Ziyini amaphilisi okukhulelwa nokuzikhethela?

Yiziphi izitho zokwelapha zomlomo ze-hormonal
Ukwelashwa kwe-hormonal kuyindlela ephumelelayo kakhulu yokuvimbela ukukhulelwa okungahleliwe, ngokusekelwe ekusetshenzisweni kwezilinganiso zokwenziwa kwe-progesterone ne-estrogen - ama-hormone wesifazane omzimba. Amaphilisi okubeletha kuleli qembu aqinisekisa ukuthembeka okuphezulu kokukhulelwa, ukungabi nokuxhumana nokulala ngokobulili, ukubekezela okuhle, ukululazeka kokusetshenziswa, ukulawulwa kokujikeleza okwanele, ukuvuselela okuphelele kokuzala emva kokungenwa, ukuphepha kwenani elikhudlwana labafazi abanempilo enhle. Ukukhethwa kwemithi enkulu kukuvumela ukuba ukhethe u-OC kunoma yimuphi owesifazane futhi usebenzise izithako ze-hormonal ngezinjongo zokwelapha.

Ukuhlukaniswa kwamaphilisi okulawula ukuzalwa

  1. Ukuhlanganiswa kokubeletha komlomo (COCs):
    • monophasic ( Regulon , Lindineth-30 ). Iqukethe umthamo ohlala njalo we-gestagenic nesici se-estrogenic kuthebulethi ngayinye, ihluke ngohlobo lwe-progestogens, i-estrogens, isilinganiso. Nikeza izinga eliphakeme lokukhulelwa (i-Pearl index 0.06-0.08), uphathe i-endometriosis yesisu ngokuphumelelayo, kuthinteke kahle inkambo nobude besikhathi sokuya esikhathini, ukulinganisela ukuqina kwegazi. Amacala okukhishwa kwamanzi e-interseminal aqoshiwe kakhulu;
    • isigaba ezimbili (Adepal, Antotevin). Iqukethe isilinganiso esishintshayo se-gestagen nes estroggen esivamile, kuboniswa abesifazane abanozwela emathunjini, ngezimpawu zomtholampilo ze-hyperandrogenism;
    • isigaba sesithathu (Tri-regol, Tri-merci). Efaniswa nokuqukethwe okuguquguqukayo kwe-steroids ngokuhambisana nezigaba zomjikelezo wokuya esikhathini. Banezimpikiswano zomzimba emjikelezweni wokuya esikhathini, banikeze ubuncane bemiphumela emibi, lawula umjikelezo. Baboniswa abesifazane abangaphezu kuka-35 abakhuluphele, ababhemayo.

  2. Ngomumo wesakhi se-estrogen:
    • i-microdosed: 15-20 μg i-ethynyl etradiol / usuku (i-Logest, Lindineth-20);
    • isilinganiso esincane: 30-35 μg ethynyl etradiol / usuku ( Yarina , Janine , Regulon);
    • i-high-dose: 50 μg ethynyl etradiol / usuku (Ovidon).
  3. Izisu zokubeletha zomlomo ze-Gestagenic ("i-mini-drank").

Ezinye izindlela zokusebenzisa ama-COC yizibhebhe eziqukethe ama-progestin ahlanzekile. Umphumela wokukhulelwa we-"mini-second" uhlotshaniswa nezinguquko emgodini we-mucosal uterine, okwenza kube nzima ukufaka iqanda elivundisiwe, futhi ukwandisa i-viscosity ye-mucus yomlomo wesibeletho kuphazamisa ukungena kwe-spermatozoa esibelethweni. Amalungiselelo e-gestagenic abangela ukucindezelwa kokukhiqizwa kwe-lutropin, okuvimbela i-ovulation. I-Minus "i-mini-drank": kwezinye izimo, ukuthatha amaphilisi e-ovulation kwenzeka-lokhu kuchaza okuphansi ekuqhathaniseni ne-COC Pearl Index (0.3-0.6).

