Ukukhulelwa ngokukhawuleza - iindlela ezisetyenziselwa ukuthintela ukukhulelwa emva kokuba unesondo esingakhuselekanga. Injongo yokukhulelwa kwangemva kokuzalwa komzimba kukukhusela ukukhulelwa okungenakulungiswa emva kokulala kwingozi kwinqanaba lokuvuthwa, ukukhulelwa, ukufakelwa kweqanda. Indlela efanelekileyo kakhulu yokukhulelwa kwexesha eliphuthumayo kukusetyenziswa kwamacwecwe e-hormonal, indlela yokwenza isiseko esekelwe kwimveliso ephakathi kwemilinganiselo emikhulu yeehommoni ukwenzela ukuba ulandelelanise ukuguqulwa kwezinto eziqhelekileyo kwimijikelezo yesimo somzimba. Ukucetywa kwexesha elilodwa kunconywa njengokukhusela ngokukhulelwa kunye nexesha elilodwa elingathintelwayo, alukwazi ukusetyenziswa ngokuqhubekayo ukukhusela ngenxa yokunyaniseka kokubeleka okuphantsi.
Ukukhulelwa kokukhawuleza: izibonakaliso
- ukungabikho kweminye imithwalo yokukhulelwa ngexesha lokwabelana ngesondo (iinkcukacha ezongezelelweyo malunga nokukhulelwa komzimba zingafundwa apha );
- udlame ngokwesondo;
- Ukusetyenziswa okungafanelekanga kwenkqubo yokukhulelwa kokucwangciswa;
- ukubetha / ukuchithwa kwekhondom;
- ukuxothwa kwe-ectopic spiral;
- I-progestin OK iyamkelwe ngokulibaziseka kweeyure ezingama-3-5;
- ukuchithwa okungaphelelwanga kwe-spermicide (isiponongo, i-suppository, ithebhulethi) ngaphambi kokuqaliswa koqhagamshelwano.
Ukungqinelana:
- ukunyamezela komntu kumacandelo / icandelo leziyobisi;
- ukukhubazeka okukhulu;
- ubudala ukuya kwiminyaka eyi-16, ukuqala kokukhulelwa.
Ukulungelelanisa ukukhulelwa kamsinya kwabasetyhini
Postinor
Ukukhulelwa kwe-hormonal emva kokuba isenzo sichaze iipropati ze-anti-estrogenic kunye ne-gestagenic. Inqanda i-ovulation, iguqula i-endometrium, inqanda ukuqaliswa kweqanda elichumisiweyo, landisa i-viscosity ye-mucus yomlomo, inqanda intuthuko ye-spermatozoa. Ukunyaniseka kokukhulelwa: kwiiyure ezingama-24 zokuqala phakathi kwesondo kunye nokwamkelwa kwe-Postinor - 94-96%, iiyure ezingama-24-48-80-85%, ii-48-72 iiyure - 50-55%.
Imiyalelo yokusetyenziswa
Ukuthatha i-Postinor enye yokukhulelwa kwisilinganisi se-750 mcg (1 tablet) ngexesha lokuqala iiyure ezingama-48 emva kokucubungula, emva kweeyure eziyi-12 zithatha enye i-750 mcg yesilwanyana. Ikhosi enye iipilisi ezimbini. Ukuba ukuhlanza kwenzeka kwimvelaphi yokwamkelwa, phinda uthathe iipilisi. I-Postinor ingasetyenziselwa nawuphi na umhla womjikelo. Akukho kuvunyelwa ukusebenzisa imithwalo yokukhusela njengendlela yokukhusela okuqhubekayo-oku kubangela ukwanda kweempendulo ezimbi kunye nokunciphisa ukusebenza.
