E 'ngoe ea litebelisoa tsa koporo ka mahlaseli a mabeli a metsoako a mararo
Li-IUDs (lisebelisuoa tsa intrauterine) li na le mekhoa e sebetsang, ea nako e telele le ea ho thibela bokhachane , 'me ho na le lihlahisoa tse hlano tse amohelehang tsa FDA tse rekisoang:
- Mirena
- Liletta
- Skyla
- Kyleena
- ParaGard
U ka 'na ua ipotsa hore na ke eng e nepahetseng bakeng sa hau. Ena ke qeto e hlokang puisano e hlokolosi le e nahanang le ngaka ea hau, 'me ho tseba lithuto tsa motheo ka li-IUD tse fapaneng pele u ka ba le puisano e ka ba thuso haholo.
Kakaretso ea IUDS
Likhomo tse 'nè tsa IUD ke mekhoa e matla ea thibelo ea bokhachane. Li na le "lisebelisoa tsa mofuta oa T" tse tlamehang ho kenngoa ka popelong ea hau 'me li tlosoe ka popelong ea hau ke ngaka e tšoanelehang.
Phapang e ka sehloohong har'a li-IUD ke hore e mong oa bona-e leng mokelikeli oa koporo, o bitsoang ParaGard-ha a lokolle hormone.
Koporo ea Koporo
ParaGard ke eona feela e nang le li-hormone tse nang le hormone 'me e entsoe ka polyethylene e phuthetsoe ka terata ea koporo. ParaGard e sebetsa joang ho thibela bokhachane? Litsebi li lumela hore ho na le mekhoa e fapaneng ea litsela, ho akarelletsa:
- Ho thibela peo ea semela le ho phela hantle (semela ha e phele)
- Fetoha ka lebelo la lehe pele le kopana le peō
- Tšenyo ho lehe
- Ho fokolisa ho kenngoa ha lehe le nang le manyolo
Har'a li-IUDs tsohle, ParaGard e ka sebelisoa nako e telele ka ho fetisisa, ho fihlela lilemo tse 10. Mabapi le litla-morao, basali ba khethang ParaGard ba lokela ho tseba hore ho ka baka linako tse boima le tse telele tse nang le ho feta ho tloaelehileng, haholo-holo matsatsing a pele a ho ea khoeling.
Leha ho le joalo, ke habohlokoa hore re hlokomele hore kahobane koporo ea koporo e se na li-hormone, e ke ke ea fetola nako ea mosali ea ho ea khoeling, kahoo o tla tsoelapele ho ba le nako e loketseng.
Levonorgestrel IUDs
Ho na le li-IUDS tse 'nè tsa levonorgestrel: Mirena, Liletta, Skyla le Kyleena. Joaloka ParaGard, li sebopeho sa T, empa ho fapana le ParaGard, li na le sleeve ea polydimethylsiloxane e nang le levonorgestrel (progestin) ka stem.
Li-HUDs tsena tsa hormone li sebetsa ka ho fokotsa li-cervical mucus (ho etsa hore ho be thata hore peō e tsamaee), ho fokotsa lesela la sebete le senyang ho kenngoa, le ho thibela ho tlama peo ho lehe.
- Mirena qalong e ntša 20mcg ea levonorgestrel ka letsatsi mme FDA e amoheleha ho fihlela ho fihlela ho lilemo tse 5. Hlokomela hore ha nako e ntse e tsoela pele, li-levonorgestrel IUDs li lokolla lihomone tse nyane, empa li ntse li sebetsa hantle.
- Liletta qalong e lokolla 18.6mcg ka letsatsi la levonorgestrel mme e amoheloa lilemo tse tharo tsa tšebeliso.
- Skyla , eo hape a tsejoang e le "ngoan'eso oa Mirena," qalong e lokolla 14mcg ea levonorgestrel ka letsatsi mme e ka sebelisoa ho fihlela ho lilemo tse 3.
- Kyleena e ne e amoheloa ke FDA ka September 2016 'me e fana ka li-worlds tse peli tse ntlehali, nako ea lilemo tse hlano (joaloka Mirena) empa boholo bo nyane le hormone e nyenyane (joaloka Skyla). Ka ho khetheha, Kyleena qalong o lokolla 17.5mcg ea levonorgestrel ka letsatsi.
Hobane tsena tse 'nè tsa mafura li na le progesin, u ka' na ua ba le liphetoho nakong ea ho ea khoeling. Ka mohlala, u ka 'na ua ba le monyetla oa ho bona likhoeli tse seng kae tsa pele ebe u ba le linako tse khutšoanyane le tse khutšoanyane. Nako ea hau e ka boela ea ema ka ho feletseng.
