Ingabe kubuhlungu ukubeka ukuvuthwa ngemva kokuzalwa?

Abesifazane abangaphezu kwezigidi ezingu-200 emhlabeni basebenzisa amadivayisi we-intrauterine ukuzivikela ekukhulelwe. Abanye basebenzisa lolu hlobo lokuvimbela ngokweqile isikhathi eside, njalo beshintsha i-IUD. Iziguli ezingakaze zibonisane nale ndlela yokuvimbela ukukhulelwa zinesithakazelo ukuthi kuyabuhlungu yini ukufaka ukuvunguza.

Ukukhetha indlela yokwelapha

Njengamanje, abesifazane banikezwa inqwaba yezindlela ezehlukene ezifanele futhi zenzekile. Futhi ukukhetha uhlobo lokuvimbela ngokweqile kuncike esimweni esiphelele sowesifazane kanye nokutholakala kwezifo ezithintekayo. Abambalwa bangaluletha ukhetho lwezokwelapha ngomlomo ngenxa yezinkinga ezifana ne-premenstrual syndrome, izinkinga zokukhulelwa, izifo ze-thyroid nezidalwa. Akuwona wonke umuntu okhululekile ukuthatha amaphilisi, njengoba kunethuba lokukhohlwa ukuthatha iphilisi, okungaholela ezinkingeni ezihlukahlukene emjikelezweni wokuya esikhathini.

Ukuphazamiseka ngokobulili kuvame ukuholela ekukhulelweni, futhi ukusetshenziswa kwama-suppositories angokwemvelo, amaphilisi awahlali evumelana ngaso sonke isikhathi. Amakhondomu yindlela enhle yokuvimbela ukukhulelwa, kepha kaningi ayifanele amadoda, ikakhulukazi uma engumlingani wakho ovamile.

Izinzuzo ze-IUD

Idivayisi ye-intrauterine iyindlela elula, ephephile futhi ephumelelayo kakhulu yokulawula ukubeletha. Kodwa kukhona ukungabaza: kungakhathaliseki ukuthi kubuhlungu ukubeka i- intrauterine idivaysi, yiziphi izinkinga ezingenzeka, ukuthi ukugqoka isikhathi eside kangakanani kokubeletha kwe-intrauterine kuthinta impilo yokuzala.

Izinhlobo ze-IUD kanye nesenzo sabo

Kunezinhlobo ezihlukahlukene zokubeletha kwe-intrauterine. Ngokuvamile, idivayisi ene-T, okuyindlela ephumelelayo yokulawulwa kokuzalwa okuguquguqukayo. IUD isetshenziselwa isikhathi eside - kusukela eminyakeni emihlanu kuya kweyishumi, kuye ngokuthi yiziphi izinhlobo. Imvamisa evame ukusetshenziselwa imicu yezinxeba zethusi, isiliva, igolide. Kwamanye ama-Navy 2 izinhlobo zensimbi asetshenziswa. Muva nje, ukuvuthwa kweMirena kunesithandwa esikhulu, esinesitsha esine-levonorgestrel futhi siqinisekisa ukukhululwa okuvamile kwaleli hormone, okufaka isandla esimweni esiyinkimbinkimbi yesenzo sokukhulelwa kanti kwezinye izimo ukwelashwa kokuphaphazeka noma ukuphazamiseka kwe-hormonal.

Umphumela oyinhloko we-intrauterine contraceptive u-spermicidal, kanye nokwanda kwe-uterine, ukuqina kwe-mucus yomlomo wesibeletho kanye nokubunjwa kwe-aseptic ukuvuvukala emgodini we-uterine. Ama-IUDs nge-copper nawo asetshenziselwa ukuphulwa kokuphuthumayo okuphuthumayo uma kuqaliswa ezinsukwini ezinhlanu ngemuva kokulala okungavimbelwe.

Indlela yokubeka i-spiral

Ukuze uzwisise ukuthi kuyabuhlungu ukubeka ukuvunguza, kuyadingeka ukwazi ukuthi ungafaka kanjani i-IUD. Idivayisi ngayinye ye-intrauterine ihlanganisa umqhubi ukuze kube lula ukufakwa kwayo.

