IUD yemhangura iIntrauterine Contraceptive Device (IUD), inonziwo IUD yemhangura. Iyo inouya muchimiro chediki inochinjika yepurasitiki furemu muchimiro che "T" yakakomberedzwa nemhangura uye inoyera ingangoita 3,5 masendimita. IUD inowedzerwa neshinda pahwaro hwayo.

IUD yemhangura i-hormone-isina, yekudzivirira kubata pamuviri kwenguva refu - inogona kupfekwa kusvika kumakore gumi - inodzoreredzwa, uye imwe yenzira dzinoshanda dzekudzivirira nadzo dziripo. Vakadzi vakawanda vanogona kupfeka IUD yemhangura zvakachengeteka, kunyange vaya vasati vamboita pamuviri.

Muchibereko, kuvapo kweIUD, inoonekwa semuviri wekune imwe nyika, kunokonzera shanduko yeanatomical uye biochemical inokuvadza kumbeu. The endometrium (lining of the uterus) inobata nekuburitsa masero machena eropa, maenzayimu uye prostaglandin: kuita uku kunoita sekunodzivirira urume kuti husasvike kumachubhu e fallopian. MaIUD emhangura anobuditsawo maion emhangura mumvura yechibereko nemachubhu, izvo zvinowedzera kusashanda kwembeu. Hadzikwanisi kusvika pazai kuti riisanganise. IUD yemhangura inogonawo kudzivirira "embryo" kubva pakudyara mudumbu rechibereko.

IUD inogona kuiswa chero nguva panguva yekutevera, chero bedzi iwe usina pamuviri.

Inogona zvakare kuiswa mushure mekusununguka kwemwana chero nguva dzinotevera dzinoremekedzwa:

• Pamwe mukati memaawa makumi mana nemasere ekuberekwa;
• Kana kupfuura mavhiki mana mushure mekusununguka.

Kuradzika kunogonekawo pakarepo mushure mekubvisa pamuviri kana kubvisa pamuviri.

Kuiswa kweIUD kunofanirwa kuitwa na gynecologist.

Mushure memibvunzo mishoma pamusoro penhoroondo yezvokurapa, chiremba dzimwe nguva achapa muedzo wezvirwere zvepabonde uye zvirwere.

Laying process

Iko kuiswa kunozoenderera mberi maererano nematanho anotevera:

• Kuongororwa kwepelvic: vagina, cervix uye chibereko;
• Kucheneswa kwemukadzi uye cervix;
• Kuiswa kwespeculum kuitira kuisa IUD - iyo "maoko" e "T" akapetwa - muchibereko kuburikidza nekuvhura kwemuromo wechibereko uchishandisa mudziyo wakakosha - IUD inoiswa zvinyoro uye zvine hunyoro uye "maoko" zvinopedzwa muchibereko;
• Kucheka shinda mushure mekuisa IUD kuitira kuti ibude chete inenge 1 cm mukati memukadzi - shinda inofanira kuramba ichisvikika kuitira kuti ibvise nyore nyore IUD, asi kana ikakanganisa panguva yepabonde, gynecologist anogona kuicheka kwenguva pfupi.

Muzviitiko zvisingawanzoitiki, kukura kana kuti chimiro chechibereko chemunhu chinoita kuti zviome kuisa IUD zvakarurama. Chiremba wevakadzi vanobva vapa imwe nzira yekugadzirisa: imwe nzira yeIUD kana imwe nzira yekudzivirira kubata pamuviri.

Installation controls

Mushure mekuisa, zvinokwanisika kutarisa kuti IUD iripo nguva nenguva:

• Kamwe pavhiki pamwedzi wekutanga uyezve dzimwe nguva mushure mekutevera kwako;
• Geza maoko ako, squat, isa chigunwe mukati memukadzi uye bata tambo dziri mumuromo wechibereko, pasina kudhonza.

Kana tambo dzakanyangarika kana dzichiratidzika kureba kana kupfupika pane zvakajairwa, kushanyira gynecological kunokurudzirwa.

Chero zvazvingava, kushanya kwekutonga mavhiki matatu kusvika matanhatu mushure mekuiswa kunokurudzirwa.

Kubviswa kweIUD kunofanirwa kuitwa na gynecologist.

