Nyob hauv tsab xov xwm peb yuav txheeb xyuas seb qhov twg zoo dua - tshuaj tiv thaiv kab mob los yog kauv.
Cov lus nug ntawm kev tiv thaiv kev xeeb tub tsis xav tau sai lossis tom qab txiav txim siab txhua tus poj niam. Nws yog ib qho tseem ceeb heev uas kev tiv thaiv kab mob muaj kev nyab xeeb thiab txhim khu kev qha raws li qhov ua tau. Hormonal agents thiab intrauterine systems tam sim no suav hais tias yog txoj hauv kev zoo tshaj plaws ntawm kev tiv thaiv kev xeeb tub. Qhov twg yog qhov zoo dua - muab kauv lossis tshuaj tiv thaiv kev yug menyuam? Txhawm rau nkag siab qhov kev xaiv twg los xaiv los ntawm ob qhov kev ntseeg siab tshaj plaws, koj yuav tsum nkag siab qhov zoo thiab qhov tsis zoo ntawm cov txheej txheem no.
Pills: txoj cai ntawm kev ua
Cov tshuaj tiv thaiv qhov ncauj muaj estrogens, uas yog lub luag haujlwm rau kev xeeb tub. Cov tshuaj tiv thaiv uas muaj cov tshuaj hormones tuaj yeem thaiv ovulation. Qhov no tshem tawm qhov ua tau ntawm fertilization.
Cov tshuaj tiv thaiv qhov ncauj muaj qhov cuam tshuam rau ntawm lub tsev menyuam cov hnoos qeev, uas thickens thiab dhau los ua ib hom kev cuam tshuam rau kev nkag mus ntawm cov spermatozoa sab hauv. Txawm hais tias lawv tswj tau nkag mus rau hauv lub tsev menyuam thiab cov hlab ntsha, kev xeeb tub yuav tsis tshwm sim. Raws li kev cuam tshuam ntawm cov tshuaj hormonal, lub uterine membrane yuav thinner, uas ua rau nws tsis yooj yim sua rau embryo mus rau nws.
Ntau yam tshuaj
Muaj ntau ntau yam ntawm cov tshuaj tiv thaiv kab mob no, lub hauv paus ntsiab lus ntawm qhov txawv me ntsis. Cov tshuaj cais:
- Yon progestin;
- combined;
Ua ke muaj ob hom tshuaj hormones: progestin thiab estrogen. Lawv tuaj nyob rau hauv qis-, micro- thiab high-dose, uas yog siv rau ntau pawg ntawm cov poj niam - hluas thiab nulliparous los yog cov neeg laus nrog cov me nyuam.
Tshuaj ntawm hom progestogen tsuas muaj progestin xwb. Lawv raug sau tseg yog tias muaj contraindications rau kev siv cov tshuaj ua ke. Lawv tuaj yeem muab tshuaj rau cov poj niam cev xeeb tub.
Ntau tus xav paub tias yam twg zoo dua - tshuaj tiv thaiv kab mob los yog kauv.
Pros and cons of tshuaj
Cov tshuaj tiv thaiv qhov ncauj muaj ntau yam zoo, ua tsaug rau qhov lawv tau txais txiaj ntsig loj heev. Cov txiaj ntsig no suav nrog:
- kev ntseeg siab - 99%;
- versatility - cov cuab yeej zoo li no tuaj yeem siv tau txhua lub hnub nyoog;
- ruaj khov ntawm kev coj khaub ncaws thiab qib hormonal - tshuaj txo cov lus haispremenstrual syndrome, stabilize lub voj voog, tshem tawm qhov mob khaub thuas, txhim kho cov tawv nqaij thiab plaub hau;
- txo txoj kev pheej hmoo ntawm qee yam kab mob - cov qog zoo li tsim nyob rau hauv qhov chaw mos, endometriosis;
- tsis muaj kev cuam tshuam rau kev ua me nyuam (yog tias tso tseg, koj tuaj yeem xeeb tub);
- tiv thaiv kev xeeb tub ectopic;
- yooj yim siv.
Qhov tsis zoo ntawm cov tshuaj yog:
- txais tos nta - txhua hnub, tib lub sijhawm, thiab yog tias lub sijhawm no raug ua txhaum cai, kev pheej hmoo ntawm kev xav nce;
- ntau contraindications - tsis tuaj yeem siv rau cov teeb meem ntawm daim siab, raum, plawv, ntshav siab, haus luam yeeb;
- cov kev mob tshwm sim - cov tshuaj tiv thaiv no tuaj yeem ua rau cov tsos mob tsis zoo, xws li pom hauv nruab nrab ntawm lub voj voog, mob taub hau, qaug zog, tsis muaj libido, nce qab los noj mov, tuav dej, thiab lwm yam.;
- txo cov tshuaj tua kab mob.
