{"id":884,"date":"2015-09-03T12:23:28","date_gmt":"2015-09-03T12:23:28","guid":{"rendered":"http:\/\/www.sanatateafemeii.md\/?page_id=884"},"modified":"2017-06-26T13:10:54","modified_gmt":"2017-06-26T13:10:54","slug":"dispozitivul-intrauterin-cu-cupru","status":"publish","type":"page","link":"https:\/\/cidsr.mihaisiscanu.com\/ro\/dispozitivul-intrauterin-cu-cupru\/","title":{"rendered":"Dispozitivul intrauterin"},"content":{"rendered":"<strong>Ce sunt dispozitivele intrauterine?<img decoding=\"async\" class=\"alignright wp-image-980\" src=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/uploads\/2015\/09\/DIU-cupru-300x225.jpg\" alt=\"DIU cupru\" width=\"250\" height=\"187\" srcset=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/uploads\/2015\/09\/DIU-cupru-300x225.jpg 300w, https:\/\/cidsr.mihaisiscanu.com\/wp-content\/uploads\/2015\/09\/DIU-cupru.jpg 450w\" sizes=\"(max-width: 250px) 100vw, 250px\" \/><\/strong><\/p>\n<ul>\n<li>Dispozitivul intrauterin (DIU) cu cupru este o bucat\u0103 de plastic mic\u0103 \u015fi flexibil\u0103 ce are pe ea man\u015foane de cupru sau un fir de cupru \u00eenf\u0103\u015furat. Un furnizor de servicii medicale special instruit efectueaz\u0103 inser\u0163ia acestuia \u00een uterul femeii, prin vagin \u015fi colul uterin.<\/li>\n<li>Aproape toate tipurile de DIU au ata\u015fate unul sau dou\u0103 fire. Firele str\u0103bat canalul cervical p\u00e2n\u0103 \u00een vagin.<\/li>\n<li>Ac\u0163ioneaz\u0103, \u00een principal, prin producerea unei modific\u0103ri chimice care d\u0103uneaz\u0103 spermatozoizilor \u015fi ovulului, \u00eenainte de a se putea \u00eent\u00e2lni.<\/li>\n<\/ul>\n<div id=\"accordion-2\" class=\"accordion no-js\" role=\"tablist\"><div class=\"accordion-item\"><h3 id=\"accordion-2-t1\" class=\"accordion-title\" role=\"tab\" aria-controls=\"accordion-2-c1\" aria-selected=\"false\" aria-expanded=\"false\"><strong>C\u00e2t de eficiente sunt?<\/strong><\/h3><div id=\"accordion-2-c1\" class=\"accordion-content\" role=\"tabpanel\" aria-labelledby=\"accordion-2-t1\" aria-hidden=\"true\">\n<p><strong>Una din cele mai eficiente metode cu durat\u0103 lung\u0103 de utilizare:<\/strong><\/p>\n<ul>\n<li>Mai pu\u0163in de 1 sarcin\u0103 la 100 de femei \u00een timpul primului an de utilizare a DIU (6 p\u00e2n\u0103 la 8 sarcini la 1.000 de femei). Aceasta \u00eenseamn\u0103 c\u0103 992 p\u00e2n\u0103 la 994 din 1.000 de femei care utilizeaz\u0103 DIU nu vor r\u0103m\u00e2ne \u00eens\u0103rcinate.<\/li>\n<li>Dup\u0103 primul an de utilizare persist\u0103 un risc mic de sarcin\u0103, care se men\u0163ine pe toat\u0103 durata utiliz\u0103rii de c\u0103tre femeie a DIU.<\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\">&#8211; Mai mult de 10 ani de utilizare a DIU: Aproximativ 2 sarcini la 100 de femei<\/p>\n<ul>\n<li>Studiile au ar\u0103tat c\u0103 TCu-380A este eficient timp de 12 ani. Totu\u015fi, TCu-380A este aprobat pentru utilizare pe o perioad\u0103 de p\u00e2n\u0103 la 10 ani. (Furnizorii trebuie s\u0103 respecte recomand\u0103rile programului referitor la momentul \u00een care trebuie extras DIU.)