Ngo-Ephreli 27, uDexter Tyler wazalelwa eFort Mitchell (Alabama / United States); Kwakuwukulethwa okuhleliwe okuhleliwe okwakuhlelwe ngumama wakhe nodokotela obelethisayo, ukuze angabeki engcupheni enye ingxenye yokuhlinzwa okuphuthumayo (njengoba kwenzeka ngomunye wabafowabo). Kepha ayikho le mininingwane efanelekile, ngoba okuhlaba umxhwele ngempela ukuthi uLucy Hellein wasebenzisa iMirena IUD, eyayifakwe ngo-Agasti 2016; futhi nokuningi: le divayisi ayibonanga ndawo, kuze kube yilapho bethola ukuthi ngemuva kokufuduka endaweni yayo yasekuqaleni, kwakungemuva kwe-placenta.
ULucy nomlingani wakhe bebengasafuni ezinye izingane, yize bejabule ngelungu elisha lomndeni. Njengoba sifundile eMetro, ukufakelwa kungasebenza kahle kuze kufike kuma-98%, uma kubekwe kahle; Noma kunjalo, Kunolwazi oluningi lokudalula nokungabaza okuningi ngalesi sihloko, sizozama ukubaphendula bonke ngezansi. Ngokwamagama abazali bakaDexter, umntwana "uyisibusiso" emndenini; futhi ukufika kwabo kudelile yonke imiqondo nokuqapha, kepha izingane eziningi zinjalo, "ngokungazelelwe zifika ezimpilweni zethu" bese sizibhekisa phezulu.
Bona ukuthi uLucy wayezethemba yini nge-IUD yakhe, angayazi kuze kube manje isonto le-18 lokukhulelwa ukuthi wayekhulelwe. Idivayisi ye-hormonal intrauterine (IUD) iyindlela elusizo yokuvimbela ukukhulelwa (kepha hhayi ekudlulisweni kwezifo ezithathelwana ngocansi). Limise okwe-T futhi lihambisana nesibeletho; iyabuyiselwa emuva uma isusiwe, futhi ukuze lokhu kokugcina kwenzeke, insimbi (eyenziwe ngopulasitiki othambile futhi oguquguqukayo) ifaka imicu emi-2 engxenyeni engezansi. Ihlala futhi isikhathi eside, ngoba ngokuhamba kwesikhathi, kukhishwa i-hormone efana ne-progesterone (ibizwa ngokuthi yi-progestin levonorgestrel). Isikhathi sokusebenza kwe-IUD cishe iminyaka eyi-5.
IMirena IUD: unemibuzo ngakho?
IMirena ayisebenzi nje kuphela futhi iyanethezeka, ibuye isetshenziselwe ukunciphisa ukuphuma kokuya esikhathini okunzima kakhulu, ngakho-ke okwesibili, ibuye ithuthukise nokushoda kwegazi ngenxa yalesi sizathu. Le IUD iyasebenza ngoba iyajiya "amafinyila" wesibeletho, ngakho-ke isidoda asikwazi ukudlula, futhi kwenza kube nzima ukuthi iqanda lifakwe (esimweni sokukhulelwa). Ukusebenza okwamanje kuthathwa njengokufana nokuvala inzalo (kubuyiselwa emuva kuphela). Ukuba wusizo kwalo kufakazelwa kusukela ngesikhathi sokufakwa, futhi lapho kudlula iminyaka emihlanu lapho kusebenza khona ngempumelelo, udokotela wezifo zabesifazane uzokwazi ukubeka enye.
Ukufakwa kwenziwa ngudokotela wezifo zabesifazane, imvamisa ngesikhathi sokuya esikhathini, noma lapho ukuhlukaniswa kwabantu sekudlulile (amasonto ayisithupha ngemuva kokubeletha). Ibekwa ngaphakathi kwesibeletho, kusetshenziswa isitho sangasese sowesifazane njengendlela. IMirena iphephile, nangaphambi kokukubeka, kwenziwa izivivinyo ezinjenge-ultrasound yangasese nokuhlola; ngale ndlela udokotela uyaqiniseka ukuthi azikho izinkinga zangaphambilini. Kunconywa ukuthi ulinde cishe izinsuku ezingama-4 ngaphambi kokuya ocansini, ngoba isibeletho sivuvukile futhi kungenzeka ukuthi ukufuduka kwensimbi kukhuphuke, futhi uma lokhu kwenzeka, ukusebenza kwayo kunciphile.
