Hormonal kauv: cov ntaub ntawv, contraindications

Cev xeeb tub - qhov ntev-awaited lub sij hawm rau ntau cov poj niam. Txawm li cas los, muaj tej yam teeb meem thaum cov me nyuam yug yog ncua rau ib ntev lub sij hawm. Qhov no tej zaum yog vim txawv yog vim li cas.

Yuav kom tiv thaiv conception thiab tsis txhob no tsis kaj siab thiab ethically muaj teeb meem cov txheej txheem xws li abortions, muaj ntau lub fairer poj niam txiv siv ntau txhais tau tias. Feem ntau cov poj niam tsis kam txais yuav qhov ncauj tshuaj, xam rau lub fact tias lawv yog ices, raws li zoo raws li ib tug tsis zoo feem nyob rau hauv lawv noj qab haus huv thiab daim duab. Yog li ntawd, muaj ntau yam ntawm lawv muab lawv nyiam mus rau lub thiaj li hu ua intrauterine ntaus ntawv.

Txheej txheem cej luam

Intrauterine contraceptive hu, uas yog ib tug ntaus ntawv ua los ntawm yas thiab tooj liab tseem me me. Qhov no ntaus ntawv qeeb advancement ntawm cov phev mus rau hauv lub tsev me nyuam, raws li tau zoo raws li heev kom txhob muaj cov lifespan ntawm lub qe.

Peb kuj yuav tsum nco ntsoov tias cov intrauterine ntaus ntawv muaj peev xwm tiv thaiv lub Symptoms ntawm lub twb fertilized qe mus rau lub uterine phab ntsa. Yog li, nws nruab nrab yog ib tug tej yam abortive contraceptive txoj kev.

Ntau hom qwj

Hais txog kev IUD, nws yuav tsum tau hais tias sib nrug los ntawm cov ib txwm teev, muaj hormonal. Yuav ua li cas yog lawv? Hormonal kauv - ib tug tshwj xeeb analogs ntawm cov pa intrauterine lug. Txawm li cas los, lawv muaj ib tug tshwj xeeb yas kheej kheej, uas muaj ib yam tshuaj hu ua levonorgestrel.

Raws li cov kws txawj, hormone kauv yog heev txhim khu kev qha. Qhov no yog vim lub fact tias nyob rau hauv tas li ntawd rau cov nyhuv ntawm "txawv teb chaws lub cev" nyob rau hauv lub tsev me nyuam, lawv muaj ib tug ncaj qha contraceptive nyhuv yog zoo li cov ntsiav tshuaj.

Yuav ua li cas ua?

Hormonal kauv hauj lwm rau ib tug yooj yim hauv paus ntsiab lus. Levonorgestrel muaj nyob rau hauv lawv txhua txhua hnub thiab sawv tawm tusyees los ntawm lub ntaus ntawv tiv thaiv cov poj niam tiv thaiv pliaj cev xeeb tub. Nyob rau tib lub sij hawm nws tsis tau txais cov hormone mus rau hauv lub mauj ncig. Yog li ntawd, hormonal qwj tsis ua phiv tshua ntse kev tshuaj txwv (piv txwv li, xeev siab, qhov hnyav nce, thiab lwm yam).

Qauv thiab nta

Hormonal kauv rau cov poj niam yog ib tug txhim khu kev qha kev tiv thaiv tiv thaiv pliaj conception. Qhov no ntaus ntawv muaj:

• kab rov tav saj zawg zog hangers;
• gormonsoderzhaschego lub tog raj kheej;
• muab kauv xov rau kev tshem tawm.

Nws yuav tsum tau muab sau tseg tias, raws li ib txwm muab kauv hormonal qauv tsim tsuas yog ib lub gynecologist. Nyob rau hauv cov ntaub ntawv no, cov kws muaj txuj yuav tsum ceeb toom hais tias hnav xws li ib tug ntaus ntawv tej zaum yuav tsis ntau tshaj li tsib xyoo.

Hormonal kauv: Hom

Niaj hnub no, muaj ob hom ntawm hormonal contraceptives designs:

• "Mirena" (German ntau lawm);
• "Levonova" (Fabkis ntau lawm).

Lub notable xws li? Qhov no yuav tsum tau tham tam sim no.

"Mirena"

Yuav ua li cas hormonal kauv? "Mirena" - lub feem ntau nrov contraceptive intrauterine tsim. nws tso tawm tus nqi ntawm active tshuaj yog 20 mg / hnub.

