Njira yogwiritsira ntchito mankhwala opatsirana pogonana:
- kuchotsa ovulation. Pogwiritsa ntchito njira zolakwika, progestogen imateteza mahomoni a follicle-stimulating ndi luteininizing. Zosatheka za FSH ndi LH sizikuphatikizapo kuthekera kwa ovulation. Ethinyl estradiol pamodzi ndi progestogens imathetsa folliculogenesis m'mimba mwake.
- kuwonjezera mamasukidwe a mamasukidwe a mitsempha ya chiberekero. Progestogens amasintha maonekedwe a chilengedwe ndipo amachititsa kuti chiberekero cha kholachi chikhale choperewera, ndipo chimalepheretsa kuyenda kwa spermatozoa mu chiberekero cha uterine;
- kusintha mu endometrium zomwe zimasokoneza kukhazikitsidwa kwa dzira. Progestogens imalepheretsa kuchuluka kwa maselo a endometri, zomwe zimapangitsa kusinthika kwachinsinsi kwachinsinsi. Ngakhalenso kuyamwa ndi feteleza zimachitika, mimba siimakula;
- kuchepetsa kuyendayenda kwa dzira ndikuchepetsa kugwirizanitsa kwa miyendo ya fallopian. Ma Progestogens amaletsa kuyambira kwa ma tubes.
Njira yothetsera vuto lachangu (Escapel, Postinor):
Zambiri zokhuza kubereka kwachangu zitha kupezeka pano.
- kulepheretsa kutsekula, kuteteza umuna;
- Sinthani mu endometrium, kuteteza kuikidwa kwa dzira la umuna.
Mchitidwe wa kulera kwa mahomoni:
- Panjira ya ma hormone kulowa m'magazi:
- imayikidwa pansi pa khungu. Ma capsules ovuta (35X2.5 millimeters), kumasula mahomoni omwe alowetsa m'magazi, kumangoyambitsa nthawi zonse;
- mabomba. Majekesitiwa amachitika kamodzi pa masiku 45-75;
- mapiritsi.
- Kupangidwa kwa mahomoni:
- mapiritsi ophatikizana: magawo amodzi (nthawi yamasiku (masiku 21) chiwerengero china cha gestagens ndi estrogens kulowa mu thupi lakazi), biphasic (mu theka loyamba la mapiritsi, mapiritsi okhala ndi gestagens apansi amagwiritsidwa ntchito poyerekeza ndi kusuntha kwa mahomoni), magawo atatu chifukwa cholandirako zovuta, zomwe zimakulolani kutanthauzira molondola thupi lachikazi);
- osagonjetsedwa ("mini-kumwa"). Mukhale ndi gestagens okha.
- Pa mlingo wa tsiku ndi tsiku wa gawo la estrogen:
- Zosakaniza (muli 20 mg / day ethinyl estradiol);
- mlingo wochepa (30-35 μg / tsiku ethinyl estradiol);
- mlingo waukulu (50 mcg / tsiku ethinyl estradiol).
Mankhwala opatsirana pogonana: malangizo othandizira
Kwa machitidwe odziteteza pakamwa / kutulutsa mahomoni: chigamba cha kulera chimagwiritsidwa masiku asanu ndi awiri (mapepala atatu pa phukusi).
Kwa COC monophasic: mapiritsi 21 a mtundu womwewo mu bully.
Kwa "kumwa mowa": mapiritsi 21/28 a mtundu womwewo mumsana.
Zokambirana zitatu: Zipiringi 21/28 za mitundu yosiyanasiyana muzitsulo.
Zotsatira za kulera zimatheka chifukwa chosintha makhalidwe a chiberekero ndi kuthetsa chiwopsezo. Zolondola ndi "minipili" zimatengedwa mkati, tsiku lirilonse panthawi inayake, kutsatira ndondomeko yomwe ili pa phukusi. Mlingo woyenera: tebulo kamodzi pa maola 24, kwa masiku 21. Phukusi lotsatira liyenera kuyambitsidwa pambuyo pa sabata limodzi la sabata, pamene kuyamwa kwa magazi kumayambira. Chiyero cha phwando: masabata atatu - kulandirira maulendo, sabata imodzi - mpumulo.
