Mphamvu ya kulera kwa mahomoni pamtsogolo mtsogolo

Azimayi omwe ali ndi khansa ya m'mawere kapena omwe ali otsimikiziridwa kuti ali ndi matendawa sayenera kutenga mankhwala opatsirana pogonana. Komabe, malinga ndi kafukufuku wambiri ku Russia ndi kunja, ngati mutatenga COC (kuphatikizapo njira zothandizira pakamwa) kwa zaka zitatu kapena zisanu kapena kuposerapo, ndiye kuti chiopsezo cha khansa ya m'mimba ndi chiberekero chacheperapo ndi 50%, khansara ya ovari ndi 40%, ndipo zochepa za khansa ya coloni. Malinga ndi madokotala - ndipo ambiri a iwo amatchula mapiritsi oletsa kubereka bwino, - ndi kudya kwa nthawi yaitali za COCs zapansi (Marvelon, Mersilon, Logest, ndi ena), akazi amakhala pafupifupi 40 peresenti kuti azidandaula ndi fibrocystic mastopathy. Pali lingaliro lakuti pamene mutatenga mapiritsi nthawi yaitali, zimakhala zoteteza kwambiri mankhwalawa - pokhapokha mutakhala, mukuvutika ndi zotsatira za zotsatira za COCs. Chikoka cha mahomoni pa mimba ya mtsogolo ndi mutu waukulu wa nkhaniyi.

• 2. Mukasiya kumwa mankhwala oletsa kubereka, kusamba kwa msana kungayime kapena kupita molakwika.

Nthawi zambiri. Kusokonezeka kwa msambo nthawi zambiri kumagwirizana ndi kusintha kwa satiotic mu endometrium. Izi zikhoza kuchitika ngati mutatenga COC kwa zaka zosachepera zisanu. Pachifukwa ichi, madokotala amapereka mankhwala otchedwa estrogen, omwe, monga lamulo, mwamsanga akubwezeretsanso. Monga momwe kafukufuku amasonyezera, 2% okha azimayi omwe ali ndi zaka zoposa 18-20, kapena ngakhale zaka 40-45 atasiya COC kusamba sangakhale miyezi isanu ndi umodzi - ndipo amayiwa amakhala ndi mavuto ena.

• 3. Mankhwala oletsa kubadwa angathe kuthandizidwa mofanana ndi mankhwala ena

Osati nthawi zonse. Kuonjezerapo, mankhwala ena opha tizilombo - mwachitsanzo, rifamnin, amoxicillin ndi dockepticin - amachepetsa mphamvu ya kulera.

• 4. Ngati mutenga njira za kulera, kusuta ndi koopsa

Zoonadi. Kusuta ndudu kumachulukitsa chiopsezo cha zotsatira zofala za kupatsirana kwa mahomoni - mavuto a mtima. Mukhoza kukhala ndi mitsempha ya varicose, thrombosis, ngakhale stroke. Ngati muli ndi vuto la mitsempha ya magazi, mumasuta, muli ndi zaka zoposa 35 - yesani njira zina. Mwa njira, kusuta chamba pamene kutenga COC kuli koopsa kwambiri kuposa ndudu - ili ndi osachepera chikonga. Koma izi sizikutanthauza kuti chamba chimathandiza, - chimachepetsa ubwino wa ubongo.

• 5. Simukusowa kumwa mapiritsi.

Pa nthawi yofanana ya tsiku, choonadi. Koma yesetsani kumamatira mpaka nthawi ya 12 koloko, osakhalanso. Ndi bwino kumangiriza mapiritsi tsiku ndi tsiku monga kadzutsa.

• 6. Kutenga mapiritsi, simungathe kumwa madzi a mphesa

Zoonadi. Bwino m'malo mwake mukhale ndi lalanje. Ngakhale madzi a mphesa samachepetsa mphamvu ya kulera, amatha kusintha maonekedwe a thupi kwa ma estrojeni kapena amagwirizana ndi michere yomwe imakhudza mphamvu ya mankhwala ena. Pakati pa madokotala, pali lingaliro lakuti ngati mumamwa magalasi opitirira awiri a madzi a zipatso za pamtengo pamtunda, ndiye kuti zotsatira zina za mthupi lakumidzi - mwachitsanzo, kupweteka m'mimba ya mammary - kumatha kuwonjezeka.

• 7. Mankhwala oletsa kubadwa ndi osowa

Azimayi amayamba kuchira, koma mankhwala amasiku ano ali ndi tizilombo tochepa, ndipo monga momwe maphunziro amasonyezera, palibe ngakhale mmodzi wa iwo amene amalemera. M'malo mwake, ma COCs ena amathandizanso kuchepetsa kulemera. Koma njira za kulera zingayambitse kusungunuka kwa madzi m'zigawozo mwezi uliwonse, womwe umakhala wolemera thupi. Choncho, ngati mutasankha kudzitetezera ndi COC, ndikofunika kupeza piritsi lanu - kusankha mlingo wa mahomoni omwe adzakutsatireni malinga ndi kuchuluka kwa ma hormonal ndi thanzi lanu lonse.

