Momwe mungasankhire pepala la kulera nokha

Njira zamakono zamakono zamakono zilipo, zotetezeka komanso zothandiza. Kuwonjezera pa cholinga chake molunjika - kuteteza mimba yosakonzekera, amathetsa mavuto angapo a amayi: kuchepetsa chiopsezo cha endometriosis, uterine fibroids, kansa ya uterine ndi mazira, kusintha mchitidwe wa msambo, kukula kwa maonekedwe a PMS. Zochitika zonse zothandizira pakamwa zimagawidwa m'magulu akulu awiri: progestin (progesterone) komanso kuphatikiza (progesterone + estrogen). Kawirikawiri, mahomoni onsewa amapangidwa ndi thupi la mkazi, kuyang'anira khalidwe la kugonana, kuvomereza, kupititsa patsogolo mimba, ntchito. Kugwiritsa ntchito mlingo winawake kuchokera kunja, iwo, mosiyana, amachititsa chinsinsi cha chiberekero ndikuchotsa chifuwa, kutenga mimba sikutheka. Kusankhidwa kwa njira za kulera ndi nkhani yaikulu, kuchokera pa chisankho choyenera chomwe chimadalira osati pokhapokha pokhapokha ngati chitetezo cha mimba yosafuna, komanso pa uchembele wa amayi. Kodi mungatenge bwanji mapiritsiwo? Kodi ndiyenera kuyang'ana chiyani pakasankha njira zothandizira kulandira mankhwala?

Njira yabwino ndikufunsira kwa azimayi omwe angapereke chithandizo cha kulera chochokera kumayeso ndi kuyesedwa. Ngati pazifukwa zilizonse simungathe kuonana ndi katswiri pa kusankha kosamalidwa kwa mahomoni, mukhoza kuchita nokha. Kusankha kwakukulu: khalidwe la kusamba, kusonyeza chikhalidwe cha mahomoni. Kuchedwa kwa nthawi yaitali komanso kwa nthawi yaitali kumasonyeza ntchito yodziwika kwambiri ya estrogens, yochepa komanso yochepa - pazochitika za gestagens. Zolinga za chisankho choyenera cha kulera kwachinsinsi: thanzi labwino, kusatuluka magazi, kuchepa kwa PMS.

Kulera kwa osuta fodya

Njira zothandizira kulandira ma Estrojeni ndi kusuta - mfundo sizigwirizana. Kuledzera kwachilendo komweko kumapweteka thupi la mkazi, ndipo kuphatikizapo kugwiritsa ntchito njira zothandizira (progestin + estrogen) zogwirizana, zotsatira zowopsa za nikotini imakwera kangapo.

Zowopsa ndi zotsatira zake:

• magazi coagulability akuwonjezeka;
• ili ndi vasospasm yaifupi;
• kuyenda kwa magazi kudzera m'mitsempha ndi mitsempha ya magazi n'kovuta;
• chiopsezo cha mitsempha ya magazi chikuwonjezeka, zomwe zimayambitsa matenda a myocardial infarction, atherosclerosis, stroke.

Mapiritsi opatsirana azimayi osuta fodya sayenera kukhala ndi validate ya isradiol, ethinyl estradiol, estradiol hemihydrate. Amatha kutenga njira zothandizira pakamwa popanda estrogen ("mini-kumwa"): Charozetta, Microlut, Laktineth, Eksluton. Mndandanda wa Pearl "mini-saws" ndi 0,5-4. Mankhwalawa amatetezeka motsutsana ndi mimba yosakonzekera ndipo amakhala ndi thupi labwino, koma amachititsa kuti thupi liziyenda bwino. "Mini-Second" ikulimbikitsidwa kutengedwera piritsi tsiku limodzi kuyambira tsiku loyamba la kusamba. Njira zina zotetezera: mavitamini, mavitamini, mankhwala osokoneza bongo Benatex .

Kulera kwa nulliparous

Kwa atsikana omwe si achilendo komanso achinyamata omwe ali ndi chiwerewere, masiku ano kuphatikizapo njira zothandizira pakamwa ndi zabwino. Amaphatikizapo progestagen ndi ethinyl estradiol, amathandiza kwambiri popewera mimba ndi zotsatira zosiyanasiyana zochiritsira - kuchepetsa zizindikiro za PMS, kupweteka kochedwa, kuchepetsa kusamba. Achinyamata omwe nthawi zonse amatenga njira zothandizira kulumikizana, mawonetseredwe a kutayika kwa magazi amatha, kutaya kwa magazi kumaliseche kumachepa, ndipo kuchepa kwa mahomoni kumabwezeretsedwa.

