Ziziphi iipilisi zokukhusela kunye nendlela yokuzikhetha?

Ziyiphi i-hormonal contraceptive oral
Ukukhulelwa kwe-hormonal yindlela ephumelelayo yokukhusela ukukhulelwa okungenakulungiswa, ngokusekelwe ekusebenziseni iifenogone zokwenziwa kweprogesterone kunye ne-estrogen - i-hormone yesini. Iipilisi zokukhusela kwili qela ziqinisekisa ukunyaniseka okuphezulu kokukhulelwa komzimba, ukungabikho koqhagamshelwano nolwabelana ngesondo, ukunyamezela kakuhle, ukulungelelaniswa kokusetyenziswa, ukulawulwa kokujikeleza okwaneleyo, ukulungelelanisa ukuzaliswa kokuzala emva kokuphela kokungeniswa, ukhuseleko kwinani elikhulu labafazi abasempilweni. Ukhetho olukhulu lwamachiza lukuvumela ukuba ngamnye ukhethe i-OC nayiphi na ibhinqa kwaye usebenzise izithako ze-hormone ngenjongo yokwelapha.

Ulwahlulo lokulawula iipilisi zokuzalwa

  1. Ukuhlanganiswa kokukhulelwa komlomo (COCs):
    • i-monophasic ( Regulon , Lindineth-30 ). Qinise umthamo ohlala rhoqo we-gestagenic kunye ne-estrogenic kwipilisi nganye, ihluke ngohlobo lweprogestogens, estrogens, umyinge. Ukubonelela ngezinga eliphezulu lokukhulelwa komzimba (i-Pearl index 0.06-0.08), ukuphatha ngokugqibeleleyo i-endometriosis yomzimba, ichaphazele ngokuqinisekileyo inkqubo kunye nobude bexesha lokuya esikhathini, ukulinganisa ukunyuka kwegazi. Iimeko ze-interseminal bloody discharge zirekhodwa kakhulu;
    • isigaba sesibini (Adepal, Antotevin). Iqulethe isantya se-gestagen kunye ne-estrogen rhoqo, iboniswa kubasetyhini abaneemvakalelo ezigwenageni, kunye neempawu zeklinikhi ze-hyperandrogenism;
    • isigaba esithathu (Tri-regol, Tri-merci). Ifakwe ngumxholo ochaseneyo we-steroids ngokuhambelana nezigaba zokuhamba kwimihla. Zineempembelelo zomzimba kwimijikelezo yokuya esikhathini, zinika ubuncinci bemiphumo emibi, lawula umjikelo. Ziyaboniswa kwabasetyhini abangaphezu kwama-35 abapheleyo, ababhemayo.

  2. Ngomlinganiselo wesigaba se-estrogen:
    • ezincinci: 15-20 μg i-ethynyl etradiol / imini (i-Logest, i-Lindineth-20);
    • I-dose ephantsi: 30-35 μg ethynyl etradiol / imini ( Yarina , Janine , Regulon);
    • I-dose ephezulu: 50 μg i-ethynyl etradiol / imini (i-Ovidon).
  3. I-Gestagenic contraceptive oral ("i-mini-drank").

Ezinye iindlela zokusetyenziswa kwee-COC ziipilisi eziqukethe i-progestins ecocekileyo. Isiphumo sokukhulelwa kwe-"mini-second" sidibaniswa neenguqu kwi-mucosal uterine cavity, okwenza kube nzima ukufaka iqanda elinomhlaza, nokwandisa i-viscosity ye-mucus yomlomo kuphazamisa ukungena kwe-spermatozoa kwisibeleko. Amalungiselelo e-gestagenic abangela ukucinezelwa kwemveliso ye-lutropin, ephazamisa i-ovulation. I-Minus "i-mini-drank": kwezinye iimeko, ukuthatha iipilisi ze-ovulation zenzeka-oku kuchaza okuphantsi xa kuthelekiswa ne-COC Pearl Index (0.3-0.6).