Txoj cai ntawm kauv
Cov khoom siv hauv lub cev yog pom zoo rau cov poj niam uas yug me nyuam xwb, vim tias nws tuaj yeem ua rau cov endometrium nyias, uas ua rau muaj kev pheej hmoo ntawm nchuav menyuam yav tom ntej hauv cov poj niam tsis muaj menyuam lossis tseem ua rau muaj menyuam tsis taus.
Lub hauv paus ntsiab lus ntawm kauv yog tias nws tiv thaiv kev cog qoob loo ntawm lub qe hauv lub tsev menyuam. Lub cev txawv teb chaws provokes ib tug thickening ntawm lub tsev menyuam cov ntaub so ntswg, uas ua rau nws tsis yooj yim sua kom paub ib tug fetal qe.
Ntawm tooj liab coils yog tsom rauspermicidal nyhuv. Lawv muaj cov tshuaj hormonal uas ua kom cov kua dej ntawm lub ncauj tsev menyuam, inhibiting kev ua haujlwm ntawm spermatozoa. Lub xub ntiag ntawm cov tshuaj no ua rau kom cov tshuaj tiv thaiv kab mob ntawm cov kauv. Cov nyiaj no tsis muaj txiaj ntsig zoo rau COCs, txawm li cas los xij, cov txheej txheem no tsis tiv thaiv kev sib deev thiab muaj feem cuam tshuam tsuas yog tias muaj tus khub sib deev mus tas li.
Qee zaum cov poj niam hloov mus rau cov tshuaj tiv thaiv kev xeeb tub tom qab IUD thiab rov ua dua.
Qhov zoo thiab qhov tsis zoo ntawm cov kauv
Cov kauv yog ib txoj kev tiv thaiv kab mob nrov nrov. Ntau tus poj niam xaiv nws vim nws qhov zoo heev, uas suav nrog:
- ua haujlwm siab - cov cuab yeej hauv plab tshem tawm kev xav los ntawm 97%;
- ncua sijhawm ua haujlwm - peb mus rau tsib xyoos;
- yooj yim thiab siv tau zoo - koj tsis tas yuav yuav cov kauv, ua raws li lub sijhawm;
- yam tsis muaj xwm txheej - cov khoom siv hauv tsev menyuam tsis cuam tshuam nrog cov tshuaj, thiab kev tiv thaiv qib siab tsis nyob ntawm qhov xwm txheej;
- tsis cuam tshuam rau kev ua me nyuam yav tom ntej - yog tias tsis muaj teeb meem tom qab kev teeb tsa ntawm lub kaw lus, ces qhov kev ua haujlwm ntawm menyuam yaus rov pib dua tam sim tom qab nws tshem tawm;
- cov kauv tuaj yeem siv tau tam sim tom qab yug menyuam - nws tsis cuam tshuam rau cov txheej txheem lactation, yog li nws yog qhov zoo tagnrho rau cov poj niam lactating (tso cai 6 lub lis piam tom qab yug tau zoo).
Qhov tsis zoo ntawm kev tiv thaiv kab mob hauv plab yog:
- thaummob me ntsis, koj yuav tsum sab laj nrog kws kho mob;
- muaj feem ntau ntawm kev xeeb tub ectopic raws li IUD tsuas yog ua haujlwm nyob rau hauv endometrium thiab qe txuas tuaj yeem tshwm sim sab nraum uterine kab noj hniav;
- koj yuav tsum tau saib xyuas txoj haujlwm ntawm qhov system, uas yog ua los ntawm nws tus kheej los ntawm cov xov. Qhov kev hloov ntawm cov kauv ho txo nws txoj kev tiv thaiv kab mob;
- tsis xis nyob tom qab kev teeb tsa - thaum xub thawj, kev coj khaub ncaws tuaj yeem hnyav heev.
Cov kauv yog tswj hwm hauv ib lub tsev kho mob nkaus xwb. Cov txheej txheem yog ua los ntawm tus kws tshaj lij, tab sis txawm tias qhov no tsis yog ib txwm lav tias qhov kev taw qhia yuav tsis cuam tshuam qhov teeb meem tsis zoo. Ntawm lawv, qhov txaus ntshai tshaj plaws yog cov txheej txheem inflammatory, ntev los ntshav. Tom qab cov txheej txheem zoo li no, qhov mob hnyav tuaj yeem tshwm sim, thiab kev coj khaub ncaws tsis zoo feem ntau tau sau tseg. Qhov tshwm sim ntawm cov tsos mob pathological yog vim li cas rau kev tshem tawm ntawm lub cev txawv teb chaws. Cov cuab yeej intrauterine tsis tuaj yeem ntsia tau rau hauv cov kab mob ntawm lub plab hnyuv siab raum, muaj cov qog nqaij hlav, cov kab mob tawm ntawm qhov tsis paub txog etiology.
