Qhov zoo tshaj plaws kev xaiv yog mus sab laj nrog ib tus gynecologist uas yuav muab tus kws kho qhov ncauj tawm hauv kev kuaj mob thiab kev kuaj mob. Yog tias yog vim li cas nws tsis tuaj yeem hu rau tus kws kho mob tshwj xeeb rau kev xaiv cov tshuaj hormonal contraceptives, koj tuaj yeem ua koj tus kheej. Txoj cai tseem ceeb ntawm txoj kev xaiv: qhov kev ua qe menyuam, rov qab xav txog cov tshuaj hormonal. Kev mob ntshav ntws ntau heev thiab lub cev ntev ntev qhia tau tias yog cov cim ua cim ntawm estrogens, scant thiab luv luv - ntawm kev ua si ntawm gestagens. Cov qauv kev xaiv kom haum txaus ntawm qhov ncauj: kev noj qab nyob zoo, tsis muaj kev ntxhov siab, kev ploj ntawm PMS.
Kev tsis sib haum xeeb rau cov neeg haus luam yeeb
Estrogen-uas muaj cov tshuaj tiv thaiv thiab haus luam yeeb - cov ntsiab lus yog tsis txuam nrog. Kev mob nicotine ua rau nws tus kheej raug mob rau lub cev ntawm ib tug poj niam, thiab nrog rau kev siv ua ke (progestin + estrogen) contraceptives, qhov tsis zoo ntawm nicotine nce ntau zaus.
Txaus ntshai thiab qhov yuav tshwm sim:
- ntshav coagulability nce siab;
- muaj kev vasospasm ib ntus;
- qhov txav ntawm cov ntshav los ntawm cov leeg thiab cov hlab ntsha yog qhov nyuaj;
- qhov kev pheej hmoo ntawm ntshav txhaws nce, uas ua rau myocardial infarction, atherosclerosis, mob hlab ntsha tawg.
Cov tshuaj tiv thaiv kab mob kev haus luam yeeb rau poj niam yuav tsum tsis txhob muaj estradiol valerate, ethinyl estradiol, estradiol hemihydrate. Lawv tuaj yeem noj cov tshuaj tsis haum xeeb tsis muaj tshuaj ("mini-drank"): Charozetta, Microlut, Laktineth, Eksluton. Qhov Performance index ntawm Perl "mini-saws" yog 0.5-4. Cov tshuaj no tiv thaiv kom tsis txhob muaj menyuam hauv plab thiab ua rau lub cev muaj zog, tab sis tuaj yeem tswj cov voj voog, uas ua rau yus lub cev ntaj ntsug. "Mini-pili" raug pom zoo kom siv sij hawm tsis tu ncua hauv ib qho tshuaj txhua hnub los ntawm thawj hnub ntawm cev ntu ntshav. Lwm txoj kev tiv thaiv: hormonal kauv, hormonal implant, tsis muaj hormonal tshuaj Benatex .
Contraceptive rau nulliparous
Rau cov poj niam uas tsis yog-generic thiab cov neeg ua haujlwm hauv lub cev ua ke, cov kev sib txuas lus niaj hnub no yog qhov zoo tagnrho. Lawv muaj xws li progestagen thiab ethinyl estradiol, lawv zoo heev rau kev tiv thaiv kev xeeb tub thiab ntau yam kev kho mob - kho cov tsos mob ntawm PMS, nres qhov mob, tswj lub cev ntas. Nyob rau cov hluas thaum cov tshuaj tiv thaiv kab mob ua ke, qhov tshwm sim ntawm kev mob plab zuj zus tuaj, qhov hnoos ntawm ntshav poob qis ntawm kev hnoos qis, thiab cov hormonal tshuav rov qab los.
Contraceptives rau cov menyuam ntxhais:
- tsawg-koob tshuaj COCs: Lindineth-30, Regulon, Belara , Janine ;
- Microdosed COC: Lindineth-20, Clayra, Jess.
