Yintoni IUDs engcono? Izimvo IUD

Ngaphezulu kwama-60 ezigidi. Abafazi ehlabathini bakhetha oku kuthetha yokhuseleko ekukhulelweni yi intrauterine. Ziziphi IUDs engcono, kuba kuzinza ixesha elide kangakanani, nokuba yinto ebuhlungu? Le miba umdla abafazi abaninzi.

ngezigaba Navy

Olu hlobo lokusetyenziswa zocwangciso kwama-16% ssiyskih rozhenschin yobudala okuzala. Ukuze ufumanise okulungileyo malunga IUD, elikhusela kakuhle ekukhulelweni into, kufuneka uyazi into ngaphandle kwesisa uwele zingathengwa kurhwebo lwasekhaya. Kukho iintlobo ezininzi izicwangcisi intrauterine:

• non-sonyango;
• -Isizukulwana yokuqala amayeza - "Multiload", "Nova", "Juno Bio";
• isizukulwana sesithathu sonyango - "Mirena".

Yokuqala zenziwe zokwenziwa kunye kongezwe barium sulfate. Baya kuza iimilo ezahlukeneyo: i T-ezimilise okanye S-ezimile. Oku iyasilela IUDs. Izimvo oogqirha ingxelo ukuba okwangoku ukusetyenziswa ngenxa kubunzima rhoqo ukudumba emva intshayelelo zabo.

Iqela lesibini ibandakanya IUD (izixhobo intrauterine) equka copper, igolide, nesilivere. Ngoko kusenokuba kukho intsimbi eyodwa okanye indibanisela: ngentonga - isilivere kwemicimbi - ubhedu. IUDs isiliva kunye nezinye zesinyithi musani ezinokudla, isandla ekuthinteleni ukudumba ezahlukeneyo eveze lwangaphakathi kwaye ufake kwi ixesha elide - iminyaka emi-5.

Zokucwangcisa ezinxulumene iqela lesithathu, ngendlela efana engaphambili, kodwa iqulathe isikhongozeli kunye Progestogen zokwenziwa, ephuma ngeedosi micro - ukuya ku-20 mg yonke imihla. Ezi ahamba azibekwa iminyaka 7. Kufuneka nje kuphela isiphumo ithile yokuthintela ngokuthi ziyibuyisela umva le uncamathiselo beqanda aqhamileyo, kodwa asetyenziselwa ukunyanga izifo ezahlukeneyo: endometriosis, kukuba iveza zesibeleko ukopha kwaye ngexesha therapy replacement kwamadlala kunye estrogen ukuthintela hyperplasia endometrial. siba enjalo ifanele amabhinqa intiyo yonqulo kusukela ekukhulelweni akwenzeki ngenxa yotshintsho balance kwamadlala phantsi kwempembelelo ukukhululwa progestogens rhoqo.

indlela isenzo

Ukulungisa ngcono umbuzo oko IUDs, kufuneka ukwazi indlela asebenza. Le ndlela yokuthintela kukhokelela ekubeni komtshiso ezithile iphuhlise njenge osabela ngayo umzimba langaphandle: leukocyte afunxwe utshintsho morphological endometrial ukuba yayintsha kumjikelo eqhelekileyo sexesheni, kwaye apho ukusungulwa iqanda akwenzeki.

Navy ebangela izishunqulelo zesibeleko, kuthintela ukwanda yesiqhelo endometrium ngenxa umzila beqanda, ikhuthaza peristalsis le tubes kwaye nefuthe elibi ion isidoda sobhedu, igolide nesilivere.

Kufuneka Abaziqiqa zonke ngobhalo ukusebenza kangakanani zokuthintela ukukhulelwa, indlela amanyathelo ali inamacandelo eziliqela.

buhle

Ukuze ufumanise ukuba yeyiphi na IUD yeyona elungileyo, kufuneka bawuqhele iingenelo zonke iintlobo IUDs:

• ukusebenza ukuya kuma-98%;
• elula isicelo;
• ubuncinane basabele ezibi;

• ekubuyiselweni ubuchule umgquba emva kokuba ukususwa IUD ngaphakathi ngenyanga yokuqala;
• It awehlelwa ukusuka lokuncancisa (asihambelani Navy kunye progestins);
• kuqaliswa ixesha elide;
• ixabiso eliphantsi;
• akukho mfuneko yokuba ulawulo yonke imihla iipilisi kunye nokusetyenziswa lolawulo xa usebenzisa zokucwangcisa ngomlomo.

ukushiyeka

Phakathi ukushiyeka kufuneka kuqatshelwe tsala iintlungu esiswini, ngakumbi kule mihla yokuqala, exesheni enzima, kukho ingozi ephezulu ukudumba, ulawulo rhoqo phezu amabhovu, izithintelo kwabasetyhini abasebatsha.