Zopangira zachinyamata kwa atsikana:

• COC zochepa: Lindineth-30, Regulon, Belara , Janine ;
• COC Microdosed: Lindineth-20, Clayra, Jess.

Odwala matendawa safuna kuti amai azikhala ndi nkhawa chifukwa cha chiopsezo chachikulu: kutupa chiberekero, chiberekero, chiberekero, kudwala chiberekero, kutaya magazi kwambiri, kuperewera kwa endometrium, zomwe zimadzaza ndi zolakwika m'mimba yosiyanasiyana ya mimba, kusabereka. Kwa atsikana omwe ali ndi nulliparous ndi achinyamata nthawi zambiri zimakhala bwino kugwiritsa ntchito njira zotchinjiriza zotetezera: mankhwala osatetezedwa a Benatex , makondomu, mapiritsi oletsa kubereka .

Kuchetsa mimba pambuyo pochotsa mimba

Kutenga mimba mwachindunji pambuyo pochotsa mimba kapena kuperewera kwa mayi kumathandiza kwambiri - kumathandizira kuonetsetsa kuti mahomoni amachititsa kuti thupi likhale lopweteka, limathandiza kuti chiberekero chilowe pansi, chiteteze kupweteka kwa chiberekero, chichepetse kupha magazi. Pambuyo pochotsa mimba, mimba ya chiberekero imavulazidwa, kutenga mimba mobwerezabwereza kumatsutsana, komabe kukwanitsa kubereka kumabweretsanso kale pa tsiku la 8-12, choncho, kusankha mwapiritsi pamilomo kuyenera kuyandikira moyenera.

Kutenga mimba pambuyo pochotsa mimba ndi kupita padera

Zophatikizapo zothandizira. Amaphatikizapo mlingo wochepa wa estrogen ndi progestogens zamakono. Awonetsedwa kuti alowe pa tsiku 1-2 pambuyo pochotsa mimba. Kuchepetsa nthawi ya kupenya, kuchepetsa kuchuluka kwa mankhwala a uterine, kutentha kutentha thupi, kupewa kutentha kwa ziwalo za thupi, kuchepetsa kuchuluka kwa mavuto oyambirira:

• monophasic (Regulon, Yarina, Lindineth-30, Belara);
• magawo atatu (Triziston, Trinovium, Trikvilar).

Mankhwala a Gestagennye ("mini-drank"): Charozetta, Microlut, Laktineth, Eksluton. Amasiyana ndi njira zabwino zothandizira, osati kuwonjezera kukakamizidwa kwa magazi, musapangitse chiopsezo cha thrombosis, musasinthe chigawo cha chiwindi.

Kusamalidwa pambuyo pathupi ndi gawo la kansera

Mankhwala opatsirana pogonana a mbadwo watsopano akuthandizira 99% kutetezedwa ku mimba yosafuna, koma 1 peresenti imakhalabe pamene mankhwalawa amayamba kutenga mankhwalawa. Kulera pakati pa nthawi yomwe ali ndi mimba, mwana wosabadwa savulaza, madokotala alibe chidziwitso chodalirika cha mgwirizano umene ulipo pakati pa kugwiritsira ntchito njira za kulera ndi zopweteka m'mimba, ngati mayi atenga mapiritsi osapitirira mwezi umodzi wokha. Kuyambira pa sabata lachisanu ndi chimodzi, mwanayo amayamba kupanga machitidwe a kugonana, osamalitsa machitidwe a mahomoni, kotero kutenga mankhwala oyembekezera a gululi kungayambitse matenda opatsirana mwa mwanayo. Pambuyo podziwa za mimba ya mayi, muyenera kuonana ndi mayi wa amayi omwe angakonze njira yabwino yothetsera vutoli.

Njira zothandizira kubereka pambuyo pa kubereka ndi kusalekerera:

Spermicides (Benatex, Pharmatex, Contraceptin). Amagwiritsidwa ntchito poyambiranso kugonana kumbuyo kwa lactation kapena kuphatikiza ndi njira zina zotetezera. Kudalirika kwa njirayi ndi 90-92%, zotsatira za kulera zimachitika pambuyo pa 5-15 mphindi mutatha kulamulira, zimatha maola 2-6.

Gestagennye (contraceptive oral contraceptives) (Charozetta, Microlut, Laktionet, Eksluton). Kukonzekera kwa gululi kumayamba kutenga masabata 6-6.5 atabereka. Pogwiritsa ntchito mapiritsi aang'ono nthawi zonse komanso oyenerera, njira zawo zothandizira kulera zimafikira 97-98%.

