Izvo zvose zvinonzi intrauterine zvinowanikwa muhutachi uterine, asi pane zvimwe zvakasiyana pakati pavo. Kusvika iye zvino, kune mhando dzakasiyana dzeinterrauterine contraceptive. Vamwe vavo vanobereka zvishoma zveprogesterone. Izvi zvinokonzera kukura muhutachivi hwechirwere chechibereki (izvo zvinoita kuti zvive nyore kupindira spermatozoon muuterine cavity), uyewo kuchinja mune endometrium inodzivirira kuiswa kweiyo yakabereka. Mukuwedzera, iyo inoshandiswa muna 85% yevakadzi, kuvharidzira kunopedzwa. Zvimwe zvinonzi contrarauterine contraceptive zvine mhangura uye zvinopindira nekuita mbeu uye kuiswa kweoocyte. Kubata pamuviri, intrauterine hormonal system - iyo nyaya yenyaya yacho.
Kubatsirwa
Nzira dzakakosha dzekushandisa intrauterine zvishandiso dzinosanganisira:
• kutara uye kubudirira kwakanyanya kwechiito;
• kusavapo kwekusagadzikana panguva yepabonde;
• kudzoka kwemigumisiro - kukwanisa kubata pamuviri kunodzorerwa pakarepo mushure mokubviswa kwemhepo.
Pakarepo mushure mekuisa iyo intrauterine device, chiremba anoongorora murwere. Mune ramangwana, kuongororwa kwemuitiro kwakakwana kunoitwa kamwechete pagore. Kune vakadzi vane mwedzi wakakura, intrauterine kubata pamuviri kunogona kuva nehuwandu hwekuwedzera kwekuwedzerwa zvishoma nezvishoma mukuwedzera kwekuenda kumwedzi, uye mune vamwe vakadzi kusagumira kwekuenda kumwedzi. IUD inogona kushandiswa pakunonoka kubata pamuviri (kana ichiiswa mukati memazuva mashanu mushure mokuita zvepabonde kana zuva rinotarisirwa rekuvhura).
Kukanganisika
Mushure mokunge kuiswa kwe-IUD, kupwanya marwadzo mucheche pasi (kurangaridza kumwedzi) kana kubuda ropa kunogona kuvhiringidza. Zvikanganiso zvekushandisa intrauterine kubata pamuviri (kazhinji kanguva) zvinogona kuva:
• kusachena kwekubuda ropa (kusvika pamwedzi 3);
• mavara emucheka (acne);
• misoro;
• kuderedza mafungiro;
• kusungirirwa kwemafupa emamota. Mhedzisiro inonyanya kusakosha yekushandiswa kweIUDs inowedzera, nguva refu yekuenda kumwedzi. Zvisinei, kushandiswa kwemichina miduku yechizvarwa chitsva kunogona kuderedza dambudziko rekuitika kwavo. Zvimwe zvinetso zvakakomba, zvisinganyanyi kukosha, zvinosanganisira:
• kurasikirwa kwechirwere ichi kubva muchibereko;
• utachiona nehuwandu hweIUD kana nekuda kweuterine perforation.
Pakutanga kubata pamuviri wekushandiswa kweIUD (iyo inowanzoitika kazhinji kazhinji), kubviswa kwekukurumidza kwemugadziri kunoratidzwa kudzivisa zvinetso kana kubvisa pamuviri. IUD kuiswa kunoitwa munguva kana kuti pakarepo mushure memugumo wekuenda kumwedzi. Nzira yekudzivirira mishonga yemhangura-ine intrauterine zvishandiso inowanikwa pakarepo mushure mekuiswa. Progesterone-ine IUDs inotangawo kuita chimwe chinhu pakarepo kana yakasimbiswa mumazuva manomwe ekutanga. Intrauterine contraceptive inogona kutanga pakarepo mushure mokunge abvisa pamuviri kana kubvisa pamuviri kana mavhiki masere matanhatu mushure mokuberekwa. Kubviswa kwechinhu chero chipi zvacho chinonzi intrauterine chinoitwa panguva yekuenda kumwedzi. Chiremba anobvisa IUD kuburikidza nekuputika pamucheka wepurasitiki unobuda kubva munharaunda yomukati.