Gynecologists tsis pom zoo muab ib qho kev sib kis ntawm cov poj niam vim tias muaj kev phom sij (mob ntsws, ncauj tsev menyuam, mob ntxiv), ua rau lub ncauj tsev me nyuam mob, qhov ntev ntawm kev siv ntshav ntaws, thinning ntawm endometrium, uas yog khaus ntawm qis qis dua ntawm kev xeeb tub. Cov tub ntxhais hluas ntxhais hluas thiab cov tub hluas ntxhais hluas tsim nyog siv ntau txoj kev tiv thaiv: tsis muaj hormonal suppositories ntawm Benatex , condoms, hormonal contraceptive pills .
Contraceptive tom qab rho menyuam thiab nchuav menyuam
Yeej tsis muaj kev tiv thaiv tsis zoo tom qab rho me nyuam los yog qaub ncaug ploj ua ib qho tseem ceeb heev - nws yuav pab kom cev xeeb tub zoo li qub, tiv thaiv kom tsis txhob muaj mob hauv cov qau, tiv thaiv kev mob ntawm ncauj tsev menyuam, tiv thaiv endometriosis, txo qhov mob hnyav. Tom qab kev kho mob rho menyuam tawm, qhov mucosa ntawm cov menyuam mos cov kabmob yog raug mob, rov rau cev xeeb tub yog contraindicated, tab sis kev muaj peev xwm xeeb tub rov qab tuaj rau hnub 8-12th, yog li ntawd, qhov kev xaiv ntawm cov tshuaj tiv thaiv kabmob qhov ncauj yuav tsum tau ua zoo.
Tsis muaj kev tiv thaiv tom qab rho menyuam tawm thiab menyuam yaus
Cov tshuaj tiv thaiv kab mob. Lawv muaj xws li qis pes tsawg ntawm cov tshuaj no thiab cov progestogens niaj hnub no. Qhia rau kev nkag rau ntawm 1-2 hnub tom qab rho menyuam. Txo qhov ntev ntawm kev xoos, txo qhov kev siv ntawm kev ua mob rau uterine, tswj lub cev kub, tiv thaiv kev mob ntawm lub plab hnyuv siab raum, txo cov teeb meem thaum ntxov:
- monophasic (Regulon, Yarina, Lindineth-30, Belara);
- peb theem (Triziston, Trinovium, Trikvilar).
Gestagennye contraceptives ("mini-drank"): Charozetta, Microlut, Laktineth, Eksluton. Lawv txawv hauv cov txiaj ntsig zoo ntawm kev tiv thaiv, tsis txhob nce ntshav siab, tsis txhob muaj feem ntawm thrombosis, tsis txhob hloov cov kev ua haujlwm ntawm lub siab.
Contraceptive tom qab cev xeeb tub thiab mob qog qis
Hormonal contraceptives ntawm lub cim nyuam qhuav tiv thaiv 99% tiv thaiv tsis pub xeeb tub, tab sis 1% thaum lub yeeb tshuaj thaum xeeb thaum noj tshuaj. Kev xeeb tub tsis muaj teeb meem dab tsi, cov kws kho mob tsis muaj lus qhia txog kev sib raug zoo ntawm kev tiv thaiv kab mob thiab kev ua tsis zoo hauv tus me nyuam, yog tias ib tug poj niam noj cov ntsiav tshuaj tsis pub ntev tshaj 1 hlis ntawm cev xeeb tub. Pib txij li lub lim piam 6, lub fetus pib tsim kev sib daj sib deev, ua raws li cov tshuaj hormones, yog li siv cov tshuaj noj ntawm pawg neeg no tuaj yeem ua rau muaj kev puas tsuaj hauv tus menyuam. Tom qab kawm txog tus poj niam cev xeeb tub, koj yuav tsum tau hu rau tus kws kho mob tus kws kho mob uas yuav qhia tau qhov zoo tshaj plaws los daws qhov teeb meem.
Txoj kev tiv thaiv kev noj qab haus huv tom qab yug me nyuam thiab mob qog:
Spermicides (Benatex, Pharmatex, Contraceptin). Siv thaum rov qab muaj kev sib deev tiv thaiv tsis tau tus pojniam los yog nrog lwm cov kev tiv thaiv. Qhov kev ntseeg ntawm tus qauv yog 90-92%, cov tshuaj tiv thaiv tau tshwm sim tom qab 5-15 feeb tom qab siv tshuaj, kav 2-6 teev.
