Ntho e molemo ka ho fetisisa ke ho buisana le setsebi sa mafu a basali se tla fana ka tumello ea ho thibela pelehi ka thobalano e thehiloeng litsong le litekong tsa tlhahlobo. Haeba ka mabaka a mang ho ke ke ha khoneha ho ikopanya le setsebi bakeng sa khetho ea li-hormone tsa thibelo ea thibelo, u ka e etsa u le mong. Molao o ka sehloohong oa khetho: boleng ba ho ea khoeling, ho bonahatsa mokokotlo oa li-hormone. Ho tsoa ha mali ka nako e telele le nako e telele ho bontša mosebetsi o hlakileng oa estrogen, o monyenyane le o khutšoanyane - mosebetsing oa li-gestagens. Melemo ea khetho e lekaneng ea thibelo ea bokhachane ka molomo: bophelo bo botle, ha ho na mali a tsoang ka hare, ho nyamela ha PMS.
Ho ba le bana ba tsubang
Meriana e nang le mekhoa e metle ea ho thibela pelehi le ho tsuba - likhopolo ha li lumellane. Ho noa joala ka nako e le 'ngoe ho senya' mele oa mosali, 'me ha ho kopane le tšebeliso ea meriana ea thibelo ea bokhachane (progestin + estrogen), phello e mpe ea nicotine e phahama ka makhetlo a' maloa.
Likotsi le liphello:
- mali a coagulability a eketseha;
- ho na le vasospasm ea nakoana;
- ho sisinyeha ha mali ka methapo le methapo ea mali ho thata;
- kotsi ea ho tšeloa mali e eketseha, e leng ho lebisang ho likokoana-hloko tsa lefu la pelo, lefu la atherosclerosis, leqeba.
Lipilisi tsa tlhekefetso bakeng sa basali ba tsubang ha lia lokela ho ba le valerate ea estradiol, ethinyl estradiol, estradiol hemihydrate. Ba ka nka lithibela-hloko tsa molomo ntle le estrogen ("mini-drank"): Charozetta, Microlut, Laktineth, Eksluton. Lethathamo la Pearl "mini-saws" ke 0.5-4. Meriana ena e itšireletsa khahlanong le bokhachane bo sa reroang 'me e na le phello e bonolo' meleng, empa e le ho feta ho laola potoloho, e lebisang ho tsoa mali ho sa feleng. "Khoeli ea bobeli" e khothalletsoa hore e nkiloe lipilisi ka letsatsi ho tloha letsatsing la pele la ho tsoa khoeling. Mekhoa e meng ea tšireletso: mokokotlo oa li-hormone, limela tsa hormone, lithethefatsi tse se nang hormone Benatex .
Ho ba le thobalano bakeng sa nulliparous
Bakeng sa banana bao e seng ba tlhaho le bacha ba kopanelang liphate, mekhoa ea kajeno ea ho thibela tšoaetso ea moriana e kopanetsoeng e loketse. Li kenyelletsa progestagen le ethinyl estradiol, li sebetsa haholo ho thibela bokhachane le liphello tse fapa-fapaneng tsa phekolo - fokotsa matšoao a PMS, bohloko ba ho emisa, ho laola nako ea ho ea khoeling. Ho bacha ba atisang ho nka mekhoa ea thibelo ea bokhachane, menyetla ea ho senya mali e nyamela, tekanyo ea tahlehelo ea mali ho ea khoeling e fokotseha, 'me tekanyo ea li-hormone e tsosolosoa.
Mekhoa ea thibelo ea bokhachane ho banana:
- Li-COC tsa tekanyo e tlase: Lindineth-30, Regulon, Belara , Janine ;
- COC e nyenyane: Lindineth-20, Clayra, Jess.
Li-gynecologists ha li khothalletse hore ho be le pheko ea endometrial ho basali ka lebaka la kotsi e kholo ea mathata: ho ruruha (popelo, molomo oa likokotlo, likaroloana), tšenyo ea sefuba, ho tsoa madi a mangata haholo, ho fokotseha ha endometrium, e tletse likotsi tse fapaneng tsa bokhachane, ho hloka matla. Ho banana le bacha ba sa lokelang ho sebelisa litsela tse bolokehileng tse sireletsang: li-suppositories tseo e seng tsa hormone tsa Benatex , likhohlopo, lipilisi tsa ho thibela pelehi .
