Mankhwala oletsa kubadwa pambuyo pa zaka 40. Momwe mungadzitetezere ku mimba

Kodi mukufunikira mapiritsi oletsa kubereka pambuyo pa zaka 40? Inde, ngakhalenso zofunikira, chifukwa pa zaka za moyo uno satha, ndipo chida choyandikana chingakhale chowala ndi chokongola. Koma kutenga mimba sikungathe kukupatsani chisangalalo, chifukwa nthawiyi nthawi zambiri banja liri ndi chiwerengero cha ana. Kuonjezera apo, kubereka pambuyo pa zaka 35 ndi koopsa pa thanzi la mayi ndi mwana ndipo sikofunika ngati palibe vuto lapadera (mankhwala osapatsirana kwa nthawi yaitali).

Thupi la mkaziyo pambuyo pa zaka makumi anayi

Aliyense amadziwa lingaliro lofanana ndi zaka za kubadwa kwa mkazi. Iyi ndi nthawi yofunikira kwambiri pokonzekera banja. Masiku ano, palibe amene amadabwa ndi mimba yam'mbuyo, mobwerezabwereza pali amayi okhwima omwe akhala amayi kachiwiri. Komabe, sikungakane kuti kubala kwa amayi a msinkhu uno ukuchepa. Ichi si kanthu koma chizindikiro cha kutha kwa ma thumba losunga mazira. Izi zikutanthauza kuti, kuyamba kubereka kumatayika, ndipo phokoso limasiya palimodzi. Ndili ndi zaka makumi awiri ndi zisanu ndi ziwiri (45), nthawi ya kusamba imapita kale popanda kutsekemera, choncho chiopsezo chokhala ndi mimba chimachepa, koma sichikhalapo. Mapiritsi oletsa kubereka pambuyo pa zaka 40 amakulolani kutsimikiza kuti mimba yosafuna siidzachitika, zomwe zikutanthauza kuti mukhoza kukhala wodekha komanso wodalirika.

Ziwerengero zina

Pali deta yolondola yomwe imasonyeza kuti amayi 30% a pakati pa zaka 40 ndi 54 amakhala ndi msambo wokhazikika ndipo amatha kutenga pakati. Mimba m'nthawi ino ingayambitse matenda aakulu, mwana akhoza kubadwa ndi zovuta zosiyanasiyana. Koma kuchetsa mimba sikutulutsa mimba. Madokotala akugwira mawu maumboni omwe amatsimikizira kuti kusokonezeka kwa mimba yotulutsidwa panthawiyi kumaphatikizapo vuto lalikulu la menopausal syndrome. Izi zimapangitsa kuti chitukuko chitheke m'kati mwa chiberekero komanso m'mimba.

Choncho, tikufika poti mapiritsi a kulera pakatha zaka 40 ndi njira yabwino kwambiri yopitilira mimba yosafuna. Komabe, ichi sichoncho chokhacho chotheka. Pofika m'badwo uwu, amayi nthawi zambiri amapanga zofuna zina pa chisankho chofuna kulera. Izi zitha kukonzekera kumayi kapena chipangizo cha intrauterine, jekeseni yapadera kapena njira zopewera (makondomu).

Momwe mungasankhire njira yobereka

Mapiritsi oletsa kubadwa pambuyo pa zaka 40 akhoza kukhala osiyana kwambiri. Kuti musankhe bwino, khalani ndi zofuna zanu, komanso malangizo a dokotala. Choyamba, muyenera kulingalira za njira zothandizira kulera, komanso zoopsa ndi zotsatira zake. Malingana ndi mbiri yanu, funsani dokotala kuti adziwe ntchito yanu yogonana, zosankha zanu, komanso kukhalapo kwa matenda aakulu.

N'chifukwa chiyani madokotala ambiri amatsutsa kulera kwa mahomoni?

Mapiritsi opatsirana pogonana atatha zaka 40 amalembedwa mobwerezabwereza, izi ndi chifukwa chakuti m'zaka zino matenda ambiri amayamba, omwe amatsutsana ndi kumwa mankhwala osokoneza bongo. Choncho, madokotala amawona khadi la wodwalayo ndikupatsanso zowonjezera. Simungagwiritse ntchito COC mu matenda a mtima, mitundu yambiri ya shuga ndi mitsempha yoopsa ya kubereka.

