Emergency contraception - nzira dzinoshandiswa kudzivirira kubata pamuviri mushure mokunge vaita zvepabonde zvisina kudzivirirwa. Chinangwa chekuvhara pamuviri shure kwepabonde ndechekudzivirira kubata pamuviri usina kurongwa mushure mekunge kune ngozi inogona kutyisa pachikwata chekuvhara mazai, kubereka, mazai ekuisa. Nzira yakanakisisa yekudzivirira kubata pamuviri kune dzimwe nguva ndiyo kushandiswa kwemapiritsi ehomoni, iyo nzira yekuita iyo inobva pakugadzirwa kwepakati pezvinyorwa zvemahomoni akawanda kuitira kuti isarudze kuchinja kwechimiro chechimiro mumamiriro ekuzvarwa kwemwedzi. Imwe nguva yekudzivirira vana inorudzirwa sechidziviriro pakubata pamuviri pamwe chete nenguva imwe isina kudzivirirwa, haigone kushandiswa nguva dzose kuchengetedza nekuda kwekudzivirira kwekudzivirira kwekuvimbika.
Kubata pamuviri nokukurumidza: zviratidzo
- kusavapo kwemamwe mishonga panguva yekuita zvepabonde (mamwe mashoko pamusoro pekudzivirira kubata pamuviri anogona kuverengwa pano );
- chisimba chepabonde;
- kushandiswa kusakarurama kwechirongwa chekudzivirira chirongwa;
- kubvarura / kupwanya kwekondomu;
- kudzingwa kwe ectopic spiral;
- Izvo progestin OK inogamuchirwa nekunonoka kwemaawa 3-5;
- kusagadzikana kusagadzikana kwe spermicide (sponge, suppository, piritsi) asati atanga kuburitsa.
Contraindications:
- kusagamuchirwa mumwe nomumwe kune zvikamu / chikamu chechirwere;
- kuora mwoyo kwakanyanya;
- ava nemakore gumi nematanhatu, kutanga kwekuzvimba.
Kugadzirira kwekukurumidza kubata pamuviri kune vakadzi
Postinor
Ichi chirongwa chekudzivirira hutoni mushure mokunge chiitiko chacho chakataura anti-estrogenic uye gestagenic. Iyo inovhara mavhinga, inoshandura endometrium, inodzivirira kuiswa kweii inobereka, inowedzera visikanisi yekervical mucus, kudzivirira kufambira mberi kwepermatozoa. Kuvimba kwepabonde: mumaawa 24 ekutanga pakati pepabonde uye kugamuchira Postinor - 94-96%, 24-48 maawa - 80-85%, 48-72 maawa - 50-55%.
Mirayiridzo yekushandiswa
Kunyora Postinor imwechete yekudzivirira pamuviri we 750 mcg (1 piritsi) mukati maawa makumi maviri ekutanga mushure mekugadziriswa, mushure meawa 12 inotora imwe 750 mcg yemishonga. Imwe yedzidzo mapiritsi maviri. Kana kurutsa kunowanikwa mushure mekugamuchira, dzokorora kutora mapiritsi. Postinor inogona kushandiswa pane zuva ripi zvaro. Hazvibvumirwi kushandisa chirongwa chekudzivirira senzira yekuchengetedzwa kunoramba kuripo - izvi zvinotungamirira kuwedzera mukusangana kwakashata uye kuderera kwekubudirira.
Contraindications:
- nguva yekuzvidzivirira, mimba;
- zvirwere zvakakomba zve bile bile uye chiropa;
- chirwere chepamuviri chekubuda ropa chisina kuzivikanwa;
- hypersensitivity kune zvishandiso zvechirwere;
- vein / arterial thrombosis, nhoroondo ye thromboembolism;
- nguva yekuyaruka (chirevo chinopesana);
- kunonoka pakuenda kumwedzi.
Side effect:
chizunguzi, kuneta, kunzwa kunetseka mumakumbo emakumbo, kubuda mukati, kupisa, kurutsa, kusuruvara.
Fambai
Kugadzirira kwegestagenic yekusangana kwepascoital Mupukunyuka unopedzisira uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uine hutano. Inogona kuchinja endometrium, kudzivirira ovulation. Izvo hazvina maturo nekuiswa kweiyo inoberekwa. Kuvimba kwepabonde kune Escapel: mumaawa makumi maviri nemaviri mushure mekurara - 94-95%, 24-48 maawa - 80-85%, 48-72 maawa - 55-57%. Muchidimbu chinorayirwa hachikuvhiringidze metabolism ye-carbohydrates / mafuta, ropa coagulability.
Mirayiridzo yekushandiswa
Tora piritsi 1 (1.5 mg) mukati maawa 72 mushure mekudzivirira kusina kudzivirirwa. Kana kurutsa kunowanikwa mukati maawa 3-4 mushure mekudya, tora firipi 1 kuwedzera. Inobvumirwa kutora chirongwa chepabonde pane zuva ripi neripi rekufamba.
Contraindications:
- kusagamuchirwa mumwe nomumwe kune zvikamu zvechirwere;
- pamuviri, makore gumi nemakore;
- kukwana kwe lactase, glucose-galactose malabsorption;
- chirwere chakaipa cheropa.
Side effect:
musoro, chizivi, chirwere, kurutswa, kurwadziwa mumimba, kunonoka kuenda kumwedzi, acyclic kubuda.
Mirena
Mapepa ekukurumidza kubata pamuviri ane chigadzirwa chegestagen. Zvinopesana ne-anti-estrogenic uye gestagenic, inhibit ovulation, kushandura endometrium, kudzivirira kuiswa kweiyo yakabereka. Nokuwedzera mavhisikizi emucherechedzo wechiberekero, kufambira mberi kwe spermatozoa kwakamira. Kutendeseka kwepabonde nekushandisa panguva yakakodzera ndeye 90-95%.
Mirayiridzo yekushandiswa
Tora piritsi 1 (0.75 μg) mushure mekuita zvepabonde kwemaawa 48, mushure memaawa gumi nemaviri kutora imwe piritsi. Chiremera: kwete mahwendefa anodarika mana mumazuva makumi matatu. Kana kurutsa kunowanikwa mushure mekugamuchira kwaMirena, dzokorora kutora mapiritsi. Muchiitiko chekudzivirira kweutterine kubuda ropa, kuongorora kwechikadzi kunoratidzwa.
Contraindications:
- chirwere chakakomba chegwara rebiariary / chiropa;
- kusagadzikana kwevanhu;
- nguva yekuyaruka;
- jaundice in anamnesis, kufungidzirwa kuva nepamuviri.
Side effect:
kushungurudzika, kubuda kwemazuva mukati, dysmenorrhea.
Zvinonyanya kukosha: mapiritsi epamuviri anokurumidza kubata pamuviri anodzivirira kubata pamuviri kwemazuva mashanu, achipfuura kubva panguva yekubatana nemukadzi kusvikira panguva yekuzvimba. Haikwanisi kukuvadza iyo inenge ichikurira embryo uye inopesanisa kutanga kwehutumbi.