Gịnị IUDs mma? Nyocha nke IUD

Karịa 60 nde. Women na ụwa na-ahọrọ nke a pụtara nke nchedo ime bụ intrauterine. Gịnị IUDs mma, n'ihi na ole ha na-ike, ma ọ bụ a na-egbu mgbu usoro? Ndị a okwu na-adọrọ mmasị ọtụtụ ndị inyom.

nhazi ọkwa Navy

Nke a na ụdị ogwu eji n'elu 16% ssiyskih rozhenschin omumu afọ. Iji chọpụta ihe bụ ihe ọma banyere IUD, nke kacha mma na-echebe megide ime, mkpa ka ị mara ihe ụdị a gburugburu nwere ike zụrụ na anụ ụlọ ahịa. E nwere ọtụtụ ụdị nke intrauterine gbochie afọ:

• ndị na-abụghị medicated;
• mbụ ọgbọ ọgwụ - "Multiload", "Nova", "Juno Bio";
• medicated ọgbọ nke atọ - "Mirena".

The mbụ na-mere si sịntetik ihe na mgbakwunye na nke barium sulfate. Ha na-abịa dị iche iche shapes: na T ekara ma ọ bụ S ekara. Nke a adighi ike IUDs. Nyocha nke dọkịta na-akọ na ha na-adịghị ugbu a na-eji n'ihi Ugboro mkpali nsogbu mgbe ha iwebata.

Nke abụọ otu mejupụtara ndị IUD (intrauterine ngwaọrụ) gụnyere ọla kọpa, gold, silver. N'ihi ya, e nwere otu metal ma ọ bụ a Nchikota: a mkpanaka - ọlaọcha na asọfe - ọla kọpa. IUDs na ọla-ọcha na ndị ọzọ ọla adịghị corrode, na-eme ka mgbochi nke dị iche iche na mbufụt nke esịtidem kenwe na-etinye na nnọọ ogologo oge - maka 5 afọ.

Gbochie afọ metụtara ndị nke atọ ahụ, n'ụdị yiri gara aga n'anya, ma mejupụtara a akpa na a sịntetik progestogen, nke na-wepụtara na Micro doses - ruo 20 mg kwa ụbọchị. Ndị a spirals na-etinye na 7 afọ. Ha nwere bụghị naanị a ogwu mmetụta site inhibiting nkekọ nke ịmụpụta egg, kamakwa iji na-emeso dị iche iche ọrịa: endometriosis, dysfunctional eriri akpa nwa ọbara ọgbụgba na n'oge mmiri ọgwụ nnọchi ọgwụ na estrogens iji gbochie endometrial hyperplasia. Ndị dị otú ahụ gburugburu kwesịrị ekwesị n'ihi na ndị inyom na ịkpọasị okpukpe ebe ọ bụ na njikọta spam adịghị ime n'ihi mgbanwe mmiri ọgwụ itule n'okpuru nduzi nke mgbe nile na-ntọhapụ progestogens.

usoro nke ihe

Iji lebara ajụjụ banyere ihe IUDs mma, mkpa ka ị mara otú ha na-arụ ọrụ. Nke a na usoro nke igbochi afọ na-eduga ná eziokwu na ihe ndị na mbufụt eto ka a mmeghachi omume a mba ọzọ ahụ: leukocyte infiltration nke endometrial morphological mgbanwe ndị ọbịa na nkịtị ịhụ nsọ okirikiri, na nke iwebata a ịmụpụta egg bụ ekwe omume.

Navy akpata eriri akpa nwa contractions, na-egbochi ndị nkịtị proliferation nke endometrium maka nkunye nke egg, na-akwalite peristalsis nke fallopian akpa na nwere a-ezighị ezi mmetụta na spam ion nke ọla kọpa, ọlaedo na ọlaọcha.

Ị kwesịrị ị na-atụle ọ bụla tiori otú juru ogwu mmetụta, usoro nke edinam mejupụtara ọtụtụ mmiri.

uru

Iji chọpụta ihe IUD bụ ihe kasị mma, ị ga-maara na uru nke niile ụdị IUDs:

• arụmọrụ ruo 98%;
• mfe nke ngwa;
• a kacha nta nke oghom Jeremaya mere;

• mweghachi nke ike ifatilaiza mgbe mwepụ nke IUD n'ime ọnwa mbu ahu;
• Ọ na-adịghị na-ata ahụhụ site na ara (adabara ndị Navy na progestins);
• ẹkenam maka a ogologo oge;
• ala na-eri;
• ọ dịghị mkpa maka kwa ochichi nke mbadamba na ojiji nke na-achịkwa mgbe eji onu gbochie afọ.

