Qhov twg zoo dua los xaiv cov tshuaj tiv thaiv kev yug menyuam? Cia peb kawm saib.
Cov poj niam feem ntau hais tias cov tshuaj tiv thaiv qhov ncauj yog qhov tshiab thiab tsis ntseeg lawv. Qhov tseeb, qhov no yog thawj zaug tham txog ib puas xyoo dhau los, thaum pib ntawm lub xyoo pua 20th. Thawj qhov kev sim ntawm cov tshuaj hormones tau ua los ntawm tus kws kho mob Austrian hu ua Haberland. Ua tsaug rau nws txoj kev tshawb fawb, cov poj niam tsis yog cov tshuaj hormones xws li estrogen thiab progesterone tau tsim nyob rau xyoo 1930. Thiab Asmeskas Pincus, xyoo 1960, tau tsim thawj cov tshuaj tiv thaiv kab mob hormonal, uas lawv hu ua Enovid.
thawj cov tshuaj no muaj cov tshuaj hormones loj heev thiab tsis ntseeg tau, yog li cov kws tshawb fawb txuas ntxiv txhim kho cov qauv. Raws li qhov tshwm sim, cov tshuaj hormonal txo qis, kev faib ua kom zoo dua qub, thiab kev ntseeg siab ntawm cov tshuaj tiv thaiv qhov ncauj tau nce. Niaj hnub nohormonal contraception yog suav hais tias yog txoj kev ntseeg siab tshaj plaws kom tsis txhob xeeb tub, nws cov txiaj ntsig tau raug pov thawj, uas nce mus txog 99.9%.
Ntxiv nrog rau cov tshuaj tiv thaiv kab mob, feem ntau cov tshuaj muaj cov txiaj ntsig kho mob uas tso cai rau koj los kho cov tshuaj hormones. Thiab yog li ntawd, ib co gynecologists qhia rau lawv rau cov kab mob ntawm cov poj niam qhov chaw mos cov kab mob, raws li zoo raws li rau pom cov kab mob metabolic. Kev siv cov tshuaj hormonal kom zoo txhim kho qhov tsos: tshem tawm pob txuv thiab blackheads, copes nrog oily ntawm daim tawv nqaij thiab plaub hau. Xaiv cov tshuaj tiv thaiv kab mob zoo tam sim no tsis nyuaj.
pab pawg tshuaj tiv thaiv kab mob
Txawm hais tias muaj ntau hom tshuaj tiv thaiv kab mob muaj nyob hauv lub tsev muag tshuaj, cov tshuaj tiv thaiv kab mob hauv qhov ncauj yog thawj qhov chaw. Tab sis, hmoov tsis, tsis yog txhua leej txhua tus paub txog cov kev phiv thiab contraindications rau lawv, raws li zoo raws li cov kev cai ntawm kev txais neeg kawm thiab hais tias lawv yog txwv tsis pub noj rau lub sij hawm ntev. Kev xaiv cov tshuaj tiv thaiv qhov ncauj tsim nyog yuav tsum tsuas yog tom qab mus ntsib kws kho mob thiab kuaj mob. Tag nrho cov tshuaj tiv thaiv kev yug menyuam poob rau hauv ob pawg: cov tshuaj tiv thaiv ua ke (COCs) thiab cov tshuaj me me.
Cov tshuaj tiv thaiv qhov ncauj sib xyaw muaj cov tshuaj xws li: ethinylestradiol (ib qho analogue ntawm estrogen), progestogen. Tsis tas li ntawd, COCs, nyob ntawm ntau yam kev xaiv rau cov ntsiab lus ntawm cov tshuaj hormones, muab faib ua: ob-theem, peb-theem thiab monophasic tshuaj tiv thaiv kab mob. Qhov twg yog qhov zoo dua los noj tom qab yug me nyuam, nrhiavtom ntej no.
Lub sijhawm tseem ceeb hauv cov qauv ntawm kev ua ntawm COCs yog qhov thaiv ntawm ovulation, vim qhov inhibition ntawm qhov tshwm sim ntawm LH thiab FSH hauv lub caj pas pituitary. Nrog rau qhov no, kev ua haujlwm ntawm zes qe menyuam raug thaiv. Tsis tas li ntawd, "glandular regression" tshwm sim nyob rau hauv lub tsev menyuam, uas ua rau nws tsis yooj yim sua rau lub qe fertilized txuas. Kev hloov pauv kuj tshwm sim hauv cov kwj dej ntawm ncauj tsev menyuam, nws cov hnoos qeev thickens, uas ua rau muaj kev cuam tshuam ntawm kev txav ntawm spermatozoa sab hauv, mus rau hauv lub tsev menyuam. Yog li, COCs tau muab faib ua peb hom raws li cov ntsiab lus ntau ntawm cov khoom nquag. Xav txog cov tshuaj tiv thaiv kab mob zoo uas txhua tus poj niam tuaj yeem tau.
