Tom qab 35 xyoo
Hauv 35-39 xyoos, poj niam deev cov pojniam pib ploj. Yug me nyuam txo cov tshuaj progesterone thiab estrogen, ua rau muaj feem mob thrombosis thiab kab mob hauv lub plawv, mob kabmob ntev zog, yog li qhov ncauj tiv thaiv kabmob yuav tsum muaj kev ruaj ntseg, nyab xeeb, yam tsawg kawg ntawm kev phiv thiab lub cev ua haujlwm zoo. Thaum muaj hnub nyoog li no, nws nyiam kom noj cov tshuaj COC tsawg tsawg ( Yarina , Lindineth , Janine ). Ntxiv rau qhov kev txiav txim profile, kev siv tshuaj tiv thaiv kab mob hauv lub qhov ncauj txo qis ntau zaus ntawm txoj hlab ntsha los ntawm adenomyosis thiab uterine myoma, tiv thaiv kev txhim kho mob txhaws, txo cov tshuaj insulin.
Tom qab 40-45 xyoo
Qhov tshwm sim ntawm kev xeeb tub hauv 40-45 xyoo tsuas yog 10% xwb, yog vim li cas kev tiv thaiv tseem ceeb hauv lub hnub nyoog no? Raws li kev txheeb cais, 25-30% ntawm cov poj niam hauv lub hnub nyoog no muaj ib feem ntawm kev coj khaub ncaws nrog kev zuj zus, thiab cev xeeb tub uas muaj siab muaj siab yuav muaj ib cov pathological uas tau txhawj xeeb nrog cov kev xeeb menyuam ntawm lub fetus. Kev cuam tshuam kev tu ncua ntawm cev xeeb tub yuav ua tau kom tshwm sim ntawm kev mob hnyav hnyav thiab ua ib qho keeb kwm rau kev tsim kev mob ntawm kev mob ntawm qhov chaw mos. Kev siv COCs thaum muaj hnub nyoog 40-45 xyoos tsuas yog qee lub caij nyoog xwb: Yuav tsum tau qhia cov menyuam yaus thaum lub sijhawm yuav tsum tau hloov, cov yam ntxwv ntawm cov voj voog yuav tsum tau pauv (qoj ib ce, qeeb).
Kev mus rau kev tiv thaiv tsis pub dhau 40-45 xyoo:
- Cov poj niam 40-45 xyoos nrog rau tus poj niam cev qhuav me nyuam tuaj yeem noj cov kab mob COC thaum lawv ua tiav raws li cov kev siv uas tsis siv rau cov poj niam tom qab 35. Cov kev zoo: kev coj tus cwj pwm, pob txha tawv nqaij, kev kho thiab tiv thaiv cov tsos mob urogenital;
- cov poj niam 40-45 xyoo nrog cov kev tuaj yeem tiv thaiv tsis tau tus keeb kwm yav dhau ntawm cov lus PMS, cov kev ua haujlwm tsis zoo los ntawm kev hnav khaub hlab, kev coj tus poj niam coj tsis tau COC yam tsis muaj kev pabcuam ib tus ginecologist. Tus kws kho mob tshwj xeeb yuav tsum ntsuam xyuas qhov kev pheej hmoo ntawm kev noj tshuaj hormonal tshuaj tiv thaiv thiab, yog tias tsim nyog, muab cov tshuaj hormone replacement therapy.
Tivthaiv kabmob hauv kev tiv thaiv kabmob LINDINET , JES yog qhov ua kom zoo, muab 100% cov tshuaj tiv thaiv tsis zoo, tso qhov tseeb ntawm kev mob plab, yog kev tiv thaiv kev mob qog nqaij hlav, zes qe menyuam, lub tsev menyuam. Thaum tsis muaj kev sib kis ntawm thrombosis, rog thiab plawv tsis ua hauj lwm, cov neeg haus luam yeeb tsis tuaj yeem thov lawv mus txog 50 xyoos.
Tom qab 50 xyoo thiab nrog menopause
Cov poj niam nyob rau lub sij hawm ntawm perimenopause thiab kev yug me nyuam tuaj lig muaj qhov muaj feem xyuam rau kev xeeb tub, kev ua hauj lwm feem ntau yog siv rau hauv keeb kwm ntawm kev mob ntawm tus mob extragenital pathology, uas nyob rau 10-15% ntawm cov mob tas nrog lub plab mog perinatal thiab niam. Tias yog vim li cas ib tug muaj peev xwm xaiv ntawm pov thawj tom qab 50, muab ib tug li niaj zaus kev ua neej yog ib qho tsim nyog mob. Hormonal contraceptives yuav tsum daws ob peb yam hauj lwm: kom muaj kev tiv thaiv kev tiv thaiv kom tsis txhob muaj menyuam hauv plab, kom muaj cov kev kho zoo thiab tiv thaiv. COCs (gestagen + estrogen) muaj tag nrho cov kev cai uas yuav tsum muaj rau cov poj niam tom qab 50. Lawv yuav ntseeg, tsis txhob cuam tshuam cov tsos mob ntawm lub cev tsis muaj zog, tsis txhob cuam tshuam cov txheej txheem metabolic, tshem tawm cov mob ntawm ovulatory, tswj kev coj khaub ncaws, qeeb tus laus poj niam lub cev.
Cov lus nug txog kev siv ceev xwmphem lub COC hauv lub perimenopause yog txiav txim siab ib tus zuj zus. Qhov nruab nrab hnub nyoog ntawm kev pib mob lawm yog 51 xyoos, cov kws txawj pom zoo kom noj tshuaj tiv thaiv hormonal tsis pub dhau ib xyoo tom qab lub hnub nyoog dhau caij nyoog, thiab tom qab ntawd tsis txhob siv COC thiab pib hloov kev kho.