Ekubonisaneni bazokunika i-aphoyintimenti emasontweni ambalwa ngemuva kokubekwa, ukwenza ukubuyekeza; kanti okunye ukubuyekezwa kuhlelwa minyaka yonke.
Kwenzekani lapho iminyaka emi-5 isidlulile?
Ngemuva kweminyaka emi-5, idivayisi iphelelwa yisikhathi, ngakho-ke, ngaphandle kokuthi ufuna ukukhulelwa, kufanele ithathelwe indawo, kepha kusukela ngeviki ngaphambi kokunconywa ukusetshenziswa okuhambisanayo kwenye indlela yokuvimbela inzalo. Ingakhishwa nganoma yisiphi esinye isikhathi, ngaphambi kweminyaka yobudala emihlanu. Futhi kuleli cala, kufanele lihlanganiswe nezinye izindlela izinsuku ezimbalwa. Kufanele kube ngudokotela wezifo zabesifazane (mhlawumbe onolwazi ekusetshenzisweni kwama-IUDs) ongena esikhundleni noma asuse.
Okuqhamuka uma udla imishanguzo.
Ezinyangeni zokuqala ngemuva kokukufaka, ungaqaphela ukungakhululeki kwe-hormonal low, kodwa kunezimpawu ezithile zokuxwayisa okudinga ukubonwa ngudokotela:
- Ukungakhululeki kwezocansi.
- Ukukhishwa okukhulu kwesitho sangasese sowesifazane.
- Ukungakhululeki esiswini esingezansi.
- Umkhuhlane
- Ukuxoshwa (kubhekwa ukuthi ama-20% wezinto eziphilayo axosha i-IUD).
- Imicu mide noma ayibonakali
Ngaphezu kokucabanga okungenhla, ngeminyaka engaphezu kwengu-52, i-amenorrhea nokukhanya okushisayo, i-IUD izosuswa.
Ungayitholi i-IUD uma ...
Unayo i-endometriosis noma ukutheleleka komchamo; uma uhlushwa yiluphi uhlobo lomdlavuza noma izifo eziphindaphindayo; wopha esibelethweni ngaphandle kwesizathu ... Kunezizathu eziningana ezeluleka ngokubekwa kwe-IUD, thola kahle futhi wethembe udokotela wakho ozohlola udaba lwakho oluthile.
Ngigqoke iMirena, ngingakhulelwa?
IUD inganyakaza noma iwe, futhi ixoshwe, lokho kungenye yezimbangela zokukhulelwa, elinye iphutha elingu-2/1% lendlela yokuvimbela inzalo. Ukuze yize kungenzeka ukuthi ukhulelwe uyisebenzisa, akunakwenzeka neze. Uma usola ukuthi le divayisi "iwile", sebenzisa enye indlela yokuvimbela inzalo, uze uvakashele udokotela; kwenze futhi ngesikhathi se-ovulation, ukwandisa ukuvikelwa. Ngoba ukuphuma esikhathini kuya kuncipha kakhulu, akunakwethenjelwa ukuthembela ekungabikho kwayo ukuthola ukukhulelwa okungenzeka.
Njengoba ngikutshelile ngenhla, uLucy wayengazi kuze kube yisonto le-18 lokukhulelwa ukuthi ukhulelwe, kuyenzeka kaningi ukuthi kungabonakali, futhi kubuye kube yingozi enganeni, ngakho-ke odokotela bayayisusa uma kwenzeka. Lokhu kungenxa yokuthi ama-hormone angadala ukusebenza ngaphambi kwesikhathi noma ukukhulelwa kwesisu. Esinye isikhalazo mayelana nokukhulelwa yize ugqoke iMirena, ukuthi kukhona ingozi ethile ye- ukukhulelwa kwe-ectopic, etholwa ubuhlungu obukhulu kakhulu besisu, ngaphezu kwesicanucanu nokopha. Ekukhulelweni kwe-ectopic, kuvame ukubangelwa ukuhlala kwesibeletho kumashubhu we-fallopian.
Ngincoma ukubuka le vidiyo ngu-Alicia Rodríguez, ngesihloko esithi:
Kusala kimi ukuthi, maqondana ne-IUD, ehambelana nokuncelisa ibele, njengoba uNati echaze lapha. Futhi khumbula, awukwazi ukufaka izeluleko ozifundayo esikhundleni sezeluleko zochwepheshe, ungangabazi ukuya kudokotela wakho wezifo zabesifazane ukukusiza ukuthi uhlole ukuthi ingabe kulula yini ukugqoka le divayisi.
Imininingwane engaphezulu - UMirena