Chilichonse chomwe muyenera kudziwa za Nexplanon, njira yolerera

Zambiri Zamankhwala

Nexplanon , yomwe imadziwikanso kuti njira yolerera, ndi imodzi mwamagawo othandiza kwambiri a mahomoni omwe alipo pakadali pano. Mukakhala pamalo oyenera, kuyika njira yolerera ndi yoposa 99% yothandiza kupewa mimba mpaka zaka zinayi, ndikupangitsa kuti ikhale yothandiza kwambiri kuposa chigamba cholera , mphete , kapena jakisoni . Ndipo ili ndi kudzipereka kocheperako kuposa chipangizo cha intrauterine (IUD). Werengani kuti muwone ngati ingakhale njira yabwino kwa inu.

Nexplanon ndi chiyani?

Nexplanon (etonogestrel) ndi Ovomerezeka ndi FDA ndodo ya pulasitiki yaying'ono, yofanana kukula kwa chibakera chofanana. Wopereka chithandizo chamankhwala amadzala ndikuchotsa kuyika; kamodzi pamalo, kubzala kumatha pakati pa zaka zitatu ndi zisanu (kapena zochepa, ngati mwasankha kuti zichotsedwe). Njira yolerera iyi - njira yolerera yosinthika yomwe yatenga nthawi yayitali (yomwe imadziwikanso kuti LARC) - imagwira ntchito potulutsa progestin, yomwe imachokera ku mahomoni achilengedwe, mthupi lanu kuti muchepetse kusamba kwanu, kuchepa kwa chiberekero chanu, kupewa kutulutsa mazira (kutulutsidwa kwa dzira lomwe lakonzeka kuti likhale ndi umuna), ndipo thawitsani ntchofu ya khomo lachiberekero kuti iteteze umuna kuti usatenge mazira omwe angakhale atatuluka m'mimba mwanu.

Nexplanon ndi radiopaque, kotero kuti kuyika kwanu kudzaonekera pa X-rays, imaginous resonance imaging (MRI), scanning ya ultrasound, ndi ma computed tomography (CT kapena CAT), zomwe zikutanthauza kuti omwe amakupatsani akhoza kugwiritsa ntchito X-ray kapena ultrasound kuti awone ngati kubzala kwanu kuli pamalo oyenera.

Zipangizo zolerera zakhala zikupezeka ku United States kuyambira 1998, pomwe Wyeth Pharmaceuticals adatulutsa Norplant. Norplant adachotsedwa pamsika mu 2002 ndipo m'malo mwake Zamgululi , yomwe yasinthidwa ndikusinthidwa kuti Nexplanon, ndikupangitsa kuti ikhale imodzi mwanjira zatsopano zolerera pamsika. Mofanana ndi Implanon, Nexplanon ndi ndodo imodzi yokha, koma ndi radiopaque-zomwe zikutanthauza kuti ndizosavuta kuyika, kuwona, ndikuchotsa kuposa momwe zimayambira m'mbuyomu.

Kodi Nexplanon imayikidwa bwanji?

Pulogalamu ya njira yolowetsera chifukwa Nexplanon (yemwenso amadziwika kuti etonogestrel implant) ndiyosavuta, yowongoka, komanso yopweteka. Ikuonedwa ngati njira yaying'ono, koma wothandizira zaumoyo wanu amatha kuchita izi muofesi yawo, ndipo imangofuna mankhwala oletsa kupweteka am'deralo.

Mukatsuka bwino malowa ndi mankhwala opha tizilombo, omwe amakupatsani mwayi adzagwetsa dzanja lanu lakumtunda komwe adzaikepo kuyika . Mukadzachita dzanzi, omwe amakupatsani mwayi adzagwiritsa ntchito choikapo china choyikapo pansi pakhungu lanu. Njira yolowetsa imangotenga mphindi zochepa, ndipo pomwe mutha kumva kutsina pang'ono kapena kuluma pakulowetsa, sikuyenera kukhala kowawa kwambiri.

Dokotala adzaonetsetsa kuti waikidwa molondola asanakutumize kunyumba. Muyenera kuvala bandeji wopanikizika pamalo obzala kwa maola 24 otsatira, kenako bandeji wokhazikika masiku ena ochepa. Munthawi imeneyi, muyenera kupewa kunyamula zolemetsa kapena kuchita masewera olimbitsa thupi kuti muthe kusokoneza machiritso atsamba.

Ena opereka chithandizo chamankhwala amangokhazikitsa mayikidwe anu m'masiku asanu oyamba a nthawi yanu; ngati ndi choncho, Nexplanon ipereka njira zakulera nthawi yomweyo. Ngati simupeza njira yolerera m'masiku asanu oyambira kusamba kwanu, muyenera kugwiritsa ntchito njira yachiwiri yolerera, monga makondomu akunja, sabata yoyamba mutayikilidwa. Wopereka chithandizo chamankhwala ayenera kuti akufunseni kuti mukayezetse mimba asanabadwe.

