Phakathi kwezinqubo zokwelapha zanamuhla, i-intrauterine i-spirals yedivaysi inesinye sezikhundla ezihola ngokuthembeka. Kodwa imiphumela emibi eyenzeka emva kokufakwa noma ukususwa kwe-spiral, abesifazane abaningi bayesaba futhi kuyisizathu sokushiya le ndlela yokukhulelwa. Ukuze usebenzise i-intrauterine contraceptives ngaphandle kokubeka ingozi empilweni, kudingeka ulandele zonke izincomo, uhlole ngokugcwele ngaphambi kokufakwa futhi uqhubeke nokuhlolwa okuqhubekayo okuvimbela. Uma kukhona ukuphikisana, ukuvunguza akukwazi ukusungulwa. Ngaphezu kwalokho, uma umzimba unezinqubo zokuvuvukala ezingahlanganiswa ngisho nezitho zangasese, ukuvuthwa kokubeletha kungasungulwa izinyanga ezimbalwa emva kokululama. Ukukhulelwa emva kokususwa kwe-spiral kungabangela izinkinga uma zonke izincomo zingalandelwanga, futhi ukuvuthwa kwasungulwa phambi kwezingqinamba. Ukuya ocansini emva kokusungulwa kwe-spiral kunokwenzeka kuphela ngomlingani ohlala njalo, futhi kuphela uma owesifazane eqiniseka ngokungabikho kwezifo ezingasakazwa ngokocansi, njengoba ukuzwela kwesibeletho ku-infections kwanda kakhulu. Ukunciphisa ukukhulelwa emva kokukhulelwa kwe-ectopic akunconywa, njengoba kungabangela ukuthuthukiswa okulandelayo kokukhulelwa kwe-ectopic. Uma ukuphikisana okuthile kungatholakali, kodwa kunezinto ezidingekayo zokwesaba, ngakho-ke kungcono ukusebenzisa ezinye izindlela zokuvimbela ukukhulelwa. Futhi, idivaysi ye-intrauterine ibhekisela ekukhulelweni kokubeletha, okuyinto engamukeleki kwabesifazane abanezinkolelo ezithile zenkolo.
Ngesikhathi esifanayo, ukuvunguza emva kokuzalwa kungenye yezindlela ezinhle kakhulu zokuvimbela ukubeletha ekunceliseni ibele, ngoba ayithinti uketshezi futhi ayilimazi empilweni yengane. Ukukhulelwa emva kokususwa kwe-spiral kwenzeka ngokushesha kunemva kokusebenzisa ezinye izinto eziningi zokukhulelwa, kubaningi besifazane abazalayo babuyiselwa ezinyangeni zokuqala.
Kumanothi
Ukuze ugweme izinkinga, izimo ezithile kufanele zihlangane, futhi uma kwenzeka owesifazane kufanele athole udokotela ngokushesha. Nakhu okushiwo ochwepheshe ukuba banakekele lokhu:
- Ngaphambi kokufakwa kwe-spiral kuyadingeka ukuba uhlolwe ngokugcwele kwezokwelapha;
- Udokotela owaziwa kuphela kufanele akhethe futhi afake ukuvunguza, emva kwalokho ukuhlolwa okwengeziwe kuzodingeka ngesonto elilodwa emva kokufakwa. Kunconywa ukuba wenze i-ultrasound ukuqinisekisa ukuthi ukuvunguza kuhlelwe kahle. Ngisho lapho kungekho khona izimpawu zokuphulwa kuyadingeka ukuba uhlole ukuvimbela njalo ezinyangeni ezingu-5-6;
- ukuvuthwa kokukhipha isisu kumiswa ngokuqaphela udokotela, kuye ngokuthi impilo yowesifazane kanye nesimo sezitho zangasese;
- uma ubeka ukuvunguza emva kokuzalwa, udokotela ubuye anqume. Ezimweni eziningi, i-spiral emva kokubeletha isungulwa emva kwezinyanga ezintathu, lapho kukhona izinkinga ezithile - emva kwezingu-6 kuphela;
- ukukhulelwa kokuvuthwa ngemuva kwesigaba se-caesarean uma kungekho ukwephulwa kungafakwa ngemuva kwezinyanga ezintathu. Kwezinye izimo, usetha izinyanga ezingu-6-9;
- Uma izingcingo zokuvuthwa zizwakala ukungazizwa kahle futhi zibangele ukuzwa okubuhlungu, kuyadingeka ukuthi uhlole ukuthi ifakiwe kahle. Ngokushintsha kwe-spiral, ingozi yokukhulelwa kwe-ectopic iyanda, futhi umphumela wokukhulelwa unciphile kakhulu;
- ukuhlukaniswa emva kokufakwa kwe-spiral kungashintsha. Umthelela ohlangothini wemiklamo yomoya wokuvimbela ukubeletha ukubonakala kwemfihlo yokuchitha igazi ngaphakathi. Uma isabelo singavumi phakathi nenyanga, kufanele uxoxe nodokotela wakho. Isizathu sokukhathazeka ukukhishwa njalo ngephunga elimnandi, okungenzeka kube uphawu lwe-endometritis;
- nyangazonke emva kokuvunguza kungaba kakhulu futhi kubuhlungu, okubuye kube nomthelela ohlangothini lwe-intrauterine yokukhulelwa. Uma ukuya esikhathini kudinga ukukhathazeka, kufanele uxhumane nochwepheshe mayelana nokuqokwa kwezidakamizwa ezikhethekile,
ukuvimbela ukulahlekelwa kwegazi elikhulu; - nyangazonke, emva kokuya esikhathini, owesifazane kufanele ahlole izintambo ezivuthayo emzimbeni;
- ngaphambi kokukhulelwa emva kokususwa kokuvuthwa kokubeletha, kunconywa ukuba uhlolwe ukuthi kungabandakanyi ukutholakala kokutheleleka nezifo ezivuthayo ezithombeni zobulili nasesifundazwe;
- emva kokususwa kokuvulwa kwamathuba okukhulelwa kakhulu, ngakho-ke uma uqala umsebenzi wobulili, kufanele usheshe ukhathalele ukwelashwa kokubeletha.
Ukuqaphela izimo ezidingekayo zokufaka nokusetshenziswa kokuvuthwa kokubeletha, kanye nokufinyelela okwesikhashana kumchwepheshe uma kwenzeka kwenzeka ukwehlukana, kunciphisa ingozi yemiphumela emibi engase ivele ngemuva kokusebenza kwe-spiral.