Muaj ntau txoj kev tiv thaiv tsis zoo: cov tshuaj tiv thaiv kab mob Mirena intrauterine, cov hnab yas, thiab lwm yam., Tam sim no peb txiav txim siab qhia koj txog kev qhia txog "Mirena" rau hauv lub cev. Cov tshuaj tiv thaiv intrauterine "Mirena" yog ib qho yooj yim rau siv thiab ntev, thiab hom kev tiv thaiv kev tiv thaiv no rov qab tau. Cov khoom siv khoob hauv nruab nrag yog ib qho tshwj xeeb uas yuav tiv thaiv tau tus poj niam ntawm cev xeeb tub txog tsib xyoos. Nws kuj yog siv thaum muaj ntshav ntev heev thiab thaum hloov txoj kev kho nrog tshuaj los tiv thaiv cov kev ntsuas ntawm hyperplasia.
Qhov zoo ntawm cov khoom siv rau sab hauv:
- Qhov no txhais tau tias kev tiv thaiv tsis zoo yog kev ntxim ntxhi thiab zoo heev;
- Sim yooj yim nyob rau hauv daim ntawv thov: "tso thiab tsis nco";
- Muaj kev xyaum tsis muaj kev phais nyhav rau lub cev;
- Nws ua rau txo qis hauv lub sijhawm thiab ntim ntawm cev ntoj ntshav;
- Qhov zaus ntawm inflammatory kab mob ntawm pelvic plab hnyuv siab me ntsis.
Cov khoom thiab kev ua ntawm cov tshuaj tiv thaiv "Mirena".
Mirena yog ib qho kev tiv thaiv kab mob intrauterine, tus pas nrig uas zoo li tus kheej kheej kheej kheej ua los ntawm cov yas thiab muaj cov tshuaj levonorgestrel. Hauv kev txiav txim rau lub cev kom zoo haum qhov zoo ntawm lub tsev menyuam, nws yog ua nyob rau hauv lub T-cov duab. Rau yooj yim tshem tawm ntawm lub cev los ntawm lub cev, nyob rau hauv qis kawg ntawm feem ntsug feem yog ib tug Loop, uas ob lub strands yog nrog. Qhov levonorgestrel muaj nyob rau hauv cov kab mob hauv Mirror intrauterine yog qhov feem ntau gestagene (semi-natural progesterone), thiab nws yog siv tau zoo nyob hauv ntau yam tshuaj tiv thaiv.
"Mirena", zoo rau kev tiv thaiv kev xeeb tub, nws tswj kev loj hlob txhua hli ntawm lub plhaub puab ntawm lub tsev menyuam, thiab tseem tiv thaiv lub zog ntawm cov phev rau hauv tsev menyuam. Thaum levonorgestrel nkag mus rau hauv lub uterine kab noj hniav, nws muaj ib qho kev ntxim nyob rau hauv lub ntiaj teb, nrog rau kev tiv thaiv proliferative hloov thiab zuj zus nws qhov muaj nuj nqi implant. Yog li, endometrium tsis tuaj yeem ncav cuag qhov tsim nyog kom loj hlob, vim li ntawd, kev xeeb tub tsis tshwm sim. Levonorgestrel txhawb kev nce qib hauv qhov hnoos qeev ntawm lub ncauj tsev menyuam qhov ncauj, yog li tiv thaiv lub tsev me nyuam los ntawm phev penetration thiab li no ua rau lub pob qij txha. Nws kuj tseem yuav raug sau tseg tias levonorgestrel muaj cov kab mob me me, uas ua rau nws tus kheej nyob rau hauv qhov hluav taws xob ntawm ovulation nyob rau hauv ib qho tsis muaj pes tsawg tus mus.
Kev ua tau zoo ntawm cov tshuaj tiv thaiv "Mirena" tuaj yeem muab piv rau tus poj niam cev xeeb tub. Rau hnub tim, "Mirena" hauv nws qhov kev ua tau zoo tsis zoo dua qhov zoo tshaj plaws tooj liab-muaj cov leeg ntshais ntshiab thiab cov tshuaj tiv thaiv qhov ncauj.
Cov kev qhia rau kev siv cov tshuaj tiv thaiv kab mob Mirena intrauterine yog:
- mob ntev li ntawm menstrual (menorrhagia);
- tiv thaiv hyperplasia thaum hloov txoj kev kho nrog estrogens.
