Intrauterine spiral imwe yenzira dzakavimbika zvikuru dzekudzivirira kubata pamuviri, sezvo inopa zvinopfuura 98% zvechibvumirano pakubata pamuviri usina kukodzera. Nzira dze intrauterine spirals dzinopesana mukugadzirisa, mumagariro uye maererano nemirairo yekuita. Muchiitiko chimwe nechimwe, nyanzvi mumwe nomumwe anosarudza rudzi rwakanakisisa rwemhepo, zvichienderana nemigumisiro yekuongorora uye chimiro chemuviri. Kune zvikonzero zvizhinji zvekupikisa intrauterine midzimu, sezvinopupurirwa nekupikisana kunopesana pamusoro penzira iyi yekudzivirira kubata pamuviri, kwete chete vanachiremba, asiwo vakadzi pachavo. Asi kubudirira kwekushanda kwemhepo kunobva kune unyanzvi hwehuzivi uye hutano hwemukadzi pachake. Uyewo, chiremba anofanira kurayira kuti chigadzirwa chemukati chekushandisa chinakisisa chei kutenga, zvichienderana nemamiriro ehutano uye zvinodiwa.
Intrauterine spirals - uye uye zvinopesana
Midzimu ine ruzhinji rukuru rwezvinyorwa. Nezvakaipa uye zvinosuruvarisa zvinokonzera kupisa, zvirwere zvinoputika mumuviri, zvirwere zvekukura kwechibereko uye chibereko chechirwere, nekuputika kwemuviri wechipfuva, haugoni kushandisa chigadzirwa chemukati chetsika chero ipi zvayo. Pano panewo zvinopesana zvinoshandiswa pakushandiswa kwemhepo, iyo inofungidzirwa pane imwe neimwe pane imwe neimwe. Uyezve, iyi nzira yekudzivirira kubata pamuviri inobvumirwa chete kana mukadzi ane musikana wekusingaperi uye kana mukadzi wacho ane chivimbo mazviri, sezvo chero rudzi rwemhando ye intrauterine michiramu yemidzimu inowedzera dambudziko rehutachiwana muuterine cavity. Mukuwedzera, pane ngozi yekurasikirwa kwepachivande, uye kana isingawanikwi munguva, mimba inogona kuitika. Panguva imwecheteyo, yakadaro inonzi hormone intrauterine miviri ye "Mirena" inobatsira mune dzimwe nzira uye inogona kurongerwa kune dzimwe zvirwere zvezvikamu zvepabonde, asi sezvimwe zvigadzirwa zvemashure zvinopesana uye zvinokonzerwa nemigumisiro.
Unhu hwakanaka hwekushandisa midzimu ndeyekushanda kwakanyanya kwe 98-99%, nyore nyore kushandiswa. Nguva yegadziriro ye intrauterine makore mashanu, panguva iyo mukadzi haafaniri kutora chero matanho emamwe, kunze kwekuongororwa kwekudzivirira kwemwedzi yese ye5-6 uye kuongorora nguva nenguva kwechinzvimbo chemhepo, iyo inogona kutsanangurwa pasina. Mukuwedzera, mhepo yakasvibiswa haibatsiri pakuyamwisa. Kunze kwekuwedzerwa kwemhepo, kubereka kunodzorerwa nokukurumidza zvakakwana, uye mukadzi anogona kutora pamuviri. Zvose zvinopesana uye zvinopesana ne-intrauterine midzimu inofanira kuonekwa semunhu mumwe chete, zvichifunga nezvekutsvaga kwekuongorora. Zvizhinji zvemigumisiro yakaipa yekushandiswa kwemidzimu inobatanidza nekusaremekedza kwezvinyorwa zvisizvo uye mazano ekushandiswa.
Mhando dze intrauterine spirals
Izvo zvipfeko zvemazuva ano emhando yemidzimu zvaiva nemidzimu isina kuve yakagadzirwa nemapuranga emhando uye kuva nekugadzirwa kwemhando dzakasiyana. Nemhaka yehutsika hwepamusoro uye kuwira kowakawanda kana kuputika muhutachi uterine, idzi marudzi ekudzivirira kubata pamuviri zvakarambidzwa, uye dzakatsiviwa nemiti yakagadziridzwa.
Midzimu inogona kuva yakasiyana-siyana, yakagadzirwa nemhete, yakasvibirira, asi T-miviri yakasikwa yakawanda. Uyewo, midzimu inogona kunge ine mahomoni, mashizha esimbi uye, kunze kwekudzivirira kubata pamuviri, ine simba rokurapa. Kusvika parizvino, zvese zvishandiso zve intrauterine zvine maonero akafanana neT. Vakagadzirwa vachifunga nezvekukanganisa kwezvakagadzirwa kare, zvakanyanya kuvimbika uye zviri nyore kushandisa.
T-shaped intrauterine spirals ine mhangura inoshandiswa zvakanyanya nekuda kwekusununguka kwehutungamiri uye kubviswa. Uyewo, mhangura ine mhangura ine simba rinopesana nekuvhiringidza uye kubvisa pamuviri, izvo zvakavandudza hukuru hwemhepo. Asi pamusoro pegoridhe intrauterine midzimu inokakavadzana. Zvinotendwa kuti zvinogona kukonzera kuvhiringidza nzira. Intrauterine spirals nesirivha vane chirwere chepabonde chakanyanya, saka kazhinji vanobatanidza sirivha nemhangura.
Inonyanya kufarirwa inonzi intrauterine hormonal spirals, iyo vanachiremba vanoona nzira yakanakisisa yekubata pamuviri. Vanobatanidza zvakanakira zvekudzivirira pamuviri uye zvishandiso zvemukati. Mahomoni ayo ari mumagumbo emhepo, kupinda mumuviri pamwe chete, kwemakore mashanu, kudzivirira kuitika kwekuvhiringidza uye kuwedzera kubvisa pamuviri. Nyaya inonyanyozivikanwa ndiyo intrauterine inowedzera "Mirena" uye "Rrogestasert". Mhepo inosarudzwa zvichienderana neyakashanda chikamu, progesterone kana levonorgestrel, iyo inonyanya kukodzera mukadzi.
Mari inoshandiswa nechomukati yezvinonzi intrauterine inobva pane zvinhu zvakawanda, asi iwe unoda kusarudza yakanakisisa yekusarudza, kunyanya kambani yakanyatsogadziriswa. Mutengo unobva pane rudzi rwe intrauterine device, kubva