Kodi lupu bwino? Reviews a IUD

Oposa 60 miliyoni. Akazi dziko amakonda zimenezi zikutanthauza a chitetezo mimba ndi intrauterine. Kodi lupu bwino, kwa nthawi yayitali bwanji iwo anakhazikitsa, kaya ndi ndondomeko Chowawa? Nkhanizi ndi chidwi akazi ambiri.

Gawo Navy

mtundu wa ntchito kulera zosiyanasiyanazi pa 16% ssiyskih rozhenschin zaka ubereki. Kupeza zimene ziri zabwino za IUD, amene bwino amateteza mimba, muyenera kudziwa wotani mwauzimu akhoza kukopedwa pa msika zoweta. Pali mitundu ingapo ya kulera intrauterine:

• si mankhwala;
• loyamba m'badwo mankhwala - "Multiload", "Nova", "Juno Bio";
• mankhwala mbadwo wachitatu - "Mirena".

Woyamba anapangidwa kuchokera angapange ndi Kuwonjezera barium sulphate. Iwo anabwera akalumikidzidwa osiyana: ndi T woboola pakati kapena S woboola pakati. Izi inefficient lupu. Reviews madokotala ananena kuti si panopa ntchito chifukwa kawirikawiri mavuto yotupa pambuyo oyamba.

Gulu lachiwiri imakhala ya IUD (intrauterine zipangizo) kupanga mkuwa, golide, siliva. Choncho pali zitsulo osakwatira kapena osakaniza: ndodo - siliva ndi kumulowetsa - mkuwa. Lupu ndi siliva ndi zitsulo zina musati kuwononga moyo, amathandiza kuti kupewa kutupa zosiyanasiyana kumaliseche mkati ndi kuvala ndithu nthawi yaitali - kwa zaka 5.

Kulera zokhudza gulu lachitatu, mu mawonekedwe zofanana ndi m'mbuyomu, koma zizindikiro chidebe ndi progestogen kupanga, limene linatuluka mu Mlingo yaying'ono - 20 mg wa tsiku ndi tsiku. mizere yozungulira izi zimayikidwa pa zaka 7. Iwo ali ndi zotsatira ndi kulera zosiyanasiyanazi ndi inhibiting ubwenzi wa dzira, komanso amagwiritsidwa ntchito pofuna kuchiza matenda osiyanasiyana: endometriosis, osokonekera uterine magazi ndi pamene m'thupi m'malo mankhwala ndi estrogens kuteteza endometrial hyperplasia. Amenewa mwauzimu oyenera akazi ndi tsankho achipembedzo kuyambira umuna zimachokeradi chifukwa kusintha m'thupi bwino mchikakamizo cha zonse kumasulidwa progestogens.

limagwirira kanthu

Kuti akonze funso la chimene lupu bwino, muyenera kudziwa mmene amachitira zinthu. Njira imeneyi kulera kumabweretsa mfundo yakuti kutupa yeniyeni umakula zimachitika kuti thupi achilendo: leukocyte kusalola kusintha endometrial morphological kuti ali alendo kwa msambo wabwinobwino, ndi zimene oyamba a dzira sizingatheke.

Bulu amachititsa contractions uterine, kumathandiza kuchuluka zachilendo kwa endometrium kwa implantation dzira, kumalimbikitsa peristalsis wa Ukalawu ndipo ali kungasokoneze ayoni umuna zamkuwa golide, ndi siliva.

Muyenera saona chilichonse chiphunzitso cha zotsatira yofala motani kulera zosiyanasiyanazi, limagwirira kanthu tichipeza zigawo zingapo.

ubwino

Kuti tipeze chimene IUD ndi zabwino kwambiri, muyenera kukhala bwino ndi ubwino mitundu yonse ya lupu:

• Mwachangu mpaka 98%;
• kuphweka wa ntchito;
• osachepera zochita chowawa;

• kubwezeretsa mphamvu za manyowa pambuyo kuchotsa IUD mwa mwezi woyamba;
• Zilibe amadwala yoyamwitsa (osati abwino kwa Navy ndi progestins);
• anayambitsa kwa nthawi yaitali;
• mtengo wotsika;
• kulibe makonzedwe tsiku miyala ndi kugwiritsa ntchito ulamuliro pamene ka kulera m'kamwa.

