwesikhathi sakho sokuqokwa ukuvimbela isicanucanu noma ukuquleka. Gwema ukuhlela ukufakwa uma ucindezelekile noma ungadlanga, ngoba lokhu kungakwenza ukuthi uzizwe unqamuka ngesikhathi senqubo.
Xoxa nganoma yikuphi ukukhathazeka nodokotela wakho ngaphambili. Uma ukhathazeke kakhulu ngobuhlungu, buza ngezinketho zokuthulisa intamo yesibeletho noma ezinye izindlela zokunethezeka. Abanye abahlinzeki banikeza imithi yokukhathazeka noma ukuphathwa kobuhlungu okwengeziwe ezigulini ezinovalo.
Impumelelo nge-copper IUD ayilinganiswa ngemiphumela yokuhlolwa kwendabuko kodwa ngokubekwa okufanele kanye nokuvimbela ukukhulelwa okuphumelelayo. Udokotela wakho uzoqinisekisa ukubekwa okulungile ngokushesha ngemva kokufakwa esebenzisa i-ultrasound noma ngokuhlola ukuthi izintambo zibonakala futhi zibekwe kahle.
Uzoba nokuqokwa okulandelayo emavikini angu-4-6 ngemva kokufakwa ukuze uqinisekise ukuthi i-IUD isesimweni esifanele. Udokotela wakho uzohlola ubude bentambo futhi angase enze i-ultrasound ukuze aqinisekise ukubekwa. Lokhu kuqokwa kubalulekile ngoba ama-IUD ngezinye izikhathi angashintsha noma axoshwe, ikakhulukazi ezinyangeni ezimbalwa zokuqala.
Ekhaya, ungafaka i-IUD yakho njalo ngenyanga ngokuzwa izintambo. Ngemva kokuya esikhathini sakho, faka umunwe ohlanzekile esithweni sakho sangasese bese uzwa izintambo ezimbili ezincane ezivela emqaleni wakho wesibeletho. Izintambo kufanele zizizwe zithambile futhi ziguquguquka, hhayi kanzima noma zicijile.
Uma ungazizwa izintambo, zizwa zinde noma zifushane kunokujwayelekile, noma uma uzwa ipulasitiki eliqinile le-IUD ngokwayo, xhumana nodokotela wakho ngokushesha. Lokhu kungaba yizimpawu zokuthi i-IUD isuke endaweni yayo noma ixoshiwe.
Ukuphatha okuhlangenwe nakho kwakho kwe-copper IUD kugxila ekuqondeni izinguquko ezijwayelekile nokwazi ukuthi ungathola nini usizo. Abesifazane abaningi bahlangabezana nokuya esikhathini okunzima kakhulu kanye nokubamba okunamandla, ikakhulukazi ezinyangeni zokuqala ezingu-3-6 ngemva kokufakwa. Lokhu kuyindlela yomzimba wakho yokuphendula kudivayisi.
Ungaphatha ukuya esikhathini okunzima kakhulu ngokusebenzisa ama-tampon anokumuncwa okuphezulu noma izinkomishi zokuya esikhathini, noma ngokuhlanganisa imikhiqizo ehlukene. Abanye besifazane bathola ukuthi ukuya esikhathini kwabo kuba lula ngemva kwezinyanga ezimbalwa zokuqala njengoba umzimba wabo uzivumela ku-IUD.
Ngokubamba, izidambisi zokubanda ezithengiswa ngaphandle kwemithi zisebenza kahle. Ukwelashwa ngokushisa, ukuzivocavoca okulula, kanye namasu okuphumula nakho kungasiza. Uma ukubamba kuba kubi kakhulu noma kuphazamisa imisebenzi yansuku zonke, xhumana nomhlinzeki wakho wezempilo.
Landela izikhathi zakho kanye nanoma yiziphi izimpawu ezikhathazayo. Ngenkathi ukuphuma kwegazi okungajwayelekile kuvamile ekuqaleni, ukuphuma kwegazi okuqhubekayo okukhulu, ubuhlungu obukhulu, noma izimpawu zokutheleleka kufanele zihlolwe udokotela wakho ngokushesha.