Ngosizo lwezibuko, umlomo wesibeletho ususwe ngendlela yokuthi ufinyeleleke ekusebenziseni ukuphathwa.

Ngemuva kokwelashwa nge-furicilin noma i-miramistin yokuvula kwangaphandle komsele womlomo wesibeletho futhi uthathwe yi-forceps ye-bullet, i-probe ye-intrauterine isetshenziselwa ukucacisa ubude, indawo, amafolda womzimba we-uterus kanye ne-patry ye-pharynx yangaphakathi. Ubude be probe bubeka indandatho yokuvimbela kumqhubi ukuze ikhoyili ijoyine i-uterine mucosa esifundeni sezansi. Khona-ke umqhubi one-spiral ufakwe, futhi ngemva kokukhipha umqhubi, ukuvunguza kufanele kutholakale emgodini wesibindi, kanye namathenda okulawula ngaphakathi kwesifazane. Umlomo wesibeletho uphathwa ngesisombululo se-antiseptic, futhi izibuko zisusiwe.

Ngemuva kokwethulwa kowesifazane kunconywa ukuthi kungabandakanyi umsebenzi wezocansi, ukuphakamisa izisindo ngaphakathi kwesonto. Kunconywa izinsuku ezingu-2-3 ukuthatha umthamo we-prophylactic wama-antibiotics ukuvimbela izifo ezivuthayo.

Ukuphathwa kobuhlungu i-Anesthesia

Ingabe kubuhlungu ukubeka i-spiral? Amazwana wabesifazane abasebenzisa lolu hlobo lokuvimbela ukukhulelwa, bakhombise ukuthi le nqubo ibuhlungu kakhulu. Izinzwa ezingathandeki kakhulu zenzeka uma udonsa umlomo wesibeletho ngaphambi kokuba ufaka iphenyo futhi uma udlula ngaphakathi kokuvula kwangaphakathi komsele womlomo wesibeletho.

Ngokuyinhloko, i-anesthesia ayifakiwe. Kwabesifazane abathintekayo ikakhulukazi, umsele womlomo wesibeletho uphathwa ngesisombululo se-dicaine, i-dexalgin e-intravenous, i-tramadol, noma i-anesthhesia e-intravenous.

Kungcono nini ukubeka i-spiral

I-Navy ingafakwa noma kunini. Abanye odokotela bakhetha usuku lwe-4-7th kusukela ekuqaleni kokuya esikhathini. Wonke umuntu ohlinzekwa ukuza kubonisana nabo besifazane ngalesi sikhathi, unesithakazelo ukuthi kuyabuhlungu yini ukufaka isikhala ngesikhathi sokuya esikhathini. Ngalesi sikhathi, izinzwa ezibuhlungu ziyinto encane, ngoba umsele womlomo wesibeletho u-ajar ukukhululwa kokugeleza kokuya esikhathini futhi umkhawulo wokuzwela ubuhlungu unciphile.

Kungcono nini ukubeka ukuvunguza emva kokubeletha nokukhipha isisu

Emva kokuzalwa kwe-IUD kungenziwa emahoreni angu-48. Kodwa kuyadingeka ukuqhuba le nqubo izinsuku ezingu-21 ngemuva kokubeletha. Kubalulekile ukuqinisekisa ukuthi akukho ukuvuvukala nokukhulelwa, izifo ezithathelwana ngocansi. Kulokhu, i-ultrasound yenziwa futhi i-swab inikezwa. Ingabe kubuhlungu ukubeka ukuvuthwa ngemva kokuzalwa? Ngokuvamile kule nkathi, ukwethulwa kwe-IUD akubuhlungu, ngoba lesi sizalo asikatholakali ngokuphelele futhi umsele womlomo uvulwe ngokuphelele. Ngemuva kokusebenza, isigaba se-cearean sisungulwa ngemva kwezinyanga ezingu-3-4, hhayi ngaphambili, ngoba isibazi esingenalo esibelethweni sisebenza njengesiphakamiso sokwethulwa kokubeletha. Odokotela abaningi banombono wokuthi ukusungulwa kwe-IUD ngokushesha ngemva kokuzalwa akuyona into enengqondo, ngoba i-myometrium ilokhu ihlehla ukubuyisela isakhiwo sebeletho esingekho esikhulelwe futhi iqhuma ukuphuma.