-adịghị emezi emezi

N'etiti adịghị ga-kwuru-adọkpụpụta mgbu ke afo, karịsịa ná mmalite, oké ịhụ nsọ, a elu n'ihe ize ndụ nke mbufụt, mgbe nile na-achị ndị afụ ọnụ, mmachibido na-eto eto ndị inyom.

contraindications

Gịnị IUDs mma "Multiload", "Juno Bio", "Nova"? Ma e nwere contraindications maka ụdị ụfọdụ nke gburugburu? Ọ ga-kwuru na ihe nile ụdị nwere ikwu na zuru contraindications.

Zuru oke contraindications gụnyere nnukwu mbufụt, cancer, etuto ahụ nke n'olu na ahụ, nke akpanwa, mmamiri ọbara ọgbụgba nke na-amaghị uwa, gaje ma ọ bụ ẹdude ime. Mgbe ndị a mgbaàmà iwebata gburugburu nnọọ contraindicated.

Ikwu contraindications - a mgbaàmà nke ochichi IUD ikekwe mgbe kwesịrị ekwesị ule ma ọ bụ ọgwụgwọ, ma ọ bụ mgbe ogwu agaghị eme ka progression nke usoro. Ha bụ:

• exacerbation nke ala ala ọrịa, na ọnwa isii mgbe omume;
• ebute site ná mmekọahụ;
• cervicitis, vaginitis;
• arọ nanso, intermenstrual ọbara ọgbụgba;
• hyperplasia ma ọ bụ endometrial polyps;
• eriri akpa nwa fibroids na submucosal ebe ọnụ;
• ụdị ụfọdụ nke endometriosis;
• malformations nke akpanwa: underdevelopment, ndiiche Ọdịdị;
• mgbanwe cervix, nke ọ gaghị ekwe omume IUD ntinye;
• ectopic ime n'ihi na ọnwa isii tupu iwebata;
• Ịchụpụ (Self-adịrị) Navy akụkọ ihe mere eme;
• na-efe efe mkpali nsogbu mgbe ete ime n'oge gara aga ruo ọnwa atọ;
• Ọ bụrụ na a otutu enwe mmekọahụ;
• somatic ọrịa: ala ala mbufụt, gụnyere ụkwara nta; anaemia ma ọ bụ coagulopathy; rheumatic ọrịa obi, ọrịa valvụ ntụpọ nke na ngwaọrụ ahụ;
•-asọ metal ion;
• Westphal, Wilson ọrịa - a butere n'aka ọrịa, nke na-emetụtakarị na mgbanwe nke ọla kọpa;
• immunosuppressive ọgwụgwọ.

Na nke ọ bụla, mgbe nkọwa nke niile oghom ihe na a nyochaa dọkịta na-ekpebi ma IUD were. Pharmacies ere a dịgasị iche iche nke intrauterine ngwaọrụ. Photo nchịkọta ọkọnọ n'elu. Their eri àmà site 200 10,000 rubles.

Nnyocha n'ihu ochichi helix

Tupu iji usoro a nke igbochi afọ na-achọ onye oge na gị ọkachamara n'ọrịa ụmụ nwanyị na-egbu nke chọrọ kacha nta nke nyocha:

• CBC;
• ule nke gbasara akụrụ ọrụ ;
• ekpuchi syphilis, ịba ọcha n'anya nke B na C, HIV-ji ebu ihe;
• ogologo colposcopy;
• Ultrasound nnyocha nke akpanwa na ejiji.

Iwebata nke IUD

Dị ka WHO ọkachamara, na gburugburu ike ga-ndinọ na ọ bụla e nyere ụbọchị, ma ihe kasị mma ụbọchị ndị 4-7 ụbọchị nke ịhụ nsọ okirikiri. Nke a na-kọwara site n'eziokwu na kwuru mucous akpụkpọ ahụ nke akpanwa na-weghachiri eweghachi mgbe ojuju nke endometrium, cervix ubé oghe, ọnụnọ nke ịhụ nsọ - a pụrụ ịdabere na ihe ịrịba ama nke na-anọghị nke afọ ime, na ntakiri ọbara ọgbụgba aa mgbe iwebata, adịghị eme ka nwaanyị ahụ erughị ala. Mgbe ete ime ma ọ bụ samoaborta IUD nwere ike tinye ozugbo ma ọ bụ n'ime 4 ụbọchị na-enweghị ihe ịrịba ama nke ọbara na-agba mbufụt.

