Yini IUDs kangcono? Uphenyo IUD

Bangaphezu kwezigidi ezingama-60. Abesifazane emhlabeni uthanda lokhu kusho isivikelo ekhulelwe intrauterine. Yini IUDs kangcono, ngoba sekamisiwe esingakanani, kungaba okuyinto ebuhlungu? Lezi zinkinga esinesithakazelo kuyo abesifazane abaningi.

ngezigaba Navy

Lolu hlobo ukusetshenziswa umuthi phezu 16% ssiyskih rozhenschin yobudala zokuzala. Ukuze uthole okuhle mayelana IUD, esivikela engcono ekukhulelweni, udinga ukwazi ukuthi uhlobo Kuvunguza angathengwa emakethe yasekhaya. Kunezinhlobo eziningana zokuvimbela inzalo intrauterine:

• non-medicated;
• -Lokuqala isizukulwane imithi - "Multiload", "Nova", "Juno Bio";
• medicated kwesizukulwane sesithathu - "Mirena".

Eyokuqala zenziwa ngezinto zokwenziwa ne ukwengeza barium yombala sulfate. Bona Zihlukahlukene: T emise nofana ebumbeke S-. Lokhu iyasilela IUDs. Izibuyekezo odokotela babike ukuthi akuzona okwamanje lisetshenziswa ngenxa njalo yezinkinga ukuvuvukala emva isingeniso yabo.

Iqembu lesibili siqukethe IUD (amadivayisi intrauterine) ehlanganisa zethusi, igolide, isiliva. Ngakho kungaba khona metal olulodwa noma inhlanganisela: induku - isiliva emazombezombe - zethusi. IUDs ngesiliva nezinye izinsimbi musa adle, ineqhaza ekuvimbeleni ukuvuvukala ezihlukahlukene umthondo yangaphakathi futhi agqoke Adalberto isikhathi eside - iminyaka 5.

Izindlela zokuvimbela inzalo eziphathelene iqembu lesithathu, efomini afana nalawa wangaphambilini, kodwa yakhiwa esitsheni nge progestogen zokwenziwa, okuyinto ikhishwe ngemithamo micro - kuze kufinyelele mg 20 nsuku zonke. Lezi lemiklamo ifakwa eneminyaka engu-7. Sinenkosi hhayi kuphela umphumela umuthi ngu ezivimbela okunamathiselwe neqanda avundiswa, kodwa futhi lusetshenziselwa ukwelapha izifo ezahlukene: i-endometriosis, enezinkinga lesizalo ukopha phakathi kwama-hormone esikhundleni yokwelapha nge estrogens ukuvimbela Hyperplasia endometrial. Kuvunguza okunjalo kufanelekile abesifazane nge ubandlululo olungokwenkolo kusukela ekukhulelweni ayenzeki ngenxa yezinguquko ibhalansi hormone bedle njalo ukukhululwa progestogens.

mshini wezenzo

Ngomuso, ukuze kulungiswe umbuzo yini IUDs kangcono, kudingeka wazi nokuthi basebenzisa ziphi izindlela. Le ndlela inzalo kuholela yokuthi yisishiso ethize buyaqina yokusabela kuya nomzimba angaphandle: leukocyte kokuziphatha izinguquko endometrial morphological ukuthi kukhona alien normal menstrual cycle, futhi lapho umuntu eba iqanda eselivundisiwe akunakwenzeka.

Navy kubangela lesizalo Kufinyeta, kuvimbela ukwanda evamile endometrium ngoba yenzeka neqanda, ikhuthaza peristalsis kuzo ngemibhobho fallopian futhi kunomthelela omubi isidoda ion zethusi, igolide nesiliva.

Akufanele ucabangele zonke imfundiso yokuziphendukela umphumela kanjani luvame umuthi, mshini wezenzo siqukethe izingxenye eziningana.

izinzuzo

Ukuze uthole ukuthi ziyini IUD kuyinto enhle kakhulu, kufanele ujwayelene izinzuzo zonke izinhlobo IUDs:

• ukusebenza kahle kuze kube 98%;
• lula isicelo;
• ubuncane ukusabela ezingezinhle;

• nokubuyiselwa ikhono zalisa emva kokususwa IUD ngaphakathi ngenyanga yokuqala;
• Akukona uhlushwa ibele (asihambisani Navy nge progestins);
• kwethulwa isikhathi eside;
• eziphansi;
• asikho isidingo sokuqondisa yansuku zonke amaphilisi kanye nokusetshenziswa isilawuli uma usebenzisa izinto zokuvimbela inzalo ngomlomo.

amaphutha

Phakathi amaphutha Kumele kuqashelwe ngokuhudula ubuhlungu esiswini, ikakhulukazi ngezinsuku zokuqala, esikhathini esindayo, ingozi eliphezulu ukuvuvukala, ukulawula njalo amadevu, imikhawulo ufuna amantombazane asemancane.

