Ndeapi mapiritsi ekudzivirira kubata pamuviri uye kuti ungasarudza sei?

Hormonal contraception ndiyo nzira inobatsira zvikuru yekudzivirira kubata kusina kurongwa, zvichienderana nekushandiswa kwemaitiro anogadzirwa eprogesterone uye estrogen - mahomoni evanhukadzi. Mapiritsi emishonga epachikwata ichi anotsigira kuvimbika kwekudzivirira kubata pamuviri, kusakwanisa kukurukurirana nepabonde, kukanganisika zvakanaka, kusununguka kwekushandiswa, kukwana kwakakwana, kutarisira kubereka shure kwekuguma kwekupindirwa, kuchengetedzwa kwechiverengero chakawanda chevakadzi vane hutano hwakanaka. Kusarudzwa kukuru kwemishonga kunobvumira kuti iwe pachako uchisarudzire OC kune mukadzi chero upi zvake uye shandisa mahomoni ekugadzirisa zvinangwa.

Urongwa hwekuberekwa kwepiritsi

1. Kusanganiswa kwemakwenzi ekudzivirira vana (COCs):
   • monophasic ( Regulon , Lindineth-30 ). Iine chiitiko chenguva dzose chegestagenic uye estrogenic chinhu muhwendefa rega rega, yakasiyana nemhando yeprogestogens, estrogens, muyero. Ipa chirongwa chakakura chekudzivirira pamuviri (Pearl index 0.06-0.08), kunyatsobata chirwere chemagumo endometriosis, chinoita kuti pave nehupenyu hutsika uye nguva yekuenda kumwedzi, kuenzanisa kuwedzera kwekubuda ropa. Mhosva dzekudzivirira kwemazino episimusi dzakanyorwa zvakanyanya;
   • mativi maviri (Adepal, Antotevin). Iine chimiro chinoshandiswa che gestagen uye isrogen ine nguva dzose, inoratidzwa kuvakadzi vane shungu kune gestagens, vane kliniki zviratidzo zve hyperandrogenism;
   • nhatu-nhatu (Tri-regol, Tri-merci). Inoshandiswa nenyaya dzakasiyana-siyana dze steroid maererano nezvikamu zvekuenda kumwedzi. Ivo vane chirevo chekuita kwepanyama panguva yekuenda kumwedzi, kupa huwandu hwemigumisiro, kurongedza kufamba. Vanoratidzwa kuvakadzi vanopfuura makumi matatu avo vanorema, vanoputa.

2. Nehuwandu hweestrogen chikamu:
   • microdosed: 15-20 μg ethynyl etradiol / zuva (Logest, Lindineth-20);
   • pasi-dose: 30-35 μg ethynyl etradiol / zuva ( Yarina , Janine , Regulon);
   • high-dose: 50 μg ethynyl etradiol / zuva (Ovidon).
3. Gestagenic mimba yekudzivirira vana ("mini-drank").

Zvimwe zvinoshandiswa pakushandiswa kweCOCs mapiritsi ane pure progestins. Nzira yekudzivirira pamuviri ye "mini-second" inosanganiswa nekuchinja mumcosal uterine cavity, zvichiita kuti zvive nyore kuisa mazai anogadzirwa, uye kuwedzerwa kwemavhisikiti emukati wemukati inopindira kupinda kwepermatozoa muchibereko. Zvigadzirwa zvegestagenic zvinokonzera kudzvinyirira kwekutropin, izvo zvinoderedza hutachiona. Minus "mini-drank": mune zvimwe zviitiko, kutora mahwendefa ovulation anoitika - izvi zvinotsanangura zvakaderera pakuenzaniswa neCOC Pearl Index (0.3-0.6).

