Hormonal spiral is remedy iyo ichaponesa matambudziko mazhinji

Hormonal spiral is contraceptive. Iyo inoshandiswa kudzivirira kubata pamuviri, asi inogonawo kuva nemigumisiro inopedza. Ngatikurukurei zvakadzama rudzi urwu rwekuvhara pamuviri kweprauterine, maitiro ayo, nzira yekugadzirisa uye zvinhu zvekushandisa.

Iro yose inopisa mahomoni here?

Muzvirwere zvekuchera, pakati pekudzivirira kwemishonga inonzi intrauterine, pane mhando dzakawanda dzemidzimu. Zvisinei, haasi ose ari hormonal. Mhepo iyo pachayo, nokuda kwomufananidzo wayo, inogona kudzivirira kutanga kwekuzvimba. Hormonal IUDs haisi kungogadzirisa magadzirirwo evanhu masero emajeri, asiwo anosunungura hutachiona hunogara huripo. Pasi pechiito cheiyi chinhu, kune maitiro ehutano mu endermrium ye uterine, nekuda kwekuberekwa kwebumbiro hakuiti.

Ndeapi marudzi eIUDs aripo?

Kwemakore, mhando dzeNavy dzakagadziridzwa. Muchikadzi chemazuva ano, zvizvarwa zvitatu zvemichina yekushandisa inosuterine inoshandiswa:

1. Inert (chizvarwa chokutanga). Mipira iyi inoshandiswa zvachose yepurasitiki, iyo inotsanangura mari yavo yakaderera. Nzira yavo yekudzivirira kubata pamuviri inowanikwa kuburikidza nekugadzirisa chipingamupinyi kune zero rinogadzirwa - haigoni kuiswa. Mhando iyi yemitambo haisati yashandiswa zvakare, nekuda kwechiito chakanyanya, kuwedzerwa kwekudzingwa (kuvhuvhuta kubuda), kazhinji kuputira maitiro.
2. Tsvina-ine midzimu (yechipiri chizvarwa). Pakutanga, IUD yakasikwa ine zvigadzirwa zvemhangura. Ichi chitsvina chine an anti-anion effect - inodzivisa nzira yakagadziriswa yekuiswa kwema fetal egg. Nheyo yemirairo ipurasitiki, iyo yakapoteredzwa tambo tsvuku yesimbi. Gare gare vakatanga kushandisa sirivha negoridhe sesimbi. Izvi zvakaderedza dambudziko rekuputika mukati mechibereko, kuwedzerwa kubudirira kwemujeri uye nguva yehupenyu yeiyo IUDs.
3. Hormone-ine (chechitatu chizvarwa). Progestin-levonorgestrel iripo muhutano hweizvi. Chimwe chikamu chezviyo izvi zvinoda kusvika 100% zvekubata pamuviri. Mukuwedzera, izvi zvinoshandiswa zvinowanzoshandiswa pakurapa, uye zvirwere zvechirwere zvinokonzerwa nekuputsa kwemarimoni.

Hormonal spiral - zviratidzo

Spiral intrauterine hormonal yakaiswa pakukumbira kwomukadzi pachake. Zvisinei, inogona kushandiswa navanachiremba, kune dzimwe zvirwere. Isati yasvika, kuongororwa kunogadzirwa, iyo inotarisirwa kubvisa zvirwere zvinotyisa muhutano hwekubereka. Pakati pezvirwere nekusawirirana umo kubuda kwehomoni kunogona kusimbiswa, zvakakosha kusiyanisa:

• endometriosis ;
• ngozi ye endometrial hyperplasia ;
• menorrhagia ;
• oophorectomy mairi maviri (kubviswa kwe mavha mavari);
• kunyanya kunetseka kuenda kumwedzi.

Hormonal spirals mu endometriosis

Hormonal spiral kuitira kurapwa kwe endometriosis inogona kurongedzerwa neshoko rakataurwa, chirwere chakakura chemukati mukati mechibereko. Yakagadzirirwa mune analogue progesterone, inobvisa zvakasimba kufambira mberi uye kupararira kwezvipembenene zvitsva muuterine cavity. Izvi zvinobatsira kudzivirira kukura kwezvirwere zvinopesana nechekupedzisira kwe endometriosis. Apo kubuda kwehomoni kunoshandiswa kwe endometriosis kwenguva refu, vanachiremba vanowanzogadzirisa mafungiro akanaka ekupfuurira kupora, sezvakaratidzwa ne:

• kuderedza muhuwandu hwekuenda kumwedzi;
• kuderedza kusuruvara pakuenda kumwedzi ;
• cycle cycle.

