Njira zolepheretsa kulera: ndi njira ziti zothandizira kutenga kachilombo ka HIV

Kulera kwadzidzidzi - njira zomwe zimagwiritsidwa ntchito popewera mimba atakhala ndi kugonana kosatetezeka. Cholinga cha kubereka kwa mtsogolo pambuyo pake ndikuteteza mimba yosakonzekera pambuyo pa kugonana koopsa pa siteji ya ovulation, feteleza, mazira. Njira yothandiza kwambiri yopatsirana mofulumira ndi kugwiritsa ntchito mapiritsi a mahomoni, zomwe zimagwiritsidwa ntchito poyambitsa kupanga mahomoni akuluakulu kuti asinthe kusintha kwa thupi pamasamba. Njira zothandizira panthawi imodzi zimalimbikitsidwa ngati chitetezo pa mimba ndi nthawi yodziletsa yosagwiritsidwa ntchito, sangagwiritsidwe ntchito mosalekeza pofuna chitetezo chifukwa chokhala ndi chikhulupiliro chochepa chakumayi.

Kulera kofulumira: zizindikiro

• Kusakhala ndi njira zina zothandizira panthawi yogonana (zowonjezereka zokhudzana ndi kulera zitha kuwerenga pano );
• chiwawa;
• Kugwiritsidwa ntchito kolakwika kwa njira yothandizira kulera;
• kudula / kutaya kondomu;
• kuchotsedwa kwa ectopic spiral;
• Progesin OK imavomerezedwa ndi kuchedwa kwa maora 3-5;
• kusamalidwa kwa spermicide (siponji, suppository, piritsi) asanakhazikitsidwe chidziwitso.

Contraindications:

• kusagwirizana pakati pa zigawo zikuluzikulu za mankhwala;
• kupweteka kwakukulu;
• ali ndi zaka 16, kuyambira kwa mimba.

Kukonzekera kwadzidzidzi kubereka kwa amayi

Postinor

Mimba imeneyi imatulutsa anti-estrogenic ndi gestagenic. Zimalepheretsa mavotolo, amasintha endometrium, amaletsa kuyambitsidwa kwa dzira laubwamuna, amachititsa kuti mamasukidwe a mitsempha ya mimba ya mchiberekero iwonjezeke, kuteteza kukula kwa spermatozoa. Kukhulupirika kwa kulera: m'maola 24 oyambirira pakati pa kugonana ndi phwando la Postinor - 94-96%, maola 24-48 - 80-85%, maola 48-72 - 50-55%.

Malangizo ogwiritsidwa ntchito

Kutenga mlingo umodzi wogwiritsira ntchito njira zothandizira kulera pa mlingo wa 750 mcg (piritsi 1) mkati mwa maola 48 oyambirira mutatha, pambuyo pa maola 12 mutenga 750 mcg ya mankhwala. Njira imodzi ndi mapiritsi awiri. Ngati kusanza kumachitika kumbuyo kwa phwando, bwerezani kumwa mapiritsi. Postinor ikhoza kugwiritsidwa ntchito pa tsiku lililonse lozungulira. Saloledwa kugwiritsa ntchito njira ya kulera ngati njira yopezera chitetezo chokhazikika - izi zimapangitsa kuwonjezeka kwa zotsatira zovuta komanso kuchepa kwachangu.

Contraindications:

• nthawi yachipatala, mimba;
• matenda aakulu a khansa ya bile ndi chiwindi;
• magazi a m'mimba osadziwika;
• hypersensitivity kwa zosakaniza za mankhwala;
• mitsempha / kupweteka kwapachirombo, mbiri ya thromboembolism;
• nthawi ya kutha msinkhu (zosiyana zotsutsana);
• kuchedwa msambo.

Mbali yotsatira:

chizunguliro, kutopa, kumverera kwachisoni m'magazi a mammary, kutuluka m'mimba, kutsekula m'mimba, kusanza, kunyoza.

Pewani

Kukonzekera kwa gestagenic kwa maukwati apambuyo a pambuyo pa mimba. Angasinthe endometrium, kuteteza ovulation. Zilibe ntchito ndi kukhazikitsidwa kwa dzira laubwamuna. Escapel: Kuyamba kwa maola makumi awiri ndi awiri (24) pambuyo pa kugonana - 94-95%, maola 24-48 - 80-85%, maola 48-72 - 55-57%. Mu mlingo womwe umalimbikitsa sizimakhudza kagayidwe kake ka mafuta / mafuta, magazi coagulability.

Malangizo ogwiritsidwa ntchito

Tengani piritsi imodzi (1.5 mg) mkati mwa maora 72 mutatha kukhudzana popanda chitetezo. Ngati kusanza kumachitika mkati mwa maola 3-4 mutangotha, tengani piritsi limodzi. Amaloledwa kulandira chithandizo pa tsiku lirilonse lozungulira.

Contraindications:

• kusagwirizana pakati pa zigawo zikuluzikulu za mankhwala;
• mimba, wa zaka 16;
• kusowa kwa lactase, shuga-galactose malabsorption;
• matenda aakulu a chiwindi.

Mbali yotsatira:

mutu, chizungulire, kutsegula m'mimba, kusanza, kupweteka m'mimba, kuchedwa kwa msambo, kutuluka kwa magazi.

Mirena

Mapiritsi a zochitika zodzidzimutsa pakulera ndi zomangamanga zogonana. Zimasiyanasiyana ndi anti-estrogenic ndi gestagenic katundu, zimalepheretsa kuvuta, kusintha endometrium, kuteteza kuikidwa kwa dzira la feteleza. Powonjezera mamasukidwe akayendedwe a chinsinsi cha chiberekero, kukula kwa spermatozoa kwaimitsidwa. Kukhulupirika kwa kulera ndi kugwiritsidwa ntchito panthawi yake ndi 90-95%.

Malangizo ogwiritsidwa ntchito

Tengani piritsi limodzi (0.75 μg) mutatha kugonana kwa maola 48, mutatha maola 12 mutenge mapiritsi ena. Malire: mapiritsi osaposa 4 m'masiku 30. Ngati kusamba kumapezeka kumbuyo kwa Mirena, pewani kumwa mapiritsi. Pankhani ya magazi oopsa a uterine, kuyezetsa magazi kumasonyezedwa.

Contraindications:

• matenda aakulu a chiwindi / chiwindi;
• kusalana;
• nthawi ya kutha msinkhu;
• jaundice mu anamnesis, wotengedwa mimba.

Mbali yotsatira:

kunyoza, kutuluka m'mimba, kutaya magazi.

Chofunika: mapiritsi opatsirana mofulumira amateteza kutenga pakati kwa masiku asanu, kuchoka pa nthawi yogonana mpaka nthawi yomwe ali ndi mimba. Sangawononge mwana wosabadwayo ndipo amaletsa kusamba kwa mimba.