Ho etsa thobalano ka mor'a ho ntša mpa le ho senyeheloa ke mpa
Khetho ea pelehi e khethiloeng ka mokhoa o khetholloang ka mor'a hore ho ntša mpa kapa ho senyeheloa ke mpa ho phetha karolo ea bohlokoa - ho thusa ho tloaeleha semelo sa hormone, ho thibela ho etsahala ha ho ruruha ha liphatsa tsa lefutso, ho thibela ho tsuba ha sebete, ho sireletsa khahlanong le endometriosis, ho fokotsa matla a ho tsoa mali. Kamora 'ho ntša mpa, phekolo ea meroa e tsoa likotsi, ho ima hangata ha ho lumellane, empa matla a ho emola a tsosolosoa ka letsatsi la 8-12, ka lebaka leo, khetho ea lipilisi tsa thobalano ea thobalano e lokela ho etsoa ka boikarabelo.
Ho ba le masea ka mor'a ho ntša mpa le ho senyeheloa ke mpa
Li-contraceptive tse kopantsoeng. Li kenyeletsa tekanyo e tlaase ea estrogen le progestogens ea kajeno. E bontšitsoe ho amoheloa ka letsatsi la ka hare 1-2 kamora ho ntša mpa. Fokotsa nako ea ponahalo, fokotsa matla a sephahla sa uterine, laola mocheso oa 'mele, thibela ho ruruha ha litho tsa pelvic, ho fokotsa palo ea mathata a pele:
- monophasic (Regulon, Yarina, Lindineth-30, Belara);
- karolo e meraro (Triziston, Trinovium, Trikvilar).
Li-contraceptive tsa Gestagennye ("mini-drank"): Charozetta, Microlut, Laktineth, Eksluton. Li fapane ka katleho ka katleho ea tšebetso ea thibelo ea bokhachane, u se ke ua eketsa khatello ea mali, u se ke ua eketsa kotsi ea thrombosis, u se ke ua fetola likarolo tse sebetsang tsa sebete.
Ho ba le thobalano kamora 'bokhachane le karolo ea lijo
Li-contraceptive tsa hormone tsa moloko oa morao-rao li fana ka tšireletso ho 99% ho thibela bokhachane bo sa batleheng, empa 1% e sala ha moriana o emoloa ha o noa lithethefatsi. Ho ba le thobalano nakong ea bokhachane, lesea le se nang kotsi, lingaka ha li na boitsebiso bo ka tšeptjoang mabapi le kamano e teng pakeng tsa thibelo ea thibelo ea bokhachane le ho fokola ha lesea, haeba mosali a noa pilisi ka nako e fetang 1 khoeli ea bokhachane. Ho qala ka beke ea bo6, lesea le qala ho theha mokhoa oa ho kopanela liphate, ho ela hloko liketso tsa lihomone, ka hona ho nka meriana ea meriana ea sehlopha sena ho ka baka mathata a sebetsang ho ngoana. Ka mor'a hore u ithute ka ho ima ha mosali, u lokela ho ikopanya le setsebi sa mafu a basali se tla fana ka maikutlo a tsela e molemo ka ho fetisisa ea ho rarolla bothata.
Mekhoa ea thibelo ea bokhachane kamora 'pelehi le ho khaotsa ho ima:
Spermicides (Benatex, Pharmatex, Contraceptin). E sebelisoa ha o boela a kopanela likamano tsa botona le botšehali ka morao oa lactation kapa o kopane le mekhoa e meng ea tšireletso. Ho tšepahala ha mokhoa ona ke 90-92%, phello ea thibelo ea bokhachane e hlaha ka mor'a metsotso e 5-15 kamora 'muso, e nka lihora tse 2-6.
