Njira yochepetsera ululu ndi imodzi mwa njira zodalirika zowathandiza kulera, popeza zimapereka chitsimikizo choposa 98% cha chitsimikiziro cha mimba yosafunika. Mitundu ya intrauterine spirals imasiyanasiyana mu kukonzekera, molimbika komanso molingana ndi mfundo yogwirira ntchito. Pachifukwa chilichonse, katswiri aliyense amasankha mtundu woyenerera kwambiri wa zowunikira, pogwiritsa ntchito zotsatira za kufufuza ndi kapangidwe ka zamoyo. Pali zifukwa zambiri zotsutsana ndi ma intrauterine, monga zikuwonetseratu ndi ndemanga zosiyana zokhudzana ndi njira iyi, osati madokotala okha, komanso amayi okha. Koma kugwiritsira ntchito bwino magulu kumadalira luso la katswiri ndi boma la thanzi la mkaziyo. Komanso, dokotala ayenera kulangiza kuti chipangizo chomwe chimagulitsidwa ndi intrauterine chiyenera kugula, malingana ndi zomwe wodwalayo ali nazo komanso zosowa zake.
Zojambula zamkati - ndi zotsutsana
Mizimu ili ndi mndandanda wawukulu wa zotsutsana. Ndi zotupa zowonongeka komanso zopweteka, zotupa m'thupi, zovuta za chiberekero ndi chiberekero, ndi kutupa kwa ziwalo zoberekera, simungagwiritse ntchito chipangizo cha intrauterine cha mtundu uliwonse. Palinso zosiyana zokhudzana ndi kugwiritsidwa ntchito kwa mizimu, zomwe zimaganiziridwa payekha payekha. Komanso, njira imeneyi yobvomerezeka ndi yololedwa ngati mkaziyo ali ndi mnzanu wokhazikika ndipo ngati mkaziyo ali ndi chidaliro, popeza mtundu uliwonse wa miyendo ya intrauterine imachulukitsa chiopsezo cha matenda mu chiberekero cha uterine. Kuonjezera apo, pali pangozi yokha yosauka, ndipo ngati sichipezeka nthawi, mimba ikhoza kuchitika. Pa nthawi yomweyi, mavitamini otchedwa intrauterine monga "Mirena" amakhala ndi mankhwala enaake ndipo amatha kulangizidwa ku matenda ena a ziwalo zoberekera, koma ngati mavitanidwe ena aliwonse amatsutsana ndi zotsatira zake.
Makhalidwe abwino ogwiritsira ntchito mizimu ndi mphamvu 98-99%, yogwiritsidwa ntchito mosavuta. Kutalika kwa chipangizo cha intrauterine ndi zaka zisanu, pamene mkazi sasowa kutenga njira zina zowonjezereka, kupatulapo mayeso odziteteza pakatha miyezi isanu ndi umodzi ndi umodzi ndikuyang'anitsitsa nthawi ya malo, omwe angadziwitse okha. Kuonjezera apo, miyendo ya miyendo imakhala ndi zotsatira zochepa pa kuyamwitsa. Kutangotha kumene, kubereka kumabwereranso mwamsanga, ndipo mkazi akhoza kutenga pakati. Zonse zotsutsana ndi intrauterine spirals ziyenera kuganiziridwa payekha, kulingalira zotsatira za kufufuza. Zotsatira zovuta zambiri za kugwiritsa ntchito mizimu zimagwirizanitsidwa ndi kusanyalanyaza zizindikiro zotsutsana ndi ndondomeko zomwe zingagwiritsidwe ntchito.
Mitundu ya intrauterine spirals
Mawotcheru a mitundu yamakono yamakono anali mizere yowonongeka yopangidwa ndi zipangizo zamapulumu ndi kupanga mapangidwe osiyana. Chifukwa cha kuchepa kwachangu ndipo nthawi zambiri amagwa kapena kusokonezeka m'mimba ya uterine, mitunduyi imaletsedwa, ndipo adalowetsedwa ndi zinthu zabwino.
Mizimu ingakhale ya maonekedwe osiyanasiyana, oboola pakati, ozungulira, koma mawonekedwe a T ali ofanana kwambiri. Komanso, mipweya ikhoza kukhala ndi mahomoni, zitsulo zazitsulo ndipo, kuphatikizapo njira zothandizira, zikhale ndi zotsatira zowononga. Pakadali pano, pafupifupi zipangizo zonse za intrauterine zili ndi mawonekedwe a T. Iwo adakonzedwa kuganizira zolephera za zomwe zakhala zikugwiritsidwa ntchito kale, zowonjezeka komanso zosavuta kuzigwiritsa ntchito.
Mitundu yotchedwa intrauterine yokhala ndi T yomwe imakhala ndi mkuwa imagwiritsidwa ntchito chifukwa chokhala ndi ubwino wothandizira ndi kutulutsa. Komanso, ioni zamkuwa zimakhala ndi zotsutsana ndi zotupa komanso zowononga, zomwe zinapindulitsa kwambiri mtundu wa mizimu. Koma za miyendo ya golide ya intrauterine imakangana. Amakhulupirira kuti akhoza kukwiyitsa njira zotupa. Miyendo yachitsulo yokhala ndi siliva imakhala ndi zotsatira zochepa za kulera, choncho nthawi zambiri zimagwirizanitsa siliva ndi mkuwa.
Zotchuka kwambiri ndi ma intrauterine hormonal spirals, omwe madokotala amalingalira njira yabwino kwambiri yoberekera. Amagwirizanitsa ubwino wa njira zothandizira pakamwa ndi zipangizo za intrauterine. Mahomoni omwe ali mu mwendo wamtunduwu, alowetsani thupi mofanana, kwa zaka zisanu, kuteteza kupezeka kwa kutupa ndi kukulitsa chithandizo cha kulera. Chofala kwambiri ndi intrauterine "Mirena" ndi "Rrogestasert". Mitundu imasankhidwa malinga ndi chigawo chogwira ntchito, progesterone kapena levonorgestrel, yomwe ili yoyenera kwambiri kwa mkazi.
Mtengo wa chipangizo cha intrauterine umadalira pazinthu zambiri, koma muyenera kusankha njira yabwino kwambiri, makamaka makampani abwino. Mtengo umadalira mtundu wa intrauterine chipangizo, kuchokera