Kulera ogwira pa zochita osasamba

Pakali pano, pali njira zambiri zopewera kutenga mimba zapathengo. A kusankha lonse limakupatsani kusankha aliyense mkazi kulera yoyenera kwambiri. Pa ubwenzi osasamba m'pofunikanso kusamalira chitetezo. Kodi mungadziwe njira za kulera ndi choti posankha? Tiyeni yesetsani kuthetsa nkhaniyi mwatsatanetsatane.

N'chifukwa chiyani ndikufunika kulera?

Mkazi aliyense adzakhala posapita nthawi kuganizira za mmene angapewere kutenga mimba yosakonzekera. Mu nkhani iyi, kwenikweni sikulepheretsa chikondi chimwemwe cha moyo, amene poyamba ali kungasokoneze boma psycho-maganizo. mankhwala amakono akuperekanso tsopano ambiri njira zosiyanasiyana za kulera.

ntchito kulera zosiyanasiyanazi amapulumutsa umoyo wa amayi ndi ntchito yobereka. kusankha njira mulingo woyenera ayenera kuchita gynecologist, monga n'komwe m'badwo, mbiri ndi zonse moyo kugonana wodwala.

Kodi kulera?

Kuti adziteteze ku mimba zapathengo, pali zosiyanasiyana za kulera, aliyense woyenerera nkhani ina. Iwo agawidwa mu chikhalidwe ano. Zakale amanena linasokonekera coitus, njira chotchinga (makondomu, chifundamtima), spermicides, wothandizila m'thupi ndi kwachilengedwenso (kalendala) chitetezo njira.

Mitundu Modern kuteteza dzira umuna ndi otchuka, monga akupatsani pafupifupi 100% chitsimikizo. Zikuphatikizapo m'thupi mankhwala olera, IUD (intrauterine zipangizo), jakisoni, mphete ukazi. Njira iliyonse ali zizindikiro zake, mavuto ndi contraindications. Choncho, popanda malangizo a katswiri kusankha kulera ogwira chodziwikiratu kuti apambane.

njira m'thupi la kulera

The kulera ambiri ndi odalirika zochokera mahomoni wamkazi (kupanga analogues) - esitirojeni ndi progesterone. Ena akhoza kukhala wosakwatiwa-chigawo ndipo amatha progesterone yekha, mu nkhani iyi iwo amatchedwa mini-piritsi. Iwo ali wofatsa kwambiri kwa thupi. Tikaphatikiza kukonzekera kulera zosiyanasiyanazi uli Mlingo kusinthasintha wa chinthu chachikulu yogwira.

Mmene njira mahomoni kuti adziteteze ku mimba zapathengo ndi kutsekereza dzira kusasitsa ndi ovulation. Mini-piritsi yekha bwanji uterine akalowa, kupanga izo friable, ndipo anamasulidwa ndi chinsinsi amakhala viscous. Zimenezi zimathandiza kuti umuna manyowa dzira. mapulani mimba angayambe mu miyezi 2-3 pambuyo kukatseka mankhwala olera, pamene ntchito ya ubereki abwezeretsedwa kwathunthu.

Ubwino wothandizila mahomoni

M'badwo zapitazo, timadzi mapiritsi anali ndi mavuto, kutsogolera akazi ambiri kusiya ntchito zawo. Latest kulera bwino analekerera ndi thupi ndi pafupifupi wopanda zotsatira zoipa za ntchito. Ndisonyezeni iwo mu mawonekedwe a mapiritsi, kapena yamawangamawanga, jakisoni, mphete ukazi ndi amadzala m'thupi.

Oral kulera munali munthu mtundu timadzi (mini-piritsi) amaloledwa kutenga mkaka wa m'mawere. The zigawo zikuluzikulu za mankhwala sikumangotikhudza thupi mwanayo. Kuteteza matenda a msambo pambuyo padera kapena KUCHOTSA MIMBA akazi akulangizidwa kutenga osakaniza mankhwala. Iwo n'zotheka osati kuteteza zina umuna dzira, komanso kuteteza motsutsana matenda yotupa.

Ubwino njira m'thupi ndi kuchotsa mavuto ena khungu. mahomoni kugonana amadziwika bwanji kupanga sebum. Ngati kuphwanya ndi zikachitika, ndi mahomoni wamwamuna kuyamba kusindikiza ochuluka kuposa akazi, ndi chifukwa, khungu limapezeka ziphuphu zakumaso.

