Indlela yokuzikhusela ngexesha lesondo kunye nezifo ezahlukahlukeneyo

Kwindoda enempilo, umngcipheko ophathelene nokufakelwa komlomo nge-contraceptive ye-hormonal ayiyona nto. Enyanisweni, ngaphandle kokuba akabheyi umsila, kuba ukuthatha iipilisi kunye nokubhema kunandisa ingozi yesifo senhliziyo kunye nemithambo yegazi.

Ngelishwa, izinto zifani nabasetyhini abanezifo ezingapheliyo. Uluhlu lwezifo ezifuna ukuvavanywa ngokucophelela ekukhethweni kwe-contraception lide ngokwaneleyo. Izifo eziqhelekileyo eziqhelekileyo ezijamelana nabasetyhini zibandakanya uxinzelelo lwegazi, isifo sikashukela kunye neengxaki zemethambo. Ziziphi iindlela ezicetyiswayo zokukhulelwa kokukhulelwa? Ngendlela yokuzikhusela ngexesha lesini kunye nezifo ezahlukahlukeneyo, kwaye ziya kuxutyushwa ngezantsi.

U xinzelelo

Kubasetyhini abanomfutho wegazi ophezulu, iipilisi ezikhuselekileyo ezine-estrogen kuphela. Olunye uhlobo luyi-intrauterine spirals. Kutheni? Ngolu hlobo lulandelayo kwi-observation, i-estrogen kumalungiselelo amancinci ukwandisa uxinzelelo lwe-arterial. Nangona ezi zixabiso zincinci (ii-mm Hg), ezingabalulekanga kubantu abaphilileyo, kwimeko yengozi yomshukela ophezulu, nokuba "gxuma" kunokuba ngumngcipheko wempilo.

Okokuqala kukho isongelo sengozi kunye nesifo senhliziyo. Xa uthatha i-contraceptive, yandisa amaxesha amaninzi! Namhlanje, oogqirha baninzi bafuna ukuba kwimeko yokunyuka kwengcinezelo yegazi, ukukhulelwa kwe-hormonal akufanele isetyenziswe nonke. Ngoku kukho iindlela ezintsha zokuqhawula ngokuqhaqhaqhaqhaqhaqhaqhaqha. Ukusetyenziswa kwezi ziyobisi akuphuli izinga elizinzileyo loxinzelelo lwegazi.

Ukujonga ukuba usemngciphekweni, kufuneka ulinganise uxinzelelo lwegazi kathathu ngosuku. Ukongeza, tyelela ugqirha wakho ubuncinane kanye ngenyanga. Ukuba emva kwesigamu sonyaka awuyi kukhutshwa ukuxilongwa, uxolo, ngoko unokuzikhusela ngexesha lesondo kunye neepilisi ze-hormonal eziqhelekileyo.

Sikashukela

Amalungiselelo aqukethe i-estrogen kunye ne-progestin nayo ibonisa umngcipheko wabashukela besifo sikashukela, njengoko kubangela ukwanda kwe-glucose kunye namazinga e-insulini egazini. Sebenzisa kuphela amacwecwe e-dose aphantsi nge-20 mcg. kuvunyelwe, kodwa phantsi kolawulo oluqhubekayo logqirha (kanye ngenyanga). Kwaye kuphela kwala mabhinqa abaneengxaki zesifo sikashukela, kodwa abaneminyaka engaphezu kwe-20 ubudala kwaye abanalo ezinye izifo kunye nemithambo yegazi ehamba phambili, kunokwenzeka ukuba kuthathe i-contraceptive rhoqo. .

Cholesterol ephezulu

Amachiza amatsha ane-gestagen kunye ne-estrogen yemvelo (i-estradiol valerate), avulwe ithuba lokusebenzisa izithintelo zomlomo kwizifo ezahlukahlukeneyo, kubandakanywa namazinga okwanda kwe-cholesterol egazini. Ezi macwecwe zisebenza nje ngeyeza - zithuthukise iiparitha zamatye egazini. Zonke ezinye iipilisi ziqukethe i-ethinyl estradiol, eyenza ukwandisa i-cholesterol "embi" kwaye inciphisa izinga "elungileyo".

Ukugqithisa

Ithebhulethi ye-hormone esezingeni elihle yenzelwe ibhinqa elingama-50-70 kg. Kubafazi abanobunzima obukhulu, iimveliso eziqhelekileyo zokulawulwa kokuzalwa akuvumelekanga ukuba i-100% iphumelele ngenxa yeqondo eliphantsi kakhulu le-estrogen kunye neprogesin nge kilogram yesisindo. Kula mabhinqa, isixhobo se-intrauterine siya kusebenza ngakumbi. Izindlela zengingqi azixhomekeke kwisisindo somzimba kunye nemetabolism.

Ngubani ongafanelanga ukuthatha iziyobisi ze-hormonal

Izifo ezinzulu zokugaya, ezifana ne-gallstones, isisu kunye nezilonda zamadayim, zingangxakini phantsi kweempembelelo zamacwecwe. Kule meko, bacetyiswa ezinye iindlela zokukhusela ngexesha lesini. Umzekelo, iilmoni ze-hormonal, i-spiral, iikhondom.

Ngezifo ezinjenge-stroke kunye nokungasebenzi kwesifo se-thyroid akukho mingcele ekuthatheni ama-hormone, kuba ayichaphazeli ukukhushulwa kwesi sifo.

Kubasetyhini abaneentliziyo zesifo senhliziyo, i-thromboembolism (emva kokuhlinzwa kwamathambo), i-atherosclerosis, ukungaphumeleli kwintliziyo, okanye izifo zesifo se-cerebrovascular, ukuthatha iipilisi nge-estrogen kuyingozi. Oku kunokukhawulezisa ukutshintsha kweentsholongwane kwiindonga zemithambo yegazi. Ukusetyenziswa kwe-estrogen kunokunyusa i-migraines, njengoko inciphisa imithwalo yegazi yengqondo: nokuba isifo siza kubangela. Ngako-ke abafazi kwindawo yengozi baxutywa izidakamizwa eziqulethe i-gestagen kuphela.

Ukutshatyalaliswa kokutshatyalaliswa kwe-hormonal kuvunywa ngokupheleleyo ngabo bonke abasetyhini abaneengxaki ze-hepatitis C, njengama-hormone-kungakhathaliseki ukuba yintoni imvelo yabo-bahlala benika umthwalo kwiqumrhu elonakalisiweyo. Ukukhuselwa xa izifo zesibindi zicetyiswa ukuba zisebenzise iindlela zokukhawulela, njengendandatho yesisu kunye nekhondom.