Siba hormone: iifomu, Izimo

Ukukhulelwa - ixesha elide lilindelwe abafazi abaninzi. Nangona kunjalo, kukho iimeko xa ukuzalwa lilibaziseka ixesha elide. Oku kube ngenxa yezizathu ezahlukeneyo.

Ukuthintela ebamba uphephe oku iinkqubo kabi ngokweenkqubo nemikhwa leyo esemthethweni impikiswano ezifana izisu, abaninzi besini wamhle basebenzisa iindlela ezahlukeneyo. abafazi abaninzi bayala ukuzamkela amayeza ngomlomo, bephawula ukuba akusebenzi, kwakunye nefuthe elibi empilweni yabo kunye nani. Ngoko ke, abaninzi kubo ukunika abalukhethayo kwisixhobo ebizwa njalo-intrauterine.

Overview

Intrauterine umnxeba ukukhulelwa, nto leyo isixhobo eyenziwe ngeplastiki kunye nobhedu ezincinane. Esi sixhobo kubamba phambili amadlozi isibeleko, kwakunye nasekunciphiseni kakhulu kubomi bonke iqanda.

Kufuneka kwakhona uqaphele ukuba isixhobo intrauterine ekwaziyo ekuthinteleni uncamathiselo beqanda sele aqhamileyo eludongeni zesibeleko. Ngenxa yoko, iluphawu ndlela ithile yokuthintela ezithile isisu.

Ezahlukahlukeneyo ahamba

Ethetha IUD, kufuneka kunokuthiwa ngaphandle zalapho njengesiqhelo, kukho hormone. Ntoni na ke? siba kwamadlala - a analogs eyodwa izakhiwo intrauterine oluqhelekileyo. Noko ke, kufuneka itankana ekhethekileyo zeplastiki, equlethe ihomoni okuthiwa levonorgestrel.

Ngokutsho kweengcali, hormone ezijikeleze zithembeke kakhulu. Oku kungenxa yokuba ukongeza kwesiphumo 'umzimba langaphandle "kwi isibeleko, ukuba zibe nefuthe ngqo ukukhulelwa ezifana ipilisi.

Indlela enze?

siba kwamadlala zisebenza umgaqo elula. Levonorgestrel equlethwe kuwo yonke imihla kwaye ohluka ngokulinganayo ukusuka isixhobo ukukhusela abasetyhini ekukhulelweni okungeyomfuneko. Ngelo xesha ke akathanga ukufumana hormone kungena kwegazi. Ngoko ke, ahamba hormone musa baxabane ezibi ngokuqhelekileyo iipilisi zokulawula inzala rhoqo (umzekelo, isicaphucaphu, ubunzima inzuzo, njalo njalo).

Ngesakhiwo neempawu

Hormone kwezinto kwabasetyhini iyakhusela enokuthenjwa nxamnye ukukhulelwa okungeyomfuneko. Esi sixhobo siquka:

• zibe nezimo oxwesileyo;
• cylinder gormonsoderzhaschego;
• ngomsonto Ukonakala ukususwa.

Kufuneka kuqatshelwe ukuba, njengokuba isakhiwo njengesiqhelo siba kwamadlala umisela kuphela ugqirha. Kulo mzekelo, ingcali kufuneka alumkise ukuba ukunxiba isixhobo enjalo kuba yiminyaka hayi ngaphezulu kwe ezintlanu.

siba hormone: Iindidi

Namhlanje, kukho iindidi ezimbini kwamadlala zokucwangcisa yoyilo:

• "Mirena" (imveliso German);
• "Levonova" (imveliso French).

Zizixhobo ezifana ebonakalayo? Oku kuza kuxoxwa ngoku.

"Mirena"

Yintoni siba hormone? "Mirena" - othandwa kakhulu ukukhulelwa kuyilo intrauterine. ukukhululwa umlinganiselo walo into esebenzayo yi-20 mg / ngosuku.

Loo inkqubo ukhupha levonorgestrel nje kuphela, kodwa abe inyathelo gestagenic yasekuhlaleni. Xa usebenzisa le ezijikeleze kuphawulwa utshintsho morphological kwi isifo endometrial kunye ukuqina emjelweni wesibeleko. Ezi ziphumo isandla ekuthinteleni kwii-amadlozi isibeleko. Ukongeza, ezinye besini wamhle nokuba kwezithandani of ovulation kwenzeka.

Ukusetyenziswa "Mirena" alunasiphumo kwi umsebenzi ekuzaleni yabafazi. Malunga nama-80% abantu abafuna ukuba lusana, kwenzeka ukukhulelwa kwisithuba sonyaka omnye emva kokususwa ngesakhiwo.

Amanqaku siba

siba hormone ne endometriosis isetyenziswa rhoqo kakhulu. Kwakhona "MIRENA" isetyenziselwa unyango menorrhagia idiopathic, izifo extragenital, kunye neemeko zikhatshwa anticoagulation kakhulu ngempumelelo.

Kwiinyanga zokuqala zokusetyenziswa kule fowuni, isigulane bangase amabala. Oku kwenzeka ngenxa yengcinezelo ukwanda endometrial.

ubungqina

Ukonakala "Mirena" ezisetyenziswa kwezi meko zilandelayo:

• uthintelo ithembekile;
• menorrhagia idiopathic;
• kuthintelo hyperplasia endometrial ngexa unyango estrogen replacement.

Izimo

Xa isifo esinganyangekiyo, ubukho kwezifo ezinzima, ukusetyenziswa yobubi ezijikeleze "Mirena" kufuneka bavumelane yincutshe.