YMicrodosed oral contraceptives
Cov tshuaj hormones hauv cov tshuaj no yog me me, yog li lawv tau qhia rau cov ntxhais hluas hnub nyoog qis dua 25 xyoos, lawv kuj tsim nyog rau cov neeg uas xav txog thawj zaug xav tau cov tshuaj tiv thaiv kab mob. Piv txwv ntawm cov tshuaj: "Klayra", "Zoeli" thiab lwm yam monophasic sawv daws yuav - "Logest", "Dimia", "Minisiston", "Jess", "Mersilon", "Lindinet", "Novinet". Puas muaj cov tshuaj tiv thaiv zoo rau cov menyuam yaus?
tshuaj tiv thaiv qhov ncauj qis
Cov ntsiav tshuaj no yog qhia rau cov poj niam hluas thiab cov laus. Lawv kuj tau sau tseg los ntawm cov poj niam uas, thaum siv cov tshuaj tiv thaiv kab mob microdose, muaj cov tsos mob ntawm kev coj khaub ncaws. Tsis tas li ntawd, cov kev tshawb fawb ntawm cov tuam txhab tau hais tias ib pawg ntawm cov neeg ua haujlwm qis qis muaj cov nyhuv antiandrogenic - cov plaub hau kev loj hlob nres hauv qhov chaw tsis xav tau, pob txuv thiab cov tawv nqaij oily raug tshem tawm, thiab seborrhea txo qis. Mus rau daim ntawv teev cov tshuaj tiv thaiv kab mobsuav nrog: Yarina, Regulon, Chloe, Diana, Trimerci, Silhouette, Janine, Femoden, Silest, Minisiston, Belara, Marvelon "," Demoulin. Cov tshuaj tiv thaiv kev yug menyuam zoo tsis xaus rau ntawd.
koob tshuaj ntau qhov ncauj qhov ncauj
Cov tshuaj hormones hauv cov tshuaj tiv thaiv kab mob no siab heev, yog li lawv raug coj los kho cov kab mob gynecological xws li endometriosis, lossis kho cov kab mob hormonal. Lawv tsuas yog siv raws li kws kho mob qhia.
Cov tshuaj tiv thaiv kev yug menyuam tsis zoo yuav tsum xaiv los ntawm kws kho mob.
Mini haus
Txog cov tshuaj no, peb tuaj yeem hais tias nws tsuas muaj progestogen xwb. Cov cuab yeej ntawm nws txoj haujlwm yog nyob rau hauv kev cuam tshuam hauv cheeb tsam ntawm thaj chaw peripheral ntawm lub cev xeeb tub. Cov tshuaj Mini-cov tshuaj muaj qhov cuam tshuam rau tus nqi ntawm lub ncauj tsev menyuam thiab nws cov ntsiab lus. Yog li, nyob rau hauv nruab nrab ntawm lub voj voog, qhov ntim ntawm cov hnoos qeev no txo qis, tab sis nws cov viscosity tseem siab txaus nyob rau hauv txhua theem ntawm kev coj khaub ncaws, uas ncua kev ywj pheej ntawm spermatozoa. Cov kev hloov pauv kuj tshwm sim hauv cov qauv biochemical thiab morphological ntawm endometrium, uas ua rau tsis zoo rau kev cog qoob loo. Hauv yuav luag txhua tus poj niam, ovulation yog khov. Cov tshuaj Mini muaj xws li: Desogestrel (Charozetta, Lactinet), Linestrenol (Microlut, Orgametril, Exluton).
Yuav ua li cas xaiv cov tshuaj tiv thaiv kab mob zoo?
