Nheyo yemutambo we intrauterine
Iyo mishonga inonyatsobudirira, inodzivisa kutanga kwemimba muna 98% yezviitiko. Kuti uwane kutsanangura ichi, zvakakosha kuti unzwisise kuti sei intrauterine chipangizo chinoshanda. Pakati pegadziriro iyi ndiyo inonzi multidirectionality yemugumisiro:
- Inoita chigumbuso chemagetsi mumugwagwa weii rinokura. Kupindira kwechikadzi chemajeri chechikadzi muuterine cavity kwakaoma. Somugumisiro, haakwanisi kupinda uye kupinda mukati mechiberekero nekuda kwenguva shoma yekugoneka. Mushure mekusiya chidimbu, zamai inofanira kushandiswa mumaawa makumi mana. Zvadaro zvinouya zvinoparadza, zvinofa.
- Kurambidzwa kwebasa uye kubudirira kwepermatozoa nekuda kwekusunungurwa kwezvinhu zvimwe nekudzivirira kubva pamuviri.
- Kuwedzera kwemavhisikiti emukoko wekervical, nekuda kwekuvhiringidza kwekupararira kwemitemo. Somugumisiro, chigadziro chechisikigo chakasikwa nenzira yevarume masero emajeri, asingasviki maoocyte.
Kuiswa kwechikwata chinonzi intrauterine
Mukadzi akasarudza kushandisa shanduro yakadai achafanira kutora nguva yakareba yekuongorora. Inosanganisira:
- Smears kubva kumadzimai echikadzi uye cervical canal;
- kuongororwa ropa kweHIV neRV, hepatitis;
- Ultrasound yenhengo dzomukati;
- general analysis of urine;
- kubviswa kwehutachiwana huripo;
- tsvakurudzo panyaya dzepabonde.
Paunoisa chidimbu chinonzi intrauterine, mukadzi anosvika kuchipatara chechipatara nemigumisiro yekuongorora. Kuiswa kweIUD pachayo kunoitwa mukati mekutanga kwemazuva manomwe kubvira pakutanga kwekufamba. Nokudaro, mukana wekubuda kwahwo kunze kwekugadziriswa kwemasangano e myometrium hauna kubviswa, iyo inozivikanwa nemwedzi. Pamberi pechirwere chemukati chinenge chagadzirwa, chiremba anoita chirwere chemitsipa nechirwere chekuyemura. Kutanga kwechirwere kunoitwa muchigaro chechivheneko uchishandisa mirati uye dilator. Nzira yacho haigoni kupfuura 5-10 maminitsi. Vakadzi vakanyora kuti vashandise vanotambudzwa nemubvunzo wekuti zvinorwadza here kuisa kubuda kubva pamuviri. Kushandiswa kweatgesic components kunoderedza kusuruvara. Kunyatsokwanisa kusabvisa iyo hazvibviri, nekuda kwekuita kwehutano hwekuwedzera kwechigodhi chemukati. Nokudaro, kumwe kushamwaridzana kunowanikwa, hurombo hushoma hunopfuura maawa 1-2.
Kubviswa kwemuchina we intrauterine
Kuwedzerwa kweIUD kunoitwa paunoda, apo chisarudzo chinoitwa pakugadzirirwa kwepamuviri. Mukuwedzera, pane dzimwe nguva, zvichienderana nemhando yezvinhu izvo chirongwa chekudzivirira nayo chakaitwa. Pavhareji, inogona kushandiswa kwemakore mashanu. Iko kunouya nguva apo iwe unogona kubvisa iyo intrauterine device, uye mukadzi anotendeukira kuchipatara.
Iyo nzira inoitwa panguva yekuenda kumwedzi. Icho chikonzero chinokonzerwa nekuti chizaruriro chemuviri chechirwere chemuviri chinowanikwa panguva ino, uye izvi zvinoita kuti kubudiswa kwacho kuvepo. Yakagadzirwa nenzira yehurukuro dzakabatanidzwa neIUD. Kudzora kwekubudirira kwekunyengera kunoitwa nekushandisa ultrasound.