Ngati mayesowa sakuwulula matenda amenewa, ndiye kuti kugwiritsa ntchito mankhwala osokoneza bongo sikuletsedwa. Komabe, tsopano muyenera kubwerera kuchipatala chochepa chomwe ana anu aakazi akuchigwiritsa ntchito. Izi ndi mankhwala monga "Lowest", "Novinet", "Lendinet" ndi ena ena. Koma njira zothandizira njira zothandizira panthawiyi sizinayenera.

Othandizira Otsitsimutsa Odwala

Popeza muyenera kudziletsa kutenga mimba nthawi yayitali, mukhoza kulingalira njira yotchuka kwambiri yomwe imagwiritsidwa ntchito ndi atsikana aang'ono kwambiri. Izi ndi zipangizo monga mini-saws. Amaloledwa kugwiritsidwa ntchito ndi amayi okalamba. Izi zikuphatikizapo mankhwala monga Eksluton, Kontinuin ndi ena ena. Chidziwitso chawo ndi chakuti alibe mankhwala a estrogens. Iwo ali ndi kuphatikiza kwakukulu - ndi mankhwala omwe amatha kuwateteza ku endometrial hyperplasia, matenda omwe ali ofala pakati pa akazi okhwima.

Choncho, talingalira momwe tingadzitetezere ku mimba, tsopano tifunikira kudziwa pa siteji yomwe zingatheke kusinthira ku njira zothandizira kupanga mankhwala ndi ma ARV. Izi ndizokonzekera zapadera zomwe zimathandiza kusungira achinyamata, kukongola ndi thanzi pamene akusamba. Komabe, musathamangire nokha, muyenera kudziwa nthawi yomwe mungagwiritsire ntchito mankhwala ena ndi ena. Ndipotu, kuthekera kwa kutenga mimba kumathabe ngakhale pamene mayiyo adaganiza kuti pachimake chafika kale.

Ngati palibe chosowa cha kulera (zolinga zachipembedzo, imfa ya wokwatirana), ndiye kuti ndi bwino kupita ku "mahomoni a anyamata". Pofika msinkhu wa kusamba kwa amayi anu, mukhoza kupanga chisankho chosintha mankhwala anu. Koma makamaka, kuyambika kwa nyengoyi kungangotanthauzidwa ndi kutayidwa kwa mahomoni.

Pamaso pa zotsutsana

Ngati mankhwala opatsirana pogonana sangathe kutengedwa chifukwa cha zizindikiro zina zachipatala, ndiye kuti wina akhoza kugwiritsa ntchito njira ina. Lankhulani ndi dokotala wanu ndipo adzakuuzani njira zomwe zili zoyenera kwambiri. Izi zikhoza kukhala jekeseni yapadera, yomwe imakhala miyezi itatu iliyonse. Njira yabwino kwambiri yoberekera ndi njira ya intrauterine. Mzere uliwonse wa mkuwa umene unayambitsidwa kwa mayi atakwanitsa zaka 40 ukhoza kukhalabe m'chiberekero musanayambe kusamba. Ngati maubwenzi apamtima sali ozolowereka, njira zothandizira zingagwiritsidwe ntchito: makondomu, ziwalo zam'mimba ndi zipewa. Kumbukirani kuti njira zachilengedwe zoberekera (njira ya kalendala, kuchuluka kwa kutentha kwapakati) sizothandiza pazaka zino, pamene kusamba kwake kumataya nthawi zonse.

Pomalizira, ngati mwatsimikiza kuti kubadwa kwa ana kwa inu ndi nkhani yotsekedwa, ndiye kuti mukhoza kuyendetsa njira yowonjezera. Izi sizingatheke, koma simungathe kudandaula konse za kuthekera kwa kutenga mimba. Tiyenera kukumbukira kuti opaleshoniyi siyendetsedwa ndi anthu omwe sanakwanitse zaka 35 kapena alibe ana atatu.

Momwe mungatengere njira za kulera

Apanso, tikugogomezera kuti mapiritsi ayenera kulangizidwa ndi dokotala. Musadzipange nokha - osati mavitamini. Choyamba, lembani kwa mayi wazinayi ndikuyesa mayesero. Mankhwala aliwonse ali ndi dongosolo lovomerezeka. Popeza kuti njira zambiri zothandizira ana asanakwane, sizikutanthauza kuti adokotala adzasankha mankhwala osokoneza bongo. Mu phukusi, mapiritsi onse ali ndi mahomoni ofanana, kotero chinthu chofunika kwambiri ndi kumwa mapiritsi limodzi tsiku lililonse, makamaka nthawi imodzi kapena kupotola pang'ono. Mwachitsanzo, tenga piritsi limodzi tsiku lililonse usanadye chakudya cham'mawa. Kutaya kwa maola 12 sikuchepetsa kuchepetsa mphamvu yogwira ntchito.