Xws li ib tug system tsis tau tsuas yog tawm levonorgestrel, tab sis kuj muaj ib lub zos gestagenic kev txiav txim. Thaum uas siv cov no muab kauv cim morphological kev hloov nyob rau hauv lub endometrial mucosa thiab thooj ntawm lub ncauj tsev menyuam kwj dej. Cov los ua rau kom tiv thaiv lub nkag mus ntawm cov phev mus rau hauv lub tsev me nyuam. Nyob rau hauv tas li ntawd, ib co ntawm cov fairer nrog txiv neej pw txawm tsuj ntawm ovulation tshwm sim.

Txoj kev siv "Mirena" muaj tsis ntxim rau me nyuam muaj nuj nqi ntawm cov poj niam. Kwv yees li 80% ntawm cov neeg uas xav kom muaj ib tug me nyuam, cev xeeb tub tshwm sim tsis pub dhau ib xyoos tom qab qhov kev tshem tawm ntawm lub tsev.

Nta ib tug kauv

Hormonal kauv nrog endometriosis yog siv ntau heev. Tsis tas li ntawd "MIRENA" yog ntse siv rau cov kev kho mob ntawm idiopathic menorrhagia, extragenital cov kab mob, thiab tej yam kev mob uas nrog mob loj heev anticoagulation.

Nyob rau hauv thawj lub hlis ntawm kev siv ntawm no ntaus ntawv, tus neeg mob tej zaum yuav muaj spotting. Qhov no tshwm sim vim hais tias ntawm kev tsim txom ntawm endometrial loj hlob.

zaj lus tim khawv

Muab Kauv "Mirena" siv nyob rau hauv cov nram no mob:

• rau txhim khu kev qha pov;
• idiopathic menorrhagia;
• rau kev tiv thaiv ntawm endometrial hyperplasia nyob rau hauv lub chav kawm ntawm cov tshuaj no hloov txoj kev kho.

Contraindications

Nyob rau hauv ntev kab mob, muaj cov mob loj heev kab mob, malignancy siv kauv "Mirena" yuav tsum pom zoo rau ib tug tshwj xeeb.

Lwm yam contraindications rau kev siv ntawm no ntaus ntawv muaj xws li cov nram qab no:

• Cev xeeb tub thiab xav tias nws;
• npau taws me ntsis rau cov khoom xyaw txhais tau tias;
• tej yam kev mob uas muaj nyhav rau kab mob;
• postpartum endometritis ;
• thrombosis ntawm sib sib zog nqus leeg ntawm ob txhais ceg (nrog rau cov nyob rau hauv lub yav dhau los);
• phem hlav ntawm lub ncauj tsev menyuam thiab lub tsev me nyuam;
• yav tas los ua txoj kev kho rau ob lub mis mob cancer;
• lub tsev me nyuam dysplasia;
• Hu ua pelvic kab mob (inflammatory);
• mob txeeb zig;
• uterine txawv txav (congenital los yog kis tau);
• cervicitis;
• rho menyuam (lub taub dej khawb) thaum lub sij hawm 3 lub hlis tas;
• uterine los ntshav ntawm tsis paub hais tias keeb kwm;
• mob siab tus kab mob, xws li mob cancer.

dosing

Cov kev kawm cuab tam yog siv raws li nram no:

• Rau pov rau cov poj niam (ntawm nyuam muaj hnub nyoog) kauj teem rau ib lub lim tiam los ntawm qhov pib ntawm kev coj khaubncaws. Nyob rau hauv cov ntaub ntawv no, nws yuav tsum tau hloov nrog ib tug tshiab intrauterine tsim txhua hnub ntawm lub voj voog. Tsis tas li ntawd, qhov no ntaus ntawv tej zaum yuav muab ntsia tau rau tam sim ntawd tom qab rho menyuam nyob rau hauv thawj peb lub hlis uas cev xeeb tub.
• Nyob rau hauv thiaj li yuav tiv thaiv cov endometrium thaum lub sij hawm cov tshuaj no hloov kho nyob rau hauv cov poj niam cov neeg mob uas amenorrhea kauv yuav tau qhia nyob rau txhua lub sij hawm. Raws li rau cov poj niam uas fwm coj khaub ncaws, lawv Installation yog ua nyob rau hauv lub xeem hnub ntawm poj niam.
• Tom qab yug me nyuam, cov kauv yog qhia tsuas yog tom qab uterine involution tshwm sim, tiam sis tsis ua ntej tshaj 6 lub lis piam. Thaum lub sij hawm ntev subinvolution yuav tsum muab deleted tom qab endometritis li zoo raws li ncua lub installation ntawm qhov kev siv tshuaj (kom txog rau thaum tiav involution). Thaum cov kev taw qhia tsis yog yooj yim, los yog heev heev mob, los ntshav ua ntej thiab tom qab cov kev kho mob tsim nyog rau kev ultrasound kom tsis txhob perforation.

