Ngomhla wama-27 kuTshazimpuzi, uDexter Tyler wazalelwa eFort Mitchell (Alabama / United States); Yayilutyando olucetyiweyo awayevumelene ngalo ngumama wakhe nogqirha wokubelekisa, ukuze angabeki esichengeni sotyando olungxamisekileyo (njengoko kwenzekile komnye wabantakwabo). Kodwa akukho nanye kwezi nkcukacha ezifanelekileyo, kuba eyona nto imangalisayo kukuba uLucy Hellein wasebenzisa i-Mirena IUD, eyayifakwe ngo-Agasti 2016; kwaye ngakumbi: isixhobo asizange sivele naphi na, de bafumanise ukuba emva kokuba besukile kwindawo yayo yokuqala, yayisemva kweplacenta.
ULucy neqabane lakhe abazange bafune abantwana bangakumbi, nangona bevuyiswa lilungu elitsha lentsapho. Njengoko sifundile kwiMetro, ukufakelwa kunokufikelela kwi-98% esebenzayo, ukuba ibekwe ngokufanelekileyo; nangona kunjalo, Kukho ulwazi oluninzi lokutyhila kunye nemibuzo emininzi ejikeleze esi sihloko, siya kuzama ukuyiphendula yonke ingezantsi. Ngokutsho kwabazali bakaDexter, usana “luyintsikelelo” entsatsheni; kwaye ukufika kwabo kuchasene nayo yonke ingqiqo kunye nokulumka, kodwa iintsana ezininzi zinjalo, "ngequbuliso zihlala ebomini bethu" kwaye zibaguqule.
Jonga ukuba uLucy wayezithembile na nge-IUD yakhe, awayengayazi de kube Iveki ye-18 yokumitha ukuba ukhulelwe. Isixhobo se-hormonal intrauterine device (IUD) yindlela yoqingqo-nzala eluncedo ekuthinteleni ukukhulelwa (kodwa hayi ekusasazekeni kweZifo ezosulela ngokwabelana ngesondo). I-T-shaped kwaye ihambelana nesibeleko; Iyabuyiselwa umva ukuba isusiwe, kwaye ukwenza okokugqibela kwenzeke, isixhobo (esenziwe ngeplastiki ethambileyo kunye neguquguqukayo) idibanisa imicu ye-2 phantsi. Kwakhona ixesha elide, kuba ekuhambeni kwexesha, ihomoni efana neprogesterone ikhutshwa (ibizwa ngokuba yi-levonorgestrel progestin). Ubude bexesha lokusebenza kwe-IUD malunga neminyaka emi-5.
I-Mirena IUD: ngaba unamathandabuzo ngayo?
I-Mirena ayisebenzi kuphela kwaye ikhululekile, ikwasetyenziselwa ukunciphisa ukopha kakhulu ukuya exesheni, ke okwesibini, ikwaphucula i-anemia ngenxa yesi sizathu. Le IUD iyasebenza kuba yenza “umfinyi” womlomo wesibeleko ube ngqindilili, ukuze amadlozi angakwazi ukudlula kuwo, kwaye yenza kube nzima ukuba iqanda lifakele (ukuba liqhama). Ukusebenza okwangoku kujongwa njengokufana nokuvala inzala (ibuyiselwa umva kuphela). Ukusebenziseka kwayo kuye kwangqinwa ukususela ekufakweni kwayo, kwaye xa iminyaka emi-5 idlula ngokusebenzayo, i-gynecologist iya kukwazi ukubeka enye.
Ukufakelwa kwenziwa yi-gynecologist, ngokuqhelekileyo ngexesha lokuya esikhathini, okanye xa i-quarantine idlulile (iiveki ezi-6 emva kokubeleka). Ifakwe ngaphakathi kwisibeleko, isebenzisa isondo njengendlela. I-Mirena ikhuselekile, kwaye ngaphambi kokuyibeka, iimvavanyo ezifana ne-ultrasound yangasese kunye nokuhlola zihlala zenziwa; Ngale ndlela ugqirha uyaqinisekisa ukuba akukho zingxaki zangaphambili. Kunconywa ukuba ulinde malunga neentsuku ezi-4 ngaphambi kokulala ngesondo, ekubeni isibeleko sivutha kwaye amathuba okufuduka kweso sixhobo ayanda, kwaye ukuba oko kwenzeka, ukusebenza kwayo kuyancipha.