<\/li>\n<\/ul>\n<p><strong>Revenirea fertilit\u0103\u0163ii dup\u0103 extragerea DIU<\/strong>: Imediat\u0103<br \/>\n<strong>Protec\u0163ia \u00eempotriva infec\u0163iilor cu transmitere sexual\u0103 (ITS):<\/strong> Nu protejeaz\u0103<\/p>\n<div class=\"top\"><a href=\"#top\"><img decoding=\"async\" align=\"absmiddle\" width=\"11\" border=\"0\" height=\"12\" alt=\"page top\" src=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/themes\/cidsr\/images\/ico_top.gif\"> \u00een sus<\/a><\/div><\/div><\/div><div class=\"accordion-item\"><h3 id=\"accordion-2-t2\" class=\"accordion-title\" role=\"tab\" aria-controls=\"accordion-2-c2\" aria-selected=\"false\" aria-expanded=\"false\"><strong>Efecte secundare, beneficii \u015fi riscuri pentru s\u0103n\u0103tate<\/strong><\/h3><div id=\"accordion-2-c2\" class=\"accordion-content\" role=\"tabpanel\" aria-labelledby=\"accordion-2-t2\" aria-hidden=\"true\">\n<p><strong>Efecte secundare <\/strong><br \/>\nUnele utilizatoare raporteaz\u0103 urm\u0103toarele:<\/p>\n<ul>\n<li>Modific\u0103ri ale caracterelor s\u00e2nger\u0103rii vaginale (\u00een special \u00een primele 3 p\u00e2n\u0103 la 6 luni), ce includ:<\/li>\n<\/ul>\n<p style=\"padding-left: 60px;\">&#8211; Menstrua\u0163ii abundente \u015fi prelungite<br \/>\n&#8211; S\u00e2nger\u0103ri vaginale neregulate<br \/>\n&#8211; Crampe mai intense \u015fi dureri \u00een timpul menstrua\u0163iei<\/p>\n<p><strong>Beneficii pentru s\u0103n\u0103tate<\/strong>:<\/p>\n<ul>\n<li>Ajut\u0103 la protec\u0163ia \u00eempotriva riscurilor asociate sarcinii.<\/li>\n<li>Poate ajuta la protec\u0163ia \u00eempotriva cancerului mucoasei uterine (cancer de endometru).<\/li>\n<\/ul>\n<p><strong>Riscuri pentru s\u0103n\u0103tate<\/strong><br \/>\nPu\u0163in frecvent:<\/p>\n<ul>\n<li>Poate contribui la apari\u0163ia anemiei dac\u0103 femeia prezint\u0103 deja \u00eenainte de inser\u0163ie nivele sc\u0103zute ale depozitelor de fier \u015fi DIU cauzeaz\u0103 menstrua\u0163ii mai abundente<\/li>\n<\/ul>\n<p>Rar:<\/p>\n<ul>\n<li>Boala inflamatorie pelvin\u0103 (BIP) poate apare dac\u0103 femeia are infec\u0163ie cu chlamydia sau <a href=\"https:\/\/cidsr.mihaisiscanu.com\/sarcina-de-nastere\/romana-infectiile-si-sarcina\/romana-gonorea\/\">gonoree<\/a> \u00een momentul inser\u0163iei DIU<\/li>\n<\/ul>\n<p><strong>Complica\u021bii<\/strong><br \/>\nRare:<\/p>\n<ul>\n<li>Perfora\u0163ia peretelui uterin de c\u0103tre DIU sau un instrument folosit la inser\u0163ie. De obicei, se vindec\u0103 f\u0103r\u0103 tratament.<\/li>\n<li>Avort spontan, na\u015ftere prematur\u0103 sau infec\u0163ie \u00een eventualitatea rar\u0103 \u00een care femeia r\u0103m\u00e2ne \u00eens\u0103rcinat\u0103 av\u00e2nd DIU \u00een uter.