Okuhlangenwe nakho okungcono kakhulu kwe-copper IUD kwenzeka lapho le divayisi ibekwe kahle futhi umzimba wakho uzivumela kahle ukuba khona kwayo. Abesifazane abaningi bathola ukuthi ngemva kwesikhathi sokuqala sokuzivumelanisa nezimo sezinyanga ezi-3-6, i-IUD iba cishe ingabonakali ekuphileni kwansuku zonke.
Abantu abafanelekayo be-copper IUD ngabesifazane abafuna ukulawulwa kokuzala okungahlali isikhathi eside, okungenayo amahomoni futhi abangakhathali ngezikhathi ezinzima. Abesifazane asebebe nezingane ngokuvamile bazivumela kalula, nakuba i-IUD isebenza kahle nakwabesifazane abangazange babe nezingane futhi.
Imiphumela emihle kakhulu yenzeka lapho abesifazane benethemba eliqotho mayelana nesikhathi sokuzivumelanisa nezimo futhi benakekela ukulandela njalo. Ukuqonda ukuthi ezinye izinguquko emjikelezweni wakho zivamile kukusiza ukuthi uhlukanise phakathi kwemiphumela elindelekile nezinkinga ezidinga ukunakekelwa kwezokwelapha.
Abesifazane abenza kahle nge-copper IUD bavame ukwazisa imvelo ethi
Ukuba nesibeletho esithambekele kakhulu noma ama-fibroids esibeletho kungenza ukufakwa kube nzima futhi kwandise ingozi yokubekwa okungafanele. Udokotela wakho uzohlola i-anatomy yakho ngesikhathi sokuhlolwa kokuqala ukuze anqume ukuthi lezi zinto zingase zithinte isipiliyoni sakho se-IUD.
Isifo sikaWilson, isifo esingavamile se-genetic esithinta i-metabolism yethusi, siyisiphikiso kuma-IUD ethusi. Ithusi elengeziwe elivela kudivayisi lingase lenze lesi simo sibe sibi kakhulu, ngakho-ke abesifazane abanalesi sifo kufanele bakhethe ezinye izindlela zokuvimbela inzalo.
Ubudala akudingeki ukuthi kube yingozi, kodwa abesifazane abancane abangakabi nabantwana bangase bahlangabezane nokungakhululeki okwengeziwe ngesikhathi sokufakwa futhi babe namazinga aphakeme kancane okuxoshwa kwe-IUD ngonyaka wokuqala ngemva kokufakwa.
Ukukhetha phakathi kwe-copper IUD nokuvimbela inzalo okune-hormonal kuncike ezidingweni zakho zempilo, indlela yokuphila, nezintandokazi zakho. Ama-IUD ethusi angcono uma ufuna ukugwema ama-hormone ngokuphelele ngenkathi usenokuvimbela inzalo okuphumelela kakhulu okuhlala iminyaka.
Izindlela ze-hormonal zingase zibe ngcono uma unezikhathi ezinzima kakhulu noma ezibuhlungu, njengoba izindlela eziningi zokuvimbela inzalo ezinama-hormone zingenza izikhathi zibe lula futhi zingabi buhlungu. Ama-IUD ethusi ngokuvamile enza izikhathi zibe nzima, okungase kwenze izinkinga ezikhona zokuya esikhathini zibe zimbi kakhulu.
Cabangela i-copper IUD uma ufuna ukuzivikela ekukhulelweni okungadingi ukunakwa kwansuku zonke noma ukuvuselelwa kwemithi njalo. Futhi kuyindlela enhle kakhulu uma uke wahlangabezana nemiphumela emibi evela ekulawuleni ukuzalwa kwe-hormonal njengokushintsha kwemizwa, ukukhuluphala, noma ukwehla kokushayela ngocansi.
Ukuvimbela inzalo okune-hormonal kungase kukhethwe uma ukhathazekile ngenqubo yokufaka noma ungafuni ukubhekana nezikhathi ezingase zibe nzima. Amaphilisi, iziqeshana, nezindandatho nazo kulula ukuziyeka uma unquma ukuthi awuzithandi.
Zombili izinketho zisebenza kahle kakhulu uma zisetshenziswa ngendlela efanele, kodwa ama-IUD anenzuzo ngoba akukho iphutha lomsebenzisi elibandakanyekayo. Uma selifakiwe, i-copper IUD inikeza ukuvikeleka okuqhubekayo ngaphandle kokuthi ukhumbule ukuthatha iphilisi noma ukufaka esinye isiqeshana.
