Kev faib tawm ntawm cov tshuaj tiv thaiv thaum xeeb tub
- Muab cov tshuaj tiv thaiv kabmob qhov ncauj (COCs):
- monophasic ( Regulon , Lindineth-30 ). Muaj ib qho tshuaj tiv thaiv kab mob gestagenic thiab estrogenic hauv txhua lub ntsiav, txawv ntawm hom progestogens, estrogens, ntau npaum li cas. Npaj kom muaj cov tshuaj tiv thaiv kab mob siab (Pearl index 0.06-0.08), zoo siv kho qhov chaw hauv lub plawv endometriosis, cuam tshuam rau kev kawm thiab lub caij nyoog ntawm lub cev ntas, ua kom qhov kev siv ntshav zoo. Cov xwm txheej ntawm kev sib pauj kua zaub ntsuab raug kaw heev tsawg;
- ob-theem (Adepal, Antotevin). Muaj ib qho kev hloov ntawm gestagen thiab ib qho tshuaj estrogen tas li, tau qhia rau cov poj niam uas muaj mob rau gestagens, nrog cov tsos mob ntawm hyperandrogenism;
- peb theem (Tri-regol, Tri-merci). Cwj pwm los ntawm cov ntsiab lus tseem ceeb ntawm kev yuam kev raws li cov theem ntawm lub cev ntas. Lawv muaj cov kabmob ua rau lub cev ntas, muab qhov tsawg kawg nkaus ntawm kev phiv, tswj cov voj voog. Lawv pom rau cov poj niam dhau 35 leej uas rog, haus luam yeeb.
- Los ntawm tus nqi ntawm cov khoom ua estrogen:
- Gestagenic lub qhov ncauj tawm tsam ("mini-drank").
Cawm mus rau kev siv COCs yog cov ntsiav tshuaj muaj cov ntshiab progestins. Cov kab mob "mini-pili" yog txuam nrog cov kev hloov hauv cov kabmob khaus qhov chaw mos, ua rau nws nyuaj rau lub qe fertilized, thiab ua qhov nce ntawm qhov ncauj ntawm ncauj tsev menyuam hnyuv ntxig rau cov kab mob hauv cov leeg hauv plab menyuam. Cov gestagenic preparations ua oppression ntawm lutropin ntau lawm, uas suppresses ovulation. Tsuas "mini-drank": nyob qee zaus, noj ntsiav tshuaj ovulation tshwm sim - qhov no piav qhia qis dua nrog COC Pearl Index (0.3-0.6).
Yuav ua li cas COC ua haujlwm
Mechanisms ntawm raug mob OC yog ua tiav ntawm ntau qib ntawm cov kev kho mob hypothalamus-pituitary-ovary-uterine-uterine tube. Khoom cua hluavtaws thaiv qhov kev tso tawm ntawm cov tshuaj hormones ntawm cov qog nqaij hlav ntawm cov pituitary thiab cov tshuaj hormones ntawm hypothalamus, uas ua rau hluav taws xob ntawm ovulation, ib ntus sterilization. Hauv kev dhau, cov khoom cua gestagens thiab ethinyl estradiol inhibit folliculogenesis, provoking tus thawj hauv qhov loj ntawm lub zes qe menyuam, txo qis ntawm kev tso pa ntawm estrogens los ntawm ib yam ntawm 2. Undergoes deformations thiab endometrium - muaj regression ntawm lub voj voog thiab ntxov ntxov secretory transformation, muaj cov kev hloov atrophic uas muaj cov nyhuv los tiv thaiv implantation. Hormonal contraceptives inhibit tus peristalsis ntawm lub plab hlaub, ua kom tsis txhob tso cov quav ntawm lub qe, cov hnoos qeev ntawm lub ncauj tsev me nyuam, uas ua rau lub plab ntawm cov kab mob hauv cov leeg hauv plab.
