Kemiso ea lipilisi tsa thibelo ea bokhachane
- Meriana-hloko ea ho thibela pelehi ea lithethefatsi (COCs):
- monophasic ( Regulon , Lindineth-30 ). E-na le tekanyo e sa khaotseng ea karolo ea gestagenic le estrogenic lebiling le leng le le leng, e fapane le mofuta oa progestogens, estrogens, tekanyo. Fana ka tekanyo e phahameng ea thibelo ea bokhachane (Pearl index 0.06-0.08), ka katleho tšoara endometriosis ea botona kapa botšehali, ka katleho e ama tsela ea nako ea ho ea khoeling le nako ea nako ea ho ea mali, ho lekanyetsa matla a ho tsoa mali. Litaba tsa ho tlosoa ha mali ka interseminal li tlalehiloe hangata;
- likarolo tse peli (Adepal, Antotevin). E na le tekanyo e feto-fetohang ea gestagen le estrogen ea kamehla, e bontšoa ho basali ba nang le kutloisiso ho gestagens, le matšoao a meriana ea hyperandrogenism;
- karolo ea boraro (Tri-Regol, Tri-merci). E tšoantšetsoa ke li-steroid tse fapaneng ho latela mekhahlelo ea ho ea khoeling. Li na le phello e matla ea 'mele nakong ea ho ea khoeling, fana ka bonyane ba litla-morao, laola potoloho. Li bontšoa ho basali ba ka holimo ho 35 ba nang le botenya, ba tsubang.
- Ka bongata ba motsoako oa estrogen:
- Li-Gestagenic tsa thibelo ea bokhachane ("mini-drank").
Mekhoa e meng ea ho sebelisoa ha COC ke matlapa a nang le progestins e hloekileng. Tlhahiso ea thibelo ea thibelo ea thibelo ea thibelo ea thibelo ea thibelo ea thibelo ea thibelo ea thibelo ea thibelo ea thibelo ea thibelo ea thibelo ea thibelo ea thibelo ea thibelo ea thibelo ea thibelo ea thibelo ea thibelo ea thibelo ea thibelo ea thibelo ea thibelo ea thibelo ea thibelo ea thibelo ea thibelo ea thibelo ea thibelo ea thibelo ea bokhachane. Litokisetso tsa gestagenic li baka khatello ea tlhahiso ea lutropin, e leng ho fokotsang ho fofa. "Ho noa" ka metsotsoana e mengata: maemong a mang, ho nka matlapa a ho tlosa li-ovulation - sena se hlalosa se tlaase ha se bapisoa le COC Pearl Index (0.3-0.6).
Kamoo COC e sebetsang kateng
Mekhoa ea ho pepesehela OC e etsoa maemong a fapaneng a hypothalamus-pituitary-ovary-uterine-uterine tube system. Synthetic steroids e thibela ho lokolloa ha lihomone tsa gonadotropic tsa li-pituitary le lihomone tsa hypothalamus, e leng se lebisang ho fokotsang ho tlohela likokoana-hloko, ho thibela malapa ka nakoana. Ha li feta, li-gestagens le ethinyl estradiol li thibela folliculogenis, e leng ho etsang hore ho be le ho fokotseha ha boholo ba mae a bomme, ho fokotseha ka sephiri sa estrogen ka ntlha ea 2. Ho na le liphetoho le endometrium - ho na le khatello ea potoloho le liphetoho pele ho nako, ho na le liphetoho tsa li-atrophic tse nang le phello e khahlanong le ts'oaetso. Li-contraceptive tsa hormone li thibela ho phalla ha li-tublopian tubes, ho fokotsa sekhahla sa lehe le entsoeng ka mohoete, ho fokotsa mokokotlo oa li-cervical, e leng se sitisang ho kenella ha spermatozoa kahare ea uterine.
Mokhoa oa ho Khetha Lipilisi tsa Taolo ea Bokhachane
Molao-motheo o ka sehloohong oa ho khetha OP ke ho sebelisa tekanyo ea bonyane ea li-steroid, e leng ho tla fana ka tšireletso e sebetsang khahlanong le bokhachane bo sa reroang. Meriana ea estrogenic e khothalletsoa meriana e khetholloang ke motsoako o matla oa gestagenic (Ovidon, Rigevidone). Litokisetso tsa moeli oa pele bakeng sa basali ba nang le li-gestagens tse ngata-Regulon, Logest. Ha u khetha OK, u lokela ho nahana ka boholo ba sebete le boleng ba nako ea ho ea khoeling, hobane lintlha tsena li bontša hore semelo sa hormone se molemo haholo ho feta ho hlahloba matšoao a ka ntle: ho ilela khoeli ho boletse ho eketseha ha mosebetsi oa progesterone, nako e telele le e ngata - ka mosebetsi oa estrogen. Qala ho noa meriana ea li-hormone e lokela ho ba ho tsoa lithethefatsi tse kopaneng le tekanyo e fokolang ea lisebelisuoa tse kenang. Matlapa a mararo a mararo le a maholo ha a hanyetsane - ka mokhoa o lekaneng oa ho o sebelisa o sireletsehile le o sebetsang hantle. Sepheo sa khetho e nepahetseng ea se nepahetseng ke ho ba sieo ha ho tsoa mali, ho tsoa mali "tsoelo-pele". Boitsebiso bo eketsehileng mabapi le khetho ea OK e ka fumanoa mona .
