Txhua lub sijhawm nws ntseeg tias txoj hmoo ntawm poj niam yog yug menyuam thiab saib xyuas lawv. Tab sis hnub no txhua yam tau hloov lawm. Cov poj niam khiav lag luam, ua tub rog, thiab koom tes nrog pej xeem lub neej ntawm lub teb chaws. Nyob rau tib lub sijhawm, lawv tseem yog poj niam thiab niam. Thiab qhov no ua tau ua tsaug rau txoj hauv kev muaj peev xwm rau kev npaj tsev neeg thiab siv cov tshuaj tiv thaiv niaj hnub no. Niaj hnub no muaj ntau ntau ces tsuas yog kiv taub hau xwb. Hnub no peb yuav tham txog yuav ua li cas xaiv cov tshuaj tiv thaiv kab mob.
He althy
Tau kawg, txhua tus poj niam xav txog nws. Niaj hnub no, kev paub txaus txaus kom nkag siab zoo txog qhov tshwm sim ntawm hormonal tsis txaus. Yog li ntawd, nws yog ib qho tsim nyog yuav tau xaiv cov tshuaj tiv thaiv kom zoo heev kom lawvzoo meej rau koj, ua kom tiav qhov uas ploj lawm. Tab sis qhov no yog qhov zoo tagnrho. Nws yog qhov tseeb tias cov tshuaj tsis raug txiav txim, yog li nws tseem yuav yog ib qho qauv nruab nrab uas yuav ua haujlwm rau qee tus thiab tsis yog rau lwm tus.
Nws tsis yog qhov txawv rau cov poj niam tuaj rau lub tsev muag tshuaj nrog cov lus nug ntawm yuav ua li cas xaiv cov tshuaj tiv thaiv kab mob. Hauv qhov no, tus kws muag tshuaj muab tshuaj rau lawv raws li cov tswv yim yooj yim:
- Microdosed - rau cov ntxhais hluas uas tsis muaj menyuam.
- Tshuaj nrog cov ntsiab lus nruab nrab ntawm cov tshuaj hormones. Rau cov poj niam tshaj 30.
- tshuaj ntau hom tshuaj rau cov poj niam tshaj 30 uas tau yug.
Qhov no yog daim duab kwv yees thiab yuav tsis suav nrog qhov sib txawv ntawm tus kheej. Nyob rau hauv txhua yam ntawm no, tej zaum yuav muaj ib tug poj niam uas mob lub sij hawm, oily plaub hau, pob txuv, ntau dhau los yog scanty lub sij hawm. Cov tshuaj xaiv kom raug tuaj yeem daws cov teeb meem no, thiab tau txais ntawm random, ntawm qhov tsis sib xws, ua rau muaj kev cuam tshuam tsis zoo. Yog li ntawd, niaj hnub no peb txiav txim siab los tham txog yuav ua li cas xaiv cov tshuaj tiv thaiv kab mob. Nov yog qhov teeb meem tiag tiag.
Nyob rau tus kws kho mob
Zoo li muaj sijhawm ntev los xav. Peb tab tom mus rau lub tsev kho mob thiab muaj kev sab laj nrog tus kws kho mob gynecologist. Tus kws kho mob tshwj xeeb yuav xaiv qhov uas haum koj tshaj plaws. Tab sis tsis yog txhua yam yooj yim heev. Qhov kev sab laj no feem ntau tshwm sim li cas? Ib tug poj niam tuaj rau qhov teem caij thiab hais tias nws xav pib tswj kev yug menyuam. Tus kws kho mob pom zoo, ua ib qho kev ntsuam xyuas niaj hnub, siv smear thiab sau 2-3 tshuaj, uas nws muab rau tus poj niam.xaiv rau koj tus kheej seb yuav coj li cas. Feem ntau cov no yog cov tshuaj uas nrov tshaj plaws uas nws yuav muab rau haus rau tus neeg mob tom ntej. Jeanine, Jess, Logest thiab ntau lwm tus.
Txhua yam zoo li yog qhov tseeb, tab sis qhov kev xav tseem yog tus kws kho mob tsis suav qee yam. Thiab qhov tseeb, yuav ua li cas xaiv cov tshuaj tiv thaiv kev yug menyuam, yog tias koj tsis paub txog keeb kwm hormonal. Qhov tseeb, qhov no yog txoj haujlwm ntawm tus kws endocrinologist, uas yuav tsum yog tus kws kho mob gynecologist. Nws txuag tau tias cov tshuaj niaj hnub no feem ntau yog cov tshuaj qis uas tsis cuam tshuam rau lub cev ua haujlwm ntau dhau. Kev ncua sij hawm tsis raug txiav tawm, tab sis nws yuav tag nrho tom qab, tsis yog tam sim no.
