Cov hom mob ntawm cov leeg ntshiab:
- inert IUDs. Tsis tas li ntawv, thawj tiam ntawm cov leeg. Tam sim no, ntau lub teb chaws txwv tsis pub siv cov kev ntseeg IUDs, vim lawv siv sij hawm ntau dua qhov kev poob kev tsis zoo thiab muaj kev ruaj ntseg zoo dua rau ntawm kev sib piv ntawm cov neeg tsis paub yav dhau los;
- muaj tooj liab. Qhov thib ob tiam, qhov loj tshaj plaws yog qhov muaj txiaj ntsig zoo txig, nce kev ua haujlwm, yooj yim ntawm kev taw qhia / tshem tawm;
- hormone-muaj IUDs. Qhov thib peb tiam ntawm spirals, uas muaj qhov zoo ntawm qhov ncauj tiv thaiv kabmob thiab IUD. Lawv sawv cev T-zoo li cov qauv, tus ceg ntawm uas muaj cov levonorgestrel los yog progesterone. Lawv muaj ib qho kev ua haujlwm zoo hauv zos rau ntawm daim tawv nqaij ntawm qhov ncauj tsev menyuam, lub uterine tubes, endometrium. Tshaj li: txo qis thaum mob mob ntawm cov qog nqaij hlav ntawm cov qau, txo qis hyperpolymenorrhea. Tsawg: nce ntshav tsawg.
Qhov zoo ntawm cov khoom siv rau sab hauv:
- kev pov thaiv kev ntseeg siab;
- Lub kauv yog tsim rau kev siv ntev (5-9 xyoos);
- tus nqi pheej yig, tus txheej txheem qhia txog kev ceev;
- tsis muaj ib qho kev ntxim ntxaug ntawm lub cev;
- kev muaj peev xwm xeeb tub tom qab raug tshem tawm ntawm qhov muab kauv tau txum tim rov qab thaum ib los yog ob lub cev ntas;
- ib txoj hauv kev tsim nyog kom zoo rau cov poj niam uas muaj kev tiv thaiv kev noj haus hauv lub qhov ncauj, thiab muab cov poj niam tom qab 35 xyoo;
- txo cov teeb meem ntawm ectopic cev xeeb tub;
- Tus IUD tsis xav tias nws mob, tsis cuam tshuam nrog cov koom tes.
Tsis zoo:
- cov poj niam uas muaj kev sib deev lub neej yog muaj kev mob ntawm kev mob;
- kev raug ncua ntawm kev ntiab tawm (poob kev);
- ntawm kev txhim kho kev lag luam tsis zoo, kev mob nkeeg yog tau;
- Tus IUD tsis tiv thaiv kab mob HIV thiab kab mob kis tau thaum sib deev;
- tsis haum rau cov poj niam uas mob hnyav thiab ntev heev;
- thaum thawj 2-3 lub hlis ntawm kev siv, qhov IUD ua rau coj khaub ncaws ntws;
- installation / kev tshem tawm yog muab los ntawm ib tug ginecologist xwb.
Ntsiab cai ntawm kev ua haujlwm
Cov hlau (kub / kub) thiab cov yas txhuam cov kab hauv cov txheej txheem tseem ceeb ntawm spermatozoa, ua rau nws tsis tuaj yeem fertilize lub qe, hloov lub physiological transformation ntawm endometrium, uas ua rau lub implantation ntawm fertilized qe. Lub IUD ua rau cov qog nqaij hlav hauv plab thiab cov menyuam plab zis, vim tias cov qoob loo ntawm cov qe tau txais prematurely rau hauv lub tsev menyuam: qhov kawg ntawm lub qe tsis tuaj yeem txais lub qe, cov trophoblast tsis muaj, yog li implantation yuav ua tsis tau. Tawm tsam cov keeb kwm ntawm hormones uas muaj IUD, qhov ua rau ntawm lub ncauj tsev menyuam cov qaub ncaug nce tuaj, vim yog qhov kev tsiv teb tsaws ntawm cov kabmob ntawm lub plab thiab cov menyuam mos qis, ovulation yog suppressed.
Lus qhia rau kev siv
Kev xaiv, kev taw qhia, kev tshem tawm ntawm qhov IUD yog ua los ntawm ib tug kws kho hniav ginecologist. Cov kev taw qhia yog ntsuas nyob rau hauv lub sij hawm ntawm ntau tshaj coj khaub ncaws, nyob rau 1-2 hnub ntawm lub voj voog - qhov no guarantees tsawg traumatization ntawm lub tsev menyuam nkauj kwj. Kev taw qhia txog qhov khau intrauterine ntawm thaj chaw ua haujlwm thiab tsis thwj yog rho tawm.
