Kuvunguza kwama-hormone: amafomu, Izimo

Ukukhulelwa - isikhathi eside elindelwe kwabesifazane abaningi. Nokho, kunezimo lapho lokuzalwa imisiwe isikhathi eside. Lokhu kungase kube ngenxa yezizathu ezahlukene.

Ukuvimbela ukuba akhulelwe futhi ugweme lokhu izinqubo kabi ngobulungiswa impikiswano ezifana izisu, eziningi ucansi bubuhle zisebenzisa izindlela ezahlukene. Iningi labesifazane bayenqaba ukwamukela imithi ngomlomo, bephawula lokuthi ayizwakali, kanye nomthelela ongemuhle empilweni yabo kanye sibalo. Ngakho-ke, abaningi babo makudle zabo kulokho okubizwa ngokuthi idivayisi intrauterine.

Uhlolojikelele

ucingo Intrauterine umuthi, okuyinto idivayisi eyenziwe ngepulasitiki ne nethusi ezincane. Le divayisi siyehla ekuqhubekeleni phambili kwezindaba isidoda esibelethweni, kanye ukunciphisa kakhulu nempilo iqanda.

Kufanele futhi wazi ukuthi idivayisi intrauterine uyakwazi kuvimbela okunamathiselwe neqanda kakade avundiswa odongeni lesizalo. Ngakho, limelela ezithile ayahluleka indlela yokuvimbela inzalo.

Okunhlobonhlobo lemiklamo

Ekhuluma IUD, kumelwe kushiwo ukuthi ngaphandle zalapho evamile, kukhona ama-hormone. Yiziphi? Kuvunguza kwama-hormone - a analogs eziyingqayizivele ezivamile intrauterine izakhiwo. Nokho, banalo isilinda ekhethekile plastic, equkethe ihomoni okuthiwa yi levonorgestrel.

Ngokusho ochwepheshe, i-hormone Kuvunguza zinokwethenjelwa kakhulu. Lokhu kungenxa yokuthi ngaphezu umphumela "nomzimba angaphandle" esibelethweni, baba nethonya ngqo inzalo okuyinto efana iphilisi.

Kanjani ukuba athathe isinyathelo?

Kuvunguza kwama-hormone usebenza isimiso elula. Levonorgestrel eziqukethwe kubo nsuku zonke futhi ivelele ngokulinganayo kusuka kudivayisi ukuvikela abesifazane ekukhulelweni bengafuni. Ngesikhathi esifanayo engasitholi hormone ku kwegazi. Ngakho-ke, lemiklamo hormone musa baxabane enqabayo ejwayelekile njalo zokuvimbela inzalo amaphilisi (isib, isicanucanu, isisindo somzimba, njll).

Sakhiwo netimphawu

Kwama-hormone Kuvunguza kwabesifazane kuyinto isivikelo ngokumelene owesifazane ebamba engadingeki. Le divayisi liqukethe:

• iziphanyeko ovundlile nezimo;
• gormonsoderzhaschego isilinda;
• ngentambo Kuvunguza ukuze kususwe.

Kufanele kuphawulwe ukuthi, njengenjwayelo Kuvunguza isakhiwo hormone usungula kuphela udokotela wezifo zabesifazane. Kulokhu, uchwepheshe kumelwe baxwayisa ngokuthi ugqoke idivayisi ingaba iminyaka hhayi engaphezu kwemihlanu.

Kuvunguza kwama-hormone: Izinhlobo

Namuhla, kunamabandla amabili izinhlobo hormone zokuvimbela inzalo imiklamo:

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

The enhle zinsizakuphila? Lokhu kuzoxoxwa ngakho manje.

