Okwangoku, i-contraceptive ye-hormone yindlela efanelekileyo kakhulu yokukhusela, njengomgaqo, ukusuka ekukhulelweni okungafunekiyo - ngokwetafile yeParele, ngaphandle kokuba yonke imigaqo yesicelo ibonwa, i-index index is 99.9%. Kodwa abaninzi abafazi bayaziphepha ngenxa yenkcazelo ephikisanayo ngemiphumo yazo.
Imithi yokuqala yokukhulelwa (ngendlela yamacwecwe) ine-set of contraindications, kunye ne-"pobochek" engadingeki. Edibeneyo kubo, i-hormone yokutshatyalaliswa kwama-hormone yanciphisa intliziyo, kwaye yabangela intlungu ephezulu, i-nausea, ngamanye amaxesha ukuvuvukala kwe-pancreas. Kwaye ngokusekelwe kulo, inyanga eziliqela zokuthatha le mithwalo yokukhusela ziza kunika ukutyelela rhoqo ugqirha, kunye nezifo ezingapheliyo. Yingakho nangeminyaka engama-30 ukuya kuma-40 edlulileyo, izithintelo zokukhulelwa ngomlomo ixesha elide zihlala kwiithala zee-pharmacy kiosks.
Nangona kunjalo, yonke into ishintshile ngokuveliswa kwe-estrogens (yokwenziwa) kwesizukulwana sesithathu. Ama-hormone ayaphantsi kunexesha eliphambili ngokuphindwe kathathu kwaye oku kwenza kube lula ukunciphisa umngcipheko, kwaye ngokuphawulekayo, ukuvela kwemiphumo emibi, kunye nokunciphisa inani lokuchasene.
Izithintelo zokukhulelwa kwe-Hormonal zanamhlanje ziqeshwe ziingcali kuphela ukuzikhusela ekukhulelweni okungafunekiyo. Ngoncedo lwabo kunokwenzeka ukulungelelanisa umjikelezo wesini, ukuphatha iingxaki zesikhumba kunye nokulungisa umzimba wesifazane wokukhulelwa, ukuzala umntwana.
Ukutshatyalaliswa kokusetyenziswa kokukhulelwa kwe-hormonal kuya kusebenza ngamanqaku alandelayo. Ezi ziyi-thromboses kunye ne-thrombophlebitis yamaphepha angaphantsi, imitha ye-pulmonary; izifo zesifo se-thyroid, ezibonakala ngokuveliswa kwe-estrogen; iifom exhomekeke kwi-hormone ye-neoplasms (umz., izilonda ezinobungozi kunye neziqhamo zesisu, ama-ovari kunye nesifuba). Kwakhona ukuchasana kukuthi i-hepatitis kunye nesifo sikashukela.
Yaye njengempembelelo yecala, unako: ukuphathwa kwentloko, ukuxinezeleka, ubuthathaka, ukuphazamiseka kwegazi, kunye nokunyanzeliswa komzimba.
Indlela yokusebenzisa izomlomo zomlomo
Izicwangciso zokukhulelwa komlomo kufuneka zithathwe imihla ngemihla, kwaye ziqale ukususela kumhla wokuqala wesihlanu wokujikeleza. Yaye ukuba uthe wafika emva kwethebhulethi yokuqala, ulinde kuze kube yinyanga ezayo.
Ngexesha leentsuku zokuqala ezisixhenxe zokumkelwa, sebenzisa iindlela ezongezelelweyo zokukhusela. Ukukhuselwa okupheleleyo kuqinisekisiwe ngokukhulelwa okungafunekiyo kwiveki yokuqala yokusebenzisa iziyobisi akunakwenzeka, ekubeni umzimba kufuneka "uzaliswe" nge-estrogen, eyinxalenye yesilwanyana.
Njengomthetho, icebo eliqhelekileyo lokuthatha izithintelo zokukhulelwa komlomo liquka iipilisi ezi-21. Emva kokugqiba ukuwamkelwa kwabo, uya kubangela ukuhamba kwenyanga. Kwaye ngeveki unokuqhubeka ukuya kwisigxina esilandelayo. Kwaye ukhetho lwesibini luquka ukuthabatha amacwecwe ngexesha lesithuba seentsuku ezisixhenxe kunye nomphumo we-placebo.
Iintlobo ze-contraceptive ze-hormonal
Iintlobo ezidume kakhulu ziipilisi zokukhusela. Kukho i-monophasic, kunye ne-contraceptive yomlomo. Iprogesin iqulethwe kwi-monophasic (ebizwa ngokuba "i-mini-second"), idibeneyo idibanisa ne-esterogen yokwenziwa. Ipesenteji ephantsi kakhulu yokusebenza kwimizuzu emibini, nangona kunjalo, ayichaphazeli ukukhula kwezidumbu.
Ezi zilandelayo zi-patches ze-hormonal, ezifakwe kwi-scapula okanye elukhumbeni lwamatye kwaye ziguqule ngeveki. I-Estrogen egazini ithathwa ngqo ngesikhumba, ngokugqithisa isibindi - umphumo onobungozi weziyobisi iyancipha. Kwaye kulungele kuphela-oko kuya kufuneka ukuba ihlolwe rhoqo ukuze i-adhesive ingabikho.
Inkqubo ye-hormone ye-intrauterine yinkqubo ephuculweyo yomoya oqhelekileyo. Ikhupha i-microdoses ye-hormone ngqo kwi-uterus kwaye inciphise umngcipheko weempembelelo. Nangona kunjalo, akunakwenzeka ukuyisebenzisa kubantombazana abafumana izifo ezingapheliyo zesondo - i-adnexitis, i-oophoritis, njl.
Ingcambu yesondo ifakwe kwiintsuku ezingama-21, kwaye ichithwa kuphela ngexesha lokuhlamba okanye ukubhukuda elamini. Le ndandi ye-hormone ifihla kwindawo yangasese, kwisibeleko sesisu sesibelethisa umlomo wesibeleko, sineempembelelo zesifo se-spermicidal.
Yaye ukuba uhlala ulibale ukuthabatha iipilisi ngexesha - buyisela i-oral contraceptives ngama-injon e-hormonal okanye i-implantants of subcutaneous implants. Ukususela kwiinyanga ezintandathu ukuya kwiminyaka esixhenxe-ubude bokufakelwa, kunye nefuthe lejojo - ukusuka kwiinyanga ezintathu ukuya ezintandathu.
Kodwa, ngelishwa, ngabafazi ababini kuphela kwabasithandathu abaye bacinga ngokukhusela ukukhulelwa okungadingeki. Kwaye ke izibalo ezithintekayo zokukhipha isisu kunye nokungabi nantoni kwelizwe. Ukusetyenziswa kwee-contraceptive ze-hormone kuya kukuvumela ukuba ugweme ukukhulelwa okungagqitywanga.