Vim li cas tshuaj?
Tseem muaj ntau yam hauv khw niaj hnub no. Cov no yog cov hnab looj tes thiab cov nplhaib, kauv thiab cov nplaum, thaj ua rau thaj, cov ntaub so ntswg, txhaj tshuaj. Tau kawg, tsuas yog qhov tsis muaj kev sib deev muab 100% lav, tab sis tseem. Vim li cas cov poj niam feem ntau nyiam siv tshuaj? Vim tias lawv muaj qhov feem pua siab tshaj plaws ntawm kev tiv thaiv kev xeeb tub uas tsis xav tau. Tab sis qhov ntawd tsis yog tag nrho. Nws yooj yim heev rau noj ib ntsiav tshuaj ntawm ib lub sijhawm ntawm hnub, thiab qhov ntawd yog nws, tsis muaj dab tsi ntxiv rau koj. Tsis zoo li cov tshuaj nplaum thiab tshuaj suppositories, uas yuav tsum tau txhaj tshuaj tsis yog ntawm koj qhov yooj yim, tab sis 10 feeb ua ntej kev sib deev.
Yuav hais li cas ntxiv rau qhov kev pom zoo ntawm cov tshuaj tiv thaiv kab mob niaj hnub no?
- Tsis muaj kev txwv hnub nyoog. Cov ntxhais hluas thiab cov poj niam laus tuaj yeem nqa tau.
- Tsawg mob thaum ua poj niam.
- Txhim kho daim tawv nqaij mob.
Thiab tseem, yuav ua li cas xaiv cov tshuaj tiv thaiv kab mob rau koj tus kheej? Kuv yuav tsum xyuam xim rau dab tsi?
Ib me ntsis ntawm txoj kev xav
Koj yuav tsum tau coj los ntawm qhov lawv yog. Muaj ob hom kev tiv thaiv kev yug menyuam:
- Cov tshuaj tiv thaiv qhov ncauj sib xyaw. Monophasic, ob-theem thiab peb-theem. Lawv muaj ob hom poj niam txiv neej cov tshuaj hormones, estrogen thiab progesterone.
- Cov tshuaj tiv thaiv kab mob tsuas muaj progesterone xwb. Lawv hu ua mini-pills. Feem ntau lawv tau muab tshuaj rau cov niam laus kom txo qis feem pua ntawm kev tso tawm mus rau hauv cov kua mis.
Nov yog qhov sib faib roughest vim muaj ntau subclasses. Yog li ntawd, hais txog yuav ua li cas xaiv cov tshuaj tiv thaiv kev yug menyuam ntawm koj tus kheej, kuv xav kom nco ntsoov qhov yuav tsum tau mus ntsib lub tsev kho mob thiab kuaj xyuas. Tau kawg, qhov no yog qhov tsim nyog yog tias koj xav kom cov tshuaj haum rau koj zoo kawg nkaus thiab tsis ua rau muaj kev hloov pauv tsis zoo hauv ob peb xyoos.
History take
Thiab tam sim no cia peb tham luv luv txog cov ntaub ntawv dab tsi koj yuav tsum muaj ntawm tes los sau tshuaj tiv thaiv. Ua ntej tshaj plaws, tus neeg mob yuav tsum tau kuaj xyuas ntawm lub rooj zaum gynecological. Nyob rau tib lub sijhawm, tus kws kho mob sau anamnesis, suav nrog tsev neeg keeb kwm. Txhua yam tseem ceeb, yog li sim ua kom nco qab ntau cov ntsiab lus ntau li ntau tau. Lub xub ntiag ntawm cov kab mob ntev, kev kis kab mob tsis ntev los no, tus cwj pwm tsis zoo, lub cev thiab kev ua neej - tag nrho cov no yuav tsum pom nws qhov chaw nyob hauv daim duab tag nrho.
Ntawd yog, tsuas yog muaj cov ntaub ntawv tiav, txawm tias tus kws kho mob muaj peev xwm sau tau cov tshuaj kom raug. Nws hloov tawm hais tias feem ntau cov gynecologists hauv zos tsis paub yuav ua li cas xaiv cov tshuaj tiv thaiv kev yug menyuam. Lossis tsis muaj sijhawm txaus los pom ib tus neeg mob.