"Mirena"

Yini Kuvunguza hormone? "Mirena" - ethandwa kakhulu umuthi design intrauterine. ikhishwe izinga lomcebo esebenzayo 20 mg / usuku.

uhlelo ezinjalo kudedela hhayi kuphela levonorgestrel, kodwa futhi has a action gestagenic wendawo. Uma usebenzisa lokhu Kuvunguza imakwe izinguquko morphological ku mucosa endometrial futhi ukuqina umsele wesibeletho. Le miphumela bafake ligalelo ekuvimbeleni Ukungena kwesidoda esibelethweni. Ngaphezu kwalokho, abanye abantu bobulili bubuhle ngisho ukucindezelwa nge-ovulation kwenzeka.

Ukusetshenziswa "Mirena" akunamthelela umsebenzi zokuzala zabesifazane. Cishe ama-80% wabantu abafuna ukuba babe nomntwana, ukukhulelwa kwenzeka kungakapheli nonyaka owodwa emva ukususwa isakhiwo.

Izici Kuvunguza

Kuvunguza kwama-hormone nge endometriosis lisetshenziswa kakhulu. Futhi "MIRENA" is ngempumelelo esetshenziselwa ukwelapha menorrhagia idiopathic, izifo extragenital nezimo ahambisana anticoagulation ezinzima.

Ezinyangeni zokuqala ukusetshenziswa zale divayisi, isiguli bangezwa zokubona. Lokhu kwenzeka ngenxa yokucindezelwa lwempi endometrial.

ubufakazi

Kuvunguza "Mirena" elisetshenziswa kulezi zimo ezilandelayo:

• I-zokuvimbela inzalo ethembekile;
• menorrhagia idiopathic;
• nokuvimbela Hyperplasia endometrial ngokuhamba yokwelapha i-estrogen esikhundleni.

Izimo

Ngo sifo singalapheki, khona isifo ezinzima, umdlavuza ukusetshenziswa Kuvunguza "Mirena" Kufanele uvumelane onguchwepheshe.

Okunye contraindications ukusetshenziswa kule divayisi zihlanganisa lokhu okulandelayo:

• Ukukhulelwa esolwa ke;
• hypersensitivity kuya izithako izindlela;
• umbandela ezifweni okusezingeni eliphezulu ukutheleleka;
• endometritis kwangemva kokubeletha ;
• thrombosis emithanjeni ezijulile imilenze (kuhlanganise khona esikhathini esidlule);
• izimila abulalayo wesibeletho kanye kwesibeletho;
• ngaphambili olwenziwa yokwelapha umdlavuza wamabele;
• dysplasia wesibeletho;
• isifo okhalo (ukuvuvukala);
• pheshana urinary nezifo;
• lesizalo kwezinso (azalwa naso noma bathenga);
• cervicitis;
• isisu (ukonakala) mashumi 3 izinyanga;
• lesizalo ukopha Lokudabuka engaziwa;
• isifo sesibindi acute, ezihlanganisa nomdlavuza.

nokushintsha kokudla nokufakwa

Ithuluzi kuncike isetshenziswa ngendlela elandelayo:

• Ukuze ukuvimbela inzalo kwabesifazane (yokuzala) ikhoyili setha ngeviki kusuka ukuqala kokuya esikhathini. Kulokhu, kungaba esikhundleni umklamo entsha intrauterine yiluphi usuku umjikelezo. Futhi, le divayisi ingahle efakwe ngokushesha ngemva isisu e senyanga yokuqala sokukhulelwa.
• Ukuze bavikele endometrium ngesikhathi estrogen esikhundleni yokwelapha iziguli insikazi amenorrhea Kuvunguza Ungaqala nganoma yisiphi isikhathi. Njengoba abesifazane nge walondoloza esikhathini, bona Ukufakwa senziwa ezinsukwini zokugcina zokuya esikhathini.
• Ngemva kokuzalwa, Kuvunguza yethulwa kuphela ngemva lesizalo involution kwenzeka, kodwa hhayi ekuqaleni kuka-6 amasonto. Phakathi subinvolution isikhathi eside kumele isuswe kwangemva kokubeletha endometritis kanye uyephuza ukufakwa yesixazululo ukwakhiwa (kuze involution ephelele). Lapho isingeniso kunzima, noma okunzima kakhulu ubuhlungu, ukopha ngaphambi nangemva ukwelashwa ezidingekayo ukuqhuba ultrasound ukugwema perforation.