Izimo

Ziziphi IUDs ngcono "Multiload", "Juno Bio", "Nova"? Nokuba kukho Izimo kwiintlobo ezithile ezijikeleze? Kufuneka kuqatshelwe ukuba zonke iintlobo babe Izimo isalamane kunye elipheleleyo.

Izimo Absolute ziquka ukudumba etsolo, umhlaza, nangezilonda entanyeni nomzimba isibeleko, ukopha lobufazi yendalo ongaziwayo, kuba okanye ukukhulelwa okhoyo. Xa ezi mpawu intshayelelo ezijikeleze contraindicated ngokupheleleyo.

Izimo Relative - ezi mpawu apho IUD kulawulo mhlawumbi emva kokuba kugqitywe uviwo efanelekileyo okanye unyango, okanye xa yokucwangcisa akayi kuba negalelo ukuqhubela phambili le nkqubo. Zezi:

• exacerbation lwezifo ezingapheliyo, yaye kwiinyanga ezintandathu emva kokuba unyango;
• Izifo ezidluliselwa ngeentlobano zesini;
• cervicitis, හසුරුව isiphathi;
• ndaba enzima, ukopha intermenstrual;
• hyperplasia okanye endometrial polyp;
• fibroids wesizalo kunye iindawo submucosal indawo;
• oluthile endometriosis;
• malformations ze isibeleko: nokungaphuhli, isakhiwo engaqhelekanga;
• utshintsho wesibeleko, apho akunakwenzeka ukuba IUD kufakwe;
• pregnancy iinyanga ezintandathu phambi kokwaziswa;
• ukugxothwa (Self-nitsala) imbali Navy;
• iingxaki esosulelayo-ukudumba emva isisu ngexesha kwiinyanga ezintathu ezidlulileyo;
• Ukuba a lot of nabo ngesondo;
• Izifo somatic: ukudumba ezingapheliyo, kuqukwa tuberculosis; sifo okanye coagulopathy; isifo sentliziyo rheumatism, iziphene vana kwefowuni;
• aleji ion yesinyithi;
• Westphal, isifo Wilson kaThixo - isifo ilifa, leyo iphazamisane ngokutshintshiselana zobhedu;
• Unyango immunosuppressive.

Kwimeko nganye, emva kokuba ukucaciswa zonke izinto ezingalunganga kunye uviwo ngokucokisekileyo ugqirha luchaza ukuba ukusetyenziswa IUD. Pharmacy athengisele ezahlukeneyo kwezixhobo intrauterine. iiphakheji Photo uchazwe apha ngasentla. iindleko zabo isusela ukusuka engange-200 ukuya 10,000.

Eemviwo phambi ulawulo Helix

Ngaphambi kokuba usebenzise le ndlela zokucwangcisa kufuna thethwano ngamnye ugqirha wakho kunye nokwenziwa kobuncincane obufunwa ngophengululo:

• ICBC;
• Ukuhlolwa komsebenzi sezintso ;
• ahlolelwe negcushuwa, ihepatitis B no-C,-HIV-buyo;
• Colposcopy eside;
• Ultrasound zoviwo wesibeleko kunye ezihlobene.

Ukuqaliswa kwe-IUD

Ngokutsho iingcali WHO, isantya inokusetyenziswa naluphi na usuku, kodwa kwiintsuku kuFeliks iintsuku 4-7 ukuba sexesheni. Oku kuchazwe kukuba wathi inwebu kwiinwebu isibeleko ebuyiselwayo emva kokukhatywa endometrium, wesibeleko lwavuleka kancinane, ubukho sexesheni - uphawu oluthembekileyo ukungabikho yokukhulelwa, yophela encinci ezenzeka emva kokuba intshayelelo, musa ukuba kuyaphela umfazi. Emva isisu okanye samoaborta IUD ukungena ngoko nangoko okanye kwiintsuku 4 kungekho zimpawu ukopha kunye nokudumba.

