Mahomoni mwauzimu: mitundu, contraindications

Mimba - nthawi yaitali nthawi akazi ambiri. Komabe, pali zochitika zina pamene kubadwa anachedwa kwa nthawi yaitali. Izi zikhoza kukhala chifukwa zifukwa zosiyanasiyana.

Pofuna kupewa kutenga mimba ndi kupewa izi zosasangalatsa ethically maganizo ndondomeko monga mimba, ambiri mwa kugonana fairer ntchito njira zosiyanasiyana. Akazi ambiri akukana kuvomereza mankhwala akumwa, kutchula chakuti iwo ndi osamveka, komanso kungasokoneze thanzi lawo ndi maonekedwe. Choncho, ambiri mwa iwo kupereka zokonda zawo otchedwa chipangizo intrauterine.

mwachidule

Intrauterine kulera zosiyanasiyanazi, amene ndi chipangizo zopangidwa pulasitiki ndi mkuwa ang'ono. chipangizo ichi kubweza patsogolo umuna mu chiberekero, komanso kuchepetsa kwambiri utali wamoyo dzira.

Tikumbukenso kuti chipangizo intrauterine angathe kuteteza ubwenzi wa dzira kale ukala khoma uterine. Choncho, chikuyimira ena abortive njira kulera.

Zosiyanasiyana mizere yozungulira

Ponena za IUD, ziyenera anati kuti kupatulapo mindandanda yamasewera mwachizolowezi, pali m'thupi. Kodi n'chiyani? Mahomoni mwauzimu - wapadera analogs nyumba ochiritsira intrauterine. Komabe, iwo ndi wapadera yamphamvu pulasitiki, imene ili ndi timadzi otchedwa levonorgestrel.

Malinga ndi akatswiri, timadzi mwauzimu odalirika kwambiri. Ichi ndi chifukwa chakuti kuwonjezera pa zotsatira za "thupi yachilendo" mu chiberekero, ali ndi kulera zosiyanasiyanazi zotsatira mwachindunji omwe ndi ofanana ndi mankhwala a.

Momwe angachitire?

Mahomoni mwauzimu ntchito mfundo yosavuta. Levonorgestrel ali tsiku ndi tsiku ndi chionekera wogawana kwa chipangizo kuteteza akazi ndi mimba zapathengo. Pa nthawi yomweyo iye osazindikira timadzi mu makope zokhudza zonse. Choncho, mizere yozungulira m'thupi musati chifukwa zochita chowawa ankaikira zonse mankhwala olera (mwachitsanzo, nseru, kunenepa kwambiri, etc.).

Kapangidwe ndi mbali

Mahomoni mwauzimu kwa akazi ndi chitetezo chodalirika ndi lingaliro osafunika. chipangizo tichipeza:

• yopingasa kusintha mahang'ala;
• gormonsoderzhaschego yamphamvu;
• mwauzimu ulusi Jaji.

Iwo ayenera kukumbukira kuti, mwachizolowezi mwauzimu dongosolo m'thupi amakhazikitsa chabe gynecologist. Pankhaniyi, katswiri tiyenera kuchenjedzana kuti kuvala chipangizo amenewa osapitirira zaka zisanu.

Mahomoni mwauzimu: Mitundu

Lero, pali mitundu iwiri ya m'thupi kulera ziwembu:

• "Mirena" (German kupanga);
• "Levonova" (French kupanga).

The lodziwika zipangizo zimenezi? Tikambirana tsopano.

"Mirena"

mahomoni mwauzimu chiyani? "Mirena" - wotchuka kwambiri kulera zosiyanasiyanazi intrauterine kamangidwe. kumasulidwa mlingo wake wa mankhwala yogwira ndi 20 mg / tsiku.

m'njira imeneyi osati akumasula levonorgestrel, komanso ali m'dera kanthu gestagenic. Pamene ntchito mwauzimu Ichi chinali kusintha morphological mu mucosa endometrial ndi thickening wa ngalande khomo lachiberekero. Zimenezi zimathandiza kuti kuteteza malowedwe a umuna mu chiberekero. Komanso, ena mwa kugonana fairer ngakhale yimitsira wa ovulation amapezeka.

Ntchito "Mirena" alibe mphamvu pa ntchito ubereki wabwino wa akazi. Pafupifupi 80% ya anthu amene akufuna kukhala ndi mwana, mimba kumachitika chaka chimodzi pambuyo kuchotsa kukonza.

NKHANI mwauzimu

Mahomoni mwauzimu ndi endometriosis amagwiritsidwa ntchito kwambiri. Komanso "MIRENA" ali bwinobwino ntchito zochizira menorrhagia idiopathic, matenda extragenital ndi zikhalidwe ndi limodzi mwa anticoagulation kwambiri.