<\/li>\n<\/ul>\n<div class=\"top\"><a href=\"#top\"><img decoding=\"async\" align=\"absmiddle\" width=\"11\" border=\"0\" height=\"12\" alt=\"page top\" src=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/themes\/cidsr\/images\/ico_top.gif\"> \u00een sus<\/a><\/div><\/div><\/div><div class=\"accordion-item\"><h3 id=\"accordion-2-t3\" class=\"accordion-title\" role=\"tab\" aria-controls=\"accordion-2-c3\" aria-selected=\"false\" aria-expanded=\"false\"><strong>Cine poate \u015fi cine nu poate utiliza dispozitivul intrauterin<\/strong><\/h3><div id=\"accordion-2-c3\" class=\"accordion-content\" role=\"tabpanel\" aria-labelledby=\"accordion-2-t3\" aria-hidden=\"true\">\n<p>Cele mai multe femei pot utiliza DIU \u00een siguran\u0163\u0103 \u015fi eficient, inclusiv femeile care:<\/p>\n<ul>\n<li>Au n\u0103scut sau nu au n\u0103scut<\/li>\n<li>Nu sunt c\u0103s\u0103torite<\/li>\n<li>Au orice v\u00e2rst\u0103, inclusiv adolescente \u015fi femei peste 40 de ani<\/li>\n<li>Tocmai au avut un avort la cerere sau avort spontan (dac\u0103 nu exist\u0103 semne de infec\u0163ie)<\/li>\n<li>Al\u0103pteaz\u0103<\/li>\n<li>Efectueaz\u0103 munc\u0103 fizic\u0103 grea<\/li>\n<li>Au avut sarcin\u0103 ectopic\u0103<\/li>\n<li>Au avut boal\u0103 inflamatorie pelvin\u0103 (BIP)<\/li>\n<li>Au infec\u0163ii vaginale<\/li>\n<li>Au anemie<\/li>\n<li>Sunt infectate cu HIV sau utilizeaz\u0103 terapie antiretroviral\u0103 \u015fi evolu\u0163ia clinic\u0103 este bun\u0103<\/li>\n<\/ul>\n<p>Femeile pot \u00eencepe utilizarea DIU:<\/p>\n<ul>\n<li>F\u0103r\u0103 testare pentru ITS<\/li>\n<li>F\u0103r\u0103 testare pentru HIV<\/li>\n<li>F\u0103r\u0103 teste din s\u00e2nge sau alte teste de laborator efectuate de rutin\u0103<\/li>\n<li>F\u0103r\u0103 screening pentru cancerul de col uterin<\/li>\n<li>F\u0103r\u0103 examinarea s\u00e2nilor<\/li>\n<\/ul>\n<div class=\"top\"><a href=\"#top\"><img decoding=\"async\" align=\"absmiddle\" width=\"11\" border=\"0\" height=\"12\" alt=\"page top\" src=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/themes\/cidsr\/images\/ico_top.gif\"> \u00een sus<\/a><\/div><\/div><\/div><div class=\"accordion-item\"><h3 id=\"accordion-2-t4\" class=\"accordion-title\" role=\"tab\" aria-controls=\"accordion-2-c4\" aria-selected=\"false\" aria-expanded=\"false\"><strong>Corectarea miturilor<\/strong><\/h3><div id=\"accordion-2-c4\" class=\"accordion-content\" role=\"tabpanel\" aria-labelledby=\"accordion-2-t4\" aria-hidden=\"true\">\n<p>Dispozitivele intrauterine:<\/p>\n<ul>\n<li>Rareori cauzeaz\u0103 BIP.<\/li>\n<li>Nu cresc riscul de infectare cu ITS, inclusiv HIV.<\/li>\n<li>Nu cresc riscul de avort spontan atunci c\u00e2nd femeia r\u0103m\u00e2ne \u00eens\u0103rcinat\u0103 dup\u0103 extragerea DIU.<\/li>\n<li>Nu produc infertilitate.<\/li>\n<li>Nu cauzeaz\u0103 anomalii fetale.<\/li>\n<li>Nu cauzeaz\u0103 cancer.<\/li>\n<li>Nu migreaz\u0103 c\u0103tre inim\u0103 sau creier.<\/li>\n<li>Nu cauzeaz\u0103 femeii disconfort sau durere \u00een timpul actului sexual.<\/li>\n<li>Scad substan\u0163ial riscul de sarcin\u0103 ectopic\u0103.