Icho IUD ndiyo Yakanyanya Kuberekwa Kudzora Sarudzo Iwe?

Zvemukati

• Ongororo ye

Wakamboona ruzha rwese rwakatenderedza IUD nguva pfupi yadarika? Intrauterine zvishandiso (IUDs) zvinoita kunge zvave kwese kwese. Vhiki rapfuura, iyo National Center for Health Statistics yakaratidza kuwedzera zvakapetwa kashanu mukushandisa kwenguva refu kubata pamuviri panguva yemakore gumi apfuura pakati peiyo 15-kusvika-44 seti. Mukutanga kwaFebruary, chidzidzo kubva kuWashington University School of Medicine muSt. Louis chakaratidza kuti maIUD ehomoni anoramba achishanda kwegore kupfuura nguva yavo yakabvumirwa neFDA yemakore mashanu.

Asi kune vakadzi vazhinji vanosarudza nzira yekudzivirira kubereka, pachine kuzeza. Zvinoita sekuti munhu wese anoziva nezvemumwe munhu ane IUD inotyisa nyaya, kubva pakurwadziwa pakuiswa kusvika pakupwanyika kwakanyanya kwemavhiki anotevera. Uyezve pane pfungwa yekuti vese vane njodzi. (Ona Zvamunoziva Nezve IUDs Zvingave Zvakashata.)

Zvinotyisa mhedzisiro hazvisi zvachose, anodaro Christine Greves, MD, chiremba wemadzimai kuWinnie Palmer Hospital yeVakadzi & Vacheche. Kana maIUD haana njodzi: "Paive neshanduro yapfuura yaive nemukurumbira wakashata," anodaro. "Tambo yaiva nechepasi yakanga ine mafilaments akawanda, mabhakitiriya akanamira pairi nyore nyore, izvo zvakakonzera kuongororwa kwakawanda kwepelvic. Asi IUD iyi haisisiri kushandiswa." (Tsvaga iyo 3 Kuberekwa Kudzora Mibvunzo Unofanira Kubvunza Chiremba Wako)

Saka, ikozvino zvatabvisa izvo zvisirizvo zvisirizvo, izvi ndizvo zvaunofanira kuziva nezve dziviriro.

Chinoshanda sei?

Pane shanduro mbiri dzeIUD dzekucherechedza: makore mashanu ehomoni uye ane makore gumi asiri mahormone. Hormone inoshanda nekusunungura progestin, iyo inoremadza maronda emuromo wechibereko uye inoita kuti dumbu risagare nezai, anodaro Taraneh Shirazian, MD, mutevedzeri wapurofesa wekubereka, gynecology uye sainzi yekubereka paGomo reSinai. "Haisi kuita sepiritsi, ine estrogen yekudzvinyirira ovulation," anodaro. "Vakadzi vanogona vachiri kunzwa ivo kuvhara mazai mwedzi woga woga." Iwe zvakare uchaona mapfupi, akareruka nguva pane iyi fomu, zvakare.

Iyo yegumi-gore isiri-mahormone IUD inoshandisa mhangura, zvishoma nezvishoma inoburitswa muchibereko kudzivirira urume kubva pakuisa zai. Paunoenda pairi, kudzora kuzvara kunofanirwa kuitika mukati memaawa makumi maviri nemana. Kana iwe ukasarudza kuenda, zvakare zvakare yakanaka kukurumidza kudzosera kumashure. "Mahomoni emhando, seMirena, anotora nguva yakati rebei-anenge mazuva mashanu kusvika manomwe," Shirazian anodaro. "Asi nemakore gumi, Paragard, iwe unobva pairi, uye kana yangobuda, ndizvozvo."

Ndezvipi zvakanakira nezvazvakaipira?

Isu takambotaura pane imwe hombe yekuwedzera: Kana uri mumood yenguva yakareruka, mahormone IUD anogona kurongedza izvo zvinobatsira.

