Inkqubo yesenzo se-contraceptive hormonal:
- ukuxothwa kwe-ovulation. Ngendlela yokuphazamiseka kwengxelo, i-progestogen ivimba i-horlicone-yokuvuselela kunye ne-luteininizing hormones. Ukungabikho kwemigangatho ye-FSH kunye ne-LH akubandakanyi ukuba kunokwenzeka. I-Ethinyl estradiol kunye neprogestogens igxotha i-folliculogenis kwiimveliso ze-ovari;
- ukwandisa i-viscosity ye-secretion yomlomo wesibeleko. Iprogestogens iguqula iimpawu zezinto eziphilayo kunye nokukhupha umkhuhlane wesibeleko, ukudala umqobo ekuhambeni kwe-spermatozoa kwisigxina se-uterine;
- utshintsho kwi-endometrium ephazamisa ukufakelwa kweqanda. IiProgestogens zivimbela ukwandiswa kweeseli ze-endometri, ezikhupha ukuguqulwa kwengxelo ephantsi. Nangona i-ovulation kunye nochumiso livela, ukukhulelwa akuqhubeki;
- ukunciphisa ukufuduka kweqanda nokunciphisa isivumelwano sokubambisana kwee-tublopian tubes. Iprogestogens ilibazise i-peristalsis yamatye.
Inkqubo yesenzo sokukhulelwa ngokukhawuleza (Ukukhusela, i-Postinor):
Olunye ulwazi malunga nokukhulelwa kokukhawuleza kunokufumaneka apha.
- ukuvinjelwa kwe-ovulation, ukuthintela ukuchumisa;
- Sitshintsha kwi-endometrium, ukukhusela ukufakelwa kweqanda elikhulelweyo.
Ukwahlulelwa kwee-contraceptive ze-hormonal:
- Endleleni yokungenelela kwehomoni kwigazi:
- zifakwe phantsi kwesikhumba. Iifomsile zeFlexible (35X2,5 millimeters), ukukhulula amahomoni afakwa kwigazi, ukudala ukuxilongo;
- izibane. Iilenki zenziwa rhoqo emva kweentsuku ezingama-45-75;
- macwecwe.
- Ukubunjwa kwamahomoni:
- iipilisi ezidibeneyo: isigaba esisodwa (ngexesha lemijikelezo (iintsuku ezingama-21) inani elithile le-gestagens kunye ne-estrogens lingena kumzimba wesibhakabhaka), i-biphasic (kwisiqingatha sokuqala komjikelezo, iipilisi ezinomxholo osezantsi wegestagens zisetyenziselwa ukulinganisa ukuchithwa kwemvelo kwimizi ye-hormone) ukufumana okulandelelanayo, okukuvumela ukuba uphendule ngokuchanekileyo umzimba womzimba wesetyhini);
- ingabandakanywa ("i-mini-drank"). Qinise kuphela iigestagens.
- Kwimilinganiselo yansuku zonke yecandelo le-estrogen:
- I-microdosed (iqulethe 20 mg / day ethinyl estradiol);
- i-dose ephantsi (30-35 μg / ngosuku i-ethinyl estradiol);
- i-dose ephezulu (50 mcg / ngosuku i-ethinyl estradiol).
Ukukhulelwa kwe-Hormonal: imiyalelo yokusetyenziswa
Kwiinkqubo zokukhululwa kwemithwalo yokukhulelwa / i-hormonal: isiqalo sokukhusela sinamathela kwiintsuku ezingama-7 (iifake ezintathu kwiipakethi nganye).
I-COC yodwa: iipilisi ezi-21 zombala ofanayo kwi-blister.
Ngokuba "i-mini-drank": iipilisi ezi-21/28 zombala ofanayo kwi-blister.
Kulungile kwisigaba esithathu: Iipilisi ezi-21/28 zembala eyahlukileyo kwi-blister.
Impembelelo yokukhulelwa ifezekiswa ngokutshintsha iimpawu zentsholongwane yesibeleko kunye nokunciphisa i-ovulation. Kulungile kwaye "i-minipili" ithathwa ngaphakathi, imihla ngemihla ngexesha elithile, landela umyalelo ochazwe kwiphakheji. Umlinganiselo omiselweyo: ithebhulethi kanye emva kweeyure ezingama-24, iintsuku ezingama-21. Iphakheji elandelayo kufuneka iqalwe emva kwekhefu elilodwa lokuphumla, ngexesha lokucinywa kwamanzi okucima. Isingeniso sokwamkela: iiveki ezi-3 - ukufumana i-dragees, iiveki 1 - ikhefu.