• 8. Patatha nthawi yaitali kulandila kulera ndikovuta kukhala ndi pakati

Sichidziwikabe. Madokotala ena amalingalira kuti kusintha kosasintha kwa njira yobereka yomwe imayambitsidwa ndi njira za kulera, kumachepetsa kubereka. Kumbali inanso, kuthekera kwa pakati ndi msinkhu kumachepetsanso popanda kulera. Kafukufuku waposachedwapa wa maanja okwana 8,497 omwe mkazi adasiya kumwa mapiritsi ndipo anaganiza kuti akhale ndi pakati adasonyeza kuti kuli kosavuta kutenga pakati pa chaka choyamba choletsa COC. Zifukwa: mazira ambiri pa phwando la mapiritsi "mpumulo", popeza palibe ovulation, kuphatikizapo mahomoni amadziwika bwino ndipo chiopsezo cha endometriosis chichepa. Posachedwapa ku Ulaya, mapiritsi atsopano okhala ndi folic acid ayenera kugulitsidwa, omwe adzawalembera iwo omwe akuganiza kuti akhale mayi pafupifupi miyezi isanu ndi umodzi.

Mmene mungatetezere

Mankhwala oletsa kubereka amakhalapo! Madokotala a ku America atsimikizira kuti mankhwala a mahomoni a Depo-Provera, omwe amauzidwa kwa amayi ngati jekeseni za kulera (amapangidwa kawiri pachaka) amakhudzanso amuna: amalepheretsa mapangidwe a umuna, koma samasokoneza mimba. Otsatira ena -androjeni-m'malo mwa gels (Testim kapena AndroGel): awonetsa zotsatira zowonjezera m'mayesero a zamagetsi. Zoona, kukonzekera izi sikunaperekedwe chilolezo - makamaka, chifukwa pamene atengedwa, kupanga umuna pamatupi sumafika pa 100% ndipo pali mwayi wa "kutaya". Tsopano ndi mphamvu ndi zowonjezereka pali mayesero pa kulengedwa kwa mbadwo watsopano wa gelisi ya kulera kwa amuna, koma idzagulitsidwa bwino zaka khumi. Akatswiri a zaumulungu, pofufuza zofunikira, adanena kuti choyamba kuti apange chilolezo cha mimba chikhoza kukhala mabiliyoniire.

• 9. Chifukwa cha mapiritsi a mahomoni, mumafuna kugonana pang'ono ndipo mumakhala ndi mutu

Zoonadi. Zotsatira izi za COCs sizinathetsedwe, koma, malinga ndi madokotala, kulandira mapiritsi molondola, vutoli likhoza kupeŵedwa. Zimakhulupirira kuti njira zina zothandizira ana a mthupi la m'badwo wotsirizira, zimakhala ndi phindu pa dongosolo la mitsempha ndi kuyambitsa malingaliro ogonana, komanso zimatsitsimutsa pazinthu zambiri za thupi.

10. Magome ndi njira yabwino kwambiri yodzizitetezera.

Nkhani yotsutsana. Posachedwapa, jekeseni wa mahomoni imayamba kutchuka, zomwe zimachitika patatha masabata 8-12 malinga ndi maonekedwe - kuphatikiza kwa estrogen ndi progestin kapena progestin chabe. Zowona, zotsatira za kafukufuku waposachedwapa zasonyeza kuti zotsatira za jekeseni - mwachitsanzo, mavuto ndi mafupa kapena ndi mavoti - akhoza kukhala amphamvu kusiyana ndi mapiritsi. Komanso pa msika ndi makina opangira chithandizo. Onse awiri, atatha kufunsa dokotala, angagwiritsidwe ntchito mosasamala, kusintha masiku asanu ndi awiri. Mizere yowonjezera mahomoni ndizosiyana. Kawirikawiri zimayikidwa (nthawi yake yogwira ntchito mpaka zaka zisanu), osati zambiri pofuna chitetezo, koma cholinga cha chithandizo. Ndidzanena nthawi yomweyo - palibe njira zothandizira kulera ana. Chifukwa chimodzi mwa ntchito zazikulu za matenda a maganizo ndi kusunga chonde, kuthandiza mkazi amene akufuna komanso ayenera kubereka ana. Ngati tilandira odwala omwe sangathe kutenga mimba, tikulimbana ndi vutoli pogwiritsa ntchito mankhwala opatsirana pogonana. Koma zimachitika kuti amabwera kwa ife chifukwa chosiyana. Mwachitsanzo, mayi ali ndi endometriosis kapena chotupa. Ali ndi zaka makumi anayi. Kwa nthawi yaitali wakhala akuletsa ana. Ife timayamba kumuchitira iye, ndipo mwadzidzidzi iye amakhala ndi pakati. Chozizwitsa? Ayi. Ndikhoza kufotokoza izi motere: Mankhwala a pakhomoti si mankhwala mu njira yachilendo. Sizimaphatikiza kupha tizilombo toyambitsa matenda, sizimagwiritsidwa ntchito m'malo mwa mankhwala omwe alibe thupi. Mu matenda okhudza kutupiritsa thupi, palibe mankhwala okhudzana ndi chotupa, kapena chimfine, kapena kuti kusabereka komweku. Cholinga cha matenda okhudza kutupa thupi ndi kubwezeretsa kudziletsa kwachibadwa kwa machitidwe onse a thupi, kuphatikizapo kuonetsetsa kuti mphamvu ya mahomoni imayendera bwino kuti mkazi athe kutenga mimba mosavuta. Ndipo motero - osayambitsa mavuto omwe sungapeŵe pa njira zachikhalidwe zamankhwala, kuphatikizapo mahomoni, omwe ndi zolemetsa zotsutsana. Ndidzangotchula ena mwa iwo: matenda a mammary glands, chiwindi ndi biliary tract, thrombophlebitis, kuthamanga kwa magazi, rheumatism, shuga.