Qhov twg zoo dua - Mirena coil lossis tshuaj tiv thaiv kev yug menyuam?
Mirena Coil
Intrauterine system "Mirena" nrog kev tso tawm ntawm cov khoom nquag (levonorgestrel) tsim cov nyhuv progestogen. Cov tshuaj no tso tawm rau hauv lub tsev menyuam kab noj hniav, uas tso cai rau nws siv rau hauv qiskoob tshuaj. Concentrating nyob rau hauv lub endometrium, nws txo qhov rhiab heev ntawm progesterone thiab estrogen receptors, muab ib tug haib antiproliferative nyhuv thiab ua rau cov leeg nqaij txheej ntawm lub tsev menyuam tiv thaiv estradiol.
Thaum lub sijhawm thov, muaj qhov tsis muaj zog rau qhov muaj cov kauv hauv lub tsev menyuam thiab tib lub sijhawm hloov pauv hauv endometrium, thiab vim tias qhov nce ntxiv ntawm viscosity ntawm lub ncauj tsev menyuam, phev motility yog inhibited, thiab lawv nkag mus rau hauv lub tsev menyuam yog tiv thaiv. Qee zaum, thaum siv cov kauv, inhibition ntawm ovulatory muaj nuj nqi yog pom, txawm li cas los xij, tom qab rho tawm, fertilization tshwm sim hauv 80% ntawm cov poj niam.
Nyob rau thawj lub hlis ntawm kev siv cov kauv no, los ntshav yuav nce ntxiv. Nyob rau hauv lub neej yav tom ntej, muaj ib tug txo nyob rau hauv lub sij hawm ntawm poj niam los ntshav thiab ib tug txo nyob rau hauv lawv ntim. Qee zaum, los ntshav tuaj yeem hloov mus ua amenorrhea lossis oligomenorrhea.
Qhov twg zoo dua - tshuaj tiv thaiv kab mob los yog kauv?
Thaum xaiv ib txoj kev tiv thaiv kab mob, nws yog ib qho tseem ceeb kom paub tias qhov twg yog qhov zoo tshaj plaws thiab zoo tshaj plaws. Tsuas yog ib tus kws kho mob gynecologist tuaj yeem txiav txim siab seb qhov twg yog qhov zoo tshaj plaws hauv txhua tus neeg mob, suav nrog qhov zoo thiab qhov tsis zoo ntawm ob txoj kev tiv thaiv kab mob sib txuas nrog tus neeg mob tshwj xeeb, cov yam ntxwv ntawm lub tsev menyuam (rau cov kauv), tus poj niam lub hnub nyoog, kab mob sib kis., lwm. Koj yuav tsum paub tias cov poj niam nulliparous tsis tshua muab kauv, thiab qhov no yog vim muaj kev pheej hmoo ntawm kev xeeb tub.
Cov tshuaj yuav tsum tsis txhob noj yam tsis tau sab laj nrog kws kho mob. kws kho mob khawsqhov kev xaiv zoo tshaj plaws rau cov nyiaj no, suav nrog txhua qhov zoo thiab qhov tsis zoo.
Reviews
Yog li, qhov twg zoo dua - tshuaj tua kab mob los yog tshuaj tiv thaiv raws li kev tshuaj xyuas?
Cov poj niam txoj kev xav txog cov kev tiv thaiv kab mob no tau muab faib. Ib txhia nyiam noj tshuaj hormonal, vim lawv ntseeg hais tias muaj ib tug kauv nyob rau hauv lub tsev me nyuam raws li ib tug txawv teb chaws lub cev tsis coj ib yam dab tsi zoo rau cov poj niam txoj kev noj qab haus huv, ntxiv rau muaj peev xwm ntawm ectopic cev xeeb tub.
Kev tshuaj xyuas txog cov kauv lossis tshuaj tiv thaiv kev yug menyuam yuav tsum tau nyeem ua ntej.
Lwm tus poj niam nyiam COCs rau cov khoom siv hauv lub cev thiab piav qhia qhov no los ntawm qhov tseeb tias cov khoom noj hauv qhov ncauj muaj cov tshuaj hormones, thiab qhov no ua rau tag nrho cov nyiaj tshuav hauv lub cev thiab tuaj yeem ua rau muaj ntau yam teeb meem. Tsis tas li ntawd, nws tsis yooj yim rau pawg poj niam noj tshuaj txhua hnub.
Peb saib qhov twg zoo dua - tshuaj tiv thaiv kab mob los yog kauv.
