Phakathi kwezixhobo zokukhulelwa zanamhlanje, i-spiral-device spirals inomnye wezona zikhundla ezikhokelela ngokuxhomekeka. Kodwa iziphumo ezisecaleni ezenzeka emva kokufakela okanye ukususwa kwemoya, abafazi abaninzi bayamoyikwa kwaye sisona sizathu sokushiya le ndlela yokukhulelwa. Ukusebenzisa i-intrauterine contraceptives ngaphandle komngcipheko kwimpilo, kufuneka ulandele zonke iziphakamiso, ufumane uviwo olupheleleyo phambi kokufakela kunye nokuqhubeka uviwo olukhuselekileyo. Ukuba kukho ukuchasene, ukuvuthwa akunakusekwa. Ukongezelela koko, ukuba umzimba unenkqubo yokuvuvukala engazange idibaniswe nezo zomzimba, ngoko-ke ukuvuthwa kokukhusela kungenziwa kuphela emva kweenyanga ezimbalwa emva kokuphulukana. Ukukhulelwa emva kokususwa kwe-spiral kungabangela iingxaki ukuba zonke iingcebiso azilandelwayo, kwaye ukuvuthwa kwakusungulwa phambi kokuchasene. Ubundlobongela emva kokusungulwa kovalo kunokwenzeka kuphela ngumlingane ohlala rhoqo, kwaye kuphela xa loo ntokazi ithembele ekungabikho kwezifo ezinokutshatyalaliswa ngokwesondo, njengoko ububele besisu obukhuselweyo bukhuphuka kakhulu. Ukukhulelwa komzimba emva kokukhulelwa kwe-ectopic akukhuthazwa, njengoko kunokunyusa ukukhula kokukhula kwe-ectopic. Ukuba kukho ukuchasana okuthethiweyo akufumaneki, kodwa kukho imfuneko yokuba uloyike, ngoko kulunge ukusebenzisa ezinye iindlela zokukhulelwa. Kwakhona, i-intrauterine ifowuni ibhekisela ekukhulisweni kokukhulelwa, okungavumelekanga kwabasetyhini abaneenkolelo ezithile zonqulo.
Ngelo xesha, ukuvuthwa emva kokuzalwa kungenye yezindlela ezifanelekileyo zokukhulelwa kwebele, ekubeni ayichaphazeli i-lactation kwaye ayinobungozi kwimpilo yomntwana. Ukukhulelwa emva kokususwa kwemoya kwenzeka ngokukhawuleza kunokuba emva kokusebenzisa ezinye izinto ezininzi zokukhulelwa, kwiinkoliso ezininzi zabafazi zibuyiselwa kwiinyanga zokuqala.
Kwinqaku
Ukuze ugweme iingxaki, imimiselo ethile kufuneka ifumaneke, kwaye xa kwenzeka iingxaki, ibhinqa kufuneka lidibanise nangoko ugqirha. Nantsi iingcali ezicetyiswayo ukuba ziqwalasele:
- Ngaphambi kokufakelwa kwemoya kuyimfuneko ukufumana uviwo olupheleleyo lwezonyango;
- Ugqirha onolwazi kuphela kufuneka akhethe aze afake ukuhamba, emva koko ukuhlolwa okongeziweyo kuyakufuneka ngeveki emva kokufakwa. Kukwacetyiswa ukuba wenze i-ultrasound ukuqinisekisa ukuba umoya uhlelwe kakuhle. Ngaphandle kokungabikho kwempawu zokwephulwa kuyimfuneko ukuba ihlolwe rhoqo emva kweenyanga ezi-5-6;
- ukusukela emva kokukhipha isisu kuqinisekiswe ngokuqaphela ugqirha, ngokuxhomekeka kwimpilo yowesifazane kunye nemeko yezitho zangasese;
- xa ubeka umtsalane emva kokuzalwa, ugqirha ugqiba. Kwiimeko ezininzi, ukuhamba emva kokuziswa kusekwe emva kweenyanga ezi-3, phambi kweengxaki ezithile - emva kwe-6 kuphela;
- ukukhulelwa komzimba emva kwecesarean section ngokungabikho kwephulo kungenziwa emva kweenyanga ezintathu. Kwezinye iimeko, setha iinyanga ezi-6-9;
- Ukuba i-spiral ibiza umnxeba kwaye iyabangela ukuvakalelwa, kuyafuneka ukuba ukhangele ukuba ingafakwa kakuhle. Ngokutshintshwa kwomoya, umngcipheko wokukhulelwa kwe-ectopic ukwandisa, kwaye umphumo wokukhulelwa uncitshiswa kakhulu;
- ukwahlukana emva kokungeniswa kwomoya kungatshintsha. Impembelelo yecala lokukhusela imithwalo yokukhusela yindlela yokubonakalisa imfihlelo yokuchitha igazi. Ukuba ulwabiwo alupheli ngenyanga, kufuneka udibane nodokotela wakho. Isizathu sokukhathazeka siqhekeza rhoqo ngesiphumo esingathandekiyo, esinokuba ngumqondiso we-endometritis;
- nyanga zonke emva kokuba umvuthwa unokuba luninzi kwaye lubuhlungu, oluyimpembelelo yecala lokukhulelwa kwe-intrauterine. Ukuba isisu sidinga ukuxhalabisa, ngoko kufuneka uqhagamshelane neengcali malunga nokuqeshwa kwamachiza okhethekileyo,
ukukhusela ukulahlekelwa kwegazi elikhulu; - nyanga zonke, emva kokuya esikhathini, ibhinqa lifanele lihlolisise imicu ehambayo kwisisu;
- ngaphambi kokuba ukhulelwe emva kokususwa kwe-contraceptive spiral, kucetyiswa ukuba uviwo luya kubandakanywa ukuba kukho ukusuleleka kunye nezifo ezivuthayo zesitho somzimba kunye nommandla we-pelvic;
- emva kokususwa kwemoya yokukhulelwa kukuphakamileyo kakhulu, ngoko ke xa usuqalisa umsebenzi wesondo, kufuneka uqaphele ngokukhawuleza ukuba ukhulelwe.
Ukuqwalaselwa kweemeko ezifunekayo zokufakela nokusetyenziswa kokuvuthwa kokukhulelwa, kunye nokufikelela ngexesha elifanelekileyo kwiinkcukacha xa kwenzeka ukuphambuka, kunciphisa umngcipheko wemiphumo emibi engenzeka emva kokusetyenziswa kwemoya.