Usoro nke mmezi nke ọgwụ mgbochi ọgwụ:
- mkpochapụ nke ịjụ nwa. Site na usoro nke nzaghachi na-ezighi ezi, ihe mgbatị na-akpali akpali ma na-agụnye hormones. Enweghi elu nke FSH na LH na-ewepu ohere nke ịzụ nwa. Ethinyl estradiol na ndị na-agba ọgwụ na-egbochi folliculogenesis na ovaries;
- ịbawanye na viscosity nke na nzuzo secretion. Ndị na-agbapụta ọrịa na-agbanwe ihe ndị e ji emepụta mkpụrụ ndụ ma na-ekpuchi eriri úkwù, na-emepụta ihe mgbochi nye usoro spermatozoa n'ime oghere uterine;
- mgbanwe na endometrium nke na-egbochi nkedo akwa. Ndị ọkachamara na-egbochi njupụta nke mkpụrụ ndụ endometrial, na-akpali mkpali nzuzo nzuzo. Ọbụna ọ bụrụ na ovulation na fatịlaịza emee, ime ime adịghị enwe ọganihu;
- na-egbochi mwepụ nke àkwá ahụ ma belata nsụgharị nke tubụ ndị na-emepụta ihe. Ndị ọkachamara na-egbu oge na-egbu oge ahụ.
Usoro usoro ihe mgbochi ime mberede (Escapel, Postinor):
Enwere ike ịchọta ozi gbasara mgbochi mberede .
- imechi igbochi, mgbochi nke njikọta spam;
- Gbanwee na endometrium, na-egbochi ịkụnye akwa akwa.
Nhazi nke ọgwụ mgbochi homonụ:
- Na ụzọ nke ọgwụ hormone si banye n'ime ọbara:
- edozi n'okpuru akpụkpọ ahụ. Mkpụrụ ndụ na-agbanwe agbanwe (35m2,5 millimeters), na-ahapụ ndị homonụ ndị na-etinye n'ime ọbara, na-emepụta ncheta mgbe niile;
- ampoules. A na-eme mmemme ahụ otu ugboro n'ụbọchị ọ bụla 45-75;
- mbadamba.
- Site na mejupụtara ihe omimi:
- Nchịkọta ndị ọzọ: (oge iri abụọ na abụọ) ụfọdụ n'ime gestagens na estrogens na-abanye n'ahụ nwanyị), biphasic (n'ọkara nke mbụ nke mgbagwoju anya, mbadamba ndị nwere ihe dị ala nke gestagens na-ejikọta ọdịdị nke hormonal), ụzọ atọ (nwere hormones dị iche iche maka oriri na ọṅụṅụ, nke na-enye gị ohere ịmepụta ahụike nke ahụ nwanyị) n'ụzọ ziri ezi;
- uncombined ("Obere-aṅụ"). Nwere naanị gestagens.
- Maka usoro onu ogugu nke estrogen:
- Microdosed (nwere 20 mg / ụbọchị ethinyl estradiol);
- obere dose (30-35 μg / day ethinyl estradiol);
- akwa dose (50 mcg / day ethinyl estradiol).
Mgbochi mgbochi: ntuziaka maka ojiji
Maka usoro mgbanaka / mgbapụta mmepụta ọbara: a na-egbochi ihe mgbochi imechi maka ụbọchị 7 (3 njirimara kwa ngwugwu).
Maka COC: 21 mbadamba nkume ndị dị na ọnya ahụ.
Maka "Obere-aṅụ": 21/28 mbadamba nkume dị iche iche na agba.
Maka mgbochi atọ OK: 21/28 mbadamba nkume dị iche iche na ọnya.
A na-enweta mmetụta na-emetụta ihe nkwekọrịta site na ịgbanwere àgwà nke usoro nlekọta na-eme ka ọkpụkpụ na njedebe nke ịzụ nwa. A na-akpọ OK na "minipili" n'ime, kwa ụbọchị n'otu oge, na-agbaso iwu ahụ kwuru na ngwugwu ahụ. Ụdị usoro: mbadamba otu ugboro ọ bụla awa 24, maka ụbọchị 21. A ga - ebido ngwugwu ọzọ mgbe izu ụka zuru ezu, nke ga - amalite ịmalite ịgba ọbara ọgbụgba. Ụda nke n'ikuku: izu atọ - ikuku nke ụda, izu 1 - ezumike.