Nzira iyo inoshanda

Nzira dzekudzivirirwa kune OC dzinoitwa pamatanho akasiyana e hypothalamus-pituitary-ovary-uterine-uterine tube system. Synthetic steroids inobvisa kusunungurwa kwegonadotropic hormones ye pituitary uye mahomoni e hypothalamus, izvo zvinoita kuti kuderedzwa kweivulation, kwenguva pfupi kupera. Mukupfuura, maitiro emagestagens uye ethinyl estradiol anorambidza folliculogenis, zvichiita kuti kuderera kwehukuru hwemavha mavari, kuderedzwa kwekuchengetedzwa kweedrogen nechikamu che 2. Inowes deformations uye endometrium - kune kuregererwa kwekufamba uye kusati kwasvika kushanduka kunyoresa, pane maitiro ekuchinja anesimba rinopesana. Hormonal contraceptive inhibit the peristalsis ye fallopian tubes, kunonoka kutenderera kwezai yakabereka, iyo inokonzera mushonga wekervical, iyo inowedzera kupindira kwepermatozoa mu uterine cavity.

Nzira Yokusarudza Kudzora Piritsi

Nheyo huru yekusarudza OP ndiyo kushandisa zvishoma zvingaita mukana we steroid, iyo inogona kupa kudzivirirwa kwakakwana pakuberekwa kusina kurongwa. Vakadzi estrogenic rudzi vanorayirwa mishonga inoratidzwa ne-strong gestagenic (Ovidon, Rigevidone). Kugadzirira kwemutsara wokutanga wevakadzi vane hukuru hwegestagens - Regulon, Logest. Kana ukasarudza zvakanaka, unofunga kufunga nezvekukura kwechibereko uye hutano hwekuenda kumwedzi, nokuti izvi zvinongoratidzika zvinoratidza hutoni huri nani kupfuura kuongororwa kwezviratidzo zvekunze: kuonda kwemwedzi kunoratidza kuwedzerwa kweprogesterone basa, kwenguva refu uye yakawanda - pamusoro pebasa restrogen. Tanga kutora hormonal contraceptive inofanira kuva kubva kune zvinodhaka zvinodhaka zvine zvishoma zvidhi zvezvinhu zvisingawaniki. Mahwendefa ematatu uye mashoma-dose haapikisani - nekushandisa zvakakwana zvakachengeteka zvakakwana uye zvinobudirira. Mutsara wekusarudza kwakarurama kweAkanaka ndiko kusina kwekubuda ropa mukati, kubuda ropa "kubudirira". Mamwe mashoko pamusoro pekusarudza kweE OK unogona kuwana pano .

Nzira yekunwa mairi mapiritsi:

• Zviratidzo zvekudzivirira pamuviri zvakatorwa mazuva mashanu mushure mokutanga kwekuenda kumwedzi kubuda. Monophasic COC inotanga kunwa mahwendefa pazuva rakabatana revhiki, multiphase - nehwendefa rakanyorwa "kutanga kwekugamuchira";
• VHS zvinotorwa zuva nezuva, pane imwe nguva, kwemazuva makumi maviri;
• mushure mokutora mapiritsi ekupedzisira kubva muhomwe inotevera kupera kwevhiki imwe chete, panguva iyo kubuda kwemwedzi kunoonekwa. Purepa inotevera yemishonga inotanga pazuva rechinomwe chekuputsa;
• mukusabatwa kwe "kubvisa kushanduka", mahwendefa anoramba achiitwa maererano nemaitiro evanhu pavanenge vachiita pamuviri. Kana zvisina kudaro, mishonga inomiswa;
• mibvunzo yekugadziriswa kweCOCs pamwe chete nemishonga (anticonvulsants, antibiotics) inotariswa mumwe nomumwe;
• zvakakosha kuziva kuti mushure mekumira kweCOC, mimba inogona kuitika ikozvino pakutsvaga kwekutanga kokudzima.