<\/li>\n<\/ul>\n<div class=\"top\"><a href=\"#top\"><img decoding=\"async\" align=\"absmiddle\" width=\"11\" border=\"0\" height=\"12\" alt=\"page top\" src=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/themes\/cidsr\/images\/ico_top.gif\"> \u00een sus<\/a><\/div><\/div><\/div><div class=\"accordion-item\"><h3 id=\"accordion-2-t5\" class=\"accordion-title\" role=\"tab\" aria-controls=\"accordion-2-c5\" aria-selected=\"false\" aria-expanded=\"false\"><strong>Managementul problemelor<\/strong><\/h3><div id=\"accordion-2-c5\" class=\"accordion-content\" role=\"tabpanel\" aria-labelledby=\"accordion-2-t5\" aria-hidden=\"true\">\n<strong>Probleme raportate drept efecte secundare sau complica\u021bii<\/strong>:<\/p>\n<ul>\n<li>S\u00e2ngerare vaginal\u0103 abundent\u0103 sau prelungit\u0103 (de dou\u0103 ori mai abundent\u0103 dec\u00e2t de obicei sau cu durat\u0103 mai lung\u0103 de 8 zile)<\/li>\n<li>S\u00e2nger\u0103ri vaginale neregulate (s\u00e2nger\u0103ri nea\u015fteptate care deranjeaz\u0103\u00a0\u00a0\u00a0 clienta)<\/li>\n<li>Crampe \u015fi durere<\/li>\n<li>Posibil anemie<\/li>\n<li>Partenerul simte firele DIU \u00een timpul contactului sexual<\/li>\n<li>Dureri severe \u00een zona inferioar\u0103 a abdomenului (suspiciune\u00a0de boal\u0103 inflamatorie pelvin\u0103 [BIP])<\/li>\n<li>Dureri severe \u00een zona inferioar\u0103 a abdomenului (suspiciune de \u00a0sarcin\u0103 \u00a0ectopic\u0103)<\/li>\n<li>Suspiciune de perfora\u0163ie uterin\u0103<\/li>\n<li>DIU iese par\u0163ial (expulzie par\u0163ial\u0103)<\/li>\n<li>DIU iese complet (expulzie complet\u0103)<\/li>\n<li>Firele lipsesc (suger\u00e2nd o posibil\u0103 sarcin\u0103, perfora\u0163ie uterin\u0103 sau expulzie)<\/li>\n<\/ul>\n<p><strong>Probleme noi care pot necesita schimbarea metodei<\/strong><\/p>\n<ul>\n<li>S\u00e2ngerare vaginal\u0103 neexplicat\u0103 (care sugereaz\u0103 o afec\u0163iune medical\u0103 f\u0103r\u0103 leg\u0103tur\u0103 cu metoda)<\/li>\n<li>Suspiciune de sarcin\u0103<\/li>\n<\/ul>\n<p><strong>\u00cen caz de apari\u021bie a unor probleme din cele listate mai sus, adresa\u021bi-v\u0103 la medic.<\/strong><\/p>\n<div class=\"top\"><a href=\"#top\"><img decoding=\"async\" align=\"absmiddle\" width=\"11\" border=\"0\" height=\"12\" alt=\"page top\" src=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/themes\/cidsr\/images\/ico_top.gif\"> \u00een sus<\/a><\/div><\/div><\/div><div class=\"accordion-item\"><h3 id=\"accordion-2-t6\" class=\"accordion-title\" role=\"tab\" aria-controls=\"accordion-2-c6\" aria-selected=\"false\" aria-expanded=\"false\"><strong>\u00centreb\u0103ri \u015fi r\u0103spunsuri despre DIU<\/strong><\/h3><div id=\"accordion-2-c6\" class=\"accordion-content\" role=\"tabpanel\" aria-labelledby=\"accordion-2-t6\" aria-hidden=\"true\">\n<p><strong>1. Determin\u0103 DIU boal\u0103 inflamatorie pelvin\u0103 (BIP)?