Kupfuura izvozvo, inhanho imwe, mhinduro yenguva refu yekudzora kubereka. "Haungakanganwe nezvazvo," anodaro Shirazian. "Ndosaka ine mwero wakanyanya wekudzivirira nhumbu kupfuura piritsi." Izvo zvinodarika 99 muzana, nenzira. Piritsi rinongoshanda zvakafanana kana rakashandiswa nemazvo. "Kana mukadzi achinge asuwa piritsi, tinoti iye mushandisi kutadza," anodaro Greves. "IUD inokodzera hupenyu hwevakadzi hwakabatikana." (Sezvinoita idzi Nzira 10 Dzakabatikana Vanhu Vanoenda Vakasimba Zuva Rose.)

Kunyange zvazvo IUD ichinzwika zvikuru kusvika pari zvino, pane kukanganisa pakudzivirira pamuviri.

IUD inogona kuve yakanakira vakadzi vakabatikana uye nguva dzakareruka, asi kuisa IUD kwakanyanya kukuvadza pane kubuda piritsi-uye sezvo tese tanga tichiita izvi kwehupenyu hwedu hwese, kungave Tylenol kana kuberekwa, isu pamwe unzwe kunge wajaira tsika. Uye kune akatiwandei mhedzisiro mhedzisiro, senge kupwanya kweinenge vhiki senge chibereko chinowanzojairira mudziyo, pamwe nekurwadziwa pakuiswa, kunyanya kana usati wamboberekwa nemukadzi. Izvi zvakajairika, uye zvinofanirwa kupfuura nekukurumidza. "Ndinoudza varwere vangu kuti vatore ibuprofen vaviri ingangoita awa vasati vasarudzwa," anodaro Greves. (Tarisa uone zvimwe zveZvakajairika Kuberekwa Kudzora Side Mhedzisiro.)

Rimwe dambudziko guru nderokuboora, uko IUD inogona kunyatsobaya chibereko-asi Shirazian inovimbisa kuti yakanyanya-shoma. "Ndakaisa zviuru zveizvi, uye handina kumbozviona zvichiitika," anodaro. "Mikana yacho ishoma kwazvo, chimwe chinhu senge 0.5 muzana."

Yakanakira ani?

Shirazian naGreves vese vanoti vakaisa maIUD mumunhu wese kubva kune vechidiki kusvika kuvakadzi vari pakati pemakore ekuma40 kusvika pakupera kwemakumi mana ezvido zvakasiyana-siyana. “Imwe fungidziro huru ndeyekuti munhu wese haakwanise kuishandisa,” anodaro Shirazian. "Vakadzi vazhinji vanogona, pachokwadi."

Zvakadaro, Shirazian anoroverera munhu akakodzera: Mukadzi ari pakati pemakore makumi maviri kana kupfuura, asiri kutarisira kubata pamuviri munguva pfupi iri kutevera.

Greves anodzokorora manzwiro iwayo, zvakare. “Yakanakira munhu asingadi pamuviri munguva pfupi iri kutevera uye anenge asina vanhu vakawanda pabonde,” anotsanangura kudaro. "Iri boka rinogona kuve rakapamhamha hazvo."

Ramangwana rakaita sei?

Sekureva kwedhata reCDC, nzira dzekudzivirira kubata pamuviri dzakatora nguva yakareba senge IUD ndiyo chete yechina inozivikanwa nzira yekuzvarwa pakati pevakadzi pa7.2 muzana-isingasviki hafu yepiritsi, inoramba iri nhamba yekutanga muchikamu ichi.

Zvisinei, Shirazian anofunga kuti kana vanhu vakawanda vachidzidziswa nezvemaIUD, vanhu vakawanda vanokwirawo. "Inonakidza kwazvo, nekuti takaona kusimuka nguva pfupi yadarika," anodaro. "Chinhu chikuru chakashata ndechekuti vanhu vakambonzwa nezvazvo kare, kuti vanga vasiri kukwikwidza, kana kuti yanga isina kuchengetedzeka," anodaro. "Asi hazviwedzere mwero wehutachiona hwechiuno uye, kunze kwekunge iwe uine hutachiona hunoshanda, unogona kuuisa mumadzimai mazhinji akasiyana."

IUD ichatsiva piritsi here? Inguva chete ndiyo ichataura, asi zviri nani kupfuura iyi nzira yekudzivirira kuberekwa.

Ongororo ye