Yuav ua li cas yog lub paum nplhaib? Daim ntawv thov thiab kev txheeb xyuas

Muaj ntau ntau txoj kev pov, yus muaj los ntawm txawv degrees ntawm kev ntseeg. Ib txoj kev uas yuav tiv thaiv kom txhob pliaj conception - lub paum nplhaib.

Nws yog ib tug niaj hnub, ib qho yooj yim-rau-siv, pheej yig, thiab tseem ceeb tshaj, zoo heev txoj kev.

Yuav ua li cas yog lub paum nplhaib?

Raws li lub npe paub licas hais, qhov no ntaus ntawv rau pov tsim nyob rau hauv ib lub nplhaib zoo nrog ib lub cheeb tsis tshaj 5.5 cm ntawm lub elastic hypoallergenic cov ntaub ntawv. Nws yog ib qho yooj yim khoov, zoo nws lees txais qhov tsim nyog daim ntawv no, thiab yuav muaj nws rau ib ntev lub sij hawm.

Contraceptive paum nplhaib comprises progesterone thiab cov tshuaj no npaj nyob rau hauv microdoses. Complex membrane system tswj lub qeeb, rau 21 hnub, qhov kev tso tawm ntawm cov tshuaj hormones, rau lub cev ntas (pom ib tug kho nyhuv. Hauv qab no) thiab tiv thaiv kom lub cev xeeb tub.

mechanism ntawm qhov kev txiav txim

Kev tshawb fawb thiab cov tswv yim daim ntawv sau npe tau qhia tias lub paum rings - ib tug txhim khu kev qha txoj kev pov. Nws cov hauj lwm zoo yog txawm siab tshaj nyob rau hauv uas zoo sib xws Kokova (neej coj qhov ncauj contraceptives: "Yaryna" "Marvelon" thiab al.).

Lub paum nplhaib ( "NuvaRing", piv txwv li) muaj nyob rau hauv nws muaj pes tsawg leeg etonogestrel thiab ethinyl estradiol, lub tsheb txhob sibtsoo kev tso tawm ntawm uas ua rau kom cov hluav ntawm ovulation, ua cov kev ceev ntawm hnoos qeev nyob rau hauv qhov chaw mos thiab lub ncauj tsev menyuam, uas impedes qhov kev kawm ntawm cov phev.

Lub paum nplhaib thiab niamntiav ib tug kho nyhuv, raws li normalizes cov tshuaj hormones, li no kev kho tej coj khaub mob zoo li irregularity thiab ce.

Indications rau kev siv ntawm lub paum rings

Ua tau, taw los ntawm lub paum rings nrog ib lub hom phiaj: tiv thaiv kom txhob pliaj cev xeeb tub. Txawm tias, raws li hais saum toj no, lawv kuj muaj ib tug kho nyhuv, tab sis nyob rau hauv thiaj li yuav kho lawv cov cev ntas yog tseem tsis tau siv. Qhov no yog vim lub fact tias cov nyhuv ntawm lub nplhaib yeej lub zos (ncaj qha mus rau hauv lub qhov chaw mos), thiab rau cov kev kho mob voj voog yuav tsum tau mauj raug cov tshuaj hormones. Yog li, lub kho nyhuv ntawm daim ntawv thov ntawm ib tug pojniam lub nplhaib yog ib sab nyhuv, txawm pab tau.

Puas muaj tej contraindications?

Paum rings, raws li nrog rau tej tshuaj, tsis haum rau tag nrho cov. Lawv yuav siv tsis tau nyob rau hauv cov nram no tej yam kev mob:

1. Npau taws me ntsis rau lub Cheebtsam muaj nyob rau hauv lub nplhaib (tsis haum tshuaj).
2. Thrombosis (ob venous thiab arterial). Tag nrho cov kev npaj ntawm kev sib deev cov tshuaj hormones txhaum no tsis muaj peev xwm: nce ntshav viscosity, rau kev raug mob ntawm txoj kev ntshav txhaws. Nyob rau hauv lub paum rings vim nws feem ntau lub zos los, qhov no nyhuv yog negligible.
3. Hormonal mob: rog (metabolic syndrome).
4. Mob ntshav qab zib mellitus (txij li thaum lub tom kawg yog nrog los ntawm teeb meem ntawm microcirculation, thiab cov tshuaj uas ua tau lub paum nplhaib, txhawb thrombus tsim ntxiv degrades cov ntshav mov).
5. Kab mob ntawm cov digestive system: pancreatitis, kab mob siab.
6. Tumor (ob phem thiab benign), tshwj xeeb tshaj yog hormone-dependent hlav.
7. Cev xeeb tub thiab lactation.
8. Uterine los ntshav ntawm tsis paub hais tias keeb kwm.

Yuav kom siv tau cov paum nplhaib yuav tsum tau kho nrog ceev faj nyob rau hauv lub omission ntawm cov pelvic kabmob.

Tseem Ceeb! Ib tug yob ntawm lub tsev menyuam siv tshwj xeeb pessaries (pessaries). Yam lawv nrog contraceptive paum nplhaib yuav tsum tsis txhob yuav.

