I-intrauterine yokuvuthwa ngenye yeendlela ezinokuthenjwa zokukhulelwa, njengoko inika ngaphezu kwe-98% yesiqinisekiso ngokukhulelwa okungafunekiyo. Iindidi ze-intrauterine zemimoya zihluke ngoqwalaselo, ngokungqongqo kwaye ngokuhambelana nomgaqo wesenzo. Kwimeko nganye, uchwepheshe ngamnye ukhetha uhlobo olufanelekileyo kakhulu lokuhamba, ngokusekelwe kwiziphumo zoviwo kunye nesakhiwo somzimba. Kukho izizathu ezininzi kunye nokuchasana kwemimoya ye-intrauterine, njengoko kuboniswe ukuphononongwa ngokuphikisanayo ngale ndlela yokukhulelwa, kungekhona oogqirha kuphela, kodwa nabafazi ngokwabo. Kodwa ukuphumelela kwesicelo sokuxhuma kuxhomekeke kubuchule beengcali kunye nemeko yempilo yowesifazane ngokwakhe. Kwakhona, ugqirha kufuneka acebise ukuba yeyiphi enye ifowuter ifowuni eyona nto ifanele ukuyithenga, ngokusekelwe kwisakhono somguli kunye neemfuno.
I-intrauterine spirals - kunye nokuchasene
Iimimoya zinoluhlu olukhulu lwezichaso. Ngeendlela ezinobungozi ezinobungozi, iinkqubo ezivuthayo emzimbeni, izifo zentsebenziswano yokuphuhliswa kwesibeleko kunye nomlomo wesibeleko, ngokuvuvukala kwezitho zangasese, awukwazi ukusebenzisa i-intrauterine isixhobo saluphi na uhlobo. Kukho ukuchasana okuhambelana nokusetyenziswa kweemimoya, eziqwalaselwa nganye kwimeko nganye. Ukongezelela, le ndlela yokukhulelwa komzimba ivumelekile ukuba loo ntokazi inomlingani osisigxina kwaye ukuba le ntokazi ithembele kuyo, kuba nayiphi na indlela ye-intrauterine ifowuni ye-spirals ikwandisa umngcipheko wokusuleleka kwi-uterine cavity. Ukongezelela, kukho umngcipheko wokulahlekelwa ngokukhawuleza, kwaye xa kungabonakaliyo ngexesha, ukukhulelwa kungenzeka. Ngelo xesha, loo mimoya ye-hormonal intrauterine njenge-"Mirena" inefuthe elithile lonyango kwaye inokumiselwa kwizifo ezithile zezitho zomzimba, kodwa njengamalungiselelo ama-hormonal aphikisanayo kunye neziphumo zecala.
Izimpawu ezifanelekileyo zokusebenzisa imimoya yindlela ephezulu yokwenza u-98-99%, ukusetyenziswa ngokulula. Isikhathi senkxaso ye-intrauterine yiminyaka emi-5, ngeli xesha apho umfazi engadingi ukuthatha nawaphi na amanyathelo angaphezulu, ngaphandle kweemviwo zokukhusela zonke iinyanga ezi-5-6 kunye nokubeka iliso kweso sikhundla sokwakheka, okungaqwalaselwa ngokuzimela. Ukongezelela, imivumba ayinayo impembelelo ecaleni ekunceliseni. Emva nje kokukhutshwa kwe-spiral, ukuzala kuya kubuyiselwa ngokukhawuleza, kwaye umfazi angakhulelwa. Yonke into kunye nokuphambana nemimoya ye-intrauterine kufuneka ithathelwe ingqalelo kuphela kumntu ngamnye, ngokuqwalasela iziphumo zophando. Ininzi yemiphumo emibi yokusetyenziswa kwemimoya ihambelana nokungahoywa kwezinto ezichasayo kunye neziphakamiso zokusetyenziswa.
Iindidi ze-intrauterine spirals
Abangaphambili beentlobo zemihla ngemihla yeengqungquthela bezingenangqungquthela ezenziwe ngezinto ze-polymmer kunye neendlela zokwakha ezahlukeneyo. Ngenxa yokusebenza okuphantsi kunye nokuwa rhoqo okanye ukutshatyalaliswa kwisigxina se-uterine, ezi ntlobo zokukhulelwa komzimba zavalwa, kwaye zatshintshwa izinto eziphuculweyo.
Iimimoya zinokubunjwa ngeendidi ezahlukahlukeneyo, ezinemibala enemibala, ukujikeleza, kodwa i-spirals efana ne-T iqhelekile. Kwakhona, i-spirals ingaba ne-hormones, ii-alloys zetsimbi kwaye, ngaphezu kwempembelelo yokukhulelwa, ibe nefuthe lokunciphisa. Okwangoku, phantse zonke ii-intrauterine zixhobo zinombono o-T. Ziye zaphuhliswa ziqwalasela iimpazamo zeemveliso zangaphambilini, zithembeke ngakumbi kwaye zilula ukuyisebenzisa.
Imimoya ye-intrauterine ene-T equkethe ubhedu isetyenziswa ngokubanzi ngenxa yokuphucula ukuphathwa kunye nokukhutshwa. Kwakhona, ion iibheyili ineempembelelo ezichasayo nokukhulelwa, eziphucula kakhulu umgangatho wemimoya. Kodwa malunga ne-gold intrauterine spirals ingxabano. Kukholelwa ukuba banokukhupha iinkqubo zokuvuvukala. Imirhumo ye-intrauterine ngeesilivere inefuthe eliphantsi lokukhulelwa komzimba, ngoko kaninzi idibanisa isilivere kunye nobhedu.
Eyathandwa kakhulu yi-intrauterine i-hormonal spirals, oogqirha abona indlela engcono yokukhulelwa. Zidibanisa iingenelo zokukhulelwa komlomo kunye nezixhobo zangaphakathi. IiHormone eziqulethwe emlenzeni wokuvutha, faka umzimba ngokulinganayo, iminyaka emi-5, ukuthintela ukuvela kwesibindi kunye nokwandisa umphumo wokukhulelwa. Into eqhelekileyo yi-intrauterine evalwe "iMirena" kunye ne "Rrogestasert". Umoya ukhethwa ngokuxhomekeke kwinqutyana esebenzayo, i-progesterone okanye i-levonorgestrel, efanelekileyo kakhulu kumfazi.
Iindleko zesistim se-intrauterine zixhomekeke kwizinto ezininzi, kodwa kufuneka ukhethe ukhetho oluphezulu kakhulu, ngokukhethekileyo inkampani elungileyo. Ixabiso lixhomekeke kuhlobo lwe-intrauterine device, ukusuka