Mishonga yekudzivirira pamuviri - ndeipi zviri nani kusarudza uye kuti unganwa sei?

Zvigadziriro zvine maitiro emakemikari evanhu vanoita zvepabonde ndeimwe yezvinobudirira uye zvemazuva ano nzira dzekudzivirira dzevakadzi. Kubudirira kwemari kubva pamuviri asingadiwi, kana yakashandiswa zvakanaka, inosvika 99-100%. Kubudirira kwemishonga yakadaro kunobva pakururama kwekusarudza kwavo.

Zviratidzo zvevakadzi - marudzi emahwendefa

Iko kune marudzi maviri emishonga pasi pekufungisisa, imwe neimwe ine zvayo yakasarudzwa. Mhando dzomumuromo yekudzivirira pamuviri:

1. Progestin (mini-drank). Kubudirira - inenge 95-96%, inoratidzwa nekuchengetedzwa kukuru.
2. Yakabatanidzwa (COC). Kubudirira - kusvika ku100%, kune zvinopesana, dzimwe nguva zvinokonzera kuipa kwemigumisiro.

Mini-saws

Zviratidzo zvepabonde muboka iri zvine zvishoma zvishoma zveprogesin pure (progestagen), iyo inoratidzika seanogue yehomoni inonzi progesterone (inobudiswa mumapapiro omukati). Muchiedza chemuviri neine minipill inorayirwa vakadzi vasingabvumirwi kutora COCs yakazara. Progestin zvinodhaka maitiro pamuviri mukuru, asi kudzivirira pakubata pamuviri usina kukodzera kuwedzera.

Inobatanidza mishonga yekudzivirira

Mhando yemishonga inotsanangurwa inosanganisira zvose maitiro ekugadzira progesterone uye analogue ye estrogen. Mishonga yakadaro yemishonga inogona kuva isina-, maviri- uye nhatu-ganhuro, zvichienderana neyero yehomoni. Nharaunda dzinoshanda nesimba rakakwana, dzinosvika 100%, asi hadzina kukodzera vakadzi vose. Zvine ngozi kuzvisarudzira zvakasununguka, chirongwa chekudzivirira mumuromo cheboka rakabatana chinogadziriswa nemumwe gynecologist.

Ko mapiritsi ekuberekwa anobata sei?

Iyo nzira yekudzivirira kubata pamuviri kweminiti yechipiri neCOC yakasiyana. Nheyo dzemitemo dzinotsanangura kuti mapiritsi epabonde ane progesin yakachena inoshanda sei:

1. Kugadzikana kwemasukisi pamuviri wechibereko. Izvi zvinodzivirira kutenderera kwehuta kuaii.
2. Kushandura mucosa (kuregererwa kwekudzivirira) kuvhara chibereko. Kunyangwe kana spermatozoon yakakwanisa 'kuputsa mukati' uye ichidiridza mazai, haigoni kuzvibatanidza.
3. Kutsiva kwekutengesa kwe fallopian tubes. Kazhinji, yei inofa isati yabereka, isati yasvika mucosa.

Zviratidzo zvepabonde zvehutano hwakabatanidzwa zvinobereka zvimwe zvakafanana, asi zvinowedzerawo zvinowanzoitika:

• Simbisa kusunungurwa kwehomori ye-follicle-stimulating uye luteinizing mumucheka wepituitary;
• chengetedza mabasa emaovha;
• kudzivirira kutanga kweivulation .

Zviratidzo zvepabonde - ndeupi wandinofanira kusarudza?

Kusarudzwa kwekudzivirira kubata pamuviri kunogadziriswa neGynecologist anokwanisa. Chero chiremba ane ruzivo anogona kupa chirongwa chekuberekwa kwepiritsi - izvo zviri nani kumudzimai chaiye, zvinotarirwa maererano nesarudzo yezvidzidzo:

• age;
• hormonal background;
• gwaro rezvemagariro-yehupenyu (kukura, nguva yekuenda kumwedzi, kusuruvara kwechipiri chepabonde uye mamwe maitiro);
• miitiro yakaipa;
• kutanga kuberekwa kana kubvisa pamuviri;
• kuisa shuga muropa;
• kuvapo kwezvirwere zvekuberekwa kwenyika uye endocrine pathologies;
• blood pressure level;
• kuwanda kwemuviri;
• ganda mamiriro;
• visual acuity;
• chiropa chinoshanda;
• ropa coagulation system inoshanda;
• kuvapo kweooplasms munhengo dzemadiki mapepa uye zvinyorwa zvemammary;
• zvepabonde.

Vakadzi vazhinji vanofananidzwa pamwe chete nemishonga yekuberekwa. Kana kusawirirana kune kushandiswa kwavo kunowanika, chiremba achakurudzira kusarudza imwe nzira yekudzivirira kubata pamuviri, somuenzaniso, magetsi (makondomu, intrauterine chipangizo), kana kushandisa mini-pili:

• Exluent;
• Charozette;
• Ovret;
• Continulin;
• Organometr uye zvakafanana.

