Iyo nzira yekuita kwehutachiona hwekudzivirira:
- kudzvinyirirwa kweivulation. Nenzira yekusava nemhinduro, progestogen inodzivirira follicle-stimulating uye luteininizing hormone. Kusava nemapuranga eFSH neHH kunosanganisa kuvepo kweivulation. Ethinyl estradiol pamwe chete neprogestogens inoderedza folliculogenis mumayamu;
- kuwedzera visikiti yecervical secretion. Progestogens inoshandura mararamiro ehupenyu uye inoita mhondi yemudzimai, ichiita chipingamupinyi kune kufamba kwe spermatozoa mu uterine cavity;
- kuchinja mune endometrium inopesana nekuiswa kweii. Progestogens inodzivisa kupararira kwemasero endometrial, zvichiita kuti hurumende isati yachinja. Kunyange kana kuvharidzira uye kubuda kunoitika, kuberekwa hakufambi mberi;
- kunonoka kutama kwemai uye kuderedza kushandiswa kwevimburupian tubes. Progestogens inononoka kupera kwema tubes.
Iyo nzira yekuita kwekukurumidza kubata pamuviri (Escapel, Postinor):
Mamwe mashoko pamusoro pekudzivirira kwekukurumidza anokwanisa kuwanikwa pano.
- kuvharidzirwa kweivulation, kudzivirira kwekugadzira;
- Shanduko mu endometrium, kudzivirira kuiswa kweiyo yakabereka.
Urongwa hwemakemikari ekudzivirira vana:
- Panzira yekupindira kwehomoni kusvika muropa:
- inogadzika pasi peganda. Flexible capsules (35X2,5 millimeters), kusunungura mahomoni anonopinda muropa, achigadzirisa nguva dzose;
- ampoules. Majekesiti anoitwa kamwe chete mazuva makumi mana nemakumi mana nemashanu;
- mahwendefa.
- Nehommonal composition:
- akabatanidza mapiritsi: rimwe-gadziriro (panguva yekufamba (mazuva makumi maviri) imwe nhamba yemagestagens uye estrogen inopinda mumuviri wevakadzi), biphasic (muhafu yekutanga yemhepo, mahwendefa ane zvinyorwa zvezasi zvegestagens anoshandiswa kuenzanisa kushandiswa kwezvisikwa zvehomoni), nhatu-di nokuda kwekugamuchira kwakakodzera, iyo inokubvumira kunyatsorondedzera mafungiro emudzimai wechikadzi);
- isina kukanganiswa ("mini-drank"). Iine chete gestagens.
- Nokuda kwemazuva ose eestrogen chikamu:
- Microdosed (ine 20 mg / day ethinyl estradiol);
- pasi-dose (30-35 μg / day ethinyl estradiol);
- high-dose (50 mcg / zuva ethinyl estradiol).
Hormonal contraceptives: mirayiridzo yekushandiswa
Nokuda kwemishonga yekuvhara mimba / hormonal kusununguka: chirongwa chekubata pamuviri chakachengetwa kwemazuva manomwe (3 patches pamapuranga).
Kune monophasic COC: 21 mahwendefa emuvara mumwechete mu blister.
Nokuda kwe "mini-drank": mapiritsi 21/28 emuvara mumwechete mu blister.
Nokuda kwechikamu chechitatu cheE OK: mapiritsi 21/28 emarudzi akasiyana-siyana mubheji.
Kubvisa pamuviri kunogadziriswa nokuchinja maitiro ehutachiona hwechivharo uye kubviswa kweivulation. Zvakanaka uye "minipili" zvinotorwa mukati, zuva rimwe nerimwe pane imwe nguva, zvichitevera urongwa hwakataurwa pane pepa. Nhamba yepamusoro: tablet rimwe kamwe maawa makumi mana nemana, kwemazuva makumi maviri nemaviri. Ikopa inotevera inofanira kutanga mushure mevhiki imwechete kupumha, panguva iyo kuchenesa ropa kunotanga. Rhythm yekugamuchira: masvondo matatu - kugamuchirwa kwemahara, 1 vhiki - kuputsa.