Yuav tsum xeem
Hauv kev sab laj ntawm qhov chaw nyob, kev nkag mus yog feem ntau pub dawb, tab sis cov txheej txheem uas koj tuaj yeem muaj kuj txwv. Txhawm rau xaiv cov tshuaj kom raug, koj xav tau:
- Tau qhov kuaj gynecological thiab Pap test.
- Hloov kuaj ntshav biochemical.
- Tau ib lub plab pelvic.
- Lub mis ultrasound thiab sab laj nrog tus kws kho mob mammologist.
- Tus kws kho mob yuav tsum coj mus rau hauv tus account tus mob ntawm daim tawv nqaij thiab cov kev cai ntawm tus poj niam.
Thiab tus kws kho mob xaiv cov tshuaj tiv thaiv kev yug menyuam li cas? Rau feem ntau, approx. Yog tias cov tshuaj tsis ua haujlwm, nws yuav tuaj yeem hloov kho cov tshuaj thiab xaiv lwm tus, tsom mus rau tus neeg mob cov lus tsis txaus siab. Muaj lus piav qhia tsim nyog rau qhov no. Kev tshuaj xyuas ib txwm ntev thiab kim. Thiab cov neeg mob xav tau kev teem sijhawm hnub no, vim tag kis, txij thawj hnub ntawm lub voj voog, lawv yuav tsum pib haus dej. Thiab tus nqi yog qhov uas ntau tus yuav tsis kam, tshwj xeeb tshaj yog vim qhov tshwm sim ntawm cov tsos mob ntawm sab qis heev.
lab kuaj
Qhov kev kuaj mob ultrasound thiab kev kuaj hauv qab no tseem ceeb heev. Tab sis tseem, kev kuaj ntshav hais ntau ntxiv txog lub xeev ntawm homeostasis. Yog liNws yog ib qho tseem ceeb los tham nrog tus kws kho mob txog qhov xav tau ntawm lawv tus menyuam. Rau daim duab tag nrho, nws raug nquahu kom ua cov hauv qab no:
- Muaj tsawg kawg yog ob qhov kev tshuaj ntsuam hormonal, uas yuav tso cai rau koj kom txiav txim siab ntau dua ntawm lub cev hormonal surges.
- Muaj ntshav txhaws.
- Npaj ntshav rau cov piam thaj kom txiav txim siab rau ntshav qab zib.
Nov yog lo lus nug ntawm seb yuav ua li cas txhawm rau txhawm rau xaiv cov tshuaj tiv thaiv kab mob. Nws yog, ntawm chav kawm, kim heev, tab sis koj kev noj qab haus huv yog tsim nyog. Yog li ntawd, xav hloov pauv cov nqi khoom mus rau lub xub pwg nyom ntawm koj tus khub.
Peb poj niam phenotypes
Muaj ib lub ntsiab lus uas qhia koj yuav ua li cas xaiv cov tshuaj tiv thaiv kab mob tsis muaj kws kho mob. Qhov no tsis tshem tawm qhov yuav tsum tau mus koom kev sab laj, tab sis muab cov ntaub ntawv ntxiv rau cov poj niam. Niaj hnub no nws yog kev cai kom paub qhov txawv ntawm peb tus poj niam phenotypes, txhua tus muaj nws tus kheej pab pawg ntawm cov tshuaj tiv thaiv qhov ncauj:
- hom tshuaj estrogen. Cov no yog cov poj niam ntawm luv stature, nrog pronounced mammary qog, heev feminine. Cov plaub hau thiab tawv nqaij feem ntau yog qhuav. Rau lawv, tshuaj zoo li Minisiston, Regividon tau pom zoo.
- hom sib npaug. Lub cev zoo li qub, qhov nruab nrab qhov siab, plaub hau thiab tawv nqaij yog qhov qub. Yuav muab xa mus rau Logest, Novinet, Marvelon, Tri-Regol.
- Progesterone hom. Feem ntau cov no yog cov poj niam siab nrog lub cev, zoo li cov tub. Cov tawv nqaij oily thiab plaub hau. Muab "Jess", "Yarina", "Midiana", "Janine".
Yog koj xav paub xaiv cov tshuaj tiv thaiv kab mob zoo rau koj tus kheej, ces koj yuav tsum ua tib zoo kawm cov lus no. Tab sis dua peb tau ntsib nrog qhov tseeb tias cov tshuaj uas muaj cov tshuaj hormones sib txawv poob rau hauv ib pawg. Piv txwv li, "Jess", "Yarina" thiab "Diana-35" txawv ntawm ib leeg heev. Yog tus neeg mob xaiv raws li nws qhov kev xav, nws yuav ua yuam kev.
