Ukufakelwa kokuvimbela inzalo kuyithuluzi elingaphansi kwesikhumba eliletha ngokuqhubekayo i-micro-progestogen egazini. Koyedwa kwabesifazane abahlanu, ukufakwa kokuvimbela inzalo kubangela i-amenorrhea, ngakho-ke asikho isidingo sokukhathazeka uma ungayi esikhathini.

Ukufakelwa kokuvimbela inzalo kusesimweni senduku encane eguquguqukayo engu-4 cm ubude no-2 mm ububanzi. Iqukethe into esebenzayo, i-etonogestrel, i-hormone yokwenziwa eseduze ne-progesterone. Le micro-progestin ivimbela ukuqala kokukhulelwa ngokuvimbela ukuvuthwa kweqanda futhi ibangele izinguquko kumafinyila omlomo wesibeletho okuvimbela ukudlula kwesidoda esibelethweni.

I-implant ifakwa kanjani?

Kufakwe ngaphansi kwe-anesthesia yendawo engalweni, ngaphansi nje kwesikhumba, ukufakelwa ngokuqhubekayo kuletha inani elincane le-etonogestrel egazini. Ingashiywa endaweni iminyaka emi-3. Kwabesifazane abakhuluphele ngokweqile, umthamo wamahomoni ungase unganele ekuvikelekeni okuphelele eminyakeni emi-3, ngakho-ke ukufakelwa kuvame ukususwa noma kushintshwe ngemva kweminyaka emi-2.

E-France, kuphela okukhethekile okukodwa kokuvimbela inzalo kwe-progestogen okutholakalayo okwamanje. Lena indawo ka-Nexplanon.

Ukufakwa kwe-subcutaneous contraceptive kunqunywe njengomugqa wesibili, kwabesifazane abane-contraindication noma ukungabekezelelani kokuvimbela inzalo kwe-estrogen-progestogen kanye namadivayisi we-intrauterine, noma kwabesifazane abanenkinga yokuthatha iphilisi nsuku zonke.

Ukusebenza kwe-molecule esetshenzisiwe kuseduze ne-100% futhi, ngokungafani nephilisi, ayikho ingozi yokukhohlwa. Futhi inkomba yePearl, ekala ukusebenza kahle kokuvimbela inzalo (futhi okungezona okungokoqobo) ezifundweni zomtholampilo, iphezulu kakhulu ekufakweni kwayo: 0,006.

Kodwa-ke, ekusebenzeni, ayikho indlela yokuvimbela inzalo engabhekwa njenge-100% ephumelelayo. Kodwa-ke, ukusebenza okubonakalayo kokufakelwa kwezinto zokuvimbela inzalo kulinganiselwa ku-99,9%, ngakho-ke kuphezulu kakhulu.

Kunini lapho isimila sokuvimbela inzalo sisebenza kahle?

Uma ingekho indlela yokuvimbela inzalo yama-hormone esetshenzisiwe enyangeni edlule, ukufakwa kokufakelwa kufanele kwenzeke phakathi kosuku olu-1 nolwesi-5 lomjikelezo ukuze kugwenywe ukukhulelwa. Uma ukufakelwa kufakwe ngemva kosuku lwe-5 lokuya esikhathini, indlela yokuvimbela inzalo eyengeziwe (ikhondomu ngokwesibonelo) kufanele isetshenziswe izinsuku ezingu-7 ngemva kokufakwa, ngoba kunengozi yokukhulelwa ngalesi sikhathi sokulibala.

Ukuthatha imishanguzo eyenza ama-enzyme (ukwelashwa okuthile kwesithuthwane, isifo sofuba kanye nezifo ezithile ezithathelwanayo) kunganciphisa ukusebenza kokufakelwa kokuvimbela inzalo, ngakho-ke kufanele ukhulume nodokotela wakho.