Gestagennye tsa thibelo ea bokhachane tsa molomo (Charozetta, Microlut, Laktionet, Eksluton). Litokisetso tsa sehlopha sena li qala ho nka libeke tse 6-6.5 kamora ho pepa. Ka mokhoa o tloaelehileng le o lekaneng oa ho sebelisa lipilisi tse nyenyane, katleho ea bona ea phekolo e fihla ho 97-98%.
E kopane hantle . Kamohelo ea gestagen estrogens e ka khoneha feela haeba ho anyesa letsoai ho khaotsa, hobane estrogen e na le phello e mpe boleng ba 'mele oa lebese, e fokotsa nako ea lactation. Matlapa a lokela ho nkoa kemiso e itseng, ntle le ho siea. Tšepo ea COC ea ho thibela malapa ke 99-100%.
Kalafo ea thibelo ea bokhachane ka kamora 'mele oa lijo e tšoana le tšireletso ka mor'a tlhahiso ea tlhaho, phapang e le' ngoe - pilisi e lokela ho qala ho nka libeke tse 8-9 kamora 'tsoalo.
Ho ba le thobalano bakeng sa methapong ea mahlaba le li-cysts tsa mahe
Lefu la Varicose ha le bolele ho lumellana ka ho feletseng le tšebeliso ea thibelo ea thibelo ea bokhachane, leha ho le joalo, li-progestin tse kenyeletsang litokisetso tsa li-gestagens le li-estrogens li ka mpefatsa mali le ho ba le mekhoa ea lijana. Ho qoba kotsi ea mafu a tebileng - bothata bo tebileng ba meriana, ho kgothaletswa hore ha ho etsoa kalafo ea meriana e sa khaotseng, bona setsebi sa lipilisi. Ponahalo ea ho ruruha ea lipheletsong tse ka tlaase, bohloko, ho se utloise bohloko, ho boima ho khahlanong le semelo sa ho nka matlapa a li-hormone - e leng ketsahalo ea ho phekoloa kapele ho setsebi.
Lisebelisuoa tsa thibelo ea bokhachane tsa hormone kahare ea mahlaseli a liphatsa tsa lefutso li sebelisoa e le mokhoa oa pele oa phekolo. Li-cysts tsa nakoana (tse sebetsang) li etsahala ho basali ba lilemo tsa ho ba le bana, ka phekolo e khethiloeng hantle, ka mor'a likhoeli tse 2-3. Ka li-cysts tse sa tsejoeng, likamano tse peli tsa thibelo ea thibelo ea thibelo ea moriana li sebelisoa hammoho le phekolo ea acupuncture le vithamine.
Ho ba le thobalano nakong ea ho anyesa
Ho ba le thobalano bakeng sa ho se tsotelle le myoma ea uterine
Likamano tsa thibelo ea bokhachane tse kopaneng bakeng sa ho hlokomoloha ke mokhoa o khethiloeng oa ho thibela pelehi. Basali ba nkang COC nako e telele, boemo bona bo ntlafala ka ho teba, ts'ebetso ea ho ea khoeling e tsitsitse, ho tsieleha ha litšoelesa tsa mammary ho nyamela, 'me ho fokotseha butle-butle ha lebelo la ho hlokomoloha ho etsahala. Lithethefatsi tse khethileng: COC monophasic (Lindineth-20, Yarina , Janine , Regulon ), COC le mesebetsi e tlaase ea androgenic (Jeanine, Jess).
COC ka uterine myoma - hlahala e nang le bothata ba myometrium, e lokisa mokokotlo oa hormone, e leng ho tlatsetsang ho fokotseha ts'ebetso ea ho hōla / ea ho feteletseng ea fibroids. Lithethefatsi tse khethileng: Jeanine, Regulon, Lindineth-20/30.
Ho thibela malapa ho endometriosis
Monophasic e kopantseng thibelo ea thibelo ea meriana ea endometriosis e na le phello ea phekolo ea myometrium le endometrium, katleho ea lefu lena le lithethefatsi tsa sehlopha sena ke 57-59%. Meriana e khethollang: Jeanine , Regulon , Yarina .