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Kodi ma IUD (monga Mirena) amapangitsa kunenepa?

Kodi ma IUD (monga Mirena) amapangitsa kunenepa?Zambiri Zamankhwala

Monga mankhwala onse, kulera kumatha kukhala ndi zovuta zina. Ndizofunikira posankha njira yomwe ili yoyenera kwa inu. Zotsatira zakulera zingaphatikizepo ziphuphu, kutuluka magazi, kusintha kwa malingaliro, ndi zina zambiri. Kunenepa kwambiri ndikofala pakati pa azimayi omwe amasankha njira zolerera, koma ndizolakwika kuti ma IUD amayambitsa kunenepa. Kuti tiyankhe ena mafunso ofunsidwa kawirikawiri za kulemera kwa IUD, tidayankhula ndi Christina Madison, Pharm.D., FCCP, BCACP, AAHIVP, woyambitsa Katswiri Wazachipatala komanso wofufuza zamankhwala azaumoyo azimayi.





Kodi IUD ndi chiyani?

Chida cha IUD, kapena intrauterine, ndi kachipangizo kakang'ono kooneka ngati T kamene kamayikidwa mchiberekero kuti munthu asatenge mimba. Pokhala ndi chiopsezo chochepera 1% chaka chilichonse chokhala ndi pakati, ma IUD ndi njira yothandiza kwambiri yolerera yomwe ilipo. Ma IUD ndi chisankho chabwino kwa iwo omwe nthawi zambiri amaiwala kumwa mapiritsi awo oletsa kubereka. Pambuyo pake, IUD imatha zaka zitatu mpaka 12. Itha kugwiritsidwa ntchito ndi azimayi amisinkhu yonse, malinga ndi CDC . Amakhalanso njira yolerera yosinthika, yomwe imakupatsani mwayi wobwereranso kuberekero kamodzi IUD yanu ikachotsedwa.



Pali mitundu iwiri ya zinthu za IUD: mkuwa ndi mahomoni. Ngakhale onse ali othandiza popewera kutenga pakati, pali zosiyana zina zofunika kuzikumbukira.

Ma IUD amkuwa

Ma IUD amkuwa alibe mahomoni. Amagwiritsa ntchito koyilo wapulasitiki ndi wamkuwa m'malo mwa levonorgestrel. Mkuwa ndimadzimadzi achilengedwe, kupha umuna usanafike dzira. Ma IUD amkuwa, monga ParaGard , itha kugwiritsidwa ntchito kwa zaka 12.

Mahomoni Opundira

Nthawi zina amatchedwa ma intrauterine system, ma IUD am'magazi amatulutsa timadzi tating'onoting'ono ta progestin tomwe timatchedwa levonorgestrel m'chiberekero, zomwe zimalepheretsa umuna kufikira dzira. Ma IUD awa amatha zaka zitatu kapena zisanu ndi ziwiri.



Chimodzi mwazinthu zodziwika bwino za mahomoni a IUD ndi Mirena, wopangidwa ndi Bayer. Mirena amaletsa kutenga pakati mpaka zaka zisanu koma atha kugwira ntchito mpaka zaka zisanu ndi ziwiri.

Mtengo wa Mirena umasiyana, koma Bayer adanenanso kuti azimayi 95% amakhala ndi ndalama zochepa. Mtengo wa Mirena ndi $ 953.51, womwe umakhala pafupifupi $ 15 pamwezi pazaka zisanu. Ngati inshuwaransi yanu siyikuphimba, alipo Makuponi a Mirena zilipo.

Mitundu ina yodziwika bwino imaphatikizapo Skyla , Lileta , ndi Kyleena . Mtundu uliwonse wa mahomoni a IUD ndiosiyana, chifukwa chake onetsetsani kuti mufunsane ndi OB-GYN yanu yomwe ili yoyenera kwa inu.



ZOKHUDZA: Mirena ndi chiyani? | Skyla ndi chiyani? | Liletta ndi chiyani? | Kyleena ndi chiyani?

Zotsatira zoyipa za IUD ndi ziti?

Ma IUD onse a mahomoni ndi amkuwa amachita zambiri kuposa kupewa kutenga mimba. Mwachitsanzo, Mirena amachiza magazi ambiri, omwe amapindulitsa iwo omwe amamva zowawa zokhudzana ndi endometriosis. ParaGard, IUD yamkuwa, imagwiritsidwanso ntchito ngati njira yolerera yadzidzidzi popeza imayamba kugwira ntchito nthawi yomweyo.

Zotsatira zoyipa zamankhwala amtundu wa intrauterine, monga Mirena IUD, amakhala ocheperako poyerekeza ndi omwe amapezeka ndi njira zakulera zakumwa, malinga ndi Dr. Madison.



Ngakhale ma IUD ali 99% ogwira ntchito, pali zovuta zina zoyipa zomwe muyenera kukumbukira, kuphatikizapo:

  • Kupweteka ndi kupweteka kwa msana pambuyo poyikidwa
  • Kutuluka magazi mosalekeza ndikuwonetsetsa mukamasamba
  • Nthawi zosasinthasintha, zomwe zimatha kukhala zopepuka kapena kusiya
  • Matenda a mazira, omwe nthawi zambiri amatha
  • Kutuluka magazi msambo kapena nthawi yayitali ndi ma IUD amkuwa

Zotsatira zoyipa koma zoyipa za ma IUD zitha kuphatikizira izi:



  • Chiwopsezo chotenga matenda amchiuno mkati mwa masiku 20 mutalowetsa
  • IUD itha kuterera kapena kusuntha ndipo idzafunika kutengedwa ndi katswiri
  • Kuthamangitsidwa kwa chipangizochi m'chiberekero