<\/strong><br \/>\nDIU singur nu cauzeaz\u0103 BIP. <a href=\"https:\/\/cidsr.mihaisiscanu.com\/sarcina-de-nastere\/romana-infectiile-si-sarcina\/romana-gonorea\/\">Gonoreea<\/a> \u015fi infec\u0163ia cu chlamydia sunt principalele cauze directe ale BIP. Totu\u015fi, atunci c\u00e2nd femeia are <a href=\"https:\/\/cidsr.mihaisiscanu.com\/sarcina-de-nastere\/romana-infectiile-si-sarcina\/romana-gonorea\/\">gonoree<\/a> sau infec\u0163ie cu chlamydia, inser\u0163ia DIU poate duce la BIP. Aceasta nu se \u00eent\u00e2mpl\u0103 frecvent. Dac\u0103 apare BIP, cel mai probabil apare \u00een primele 20 de zile dup\u0103 inser\u0163ia DIU. S-a estimat c\u0103, acolo unde ITS sunt frecvente \u015fi \u00eentreb\u0103rile de screening identific\u0103 jum\u0103tate din cazurile de ITS, \u00eentr-un grup de cliente ar putea exista 1 caz de\u00a0BIP la fiecare 666 de inser\u0163ii DIU (sau mai pu\u0163in de 2 la 1.000).<\/p>\n<p><strong>2. Femeile tinere \u015fi femeile \u00een v\u00e2rst\u0103 pot utiliza DIU?<\/strong><br \/>\nDa. Nu exist\u0103 o v\u00e2rst\u0103 limit\u0103 minim\u0103 sau maxim\u0103. DIU ar trebui extras dup\u0103 instalarea menopauzei, \u00een intervalul de 12 luni dup\u0103 ultima menstrua\u0163ie .<\/p>\n<p><strong>3. Dac\u0103 o utilizatoare de DIU are o infec\u0163ie cu transmitere sexual\u0103 (ITS) sau \u00eencepe s\u0103 fie la risc individual foarte mare de a se infecta cu o ITS, ar trebui s\u0103 i se extrag\u0103 DIU?<\/strong><br \/>\nNu. Dac\u0103 o femeie contracteaz\u0103 o nou\u0103 ITS dup\u0103 ce DIU i-a fost inserat, ea nu este \u00een mod special la risc de apari\u0163ie a BIP datorit\u0103 DIU. Ea poate continua s\u0103 utilizeze DIU \u00een timp ce este tratat\u0103 pentru ITS. Extragerea DIU nu aduce beneficii \u015fi o poate l\u0103sa la risc pentru sarcini nedorite. Consilia\u0163i-o referitor la utilizarea prezervativului \u015fi alte strategii de evitare a ITS \u00een viitor.<\/p>\n<p><strong>4. Este DIU cauz\u0103 de infertilitate la femeie?<\/strong><br \/>\nNu. Dup\u0103 ce DIU este extras, femeia poate r\u0103m\u00e2ne \u00eens\u0103rcinat\u0103 la fel\u00a0de repede ca o femeie care nu a utilizat niciodat\u0103 DIU, de\u015fi fertilitatea\u00a0descre\u015fte pe m\u0103sur\u0103 ce femeia \u00eemb\u0103tr\u00e2ne\u015fte. Exist\u0103 studii bune care nu au ar\u0103tat risc mai mare de infertilitate la femeile care au\u00a0utilizat DIU, inclusiv la femei tinere \u015fi femei care nu au n\u0103scut. Totu\u015fi, indiferent dac\u0103 o femeie este sau nu este utilizatoare de DIU, dac\u0103 ea prezint\u0103 BIP \u015fi nu este tratat\u0103, exist\u0103 o oarecare probabilitate ca ea s\u0103 devin\u0103 infertil\u0103.<\/p>\n<p><strong>5. Poate s\u0103 utilizeze DIU o femeie care nu a n\u0103scut niciodat\u0103?<\/strong><br \/>\nDa. \u00cen general, o femeie care nu a n\u0103scut poate utiliza DIU, dar ea trebuie s\u0103 \u00een\u0163eleag\u0103 c\u0103 probabilitatea de expulzie a DIU este mai mare, deoarece uterul ei ar putea fi mai mic dec\u00e2t uterul unei femei care a n\u0103scut.