Yuav Xaiv Cov Yug Me Nyuam Cov Tshuaj Noj
Lub ntsiab cai tseem ceeb ntawm kev xaiv OP yog siv qhov tsawg kawg nkaus ntawm kev yuam kev, uas yuav pab tiv thaiv kom tsis txhob muaj menyuam hauv plab. Cov poj niam estrogenic hom raug nquahu kom siv yeeb siv tshuaj uas yog muaj zog ntawm gestagenic tivthaiv (Ovidon, Rigevidone). Kev npaj ntawm thawj kab rau cov poj niam nrog predominance ntawm gestagens - Regulon, Log. Thaum xaiv OK, koj yuav tsum nqa mus rau hauv koj tus menyuam qhov kev ntsuas ntawm qhov chaw mos thiab qhov zoo ntawm cov pojniam cev xeeb tub, vim tias cov kev ntsuas no tsis zoo li qhov kev ntsuam xyuas ntawm cov phiaj xwm sab nraud: lean menstruation qhia tau hais tias muaj ntau yam ua rau progesterone, ntev thiab ntau - txog kev ua ntawm cov tshuaj no. Pib noj cov tshuaj hormonal contraceptives yuav tsum yog los ntawm cov tshuaj ua ke nrog tsawg kawg ntawm cov khoom tuaj. Cov tshuaj peb theem thiab cov ntsev qes tsawg tsis muaj kev sib ntxub - nrog rau kev tsim nyog siv nws yog kev ruaj ntseg thiab zoo. Qhov kev ntsuas rau qhov kev xaiv kom yog OK yog qhov tsis tuaj yeem ntws los ntshav, los ntshav "kev kov yeej". Xav paub ntxiv txog kev xaiv ntawm OK koj tuaj yeem nrhiav tau ntawm no .
Yuav ua li cas haus dej tshuaj noj kom tsis txhob muaj menyuam:
- cov tshuaj tiv thaiv kabmob qhov ncauj yuav raug coj mus 1-5 hnub tom qab pib qhov hnyuv. Monophasic COCs pib haus cov ntsiav tshuaj ntawm lub hnub sib thooj ntawm lub lim tiam, multiphase ones - nrog ib daim ntawv sau tshuaj "pib ntawm txais tos";
- Cov OPs tau noj txhua hnub, ntawm ib lub sijhawm, rau 21 hnub;
- tom qab uas noj cov tshuaj tas los ntawm lub pob ua raws li kev ua haujlwm ib lub lis piam, thaum lub cev ib txwm coj. Lub pob ntawv tom ntej no pib rau hnub tim 8 ntawm kev so;
- thaum tsis muaj qhov "tshem tawm cov tshuaj tiv thaiv", cov ntsiav tshuaj yuav tsum tau ua raws li cov txheej txheem txwm thaum lub cev tsis tab seeb. Txwv tsis pub, cov tshuaj no tso tseg;
- cov lus nug ntawm concurrent administration ntawm COCs thiab cov tshuaj (anticonvulsants, tshuaj tua kab mob) yog hais txog tus kheej;
- nws yog ib qhov tsim nyog kom paub tias tom qab nres lub COC, kev pom zoo tuaj yeem tshwm sim nyob hauv thawj tshem tawm.
Kev siv tshuaj tua kab mob:
- tam sim ntawd cov nyhuv, yuav luag 100% kev pov thaiv kev cia siab;
- reversibility ntawm txoj kev, kev tshawb fawb;
- qhov tseemceeb ntawm kev saib xyuas tus kheej;
- tsawg zaus ntawm kev phiv;
- simplicity ntawm daim ntawv thov, impossibility ntawm overdose;
- txo qis qis rau kev xeeb menyuam ectopic;
- txo cov kev mob ntawm cov kab mob ntawm cov kab mob pelvic;
- tiv thaiv kev loj hlob ntawm benign tumors ntawm uterus thiab ovaries;
- nyem ntawm cov tsos mob ntawm dysmenorrhea, PMS;
- qhov tshwm sim zoo hauv endometriosis;
- kho cov nyhuv rau ntawm daim tawv nqaij nyob hauv seborrhea, pob kab ntxau.
