Momwemonso "Mirena": ndemanga, malangizo ogwiritsira ntchito, olemba, ogwira mtima ndi ndemanga

Chifukwa cha njira zamakono za kulera, amayi sangathe kudziteteza okha ku chiyambi cha mimba yosafuna, komanso kuchotsa matenda ena. Chimodzi mwa njira zotchuka zotetezera zomwe zingapereke zotsatira zoterezi ndizomwe zimayambitsa mahomoni. Njira imeneyi yobereka yoberekera ili ndi zinthu zambiri zabwino. Chipangizo cha intrauterine "Mirena" ndicho chitukuko chatsopano mu gawo lino la maukwati. Tiyeni tiganizire chipangizochi mwatsatanetsatane, komanso tcheru kuzipindula, zoperewera ndi ndemanga za odwala.

Kodi chipangizo cha intrauterine n'chiyani?

Njira imodzi yothandiza kubereka - intrauterine chipangizo - ndi chipangizo chimene chimalowetsedwa mu chiberekero cha uterine ndipo zimapangitsa kuti gambete lachiwerewere lidutse kupita ku dzira, kuwaletsa kuti asagwirizane ndi kukulitsa bere la fetus.

Kuika intrauterine kumachepetsa mwayi wokhala ndi pakati mpaka khumi mwa magawo khumi. Izi ndi zowona makamaka tsopano, pamene amayi akuchulukitsa kwambiri kubadwa kwa mwana. Chipangizocho nthawi zambiri chimakhala ndi mawonekedwe a T ndipo chimaikidwa masiku asanu ndi atatu a msambo. Za momwe njira yotetezerayi ndi yoyenera, inganenedwe kokha ndi mankhwala ochizira azimayi pambuyo pofufuza zachipatala cha mkaziyo.

Kodi ntchito yamagetsi imakhala bwanji?

Ntchito yaikulu ya chipangizo cha intrauterine ndikuteteza kusamwitsa kwa dzira ndi kulumikizana koonjezera kwa dzira la fetus kumakoma a chiberekero. Ngati, komabe, kusakanikirana kwa maselo awiri a kugonana kumachitika, dongosolo limayamba kuchotsa mimba. Pachifukwa ichi, kuyambira kwa mahomoni kumapangitsa kuwonjezereka kwa mitsempha yamtunduwu, yomwe imatsogolera ku msanga wofulumira wa dzira la fetal mu chiberekero cha uterine ndi imfa yowonjezera. Pambuyo pake, chiberekero chimadziwa "chinthu" ngati chachilendo ndipo chimaphatikizapo ndondomeko yokanidwa - makoma a chiberekero amayamba kugwirizana.

Mitundu ya intrauterine spirals

Mwachizoloŵezi cha akazi, mitundu yosiyanasiyana ya mizimu imagwiritsidwa ntchito, yomwe imasiyanitsa makamaka mawonekedwe. Njira yotchedwa intrauterine ikhoza kukhala yoboola pakati, ngati mawonekedwe kapena maambulera, mwa mawonekedwe a kalata F. Komabe, zipangizo monga malembo T zimatchuka kwambiri.

Zipangizo zomwe zimakhala ndi intrauterine kulera zimapangidwa mosiyana: mkuwa, siliva, golide, pulasitiki. Kukula kwa njira ya kulera kumasankhidwa payekha kwa mkazi aliyense ndipo zimadalira maonekedwe a mwanayo.

Chipangizo cha intrauterine chikhoza kukhala hormonal komanso chosachiritsira. Pachiyambi choyamba, njira ya kulera imapereka mahomoni omwe ali pamlendo wa chipangizo, chomwe chimamasulidwa pang'ono. Koma ngakhale mlingo wochepa wa hormoni umayambitsa kuphulika kwa mucous wosanjikiza wa chiberekero cha uterine ndipo kumaletsa kulowa mkati kwa maselo achiwerewere. Mizimu yopangidwa ndi mkuwa ndi siliva, imatanthawuza yachiwiri, osati yamtambo ndipo imakhala ndi zotsatira zobwezera pa spermatozoa. Phunzirani za momwe ma hormonal (ichi kapena chitsanzochi) athandizire odwala mazira.

