Kuze kube manje, ukukhulelwa kwe-hormonal kuyindlela ephumelela kunazo zonke yokuvikela, njengokubusa, ngokukhulelwa okungafuneki - ngokusho kwetafula lePearl, uma nje yonke imithetho yesicelo ibonwa, inkomba yokuvikela ingu-99.9%. Kodwa abesifazane abaningi bawagwema ngenxa yokwaziswa okuphikisanayo ngemiphumela yabo yecala.
Imithi yokuqala yokubeletha (ngendlela yamathebulethi) yayinezintambo zokuphikisana, kanye nokungafuneki "pobochek". Okuqukethwe kuwo, inani elishaqisayo lama-hormone linciphisa ukushaya kwenhliziyo, futhi lenza ubuhlungu obukhulu bekhanda, i-nausea, futhi ngezinye izikhathi ukuvuvukala kwamaphakethe. Futhi ngesisekelo salokhu, izinyanga ezimbalwa zokuthatha lezi zinzalo zokubeletha ngokuqinisekile zizokunikeza ukuvakashelwa kudokotela njalo, kanye nezifo eziningana ezingapheli. Yingakho ngisho neminyaka engama-30-40 edlule, izakhi zokubeletha ngomlomo isikhathi eside zibeka emashalofini ama-pharmacy kiosks.
Noma kunjalo, konke kwashintsha ngokusungulwa kwe-estrogens (yokwenziwa) kwesizukulwane sesithathu. Ukulinganisa kwamahomoni kuncane kakhulu kunezikhathi ezintathu kanye nokuthi lokhu kwenza kube lula ukunciphisa ingozi, futhi ngokuphawulekayo, ukutholakala kwemiphumela emibi, kanye nokunciphisa inani lokuphikisana.
Ukuvimbela ukubeletha kwama-Hormonal namuhla kunqunywe ochwepheshe kuphela ukuwavikela ekukhulelwe okungadingeki. Kungenxa ngosizo lwabo ukuthi kungenzeka ukulungisa umjikelezo wokuya esikhathini, ukuphatha izinkinga zesikhumba nokulungisa umzimba wesifazane wokukhulelwa, ukuzala umntwana.
Ukungahambisani nokusetshenziswa kokuqanjwa kwe-hormonal contraception kuzosiza amaphuzu alandelayo. Lezi yi-thromboses kanye ne-thrombophlebitis emaphethelweni aphansi, imishanguzo ye-pulmonary; izifo zegciwane le-thyroid, ezibhekiswe ekukhiqizeni okwenyuka kwe-estrogen; izinhlobo ze-hormone ezisekelwe kuma-neoplasms (isb., izicubu ezinonya nezonakele zesisu, ama-ovari nesifuba). Okunye okushiwo yi-contraindications yi-hepatitis nesifo sikashukela.
Futhi njengomphumela ohlangothini, unga: ukukhanda ikhanda, ukucindezeleka, ubuthakathaka, ukuphazamiseka kokuphuma kwegazi, kanye nokucindezela komzimba okwandayo.
Indlela yokusebenzisa izitho zomzimba zomlomo
Izindlela zokuvimbela izitho zomlomo zidingeka zithathwe nsuku zonke, futhi kusukela ngosuku lokuqala lwesihlanu lwenyanga yokuya esikhathini. Futhi uma sekwephuzile ngokuthatha ithebhulethi yokuqala, ulinde kuze kube yisikhathi esilandelayo ngenyanga.
Phakathi nezinsuku eziyisikhombisa zokuqala zokungenwa, sebenzisa izindlela ezengeziwe zokukhulelwa. Ukuvikelwa okuphelele kuqinisekisiwe ngokukhulelwa okungafuneki phakathi nesonto lokuqala lokusebenzisa izidakamizwa akunakwenzeka, ngoba umzimba kufanele "ugcwale" nge-estrogen, okuyingxenye yomuthi.
Njengomthetho, uhlelo olujwayelekile lokuthatha izisu zomlomo luhlanganisa amaphilisi angu-21. Uma usuqedile ukwamukelwa kwabo, uzobangela ukuhamba kwe-asha. Futhi ngesonto ungaqhubeka nesiteleka esilandelayo se-blister. Futhi ukhetho lwesibili luhilela ukuthatha amaphilisi ngesikhathi sokuphumula kwezinsuku eziyisikhombisa nomphumela we-placebo.
Izinhlobo zokuvimbela imithi ye-hormonal
Ukuhlukahluka okuthandwa kakhulu yiziphilisi zokukhulelwa. Kukhona ukuxhaswa kwemithi, nokuhlanganiswa kokubeletha komlomo. I-progestin iqukethe i-monophasic (ebizwa ngokuthi "i-mini-second"), ihlangene ihlanganisa ne-synthetic esterogen. Iphesenti eliphansi kunazo zonke lokuphumelela emgqeni wamaminithi amabili, noma kunjalo, ayithinti ukukhula kwezidumbu.
Okulandelayo yi-patches yama-hormonal, eyadluliselwa ku-scapula noma esikhunjeni samasosha futhi ushintshe masonto onke. I-Estrogen egazini ithinteka ngqo esikhumbeni, ihlukumeza isibindi - umphumela onobuthi wezidakamizwa wehla. Futhi ukuphela okulula - lokho kuzodingeka ukuba kuhlolwe njalo ukuze i-adhesive ingacimi.
Uhlelo lwe-intrauterine hormonal luyisibonelo esihle se-spiral evamile. Iveza ama-hormone amancane ngaphakathi kwesibeletho futhi unciphisa ingozi yemiphumela emibi. Kodwa-ke, akunakwenzeka ukuyisebenzela amantombazane abhekene nezifo ezingelapheki zesigaba sezocansi - i-adnexitis, i-oophoritis, njll.
Indandatho yangasese igcinwe izinsuku ezingu-21, futhi ikhishwa kuphela ngesikhathi sokugeza noma ukubhukuda echibini. Leli chungechunge lama-hormone liyimfihlo endaweni yangakini, emlonyeni wesibeletho uqinisa umsila womlomo wesibeletho, futhi unomthelela we-spermicidal.
Futhi uma ukhohlwa njalo ukuthatha iphilisi ngesikhathi - faka izitho zomzimba zokubeletha ngomlomo ngezijova ze-hormone noma izimpande ezingaphansi kwesisu. Ukukhulelwa kwenzelwa isikhumba sesipiliyoni ehlombe, kusebenza isikhathi eside, ngakho akudingeki ukuba ukhumbule ngesibindi isidingo sokuthatha amaphilisi phakathi nobusuku. Kusukela ezinyangeni eziyisithupha kuya eminyakeni eyisikhombisa-isikhathi sokufakelwa, kanye nemiphumela yomjovo - kusuka ezinyangeni ezintathu kuya ezinyangeni eziyisithupha.
Kodwa, ngeshwa, abesifazane ababili kuphela kwabayisithupha kuphela bacabanga ngokuvimbela ukukhulelwa okungadingeki. Futhi ngenxa yalokho izibalo ezisongelayo zokukhipha isisu nokungabi nabantwana kuleli zwe. Ukusetshenziswa kwezizalo zokuvimbela imithi ye-hormonal kuyokuvumela ukuba ugweme ukukhulelwa okungakapheli.