Ukwelashwa okuphuthumayo: izinkomba
- ukungabi khona kweminye imithi yokubeletha ngesikhathi sokulala ngokocansi (imininingwane eyengeziwe mayelana nokukhulelwa komzimba ingafundwa lapha );
- ubudlova bezocansi;
- ukusetshenziswa okungalungile kohlelo lokukhulelwa oluhleliwe;
- ukudiliza / ukwehlisa ikhondomu;
- ukuxoshwa kwe-ectopic spiral;
- I-progesin OK iyamukelwa ngokulibala kwamahora angu-3-5;
- ukuchithwa okungapheli kwe-spermicide (isiponti, i-suppository, ithebhulethi) ngaphambi kokuqaliswa kwe-coition.
Ukungafani:
- ukubekezelelana ngabanye izingxenye / ingxenye yomuthi;
- ukukhubazeka okukhulu kwe-hepatic;
- ubudala kuya eminyakeni engu-16, ukuqala kokukhulelwa.
Amalungiselelo okukhulelwa okuphuthumayo kwabesifazane
I-Postinor
Lokhu kokukhulelwa kwe-hormonal ngemuva kwesenzo kuye kwaveza izakhiwo zokulwa ne-estrogenic ne-gestagenic. Ivimbela i-ovulation, iguqula i-endometrium, ivimbela ukwethulwa kweqanda elikhuliswe, likhulisa i-viscosity yomsila womlomo wesibeletho, ivimbele ukuqhubeka kwe-spermatozoa. Ukuthembeka kokubeletha: emahoreni angu-24 okuqala phakathi kokulala ngokobulili nokwamukela iPostinor - 94-96%, amahora angu-24-48 - 80-85%, amahora angu 48-72 - 50-55%.
Imiyalo yokusetshenziswa
Ukuthatha i-Postinor eyodwa yokubeletha ngomthamo we-750 mcg (ithebhulethi elilodwa) phakathi kwamahora angu-48 okuqala ngemva kokuqokwa, ngemva kwamahora angu-12 uthatha enye i-750 mcg yesidakamizwa. Inkambo eyodwa amaphilisi amabili. Uma ukuhlanza kwenzeka ngemuva kwamukelwa, phinda uthathe amaphilisi. I-Postinor ingasetshenziswa kunoma yiluphi usuku lomjikelezo. Akuvumelekile ukusebenzisa uhlelo lokukhulelwa njengendlela yokuvikelwa okuqhubekayo - lokhu kuholela ekwenyweni kokusabela okubi futhi kwehla ekusebenzeni.
Ukungafani:
- isikhathi sokulahlwa, ukukhulelwa;
- izifo ezinzima ze-bile duct nesibindi;
- ukuphuma kwegciwane lokusuka kwesisu;
- ukucindezela izidakamizwa zomuthi;
- I-vein / thralsis ye-arterial, umlando we-thromboembolism;
- isikhathi sokuthomba (ukuphikisana kwesihlobo);
- ukubambezeleka kokuya esikhathini.
Umphumela wesici:
ukuzondeka, ukukhathala, umuzwa wokungaboni kahle emithanjeni yezinyosi, ukuphuma kwegazi ngaphakathi, ukuhuda, ukuhlanza, ukucwenga.
Balekela
Ukulungiswa kwe-gestagenic ye-postcoital disarception I-escapeel igodla ukukhulelwa nokuvuthwa uma ukuxhumana kocansi kwenzeka esigabeni esandulela umjikelezo womjikelezo. Ungashintsha i-endometrium, ivimbele ukuvota. Akusizi ngalutho nokufakelwa kweqanda elikhulelwe. Ukuthembeka kwe-Escapel ukuvimbela ukubeletha: emahoreni angu-24 okuqala ngemva kocansi - 94-95%, amahora angu-24-48 - 80-85%, amahora angu-48-72 - 55-57%. Esikhathini sokulinganisa okunconywayo akuthinti ukuguqulwa kwama-carbohydrate / amafutha, igazi lokuzihlanganisa.
Imiyalo yokusetshenziswa
Thatha ithebhulethi engu-1 (1.5 mg) kungakapheli amahora angu-72 ngemuva kokuxhumana okuvikelekile. Uma ukuhlanza kwenzeka ngaphakathi kwamahora angu-3-4 ngemva kokungenisa, thatha ithebhulethi engu-1 ngokungeziwe. Kuvunyelwe ukuthatha ukukhulelwa kunoma yiluphi usuku lomjikelezo.
Ukungafani:
- ukungaboni ngaso sonke isikhathi izingxenye zomuthi;
- ukukhulelwa, iminyaka engu-16;
- ukuntuleka kwe-lactase, i-glucose-galactose malabsorption;
- isifo esinamandla sesibindi.
Umphumela wesici:
ikhanda, isiyezi, isifo sohudo, ukuhlanza, ubuhlungu besisu, ukuphuza isikhathi sokuya esikhathini, ukuphuma kwegazi.
I-Mirena
Amathebulethi wokuphulwa kokuphuthumayo okuphuthumayo ngezinto zokwenziwa kwesigcawu somzimba. Zihlukile ezakhiweni eziphikisana ne-estrogenic ne-gestagenic, zivimbela ukuvuthwa kwegazi, zishintshe i-endometrium, zivimbele ukufakelwa kweqanda elivundisiwe. Ngokukhulisa i-viscosity yemfihlo yomlomo wesibeletho, ukuqhubeka kwe-spermatozoa kumisiwe. Ukuthembeka kokukhulelwa nokusetshenziswa ngesikhathi esifanele kungu-90-95%.
Imiyalo yokusetshenziswa
Thatha ithebhulethi engu-1 (0.75 μg) ngemuva kokuxhumana kocansi kwamahora angu-48, emva kwamahora angu-12 uthathe elinye iphilisi. Umkhawulo: awekho amaphilisi angu-4 ezinsukwini ezingu-30. Uma ukuhlanza kwenzeka ngemuva kokuthola iMirena, phinda uthathe amaphilisi. Endabeni yokuphuma kwe-uterine ejulile, ukuhlolwa kwegazi kuyaboniswa.
Ukungafani:
- ukukhubazeka okukhulu kwepheshana le-biliary / isibindi;
- ukubekezelelana ngabanye;
- isikhathi sokuthomba;
- i-jaundice ku-anamnesis, ecatshangwa ukukhulelwa.
Umphumela wesici:
isicanucanu, ukuphuma kwegazi ngaphakathi, i-dysmenorrhea.
Okubalulekile: Amaphilisi okuphuthumayo okuphuthumayo avimbela ukukhulelwa izinsuku ezingu-5, edlula ngesikhathi sokuthintana kwabesifazane kuze kufike ngesikhathi sokukhulelwa. Awukwazi ukulimaza umbungu okhulayo futhi ukuphazamisa ukuqala kokukhulelwa.