Ngenkathi ama-copper IUD ngokuvamile ephephile, kubalulekile ukuqonda izinkinga ezingaba khona ukuze ukwazi ukubona izimpawu zokuxwayisa. Abesifazane abaningi bahlangabezana nemiphumela emincane kunokuba kube nezinkinga ezinzima, kodwa ukwazi ukuthi yini okufanele ukuyibheke kusiza ekuqinisekiseni ukwelashwa okusheshayo uma kudingeka.
Imiphumela ejwayelekile, elawulekayo ihlanganisa izikhathi ezinzima kakhulu kanye nama-cramps aqinile okuya esikhathini. Lokhu kuvame ukuthuthuka ngemva kwezinyanga ezimbalwa zokuqala njengoba umzimba wakho uzivumela. Abanye besifazane nabo baba nokubona phakathi kwezikhathi, ikakhulukazi ezinyangeni ezimbalwa zokuqala ngemva kokufakwa.
Izinkinga ezingathi sína kodwa ezingavamile zingenzeka, futhi lezi zidinga ukunakekelwa kwezokwelapha ngokushesha:
Lezi zinkinga azivamile, kodwa ukubona izimpawu ezifana nobuhlungu obukhulu, ukuphuma kwegazi okuningi, umkhuhlane, noma ukukhipha okungavamile kusiza ekuqinisekiseni ukuthi uthola ukunakekelwa okufanele ngokushesha.
Ngezikhathi ezingavamile, i-copper IUD ingabangela ukusabela komzimba kubantu besifazane abanezifo zokungezwani nezinto eziqukethe ithusi. Lokhu kungase kuvele njengezinduna zesikhumba, ukukhipha okungavamile, noma ubuhlungu obuqhubekayo be-pelvic obungathuthuki ngesikhathi.
Kufanele uthinte umhlinzeki wakho wezempilo ngokushesha uma uhlangabezana nobuhlungu obukhulu besinqe, ikakhulukazi uma kuhambisana nomkhuhlane, amaqhwa, noma ukukhipha okungajwayelekile. Lokhu kungaba yizimpawu zokutheleleka noma ezinye izinkinga ezidinga ukwelashwa ngokushesha.
Ukuphuma kwegazi okuningi okumanzisa iphedi noma i-tampon njalo ngehora amahora amaningana, noma ukuphuma kwegazi okuqhubeka isonto lonke, kudinga ukunakekelwa kwezokwelapha. Ngenkathi ukwanda kokopha kuvamile ngama-IUD ethusi, ukuphuma kwegazi okweqile kungabonisa inkinga.
Uma ungazizwa izintambo ze-IUD yakho ngesikhathi sokuhlolwa kwakho kwanyanga zonke, noma uma izintambo zizwa zinde noma zifushane kunokujwayelekile, bona udokotela wakho. Lokhu kungasho ukuthi i-IUD isuke yashintsha indawo noma yakhishwa, ikushiye ungenakuvikeleka ekukhulelweni.
Izimpawu zokukhulelwa ngenkathi une-IUD zidinga ukuhlolwa kwezokwelapha ngokushesha. Nakuba kungavamile, ukukhulelwa kungenzeka nge-IUD endaweni, futhi lesi simo sidinga ukuphathwa ngokucophelela. Izimpawu zihlanganisa ukuphuthelwa yizikhathi, isicanucanu, ubuhlungu bebele, noma ukuhlolwa kokukhulelwa okuhle.
Hlela ama-aphoyintimenti okuqapha njengoba kunconywe ngumhlinzeki wakho wezempilo. Lokhu kuvame ukwenzeka emasontweni angu-4-6 ngemva kokufakwa, bese kuthi ngonyaka noma njengoba kudingeka. Ukuhlolwa njalo kusiza ukuqinisekisa ukuthi i-IUD yakho ihlala endaweni efanele futhi awuthuthukisi izinkinga.
