Hormone zononoka: siyana, contraindications

Pamuviri - refu-akamirirwa nguva yokuti vakadzi vazhinji. Zvisinei, pane mamiriro ezvinhu kana kuberekwa ari kunonoka kwenguva refu. Izvi zvingava nokuda kwezvimwe zvikonzero.

Kudzivirira pamuviri uye kudzivisa ichi chisingafadzi uye tsika dzinobvumira chipatara chinobatsira nharo maitirwo ezvinhu akadai pamuviri, vakawanda naka pabonde vanoshandisa nzira dzakasiyana. Vakadzi Most vanoramba kugamuchira mushonga nemumuromo, dzichishandisa chokwadi kuti hadzibatsiri, uyewo inokanganisa utano hwavo uye nhamba. Naizvozvo, vazhinji vavo kupa zvinodiwa zvavo kune anonzi intrauterine mudziyo.

tsananguro

Intrauterine pamuviri kudanwa, inova mudziyo yakagadzirwa epurasitiki uye mhangura zvidiki. Kombiyuta DZEMUNHU DZINODZORA mberi dzisingaoneki kupinda dumbu, uyewo kuderedza zvikuru lifespan ari zai.

Tinofanira kuonawo kuti intrauterine mudziyo anokwanisa yokudzivirirwa kuda kuti kare zai kuti uterine rusvingo. Saka, rinomiririra zvimwe abortive pamuviri nzira.

Dzakasiyana-siyana spirals

Achitaura pamusoro loop, zvinofanira kutaurwa kuti kunze zvatinosiita Fixtures, pane zvinoitika mumuviri wavo zvinoitawo. Ndezvipi? Hormone zononoka - rakasiyana analogs pamusoro kwakajairika intrauterine zvivako. Zvisinei, vane chaiwo purasitiki humburumbira, chine kemikari inonzi levonorgestrel.

Maererano nenyanzvi, kemikari zononoka yakavimbika zvikuru. Izvi imhaka yokuti kuwedzera kunoita "yokumwe muviri" iri dumbu, vane zvakananga pamuviri mugumisiro riri rakafanana piritsi.

Kuti zvokuita?

Hormone zononoka anoshanda uri nyore musimboti. Levonorgestrel huri maari ose zuva uye anomira panze zvakaenzana kubva mudziyo yaidzivirira madzimai vasave nepamuviri pasingadiwi. Panguva iyoyowo haana kuwana kemikari kupinda systemic riparadzirwe. Naizvozvo, hormone spirals regai kukonzera nenjodzi kwese kunoitika nguva dzose yokuronga mapiritsi (semuenzaniso, kuda kurutsa, kufuta, etc.).

Mamiriro uye zvinhu

Hormone zononoka vakadzi yakavimbika kudzivirira pamuviri pasingadiwi. mudziyo uyu une:

• chinjikira tefa hanger;
• gormonsoderzhaschego humburumbira;
• zononoka shinda kuti kubviswa.

Zvinofanira kucherechedzwa kuti, senguva zononoka hormone maumbirwo anovamba chete gayinakorojisiti. Panyaya iyi, nyanzvi vanofanira kunyevera kuti akapfeka mudziyo yakadaro kungava regai anopfuura mashanu nemakore.

Hormone zononoka: Types

Nhasi, pane mhando mbiri hormone nhumbu mazano:

• "Mirena" (German production);
• "Levonova" (kugadzirwa French).

The chinozikamwa kwakadaro namano? Izvi ichakurukurwa zvino.

"Mirena"

Chii hormone zononoka? "Mirena" - kupfuura mukurumbira pamuviri intrauterine kugadzira. ayo kusunungurwa yevanhu vanoshingaira fuma iri 20 MG / zuva.

Akadaro hurongwa kwete chete anosunungura levonorgestrel, asi anewo munharaunda gestagenic chiito. Kana uchishandisa zononoka ichi chakaratidza morphological kuchinja endometrial mucosa uye thickening pamusoro remuromo mugero. Migumisiro izvi pave kudzivisa kupinda kuti urume mukati dumbu. Uyezve, vamwe naka pabonde kunyange kudzvinyirira kuti ovulation kunoitika.

Kushandiswa "Mirena" haana kumbochinja dzokubereka kushanda vakadzi. Vanenge 80% vanhu vanoda kuva mwana, pamuviri kunoitika mukati gore rimwe pashure kubviswa chacho.

Ine zononoka

Hormone zononoka pamwe endometriosis rinoshandiswa kakawanda. Uyewo "MIRENA" iri vakabudirira kushandiswa pakurapa idiopathic menorrhagia, extragenital zvirwere, uye zvinhu zviri pamwe zvikuru anticoagulation.

In mwedzi kushandiswa mudziyo ichi pakutanga, murwere anogona kuona kusvibisa. Izvi zvinoitika nokuda kokumanikidza endometrial kuwanda.

umboo

Spiral "Mirena" rakashandiswa zvinotevera nyaya:

• pamuviri yakavimbika;
• idiopathic menorrhagia;
• nokuti kudzivirira endometrial hyperplasia isiri yekenza mukufamba inonzi estrogen yokutsiva mishonga.

Contraindications

In chisingaperi chirwere, kuvapo chirwere chakakomba, malignancy kushandiswa zononoka "Mirena" unofanira kubvumirana nyanzvi.