Litla-morao tse ling li kenyeletsa matšoao a amanang le li-hormone a kang:
- Moriri oa hlooho
- Nausea
- Ho ba le lerato la botona
- Ho tepella maikutlong
- E fokotsa libido
- Ho hlotheha ha moriri
- Ovarian cysts
Ho khetha se nepahetseng
E 'ngoe ea litsela tse molemo ka ho fetisisa tsa ho etsa qeto pakeng tsa li-IUD ke ho tseba hore na u batla ho sebelisa mokhoa oa thibelo ea tsoalo ea li-hormone kapa che. Haeba u sa khone ho khetha kapa ho khetha hore u se ke ua pepeseha li-hormone, ParaGard IUD e ka ba khetho e hlakileng ka ho fetisisa.
Leha ho le joalo, hopola hore hormone e Mirena, Skyla, Liletta le Kyleena e lokolloa feela sebakeng sa heno (ka popelong), ka hona ha e na mofuta o tšoanang oa li-hormone tse fumanehang lipilisong tsa thibelo ea bokhachane .
Lintlha tse ling tse ka u thusang ho khetha khetho e nepahetseng li kenyeletsa:
- Bolelele ba palo ea bokhachane (lilemo tse 3 ho ea ho tse 5 ho ea ho lilemo tse 10)
- Palo ea lihomone
- Litla-morao (mohlala, basali ba bang ba ikutloa ba le boima, ba utloa bohloko ho ea khoeling nakong ea likhoeli tse tšeletseng tse qalang kapa ka koporo ea koporo)
Boholo ba IUD bo ka boela ba susumetsa qeto ea hau. Skyla le Kyleena li nyane haholo ho feta Mirena, Liletta, le ParaGard. Ka lebaka leo, Skyla le kyleena e nyenyane li ka etsa hore li-IUD tsena li be bonolo ebile li se ke tsa utloisa bohloko ho kenya.
Matšoao a bona a manyenyane a ka boela a mamelloa hamolemo ke basali ba nang le sebete se senyenyane, joaloka bacha ba bacha le basali ba lihlopha.
Lentsoe le Tsoang ho
Ho sa tsotellehe hore na u khetha hokae, u ka ba le karolo ea kelello ea hore mefuta e mehlano e har'a mefuta e atlehang haholo ea mekhoa ea thibelo ea bokhachane . Ha e le hantle, li sebetsa joaloka mekhoa e sa khaotseng , joaloka mefuta e mengata ea li- vasectomi le tubal ligation .
Ho feta moo, ho sa tsotellehe likhopolo tse fosahetseng tse tloaelehileng, li-HUDs ke mekhoa e sireletsehileng ea thibelo ea bokhachane bakeng sa basali ba se nang molekane; bana ke basali ba sa kang ba beleha pele. Li-IUD ha li ame le monyetla oa hau oa ho ima ka mor'a hore o tlosoe.
Re lokela ho hlokomela hore li-IUD ha li sireletse basali ho tsoa tšoaetsong ea thobalano. Ho phaella moo, ka ho kenya inshorense, ho na le kotsi ea ho lelekoa (the IUD e tsoa) kapa tšoaetso, le hoja liketsahalo tsena li sa tloaeleha.
Kakaretso, li-IUD tsena ke mefuta e atlehang haholo ea thibelo ea bokhachane, 'me li fana ka tšireletso ea nako e telele. Ka mor'a ho khetha BATHO ba bona, basali ba bangata ba khotsofetse haholo ka qeto ea bona.
> Mehloli:
> Koleji ea Amerika ea Litsela le Ma-Gynecologists. (July 2011, ho netefalitsoe 2015). Tlhahlobo ea Meriana ea Boithaopi: Tlhahiso ea nako e telele e sebetsang ka nako e telele: Litlhaloso le lisebelisoa tsa Intrauterine.
> Dean G, Goldberg AB. (2017). Intrauterine tsa pelehi: Lijo, likhetho le khetho. Ka: UpToDate, Schreiber CA, Eckler K (Eds), UpToDate, Waltham, MA.
> Bowers R. "FDA e amohela lenaneo le lenyenyane la levonorgestrel intrauterine - 'Mirena e nyane.' Phetolelo ea Theknoloji ea Bokhachane . 2013 March; 34 (3): 25-36.
> Gemzell-Danielsson K, Schellschmidt I, Apter D. "Phuputso e entsoeng ka bobeli ea likarolo tsa bobeli, e hlalosang bokhoni, ho tsoa mali le ho sireletseha ha li-levonorgestrel tse peli tse tlaase-ho lokolla mekhoa ea ho thibela pelehi ea intrauterine le Mirena." Ho ba le mekhoa e metle le ho ba le botsitso . 2012; 96 (3): 616-622.
> Hardeman J. Intrauterine lisebelisoa: Tlhahlobo. Ke Mooki oa Lefu . 2014 Mar 15; 89 (6): 445-50.