Coppert T 380 plus normal
Sterile - not to be used in breach of packaging integrity!
Does not protect against sexually transmitted diseases and AIDS!
Composition: horizontal arms - polyethylene, vertical arm - polyethylene, copper wire - 100% copper, threads - polyethylene, flange - polyvinyl chloride, insertion tube - polyethylene, rigid rod - polypropylene.
Each coil is enclosed in approximately 176 mg copper wire, in addition, the copper cylinder contains approximately 66.5 mg copper and is suspended on each arm. The total copper area on the spiral is 380 mm2 +/- 23 mm.
The spiral is recommended for women who:
- have at least one child;
- have a monogamous relationship;
- did not suffer from inflammation of the pelvis;
- do not want to use hormonal contraceptives.
The spiral should not be placed on a woman who:
- is pregnant or suspected to be pregnant;
- another spiral is still installed;
- there are or are suspected malignancies of the genital tract, including undiagnosed vaginal bleeding, unspecified vaginal secretion or severe uterine abnormalities;
- has had postpartum endometritis or an infection following an abortion in the last three months;
- has Eilson's disease or is allergic to copper;
- there are genital fungi.
The spiral should not be the main method of choice for a woman who:
- has a painful or long monthly cycle;
- has severe anemia;
- there is stenosis of the cervix or narrowing of the cervical canal;
- no access to a health facility for follow-up;
- had an ectopic pregnancy.
The spiral can be inserted at any time during the monthly cycle, provided that the woman is not pregnant and has been using effective contraceptive since her last menis. Many clinicians prefer to insert the spiral within 7 days of the onset of menstruation, because the neck opening is slightly widened at this time, making it easier to insert and making pregnancy almost impossible. Placement during this period in many cases leads to less discomfort, cramps and secretion for the patient.
The spiral can be inserted immediately after an abortion without complications in the first trimester or during an abortion. The physician should make sure that the time is appropriate to consult and monitor for sexually transmitted diseases.
- Explanation of patient procedures. This helps the patient to calm down, which facilitates the placement and makes it more painless.
- Procedure for the prevention of infections, including the use of disinfected tools, sterile gloves and cleansing of the neck with an aqueous antiseptic solution such as chlorhexidine gluconate or iodophore (eg Betadine). This minimizes the likelihood of uterine infection when untouched.
- Speculative examination and examination with both hands of the pelvis. A speculum examination is performed to check for evidence of genital tract infections. Two-handed examination determines the size, position, consistency and motility of the uterus, revealing any kind of soreness. The turned uterus (which is folded back) requires special care during insertion.
- Examine the uterus with a probe slowly and gently to determine its depth and orientation. This reduces the possibility of perforation of the uterus, which usually happens if the probe or spiral is placed too far in or at the wrong angle.
- Carefully and slowly proceed through all phases of probe and placement testing. This reduces the patient's discomfort and decreases the likelihood of uterine perforation, rupture of the cervix, or other complications.
- Inserting the spiral inwards into the uterus (ie at the fundus). This minimizes possible ejection, accidental pregnancy and eventual bleeding.
- Follow manufacturer's installation instructions. Most spirals are inserted by the draw method. The insertion tube, along with the stop tube, is placed in depth as indicated by the probe test. Then, remove the insertion tube while holding the inner lifter firmly. This leaves the spiral in place. The lift is then removed.
PROCEDURE FOR INSTALLING THE SPIRAL ON THE INSTALLATION TUBE
The stoppage should be placed on the insertion tube no earlier than five minutes before the coil is inserted.
1. Partially open the package from the end marked "OPEN" approximately to the middle of the edge.
2. Insert the hard rod into the insertion tube so that it almost touches the bottom of T.
3. Insert a thumb and index finger over the edges of the horizontal arms toward the T. handle through the packaging. Fold the arms as you move your thumb and index finger. Use your other hand to push the insertion tube so that it grips the shoulders of T. Insert the folded shoulders into the tube only until the arms are closed.
PROCEDURE FOR INSTALLING THE SPIRAL
1. Clean the neck with antiseptic solution.
2. Gently push the loaded tube through the uterine canal until the edge comes in contact with the cervix. This ensures contact between the T-shaped folded helix and the fundus.
3. Hold the rigid rod firmly and pull the insertion tube to the point where it is gripped by the thumb of the lever so that the arms of T. are released.
4. Gently push the tube to place upward on the uterus until there is a slight resistance. Thus, it is certain that T is close to the fundus.
5. Pull out the hard rod while holding the insertion tube stationary. Gently pull the swivel tube. Cut the threads so that they fit only 2-3 cm into the vagina.
6. Remove the tenaculum and ask the woman to slowly stand up from the table. If she feels dizzy, let her lie down for 5-10 minutes and instruct her how and when to check the threads. Ask her if she has any questions, and instruct her on how to visit again, what to do, and who to look for when she needs help.
- Acute inflammation of the pelvis or having such a disease;
- Sexually transmitted diseases, including infections of the lower genital tract such as gonorrhea and chlamydia;
- Risk of sexually transmitted diseases because she or her partner has more sexual partners;
- Genital tract malignancies or suspicion, including undiagnosed uterine bleeding with impaired function;
- Congenital uterine abnormalities;
- untreated acute cervical cervicitis or vaginitis, including bacterial vaginosis, until the infection is under control;
- Conditions associated with increased sensitivity to infections with microorganisms. Such conditions include, but are not limited to, leukemia, AIDS and drug abuse via the intravenous route;
- A small uterine cavity.
Side effects and side effects have been observed in spirals and may occur after the administration of COPPER T. Visit your doctor in any of the following cases:
- pregnancy in the presence of a spiral in the uterus or if it has been partially or completely discarded;
- partial or total disposal;
- bleeding or secretion between periods;
- delayed or failed menstruation;
- severe or prolonged periods;
- painful menstruation;
- pain or cramps when inserted or after insertion;
- vaginal secretion and infection;
- leg pain and heaviness;
- back pains;
- allergic skin reaction due to copper on COPPER T.
Instructions to the patient:
Go for an examination after the first menstrual period after inserting the spiral 4-6 weeks after insertion.
During the first month after placement, check the threads several times, especially after your period.
After the first month, you should only check the threads after menstruation if:
- you have cramps in the lower abdomen;
- you have a secretion between menstruation and after intercourse;
- feel pain after intercourse.
The spiral needs to be removed after 5 years, but it can be done sooner if you wish.
Go to a hospital if:
- You can't feel the threads;
- You feel the hard part of the spiral;
- Discard the spiral or mute mute.
Pregnancy with COPPER T 380 A occurs at levels lower than 1 in 100 women per year. If a woman becomes pregnant using a spiral, she should be removed immediately.
Darkening of copper
Coils of copper may discolour in their sterile packaging, but this is not a cause for concern. Copper darkens because it passes air through the sterile packing of the spiral, resulting in the formation of an oxide or sulfide layer on the surface. The packaging of the spiral should be permeable in order to sterilize the spiral. If the packaging is not damaged and the shelf life is valid, the spiral will be sterile even if the copper on it has darkened. Laboratory studies show that darkening does not affect the safety or effectiveness of the spirals.