Txawm cov menyuam kawm ntawv paub txog qhov xav tau thiab qhov tseem ceeb ntawm kev tiv thaiv kab mob hauv peb lub sijhawm. Tom qab tag nrho, tib lub hnab looj tes tiv thaiv tsis tau tsuas yog los ntawm kev xeeb tub, tab sis kuj los ntawm kev sib deev kis kab mob. Tab sis hauv kab lus no peb yuav tsis tham txog lawv.
Cia peb tham txog yam xws li tshuaj tiv thaiv qhov ncauj: kev faib tawm, kev mob tshwm sim, contraindications rau kev siv thiab cov npe ntawm cov tshuaj nto moo tshaj plaws hauv cheeb tsam no yuav raug txiav txim siab los ntawm peb. Ntxiv rau, peb yuav txiav txim siab qhov zoo thiab qhov tsis zoo ntawm cov nyiaj no.
Cov tshuaj tiv thaiv qhov ncauj yog dab tsi?
Nov yog tshuaj tiv thaiv kev yug menyuam uas muaj poj niam cov tshuaj hormones.
Cov tshuaj pab kom tsis txhob muaj kev xeeb tub los ntawm kev txwv cov txheej txheem ntawm ovulation. Nws cov txiaj ntsig tau zoo heev, txawm tias qhov tseeb tias kev noj cov tshuaj tiv thaiv qhov ncauj tsis muab 100% lav kev tiv thaiv.
hom tshuaj tiv thaiv qhov ncauj
Muaj ntau hom tshuaj tiv thaiv kev yug menyuam.
Raws li cov tshuaj nquag, lawv tau muab faib ua cov tshuaj progestogenic thiab cov tshuaj tiv thaiv kab mob sib xyaw ua ke, uas ua ke cov tshuaj hormones progestogen thiab estrogen.
Raws li qib ntawm cov ntsiab lus ntawm cov tshuaj nquag, cov tshuaj yog monophasic thiab multiphasic. Hauv thawj kis, tus naj npawb ntawm cov tshuaj hormones tsis hloov mus rau tag nrho cov khoom noj, thiab hauv qhov thib ob nws tuaj yeem sib txawv ntau zaus hauv ib lub voj voog. Nyob rau tib lub sijhawm, cov ntsiav tshuaj ntau theem yuav tsum tau ua kom nruj.
Ntxiv rau, cov tshuaj tiv thaiv kab mob hauv qhov ncauj yuav txawv ntawm ib leeg ntawm cov tshuaj estrogen hauv lawv. Raws li txoj cai, kev npaj nrog me me ntawm cov tshuaj no tau muab rau cov poj niam hluas, noj qab haus huv thiab tsis muaj zog. Qhov no yog vim lub fact tias nyob rau hauv feem ntau lawv tsis xav tau ntxiv hormonal hloov. Cov poj niam ntawm lub hnub nyoog laus, tshwj xeeb tshaj yog ua ntej qhov pib ntawm menopause, nws yog qhov zoo dua los noj tshuaj nrog cov tshuaj estrogen ntau ntxiv hauv lawv. Qhov no yuav pab txhim kho kev noj qab haus huv tag nrho thiab poj niam txoj kev noj qab haus huv feem ntau.
Kev xaiv kev yug menyuam
Lo lus nug ntawm qhov kev xaiv qhov ncauj qhov ncauj yuav tsum txiav txim siab tshwj xeeb los ntawm tus kws kho mob gynecologist.
Qhov no, koj yuav tsum tsis txhob mloog cov lus tshuaj xyuas hauv Internet lossis cov lus qhia ntawm cov phooj ywg noj tshuaj hormonal. Qhov tseeb yog tias kev xaiv cov tshuaj tiv thaiv qhov ncauj yog ib qho teeb meem ntawm tus kheej nkaus xwb. Thaum lub sij hawm tus txheej txheem no, nws yog ib qho tseem ceeb kom coj mus rau hauv tus account kiag li tag nrho cov nuances, pib nrog lub xeev ntawm kev noj qab haus huv ntawm tus poj niam thiabxaus nrog nws txoj kev ua neej. Tsis tas li ntawd, koj yuav tsum tsis txhob zais cov ntaub ntawv los ntawm tus kws kho mob, txawm tias nws yog tus cwj pwm phem, kev rho menyuam yav dhau los, kev coj khaub ncaws tsis zoo, thiab lwm yam. Tsuas yog nyob rau hauv txoj kev no nws yuav muaj peev xwm xaiv cov tshuaj tiv thaiv qhov ncauj zoo tshaj plaws uas zoo tagnrho rau tus poj niam thiab yuav txo qis kev pheej hmoo ntawm cov teeb meem lossis kev phiv.
