Pakadali pano, njira zothandizira mahomoni ndi njira yabwino kwambiri yotetezera, monga lamulo, kuchokera mimba yosafuna - malinga ndi gome la Pearl, malinga ndi malamulo onse a ntchito, ndondomeko yotetezera ndi 99.9%. Koma amayi ambiri akuwapewa chifukwa cha zotsutsana zokhudza zotsatira zawo.
Mankhwala oyambirira a njira zothandizira (monga mapiritsi) anali ndi zotsutsana, komanso "pobochek" yosafunikira. Zophatikizidwa mwa iwo, mlingo wodabwitsa wa mahomoni unachepetsa kupweteka kwa mtima, ndipo inachititsanso ululu waukulu, kupwetekedwa mtima, ndipo nthawi zina kutupa kwapascita. Ndipo pazifukwa izi, miyezi ingapo yodzitenga mimba imeneyi ingakupatseni nthawi zambiri kwa dokotala, komanso matenda ena osapatsirana. Ndichifukwa chake ngakhale zaka 30 mpaka 40 zapitazo, kulera kwachinsinsi kwa nthawi yayitali kumakhala pamasamu a mankhwala ogulitsa mankhwala.
Komabe, zonse zinasintha ndi kupangidwa kwa estrogens (kupanga) m'badwo wachitatu. Mlingo wa mahomoni ndi wotsika kusiyana ndi ndendende katatu ndipo izi zimathandiza kuchepetsa chiopsezo, komanso kwambiri, zotsatira za zotsatirapo, komanso kuchepetsa chiwerengero cha zotsutsana.
Mankhwala opatsirana pogonana masiku ano amaikidwa ndi akatswiri kuti aziteteza mimba zosayenera. Ndi chithandizo chawo kuti n'zotheka kusintha kusintha kwa msambo, kuthandizira mavuto a khungu ndi kukonzekera thupi la mkazi kuti abereke pakati, kubereka mwana.
Zotsutsana ndi kugwiritsa ntchito mankhwala opatsirana pogonana zimakhala ndi mfundo zotsatirazi. Izi ndi zowopsya ndi thrombophlebitis zam'munsi, mitsempha yamapiko; Matenda a chithokomiro, omwe amadziwika ndi kuwonjezeka kwa estrogen; Mitundu yodalirika ya mahomoni (mwachitsanzo, zilonda zopweteka komanso zoopsa za chiberekero, mazira ndi mawere). Komanso zotsutsana ndi matenda a chiwindi ndi shuga.
Ndipo ngati zotsatira zake, mungathe: kupwetekedwa mutu, kupanikizika, kufooka, matenda otha magazi, komanso kuwonjezereka kwa magazi.
Momwe mungagwiritsire ntchito njira zothandizira pakamwa
Mankhwala opatsirana ammimba amayenera kutengedwa tsiku ndi tsiku, ndipo kuyambira tsiku loyamba lachisanu la kusamba. Ndipo ngati mwachedwa kutenga pulogalamu yoyamba, dikirani mpaka lotsatira mwezi uliwonse.
Pa masiku asanu ndi awiri oyambirira a kulandira, gwiritsani ntchito njira zowonjezera za kulera. Kutetezedwa kwathunthu kumatsimikiziridwa ndi mimba zosafuna pakatha sabata yoyamba ya kumwa mankhwala sizingatheke, chifukwa thupi liyenera "kukhuta" ndi estrogen, yomwe ili gawo la mankhwala.
Monga lamulo, ndondomeko yoyenera ya kulandira chithandizo cham'mawa imaphatikizapo mapiritsi 21. Mukamaliza kulandira kwawo, mumayambitsa msambo-monga fluke. Ndipo mu sabata mukhoza kupita ku malo osungirako otsala. Ndipo chisankho chachiwiri chimaphatikizapo kutenga mapiritsi patsiku lomaliza la masiku asanu ndi awiri ndi mankhwala a placebo.
Mitundu ya kulera kwa mahomoni
Mitundu yodziwika kwambiri ndiyo mapiritsi a kulera. Pali zamoyo zokha, komanso kuphatikizapo njira zothandizira pakamwa. Progestin imapezeka mu monophasic (yotchedwa "chachiwiri"), kuphatikizapo kuphatikizapo maselo otchedwa esterogen. Pakati paziwiri zogwira ntchito mochepa, sizimakhudza kukula kwa zotupa.
Zotsatirazi ndizomwe zimagwiritsidwa ntchito pamatope, zomwe zimadulidwa pa scapula kapena pakhungu la matako ndikusintha mlungu uliwonse. Estrogen m'magazi amadziwika mwachindunji pakhungu, kudutsa chiwindi - mankhwala owopsa a mankhwala amachepa. Ndipo zokhazokha - zomwe ziyenera kuyang'aniridwa nthawi zonse kuti wothandizira asalekerere.
Njira yotchedwa intrauterine hormonal system ndi njira yabwino ya mtundu wamba. Amatulutsa timadzi timene timatulutsa timadzi timene timatulutsa chiberekero ndikuchepetsa chiopsezo cha zotsatira zake. Komabe, n'zosatheka kuigwiritsira ntchito kwa atsikana omwe amadwala matenda akuluakulu a chiwerewere - adnexitis, oophoritis, ndi zina zotero.
Mimba yamaliseche imayikidwa masiku 21, ndipo imachotsedwa pokhapokha ndikusamba kapena kusambira padziwe. Mahomoni amenewa amabisala m'dera lanu, m'mimba ya chiberekero imakulitsa chiberekero cha mimba, imakhalanso ndi mimba.
Ndipo ngati mukuiwala nthawi zonse kumwa mapiritsi nthawi yina - yesetsani kugwiritsa ntchito mankhwala opatsirana pogonana ndi jekeseni wa mahomoni kapena subcutaneous implants. Mimba imajambulidwa pachikopa pamapapo, imatenga nthawi yayitali, choncho simukumbukira kuti mukufunika kutenga mapiritsi pakati pa usiku. Kuchokera miyezi isanu ndi umodzi kufikira zaka zisanu ndi ziwiri-nthawi yokhalapo, ndi zotsatira za jekeseni - kuyambira miyezi itatu kufikira miyezi isanu ndi umodzi.
Koma, mwatsoka, amayi awiri okha mwa asanu ndi mmodzi okha amalingalira za kupewa mimba zosafuna. Ndipo chifukwa chake ziwerengero zoopsa za kuchotsa mimba ndi kusabereka m'dziko. Kugwiritsira ntchito mankhwala opatsirana pogonana kudzakuthandizani kuti mupewe kutenga pakati.