<\/p>\n<p><strong>6. Poate DIU s\u0103 se deplaseze din uterul femeii \u00een alte p\u0103r\u0163i ale corpului ei, precum inima sau creierul?<\/strong><br \/>\nDIU nu se deplaseaz\u0103 niciodat\u0103 spre inim\u0103, creier sau orice alt\u0103 parte a corpului, din afara abdomenului. \u00cen mod normal, DIU r\u0103m\u00e2ne \u00een uter precum o s\u0103m\u00e2n\u0163\u0103 \u00een \u00eenveli\u015ful ei. Rareori, DIU poate trece prin peretele uterului, \u00een cavitatea abdominal\u0103. Aceasta se datoreaz\u0103, de cele mai multe ori, unei gre\u015feli \u00een timpul inser\u0163iei. Dac\u0103 aceasta se depisteaz\u0103 \u00een primele 6 s\u0103pt\u0103m\u00e2ni dup\u0103 inser\u0163ie, sau dac\u0103 cauzeaz\u0103 vreodat\u0103 simptome, DIU va trebui extras prin interven\u0163ie chirurgical\u0103 laparoscopic\u0103 sau prin laparatomie. Totu\u015fi, de obicei, DIU deplasat din pozi\u0163ia sa nu cauzeaz\u0103 probleme \u015fi ar trebui l\u0103sat acolo unde se afl\u0103. Femeia va avea nevoie de o alt\u0103 metod\u0103 contraceptiv\u0103.<\/p>\n<p><strong>7. Este nevoie ca femeia s\u0103 p\u0103streze o \u201epauz\u0103\u201d dup\u0103 ce\u00a0a folosit timp de mai mul\u0163i ani un DIU sau dup\u0103 ce DIU pe care l-a folosit \u015fi-a epuizat timpul de eficien\u0163\u0103?<\/strong><br \/>\nNu. Acest lucru nu este necesar, poate fi chiar d\u0103un\u0103tor. Extragerea vechiului DIU, urmat\u0103 de inser\u0163ia imediat\u0103 a unui nou DIU, presupune un risc mai mic de infec\u0163ie dec\u00e2t efectuarea a 2 proceduri separate. De asemenea, femeia ar putea r\u0103m\u00e2ne \u00eens\u0103rcinat\u0103 \u00een\u00a0\u201epauza\u201d de dinaintea inser\u0163iei noului DIU.<\/p>\n<p><strong>8. Este necesar\u0103 administrarea de rutin\u0103 a antibioticelor \u00eenainte de inser\u0163ia DIU?<\/strong><br \/>\nNu, de obicei nu. Cele mai recente studii, efectuate \u00een localiz\u0103ri unde ITS nu sunt frecvente, arat\u0103 c\u0103 riscul apari\u0163iei BIP este mic, cu sau f\u0103r\u0103 antibiotice. C\u00e2nd sunt folosite \u00eentreb\u0103rile potrivite pentru screening privind ITS \u015fi inser\u0163ia DIU este efectuat\u0103 respect\u00e2nd procedurile adecvate de prevenire a infec\u0163iilor (incluz\u00e2nd tehnica\u00a0de inser\u0163ie \u201ef\u0103r\u0103 atingere\u201d), riscul de infec\u0163ie este mic. Totu\u015fi, antibioticele pot fi luate \u00een considerare \u00een zonele \u00een care ITS sunt frecvente \u015fi screening-ul pentru ITS este limitat.<\/p>\n<p><strong>9. DIU trebuie inserat doar \u00een timpul menstrua\u0163iei?<\/strong><br \/>\nNu. \u00cen cazul unei femei care are cicluri menstruale, DIU poate fi inserat \u00een orice moment al ciclului menstrual, dac\u0103 se \u015ftie cu un grad rezonabil de certitudine c\u0103 nu este \u00eens\u0103rcinat\u0103. Inser\u0163ia DIU \u00een timpul menstrua\u0163iei poate fi convenabil\u0103, deoarece este improbabil ca ea s\u0103 fie \u00eens\u0103rcinat\u0103 \u015fi inser\u0163ia ar putea fi mai u\u015foar\u0103. Totu\u015fi,\u00a0\u00een timpul menstrua\u0163iei nu se pot observa at\u00e2t de u\u015for semnele de infec\u0163ie.