Mokhoa oa ho noa lipilisi tsa thibelo ea bokhachane:
- Meriana ea thibelo ea bokhachane e nkoa ka mor'a matsatsi a 1-5 ka mor'a hore mali a qale ho tsoa mali. Li-monophasic COC li qala ho noa matlapa ka letsatsi le lekanang la beke, li-multiphase - ka letlapa le ngotsoeng "qalo ea kamohelo";
- OP e nkoa letsatsi le leng le le leng, ka nako e itseng, ka matsatsi a 21;
- ka mor'a ho nka pilisi ea ho qetela ka har'a sephutheloana ka mor'a khefu ea beke e le 'ngoe, nakong eo ho etsoang boitlamo ho ea ka khoeli. Phakete e latelang ea lithethefatsi e qala ka letsatsi la 8 la khefu;
- ha ho se na "mokhoa oa ho khaotsa ho itokolla," matlapa a tsoela pele ho tsamaisoa ho latela moetlo oa setso ha bokhachane bo sa kenyeletsoe. Ho seng joalo, moriana o emisoa;
- Lipotso tsa ho tsamaisa li-COC ka nako e le 'ngoe le meriana (li-anticonvulsants, lithibela-mafu) li arajoa ka bomong;
- hoa hlokahala ho tseba hore ka mor'a ho emisa COC, ho emoloa ho ka etsahala hona joale nakong ea potoloho ea pele ea ho tlosoa.
Ho sebelisa lipilisi tsa thibelo ea bokhachane:
- hang-hang, botšepehi bo ka bang 100%;
- ts'ebetso ea mokhoa ona, ho ithuta ka hloko;
- monyetla oa ho itlhahloba ka matla a tsoalo;
- melumo e tlase ea litla-morao;
- ho sebetsa habonolo, ho khoneha ho feta ho feta;
- ho fokotsa likotsi tsa ectopic pregnancy;
- fokotseha likarolong tsa mafu a ho ruruha a litho tsa maiketsetso;
- ho thibela ntshetsopele ea lisele tse nyenyane tsa sebete le mae a bomme;
- phomolo ea matšoao a dysmenorrhea, PMS;
- phello e ntle ho endometriosis;
- phekolo ea meriana letlalo la seborrhea, likokoanyana tse nyonyehang.
Kotsi:
- kotsi ea ho tšoaroa ke kankere ea malapeng ho basali ba sebelisitseng OC nako e telele (lilemo tse fetang 10) ho eketseha.
Lipilisi tsa thibelo ea bokhachane: li-contraindications
- likarolo tse bohloko tsa litho tsa botona kapa tsa botona;
- ho ima kapa ho belaelloa ho ima;
- lefu le matla la pelo;
- mathata a matla a ts'ebetso, mafu a maholo, lihlaseli tsa sebete;
- thrombosis, thrombophlebitis, thromboembolism;
- ho tsoa madi ea sebopeho se sa hlalosoang.
Lisosa tsa kotsi:
- ho noa ho tsuba ha nakoana;
- botenya, porphyria, ho fokola;
- lefuba, ts'ebetso e tlang ea ho buoa;
- lefu la sethoathoa, ho tepella maikutlo nako e telele, uterine fibroids;
- jaundice, migraine, hypercalcemia, hyperlipidemia.
Lintho tse fokotsang ho tšepahala ho OK:
letšollo, ho hlatsa, ho noa ka nako e le 'ngoe ea li-laxative, anticonvulsant, antibacterial.
Litla-morao:
- ho itšetleha ka li-estrogen: ho hlatsa, ho nyekeloa ke pelo, khatello ea mali e phahama, hlooho ea mohopolo, mokokotlo, boima ba 'mele, ho fokola;
- progestogen-e itšetlehile ka: ho fokotsa libido, ho tepella maikutlong, likhohlopo, ho omella ka mumalsa ea botšehaling, hlooho ea hlooho, mokhathala;
- ho se be le metsoako e sa lekaneng ea estrogen: ho fokotsa boima ba matsoele, ho fokotseha libido, ho ea khoeling ho se hokae, ho tsoa mali ka nakoana;
- Ho se lekane ha progestogenic: ho lieha ho ea khoeling, ho patela ha motho ka hare ho halofo ea 2 ea potoloho, ho ea khoeling e ngata.
Tsela e ka sehloohong ea ho nka mekhoa ea thibelo ea bokhachane ka lentsoe e ka 'na ea bakoa ke ho hloka mamello ka bomong kapa ketso ea matlapa. Phello ea lehlakore e ka ba kotsi kapa e kotsi ho 'mele, ho sa tsotellehe sesosa sa ho qala. Ho felisoa ha lithethefatsi hangata ho lebisa ho nyamela ha karabelo e joalo tlas'a tšusumetso ea phekolo kapa ka boithaopo.
Lipilisi tse molemohali tsa thibelo ea bokhachane
Ka ho amoheloa ka mokhoa o nepahetseng, ho tšepahala ha lithibela-hloko tsa molomo ho atisa ho ba 100%, karolelano ea matlapa a "ho sireletseha / a ho tšepahala" a hlahisa likhohlopo. U ka ithuta ho eketsehileng ka likhohlopo mona . Likhomo tsa moloko oa morao-rao li na le li-hormone ka tekanyo e tlase, ntle le phello ea androgenic. Qoba ho itšoara habonolo ho ka khoneha ka tlhahlobo ea bongaka, e khothalletsoang pele u qala ho nka matlapa. Ho thibela pelehi ha li-hormone ho tsosolosoa, tekanyo ea ho tsosolosoa ha potoloho e itšetlehile ka nako ea ho noa lithethefatsi le mokokotlo oa li-hormone. Meriana e loketseng ha e eo. Ncha-ha e bolele se molemo ka ho fetisisa. Molao o ka sehloohong: Hormonal contraception e khethiloe, e laoloa ke setsebi sa mafu a basali ka ho latela litšoaneleho tsa motho ka mong oa 'mele oa basali.