Hanyar aikin aikin maganin hana haihuwa:
- kawar da kwayar halitta. Ta hanyar ingancin maganganun da ba daidai ba, ƙwayoyin progestogen suna yin amfani da kwayoyin halitta-daɗawa da kuma maganin hormones. Rashin hotunan FSH da LH ba su da damar yin amfani da kwayoyin halitta. Ethinyl estradiol tare da progestogens ya hana folliculogenesis a cikin ovaries;
- ƙara yawan danko da ƙwayar jiki. Progestogens canza yanayin halaye na kwayoyin halitta da kuma ɗaukakar ƙwaƙwalwar ƙwayar katako, samar da wata kariya ga motsa jiki na spermatozoa a cikin kogin uterine;
- canje-canje a cikin endometrium da ke tsangwama tare da shigarwar kwai. Progestogens hana ƙaddamar da kwayoyin halitta endometrial, yana haifar da canjin sirri na sirri. Ko da yayinda kwayar halitta da haduwa ta faru, ciki ba zai ci gaba ba;
- jinkirin tafiyar hijira daga cikin kwan ya kuma rage kwangila na tubes fallopian. Progestogens jinkirta peristalsis na shambura.
Hanyar aikin aikin rigakafin gaggawa (Escapel, Postinor):
Ana iya samun ƙarin bayani game da maganin hana haihuwa ta gaggawa a nan.
- inhibition of ovulation, rigakafin hadi;
- Canja a cikin ƙarsometrium, hana ƙaddamar da kwai kwai.
Ƙayyade na maganin hana haihuwa:
- A hanyar hanyar jigilar hormone cikin jini:
- implantable karkashin fata. M '' 'Capsules' '(35X2.5 millimeters), sake watsar da kwayoyin hormones da ke cikin jini, haifar da maida hankali akai;
- ampoules. Ana aiwatar da injections sau ɗaya a cikin kwanaki 45-75;
- Allunan.
- Ta hanyar haɗar hormonal:
- hade-haɗe da kwayoyi: lokaci guda (a lokacin sake zagayowar (21 days) wasu adadin gestagens da estrogens shigar da jikin mace), biphasic (a farkon rabin rabi, allunan tare da ƙananan abun ciki na gestagens ana amfani da su simulate halitta oscillation na hormonal baya), uku-lokaci (dauke da daban-daban na hormones don cin zarafi na al'ada, wanda ya ba ka damar yin daidai da tsarin ilimin lissafi na jikin mace);
- uncombined ("mini-sha"). Ya ƙunshi kawai gestagens.
- Ga jigon yau da kullum na estrogen bangaren:
- Microdosed (dauke da 20 mg / day ethinyl estradiol);
- low-dose (30-35 μg / day ethinyl estradiol);
- babban kashi (50 mcg / day ethinyl estradiol).
Magunguna masu haɗari: umarnin don amfani
Don ƙwayoyin ƙwayar ƙwayar ƙwayar ƙwayar cuta / hormonal: an kulle ƙwanƙwan ƙwayar cutar don kwana 7 (3 alamu ta kunshin).
Ga COC: 21 ɗakunan launi iri ɗaya a cikin launi.
Don "mini-sha": 21/28 alluna na launi daya a cikin blister.
Don uku-lokaci Ok: 21/28 allunan launi daban-daban a cikin blister.
Ana samun sakamako mai ƙyama ta hanyar canza dabi'u na ɓarkewar ƙwayar jiki da kuma kawar da kwayar halitta. Yayi da "minipili" ana ɗaukar ciki, kowace rana a wani lokaci, bin umarnin da aka bayyana akan kunshin. Misali na asali: kwamfutar hannu sau ɗaya kowace rana 24, domin kwanaki 21. Dole ne a fara kunshin na gaba bayan an gama hutu guda ɗaya, lokacin da zubar da jini ya fara. Rhythm of liyafar: 3 makonni - liyafar dragees, 1 mako - hutu.
