Emva kweminyaka engama-35
Kwiminyaka eyi-35-39, inkqubo yokuzala inzala iqala ukuphela. Ama-ovane anciphisa ukuveliswa kweprogesterone kunye ne-estrogen, ukwandisa umngcipheko we-thrombosis kunye nezifo zengqondo, ukwandisa izifo ezingapheliyo, ngoko ke ukukhulelwa komlomo kufanele kube nokholo, ukhuselekile, kunye neyona mininzi yemiphumo kunye neprofayili yokubekezela. Kule minyaka, kulungele ukuthatha ii-COC zedo ephantsi ( Yarina , Lindineth , Janine ). Ukongeza kwindlela yokwenziwa kwiprofayili, ukudibanisa imithi yomzimba edibeneyo yokunciphisa i-frequency of uterine bleeding ebangelwa yi-adenomyosis kunye ne-myoma ye-uterine, inqanda ukuphuhliswa kwe-osteoporosis, ukunciphisa ukunyanzelwa kwe-insulin.
Emva kweminyaka engama-40-45
Ubunokwenzeka bokukhulelwa kwiminyaka engama-40-45 kuphela ngu-10% kuphela, kutheni ukukhulelwa kubaluleke kangaka kule minyaka? Ngokwezibalo, i-25-30% yabasetyhini kweli nqanaba elidala linomyinge wokujikeleza kwexesha kunye nokukhulelwa, kwaye ukukhulelwa ngokukhawuleza kunye nokuphakama okuphezulu kuya kuba nekhondo le patholotiki elibangelwa ukungabikho komntwana ongaphantsi komntwana. Ukuphazamiseka kwezonyango zokukhulelwa kunokukhokelela ekuveleni kwe-climacteric syndrome kwaye ibe yimvelaphi yokuphuhliswa kwe-oncology yamalungu omzimba. Ukusetyenziswa kwee-COC kwiminyaka engama-40 ukuya kuma-40 kunqunyanyiswe yimimiselo ethile: i-ovulation yexesha elifanelekileyo kufuneka iphawulwe, iimpawu zemijikelezo kufuneka zitshintshwe (ukukhawuleza kwexesha, ukunciphisa).
Indlela yokukhulelwa emva kweminyaka engama-40-45:
- Abesetyhini abaneminyaka engama-40-45 ubudala kunye nokuya esikhathini sokuqala, bangathatha i-COC encinci, baze bahlangabezane ngokupheleleyo neendlela zokusetyenziswa kwazo akuchaswanga kubafazi emva kweminyaka engama-35. Iingenelo: ukuhamba kwimihla ngemihla, ukukhuselwa kwezicubu zethambo, unyango kunye nokukhusela iimpawu ze-urogenital;
- abafazi abaneminyaka engama-40-45 ubudala kunye ne-periodic ovulation ngokumalunga nemvelaphi ye-PMS eyaziwayo, ukuphuma kwintsholongwane engavumelekanga, ukuphuma kwinyanga ukuya kuthatha i-COC ngaphandle kokubonisana nodokotela wezifo. Ingcali kufuneka ihlolisise umngcipheko wokuthabatha i-hormonal contraceptive, kwaye, ukuba kuyimfuneko, unike i-hormone yonyango yokuguqula.
Amalungiselelo okuphuculwa kwendlela yokukhusela i- LINDINET , UJESU uyanyamezeleka , unikezele i-100% yempembelelo yokukhulelwa komzimba, ayeke ukubonakaliswa kwexesha lokuyeka umyeni, kukuthintela umdlavuza we-endometrial, i-ovaries, uterus. Ukungabikho komngcipheko we-thrombosis, ukukhuluphala kunye ne-cardiovascular pathologies, abangabhemiyo bangawasebenzisa kuze kube yiminyaka engama-50.
Emva kweminyaka engama-50 kunye nokuyeka umva
Abasetyhini ngexesha lokuphela kwexesha kunye nexesha lokubeleka ngokukhawuleza basemngciphekweni wokukhulelwa, umsebenzi wezabasebenzi ngokuqhelekileyo uthatha inxamnye nemvelaphi yokukhubazeka okungapheliyo, okuyi-10-15% yamatyala ekuphela kokufa komntwana kunye nokubeleka komama. Yingakho ukhetho olufanelekileyo lwe-contraception emva kweminyaka engama-50, ngokubonelela ngobomi besondo ngokuqhelekileyo yimeko ebalulekileyo. Iiproductive zeHormonal kufuneka zijongane nemisebenzi emininzi: ukubonelela ngokukhusela okungaqinisekiyo nokukhulelwa okungafunekiyo, ukufumana iimpawu zokukhusela nokukhusela. Ii-COCs (gestagen + estrogen) zidibana nazo zonke iimfuneko ezifunekayo zokukhulelwa kwabafazi emva kweminyaka engama-50. Zithembeke, zinciphise iimpawu zokunqamuka kwesikhashana, aziphazamisi iinkqubo zokuxilonga, ukuphelisa intlungu yomsindo, ukulawula umjikelezo wokuya esikhathini, ukucotha ukuguga komzimba wesetyhini.
Umbuzo wokumisa i-COC ekupheleni komntu uya kugqitywa ngabanye. Umyinge weminyaka yokuqala kokumelana nentsholongwane yiminyaka eyi-51, iingcali zincoma ukuthatha i-hormonal contraceptives ngaphakathi konyaka emva kokuya esikhathini, kwaye ke uyeke ukusebenzisa i-COC kwaye uqale unyango lwendawo.