Raws li txoj cai, cov ntxhais thiab cov poj niam tig mus rau qhov ncauj tshuaj tiv thaiv kom tsis txhob muaj menyuam tsis taus. Cov tshuaj cuam tshuam rau keeb kwm hormonal, uas ua rau muaj kev hloov pauv hauv kev ua me nyuam. Ib qho ntawm qhov tshwm sim yog qhov tsis tuaj yeem xeeb tub. Lwm qhov ntxiv los ntawm kev noj OK yog qhov normalization ntawm kev coj khaub ncaws. Qhov no tseem ceeb tshwj xeeb yog tias yav tas los tsis ruaj khov.
Tab sis yog tias cov tshuaj hormonal raug xaiv tsis raug lossis tus poj niam "tsim" rau nws tus kheej, lub caij nyoog poj niam yuav muaj kev kub ntxhov. Yog tias cev xeeb tub pib thaum noj tshuaj tiv thaiv kab mob, qhov no txhais tau li cas? Yuav ua li cas kom tsis txhob muaj teeb meem? Vim li cas lub voj voog tsis ruaj khov?
Vim li cas thiaj xaiv OK?
Tau kawg, lub luag haujlwm tseem ceeb ntawm cov tshuaj tiv thaiv kab mob yog tiv thaiv kev xeeb tub tsis xav tau. Tab sis cov ntxhais thiab cov poj niam xaiv txoj kev no rau lwm yam laj thawj. Qhov tseem ceeb yog qhov tshwm sim ntawm kev coj khaub ncaws. HormonalCov nyiaj tso cai rau nws nyob ruaj khov - kev coj khaub ncaws yuav tsis dhau los ua qhov tsis txaus ntseeg ntxiv lawm, raws li tus poj niam yuav paub txog lawv qhov tshwm sim hauv 1-2 hnub.
Kev coj khaub ncaws nws tus kheej thaum noj OK pib sai dua thiab tsis mob. PMS cov tsos mob me me los yog yuav luag tsis pom.
Lwm yam tseem ceeb ntawm OK - lawv pab txhim kho daim tawv nqaij mob. Yog li ntawd, cov tshuaj tiv thaiv kab mob no feem ntau yog muab rau cov ntxhais uas tsis muaj lub neej kev sib deev. Qhov tseeb yog tias cov ntsiav tshuaj muaj cov tshuaj estrogen, uas suppresses lwm cov tshuaj hormones - androgen, uas yog lub luag haujlwm rau kev tsim cov sebum. Tab sis OK tsis yog panacea rau pob txuv. Tom qab tag nrho, qhov ua rau ntawm daim tawv nqaij ua pob liab vog yog txawv thiab tsis yog ib txwm hormonal nyob rau hauv xwm.
tshuaj ua haujlwm li cas?
Kuv tau txais kuv lub caij nyoog thaum noj tshuaj tiv thaiv kab mob. Vim li cas qhov no tshwm sim? Yuav kom nkag siab txog qhov teeb meem, peb yuav tsum xav txog seb cov tshuaj no cuam tshuam li cas rau poj niam lub cev.
Cov ntsiab lus ntawm OK muaj qee feem ntawm cov tshuaj hormones. Lawv yog cov tseem ceeb ntawm no:
- Thaum raug tshuaj, lub caj pas pituitary thaiv kev tsim cov tshuaj lom neeg lom neeg uas ua rau muaj kev ua me nyuam.
- Kev loj hlob ntawm follicle nrog lub qe yog qeeb. Yog li ntawd, ovulation tsis tshwm sim - lub qe raug tso tawm "kom ntsib" nrog cov phev. Tom qab tag nrho, lub xovtooj ntawm no tseem tsis tau paub, tsis tau npaj.
- Txo qis contractility ntawm cov hlab ntsha fallopian. Yog li ntawd, nws ua tsis tau rau cov phev mus raws lawv.
- Cervical kua nyob rau hauv nws muaj pes tsawg leeg uantau viscous thiab ntom. Qhov no thaiv cov phev nkag mus rau hauv lub tsev menyuam.