Ịgba ọgwụ mgbochi: nkwenye zuru oke
- ọbara mgbali elu, ihe ize ndụ maka ọrịa obi, ọrịa valve ngwa ngwa, akụkọ ihe mere eme nke mgbu obi;
- ọrịa ọrịa thromboembolic, ọrịa strobcular, thrombophlebitis;
- nsogbu nke ụbụrụ ụbụrụ, migraine;
- aka oru na ime ka ndi mmadu ghara idi ndu;
- ọrịa shuga, nnukwu ịba ọcha n'anya, ọrịa siri ike;
- imeju umeji (benign / malignant), imeju imeju imeju;
- Ịṅụ sịga (15 ma ọ bụ karịa cigare kwa ụbọchị) mgbe ọ dị afọ iri atọ na ise;
- akwara, afọ ime, nrụrụ nke oghere uterine, afọ ntachi anya, prolapse nke akpanwa;
- nnukwu ọrịa nke akụkụ pelvic nke nnukwu genesis;
- na-adịghị njọ / na-adabere na neoplasms nke usoro ọmụmụ;
- uterine ọgbụgba nke amaghi etiology.
Mmetụta mmetụta nke ọrịa ọgwụ mgbochi ọgwụ:
- ezughị ezu nke estrogen: oke nsọ nsọtụ, ọbara ọgbụgba nke nwoke, ọbara amorrhea, hypoplasia nke akpanwa, kraurosis nke vulva, "ọkụ ọkụ", mgbakasị;
- Exrog estrogens: njigide mmiri, ọgbụgbọ, chloasma, nhụjuanya na-egbu mgbu, ike na mammary glands, ọbara mgbali elu, migraine, isi ọwụwa, ọrịa na-arịa ọrịa shuga latent;
- Nsogbu Progesterone: ụbụrụ amorrhea, ọbara ọgbụgba, nke na-abaghị uru;
- ihe na-akpata ụbụrụ: ọnọdụ ịda mbà n'obi, isi ọwụwa, alopecia, akpụkpọ anụ, ihe otutu, amenorrhea, uru / agụụ dị arọ, na-ebelata libido.
Ihe algorithm maka ịhọrọ ọgwụ mgbochi ọgwụ:
- Ịgafe ma ọ bụ mee nnyocha iji wepụ traindications maka ikuku hormones;
- ọgwụ nke mbụ ịhọrọ bụ ihe dị mma OK na ala androgenic gestagen na ọdịnaya nke ethinylestradiol karịa 35 μg / ụbọchị ( Regulon , Janine );
- ndi ozo choro ndi ozo nke nwere oke estrogen - ukwu nke oma (Diane-35, Tri-Mercy);
- na ọnụnọ nke otutu, a na-egosipụta mbadamba nkume monophasia nke nwere ihe antiandrogenic (Lindineth, Yarina , Logest);
- na ọbara ọbara na-arụ ọrụ, dysmenorrhea na-egosi mbadamba nkume nwere ihe dị ike ( promintogen component ) (Jeanine, Claira );
- na njedebe nke endometriosis ihe kachasị mma bụ ọgwụ mgbochi ime mmụọ na dienogest, gestodene (Jeanine, Lindineth);
- n'ihi na ndị na-ese anwụrụ nke ndị inyom karịrị iri afọ 35 na-emegiderịta onwe ha, ruo afọ iri asaa na ise ka egosiri na ịṅụ ọgwụ mgbochi ọnụ nwere ihe kachasị mma nke ethinyl estradiol ( Jess , Lindineth).
Ihe kachasị mma ọgwụ mgbochi
Ngwá ọgwụ ọjọọ na-enwe mmetụta dị nro, mmetụta dị iche iche nke nwere ọtụtụ akụkụ ahụ, nke a na-apụghị ịkọwa n'otu okwu. OK mepụta ọ bụghị naanị iji gbochie ime ime, mana maka ọgwụgwọ. Otu mbadamba nwere ike ịkpata nsogbu dị ukwuu na ụfọdụ ndị inyom, ndị ọzọ anaghị akpalite nsogbu ọ bụla. A ghaghị ahọrọ otu mmekorita hormonal n'otu n'otu, na-eburu n'uche ọnọdụ gynecological na somatic, data ezinụlọ na nke akụkọ ihe mere eme. Ọgwụ mgbochi nke hormonal ahọpụtara nke ọma bụ nchebe a pụrụ ịdabere na ya megide ime imeghi iwu na ụzọ dị irè iji chebe ahụ ike ụmụ nwanyị.