Puas yog IUD yog Qhov Kev Xaiv Kom Yug Me Nyuam Zoo Tshaj Plaws rau Koj?
Zoo Siab
Koj puas tau pom txhua qhov nrov nrov nyob ib puag ncig IUD tsis ntev los no? Cov cuab yeej siv sab hauv (IUDs) zoo li tau nyob txhua qhov chaw. Lub lim tiam dhau los, Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Hauv Tebchaws tau tshaj tawm txog tsib npaug ntawm kev siv tshuaj tiv thaiv ntev ntev hauv 10 xyoo dhau los ntawm 15-rau-44 teeb. Nyob rau lub Ob Hlis thaum ntxov, ib txoj kev tshawb fawb los ntawm Washington University School of Medicine hauv St. Louis tau qhia tias cov tshuaj hormonal IUDs tseem siv tau ib xyoos dhau ntawm lawv qhov FDA pom zoo ntev li tsib xyoos.
Txawm li cas los xij, rau ntau tus poj niam xaiv kev tswj kev yug me nyuam, tseem muaj kev xav tsis thoob. Nws zoo li txhua tus paub txog qee tus neeg uas muaj IUD zaj dab neeg txaus ntshai, los ntawm qhov mob ntawm qhov ntxig mus rau qhov mob hnyav rau lub lis piam tom qab. Thiab tom qab ntawd muaj lub tswv yim tias lawv txhua tus txaus ntshai. (Saib Dab Tsi Koj Paub Txog IUDs Tej Zaum Tsis Yog Txhua Yam.)
Cov kev phom sij txaus ntshai tsis yog txhua tus qauv, hais tias Christine Greves, MD, tus kws kho mob poj niam ntawm Tsev Kho Mob Winnie Palmer rau Cov Poj Niam & Menyuam Yaus. Tsis yog IUDs txaus ntshai: "Muaj yav dhau los uas muaj lub koob npe tsis zoo," nws hais. "Cov hlua hauv qab muaj ntau yam filaments, cov kab mob daig rau nws yooj yim dua, uas ua rau muaj kev kuaj mob plab ntau dua. Tab sis qhov IUD no tsis siv lawm." (Tshawb nrhiav 3 Cov Lus Nug Txog Kev Yug Menyuam Koj Yuav Tsum Nug Koj Tus Kws Kho Mob)
Yog li, tam sim no peb tau tshem tawm cov kev xav tsis zoo no, ntawm no yog qhov koj yuav tsum paub txog cov tshuaj tiv thaiv kab mob:
Nws ua haujlwm li cas?
Muaj ob hom ntawm IUD kom nco ntsoov: tsib xyoos hormonal thiab 10-xyoo tsis-hormonal. Cov tshuaj hormones ua haujlwm los ntawm kev tso cov tshuaj progestin, uas ua rau cov hnoos qeev ntawm lub ncauj tsev menyuam thiab pib ua rau lub tsev menyuam tsis zoo rau lub qe, hais tias Taraneh Shirazian, MD, tus pab xibfwb qhia txog kev phais cev, poj niam txiv neej thiab kev tshawb fawb txog menyuam yaus ntawm Mount Sinai. "Nws tsis zoo li cov ntsiav tshuaj, uas muaj cov tshuaj estrogen los tiv thaiv ovulation," nws hais. "Cov poj niam tseem xav tias lawv tus kheej ovulate txhua lub hlis." Koj kuj tseem yuav pom lub sijhawm luv dua, sib zog ntawm daim ntawv no, ib yam.
10-xyoo-laus IUD uas tsis yog-hormonal siv tooj liab, maj mam tso rau hauv lub tsev menyuam kom tiv thaiv cov phev los ntawm fertilizing lub qe. Thaum koj mus rau nws, kev tiv thaiv kev yug menyuam yuav tsum muaj txiaj ntsig hauv kwv yees li 24 teev. Yog tias koj xaiv tawm mus, nws tseem yog qhov hloov pauv sai sai zoo nkauj. Shirazian hais tias "Cov tshuaj hormonal, zoo li Mirena, yuav siv sij hawm ntev me ntsis-nyob ib ncig ntawm tsib mus rau xya hnub," Shirazian hais. "Tab sis nrog 10-xyoo, Paragard, koj tawm nws, thiab thaum nws tawm, qhov ntawd yog nws."
Dab tsi yog qhov zoo thiab qhov tsis zoo?
Peb hinted ntawm ib qho loj ntxiv ua ntej: Yog tias koj nyob hauv qhov kev xav rau lub sijhawm sib zog, cov tshuaj IUD tuaj yeem ntim cov txiaj ntsig ntawd.