- Cov qauv ntawm endometrium hloov. Txawm hais tias lub qe tau fertilized, nws tsis tuaj yeem cling rau ntawm lub tsev menyuam. Vim li cas nws thiaj nyob tsis muaj zaub mov thiab tuag.
zoo tshaj plaws
Yog tias koj tau txais koj lub sijhawm thaum siv cov tshuaj tiv thaiv kev yug menyuam, qhov no tsis yog vim li cas yuav tsum txhawj xeeb. Kev ua tsis tiav ntawm kev coj khaub ncaws thaum noj OK tsis tas li qhia qhov ua rau mob hnyav, cev xeeb tub. Txawm li cas los xij, qhov no yog qhov laj thawj txaus los mus ntsib kws kho mob gynecologist.
Hnub no, cov kws tshaj lij nyob txhua qhov chaw pom zoo siv tshuaj tiv thaiv kab mob xws li tshuaj hormonal rau cov neeg mob. Nws yog hais txog cov txiaj ntsig pom tseeb OK:
- Kev tshem tawm PMS. Tus poj niam tsis txhob raug mob hnyav hauv plab plab, mob taub hau.
- Ntau lub menses. Txij li thaum lub cev poob cov ntshav tsawg, qhov no txo qis kev pheej hmoo ntawm kev tsim cov hlau deficiency anemia.
- Txo qhov yuav muaj cov kab mob xws li endometriosis lossis qog noj ntshav zes qe menyuam.
- Yog ib tug poj niam twb mob endometriosis lawm, ces OK yuav pab kom txo tau qhov tshwm sim ntawm tus kab mob no.
- pob txha muaj zog, daim tawv nqaij mob txhim kho, pob txuv tshem tawm, plaub hau zoo dua qub.
- Kev tiv thaiv Hormonal lav siab (tab sis tsis yog ib puas feem pua) tiv thaiv kev xeeb tub tsis xav tau (xws li ectopic).
- Yog ib tug poj niam tseem noj tshuaj hormonal contraceptive thaum lub sij hawm premenopause,Cov tsos mob ntawm menopause yog txo.
Cov teebmeem thiab contraindications
Kuv puas tuaj yeem noj tshuaj tiv thaiv menyuam thaum lub sijhawm kuv lub sijhawm? Tag nrho cov lus nug txog OK rau ib tug ntxhais, ib tug poj niam yuav tsum tau teb los ntawm nws tus kws kho mob. Tom qab tag nrho, cov no yog cov tshuaj, kev noj haus uas tuaj yeem nrog cov kev mob tshwm sim:
- Headache.
- Hloov qab los noj mov.
- Zoo siab tsis muaj laj thawj.
Nws yog ib qho tseem ceeb kom nkag siab tias cov tshuaj hormonal muaj ntau yam contraindications:
- ntshav siab.
- Risk ntawm vascular thrombosis.
- kab mob hnyav.
Hloov lub cev thaum sau ntawv OK
Yog tus poj niam nyuam qhuav pib noj tshuaj tiv thaiv kab mob, nws lub caij nyoog yuav tsis ruaj khov. Qhov tshwm sim no yuav tsum tsis txhob ntshai - nws tau pom nyob rau hauv 80% ntawm cov neeg uas hloov mus rau hormonal contraception.
Ntxiv mus, qhov tsis txaus ntseeg ntawm lub voj voog yog txawv kiag li rau cov poj niam sib txawv. Nws tag nrho yog nyob ntawm lub xeev ntawm lawv cov kab mob endocrine thiab kev ua me nyuam:
- Too scanty lossis, ntawm qhov tsis sib xws, kev coj khaub ncaws hnyav.
- Lub hli xaus qee zaum ua ntej thiab qee zaum tom qab hnub kawg.
Yog tias kuv lub sijhawm pib thaum noj tshuaj tiv thaiv kab mob, vim li cas qhov no tshwm sim? Peb yuav tshuaj xyuas txhua qhov laj thawj.
Qes thaum noj tshuaj hormonal
Yog hais tias txhua yam zoo ntawm tus poj niam lub cev, thaum noj tshuaj tiv thaiv kab mob, kev coj khaub ncaws mus li qub. Lub sijhawmtxhob hloov.