Hormonal kuvhura nekumera

Intrauterine spiral nejemusi inonzi hormonal inogona kushandiswa kushandiswa uye munguva yekugadzirisa kwemaitiro. Nguva ino inofambidzana nekuderera kwehutano hwehutachiona hwepabonde mumukadzikadzi. Kushandiswa kwemhepo inobatsira kunobatanidza kuwanda kweestrogen uye progesterone. Zuva rimwe nerimwe iUD inopa 20 mg ye levonorgestrel. Izvi zvinogadzirisa zvinopindira mukati memukati, inowedzera huwandu hwekuputika kwayo. Panguva imwecheteyo, mhepo haina kukanganisa zvinorara zvepabonde, asi inogutsa kusakwana kwehomoni inogadzirwa navo.

IUD zvinopesana

Kufanana nemishonga chero ipi zvayo, inonzi hormonal spiral ine contraindications (hormonal contraceptive spiral). Pamberi pekuiswa kwayo, kubvunzurudza uye kuongorora gynecologist zvinosungirwa. Kubva pamigumisiro yemubvunzurudzo, chiremba anofunga kana chirongwa chinonzi intrauterine chinogona kuiswa, izvo zvinopikisa kune izvo zvinotevera:

• nguva yekuzvitakura kana kusafungirwa kwayo;
• zvirongwa zvehutano hwehutano hwekuberekwa, hutano hwakagadzirirwa kwavari;
• zvakanyanya kuvhiringidza uye zvisingagumi nzira dzekuberekwa;
• kuvapo kwezvirwere zvepabonde;
• kubuda kubva panhengo dzebonde dzisina kuzivikanwa etiology.

Izvi zvinopesana zvinopesana zvachose. Nokudaro gynecologists vanogoverawo chiyero:

• kuvhiringidzika uye utachiona hwezvipfeko zvekare;
• nguva dzinorwadza;
• kunyanya kumwedzi ;
• hyperplastic processes mu endometrium;
• kudzivirirwa kwechibereko chechibereko uye zvakaipa (shanki, maviri-makonhi);
• cervical deformities;
• chirwere chekushaya ropa uye zvirwere zveropa;
• stenosis yecervical canal;
• submucosal myoma;
• kubudiswa pakarepo kweIUD muna anamnesis.

IUD - kushanda

Iro hormonal contraceptive spiral haibatsiri chete kudzivirira kubata kusingadiwi, asiwo kugadzirisa kubereka. Kuvonga hormone yakavigwa, basa rechibereko uye zvikamu zvinowanzoitwa. Zuva rimwe nerimwe mhepo inovhara chinhu, yakafanana mukugadzirwa kweprogesterone. Pasi pechiito chechikamu ichi:

• inovandudza kugadziriswa kweupterrium uterine;
• kunonoka kumwedzi kunowedzerwa;
• mwedzi nepamwedzi inoderedza huwandu hwavo uye nguva.

Intrauterine spiral - sei kuisa?

Pamberi pekuiswa kweiyo intrauterine device, mukadzi anofanira kuongorora. Iyi miedzo inotevera inotenderwa:

• Smears pamusoro pemiti yemukati, urethra uye chirwere;
• kuongorora kukuru kweropa;
• PCR yezvirwere zvepabonde;
• general analysis of urine;
• Ultrasound yenhengo dzomukati .

Iyo nzira yacho pachayo inoitwa mukumhanyira. Iko kushandiswa kwegorgorithm kunoratidzika seizvi:

1. Murwere ari muchechi yegynecological.
2. Muchizimbu chechiganda cheChissa chinowanikwa, chinoisa mutsipa.
3. Mukadzi uye chikamu chemukanda chinoumba an antiseptic.
4. Nekubatsirwa kwehondo yehondo, chiremba anoita chigadziro chemuviri uye anoyera urefu hwechibereko.
5. Muchidimbu chemuviri wekodhi, mutungamiri anotangwa, iyo inosvika kuhutachi uterine.
6. Kuomesa piston yepurasitiki, shandisa mhepo kuti igare nemapfudzi ari pasi pechibereko.
7. Mutungamiri anonyatsobviswa, chikamu chemakumbo anopinda mukati memadzimai anobviswa, uye anobatsira kudzora kuvapo kweIUD muchibereko.