Hanyar maganin hana haihuwa: cikakkiyar maganin ƙwayar cuta
- hauhawar jini ta tsakiya, abubuwan haɗari ga cututtuka na zuciya da jijiyoyin jini, bala'in kayan aiki, abubuwan tarihin zuciya;
- thromboembolic cututtuka, cerebrovascular bugun jini, thrombophlebitis;
- rikicewa na cerebral wurare dabam dabam, migraine;
- yin aiki tare da tsagaitaccen lokaci;
- da ciwon sukari, da ciwo mai tsanani, da cututtuka na fata;
- ƙwayar ciwon hanta (benign / m), haɗar hanta na cirrhosis;
- Shan taba (15 ko fiye da sigari a kowace rana) a shekaru 35 da haihuwa;
- lactation, ciki, lalacewa na kogin cikin mahaifa, da maƙarƙashiya na yau da kullum, prolapse na mahaifa;
- cututtuka mai tsanani na ƙananan ƙwayoyin ƙwayoyin cuta;
- maoplasms m / hormone-dependent na tsarin haihuwa;
- yaduwar jini na ilimin ilimin kimiyya ba tare da sanin ba.
Hanyoyin cututtuka na cututtuka na hormonal:
- rashin daidaituwa na estrogen: hawan al'ada, jini na jini, amenorrhea, hypoplasia na cikin mahaifa, kraurosis na vulva, "walƙiya mai zafi", irritability;
- Hanyoyin haɗari ne: tsaftace ruwa, tashin zuciya, chloasma, al'ada mai raɗaɗi, nauyi a cikin gland, da hauhawar jini, migraine, ciwon kai, rashin ciwon ciwon sukari;
- Ra'ayin ƙwayar cuta: amenorrhea, zubar da jini na mutumtaka, yin haila;
- Maganin ƙwayar cuta: cututtuka masu ciwo, ciwon kai, alopecia, fata mai laushi, kuraje, amenorrhea, riba / ci abinci, rage libido.
Abubuwan algorithm don zabar rigakafin hormonal:
- Don wucewa ko kuma gudanar da dubawa don ware takaddama ga karɓar hormones;
- da miyagun ƙwayoyi na farko zaɓaɓɓe shi ne yawancin lokaci Yayi tare da gestagen low androgenic da abun ciki na ethinylestradiol ba fiye da 35 μg / rana ( Regulon , Janine );
- magunguna na zabi ga marasa lafiya da ciwon estrogen rashi - uku-lokaci OK (Diane-35, Tri-Mercy);
- a gaban hawaye, hyperandrogenia tablets da aka yi tare da aikin antiandrogenic an nuna su (Lindineth, Yarina , Logest);
- tare da zubar da jini mai yaduwar cuta, dysmenorrhea ya nuna Allunan tare da wani karfi mai yaduwa (Jeanine, Claira );
- a gaban endometriosis mafi kyawun zabi shi ne maganin hana daukar ciki na nakasassu tare da dienogest, gestodene (Jeanine, Lindineth);
- don masu shan taba masu mata fiye da shekaru 35 suna nuna rashin amincewarsu, har zuwa shekaru 35 an nuna su da maganin ƙwaƙwalwa tare da mafi yawan abun ciki na ethinyl estradiol ( Jess , Lindineth).
Mafi kyau maganin hana haihuwa
Magungunan ƙwayoyin cuta suna da tasiri, tasiri mai yawa akan jiki, wanda ba za'a iya bayyana a kalma ɗaya ba. Yayi zabar ba kawai don hana haifa ba, amma kuma don magunguna. Kayan magunguna na iya haifar da matsala mai tsanani a wasu mata, wasu ba sa tsokanar rashin tausayi. Dole ne a zaɓin maganin hawan ɗaɗɗar hormonal akayi daban-daban, la'akari da matsayin gynecological and somatic, bayanan iyali da na tarihi. Hanyar rigakafin da aka zaba ta hakika abin dogara ne ga rashin ciki marar ciki da hanya mai mahimmanci don adana kiwon lafiyar mata.