Ngemuva kokukhipha isisu, ukufakwa kwe-IUD kungenzeka ngemuva kokukhipha. Kodwa-ke, udokotela kufanele aqiniseke ukuthi izinsalela zeqanda lomntwana wesisu azishiywa ukuvimbela ukuvuvukala nezimo ze-septic. Ingabe kubuhlungu ukubeka isikhala kule nkathi? Kulokhu, akekho owesifazane ozwa ubuhlungu, ngoba umsele womlomo uvulekile; Futhi ukukhipha isisu, nokusungulwa kwama-IUD kuqhutshwa ngaphansi kwe-anesthesia engenalutho.

I-Spiral "iMirena"

Muva nje, i-Navy "i-Mirena" iyadingeka kakhulu - isisu sokubeletha esihlala sikhipha i-hormone yegestagens esitsheni esikhethekile. Ingabe kubuhlungu ukubeka i-Mirena ukuvunguza? Lo mbuzo unesithakazelo kwabesifazane abaningi abane-endometriosis abanikezwa ukwethulwa kwale-IUD ngenhloso yokwelapha. Ubuhlungu benqubo buxhomeke ekufundeni udokotela nokuhambisana nemithetho yokuphatha. Ubuhlungu bungenzeka emavikini okuqala ngemuva kokufakwa kwe-spiral. Bangaphinde bahambisane nezindawo zokuqothula ezivela emgqeni wokuzala. Konke lokhu kwenzeka ezinyangeni ezingu-1-2.

Imiphumela

Ngemuva kokwethulwa kwezinkinga ezihlukahlukene, okumele kuthunyelwe owesifazane ngokuphuthumayo kudokotela. Ezinsukwini zakudala kungase kube ukudweba ubuhlungu emathunjini aphansi kanye nezikhathi ezinde isikhathi eside. Esikhathini esizayo, kungase kube khona ukukhushulwa kwezinqubo ezingapheli zezitho zomzimba. Ngakho-ke umbuzo wokuthi ubuhlungu ukubeka ukukhanya akubaluleke kakhulu, kubalulekile ukuthi ungaphuthelwa izinkinga emva kokungeniswa kwalo. Ikakhulukazi kufanelekile ukulalela imizwa yakho ezinsukwini zokuqala: uma ubuhlungu obungapheli phakathi kwezinsuku ezingu-1-2 noma kukhona izinhlungu zesisu ezingahambisana nomkhuhlane, kubalulekile ukuvakashela udokotela ngokuphuthumayo ukuze ugweme ukuhlukunyezwa okubi - ukonakala kwesisu. Kwezinye izimo, ukuzulazula kwe-spiral kungenzeka. Lokhu kubonakala kulawo macala uma, ngemuva kokusungulwa kwe-IUD, owesifazane wenza umsebenzi omningi wezomzimba noma waba nokuphila kocansi okusebenzayo.

Ukususa i-IUD

Ngemuva kwesikhathi somthelela wokukhulelwa we-spiral (kusukela eminyakeni emihlanu kuya kweyishumi, kuye ngokuthi uhlobo lwe-IUD), kumele lisuswe. Inqubo yokususwa ayibuhlungu.

Ngemva kokukhipha umlomo wesibeletho ngezibuko, udokotela udonsa izintambo zokulawula futhi awususe emgodini wesibeletho. Kwezinye izimo, ngokungabikho kwezifo ezivuthayo, i-cervicitis, i-colpites esithathelanayo nokubekezela okuhle, ukukhipha kanye nokwethulwa kwe-spiral entsha kungenziwa ngesinyathelo esisodwa.