"Mirena" - njira yamakono yotetezera

Njira yotchedwa intrauterine "Mirena" ndizochita zatsopano za sayansi m'mabanja a amai. Ali ndi T-mawonekedwe ndipo akhoza kuikidwa mu chiberekero kwa nthawi yaitali (mpaka zaka zisanu). Mahomoni "Mirena" (mtengo wa kulera ndi pafupifupi 12,000 rubles) uli ndi hormone ya levonorgestrel, yomwe imakhala ndi mphamvu yogwira mtima pamlingo wakumalo ndi kumasulidwa pang'ono.

Kuchuluka kwa mankhwala yogwira ntchito ndi 52 mg. Mahomoni amayamba kumasulidwa mwamsanga mutatha kuyika mu uterine. Poyamba, levonorgestrel imamasulidwa pamtunda wa 20 μg pa tsiku. Chizindikiro ichi chachepetsedwa ndi theka lakumapeto kwa chaka chachisanu pambuyo pa kukhazikitsa intrauterine. Mahomoni saloledwa m'magazi athunthu, omwe amachititsa chitetezo chimenechi kukhala chitetezo cha thanzi.

Makhalidwe a Mirena akukwera

Hormonal intrauterine "Mirena" kale m'mwezi woyamba wopangidwira umasintha pang'ono khalidwe la msambo. M'miyezi yoyamba, kutuluka kwa magazi kumawonjezeka, koma pakapita nthawi (nthawi zambiri kumapeto kwa chaka choyamba), umaliseche umatha. Odwala ena amadziwa kuyambika kwa amenorrhea - kupezeka kwathunthu kwa kusamba.

Chifukwa cha kuchipatala kumeneku, nthawi zambiri mafilimu amaperekedwa kwa amayi omwe ali ndi cholinga chochiritsira. Mlangizi wa zachipatala amene akupezekapo ayenera kufufuza kuti ali ndi kachilombo ka HIV pa miyezi 6 iliyonse.

Kodi kukhazikitsa kuli bwanji?

Mpweya wam'mimba ukhoza kukhazikitsidwa ndi dokotala yemwe akupezekapo. Pambuyo pake, wodwalayo ayenera kuyesedwa (cytology, swab ya flora ndi matenda opatsirana pogonana, magazi ambiri ndi kuyesa mkodzo). Muyeneranso kuchita ultrasound.

Mazira a mahomoni amakhazikitsidwa masiku asanu ndi awiri oyambirira kumapeto kwa msambo (nthawi zambiri masiku 3-5). Nthaŵi zina, kulumikiza kwatsopano kumatheka. Pambuyo kubadwa, mpweya umaloledwa kuikidwa mkati mwa masabata osachepera 4-5, pamene chiberekero chimabwezeretsedwa. Ngati palibe vuto, kutuluka kwa magazi, kapena zizindikiro zina zapachipatala mutangoyamba kumene, muyenera kufunsa dokotala nthawi yomweyo.

Zizindikiro zogwiritsidwa ntchito

Tiyenera kumvetsetsa kuti kuyika kwa ma hormonal akuwonetsedwa pazifukwa zina ndipo si njira yotetezera mkazi aliyense. Pofuna kupereka chithandizo kwa wodwala njira yotere yoberekayo katswiri amatha kudwala matenda ena. Zizindikiro zazikulu zogwiritsidwa ntchito ndi:

• Endometriosis - kuchulukitsa kwa chiwerengero cha mitsempha ya uterine - endometrium;
• Idiopathic menorrhagia - kuchuluka kwa kusamba kwa msambo;
• Chiberekero cha mimba ndi chifuwa chothetsa thupi chomwe chimapezeka minofu ya thupi (mzere ungagwiritsidwe ntchito monga prophylaxis).

Ndani sagwirizana ndi intronuterine system?

Atasankha kukhazikitsa njira yopatsira intrauterine kulera, mayi ayenera kukayezetsa mankhwala, zomwe zingathandize kuthetsa mikhalidwe yomwe izi sizikuvomerezeka. Kuwonetsetsanso kuti muyambe kutsogolo pamilandu yotsatirayi:

• Mimba;
• Dysplasia;
• Kuwonongeka kwa chiberekero;
• Cervicitis;
• Anomalies mu kapangidwe ka chiberekero (chopezeka kapena congenital);
• Matenda opatsirana kapena otupa a dongosolo la genitourinary;
• Postpartum endometritis;
• Kupeza Immunodeficiency Syndrome;
• Postpartum nthawi (masabata 4 oyambirira);
• Matenda a chiwindi;
• Zozama kwambiri thrombosis;
• Kulekerera kwa zigawo zikuluzikulu za mzere.