Kubata kwepiritsi mapiritsi mushure mekuita

Iri boka remishonga inorayirwa mumatambudziko ari oga, apo zvakakosha kukanganisa pamuviri unotarisirwa nokukurumidza. Iyi mapiritsi emishonga inotorwa mushure mekushamwaridzana (pakarepo). Pakutanga kushandiswa kwemishonga ekudzivirira kwekukurumidza kunotanga, kunyanya kubudirira kuchava kushandiswa kwavo. Vanokurudzira rufu rweiyo inobereka (chimiro "micro-abortion").

Mushure mekupedzisira wePainor aifanira kugamuchirwa pashure kwemazuva maviri mushure mekudzivirira kusina kudzivirirwa, uye zviri nani - mumaawa mashomanana ekutanga. Mishonga yemazuva ano inoshanda zvakanyanya uye yakachengeteka, asi inoshanda. Zvakakosha kunwa mishonga yakadaro yemishonga mushure mekuita mukati me 3-4 mazuva:

• Wife;
• NorLevo;
• Escapel;
• Mifegin;
• ElEva uye zvakafanana.

Monophase COCs

Ichi chimiro chekuberekwa kwepiritsi ane mapurogiramu anogara aine progestogen uye estrogen mune imwe mapiritsi. Nhamba yehomoni yakatorwa haishanduki zvichienderana nenguva yekuenda kumwedzi. Kubatsirwa kworudzi rwekudzivirira pamuviri mubvunzo nderokuti:

• ine mari inodhura;
• universal;
• pamusana pemakore akawanda ehupenyu.

Mishonga yakanakisisa yekuberekwa kwepiritsi inobva muboka re-single-phase COCs inowanzotarisirwa kurapwa kwezvirwere zvakakomba zvezvirwere:

• uterine fibroids ;
• polycystic ovaries ;
• endometriosis nezvimwe zvirwere.

Yakakurumbira-imwe-phase yekuberekwa kwepiritsi mapiritsi - mazita:

• Inogona;
• Janine;
• Silhouette;
• Femoden;
• Anova and analogues.

Zvikamu zviviri zveCocs

Izvi zvakarongeka kuti zvienzanise huwandu hwehomoni dzakagadzirirwa kuhutano hwepanyama mumukadzikadzi panguva yekuenda kumwedzi. Muchipiritsi chepabonde chinotsanangurwa, chete kuongororwa kweesrogen hakuchinji. Nhamba yeprogesterone yakasiyana nehafu yekutanga neyechipiri yenguva.

Ipi mapiritsi emakemikari anobva muboka remapoka maviri anorayirwa nevadzidzisi vezvirwere:

• Femoston;
• Sequilar;
• Neo-Eunomine;
• Adepal;
• Bifazil nevamwe.

Zvikamu zvitatu zveCOCs

Muchikamu chimwe nechimwe chekugadzirira kwakadaro kune marudzi matatu emahwendefa ane zvakasiyana-siyana zvehomoni. Zvikamu zvitatu zveCOCs zvechizvarwa chekupedzisira zvinokonzerwa neyero yeprogesterone uye estrogen inofanana nekuchinja kwadzo kwepakati panguva dzenguva yekuenda kumwedzi (follicular, luteal, ovulation). Izvo zvinotaurwa nenzira yekudzivirira kubata pamuviri hazvigoni kuonekwa seine simba kupfuura yekare shanduro. Vamwe vakadzi vanofanirwa zvakanyanya kune mono- kana biphasic agents.

Ndeapi mapiritsi mapiritsi anofanira kutorwa (kubva muboka rinotsanangurwa):

• Milvanes;
• Vatatu-Mercy;
• Vatatu-Regol;
• Marvelon;
• Trisilete uye zvakafanana.

Nzira yekumwa mapiritsi ekuberekwa?

Zvose zvinonzwika zvekudzivirira pamuviri zvakashandiswa zvakafanana. Zvakakosha kuti kudya kwepiritsi yekuberekwa kwepiritsi kunonyatsoteerera mirayiridzo kwavari uye mazano emukadzi wegynecologist. Mitemo inokosha:

1. Piritsi inotanga inotorwa pazuva rokutanga rokutanga kwemwedzi.
2. Kubata pamuviri mapiritsi anofanira kudhakwa zuva rega rega. Kuti urege kukanganwa pamusoro payo, zviri nani kuchengeta paki munzvimbo apo mukadzi anowanzochera - chikwama chezvipfeko, gavhuna muimba yekugezera, pedyo negirazi.
3. Rimwe zuva tora mapiritsi 1, zvichida panguva inogara iripo.
4. Apo mahwendefa ari mumatombo apera (nhamba yavo iri 21-28 zvidimbu), tora nguva yemazuva manomwe. Muvhiki ino, pachava nekushayiwa ropa, semwedzi. Zvimwe chete ndeyechipiri-chepiri, vanofanira kudhakwa pasina kushungurudzika.

