"Kev tiv thaiv thaum tsis muaj xwm txheej" - suab nrov. Qhov loj tshaj plaws yog qhov zoo uas muaj ib txoj hauv kev los pab rau tus poj niam tiv thaiv nws tus kheej los ntawm kev xeeb tub tsis tau. Tab sis koj yuav tsum paub txog cov cai, txhua tus tshaj lij thiab cov khoom. Tej zaum, nrog txoj kev paub, koj tsuas yuav tsis tau siv hom kev tiv thaiv no.
Lub hom phiaj ntawm kev tiv thaiv xwm txheej ceev
Txoj kev tiv thaiv thaum muaj xwm txheej ceev yog tsim los pab cov poj niam uas muaj hnub nyoog rau me nyuam yaus kom tsis txhob muaj cov plab me nyuam uas tsis tau npaj, thiab, yog li ntawd, muaj pes tsawg tus abortions. Lawm, peb yuav tsum xaiv txhua ob yam kev phem, ib qho me me. Thiab yog hais tias koj mus rau ib hom ntawm kev ua txhaum nyob rau hauv daim ntawv ntawm ib tug rho menyuam, ces nws yog zoo dua kom tsis txhob xav tau kev pabcuam los ntawm tag nrho cov txhais tau tias. Muaj qee tus neeg mob (quab yuam kom sib deev, txhom tsoob) uas siv hom tshuaj tiv thaiv thaum muaj xwm ceev yog siv los tiv thaiv kev tiv thaiv ntawm kev xeeb tub thiab kev puas siab puas ntsws nrog nws.
Yog li ntawd, kev pib ntawm cov lus sau tseg saum toj no, nws muaj cuab kav yuav xaus tias "hluav taws" kev tiv thaiv kev noj qab haus huv yuav tsum tsuas yog siv rau hauv kev kub ntxhov, thaum muaj xwm txheej ceev, thaum kev tiv thaiv los ntawm kev xeeb tub uas tsis muaj zog yog tsis ua.
Cov kev qhia rau kev siv thaum muaj xwm txheej ceev
Li ntawd, thaum muaj xwm txheej kub ntxhov yog qhov txawv tshaj plaws kev tiv thaiv ntawm kev xeeb tub tsis txaus siab. Raws li txoj cai, nws yog siv rau hauv cov nram qab no:
- nyob rau hauv rooj plaub ntawm rape;
- yog tias lub sam xauv ntawm lub hnab yas looj puas tsuaj;
- thaum lub diaphragm yog displaced, uas yog siv ua cov tshuaj tiv thaiv;
- nrog ib feem los sis tag nrho ntawm qhov khoom ntiag tug tawm tsam;
- nyob rau hauv cov ntaub ntawv uas tsis tau txais qhov ncauj cov tshuaj tiv thaiv kab mob hauv lub cev (cov tshuaj tiv thaiv);
- nrog tsawg kev sib deev tiv tauj;
- nyob rau hauv cov ntaub ntawv ntawm kev sib deev com tsis siv cov tshuaj tiv thaiv.
Contraindications rau cov khoom siv tiv thaiv thaum muaj xwm ceev
Qhov tseem ceeb ntawm kev noj tshuaj rau kev siv tshuaj tiv thaiv thaum muaj xwm txheej ceev yog tib yam li lwm yam tshuaj tiv thaiv kab mob hauv qhov ncauj. Cov no yog:
- tus kab mob thrombophlebitis;
- tus kab mob thromboembolism hauv lub anamnesis;
- los ntshav ntawm tsis meej etiology;
- mob siab;
- mob khees xaws mis lossis endometrium;
- intensive kev haus luam yeeb;
- hnub nyoog tshaj 35 xyoo.
Cov cai siv rau kev siv txoj kev tiv thaiv xwm txheej ceev
Thaum siv cov tshuaj tiv thaiv thaum muaj xwm txheej ceev, nws tseem ceeb rau kev suav cov ntsiab lus tseeb thaum lawv pib siv thaum ntxov tom qab tsis muaj kev tiv thaiv. Lub sij hawm uas nws yuav tsis lig dhau mus haus dej "ntsiav tshuaj tua kab mob" yog 24-72 teev tom qab kev sib deev.