Kukhazikitsa kwanu mukadzayika, muyenera kuzimva pansi pa khungu lanu. Izi ndikuwonetsetsa kuti omwe amakuthandizani pa zaumoyo athe kuzipeza pambuyo pake zikafunika kuchotsedwa. Ngati simungathe kumva, mwina sizingagwire bwino ntchito, ndipo mutha kutenga pakati. Ngati simungamve kuyika kwanu, lankhulani ndi omwe amakupatsani. Kuyika mwakuya kungapangitsenso njira yochotsera yovuta kwambiri.

Amachotsedwa bwanji?

Ngakhale kutalika kwa nthawi yokhazikitsa njira yolerera ya Nexplanon ndi zaka zitatu kapena zisanu, mungafunike kuchotsa msanga-mwachitsanzo, ngati mukuyesera kutenga pakati, kapena ngati mukuganiza kuti zotsatirapo zake siziposa phindu za kuyika.

Monga kuyika kwake, njira yolerera yoletsa kubereka ndiyachangu, yopweteka pang'ono kapena yosavomerezeka, komanso yosavuta. Komabe, zimatenga kanthawi pang'ono kuti muchotse zomwe mwayikapo kuposa momwe zimayikidwira. Kuti muchotse, wopereka chithandizo chamankhwala adzatambasula dzanja lanu lakumtunda ndikupanga tating'onoting'ono pamalo omwe amadzala. Kenako, pogwiritsa ntchito zida zapadera, amakoka ndodo yaying'ono mdzanja lanu ndikugwiritsa ntchito timitengo kapena masuteti kuti atseke malowo. Pakadali pano, mutha kuyikanso china nthawi yomweyo ngati mukufuna kupitiliza kugwiritsa ntchito Nexplanon ngati njira yanu yolerera.

Mukakonzekera kuyika njira zakulera mukadatha, mutha kukhala ndi zowawa kapena kuvulala kuzungulira tsambalo. Onetsetsani kuti mukutsatira malangizo omwe akukuthandizani kuti musambe komanso kusamalira malowa kuti mupewe matenda kapena zipsera. Muyenera kudumphanso zolemera zolemetsa kuti muwonetsetse kuti simusokoneza njira yochiritsira.

Pambuyo pakuchotsa, mutha kutenga pakati nthawi yomweyo. Ngati simukuyesera kutenga pakati, muyenera kuyikanso china kapena kugwiritsa ntchito njira ina yolerera.

Ndizothandiza bwanji `` Nexplanon ''?

Kukhazikitsidwa kwa Nexplanon kuli ndi mphamvu zoposa 99% popewa kutenga pakati mukamayikidwa molondola, zomwe zimapangitsa kuti ikhale imodzi mwanjira zabwino kwambiri zolerera kwa anthu omwe akufuna kugwiritsa ntchito njira yolerera yama mahomoni. Ndichisankho chabwino kwa aliyense amene ali ndi chidwi ndi estrogen, popeza Nexplanon amadalira progestin popewa kutenga pakati.

Ngakhale kuyika sikugwiritsidwe ntchito ngati piritsi, kumakhala kothandiza kwambiri komanso kotetezeka. Chifukwa chakuti mumalandira njira yolerera, mwayi wolakwitsa-monga kuyiwala kumwa mapiritsi anu tsiku lililonse, kusintha chigamba chanu sabata iliyonse, kapena kusinthanitsa NuvaRing yanu milungu itatu iliyonse-kumathetsedwa.

Ubwino wake wa Nexplanon ndi chiyani?

Ngakhale zovuta ndi zoopsa siziyenera kuchepetsedwa, pali zabwino zambiri pamtundu uwu wa njira zakulera. Ndi zachinsinsi kwathunthu; inu nokha ndi wokuthandizani muyenera kudziwa kuyika kulipo. Sikoyenera kusiya kugonana kuti mupeze makondomu (ngakhale, makondomu ayenera kugwiritsidwa ntchito popewa matenda opatsirana pogonana). Simuyenera kumwa mankhwala tsiku lililonse. Ndipo palibe chifukwa chotsata ndandanda yamiyeso-mutha kuyipeza ndikuyiwala mpaka zaka zisanu ndi zitatu, kutengera zomwe woperekayo akulangizani.

Kukhazikitsa kukachotsedwa, mutha kutenga pakati pomwepo. Imeneyi ndi njira yabwino kwa kuyamwitsa azimayi omwe akufuna njira zolera zothandiza kwambiri; kwenikweni, ngati mukulera konse mukamayamwitsa, njira yolerera ya progestin yokha ndiye kubetcha kwanu kotetezeka kwambiri. Mutha kupeza njira yolerera pakadutsa milungu inayi mutabereka. Sichidzasinthanso kuchuluka kwa mkaka wa m'mawere womwe ukupanga.

Zotsatira zoyipa za Nexplanon ndi ziti?

