Hormonal karkace ne mai hana karuwanci. An yi amfani da su don hana ciki, amma kuma yana iya samun sakamako na curative. Bari muyi cikakken bayani game da irin wannan maganin rigakafi na intrauterine, da iri, hanyar shigarwa da siffofin amfani.
Shin duk ƙananan yanayi ne?
A fannin ilimin hawan gynecology, tsakanin maganin rigakafi na intrauterine, akwai nau'i-nau'i daban-daban. Duk da haka, ba duka suna hormonal ba. Jirgin kanta, saboda siffarsa, zai iya hana farkon ciki. IUDAN Hormonal ba ƙyama ba ne kawai don ƙwayoyin kwayar cutar namiji, amma sun saki wani abu na hormonal wanda yake ci gaba. A karkashin aikin wannan abu, akwai canje-canje na tsari a cikin endometrium na uterine, saboda abin da zancen ba ya faruwa.
Wadanne irin IUDs akwai?
A cikin shekaru, nau'in Navy sun inganta. A cikin gynecology na zamani, an yi amfani da 3 ƙwayoyin na'urorin intrauterine:
- Inert (ƙarni na farko). Wadannan jigilar su ne gaba ɗaya na filastik, wanda ke bayyana ma'ajin kuɗi. An samu sakamako mai yuwuwa ta hanyar ƙirƙirar ƙananan takarda - ba za a iya gina shi ba. Ba'a amfani da wannan nau'i na nau'i ba kuma, saboda matsanancin sakamako, matsayi mai yawa na fitar (karkacewar nau'i), lokuttan ƙwayoyin ƙwayar cuta.
- Nau'ikan-dauke da rubutun (ƙarni na biyu). Asali, an halicci IUD tare da abun ciki na jan ƙarfe. Wannan ƙwayar tana da tasiri mai rikici - yana hana tsarin al'ada na shigar da kwai fetal. Dalili na karkace shi ne filastik filastik, wadda ke kewaye da abin da yake kunshe da ƙananan karfe na karfe. Daga baya suka fara amfani da azurfa da zinariya kamar ƙarfe. Wannan ya rage haɗarin kumburi a cikin mahaifa, ya ƙaru mahimmancin mai wakilci da rayuwar rayuwar irin wannan IUD.
- Hormone-dauke da (ƙarni na uku). Progestin-levonorgestrel ne a cikin abun da ke ciki daga waɗannan. Sakamakon bambanci na waɗannan ƙwararrun kwayoyin cutar HIV ne kusan kusan 100% na sakamako na hana daukar ciki. Bugu da ƙari, ana amfani da waɗannan na'urori don dalilai na asibiti, tare da cututtuka na gynecological da suka haifar da wani cin zarafin hormonal.
Hormonal karkace - alamomi
Karɓar hormonal intrauterine an shigar a buƙatar mace kanta. Duk da haka, ana iya amfani dasu da likitoci, don wasu cututtuka. Kafin aikace-aikacen, an yi binciken, wanda aka tsara don kawar da ƙananan ƙwayoyin cuta a cikin tsarin haihuwa. Daga cikin cututtuka da cututtuka wanda za'a iya samuwa ta hanyar juyin halitta, dole ne a rarrabe:
- endometriosis ;
- hadarin endometrial hyperplasia ;
- manomir ;
- bilateral unophorectomy (kau da ovaries);
- daɗaɗɗen jigilar mutane.
Hormonal spirals a endometriosis
Ƙunƙarar girma don jiyya na endometriosis za a iya tsara shi tare da furci, babban launi na ciki na ciki na mahaifa. Tsayawa cikin maganganu na progesterone, yana da hanzari na ci gaba da cigaba da haɓaka da sababbin raunuka a cikin kogin uterine. Wannan yana taimaka wajen hana ci gaban ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin cuta a kan ƙarshen endometriosis. Yayin da ake amfani da karuwar jigon hormonal don endometriosis na dogon lokaci, likitoci sukan gyara dabi'u mai kyau don sake dawowa, kamar yadda aka nuna ta:
- ragewa cikin ƙarar jini;
- rage yawan ciwo a haila ;
- tsarin daidaitawa.
Hormonal karkace tare da menopause
Ƙirƙirar intratherine tare da allurar hormonal za a iya amfani da shi a hankali kuma a cikin tsawon lokuttan climacteric. Wannan lokaci yana tare da ragewa a cikin kira na hormonal jima'i a jikin mace. Yin amfani da karkace yana taimakawa wajen daidaita yawan isrogens da progesterone. Kowace rana IUD ta raba 20 mg na levonorgestrel. Wannan abu yana tasiri na ciki na cikin mahaifa, yana ƙaruwa cikin ɓarwarsa. A lokaci guda kuma, karkara ba ta rushe glandon jima'i, amma yana kammala cikakkiyar hormone da suka hada su.
Ƙarin maganin cutar ta IUD
Kamar kowane magani, ɓangaren hormonal yana da takaddama (maganin ƙwaƙwalwar ƙwayar hormonal). Kafin shigarwa, shawarwari da jarrabawar masanin ilimin likitan kwalliya suna da muhimmanci. Bisa ga sakamakon jarrabawa, likita ya yanke shawara idan za'a iya shigar da na'urar intrauterine, ƙididdigar abin da suke biyowa:
- lokacin ciki ko zato;
- tsarin aiwatar da tsarin tsarin haihuwa, halayen halayen su;
- mummunan ƙwayoyin cuta da kuma ci gaba na tsarin tsarin haihuwa;
- gaban ciwon jima'i;
- zub da jini daga sassan jikin jini na ilimin ilimin ilimin ilimin.