Kushandisa kuberekwa kwepiritsi:

• pakarepo inoshanda, inenge 100% yekudzivirira kubata pamuviri;
• reversibility of the method, thorough study;
• mukana wekuzvitarisira kwekubereka;
• low frequency of side effects;
• kuve nyore kwekushanda, kusagona kwekudarika;
• kuderedzwa kwezvipingamupinyi zveEctopic pregnancy;
• kuderera muzvikamu zvezvirwere zvinoputika zvezvikamu zvemuviri;
• kudzivisa kubatsirwa kwezvinyama zvinokonzera hutachiva uye mavhai;
• kusunungurwa kwezviratidzo zveDysmenorrhea, PMS;
• kuita zvakanaka mu endometriosis;
• kupera kwehutachiona paganda mu seborrhea, zvinosvibisa mapundu.

Zvinokuvadza:

• mungozi yekenza yemukomana mukati mevakadzi vakashandisa OC kwenguva yakareba (anopfuura makore gumi) yakawedzerwa.

Kubata pamuviri mapiritsi: zvinopesana

• nyuchi dzisina kunaka dzomuviri wechipfuva / zamu;
• pamuviri / kunyunyuta kubata pamuviri;
• dambudziko remwoyo mutsva;
• kushungurudzwa kwakanyanya kwebasa, zvirwere zvakanyanya, zvipembenene zveropa;
• thrombosis, thrombophlebitis, thromboembolism;
• kubuda kweropa risina kutsanangurwa.

Zvinhu zvinokuvadza:

• asingagumi nicotine kudhakwa;
• kuneta, porphyria, immobilization;
• tuberculosis, inotevera chirurgic intervention;
• kuora mwoyo, kupera kwenguva refu, uterine fibroids;
• jaundice, migraine, hypercalcemia, hyperlipidemia.

Zviitiko izvo zvinoderedza kuvimbika kweE OK:

kurora, kurutsira, kudya pamwe chete kwemazuva ano, anticonvulsant, antibacterial.

Matambudziko:

• estrogen-dependent: kurutsira, kushungurudza, kuwedzerwa kweropa kusvetuka, musoro wepamusoro, mutsipa, kuonda, chloasma;
• progestogen-inotenderera: yakaderera libido, kuora mwoyo, mazinya, kuoma kwemukadzi mucosa, kuora musoro, kuneta;
• kusakwanira isrogenic effect: kuderera muzamu dzemazamu, kuderedza libido, kusaenda kumwedzi, kubuda ropa mukati;
• Kushaya kukodzera progestogenic effect: kunonoka pakuenda kumwedzi, kuvhara kwemukati mukati mechikamu chechipiri chekufamba kwenguva, kunyanya kumwedzi.

Chikamu chinoitika pamusana pokutora chirongwa chekudzivirira pamuviri chinogona kunge chiri pamusana pekusagamuchirwa kwega kana kusarudzwa kwemapiritsi. Nzira yechipfuva inogona kunge isingakuvadzi kana inokuvadza mumuviri, pasinei nechinokonzera kutanga. Kugadziriswa kwechirwere kunowanzoita kuti kuparara kwemaitiro akadaro apinde pasi pesimba rekurapa kana kuzvimirira.

Iyo yakanakisisa yekuberekwa kwepiritsi mapiritsi

Nekugamuchirwa kwakakodzera, kuvimbika kwemakondombera emuromo kunowedzera kuva 100%, muyero we "kuchengeteka / kuvimbika" mahwendefa ehomoni kubuda pamakondomu. Iwe unogona kudzidza zvakawanda pamusoro pemakondomu apa . Nzvimbo dzechizvarwa chekupedzisira dzinosanganisira hormones muzasi maitiro, pasina androgenic effect. Dzivisa kugadzikana kusakanganiswa kunogona kuitika nekuongororwa kwechiremba, iyo inorumbidzwa kusati yatanga kutora mahwendefa. Hormonal contraceptive is reversible, muzinga wekudzoka kwekudzoka kunoenderana nekureba kwekushandisa kwezvinodhaka uye yekutanga mahomoni. Mishonga yakakodzera haisipo. Rutsva - harurevi zvakanakisisa. Mutemo mukuru: hormonal contraception inosarudzwa, inotungamirirwa nehutachiona gynecologist maererano nemunhu mumwechete unhu hwemukadzikadzi.