zolakwa

Mwa zolakwa ndi tisaiwale kukokera kuwawa m'mimba, makamaka masiku oyambirira, katundu msambo, chiopsezo kutupa, ulamuliro nthawi zonse masharubu, malamulo kwa atsikana.

contraindications

Kodi lupu bwino "Multiload", "Juno Bio", "Nova"? Ngati pali contraindications kwa mitundu ina ya mwauzimu? Tikumbukenso kuti mitundu yonse ndi wachibale ndipo mtheradi contraindications.

contraindications mtheradi monga kutupa pachimake, khansa, zotupa pa khosi ndi thupi la chiberekero, magazi kumaliseche kwa mkazi wa chilengedwe wosadziwika, oyembekezera kapena mimba alipo. Zizindikiro izi oyamba mwauzimu mwamtheradi contraindicated.

Wachibale contraindications - zizindikiro zimene makonzedwe IUD mwina ndikatha kumfunsafunsa yoyenera kapena mankhwala kapena pamene kulera zosiyanasiyanazi sadzakhala zimathandiza kuti kudwala kwa ndondomekoyi. Ali:

• exacerbation la matenda aakulu, ndi miyezi isanu ndi umodzi pambuyo chithandizo;
• Matenda opatsirana pogonana;
• cervicitis, vaginitis;
• kusamba lolemera, intermenstrual magazi;
• hyperplasia kapena endometrial tizilombo ting'onoting'ono;
• fibroids Uterine ndi mfundo submucosal malo;
• zina endometriosis;
• malformations la chiberekero: underdevelopment, nthenda dongosolo;
• Kusintha kwa chiberekero, imene sikutheka IUD mayikidwe;
• ectopic pregnancy miyezi isanu ndi umodzi isanafike kumuwonetsa;
• athamangitsidwe (Self-yopezera) Bulu mbiri;
• opatsirana-yotupa zosokonezeka pambuyo mimba miyezi itatu yapitayi;
• Ngati ambiri ogonana;
• Matenda somatic: aakulu kutupa, kuphatikizapo chifuwa chachikulu; magazi m'thupi kapena coagulopathy; enaake ophwanya matenda a mtima, vavu zopindika chipangizo;
• ndi ziwengo kuti ayoni zitsulo;
• Westphal, matenda Wilson - matenda otengera kwa makolo omwe zina ndi nzeru mkuwa;
• immunosuppressive chithandizo.

Pa mayesero onsewa, pambuyo malongosoledwe a zinthu zonse chowawa ndipo bwinobwino dokotala amadziwa ngati ntchito IUD. Pharmacies kugulitsa zosiyanasiyana zipangizo intrauterine. Photo phukusi anapereka pamwamba. mtengo awo ranges ku rubles 200 10,000.

Kudzifufuza patsogolo makonzedwe helix

Musanagwiritse ntchito njira zolera kumafuna munthu kufunsa gynecologist wanu ndi chilango cha chofunika osachepera Kafukufuku:

• Ndondomekoyi;
• Kupenda wa ntchito aimpso ;
• ndisanabadwe kwa chindoko, matenda a chiwindi B ndi C, HIV-ophimba;
• yaitali colposcopy;
• Ultrasound mosamala chiberekero ndi zokhudzana.

Mawu oyamba a IUD ndi

Malinga WHO akatswiri a mwauzimu angathe kuperekedwa mu tsiku iliyonse, koma masiku yabwino kwambiri masiku 4-7 cha kuzungulira kusamba. Izi anafotokoza chifukwa chakuti anati mucous nembanemba ya m'chiberekero mwachidwi kubwerera pambuyo kukana endometrium ndi, khomo pachibelekeropo otsegula pang'ono, pamaso pa msambo - chizindikiro odalirika pakalibe mimba, ndipo magazi kochepa zikuchitika pambuyo oyamba, musati kubweretsa mkazi nkhawa. Pambuyo mimba kapena samoaborta IUD angalowe yomweyo kapena mu masiku 4 ndi zizindikiro za magazi ndi kutupa.