- Kev tiv thaiv cev xeebtub (tsis muaj tshuaj tiv thaiv);
Contraindications rau daim ntawv thov ntawm "Mirena" yog:
- xav tau lossis tsim kom muaj menyuam;
- mob kheesxaws ntawm ncauj tsev menyuam lossis lub tsev menyuam (kev ntseeg ntawm nws);
- txawv txav ntawm lub tsev menyuam los yog lub tsev menyuam, nrog rau cov uas ua los ntawm cov hlav hauv hlwb uas ua rau deformation ntawm cov menyuam mos;
- dysplasia ntawm lub ncauj tsev menyuam nrog atypia;
- pojniam qhov chaw mos ntawm qhov tsis to taub;
- tus kab mob ntawm lub tsev menyuam tom qab rho menyuam hauv 3 lub hlis tas los;
- cov kab mob ntawm cov kab mob qis qis genitourinary;
- inflammatory kab mob ntawm pelvic plab hnyuv siab raum
- tus kab mob ntawm ncauj tsev menyuam;
- kev mob tom qab yug menyuam tom qab lub tsev menyuam;
- mob kab mob los yog mob siab hlav;
- cov kab mob uas tau nrog los ntawm kev mob plawv mus rau kab mob;
- tus tib neeg tsis txaus ntseeg rau lub Cheeb Tsam ntawm Navy Mirena;
- mob cancer mis.
Siv lub sijhawm thaum cev xeeb tub thiab lactation.
Thaum cev xeeb tub, kev siv cov tshuaj tiv thaiv kab mob Mirena intrauterine. Tab sis yog tias koj lub cev xeeb tub thaum nws siv, lub cev yuav tsum muab tshem tawm tam sid. Vim tias, thaum muaj "Mirena" nyob rau hauv tsev menyuam thaum lub caij nws cev xeeb tub, nws muaj kev pheej hmoo ntawm kev yug ntxov lossis tus kabmob ua rau mob. Thaum lactation, kev siv Mirena yog tau - gestagens, uas yog siv rau kev tiv thaiv tsis zoo, tsis txhob cuam tshuam qhov zoo thiab ntau hom mis niam.
Phiv los ntawm VSM Mirena
Hauv thawj lub hli dhau los tom qab lub installation ntawm Mirena IUD, qee cov kev mob tshwm sim yuav tshwm sim, uas, raws li txoj cai, ploj hauv ob peb lub hlis thiab tsis tas yuav ntxiv kev kho. Ib qho ntawm cov kev mob tshwm sim uas tshwm sim yog ib qho kev hloov ntawm qia ntshav, uas qhia tau hais tias kev ua haujlwm ntawm kev ua haujlwm ntawm Mirena muab kauv. Feem ntau muaj cov txheej txheem tsis sib xws ntawm txoj kev los ntshav, xoos hnoos, hnyav los yog mob thaum lub caij ua poj niam, ua tiav kev qoj ib ce, lossis ua kom lub cev ntoj mus ntev. Peb kuj tseem nco ntsoov tias 12% ntawm cov poj niam muaj cov hlwv ntawm zes qe menyuam thaum lub sijhawm siv Mirena.
Thaum loj hlob tuaj ntawm cov hauv paus (zes qe menyuam), qee zaum yuav tsum tau mus kho mob. Txoj kev tiv thaiv tsis zoo nrog kev siv "Mirena" hauv qee tus poj niam tuaj yeem ua rau muaj kev tsis haum ntawm qhov tawv nqaij. Yog tias kev tiv thaiv tsis zoo no tsis zoo, ces muaj kev tsim los ntawm kev xeeb menyuam ectopic. Cov cuab yeej tsom iav "Mirena" tuaj yeem ua mob nyuab heev, vim yog qhov tseeb thaum siv nws, muaj qhov tshwm sim ntawm cov kab mob ntawm cov kab mob pelvic, kab tias txawm loj heev. Tsis tas li ntawd, daim ntawv thov ntawm Navy Mirena tuaj yeem ua rau sab phab ntsa ntawm lub tsev menyuam.
Kev soj ntsuam tau pom tias tom qab siv daim ntawv thov ntawm qhov muab kauv, 1-10% ntawm cov poj niam tau ua rau: mob plab, xeev siab, mob plab lossis mob nrob qaum, pob txuv, hnyav nce, mob hauv siab, mob taub hau, mammary caj pas, nervousness, instability instability, , kev faib ntawm leucorrhoea los ntawm qhov chaw mos, mob ntawm ncauj tsev menyuam. Tsawg tshaj li ib feem pua ntawm cov poj niam, muaj: kab mob ntawm cov qau, cov plaub hau los sis kev loj hlob, tsis muaj zog, sib daj sib deev, khaus tawv nqaij. Thiab tsawg tshaj li ntawm 0.1% ntawm cov poj niam tau pom: mob nqaij hlav, mob nqaij, mob tawv nqaij, tawm tsam, eczema. Zoo li cov kev mob tshwm sim kuj tshwm sim thaum siv "Mirena" rau kev kho hormone hloov kho nrog estrogens.