Cov lus nug feem ntau tshwm sim uas cov tshuaj twg zoo dua thiab siv tau zoo dua. NrogCov lus nug no tsis tuaj yeem txheeb xyuas ntawm koj tus kheej, tshwj xeeb tshaj yog tias koj nug koj cov phooj ywg lossis mloog cov lus qhia ntawm tus kws muag tshuaj. Txhawm rau nrhiav cov tshuaj tiv thaiv zoo, koj yuav tsum mus ntsib kws kho mob. Tus kws kho mob yuav sau ib qho anamnesis, cais cov kab mob hauv tsev neeg, txheeb xyuas cov kab mob uas twb muaj lawm lossis yav dhau los, vim tias tag nrho cov no yuav yog ib qho contraindication rau kev siv tshuaj tshwj xeeb. Tom qab ntawd, tus kws kho mob gynecologist yuav kuaj xyuas lub sijhawm uas nws yuav ntsuas:
- daim tawv nqaij (petechiae, cov tsos mob ntawm hyperandrogenism, muaj hypertrichosis, telangiectasia);
- ntsuas ntshav siab thiab qhov hnyav;
- palpates cov qog mammary
- kuaj ntshav qab zib, lub siab enzymes, ntshav txhaws, cov tshuaj hormones;
- Kev kawm ntawm ultrasound ntawm cov kabmob hauv plab hnyuv thiab cov qog mammary;
- mammography;
- xam nrog smears.
Ntxiv rau, tus poj niam yuav tsum tau mus ntsib kws kho qhov muag, vim tias kev siv cov tshuaj tiv thaiv qhov ncauj mus ntev tuaj yeem ua rau muaj kev pheej hmoo ntawm kev mob qog ntshav qab zib thiab lwm yam kab mob ntawm qhov muag. Rau cov tshuaj kho kom raug uas yuav tsim nyog rau tus neeg mob, nws txoj kev cai lij choj yuav tsum raug coj mus rau hauv tus account:
- kev loj hlob;
- qog mammary;
- muaj plaub hau plaub hau;
- tawv nqaij;
- mob khaub thuas thiab cov tsos mob premenstrual;
- kev cuam tshuam ntawm lub voj voog lossis tsis muaj kev coj khaub ncaws;
- kab mob chronic.
muaj 3 yam.
Txoj kevtshuaj estrogen
Cov no yog poj niam nruab nrab lossis luv luv, poj niam zoo nkauj heev. Lawv muaj cov plaub hau qhuav thiab tawv nqaij, lub sij hawm ntev nrog ntshav ntau, lub voj voog ntawm ntau tshaj 4 lub lis piam. Cov poj niam uas muaj cov phenotype no feem ntau haum rau cov tshuaj tiv thaiv kab mob siab los yog nruab nrab. Piv txwv li: "Milvane", "Trisiston", "Rigevidon".
hom sib npaug
Cov poj niam qhov siab nruab nrab, poj niam, cov qog mammary ntawm qhov nruab nrab thiab tsim tau zoo, tawv nqaij thiab plaub hau ntawm ib txwm oiliness, tsis muaj tsos mob ua ntej, kev coj khaub ncaws kav 5 hnub txhua 4 lub lis piam. Cov khoom thib ob yog qhov tsim nyog rau cov poj niam xws li: Silest, Lindenet-30, Marvelon, Femoden.
Androgen predominance
Cov poj niam no siab, lawv zoo li ib tug txiv neej, underdeveloped mammary qog, oily daim tawv nqaij thiab plaub hau, tsis xis nyob thiab chim siab nyob rau hauv ua ntej ntawm kev coj khaub ncaws nrog mob nyob rau hauv lub plab mog thiab nyob rau hauv lub lumbar cheeb tsam. Kev coj khaub ncaws tsis hnyav, kav ntev dua 5 hnub, lub voj voog luv. Hauv qhov no, tus kws kho mob tau sau cov tshuaj hormonal nrog cov tshuaj tiv thaiv antiandrogenic: Yarina, Janine, Jess, Diane-35.
Tam sim no cia peb saib cov tshuaj tiv thaiv kev yug menyuam uas tsis yog tshuaj hormones zoo.
tshuaj tsis yog tshuaj hormonal
Hnub no, cov poj niam ntawm lub hnub nyoog yug me nyuam tau nce siv tshuaj tiv thaiv kev xeeb tub, muab los ntawm cov tshuaj uas tsis yog tshuaj hormones. Lawv tsis yog ntsiav tshuaj li ntawd. Lawv yuav tsum tau coj tsis nyob rau hauv, zoo li ib txwmhormonal contraceptives, thiab txhaj ncaj qha rau hauv qhov chaw mos. Piv txwv:
- "Pharmatex" yog ib qho nrov tshaj plaws vim nws cov nqi qis, uas yog ua ke nrog kev ua haujlwm siab. Siv tau li ntawm 10 feeb tom qab noj, tsis poob nws cov khoom rau ob peb teev.
- "Ginotex" yog cov ntsiav tshuaj uas muaj lub voj voog. Qhia sab hauv tsis pub dhau 5 feeb ua ntej kev sib deev. Lub ntsiav tshuaj ua haujlwm tau 4 teev.