Yuav ua li cas hem qhov kev xaiv tsis raug
Koj yuav tsum nkag siab tias cov tshuaj hormones tuaj yuav cuam tshuam cov keeb kwm hormonal. Thiab qhov tseem ceeb npaum li cas cov kev hloov pauv no yuav yog nyob ntawm lub xeev ntawm koj txoj kev noj qab haus huv, nrog rau lub peev xwm los tsim cov xeeb ntxwv yav tom ntej. Feem ntau cov kws kho mob faib lub sijhawm hloov kho rau cov tshuaj. Nws kav li ob peb lub lis piam mus rau ob peb lub hlis.
Lub sijhawm no, tus neeg mob yuav raug mob los ntawm mob taub hau, smearing tawm thoob plaws lub voj voog. Tab sis yog tias ib pob dhau lawm, thiab tseem tsis muaj kev hloov pauv zoo, ces cov tshuaj yuav tsum tau hloov. Txij li thaum nws nyuaj heev los xaiv cov tshuaj tiv thaiv koj tus kheej, cov poj niam feem ntau muaj cov tsos mob zoo li no.
Tus nqi yuam kev
Yog tias cov tshuaj noj hnyav ua rau cov poj niam cev xeeb tub, ces qhov no yuav ua rau muaj teeb meem yav tom ntej.
- Kev muaj menyuam tsis taus yuav tshwm sim. Txij li thaum zes qe menyuam tau ceeb toom tias lawv tsis tas yuav tsim qe, lawv tsis ua li ntawd tom qab ib ntus.
- Kev yug me nyuam nyuaj. Cov kws kho mob paub tseeb tiasCov poj niam uas noj tshuaj tiv thaiv kab mob ntev ntev feem ntau txav mus los, muaj kev cuam tshuam ntawm placental abruption.
- Kev cuam tshuam ntawm cov hlab ntsha.
- Yug me nyuam tsis taus.
Tsis yog qhov tsis muaj txiaj ntsig, txawm tias peb xav tias cov tshuaj tiv thaiv tau raug xaiv raug, nws raug nquahu kom thim nws li 6 lub hlis ua ntej kev xeeb tub. Lub sijhawm no, nws raug nquahu kom tiv thaiv koj tus kheej nrog cov hnab looj tes lossis lwm yam txhais tau tias.
YContraindications
Raws li txhua yam tshuaj, kuj muaj cov tshuaj tiv thaiv qhov ncauj. Cov no tsis yog cov vitamins txhua, raws li feem ntau ntseeg. Yog li ntawd, yog tias koj tab tom nrhiav cov ntaub ntawv hais txog yuav ua li cas rau nws tus kheej xaiv cov tshuaj tiv thaiv kev yug menyuam yam tsis muaj kws kho mob, koj yuav tsum ntsuas qhov kev pheej hmoo. Yog tias tsawg kawg yog ib qho kev sib tw, ces koj yuav tsum xav txog nws lossis, zoo dua, mus ntsib kws kho mob:
- Yog tias koj muaj kev nyuaj siab lossis kev ntxhov siab hnyav tsawg dua peb lub hlis dhau los.
- Rau tus poj niam uas haus luam yeeb, noj tshuaj tiv thaiv kab mob ua rau muaj kev pheej hmoo rau cov teeb meem thromboembolic.
- Ntaus siab thaum noj tshuaj hormonal contraceptive tuaj yeem ua tsis tu ncua, yog li lwm qhov laj thawj xav tias yog ntshav siab.
- mob khaub thuas hnyav thaum cev xeeb tub.
- Tsis muaj sijhawm rau ntau lub voj voog.
Siv qhov xaus
Kev xaiv cov tshuaj tiv thaiv hormonal, ntau niaj hnub no ua rau kuv tus kheej, tom qab kev sab lajnrog tus kws muag tshuaj. Seb qhov no puas yog los yog tsis yog nyob ntawm koj. Niaj hnub no peb tau tshuaj xyuas cov ntsiab lus tseem ceeb ntawm qhov kev xaiv yuav tsum tau ua raws, thiab qhov kev siv cov tshuaj tiv thaiv tsis raug xaiv tuaj yeem cuam tshuam dab tsi. Kev paub ntawm koj tus hluas nkauj yog ib yam, tab sis koj txoj kev noj qab haus huv yog lwm qhov teeb meem nkaus. Yog li ntawd, siv sij hawm mus ntsib kws kho mob thiab dhau qhov kev ntsuam xyuas tsim nyog. Nov yog tib txoj hauv kev los xaiv qhov yog.
