Zvinosuruvarisa, zvinhu zvakasiyana nevakadzi vanotambura nezvirwere zvisingaperi. Urongwa hwezvirwere hunoda kuchenjerera kuongorora muchisarudzo chekudzivirira kubata pamuviri kwenguva yakakwana. Zvirwere zvisingaperi zvisingagumi izvo vakadzi vanotarisana nazvo zvinosanganisira kuwedzera kwehutano, chirwere cheshuga uye zvinetso zvemagetsi. Ndeipi nzira dzakakurudzirwa dzekudzivirira kubata pamuviri? Nezvekuzvidzivirira pachavo panguva yepabonde nezvirwere zvakasiyana-siyana, uye ichakurukurwa pasi apa.
Hypertension
Kune vakadzi vane hypertension, mahwendefa akachengeteka ane rine estrogen chete. Imwe nzira inonzi intrauterine spirals. Sei? Sezvo zvinotevera kubva pakucherechedza, estrogen muzvigadzirwa zvishoma zvinowedzera kuwedzera kwepfungwa. Kunyange zvazvo aya maitiro ari maduku (mamiriyoni mm Hg), asingakoshi kune vanhu vane utano hwakanaka, munyaya yehutachiona hwepamusoro, kunyange "kudonha" zvishomanana kungakanganisa utano.
Chokutanga pane zvose zvinotyisa zvekurohwa uye kurwisa kwemwoyo. Paunotora pamuviri, inowedzera kazhinji! Nhasi, vanachiremba vanowedzera kuti munyaya yekuwedzerwa kweropa, hormonal contraception haifaniri kushandiswa zvachose. Iye zvino maitiro matsva ekudzivirira kubata bhinari ari kukura. Kushandiswa kwemishonga yakadai hakuputsirani hutsika hwakasimba hwehutano hweropa.
Kuti uone kana uri munharaunda yengozi, unoda kuongorora ropa rako katatu pazuva. Mukuwedzera, shanyira chiremba wako kamwechete pamwedzi. Kana mushure mehafu yegore iwe haungasunungurwi kuora mwoyo, ipapo iwe unogona kuzvidzivirira panguva yepabonde nemapiritsi emapuroni.
Chirwere cheshuga
Kugadzirira rine estrogen uye progestin zvinomirirawo njodzi yevanhu vane chirwere cheshuga, sezvo ichiita kuti kuwedzera kweglucose uye insulin muropa. Ingoshandisa mahwendefa emadhora mashoma ane 20 mcg. zvinobvumirwa, asi pasi pekuchengetedzwa kwechiremba nguva dzose (kamwe pamwedzi). Uye chete nokuda kwevakadzi ivavo vanotambura nechirwere cheshuga, asi havasi makore anopfuura makumi maviri uye vasina zvimwe zvirwere nemidziyo yeropa zviri nyore, zvinokwanisika kutora chirongwa chekudzivirira nguva dzose. .
High cholesterol
Mishonga mitsva ine gestagen pamwe nemasikirini eesrogen (estradiol valerate), yakazarura mukana wekushandisa kubata pamuviri mune zvirwere zvakasiyana-siyana, kusanganisira kuwedzera kwemaoklesterol muropa. Mahwendefa aya anoshandisa kunyange semishonga - kuvandudza mararamiro emafuta muropa. Mamwe mapiritsi akabatanidzwa ne ethinyl estradiol, iyo inowedzera huwandu hwe "bad" cholesterol uye inoderedza huwandu hwe "zvakanaka".
Overweight
Irotomu yehomoni yakagadzirirwa mukadzi anorema 50-70 kg. Kune vakadzi vane uremu hwakawanda, zvigadzirwa zvekuberekwa kwemazuva ano zvinogona kunge zvisingaiti 100% zvinobudirira nokuti zvakanyanya kuderedza chirwere che estrogen uye progestin kilogram yehuremu. Kune vakadzi ava, chipiramu chinonzi intrauterine chichave chakabudirira. Nharaunda dzomunharaunda hazvirevi kukura kwemuviri uye kusagadzikana kwemaitiro.
Ndiani asingafaniri kutora hormonal drugs?
Zvirwere zvakakomba zvekudya, zvakadai semaronda, dumbu uye zveodenal ulcers, zvinogona kukuvadza pasi pesimba remahwendefa. Munyaya iyi, vanorayirwa dzimwe nzira dzekudzivirirwa panguva yepabonde. Semuenzaniso, majekiseni ehommonal, spirals, makondomu.
Nezvirwere zvakadai sekufa uye kusagadzikana kwehutano hwetrojeni pane zvibvumirano mukutora mahomoni, nokuti haabatsiri kukura kwechirwere.
Madzimai ane chirwere chemwoyo chinonzi Ischemic, thromboembolism (mushure mekuvhiyiwa kwemapfupa), atherosclerosis, kukanganisa kwemwoyo, kana zvirwere zvinotyisa, kutora mapiritsi ne estrogen kune ngozi. Izvi zvinogona kukurumidza kushandura kwemaitiro emadziro emidziyo yeropa. Kushandiswa kwe estrogen kunogona kukurisa migraines, sezvo inopedza midziyo yeropa yeropa: kunyange kurohwa kunogona kuitika. Saka vakadzi vari munharaunda ye ngozi vanotaurirwa zvinodhaka zvinenge zvine gestagen chete.
Kupindirana kweHommonal contraception kunowanikwa zvachose nevakadzi vose vane chirwere cheH hepatitis C, semakemoni - pasinei nokuti vane maitiro epi - nguva dzose kupa mutoro pane nhengo yakakanganiswa. Kuchengetedzwa kana pane zvirwere zvechiropa zvinokurudzirwa kushandisa nzira dzokudzivirira, dzakadai sedhinhi rekudzivirira uye kondomu.