Wadannan ketare sune cikakkun takaddama. Sabili da haka gynecologists raba ma zumunta:
- kumburi da kuma kamuwa da cuta daga cikin abubuwan da aka tsara a baya;
- lokaci mai raɗaɗi;
- yin haila ;
- matakan hyperplastic a cikin endometrium;
- underdevelopment na mahaifa da kuma vices (sirdi, biyu-horned);
- ciwon daji;
- anemia da cututtukan jini;
- stenosis na canji;
- Jirgin ƙwayoyin cuta na ƙasa;
- Kashewa daga cikin IUD a cikin motsi.
IUD - aikace-aikace
Tsarin yaduwa na hormonal ba zai taimaka ba kawai don hana daukar ciki ba tare da so ba, amma kuma don mayar da tsarin haihuwa. Na gode da hormone ɓoye, aikin mahaifa da appendages yana da kyau. Kowace rana karkara ta ɓoye abu, kama da tsari zuwa progesterone. A karkashin aikin wannan fili:
- inganta farfadowa daga cikin endometrium igiyar ciki;
- Tsarin hankalin dan lokaci shine al'ada;
- kowane wata rage girman su da tsawon lokaci.
Tsarin intratherine - yadda za a saka?
Kafin gabatar da na'urar intrauterine, mace za ta sha wahala. Wadannan gwaje-gwaje sune dole:
- Smears a kan flora na farji, urethra da cervix;
- gwajin jini na gaba;
- PCR don kamuwa da jima'i;
- bincike na gaggawa;
- Duban dan tayi na gabobin pelvic .
Hanyar da kanta kanta an gudanar da shi a cikin labarun. A magudi algorithm kama da wannan:
- Mai haƙuri yana samuwa a cikin kujerar gynecological.
- A cikin farji wani madubi Simpsa an saka, wanda ke nuna wuyansa.
- Wurin farji da yankin jijiyoyin sun zama antiseptic.
- Tare da taimakon bullet forceps, likita na yin gyare-gyaren mahaifa da kuma auna tsawon tsawon mahaifa.
- A cikin canal na kwakwalwa, an gabatar da mai jagorar, wanda ya kai iyakar uterine.
- Latsa piston filastik, ƙaddamar da karkace domin ya kasance tare da kafadu a kasa na mahaifa.
- Ana cire sita a hankali, sashi na zaren da ke motsa cikin farji an yanke, kuma yana taimakawa wajen kula da IUD a cikin mahaifa.
Cikin gaba ɗaya ba zai wuce minti 5 ba. Bayan shigarwa, likita a cikin katin fitar da kayyade yana tsara lokaci da kwanan wata, yana nuna alamar karkace, ya sanar da mai haƙuri tsawon lokacin aikinsa. Bayan kwanaki 10, ana gudanar da ziyarar kulawa. Don kwanaki 14 bayan hanya, ana bada shawarar mata:
- hana jima'i;
- Ka guji ɗaukar nauyi;
- kar a yi wanka mai zafi;
- Kada ku yi amfani da alamar tsabta.
Ana cire na'urar intrauterine
Bayan an shigar da samfurori na hormonal, mace zata iya manta game da maganin ƙwaƙwalwar yara da kuma na injiniya na dogon lokaci. Lokacin yin amfani da IUD na tsawon shekaru 5. Duk da haka, ana iya aiwatar da cirewar a baya, lokacin da matar ta yanke shawara ta haifi jariri. Ana gudanar da tsari ba tare da la'akari da kwanan wata ba. Mafi sau da yawa, an tsara magudi don kwanakin farko. Bayan hakar, an bincika tsarin, ban da slipping bangaren hormonal zuwa cikin kogin uterine.
Girman haɓaka - farfadowa na gefen
Yawan mahaifa sau da yawa yakan haifar da mummunan ra'ayi ga gabatarwa da wata kungiya ta waje, wanda shine IUD. Bayan an shigar da na'urar intrauterine, illa a cikin wasu mata sun bayyana a cikin 'yan sa'o'i. Duk da haka, rikitarwa na faruwa sau da yawa, wanda shine sakamakon tsarin shigarwa kanta:
- ciwo ga cervix;
- perforation na cervical canal da mahaifa tissues;
- zafi mai tsanani da haila;
- ciwo yayin ganawa;
- daɗaɗɗen kullun (yunkurin IUD);
- cin zarafin hawan zane-zane - hawan hawan haila, lokaci mai amfani;
- adnexitis da endometritis bayan karkacewar cirewa.
Hormonal spirals - sunaye
Da yake magana game da irin nau'in halayen hormonal akwai, ya kamata a lura cewa dukkanin wadannan kwayoyin halitta na dauke da hormone a cikin abun da ke ciki. Kullum tsakanin irin wannan kwayoyi a kasuwar kantin magani sune:
- Mirena (samar da Schering, Jamus);
- Levonov (samar da Leiras, Finland).
Hormonal spirals - da ribobi da kuma fursunoni
Sau da yawa, mata sun juya zuwa ga likitan ilimin likitan ilimin tare da tambaya game da abin da ya fi IUD ko ganyayyaki na hormonal da aka yi amfani da ita azaman ƙuntatawa. A wannan yanayin, likita ya lura cewa babu manufa, don haka mace ta yi amfani da abin da ya dace da ita. Daga cikin abũbuwan amfãni na spirals:
- dogon lokacin amfani;
- rashin kula da kai;
- sake dawo da aikin haifuwa bayan karbawar karkara;
- da farko daga sakamakon nan da nan bayan shigarwa;
- sakamako mai warkewa.
Don wajibi ne likitoci na Navy suna magana:
- haɗarin haɗari na ciki mai ciki;
- asarar hasara na kwakwalwa;
- ƙarin haɗari na ciwon jima'i;
- ƙara ƙãra, tsawon lokaci na zubar jini;
- buƙatar samun zaɓi na mutum.