Chidziwitso cha kutenga mankhwala opatsirana pogonana

Komabe, sizinthu zophweka, kotero tikuti tikambirane za momwe tingatengere mimba mwachindunji. Choyamba, muyenera kumvetsera kuti phukusili muli mapiritsi 21. Ndi kuvomereza kwawo kozolowereka, pulogalamu yabwino imakhazikitsidwa masiku 28. Mutenge mapiritsi imodzi ndi imodzi kuchokera pa phukusi, kenako pumulani masiku asanu ndi awiri, ndipo tsiku la 29 muyambe phukusi latsopano. Pa nthawi yopuma, nthawi ya kusamba iyenera kudutsa, koma ngakhale ngati sizichitika, muyenera kuyamba phukusi latsopano, koma muyenera kukaonana ndi dokotala kuti mupeze zifukwa za zomwe zikuchitika. Ngati mukuiwala kumwa mapiritsi, koma mochedwa kwa maola oposa 12, izi sizikuteteza chitetezo. Ngati kuchedwa kunali maola oposa 12, ndiye kuti mukufunika kupitiriza kugwiritsa ntchito mapiritsi, koma musanayambe phukusi lotsatira, ndibwino kuti muteteze ndi njira zowonjezereka.

Kodi ndi njira ziti zomwe zingatengedwe popanda kusokoneza kwa nthawi yaitali? Pali nthano yosatsutsika yakuti chaka chimodzi kapena ziwiri mutayamba kugwiritsa ntchito mankhwalawa, mumayenera kupumula kuti thupi likhoza "kupumula". Kwenikweni, kupuma koteroko kungangowononga mahomoni ndi kubweretsa mavuto ochuluka kusiyana ndi zabwino, makamaka ngati mukuganiza kuyamba kuyambanso kulera. Akatswiri a zamagetsi amatsutsa nthano imeneyi. Kusiya kumwa mankhwala kungakhale kokha ngati pangakhale kuwonongeka kwakukulu kwa ubwino, komanso pokonzekera kutenga mimba.

Ngati kusanza kapena kunyalanyaza kwakukulu panthawi yomwe imatenga mapiritsi, ndiye kuti chithandizo cha kulera chingachepe kwambiri. Izi ndi tsiku lotsatira, muyenera kugwiritsa ntchito makondomu. Kuonjezerapo, zimalimbikitsidwa kukaonana ndi dokotala ngati mwauzidwa mankhwala opha tizilombo. Kawirikawiri, amachepetsa kwambiri zotsatira za kulera.

Pindulani kapena kuvulaza

Dokotala yekha ndi amene angakupatseni chithandizo cha kulera, mtengo uli pano sichifukwa chokhalira. Mankhwala osakaniza angakuvomerezeni inu komanso omwe ali okwera mtengo kwambiri. Mankhwala a homoni amatha kuonedwa kuti ndi njira zodalirika kwambiri zoteteza kuteteza mimba yosafuna. Akazi ambiri amawagwiritsa ntchito tsiku ndi tsiku. Njira yowonekera ndi yosavuta: amatha kuletsa kusasitsa kwa dzira, motero, ovulation. Komabe, ngakhale kuti ndizovuta komanso zogwira ntchito, amayi makumi anayi samayesetsa kuwagwiritsa ntchito nthawi zonse, chifukwa zotsatirazi zimakhala zovuta.

• Mutu. Izi ndizodandaula zambiri za amayi omwe amatenga mapiritsi a mahomoni. Choyambitsa ndi hormone estrogen, imayambitsa migraine, bloating ndi zina zosasangalatsa zomverera.
• Sinthani mudziko la neuropsychic, kusalinganizana, phindu lolemera, mawonekedwe a ziphuphu zambiri. Zonsezi zimayambitsa mahomoni - progestin. Amaphatikizapo mankhwala ochuluka kwambiri a mahomoni
• Pakati pa kulandila njira zothandizira kulera, njala imawonjezeka pang'ono, choncho kuwonjezera kulemera si vinyo wa mapiritsi, mumangoyamba kudya kwambiri kuposa momwe mukufunikira.
• Musamamwe mankhwala a mahomoni ngati mumasuta. Izi zingayambitse matenda a mtima kapena sitiroko. Ndipo izi zingayambitse kulera. Mtengo wa mankhwalawa umasiyana kuchokera pa 150 mpaka 2500 ruble pa phukusi, yowerengedwa mwezi.