Kuphatikizidwa Chabwino . Kuloledwa kwa gestagen estrogens n'kotheka kokha ngati kuyamwitsa kumatha, chifukwa estrogen imakhudza kwambiri ubwino wa mkaka wa m'mawere, imachepetsa nthawi ya lactation. Mapiritsi ayenera kutengedwa pa ndondomeko yeniyeni, popanda kusokoneza. Kukhulupirika kwa chithandizo cha kulera kwa COC ndi 99-100%.

Kachilombo kamene kamakhala ndi kansalu kamakhala kofanana ndi chitetezo pambuyo pobwezera zakuthupi, kusiyana kwake ndi limodzi - mapiritsi ayenera kuyambanso kutenga masabata 8-9 atabadwa.

Kusamalidwa kwa mitsempha ya varicose ndi mavenda ovari

Matenda a Varicose sagwirizana ndi zotsutsana zogwiritsira ntchito mankhwala opatsirana pogonana, komabe, ma progesin omwe akuphatikizidwa mukukonzekera ma gestagens ndi estrogens akhoza kuvulaza mitsempha ya magazi ndi chikhalidwe cha ziwiya zowopsa. Pofuna kuchotsa chiopsezo chachikulu cha matenda oopsa - m "mitsempha yambiri ya m'mimba, ndibwino kuti pamene chithandizo chololedwa chotsata chitha kutengedwa, wonani pulobologist. Maonekedwe a kutupa kwa m'munsi mwake, kupweteka, kupwetekedwa, kulemera kwa chiyambi cha kutenga mapiritsi a nyamakazi - nthawi yochiritsira mwamsanga kwa katswiri.

Mankhwala opatsirana pogwiritsa ntchito mankhwala opatsirana pogwiritsa ntchito mankhwala opatsirana pogwiritsa ntchito mankhwala osokoneza bongo amayamba kugwiritsa ntchito njira yoyamba. Kachitidwe cysts (ntchito) imapezeka mwa amayi a msinkhu wobereka, ndi mankhwala osankhidwa bwino osankhidwa, pambuyo pa miyezi 2-3. Ndi mitsempha yosakanikirana, njira ziwiri zothandizira kulera pakamwa zimagwiritsidwa ntchito pamodzi ndi mavitamini ndi mavitamini.

Kusamalidwa pamene akuyamwitsa

Pakati pa lactation, mkazi amafunikira kulera, otetezeka komanso ogwira mtima. Njira yotetezera imadalira nthawi yomwe idaperekedwa pambuyo pa ntchito komanso chakudya cha mwana. Kulera sikuyenera kusokoneza chitetezo cha mkaka ndi thanzi la mwanayo. Chophatikizidwa Chabwino, chomwe chiri ndi estrogens ndi progestogen, chingatengedwe kokha pakutha kwa lactation. Ma tableti "mini-kumwa" ndi progesin ya amayi olepheretsa akhoza kuyamba kutenga masabata 5-6.5 atabereka. Kuwathandiza kwawo ndi kuvomereza nthawi zonse ndi okwanira pamodzi ndi kuyamwitsa ndi 97-98%.

Kugonana kwa chiopsezo cha umoyo ndi uterine myoma

Kuphatikizana ndi njira zothandizira pakamwa pamalopo chifukwa chosamala ndi njira yochezera yobereka. Kwa amayi omwe amatenga COC kwa nthawi yaitali, vutoli limakula kwambiri, kusamba kwake kumachepetsa, kupwetekedwa kwa mapira a mammary kumasoweka, ndipo kuchepa kwapang'onopang'ono kwa nthawi zambiri kumakhala kosavuta. Mankhwala osokoneza bongo: COC monophasic (Lindineth-20, Yarina , Janine , Regulon ), COC ndi ntchito ya androgenic yochepa (Jeanine, Jess).

COC ndi chiberekero cha myoma - chotupa chochititsa mantha cha myometrium, konzekerani chiwonongeko cha mahomoni, chomwe chimapangitsa kuchepetsa kukula / kuchepa kwa fibroids. Zosokoneza bongo: Jeanine, Regulon, Lindineth-20/30.

Kulera pakati pa endometriosis

Mankhwala opangidwa ndi monophasic kuphatikizapo endometriosis ali ndi zotsatira zochizira pa myometrium ndi endometrium, kupambana kwa matendawa ndi mankhwala a mankhwalawa ndi 57-59%. Zosokoneza bongo: Jeanine , Regulon , Yarina .