Kusakanikirana ndi njira zochepetsera zovomerezeka sizingakonzedwe pakuyika amayi osakwatiwa. Ngati zotsatira zake zimakhala zovuta, ntchito yobereka ingakhudzidwe kwambiri.

Momwemonso Mirena: ndemanga

Azimayi omwe asankha kutetezedwa ku mimba yosafuna kumawunikira kupanga ku Finland, achokapo ndemanga zabwino. Njira yaikulu ndi njira yabwino kwambiri ya kulera. Mahomoni omwe amamasulidwa panthawi yomwe amagwiritsira ntchito chipangizochi amalephera kutenga mimba mofanana nthawi yonseyi. Kuonjezera apo, mankhwala othandizira ali ndi zotsatira zochiritsira. Choncho, nthawi zina madokotala amalimbikitsa kwambiri kuti "Mirena" ikhale yowonjezera.

Mtengo wa chipangizo choterocho ndi wapamwamba kwambiri, ngakhale poyerekeza ndi zofanana kwambiri. Ndipo ngati pali zotsatirapo - mpweya uyenera kuchotsedwa. Ndalama zidzawonongeka. Komabe, kuweruza ndi ndemanga, zotsatira zake zimachitika kawirikawiri, ndipo mtengo wa intrauterine umapereka ntchito yonse. Mmodzi amangoyerekezera ndi ndalama zomwe ayenera kuzigwiritsa ntchito kwa zaka zisanu pa mapiritsi a mahomoni kapena mankhwala ena.

Akazi sayenera kudandaula kuti pakapita kanthawi atayika kutuluka kwa msambo. Izi ndizochitika mwachibadwa thupi. Mwezi wamwezi uliwonse udzabwezeretsedwanso miyezi yoyambirira mutatha kuchotsa chipangizochi kuchokera ku chiberekero cha uterine.

Machitidwe otchuka a intrauterine

Malingana ndi zokonda za mkazi mwiniyo ndi malingaliro a dokotala, mpweya wabwino kwambiri wa mahomoni ungasankhidwe. Mtengo pa nkhaniyi umathandizanso chimodzi mwa maudindo ofunika kwambiri. Chiwerengero chiyenera kuyenera mitundu yambiri ya Navy, yomwe mumtengo uli wotsika mtengo kuposa chipangizo "Mirena".

Intrauterine spirals ya chizindikiro "Juno" amaimiridwa ngati malembo T ndi mphete zosiyana siyana. Mtengo wa machitidwewu ukuchokera ku ruble 300 mpaka 1000. Mizere yofanana ndi T ingapangidwe ndi pulasitiki, ili ndi siliva, mkuwa. Asanayambe kukhazikitsa, zovuta kuzisankhidwa ziyenera kuchotsedwa. "Juno Bio-T Super" ndi yopangidwa ndi pulasitiki ndipo imakhala ndi mphepo yamkuwa. Kuwonjezera apo, pamwamba pa chipangizochi amachiritsidwa ndi njira yapadera ya antiseptic yothetsera, yomwe ili ndi propolis.

Chipangizo cha Nova-T ndi chinanso chotchuka cha Mirena. Mukhozanso kukhazikitsa dongosololi kwa zaka zisanu. Zinthu zomwe zimapangidwira zimakhala zotetezeka kwa thanzi. Pansi pake amapangidwa ndi pulasitiki, kuyimba kumapangidwa ndi mkuwa. Mtengo wamagulu ndi ma ruble 2300-2600.

"Levonov" ndiwotchuka wotchedwa hormonal. Malingaliro ochokera kwa akatswiri amasonyeza kuti ichi ndi chilankhulo chathunthu cha "Mirena". Chinthu chachikulu chomwe chimagwiritsidwa ntchito ndilo lavonorgestrel hormone.

Musanagule chipangizo cha intrauterine, muyenera kupeza uphungu kuchokera kwa katswiri yemwe angakuthandizeni kusankha njira yothetsera vutoli.