Pib noj tshuaj tiv thaiv menyuam thaum cev xeeb tub. Feem ntau 1-5 hnub ntawm kev coj khaub ncaws. Qhov tshwm sim ntawm qhov tso tawm kuj tsis hloov. Thaum cev xeeb tub tsis txaus thaum noj tshuaj tiv thaiv kab mob, ces tsis muaj kev txhawj xeeb yog tias qhov no yog qhov pib ntawm kev hloov mus rau OK. Scanty menstruation yuav pheej mus txog rau lub voj voog tom ntej. Qhov no yog vim qhov cuam tshuam ntawm cov tshuaj hormones uas ua rau OK.
Yog tias kev coj khaub ncaws tsis pib raws sijhawm thaum noj tshuaj tiv thaiv kab mob, qhov no tsis yog pathology. Thawj lub hlis (tej zaum txawm 2-3 lub hlis) lub cev yoog rau cov tshuaj. Vim li cas cov kev hloov hauv lub caij nyoog poj niam tsis yog lub tswb. Yog tias qhov kev tsis txaus ntseeg txuas ntxiv mus ntev dua 3 lub hlis, tus poj niam tsis xis nyob, sau lwm cov tsos mob tsis txaus ntseeg, muaj laj thawj los nrog kws kho mob hloov lossis tso tseg cov tshuaj.
Vim li cas kuv lub sijhawm dhau mus thaum OK?
Vim li cas, nrog tshuaj tiv thaiv kev yug menyuam, kev coj khaub ncaws pib? Menstruation yog ib qho txheej txheem physiological ntawm kev hloov pauv hauv kev ua haujlwm ntawm poj niam cev xeeb tub. Outwardly, qhov no yog tshwm sim los ntawm cov ntshav uterine tawm, hu ua menstruation, menstruation. Thaum lub sij hawm lub voj voog no, tus poj niam lub cev tab tom npaj rau kev xeeb tub thiab cev xeeb tub. Yog hais tias lub qe tsis fertilized, lub voj voog rov ua dua.
Lub voj voog kev coj khaub ncaws yog txheej txheem tshuaj hormone. Yog li, nws tseem cuam tshuam los ntawm OK, muaj cov tshuaj hormonal. Tom qab ua poj niam(tso zis ntawm cov qe tsis muaj menyuam tuag thiab endometrium) cov poj niam cev xeeb tub yog tibneeg hu tauj coob loj hlob qe tshiab, uas tau npaj txhij rau fertilization 13-14 hnub tom qab qhov kawg ntawm kev coj khaub ncaws. Yog tias qhov no tshwm sim, kev coj khaub ncaws pib dua nrog kev tshem tawm ntawm qhov tsis tsim nyog o (kom kho cov qe) endometrium.
Vim li cas kuv thiaj li tau kuv lub caij thaum noj tshuaj tiv thaiv kab mob? Tom qab tag nrho, lub zes qe menyuam nyob rau lub sij hawm no "so", lub qe tsis mature. Qhov no txhais tau tias tsis muaj ovulation. Yog tias kev coj khaub ncaws pib thaum noj cov tshuaj tiv thaiv kev yug menyuam, qhov no tsis yog vim kev tuag ntawm endometrium thiab kev npaj ntawm lub tsev menyuam rau kev coj khaub ncaws tshiab. Qhov tshwm sim no tshwm sim vim lub cev cov tshuaj tiv thaiv rau kev tshem tawm ntawm OK.
Raws li txoj cai, raws li daim ntawv sau tshuaj, tus poj niam siv ib pob nyiaj (21 ntsiav tshuaj). Tom qab ntawd nws siv sijhawm 7 hnub. Lub sijhawm no, kev coj khaub ncaws pib. Nws ua rau muaj kev poob qis hauv qhov concentration ntawm poj niam cov tshuaj hormones hauv lub cev, uas yog vim li cas rau kev tsis lees paub ntawm endometrium. Qhov tshwm sim no yog qhov qub. Thiab ib yam nkaus, nws hais tias txoj kev tiv thaiv kab mob raug xaiv rau tus poj niam.
Tab sis yog tias tsis muaj kev coj khaub ncaws thaum so, qhov no yuav tsum tau thov mus rau gynecologist. Qhov xwm txheej qhia tau hais tias qhov tsis ua haujlwm hormonal hauv lub cev. Los yog hais txog teeb meem ntawm qhov txawv. Qee lub sij hawm tsis muaj kev coj khaub ncaws thaum lub sij hawm so qhia txog qhov pib ntawm cev xeeb tub. Kev xav yog ua tau, vim tsis muaj cov lus qhia rau OK hais tias cov khoom muab 100% kev tiv thaiv cev xeeb tub.