Nthawi zambiri kulera m'thupi kwa akazi Kwalamulidwa zochizira mazira polycystic ndi kuthetsa ululu pa msambo. Umboni wasayansi umasonyeza kuti njira imeneyi ndi zotsatira prophylactic ndi kuchepetsa chiopsezo cha khansa, chiberekero, mazira, ndi kulepheretsa mastopathy, endometriosis ndi fibroids.

contraindications

M'pofunika mosamala mndandanda wa contraindications kwa mankhwala m'thupi popewa mimba. Mfundo yaikulu amene amaletsa kugwiritsa ntchito kulera m'kamwa, ndi:

• Zamtima matenda (matenda ischemic, matenda oopsa, sitiroko, mtima), venous kudwala.
• matenda a impso.
• Oncology.
• Gawo lotsiriza la kunenepa.
• matenda Autoimmune.
• Chosaopsa zotupa.
• Matenda opatsirana mwa kugonana.
• Ukazi magazi mu nthawi intermenstrual wa etiology chosadziwika.
• Mimba.
• Shuga.

Aliyense mankhwala ali mndandanda yakeyake contraindications, choncho m'pofunika pofuna thandizo kwa katswiri amene angakuthandizeni kusankha olondola m'thupi kulera. Pa ubwenzi osasamba mankhwala akhoza adzasiyidwa. Mahomoni kulera - njira yabwino chitetezo ndi mimba zapathengo, ngati kukhudzana kugonana kumachitika zochepa zambiri kuposa 1 nthawi pasabata.

Limagwirira cha zochita za kulera sanali mahomoni

njira Non-m'thupi ndi zogwirizana kwambiri mu nthawi mkaka wa m'mawere, pamene zonse kugonana kapena ngati timadzi kutenga zoletsedwa. Zotsatira za ndalama chifukwa chokhala ndi chiwonongeko cha kapena kuwonongeka kwa umuna. Mahomoni kulera ndemanga ndi osiyanasiyana. Kwa akazi ena, izi ndi njira yabwino komanso otetezeka za kulera, pamene ena sanali olimba mtima.

Monga mbali ya mankhwala si m'thupi muli zinthu zapadera - spermicides zimene zimachititsa kuwononga kuti nembanemba umuna kuti amakwiya imfa. Mbali yogwira kumachititsa nonoxynol, benzalkonium mankhwala enaake. Mankhwala kupanga filimu woonda pa mucosal pamwamba pa nyini, imagwira ntchito ndi zoteteza, ndipo zimalimbikitsanso condensation a secretions mucous. Kukonzekera m'thupi kulera zosiyanasiyanazi chikuyendetsedwera mwachindunji mu nyini, kumene iwo anayamba kuchita mu mphindi 10-15. N'chifukwa chake amatchedwa njira chotchinga cha kulera.

Kaya ogwira mankhwala si m'thupi?

Popeza ntchito m'thupi kulera kusamalira% 80 okha milandu. Kwa amayi amene anali kugonana, njira imeneyi si odalirika. chitetezo Local suti ndi kulankhula osasamba, amalephera kugwiritsa ntchito kulera m'kamwa ndi intrauterine mizere yozungulira m'thupi, matenda a ziwalo zoberekera wamkazi, endocrine pathologies pa mkaka wa m'mawere.

The mwayi waukulu njira sanali m'thupi chitetezo - chitetezo mtheradi thanzi ndi kupanda zotsatira zina zoyipa (mu nthawi zina, nkotheka kuyabwa). Mkazi sangathe kuona amene sanatengedwe phale, monga momwe zilili ndi mankhwala m'thupi, chifukwa njira chagwiritsidwa asanalankhule kukhudzana kugonana.

Kuipa wothandizila si mahomoni

The kuipa wothandizila si m'thupi kulera zosiyanasiyanazi monga:

1. Mau oyamba coitus - m'pofunika ndendende kulamulira ndondomeko ndi kulowa mankhwala palibe pasanafike Mphindi 10 kukhudzana.
2. Iwo analetsedwa yomweyo kusamba: sopo neutralizes malo acidic ku nyini, kulenga njira. Mu mwachidule mankhwala mungapeze mudziwe kuti njira ukhondo saloledwa maola yekha 2-3 kugonana kutachitika mosadziteteza.
3. yochepa zotsatira za mankhwala - chitetezo cha njira anakhazikitsa kumatenga maola 3-4, mwachitsanzo pamaso kukhudzana lotsatira tikulimbikitsidwa kuti atchule piritsi watsopano, chifukwa chitetezo chodalirika kwa woyamba salinso kupereka.
4. Maonekedwe a kuyabwa - akazi ena kuti pambuyo akuluakulu a wothandizila mu nyini kuyabwa (matupi awo sagwirizana anachita).
5. Kusagwirizana m'gulu zigawo zikuluzikulu za mankhwala - mu nkhani iyi, musagwiritsire ntchito njira zolera.