Emva kokuzalwa (kwiiyure ezingama-48) ayikhuthazwa ich nangoko ilawulwa ngenxa yokuba kukho amathuba aphezulu ukugxothwa coil. Ixesha kakhulu kangangoko - kwiiveki ezi-6 emva kokubeleka.

ukungaphili

Iingxaki zinokwenzeka ngoko nangoko emva kwethutyana emva isixhobo intrauterine ifakiwe. Kukuphi na okulunge ngakumbi ngokubhekiselele ubuncinane engemihle? Amaxesha amaninzi, emva kokuba ukuqaliswa isantya kukho uphawu okubuhlungu ukuba unokuthatha iiyure. Oku kunikwe ingxelo ngazo ngokutsha. Amaninzi, ukuqaleka udlula emva kokuthatha analgesics. Ukuba ntlungu hayi xibilili yi analgesics kunye antispasmodics, oko kuyimfuneko ukuqhuba ultrasound okanye hysteroscopy ukuqinisekisa ukuchaneka IUD kunye ekufunyanisweni ubukho uwele esibelekweni okanye ngaphandle kuyo (ukuqaliswa zesibeleko perforation).

ukugxothwa IUD kwenzeka ngokufuthi amabhinqa aselula nulliparous ngenxa yokwanda umthamo zesibeleko. Oku kwenzeka ubukhulu becala kwiintsuku zokuqala emva nolawulo. Le rhoqo kwale ingxaki kuxhomekeke kuhlobo kweleli: coppercontaining lisusa ngokwayo ngo-6-16% yamatyala, progestagensoderzhaschie - ngo-3-6.5%. Nge ubudala, ukunyuka kwenani nokuzalwa kunye izisu amathuba iingxaki lifinyele.

Izifo ukudumba - iingxaki ukuba kuvandlakanywa 3,8-14,5% yamatyala xa ezilawulwa IUD iqela lesibini. Kulo mzekelo, xa kukho ukudumba kwiiveki zokuqala 3, livela kunokuba kunxulumene IUD kufakwe; ukuba emva kweenyanga ezi-3 - loo nto sisifo kwakhona kwavela. Formation kwemfundo ubofu tubovarialnogo - i loyikekayo yeengxaki arhabaxa. Oku kwenzeka ngokusebenzisa siba elide - iminyaka engaphezu kwama-6-7. Zokubona kunokwenzeka kwiintsuku zokuqala emva zolawulo (2,1-3,8%) kunye nenjongo isikiwe Isinqumamisi. Ukuba ukopha uqhubeka, ekhatshwa iintlungu syndrome okanye zenzeka phakathi kwamathuba exesheni kwaye musa ukuphendula unyango, kubalulekile ukuba ususe le lale.

Ngo 0.5-2% esakhulelwe kunokwenzeka. Oku kuvela xa ukugxothwa lilonke okanye isixa sazo-IUD. Amaninzi, le ukukhulelwa iphela izisu zidityaniswe, umfazi nokuba ufuna ukugcina kuyo.
Yaye yintoni IUDs ngcono phantsi iingxaki, ukunceda ukusombulula ugqirha.

Nokulunga ukukhulelwa intrauterine

A lot of kwiintlobo Navy ubeka imibuzo efana kumfazi: ukuba indlela iingxaki, kunye IUD ntoni engcono? Izimvo koogqirha kunye nezigulane ndithetha wakhetha IUD copper- okanye isilivere-equlethe.

Ukongeza sobhedu kunye nesilivere inciphise izehlo iingxaki ngamaxesha 2-10. Ukusebenza kwe-IUD yi 93,8%. kweleli egalelwe abe ukusebenza ngo-91-93%. Okwangoku, i efanelekileyo uninzi yobhedu aqulethe isantya neqondo eliphantsi yeengxaki kunye nepesenti eliphezulu umsebenzi yokucwangcisa.

Enama-ekhulula System "Mirena" yeyona yokucwangcisa efanelekileyo nzala kuqwalaselwa phantse zebhayoloji, njengoko sele iqela lamanyathelo ezijolise ekuthinteleni kwezichumiso, ukuthimba kwi-endometrium, ukwandisa viscosity yencindi kwi wesibeleko ukukhusela isidoda bangene isibeleko.

Siye kwakhona iziphumo ezihle nezibi, nto leyo iba intrauterine zikhula. Yintoni indawo engcono? Lo mba kufuneka iqwalaselwe ngokudibene ne ugqirha. Oku kugqiba ixabiso apho umfazi alindele kunye nobungqina ukuba emva kokuba uviwo kutyhilwa ugqirha.