Paj tshwj xeeb
tshuaj tiv thaiv qhov ncauj hauv daim ntawv ntawm cov tshuaj hormonal yuav tsum tau muab tshuaj thiab noj nrog ceev faj thaum muaj cov kab mob hauv qab no thiab lub cev yam ntxwv:
- nrawm immobility;
- npaj rau kev phais lossis lub sijhawm rov ua haujlwm tom qab nws;
- muaj ntshav tawm ntawm qhov chaw mos;
- Ythrombosis, thromboembolism;
- ntshav siab;
- teeb meem nrog lub paj hlwb;
- muaj qog nqaij hlav malignant.
Contraindications rau kev siv
Cov tshuaj tiv thaiv qhov ncauj tsis yog ib txoj kev tiv thaiv kab mob tshwj xeeb uas txhua tus poj niam siv tau. Muaj ib tug xov tooj ntawm contraindications, nyob rau hauv lub xub ntiag ntawm uas nws yog tsim nyog tsis kam noj cov tshuaj nyob rau hauv kev pom zoo ntawm lwm txoj kev ntawm kev tiv thaiv tiv thaiv cev xeeb tub. Los yog xaiv qhov kev xaiv zoo tshaj plaws rau cov tshuaj hormonal nrog koj tus kws kho mob.
txheeb ze contraindications suav nrog:
- rog rog;
- lactation;
- mob vwm;
- sickle anemia;
- muajntshav qab zib mellitus;
- haus luam yeeb (yog tus poj niam muaj hnub nyoog 35 xyoos);
- muaj kab mob ntawm qhov chaw mos (thrush, vaginosis, thiab lwm yam).
Nws yog txwv tsis pub siv tshuaj hormonal thaum cev xeeb tub, daim siab tsis ua haujlwm, hemorrhagic stroke, thiab yog tias koj xav tias muaj cov tshuaj estrogen-dependent neoplasms (siab adenoma, mob qog noj ntshav ntawm lub tsev menyuam lossis lub mis, thiab yog li ntawd).
Cov tshuaj hormonal nrov tshaj plaws thiab lawv siv
Muaj pes tsawg lub tuam txhab tsim cov tshuaj tiv thaiv qhov ncauj? Cov npe tuaj yeem ntev heev, yog li ua piv txwv, peb nco qab tsuas yog ob peb yam khoom uas tam sim no nyiam tshaj plaws rau cov poj niam.
Cov no suav nrog cov tshuaj hauv qab no: "Novinet", "Yarina", "Janine", "Marvelon", "Jess", "Diana-35", "Logest", "Regulon", "Chloe", Lindinet -20, Qlaira, Median, Silest.
Txhua qhov nyiaj tau nrog cov lus qhia uas qhia txog qhov koob tshuaj thiab zaus ntawm kev siv nyiaj. Feem ntau, koj yuav tsum siv ib ntsiav tshuaj txhua hnub. Qhov kev zam tsuas yog hnub ntawm kev coj khaub ncaws, thaum lub sij hawm cov tshuaj hormonal contraindicated.
Side effects
Thaum noj cov tshuaj tiv thaiv qhov ncauj hauv daim ntawv tshuaj hormonal, koj yuav tsum tau npaj rau qhov tshwm sim ntawm cov kev mob tshwm sim. Raws li kev xyaum qhia,lawv ntsib ntau zaus. Yog li ntawd, tus kws kho mob thaum lub sijhawm sau tshuaj yuav tsum ceeb toom tus poj niam txog lawv. Tshwj xeeb yog xav tias qee tus ntawm lawv tuaj yeem tsim kev hem thawj rau lub neej.
Cov kev mob tshwm sim feem ntau yog qhov hnyav nce lossis poob, xeev siab, ntuav, thiab los ntshav los ntawm lub cev. Hauv qhov no, qhov kawg tuaj yeem pom tau 3 lub hlis. Yog tias lawv kav ntev dua, koj yuav tsum sab laj nrog kws kho mob gynecologist kom xaiv lwm yam tshuaj.
Tam sim no wb tham txog kev mob tshwm sim hnyav.
Kev tshawb fawb tau pom tias yog poj niam siv tshuaj tiv thaiv qhov ncauj, qhov tshwm sim ntawm pulmonary embolism (PE) nce li ntawm 3-6 zaug, nyob ntawm qhov koob tshuaj.