Kulandira mphamvu za m'mimba: zotsutsana
- matenda opatsirana, ziwopsezo za matenda a mtima, zipangizo zamagetsi zosawonongeka, mbiri ya matenda a mtima;
- matenda a thromboembolic, zilonda zaperebrovascular, thrombophlebitis;
- kusokonezeka kwa ubongo, migraine;
- kugwira ntchito ndi kuchepa kwa nthawi yaitali;
- matenda a shuga, matenda a chiwindi, matenda aakulu a khungu;
- zilonda za chiwindi (zoipa / zoipa), zowonjezera chiwindi cha chiwindi;
- Suta (fodya 15 kapena kuposa pa tsiku) ali ndi zaka 35 kapena kuposerapo;
- lactation, pregnancy, deformation ya uterine cavity, kudzimbidwa kosatha, kupweteka kwa chiberekero;
- Matenda oopsa a ziwalo za m'mimba zovuta kwambiri;
- mankhwala osokoneza / otayika a hormone a njira yoberekera;
- magazi amtundu wosadziwika.
Zotsatira za kuchipatala kwa mahomoni:
- kusowa kwa estrogen: kuchepa kwa msambo, kutuluka m'mimba, kutulutsa magazi, hypoplasia ya chiberekero, kraurosis ya chiphuphu, "kutentha kwa moto", kukwiya;
- Kuchuluka kwa estrogens: kusungunuka kwa madzi, kusungunuka, kupwetekedwa, kupweteka kwa msambo, kupweteka kwa mammary glands, kuthamanga kwa magazi, migraine, kupweteka mutu, latent matenda a shuga;
- Kuperewera kwa Progesterone: kutulutsa magazi, kutuluka m'mimba, kupuma kwa msambo;
- ma progesterone ochuluka: zipsinjo zachisoni, mutu, alopecia, khungu lamatenda, nyongolotsi, amenorrhea, kupindula / chilakolako, kuchepa kwa libido.
Njira yothetsera kulera kwa mahomoni:
- Kupita kapena kuchitidwa kuyang'anitsitsa kusatchula zotsutsana za kulandira mahomoni;
- mankhwala osankhidwa ndi oyamba ndi ovomerezeka ndi otchedwa androgenic gestagen komanso okhudzana ndi ethinylestradiol osapitirira 35 μg / tsiku ( Regulon , Janine );
- mankhwala osankhidwa odwala omwe ali ndi vuto lalikulu la estrogen - zokhazokha zitatu (Diane-35, Tri-Mercy);
- pamaso pa ziphuphu, mapiritsi a hyperandrogenia monophasic ndi antiandrogenic akuwonetsedwa (Lindineth, Yarina , Logest);
- ndi kutaya magazi koyambitsa matenda, dysmenorrhea imasonyeza mapiritsi okhala ndi progestogen yamphamvu (Jeanine, Claira );
- Pamaso pa endometriosis Chinthu chabwino kwambiri ndicho kusankha njira zothandizira anthu kuti azitha kulera ana ndi dienogest, gestodene (Jeanine, Lindineth);
- Pakuti osuta azimayi opitirira zaka 35 amatsutsana, mpaka zaka 35 zawonetsedwa mchitidwe wogwiritsira ntchito pamimba ndi ethinyl estradiol ( Jess , Lindineth).
Njira zabwino zothandizira mimba
Mankhwala opanga mahomoni ali ndi mphamvu zowonjezera thupi, zomwe sizingatheke kukhala ndi mawu amodzi. Osankhidwa osati kungopewa kutenga mimba, komanso chifukwa cha kuchipatala. Mapiritsi omwewo angayambitse mavuto aakulu kwa amayi ena, ena samakhumudwitsa. Mimba ya mahomoni iyenera kusankhidwa payekha, kulingalira za chikhalidwe cha amayi ndi chikhalidwe, mbiri ya banja ndi mbiri yaumwini. Kusankhidwa bwino kwa mahomoni kumateteza kotetezeka ku mimba yosakonzekera komanso njira yabwino yotetezera thanzi labwino la kubala.