Ezinye Izimo kusetyenziso kule fowuni ziquka oku kulandelayo:

• Ukukhulelwa kwaye wasola kuyo;
• hypersensitivity izithako indlela;
• imiqathango susceptibility omkhulu kusuleleko;
• Kukudandatheka endometritis ;
• thrombosis of emithanjeni ngokunzulu imilenze (kubandakanywa phambi kwixesha elidlulileyo);
• yamathumba esibulalayo wesibeleko kunye esizalweni;
• ngaphambili olwenziwe unyango umhlaza webele;
• dysplasia wesibeleko;
• izifo zangasese (arhabaxa);
• izifo womchamo;
• ukungaqheleki wesizalo (iziphene okanye lufundiwe);
• cervicitis;
• isisu (izilonda) ngethuba leenyanga ezi-3 yokugqibela;
• wesizalo ivuza igazi imvelaphi engaziwayo;
• isifo sisibindi, kuquka umhlaza.

umthamo

Esi sixhobo isifundo kusetyenziswa ngolu hlobo lulandelayo:

• Kuba ukucwangcisa amabhinqa (yokuzala) coil ezibekelwe ngeveki xa uqala ukuba sexesheni. Kulo mzekelo, oku kutshintshwa nge design entsha intrauterine naluphi na usuku komjikelo. Kwakhona, le sixhobo zifakelwe ngoko nangoko emva isisu kwithuba leenyanga ezintathu yokuqala yokukhulelwa.
• Ukuze kukhuselwe endometrium ngexesha estrogen replacement therapy kubaguli ababhinqileyo kunye amenorrhea ezijikeleze angamana nangaliphi na ixesha. Njengoko kwabasetyhini kunye walondoloza ixesha sexesheni, bona Ufakelo senziwe ngemihla yokugqibela sexesheni.
• Emva kokubeleka, isantya yaziswa kuphela emva kokuba kwenzeka zesibeleko involution, kodwa zingedlulanga iiveki ngaphambi kwe-6. Ngexesha subinvolution elide kumele isuswe Kukudandatheka endometritis kwakunye ukucothise ukufakelwa umxube yokwakha (de involution ngokupheleleyo). Xa intshayelelo kunzima, okanye ibinzima kunene intlungu, ukopha phambi nasemva kokuba unyango eziyimfuneko ukuqhuba ultrasound ukuphepha perforation.

"Levonova"

Intrauterine "Levonova" iqulethe 52 mg levonorgestrel. Le yokucwangcisa ethembekileyo. impahla yawo esebenzayo kunempembelelo ngqo asekuhlaleni kwi endometrium, ukunciphisa umsebenzi wayo umzila nakuzo tubes kunye viscosity le yencindi kwi wesibeleko. Le propati ukwandisa ukwanela isixhobo kunye nokusetyenziswa ezijikeleze ixesha ngaphandle abathintela ovulation.

Esi sixhobo kufuneka kuqaliswa ngomhla 4-5 wasekwayo sexesheni. Ukuba wenze isisu, isantya elibekwe ngokukhawuleza okanye emva kokuba sexesheni elandelayo. In ayinzima kulogo isakhiwo esibanzi hormone kuyanqweneleka ukusebenzisa hayi ngaphantsi kwe kwiiveki ezintandathu.

siba hormone: Izimo kunye neziphumo ebezingalindelekanga

Ukonakala "Levonova" into contraindicated ku:

• inflammations oyingozi futhi subacute of eveze zangaphandle nangaphakathi;
• nokukhulelwa;
• metrorrhagia imvelaphi engaziwayo;
• ngamathumba amabi, kunye nomhlaza wesibeleko umzimba;
• salpingoofarite kunye endometritis ezingapheliyo;
• ukuzalwa okungahambi zomzimba kunye nomhlaza womlomo wesibeleko;
• ukhukuliseko;
• pregnancy kwimbali.

hormone Izincomo wesizalo Ukonakala myoma lisusiwe. Ukongeza, loo nto ayithethi ukuqinisekisa abafazi nulliparous.

Kwiinyanga zokuqala ngokusebenzisa isixhobo kunokubangela ukopha intermenstrual, isicaphucaphu, ukuphazamiseka ukuba sexesheni, mastalgia, ukugcinwa ulwelo, intloko ebuhlungu, izinduna.

izincomo ezithile

Ulwakhiwo IUD "Levonova" ibonelela ukukhululwa rate ihomoni ye-20 ug / ngosuku. Ukunyaniseka kwalo sixhobo yiminyaka-5. Emva kokuba umsebenzi okuzala yabafazi Nokubuyiselwa ngokukhawuleza kakuhle.

Isixhobo kufuneka ingasetyenziswa ngexesha lokuncancisa. Oku kungenxa yokuba LNG uyakwazi ukungena kwi ubisi lwebele. Xa zokunyanzelisa elide ukopha intermenstrual lufuna uviwo ezongezelelweyo yamanina ukuqinisekisa uxilongo.

Macwecwe okanye zikhula?

Ukonakala okanye hormone iipilisi - yeyiphi kwezi ndlela zokuthintela ukukhetha? Ukuze uphendule lo mbuzo kunzima, ekubeni nganye kwezi ndlela thaca zinezibonelelo zayo nezingalunganga. Noko ke, izigulane ezininzi zikhethiwe ukhetho lokuqala. Oku kungenxa zinto zilandelayo:

• ukuthembeka kunye nocikizeko le kweleli yi 99%;
• isixhobo esinjalo ayifuni esweni ngemihla;
• Ubude Ukonakala (5 iminyaka);
• emva IUD ukususwa nokuchuma kwakhona ngokukhawuleza kakhulu.

Ngokuphathelele arhente ngomlomo, amaxesha amaninzi ukuba ayisetyenziselwa ngenxa yenzuzo ubunzima kunokwenzeka kunye nophuhliso iingxaki zempilo.