Pashure pemakore makumi matatu
Mumakore 35-39, chirongwa chekuberekwa kwevakadzi chinotanga kupera. Mazai evanhu vanoderedza kushandiswa kweprogesterone uye estrogen, kuwedzera ngozi yeprombose uye zvirwere zvepfungwa, kuwedzera zvirwere zvisingaperi, saka kuvhara mumuromo kunofanira kuvimbika, kwakachengeteka, uye zvishoma nezvigumisiro uye hukama hwakanaka hwehutano. Pazera iri, zvinoshandiswa kutora madhaini eCOC ( Yarina , Lindineth , Janine ). Mukuwedzera pane zvakaitwa nehuwandu hwezvemufananidzo, kusanganiswa kwepurogiramu yemumuromo kunoderedza kuwandisa kwehutachiona hwehutachiona hunokonzerwa neadenomyosis uye uterine myoma, kudzivirira kufambiswa kweasteoporosis, kuderedza insulin kudzivirira.
Pashure pemakore 40-45
Mikana yekuve nepamuviri mumakore makumi mana nemakumi maviri nemashanu ndeye 10% chete, nei kuberekwa kwepabonde kwakakosha muzera rino? Maererano nehuwandu, 25-30% yevakadzi muzera rezera iri vane chikamu chekuenda kumwedzi nemakumbo ovulation, uye pamuviri kamwe-kamwe nehupamhi hwepamusoro huchava nechirwere chechirwere chinokonzerwa nehutano husina kunaka hwemucheche. Kupindira kwechiremba kwekuita pamuviri kunogona kuita kuti kuve kwakanyanya kwema-climacteric syndrome uye kuva ruzivo rwekutsvaga kwehutano hwezvikamu zvepabonde. Kushandiswa kweCOCs pazera remakore makumi mana nemakumi mana nemashanu kunopera nemamwe maitiro: periodic ovulation inofanira kuonekwa, maitiro ezvakagadziriswa anofanira kuchinjwa (kumwedzi kunonoka, kupfupika).
Nzira yekudzivirira kubata pamuviri mushure memakore 40-45:
- Vakadzi 40-45 vane makore ekutanga kuenda kumwedzi vanogona kutora micro-dosed COC kusvikira vasangana zvizere nenzira iyo kushandiswa kwavo kusingapindirani kune vakadzi mushure mema35. Kubatsira: kugara kwechinguva, kutora mishonga yekudzivirira, kurapwa nekudzivirira zviratidzo zvehurogenital;
- vakadzi vakadzi makumi mana nemakumi mashanu nemakumi mana nemashanu uye vane periodic ovulation vachirwisana nemamiriro ezvinhu anonzi PMS, dysfunctional uterine kubuda ropa, kunyanya kuenda kumwedzi kutora COC pasina kubvunza gynecologist haigoni. Nyanzvi inofanira kuongorora njodzi yekutora mishonga yekudzivirira mishonga uye, kana zvichidiwa, ipai hormone replacement therapy.
Nguva yechirongwa chekudzivirira kwepabonde LINDINET , JES vakanyatsorambidzwa, kupa 100% kubata pamuviri, kumira zviratidzo zvekuguma kwemwedzi, ndiko kudzivirira kenza yemapendometri, mavhai, chibereko. Kana pasina mungozi yeprombosi, kuora muviri uye kuora mwoyo kwevanhu, vasati vasvuta vanogona kuzvishandisa kusvikira makore makumi mashanu.
Mushure memakore makumi mashanu uye nekupera kumwedzi
Vakadzi munguva yekutaridzika kwegore uye nguva yekupedzisira yekuberekwa vari pangozi yekubata pamuviri, basa rebasa rinowanzotarisana nehutano hwehupenyu husingaperi hwechirwere chechirwere, iyo inowanikwa mu10-15% yematambudziko inoguma nehutachiona hwepabonde nemwanakadzi. Ndiko kusaka kukwanisa kusarudza kubata pamuviri pashure pemakore makumi mashanu, kwakapa hupenyu hwepabonde nguva dzose ndiyo inenge yakakodzera. Hormonal contraceptive inofanira kugadzirisa mabasa akawanda: kupa chivimbiso chekudzivirira pakuberekwa kusingadiwi, kuva nekunyorera uye kudzivirira maitiro. COCs (gestagen + estrogen) inosangana nezvinhu zvose zvinodiwa pakuvhara pamuviri kuvakadzi vashure makumi mashanu.Vakatendeka, vanoderedza zviratidzo zvekuenda kumwedzi, havavhiringidzi maitiro emagetsi, kubvisa marwadzo anorwadza, kurongedza kubuda kwemwedzi, kunonoka kukwegura kwemukadzikadzi.
Mubvunzo wekumisa COC mumutambo wekusangana kunogadziriswa mumwe nomumwe. Ivhareji yemakore ekutanga kwekumisa kwemwedzi makore 51, nyanzvi dzinokurudzira kutora mishonga yekudzivirira mishonga mukati megore mushure mekupedzisira kuenda kumwedzi, uye wozorega kushandisa COC uye wotanga kushandiswa kwemishonga.