"Levonova"

Intrauterine "Levonova" muaj 52 mg ntawm levonorgestrel. Qhov no yog ib tug txhim khu kev qha contraceptive. Nws active tshuaj muaj ib tug ncaj qha hauv zos ntxim rau cov endometrium, txo nws implantation muaj nuj nqi thiab tseem mus txoj hlab qe menyuam thiab cov viscosity ntawm lub hnoos qeev nyob rau hauv lub ncauj tsev menyuam. Cov zog kom ntaus ntawv efficiency thiab ntev kauv siv tsis suppressing ovulation.

Qhov cuab yeej no yuav tsum tau qhia nyob rau hauv lub 4-5 th hnub ntawm lub cev ntas. Yog hais tias koj tau ua rho menyuam, cov kauv yog teem tam sim ntawd los yog tom qab tom ntej ua poj niam. Nyob rau hauv uncomplicated txawj tus me nyuam cov qauv nrog cov tshuaj hormones nws yog ntshaw kom siv tsis tsawg tshaj li rau lub lim tiam.

Hormonal kauv: contraindications thiab kev phiv

Muab Kauv "Levonova" yog ua rau:

• mob thiab subacute inflammations ntawm sab nraud thiab sab hauv genitals;
• cev xeeb tub;
• metrorrhagia tsis paub hais tias keeb kwm;
• lub cev phem hlav thiab lub tsev me nyuam mob cancer;
• salpingoofarite thiab mob endometritis;
• yug lub cev anomalies thiab lub tsev me nyuam mob cancer;
• yaig;
• ectopic cev xeeb tub nyob rau hauv keeb kwm.

Xam tias yog hormone kauv uterine myoma yog tsis siv. Nyob rau hauv tas li ntawd, nws tsis tsim kom muaj nulliparous cov poj niam.

Nyob rau hauv thaum ntxov lub hlis ntawm kev siv lub cuab tam yuav ua intermenstrual los ntshav, xeev siab, mob ntawm lub cev ntas, mastalgia, kua tuav, mob taub hau, thiab pob txuv.

tej tswv yim pom zoo

Qauv IUD "Levonova" muab tshuaj tso tawm tus nqi ntawm 20 ug / hnub. Kev siv tau qhia ntawm no ntaus ntawv yog 5 xyoo. Tom qab tshem tawm cov me nyuam muaj nuj nqi ntawm cov poj niam recovering sai sai thiab zoo.

Lub cuab tam yuav tsum tsis muaj ntaub ntawv thaum lub sij hawm pub niam mis. Qhov no yog vim lub fact tias Lng yog tau txeem mus rau hauv niam cov kua mis. Thaum pheej thiab ntev intermenstrual los ntshav yuav tsum tau ntxiv gynecological xeem kom paub meej tias qhov mob.

Ntsiav tshuaj los yog muab kauv?

Muab Kauv los yog hormone tshuaj - uas ntawm cov contraceptive txoj kev xaiv? Yuav kom teb tau lo lus nug no yog ib qhov nyuaj, vim txhua txhua tus hais txoj kev nws muaj nws tus kheej zoo thiab disadvantages. Txawm li cas los, feem ntau cov neeg mob yuav xaiv thawj kev xaiv. Qhov no yog vim yam nram qab no:

• cia siab rau thiab efficiency ntawm lub helix yog 99%;
• xws li ib tug ntaus ntawv tsis tau txhua txhua hnub saib xyuas;
• muab kauv Duration (txog 5 xyoos);
• tom qab IUD tshem tawm fertility yog rov qab los sai sai heev.

Nrog hais txog qhov ncauj kab mob, feem ntau lawv tsis yog siv vim hais tias ntawm tus tau koj qhov hnyav nce thiab cov kev loj hlob ntawm cov teeb meem mob.