Izimo

Yini IUDs kangcono "Multiload", "Juno Bio", "Nova"? Kungakhathaliseki ukuthi kukhona Izimo sezinhlobo ezithile ethandelayo? Kufanele kuqashelwe ukuthi zonke izinhlobo ube Izimo isihlobo kanye ngokuphelele.

Izimo Ingabe Ohulumeni Banalo Lonke zihlanganisa ukuvuvukala acute, umdlavuza, izimila entanyeni nomzimba kwesibeletho, ukopha lwesitho sangasese sowesifazane imvelo ezingaziwa, abazoba noma ukukhulelwa ekhona. Lapho lezi zimpawu isingeniso Kuvunguza ngokuphelele contraindicated.

Izimo Isihlobo - lezi zimpawu lapho abaphathi IUD mhlawumbe sekuhloliwe ezifanele noma ukwelashwa, noma lapho umuthi ngeke nomthelela ukuqhubeka inqubo. Ziyakwazi:

• exacerbation izifo ezingamahlalakhona, izinyanga eziyisithupha emva kokwelashwa;
• izifo ezithathelwana ngobulili;
• cervicitis, lezinkinobho;
• kokuya esikhathini esindayo, ukopha intermenstrual;
• Hyperplasia noma endometrial polyp;
• lesizalo fibroids nge ISIZINDA submucosal indawo;
• uhlobo oluthile endometriosis;
• kombungu kwesibeletho: nokungathuthuki, isakhiwo okungavamile;
• izinguquko wesibeletho, lapho akunakwenzeka IUD Ukufakwa;
• ukhulela ethunjini izinyanga eziyisithupha ngaphambi ukwethulwa;
• uxoshwe (Self-yokukhipha) umlando Navy;
• yezinkinga ezithathelwanayo ukuvuvukala emva isisu phakathi ezinyangeni ezintathu ezedlule,
• Uma eziningi ezibandakanya nabo kwezocansi;
• izifo ukuphathwa kwabathintwayo: ukuvuvukala okungamahlalakhona, kuhlanganise sofuba; anaemia noma coagulopathy; rheumatism isifo senhliziyo, valve zamehlo idivayisi;
• i-njengemithi yokungezwani komzimba nokuthile onesigqi ion;
• Westphal, isifo Wilson - nesifo esiwufuzo, okuyinto ephazamisa exchange zethusi;
• ukwelashwa immunosuppressive.

Esimweni ngasinye, ngemva ukucaciswa zonke izici ezingezinhle futhi ukuxilongwa okujuli- udokotela enquma ukuthi ukusetshenziswa IUD. Amakhemini ukuthengisa ezihlukahlukene Amadivayisi intrauterine. Photo amaphakheji owethulwe ngenhla. izindleko zabo zokhahlamba kusuka ruble 200 kuya 10,000.

Examination phambi ekuphathweni Helix

Ngaphambi kokusebenzisa i-le ndlela inzalo kudinga kokubonisana umuntu wezifo zabesifazane yakho nasekubulaleni okuyisilinganiso esiphansi semali edingekayo vo:

• CBC;
• luhlolo umsebenzi so-renal ;
• i-ugcunsula, isifo sokusha kwesibindi kohlobo B no-C, i-HIV ukuthutha;
• colposcopy enwetshiwe;
• Ultrasound luhlolo kwesibeletho futhi ezihlobene.

Ukwethulwa kwe IUD

Ngokwe-WHO Ochwepheshe bathi, Kuvunguza kungenziwa iphathwe Nganoma yiluphi usuku, kodwa izinsuku elihle kunawo izinsuku 4-7 of umjikelezo wokuya esikhathini. Lokhu kuchazwe iqiniso lokuthi wathi ulwelwesi lwamafinyila kwesibeletho lokubuyiselwa emva ukwenqaba endometrium, wesibeletho kancane evulekile, khona zokwehlukaniswa - uphawu okunokwethenjelwa ukungabikho sokukhulelwa, futhi ukopha sakugcina okwenzeka ngemva isingeniso, musa ulethe wesifazane kabi. Ngemva isisu noma samoaborta IUD Ungafaka ngokushesha noma zingakapheli izinsuku 4 nge zimpawu ukopha nokuvuvukala.