Zvimwe contraindications pakushandisa mudziyo ichi zvinosanganisira zvinotevera:

• Pamuviri uye vanofungidzirwa nayo;
• hypersensitivity kuti zvinhu zvinoreva;
• mamiriro dzakakwirira susceptibility kuti chirwere;
• postpartum endometritis ;
• thrombosis pakati mutsinga ari makumbo (kusanganisira kuvapo kare) rakadzika;
• nyanyisa mapundu pamusoro cervix uye dumbu;
• kare vakaperekedza kurapa nokuda kenza yemazamu;
• remuromo dysplasia;
• Pelvic chirwere (anogumbura);
• Urinary turakiti noutachiona;
• uterine abnormalities (vachiberekwa kana vawana);
• cervicitis;
• pamuviri (septic) mumakore 3 months;
• uterine ropa pamusoro asingazivikanwi mavambo;
• chenjera chiropa chirwere, kusanganisira kenza.

Dosing

Nyaya mudziyo unoshandiswa sezvinotevera:

• Pamuviri vakadzi (Kubereka vana makore) coils akasiyira kwevhiki kubva kutanga kuenda kumwedzi. Muchiitiko chino, izvozvo zvinogona kutsiviwa mutsva intrauterine chakagadzirwa chero zuva kutenderera. Uyewo, mudziyo uyu anogona kuiswa pakarepo pashure pamuviri vari trimester akazvitakura rokutanga.
• Kuti adzivirire endometrium panguva inonzi estrogen yokutsiva kurapa pavarwere hadzi pamwe amenorrhea zononoka dzinogona kusumwa chero nguva. Kana vakadzi akachengetedzwa kumwedzi, ivo Installation iri munzvimbo okupedzisira kumwedzi.
• Pashure pokuberekwa, zononoka kutaurwa chete pashure uterine involution kunoitika, asi kwete kwokutanga pane 6 mavhiki. Munguva kwenguva refu subinvolution anofanira dzadzimwa postpartum endometritis uyewo kunonoka kugadzwa kuvakwa mhinduro (kusvikira involution zvakakwana). Kana sumo kwakaoma, kana kwazvo kurwadziwa, kubuda ropa pamberi uye pashure kurapwa zvakakodzera kuti kuitisa Ultrasound kunzvenga perforation.

"Levonova"

Intrauterine "Levonova" rine 52 MG ose levonorgestrel. Uyu yakavimbika pamuviri. Its kushingaira fuma ine yakananga omunharaunda zvainoita endometrium, achidzikisa ayo muchibereko nerevane uyewo kune fallopian sepombi uye viscosity pakati madzihwa ari cervix. ehupfumi izvi kuwedzera mudziyo kunyatsoshanda uye nguva zononoka kushandiswa pasina kudzvanyirira ovulation.

chokushandisa ichi zvinofanira kusumwa pazuva 4-5 zuva fung kumwedzi. Kana waita pamuviri, kuti zononoka unoiswa pakarepo kana mushure inotevera yekutevera. In nyore vaingoerekana Delivery chivako pamwe mahormone zviri zvinodiwa kushandisa haidereri pane mavhiki matanhatu.

Hormone zononoka: contraindications uye nemishonga

Zononoka "Levonova" iri contraindicated mu:

• chenjera uye subacute inflammations nechitarisiko uye munyika sikarudzi;
• pamuviri;
• metrorrhagia kuti asingazivikanwi mavambo;
• muviri nyanyisa namamota uye gomarara;
• salpingoofarite uye chisingaperi endometritis;
• kuberekwa muviri anomalies uye gomarara;
• kukurwa kwevhu;
• ectopic pamuviri munhau.

Vaiona kemikari zononoka uterine myoma haisi kushandiswa. Uyezve, hapana chigaro vakadzi nulliparous.

Mukutanga mumwedzi kushandiswa iri mudziyo kungaita intermenstrual ropa, kuda kurutsa, zvirwere kumwedzi, mastalgia, Urume chengetedzo, kutemwa nomusoro, uye mburwa.

chaizvo kurumbidza

Structure loop "Levonova" rinopa kemikari kusunungurwa yevanhu 20 ug / zuva. Kururama kwemashoko mudziyo uyu 5 makore. Pashure achibvisa okubereka basa revakadzi kufefemuka nokukurumidza uye zvakanaka.

The turusi haafaniri ingashandiswa paanenge achiyamwa. Izvi imhaka yokuti LNG anokwanisa kupinda mu zamu mukaka. Kana kuramba uye refu intermenstrual ropa kunoda mamwe kuongororwa gynecological kuzosimbisa zviratidzo.

Mahwendefa kana zononoka?

Zononoka kana kemikari mapiritsi - ndeupi pamuviri nzira izvi kusarudza? Kuti tipindure mubvunzo uyu kwakaoma, sezvo nechimwe akapa nzira ine mikana ayo uye nekuipira. Zvisinei, varwere vakawanda vanosarudzwa pfungwa yokutanga. Izvi imhaka zvinhu zvinotevera:

• Kuvimbika uye kunyatsoshanda pamusoro akamonyoroka ndiyo 99%;
• zano rakadaro haatarisiri zvichiongororwa daily;
• zononoka Duration (makore anenge 5);
• pashure loop Kubviswa kubereka anodzorerwa nokukurumidza chaizvo.

Panyaya nemumuromo vamiririri, kazhinji hazvina kushandiswa nokuda inobvira kufuta uye kukura zvoutano.