Kev hloov ntshav siab kuj tau pom. Hauv feem ntau ntawm cov poj niam, thaum noj tshuaj hormonal, nws qhov kev nce me ntsis tau pom. Yog li ntawd, nyob rau hauv lub xub ntiag ntawm kub siab nyob rau hauv ua ke nrog nrog kev haus luam yeeb thiab kev siv ntawm qhov ncauj contraceptives, txoj kev pheej hmoo ntawm cov kab mob plawv yuav nce. Tom qab txiav cov tshuaj, amenorrhea tuaj yeem tshwm sim.
Ntxiv rau, muaj cov lus qhia tias cov tshuaj tiv thaiv qhov ncauj tuaj yeem ua rau muaj kev pheej hmoo ntawm mob qog noj ntshav thiab dysplasia. Txawm hais tias qhov teeb meem no tseem muaj teeb meem, txij li cov kev tshawb fawb tsis tau coj mus rau hauv tus account lwm yam kab mob-provoking yam, xws li thaum ntxov ntawm kev sib deev kev ua si, loj.tus naj npawb ntawm cov neeg koom tes, haus luam yeeb thiab lwm yam. Tab sis tseem, thaum noj tshuaj hormonal, nws yog ib qho tseem ceeb uas yuav tau ua ib qho kev ntsuam xyuas cytological txhua xyoo ntawm qhov chaw mos.
Cov txiaj ntsig ntawm cov tshuaj hormone
Txhua qhov zoo ntawm cov tshuaj tiv thaiv qhov ncauj, nws yuav yooj yim dua los txiav txim siab hauv daim ntawv teev npe.
- Kev tshem tawm cov teeb meem ntawm daim tawv nqaij. Thiab kom meej meej, kev npaj tshuaj estrogen yog cov pab zoo heev hauv kev tawm tsam pob txuv. Qhov no tshwm sim vim qhov tseeb tias cov tshuaj hormones txo qhov tso tawm ntawm sebum.
- Kev kho cov zes qe menyuam polycystic. Yog tias kuaj pom tus kab mob ntxov, nws muaj peev xwm tshem tau nws nrog kev pab ntawm hormonal contraceptives ib leeg.
- Cov txiaj ntsig zoo rau lub cev thaum cev xeeb tub. Cov tshuaj hormonal muaj txiaj ntsig zoo rau kev ua haujlwm ntawm cov hlab plawv, endocrine thiab paj hlwb.
Cov tshuaj tiv thaiv zoo. Qhov tseeb, qhov no yog lub hom phiaj tseem ceeb ntawm cov tshuaj tiv thaiv kab mob hauv qhov ncauj.
Cov tshuaj tiv thaiv kev yug menyuam tsis zoo
Qhov tsis zoo ntawm cov tshuaj hauv qhov ncauj tsis muaj ntau, tab sis tseem qhov no tsis ua rau lawv tsis tseem ceeb.
Nws tsim nyog pib nrog qhov tseeb tias cov tshuaj tiv thaiv hormonal tsis lav ib puas feem pua kev tiv thaiv. Txawm hais tias nyob rau hauv no hais txog, txhua yam yuav nyob ntawm tus poj niam nws tus kheej, txij li nws tau ua lub luag haujlwm loj. Nws yog ib qho tseem ceeb uas yuav tau noj cov tshuaj no nrog lub luag haujlwm tshaj plaws, vim tias ib ntsiav tshuaj tsis tuaj yeem ua rau muaj kev nyab xeeb ntawm txhua yam.xov.
Qhov tseem ceeb thib ob yog qhov kev mob tshwm sim. Txawm tias ib qho tshuaj uas raug xaiv tuaj yeem ua rau muaj kev cuam tshuam tsis zoo thiab tsis zoo ntawm lub cev. Raws li tau hais los saum no, lawv tuaj yeem pom lawv tus kheej hauv txhua hom, los ntawm tus kheej intolerance mus rau kev loj hlob ntawm cov kab mob loj.
Kev tshuaj xyuas
Cov poj niam uas siv tshuaj tiv thaiv kab mob hais li cas? Muaj cov kev tshuaj xyuas sib txawv kiag li, uas ib zaug lees paub qhov tseeb tias hom tshuaj tiv thaiv kab mob no yuav tsum tau xaiv ib leeg xwb.
Tseem muaj cov uas sau tseg tsuas yog yam zoo: txhim kho kev noj qab haus huv thiab zoo li qub, nrog rau qhov tsis ua tiav ntawm qhov tsis zoo.
Lwm tus neeg yws txog qhov hnyav nce, mob taub hau thiab xeev siab thaum noj tshuaj lossis tam sim tom qab noj lawv. Tej zaum qhov teeb meem nyob rau hauv qhov kev kho tsis raug, los yog muaj lwm yam laj thawj.