Mu miyezi ntchito chipangizo ichi, wodwala akhoza kuona zoonera. Izi zimachitika chifukwa cha kupondereza kuchuluka endometrial.

umboni

Mwauzimu "Mirena" ntchito milandu zotsatirazi:

• kwa kulera odalirika;
• idiopathic menorrhagia;
• chifukwa kupewa hyperplasia endometrial mu njira ya mankhwala esitirojeni m'malo.

contraindications

Mu matenda aakulu, pamaso pa matenda aakulu, chotupa chija ntchito mwauzimu "Mirena" ayenera kugwirizana kwa katswiri.

contraindications zina kugwiritsa ntchito chipangizo ndi monga izi:

• Mimba ndi amaganiziridwa izo;
• hypersensitivity kuti zosakaniza njira;
• zinthu ndi chiwopsezo mkulu matenda;
• postpartum endometritis ;
• thrombosis ya mitsempha zozama za miyendo (kuphatikizapo pamaso kale);
• zotupa zilonda za khomo pachibelekeropo ndi chiberekero;
• poyamba imachitika mankhwala a khansa ya m'mawere;
• khomo lachiberekero dysplasia;
• M'chiuno matenda (yotupa);
• mkodzo thirakiti matenda;
• kuvutika uterine (kobadwa nako kapena kugula);
• cervicitis;
• mimba (septic) miyezi 3 yomaliza;
• magazi uterine chiyambi sakudziwika;
• pachimake chiwindi matenda, kuphatikizapo khansa.

dosing

Phunziro chida ntchito motere:

• Pakuti kulera kwa amayi (wobereka zaka) koyilo anapereka sabata kuyambira kuyamba kusamba. Mu nkhani iyi, akhoza m'malo ndi kapangidwe latsopano intrauterine tsiku lililonse la kuzungulira. Komanso, chipangizo izi zikhoza kuikidwa yomweyo pambuyo mimba mu trimester mimba.
• Pofuna kuteteza endometrium pa esitirojeni m'malo mankhwala odwala yaikazi ndi amenorrhea mwauzimu akhoza anayambitsa nthawi iliyonse. Koma akazi ndi anasunga msambo, iwo unsembe analengedwa mu masiku otsiriza kusamba.
• Atabadwa, mwauzimu ndi umayamba pokhapokha uterine involution zikachitika, koma osati kale kuposa 6 masabata. Pa subinvolution yaitali ayenera zichotsedwa postpartum endometritis, ndi ola unsembe kapangidwe njira (mpaka involution wathunthu). Pamene oyamba ndi zovuta, kapena kwambiri ululu, magazi pambuyo pa chithandizo zofunika kuchita ultrasound kupewa perforation.

"Levonova"

Intrauterine "Levonova" lili 52 mg wa levonorgestrel. Izi ndi kulera zosiyanasiyanazi odalirika. mankhwala ake yogwira ali mwachindunji zotsatira pachilumbachi endometrium ndi kuchepetsa implantation ake ntchito ndiponso Ukalawu ndi kukhuthala kwa ntchofu ku khomo pachibelekeropo. katundu kukwera chipangizo dzuwa ndi nthawi ntchito mwauzimu popanda kupondereza ovulation.

chida ichi ayenera anayambitsa pa 4-5 tsiku TH a kuzungulira kusamba. Ngati munapanga mimba, mwauzimu chikuyambika yomweyo kapena pambuyo kusamba lotsatira. Mu wopepuka mowiriza dongosolo yobereka ndi mahomoni ndi zofunika kugwiritsa ntchito osachepera masabata asanu.

Mahomoni mwauzimu: contraindications ndi zotsatira zake zoyipa

Mwauzimu "Levonova" ali contraindicated mu:

• pachimake ndi subacute inflammations a kunja ndi mkati kumaliseche;
• mimba;
• metrorrhagia chiyambi sakudziwika;
• thupi zotupa zilonda ndi khansa khomo lachiberekero;
• salpingoofarite ndi endometritis aakulu;
• kubadwa thupi anomalies ndi khansa khomo lachiberekero;
• kukokoloka;
• mimba ectopic mu mbiri.

Akuti timadzi mwauzimu uterine myoma si ntchito. Komanso, sikuti kukhazikitsa akazi nulliparous.

Mu miyezi oyambirira a ntchito chida zikhoza magazi intermenstrual, nseru, matenda a msambo, mastalgia, madzimadzi posungira, mutu, ndi ziphuphu zakumaso.

ayamikira yeniyeni

Kapangidwe IUD "Levonova" amapereka timadzi kumasulidwa mlingo wa 20 ug / tsiku. Zotuluka pa chipangizo ichi ndi zaka 5. Pambuyo kuchotsa ntchito ubereki wabwino wa akazi akuchira msanga ndi bwino.

chida sayenera ntchito pa yoyamwitsa. Ichi ndi chifukwa chakuti Lng akhoza kulowa mu mkaka wa m'mawere. Pamene khama ndipo nthawi intermenstrual magazi amafuna zina matenda Kupenda kutsimikiza matenda.

Mapiritsi kapena mwauzimu?

Mwauzimu kapena timadzi mankhwala - amene mwa njira zimenezi kulera zosiyanasiyanazi kusankha? Kuti tiyankhe funso limeneli ndi zovuta, popeza aliyense wa njira zokambidwa ubwino komanso kuipa. Komabe, odwala ambiri amasankhidwa njira yoyamba. Ichi ndi chifukwa zinthu zotsatirazi:

• kudalirika ndi dzuwa la helix ndi 99%;
• chipangizo oterowo sikutanthauza polojekiti tsiku;
• Nthawi mwauzimu (pafupifupi 5 zaka);
• pambuyo IUD kuchotsa chonde abwezeretsedwa mofulumira kwambiri.

Pankhani wothandizila m'kamwa, nthawi zambiri iwo ntchito chifukwa cha zotheka kunenepa ndi chitukuko cha matenda.