Yebo, i-copper IUD ilungele ukulawula ukukhulelwa kwesikhathi eside futhi isebenza ngaphezu kuka-99% ekuvikeleni ukukhulelwa. Uma isifakiwe, i-Paragard inikeza ukuvikelwa okuqhubekayo iminyaka engu-10 ngaphandle kokudinga ukunakekelwa kwansuku zonke noma ukuvakashelwa kwemithi njalo. Ingenye yezindlela ezithembeke kakhulu zokulawula ukukhulelwa okubuyisekayo ezitholakalayo.
Ngokungafani namaphilisi okulawula ukuzalwa adinga ukuthathwa nsuku zonke, i-copper IUD iqeda iphutha lomsebenzisi njengembangela yokwehluleka kokuvimbela inzalo. Lokhu kuyenza ilungele ikakhulukazi abesifazane abafuna ukuvimbela inzalo esebenza kahle kakhulu ngaphandle komthwalo wokukhumbula imithi yansuku zonke.
Yebo, ama-copper IUD ngokuvamile abangela ukuphuma kwegazi okuningi nokuqaqamba okunamandla, ikakhulukazi ezinyangeni zokuqala ezi-3-6 ngemva kokufakwa. Lokhu kwenzeka ngoba ithusi lenza izinguquko emgqeni wakho wesibeletho ezingakhuphula ukugeleza kokuya esikhathini futhi kubangele ukuqaqamba okukhulu.
Abesifazane abaningi bathola ukuthi ukuya kwabo esikhathini kuba lula ngemva kwesikhathi sokuqala sokulungisa, nakuba kungase kuqhubeke kunzima kunangaphambi kwe-IUD. Uma ukuphuma kwegazi kuba nzima ukukulawula noma uthola i-anemia, udokotela wakho angakusiza ukuthi uhlole izinketho zokwelashwa noma ucabange ukususwa kwe-IUD.
Yebo, ama-copper IUD angasuswa nganoma yisiphi isikhathi ngumhlinzeki wezempilo ngenqubo elula yehhovisi. Ukususwa ngokuvamile kuyashesha futhi akukhona okungakhululeki njengokufakwa, kuthatha imizuzu embalwa nje. Ukuzala kwakho kuvamela ukubuyela kokujwayelekile ezinyangeni ezimbalwa ngemva kokususwa.
Akudingeki ukuthi ugcine i-IUD iminyaka engu-10 ephelele uma izidingo zakho zokuvimbela inzalo zishintsha. Noma ngabe ufuna ukukhulelwa, zama enye indlela yokulawula ukuzalwa, noma uhlangabezana nemiphumela emibi, ukususwa kuyindlela ehlala ikhona.
Cha, ama-copper IUD awawathinti amazinga akho emvelo e-hormone. Ngokungafani nezindlela zokulawula ukuzalwa ngama-hormone, i-copper IUD isebenza endaweni yangakini esibelethweni sakho ngaphandle kokukhipha ama-hormone egazini lakho. Umjikelezo wakho wokuya esikhathini wemvelo nokukhiqizwa kwama-hormone akushintshi.
Lokhu kwenza ama-IUD e-copper abe yindlela enhle kwabesifazane abafuna ukugwema imiphumela engemihle yamahomoni efana nokushintsha kwemizwa, ukukhuluphala, noma ukwehla kwesifiso sobulili. Uzoqhubeka nokukhipha amaqanda njalo futhi uzwe ukuguquguquka kwakho kwemvelo kwamahomoni kuyo yonke imjikelezo yakho.
Yebo, ama-IUD e-copper aphephe ngokuphelele omama abancelisayo. Njengoba le divayisi ingakhiphi amahomoni, ngeke ithinte ukukhiqizwa noma ikhwalithi yobisi lwakho. I-IUD ye-copper ingafakwa ngokushesha ngemva kwamasonto angu-4-6 ngemva kokubeletha, okuyenza ibe yindlela elula yokuvimbela ukukhulelwa komama abasanda kuzalwa.
Abahlinzeki bezempilo abaningi batusa ama-IUD e-copper kwabesifazane abancelisayo ngoba banikeza ukuvimbela ukukhulelwa okuphumelela kakhulu ngaphandle kokuphazamisa ukuncelisa. Le divayisi futhi inikeza ukuvikeleka kwesikhathi eside, okusiza ngesikhathi esimatasa ngemva kokubeletha lapho ukukhumbula ukuvimbela ukukhulelwa kwansuku zonke kungaba inselele.
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