Kurudzira intrauterine - marudzi
Mhepo yakasununguka kubva pamuviri inosarudzwa mumwe nomumwe, ichifunga nezvemaitiro ehutano hwekubereka. Izvi zvinokonzera huwandu hwakawanda hwemarudzi eIUD. Sezvo kukwana kwakashandura chimiro uye zvinhu izvo zvinhu zvakadai zvekudzivirira kubata pamuviri zvakaitwa. Kune zvizvarwa zvina:
- Inert IUDs. Icho chimwe chezvokutanga zvekudzivirira kubata pamuviri. Mavara anotarisa akaita sechiLatin "S". Chakanga chave chikagadzirwa ne polyethylene. Low efficiency. Chimwe chimiro ndeyeMiromo's loop.
- IUD nemhangura. Kuonekwa kwezvipembenene izvi kwaiva rudzi rwekuvhiringidza. Iko chemikemikari yemhangura ine spermicidal properties, inokanganisa kuve nekukurumidza kwekufamba kwepermatozoa. Izvo zvisingabatsiri ndezvokugoverwa kwemhangura, iyo inopedza nguva yekushandiswa - inoda kuchinjwa mumakore 2-3. Izvi zvinosanganisira Nova-T.
- The Navy is silver. Rudzi rwechipiri rwekudzivirira. Kuiswa kweioni yesirivha kwakawedzera nguva yekushandisa kwemakore mashanu. Intrauterine spiral Multiload inoreva zviratidzo zvakadaro.
- Hormonal spiral kubva pamuviri. Hemmone chikamu - progesterone kana levonorgestrel - inowedzerwa kune rimwe rutsoka rwakadaro. Izvi zvipenyu zvinodzivisa kusvibiswa, kusunungurwa kweii kubva ku follicle. Kakawanda kemukari inonzi inorapwa inhauterine device. Mhedzisiro inobatsira inoratidzirwa pamusoro pechirongwa chekubereka sechose, icho chinosimbiswa nekuderera kwezviitiko zvezvirwere zvinopisa. Mirena intrauterine device ndeyeiyo .
- Navy ine goridhe. Muenzaniso - GoldLeilly, - chipinda chemukati cheprauterine chine purasitiki, chakafukidzwa netambo yemhangura uye isina kuchena kwesimbi inokosha.
Tichifunga nezvemhando dzeIUDs, zvakakosha kutaura zvakasiyana pamusoro pekuonekwa kwemhepo kubva pamuviri. Zvichienderana nechimiro, zvinotevera zvinoratidzika:
- zvakafanana neyekuti "T";
- muchimiro chechifukidzo;
- annular;
- yakafanana nekwakadzika kumira, umburera.
Ndarama inonzi intrauterine device
Kuderera kwakaderera kworudzi urwu rweIUD kunokonzerwa nemari yakakwirira. Asi iyo intrauterine inotenderera negoridhe ishanduko yekusarudzwa kwevakadzi vakasarudza kushandisa nzira iyi yekudzivirira kubata pamuviri. Kubudirira kweiyo shanduro yemhepo ndeyekuti haina kunyatsogadziriswa. Somugumisiro, inogona kushandiswa kwemakore manomwe. Allergic reaction is excluded.
Silver intrauterine device
Kushaiwa kwechido chekuchinja kwechirwere chepabonde kunokosha zvikuru kune vakadzi. Chigadzirwa chemukati chinonzi sirivha chinoreva izvozvo. Iko kunofanira kuonekwa kuti nheyo (mukati mukati) inoumbwa nemhangura. Kuvhara ions esirivha hakungowedzera nguva yehupenyu hwehupenyu (makore mashanu), asiwo kuderedza mamiriro ekutuka kwezvirongwa. Kunyatsobvisa kusakwana kwekuita kumhepo yekuzvitakura kubva mumuviri wevakadzi haugone.
Copper intrauterine device
Rudzi urwu rweIUD runoreva nzira dzekare dzekubata pamuviri. Kunyoresa kwekugadzira uye mari shoma zvakakonzera kupararira kukuru kwekugadzirisa. Yakagadzikana iyo ipurasitiki yakakomberedza iyo iyo tsvina yemhangura inokuvadzwa. Mukuona kwekuti inokonzerwa nekuora, chirwere chakadaro chakadai chinodzokorora mumakore maviri ekushandiswa. Ioni yesimbi inobata muviri, inodzikisa kufamba kwavo. Kufungidzira kweii hazviitiki.