Qee zaum kev xav tshwm sim vim tus neeg mob tsis quav ntsejtus kws kho mob cov lus pom zoo: haus cov tshuaj thaum lub sijhawm tsis raug, hla kev noj lawv. Yog li ntawd, thaum tsis muaj poj niam cev xeeb tub thaum lub sij hawm so, nws yuav tsis yog superfluous mus kuaj cev xeeb tub, tshwm sim rau ib tug ultrasound ntawm lub plab mog plab hnyuv siab raum.
Ntseeg tawm thaum OK
Ntau zaus ntawm cov rooj sib tham poj niam koj tuaj yeem pom cov lus zoo sib xws: "Kuv noj tshuaj tiv thaiv kab mob thiab kuv lub caij nyoog pib - yog dab tsi?"
Yog tias peb tig mus rau cov ntaub ntawv kho mob, 30% ntawm cov poj niam tom qab hloov mus rau kev tswj hwm hormonal rau 3 lub hlis muaj kev tawm hauv lub cev. Qee zaum lub sijhawm no ncua mus txog rau lub hlis. Raws li tib cov txheeb cais, qhov no feem ntau yuav tshwm sim nws tus kheej thaum noj cov tshuaj tiv thaiv kab mob qis (lawv tsis muaj ntau tshaj 20 micrograms ntawm estrogen). Feem ntau qhov koob tshuaj no tsis txaus los tsim kom muaj kev coj khaub ncaws ruaj khov.
Qhov ntawd yog, qhov no, lub endometrium pib torn sai dua li lub sijhawm. Yog li ntawd, tus poj niam sau tseg tias: "Kuv noj tshuaj tiv thaiv kab mob, thiab kuv lub sijhawm pib ua ntej lub sijhawm." Tab sis qhov tshwm sim no tsis txhais hais tias qhov txo qis hauv cov txiaj ntsig ntawm cov tshuaj tau sau tseg. Qhov ntawd yog, cev xeeb tub tsis tshwm sim thaum muaj cov tsos mob tshwm sim.
Yog tias cov ntshav smear txuas ntxiv, nws tsis tsim nyog tshem tawm cov tshuaj tiv thaiv hormonal. Koj tsuas yog yuav tsum tau them nyiaj ntau rau kev nyiam huv ntawm tus kheej. Yog tias qhov pom tsis tau nres 3 lub hlis tom qab lub sijhawm teem sijhawm ntawm OK, koj yuav tsum xav txog kev hloov kho. Ntawm qhov kev txhawj xeeb tshwj xeeb yuav tsum mob siabxaiv. Tab sis nws yog qhov zoo dua tsis txhob koom nrog "tus kheej-tshuaj" ntawm cov tshuaj tshiab. Txoj hauv kev kom raug ntawm qhov xwm txheej yog hu rau koj tus kws kho mob gynecologist.
Yog hais tias los ntshav pib thaum lub sij hawm koj pib noj ib pob tshiab ntawm OK, qhov no qhia tau hais tias cov tshuaj estrogen muaj nyob rau hauv cov ntsiav tshuaj tsis txaus. Koj xav tau kev kho mob nrog ntau dua ntawm cov tshuaj no.
Tab sis yog tias ntshav smearing tau sau tseg, ntawm qhov tsis sib xws, los ntawm qhov kawg ntawm pob nrog cov ntsiav tshuaj, qhov no qhia txog cov ntsiab lus tsis txaus ntawm cov khoom gestagen hauv cov khoom. Tej zaum nws yuav tsim nyog kom phim OK nrog ntau hom tshuaj no.
Dab tsi ntxiv tuaj yeem ua rau mob ntshav qab zib?
Tab sis tsis yog ntshav smearing tsuas yog hais txog kev npaj tshuaj hormonal tsis raug. Los ntshav Intermenstrual tej zaum yuav yog qhov tshwm sim ntawm qhov no:
- Ib tug poj niam tsis nco qab noj ob peb tshuaj ua ke, uas lub cev teb nrog kev coj khaub ncaws.
- Kev xav haus luam yeeb (nws ua rau cov tshuaj estrogen qeeb).