Kev Raug Mob:
- qhov kev pheej hmoo ntawm ncauj tsev menyuam hauv cov poj niam uas siv OC ntev (ntau tshaj 10 xyoo) yog nce.
Contraceptive pills: contraindications
- malignant neoplasms ntawm qhov chaw mos plab / mis;
- cev xeeb tub / xeeb menyuam;
- mob ntsws loj heev;
- mob loj heev, mob kab mob, mob siab hlav;
- thrombosis, thrombophlebitis, thromboembolism;
- los ntshav ntawm ib qho kev qhia tshwj xeeb.
Cov yam yuav raug:
- mob nicotine mob heev;
- rog, porphyria, immobilization;
- tuberculosis, tuaj kho mob phais tom ntej;
- mob qaug dab peg, mob kev nyuab siab heev, uterine fibroids;
- jaundice, migraine, hypercalcemia, hyperlipidemia.
Yam yuav txo tau kev ywj pheej ntawm lawv xav tshuaj:
zawv plab, ntuav, sim ua ke ntawm cov tshuaj tua kab ntsaum, anticonvulsant, antibacterial.
Cov teebmeem:
- Cov tshuaj no yog: ntuav, xeev siab, ntshav siab jumps, mob taub hau, kiv taub hau, hnyav nce, chloasma;
- progestogen-nyob: tsis muaj libido, muaj kev nyuaj siab, pob txuv, tsis ua haujlwm ntawm qhov chaw mos qhov hnoos, mob taub hau, nkees;
- tsis txig cov tshuaj estrogenic txaus: txo qis hauv lub mis, tsis muaj libido, pluj tsis muaj zog, cev ntas ntog;
- Cov nyhav tsis zoo rau kev loj hlob: kev qaug zog ntawm kev qaug cawv, tawm hauv ib nrab ntawm ib nrab ntawm kev voj voog, ntau poj niam txiv neej.
Cov nyhuv tshwm sim tom qab ntawm kev noj cov tshuaj tiv thaiv kab mob hauv qhov ncauj yuav ua rau ib leeg tsis haum lossis ua rau cov ntsiav tshuaj. Cov kev mob tshwm sim kuj yuav ua mob tsis zoo los yog muaj kev puas tsuaj rau lub cev, tsis hais txog qhov pib ntawm qhov pib. Lub abolition ntawm cov tshuaj feem ntau ua rau lub disappearance ntawm xws li ib qho kev tshwm sim nyob rau hauv tus ntawm kev kho mob los yog nws tus kheej.
Cov tshuaj tiv thaiv kab mob zoo tshaj plaws
Nrog rau kev tso cai, qhov kev ntseeg ntawm lub qhov ncauj tawm ntawm qhov ncauj tawm mus ua 100%, qhov sib piv ntawm "kev nyab xeeb / kev cia siab" hormone ntsiav tshuaj outperform looj. Koj tuaj yeem kawm paub ntau ntxiv txog cov hnab yas qog no . COCs ntawm qhov tseeb tiam muaj cov tshuaj hormones hauv cov qes qis, tsis muaj thiabrogenic siv tau. Tsis txhob muaj kev phiv tshuaj tuaj yeem tau nrog kev kuaj mob, uas yog pom zoo ua ntej pib noj cov ntsiav tshuaj. Hormonal contraception yog thim rov qab, tus nqi ntawm qhov kev voj voog ntawm lub voj voog yog nyob ntawm lub caij nyoog ntawm kev siv tshuaj thiab cov thawj cov tshuaj hormonal. Lub tshuaj yeeb yaj kiab tsis muaj. Tshiab - tsis tau txhais hais tias qhov zoo tshaj plaws. Txoj cai loj: hormonal contraception xaiv, tswj los ntawm tus kho gynaecologist raws li tus neeg cov xeeb ceem ntawm tus poj niam lub cev.