Hormonal intrauterine device
Chimwe chinhu chinogadzirisa chinogadzirisa chinhu chinonzi levonorgestrel iri mune imwe mudziyo wepurasitiki. I-T-shaped spiral, sezvinoita mishonga yekubata pamuviri, inobata maitiro ekuraira pahutachiona hwemahomoni, kunze kwekugadzira chigadziro chemagetsi pakuiswa kwezai rinogadzirwa mumupumetrium.
Icho chishongo chakaita sechinyorwa chinonzi intrauterine chinewo mahomoni. Izvo zvakagoverwa zvakafanana, zuva rimwe nerimwe. Zvimwe zvinokonzera, nenzira yekuonekwa kwechisimba, kuwedzera kwepanyama, kunoonekwa nekushandiswa kwenguva refu kwekudzivirira kubata pamuviri, hakubvumirwi. Inokonzerwa nekuti mahomoni haapindi ropa rose remuvirikadzi.
Intrauterine spiral - zviri nani?
Mubvunzo wekuti ungasarudza chirongwa chekudzivirira pamuviri ndechipi chekutya kwevakadzi. Vanachiremba vanomupa mhinduro isina kufanira. Nokuda kwekuti kusarudzwa kunofanira kuitwa chete neyanzvi. Kubva pane zvakawanikwa, mushure mokunge vaongororwa pachigaro chechiremera, rudzi rwakasarudzwa. Nemhaka yeizvi, hapana chinhu chakadai se "zvakanakisisa zvekudzivirira pamuviri". Vanachiremba vanofungisisa zvakawanda zvemashoko mumusarudzo yavo.
Intrauterine spiral - zvinotsigira uye zvinotyisa
Kungofanana nekudzivirira kwepabonde, kubuda kubva pamuviri kunobatsira uye kuipa. Zvichipa izvi, kunyatsopindura mubvunzo uyu: chii chiri nani, kukura kana kuberekwa kwepiritsi, kwete chiremba mumwe chete anogona. Pakati pezvibatsiro zve nzira iyi yekudzivirira, zvinokosha kutumidza:
- kushanda zvakanaka 98%;
- nguva yekushandiswa - makore 3-10;
- hapana chikonzero chekuenderera mberi;
- kukurumidza kugadzirisa kubereka kwebasa pashure pekuwedzera.
Pakati pezvinhu zvisina kunaka zvekushandiswa kweNavy ndezvekuti:
- kurereka, kuwedzera mumutambo wekuenda kumwedzi;
- Kusuruvara nekuenda kumwedzi;
- abaissement of the IUD - expulsion;
- njodzi yakawanda ye ectopic pregnancy;
- zvinokonzera kugadzikana;
- kupera muhupamhi hwe endometrium.
Intrauterine device - zvinopesana
Ikoko hakuna chibereko chekudzivirira. Nezvikonzero zvikonzero, mumwe mukadzi angabvumidzwa kubva kumishonga yemashonga, imwe-mishonga inopindwa mubereki. Kunze kwezvose, chirongwa chekudzivirira pamuviri, zvinopesana nezvisungo, uyewo zvakakodzera:
- tsvina-yakafanana nemigumisiro muhutano hwekubereka;
- kuputika kwezvikamu zvemuviri;
- chimiro chisina kuchena chechibereko, chimiro chemukoko waro;
- kuvapo kweutterine kubuda ropa;
- ikozvino pamuviri;
- chifukidzo chemuviri wepachiviri.
Kurudzira intrauterine - migumisiro
Kuiswa kwechirongwa chakadaro kunofanira kuitwa chete neyanyanzvi anoziva. Kunyatsogadziriswa intrauterine kuvhiringidza zvinetso hazviwanzoitiki. Pakati pavo pane:
- utachiona pamwe chete nekukwira nzira kubva kumudzimai;
- kuchinja kwekutungamirirwa kwechirwere chemvura (kubva muchibereko kunowira mumatope, dzimwe nguva inosvika pamimba yepamuviri, kazhinji - kuburikidza nemudzimai kunowedzera kunze);
- ectopic pregnancy;
- kuwedzera kumwedzi kubuda ropa.