Mochine oa khato ea li-hormone tsa meriana:
- ho fokotsa ho phalla. Ka mechine ea maikutlo a fosahetseng, progestogen e thibela lihomone tsa follicle-stimulating le luteininizing. Ha ho na litlhōrō tsa FSH le LH tse kenyelletsang menyetla ea ho ruruha. Ethinyl estradiol hammoho le progestogens e thibela folliculogenis ka mae a bomme;
- ho eketsa viscosity ea secretion secretion. Progestogens e fetola litšobotsi tsa lik'hemik'hale tsa mokokotlo le ho thibela lipalesa tsa mokokotlo, e leng se bakang thibelo ho tsamaiso ea spermatozoa kahare ea uterine;
- liphetoho ho endometrium tse sitisang ho kenngoa ha lehe. Progestogens e thibela ho ata ha lisele tsa endometrial, ho etsa hore ho be le phetoho e ka tlaasana ea sekhukhu. Esita le haeba ovulation le manyolo a hlaha, bokhachane ha bo tsoele pele;
- ho liehisa ho falla ha lehe le ho fokotsa tumellano ea li-tublopian tubes. Progestogens e liehisa ho pata ha li-tubes.
Mochine oa khato ea tšebetso ea tšebetso ea tšohanyetso (Escapel, Postinor):
Boitsebiso bo eketsehileng ka tšebetso ea tšebetso ea tšohanyetso bo ka fumaneha mona.
- ho thibela ho ruruha, ho thibela manyolo;
- Fetola ho endometrium, ho thibela ho kenngoa ha lehe le nang le manyolo.
Kakaretso ea thibelo ea thibelo ea li-hormone:
- Tseleng ea hormone ea kenella maling:
- e kenngoa tlas'a letlalo. Li-capsules tse flexible (35x2,5 millimeters), ho lokolla lihomone tse kenngoa maling, li etsa hore ho be le mahloriso a kamehla;
- li-ampoules. Liente li etsoa hang ka matsatsi a 45-75;
- matlapa.
- Ka li-hormone tse entsoeng:
- lipilisi tse kopantsoeng: mohato o le mong (nakong ea potoloho (matsatsi a 21) palo e itseng ea gestagens le estrogen e kena 'meleng oa basali), biphasic (halofo ea pele ea potoloho, matlapa a nang le likarolo tse tlaase tsa gestagens a sebelisetsoa ho etsisa tlhaho ea tlhaho ea hormone), karolo e meraro (e na le li-hormone tse fapaneng bakeng sa kamohelo e ikhethang, e leng se u lumellang hore u phete ka mokhoa o nepahetseng 'mele oa' mele oa basali);
- e sa kopanngoeng ("mini-drank"). E na le li-gestagens feela.
- Bakeng sa litekanyetso tsa letsatsi le letsatsi tsa motsoako oa estrogen:
- Li-microdosed (tse nang le 20 mg / day ethinyl estradiol);
- tekanyo e tlase (30-35 μg / day ethinyl estradiol);
- tekanyo e phahameng (50 mcg / day ethinyl estradiol).
Li-contraceptive tsa hormone: litaelo tsa tšebeliso
Bakeng sa mekhoa ea ho lokisoa ha li-hormone / hormone: mokhoa o thibelang thibelo ea thibelo ea thibelo ea thibelo ea bokhachane o khomaretsoe matsatsi a 7
Bakeng sa COC monophasic: matlapa a 21 a 'mala o le mong blister.
Bakeng sa "ho noa ka metsotsoana": matlapa a 21/28 a 'mala o le mong ka blister.
Bakeng sa tharollo ea likarolo tse tharo: matlapa a 21/28 a mebala e fapaneng ka botlalo.
Tšusumetso ea tlhekefetso e finyelloa ka ho fetola litšoaneleho tsa mokokotlo oa likamano tsa malapa le ho tlosoa ha li-ovulation. Lintho tse nepahetseng le "minipili" li nkoa ka hare, letsatsi le leng le le leng ka nako e itseng, ho latela taelo e boletsoeng paketeng. Tekanyo e tekanyo: tablet hang hang ka lihora tse 24, ka matsatsi a 21. Sephutheloana se latelang se lokela ho qalisoa ka mor'a khefu ea beke e le 'ngoe, nakong eo ho tlosoa ho tsoa mali ho qala. Palo ea kamohelo: libeke tse 3 - kamohelo ea likoloi, beke e le 'ngoe - khefu.