Nyob rau hauv tas li ntawd, lawv tsis siv nyob rau hauv cov nram no mob:

1. Thrombophlebitis (saib para. Ntawm thrombosis).
2. Anemia.
3. Daj ntseg.
4. Cholelithiasis.
5. Pathology ntawm valvular.

phiv

Raws li hais saum toj no, lub paum nplhaib muaj ib tug feem ntau lub zos nyhuv, yog li ntawd, nyob rau hauv sib piv rau lub tib tse, undesirable los tau tsis yog li ntawd cov lus hais.

1. Los txuam nrog qhov kev txiav txim ntawm cov tshuaj hormones nyob rau hauv lub nplhaib: engorgement, acyclic los ntshav, qhuav paum mucosa, "yaug kais dej" thiab lwm tus neeg.
2. Kev tsis haum tshuaj.
3. Qhov chaw mos mob, thiab cystitis (feem ntau yog txuam nrog impaired sterility thaum nkag tau rau hauv qhov chaw mos los nplhaib).
4. Mob taub hau.
5. Cem quav, ntuav.
6. Kev nyuaj siab.

Yuav ua li cas siv lub paum nplhaib?

Nplhaib muab mus rau hauv qhov chaw mos los li nram no raws li qhov tshwm sim tom ntej no poj niam (thawj hnub ntawm los ntshav). Ib tug poj niam yuav ua li cas koj tus kheej nyob rau hauv ib tug xis txoj hauj lwm rau nws. Lub nplhaib ntiv tes yog compressed thiab nkag tau raws li heev li sai tau mus rau hauv qhov chaw mos. Txoj cai ntawm cov ntiv tes xoo: tsis txhob hnov qab mus ntxuav koj txhais tes!

Lub paum nplhaib yog teem rau ntawm 21 hnub, ces nws yuav tsum tau muab tshem tawm, thiab tom qab lub 7-hnub so rau nkag mus rau lub tshiab.

Yog hais tias lub nplhaib yog ntawd poob tawm thaum ntxov, nws yuav siv tau dua, tom qab ntxuav nrog sov boiled lub dej.

Yuav ua li cas cov poj niam hais li cas?

Cov neeg uas twb siv no txoj kev ntawm pov yog lub paum nplhaib, tawm hauv lub qhov txheeb xyuas feem ntau zoo.

Ntawm lub merits ntawm daim ntawv me sab los (vim purely zos los), yuav tsum tau mus qhia ib tug tshiab nplhaib ib zaug xwb ib lub hlis, ib tug kho nyhuv (eg, yuav txo tau ntawm mob ua poj niam), zoo pov, hla ntawm kev ua txhaum ntawm lub paum microflora thiab cov kab tsis kaj siab txim xws li Candidiasis (qhov ncauj tawm) , ovulation sai rov qab tom qab cessation ntawm kev siv.

Ntawm cov shortcomings: lub strangeness ntawm daim ntawv thov (tsis yog txhua tug poj niam muaj peev xwm nkag mus rau lub nplhaib nyob ib leeg, ib co muaj mus nrhiav kev pab los ntawm ib tug gynecologist), ib daim ntawv teev contraindications, qhov yuav tsum tau rau ntxiv barrier txoj kev (lub nplhaib tsis tiv thaiv kev sib deev kis kab mob los ntawm).

Nplhaib rau cov kev kho mob ntawm prolapse ntawm lub tsev me nyuam

Paum rings, thaum lub uterine prolapse tshuaj los ntawm ib tug kws kho mob, tsis yuav tsis meej pem nrog pov. Lawv yog ua los ntawm lwm yam ntaub ntawv (tsis yog li ntawd mos mos thiab elastic) thiab ua ib tug txawv kiag li muaj nuj nqi.

Ua rau qhovntsej thiaj tsis mob thiab prolapse ntawm lub tsev menyuam muaj ntau haiv neeg, heev thiab nyuab me nyuam, congenital anomalies ntawm qhov chaw mos nruab nrog cev thiab lawv ligaments, nce intra-plab siab (hernia, rog thiab lwm tus neeg.).

Feem ntau cov tsos mob yog: mob nyob rau hauv lub qis lub plab, ib tug kev xav ntawm ib tug txawv teb chaws lub cev nyob rau hauv lub qhov chaw mos, mob com, ib tug ua txhaum ntawm lub qhov quav thiab zis.

Lub ntsiab txoj kev kho mob (kuj hu ua qhov zoo tshaj) - phais.

Txawm li cas los, yog hais tias rau ib co yog vim li cas lub lag luam yog tsis tau, txais yuav ib tug conservative mus kom ze, xws li pessaries.

Lub paum nplhaib nrog deletion (pessary) - tshwj xeeb cuab tam, lub locking ncauj tsev me nyuam thiab ceev nws nyob rau hauv qhov tseeb txoj hauj lwm.

Hnav lub nplhaib yog tsim nyog rau ib tug ntev lub sij hawm, thiab chaw pib xws pliaj los xws li siab qhov ncauj tawm thiab qhov chaw mos mob. Txawm li cas los, txawm heev siv pessary tsis tau lees tias kev vam meej nyob rau hauv lub tam sim no txoj kev yog zoo tsuas lag luam.

PS paum rings yog siv yeeb tshuaj ua ntej yuav siv tas li ntawd, tham nrog ib tug tshwj xeeb.