Zviri nyore uye nekukurumidza: chiremba anodhonza zvinyoro nyoro pashinda, maoko eIUD anopetwa kumashure uye IUD inotsvedza kunze. Muzviitiko zvisingawanzoitiki apo IUD isingabviswi nyore nyore, anogona kushandisa zviridzwa. Uye muzviitiko zvisingawanzoitiki, kuvhiyiwa kungave kuri madikanwa.

Mushure mekubviswa, kumwe kubuda kweropa kunogona kuitika asi muviri unozodzokera zvishoma nezvishoma kumamiriro ayo ekutanga. Uyezve, mbereko inodzokera kune yakajairika panongobviswa IUD.

IUD ndiyo imwe yenzira dzakanakisa dzekudzivirira kubata pamuviri: inoshanda inopfuura 99%. 

IUD yemhangura inoshandawo sekudzivirira kubata pamuviri kwechimbichimbi. Ndiyo kunyange nzira yakanakisisa yekudzivirira kubata pamuviri mushure mekuita zvepabonde zvisina kudzivirirwa. Inoshandiswa mukati memaawa 120 (mazuva mashanu) ekusangana kusina kudzivirirwa, inodarika 5% inoshanda.

Nzira iyi inogona kuva nemigumisiro yakaipa, asi izvi zvinowanzopera mushure memwedzi mitatu kusvika kumitanhatu, zvichienderana nemukadzi.

Mushure mekugadzirwa:

• Mamwe mazamu kwemazuva akawanda;
• Kubuda ropa kwakareruka kwemavhiki akati kuti.

Dzimwe mimwe migumisiro:

• Nguva refu uye inorema kupfuura yakajairika;
• Kumwe kubuda ropa kana kubuda ropa zvishoma pakati pekutevera;
• Kuwedzera marwadzo kana kurwadziwa panguva yekutevera.

IUD yemhangura haina kukurudzirwa mune zvinotevera zviitiko:

• Kufungira pamuviri;
• Kusununguka nguva pfupi yapfuura: nekuda kwengozi yekudzingwa, IUD inofanira kuiswa mukati memaawa 48 ekusununguka kana mavhiki mana mushure;
• Pelvic infection mushure mekusununguka kana kubvisa pamuviri;
• Kufungirwa kwakanyanya kwehutachiona kana chirwere chepabonde kana rimwe dambudziko rinokanganisa nhengo dzesikarudzi: HIV, gonorrhea (gonorrhea), chlamydia, syphilis, condyloma, vaginosis, genital herpes, hepatitis ...: inyaya yekurapa dambudziko risati raiswa. IUD;
• Munguva pfupi yapfuura kubuda kweropa kusingawanzoitiki: unenge uri mubvunzo wekutsvaga chikonzero chekubuda ropa kusati kwaiswa IUD;
• Kenza yemuromo wechibereko, endometrium kana ovary;
• Benign kana yakaipa trophoblast tumor;
• Genitourinary tuberculosis.

IUD yemhangura haifaniri kuiswa:

• Muchiitiko chekusawirirana kune mhangura;
• Chirwere chaWilson: chirwere chemajini chinoratidzwa nehuturu hwekuunganidza mhangura mumuviri;
• Chirwere chekubuda ropa chinokonzera coagulation matambudziko. 

Vakadzi vanoenda kumwedzi vanofanirawo kubvisa IUD yavo pasati papfuura gore mushure mekupedzisira kumwedzi.

IUD yemhangura ndiyo imwe yenzira dzekudzivirira nadzo kubata pamuviri. Kune rumwe rutivi, haidziviriri kune zvirwere zvepabonde kana zvirwere: kondomu inofanira kushandiswa kuwedzera.

Iyo IUD yemhangura inopihwa kubva kuma pharmacy pachirongwa chekurapa. Mutengo wayo unoratidza weruzhinji unotenderedza 30 euros: inodzoserwa pa65% nekuchengetedzwa kwevanhu.

Kuendeswa kweIUD mahara uye zvakavanzika:

• Kune vadiki vane inishuwarenzi yemagariro kana vanobatsirwa mu pharmacy;
• Kune vadiki uye vasina inshuwarisi yekuchengetedzwa kwevanhu pasina zera rinodiwa muFamily Planning and Education Centers (CPEF).