Kuthethwano baya kukunika idinga kwiiveki ezimbalwa emva kokubekwa, ukwenza uphononongo; kunye nolunye uphononongo lucwangciswe ngonyaka.
Kwenzeka ntoni xa iminyaka emi-5 idlulile?
Emva kweminyaka emi-5, isixhobo siphelelwa, ngoko ke, ngaphandle kokuba ufuna ukukhulelwa, kufuneka uyitshintshe, kodwa iveki ngaphambi kokuba kucetyiswa. sebenzisa enye indlela yokuthintela ukukhulelwa ukongeza. Inokurhoxiswa nangaliphi na elinye ixesha, phambi kweminyaka emihlanu. Kwakhona kule meko kufuneka kudityaniswe nezinye iindlela iintsuku ezimbalwa. Kufuneka itshintshwe okanye isuswe ngugqirha wezifo zabafazi (kungcono ukuba ube namava okusebenzisa ii-IUDs).
Imiphumela.
Kwiinyanga zokuqala emva kokuyisebenzisa, unokuqaphela ukuphazamiseka kwehomoni ephantsi, kodwa kukho iimpawu ezilumkisayo abafuna unyango:
- Ukungonwabi kubudlelwane bezesondo.
- Ukukhutshwa kwelungu lobufazi kuninzi kakhulu.
- Ukungakhululeki kumazantsi esisu.
- Ifiva.
- Ukugxothwa (kucingelwa ukuba i-20% yezinto eziphilayo zikhupha i-IUD).
- Imisonto mide okanye ayibonakali
Ukongeza kwiingqikelelo zangaphambili, Ukuba ungaphezulu kweminyaka engama-52 ubudala, une-amenorrhea kunye nobushushu obukhanyayo, i-IUD iya kususwa.
Musa ukufumana i-IUD ukuba...
Unayo endometriosis okanye usulelo lomchamo; ukuba uphethwe naluphi na uhlobo lomhlaza okanye usulelo oluphindaphindiweyo; une-hemorrhages kwisibeleko ngaphandle kwesizathu esicacileyo ... Kukho izizathu ezininzi ezicebisa ngokuchasene nokubekwa kwe-IUD, kwaziswa kakuhle kwaye umthembe ugqirha wakho oya kuvavanya imeko yakho ethile.
Ndinxibe iMirena, ndingamitha?
I-IUD inokushukuma okanye iwe, kwaye igxothwe, leyo yenye yezinto ezinokubangela ukukhulelwa, enye yimpazamo ye-2/1% kwindlela yocwangciso. Lo nto Nangona kunokwenzeka ukuba ukhulelwe usebenzisa yona, akunakwenzeka. Ukuba ukrokrela ukuba isixhobo "siwile," sebenzisa enye indlela yokuthintela ukukhulelwa de utyelele ugqirha; Kwakhona yenze ngexesha le-ovulation, ukwandisa ukukhuselwa. Ngenxa yokuba ukuphuma kwegazi kuyehla kakhulu, Akuthembekanga ukuthembela kukungabikho kwayo ukufumanisa ukukhulelwa okunokwenzeka.
Njengoko ndikuxelele ngasentla, uLucy wayengazi kude kube yiveki ye-18 yokukhulelwa ukuba wayekhulelwe, ihlala ingabonakali, kwaye ibeka umngcipheko kumntwana, ngoko oogqirha bayayisusa ukuba iyenzeka. Oku kungenxa yokuba iihomoni zinokubangela ukuzalwa kwangaphambi kwexesha okanye ukuphuphuma kwesisu. Esinye isikhalazo malunga nokukhulelwa nangona ugqoke i-Mirena, kukuba kukho umngcipheko othile ukukhulelwa kwe-ectopic, ebonwa ngeentlungu ezibuhlungu kakhulu zesisu, kunye nesicaphucaphu kunye nokopha. Ukukhulelwa kwe-ectopic ngokuqhelekileyo kwenzeka xa iqanda lihlala kwimibhobho yesibeleko.
Ndincoma ukubukela le vidiyo ngu-Alicia Rodríguez, ngesihloko:
Kusele ukuba nditsho, malunga ne-IUD, ukuba iyahambelana nokuncancisa, njengoko uNati echaza apha. Kwaye khumbula, awunakuthatha indawo yengcebiso oyifundileyo ngeengcebiso zobuchwephesha, ungalibazisi ukuya kwi-gynecologist yakho ukukunceda ukuba uvavanye ukuba kukulungele na ukunxiba esi sixhobo.
Iinkcukacha ezithe xaxe - UMirena