Mitundu ya kulera sanali mahomoni

Non-m'thupi kulera zisakuyenda yawo ayamba wotchuka chifukwa chitetezo chake. Iwo ali m'magulu pa kumasulidwa mawonekedwe (mapiritsi, suppositories, creams, tampons, mipira ukazi, aerosols) ndi yaikulu yogwira pophika. Ngakhale ena kusiyana, kanthu chachikulu mankhwala zidzakhala chomwecho. A zosiyanasiyana mankhwala amalola mkazi kupeza yoyenera kwambiri ndi yabwino ntchito za kulera. Ndi bwino kuwerenga Zamkati, amene adzasonyeza njira ya zipangizo oyendetsa nthawi mphamvu.

Non-m'thupi mankhwala olera

Asungwana ndi amayi omwe ali ndi contraindications kugwiritsa ntchito kulera m'thupi ndi amene safuna kulimbikitsa mahomoni, mungagwiritse ntchito wamba mankhwala olera kapena suppositories. Awa ndi yosavuta kugwiritsa ntchito spermicides chitetezo ofotokoza.

Non-m'thupi mankhwala olera pa ubwenzi osasamba - chitetezo abwino ndi mimba zapathengo ndi matenda opatsirana pogonana, monga akazi. Nthawi zambiri iwo ntchito mtsikana amene akuopa mavuto a kulera m'kamwa kapena asapatsire kugwiritsa ntchito njira ina. mapiritsi ukazi amatha okha kapena mothandizidwa ndi gynecologist a. Ena mwa opanga izi amalangiza kaphatikizidwe ndi njira zina zodzitetezera monga chifundamtima.

Zothandiza kwambiri izi si m'thupi kulera (akazi):

• "Benateks";
• "Pharmatex";
• "Patenteks chowulungika";
• "Tratseptin";
• "Kontseptrol".

Ena mwa nthumwi awa ali m'munsi mankhwala nonoxynol amatha ena kusonyeza chikondi chimwemwe ndi kutsitsa tilinazo, ena - benzalkonium mankhwala enaake. Pa efficacy ndi limagwirira cha zochita za mankhwala ndi osiyana. Ndimakonda kukhala njira zigawo zikuluzikulu za mkaziyo sadzakhala ndi matupi awo sagwirizana anachita mu mawonekedwe a yoyaka ndi kuyabwa.

"Pharmatex"

Panopa, amatanthauza "Pharmatex" ali otchuka kwambiri mwa njira sanali m'thupi la kulera. Machitidwe chigawo yogwira monga benzalkonium mankhwala enaake - antiseptic mankhwala ndi antifungal ndi kulera zosiyanasiyanazi kanthu. Mderalo mankhwala wawononga spermatozoids ndi amakulitsa kusankha viscous katulutsidwe monga kulera zina m'thupi.

Pa asapita osasamba "Pharmatex" makandulo ndi njira yabwino kwambiri chitetezo. Komanso, mankhwala adzamasulidwa mu mawonekedwe a creams, mapiritsi ukazi ndi makapisozi, tampons. Wothwanima zotsatira kwa maola 4 mapiritsi - osapitirira 3. Mlengi akuonetsa kugonana aliyense wotsatira kuti atchule kandulo yatsopano (piritsi, kapisozi).

Malinga ndi maphunziro, "Pharmatex" Mwina kuteteza chinzonono, chlamydia, Trichomonas, nsungu HIV wa mtundu wachiwiri. Pankhaniyi chikutanthauza kuti palibe zotsatira chowawa pa microflora ya nyini ndi susintha amaudindo zachibadwa za acidity.

"Patenteks chowulungika"

Pamene mukufuna kulera otetezedwa, mahomoni ndi chikufanana ndi kulera ogwira. Pa ubwenzi osasamba, akazi ambiri ntchito nonoxynol ofotokoza chida - ". Patenteks chowulungika" imachita ndi 80 mpaka 90%. mankhwala adzamasulidwa mu mawonekedwe a suppositories ukazi kuwomba zimene tikubweretsazi pamaso kukhudzana kugonana. Kuwonjezera kuteteza ndi makandulo osafunika mimba kupereka antifungal ndi kanthu mavairasi oyambitsa, ndiyo kuteteza mkazi matenda ambiri opatsirana kudzera mosadziteteza kukhudzana kugonana.

Kukonzekera kulera zosiyanasiyanazi pambuyo kukhudzana

Pa njira za kulera mwadzidzidzi ndi agwiritsa ntchito ngati kukhudzana chiwerewere mosadziteteza kwathunthu. Kuti ndithu kudziteteza ku mimba zapathengo, Ndi bwino kutenga kulera. Pambuyo kuchita pamene sayenera masiku oposa atatu.

Single kulera zochokera kutsekereza amasulidwe dzira lokhwima ku n'kuwasanganiza ndi chindiletsa ubwenzi ndi uterine khoma mwambo umuna. Madokotala akulangizidwa kuti amachita njira yokha pa umphawi wadzaoneni. Ndi zipangizo otchuka mu gulu ili monga "postinor", "eskapel", "Zhenale".