"Levonova"

Intrauterine "Levonova" iqukethe 52 mg levonorgestrel. Lena umuthi okuthembekile. imfuyo yayo asebenzayo kunomphumela lendawo ngqo endometrium, ekunciphiseni yenzeka yayo umsebenzi futhi amashubhu fallopian futhi viscosity we isikhwehlela e wesibeletho. Lezi izindawo ukwandisa kudivayisi kahle kanye nesikhathi Kuvunguza ukusetshenziswa ngaphandle abacindezela ukukhiqizwa kwamaqanda.

Leli thuluzi kufanele kwetfulwe ngosuku 4-5 th of umjikelezo wokuya esikhathini. Uma wenze kwezisu, Kuvunguza isethwe ngokushesha noma ngemva kokuya esikhathini esilandelayo. Ngo ayinzima nokuguqulwa ukulethwa isakhiwo hormone kuyatuseka ukusebenzisa hhayi ngaphansi kuka emavikini ayisithupha.

Kuvunguza kwama-hormone: contraindications side effects

Kuvunguza "Levonova" is contraindicated ku:

• inflammations oyingozi futhi subacute of umthondo zangaphakathi nezangaphandle;
• ukhulelwe;
• metrorrhagia Lokudabuka engaziwa;
• umzimba izimila ebulalayo umdlavuza wesibeletho;
• salpingoofarite futhi endometritis ezingamahlalakhona;
• lokuzalwa umzimba anomalies kanye nomdlavuza wesibeletho;
• ukuguguleka;
• ukhulela ethunjini emlandweni.

i-hormone Kubhekwe lesizalo Kuvunguza myoma alisetshenziswa. Ngaphezu kwalokho, lokho akusho ukusungula abesifazane nulliparous.

Ezinyangeni zokuqala ukusetshenziswa ithuluzi kungadala ukopha intermenstrual, isicanucanu, iziyaluyalu nomjikelezo wokuya esikhathini, mastalgia, uketshezi nokugcinwa, ukuphathwa ikhanda, futhi induna.

izincomo ezithile

Ukwakheka IUD "Levonova" inikeza i-hormone ukukhululwa ngesilinganiso 20 UG / usuku. Ukuhlola ngokuqinisekisa kwale divayisi iminyaka 5. Ngemva kokususa umsebenzi zokuzala zabesifazane uyalulama ngokushesha futhi kahle.

Ithuluzi akufanele zisetshenziswe ngesikhathi ibele. Lokhu kungenxa yokuthi LNG uyakwazi ukungena ubisi lwebele. Lapho esiqhubekayo eside ukopha intermenstrual kudinga luhlolo ezengeziwe izifo zabesifazane ukuze uqinisekise uphethwe.

Tablets noma ethandelayo?

Kuvunguza noma ama hormone amaphilisi - yiziphi zokuvimbela inzalo ukukhetha? Ukuze siphendule lo mbuzo kunzima, ngoba ngamunye yezindlela ethulwa kunezinzuzo zako siqu kanye nobubi obuthile. Nokho, iziguli eziningi kakhulu ezikhethiwe inketho kuqala. Lokhu kungenxa lezi zinto ezilandelayo:

• nokwethenjelwa nekusebenta Helix kuyinto 99%;
• leli thuluzi akudingi kukulandzelela kwemalanga onkhe;
• Kuvunguza Ubude (mayelana 5 iminyaka);
• ngemva IUD ukususwa wenzalo kubuyiselwa ngokushesha okukhulu.

Ngokuphathelene ejenti temlomo, avame kungukuthi esetshenziswa ngenxa kungenzeka isisindo somzimba kanye ukuthuthukiswa yezinkinga zempilo.