Ukungqinelana:
- ixesha lokulahlwa, ukukhulelwa;
- izifo ezinzima ze-bile neduct nesibindi;
- ukuphuma ngegazi lomthombo wesimo esingaziwa;
- i-hypersensitive to the ingredients of the drug;
- i-vein / arterial thrombosis, imbali ye-thromboembolism;
- ixesha lokusasa (ukuchasana kwesiqhelo);
- ukulibaziseka kwimihla.
Impembelelo esecaleni:
ukuzondwa, ukukhathala, ukuvavanya kwintlungu, ukuphuma kwamanzi, ukurhoxisa, ukuhlanza, isisulu.
Ubaleke
Ukulungiswa kwe-gestagen ye-postcoital impar Unokutshintsha i-endometrium, ukukhusela i-ovulation. Akukusebenzisanga nokufakelwa kweqanda elikhulelweyo. Ukunyaniseka kokukhusela kwe-Escapel: kwiiyure ezingama-24 zokuqala emva kokulalana - 94-95%, iiyure ezingama-24-48-80-85%, ii-48-72 iiyure - 55-57%. Kwimilinganiselo ephakanyisiweyo ayichaphazeli imetabolism ye-carbohydrates / amafutha, i-blood coagulability.
Imiyalelo yokusetyenziswa
Thatha i-tablet ye-1 (1.5 mg) ngaphakathi kweeyure ezingama-72 emva kokuqhagamshelana okungakhuselekanga. Ukuba ukuhlanza kwenzeka ngaphakathi kweeyure ezingama-3-4 emva kokungena, thabatha ithebhulethi enye. Kuvunyelwe ukuthatha isithintelo sokukhulelwa kweso nawuphi na umjikelo.
Ukungqinelana:
- ukunyanzelwana komntu kumacandelo esilwayo;
- ukhulelwe, uneminyaka eyi-16 ubudala;
- ukungabikho kwe-lactase, i-glucose-galactose malabsorption;
- isifo esiqinileyo sesibindi.
Impembelelo esecaleni:
intloko, isisu, isifo sohudo, ukuhlanza, iintlungu zesisu, ukulibazisa ukuya esikhathini, ukuphuma kwamanzi.
IMirena
Iipilisi zokukhulelwa ngokukhawuleza kunye nomxholo wesigcawu. Zihluke kwiipropati ze-anti-estrogenic kunye ne-gestagenic, zivimbela i-ovulation, zitshintshe i-endometrium, inqanda ukutshalwa kweqanda elichumayo. Ngokunyusa i-viscosity yemfihlo yomlomo wesibeleko, inkqubela ye-spermatozoa imisiwe. Ukuthembeka kokukhulelwa ngokusetyenziswa ngexesha elifanelekileyo ku-90-95%.
Imiyalelo yokusetyenziswa
Thatha i-tablet ye-1 (0.75 μg) emva kokuqhagamshelana ngesondo ngeeyure ezingama-48, emva kweeyure eziyi-12 uthathe enye ipilisi. Umda: akukho macwecwe amane kwiintsuku ezingama-30. Ukuba ukuhlanza kwenzeka kwimvelaphi yokwamkela iMirena, phinda uthathe iipilisi. Kwimeko yegazi elinamandla lokuphuma igazi, ukuhlolwa kwezilwanyana kuboniswa.
Ukungqinelana:
- isifo esinzima sephepha lebhiliyali / isibindi;
- ukunganyanzeliseki;
- ixesha lokusasa;
- i-jaundice e-anamnesis, ecinga ukuba ukhulelwe.
Impembelelo esecaleni:
isicongconi, ukuphuma kwamanzi ngaphakathi, i-dysmenorrhea.
Kubalulekile: iipilisi zokukhusela eziphuthumayo zikhusela ukukhulelwa iintsuku ezingama-5, zidlulayo ukusuka kumxheshana woqhagamshelwano lwabesifazane kuze kufike umzuzu wokukhulelwa. Akunakuyingozi umbungu okhulayo kwaye uphazamise ukuqala kokukhulelwa.