Ukukhulelwa kwe-hormonal: ukuchasene ngokupheleleyo
- i-blood pressure, iziganeko zobungozi zezifo ze-cardiovascular, i-valve zixhobo ezingaqhelekanga, imbali yeentlungu zentliziyo;
- izifo ze-thromboembolic, imivimbo ye-cerebrovascular, thrombophlebitis;
- ukuphazamiseka kwemisipha ye-cerebral, migraine;
- ukungenelela kokusebenza kunye nokunyanzelwa kwexesha elide;
- isifo sikashukela, i-hepatitis, izifo zesikhumba ezinzulu;
- izibilini zesibindi (ezinobungozi / ezinobungozi), i-cirrhosis yesibindi ehlawulelwayo;
- Ukubhema (i-cigaretti ezili-15 okanye ngaphezulu ngosuku) eneminyaka engama-35 nangaphezulu;
- ukukhwabanisa, ukukhulelwa, ukuguqulwa kwesigxina se-uterine, ukuxhamla okungapheliyo, ukubola kwesisu;
- izifo ezinzima zeenxalenye zeplavic ze-genetic acute;
- i-neoplasms ezixhomekeke kumbi / i-hormone yenkqubo yokuzala;
- ukuphuma kwegazi nge-etiology engaziwayo.
Iziphumo zecala lezonyango ze-hormonal contraceptive:
- ukusilela kwe-estrogen: ukuhamba kwindoda emancinci, ukuphuma kwegazi ngaphakathi, i-amenorrhea, i-hypoplasia yesisu, i-kraurosis ye-vulva, "ukutshisa okutshisa", ukucaphuka;
- I-estrogens eyongeziweyo: ukugcinwa kwamanzi, i-nasusea, i-chloasma, isisu esibuhlungu, ubunzima kwiintlanzi ezincinci, uxinzelelo lwe-hypertension, i-migraine, intloko, isifo sikashukela se-latent;
- Ukulahleka kweprogesterone: i-amenorrhea, ukuphuma kwegazi ngaphakathi, ukuhamba kwenyanga;
- i-progesterone engaphezulu: iipasiti zokudandatheka, intloko, i-alopecia, isikhumba seoli, i-acne, amenorrhea, inzuzo yesisindo / ukutya, ukunciphisa i-libido.
I-algorithm yokukhetha i-hormonal contraceptive:
- Ukugqithisa okanye ukuqhutyelwa ukuhlolwa ukuba ungabandakanyi iinkcazo zokufumana amahomoni;
- Isilwanyana sokhetho lokuqala sisilungile kunye nesigenagen ephantsi kunye ne-ethinylestradiol engaphezulu kwama-35 μg / ngosuku ( Regulon , Janine );
- iziyobisi ezikhethiweyo kwizigulane ezinobunzima be-estrogen obukhulu-isigaba esine-OK (uDiane-35, iTr-Mercy);
- ebusweni be-acne, i-hyperandrogenia iiphilisi ze-monophasic ezinokuthathwa kwe-antiandrogenic ziboniswa (Lindineth, Yarina , Logest);
- enegazi elingasebenzi, i-dysmenorrhea ibonisa amacwecwe aneprogestogen eqinile (uJeanine, uClaira );
- ebusweni be-endometriosis into ekhethekileyo yindlela yokukhulelwa kwe-monophasic ne-dienogest, gestodene (uJeanine, uLindineth);
- ababhemayo abafazi abangaphezu kweminyaka engama-35 ubudala bayaphikisana, ukufikelela kwiminyaka engama-35 kuboniswa ukukhulelwa komlomo ngomxholo omncinane we-ethinyl estradiol ( uJess , Lindineth).
Iipilisi ezikhuselekileyo zokukhulelwa kwe-hormonal
Iziyobisi zaseHormon zineempembelelo zenkqubo, emininzi emzimbeni, ezingenakubonakala kwigama elinye. Kulungile ukhethe kuphela ukukhusela ukukhulelwa, kodwa neenjongo zokwelapha. Iipilisi ezifanayo zingabangela iingxaki ezinzulu kwabanye abesifazana, abanye abaphambukisi nantoni na. Ukukhulelwa kwe-hormonal kufuneka kukhethwe ngabanye, ngokuqwalasela isimo sengqondo somzimba kunye nesimo somntu, idatha yentsapho kunye nembali yomntu. Ukukhulelwa kwe-hormone ekhethiweyo ngokufanelekileyo kukukhusela okuthembekileyo ekukhulelweni okungenakulungiswa kunye nendlela efanelekileyo yokugcina impilo yokuzala yabesifazane.