<\/p>\n<p><strong>10. Ar trebui s\u0103-i fie refuzat DIU unei femei care nu dore\u015fte s\u0103 verifice firele ata\u015fate DIU?<\/strong><br \/>\nNu. Nu trebuie refuzat DIU unei femei care nu dore\u015fte s\u0103 verifice firele. Importan\u0163a verific\u0103rii firelor DIU a fost supraestimat\u0103.\u00a0Expulzia DIU nu este frecvent\u0103, \u015fi rareori expulzia are loc f\u0103r\u0103 ca femeia s\u0103 observe.\u00a0Probabilitatea cea mai mare de expulzie a unui DIU este \u00een primele c\u00e2teva luni dup\u0103 inser\u0163ie, \u00een timpul menstrua\u0163iei, la femei c\u0103rora li s-a inserat DIU cur\u00e2nd dup\u0103 na\u015ftere, dup\u0103 un avort la cerere sau avort spontan \u00een trimestrul al doilea, \u015fi la femei care nu au fost niciodat\u0103 \u00eens\u0103rcinate. Femeia poate s\u0103 verifice firele DIU dac\u0103 vrea s\u0103 se reasigure c\u0103 DIU este \u00een continuare la locul s\u0103u. Sau, dac\u0103\u00a0nu dore\u015fte s\u0103 verifice firele, ea poate urm\u0103ri cu aten\u0163ie, \u00een prima lun\u0103 sau chiar mai mult, \u015fi \u00een timpul menstrua\u0163iei, dac\u0103 DIU a fost expulzat.<\/p>\n<p><strong>11. Cresc DIU riscul de sarcin\u0103 ectopic\u0103?<\/strong><br \/>\nNu. Dimpotriv\u0103, DIU reduc substan\u0163ial riscul de sarcin\u0103 ectopic\u0103. Sarcinile ectopice apar rar \u00een r\u00e2ndul utilizatoarelor de DIU. Rata sarcinilor ectopice la femeile care utilizeaz\u0103 DIU este de 12 la 10.000 de femei \u00eentr-un an de zile. Rata sarcinilor ectopice la femeile din Statele Unite care nu utilizeaz\u0103 nicio metod\u0103 contraceptiv\u0103 este de 65 la 10.000 de femei \u00eentr-un an de zile.\u00a0\u00cen rarele cazuri de e\u015fec al DIU \u015fi de apari\u0163ie a sarcinii, un num\u0103r de 6 p\u00e2n\u0103 la 8 din 100 de astfel de sarcini sunt ectopice. Astfel, marea majoritate a sarcinilor care apar \u00een caz de e\u015fec al DIU nu\u00a0sunt ectopice. Totu\u015fi, sarcina ectopic\u0103 prezint\u0103 risc vital; de aceea, furnizorul trebuie s\u0103 fie con\u015ftient de faptul c\u0103 sarcina ectopic\u0103 este posibil\u0103 \u00een caz de e\u015fec al DIU.<\/p>\n<div class=\"top\"><a href=\"#top\"><img decoding=\"async\" align=\"absmiddle\" width=\"11\" border=\"0\" height=\"12\" alt=\"page top\" src=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/themes\/cidsr\/images\/ico_top.gif\"> \u00een sus<\/a><\/div><\/div><\/div><div class=\"accordion-item\"><h3 id=\"accordion-2-t7\" class=\"accordion-title\" role=\"tab\" aria-controls=\"accordion-2-c7\" aria-selected=\"false\" aria-expanded=\"false\"><strong>Unde va adresa\u021bi<\/strong><\/h3><div id=\"accordion-2-c7\" class=\"accordion-content\" role=\"tabpanel\" aria-labelledby=\"accordion-2-t7\" aria-hidden=\"true\">\n<p>Pentru o consulta\u021bie \u00een planificarea familial\u0103:<\/p>\n<ul>\n<li>Adresa\u021bi-v\u0103 medicului de familie din cadrul institu\u021biei medicale din raionul Dvs de re\u0219edin\u021b\u0103 (vezi <strong><a href=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/uploads\/2015\/09\/Lista-MF-instruiti-in-PF.