Zvose izvi zvinotora mushure maminitsi mashanu. Mushure mekugadzirwa, chiremba ari mukati memakadhi akangodaro anogadzirisa nguva uye zuva, anoratidza mufananidzo wekumhanya, anoudza murwere panguva yechiito chacho. Mushure memazuva gumi, kutarisa kwekutonga kwakarongwa. Kwemazuva gumi nemashure mushure mekuitika, mukadzi anokurudzirwa:

• rega zvepabonde;
• Dzivisa kusimudza zvigunwe;
• usatora kushambaira kunopisa;
• usashandisa tampon tsvina.

Kubviswa kwemuchina we intrauterine

Mushure mekugadziriswa kwemahomoni inokonzerwa, mukadzi anogona kukanganwa pamusoro pemuromo uye zvinogadzirisa zvirongwa zvekudzivirira kwenguva refu. Nguva yekushandiswa kweIUD inowanikwa makore mashanu. Zvisinei, kubviswa kwemhepo kunogona kuitwa kare, apo mukadzi anosarudza kubata mwana. Nzira yacho inoitwa pasinei nezuva rekuenda kumwedzi. Kazhinji kacho, kushandiswa kunoitwa kwemazuva okutanga. Mushure mekuwedzera, sarudzo inoongororwa, kusina kuburitsa kwema hormonal muchikamu cheu uterine cavity.

Hormonal spiral - madhara

Chibereko chinowanzopindira nekusvibiswa kwomuviri wemutorwa, iyo iUD. Mushure mokunge intrauterine device yakagadzirwa, migumisiro mune vamwe vakadzi vanoonekwa mumaawa mashomanana. Zvisinei, zvinetso zvinowanzoitika kakawanda, izvo zvinokonzerwa nekugadziriswa kwayo pachako:

• kushungurudzika kumuromo wechibereko;
• kupererwa kwechirwere chechibereki uye chibereko chemuviri;
• kurwadziwa kukuru nekuenda kumwedzi;
• kusuruvara panguva yepabonde;
• kubudiswa kwechinguva (kupera kweIUD);
• kuputsa kwekuenda kumwedzi - kuremedza kwekuenda kumwedzi, nguva dzinopera;
• adnexitis uye endometritis mushure mekudzingwa kwemhepo.

Hormonal spirals - mazita

Kutaura pamusoro pezvipi zvinokonzera mahomoni kune, zvinofanirwa kucherechedza kuti izvi zvose izvi zvine hormone muzvakanyorwa. Kazhinji pakati pemishonga yakadaro pamisika yemishonga ndeyekuti:

• Mirena (production Schering, Germany);
• Levonov (kugadzirwa kweLeiras, Finland).

Hormonal spirals - iyo inowedzera uye yakaipa

Kakawanda, vakadzi vanodzokera kune gynecologist nemubvunzo pamusoro pezvakanaka kudarika IUD kana mahwendefa emahomoni anoshandiswa sepabonde. Muchiitiko ichi, chiremba anotaura kuti hapana nzira dzakanaka, saka mukadzi anofanira kushandisa izvo zvakakodzera kwaari. Pakati pezvakanaka zvemidzimu:

• nguva yakareba yekushandiswa;
• kushaya kuzvidzora;
• kukurumidza kugadzirisa kwekuberekwa kwebasa mushure mekusiya kubvisa;
• kutanga kwechiitiko pakarepo mushure mekuiswa;
• kuchira kwehutano.

Kune zvicherwa zvevashandi veNavy vanotaura:

• njodzi yakawanda ye ectopic pregnancy;
• kurasikirwa kwepabonde kwepabonde;
• njodzi yakawanda yezvirwere zvepabonde;
• kuwedzera kwehuwandu, nguva yekuenda kumwedzi kubuda;
• kudiwa kwekusarudzwa kwomumwe munhu.