Ceev faj tsis zoo: qhov tshwm sim
- tsis muaj lwm yam tshuaj tiv thaiv thaum muaj kev sib deev (kev qhia ntxiv txog cov tshuaj tiv thaiv tau tuaj yeem nyeem ntawm no );
- kev ua plees ua yig;
- tsis yog siv cov tshuaj tiv thaiv kab mob;
- tearing / slipping ntawm lub hnab yas looj;
- ntiab tawm ntawm txoj hlab;
- Tus progestin OK yog txais nrog qeeb ntawm 3-5 teev;
- tsis tiav tag nrho cov tshuaj tua kabmob (sponge, suppository, tablet) ua ntej pib ntawm kev siv.
Contraindications:
- tus kheej ib leeg tsis txaus ntseeg rau cov khoom / feem ntawm cov tshuaj;
- tsis xis nyob;
- hnub nyoog 16 xyoo, qhov pib ntawm cev xeeb tub.
Kev npaj rau kev siv tshuaj tiv thaiv thaum muaj xwm txheej rau cov poj niam
Postinor
Cov tshuaj tiv thaiv hormonal no tom qab txoj cai tau qhia tau cov tshuaj tiv thaiv los ntawm estrogenic thiab gestagenic. Nws inhibits ovulation, hloov lub endometrium, tiv thaiv kev taw qhia ntawm ib lub qe fertilized, ua rau cov kua ntsev ntawm lub ncauj tsev menyuam, tiv thaiv kev kawm ntawm spermatozoa. Kev tiv thaiv kev tsis sib haum xeeb: thawj 24 teev ntawm kev sib deev thiab kev txais tos Postinor - 94-96%, 24-48 teev - 80-85%, 48-72 teev - 50-55%.
Lus qhia rau kev siv
Siv ib qho tshuaj tiv thaiv Postinor hauv ib qho tshuaj ntawm 750 mcg (1 lub plab) hauv thawj 48 teev tom qab muab tshuaj rau, tom qab 12 xuab moos noj ntxiv 750 mcg ntawm cov tshuaj. Ib chav yog 2 ntsiav tshuaj. Yog tias ntuav tshwm sim rau tom qab ntawm kev txais tos, rov noj dua cov tshuaj. Postinor yuav siv tau rau txhua hnub ntawm lub voj voog. Nws tsis raug tso cai siv cov tshuaj tiv thaiv kev tiv thaiv ua ib qho kev tiv thaiv tsis tu ncua - qhov no ua rau muaj kev cuam tshuam kev tsis haum thiab qhov txo qis rau qhov ua tau zoo.
Contraindications:
- lub sijhawm lactation, cev xeeb tub;
- mob loj heev ntawm cov kab mob hauv cov kua mis thiab lub siab;
- mob ntshav los ntawm qhov tsis paub keeb kwm;
- hypersensitivity rau cov khoom xyaw ntawm cov tshuaj;
- leeg txha leeg / leeg ntshauv, keeb kwm ntawm lub plab mog;
- lub sij hawm puberty (sib txheeb tsis sib haum xeeb);
- ncua kev qau qeeb.
Lwm cov nyhuv:
kiv taub hau, qaug zog, zoo nkaus li nro hauv cov qog nqaij hlav hauv nruab deg, ua kom ntshav tsis nto, mob raws plab, ntuav, xeev siab.
Tshaj tawm
Qhov kev npaj rau gestagenic rau qhov kev sib tshuam ntawm qhov kev sib tshuam (postcoital contarception) Lub escapel suppresses fertilization thiab ovulation yog hais tias lub qhov ncauj hu ua tshwm sim nyob rau hauv preovulatory theem ntawm lub voj voog. Muaj peev xwm hloov tau qhov kawg ntawm qhov qog, tiv thaiv cov qoob loo. Nws yog siv tsis tau nrog lub implantation ntawm fertilized qe. Kev tiv thaiv kev tiv thaiv ntawm Escapel: thawj 24 teev tom qab com - 94-95%, 24-48 teev - 80-85%, 48-72 teev - 55-57%. Nyob rau hauv qhov kev pom zoo tsuas tsis cuam tshuam rau cov metabolism hauv cov carbohydrates / cov rog, ntshav coagulability.
Lus qhia rau kev siv
Noj 1 lub plab (1.5 mg) hauv 72 xuab moos tom qab tiv thaiv kev tiv thaiv. Yog tias ntuav tshwm sim hauv 3-4 teev tom qab noj tshuaj, siv 1 ntsiav tshuaj ntxiv. Nws raug tso cai rau noj cov tshuaj tsis pub xeeb rau hnub twg ntawm lub voj voog.
Contraindications:
- tus kheej ib leeg tsis pom zoo rau lub cheebtsam ntawm cov tshuaj;
- cev xeeb tub, muaj hnub nyoog 16 xyoo;
- tsis muaj peev xwm ntawm lactase, malabsorption glucose-galactose;
- mob siab heev.
Lwm cov nyhuv:
mob taub hau, kiv taub hau, mob raws plab, ntuav, mob plab, mob qeeb, cov ntshav qis tshaj.
Mirena
Cov ntsaws rau cov khoom siv tiv thaiv thaum muaj xwm ceev nrog cov khoom siv hluavtaws. Lawv txawv hauv cov tshuaj tiv thaiv estrogenic thiab gestagenic, inhibit ovulation, hloov lub endometrium, tiv thaiv implantation ntawm lub qe fertilized. Los ntawm qhov ua kom lub cev tsis muaj zog ntawm lub ncauj tsev menyuam, qhov kev vam meej ntawm cov kab mob hauv spermatozoa yog tso tseg. Kev tiv thaiv kev tsis sib haum nrog kev siv sijhawm yog 90-95%.
Lus qhia rau kev siv
Noj 1 plhaub (0.75 μg) tom qab kev sib daj sib deev rau 48 xuab moos, tom qab 12 xuab moos noj lwm hom tshuaj. Txwv: Tsis pub ntau tshaj 4 ntsiav tshuaj hauv 30 hnub. Yog tias ntuav raug tshwm sim rau tom qab ntawm Mirena tus txais tos, rov noj cov tshuaj. Nyob rau hauv cov ntaub ntawv ntawm intensive uterine los ntshav, ib qho kev soj ntsuam ginecological yog qhia.
Contraindications:
- pathology loj heev ntawm kev ua teb daim ntawv cog lus / daim siab;
- ib leeg tsis txaus ntseeg;
- lub caij nyoog ntawm kev ywj pheej;
- jaundice nyob rau hauv anamnesis, presumed cev xeeb tub.
Lwm cov nyhuv:
xeev siab, nthe ntsis ntshav, dysmenorrhea.
Tseem ceeb: kev siv tshuaj tiv thaiv thaum muaj xwm ceev tiv thaiv kom tsis txhob muaj kev xav txog 5 hnub, dhau ntawm lub sijhawm ntawm qhov chaw mos los txog thaum lub sijhawm xeeb tub. Lawv tsis tuaj yeem ua rau lub plab embryo puas thiab cuam tshuam qhov pib ntawm cev xeeb tub.