Kuti mutetezeke ku mimba yosafuna, sikofunika kutenga mankhwala ophatikiza. Tsopano tiwongolera gulu lalikulu la njira zothandizira kulera, zomwe zingakhale zovulaza zomwe zimachepetsedwa mpaka zero. Izi ndizochani zenizeni zomwe sizikhala ndi mafuta. Iwo ali ndi zofooka zawo, koma uwu ndi kusankha kwa aliyense. Tiyeni tiwone zomwe iwo ali.

Mankhwala osamalidwa

Pakati pa iwo ndi hormonal amatanthauza kusiyana kwakukulu, komatu, palibe omwe amapereka chitetezo cha 100% kuchokera kwa mimba. Kusiyana koyamba ndi kofunika kwambiri ndikuti mahomoni amachitidwa tsiku ndi tsiku, komanso oshormonal nthawi yomweyo asanakwatirane. Ndibwino makamaka kwa mankhwalawa kwa omwe samakhala ndi moyo wokhudzana ndi kugonana nthawi zonse. Ndikwanira kumwa mapiritsi musanagonane, ndi kutetezedwa kwa maola angapo mumapatsidwa. Mankhwala osagwiritsa ntchito mahomoni samangokhala ma mapiritsi, komanso mawonekedwe a mazisinja, mafuta odzola. Zomwe zimagwira ntchito zingathe kuwononga spermicide popanda kulola kuti zilowe mu chiberekero.

Zotsatira za kubereka kosavomerezeka

Pafupifupi onsewa ali ndi zotsutsana ndi zotupa komanso antibacterial. Izi ndizofunikira kwambiri ngati mkazi alibe wokhala naye. Inu simungathe kudziteteza nokha kukhumudwa, komanso kuchokera ku matenda osiyanasiyana omwe amagwiritsidwa ntchito pogonana. Popeza kuti zaka makumi anayi zapitazi zakhala ndi moyo wochuluka, mumatha kusankha nokha njira yoyenera yowalera. Maphunziro a amayi ambiri amasonyeza kuti mankhwala osokoneza mavitamini osankhidwa bwino, ngakhale zovuta zoonekeratu, ndi odalirika kwambiri.

Tiyeni tiwone zotsatira

Monga mukuonera, msika lero uli ndi mitundu yosiyanasiyana ya kulera. Ndibwino kuti musankhe, dokotala wanu wa zachipatala ayenera kuyambitsa. Musaiwale, zomwe zafika kwa bwenzi lanu, zingasokoneze thanzi lanu. Musamamwe mankhwala osagwiritsa ntchito dokotala. Ngakhalenso njira zosamalirako mthupi zimakhala zotsutsana, chifukwa zimatha kukhumudwitsa komanso kusokonezeka. Choncho, mulimonsemo, musanagwiritse ntchito zipangizo zothandizira kuteteza mimba zosafuna, muyenera kufufuza.

Zimaphatikizapo kukambirana kwa mayi wa amayi ndi mammologist, komanso kusemphana ndi masewera olimbitsa thupi. Kuonjezera apo, muyenera kudutsa magazi a dokotala, adokotala ayenera kuzindikira mbiri yanu, AST, ALT, shuga. Ndipo potsirizira pake, sizinapangidwe kawirikawiri, koma kachilombo kakang'ono kamene kakang'ono kameneka kamayenera kudutsa, ndipo chiyenera kuchitika pa tsiku lachisanu ndi chiwiri lachisanu. Katswiri ayenera kufotokoza kutalika ndi kulemera kwake, kupezeka kwa matenda aakulu, kuchotsa mimba, nthawi ndi kuchuluka kwa msambo. Dokotala ayenera kudziwa momwe angathere kukwanira, kukhalapo kwa khungu. Pokhapokha pamaziko onsewa tingathe kuganiza za njira zomwe amayi angagwiritsire ntchito njira za kulera. Dziyang'anire nokha ndi kukhala bwino!