- "Erotex" - yog cov tswm ciab yug menyuam uas tsis yog tshuaj hormones, ua haujlwm tom qab 10 feeb, ua haujlwm 3 teev.
- "Kontrax" - lub hauv paus ntsiab lus yog tib yam, nquag siv 4 teev.
Cov tshuaj zoo tshaj plaws rau cov poj niam qis dua 35
Ua ntej koj yuav tshuaj, koj yuav tsum sab laj nrog koj tus kws kho mob. Vim tias thaum xaiv cov tshuaj tiv thaiv kab mob, koj yuav tsum tau xyuam xim rau qhov tsawg tshaj plaws nuances, piv txwv li, lub hnub nyoog ntawm tus poj niam, qhov zaus ntawm kev sib deev thiab tus naj npawb ntawm cov neeg koom tes, cov xwm txheej ntawm lub cev. Cov tshuaj tiv thaiv qhov ncauj zoo tshaj plaws uas tsis muaj kev phiv thiab tsim nyog rau cov poj niam hluas tsis muaj zog yog microdosed contraceptives, uas muaj cov tshuaj hormones tsawg. Cov no yog cov tshuaj: Logest, Movinet, Yarina, Jess, Mercilon.
Yog tias cov tshuaj me me ntawm cov tshuaj hormones tsis pab, ces nws yog ib qho tsim nyog yuav tsum siv cov tshuaj qis qis: Belara, Regulon, Janine, Silest, Microgynon, Femoden. Tag nrho cov no haum rau cov poj niam hluas hnub nyoog qis dua 35.
Cov tshuaj tiv thaiv kev yug menyuam zoo tshaj yog dab tsicoj los ntawm cov poj niam laus?
Tshuaj rau poj niam tom qab 35
Cov poj niam uas muaj hnub nyoog qis dua, sib deev thiab yug ua ntej, raug pom zoo siv tshuaj tiv thaiv kab mob hauv qhov ncauj. Lawv muaj peev xwm muab kev tiv thaiv zoo thiab ua kom lub cev tsis muaj zog. Qee cov tshuaj tiv thaiv zoo tshaj plaws uas tsis muaj kev phiv rau cov poj niam hnub nyoog 35 xyoos yog: Triziston, Triquilar, Chloe, Femulen, Marvelon, Tri-Regol.
Cov tshuaj tiv thaiv kev yug menyuam zoo rau cov menyuam yug los nrog cov ntsiab lus siab ntawm cov tshuaj hormones tsuas yog coj mus kho thiab tsuas yog raws li kws kho mob qhia. Tsis tas li ntawd, cov nyiaj no tuaj yeem siv tau rau hauv cov xwm txheej uas cov tshuaj noj nruab nrab tsis tiv nrog lawv txoj haujlwm. Cov tshuaj uas muaj cov ntsiab lus siab ntawm cov tshuaj hormones yog tsim rau cov poj niam uas muaj ob peb tus menyuam yaus thiab nyob rau lub sijhawm yug menyuam lig.
Kev tshuaj xyuas cov tshuaj tiv thaiv kab mob zoo yog nyob rau ntawm kab lus kawg.
Yuav ua li cas thiaj siv tshuaj tiv thaiv qhov ncauj kom raug?
Feem ntau, cov hlwv pob ntawm cov tshuaj tiv thaiv kev yug menyuam muaj 21 ntsiav tshuaj. Tsuas muaj ob peb qhov tshwj xeeb, piv txwv li - "Jess", vim tias qhov no yog cov nyiaj txiag tshiab, lawv muaj 24 ntsiav tshuaj, thiab lawv cov kws kho mob feem ntau muab lawv rau cov ntxhais hluas. Thiab rau cov poj niam tom qab 35 xyoo, gynecologist tuaj yeem qhia cov tshuaj "Klaira" (tseem yog tiam tshiab), uas muaj 28 ntsiav tshuaj. Yuav siv cov tshuaj tiv thaiv zoo li cas? Koj yuav tsum noj tshuaj txhua hnubNws yog ib qho tseem ceeb uas yuav tau ua qhov no tib lub sijhawm, qhov pib ntawm daim ntawv thov yog thawj hnub coj khaub ncaws. Txhawm rau kom tsis txhob hnov qab noj lwm cov tshuaj, nws yog qhov zoo tshaj rau muab tso rau hauv qhov chaw uas tus poj niam feem ntau saib (ntawm lub rooj noj mov, hauv lub hnab kom zoo nkauj, hauv chav dej, nrog rau cov hlau nplaum fridge).