Anthu ambiri omwe amagwiritsa ntchito Nexplanon samakhala ndi nthawi yayitali zotsatira zoyipa , ndipo zovuta zambiri zimatha pakatha miyezi itatu kapena isanu ndi umodzi thupi lanu likazolowera kukhazikika. Komabe, mudzafunika kuganizira ngati kuwopsa kwa zotsatirapo zake ndizovomerezeka kwa inu:

• Kusintha kwa msambo wanu, kuphatikizapo kuwona, kutuluka magazi kwambiri kapena kosakhazikika, kapena kusakhala ndi nthawi konse
• Zowawa, zovulaza, matenda, kapena zipsera pamalo olowetsera
• Kusintha kwa zinthu kapena kusintha kwina, monga kuda nkhawa kapena kukhumudwa Ziphuphu
• Zomwe zimachitika m'deralo
• Kusintha kwa njala
• Kupatulira tsitsi kapena kutayika
• Kupweteka mutu
• Kulemera

Kodi kuopsa kwa njira yolerera ndi kotani?

Wothandizira zaumoyo wanu adzaperekanso chidziwitso pazowopsa zomwe zingagwiritsidwe ntchito Nexplanon ngati njira yolerera, monga:

• Zodzala zosweka kapena zopindika
• Mavuto pakuyika kapena kuchotsa chomera chomwe chingafune kuchitidwa opaleshoni
• Chomeracho chimathanso kuyenda pansi pa khungu kapena kutuluka chokha. Izi zikachitika, funsani omwe akukuthandizani nthawi yomweyo.
• Mitsempha yamagazi, monga deep vein thrombosis, pulmonary embolism, stroke, kapena matenda amtima
• Mavuto a gallbladder
• Kuthamanga kwa magazi
• Zotupa zambiri za khansa kapena zopanda khansa
• Ectopic mimba

Ponseponse, njira zonse zakulera ndizotetezedwa kuposa mimba yosakonzekera.

Ndani sayenera kupeza Nexplanon?

Pali zoopsa zina zowopsa zomwe zingachitike mukamagwiritsa ntchito njira yolerera yomwe muyenera kukambirana ndi omwe amakuthandizani musanafike. Malinga ndi chidziwitso chake, simuyenera kugwiritsa ntchito Nexplanon ngati muli ndi zifukwa zotsatirazi:

• Muli ndi pakati kapena mukuganiza kuti mutha kukhala ndi pakati
• Khalani ndi magazi oundana paliponse mthupi lanu
• Khalani ndi matenda a chiwindi, zotupa, kapena khansa
• Dziwani zakumaliseche kosakhala msambo
• Mudakhalapo kapena mukudziwa kuti muli ndi khansa, makamaka khansa ya m'mawere (mkuwa IUD ikhoza kukhala njira yabwinoko)
• Kodi matupi awo sagwirizana ndi kulowetsedwa kwa Nexplanon
• Mukuyang'ana njira zakulera zomwe zimateteza ku matenda opatsirana pogonana

Zotsutsana zina zofunika kuziganizira ndi izi:

• Mbiri ya zovuta zamaganizidwe
• Matupi awo ndi mankhwala osokoneza bongo
• Matenda a shuga
• Kuthamanga kwa magazi
• Cholesterol kapena ma triglycerides
• Migraine ndi aura
• Mavuto a impso kapena ndulu

Momwe mungapangire njira yolerera ya Nexplanon

Muyenera kupeza Nexplanon kuchokera kwa dokotala, gynecologist, kapena namwino wodziwa bwino za njira yolowetsa kapena kuchotsa zoikamo. Nexplanon sikupezeka kudzera m'masitolo achikhalidwe monga njira zambiri zolerera.

Lankhulani ndi katswiri wa zamankhwala kuti muwonetsetse kuti Nexplanon ndiye njira yabwino kwambiri yolerera kwa inu, kukumbukira mavuto omwe amabwera chifukwa chakubala. Mtengo wa ndondomekoyi (yomwe imaphatikizapo kuyika) ukhoza kuyambira $ 0 mpaka $ 1,300, kutengera inshuwaransi yanu. Kuchotsa chomera chitha kutenga $ 300. Wanu inshuwaransi Zitha kukhudza zonse zomwe zimayikidwa ndikuyika zokha, koma fufuzani nawo kaye; nthawi zambiri amalingaliridwa ngati chithandizo chamankhwala. Ma inshuwaransi ambiri amaphimba kokhazikika kwa Nexplanon, kuyika, ndikuchotsa. Ngati inshuwaransi yanu siyilipira, mutha kulumikizana ndi pulogalamu ya CoverHer ku nwlc.org/coverher kuti muthandizidwe.

Mutha kupeza Nexplanon kwaulere kapena pamtengo wotsikirapo zipatala . Pamapeto pake, kuyika njira zakulera kumatha kukhala kotsika mtengo kapenanso kotsika mtengo kuposa komwe mungalipire njira zina zakulera pamapeto pake, kutengera ndi inshuwaransi yanu. Muthanso kugwiritsa ntchito SingleCare kuchotsera Nexplanon kuma pharmacies ena apadera. Mupezanso kuchotsera kwa SingleCare kwamitundu ina yolerera, monga NuvaRing , chigamba cha Xulane, Depot-Provera kuwombera , kuphatikiza mapiritsi olera , ndi minipilo .