Indlela i-COC isebenza ngayo

Izindlela zokuvezwa kwe-OC zenziwa emazingeni ahlukene we-hypothalamus-pituitary-ovary-uterine-uterine tube system. I-steroid ye-synthetic ivimbela ukukhululwa kwe-hormone ye-gonadotropic ye-pituitary nama-hormone we-hypothalamus, okuholela ekususweni kwe-ovulation, inzalo yesikhashana. Ngokudlula, ama-gestagens ezakhiwe kanye ne-ethinyl estradiol evimbela i-folliculogenis, okwenyuka ukwehla ngobukhulu bama-ovari, ukwehla ekusithekeni kwe-estrogens ngesici se-2. I-Undergoes deformations ne-endometrium - kukhona ukuguqulwa komjikelezo kanye nokuguqulwa kokubhala kwangasese ngaphambi kwesikhathi, kunezinguquko ze-atrophic ezinomthelela wokulwa nokufaka impande. I-hormonal contraceptive ivimbela i-peristalsis yamatayipi angama-fallopian, unciphisa ukuhamba kweqanda elivundisiwe, inqamule umqubu womlomo wesibeletho, okwenza kube nzima ukungena kwe-spermatozoa emgodini wesibeletho.

Indlela Yokukhetha Amaphilisi Okulawula Ukuzalwa

Isimiso esiyinhloko sokukhetha i-OP ukusebenzisa i-dose encane engaba khona ye-steroids, okuzohlinzeka ngokuvikelwa okuphumelelayo ekukhulelweni okungahlelelwe. Uhlobo lwesisu lwe-estrogenic yizidakamizwa eziphakanyiswayo ezivezwe yi-component eqinile ye-gestagenic (i-Ovidon, i-Rigevidone). Ukulungiswa komugqa wokuqala wabesifazane abanama-gestagens - Regulon, Logest. Uma ukhetha Kulungile, udinga ukucabangela usayizi wesibeletho kanye nekhwalithi yokuya esikhathini, ngoba lezi zimingcele zibonisa isizinda se-hormonal kangcono kakhulu kunokuhlola izibonakaliso zangaphandle: ukuhamba esikhathini esifanele kubonisa umsebenzi owandayo we-progesterone, isikhathi eside nokuningi - mayelana nomsebenzi we-estrogen. Qala ukuthatha imithi yokuvimbela imithi ye-hormone kufanele ivela ezidakamizweni ezihlanganisiwe ezinomthamo osencane wezingxenye ezingenayo. Amaphilisi amancane amathathu nesigaba esincane aphikisana - ngokusetshenziswa okulinganayo kuphephile futhi kusebenza ngokulinganayo. Isimiso sokukhetha okulungile kwe-OK kungukuthi akukho ukuphuma kwegazi ngaphakathi, ukuphuma kwegazi "ukuphumelela". Ulwazi oluthe xaxa mayelana nokukhethwa kwe-OK ungathola lapha .

Indlela yokuphuza amaphilisi okulawula ukubeletha:

Ukusetshenziswa kwamaphilisi okulawula ukuzalwa:

Kungozi:

Amaphilisi okukhulelwa: ukuphikisana

Izici zengozi:

Izinto ezinciphisa ukuthembeka kokulungile:

isifo sohudo, ukuhlanza, ukungena kanyekanye kwe-laxatives, i-anticonvulsant, i-antibacterial.

Imiphumela emibi:

Umphumela wangemuva ngemuva kokuthatha izisu zomlomo kungase kube ngenxa yokungaboni ngaso sonke isikhathi noma isenzo samathebulethi. Umthelela ohlangothini ungahle ungabi nengozi noma uyingozi emzimbeni, kungakhathaliseki imbangela yokuqala. Ukuqedwa kwesidakamizwa kuvame ukuholela ekushabalaleni kwesenzo esinjalo ngaphansi kwethonya lokwelapha noma ngokuzimela.

Amaphilisi okulawula ukuzalwa okuhle kakhulu

Ngokwemvume efanele, ukwethenjelwa kwezibeletho zomlomo kuzama ukuba ngu-100%, isilinganiso sokuthi "ukuphepha / ukwethenjelwa" amaphilisi e-hormone akuphelelanga amakhondomu. Ungafunda kabanzi ngamakhondomu lapha . Ama-COC wesizukulwane sakamuva aqukethe ama-hormone emazingeni aphansi, ngaphandle komphumela we-androgenic. Gwema ukusabela okungahle kwenzeke kungenzeka ngokuhlolwa kwezokwelapha, okunconywe ngaphambi kokuqala ukuthatha amaphilisi. Ukukhulelwa kwe-hormonal kuvuselelwa, izinga lokuvuselelwa komjikelezo lixhomeke esikhathini sokudla kwezidakamizwa kanye nesizinda sangempela se-hormonal. Isidakamizwa esihle asikho. Okusha - akusho okungcono kakhulu. Umthetho oyinhloko: ukwelashwa kwe-hormonal ukhethwe, okulawulwa yi-gynecologist yokwelapha ngokuhambisana nezici zomzimba wesifazane.