Ukufakwa okungafanele kokufakelwa ngesikhathi sekhefu kunganciphisa ukusebenza kwayo, futhi kuholele ekukhulelweni okungafunwa. Ukunciphisa le ngozi, inguqulo yokuqala yokufakelwa kokuvimbela inzalo, ebizwa ngokuthi i-Implanon, yathathelwa indawo ngo-2011 yi-Explanon, efakwe isifakeli esisha esihloselwe ukwehlisa ingcuphe yokubeka iphutha.

Izincomo ze-ANSM

Ngaphezu kwalokho, kulandela izimo zokulimala kwezinzwa nokufuduka kokufakelwa (engalweni, noma okungavamile kakhulu emithanjeni yamaphaphu) ngokuvamile ngenxa yokubekwa okungalungile, i-ANSM (i-National Medicines Safety Agency) kanye nemikhiqizo yezempilo) ikhiphe izincomo ezintsha mayelana nokufakelwa. ukubekwa:

• ukufakelwa kufanele kufakwe futhi kususwe okungcono ngochwepheshe bezokunakekelwa kwezempilo abathole ukuqeqeshwa okusebenzayo ngamasu okubeka nokukhipha;
• ngesikhathi sokufakwa nokususwa, ingalo yesiguli kufanele isongwe, isandla sibe ngaphansi kwekhanda laso ukuze kuphambuke imizwa ye-ulnar futhi ngaleyo ndlela kuncishiswe ingozi yokuyifinyelela;
• indawo yokufaka iyashintshwa, kuvuna indawo yengalo ngokuvamile engenayo imithambo yegazi nezinzwa ezinkulu;
• ngemuva kokubekwa futhi ekuvakasheni ngakunye, uchwepheshe wezokunakekelwa kwempilo kufanele akuthinte ukufakelwa;
• Ukuhlolwa kunconywa ezinyangeni ezintathu ngemuva kokufakwa kokufakwa ukuze kuqinisekiswe ukuthi kubekezeleleka kahle futhi kusazwakala kahle;
• uchwepheshe wezokunakekelwa kwempilo kufanele akhombise isiguli ukuthi singabheka kanjani ukuthi kukhona yini okufakelwayo ngokwaso, ngokucindezela okuthe xaxa futhi ngezikhathi ezithile (kanye noma kabili ngenyanga);
• uma ukufakelwa kungasathambeki, isiguli kufanele sixhumane nodokotela waso ngokushesha okukhulu.

Lezi zincomo kufanele futhi zinciphise ingozi yokukhulelwa okungafunwa.

Icala le-amenorrhea

Ngokusho kwabesifazane, ukufakelwa kungashintsha imithetho. Kwabesifazane abangu-1 kwaba-5 (ngokwemiyalelo yaselabhorethri), ukufakelwa okungaphansi kwesikhumba kuzodala i-amenorrhea, okusho ukungabi khona kwezikhathi. Ukucabangela lo mphumela ongase ube khona kanye nesilinganiso sokusebenza kahle kokufakelwa, akubonakali kudingekile ukwenza ukuhlolwa kokukhulelwa ngokungabikho kokuya esikhathini ngaphansi kokufakelwa kokuvimbela inzalo. Esimeni sokungabaza, kuyatuseka ukukhuluma ngakho kuchwepheshe wakho wezokunakekelwa kwempilo, okuhlala kuyiseluleko esingcono kakhulu.

Indaba yezikhathi ezingajwayelekile

Kwabanye besifazane, ukuya esikhathini kungase kube okungavamile, okungajwayelekile noma, ngokuphambene nalokho, kuvame noma kunde (futhi owesifazane oyedwa kwabangu-1), amabala (ukopha phakathi kokuya esikhathini) angase avele. Ngakolunye uhlangothi, izikhathi azivamile ukuba nzima. Kwabesifazane abaningi, iphrofayili yokopha eqala phakathi nezinyanga ezintathu zokuqala zokufakelwa ngokuvamile iwukubikezela iphrofayili elandelayo yokopha, ilabhorethri icacisa ngale ndaba.