1. Pakupera kwemazuva manomwe, tanga zvakare kushandisa chirongwa chekudzivirira.
2. Kana pakarepo mushure mokutora mapiritsi, kurutsa kunowanikwa, unoda kunwa imwe zvakare. Mumaawa makumi maviri nemana, zvinokosha kuti kuwedzerwa kuchengetedzwa nekondomu .
3. Mukana wekushayikwa piritsi, zvinokurudzirwa kutora tablet yakatevera zvishoma zvishoma. Kushushikana muroti mumamiriro ezvinhu aya hazvibviri, kungowedzera kukanganisa kubata pamuviri kunokurudzirwa.
4. Paunenge uchishandisa mamwe mishonga yemarmonal inofanana, iva nechokwadi chekukurukura neyanyanzvi.

Kubvisa pamuviri mapiritsi - migumisiro

Zvose zvisina kunaka zvinowanzoitika zvinongororwa zvakagadzirwa kuva mapoka maviri - maduku uye akaoma. Hormonal contraceptive mapiritsi inokonzera izvi zvinotevera madhara madhara:

• nausea;
• kuora kwekudya;
• headaches;
• kuderedza chido chepabonde;
• kubuda kubva kumukadzi pakati pemwedzi;
• kurema kuwanda;
• chizoro;
• kunyunyuta kwemaodzanyemba;
• flatulence;
• chloasma;
• mapundu paganda;
• kuzvikudza uye unyoro hwezvipfuva;
• kukwana kusakwana kwekuenda kumwedzi;
• kuwedzera bvudzi bvudzi pamuviri;
• kazhinji thrush ;
• photosensitivity.

Dzimwe nguva mapiritsi ekuberekwa anoberekwa pamigumisiro yakakomba:

• hemicranium;
• migraine;
• fainting;
• kugumburwa kwemasayiti kubva mumunda wekuona, kuora kwekukwirira kwayo;
• glaucoma;
• urticaria;
• kuoma kutaura;
• matambudziko ane hutano hwehutano (kunyorova kwemanzi, expectoration ye-mucous sputum yakawanda, kuruya);
• kurwadziwa kwakanyanya mubhokisi;
• ropa rinokwira;
• thromboses;
• varicose veins;
• dambudziko rekudya;
• myalgia;
• jaundice;
• kukura kwe-cysts pamashizha;
• yakataurirwa uye inorwadza kuputika kwemakumbo munharaunda.

Zviratidzo zvepabonde - zvinopesana

Vamwe vakadzi vanorambidzwa zvachose kushandisa mazwi ekudzivirira kubata pamuviri. Munyaya yeCOCs, hazvibviri kunwa mapiritsi ekuberekwa ane HB (lactation), panguva yekuzvitakura uye kwemwedzi 1.5 shure kwokuberekwa. Zvimwe zvinopesana nemishonga inosanganiswa:

• cerebrovascular disease;
• chirwere chechiropa;
• herpes;
• Kusvuta, kunyanya pazera remakore makumi matatu neshanu;
• migraine yemusingazivikanwi;
• zvirwere zvepfungwa;
• kubuda kubva pamutsipa wechipfu;
• kuora kweiyo;
• hypertension 2-3 degrees;
• kuramba kusingaperi;
• kenza;
• kuwandisa (kudarika makumi matatu kubva kune makumi matatu);
• chirwere cheshuga mellitus;
• chirwere cheropa coagulation system;
• rheumatoid arthritis;
• thyrotoxicosis;
• bronchial asthma;
• Gilbert's syndrome;
• pigment retinitis nevamwe.

Paakabvunzwa kana zvichikwanisika kunwa mapiritsi ekuberekwa kwepabonde ne progesin yakachena munguva yeactation, vanachiremba vanopindura zvakanaka. Mini-mapiritsi haavi nemigumisiro pamukaka uye kazhinji ane zvishoma zvinopesana:

• ectopic pregnancy in anamnesis;
• oncology;
• chiropa chiropa;
• chirwere chemwoyo nemidziyo yeropa;
• Idiopathic vaginal bleeding.

Kurambidza kuberekwa kwepiritsi

Vanachiremba vanofambira mberi vanogona kupa chirongwa chekudzivirira pamuviri kwenguva yakareba, chakaverengwa mumakore nemakumi emakore. Kwemazuva mazhinji, kubereka kunogadzirisa kusvika pakuwana mahomoni kubva kunze, saka mushure mekuregererwa kwavo, kunogona kunge kuine mafungiro ehupenyu, kutadza kusagadzikana, kurwadziwa kwepamuviri uye zvimwe zviratidzo. Havana kukonzerwa nemishonga yekudzivirira kwemadzimai, asi kuburikidza nekudzoka kwemuviri kunoshanda kwepanyama uye kugadzirira kwehutano. Apo iyo hormonal inogadzirisa, zviratidzo zvakadaro zvichanyangarika pachavo.