Ngemva kokuzalwa kuka-(kungakapheli amahora angu-48) is hhayi Kunconywa ngokushesha NGA iqondiswa ngoba kukhona awokuthi ukuxoshwa kwekhoyili. Isikhathi elilungile kakhulu - amasonto 6 emva kokubeletha.

yezinkinga

Izinkinga zingenzeka ngokushesha futhi ngemva kwesikhashana ngemuva kudivayisi intrauterine ezifakiwe. Yikuphi okungcono ngokuya ubuncane engemihle imiphumela? Ngokuvamile, ngemva ukwethulwa Kuvunguza kukhona uphawu buhlungu lokho ingahlala amahora. Lokhu ke kwabikwa e isibuyekezo. Ngokuvamile, ukungakhululeki sihamba ngemva kokuthatha analgesics. Uma ubuhlungu ngikhululekile ngu analgesics futhi antispasmodics, kubalulekile ukuqhuba ultrasound noma hysteroscopy ukunquma ngokunemba we IUD futhi kuhlolwa khona Kuvunguza esibelethweni noma ngaphandle kwalo (ukwethulwa lesizalo perforation).

uxoshwe IUD kwenzeka zivame ukubonakala kwabesifazane abasha nulliparous ngenxa anda lesizalo umthamo. It kwenzeka ikakhulukazi ngemva kokuphathwa ngezinsuku zokuqala. Imvamisa lokhu inkinga incike uhlobo Helix: coppercontaining okususiwe ngokwaso 6-16% of amacala, progestagensoderzhaschie - e 3-6.5%. Njengoba bekhula, ukwanda kwenani ukuzalwa izisu amathuba yezinkinga kuyehla.

Izifo ukuvuvukala - nezinkinga ezingase kuyagcinwa e 3,8-14,5% of amacala uma iqondiswa iqembu lesibili IUD. Kulokhu, uma kwaba yisihlungu emavikini 3 lokuqala, lapho ivela khona kungase kuhlobane IUD Ukufakwa; uma ngemuva kwezinyanga 3 - iyisifo sekukhona futhi. Kumiswa imfundo ubomvu tubovarialnogo - nengwenya kakhulu yezinkinga ukuvuvukala. Kwenzeka nge isikhathi eside ukusetshenziswa Kuvunguza - iminyaka engaphezu kuka-6-7. Zokubona kungenzeka ezinsukwini zokuqala ngemva kokuphathwa (2,1-3,8%) kanye injongo okhrophiwe styptic. Uma ukopha uyaqhubeka, ephelezelwa ubuhlungu syndrome noma zingenzeka phakathi kokuya esikhathini kanye ungaphenduli ukwelashwa, kubalulekile ukususa kwekhoyili.

Ngo 0.5-2% ukukhulelwa kungenzeka. Lokhu kuvela uma uxoshwe nhlobo noma ngokwengxenye we IUD. Ngokuvamile, lokhu sokukhulelwa izophela izisu nokuguqulwa, ngisho noma owesifazane ofuna ukuyigcina.
Futhi lokho IUDs kangcono ngokuya izinkinga ngemva kokuhlinzwa, ukusiza ukuxazulula wezifo zabesifazane.

Ukuphumelela umuthi intrauterine

Kuningi izinhlobo Navy ubeka imibuzo enjalo kowesifazane: indlela ligweme izinkinga ezingase zivele, futhi IUD yini kangcono? Uphenyo kodokotela kanye neziguli ukukhuluma esivuna IUD zethusi noma isiliva-aqukethe.

Ukwengeza ithusi nesiliva sinciphise tigameko yezinkinga ezikhathini 2-10. Ukuphumelela IUD kuyinto 93,8%. Helix inert babe ngempumelelo e 91-93%. Okwamanje, ofanele kakhulu kukhona Kuvunguza zethusi-aqukethe izinga eliphansi yezinkinga iphesenti eliphezulu umsebenzi umuthi.

Ama-hormone Ukukhipha System "Mirena" iyona umuthi esebenza kahle kakhulu inzalo kubhekwa cishe yemvelo, njengoba has a Inombolo yezenzo kuvinjelwe kokukhulelwa, axube ku-endometrium, okwandisa viscosity isikhwehlela e wesibeletho ukuvikela isidoda engena esibelethweni.

Sibukeze imiphumela emihle nemibi, okuyinto has a intrauterine Kuvunguza. Iyiphi nje indawo engcono? Lo magazini kufanele zithunyelwe ngokuhlanganyela wezifo zabesifazane. Lokhu kunquma Inani okuthengwa ngalo owesifazane ulindele futhi ubufakazi bokuthi ngemuva, lokho kuhlolisisa kwembula kudokotela.