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">aici<\/a><\/strong>). ATEN\u021aIE: daca apar\u021bine\u021bi unuia din grupurile social-vulnerabile (vezi <strong><a href=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/uploads\/2015\/04\/ord-nr.-658-din-18.08.2015-Cu-privire-la-asigurarea-cu-contraceptive.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">aici<\/a><\/strong>) pute\u021bi beneficia de contraceptive gratuite!<\/li>\n<li>Adresa\u021bi-v\u0103 la <a href=\"http:\/\/new.neovita.md\/reteaua-cspt-2\/\" target=\"_blank\" rel=\"noopener noreferrer\">Centrele de S\u0103n\u0103tate Prietenoase Tinerilor<\/a><\/li>\n<li>Telefona\u021bi la Linia Fierbinte a CIDSR (apel gratuit \u0219i confiden\u021bial) &#8211; 0800-088-08<\/li>\n<li>Telefona\u021bi la CIDSR &#8211; 022355072 \/ 060903782 \/ 078306973<\/li>\n<li>Scrie\u021bi la adresa de e-mail CIDSR &#8211;<a href=\"mailto:cidsr2012@gmail.com\">cidsr2012@gmail.com<\/a><\/li>\n<\/ul>\n<div class=\"top\"><a href=\"#top\"><img decoding=\"async\" align=\"absmiddle\" width=\"11\" border=\"0\" height=\"12\" alt=\"page top\" src=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/themes\/cidsr\/images\/ico_top.gif\"> \u00een sus<\/a><\/div><\/div><\/div><\/div>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/cidsr.mihaisiscanu.com\/planificarea-familiala\"><img decoding=\"async\" class=\"size-full wp-image-958 aligncenter\" src=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/uploads\/2015\/09\/\u0441\u043a\u0430\u0447\u0430\u043d\u043d\u044b\u0435-\u0444\u0430\u0439\u043b\u044b.png\" alt=\"\u0441\u043a\u0430\u0447\u0430\u043d\u043d\u044b\u0435 \u0444\u0430\u0439\u043b\u044b\" width=\"100\" height=\"45\" \/><\/a>","protected":false},"excerpt":{"rendered":"<p>Ce sunt dispozitivele intrauterine? Dispozitivul intrauterin (DIU) cu cupru este o bucat\u0103 de plastic mic\u0103 <a class=\"read-more\" href=\"https:\/\/cidsr.mihaisiscanu.com\/ro\/dispozitivul-intrauterin-cu-cupru\/\">more>><\/a><\/p>\n","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-planificarea-single.php","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/pages\/884"}],"collection":[{"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/comments?post=884"}],"version-history":[{"count":12,"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/pages\/884\/revisions"}],"predecessor-version":[{"id":3288,"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/pages\/884\/revisions\/3288"}],"wp:attachment":[{"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/media?parent=884"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}