Mhando dze intrauterine spirals:
- IUDs inert. Shanduro yekuti, chizvarwa chekutanga chemhepo. Pari zvino, nyika dzakawanda dzinorambidza kushandiswa kweIUDs inert, sezvo vachishandisa nguva yakawanda yekudengenyeka kwepamusoro uye kutendeseka kuderera mukuenzanisa nemidzimu yezvizvarwa zvezvino;
- ine mhangura. Chizvarwa chechipiri, iyo inobatsira zvikuru inogutsa kugonesa, kuwedzerwa kubudirira, kusununguka kwekutaura / kubviswa;
- hormone-ine IUDs. Chizvarwa chechitatu chemidzimu, ine zvigaro zvekubvisa pamuviri uye IUD. Iyo inomiririra zvivako zvakasikwa T, gumbo rayo rakazara ne levonorgestrel kana progesterone. Vane chinangwa chinogadzirisa munharaunda pamuchengeterwa wemukati wemuchechi, uterine tubes, endometrium. Pros: kuderera muzvikamu zvezvirwere zvinoputika zvepabonde, kuderedza hyperpolymenorrhea. Pashoma: yakawedzera kubuda ropa mukati.
Makomborero emuchina we intrauterine:
- kukwirira kwepamusoro kunogona kuvimbika;
- Mhepo yakagadzirirwa kushandiswa kwenguva refu (makore mashanu nemashanu);
- mari inodhura, inotanga kushandiswa nzira;
- haina matambudziko akaipa pamitambo yemuviri;
- kukwanisa kubata pamuviri mushure mokusunungurwa kwemhepo kunodzorerwa munguva imwe chete kana maviri kumwedzi;
- imwe nzira yakakodzera kune yakanaka kune vakadzi vanopesana neminzwi ekudzivirira kubata pamuviri, uye kubereka vakadzi mushure memakore makumi matatu;
- kunoderedza ngozi ye ectopic pregnancy;
- IUD haina kunzwa mukati mekuita, haina kupindirana nevashandi.
Kukanganisa:
- Vakadzi vane hupenyu hwepabonde hwekuita zvepabonde vari mungozi yakawanda yekuputika;
- mukana wekudzinga (fallout);
- pakushata kusina acyclic spotting, kurwadziwa kunobvira;
- IUD haina kudzivirira kurwisa kweHIV uye zvirwere zvepabonde;
- haikodzeri vakadzi vane marwadzo anorwadza uye kwenguva refu;
- mukati memakore ekutanga 2-3 ekushandiswa, IUD inowedzera kumwedzi kunyura;
- kuiswa / kubviswa kunongoitwa chete nemudzimai wegynecologist.
Pfungwa yekushanda
Mishonga (sirivha / goridhe) nemapurisa epurasitiki zvinodzivisa basa rinokosha re spermatozoa, zvichiita kuti zvibvirire kusveta mazai, kushandura kushanduka kwehupenyu kwe endometrium, iyo inodzivisa kuiswa kweiyo inoberekwa. IUD inokurudzira zvipembenene zvechibereko uye mawere, nekuda kweiyo mazai anogadzirwa anokurumidza kupinda mumuviri: endometrium isati yakagadzirira kugamuchira mazai, trophoblast haina kukwana, saka kushandiswa hakugoneki. Mukurwisana nemamiriro ehomoni ane IUD, mavhisikiti evhariti yekervical inowedzera, semugumisiro wokufamba kwepermatozoa kuburikidza nehutoripian tubes uye chiberekero chinoderera, kuvharidzirwa kunopedzwa.
Mirayiridzo yekushandiswa
Kusarudzwa, sumo, kubviswa kweIUD kunoitwa neGynecologist. Nheyo yacho inowanikwa munguva yekuwanda kwekuenda kumwedzi, pazuva rekutanga remhepo-izvi zvinovimbisa kushungurudzika kwechirwere chemuviri. Kutanga kwe intrauterine kuvhura kwebasa rebasa uye kubvisa pamuviri kusina kunaka kunogamuchirwa.
Mamiriro ezvinhu ekuisa helix:
- kuongorora gynecologist;
- akawedzera colposcopy;
- Smears pamusoro pemiti yemupata wekervical nemukadzi;
- smear on onococytology;
- migumisiro ye ultrasound kuongororwa nhengo dzemazamu.
Method of administration:
- pamwe nekubatsira kwezvioni, vhura chivharox, disinfect, kubata foreleg ne forceps;
- uterine cavity inotaridzwa neproterine prote;
- simbisa mhepo mu uterine cavity;
- bvisai nyanzvi dzeIUD, bvisai simba, musaporesa, regai maitiro ekurapa maantibiotic.
Absolute contraindications:
- chronic / acute kuvhiringidzika kwemashure;
- pathological uterine bleeding yezvisizvo zvisingazivikanwi;
- mimba (inonzi / yakasimbiswa);
- oncology yemakumbo, uterine fibromatosis, stenosis yemukati;
- ectopia, polyp uterus, cervicitis;
- tsanga pachibereko, kusagadzikana kwechibereko;
- kuyaruka, kushanduka kweuterine cavity.
Relative contraindications:
- ectopic pregnancy in anamnesis;
- kusava nebasa munguva yakapfuura;
- chisinganzwisisiki anemia, endometrial pathology;
- hyperpolymenorrhea, njodzi huru yezvirwere zvepabonde.
Side effect:
- kurwadziwa mukati mechidzamu chemuviri mushure mokunge / panguva yekugadzirwa kwemhepo;
- bradycardia, kuperevedza kwesimbi kusagadzikana anemia;
- kuonekwa kwepachivande mukati mekutenderera;
- kanda kugadzirisa zvirwere, zvirwere zvinotapukira zvehutano.
Mamiriro ezvinhu achida kurapwa kwenguva pfupi:
- zvakanyanya kupwanya marwadzo mucheche pasi;
- kunomuka kunopisa mukupisa kunotangira marwadzo;
- kuenda kumwedzi, kutendeuka kubuda ropa rinorema;
- tsanangudzo yezvinonzi intrauterine yedhidhi mumudzimai;
- kukanganiswa kwehutanda hwomukati rwechibereko;
- pelvioperitonitis, acute salpingo-oophoritis / endometritis.
Iyo yakanakisisa inonzi intrauterine device
Iko kune mazita mazhinji uye vadziki veNavy, inonyanyozivikanwa ndeye Juno, Mirena, Multiload, Nova T:
- Mirena. Hormonal IUD, mushure mekugadziriswa kunotanga kukurumidza kusunungura levonorgestrel, iyo inodzivisa kubata pamuviri. Ivhareji yezinga rehomoni yakasununguka ndeye 14 mg / zuva kwemakore mashanu;
- Juno bio T. Yakagadzirwa nemuumbi weRussia, shanduro isingadhuri uye yakavimbika yemidzimu inowanika pamusika;
- Multiload. Semi-ovoid IUD nekunyorera pazano, izvo zvinoita kuti kugadziriswa kwakasimba kwechimiro pamadziro echibereko;
- Nova T. Iine T yakasikwa yakagadzirwa, iyo inoita kuti kuiswa kusanyanya kunetseka uye nyore.
Kuzvishandisa kweNavy hakugamuchiri. Sarudza rudzi rwakagamuchirwa rwe intrauterine chigadzirwa uye nekunyatsozviisa muhutachi uterine unogona gynecologist chete.