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.