Hormonal contraception
- lefu la khatello ea kelello, lisosa tsa kotsi bakeng sa mafu a pelo, lisebelisoa tse sa tloaelehang, histori ea litlhaselo tsa pelo;
- maloetse a tšoaroang ke lefu, likokoanyana tse sa tšoaneng, thrombophlebitis;
- ho senyeha ha boloetse ba masapo, migraine;
- tšebelisano-'moho le ho fokotsa nako e telele;
- lefu la tsoekere, lefu la sebete le matla, lefu la letlalo;
- likokoana-hloko tsa sebete (tse nang le boikutlo bo bobe / tse kotsi), e fokolang sebete sa sebete;
- Ho tsuba (lisakerete tse 15 kapa ho feta ka letsatsi) ha li le lilemo li 35 le ho feta;
- lactation, bokhachane, ho fetoha ha sebete sa uterine, ho patoa ho sa foleng, ho senyeha ha sebete;
- mafu a maholo a litho tsa maiketsetso a liphatsa tsa lefutso;
- li-neoplasms tse itšetlehileng ka malimong / hormone ea mokhoa oa ho ikatisa;
- uterine mali a mangata a sa tsejoeng.
Litla-morao tsa meriana ea ho thibela tšoaetso ea li-hormone:
- ho haelloa ke estrogen: ho ilela khoeli e nyenyane, ho tsoa mali ho tloha ka hare ho naha, ho hlaphoheloa hamonate, hypoplasia ea sefuba, kraurosis ea vulva, "ho hotetsa ho chesang", ho halefa;
- Li-estrogens tse feteletseng: ho boloka metsi ka makhetlo a mangata, ho nyefoloa ke pelo, ho hlajoa ke lefu, ho ilela khoeli ho bohloko, ho ba mahlomoleng litleneng tsa mammary, khatello ea kelello, migraine, hlooho e bohloko, lefu la lefu la tsoekere la latent;
- Ho haelloa ke progesterone: ho fokotsa mali, ho tsoa mali ho ea ka hare, ho ea khoeli ho feteletseng;
- progesterone e feteletseng: li-episodes tse nyahamisang, hlooho ea hlooho, alopecia, letlalo le mafura, li-acne, amenorrhea, boima ba lijo / takatso ea lijo, ho fokotsehile libido.
Algorithm ea ho khetha thibelo ea thibelo ea li-hormone:
- Ho feta kapa ho etsoa tlhahlobo ea ho qoba ho thibela li-hormone;
- sethethefatsi sa khetho ea pele ke se nepahetseng sa monophasic le gestagen e tlaase ea androgenic le tse ling tsa ethinylestradiol eseng li 35 μg / letsatsi ( Regulon , Janine );
- lithethefatsi tse khethehileng bakeng sa bakuli ba nang le bothata bo boholo ba estrogen - khato e tharo (Diane-35, Tri-Mercy);
- ka pel'a li-acne, lipilisi tsa hyperandrogenia monophasic tse nang le mehato ea antiandrogenic li bontšoa (Lindineth, Yarina , Logest);
- ka mali a sa sebetsang a tsoang ho uterine, dysmenorrhea e bontša matlapa a nang le progestogen e matla ea motsoako (Jeanine, Claira );
- ka boteng ba endometriosis khetho e ntle ke ho thibela pelehi ha monophasic le dienogest, gestodene (Jeanine, Lindineth);
- hobane batho ba tsubang basali ba ka holimo ho lilemo tse 35 ba hanyetsana, ho fihlela lilemo tse 35 ho bontšoa lithibela-hloko tsa molomo tse nang le bonyane ba ethinyl estradiol ( Jess , Lindineth).
Mekhoa e metle ka ho fetisisa ea thibelo ea bokhachane
Lithethefatsi tsa Hormonal li na le tšusumetso e mengata ea 'mele, e ke keng ea hlalosoa ka lentsoe le le leng. Hlalosa hore u se ke ua thibela bokhachane feela, empa u behe le merero ea phekolo. Matlapa a tšoanang a ka baka mathata a tebileng ho basali ba bang, ba bang ha ba halefise mathata leha e le afe. Ho thibela tšoaetso ea li-hormone e lokela ho khethoa ka bomong, ho nahanela boemo ba gynecological le somatic, data ea lelapa le ea botho ea histori. Ho khethoa ha li-hormone ka mokhoa o nepahetseng ke tšireletso e ka tšeptjoang khahlanong le bokhachane bo sa reroang le tsela e atlehang ea ho boloka bophelo bo botle ba basali.