Iri na intratherine spirals:
- IUDs iner. Sashin lalata, ƙarni na farko na ƙira. A halin yanzu, kasashe da dama sun hana yin amfani da IUDs iner, saboda suna amfani da ƙimar da ke da ƙyama da rashin ƙarfi a cikin kwatanta da ɓangarorin da suka gabata;
- dauke da jan karfe. Na biyu ƙarni, babban amfani shi ne mai gamsarwa ta tabbatacce, ƙãra yadda ya dace, sauƙi na gabatarwa / kauka;
- IUDs dauke da hormone. Sakamakon ƙarni na uku na juyawa, wanda yana da amfani da maganin hana haihuwa da kuma IUD. Suna wakiltar siffofin T-shaped, wanda ƙafarsa ya cika da levonorgestrel ko progesterone. Suna da tasiri na gida a kan ƙwayar mucous membrane na cervix, tubes na uterine, endometrium. Sakamakon: ragewa a cikin hadarin cututtukan cututtuka na ƙwayoyin cuta, ƙananan hyperpolymenorrhea. Kadan: ƙarar jini mai yawan gaske.
Amfani da na'urar intrauterine:
- Babban tabbacin ƙwaƙwalwa;
- An tsara karkace don amfani da lokaci mai tsawo (shekaru 5-9);
- araha mai araha, hanyar gabatar da sauri;
- ba shi da mummunar tasiri akan tsarin jiki;
- iyawar da za a yi bayan cirewar karkara ya dawo a lokacin motsa jiki guda daya ko biyu;
- wata hanya mai dacewa ga Yayi ga matan da aka saba musu da maganin hana haihuwa, da kuma haifar da mata bayan shekaru 35;
- rage haɗarin ciki ciki;
- IUD ba ta jin dadi a cikin tsarin, ba ya tsoma baki tare da abokan.
Abubuwa mara kyau:
- matan da ke da jima'i a rayuwa suna kara yawan haɗarin kumburi;
- yiwuwa na fitar (fallout);
- a kuskuren shigarwa acyclic spotting, sha wahala yana yiwuwa;
- IUD ba ta kare kariya daga kamuwa da kwayar cutar HIV da kuma cututtukan da aka yi da jima'i;
- ba dace da mata ba tare da haila mai haɗari da tsawon lokaci;
- a cikin watanni 2-3 na yin amfani da shi, IUD na inganta yanayin hawan mutum;
- shigarwa / cirewa ne kawai ne mai aikin likita.
Mahimmancin aiki
Karfe (azurfa / zinariya) da kuma ƙwayoyin filastik sun hana aiki mai mahimmanci na spermatozoa, ba shi yiwuwa a yi takin kwai, canza canji na jiki na ƙarsometrium, wanda ya hana jigilar kwai. IUD yana tayar da contractions na cikin mahaifa da falfinian tubes, saboda abin da ya hadu da ƙwar zuma ya shiga cikin mahaifa a cikin balaga ba: endometrium ba shi da shiri don karɓar kwai, trophoblast din yana da nakasa, saboda haka zubar da ciki ba zai yiwu ba. Dangane da kwayoyin hormones dauke da kwayoyin cutar ta IUD, ƙananan ƙwayar ƙwayar ƙwayar cuta ta ƙaruwa, saboda sakamakon hijira na spermatozoa ta cikin tubes na fallopian da ƙwayar mahaifa, an kawar da kwayoyin halitta.
Umurnai don amfani
Zaɓin, gabatarwa, kawar da shirin na IUD ne wanda masanin ilimin lissafi ya yi. An gabatar da gabatarwa a lokacin lokacin da za'a iya yaduwa, a cikin kwanaki 1-2 na sake zagayowar - wannan yana tabbatar da damuwa kadan na canal na mahaifa. A gabatarwar da intrauterine karkace na filin aiki da uncomplicated zubar da ciki ne yarda.
Yanayi don shigar da helix:
- jarrabawar likitan ilmin likitan kwalliya;
- Ƙararɗaɗɗen ɓoye;
- Smears a kan flora na kogin mahaifa da farji;
- smears oncocytology;
- sakamako daga duban dan tayi nazarin kwayoyin pelvic.
Hanyar gwamnati:
- tare da taimakon madubai, kwance ƙwaƙwalwar jiki, tsaftace cuta, kama kullun da karfi;
- an auna ɗakin kifin cikin ƙwayar hankalin igiyar ciki;
- kafa siffanta a cikin yunkurin igiyar ciki;
- yanke suturar na IUD, cire cirewa, kwantar da cuta, rubuta tsarin kwayoyin kwayoyin.
Ƙarshe contraindications:
- m / m kumburi na al'amuran;
- ilimin jini na asali na asali;
- ciki (zargin / tabbatar);
- oncology na al'ada, igiyar ciki fibromatosis, stenosis na cervix;
- ectopia, polyp mahaifa, cervicitis;
- wani tsawa a cikin mahaifa, nakasa daga cikin mahaifa;
- yaro, lalacewar ƙwaƙwalwar igiyar ciki.
Abubuwan da suka shafi zumunci:
- ciki a cikin mahaifa;
- rashin aiki a baya;
- na kullum anemia, endometrial pathology;
- hyperpolymenorrhea, babban haɗari na cututtukan jini.
Hanyar gefe:
- zafi a cikin rami na ciki bayan / lokacin shigarwa na karkace;
- bradycardia, ƙarancin rashin karancin baƙin ƙarfe;
- wanda ba a san shi ba ne a cikin tsakiyar zagaye;
- cututtukan fata na fata, cututtuka na urinary.
Yanayi da ake buƙatar gaggawa a hankali:
- zafi mai tsanani a cikin ƙananan ciki;
- Yunƙurin kaifi a cikin zafin jiki a kan bayan jin zafi;
- haila, juya zuwa zub da jini;
- Ma'anar na'urar intrauterine a cikin farji;
- perforation na igiyar ciki bango na mahaifa;
- pelvioperitonitis, m salpingo-oophoritis / endometritis.
Mafi kyau na'urar intrauterine
Akwai sunayen da yawa masu yawa na Navy, wadanda suka fi dacewa su ne Juno, Mirena, Multiload, Nova T:
- Mirena. Hormonal IUD, bayan shigarwa ya fara saki levonorgestrel, wanda ya hana zanewa. A matsakaicin yawan jigilar hormone shine 14 MG / rana na shekaru 5;
- Juno T. Tsarin masana'antun Rasha, wanda ya fi dacewa da kuma abin dogara ga kamfanonin da ake samuwa a kasuwa;
- Multiload. Kashe mai amfani da IUD tare da zanga-zanga a kan matakai, wanda ke taimakawa wajen tabbatar da tsari a kan ganuwar mahaifa;
- Nova T. Yana da tsari na T-dimbin yawa, wanda ke sa kafuwa ya zama ƙasa mai sauƙi da sauki.
Amfani da kanka na Rundunar Sojan ruwa ba ta yarda ba. Nada samfurin na'urar intrauterine wanda ya dace da shi kuma shigar da shi a cikin ɗakun hanji kawai ne kawai masanin ilimin lissafi.