Txhua hnub tib lub sijhawm koj yuav tsum haus ib ntsiav tshuaj kom txog thaum lub hlwv dhau. Tom qab nws yuav tsum ua kom ncua sij hawm rau ib lub lim tiam. Lub sij hawm zoo li los ntshav yuav pib thaum lub sijhawm so.
Tom qab 7 hnub kawg, pib noj cov tshuaj tiv thaiv qhov ncauj dua, thiab tsis muaj teeb meem yog tias lub sijhawm tau xaus lossis tsis tau. Yog ntuav tshwm sim, yuav tsum tau noj lwm ntsiav tshuaj. Yog tias mam li nco dheev muaj ib qho tshuaj uas tsis nco qab, ces koj yuav tsum noj nws sai li sai tau. Thiab nyob rau hauv cov xwm txheej no, nws yog ib qho tsim nyog los tiv thaiv koj tus kheej ntxiv thaum nruab hnub.
Yog tias cov tshuaj tsis tau siv ua ntej, nws yuav tsum tiv thaiv koj tus kheej ntxiv rau thawj ob lub lis piam. Los ntshav ntawm lub sijhawm tsis suav tias yog vim li cas thiaj tsis noj tshuaj. Feem ntau, cov ntshav no tau pom nyob rau thawj ob peb lub hlis thiab hais txog lub cev hloov mus rau cov tshuaj hormones uas yog synthesized hauv zes qe menyuam. Dab tsi yog qhov zoo dua los xaiv cov tshuaj tiv thaiv kab mob tom qab 35 xyoo, tus kws kho mob yuav tsum qhia.
Kev lees txais cov tshuaj hormonal sib xyaw ua ke tom qab kev phais lub cev xeeb tub yuav tsum pib rau hnub uas nws tshwm sim lossis ib hlis tom qab, thaum thawj coj khaub ncaws.
Cov tshuaj tiv thaiv kab mob ntawm cov tshuaj tiv thaiv kab mob yuav raug txo nrog ib txhijsiv nrog lwm yam tshuaj. Yog li ua ntej koj pib kho tej kab mob, nrog koj tus kws kho mob tham txog kev noj cov tshuaj tiv thaiv kab mob thiab ua tib zoo nyeem cov lus qhia rau kev siv cov tshuaj uas koj tau sau tseg. Yog tias cov no yog cov tshuaj uas txo cov tshuaj tiv thaiv kab mob, ntxiv rau siv lwm txoj hauv kev tiv thaiv.
Cov tshuaj tiv thaiv kev yug menyuam zoo tshaj plaws yog cov tshuaj me me.
Cov hlwv txheej txheem muaj 28 ntsiav tshuaj. Lawv yuav tsum tau qaug dej qaug cawv tsis muaj kev cuam tshuam hauv 7 hnub. Cov tshuaj Mini yog tsim rau cov poj niam uas pub niam mis. Yog tias tus poj niam nyiam noj khoom noj khoom haus, ces cov koob tshuaj qis COC yog qhov tsim nyog rau nws. Cov tshuaj tiv thaiv kev yug menyuam zoo tshaj plaws yog Regulon, Minisiston, Belara. Koj yuav tsum paub tias cov tshuaj tiv thaiv kab mob yuav pib ua haujlwm tsuas yog tom qab ob lub lis piam ntawm kev siv tshuaj tiv thaiv kab mob.
Tshaj tawm cov tshuaj tiv thaiv kab mob zoo
Pill tshuaj xyuas feem ntau yog qhov zoo.
Txhua tus muaj kev txhawj xeeb txog cov lus nug seb puas tuaj yeem xeeb menyuam thaum noj tshuaj. Tau kawg, qhov xwm txheej no tsis yog qhov zam ntawm no, tab sis tseem qhov tshwm sim tsawg heev. Lub cev xeeb tub uas tsis xav tau tshwm sim yog tias cov cai ntawm kev noj cov tshuaj tiv thaiv kab mob tau ua txhaum cai. Tsis tas li ntawd, cov neeg nyob rau hauv cov lus sau hais tias yuav tsum tau coj mus rau hauv tus account qhov tshwm sim ntawm ntuav nyob rau hauv cov ntaub ntawv ntawm ntau yam tshuaj lom los yog ib txhij siv nrog cov tshuaj uas yuav txo tau cov nyhuv contraceptives. Thiab yog tias cev xeeb tub thaum lub sij hawm txais tosCov tshuaj tiv thaiv kev yug menyuam tau tshwm sim, thiab nws xav tau, ces tsis muaj qhov qhia txog nws qhov kev txiav tawm. Tsuas yog yuav tsum tsis txhob noj tshuaj tiv thaiv kab mob.