Mgbe a mụrụ (n'ime awa 48) na-adịghị na-atụ aro ich ozugbo ndinọ n'ihi na e nwere a elu puru nke Ịchụpụ nke eriri igwe. The kasị ezigbo oge - 6 izu mgbe nnyefe.

nsogbu

Nsogbu bụ na o kwere omume ozugbo na mgbe a mgbe mgbe intrauterine ngwaọrụ arụnyere. Nke dị mma na okwu nke a kacha nta nke wetara mmetụta? Ọtụtụ mgbe, mgbe iwebata nke gburugburu e nwere a na-egbu mgbu mgbaàmà na ike-adịgide adịgide maka awa. Nke a kọrọ na a nyochaa. Ọtụtụ mgbe, ahụ erughị ala na-aga mgbe na-ewere analgesics. Ọ bụrụ na ihe mgbu na-adịghị nyeere site analgesics na antispasmodics, ọ dị mkpa na-eduzi ihe ultrasound ma ọ bụ hysteroscopy chọpụta correctness nke IUD na Ịchọpụta Otú Nsogbu ọnụnọ nke a gburugburu nọ n'afọ ma ọ bụ n'èzí ya (iwebata eriri akpa nwa perforation).

IUD Ịchụpụ emee Ọtụtụ na-eto eto nulliparous inyom n'ihi nke mụbara eriri akpa nwa ikike. Ọ na-adị tumadi na ndị mbụ mgbe ochichi. The ugboro ole nke a sikwuoro na-adabere na ụdị helix: coppercontaining deletes onwe ya na 6-16% nke ikpe, progestagensoderzhaschie - na 3-6.5%. Na afọ, na-abawanye na ọnụ ọgụgụ nke ịmụ nwa na ime likelihood nke nsogbu na-ebelata.

Mkpali oria - nsogbu na-hụrụ 3,8-14,5% nke ikpe mgbe ndinọ IUD abụọ otu. Na nke a, ma ọ bụrụ na e nwere mbufụt ke akpa 3 izu, ya omume nwere ike metụtara IUD ntinye; ma ọ bụrụ na mgbe 3 ọnwa - ọ bụ a ọrịa pụta ọzọ. Formation nke abu tubovarialnogo mmụta - kasị egwu nke mkpali nsogbu. Ọ na-adị na ruo ogologo oge iwere gburugburu - karịrị 6-7 afọ. Spotting na o kwere omume na ndị mbụ mgbe ochichi (2,1-3,8%) na cropped nzube styptic. Ọ bụrụ na ọbara na-agba na-aga n'ihu, Bilie mgbu syndrome ma ọ bụ ime n'etiti ịhụ nsọ oge na adịghị anabata ọgwụgwọ, ọ dị mkpa iji wepụ eriri igwe.

Na 0.5-2% nke na o kwere omume ime. Nke a na-ebilite mgbe Mkpokọta ma ọ bụ ele mmadụ anya n'ihu Ịchụpụ nke IUD. Ọtụtụ mgbe, a na ime agwụ na n'amaghi ime, ọbụna ma ọ bụrụ na a nwaanyị chọrọ ka ya.
Na ihe IUDs mma na okwu nke nsogbu, enyere dozie ọkachamara n'ọrịa ụmụ nwanyị.

Irè nke intrauterine ogwu

A ọtụtụ iche Navy ewepụta ajụjụ dị otú ahụ nwaanyị ahụ: esi zere nsogbu, na ihe ka mma IUD? Nyocha nke dọkịta na ndị ọrịa na-ekwu okwu na ihu ọma nke copper- ma ọ bụ ọlaọcha-nwere IUD.

Na mgbakwunye na nke ọla kọpa na silver belatara omume nke nsogbu na 2-10 ugboro. Irè nke IUD bụ 93,8%. Inert helix nwere nrụpụta na 91-93%. Ugbu a, ndị kasị mma na-ọla kọpa-nwere gburugburu nke ala ọnụego nke nsogbu na elu pasent nke ogwu ọrụ.

Hormone-atọhapụ System "Mirena" bụ ndị kasị dị irè ogwu na nwoke ịga ụlọ ọgwụ a na-ewere ihe fọrọ nke nta ndu, dị ka ọ nwere ọtụtụ omume iji na-egbochi njikọta, attaching ya endometrium, amụba viscosity nke imi na cervix iji chebe spam si abanye akpanwa.

Anyị enyocha nti na mmetụta ọjọọ, nke nwere a gburugburu intrauterine. Gịnị ebe ka mma? Nke a na nke a ga-kwara na njikọ na ọkachamara n'ọrịa ụmụ nwanyị. Nke a na-ekpebi price na nke a nwaanyị na-atụ anya na-agba akaebe na mgbe o lesịrị ekpughe dọkịta.