Tej kev mob rau kev txhim kho lub helix:
- kev soj ntsuam ntawm cov kws kho mob ginecologist;
- nthuav cov kab xo loj;
- Smears rau ntawm qhov chaw muaj roj hmab tsev menyuam thiab qhov chaw mos;
- smears oncocytology;
- soj ntsuam ntawm ultrasound xeem pelvic plab hnyuv siab raum.
Txoj kev ntawm kev tswj hwm:
- nrog kev pab ntawm tsom iav, hle lub ncauj tsev menyuam, tshuaj tua kabmob, tuav lub foreleg nrog lub plab;
- lub uterine kab noj hniav yog ntsuas los ntawm kev soj ntsuam kev uterine;
- tsim kom muaj ib tug kauv hauv cov leeg hauv plab;
- txiav lub antennae ntawm IUD, tshem tawm cov forceps, tshuaj tua kab mob, sau ib hom tshuaj tua kab mob.
Kev tsis sib haum xeeb:
- mob ntev / mob ntsws ntawm cov qoob loo;
- pathological uterine ntshav los ntawm lub hauv paus paub tsis paub;
- cev xeeb tub (ua txhaum / pom zoo);
- oncology ntawm genitals, uterine fibromatosis, stenosis ntawm lub ncauj tsev menyuam;
- ectopia, polyp uterus, ncauj tsev menyuam;
- ib qho caws pliav ntawm lub tsev menyuam, kev hloov ntawm lub tsev menyuam;
- thaum tiav hluas, deformation ntawm lub uterine kab noj hniav.
Txheeb ze kev tsis sib haum xeeb:
- ectopic cev xeeb tub nyob rau hauv anamnesis;
- tsis muaj kev sib tw dhau los;
- mob ntshav tsis ntev, txoj kev txhawj xeeb ntawm lub cev;
- hyperpolymenorrhea, muaj feem kis mob hauv qhov chaw mos.
Lwm cov nyhuv:
- mob hauv plab kab noj hniav tom qab / thaum lub caij nplooj ntoos kab ntawm lub kauv;
- bradycardia, ntshav tsis muaj ntshav liab;
- spontaneous spotting nyob rau hauv nruab nrab ntawm lub voj voog;
- kabmob xoos tsis haum, kev kis kab mob ntawm cov kab mob urinary.
Tej yam yuav tsum tau kho sai sai:
- mob khaus khaus hauv plab plab;
- ib qho ntse nce siab hauv qhov kub hnyiab tawm tsam ntawm qhov mob;
- poj niam cev xeeb tub, tig los rau hauv hnyav ntshav;
- txhais ntawm qhov khoom siv rau hauv qhov chaw mos;
- perforation ntawm uterine phab ntsa ntawm lub tsev menyuam;
- pelvioperitonitis, mob salpingo-oophoritis / endometritis.
Qhov zoo tshaj plaws hauv lub tshuab ntaus ntawv
Muaj ntau lub npe thiab manufacturers ntawm lub Navy, nyiam tshaj plaws yog Juno, Mirena, Multiload, Nova T:
- Mirena. Hormonal IUD, tom qab lub installation pib sai tso levonorgestrel, uas tsis pub lub tswv yim. Qhov nruab nrab tus nqi tso tawm yog 14 mg / hnub rau 5 xyoos;
- Juno bio T. Ua los ntawm cov chaw tsim tshuaj paus Lavxias teb sab, feem ntau pheej yig thiab txhim khu kev qha version ntawm cov cua muaj nyob rau hauv kev ua lag luam;
- Multiload. Semi-ovoid IUD nrog protrusions ntawm lub tswv yim, uas yog txhawb rau kev txhim khu kev txhim kho ntawm tus qauv ntawm phab ntsa ntawm uterus;
- Nova T. Nws muaj ib tug T-zoo li tus configuration, uas ua rau lub installation tsis tshua muaj kev thiab yooj yim.
Kev siv tus Navy yog qhov tsis tsim nyog. Yuav tsum khaws ib hom khoom siv los ntawm lub hauv paus thiab tsim nyog nruab rau hauv lub uterine kab noj muaj peev xwm tsuas yog tus kws kho mob.