Contraindications
Mumadzimai akawanda, kushandiswa kweIUD hakusi kusangana nematambudziko chero ipi zvayo. Zvisinei, kuvapo munhoroondo yezviitiko zveEctopic pregnancy, zvirwere zvepabonde, utachiona hwemudzimai hwekusaziva zvakanyanya etiology, uyewo zvisinganzwisisiki muurongwa hwemuviri kana chirwere, chirwere chemoyo, chirwere chinoputira mukati mechiropa, myocardial infarction, stroke kana mhangura kushandiswa kunogona kupesanidza kushandiswa iyi nzira yekubata pamuviri. Nzira dzinoshandiswa pakudzivirira kudzivirirwa pamuviri asingadiwi, kudzivisa kusangana na spermatozoa nezai. Vashandi vanogona kuedza nzira dzakasiyana-siyana dzekudzivirira kubata pamuviri, kusarudza yakakodzeresa zvose.
Kondomu
Kushandisa kondomu kunobatsira vanhu vakawanda. Paunosarudza chigadzirwa, iwe unofanirwa kutarisa kuhudziro hwehutano, zuva rokuguma razviratidzirwa pamapuranga, uyewo kuve nechokwadi kuti hapana mhirizhonga inogona kuitika semugumisiro wekutsvaga kusvika kuhutano hwepamusoro, chiedza, humidhi kana kusangana nechinhu chinopinza. Zvakakosha kunyatsotevera mirayiridzo yekushandiswa kwekondomu, iyo inowanzo iri muhomwe, ishandise kamwechete uye usabvumira kusangana nemadzimai emadzimai asati ashandiswa. Kupfeka kondomu zvakanyatsonaka, uchiiputira pamwe nepenisi mune imwe nzvimbo yekusimudza. Pakarepo mushure mekudzivirira, mushure mokumiswa kwemazuva, chirume chisati chabviswa kubva mumudzimai, kubata kondomu kuti isapedze mbeu.
Makondomu echikadzi
Iko kondomu haisi nguva dzose yakakodzera kune varume vane matambudziko ekugadzirwa. Kondomu yemadzimai inosungirirwa sepakadzika sezvinobvira mumudzimai nekubatsirwa kwechindori chinoshandiswa mukati. Nokuda kwenguva yekuita zvepabonde, iri rin'i rinogona kubviswa. Chechi yechipiri chisingaisunuki pamucheto wakananga kondomu inoramba iri kunze. Kana kubudisa kondomu yakakanganiswa kuitira kuti chirume chigare mukati. Kondomu yemadzimai inogona kunge isinganzwisisiki kuvakadzi vanotambura pavanobata mazamu.
Zvirwere uye mapiritsi emudzimai
Kune marudzi akasiyana-siyana emadzimai emakumbo nemakwenzi echikwata. Vanouya mumasikisi akasiyana-siyana uye vanoitwa zvikurukuru ye rubber, kunyange munguva pfupi ichangobva kuwanikwa mienzaniso yeiclic silicone yakaonekwa. Chivharo chemuviri wechikadzi chinogadzirirwa pamuviri wemukati, asi chidimbu hachingoratidzi murwere chete, asiwo ruvanze rwomukati. Chiremba achabatsira kusarudza kuwanda kwakakodzera kwekavha kana diaphragm uye achapa tsanangudzo yekushandiswa kwavo. Kururamiswa kwehukuru kunotarisirwa kwemwedzi 6-12. Iyo diaphragm kana kapu inofanira kugara mumudzimai kwemaawa matanhatu mushure mokuita zvepabonde. Vanoshamba nyore nyore nemvura inodziya nemhinduro ine sopfu. Aya maitiro akakodzera kuvakadzi vazhinji, asi kushandiswa kwavo kunogona kugadzikana neutera hwemadzimai emadzimai, kusagadzikana kwechimiro kana chimiro chechirwere, uye mumamiriro ezvinhu apo murwere ane chirwere chinowanzoitika mumaketani kana zvinosangana nezvisingafadzi paanobata mazamu.