Mechanism ntawm kev txiav txim
Cov kws kho mob feem ntau ntseeg tau hais tias kev npaj cov tshuaj tiv thaiv thaum muaj xwm ceev, tag nrho txhua yam, cuam tshuam rau endometrium, cuam tshuam qhov txheej txheem ntawm implantation ntawm fertilized qe los ntawm nws qhov kev txiav txim. Tsis tas li ntawd, cov tshuaj no cuam tshuam lawv kev coj khaub ncaws, lawv muaj peev xwm suppress txheej txheem ntawm ovulation, as Well as lub zog ntawm fertilized qe thiab nws cov implantation rau hauv uterine kab noj hniav.
Txoj kev Yuzpe
Canadian tus kws kho mob Albert Yuspe thawj zaug yog ib qho kev siv tshuaj tiv thaiv thaum muaj xwm txheej ceev ua ke nrog tshuaj estrogen-progestational. Raws li txoj kev Yuzpe, 200 μg ntawm ethinylestradiol thiab 1 mg ntawm levonorgestrel yog siv ob zaug ib ntus txog 72 xuab moos tom qab kev sib deev nrog kev so ntawm 12 teev. Qhov ua tau zoo ntawm txoj kev no yog nyob ntawm qhov kev sib txuas ntawm kev sib deev uas tsis muaj kev tiv thaiv thaum siv cov tshuaj tiv thaiv, thiab kev ua haujlwm kuj yog txo yog tias kev sib daj sib deev tshwm sim rau hnub los yog thaum lub sijhawm ovulation. Ib qho tseem ceeb ntawm txoj kev no yog qhov tseeb tias cov tshuaj yeeb tshuaj rau kev siv tshuaj tiv thaiv thaum muaj xwm txheej yuav pab tau zoo li cov tshuaj yeeb tshuaj tua tau los ntawm kev muag, thiab txawm tias qis dua.
Cov tshuaj niaj hnub siv rau kev pab tiv thaiv xwm txheej ceev
Cov tshuaj niaj hnub siv rau kev siv tshuaj tiv thaiv thaum muaj xwm ceev muaj, tshaj li tag nrho, levonorgestrel hormone. Xws li cov tshuaj yog nqa yooj yim ntau tshaj li qhov saum toj no-hais Yuzpe txoj kev. Qhov feem ntau pheej yig thiab muaj "Postinor" thiab "Escapel" preparations. Lawv qhov txawv nyob hauv qhov tseeb tias Postinor muaj levonorgestrel hauv ib koob tshuaj 0.75 mg thiab ib koob ntawm 1.5 mg. Postinor, uas muaj hauv ib lub ntsiav tshuaj ib koob tshuaj 0.75 MG levonorgestrel, yuav tsum tau txhaj ob zaug: thawj koob tom qab 72 teev tom qab kev sib deev, koob thib ob - 12 teev tom qab pib daim ntawv thov. "Escapel" muaj 1.5 mg levonorgestrel siv ib zaug rau 96 xuab moos tom qab kev tiv thaiv kev sib deev.
Cov lus xaus
Hauv qhov tseeb, txoj kev muaj txheej txheem tiv thaiv tsis pub muaj kev tiv thaiv nrog kev tiv thaiv kev sib deev tsis muaj teebmeem kev xeeb tub, thiab, yog li ntawd, ntau tus menyuam yug me nyuam. Tab sis, siv "xwm txheej ceev" tsis zoo, nws yuav tsum nco ntsoov tias "super-ntsiav tshuaj" ua ib qho kev tawg rog hauv lub cev, muaj kev tsis zoo rau kev coj khaub ncaws. Yog li, nws yog ib qho tseem ceeb uas yuav tau xaiv txoj kev zoo tshaj plaws rau koj txoj kev tiv thaiv tsis tu ncua, thiab kev tiv thaiv thaum muaj xwm txheej ceev yuav tsum raug siv rau hauv cov xwm txheej tsis tshua muaj tshwm sim.