Tsis tas li ntawd, nws yog ib qho kev daws teeb meem ntev rau kev yug me nyuam. Shirazian hais tias "Koj tsis tuaj yeem hnov qab nws," "Yog vim li cas nws thiaj li muaj kev tiv thaiv kev xeeb tub ntau dua li cov ntsiav tshuaj." Qhov ntawd nce mus txog 99 feem pua, los ntawm txoj kev. Cov ntsiav tshuaj tsuas muaj qhov zoo sib xws yog tias siv yog lawm. Greves hais tias "Thaum tus poj niam tsis nco lub ntsiav tshuaj, peb hu tus neeg siv ntawd tsis ua haujlwm," Greves hais. "IUD yeej haum rau poj niam txoj kev ua neej tsis khoom." (Raws li ua 10 Txoj Kev No Cov Neeg Tsis Txaus Siab Mus Zoo Txhua Hnub.)
Thaum IUD suab zoo heev txog tam sim no, muaj qhov tsis zoo rau kev tiv thaiv kab mob.
Ib qho IUD tej zaum yuav zoo rau cov poj niam tsis khoom thiab lub sijhawm ua haujlwm hnyav, tab sis kev tso tus IUD yog qhov muaj ntau dua li nthuav tawm cov ntsiav tshuaj-thiab txij li peb txhua tus tau ua qhov no rau feem ntau ntawm peb lub neej, txawm nws yog Tylenol lossis tswj kev yug menyuam, peb tej zaum hnov me ntsis accustomed rau lub ritual. Thiab muaj qee qhov tshwm sim tshwm sim tshwm sim, xws li mob plab txog li ib lub lim tiam thaum lub tsev menyuam tau siv rau hauv lub cuab yeej, ntxiv rau qhov mob ntawm qhov tso, tshwj xeeb tshaj yog tias koj tsis tau muaj qhov chaw yug menyuam. Qhov no yog qhov ib txwm muaj, thiab yuav tsum dhau sai sai. Greves hais tias "Kuv qhia kuv cov neeg mob kom noj obu ibuprofen li ib teev ua ntej lawv teem sijhawm," Greves hais. (Xav paub ntau ntxiv ntawm Cov Kev Tiv Thaiv Kev Yug Me Nyuam Feem ntau.)
Lwm qhov teeb meem loj yog qhov tawg, qhov IUD tuaj yeem ua rau lub tsev menyuam raug mob-tab sis Shirazian lees tias nws tsis tshua muaj neeg pom. Nws tau hais tias "Kuv tau tso ntau txhiab qhov no, thiab kuv tsis tau pom dua li," "Qhov sib txawv me me, qee yam zoo li 0.5 feem pua."
Leej twg yog nws zoo tshaj rau?
Shirazian thiab Greves ob leeg hais tias lawv tau tso IUDs rau txhua tus los ntawm cov hluas mus rau cov poj niam hauv lawv nruab nrab txog rau lig 40s rau ntau yam kev xav tau ntawm tus kheej. Shirazian hais tias "Ib qho kev xav tsis zoo tshaj plaws yog txhua tus neeg siv tsis tau," Shirazian hais. "Feem ntau cov poj niam tuaj yeem, qhov tseeb."
Txawm li cas los xij, Shirazian ua tus neeg xaiv tsa zoo tshaj plaws: Tus poj niam hauv nws nruab nrab txog lig 20s lossis laus dua, uas tsis tab tom nrhiav kom cev xeeb tub txhua lub sijhawm sai.
Greves echoes qhov kev xav, ib yam nkaus. "Nws zoo meej rau ib tus neeg uas tsis xav tau cev xeeb tub sai thiab uas tsis muaj ntau tus neeg koom nrog kev sib deev," nws piav qhia. "Pab pawg ntawd tuaj yeem nthuav dav zoo nkauj txawm hais tias."
Lub neej yav tom ntej zoo li cas?
Raws li CDC cov ntaub ntawv, cov tshuaj tiv thaiv ntev rov qab tau zoo li IUD tsuas yog thib plaub nrov tshaj plaws ntawm kev tiv thaiv kev yug menyuam ntawm cov poj niam ntawm 7.2 feem pua-tsawg dua li ib nrab ntawm cov tshuaj, uas tseem yog tus naj npawb ib hauv pawg no.
Txawm li cas los xij, Shirazian xav tias ntau tus neeg tau txais kev kawm ntawm IUDs, ntau tus neeg yuav tau nyob hauv nkoj. Nws tau hais tias "Nws yog qhov nthuav heev, vim tias peb tau pom qhov nce los tsis ntev los no," Nws hais tias "Qhov tsis zoo tshaj plaws tsuas yog tib neeg tau hnov txog nws yav dhau los, tias lawv tsis yog tus neeg yuav los sib tw, lossis nws tsis nyab xeeb," nws hais. "Tab sis nws tsis nce tus nqi ntawm cov kab mob hauv plab thiab, tshwj tsis yog tias koj tuaj yeem muaj tus kab mob nquag, koj tuaj yeem muab tso rau hauv ntau tus poj niam sib txawv."
IUD puas yuav hloov tau cov tshuaj? Tsuas yog lub sijhawm yuav qhia, tab sis nws yog qhov zoo tshaj qhov kev tswj kev yug menyuam.