Wonke owesifazane ngezikhathi ezithile zokuphila kwakhe ucabanga ngokukhetha indlela yokukhulelwa. Ukusetshenziswa kule njongo yezidakamizwa ze-hormonal ngendlela yamathebulethi akusi njalo njalo futhi kuphephile. Ukuvunguza kwegazi kuyindlela engcono kakhulu yokuthola izisu zomlomo.
Njengoba wazi, i-intrauterine lemiklamo ingaba yimihlobo emibili:
- imiklamo equkethe ithusi (futhi ngezinye izikhathi isiliva yokwedluliselwa kokusebenza komsebenzi);
- imisindo equkethe ama-hormone.
Ukuzikhethela uhlobo oluthile lokuvunguza, kanye nesingeniso salo, lwenziwa ngumjozi wezifo zokwelapha.
Ukuvunguza kwegciwane kubonakala kanjani?
I-intrauterine idivaysi idijithali elincane lokufaka ukufakwa emgodini we-uterine. Ngokujwayelekile, imibala enjalo inesimo esifana nethemba T. Ukuvutha okunezimbiza kunesimbi encane yethusi, kuyilapho i-hormone equkethe i-hormone ihlanganisa nesitsha esivela kuso inani elithile le-progestin, i-hormone elivimbela i-ovulation, likhishwa ngezikhathi ezithile.
Idivayisi ye-intrauterine isebenza kanjani?
Ama-gynecological spiral izenzo kanje:
- ayivumeli iqanda elifakwe umquba ukuba lisetshenziswe odongeni lwesibeletho (zonke izinhlobo zemiklamo);
- kunciphisa ikhono le-spermatozoa ukudlula emgodini wesibeletho somlomo wesibeletho (i-spiral-containing containing spirals);
- kuvimbela ukuqala kwe-ovulation (imivimbo ye-hormone equkethe);
- unomphumela onobungozi ku-spermatozoa ne-ovum (imivimbo yemithwalo yethusi).
Kukholelwa ukuthi ukuvunguza, ekubeni umzimba wangaphandle ngaphakathi kwesibeletho, kubangela ukuvuvukala ku-endometrium yayo. Kulo ukuvuvukala, ama-microorganisms awabambi iqhaza, futhi ayinto encane, kodwa lokhu kwanele ukuqinisekisa ukuthi akunakwenzeka ukuba unamathisele iqanda elifakwe emanzini odongeni. Ngaphezu kwalokho, ithoni yesikhumba isanda ngenxa yokuthi kukhona ukuvunguza kuyo, izicubu zomzimba zamatayipi ezikhohlisayo ziyashesha, okubangela ukuba iqanda elikhulelwe lingene esibelethweni ngokushesha futhi lenze ukuthi ukufakelwa kungenakwenzeka ngenxa yokungabikho kwalokhu.
I-Spray, i-gynecological
Imiklamo ye-gynecological ingaba nemikhiqizo ehlukene. Okuthandwa kakhulu yi-gynecological Kuvunguza iMirena . I-spiral ene-hormone, ehambisana nendlela yokukhishwa kwansuku zonke ka-20 μg ye-levonorgestrel inikelwa. Le divayisi ene-T, into esebenzayo enomthelela wendawo ngqo kwi-endometrium yesibeletho. Amanye ama-brand awaziwa yiJuno Bio, Multiload, Nova. Zonke ziyahluka ngobukhulu, ukuma kanye nekhwalithi yendaba.
Izintengo ze-intrauterine zemiklamo zingabuka kuma-ruble angu-250 kuya kuma-ruble ayizinkulungwane ezingu-15. Noma kunjalo, uhlobo ngalunye lwe-spiral lunamathuba nezinzuzo. Isibonelo, ku-Juno kuvunguza kwe-Bio yaseRussia, intengo ekhangayo, kodwa izinga elinganele lokwenza kahle. I-Mirena nayo ayivikela kuphela emhlanganweni we-sperm kanye neqanda, kodwa futhi ivimbela okunamathiselwe kweqanda elikhulelwe uma ngabe umhlangano usaqhubeka. Ngaphezu kwalokho, i-Mirena yenza umsebenzi wokwelashwa, ngoba amahomoni akwenzayo akuvumela ukuba ulawule umjikelezo wesimiso.
Umphumela wokuvunguza emzimbeni wesifazane
Ukuba khona kokuvunguza ngaphakathi kwesibeletho, yebo, akudluli ngaphandle komkhondo womzimba wesifazane. Umphumela walo omuhle ukuvimbela ukukhulelwa okungafunwa, ekulawuleni umjikelezo wokuya esikhathini (imikhiqizo ngayinye). Umphumela omubi we-spiral ungabonakaliswa ekuthuthukiseni inqubo yokuvuvukala, ukukhushulwa kwe- endometriosis . Kwezinye izimo, kukhona ukwephulwa komjikelezo wokuya esikhathini, qala ukuphazamisa ukubona indawo phakathi kokuya esikhathini. Abanye besifazane babhekana nokuhlangenwe nakho okubuhlungu obukhulu bokuhluka komzimba ngesikhathi socansi.