Gestagennye lub qhov ncauj contraceptives (Charozetta, Microlut, Laktionet, Eksluton). Kev npaj ntawm pawg neeg no pib noj 6-6.5 limtiam tom qab yug. Nrog rau kev siv cov tshuaj mintsis me me, lawv cov tshuaj tivthaiv tau pom zoo txog 97-98%.
Muab tag nrho OK . Kev tso cai ntawm gestagen estrogens yuav tsuas yog tias kev pub niam mis tsis noj qab haus huv, vim cov tshuaj no muaj cov nyhav tsis zoo ntawm cov kua mis ntau ntau, yuav ua kom lub cev tsis tau ntev. Ntsiav tshuaj yuav tsum tau muab rau ib lub sij hawm twg, tsis tas yuav tshem tawm. Kev tsis tso cai ntawm COC yog 99-100%.
Kev tiv thaiv tsis pub tom qab lub hnub nyoog caesarean zoo li kev tiv thaiv tom qab yug tus me nyuam, qhov txawv yog ib qho - cov tshuaj yuav tsum pib noj 8-9 lub lis piam tom qab yug me nyuam.
Contraceptive for varicose leeg thiab cov hlwv ntawm zes qe menyuam
Cov kab mob varicose tsis hais txog kev tiv thaiv tsis tau hormonal, tiam sis, cov progestins muaj nyob rau hauv qhov kev npaj ntawm gestagens thiab estrogens tuaj yeem ua rau cov ntshav txhaws thiab qhov mob ntawm cov hlab ntsha. Tshaj tawm txoj kev pheej hmoo ntawm txoj kev mob loj - voos tob hauv plab, nws yog qhov pom zoo tias thaum lub qhov ncauj tawm hauv qhov ncauj mus tas li, saib phlebologist. Cov tsos ntawm o ntawm sab sab qis, mob, tsis xis nyob, hnyav heev rau tom qab kev noj cov tshuaj hormonal - ib lub sijhawm rau kev kho mob tam sim ntawd rau ib tus kws kho mob tshwj xeeb.
Hormonal contraceptives nyob rau hauv cov hlab ntawm zes qe menyuam ntawm ib lub cev feem ntau yog siv ua qhov tseem ceeb ntawm txoj kev kho mob. Qee cov hlwv (qhov ua haujlwm) tshwm sim rau cov poj niam hauv lub hnub nyoog yug, nrog rau kev kho kom zoo li qub, tom qab 2-3 lub hlis. Nrog cov kab mob uas tsis tau ua ke, cov tshuaj tiv thaiv ob-theem thiab cov tshuaj tiv thaiv monophasic ncauj xeeb muaj nyob rau hauv nrog acupuncture thiab vitamin kho.
Kev tsis xeeb tub thaum pub niam mis
Contraceptive mastopathy thiab uterine myoma
Cov tshuaj tiv thaiv kabmob qhov ncauj rau cov mastopathy yog hom kev xav kom tsis txhob muaj kev tiv thaiv. Hauv cov poj niam uas tau siv COC ntev, qhov teeb meem ua tau zoo zuj zus tuaj, txoj kev qoj ib ce ruaj khov, qhov mob ntawm cov qog nqaij hlav hauv plab, thiab qhov hnyav tuaj yeem ua rau lub sij hawm mob mastopathy. Cov tshuaj ntawm kev xaiv: monophasic COC (Lindineth-20, Yarina , Janine , Regulon ), COC nrog cov kev ua qis thiab cov keeb kwm (Jeanine, Jess).
COC nrog uterine myoma - yog ib hom pob txha benign ntawm myometrium, kho cov hormonal keeb kwm yav dhau los, uas muaj kev txhawb qeeb hauv txoj kev loj hlob / ua kom zoo dua ntawm cov kua hauv. Cov tshuaj xaiv: Jeanine, Regulon, Lindineth-20/30.
Cov tshuaj tiv thaiv hauv endometriosis
Cov tshuaj tiv thaiv kab mob Monophasic hauv endometriosis muaj kev kho rau cov kabmob hauv cov kabmob ntuav thiab cov kabmob (endometrium), kev kho tau tus kabmob nrog cov tshuaj no yog 57-59%. Tshuaj ntawm kev xaiv: Jeanine , Regulon , Yarina .