Zotsatira zoyipa za Mirena

Zotsatira zoyipa za ma IUD zimasiyana malinga ndi wodwala, komanso mtundu wa IUD womwe wagwiritsidwa ntchito. Mirena IUD itha kukhala ndi zovuta zowonjezera, zoyambira mahomoni monga:

  • Kupweteka mutu
  • Ziphuphu
  • Chikondi cha m'mawere
  • Maganizo amasintha
  • Nseru
  • Kutopa

Popeza Mirena ndi ma IUD ena am'magazi amagwiritsa ntchito progestin hormone m'malo mwa estrogen, odwala ena amatha kunenepa kapena kutaya tsitsi chifukwa chotsika ma estrogen. Kulemera kwa Mirena ndikuchepetsa tsitsi sizachilendo ndipo kumatha kukhala kokhudzana ndi zovuta zina zingapo, monga kupsinjika kapena matenda ena.



Ubwino wogwiritsa ntchito zinthu zothandiza kwambiri komanso zomwe zatenga nthawi yayitali zimaposa chiopsezo cha zotsatirapo zake, atero Dr. Madison, koma onetsetsani kuti mufunsane ndi dokotala kuti mudziwe ngati IUD ndi njira yoyenera kwa inu.

Kulemera kwa IUD

Ambiri ogwiritsa ntchito IUD samapeza kunenepa. Ma IUD amkuwa, osakhala ndimadzimadzi samayambitsa kunenepa, pomwe pafupifupi 5% ya odwala omwe amagwiritsa ntchito ma IUD am'magazi akuti amalemera. Popeza Mirena ndi mahomoni a IUD, kulemera kwa Mirena ndikotheka, ngati sizotheka.



Lingaliro la kunenepa kuchokera kuzinthu izi limaganiziridwa kwambiri koma silinatsimikizidwe, akutero Dr. Madison. Panalibe kusiyana pakulemera kwa thupi kapena kapangidwe kake pakati pa [IUD] pambuyo pa miyezi 12 yogwiritsidwa ntchito mosalekeza. Ngakhale mutha kukhala ndi zolemera mutapeza IUD yanu, iyenera kuchepa.

Kulemera kumatha kuchitika ndi ma IUD a mahomoni chifukwa cha mahomoni, progestin, omwe amagwiritsidwa ntchito. Kulemera kulikonse kwa IUD sikungakhale kuwonjezeka kwamafuta amthupi, koma m'malo mwake kumawonjezera kusungidwa kwamadzi. Mahomoni a progestin amatha kuwonjezera kusungidwa kwa madzi komwe kumayambitsa kuphulika, makamaka kuwonjezera pafupifupi mapaundi asanu. Kuchuluka kwa kulemera komwe kumapezeka kumasiyana pakati pa wodwala ndi wodwalayo, koma kusungidwa kwamadzi kulikonse kumatha kutsika miyezi itatu ikatha.

Ndikofunika kudziwa kuti kulemera pambuyo poyikapo mwina chifukwa cha moyo wa wodwalayo mosiyana ndi IUD yomwe. Mazimayi aku America aliwonse amapeza mapaundi awiri chaka chilichonse, osagwirizana kwenikweni ndi njira zakulera zamankhwala, malinga ndi Yale Mankhwala .

Ganizirani zosintha zina pamoyo wanu kuti muchepetse kunenepa mukalandira IUD. Kuchita masewera olimbitsa thupi pafupipafupi, kudya zakudya zopatsa thanzi, ndi njira zina zonse zochepetsera kunenepa kuyenera kuchepetsa mwayi wakusintha kunenepa mutapeza IUD.

Ngati kuphulika sikuyenera kutha miyezi itatu mutalowetsamo, lingalirani zolankhula ndi akatswiri azaumoyo pazinthu zina. Ma IUD amkuwa, monga Paragard, sanalumikizidwe ndi kunenepa kwa IUD, kuwapangitsa kukhala njira ina yabwino.

Ndi njira ziti zakulera zomwe sizimayambitsa kunenepa?

Ngati IUD sikhala njira yabwino kwambiri yolerera, pali njira zambiri zolerera zomwe mungaganizire. Funsani wothandizira zaumoyo wanu zomwe zingakuthandizeni kwambiri. Zina mwazomwe mungasankhe zoletsa monga:

  • Mapiritsi oletsa kubereka
  • Chigawo cha Xulane
  • Chongani Depot , kapena jakisoni wina wolerera
  • Kuyika kwakulera, monga Nexplanon
  • Mphete zamaliseche, monga NuvaRing

Njira zakulera zam'madzi zimakhala ndi mbiri yoyipa yodzetsa kunenepa. Kulemera kulikonse komwe kumanenedwa mukamakulera kumachitika mwachilengedwe, monga kukalamba kapena kuchepa kwama metabolism.

Njira imodzi yokha yolerera ndi yolumikizidwa kunenepa , ndipo ndiyo jakisoni Depo-Provera. Ngati mukufuna kuti muchepetse kunenepa, musakhale ndi njira iliyonse yolerera yolerera. Majekeseni awa awonetsedwa kuti atsegule zizindikiritso zomwe zimawongolera njala, zomwe zimapangitsa kulemera kwa odwala ena.

Mukamaganizira njira zina zakulera, kumbukirani kuti ena, monga mapiritsi, jakisoni, chigamba, ndi mphete za amayi, amakhala ndi zolephera za 10% pachaka chifukwa cha zolakwa za anthu.

Kusankha njira yolerera yabwino kwambiri ndiyotengera payekha, atero Dr. Madison, onetsetsani kuti mwalankhula momasuka komanso moona mtima ndi amayi anu za njira yolerera yomwe ili yoyenera kwa inu.

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