Atabadwa (pasanathe maola 48) ali osavomerezeka ICH yomweyo kutumikiridwa chifukwa pali Mwina mkulu wa athamangitsidwe wa koyilo lapansi. Kwambiri mulingo woyenera nthawi - masabata 6 pambuyo pobereka.

zosokonezeka

Zovuta zitheka yomweyo ndipo patapita kanthawi chipangizo intrauterine anaika. Chabwino n'chiti mawu a osachepera zotsatira zosasangalatsa mbali? Nthawi zambiri, pambuyo kumayambiriro mwauzimu pali chisonyezo zopweteka zimene ukhoza kwa maola. Izi anauzidwa mu ndemanga. Nthawi zambiri, kusapeza akudutsa atakhala analgesics. Ngati ululu si adathandizapo ndi analgesics ndi MANKHWALA OLETSA VUTOLI, m'pofunika kuchita ultrasound kapena hysteroscopy kudziwa molondola za IUD ndi Kupeza Vuto pamaso pa mwauzimu mu m'mimba kapena kunja (kumayambiriro perforation uterine).

IUD athamangitsidwe limapezeka nthawi zambiri mu atsikana nulliparous chifukwa cha mphamvu uterine. Kumachitika makamaka masiku oyamba pambuyo utsogoleli. Pafupipafupi Vuto izi zimatengera mtundu wa helix: coppercontaining deletes lokha 6-16% milandu, progestagensoderzhaschie - mu 3-6.5%. Ndi zaka, kuchuluka kwa chiwerengero cha ana obadwa ndi mimba mosavuta mavuto yafupika.

matenda yotupa - mavuto amene asunga mwa 3,8-14,5% milandu pamene kutumikiridwa IUD Gulu lachiwiri. Pankhaniyi, ngati panali kutupa mu masabata oyambirira 3, pakuwonekera kwake akhoza zokhudzana IUD mayikidwe; ngati pambuyo 3 months - ndi matenda anatuluka kachiwiri. Mapangidwe maphunziro mafinya tubovarialnogo - yoopsa kwambiri ya mavuto yotupa. Kumachitika ndi ntchito yaitali mwauzimu - zaka zoposa 6-7. Zoonera zotheka mu masiku oyambirira pambuyo (2,1-3,8%) ndi cropped cholinga styptic. Mwaziwo utapitirira kutuluka limodzi ndi matenda ululu kapena zimachitika pakati kusamba ndi salabadira chithandizo, m'pofunika kuchotsa koyilo lapansi.

Mu 0.5-2% mimbayo zotheka. Izi zimachitika ngati okwana kapena tsankho athamangitsidwe wa IUD lapansi. Nthawi zambiri, mimba imeneyi itha mimba lachibadwa, ngakhale ngati mkazi akufuna nauyang'anire.
Ndipo zimene lupu bwino mawu a mavuto, kuthandiza kuthetsa gynecologist.

Mphamvu za kulera zosiyanasiyanazi intrauterine

A zambiri mitundu Navy ayika mafunso amenewa kwa mkaziyo: bwanji kupewa mavuto ndipo IUD chimene bwino? Reviews madokotala ndi odwala kulankhula mokomera IUD copper- kapena siliva munali.

Kuwonjezera zamkuwa ndi siliva anachepetsa zochitika za mavuto mu nthawi 2-10. Mphamvu ya IUD ndi 93,8%. helix Inert ndi efficacy mu 91-93%. Panopa ambiri abwino ndi mkuwa munali mwauzimu a mlingo wochepa wa mavuto ndi amaposa wa ntchito kulera.

Timadzi-Kutulutsa System "Mirena" ndi kulera zosiyanasiyanazi yabwino kwambiri ndi njira yolera yotseketsa imatengedwa pafupifupi zamoyo monga angapo zochita umalimbana popewa umuna, kuika kwa endometrium ndi, kuwonjezera kukhuthala ntchofu ku khomo pachibelekeropo kuteteza umuna kulowa chiberekero.

Takambirana zotsatira zabwino ndi zoipa, amene ali mwauzimu intrauterine. Kodi malo abwino? Nkhani imeneyi azilankhula molumikizana ndi gynecologist lapansi. Kudziwa mtengo pa chimene mkazi amayembekezera ndi umboni kuti ndikatha kumfunsafunsa ukusonyeza dokotala.