Hormonal contraception: absolute contraindications
- chirwere chepfungwa, zvinokonzera njodzi yezvirwere zvepfungwa, zvipfeko zvevhavha, kusanganisa kwemwoyo;
- zvirwere zvepromboembolic, zvirwere zveperebrovascular, thrombophlebitis;
- kushungurudzika kwepfungwa yepamusoro, migraine;
- kushanda kupindira nekudzivirirwa kwenguva refu;
- chirwere cheshuga, chirwere chakanyanya hepatitis, zvirwere zvakakomba zveganda;
- chiropa chiropa (benign / chinosuruvara), chibharo chinonzi chiropa chinonzi cirrhosis;
- Kusvuta (15 kana kupfuura fodya pamusi) pazera remakore makumi matatu nemashanu;
- kuora, kutora pamuviri, kukanganisa kwechibereko chemuviri, kusagadzikana kwenguva refu, kupera kwechibereko;
- zvirwere zvakaoma zvezvikamu zvepachiviri chemuviri wakaoma;
- inovhiringidza / hormone-inotarisana neoplasms yehutano hwekubereka;
- uterine kubuda ropa etiology isina kuzivikanwa.
Mishonga yemigumisiro yeHommonal contraceptive:
- kushayikwa kweesrogen: kuora kwemwedzi mashoma, kubuda kwemazuva mukati mega, amenorrhea, hypoplasia yechibereko, kraurosis of the vulva, "hot flashes", kutsamwa;
- Kuwedzerwa estrogens: kuchengetedza mvura, kushungurudzika, kuora kwemwedzi, kusuruvara mumakumbo emamota, hypertension, migraine, musoro, latent chirwere cheshuga;
- Progesterone kushayikwa: inorrhea, kubuda mukati, kubuda kwemwedzi;
- kuwedzera kweprogesterone: kushushikana kwepisodes, misoro yepamusoro, alopecia, ganda rehuori, acne, amenorrhea, kuwanda kwekudya / chido, kuderedza libido.
Chirongwa chekusarudza chirongwa chekuberekwa kwehomoni:
- Kupfuura kana kuitika kuongororwa kusabvisa zvinopesana zvekugamuchira mahomoni;
- mishonga yechisarudzo chokutanga ndeyeEllopic nechokuita ne-androgenic gestagen uye zvinyorwa zve ethinylestradiol zvisati zvasvika 35 μg / zuva ( Regulon , Janine );
- zvinodhaka zvinosarudzwa kune varwere vane chirwere chakakura chestrogen - chikamu chechitatu OK (Diane-35, Tri-Mercy);
- muhupo hwehutachiona, hyperandrogenia mahwendefa anonzi monophasic ane antiandrogenic action anoratidzwa (Lindineth, Yarina , Logest);
- ane chirwere chisina kumira ropa, dysmenorrhea inoratidza mahwendefa ane progestogen yakasimba chikamu (Jeanine, Claira );
- muhupo hwe endometriosis chisarudzo chakanaka chirongwa chekudzivirira mamiropu ne dienogest, gestodene (Jeanine, Lindineth);
- nokuti kusvuta kwevakadzi vanopfuura makore makumi matatu nemakore makumi matatu nemashanu kunopesana, kusvika makore makumi matatu nemakumi matatu kunoratidzwa mishonga yekudzivirira mishonga pamwe nehuwandu hwehupenyu hwe ethinyl estradiol ( Jess , Lindineth).
Izvo zvakanakisisa zvekuberekwa kwemakemikari
Hormonal madhiragi ane a systemic, yakawanda inogadziriswa pamuviri, iyo isingagoni kuonekwa mune rimwe shoko. Zvakasarudzwa kwete kwete chete kudzivirira kubata pamuviri, asiwo zvekurapa zvinangwa. Mahwendefa akafanana anogona kukonzera zvinetso zvakakomba mune vamwe vakadzi, vamwe havatambudzi chero kushungurudzika. Izvo zvekudzivirira zvirwere zvinosarudzwa zvinosarudzwa pane mumwe nomumwe, zvichifunga nezvehutano hwemagynecological uye hwemaonero, mhuri uye nhoroondo yemunhu. Zvakasarudzwa zvakakwana zveHommonal contraception ndeyekudzivirirwa kwakasimba kune pamuviri usina kurongwa uye nzira inobatsira yekuchengetedza hutano hwehutano hwevakadzi.