Indlela iCOC isebenza ngayo

Iinkqubo zokungcola kwi-OC zenziwa kumanqanaba ahlukeneyo ye-hypothalamus-pituitary-ovary-uterine-uterine tube tube. I-synthetic steroids ivimba ukukhululwa kwamahomoni e-gonadotropic ye-pituitary kunye nama-hormone ye-hypothalamus, ekhokelela ekunciphiseni i-ovulation, inzalo yesikhashana. Ngokudlulayo, i-gestagens yokwenziwa kunye ne-ethinyl estradiol inqanda i-folliculogenis, ekhuthaza ukuhla kwezinga lesovane, ukuncipha kwi-secretion ye-estrogens ngumlinganiselo we-2. Ukugqithisa ukubola kunye ne-endometrium - kukho ukuguqulwa komjikelezo kunye nokuguqulwa kwesikhala sangaphambili, kukho utshintsho olwenziwe nge-atrophic effect. I-contraceptive ye-hormonal inqanda i-peristalsis yamathambo e-fallopian, iyancipha ukuhamba kweqanda elikhulelweyo, inqanda inambuzane yesibeleko, eyona nto ibangela ukungena kwe-spermatozoa kwisibilini se-uterine.

Indlela yokukhetha iipilisi zolawulo lokuzalwa

Umgaqo oyintloko wokukhetha i-OP kukusebenzisa ubuncinane ubuncinane beqondo le-steroids, eliza kubonelela ngokukhuselekileyo ngokukhulelwa okungenakulungiswa. Uhlobo lwe-isrogenic lwamabhinqa aphakanyiswayo achazwe ngumbutho onamandla we-gestagenic (Ovidon, Rigevidone). Ukulungiswa komgca wokuqala wabasetyhini abanama-gestagens - Regulon, Logest. Xa ukhetha Kulungile, kufuneka uqikelele ubungakanani bombele kunye nomgangatho wokuya esikhathini, ngenxa yokuba le parameters ibonakalisa imvelaphi ye-hormonal ingcono kunokuba kuhlolwe iimpawu zangaphandle: ukuhamba kwexesha elimnandi kubonisa umsebenzi ophakamileyo we-progesterone, obuninzi nobuninzi-malunga nomsebenzi we-estrogen. Qala ukuthatha i-contraceptive ye-hormonal kufuneka ivela kwiziyobisi ezidibeneyo kunye nomlinganiselo osisiseko wezinto ezingenayo. Amacwecwe amacandelo amathathu nesigaba esiphantsi awaphikisanayo - kunye nokusetyenziswa okwaneleyo kukhuselekile kwaye kusebenza ngokufanelekileyo. Umqathango wokhetho oluchanekileyo lwe-OK kukungabikho kokuphuma kwamanzi, ukuphaphaza "ukuphumelela". Olunye ulwazi malunga nokukhethwa kwe-OK ungayifumana apha .

Indlela yokusela iipilisi zokulawula ukuzalwa:

Ukusetyenziswa kwamapilisi okulawula ukuzalwa:

Ziyingozi:

Iipilisi zokukhusela: ukuchasene

Imiba engozi:

Izinto ezinciphisa ukuthembeka kwe-OK:

isifo sohudo, ukuhlanza, ukuxiliswa kwe-laxatives, i-anticonvulsant, antibacterial.

Imiphumo emibi:

Impembelelo ecaleni kwimvelaphi yokuthatha izithintelo zomlomo ingaba ngenxa yokunyanzelwana komntu okanye isenzo samathebhulethi. Umphumo wecala unokungabi nengozi okanye kuyingozi kumzimba, kungakhathaliseki ukuba yintoni isizathu sokuqala. Ukupheliswa kweziyobisi ngokuqhelekileyo kubangela ukunyamalala kwempendulo enjalo phantsi kwempembelelo yonyango okanye ngokuzimela.

Iipilisi eziphambili zokulawula iipilisi

Ngo kwamkelwa ngokufanelekileyo, ukunyaniseka kwemithi yokukhulelwa komlomo kudla ukuba yi-100%, umlinganiselo "ukhuseleko / ukuthembeka" kwamacwecwe ehommone ngaphandle kweikhondom. Unokufunda ngakumbi malunga neikhondom apha . Ii-COC zesizukulwana sakutshanje ziqulethe i-hormone kumaqondo aphantsi, ngaphandle kwefuthe le-androgenic. Gwema ukuphendula okungalunganga kunokwenzeka ngokuhlolwa kwezonyango, okucetyiswayo ngaphambi kokuqala kokuthatha amacwecwe. Ukukhulelwa kwe-hormonal kuguqulwa, izinga lokuvuselelwa komjikelo lixhomekeke kubude bokusetyenziswa kweziyobisi kunye nemvelaphi ye-hormonal yokuqala. Isiza esilungileyo asikho. Entsha - ayithethi nto. Umgaqo oyintloko: ukukhulelwa kwe-hormonal kukhethwe, kulawulwa yonyango lomzimba ngokuhambelana neempawu zomntu wesifazane.