- Kev noj tshuaj tsis haum OK.
- Kab mob kis cuam tshuam rau cov kab mob genitourinary.
mob khaub thuas thaum noj OK
Cov ntshav siab heev feem ntau pom thaum siv cov tshuaj tiv thaiv hormonal, uas tshwm sim thaum lub sijhawm tsis raug. Yog hais tias ib tug poj niam tsuas yog siv thawj pob ntawm OK, qhov no yuav qhia tau tias los ntshav. Nws yog txuam nrog kev hloov ntawm nws lub cev rau cov tshuaj hormonal. Lub ntsiab lus yog tias activeprogestogens ua rau active tuag ntawm endometrium. Qhov no yog qhov kawg uas ua rau kev coj khaub ncaws.
Txawm li cas los xij, hauv cov tshuaj tiv thaiv niaj hnub no, muaj cov tshuaj estrogen me ntsis, uas nyob rau hauv cov ntaub ntawv no ua haujlwm hemostatic. Tab sis nrog kev coj khaub ncaws ib txwm, tsis yog tshwm sim los ntawm kev noj OK, qhov xwm txheej sib txawv tau pom. Menstruation xaus thaum theem ntawm estrogen hauv cov ntshav ntawm tus poj niam nce siab. Thaum noj kev yug me nyuam, cov txheej txheem no tsis yog ib txwm zoo tag nrho.
Yog tias qhov tso tawm yog khaus, tus gynecologist feem ntau txiav txim siab hloov tshuaj hormonal. Tshwj xeeb, cov tshuaj muaj cov ntsiab lus siab ntawm cov tshuaj hormones uas ploj lawm.
Txhua hli thaum tso tseg OK
Raws li kev xyaum qhia, ntau tus poj niam tom qab tshem tawm cov tshuaj tiv thaiv kab mob hormonal ua rau muaj feem yuav xeeb tub. Nws yog hu ua cov nyhuv rebound. Vim lub fact tias lub zes qe menyuam tom qab tshem tawm ntawm OK pib ua hauj lwm nyob rau hauv ib tug ntau active hom dua ua ntej. Yog li ntawd, raws li "kev tiv thaiv" cov tshuaj hormonal yog muab rau cov poj niam uas xav xeeb tub.
Tab sis qee qhov xwm txheej, qhov rov qab tshwm sim kuj tau pom. Qhov no yog ovary hyperinhibition. Lub cev xeeb tub yog nyob rau hauv ib qho kev chim siab, uas yog vim li cas ob qho tib si ovulation thiab kev coj khaub ncaws tsis tuaj. Xws li lub xeev, ntawm chav kawm, tsis nyob mus ib txhis. Nws tshem tawm ntawm nws tus kheej hauv peb lub hlis.
Tab sis peb yuav tsum tsis txhob hnov qab tias muaj ntau tus poj niam thiabkev coj khaub ncaws, thiab kev ua haujlwm ntawm kev ua me nyuam tsis rov qab los sai sai, tab sis nyob rau hauv ib xyoos tom qab tshem tawm cov tshuaj tiv thaiv kab mob.
Dab tsi txiav txim siab lub sijhawm ntawm lub sijhawm rov qab los? Ntau yam tuaj rau hauv kev ua si ntawm no:
- Hom tshuaj tiv thaiv kab mob hormonal, koob tshuaj ntawm cov khoom xyaw nquag nws muaj.
- Lub sijhawm siv tshuaj tiv thaiv kev yug menyuam.
- Hnub nyoog ntawm poj niam.
- Lub xeev ntawm lub cev tom qab tshem tawm ntawm OK, qhov tseeb ntawm qhov muaj cov kab mob sib kis.
Yog tus poj niam tsis xeeb tub hauv ib xyoos tom qab tso tseg OK, qhov xwm txheej no yuav tsum tau soj ntsuam los ntawm tus kws kho mob gynecologist.
Kev coj khaub ncaws thaum OK yog ib txwm tshwm sim thaum so hauv kev noj tshuaj. Tej zaum kuj yuav pom nyob rau hauv lub sij hawm intermenstrual thaum noj tshuaj. Qhov tshwm sim no muaj nws cov laj thawj, ob qho tib si ntuj thiab yuav tsum tau mus ntsib kws kho mob gynecologist.
